Frequently Asked Questions

What is the Bausch Health Patient Assistance Program?

Bausch Health is committed to helping patients get the medicines they need. Our Patient Assistance Program provides certain Bausch Health medicines to qualifying patients who have limited or no health insurance coverage and/or demonstrate qualifying financial need. It is free to apply, and those who qualify will receive their medicine free of charge, with no co-pays or shipping costs.

Enrollment information for Medicaid patients and Healthcare Professionals

Why are prescriptions for Bausch Health products no longer covered by Medicaid?

  • Bausch Health ceased participation in two optional Federal drug pricing programs – the Medicaid Drug Rebate Program (“MDRP”) and the 340B Drug Pricing Program (“340B”), effective October 1, 2025.
  • Medicaid patients whose plans no longer provide coverage for Bausch Health products may be eligible for single source Bausch Health products through our Patient Assistance Program free of charge.
  • Patients can call (833) 862-8727 to enroll over the phone or can fill out an application here.
  • Medicaid patients can call (833) 862-8727 to apply over the phone. You will need to provide your name, address, social security number (or proof of legal US residency), Medicaid plan information, product name and healthcare provider information.
  • Patients can also fill out an application here and submit via mail or fax
    • Mail:
      BAUSCH HEALTH PATIENT ASSISTANCE PROGRAM
      P.O. BOX 991624
      LOUISVILLE, KY 40269
    • Fax:
      (844) 705-0160
  • All applications must include a valid prescription from your healthcare provider (which can be submitted electronically or on the form itself).
  • Patients must sign or complete a verbal attestation to finalize their application.
  • Patients with dual Medicare and Medicaid coverage may not be eligible for the patient assistance program. Please call us at (833) 862-8727 with any questions regarding your program eligibility.
  • Some Medicaid plans have extended coverage for certain Bausch Health products after October 1st to support patients’ transition into the Patient Assistance Program.
  • Despite currently being covered, we recommend beginning the Patient Assistance Program enrollment process as soon as possible to ensure continuity of care when their Medicaid coverage for Bausch Health product(s) expires.
  • Patients will need to re-enroll each year prior to your Medicaid plan end date, which can be found directly on your Medicaid ID card or via your state’s online benefits portal. This date is specific to your state and time of initial enrollment and varies by patient.
  • You will also receive a renewal notice from our pharmacy partner approximately 60 days in advance of your annual renewal date.
  • You may direct Medicaid patients to apply over the phone at (833) 862-8727.
  • Healthcare Professionals may also submit an application form over the phone at (833) 862-8727 or via fax to (844) 705-0160.
  • Please note that patients must sign or complete a verbal attestation to finalize the application.
  • Prescriptions for patients with Medicaid coverage can be submitted within your EMR/EHR system to Bausch Health’s pharmacy partner, KnippeRx.
  • KnippeRx Pharmacy can be located within your EMR/EHR system under the following credentials:

KnippeRx Pharmacy
1250 Patrol Rd. Suite 100
Charlestown, IN 47111
Pharmacy Identifiers: NPI 1285159152; NABP 1568560

  • Please note in the prescription comments that the prescription is for a Medicaid patient.
  • Healthcare Professionals may also submit a prescription by phone at (833) 862-8727 or via fax at (844) 705-0160 if preferred.
  • If a prescription has been submitted without a completed application, our pharmacy partner will reach out directly to patients for additional information.
  • Please let your patients know that they will receive a call directly from Bausch Health’s Patient Assistance Program to complete their application.

Enrollment information for all other Patients & Prescribers (non-Medicaid)

  • Patients or Healthcare Professionals can download, fill out and print an application here to submit via mail or fax. Healthcare providers must complete their portion of the form prior to submission and submit a valid prescription.
  • Patients must submit a signature as part of the complete application. A caregiver or Healthcare Professionals cannot sign on behalf of the patient.
    • Mail:
      BAUSCH HEALTH PATIENT ASSISTANCE PROGRAM
      P.O. BOX 991624
      LOUISVILLE, KY 40269
    • Fax:
      (844) 705-0160
  • If a patient is unable to provide a written signature, the patient (or caregiver) should call (833) 862-8727 for additional assistance.
  • Prescriptions for non-Medicaid patients must be submitted through the application form.

General program FAQs

  • Please see the complete list of covered products here.
  • Upon receipt of a completed application and prescription, we will review program eligibility, including benefit verification.
  • Once confirmed, the prescription is fulfilled with a 90-day supply (when permitted) with home delivery directly to the patient’s home (or as otherwise directed).
  • If the application is incomplete, our pharmacy partner will reach out to the patient or provider for any missing information.
  • Please let your patients know that they will receive a call directly from Bausch Health’s Patient Assistance Program to complete their application.
  • Patient signature is required before an application can be finalized. Our pharmacy partner will reach out to the patient for additional assistance.
  • A caregiver or provider is not permitted to sign on behalf of the patient. If a patient is unable to provide a written signature, the patient (or caregiver) should call (833) 862-8727 for additional assistance.
  • Our Patient Assistance Program allows for a 90-day supply when prescribed.
  • Our pharmacy partner will reach out to the patient, Healthcare Professional, or office staff to complete the application.
  • Please let your patients know that they will receive a call directly from Bausch Health’s Patient Assistance Program to complete their application.
  • Yes, our pharmacy partner will reach out to initiate the prescription transfer.
  • Please contact us at (833) 862-8727 for any assistance with prescription transfers.