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Combigan

Generic: brimonidine tartrate/timolol maleate

Manufacturer: AbbVie  ·  Program: myAbbVie Assist

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Eligibility Criteria

Insurance Requirement

Uninsured or underinsured patients; commercially insured may use savings card

Residency

US resident

Typically 400-500% FPL for uninsured; varies by household size

Program Information

Processing Time

2–8 weeks

Delivery Method

shipped to patient or physician office

Application Method

Multiple

Reauthorization

Required — annual

Typically Required Documents

ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.

  • proof of income
  • proof of residency
  • prescription
  • proof of insurance status

Indicated For

glaucoma, ocular hypertension

About This Medication

# myAbbVie Assist Patient Guide: How to Get Combigan at Low or No Cost Combigan (brimonidine tartrate/timolol maleate) is a prescription eye drop used to lower intraocular pressure in patients with open-angle glaucoma or ocular hypertension. The **myAbbVie Assist** program from **AbbVie** helps eligible uninsured or underinsured patients get Combigan for **free**, with no co-pays or shipping costs[1][2]. ## About Combigan **Combigan** combines two active ingredients: brimonidine tartrate, an alpha-2 adrenergic agonist that reduces aqueous humor production, and timolol maleate, a beta-blocker that decreases eye fluid production. It's typically prescribed as one drop in the affected eye(s) twice daily. Always follow your doctor's instructions, as it may cause side effects like eye redness, blurred vision, or allergic reactions. Consult your eye care specialist before starting or stopping[5]. This guide explains how to access Combigan through myAbbVie Assist, a free patient assistance program (PAP) for AbbVie medications, including eye care products like Combigan from Allergan (an AbbVie company)[3][5][9]. ## Who Qualifies for myAbbVie Assist? Qualification is based on financial need, residency, and insurance status. You must: - Live in the **US or Puerto Rico**[9]. - Be **uninsured or underinsured** and unable to afford your medication[2][4]. - Meet **income guidelines**, typically **400-500% of the Federal Poverty Level (FPL)** for uninsured patients, varying by household size[program data]. **Medicare patients**: If your income is below 150% FPL, apply for Medicare's Extra Help (Low-Income Subsidy) first and include a denial letter. Those above 150% FPL may qualify directly[3]. Commercially insured patients might use a separate savings card instead[program data][2]. ## Income Eligibility Breakdown myAbbVie Assist assesses income case-by-case, often electronically via Fair Credit Reporting Act consent. If needed, submit tax returns or proof[2]. Here's a general guide based on 2026 FPL (approximate; check current FPL at healthcare.gov): | Household Size | 400% FPL (Annual Income) | 500% FPL (Annual Income) | Notes | |---------------|---------------------------|---------------------------|-------| | 1 (Individual) | ~$60,000 | ~$75,000 | Varies; higher for larger families[program data] | | 2 (Couple) | ~$81,000 | ~$101,000 | Includes dependents | | 3 | ~$102,000 | ~$127,000 | Case-by-case review | | 4 | ~$123,000 | ~$154,000 | Contact program for exacts | These are estimates—program uses **household size-adjusted FPL** up to 400-500%. Provide accurate income docs for best chance[1][2][4]. ## Insurance Requirements - **Uninsured**: Fully eligible if income-qualified[2]. - **Underinsured**: Eligible if coverage doesn't cover Combigan or costs are unaffordable[4]. - **Commercial insurance**: Use savings card; PAP not primary[program data]. - **Medicare/Medicaid**: Extra Help denial required if <150% FPL; otherwise, possible[3][9]. Patients in 'alternate funding programs' (where insurance requires PAP first) are ineligible[2]. Notify program of changes[3]. ## Step-by-Step Application Process Applying is **free** and offers **multiple methods**: online, phone, mail, or fax[1][2][program data]. Expect **reauthorization** annually[program data]. 1. **Gather Documents**: Proof of income (tax return, pay stubs), residency (utility bill), prescription, insurance cards (front/back if applicable)[program data][2][3]. Optional: expense form for medical costs[2]. 2. **Choose Method**: - **Online**: Visit AbbVie's site, create account, enter info, upload docs. Doctor submits separately[2]. Sign up for text/email updates. - **Phone**: Call **(800) 222-6885** (Mon-Fri) for help[1][9]. - **Paper**: Download eye care form (EYE-APP1-24L-1 or Allergan PAP), complete pages 1-4, get doctor signature, fax/mail[3][7]. - Fax: 866-483-1305 or 844-708-0036[7][9] - Mail: myAbbVie Assist, PO Box 270, Somerville, NJ 08876 or AbbVie Patient Access Support, D-617927, AP5 NE 1 N. Waukegan Rd., North Chicago, IL 60064[2][9] 3. **Doctor's Role**: Prescriber completes certification, prescription (90-day supply preferred), allergies/meds[3][7]. 4. **Submit & Wait**: Program reviews, notifies you/doctor. Approved? Schedule refills online[2]. ## Timeline and Delivery Processing time varies (days to weeks); sign up for updates[2]. If approved, Combigan is **shipped free** to your home or doctor's office[program data][1]. Refills based on prescription; **reauthorization required** yearly or on changes[program data][3]. ## Alternatives if Denied - **Appeal**: Call (800) 222-6885 with new docs[8]. - **Savings Card**: For commercial insurance[program data]. - **Other PAPs**: Check rxassist.org or NeedyMeds[4]. - **Extra Help** (Medicare): Apply at ssa.gov. - **Generic options**: Discuss brimonidine/timolol combos with doctor (no biosimilars listed)[program data]. - **State programs**: Local Medicaid or charity clinics. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and income thresholds can change; AbbVie may modify/discontinue without notice[3]. Not medical/financial advice—consult your doctor and call **(800) 222-6885** for personalized help. You agree not to seek reimbursement for program meds[3][7]. Keep application copies[7]. (Word count: 1028)

Program information last verified: March 29, 2026

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