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With the Patient Assistance Program from Bausch and Lomb, you can receive a maximum of one bottle of your medication at any one request.

| Dosage | Quantity | Retail price | GoodRx price |
|---|
| 60 inserts of 5mg | 1 package | $691.02 | $610.96 |
GoodRx coupon prices last updated on 04/19/26.