Patient Assistance Program

Valeant Pharmaceuticals understands that some patients may face financial obstacles that keep them from obtaining the prescription products 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

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® (tolcapone) Tablets 100mg                       

ZELAPAR® (Selegiline HCI) Orally Disintegrating Tablets 1.25mg                     

ZOVIRAX® (acyclovir) Cream 5mg

ZOVIRAX® (acyclovir) Ointment 30mg

 

Ortho Dermatologics Rx Access Program

Valeant Coverage Plus Program Co-pay Savings Offer

888-607-7267

CUPRIMINE (penicillamine) 250mg

DEMSER® (metyrosine), 250mg

SYPRINE (trientine hydrochloride) 250mg

 

Bausch + Lomb Focus on Access

866-272-8838

MACUGEN® (pegaptanib sodium injection)

RETISERT® (fluocinolone acetonide intravitreal implant) 0.59mg

VISUDYNE® (verteporfin for injection)

 

Bausch + Lomb Assistance Programs

866-516-0744

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

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

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

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

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

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

PROLENSA® (bromfenac ophthalmic solution) 0.07%, 3 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)

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

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

 

Valeant Patient Assistance Program (Valeant PAP) for Salix Pharmaceuticals products

833-862-VPAP (833-862-8727)

APRISO® (mesalamine) extended-release capsules

CYCLOSET® (bromocriptine mesylate tablets), for oral use

MOVIPREP® (polyethylene glycol 3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate,

    and ascorbic acid for oral solution)

RELISTOR® (methylnaltrexone bromide) tablets, for oral use, 90-count

RELISTOR® (methylnaltrexone bromide) injection, for subcutaneous use (7 single-dose pre-filled syringes per carton),

   8 mg/0.4 mL or 12 mg/0.6 mL

UCERIS® (budesonide) Extended Release Tablets, for oral use

UCERIS® (budesonide) rectal foam

XIFAXAN® Tablets, for oral use, 550 mg

 

Don’t See Your Prescribed Product Listed?

Not every Valeant prescription product is included in the Valeant PAP. The Valeant PAP is also subject to change at any time without prior notification. Call us at 833-862-VPAP (833-862-8727), 8 AM to 5 PM ET for more information.

 

Arestin Rx Access Copay Assistance Program

ARESTIN® (minocycline hydrochloride) microspheres, 1 mg

 

Siliq Solutions™ Patient Assistance Program

855-RX-SILIQ (855-797-4547)

SILIQ™ (brodalumab) injection, for subcutaneous use, 210 mg/1.5 mL solution

VNP.0053.USA.17