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Medication discounts

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 | N/A | $17.00 |
| 1ml vial of 15mg/ ml | 1 carton | $59.61 | $12.13 |
| 1ml vial of 30mg/ ml | 1 carton | $97.78 | $18.14 |
| 2ml vial of 60mg/ 2ml | 1 carton | $48.90 | $23.09 |
| 5ml of 0.4% | 1 eye dropper | $68.28 | $25.01 |
| 3ml of 0.5% | 2 eye droppers | $86.59 | $22.04 |
| 5ml of 0.5% | 1 eye dropper | $93.47 | $20.49 |
| 10ml of 0.5% | 1 eye dropper | $183.72 | $27.54 |
| 5 bottles of 15.75mg/ spray | 1 package | $2,572.02 | $1,781.58 |
| 1ml of 30mg/ ml | 4 syringes | $19.45 | $14.02 |
| 2ml of 60mg/ 2ml | 5 syringes | $19.49 | $12.37 |
| 1ml of 15mg/ ml | 2 vials | N/A | $6.93 |
| 1ml of 30mg/ ml | 10 vials | $36.73 | $15.82 |
| 2ml of 60mg/ 2ml | 5 vials | $23.49 | $12.82 |









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GoodRx coupon prices last updated on 08/13/26.