Eysuvis
Generic: loteprednol etabonate
Manufacturer: Alcon · Program:
Apply for AssistanceEligibility Criteria
Insurance Requirement
See program details
Residency
US residency required
Program Information
Processing Time
2–8 weeks
Delivery Method
Varies by program
Application Method
Online
Indicated For
dry eye
About This Medication
# Alcon Cares™ Patient Assistance Program Guide: How to Get Eysuvis (loteprednol etabonate) at Low or No Cost Eysuvis (loteprednol etabonate ophthalmic suspension 0.25%) is a prescription corticosteroid eye drop approved by the FDA for short-term treatment (up to two weeks) of dry eye disease symptoms and signs. This patient-friendly guide explains Alcon Cares™, the free medication program from manufacturer Alcon for eligible uninsured or underinsured US patients experiencing financial hardship who cannot afford Eysuvis.[1][4] ## About Eysuvis **Eysuvis** is the first and only corticosteroid specifically FDA-approved for short-term dry eye relief. It reduces inflammation causing dry eye discomfort like burning, stinging, and redness. Use it as prescribed: shake the bottle 2-3 seconds, wash hands, avoid touching the dropper tip to any surface, remove contact lenses before dosing (wait 15 minutes to reinsert), and apply drops to the eye. Common side effect: instillation site pain (5% of patients). Do not use if you have eye infections (viral, bacterial, fungal); tell your doctor about any eye pressure issues or worsening symptoms.[4] Eysuvis is typically covered by insurance, but high costs can burden uninsured patients. Alcon offers multiple support options, with **Alcon Cares™** providing **free Eysuvis** for those who qualify based on income and lack of coverage.[1][2] ## Who Qualifies for Alcon Cares™? Alcon Cares™ targets US residents with **limited or no prescription insurance** facing financial hardship. Key requirements:[1][3][8] - US resident (proof may be required). - Treated by a US-licensed healthcare provider. - **No prescription insurance** (private or public, like Medicaid), or documented financial hardship from such programs. - Household income at or below **200% of the Federal Poverty Level (FPL)**. - Physician confirms patient cannot afford the medication. **Note:** Each application is reviewed; approval depends on available resources.[3] ## Income Eligibility Breakdown Eligibility uses **200% FPL** based on household size and current year guidelines (check HHS.gov for latest). Here's a sample table for 2026 (approximate; verify annually): | Household Size | 100% FPL | 200% FPL (Eligibility Max) | |---------------|----------|----------------------------| | 1 (Individual) | $15,060 | **$30,120** | | 2 (Couple) | $20,440 | **$40,880** | | 3 | $25,820 | **$51,640** | | 4 | $31,200 | **$62,400** | *Add ~$5,760 per additional person for 100% FPL, double for 200%.* Proof of income required (see below). RxHope notes openness to patients unable to afford meds, with doctor input.[3] ## Insurance Requirements **Uninsured preferred:** No private/public prescription coverage. Medicare Part D or Medicaid patients typically ineligible unless hardship proven. Alcon offers separate programs:[1][2][6] - **Commercial insurance:** Alcon Patient Access Program copay card – pay as low as **$30** out-of-pocket.[2][7] - **Medicare:** Direct Access Support coupons ($79 for similar drugs; check Eysuvis specifics).[1][6] - **BlinkRx:** First fill free trial, then low cost with free delivery (1-844-926-2480).[1] Alcon Cares™ is for those without viable coverage options.[1][5] ## Step-by-Step Application Process 1. **Discuss with your doctor:** Confirm Eysuvis need and financial hardship. Doctor completes/sends application.[3][8] 2. **Request application:** Call **1-800-222-8103 opt. 2**, download from myalcon.com/payment-assistance-programs, or doctor faxes.[1][3][8] 3. **Complete form:** Patient section (income, household, contact), doctor signs.[3] 4. **Gather documents:** Proof of income (tax return, pay stubs, W-2), residency, no insurance proof.[3] 5. **Submit:** Fax, mail, or as instructed. Doctor's office or patient home shipment.[3] 6. **Await approval:** Processed based on resources.[3] Spanish application available.[1] ## Timeline and Delivery Processing time varies (days to weeks; call for status). If approved, **free Eysuvis** ships to doctor's office or home. Supply duration per approval (not specified; typically 1-3 months, refills possible).[1][3] Track via phone support. ## Alternatives if Denied or Ineligible - **Copay programs:** $30 copay card for insured (alconpatientaccessprogram.com or 1-800-587-9586).[2] - **BlinkRx:** Online pharmacy, free delivery, insurance-applied savings.[1] - **Medicare coupons:** Direct Access Support.[1] - **Other dry eye aids:** OTC like Systane/Pataday via Alcon Cares™; Xiidra savings (commercial only).[1][5] - **State programs:** Check Benefits.gov or NeedyMeds.org. - **Appeal:** Contact Alcon if hardship undocumented.[8] ## Disclaimer This guide summarizes publicly available info as of 2026; programs change. Eligibility not guaranteed. Consult healthcare provider, Alcon (1-800-222-8103 opt. 2), or sites like myalcon.com. Not medical/financial advice. Verify FPL/income current.[1][3]
Program information last verified: March 29, 2026
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