As an My Tears, My Rewards® (MTMR) Member, you will receive:
A series of useful e-mails to support and counsel you through your treatment
Access to the RESTASIS® Patient Support Center, where trained representatives and nurses can answer your questions about treatment and address any concerns you may have. Call the Center at 1-866-572-5931
An MTMR Program Guide that helps you track your progress in making more of your own tears
Free samples of REFRESH® brand artificial tears
Continuous rebates that give you the opportunity to save on your out-of-pocket costs on RESTASIS® (Cyclosporine Ophthalmic Emulsion) 0.05% prescriptions
By joining MTMR, you now qualify for substantial savings and rewards:
Continuous rebates for potential savings* of hundreds of dollars per year
Including extra savings on 90-day prescriptions of RESTASIS®
Stay on Treatment and Enjoy Instant Savings* with Every Refill
Eligible members receive:
The MTMR Card
Add RESTASIS® (Cyclosporine Ophthalmic Emulsion) 0.05% for Rewards and Savings
Earning RESTASIS® savings and other rewards has never been easier with the RESTASIS® MTMR Card! When you sign up today, you'll receive the RESTASIS® Advantage Patient Support Pack containing the card. Look inside for the accompanying instructions to activate the card and join MTMR.
My Tears, My Support™ (MTMS): Your Partner in Your Journey to Increased Tear Production
Patients who are ineligible for MTMR due to insurance coverage can sign up for the My Tears, My Support™ Program.
As an MTMS Member, you will receive:
*Members whose prescriptions will be paid for in part or in whole by Medicare, Medicaid, or any similar federal or state healthcare program, are not eligible for these rebates according to federal and state law.
The actual reimbursement of your out-of-pocket cost—your co-pay—will vary according to refill quantity, personal healthcare insurance coverage, and adherence to product information dosing guidelines. If a member receives reimbursement, they may still be responsible for some out-of-pocket costs. Please consult the terms and conditions to learn about the savings you may be eligible for.
An MTMR Member has exactly one year from the date of their first RESTASIS® Prescription fill to redeem refills toward their rebate rewards. Members may request a new MTMR Card to begin a new reward sequence at the end of the one-year period.
The formulary status and coverage for RESTASIS® varies greatly across insurance plans. The actual reimbursement for a member's out-of-pocket costs for RESTASIS® will vary according to refill quantity, personal healthcare insurance coverage, and following product information dosing guidelines. If a member receives reimbursement, they may still be responsible for some out-of-pocket costs. Please review the RESTASIS® My Tears, My Rewards® Program guidelines to learn about savings eligibility.
RESTASIS® (Cyclosporine Ophthalmic Emulsion) 0.05% helps increase your eyes' natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS® did not increase tear production in patients using anti-inflammatory eye drops or tear duct plugs.
Important Safety Information
Do not use RESTASIS® Ophthalmic Emulsion if you are allergic to any of the ingredients. To help avoid eye injury and contamination, do not touch the vial tip to your eye or other surfaces.
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