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Vyzulta Patient assistance program

Is your Vyzulta medication too expensive? Start receiving your medication for only $49 per month.*

Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Vyzulta medication with our help.

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  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: Your medication is delivered straight to your door
  • NiceRx Benefit
    Ongoing refills: Your medication is refilled automatically
  • NiceRx Benefit
    Secure: Your personal and medical information is safe with us
  • NiceRx Benefit
    Convenient: We manage the whole process and we’re here to assist you
  • NiceRx Benefit
    Ongoing refills: We request your medication refills on your behalf

NiceRx works with your healthcare provider to help you access affordable medications directly from U.S. pharmaceutical companies.

An introduction to NiceRx

Play video (01:52)
  • An introduction to NiceRx
    (01:52)
  • Next steps after qualifying
    (00:38)
  • Uploading documents and billing
    (00:50)
  • SSN & billing information
    (00:33)
  • Medication delivery time
    (00:41)

How it works

  • Apply Online

    Get started by filling out the online enrollment application to find out if you are eligible.

  • Qualification

    NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified. The pharmaceutical company provides your medication for free and you only pay our service fee.

  • Upload Documents

    You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.

  • Application Created

    Your application is created and sent to your doctor for signature. At this stage, you will be billed $49 and will not be billed again until you receive your first medication delivery.

  • Receive Medication

    Your application is sent to the pharmaceutical company. You will be billed again once you receive your medication. We handle the entire ordering process including requesting ongoing refills.

Medically reviewed by  Jamie Winn, PharmD

Your monthly Vyzulta cost savings if eligible

If you are eligible to receive your Vyzulta prescription through the patient assistance program, your medication will be free. We charge a flat monthly service fee of $49 per medication to cover the cost of our services.

Strength Avg. monthly price at
a US pharmacy
NiceRx monthly
price
Monthly savings
with NiceRx
0.024% 2.5ml - 1 eye dropper$230.00$49.00$181.00

Am I eligible for Vyzulta patient assistance?

To be eligible for the Vyzulta patient assistance program, you will need to meet specific eligibility criteria set by the pharmaceutical company. At NiceRx, we review each Vyzulta enrollment application individually. The main factors considered are:

  • I am a permanent, legal resident of the United States or Puerto Rico
  • I am uninsured or my insurance doesn’t cover my medication
  • I meet certain income eligibility requirements

How do I apply for the Vyzulta patient assistance program?

Applying for the Vyzulta patient assistance program through NiceRx is simple. Begin by completing the enrollment application on our website. We will ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers that supply your medication. We may be able to help you access patient assistance for other medications as well as Vyzulta, so please tell us about any medications that you have been prescribed.

If we determine that you may be eligible for Vyzulta assistance, we will handle the full enrollment process on your behalf. We will work with your healthcare provider to prepare and submit all the documents required for you to enroll. If you are successfully enrolled in the Vyzulta patient assistance program, we will also request your Vyzulta medication refills on your behalf for up to 1 year. At the end of your enrollment period, we will contact you for updated details and seek to re-enroll you in the program.

Is NiceRx a Vyzulta coupon provider?

NiceRx does not provide Vyzulta coupons, discount cards, or copay cards. We do not offer printable Vyzulta manufacturer coupons, Vyzulta discounts, rebates, Vyzulta savings cards, trial offers, or free samples. We are a service provider that helps eligible individuals access patient assistance programs. Our service cost is $49 a month per medication, so you will likely save more on your Vyzulta medication with NiceRx.

Can NiceRx help me get Vyzulta cheaper if I have insurance?

NiceRx may be able to help you access Vyzulta patient assistance if:

  • You have a high copay or coinsurance responsibility for Vyzulta
  • Your insurance company will not pay for your Vyzulta prescription
  • You do not have insurance

Complete your enrollment application online to find out more.

How much does Vyzulta cost without insurance?

Vyzulta prices without insurance will vary by retailer.

How much does Vyzulta cost with insurance?

Your individual healthcare plan will determine the copay of Vyzulta with insurance. To find out what you will need to pay, contact your pharmacist or insurance provider. They will be able to calculate your copay with your current insurance.

What is Vyzulta?

Vyzulta (latanoprostene bunod ophthalmic solution) is an FDA (U.S. Food and Drug Administration) approved medication manufactured by Bausch & Lomb Incorporated. It is a prostaglandin analog used for the reduction of intraocular pressure in patients with open-angle glaucoma or ocular hypertension.

What doses of Vyzulta are available?

Vyzulta is available as a topical ophthalmic solution, in the following doses: 0.24 mg/mL.

Instill one drop in the affected eye(s) once daily in the evening. To avoid contamination, do not touch the dropper tip or let it touch your eye or any other surface. Vyzulta eye drops contain a preservative called benzalkonium chloride that may be absorbed by your contact lenses and damage them. If you are wearing contact lenses, remove them before using eye drops, and wait at least 15 minutes before replacing them.

Please read the prescribing information and always speak with your healthcare professional for medical advice about any changes to your dose so they can monitor and evaluate your condition.

Vyzulta active ingredients

Vyzulta contains latanoprostene bunod as the active ingredient. Latanoprostene bunod mechanism of action is to reduce intraocular pressure by increasing the outflow of aqueous humor through the trabecular meshwork and uveoscleral routes. Intraocular pressure is a modifiable risk factor for glaucoma progression. Reduction of intraocular pressure reduces the risk of glaucomatous visual field loss.

Vyzulta side effects

The most common side effects of Vyzulta in clinical trials include:

  • Conjunctival hyperemia
  • Eye irritation
  • Eye pain
  • Instillation site pain

In rare instances, Vyzulta can cause more serious adverse effects. These can include:

  • Increased pigmentation of the iris and periorbital tissue (eyelid)
  • Eyelash changes – increased length, increased thickness, and the number of eyelashes

Your doctor will assess the benefits of using Vyzulta against your risk of side effects. Patients are encouraged to report negative side effects or adverse reactions of Vyzulta to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Vyzulta drug interactions

Other drugs may interact with Vyzulta, including prescription drugs and over-the-counter medicines, vitamins, and herbal products. Tell your health care provider about all of your medications including any supplements you are taking.

Vyzulta contraindications

You should not use Vyzulta if you:

  • Are allergic to the active ingredient latanoprostene bunod
  • Are allergic to any of the other ingredients in Vyzulta

Talk to your doctor before using Vyzulta if you:

  • Are taking any of the medications that could interact with Vyzulta
  • Have other eye problems (such as macular edema, lens extraction, or aphakia)
  • Have intraocular inflammation (iritis/uveitis)
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed

Vyzulta generic

Vyzulta is the trademark brand name for latanoprostene bunod manufactured by Bausch & Lomb Incorporated. A generic version of latanoprostene bunod is not available. Generic drugs are generally cheaper than brand-name drugs, but you can still find Vyzulta savings through NiceRx.

Related medications

*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking the different programs and filling out all the required paperwork for each program. Subject to medication availability.

Enrollees enjoy a full-service solution, as NiceRx assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.

**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (“Refund”).

To receive a refund, you must send the letter of denial to us by fax to 888-517-7444, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.

The content on this website is intended for information purposes only. It does not constitute medical advice. The information on this website should not be relied upon and is not a substitute for professional medical advice. You should always speak to your doctor regarding the risks and benefits of any treatment.