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.

It's easy to save on
CEQUA® with PhilRx

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Paying for CEQUA

Pay as little as $0 co-pay* or $89 per month

PhilRx takes care of the details, so you can get the lowest possible price for CEQUA.

You’ll get the lowest possible price based on your insurance and co-pay offer for each box of CEQUA (60 vials).

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It's easy to enroll right on your phone

 

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Order a 30-day supply (60 vials) or a 90-day supply (180 vials)

 

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Your medication is delivered free to your door

 

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Online and phone support keeps you informed and helps manage refills

 
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Option 1

Here's how PhilRx works

PhilRx

Here's how PhilRx works

step 1

Sign up on your phone right in your doctor’s office

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.

step 2

Confirm your insurance

You’ll get the lowest possible price based on your coverage.

step 3

Confirm your payment and delivery information

After your co-pay is verified, you’ll receive a text with a shipment-tracking link.

Option 2

You can also use a CEQUA Co-pay Card at your local pharmacy

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:

step 1

Get your co-pay card

You may receive one from your doctor, or you can get a co-pay card now.

step 2

Activate your co-pay card and start saving

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!

step 3

Bring your card to the pharmacy

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

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Are you on Medicare or Medicaid?

You can receive CEQUA through your local pharmacy, though the
cost of CEQUA will depend on your personal coverage.

If you’ve had enough of your dry eye treatment’s side effects,
CEQUA may be just what you’re looking for.

Comfort From Day 1

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

  • To participate in this Program, you must have commercial health insurance and be a resident of the United States, Puerto Rico, Guam, or the Virgin Islands.
  • The following patients are ineligible for this Program:
    • Patients covered under Medicaid (including Medicaid patients enrolled in a Medicaid Managed Care Plan or a qualified health plan purchased through a health insurance exchange marketplace established by a state government or the federal government).
    • Patients covered by Medicare or a Medicare Part D or Medicare Advantage plan (regardless of whether a specific prescription is covered).
    • Patients covered by TRICARE, CHAMPUS, Puerto Rico Government Health Insurance Plan or any other state or federal medical or pharmaceutical benefit program or pharmaceutical assistance program.
    • Patients who are members of health plans that claim to eliminate their out-of-pocket costs are not eligible for cost support. If you are a member of one of these plans, please call 1-877-264-2440
    • Patients with no insurance.

Terms and Conditions

  • You agree to not to seek any reimbursement for all or any part of the co-pay assistance received through the Program. By using this card, you are certifying that you understand the Eligibility Rules and Terms and Conditions, that you have responded truthfully to questions when activating the card, and that you will disclose and report your receipt of any Program benefits to your insurer, health plan, or any third party that pays or reimburses you for the cost of medications, if required
  • This offer may be rescinded, revoked, or cancelled at any time, without further notice, and the rules may be amended at any time, without further notice

Disclosures

  • This Program is not insurance.
  • The Program is void where prohibited by law, taxed, or restricted. Any benefit provided is not transferable and cannot be combined with any other program, free trial, discount, prescription savings card, or other offer. No purchase, other than for a CEQUA® prescription, is required to participate.
  • Personal data that you provide to the Program may be collected, analyzed, and shared with the program sponsor for market research and other lawful purposes, but only in aggregated and de-identified form.

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

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Important Safety Information

WHAT IS 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.

IMPORTANT SAFETY INFORMATION

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.

Please see the Full Prescribing Information.

Important Safety Information

WHAT IS 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.

IMPORTANT SAFETY INFORMATION

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.

Please see the Full Prescribing Information.