Bausch + Lomb is committed to providing copay  assistance on your LOTEMAX® SM prescription

Eligible Commercially Insured Patients May Pay As Little As*:

COMMERCIALLY INSURED

EXCLUSIVELY AT WALGREENS
AND PARTICIPATING
INDEPENDENT PHARMACIES
$25
Most Eligible Patients Pay No More Than*:

MEDICARE PART D PROGRAM

$60

Discounted $60 copay available for eligible uninsured patients*.

Size: 5g in a 10 mL bottle Eligible Fills: 6

How to activate your coupon before heading to the pharmacy

Eligible Commercially Insured & Uninsured Patients*

Eligible Medicare Part D Patients*

Activate your Medicare Part D coupon in three simple steps:

  • ACTIVATEPrint coupon: Call 1-866-686-0130ORWeb coupon: Visit www.lotemaxsmpartdcoupon.com to download coupon
  • REDEEM Visit a participating pharmacy with your coupon, prescription, and insurance card
  • MAILSign and mail the prewritten letter to notify the health plan of your choice to use coupon program benefits. The address can be found on your Medicare card
Terms, limitations and conditions apply. Most eligible commercially insured patients may pay no more than $25 copay for their first prescription and eligible refills, exclusively at Walgreens and other participating independent pharmacies. Please see www.bauschaccessprogram.com or www.lotemaxsmpartdcoupon.com for eligibility criteria and terms and conditions.

Ask your doctor

if you prefer a printed coupon