Alrex

(loteprednol etabonate)
loteprednol etabonate 2 MG/ML Ophthalmic Suspension [Alrex]
NO BLACK BOX WARNING

drug label

Alrex prescribing information

Have more Alrex questions?

Submit MSL Request
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Need to report an Alrex issue?

ONLINE FORM
Report adverse event
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samples

Request Alrex samples

Online Sample Form
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prior authorization

Alrex Prior authorization resources

NOT PROVIDED BY BRAND
Complete Letter of Medical Necessity

NOT PROVIDED BY BRAND
Coverage Authorization Request

NOT PROVIDED BY BRAND
Coverage Authorization Appeals
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Benefits investigation

NOT PROVIDED BY BRAND
Benefits investigation resources
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Reimbursement help (FRM)

NOT PROVIDED BY BRAND
Reimbursement help (FRM) resources
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financial assistance

Alrex Financial assistance options

Co-pay savings program

commercial only
Enroll in Patient Saving Program
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Bridge program

commercial only
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Foundation programs

under insured
no insurance
goverment insurance
65+
Patient Assistance Program Eligibility
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patient education

Alrex Patient education

Getting started on Alrex

NOT PROVIDED BY BRAND
Instructions For Use: Seasonal Allergic Conjunctivitis

Patient toolkit

NOT PROVIDED BY BRAND
Not Provided By Brand
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Can't find what you're looking for?

Our trained staff can help you:
Please note:
  • Access to a Field Reimbursement Manager (FRM) or Medical Science Liaison (MSL) varies by brand and may require talking with your rep first.
  • Samples are provided at the discretion of the brand.
  • We are unable to collect Protected Health Information (PHI), fill out forms, or submit them on your behalf.