Miebo

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

This guide explains how to apply for free or low-cost Miebo through the Bausch Health Patient Assistance Program (BHC PAP). Miebo is a prescription eye drop used to treat dry eye disease by reducing tear evaporation, helping relieve symptoms like irritation and discomfort.[1][2]

Who Qualifies for the Program?

The BHC PAP helps uninsured, underinsured, Medicare, and Medicaid patients who meet strict criteria. You may qualify if you:

• Are a legal US resident (including Puerto Rico).
• Have a valid prescription for Miebo from a licensed US healthcare professional.
• Are treated as an outpatient (not in a hospital, nursing home, correctional facility, or similar).
• Lack insurance coverage for Miebo or have been denied coverage by commercial insurance (after exhausting appeals).
• Have an annual household income not exceeding 300% of the Federal Poverty Level (FPL) based on household size.
• Your prescriber is not excluded from federal healthcare programs.

All applications are reviewed case-by-case with income verification. There is no cost to apply.[1][2][3]

Medicaid patients use a special application form.[1]

About Miebo (perfluorohexyloctane)

Miebo is an innovative eye drop containing perfluorohexyloctane, a water-free formula that forms a protective layer on the eye's surface. It targets the evaporative type of dry eye disease, common in millions of Americans, by slowing tear evaporation. Unlike traditional drops, Miebo doesn't contain preservatives and is dosed four times daily (one drop per eye, as prescribed).

It's FDA-approved for chronic dry eye and can provide rapid symptom relief. Common side effects include blurred vision (temporary) and eye redness. Always follow your doctor's instructions and report issues promptly. This program makes Miebo accessible at no cost for eligible patients, up to 12 months.[1][2][3]

Income Eligibility Breakdown

Eligibility is needs-based with household income ≤ 300% FPL. Use the table below for 2026 guidelines (adjust for your household; check https://aspe.hhs.gov/poverty-guidelines for updates).

Notes: Income includes all household members. Provide proof like tax returns or pay stubs. Bausch Health verifies annually.[2]

Insurance Requirements

• Uninsured: No prescription coverage needed.
• Underinsured/Commercial: Must be denied Miebo coverage and exhaust appeals.
• Medicare Part D: Possible case-by-case; appeals reviewed. Terminated Dec 31—reapply yearly.
• Medicaid: Use Medicaid-only form; eligible if meets other criteria.
• Other government (VA, TRICARE, etc.): No coverage for Miebo required.

Discount cards don't count as coverage. Report insurance changes immediately.[1][2][3]

Step-by-Step Application Process

1. Confirm Eligibility: Review criteria above. Discuss with your doctor.
2. Download Form: Visit BauschHealthPAP.com for the standard or Medicaid-only application PDF.[1]
3. Complete Patient Sections (pages 2-3):
   • Patient info, insurance details.
   • Sign Patient Authorization and Certification.
4. Doctor Completes (pages 4-6):
   • Prescription for Miebo, clinical info.
   • Sign Prescriber Certification (docu-sign OK; no stamps for controlled substances, though Miebo isn't).
5. Gather Documents:
   • Copies of insurance cards (front/back, if any).
   • Proof of income (e.g., tax return, W-2, pay stubs).
   • Pharmacy statement if applicable.[1]
6. Submit:
   • Fax: 844-705-0160
   • Mail: Bausch Health Patient Assistance Program, P.O. Box 991624, Louisville, KY 40269
   • Phone help: (833) 862-8727 (8 AM-5 PM ET).[1][3]
7. Track Status: Call the phone number for updates.

Tip: Ensure all asterisked fields are complete, or it's on hold.[1]

Timeline and Delivery

• Processing: Case-by-case; typically weeks—call for status.
• Approval: Up to 12 months supply, shipped free to your home.
• Reauthorization: Required annually; reconfirm income/insurance. Medicare ends Dec 31.[2][3]
• Refills: Doctor submits new form or reconfirmation.

Alternatives if Denied or Ineligible

• Appeal: Contact program if denied (e.g., Medicare cases).[2]
• Other Assistance: Check HealthWell Foundation, PAN Foundation, or NeedyMeds for dry eye drugs.
• Manufacturer Savings Cards: For commercially insured (not PAP-eligible).
• Generic Options: No biosimilars for Miebo; ask doctor about alternatives like Restasis or Xiidra programs.
• State Programs: Pharmacy assistance in your state.
• Low-Cost Pharmacies: GoodRx for discounts.

Reapply if circumstances change.[3]

Important Disclaimer

This guide is for informational purposes based on program details as of 2026. Eligibility, terms, and FPL change—verify at BauschHealthPAP.com or call (833) 862-8727. Bausch Health decides eligibility at its discretion. Not legal/medical advice; consult your doctor. Program can end or modify without notice. Income tables approximate; use official FPL.[1][2]