Vyzulta Savings Coupon Download now
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VALUE SAVINGS FOR YOUR PRESCRIPTIONS
You receive a prescription from your physician.
Activate your coupon by calling 1-866-693-4880, or by texting BLSAVINGS to 24109.
Take it to Walgreens or a participating independent pharmacy to pick up your prescription.
MOST ELIGIBLE COMMERCIALLY INSURED PATIENTS PAY NO MORE THAN*:

DISCOUNTED PRICING AVAILABLE FOR
ELIGIBLE UNINSURED PATIENTS*

*Terms and conditions apply. Please see eligibility criteria and terms and conditions below.
   
Product Name Size Eligible Commercially
Insured
ALREX®
(loteprednol etabonate ophthalmic suspension) 0.2% 		5 mL $35
BEPREVE®
(bepotastine besilate ophthalmic solution) 1.5% 		5 mL $35
BESIVANCE®
(besifloxacin ophthalmic suspension) 0.6% 		5 mL $35
ISTALOL®
(timolol maleate ophthalmic solution) 0.5% 		2.5 mL $35
LACRISERT®
(hydroxypropyl cellulose ophthalmic insert) 		60 vials $35
LOTEMAX® GEL
(loteprednol etabonate ophthalmic gel) 0.5% 		5 g $25
LOTEMAX® OINTMENT
(loteprednol etabonate ophthalmic gel) 0.5% 		3.5 g $35
PROLENSA®
(bromfenac ophthalmic solution) 0.07% 		3 mL $35
TIMOPTIC®
(timolol maleate 0.5% ophthalmic solution)
in OCUDOSE® (dispenser) 		60 vials $35
ZYLET®
(loteprednol etabonate 0.5% and tobramycin 0.3%
ophthalmic suspension) 		5 mL $35
zirganganciclovir

AVAILABLE FOR ZIRGAN®: A SAVINGS UP TO $35 OFF FOR ELIGIBLE COMMERCIALLY INSURED PATIENTS*

*Terms and conditions apply. Please see eligibility criteria and terms and conditions below.

Eligibility Criteria/Terms and Conditions:

By using the Bausch + Lomb Access coupon, you confirm that you understand and agree to comply with the following terms and conditions of this offer:

  • This offer is only valid for eligible patients with commercial insurance and eligible uninsured patients.
  • This offer is not valid for any person eligible for reimbursement of prescriptions, in whole or in part, by any federal, state, or other governmental programs, including, but not limited to, Medicare (including Medicare Advantage and Part A, B, and D plans), Medicaid, TRICARE, Veterans Administration or Department of Defense health coverage, CHAMPUS, the Puerto Rico Government Health Insurance Plan, or any other federal or state health care programs.
  • You agree not to seek reimbursement for all or any part of the benefit received through this offer and are responsible for making any required reports of your use of this offer to any insurer or other third party who pays any part of the prescription filled.
  • This offer is good only in the United States of America (including the District of Columbia, Puerto Rico, Guam and the U.S. Virgin Islands) at retail pharmacies owned and operated by Walgreen Co. (or its affiliates) and other participating independent retail pharmacies. This offer is not valid in Massachusetts or Minnesota or where otherwise prohibited, taxed, or otherwise restricted.
  • This offer is not valid for redemption in the States of California and Massachusetts or by any resident of the States of California or Massachusetts with regard to any product for which a therapeutically equivalent generic product is available including, but not limited to, ISTALOL® (timolol maleate ophthalmic solution) 0.5%.
  • This offer is not valid for any person that is 65 years of age or older without commercial insurance. You must be 18 years of age or older to redeem this offer for yourself or a minor.
  • Eligible unisured patients may pay no more than $75 for a 1-month supply.
  • For ALREX®, BEPREVE® and ZYLET®, eligible uninsured patients may pay no more than $115 for a 10 mL bottle.
  • For ZIRGAN®, eligible uninsured patients may save up to $135.
  • You must present this coupon along with your prescription to participate in this program.
  • You must activate your coupon before use. Please activate online at www.blsavings.com, on the phone by calling 1-866-693-4880, or by texting BLSAVINGS to 24109 to activate. Message and data rates may apply. The full terms can be viewed at
    https://bauschaccess.copaysavingsprogram.com/sms-terms.
  • This coupon is good for use only with the products identified herein.
  • No other purchase is necessary.
  • This offer cannot be redeemed at government-subsidized clinics.
  • This coupon is valid for (6) fills only.
  • Reimbursement limitations apply. Patient is responsible for all additional costs and expenses after reimbursement limits are reached. For questions, please call 1-866-693-4880.
  • This coupon and offer are not health insurance.
  • The selling, purchasing, trading, or counterfeiting of this coupon is prohibited by law. Void if reproduced.
  • This offer is not valid with other offers. This coupon has no cash value. No cash back.
  • Bausch + Lomb reserves the right to rescind, revoke, terminate, or amend this offer at any time, without notice.
  • This offer expires December 31, 2019.
  • You understand and agree to comply with the terms and conditions of this offer as set forth above.
  • For questions call: 1-866-693-4880.
®/TM are trademarks of Bausch & Lomb Incorporated or its affiliates except Zirgan is a registered trademark of Laboratoires Théa Corporation used under license.
©Bausch & Lomb Incorporated. ALX.0071.USA.18

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