Frequently Asked Questions

General Program Questions

We’re committed to helping patients get the medications they need. Our Patient Assistance Program provides free Bausch Health medications to eligible patients with limited or no insurance coverage and/or who demonstrate qualifying financial need.

It is free to apply, and those who qualify will receive their medication free of charge with no copays or shipping costs.

  • You are eligible to apply to the Bausch Health Patient Assistance Program if:
  • You are a legal U.S. resident.
  • You have a valid prescription for an eligible Bausch Health medication from a licensed healthcare provider.
  • You:
    • are uninsured or
    • are denied coverage for Bausch Health medications by your commercial insurance provider and have exhausted all appeal options or
    • do not have coverage for the Bausch Health medication requested through government health insurance (ie, Medicare Part D, Medicaid, Medigap, VA, DoD, TRICARE or other federal or state pharmacy assistance programs)
  • Note: Some patients who cannot afford their medication(s) and meet certain financial criteria may also be eligible.
  • You do not reside in a hospital, nursing home, correctional facility, or court-appointed program or facility.
  • For detailed eligibility requirements, click here.

  • You can apply by sending in a completed and signed application form by mail or fax.

    Mail Mail:

    Bausch Health Patient Assistance Program
    P.O. Box 991624
    Louisville, KY 40269

    Fax Fax:

    1-844-705-0160

  • Your healthcare provider must complete a portion of the application including a valid prescription.
  • You must complete and sign the application. A caregiver or healthcare provider cannot sign on your behalf.
  • If you have any questions about how to apply or to apply by phone, please call our customer service team at 1-833-862-8727.

  • Yes, you need to submit copies of your latest federal tax return with your completed and signed application.
  • If you do not file a tax return, provide copies of all sources of your household income. This may include your latest Social Security statement, disability benefits statement, unemployment benefits, pension statements, and any other household income documents.
  • If you do not have proof of income, we may be able to determine your financial eligibility without you providing documentation.

  • Yes, please provide all relevant details with your application. This will help us better understand your current financial situation and process the application more efficiently. All your personal information is kept strictly confidential.

  • Please see the complete list of eligible medications here.

  • A caregiver or provider is not permitted to sign on behalf of the patient.
  • Call us at 1-833-862-8727 if you are unable to provide a written signature.

  • Complete your application carefully and ask your healthcare provider for assistance if you need it. Incomplete submissions will result in a delay in processing your application. We will reach out if additional information is needed.

  • Complete and signed applications that include a valid prescription can be approved and processed in as little as 48 hours.
  • To check the status of your application, call us at 1-833-862-8727.

  • No. It is free to apply to the Bausch Health Patient Assistance Program.

  • No. Eligible patients do not have a copay. The medication is free of charge.

  • Yes. You can submit one application for all applicable Bausch Health medications you are prescribed.

  • Yes. Our pharmacy partner has access to over-the-phone translation services as needed.

  • In some circumstances, patients who have partial coverage may be eligible for the program if their co-payment or co-insurance costs still result in the medication being unaffordable due to financial hardship.
  • If you have any questions, call us at 1-833-862-8727.

  • Once an application is approved, medication can be shipped within 48 hours.

  • No. Shipping is free.

  • Yes. Medications can be shipped directly to your doctor’s office or a designated location other than your home.

  • You can request refills as follows:
    • Text: Use the prompts on your refill reminder text.
    • Automated system: call 1-833-862-8727 and follow the prompts for refills
    • Live agent: call 1-833-862-8727
  • Note: To avoid refilling too soon, please note the following:
    • For a 30-day supply, refills can be ordered no earlier than 24 days after your last fill.
    • For a 90-day supply, refills can be ordered no earlier than 72 days after your last fill.

  • You will receive a renewal notice from our pharmacy partner approximately 60 days in advance of your annual renewal date. You can then reapply within 60 days from your program end date.

  • Download an application here and submit it via mail or fax. Healthcare providers must complete their portion of the form prior to submission and submit a valid prescription.

    Mail Mail:

    Bausch Health Patient Assistance Program
    P.O. Box 991624
    Louisville, KY 40269

    Fax Fax:

    1-844-705-0160

  • Patients must sign the application. A caregiver or healthcare professional cannot sign on behalf of the patient.
  • If a patient is unable to provide a written signature, the patient or caregiver should call us at 1-833-862-8727 to complete the application.

  • Please see the complete list of eligible medications here.

  • Upon receipt of a completed application and prescription, we will review program eligibility, including income and benefit verification.
  • Once a patient is approved, the prescription will be dispensed with up to a 90-day supply (as written on the prescription) sent 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.

  • 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 us at 1-833-862-8727.

  • Yes. Our Patient Assistance Program allows for a 90-day supply when prescribed.

Yes, if you choose to e-prescribe, the prescriber application form still needs to be completed, signed and sent into Bausch Health PAP.

The pharmacy credentials to search your EMR/EHR system are as follows:

  • KnippeRx Pharmacy: 1250 Patrol Rd., Suite 100, Charlestown, IN 47111
  • Phone: 855-647-7379
  • Fax: 855-774-3879

Still Have Questions? We’re Here To Help.

Our team is standing by to help.

Call us at 1-833-862-8727
Monday-Friday, 8am-8pm ET

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