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Atralin

Generic: tretinoin

Manufacturer: Bausch Health  ·  Program: Bausch Health Patient Assistance Program

Apply for assistance

Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

Eligible patients with limited or no insurance coverage; special provisions for Medicaid patients whose coverage stopped

Residency

US resident

Income Threshold

Up to 300% FPL

Individual Income Limit

$43,740/year

Must be US resident with valid prescription

Program Information

Processing Time

24–48 hours once approved

Delivery Method

shipped to patient

Application Method

Multiple

Indicated for

acne

About This Medication

Bausch Health Patient Assistance Program Patient Guide: How to Get Atralin (tretinoin) at Low or No Cost

This guide explains how to apply for free Atralin (tretinoin) through the Bausch Health Patient Assistance Program (BHC PAP). It's designed for U.S. residents struggling with costs due to limited or no insurance.[1][2]

About Atralin (tretinoin)

Atralin is a topical prescription gel containing tretinoin, a retinoid derived from vitamin A. It's FDA-approved to treat acne vulgaris in patients 9 years and older. Tretinoin works by speeding up skin cell turnover, unclogging pores, reducing inflammation, and preventing new pimples. Apply a pea-sized amount once daily at bedtime to clean, dry skin. Common side effects include redness, peeling, dryness, and sun sensitivity—use sunscreen daily and start with less frequent use if skin is sensitive. Always follow your doctor's instructions.[1]

Who Qualifies for the Program?

The Bausch Health PAP helps uninsured or underinsured patients get free medications like Atralin. Key requirements include:[1][2]

  • Legal U.S. resident (including Puerto Rico).
  • Valid prescription from a licensed U.S. healthcare provider for an eligible Bausch Health product.
  • Treated as an outpatient (not in hospital, nursing home, prison, etc.).
  • Household income at or below 300% of the Federal Poverty Level (FPL).
  • No prescription drug coverage for the Bausch Health product through commercial insurance, Medicare Part D, Medicaid, VA, TRICARE, or other government programs—or denied coverage with appeals exhausted.

Special notes:

  • Medicaid patients whose coverage ended may qualify with provisions.[provided]
  • Medicare Part D patients can appeal for review on a case-by-case basis.[2]
  • Your doctor cannot be excluded from federal healthcare programs.[2]
  • All applications reviewed case-by-case; no cost to apply.[1][3]

Income Eligibility Breakdown

Eligibility is based on total annual household income not exceeding 300% FPL. Use the table below for 2026 guidelines (adjust for your household size; check https://aspe.hhs.gov/poverty-guidelines for updates).[2]

Household Size100% FPL300% FPL (Max Eligible Income)
1$15,060$45,180
2$20,440$61,320
3$25,820$77,460
4$31,200$93,600
+1 person+$5,380+$16,140

Examples: A single person earning $45,000 qualifies; $46,000 does not. Include all household income sources.[2]

Insurance Requirements

You must lack coverage for Atralin specifically:[2][provided]

  • Uninsured for the drug: Ideal candidates.
  • Commercial insurance denied: Submit denial letter and proof appeals exhausted.
  • Government insurance (Medicare Part D, Medicaid, etc.): Generally ineligible unless no coverage for this product or special Medicaid lapse.[1][2]
  • Discount cards don't count as coverage.[2]
  • Provide copies of insurance cards (front/back) and pharmacy statements.[1]

Medicare patients: Appeal possible; reviewed case-by-case. All Medicare enrollees terminated Dec 31—reapply annually.[2]

Step-by-Step Application Process

Applications take multiple methods; processing is case-by-case.[provided][3]

  1. Check eligibility: Visit BauschHealthPAP.com or call (833) 862-8727 (8 AM-5 PM ET).[1][3]
  2. Download form: Use "Application for All Other Patients" (or Medicaid-only version).[1][4]
  3. Patient completes:
    • Page 2: Personal, household, income, insurance info.
    • Page 3: Sign authorization/certification.[1]
  4. Doctor completes: Pages 4-6, including prescription and certification.[1]
  5. Gather documents: Insurance cards (front/back), proof of income/denials if requested, pharmacy statements.[1]
  6. Submit:
    • Phone: (833) 862-8727 for help.[provided]
    • Fax: 844-705-0160.[3]
    • Mail: Bausch Health PAP, P.O. Box 991624, Louisville, KY 40269.[3]
    • Online option possible after eligibility questions.[3]

Authorized representatives can assist—include their info.[1]

Timeline and Delivery

  • Processing time: Not specified; case-by-case. Expect weeks—call for status.[3]
  • Approval duration: Up to 12 months from approval date.[2][3]
  • Delivery: Free product shipped directly to your home or pharmacy (details post-approval).[3]
  • Annual reconfirmation of income/insurance required.[2]

Alternatives if Denied or Ineligible

  • Reapply if circumstances change (e.g., insurance denial).[2]
  • Appeal Medicare decisions case-by-case.[2]
  • Other programs: Check NeedyMeds, RxAssist, or PAN Foundation for tretinoin generics. State pharmaceutical assistance, GoodRx coupons, or patient access networks.[3][4]
  • Biosimilars/alternatives: None listed for Atralin.[provided]
  • Contact manufacturer or doctor for samples/short-term help.

Disclaimer

This guide is for informational purposes based on available program details as of 2026. Eligibility, rules, and FPL change—verify at BauschHealthPAP.com or by calling (833) 862-8727. Bausch Health decides eligibility at its discretion. Not medical/financial advice; consult your doctor. Program may end or modify without notice.[1][2]

Program information last verified: March 30, 2026

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