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Patients can also pay as little as 5* for 1 bottle.Restasis MultiDose should not be used while wearing contact lenses.Restasis MultiDose and restasis will vary according to refill quantity and personal healthcare insurance coverage.Fda.gov/medwatch, or call 1-800-FDA-1088.You are encouraged to report negative side effects of prescription drugs to the FDA.Restasis MultiDose and may be reinserted after 15 minutes.Maximum savings limit applies; patient out-of-pocket expense may vary.My Tears, My Rewards, savings Card.Enter Your Contact Information *Required Information *First Name *Last Name *Address *City *State *ZIP *E-mail *Confirm E-mail *Member ID# (This is the ID# on the lower right corner of the Savings Card, example below).The most common side effect is a temporary burning sensation.My Tears, My Rewards, restasis MultiDose, prescription.Restasis MultiDose, ophthalmic Emulsion if you are allergic to any of the ingredients.Print and complete the form, attach your receipt, and send both to the address on the form: restasis and.Phone Number, yes, I would like to receive updates and offers from.
If you printed a Savings Card from this website, it is already activated and you can start using it instantly.
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Patients whose prescriptions will be paid for in part or in whole by Medicare, Medicaid, or any similar federal or state healthcare program are not eligible lacoste style in play gift set for savings or rebates according to federal and state law.Most eligible patients pay as little as 35* for a 90-day supply of restasis single-use vials.Allergan occasionally engages third-party firms to conduct consumer-based market research studies about our products or the health conditions they treat.Restasis and restasis MultiDose should not be used while wearing contact lenses.Sign up for the chance to participate in market research.Your information will only be used for the purpose of market research and will not be sold or distributed to any outside party for any other use.My Tears, My Rewards, program for Mail-Order/Manual Claims, if your mail-order pharmacy or pharmacy does not accept your Savings Card, get a claim form here.Yes, I would like to receive other communications from Allergan, Inc.Everyone is eligible and no restrictions.Offer 2, all patients are eligible to receive a discount by using this free Restasis coupon.
You'll want to carefully review the program details and eligibility requirements.

If contact lenses are worn, they should be removed prior to use of restasis and restasis MultiDose and may be reinserted after 15 minutes.
Be careful not to touch the container tip to your eye or other surfaces, to help avoid eye injury and contamination.
If contact lenses are worn, they should be removed prior to use of restasis and.


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