Medication Cheat Sheet
Quick reference guide for prescription dry eye drops including pharmacy options, dosing schedules, and patient savings programs.
This reference is for informational purposes only. Always verify current pricing, availability, and coverage with the pharmacy and insurance provider. Savings programs may have eligibility requirements.
| Name of Drug | Pharmacy Name | Active Pharmaceutical Ingredient | Cost |
|---|---|---|---|
Miebo 3mL 30 day supply with 11 refills |
| Perfluorohexyloctane | AWP $975; Can use copay card for $0 copay with commercial insurance at their own pharmacy or use BlinkRx. Savings Program |
Xdemvy |
| Lotilaner 0.25% | AWP $2,450; The majority of patients will pay as little as $50 as long as you use one of the four pharmacies |
Vevye |
| Cyclosporine 0.1% | AWP $1,000; Can use copay card for $0 copay with commercial insurance at their own pharmacy or use PhilRx. Savings Program |
Xiidra |
| Lifitegrast 5% | AWP $950; Commercially insured patients get $0 on their first 90-day prescription and as little as $0 for each refill with a Xiidra Savings Card. Savings Program |
Cequa |
| Cyclosporine 0.09% | AWP $850; Can use copay card for $0 copay with commercial insurance at their own pharmacy or use PhilRx. |
Tyrvaya 0.03mg 8.4 mL (two bottles) |
| Varenicline 0.03mg | AWP $950; Commercial patients could pay as little as $10 for a 30- or 90-day prescription of Tyrvaya with savings card. Savings Program |
Qlosi pilocarpine for presbyopia - 60 vials with 11 refills |
| Pilocarpine 1.25% | Cash Price: $79 for 30 days. $99 for 60-day supply. Shipped directly to patients - cash pay no insurance necessary. |
Vizz aceclidine for presbyopia - 25 vials with 14 refills |
| Aceclidine 1.75% | Cash Price: $79 for 30 days. $198 for 90-day supply. Shipped directly to patients - cash pay no insurance necessary. Local pharmacies may be able to do it as well, but drug will come in slower. |
| Compound Drug | Pharmacy Name | Active Pharmaceutical Ingredient | Cost |
|---|---|---|---|
Biune™ Spray 50 mL Topical Spray Solution - Kit Available |
| Azithromycin Dihydrate 1% + OCuSOFT® Lid Scrub® PLUS Eyelid Cleanser | Cash Price: $50 Introductory Rate $75 Kit Introductory Rate |
Triune™ Spray 50 mL Topical Spray Solution - Kit Available |
| Azithromycin Dihydrate 1% + Diclofenac Sodium 0.1% with OCuSOFT® Lid Scrub® PLUS Eyelid Cleanser | Cash Price: $50 Introductory Rate $75 Kit Introductory Rate |
Demovectin™ Kit 5 gm Ointment |
| Ivermectin 1% + Metronidazole 0.5% with Tea Tree Oil 0.3% | Cash Price: $75 Kit Introductory Rate |
Tetravisc® Plus* 2.5 mL Sterile Ophthalmic Drops |
| Tetracaine HCl 0.5% + Lidocaine HCl 1% | Cash Price: $50 Introductory Rate |
Tetravisc® Plus Solution* 2.5 mL Sterile Ophthalmic Drops |
| Tetracaine HCl 0.5% + Lidocaine HCl 1% | Cash Price: $50 Introductory Rate |
Tetcaine LD* 1.5 mL Sterile Ophthalmic Drops |
| Tetracaine HCl 0.25% - Low Dose | Cash Price: $50 Introductory Rate |
- Triune™ and Biune™ Spray Kits include OCuSOFT® Lid Scrub® Original Eyelid Cleanser and OCuSOFT® Premium Dry Eye Mask
- Demovectin™ Kit Includes: OCuSOFT® Lid Scrub® Oust® Eyelid Cleanser, OCuSOFT® Premium Dry Eye Mask, and Demovectin™ Topical Ointment
*Utilizing Nanolast – A patent-pending positive charged nanoparticle vehicle.
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About Specialty Pharmacies
- •Primera Professional Pharmacy: Compounding pharmacy specializing in customized ophthalmic formulations
- •BlinkRx: Online pharmacy offering home delivery with competitive pricing
- •PhilRx: Specialty pharmacy focused on affordable access to medications
- •AllianceRx Walgreens: Specialty pharmacy for complex medications
Patient Counseling Tips
- •Set expectations that improvement may take 6-12 weeks
- •Transient burning or stinging is common early on
- •Continue supportive measures (artificial tears, lid hygiene)
- •Help patients enroll in savings programs before starting
Disclaimer: This information is provided for educational purposes only and is not intended as medical advice. Pricing and availability may vary. Always verify current information with pharmacies and manufacturers. Savings programs may have eligibility requirements and restrictions.