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1 to a $ 90 savings Card expires months from first use. First must be filled by 07//07. Join today for ongoing savings and support Start saving today with Simply visit restasis.com or call to activate the card inside to start saving now. Plus, receive free REFRESH artificial tears by activating the card. Participate in a government-assisted healthcare program? Visit restasis.com/mytearsmysupport for information and counseling about RESTASIS and Chronic Dry Eye (CDE). The actual savings on your out-of-pocket costs for RESTASIS will vary according to refi ll quantity, personal healthcare insurance coverage, and adherence to FDA dosing guidelines. Please review the My Tears, My Rewards Program guidelines to learn more. to $.99 value. Approved Use RESTASIS (Cyclosporine Ophthalmic Emulsion) 0.0% helps increase your eyes natural ability to produce tears, which may be reduced by infl ammation due to Chronic Dry Eye. RESTASIS did not increase tear production in patients using anti-infl ammatory eye drops or tear duct plugs. Important Safety Information Do not use RESTASIS Ophthalmic Emulsion if you are allergic to any of the vial tip to your eye or other surfaces. Please see additional Important Safety Information inside.
2 to a $ 9 0 savings IMPORTANT TIPS when starting RESTASIS With regular use of RESTASIS, you may begin to produce more tears as early as month, and notice to 6 months. Always use RESTASIS twice a day, every day, approximately hours apart. Limit oneown Stay with artificial tears such as REFRESH Brand Allow minutes between RESTASIS and an artificial Present this card to your pharmacist each time you savings on each of RESTASIS for up to year. 90-da 80 Visit restasis.com/activate or call the toll-free number -8-MY-TEARS ( ) and follow the instructions to activate your My Tears, My Rewards Use your card at the pharmacy to save on every fill or refill Retail pharmacy: your card and bring it to the pharmacy every time you fill or refill a Mail-order/manual claims: Visit restasis.com/claimform to download the mail-in Do not use RESTASIS Ophthalmic Emulsion if you are allergic to any of the vial tip to your eye or other surfaces. RESTASIS should not be used while prior to use of RESTASIS and may be reinserted after minutes. more about your Chronic Dry Eye and RESTASIS with: A free customer service support line, -8-MY-TEARS ( ) support
3 to a $ 9 0 savings IMPORTANT TIPS own Limit one Stay with artificial tears such as REFRESH Brand Allow minutes between RESTASIS and an artificial 0 to to $0 $0 off off every every fifillll pharmacist each time you Card Card expires expires months months from from fifirst rst use. use. First First must must be be fifilled lled by by 07//07. 07//07. savings on each for up of RESTASIS to year. to to $90 $90 90 Always use RESTASIS twice a day, every day, approximately hours apart. 0 $0 $0 co-pay co-pay for for every 90-day 90 Present this card to your With regular use of RESTASIS, you may begin to produce more tears as early as month, and notice to 6 months. this card to save on every when starting RESTASIS 90-d 8 Visit restasis.com/activate or call the toll-free number -8-MY-TEARS FREE REFRESH Artifi cial Tears for My Tears, Myyour Rewards ( ) and follow the instructions to activate My Tears,Members My Rewards Here s how to get the : Use your card at the pharmacy to save on every fill or refill your My Tears, My Rewards by following the instructions on the sticker. your mailing address to ensure you receive the Provide Retail pharmacy: your card and bring it to the pharmacy every time you fill or free REFRESH. refill a Look for your free REFRESH in the mail and redeem at your favorite participating retailer. the mail-in Mail-order/manual claims: Visit restasis.com/claimform to download One-time use, up to $.99 value. Do not use RESTASIS Ophthalmic Emulsion if you are allergic to any of the vial tip to your eye or other surfaces. RESTASIS should not be used while prior to use of RESTASIS and may be reinserted after minutes. more about your Chronic Dry Eye and RESTASIS with: A free customer service support line, -8-MY-TEARS ( ) support
4 to a $ 9 0 savings IMPORTANT TIPS own Limit one Stay with artificial tears such as REFRESH Brand Allow minutes between RESTASIS and an artificial 0 to to $0 $0 off off every every fifillll pharmacist each time you Card Card expires expires months months from from fifirst rst use. use. First First must must be be fifilled lled by by 07//07. 07//07. savings on each for up of RESTASIS to year. to to $90 $90 90 Always use RESTASIS twice a day, every day, approximately hours apart. 0 $0 $0 co-pay co-pay for for every 90-day 90 Present this card to your With regular use of RESTASIS, you may begin to produce more tears as early as month, and notice to 6 months. this card to save on every when starting RESTASIS 90-d 8 Visit restasis.com/activate or call the toll-free number -8-MY-TEARS ( ) and follow the instructions to activate your My Tears, My Rewards Use your card at the pharmacy to save on every fill or refill Retail pharmacy: your card and bring it to the pharmacy every time you fill or refill a Mail-order/manual claims: Visit restasis.com/claimform to download the mail-in Do not use RESTASIS Ophthalmic Emulsion if you are allergic to any of the vial tip to your eye or other surfaces. RESTASIS should not be used while prior to use of RESTASIS and may be reinserted after minutes. more about your Chronic Dry Eye and RESTASIS with: A free customer service support line, -8-MY-TEARS ( ) support
5 Pay $0 for every 90-day (Instant savings on every ) A 90-day lets you: Pay $0 on every (national average co-pay is $6.60) Save time with fewer trips to the pharmacy 90-day supply 80 vials 0-day supply 60 vials A 0-day lets you: Save up to $0 on every refi ll (national average co-pay is $.8) For more information on RESTASIS, ask your doctor, visit restasis.com, or call the RESTASIS Patient Support Center: -8-MY-TEARS ( ) Support. to a $90 savings. The actual savings on your out-of-pocket costs for RESTASIS will vary according to refi ll quantity, personal healthcare insurance coverage, and adherence to FDA dosing guidelines. Please review the My Tears, My Rewards Program guidelines to learn more. Average co-pays from Symphony Health Solutions, January 0 through December 0. You are encouraged to report negative side effects of drugs to the FDA. Visit or call -800-FDA-088. Please see accompanying full Product Information. 06 Allergan. All rights reserved. All trademarks are the property of their respective owners. restasis.com APCQC6 68
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