TWO BRANDS - ONE CARD - SAME OFFER

Start saving on Rocklatan® or Rhopressa® today!

Most Commercially Insured, Covered Patients Pay as Little as $25*

Most Commercially Insured, Non-Covered Patients Pay as Little as $50*

*Restrictions apply. Please see terms and conditions below.

Do you want to download a Rocklatan®/Rhopressa® Savings Card?

We need to know a little more about you. Please fill out the information and answer the questions below.

*Required

*First name: First Name is required
*Last name: Last Name is required
*Address1: Address is required
Address2:
*City: City is required
*State:State is required
*Zip:
*Date of birth:
*Email:
*Confirm Email:Emails do not match
— OR —
Please provide at least Mobile Phone number or an email address
*Mobile phone:

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*Eligibility Criteria/Terms and Conditions

By using the Rocklatan®/Rhopressa® Savings Card, you confirm that you understand and agree to comply with the following terms and conditions of this offer:


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