Cystadrops Free Trial Program

Funded

About

The Cystadrops Free Trial Program offers a valuable opportunity for first-time users of Cystadrops to experience the benefits of this medication at no cost. With a 14-day trial using the new CystaTouch Comfort Dropper, patients can easily access Cystadrops through a simple voucher program. The Cystadrops Free Trial Program is an excellent way for eligible patients to try Cystadrops and see its potential impact on their health.

Insurance requirements: Commercially insured, Medicare / Medicaid, Underinsured, Uninsured

Enrollment Forms

Enrollment Form

Benefits

•1 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Patients can receive a nocost 14day trial of Cystadrops with the new CystaTouch Comfort Dropper

•Trial voucher program eligibility for first time users of Cystadrops OR the redesigned CystaTouch Dropper with a new Cystadrops prescription

•Voucher expires on December 31, 2025

•Must be 18 years of age or older to redeem

•Voucher only accepted at Anovo Specialty Pharmacy

•Send the filled out application via fax to 8558132039

Enrollment Forms

Enrollment Form