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To Learn More About a Specific Product, Use the Links Below


Novartis – Xiidra® (lifitegrast ophthalmic solution 5%)

Xiidra®

(lifitegrast ophthalmic solution) 5%


PDF Mini Icon Full Prescribing Information Cost and Coverage Information >>
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Novartis – Durezol® (difluprednate ophthalmic emulsion 0.05%)

DUREZOL®

(difluprednate ophthalmic emulsion) 0.05%


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Novartis – Ilevro ® (nepafenac ophthalmic suspension 0.3%)

ILEVRO®

(nepafenac ophthalmic suspension) 0.3%


PDF Mini Icon Full Prescribing Information Cost and Coverage Information >>


Novartis – TravatanZ® (travoprost ophthalmic solution 0.004%)

TRAVATAN Z®

(travoprost ophthalmic solution) 0.004%


PDF Mini IconFull Prescribing Information Cost and Coverage Information >>
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Novartis – Azopt® (brinzolamide ophthalmic suspension 1%)

AZOPT®

(brinzolamide ophthalmic suspension) 1%


PDF Mini Icon Full Prescribing Information Cost and Coverage Information >>
Novartis – Simbrinza® (brinzolamide/brimonidine tartrate ophthalmic suspension 1%/0.2%)

SIMBRINZA®

(brinzolamide/brimonidine tartrate
ophthalmic suspension) 1%/0.2%

PDF Mini IconFull Prescribing Information Cost and Coverage Information >>
Go to Website


Novartis – Pazeo® (olopatadine hydrochloride ophthalmic solution 0.7%)

PAZEO®

(olopatadine hydrochloride ophthalmic solution) 0.7%


PDF Mini IconFull Prescribing Information Cost and Coverage Information >>
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Novartis – Ciprodex® (ciprofloxacin 0.3% and dexamethasone 0.1% sterile otic suspension)

CIPRODEX®

(ciprofloxacin and dexamethasone)
0.3%/0.1% otic suspension


PDF Mini IconFull Prescribing Information Cost and Coverage Information >>


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Novartis – Durezol® (difluprednate ophthalmic emulsion 0.05%)

Xiidra®

(lifitegrast ophthalmic solution) 5%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Go to Website
Novartis – Durezol® (difluprednate ophthalmic emulsion 0.05%)

DUREZOL®

(difluprednate ophthalmic emulsion) 0.05%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Go to Website
Novartis – Ilevro ® (nepafenac ophthalmic suspension 0.3%)

ILEVRO®

(nepafenac ophthalmic suspension) 0.3%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Novartis – TravatanZ® (travoprost ophthalmic solution 0.004%)

TRAVATAN Z®

(travoprost ophthalmic solution) 0.004%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Go to Website
Novartis – Azopt® (brinzolamide ophthalmic suspension 1%)

AZOPT®

(brinzolamide ophthalmic suspension) 1%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Novartis – Simbrinza® (brinzolamide/brimonidine tartrate ophthalmic suspension 1%/0.2%)

SIMBRINZA®

(brinzolamide/brimonidine tartrate ophthalmic suspension) 1%/0.2%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Go to Website
Novartis – Pazeo® (olopatadine hydrochloride ophthalmic solution 0.7%)

PAZEO®

(olopatadine hydrochloride ophthalmic solution) 0.7%

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
Go to Website
Novartis – Ciprodex® (ciprofloxacin 0.3% and dexamethasone 0.1% sterile otic suspension)

CIPRODEX®

(ciprofloxacin and dexamethasone)0.3%/0.1% otic suspension

PDF Mini IconFull Prescribing Information
Cost and Coverage Information >>
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Thank you for your interest in our products. Please be sure to complete each of the required fields below when you submit your request. Your request will be reviewed for eligibility and will be addressed in a timely manner.

This form should NOT be used to report Adverse Events.
To report Adverse Events, please click here.

Or call our Customer Interaction Center at:
1-888-644-2763 Monday–Friday, 8:30 AM–5:00 PM ET.

Please note all fields with an asterisk (*) are required.

First name is required.

Last name is required.

Email is required.

Invalid email address format.

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NPI is required for sample requests.

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