PART D OPT-OUT CASHPURCHASE PROGRAM
PART D OPT-OUT CASHPURCHASE PROGRAM
PART D OPT-OUT CASH
VYZULTA patients may pay as little as $47/month on a 90-day supply*
If your Medicare prescription drug insurance does not cover your prescription, or if your out-of-pocket costs exceed $79* under that coverage, Bausch + Lomb may be able to help.
The Bausch + Lomb Part D Opt-Out Cash Purchase Program is designed to help you reduce your out-of-pocket cost for prescription medications if your Medicare Part D plan does not cover the product, or your out-of-pocket costs exceed $79* or $47/month* for VYZULTA® under that coverage, and you opt out of using your Medicare Part D prescription benefit in conjunction with this offer.
Please note that you have the option to use existing prescription coverage if you have it. If you elect to take advantage of this offer, you will need to opt out of using your Medicare Part D prescription benefit and agree to certain conditions, including acknowledging that you will not seek any prescription coverage or reimbursement from your insurer for the cost of the product or report any amounts paid for the product as part of your true out-of-pocket expenses under Medicare Part D. See terms, conditions and limitations below.
To receive the savings on your out-of-pocket cost for prescription medications, click on the link below and follow the instructions.
*Terms, conditions and limitations apply. Patients voluntarily choose to pay cash and not submit the prescription claim to their Medicare plan for the remainder of the calendar year. Most eligible patients may pay as little as $79. VYZULTA® patients may pay as little as $47/month; out-of-pocket price for VYZULTA® with the Bausch + Lomb Part D Opt-Out Cash Purchase Program is $79 for a 30-day supply, $109 for a 60-day supply, and $139 for a 90-day supply. See terms, conditions and limitations here.