Patient Assistance Program

Valeant Pharmaceuticals understands that some patients may face financial obstacles that keep them from obtaining the medications they need. Valeant is committed to improving patient care through a number of unique patient assistance programs. These programs are listed below:

Patient Assistance Program for Valeant/Biovail products

1-866-268-7325

Ancobon  Capsules® (flucytosine) 500mg             

Android® (C-III) (methyltestosterone Capsules, USP)

Atralin® (tretinoin) Gel 0.05%

Carac® Cream (fluorouracil) 0.5% 30gm

Cardizem® CD (diltiazem HCI) 360mg      

Cardizem® LA (diltiazem) 120mg/180mg/240mg/300mg/360mg/420mg  

Diastat® (C-IV) (diazepam)         

Diastat® Acudial (C-IV) 10mg/20mg (diazepam rectal gel)          

Edecrin® (ethacrynic acid) 25mg                               

Elidel® (pimecrolimus) cream

Lodosyn® (carbidopa) 25mg                       

Mephyton® (phytonadione) 5mg                            

Mestinon® (pyridostigmine bromide, USP) 60mg/180mg              

Mestinon® Syrup (pyridostigmine bromide, USP)            

Migranal® (dihydroergotamine mesylate, USP) Nasal Spray 4mg/mL       

Mysoline (primidone) 50mg/250mg

Oxsoralen Lotion (methoxsalen, USP 1.0%)

Oxsoralen-Ultra® Capsules (methoxsalen, USP) 10mg   

Targretin® (bexarotene) 75mg

Targretin® Gel 1% (bexarotene) 60mg

Tasmar® (tolacapon) Tablets 100mg                       

Zelapar® (Selegiline HCI) Orally Disintegrating Tablets 1.25mg                     

Zovirax® (acyclovir) Cream 5mg

Zovirax® (acyclovir) Ointment 30mg

 

Valeant Coverage Plus

1-888-607-7267

Cuprimine (penicillamine) 250mg

Demser® (metyrosine), 250mg

Syprine (trientine hydrochloride) 250mg

 

Bausch + Lomb Focus on Access

1-866-272-8838

Visudyne® (verteporfin for injection)

Macugen® (pegaptanib sodium injection)

Retisert® (fluocinolone acetonide intravitreal implant) 0.59mg

 

Bausch + Lomb Assistance Programs

1-866-516-0744

Alrex® (loteprednol etabonate ophthalmic suspension) 0.2%, 10 mL

Besivance® (besifloxacin ophthalmic suspension) 0.6%, 5 mL

Lotemax® Gel (loteprednol etabonate ophthalmic gel) 0.5%, 5 g

Zylet® (loteprednol etabonate 0.5% and tobramycin 0.3% ophthalmic suspension) 10 mL

Zirgan® (ganciclovir ophthalmic gel) 0.15%, 5 gm

Prolensa® (bromfenac ophthalmic solution) 0.07%, 3 mL

Bepreve® (bepotastine besilate ophthalmic solution) 1.5%, 10 mL

Timoptic® (timolol maleate ophthalmic solution) in Ocudose® 0.25% (one box of 60 unit dose pipettes)

Timoptic® (timolol maleate ophthalmic solution) in Ocudose® 0.5% (one box of 60 unit dose pipettes)

Lacrisert® (hydroxypropyl cellulose ophthalmic insert) 5 mg Eye Insert (one box of 30 inserts)

Istalol® (timolol maleate ophthalmic solution) 0.5%, 5 mL

 

Salix Patient Assistance Programs

1‑866‑282‑6563

            Anusol-HC® 2.5% (Hydrocortisone Cream, USP) 30 gm tube

            Proctocort® Cream (Hydrocortisone Cream , USP) 1% 1 oz. tube

            Anusol-HC® (Hydrocortisone Acetate Suppository) 25 mg

            Apriso® (mesalamine) Extended-release Capsules .375 g

            Colazal® (balsalazide disodium) Capsules 750 mg

            Cycloset® (bromocriptine mesylate tablets) 0.8 mg

            Fulyzaq® (crofelemer) 125 mg Delayed-Release Tablets

            Giazo® (balsalazide disodium) Tablets 1.1 g

            Relistor® (methylnaltrexone bromide) Subcutaneous Injection 12 mg/0.6 mL

            Relistor® (methylnaltrexone bromide) Prefilled Syringe 8 mg/7 syringes per tray

            Relistor® (methylnaltrexone bromide) Prefilled Syringe 12 mg/7 syringes per tray

            Uceris® (budesonide) Extended Release Tablets 9 mg

            Xifaxan® (rifaximin) 550 mg Tablets

            MoviPrep® (PEG 3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate and

            ascorbic acid for oral solution)

            Uceris® (budesonide) 2 mg rectal foam

 

Dendreon Patient Assistance Program

1-877-336-3736

  

Medicis MediSAVE program

888-963-3748

Solodyn® (minocycline HCI, USP) Extended Release Tablets, 55mg/65mg/80mg/105mg/115mg

Ziana® (clindamycin phosphate 1.2% and tretinoin 0.025%) Gel, 60g tube