Don't qualify for this program? Visit the DBAs to look for financial assistance based on your diagnosis.  


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Akorn Patient Assistance Program

This program provides brand name medications at no or low cost

Provided by: Akorn, Inc.

TEL: 844-202-5909

FAX: 844-500-5254
Languages Spoken:


Program Website


Program Applications and Forms

Akorn Patient Assistance Program Application: Contact program



  • Betimol (timolol)

Eligibility Requirements   

Insurance Status Must be uninsured or underinsured
Those with Part D Eligible? No
Income Not disclosed
Diagnosis/Medical Criteria Not specified
US Residency Required? Must be a US resident


Obtaining Call
Receiving Faxed or mailed
Returning Fax
Doctor's Action Complete section and sign
Applicant's Action Call to enroll
Decision Communicated Not specified
Decision Timeframe Not specified


Amount/Supply Up to 90 day supply
Sent To Patient's home, unless otherwise noted
Delivery Time Not specified
Refill Process Not specified
Limit Maximum of 3 refills through one year from date on original prescription
Re-application Not specified

Additional Information

Updated July 17, 2017