You’ll get the lowest possible price based on your insurance and co-pay offer for each box of CEQUA (60 vials).‡
It's easy to enroll right on your phone
Order a 30-day supply (60 vials) or a 90-day supply (180 vials)
Your medication is delivered free to your door
Online and phone support keeps you informed and helps manage refills
Your doctor will provide your mobile number to PhilRx. Just click the link on the text you receive to get started. Enrollment only takes 2 minutes.
You’ll get the lowest possible price based on your coverage.
After your co-pay is verified, you’ll receive a text with a shipment-tracking link.
If you have commercial insurance, you may prefer to use a co-pay card at your local pharmacy instead of the PhilRx mail order service. Here's how:
You may receive one from your doctor, or you can get a co-pay card now.
Once your prior authorization (PA) has been approved, you can activate your co-pay card online or by calling 1-855-268-1426. Questions? Call us!
You can use your activated co-pay card at the pharmacy where your doctor sent your prescription to pay as little as $0 per month for each box of CEQUA (60 vials).* The maximum benefit is $250 per prescription.
If you choose to get CEQUA without enrolling in PhilRx, you will not have access to the manufacturer cash discount program.
Questions about how to save? See PhilRx FAQs
You can receive CEQUA through your local pharmacy, though the
cost of CEQUA will depend on your personal coverage.
While the list price of CEQUA is $527.28, most people will not be responsible for paying the full amount. Certain factors like personal insurance and/or deductibles may impact the price of your CEQUA prescription. Whatever your coverage may be, there are options available to help you find the best pricing.
Eligibility rules apply. Co-pay cards are only available with commercial insurance. Maximum benefit is $250 per prescription. Not valid for patients paying cash or with government insurance including, but not limited to, Medicare or Medicaid. Patients must reside in the United States, Puerto Rico, Guam, or the Virgin Islands. Please read full Terms and Conditions below.
PhilRx is a third-party vendor. By participating in the program, patients acknowledge that they currently meet the eligiblity criteria. This program is only available for eligible commercially or Medicare Part D insured patients who are prescribed CEQUA through PhilRx.
Medicare patients may be eligible for manufacturer cash discount pricing in case their plan does not cover CEQUA as a benefit and there is a confirmed PA denial. Subject to patient agreeing to program terms and conditions for opt out.
Co-pay Program Terms & Conditions
To participate in the CEQUA® (cyclosporine ophthalmic solution) 0.09% Co-Pay Program (“Program”), you must present this card, along with a valid prescription for CEQUA, to your pharmacist. Patients with commercial health insurance who qualify to participate may pay as little as $0 for 60 vials (1 box) of CEQUA. Enrollment is subject to the Eligibility Rules and Terms and Conditions, stated below. If you have any questions regarding Eligibility, the Terms and Conditions, or to discontinue participation, please call 855-268-1426 (8:00 AM–8:00 PM EST, Monday–Friday).
Eligibility Rules
Terms and Conditions
Disclosures
Abbreviated:
To participate in the CEQUA® (cyclosporine ophthalmic solution) 0.09% Co-Pay Program (“Program”), you must present this card, along with a valid prescription for CEQUA, to your pharmacist. Patients with commercial health insurance who qualify to participate may pay as little as $0 for 60 vials (1 box) of CEQUA. Enrollment is subject to the Eligibility Rules and Terms and Conditions, stated below. If you have any questions regarding Eligibility, the Terms and Conditions, or to discontinue participation, please call 855-268-1426 (8:00 AM–8:00 PM EST, Monday–Friday). Please see full terms and conditions at cequapro.com/ways-to-save-on-cequa
CEQUA® (cyclosporine ophthalmic solution) 0.09% is a topical solution that helps to increase the production of natural tears in your eye. Dry eye disease may affect the ability of your eyes to produce its own tears.
Do not use CEQUA if you are allergic to any of its ingredients. Be careful not to allow the vial tip to touch your eye or any surfaces, to help avoid potential eye injury or contamination of the product.
CEQUA should not be used while wearing contact lenses. If contact lenses are worn, they should be removed prior to using CEQUA and may be reinserted after 15 minutes.
Put one drop of CEQUA twice daily (approximately 12 hours apart) into each eye using a single-use vial. The solution should be used immediately after opening, and discard the vial and remaining contents immediately after using.
The most common side effects that may be experienced while using CEQUA include: eye pain after administering drops and eye redness. Other side effects reported were eye irritation, eyelid inflammation, headache, and urinary tract infection.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.