LOTEMAX® SM is covered by most prescription insurance plans. Ask your pharmacist to check your insurance before applying a coupon.

ELIGIBLE COMMERCIALLY INSURED PATIENTS MAY PAY AS LITTLE AS*:

COMMERCIALLY INSURED

EXCLUSIVELY AT WALGREENS
AND PARTICIPATING
INDEPENDENT PHARMACIES
$25 copay
MOST ELIGIBLE PATIENTS MAY PAY AS LITTLE AS*:

MEDICARE PART D PROGRAM

IF YOUR PRESCRIPTION PLAN
DOES NOT COVER LOTEMAX® SM
OR YOUR COPAY EXCEEDS
$80, BAUSCH + LOMB MAY BE
ABLE TO HELP
$80 copay

Discounted $80 copay available for eligible uninsured patients.*

Size: 5 g 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 3 simple steps:

  • ACTIVATEPrint coupon: Call 1-866-686-0130OROnline 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 that is linked to the coupon 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 pay as little as $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.

Patients who have prescription coverage under Medicare Part D may use this offer, provided that they acknowledge that by doing so they will not seek any prescription coverage or reimbursement from their insurer for the cost of the product or report any amounts paid for the product as part of their true out-of-pocket expenses under Medicare Part D.

Ask your doctor

if you prefer a printed coupon