Request a rebate by providing the information below.
Print your rebate after completing the form below. Only 1 rebate per customer.
See additional terms and conditions below—rebate valid for Commercial and cash-pay patients only.
Offer not valid for prescriptions reimbursed or paid under Medicare, Medicaid, or any similar federal or state healthcare program,
including any state medical or pharmaceutical assistance programs. Void in the following states if any third-party payer reimburses
you or pays for any part of the prescription price: Massachusetts. Offer also void where prohibited by law, taxed, or restricted.
Amount of rebate not to exceed $25 for ALPHAGAN® P 0.1% or co-pay, whichever is less. This rebate may not be
reproduced and must accompany your request for cost savings. Offer good only for one prescription of ALPHAGAN®
P 0.1% per patient, per year, and only in the USA. Allergan, Inc., reserves the right to rescind, revoke, and amend this offer without notice.
You are responsible for reporting receipt of rebate to any private insurer that pays for or reimburses you for any part of the prescription
filled using this rebate.
If you have already registered, but would like to print your rebate again, please
INDICATIONS AND USAGE
ALPHAGAN® P (brimonidine tartrate ophthalmic solution) 0.1% or 0.15%
is an alpha-adrenergic receptor agonist indicated for the reduction of elevated
intraocular pressure (IOP) in patients with open-angle glaucoma or ocular hypertension.
IMPORTANT SAFETY INFORMATION
Neonates and Infants (under the age of 2 years): ALPHAGAN®
P is contraindicated in neonates and infants (under the age of 2 years).
Hypersensitivity Reactions: ALPHAGAN® P is contraindicated
in patients who have exhibited a hypersensitivity reaction to any component of this
medication in the past.
See more below.