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Part D Coupon Program

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Welcome

If your Medicare prescription drug insurance does not cover LOTEMAX® SM, LOTEMAX® OINTMENT, LOTEMAX® GEL, PROLENSA® or ZYLET®, or your out-of-pocket costs exceed $60* under that insurance, Bausch + Lomb may be able to help.

*Terms, conditions and limitations apply. Most eligible patients pay no more than $60. See Eligibility Criteria/Terms and conditions below.

To activate your coupon, please answer the following questions:

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