Restasis Savings Card
AbbVie Inc. (Allergan) · Restasis
Patient pays: as little as $0 per 30-day (12 fills), 60-day (6 fills), or 90-day (4 fills) supply
commercial insurance
How to apply: online or phone
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.
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
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.
Restasis offers more than one kind of program, and they have opposite rules:
We show both programs, and the real income limits, below. Or read the full copay card vs patient assistance guide
This is the full list before we filter by your situation. Use the calculator above to see only the ones you may qualify for.
AbbVie Inc. (Allergan) · Restasis
Patient pays: as little as $0 per 30-day (12 fills), 60-day (6 fills), or 90-day (4 fills) supply
commercial insurance
How to apply: online or phone
AbbVie Inc. · Restasis
uninsured · underinsured · Medicare Part D
How to apply: online or phone
Your prescriber signs part of the form.
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.
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.
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.
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.
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.
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.
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.