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

Akorn Patient Assistance Program

This program provides brand name medications at no or low cost

Provided by: Akorn, Inc.

TEL: Closed Program

ALT PHONE: 844-202-5909
FAX: 844-500-5254
Languages Spoken:


Program Website


Patient Assistance Applications


Brand Name Medications Covered

  • Amicar
  • Cosopt ophthalmic solution/drops
  • Betimol
  • Zioptan ophthalmic solution

Generic Name

  • aminocaproic acid
  • tafluprost ophthalmic solution
  • dorzolamide/timolol maleate ophthalmic solution/drops
  • 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

Closed Program

Updated January 09, 2018