HOORAY
FOR SAVINGS

How to make your current copay lower

WHEN IT COMES TO SAVINGS YOU HAVE OPTIONS

WHEN IT COMES TO SAVINGS YOU HAVE OPTIONS

FIRST PRESCRIPTION
UPON ENROLLMENT

for commercially insured patients*

FIRST PRESCRIPTION
UPON ENROLLMENT

for commercially insured patients*

For 90-days (or 30-days)

For 90-days (or 30-days)

SUBSEQUENT
PRESCRIPTIONS

for commercially insured patients*

SUBSEQUENT
PRESCRIPTIONS

for commercially insured patients*

Patients save up to:

$750 per fill on a 90-day prescription

$250 per fill on a 90-day prescription

Patients save up to:

$750 per fill on a 90-day prescription

$250 per fill on a 90-day prescription

PATIENT
ASSISTANT
PROGRAM

PATIENT ASSISTANT
PROGRAM

To learn more
call 1-800-277-2254
or visit
www.PAP.Novartis.com

To learn more
call 1-800-277-2254
or visit
www.PAP.Novartis.com

On average, patients paid $45 for 90-days (or $15 per month) for OTC artificial tears.

Patient Assistance Program

If you are experiencing financial hardship, and have limited or no prescription coverage, you may receive your medications for free.

*Limitations apply. Eligible, commercially-insured patients using the Copay Card pay $0 for their first prescription of Xiidra of up to 90-days. After the first fill, eligible, commercially-insured patients may pay as little as $0 for prescription of Xiidra, subject to a maximum monthly savings of $250 for a 30-day prescription and $750 for 90-day prescription. Offer not valid under Medicare, Medicaid, or any other federal or state program. Novartis reserves the right to rescind, revoke, or amend this program without notice. See complete Terms & Conditions for details.
Based on average dollars per month spent on over-the-counter dry eye products by patients active in both the IQVIA LRx and OTC databases (n=2,258,782). Eligible patients must have at least one record of prescription activity (from any market) in the LRx database prior to the look-back period and at least one record of OTC activity. Calculation was completed by IQVIA based on the study period from November 2018 to October 2019.
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AT A LOW PRICE, VISIT
XIIDRAIINSIDER.COM
FOR ADDITIONAL SAVINGS,
DOWNLOAD THE XIIDRA
REIMBURSEMENT FORM