You have completed enrollment for your At Your Service savings card
You can print and download a PDF of your new savings card using the buttons below. You will also receive a confirmation email shortly with your savings card details.
If you do not have access to a printer, please download the PDF to view and write down the following information.
- RxBIN Number: 600426
- RXPCN: 54
- Group Number: xxxx
- Card ID: xxxx
Remember to take the At Your Service savings card with you each time you pick up a LUMIGAN ® 0.01%, COMBIGAN ®, and/or ALPHAGAN ® P 0.1% prescription.
Eligible patients pay as little as $15* for a
90-day supply (limited time only)**
ELIGIBLE PATIENTS PAY $15*, THEN SAVE UP TO $130 FOR
A 30-DAY SUPPLY FROM OCTOBER 2018 TO DECEMBER 2018†
Enroll online now
Only From Allergan
*This offer applies to LUMIGAN® 0.01%, COMBIGAN®, and ALPHAGAN® P 0.1% only. Offer not valid for patients enrolled in Medicaid, a Medicare drug benefit plan, TRICARE, or other federal or state health programs (such as medical assistance programs). Other limitations may apply. This offer cannot be combined with any other programs, offers, or discounts, and may not be redeemed for cash. Allergan reserves the right to rescind, revoke or amend this offer without notice at any time.
**Pay as little as $15 offer is valid for each prescription fill for a 90-day supply per medication. Offer applies only to prescriptions filled before the limited-time offer expires on 12/31/2018.
†Eligible patients pay $15, then save up to $130. Offer is valid for each prescription fill for a 30-day supply per medication. Offer applies only to prescriptions filled before the limited-time offer expires on 12/31/2018.