Tobradex ST
Generic: tobramycin dexamethasone
Manufacturer: Alcon · Program: Alcon Patient Assistance Program
Apply for AssistanceEligibility Criteria
Insurance Requirement
limited or no prescription insurance coverage
Residency
US resident
Income Threshold
Up to 200% FPL
up to 200% of federal poverty level, US patients unable to afford medication without prescription insurance or financial hardship
Program Information
Processing Time
2–4 weeks
Delivery Method
shipped to doctor's office or patient's home
Application Method
Multiple
Typically Required Documents
ProvisionRX prepares and organizes all required documentation as part of your enrollment management. This list is provided for informational purposes.
- proof of income
- completed application signed by patient and doctor
Indicated For
bacterial eye infections, ocular inflammation
About This Medication
# Alcon Patient Assistance Program Patient Guide: How to Get Tobradex ST at Low or No Cost Tobradex ST (tobramycin/dexamethasone ophthalmic suspension) is a prescription eye drop combining an antibiotic and a steroid, used to treat bacterial eye infections with inflammation, such as conjunctivitis. The **Alcon Patient Assistance Program** (also known as Alcon Cares) provides this medication at low or no cost to eligible US patients facing financial hardship who lack prescription insurance coverage[1][2][7]. ## About Tobradex ST **Tobradex ST** is a sterile eye drop suspension prescribed for ocular inflammatory conditions where a corticosteroid is indicated and there's a risk of bacterial infection, or for established bacterial infections with inflammation. It contains **tobramycin** (an aminoglycoside antibiotic that kills bacteria) and **dexamethasone** (a corticosteroid that reduces swelling, redness, and itching). Administer as directed by your doctor, typically 1-2 drops in the affected eye(s) every 4-6 hours, tapering as symptoms improve. Common side effects include temporary blurred vision, eye discomfort, or increased intraocular pressure; contact your doctor for severe reactions. Always complete the full course to prevent resistance[1][2]. This guide explains how to access **Tobradex ST** through the program, designed for patients unable to afford it without help. Alcon commits to simplifying access with support and savings[1][4]. ## Who Qualifies? Eligibility focuses on financial need, residency, and insurance status: - **US residents** only (patients and legal guardians). - **Limited or no prescription insurance** (private or public, including Medicare Part D; does not cover those qualifying for public programs). - **Income at or below 200% of the Federal Poverty Level (FPL)**, based on household size. - Treated by a US-licensed physician who confirms the patient cannot afford the medication. - No product purchase requirements; free for approved patients[1][2][7]. **Notes:** Applications screen for income, assets, household info, and medical details. Incomplete applications are rejected[2]. ## Income Eligibility Breakdown Qualify if your household income is **up to 200% of the FPL**. Use the table below for 2026 guidelines (FPL updates annually; verify current levels via HHS.gov or call the program). Exact individual/couple/family thresholds not specified—calculate based on total household income. | Household Size | 100% FPL (approx.) | 200% FPL Limit (approx.) | |----------------|---------------------|---------------------------| | 1 (Individual) | $15,060 | **$30,120** | | 2 (Couple) | $20,440 | **$40,880** | | 3 | $25,820 | **$51,640** | | 4 | $31,200 | **$62,400** | | +1 person | +$5,380 | **+$10,760** | *Table based on 2026 continental US FPL estimates; Alaska/Hawaii higher. Include all household income sources. Provide proof like tax returns[2].* ## Insurance Requirements You must have **limited or no prescription coverage**. This program is **not for commercially insured patients** (use Alcon's copay assistance instead) or those eligible for Medicare Part D/public programs. Medicare patients without Part D coverage may explore separate Alcon coupons, but Patient Assistance requires no coverage[1][6][7]. Notify your plan if applicable[6]. ## Step-by-Step Application Process The program uses **multiple application methods**: phone, fax, or mail. No online portal specified[2]. 1. **Contact for Application:** Call **(800) 222-8103** (opt. 2) to inquire, request the form, or check status. Your doctor can also request it[2][7]. Spanish available[1]. 2. **Complete Section 1 (Patient/Legal Guardian):** Provide personal details, household info, income/assets, Social Security number, and check boxes for new/renewal. List **Tobradex ST** in products section[2]. 3. **Doctor Completes Section 2:** Healthcare provider verifies medical need, signs, and agrees not to market the program aggressively[2]. 4. **Gather Documents:** Attach **proof of income** (e.g., recent Federal tax return or equivalents for all household members) and **completed, signed application**[2][3]. 5. **Submit:** - **Fax:** 800-554-2660 - **Mail:** Alcon Cares, Inc., TB3-4, 6201 South Freeway, Fort Worth, TX (zip not specified—confirm via phone)[2]. - Doctor-signed forms can be faxed/mailed directly[5][7]. 6. **Wait for Approval:** Approved for **one year**[2]. **Tips:** Use legible handwriting; copy blank forms if needed. No charges to patients/doctors[2]. ## Timeline and Delivery **Processing time** not specified—call (800) 222-8103 for status. Approvals valid **one year**; medication **shipped to doctor's office or patient's home** free of charge[2]. Expect delays for incomplete apps[2]. Support hours: Mon-Fri 8AM-5PM CST at +1 800-757-9195 (general help)[1]. ## Alternatives if Denied - Receive a **letter explaining reasons** (e.g., income, insurance)[2]. - **Refile** with corrections or new proof. - **Copay Assistance** for private insurance[1]. - **BlinkRx** or pharmacy discounts. - **Medicare Coupons** for specific Alcon drugs (not Tobradex ST)[1][6]. - Other PAPs via RxHope, NeedyMeds, or RxResource[2][7]. - **Biosimilars/Generics:** None listed for Tobradex ST. - Doctor may sample or suggest alternatives like generic tobramycin/dexamethasone. ## Disclaimer This guide is for informational purposes based on available program details as of 2026. Eligibility, terms, and FPL change; **verify with Alcon at (800) 222-8103**. Alcon reserves rights to modify/terminate. Not legal/medical advice—consult your doctor. Program not guaranteed; incomplete apps denied. Alcon not liable for errors[1][2]. (Word count: 1028)
Program information last verified: March 30, 2026
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