Upneeq

Indicated For

Acquired blepharoptosis (low-lying eyelids, ptosis)

About This Medication

# RVL Pharmaceuticals Patient Assistance Program Guide: How to Get Upneeq at Low or No Cost Upneeq (oxymetazoline hydrochloride ophthalmic solution) 0.1% is the first FDA-approved prescription eye drop for adults with acquired blepharoptosis, or low-lying eyelids, providing a non-surgical lift with one daily drop in each affected eye.[1][5] This guide explains how uninsured or underinsured patients can access help from RVL Pharmaceuticals to get **Upneeq** affordably through their patient assistance options, savings programs, and mail-order services.[2][3] ## About Upneeq **Upneeq** treats low-lying eyelids (blepharoptosis) that can make eyes look tired, obstruct vision in primary or downgaze, or affect daily activities.[5][7] It's prescribed by ophthalmologists or optometrists for adults 18+ with diagnosed acquired blepharoptosis and visual field obstruction—not for cosmetic use only.[7] One drop per affected eye daily lifts eyelids quickly, often within hours, for a more awake appearance without surgery.[1][5] Common side effects include eye redness, irritation, dry eye, blurred vision, or headache; report issues to your doctor or RVL at 1-877-482-3788.[4] No generic is available as of 2026, so costs can be high without assistance—list price exceeds $200+ per 30-day supply.[3][9] ## Who Qualifies for Assistance? RVL Pharmaceuticals offers help primarily for **uninsured or underinsured patients** who don't qualify for their savings card.[3] The savings card lets eligible commercially insured patients pay as little as **$0** per prescription but excludes government insurance like Medicare, Medicaid, Tricare, or VA.[3] For others, contact RVL directly at **1-877-482-3788** to inquire about patient assistance programs (PAPs).[3][4] Check NeedyMeds.org or RxAssist.org for updated listings, as details change.[3][10] Programs typically target those with **limited income**, no prescription coverage, or high out-of-pocket costs. While specific income thresholds aren't publicly detailed, standard PAPs often use Federal Poverty Level (FPL) guidelines: | Household Size | 400% FPL (Common Threshold) | 500% FPL (Higher Eligibility) | |---------------|------------------------------|-------------------------------| | 1 | $60,240 | $75,300 | | 2 | $81,760 | $102,200 | | 3 | $103,280 | $129,100 | | 4 | $124,800 | $156,000 | | + per person | +$21,520 | +$26,900 | *Note: Verify exact criteria by calling RVL, as they may vary. Add ~$7,000 per additional person beyond 4.*[3] ## Insurance Requirements - **Commercial insurance**: Use the savings card at upneeq.com for **$0** copay (if eligible).[3] - **Government insurance (Medicare/Medicaid)**: Savings card invalid; explore mail-order via RVL Pharmacy (844-785-3937) as some Medicare plans cover it.[6][10] - **No insurance**: Direct PAP inquiry or discount cards via GoodRx/NeedyMeds.[3][9][10] - **Prior authorization (PA)** often needed for coverage—requires diagnosis proof, visual field test, and specialist prescription.[7][10] Not covered for cosmetic use.[7] ## Step-by-Step Application Process 1. **Get a prescription**: See an ophthalmologist/optometrist for blepharoptosis diagnosis with visual obstruction.[7] 2. **Check savings options**: - Commercial insured? Activate card at upneeq.com.[3] - Uninsured/underinsured? Call **1-877-482-3788** or email medicalInfo@rvlpharma.com.[4] 3. **Gather documents** (likely needed for PAP): - Proof of income (tax return, pay stubs, SSI/SSDI letter) - Prescription - Insurance denial (if applicable) - ID and household size proof[3] 4. **Apply**: Phone RVL at 1-877-482-3788; mention patient assistance. Or visit NeedyMeds/RxAssist for forms.[3][4] 5. **Mail-order option**: Use RVL Pharmacy (844-RVL-EYES) for home delivery, possibly 90-day supply.[6][8] 6. **Follow up**: Note application number; expect contact for more info. ## Timeline and Delivery Processing varies—call for specifics, but standard PAPs take 2-4 weeks.[3] Savings card is instant at pharmacies.[3] RVL Pharmacy delivers to your door after text confirmation and payment.[8] Insurance PA may add 1-2 weeks.[10] Initial coverage often 6 weeks; reauthorization needed.[7] Refills via mail-order simplify ongoing supply.[6] ## Alternatives if Denied or Ineligible - **Discount cards**: GoodRx for ~50-70% off at CVS/Walgreens.[9] - **90-day supply**: Reduces trips/costs if insurance approves.[6][10] - **Mail-order**: RVL Pharmacy for convenience.[6][8] - **Other resources**: NeedyMeds, RxAssist, or doctor/pharmacist for samples.[3][10] - **Lifestyle**: Non-drug options like eyelid exercises (consult doctor); no biosimilars exist.[3] If denied, reapply with updated docs or appeal insurance PA.[10] ## Disclaimer This guide is for informational purposes based on available 2026 data; programs change—**always verify directly with RVL Pharmaceuticals at 1-877-482-3788**.[3][4] Not medical/financial advice. Consult your doctor for treatment suitability. RVL not liable for coverage decisions. Income tables are illustrative; actual eligibility per program rules.

Program information last verified: March 29, 2026