Pred Forte

Indicated For

steroid-responsive inflammation of the eye

About This Medication

# Allergan Patient Assistance Program Patient Guide: How to Get Pred Forte (prednisolone acetate 1% ophthalmic) at Low or No Cost Pred Forte (prednisolone acetate 1% ophthalmic suspension) is a corticosteroid eye drop used to treat inflammation and pain after eye surgery or for certain eye conditions like uveitis or allergic conjunctivitis. The **Allergan Patient Assistance Program** from AbbVie (Allergan) provides this medication **at no cost** to eligible uninsured or underinsured patients who can't afford it.[1][4][5] ## Who Qualifies for the Program? This program helps **U.S. residents** under the care of a U.S.-licensed doctor who lack prescription coverage or face high costs. Key factors include: - **Financial need**: Typically, household income at or below **400% of the Federal Poverty Level (FPL)**, though cases are reviewed individually if you're unable to pay.[5][6] - **No or limited insurance**: Uninsured patients or those with private insurance but high out-of-pocket costs qualify. Medicare Part D patients may be eligible if denied the Low-Income Subsidy (LIS) and provide a denial letter.[1][6][7] - **Exclusions**: Generally not for those on Medicaid, TRICARE, or other government programs unless you prove exceptional hardship.[1][3] **About Pred Forte**: This sterile suspension reduces eye swelling and redness by mimicking cortisol to calm inflammation. Common uses include post-cataract surgery or iritis. Shake well before use; typical dose is 2 drops in the affected eye 4 times daily, but follow your doctor's instructions. Side effects may include blurred vision, eye irritation, or increased infection risk—report persistent issues to your doctor.[2] ## Income Eligibility Breakdown Eligibility focuses on proving you can't afford the medication, often tied to income. While exact household size thresholds aren't always listed, sources indicate **≤400% FPL** as a common guideline.[5] Use the table below for 2026 FPL estimates (actuals vary; check HHS.gov for current figures). Programs review holistically, so slightly above may qualify with strong financial proof. | Household Size | 100% FPL | 200% FPL | 300% FPL | **400% FPL** | |---------------|----------|----------|----------|---------------| | 1 person | $15,060 | $30,120 | $45,180 | **$60,240** | | 2 people | $20,440 | $40,880 | $61,320 | **$81,760** | | 3 people | $25,820 | $51,640 | $77,460 | **$103,280** | | 4 people | $31,200 | $62,400 | $93,600 | **$124,800** | | +1 person | +$5,380 | +$10,760| +$16,140| **+$21,520** | *Notes*: Provide recent pay stubs, tax returns, or benefit statements. No specific thresholds in some docs—emphasis on 'inability to afford'.[1][4][5] ## Insurance Requirements - **Uninsured**: Ideal candidates—provide proof like a pharmacy printout showing no coverage.[1] - **Private insurance**: Eligible if costs are unaffordable; submit drug list and costs.[1][4] - **Medicare Part D**: Apply for LIS first (call 800-772-1213). Submit denial letter (valid 5 years). If approved for LIS, you likely won't qualify here unless the drug isn't on your formulary.[1][6][7] - **Medicaid/Veterans/State programs**: Usually excluded; document hardship if applicable.[1][10] - **Medicare A/B only**: May qualify without Part D.[1] ## Step-by-Step Application Process 1. **Discuss with your doctor**: They must sign and complete parts of the application, including a valid prescription for a 90-day supply of Pred Forte.[1][4][5] 2. **Download or request form**: Get it from your doctor's office, RxHope.com/Allergan, or call (844) 424-6727.[1][5] 3. **Gather documents**: - Proof of residency (e.g., utility bill). - Proof of income (pay stubs, tax return for household). - Current prescription. - Insurance details (pharmacy printout of meds/costs; LIS denial if Medicare Part D).[1][4][6] 4. **Complete and submit**: Doctor and patient sign. Mail to PO Box 66764, St. Louis, MO 63166; fax (844) 708-0036; or phone (844) 424-6727. Online option via RxHope for providers.[1][5] 5. **Wait for notification**: Sent to you and your doctor.[1][4] **Tip**: Applications must be fully completed—missing info delays processing.[4] ## Timeline and Delivery - **Processing**: Upon receipt of complete app, review occurs; approval up to 12 months eligibility, but notification sooner. Medicare enrollees get calendar-year term.[1][4][7][8] - **If approved**: 90-day supply ships to your **doctor's office** every 3 months for 12 months (non-Medicare) or year-end (Medicare). Pick up there.[4][5][6] - **Reauthorization**: Required annually—resubmit proof.[5][6][7] ## Alternatives if Denied - **Appeal**: Submit a new/complete app with more financial details.[7] - **Savings cards**: For commercially insured/Medicare Part D (if not using benefit), check predforte.com—covers copays, not uninsured.[3] - **Other PAPs**: RxAssist.org, NeedyMeds.org, or Simplefill (877-386-0206) for help.[6] - **State programs**: Check your state's pharmaceutical aid. - **Generic prednisolone acetate**: Cheaper option; ask your doctor. - **Low-Income Subsidy**: Reapply if Medicare.[7] ## Important Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and forms can change—**always verify with AbbVie at (844) 424-6727 or official sources**.[1][4] Not medical/financial advice. Consult your doctor before starting/stopping Pred Forte. Program not guaranteed; individual results vary. AbbVie reserves review rights.[1][8]

Program information last verified: March 30, 2026