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With the Patient Assistance Program from HealthWell Foundation, contact the program to see how they can financially help you out.

| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| Dosage | Quantity | Retail price | GoodRx price |
|---|
| 10mg | 20 tablets | $50.68 | $11.04 |
| 1ml vial of 15mg/ ml | 1 carton | $43.65 | $17.08 |
| 1ml vial of 30mg/ ml | 1 carton | $101.88 | $18.14 |
| 2ml vial of 60mg/ 2ml | 1 carton | $52.04 | $21.76 |
| 5ml of 0.4% | 1 eye dropper | $68.29 | $25.24 |
| 3ml of 0.5% | 1 eye dropper | $48.68 | $17.77 |
| 5ml of 0.5% | 1 eye dropper | $93.53 | $10.37 |
| 10ml of 0.5% | 1 eye dropper | $180.22 | $25.71 |
| 5 bottles of 15.75mg/ spray | 1 package | $2,572.02 | $1,781.88 |
| 1ml of 30mg/ ml | 3 syringes | $19.64 | $12.65 |
| 2ml of 60mg/ 2ml | 2 syringes | $12.47 | $8.97 |
| 1ml of 15mg/ ml | 1 vial | N/A | $5.87 |
| 1ml of 30mg/ ml | 10 vials | $35.09 | $8.02 |
| 2ml of 60mg/ 2ml | 1 vial | $10.84 | $6.65 |
GoodRx coupon prices last updated on 04/22/26.