Do I need to be a legal resident of the United States to be eligible for this program?
Yes, this program is only available to legal residents of the United States.
If I have Medicaid or Medicare insurance or prescription coverage am I eligible?
Medicare and Medicaid offer drug coverage for their enrolled patients, as well as insurance for general health care.
Patients enrolled in Medicare or Medicaid are not eligible for the Bausch Health Patient Assistance Program. However, in some cases, patients who do not have specific product coverage may be eligible to receive assistance.
Some patients who cannot afford their prescription products and meet certain financial criteria also may be eligible.
For information on Medicare and Medicaid, visit the Centers for Medicare & Medicaid Services website http://www.cms.hhs.gov.
If I live in a state offering Medicaid, would I be eligible?
If Medicaid does not cover your prescription and the product is included as part of the Bausch Health Patient Assistance Program, you may be eligible.
We advise you to check our list of included products here.
Applying for the program
How can I apply for the program?
You can complete the application online or print it and complete it by hand. Bring the application to your prescriber to complete. You can also call us at 833-862-8727 , 8 AM to 5 PM ET to have an application mailed or emailed to you.
Does it cost anything to apply to the program?
No, it’s free to apply. Click here to get started.
Do I need to provide documents that show my annual household income?
No. In most cases, the program can determine your financial eligibility without providing documentation.
However, in some cases, you may be asked to include a copy of your most recent 1040 or 1040EZ federal tax return or other requested document.
Since I last filed a tax return, I lost my job or have had financial troubles.
Should I mention this when I apply?
If you have any information that helps us to understand your current financial situation better, please provide those details with your application.
Why does my healthcare provider need to complete the application?
Your prescriber must complete pages 3 and 4 of the application and sign the Prescriber Certification on page 4. A signed original prescription for your Bausch Health product(s) must be submitted with your application.
How long before I find out if I am eligible?
We will review and confirm the information in your application and respond within two business days.
If the application has any missing information, it may take longer. It is important to make sure you and your doctor complete all the requested information on your application before sending it to the program.
You will receive a letter informing you of your eligibility upon completion of the review.
How do I check the status of my application?
Please call us at 833-862-8727 , 8 AM to 5 PM ET. A Patient Specialist will be able to provide you with an update on the status of your application.
If I need another prescription product from the Bausch Health Patient Assistance Program, do I need to reapply?
It will depend upon several factors. Call 833-862-8727 , 8 AM to 5 PM ET to speak with a Program Specialist to discuss whether you will need to reapply.
Receiving prescription products
Do I have to pay a copay for my prescription product?
No. It is provided by the Bausch Health Patient Assistance Program at no cost to you.
How will I receive my prescribed product?
Once approved, the Bausch Health Patient Assistance Program will arrange for the product to be shipped, typically to the address indicated on the Bausch Health Patient Assistance Program application.
Orders for Controlled Substances and products administered by a healthcare professional will be shipped to comply with all state rules and regulations pertaining to how these items can be transported. Orders for MACUGEN®, RETISERT®, or VISUDYNE® will ship to the prescriber’s office.
When I am approved, how long can I receive the free Bausch Health product?
You may be eligible to receive your prescribed Bausch Health product at no charge for up to one year. Patients with Medicare Part B or Medicare Part D who are found eligible will be approved through December 31. You can reapply each year for as long as you remain eligible.
If your insurance status changes at any time, you may instead be able to receive your prescribed product via insurance. We will check for these changes and let you know if your status has changed.
Insurance Coverage, the Affordable Care Act, and
the Bausch Health Patient Assistance Program
My insurance partially covers the cost of my prescriptions.
Will this program cover the rest?
If enrolled in Medicare Part B, Medicare Part D, or another insurance program, you may still be eligible for the program. Please call us at 833-862-8727 , 8 AM to 5 PM ET, so we can discuss your potential eligibility.
What is the Affordable Care Act and how could it impact my eligibility?
In 2010, the Patient Protection and Affordable Care Act (ACA) enacted some opportunities for comprehensive health reform. The ACA has provided new coverage options for many Americans who otherwise were without access to health insurance.
Starting in 2014, the ACA expanded Medicaid eligibility for those between 19 and 65 years old who had an annual income under 138% of the Federal Poverty Level.
The ACA requires that everyone be enrolled in health insurance unless they qualify for an exemption. Low-income enrollees may be eligible to receive subsidies to help pay for premiums and other cost-sharing obligations that are part of the ACA.
Those who do not meet any of the exemption criteria and do not enroll in a health care plan may have to pay a penalty. Whether or not you choose to purchase insurance through the Health Insurance Marketplace (Exchange) is a personal decision.
Most states have designated organizations and individuals to serve as Navigators to help guide patients through this process. There are available resources which may assist you in determining potential insurance plan(s) that may meet your needs. These are available at www.healthcare.gov.
An annual benefit verification check may find that you are eligible for Medicaid or state assistance program coverage for prescription products. Therefore, you may not be eligible for the Bausch Health Patient Assistance Program.
We encourage eligible patients to carefully evaluate all their options and discuss these with your family, patient advocate, healthcare provider, or others who can help you make a choice that is right for you.