If you are seeking to receive a COSOPT®
/ COSOPT® Preservative Free Patient Assist RxHelp Card and you have a valid prescription for COSOPT® or COSOPT® Preservative Free you may enrol in the program.
The COSOPT ®/COSOPT ® Preservative-Free Patient Assist RxHelp™ program allows patients to obtain financial assistance up to a maximum of 25% of the drug ingredient cost for their initial new prescription of COSOPT ® Preservative-Free Formulation (dorzolamide hydrochloride and timolol maleate) OR financial assistance up to a maximum of 50% of the drug ingredient cost for their new or repeat COSOPT ® (dorzolamide hydrochloride and timolol maleate) prescriptions.
You have the option of registering online or by phone:
- online by clicking on the button below to register or
- by phone by calling 1-866-RxHelp4 (794-3574)