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Tobradex

Generic: tobramycin dexamethasone

Manufacturer: Alcon  ·  Program: Alcon Patient Assistance Program

Apply for assistance

Free to apply. Service from $40/month, payable only when your application is ready to submit.

Eligibility Criteria

Insurance Requirement

No prescription insurance coverage or financial hardship from local/state/federal programs

Residency

US resident

Income Threshold

Up to 200% FPL

200% of federal poverty level based on household size

Program Information

Processing Time

2–4 weeks

Delivery Method

Varies by program

Application Method

Phone

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
  • proof of residency
  • prescription

Indicated for

ophthalmic infection, inflammation

About This Medication

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

Tobradex (tobramycin/dexamethasone) is a prescription eye drop combining an antibiotic and a steroid, used to treat bacterial eye infections with inflammation, such as after eye surgery or for conditions like conjunctivitis. The Alcon Patient Assistance Program (also known as Alcon Cares) provides this medication at no cost to eligible uninsured or underinsured U.S. patients facing financial hardship.[1][2][6]

Who Qualifies for the Program?

This program helps patients who cannot afford their medications due to limited income and lack of coverage. Key eligibility criteria include:

  • Residency: You must be a U.S. resident.[1][6]
  • Income Limits: Household income at or below 200% of the Federal Poverty Level (FPL), adjusted for household size.[provided data]
  • Insurance Status: No private or public prescription insurance coverage, or documented financial hardship from local, state, or federal programs.[provided data][6]
  • Prescription: A valid prescription from a U.S.-licensed healthcare provider for Tobradex, who confirms you cannot afford it.[2][6]

The program screens based on income, assets, household size, and medical needs. It's not for patients with any form of prescription coverage or who qualify for public programs like Medicaid.[2][6]

About Tobradex

Tobradex is an ophthalmic suspension that fights bacterial infections in the eye while reducing swelling and redness caused by inflammation. It's commonly prescribed for:

  • Bacterial conjunctivitis (pink eye)
  • Prevention of infection after eye surgery
  • Other steroid-responsive inflammatory eye conditions

Important Safety Notes (discuss with your doctor):

  • Use exactly as prescribed; typically 1-2 drops every 4-6 hours.
  • Do not use if you have viral/fungal eye infections, glaucoma, or allergies to ingredients.
  • Possible side effects: blurred vision, eye irritation, increased eye pressure.

Always follow your doctor's instructions and report side effects.[1]

Income Eligibility Breakdown

Eligibility is based on 200% of the Federal Poverty Level (FPL) for your household size. FPL guidelines are updated annually by the U.S. Department of Health & Human Services. Below is a sample table for 2026 (check current guidelines at aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines, as they may vary slightly by location like Alaska/Hawaii).

Household Size100% FPL (Annual)200% FPL Limit (Annual)
1$15,060$30,120
2$20,440$40,880
3$25,820$51,640
4$31,200$62,400
+1 person+$5,380+$10,760

Notes: Include all household income (wages, benefits, etc.). Provide proof like tax returns. Limits apply regardless of assets in some cases, but full screening occurs.[provided data][2]

Insurance Requirements

  • Uninsured Preferred: Ideal for those with no prescription insurance.[6]
  • Medicare/Medicaid: Not eligible if covered; must prove denial or hardship from these programs.[provided data][1]
  • Private Insurance: Generally ineligible; explore Alcon's copay assistance first if you have coverage.[1]

If you have any coverage, get a denial letter or proof of high costs making it unaffordable.[2]

Step-by-Step Application Process

  1. Get a Prescription: Ask your doctor for Tobradex and mention financial need. They complete part of the application.[2][6]

  2. Contact the Program: Call (800) 222-8103 to inquire, request the latest application, or check status. Hours may vary; providers can also call.[provided data][2][6]

  3. Complete the Application:

    • Patient/Guardian: Fill Section 1 with personal details, household info, income, SSN (used for verification).
    • Doctor: Completes Section 2, confirms diagnosis, signs.
    • Mark if it's a new or renewal application.[2]
  4. Gather Documents:

    • Proof of income (e.g., recent federal tax return, pay stubs for all household members).
    • Proof of residency (e.g., utility bill, ID).
    • Copy of prescription.
    • No originals needed; copies suffice.[provided data][2]
  5. Submit: Fax to 800-554-2660 or mail to Alcon Cares, Inc., TB3-4, 6201 South Freeway, Fort Worth, TX. Applications can be copied; incomplete ones are rejected.[2]

Timeline and Delivery

  • Processing: Not specified; call (800) 222-8103 for status updates. Expect screening first.[2]
  • Approval Duration: Valid for one year if approved.[2]
  • Delivery: Medication shipped free to you or your doctor; no charges to patients/providers.[2][6]

Alternatives if Denied or Ineligible

  • Denial Reasons: Income too high, insurance coverage, incomplete app. You'll get a letter explaining.[2]
  • Reapply: Fix issues and resubmit.
  • Other Options:
    • Alcon Copay Assistance or Direct Access for insured/Medicare patients.[1]
    • RxHope.com or Needymeds.org for similar programs.
    • Generic tobramycin/dexamethasone (cheaper alternatives; no biosimilars listed).[provided data]
    • State assistance, Medicaid, or low-income clinics.

Refills and Reauthorization

Approved for 1 year. For renewal: Check 'renewal' box on original Page 1, complete new Page 2 (doctor signs), resubmit with original pages 1-2. No full reapplication needed.[2]

Disclaimer

This guide is for informational purposes based on available program data as of 2026. Eligibility, rules, and contacts may change; always verify directly with Alcon at (800) 222-8103 or myalcon.com/payment-assistance-programs. Not medical/financial advice—consult your doctor and a professional for personalized guidance. Alcon reserves rights to modify/terminate the program. No guarantees of approval.

Program information last verified: March 30, 2026

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