This offer is not valid for people participating in Medicare, Medicaid, or any similar
federal or state healthcare program, including any state medical or pharmaceutical
assistance programs. Test preprod
Coupon is good for up to 3 prescriptions. This promotion cannot be combined with
any other programs, offers, or discounts. Coupon expires December 31, 2015.
Patient: You must present this card to the pharmacist along with
your prescription to participate in this program. This card is good for up to 50%
off the first and second prescription of LASTACAFT® (alcaftadine ophthalmic solution)
0.25%, not to exceed $75 per prescription. The third prescription is covered up
to 100%, not to exceed $100. Total savings on all 3 prescriptions not to exceed
$250. In addition, you can save up to an extra $5 if you fill your prescription
within 7 days of the date it is prescribed. This card must be presented at the
time of each fill for instant savings. Offer is only good at participating retailers.
For any questions, call the LASTACAFT® Savings Program at 1-855-276-2950.
Pharmacist instructions for a patient with an Eligible Third Party:
Submit the claim to the primary Third Party Payer first, then submit the balance
due to Therapy First Plus as a Secondary Payer COB (coordinator of benefits) with
the patient responsibility amount and a valid Other Coverage Code (eg, 8). The patient
payment amount will be reduced by 50%, up to $75, on the first and second prescription,
and by 100%, up to $100, on the third prescription. Reimbursement will be received
from Therapy First Plus.
Pharmacist instructions for a cash-paying patient: Submit this
claim to Therapy First Plus. A valid Other Coverage Code (eg, 1) is required. The
patient payment amount will be reduced by 50%, up to $75, on the first and second
prescription, and by 100%, up to $100, on the third prescription. Reimbursement
will be received from Therapy First Plus.
Valid Other Coverage Code required.
For any questions regarding Therapy First Plus online processing, please call the
Help Desk at1-800-422-5604.
Offer expires December 31, 2015. Good for up to 3 prescriptions.
INDICATIONS AND USAGE
LASTACAFT® (alcaftadine ophthalmic solution) 0.25% is an H1 histamine receptor antagonist indicated for the prevention
of itching associated with allergic conjunctivitis.
IMPORTANT SAFETY INFORMATION
WARNINGS AND PRECAUTIONS
To minimize contaminating the dropper tip and solution, care should be taken not
to touch the eyelids or surrounding areas with the dropper tip of the bottle. Keep
bottle tightly closed when not in use.
Patients should be advised not to wear a contact lens if their eye is red.
LASTACAFT® should not be used to
treat contact lens-related irritation.
Remove contact lenses prior to instillation of LASTACAFT®.
The preservative in LASTACAFT®, benzalkonium chloride, may be absorbed by soft contact lenses. Lenses may be reinserted
after 10 minutes following administration of LASTACAFT®.
LASTACAFT® is for topical ophthalmic use only.
The most frequent ocular adverse reactions, occurring in < 4% of LASTACAFT® treated eyes, were eye irritation, burning
and/or stinging upon instillation, eye redness, and eye pruritus.
The most frequent non-ocular adverse reactions, occurring in < 3% of subjects
with LASTACAFT® treated eyes, were nasopharyngitis, headache, and influenza. Some of these events were similar to the underlying disease being studied.
click here for full Prescribing Information.