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Valeant Patient Assistance Program

The Valeant Patient Assistance Program is a valuable service to help your patients access the medications they need by providing free or low-cost prescriptions for their Valeant products. Calling the Valeant Patient Assistance toll-free number, may provide them with:

  • Information to help them learn how their medications will be reimbursed or covered by their health insurance
    • Agents will uncover barriers to coverage, and what steps will be needed to overcome them
    • Forms or instructions necessary for their coverage will be faxed or sent directly to your office
  • Help on how to locate any insurance – including coverage they may not know they have or an older plan they may not know is still active
  • Help in getting Valeant medications free of charge for patients who qualify, which requires that they:
    • Are a legal resident of the US
    • Do not have any known prescription drug coverage

Household Income for Eligible Patients*



If they have any questions about the coverage of LACRISERT® by their insurance plan, they can call the toll-free hotline on 866-268-7325, Monday – Friday 9am–5pm (except holidays), to request forms or to speak to a knowledgeable Valeant representative.

Indications and Usage

LACRISERT® is indicated in patients with moderate to severe Dry Eye syndromes, including keratoconjunctivitis sicca. LACRISERT® is indicated especially in patients who remain symptomatic after an adequate trial of therapy with artificial tear solutions. LACRISERT® is also indicated for patients with exposure keratitis, decreased corneal sensitivity, and recurrent corneal erosions.

Important Safety Information

LACRISERT® is contraindicated in patients who are hypersensitive to hydroxypropyl cellulose. Instructions for inserting and removing LACRISERT® should be carefully followed. If improperly placed, LACRISERT® may result in corneal abrasion. Because LACRISERT® may cause transient blurred vision, patients should be instructed to exercise caution when driving or operating machinery. Patients should be cautioned against rubbing the eye(s) containing LACRISERT®.

The following adverse reactions have been reported, but were in most instances, mild and temporary: transient blurring of vision, ocular discomfort or irritation, matting or stickiness of eyelashes, photophobia, hypersensitivity, eyelid edema, and hyperemia.

sample request using Lacrisert video patient tip sheet
©2012 Valeant Ophthalmics, a division of Valeant Pharmaceuticals North America LLC          Bridgewater, NJ 08807