Zylet

Indicated For

ocular inflammation and infection

About This Medication

# Bausch + Lomb Patient Assistance Program Patient Guide: How to Get Zylet at Low or No Cost Zylet (tobramycin 0.3% / loteprednol 0.5% ophthalmic suspension) is a prescription eye drop medication used to treat bacterial infections of the eye and reduce inflammation. The **Bausch + Lomb Patient Assistance Program** (also referred to as Bausch Health PAP) offers this medication **at no cost** to eligible patients who meet specific criteria, including residency, prescription, insurance status, and income requirements.[1][2] ## About Zylet **Zylet** combines **tobramycin**, an antibiotic that fights bacterial infections, with **loteprednol**, a corticosteroid that reduces swelling and redness in the eyes. It's commonly prescribed for conditions like bacterial conjunctivitis (pink eye) with inflammation. Always use as directed by your doctor, and complete the full course even if symptoms improve. Common side effects may include temporary blurred vision, eye irritation, or increased sensitivity to light. Contact your healthcare provider if you experience severe reactions like vision changes or allergic responses.[1][2] This guide explains how to access **Zylet for free** through the program. It's designed for patients facing high costs or no coverage. Note: Program details are based on current information; always verify with the program.[1][2] ## Who Qualifies for the Program? Eligibility is determined **case-by-case**. You may qualify if you:[1][2] - Are a **legal U.S. resident**. - Have a **valid prescription** from a licensed U.S. healthcare professional for a Bausch Health product like Zylet. - **Lack insurance coverage** for the prescribed medication (uninsured or coverage denied). - Are treated as an **outpatient** (not hospitalized). - Meet **household income requirements** (specific thresholds not publicly detailed; reviewed individually). **Special note for Medicaid patients:** If your Medicaid plan stopped covering Zylet (noted as of October 1, 2025), you may still get it **free**. Use the Medicaid-specific application.[2] ## Income Eligibility Breakdown The program reviews **total annual household income** against pre-defined limits, but exact **Federal Poverty Level (FPL) percentages or dollar thresholds** (e.g., for individuals, couples, families) are not specified publicly. Applications are evaluated individually.[1] Here's a general overview based on similar programs (confirm with Bausch Health for Zylet specifics): | Household Size | Estimated Income Threshold | Notes | |---------------|----------------------------|-------| | 1 (Individual) | Up to ~400% FPL | Case-by-case; provide income proof. | | 2 (Couple) | Up to ~400% FPL | Household income total. | | 3 | Up to ~400% FPL | Includes all dependents. | | 4+ | Up to ~400% FPL | Add ~$5,000 per additional member (estimate). | **Income notes:** Expect to provide proof like tax returns or pay stubs. No cost to apply.[1] ## Insurance Requirements You must **not have coverage** for Zylet through private insurance, Medicare, or other plans. Attach copies of your **insurance cards (front/back)** and a **pharmacy statement** showing denial if applicable. **Medicaid patients** have a separate path if coverage lapsed.[1][2] ## Step-by-Step Application Process Follow these **3 simple steps**:[2] 1. **Prepare your application:** - Download the form from BauschHealthPAP.com (select Medicaid or non-Medicaid).[2] - **Patient completes:** Page 2 (info and insurance), sign Page 3 (authorization).[1] - **Doctor completes:** Pages 4-6, including prescription details and certification. **Stamped signatures not allowed** for controlled substances (Zylet is not controlled).[1] - **Attach:** Insurance cards (front/back), income proof if requested.[1] 2. **Submit:** - **Phone:** Call 1-833-862-8727 (Mon-Fri, 8am-8pm EST) for assistance.[2] - **Fax:** 844-705-0160.[1] - **Mail:** Bausch Health Patient Assistance Program, P.O. Box 991624, Louisville, KY 40269.[1] 3. **Wait for review:** Applications processed in **24-48 hours** if complete. Missing info (marked with *) holds processing.[1][2] ## Timeline and Delivery - **Review:** As fast as **24-48 hours**.[2] - **Approval notification:** Via mail/phone.[2] - **Delivery:** **Free shipping to your home**, no copays. Up to **1 year** supply; reapply annually if eligible.[2] ## Alternatives if Denied or Ineligible - **Ask your doctor** for generics (e.g., tobramycin/dexamethasone alternatives) or samples. - **Other programs:** NeedyMeds.org, RxAssist.org, or state pharmaceutical aid. - **Manufacturer coupons:** Check Bausch + Lomb site for savings cards (if insured). - **Low-cost pharmacies:** Walmart, Costco, or GoodRx for discounts. - **Reapply** if circumstances change (e.g., job loss).[1][2] ## Disclaimer This guide is for informational purposes only and not medical or legal advice. Eligibility, availability, and terms can change. Contact Bausch Health PAP directly (1-833-862-8727 or BauschHealthPAP.com) for personalized help. Consult your doctor before starting/stopping Zylet. Program covers Bausch products; confirm Zylet inclusion. Data current as of latest info.[1][2] (Word count: 912)

Program information last verified: March 30, 2026