Tyrvaya

Indicated For

dry eye disease

About This Medication

# Viatris Patient Assistance Program Patient Guide: How to Get Tyrvaya (varenicline solution) at Low or No Cost Tyrvaya (varenicline solution) is a prescription nasal spray used to treat dry eye disease in adults. The **Viatris Patient Assistance Program (PAP)** offers this medication **free of charge** to eligible uninsured patients with financial need who meet specific criteria.[1][5] ## About Tyrvaya **Tyrvaya** is the first and only nasal spray approved by the FDA for the treatment of dry eye disease. Unlike traditional eye drops, Tyrvaya works by activating the trigeminal parasympathetic pathway—a nerve pathway that stimulates natural tear production. Administered as **one spray in each nostril twice daily** (about 8-10 cm from the nose), it helps relieve symptoms like dryness, irritation, and discomfort associated with dry eye.[1][2] Dry eye disease affects millions of Americans, often due to age, environment, screen time, or medical conditions. Tyrvaya provides targeted relief by boosting your body's own tear production, offering convenience without the need for frequent eye drop applications. Always use as prescribed by your doctor, and note it may take time to notice full benefits. ## Who Qualifies for the Viatris PAP? The Viatris PAP is designed for patients facing financial hardship who lack prescription coverage. Key eligibility requirements include:[5][8] - **U.S. residency** (including U.S. territories). - **Fully uninsured** for prescription drugs (no Medicare Part D, Medicaid, or other drug coverage; commercial insurance that excludes prescriptions may qualify if no drug benefit exists). - **Financial need**: Applicants are individually assessed based on household income, size, and other factors provided in the application. Specific Federal Poverty Level (FPL) thresholds are not publicly detailed but evaluated case-by-case.[1][5] - A valid prescription from a **U.S. licensed healthcare provider** for an FDA-approved use. - Age 18 or older (program typically for adults). **Important**: Medicare patients generally do not qualify for free PAP medication, as they have prescription coverage. However, separate savings options exist (see below).[2][6] ## Income Eligibility Breakdown Exact income limits are not fixed publicly and depend on individual assessment, but programs like this often align with **400% of the Federal Poverty Level (FPL)** or lower. Provide accurate household income and size details on the application for evaluation.[5] Here's a general reference table for 2026 FPL guidelines (approximate; confirm current values and program specifics): | Household Size | 100% FPL | 200% FPL | 400% FPL | |----------------|----------|----------|----------| | 1 (Individual) | $15,060 | $30,120 | $60,240 | | 2 (Couple) | $20,440 | $40,880 | $81,760 | | 3 | $25,820 | $51,640 | $103,280| | 4 | $31,200 | $62,400 | $124,800| *Add ~$5,380 per additional person for 100% FPL. Viatris assesses individually—no strict cutoffs listed. Include all income sources (e.g., wages, Social Security, pensions).[1][5]* ## Insurance Requirements - **Must have no prescription drug coverage**. Fully uninsured patients qualify. If you have insurance but no drug benefit, you may still apply.[5][8] - **Medicare/Medicaid patients ineligible** for PAP free drug but can explore **Tyrvaya Savings Offer** (commercial only) or cash pay options like PhilRx ($89/month without insurance).[2][3][6] - **Commercial insurance**: Use Tyrvaya Savings Offer for as low as **$0** (up to $275/30-day savings). 90% of commercially insured patients pay $0 with it.[2][4] ## Step-by-Step Application Process 1. **Confirm eligibility**: Visit viatris.com patient assistance page, select **Tyrvaya** from the dropdown.[1] 2. **Download/print application**: Get the form for Group One medicines (Tyrvaya listed here).[5][8] 3. **Gather documents**: Prescription, proof of income (tax returns, pay stubs, etc.), proof of no insurance (e.g., denial letter).[9] 4. **Complete form**: Include patient info, household details, income, prescriber signature. Patient and doctor must sign.[5] 5. **Submit**: Mail, fax to 877-427-7290, or call 888-417-5780 for help. Email support available.[9] 6. **Wait for approval**: Processed upon receipt of complete app.[1] **Pro tip**: Have your doctor send a prescription directly if needed. TEAMTyrvaya support via PhilRx can assist with prior authorizations.[3][6] ## Timeline and Delivery - **Processing**: Varies; typically 2-4 weeks after complete submission. Call 888-417-5780 for status.[9] - **Approval duration**: **12 months**, up to **11 refills**. Medication shipped free to your home or pharmacy.[5][8] - **Delivery**: Direct to patient via mail; ensure valid address.[1] ## Alternatives if Denied or Ineligible - **Commercial insurance**: Tyrvaya Savings Offer at Tyrvaya.com—**$0** for 90% of patients, max $275/30-day or $825/90-day.[2][3][4] - **No insurance**: PhilRx Manufacturer Cash Discount—**$89/month**.[3] - **Medicare**: Request **Tier Exception** via provider; contact plan for coverage details.[6] - **Appeals**: TEAMTyrvaya helps with prior auth/appeals.[3] - **Other aid**: Check RxAssist.org or NeedyMeds.org for generics/alternatives (none listed as biosimilars).[7][9] ## Disclaimer This guide is for informational purposes based on publicly available data as of 2026. Eligibility, terms, and availability can change—always verify directly with Viatris PAP at 888-417-5780 or viatris.com. Not medical advice; consult your doctor. Program not guaranteed; individual results vary. Viatris/Oyster Point reserves rights to modify.[1][5]

Program information last verified: March 30, 2026