Zylet Patient assistance program
Complete a free online enrollment application to find out if you’re eligible to pay only $49 per month for your Zylet medication.Get started today
- Secure: Your personal and medical information is safe with us
- Convenient: We manage the whole process and we’re here to assist you
- 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(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
Get started by filling out the online enrollment application to find out if you are eligible.
NiceRx verifies your eligibility for medication assistance and notifies you if you are qualified.
You may be required to submit further information and documents required by the pharmaceutical company which can be securely uploaded online.
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.
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.
Your monthly Zylet cost savings if eligible
If you are eligible for the Zylet patient assistance program you can get your medication for free. Our monthly flat rate of $49 per medication covers the cost of our services in applying for the program and requesting your ongoing refills on your behalf. If you obtain your Zylet through NiceRx, you will only pay $49 a month regardless of the retail price of your medication.
Am I eligible for the Zylet patient assistance program?
You could receive your Zylet without paying the full retail price if you meet the eligibility criteria for assistance. This criteria is set by the pharmaceutical companies who are providing assistance programs. At NiceRx we review each application individually, although the main factors considered by most programs 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 Zylet patient assistance?
Our application process could not be easier. We do everything that we can to take the hassle and stress out of applying for patient assistance programs. Simply start by filling in our enrollment application. We will ask for details about your healthcare provider, your insurance, and your household income. This information is required by the pharmaceutical companies you are applying to for assistance. We may be able to help you access patient assistance for other medications that you have been prescribed, so be sure to tell us about any medications you are taking as well as Zylet.
NiceRx will review the information you have provided, and if we determine that you may be eligible for assistance, we will seek to enroll you in the Zylet patient assistance program. We will handle the enrollment process for you by working with your healthcare provider and preparing all the required paperwork for your doctor to sign. We will also request yourZylet medication refills on your behalf for up to 1 year once you are enrolled in the program.
Is NiceRx a Zylet coupons provider?
At NiceRx, we help eligible individuals access the Zyletpatient assistance program. This means that we are not a Zylet coupon, a Zylet discount card, or a Zylet copay card provider. We do not offer any medication trial offers or free Zylet samples.
Can NiceRx help me get Zylet if I have insurance?
We may be able to help you if you have insurance, including if your insurance company will not pay for your Zylet medication, or you have a high copay or coinsurance responsibility. We may even be able to assist if you do not have insurance. Please apply online to find out if we can help you.
How much is Zylet with insurance?
The cost of Zyletwill vary in line with the specific terms of your healthcare plan. For further details about what you may need to pay, your insurance provider or pharmacist will be able to calculate the copay costs with your current insurance.
How much does Zylet cost without insurance?
Zylet prices without insurance will vary depending on the size of the bottle you buy (5 ml or 10 ml) and the retailer you buy it from. As a guide, a bottle of 5 ml, 0.5%/0.3% Zylet solution will cost around $320. If you obtain your medication through NiceRx, you will pay a flat monthly rate of $49 per medication regardless of its retail price.
What is Zylet?
Zylet is a prescription medication given to adults with inflammatory eye conditions. If you have an inflammatory eye condition caused by a bacterial infection or have a condition that causes inflammation and increases your risk of a bacterial infection (including recent eye surgery), your doctor may have prescribed Zylet to you.
It can reduce inflammation in your eyes and clear bacterial infections. You take Zylet by dropping the medication into your eye using the dropper bottle it comes in, usually once every 4 to 6 hours. The doctor who prescribes your Zylet to you will tell you how much Zylet to use and how often.
Zylet active ingredients
Zylet has two active ingredients, called loteprednol etabonate and tobramycin. They work together to reduce inflammation in your eye(s) and fight bacterial infections. When you drop Zylet onto your eye, both active ingredients are absorbed through your cornea (the front of your eye), where they begin to work.
Loteprednol etabonate is a corticosteroid (a type of steroid) that can reduce inflammation. It works by attaching to the surface of certain cells in your eyes at areas called glucocorticoid receptors. This stimulates the receptors and makes the eye cells produce substances that reduce inflammation. Tobramycin is an antibiotic that can suppress infections caused by certain bacteria. It works by entering bacteria and blocking the development process. This kills the bacteria.
Zylet side effects & Zylet drug interactions
As with all medications, Zylet can cause side effects. Not everyone will get side effects, and they can vary by person. The most common side effects caused by Zylet include:
- Inflammation of the cornea (punctate keratitis) that can make your eye red, watery, and sensitive to light and that can cause some visual disturbance
- An increase in pressure inside the eye (increased intraocular pressure) as fluid builds up
In rare instances, Zylet can cause more serious side effects, including:
- Severe allergic reactions to the medication
- An increase in pressure inside the eye (increased intraocular pressure) sufficient enough to cause glaucoma that can result in eye damage and vision loss
- Cataracts – a clouding of the lens on the front of the eye
- An increased risk of certain bacterial, viral, or fungal eye infections
- Delayed healing if Zylet is used after cataract surgery
Medications can interact with each other. Tell your prescribing physician about all medications you are taking, including vitamins and herbal and dietary supplements.
Zylet warnings & precautions
Make sure you do not touch the tip of the Zylet dropper bottle to your eye, eyelids, or any other surface, including your fingers, as this can contaminate it with bacteria. Using contaminated eye products can cause serious damage to the eye that can result in a loss of vision.
Do not use Zylet whilst wearing contact lenses. Wait for 15 minutes after using Zylet until you put your contact lenses in.
Zylet is not suitable for everyone. Do not take Zylet if you:
- Are allergic to the active ingredients loteprednol etabonate and tobramycin
- Are allergic to any of the other ingredients in Zylet
- Have an inflammatory eye condition caused by a fungal, viral, or mycobacterial infection (Zylet is used to treat eye conditions caused by certain types of bacteria)
Talk to your doctor before taking Zylet if you:
- Have or have ever had glaucoma
- Have or have ever had cataracts
- Have or have ever had a herpes infection in your eye(s)
- Have or have ever had any other problems with your eyes
- Are pregnant or are planning to become pregnant
- Are breastfeeding or are planning to breastfeed
*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 down the different programs and filling out all the required paperwork for each program.
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.