Retin-A

Indicated For

Acne, photoaging, skin aging

About This Medication

# Bausch Health Patient Assistance Program Patient Guide: How to Get Retin-A at Low or No Cost ## About This Program The Bausch Health Patient Assistance Program (BHC PAP) is designed to help uninsured and underinsured patients access prescription medications manufactured by Bausch Health, including Retin-A (tretinoin), at no cost or significantly reduced prices. This program recognizes that medication costs can be a barrier to treatment and aims to ensure eligible patients can afford the prescriptions their doctors recommend. ## About Retin-A (Tretinoin) Retin-A is a prescription medication containing tretinoin, a form of vitamin A used primarily to treat acne and reduce signs of aging on the skin. It works by increasing skin cell turnover and reducing sebum production. Retin-A is available in various formulations including creams, gels, and liquids at different strengths. Your dermatologist or healthcare provider will prescribe the specific formulation and strength appropriate for your skin condition. ## Who Qualifies for This Program? You may be eligible for the Bausch Health Patient Assistance Program if you meet ALL of the following requirements: **Residency and Treatment Status:** - You are a legal United States resident - You are being treated as an outpatient (not hospitalized) - You do not reside in a nursing home, correctional facility, or court-appointed program **Prescription Requirements:** - You have a valid prescription from a licensed U.S. healthcare professional for Retin-A - Your prescription is for a Bausch Health product **Insurance Status:** You must fall into one of these categories: - You are completely uninsured, OR - You have commercial insurance that has denied coverage for Retin-A and you have exhausted all appeal options, OR - You have government insurance (Medicare Part D, Medicaid, VA, TRICARE, etc.) that does not cover Retin-A Note: If you have Medicare Part D coverage, you may appeal for eligibility evaluation on a case-by-case basis. Discount cards do not count as prescription drug coverage for program eligibility purposes. **Income Requirements:** Your total annual household income must not exceed 300% of the Federal Poverty Level (FPL) based on your household size. ## Income Eligibility Breakdown The following table shows the 2026 income limits at 300% of the Federal Poverty Level by household size: | Household Size | Annual Income Limit | |---|---| | 1 person | $41,580 | | 2 people | $55,980 | | 3 people | $70,380 | | 4 people | $84,780 | | 5 people | $99,180 | | 6 people | $113,580 | | 7 people | $127,980 | | 8 people | $142,380 | | Each additional person | +$14,400 | If your household income exceeds these limits, you will not qualify for the program. For the most current Federal Poverty Level Guidelines, visit https://aspe.hhs.gov/poverty-guidelines. ## Insurance Requirements Explained The program is specifically designed for patients with limited or no insurance coverage. Here's what this means: **If you are uninsured:** You automatically meet the insurance requirement. **If you have commercial insurance:** Your insurance must have either denied coverage for Retin-A or you must have exhausted all appeal options before you can qualify. **If you have Medicaid:** You may qualify if your Medicaid plan does not cover Retin-A or has stopped covering Bausch Health medications. There is a separate application form for Medicaid-only patients. **If you have Medicare Part D:** You may appeal for eligibility evaluation. All Medicare Part D enrollees approved for the program must reapply each year by December 31st. ## Step-by-Step Application Process **Step 1: Gather Required Documents** - Your medical insurance card (front and back copy) - Your prescription insurance card (front and back copy) - A valid prescription from your healthcare provider for Retin-A - Proof of household income (recent tax return, pay stubs, or benefit statements) **Step 2: Complete the Patient Application** - Visit BauschHealthPAP.com to access the application form - You can complete the application online or download and print it - Fill out the Patient Information section with your name, address, contact information, and date of birth - Complete the Insurance Information section, listing all current insurance coverage - Read and sign the Patient Authorization and Certification section - Attach copies of your insurance cards (front and back) **Step 3: Have Your Healthcare Provider Complete Their Section** - Give your healthcare provider the application form - Your provider must complete pages 4, 5, and 6 - Your provider must sign the Prescriber Certification - Your provider's signature must be original (not stamped or digital) - Your provider must not be on the List of Excluded Individuals and Entities maintained by the Office of Inspector General **Step 4: Submit Your Application** You have two options: *Option A - Fax:* Fax: (844) 705-0160 *Option B - Mail:* BAUSCH HEALTH PATIENT ASSISTANCE PROGRAM P.O. Box 991624 Louisville, KY 40269 **Important:** If any required information (marked with an asterisk on the form) is missing, your application will be put on hold until all information is received. ## Timeline and What to Expect **Application Processing:** Your application will be reviewed on a case-by-case basis. Most applications are processed within 24-48 hours of receipt. **Approval Duration:** If approved, you are eligible to receive Retin-A at no cost for up to 12 months from your approval date. **Annual Reconfirmation:** The program will reconfirm your income and insurance eligibility annually. If your circumstances change (such as obtaining insurance or an increase in income), you may no longer be eligible. **Medicare Part D Requirement:** If you are enrolled in Medicare Part D, you must reapply to the program by December 31st each year to continue receiving assistance. ## What If Your Application Is Denied? If your application is denied, you have several options: 1. **Request clarification:** Call (833) 862-8727 between 8 AM and 5 PM ET to understand why you were denied 2. **Appeal:** If you believe there was an error, ask about the appeal process 3. **Reapply:** If your circumstances change (such as loss of insurance or income reduction), you may reapply 4. **Explore alternatives:** Ask your healthcare provider about generic tretinoin options, which may be more affordable, or other patient assistance programs 5. **Contact patient advocacy organizations:** Organizations like the Patient Advocate Foundation may have additional resources ## Frequently Asked Questions For additional questions, contact the Bausch Health Patient Assistance Program: - **Phone:** (833) 862-8727 (8 AM to 5 PM ET) - **Website:** BauschHealthPAP.com - **Fax:** (844) 705-0160 ## Important Disclaimer This guide provides general information about the Bausch Health Patient Assistance Program based on current program guidelines. Program eligibility requirements, income limits, and terms may change. All applications are reviewed on a case-by-case basis, and Bausch Health Companies Inc. retains sole discretion in determining participation. This guide is not a guarantee of eligibility or approval. For the most current and complete information, visit BauschHealthPAP.com or contact the program directly. Always consult with your healthcare provider about your treatment options and medication needs.

Program information last verified: March 30, 2026