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This program provides brand name medications at no or low cost.
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| Pharmaceutical Company |
ALCON |
| Program Name |
Alcon Cares |
| Program Address |
Alcon Cares, Inc.
TB3-4
6201 South Freeway
Fort Worth, TX
76134-0450 |
| Phone Number |
800-222-8103
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| Fax Number |
800-554-2660 |
| Medications on Program |
Acular Opththalmic Solution 0.45 (ketorolac tromethamine)
Acular LS Opththalmic Solution 0.4% (ketorolac tromethamine)
Alcaine .5% (proparacaine hydrochloride)
Alomide 0.1% (lodoxamide tromethamine)
Alphagan Opthalmic Solution 0.2% (brimonidine tartrate)
Alphagan P Opthalmic Solution 0.15% (brimonidine tartrate)
Azopt Suspension 1%(15 ml bottle) (brinzolamide)
Betagan Drops (levobunolol ophthalmic)
Betoptic S Ophthalmic 0.25% (betaxolol)
Bion Tears Eye Drops (dextran/hydroxypropyl methylcellulose)
Carteolol Ophthalmic Solution 1% (10 ml bottle) (carteolol ophthalmic solution)
Ciloxan Ophthalmic Ointment 3.5gm tube (ciprofloxacin ophthalmic solution)
Ciloxan Solution 5ml/bottle (ciprofloxacin ophthalmic solution)
Cipro HC Ophthalmic Solution 10ml bottle (ciprofloxacin/hydrocortisone ophthalmic solution)
Ciprodex Suspension 5ml, 7.5ml (ciprofloxacin/dexamethasone ophthalmic suspension)
Cosopt Ophthalmic Solution (dorzolamide/timolol)
Cyclogyl Otic (cyclopentolate)
Cyclomydril Ophthalmic Solution (cyclopentolate hydrochloride/ phenylephrine hydrochloride)
dexamethasone sodium phosphate Opthalmic Solution (dexamethasone sodium phosphate)
DuoTrav Eye Drops 2.5ml (travoprost/timolol)
Econopred Plus Suspension 10ml bottle (corticosteriod ophthalmic)
Emadine Ophthalmic Solution (emedastine)
Flarex Suspension 5ml bottle, 10ml bottle (fluorometholone)
Gentamicin Ophthalmic Solution (gentamicin i)
I-Caps Eye Vitamin AREDS Formula Softgels (eye vitamin & mineral supplement)
I-Caps Lutein & Zeaxanthin Formula Tablets (eye vitamin & mineral supplement)
I-Caps Multivitamin Formula Tablets (eye vitamin & mineral supplement)
Iopidine Suspension 0.5% (10ml/bottle, 15ml/bottle) (apraclonidine)
Isopto Atropine Opthalmic Drops (atropine sulfate)
Isopto Carbachol Solution 0.75%, 1.5%, 2.25%, 3% (carbachol)
Isopto Carpine Ophthalmic Drops 1%(15 ml bottle), 2%(15 ml bottle), 4%(15 ml bottle) (pilocarpine)
Isopto Homatropine Opthalmic Solution (homatropine hydrobromide)
Isopto Tears Opthalmic Drops (hypromellose)
Isoptpo Hyoscine Opthalmic Solution (scopolamine)
Maxidex Opthalmic Suspension (dexamethasone)
Maxitrol Opthalmic Ointment (neomycin/polymyxin/dexamethasone)
Maxitrol Suspension 5ml bottle (dexamethasone/neomycin/polymyxin b)
Mydfrin Opthalmic Solution (phenylephrine)
Mydriacyl Opthalmic Drops (tropicamide)
Natacyn Opthalmic Suspension (natamycin)
Nevanac Ophthalmic Solution 0.1% (nepafenac ophthalmic suspension)
Ocupress Solution (carteolol)
Omnipred Opthalmic Suspension (prednisone acetate)
Opticrom Opthalmic Solution (cromolyn sodium)
Optipranolol Eye Drop 0.3(10ml (metipranolol)
Pataday Ophthalmic Solution 0.2% (olopatadine hydrochloride)
Pilopine HS Gel 4%(4 gram tube) (pilocarpine)
Systane Ophthalmic Drops (lubricant eye drops)
Systane PM Ointment ()
Tears Naturale Forte Eye Drops (saline ophthalmic)
Tears Naturale Free Lubricant Ophthalmic Drops (saline ophthalmic)
TobraDex Ophthalmic Ointment 3.5 (tobramycin ophthalmic)
TobraDex Ophthalmic Suspension 10ml (tobramycin ophthalmic)
Tobrex Opthalmic Ointment (tobramycin)
Tobrex Opthalmic Solution (tobramycin)
Travatan Ophthalmic Suspension 0.004% (travoprost ophthalmic)
Travatan Z ophthalmic solution (travoprost)
Trusopt Ophthalmic Solution (dorzolamide)
Unisol 4 Saline Oral Solution (saline ophthalmic)
Vexol 5ml, 10ml (rimexolone ophthalmic)
Vigamox Solution 3ml bottle (moxifloxacin)
Voltaren Ophthalmic Ophthalmic Solution (diclofenac)
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| Application Forms |
Alcon Cares
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On-line Application
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| Web Site |
Click to go to program's web site |
| Eligibility Guidelines and Notes |
Applicants with insurance are eligible. and have an income at or below 200% of the Federal Poverty Level, adjusted for family size. Medical diagnosis necessary for this program is not specified. The patient must also be under treatment from a US doctor. Applicants with Medicare Part D are considered. Those over the 200% FPL guidelines may have their medical expenses taken into consideration. This program also provides generic products to those eligible. OTC products may be sent to either the patient's home or the doctor's office.
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| Application Process |
Anyone can call to get an application faxed out. The application can be either faxed or mailed out upon request. The completed application can be faxed or mailed back.
Doctor or patient needs to call to find out about acceptance/denial. No letter is sent out.
The medication will be shipped within 10-14 days.
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| Application Requirements |
The doctor must fill out a section and sign the application. The patient must also complete, sign the application and attach proof of income.
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| Program Details |
The medication is sent to the doctor's office. A copy of the same application with new dates is needed for refills.
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| Last Updated |
July 08, 2010 |
