Allergan is here to help

Most eligible commercially-insured patients pay as little as

$30 per prescription*

That's as little as $10 per month for a 90-day supply

Eyecare Professionals:

AYS Program Terms and Conditions

1. This offer is valid only for use only with a valid prescription for ALPHAGAN® P (brimonidine tartrate ophthalmic solution), COMBIGAN® (brimonidine tartrate/timolol maleate ophthalmic solution), or LUMIGAN® (bimatoprost ophthalmic solution) at the time the prescription is filled by the pharmacist and dispensed to the patient. 2. Depending on your insurance coverage, most eligible patients may pay as little as $30 per 30-day supply for each of up to twelve (12) prescription fills OR per 60-day supply for each of up to six (6) prescription fills OR per 90-day supply for each of up to four (4) prescription fills for each of ALPHAGAN® P, COMBIGAN®, OR LUMIGAN®. Check with your pharmacist for your co-pay discount. Maximum savings limits apply; patient out-of-pocket expense will vary. 3. This card is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients. 4. AbbVie reserves the right to rescind, revoke, or amend this offer without notice. 5. Offer good only in the USA, including Puerto Rico, at participating retail pharmacies. 6. Void where prohibited by law, taxed, or restricted. 7. This card is not transferable. The selling, purchasing, trading, or counterfeiting of this card is prohibited by law. 8. This card has no cash value and may not be used in combination with any other discount, coupon, rebate, free trial, or similar offer for the specified prescription. 9. This offer is not health insurance. 10. Subject to all other terms and conditions, the maximum annual benefit that may be available solely for the patient’s benefit under the co-pay assistance program is (a) $2,160.00 per calendar year for ALPHAGAN® P, (b) $2,160.00 per calendar year for COMBIGAN®, OR (c) $2,640.00 per calendar year for LUMIGAN®. The actual application and use of the benefit available under the co-pay assistance program may vary on a monthly, quarterly, and/or annual basis depending on each individual patient’s plan of insurance and other prescription drug costs. 11. By redeeming this card, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer. 12. To learn about AbbVie’s privacy practices and your privacy choices, visit https://abbv.ie/corpprivacy.

For questions about this program, please call 1-833-Dial-AYS (833-342-5297).

AYS Alerts: Msg and data rates apply. Msg frequency depends on user. Reply HELP for help; reply STOP to cancel. Consent to texts not required to sign up for offer. View our Mobile Terms & Conditions and Privacy Policy.