Free help paying for Restasis.

Every Restasis assistance program you may qualify for - manufacturer and foundation programs, not a discount card. About a minute, no login.

Restasis help that still works on Medicare or Medicaid - the programs copay cards leave out.

Tell us five things. We’ll do the rest.

Eligibility inputs

We only use this to figure out your state - programs vary by state.

Count yourself plus anyone you support.

Restasis (cyclosporine ophthalmic emulsion 0.05%) is a calcineurin inhibitor (topical ophthalmic) made by AbbVie (Allergan). It is commonly prescribed for: Chronic dry eye disease (increase tear production). Without financial assistance, Restasis typically costs around $600 per month.

Income limits

Restasis income limits in dollars (2026)

1 of the 2 active Restasis assistance programs we track caps household income. The lowest cutoff is $132,000 a year for a single person.

The myAbbVie Assist - Restasis PAP uses a flat income cap instead: $132,000 in total household income as reported to the IRS.

Each program makes the final eligibility decision - confirm on the official application linked above.

Not sure which kind of help you qualify for?

Restasis offers more than one kind of program, and they have opposite rules:

  • Have private insurance? The copay card can cut your monthly cost - but it can’t be used with Medicare, Medicaid, the VA, or Tricare.
  • Uninsured or low-income? The patient assistance program may give you Restasis free or nearly free, if your income is under its limit.
  • On Medicare? The copay card won’t work, but Restasis’s patient assistance program still does - plus federal Extra Help.

We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide

All Restasis programs we know about

This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.

Restasis assistance, answered plainly

Is there a Restasis patient assistance program?

Yes. AbbVie Inc. runs the myAbbVie Assist - Restasis PAP, which provides Restasis free of charge to eligible patients. The full rules and the official application link are in the program list above.

Does Medicare cover Restasis?

Medicare coverage for Restasis depends on your own plan: depending on how it is given, a drug can fall under Part B (administered in a clinic) or Part D (filled at a pharmacy), and each plan decides what it covers. Your plan's documents or Medicare's plan finder are the only reliable check. Separate from coverage, myAbbVie Assist - Restasis PAP is open to some Medicare patients when out-of-pocket costs stay high - details above.

Is there a Restasis copay card or coupon, and who can use it?

Yes - the Restasis Savings Card from AbbVie Inc. (Allergan). Eligible patients pay as little as $0 per 30-day (12 fills), 60-day (6 fills), or 90-day (4 fills) supply. It works for patients with commercial (private) insurance. Patients on Medicare or Medicaid cannot use the card itself, but other Restasis programs above do work with government insurance. If you searched for a Restasis coupon, this manufacturer card is the official version of it.

How much does Restasis cost without insurance?

Without insurance or assistance, Restasis typically costs around $600 per month in the US. The myAbbVie Assist - Restasis PAP above can bring that down substantially for eligible patients - use the calculator to check your situation.

Where do I find the Restasis patient assistance application form?

The official application form for the myAbbVie Assist - Restasis PAP is on abbvie.com - the application links on this page go straight to the program's own form. Some programs call it an enrollment form; it is the same document. Applying is always free; never pay a third-party service to file a patient assistance form for you.

Does Restasis assistance work if I am on Medicare or Medicaid?

Yes. myAbbVie Assist - Restasis PAP is open to some patients on Medicare - each program's exact rules are listed above, and the calculator checks the income limits against your household.

Is the Restasis patient support program the same thing as patient assistance?

Manufacturers like AbbVie (Allergan) use "patient support program" as an umbrella term for nurse lines, insurance navigation, and financial help. The financial help is what we track here - for Restasis that is the myAbbVie Assist - Restasis PAP. The support phone line is listed on the official program site linked above.