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Xiidra Prices, Coupons, Copay Cards & Patient Assistance

Xiidra (lifitegrast ophthalmic) is a member of the ophthalmic anti-inflammatory agents drug class and is commonly used for Dry Eye Disease.

The cost for Xiidra 5% ophthalmic solution is around $760 for a supply of 60 solution, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.

Xiidra is available as a brand name drug only, a generic version is not yet available. View generic Xiidra availability for more details.

Xiidra prices

Ophthalmic Solution

5%

Xiidra ophthalmic solution

 from $759.99

for 60 solution
Quantity Per unit Price
60 $12.67 $759.99

Important: When there is a range of pricing, consumers should normally expect to pay the lower price. However, due to stock shortages and other unknown variables we cannot provide any guarantee.

Drugs.com Printable Discount Card

The free Drugs.com Discount Card works like a coupon and can save you up to 80% or more off the cost of prescription medicines, over-the-counter drugs and pet prescriptions.

Print Free Discount Card

Note: This is a drug discount program, not an insurance plan. Valid at all major chains including Walgreens, CVS Pharmacy, Target, WalMart Pharmacy, Duane Reade and 65,000 pharmacies nationwide.

Xiidra Coupons, Copay Cards and Rebates

Xiidra offers may take the form of printable coupons, rebates, savings or copay cards, trial offers, or free samples. Certain offers may be printable from a website while others may require registration, completing a questionnaire, or obtaining a sample from a medical professional.

Xiidra Copay Card

Eligible commercially insured patients may pay $0 per 30-day prescription with savings of up to $250 per fill.

Applies to:
Xiidra
Number of uses:
Per prescription until program expires

Form more information phone: -888669668 or Visit website

Healthcare providers may order samples of Xiidra for their practice by calling 800-746-1584.

Applies to:
Xiidra
Number of uses:
Per length of program

Form more information phone: 800-746-1584 or Visit website

Xiidra Copay Card Reimbursement Form

Eligible commercially insured patients may submit a rebate request if their pharmacy cannot process the Savings Card; patient must pay in full for their prescription before submitting a rebate request.

Applies to:
Xiidra
Number of uses:
One rebate per prescription fill

Form more information phone: 844-247-4755 or Visit website

Patient Assistance & Copay Programs for Xiidra

Patient assistance programs (PAPs) are typically sponsored by pharmaceutical companies and offer cost-free or discounted medicines, as well as copay programs, to individuals with low income or those who are uninsured/under-insured and meet specific criteria. Eligibility requirements for each program may vary.

Provider: Bausch + Lomb Patient Assistance Program

Eligibility requirements:
  1. Must have no prescription coverage for needed medication
  2. Based on FPL
  3. FDA-approved diagnosis
  4. The patient must be a US citizen or legal resident.
  5. Hardship appeals for patients residing in Puerto Rico will be reviewed on a case-by-case basis. Call for information on the most recent medications as the list is subject to change. This program may provide a Bridge Program for eligible patients who experience a delay, temporary loss, or change in coverage. Contact program for details.
Applicable drugs:
  • Xiidra (lifitegrast) Ophthalmic Solution

More information please phone: 855-770-0424 Visit Website

Disclaimer: Medication pricing is sourced from a variety of providers. Pricing may vary significantly due to several factors including brand or generic status, insurance coverage, pharmacy choice, location, and manufacturer pricing policies. Prices are subject to change. For the most accurate and up-to-date information, always consult directly with your pharmacy or healthcare provider.