Restasis Claim Form

Restasis Claim Form Check eligibility for the RESTASIS Cyclosporine Ophthalmic Emulsion 0 05 savings program RESTASIS See Important Safety and Product Information

If You Bought or Provided Reimbursement for the Dry Eye Disease Drug Restasis a Litigation of a Class Action Lawsuit May Affect Your Rights To qualify to receive a payment from the Settlement you must complete and submit this Claim Form either on paper or electronically on the Settlement website and you

Restasis Claim Form

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Restasis Claim Form
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Restasis Eye Drops 30M Antitrust Class Action Lawsuit Settlement Top
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Restasis Package Insert Drugs
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You can complete and submit the Claim Form and Certification using the Notice and Claims Administrator s settlement website www RestasisLitigation When you Learn about RESTASIS Cyclosporine Ophthalmic Emulsion 0 05 the prescription eye drops for patients with chronic dry eye disease See Important Safety and Product Information

Visit www fda gov medwatch or call 1 800 FDA 1088 Click here for full Product Information for RESTASIS and RESTASIS MultiDose See if you are eligible to save on treatment Learn Novartis Patient Assistance Foundation NPAF provides Novartis medication free of cost to eligible patients without insurance coverage or who cannot afford the cost of the medication

Download Restasis Claim Form

Download Restasis Claim Form

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You can sign up for a Restasis or Restasis MultiDose Savings Card through a savings program from AbbVie If you qualify and have a valid prescription you may be able to Anyone who used Restasis between May 1 2015 and July 31 2021 may be eligible to receive money from a class action lawsuit over the price of the eye drop Attorneys have reached a proposed settlement with Allergan

You can get a copy of the Settlement Agreement Plan of Allocation Claim Forms and other important documents on this website You may also write to Restasis Settlement c o A B Your savings card reimbursement check amount for RESTASIS MultiDose or RESTASIS Cyclosporine Ophthalmic Emulsion 0 05 will vary according to refill quantity and personal

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 Restasis Claim Form Fill Out And Sign Printable PDF Template
Save On Prescription Cost RESTASIS 174

https://www.restasis.com/save-now
Check eligibility for the RESTASIS Cyclosporine Ophthalmic Emulsion 0 05 savings program RESTASIS See Important Safety and Product Information

Restasis Eye Drops 30M Antitrust Class Action Lawsuit Settlement Top
Restasis Class Action Lawsuit

https://restasislitigation.com
If You Bought or Provided Reimbursement for the Dry Eye Disease Drug Restasis a Litigation of a Class Action Lawsuit May Affect Your Rights


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Restasis Claim Form - RESTASIS and RESTASIS MultiDose are covered by most insurance plans however formulary status insurance plan coverage and out of pocket cost will vary depending on your