Moxeza

Alcon Patient Assistance Program Patient Guide: How to Get Moxeza at Low or No Cost

Moxeza (moxifloxacin ophthalmic solution 0.5%) is an antibiotic eye drop used to treat bacterial conjunctivitis, a common eye infection causing redness, itching, and discharge. This guide explains the Alcon Patient Assistance Program (also called Alcon Cares™), which provides Moxeza and other Alcon prescription eye medications at no cost to eligible U.S. patients facing financial hardship with limited or no prescription coverage.

Who Qualifies for the Program?

The program helps U.S. residents who:

• Have limited or no private or public prescription coverage (e.g., no commercial insurance or government programs like Medicaid that cover prescriptions adequately).
• Experience financial hardship and meet income eligibility at or below 200% of the Federal Poverty Level (FPL) based on household size.
• Are treated by a U.S.-licensed healthcare provider (like an ophthalmologist or optometrist) who confirms medical need.

Important: Medicare Part D patients may have separate options like Alcon Direct Access Support coupons, but the full patient assistance program requires no or limited coverage. Patients qualifying for state/federal programs must show they cause financial hardship.

About Moxeza

Moxeza is a prescription eye drop containing moxifloxacin, a fluoroquinolone antibiotic. It's FDA-approved for treating bacterial conjunctivitis in patients 1 year and older. Apply 1 drop in the affected eye(s) 3 times daily for 7 days, as prescribed. Common side effects include eye irritation, pain, or blurred vision—contact your doctor if severe. Always complete the full course to prevent resistance. Store at room temperature; discard after 28 days.

This program covers Moxeza along with other Alcon products like Vigamox (similar moxifloxacin formulation), ensuring access for eye infection treatment without cost barriers.

Income Eligibility Breakdown

Eligibility requires household income at or below 200% of the current Federal Poverty Level (FPL). Specific dollar thresholds vary yearly and by household size—check the latest at ASPE.gov. Here's a sample table based on 2026 guidelines (approximate; confirm current values):

Notes: Include all household income (wages, benefits, etc.). Provide proof like tax returns or pay stubs. Assets and other factors may be reviewed.

Insurance Requirements

You must have limited or no prescription coverage:

• No private insurance covering the medication, or coverage that leaves unaffordable costs.
• No public programs (Medicaid, Medicare Part D) unless they create hardship (documented).
• If you have insurance, exhaust copay programs first (e.g., Alcon Patient Access Program for commercial plans). Medicare patients: Use Direct Access coupons separately ($60-$79 fixed copay for some products, but not patient assistance free meds).

Step-by-Step Application Process

1. Contact for Application: Call 1-800-222-8103 (option 2) to request the form, or ask your doctor—they can obtain it. Download from Alcon sites or RxHope if available.
2. Patient Section (Section 1): Fill out personal details, household size, income, insurance status. Sign as patient/legal guardian.
3. Healthcare Provider Section (Section 2): Your doctor completes, signs, and confirms diagnosis/need for Moxeza. No purchase required.
4. Gather Documents: Attach proof of residency (utility bill/ID), proof of income (recent tax return, W-2s, pay stubs for all household), proof of insurance status (insurance card showing no/low coverage or denial letter).
5. Submit: Fax to 800-554-2660 or mail to Alcon Cares, Inc., TB3-4, 6201 South Freeway, Fort Worth, TX 76134. Spanish version available.
6. Track Status: Call 1-800-222-8103. Incomplete apps are rejected.

Applications are good for one year.

Timeline and Delivery

Processing time isn't specified but typically weeks—call to check. Approved patients get up to a six-month supply shipped directly (coordinate with doctor for refill). For year-long approval, reapply or request second six-month supply if no changes. Delivery to your address; no pharmacy pickup mentioned.

Alternatives if Denied

• Receive denial letter explaining reasons (e.g., income too high, insurance issue) and resubmission steps.
• Copay Programs: Commercial insurance? Use Alcon Patient Access Program (savings card, as low as $30 copay).
• Medicare Coupons: Direct Access Support for fixed low cost.
• Other PAPs: RxHope, NeedyMeds, or generic moxifloxacin assistance.
• BlinkRx: First fill free trials for some Alcon meds.
• State Programs: Check local Medicaid or charity clinics.
• Don't resubmit if criteria unmet permanently.

Disclaimer

This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and covered drugs (including Moxeza) can change—verify with Alcon at 1-800-222-8103 or your doctor. Not medical/financial advice. Consult professionals for personalized guidance. Alcon reserves rights; no guarantees of approval.