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Xiidra patient assistance program

Have you been prescribed Xiidra medication? If you need help to pay for your prescription, try Prescription Care. We work directly with your healthcare provider to help you enroll in patient assistance programs for prescription medications. With our assistance, you may be able to get your Xiidra for a flat fee of $49 per month.* 

Prescription Care will handle the full enrollment process for you, helping you to get affordable access to your essential medication.

Your monthly Xiidra cost savings if eligible

Through the Xiidra patient assistance program, the only cost for your medication will be a monthly fee of $49. If eligible for Xiidra assistance, you could save:

$560.00
Average 30-day price
at US Pharmacy
$49.00
Your 30-day price
at Prescription Care
$511.00
Your 30-day savings
with Prescription Care

Am I eligible for the Xiidra patient assistance program?

You will need to meet the eligibility criteria for Xiidra assistance. We will review each application individually, but the main factors that are considered by most programs include:

  • US residency
  • Combined household income
  • Insurance status
General income criteria
  • Up to $36,000
  • Up to $50,000
  • Up to $100,000

How do I apply for the Xiidra patient assistance program? 

Our process is simple and straightforward. Prescription Care makes it as easy as possible to apply for the Xiidra patient assistance program. It begins with your online enrollment application. You will need to tell us about any medications you’re taking, including Xiidra. We’ll also ask for details about your healthcare provider, your insurance plan, and your household income. This information is required by the pharmaceutical manufacturers who ship your medication, meaning it must be accurate and up to date.


Once Prescription Care determines that you may be eligible for Xiidra assistance, we’ll handle the full enrollment process for you. When enrolled in the Xiidra patient assistance program, we’ll also request your Xiidra medication refills on your behalf for up to one year.

Is Prescription Care a Xiidra coupons provider?

Prescription Care is not a Xiidra coupon, a Xiidra discount card, or a Xiidra copay card provider. We are a service provider that helps eligible individuals access the Xiidra patient assistance program. We don’t offer printable Xiidra manufacturer coupons, Xiidra discounts, rebates, Xiidra savings cards, trial offers, or free Xiidra samples.

You will likely save more through Prescription Care, if you are looking for coupons for Xiidra or cheap Xiidra. When securing your Xiidra medication through Prescription Care, your total cost for the medication will always be $49 per month.

Can Prescription Care help me get Xiidra if I have insurance? 

At Prescription Care, we may be able to help if you have insurance. This includes if you have a high copay or coinsurance responsibility or your insurance company won’t pay for your Xiidra medication. We may even be able to assist if you don’t have insurance. Apply online with Prescription Care to find out more.

How much is Xiidra with insurance?

The price of Xiidra with insurance will vary by healthcare plan. Your pharmacist or healthcare provider will be able to calculate your copay with your current insurance.

How much does Xiidra cost without insurance?

Xiidra prices without insurance vary depending on the retailer you buy it from. As a guide, a pack of 60, 5% Xiidra single-use vials will cost around $730.

What is Xiidra?

Xiidra is a prescription eye-drop medication used to treat the symptoms of dry eye syndrome in adults. Xiidra comes in single-use vials that can be used to drop the liquid solution onto your eyes.

Dry eye syndrome, also called dry eye disease and keratoconjunctivitis sicca, is a condition where your eyes don’t produce enough liquid to clean and lubricate themselves. As well as dryness, your eyes can also feel irritated, redden, produce a discharge, become tired easily, and your vision may blur. Dry eye syndrome can be mild to severe, and can cause scarring in some cases.

If you have dry eye syndrome, your doctor may prescribe Xiidra to you. It’s an eye-drop medication that can reduce the inflammation and swelling in your eyes that can block and reduce your tear production.

Xiidra active ingredients

The active ingredient in Xiidra is called lifitegrast. It helps to reduce inflammation in your eyes. Inflammation is a natural process triggered by your immune system. It’s usually beneficial, as it helps your body kill harmful pathogens and recover from injury. However, inflammation in the wrong places and for too long can cause problems, like dry eye syndrome.

Lifitegrast reduces inflammation by blocking a step in the process that triggers it. It prevents a molecule called LFA-1 joining with a molecule called ICAM-1, which usually stimulates inflammation. By blocking this step, it limits how much inflammation your immune system can cause in your eyes.

Xiidra side effects & Xiidra drug interactions

When Xiidra does cause side effects, the most common include:

  • Eye irritation
  • Eye discomfort
  • Blurred vision when the drops are applied
  • A condition called dysgeusia, a taste disorder that causes a foul, rancid, metallic, or salty taste

In rare instances, Xiidra can cause more serious side effects. Specifically, this includes severe allergic reactions that can cause wheezing, difficulty breathing, and a swollen tongue

In some instances Xiidra can interact with other medications, which can change how Xiidra and the other medications work and can make some side effects more likely. Tell your prescribing physician about all drugs you’re taking, including vitamins and dietary supplements.

Xiidra warnings & precautions

Xiidra isn’t suitable for everyone. Don’t take Xiidra if you:

  • Are allergic to the active ingredient lifitegrast
  • Are allergic to any of the other ingredients in Xiidra 
  • Are under 18 years of age

Talk to your doctor before taking Xiidra if you:

  • Are taking any other medications 
  • Use any other eye drops
  • Wear contact lenses
  • Are pregnant or are planning to become pregnant
  • Are breastfeeding or are planning to breastfeed

*Qualifying persons may obtain medications directly from patient assistance programs without any out-of-pocket cost (or for less than $49 per medication). However, our monthly flat rate of just $49 per medication spares you the hassle of tracking down the different programs and filling out all the required paperwork for each program.

Enrollees enjoy a full-service solution, as Prescription Care assists them and their physicians with the entire process. We prepare all required documents for the physician to sign, help enrollees manage all prescription refills, monitor eligibility criteria, and maintain enrollment.

**If you do not receive medications because you were determined to be ineligible for the prescription assistance by the applicable pharmaceutical companies and you have a letter of denial, we will refund any fees you paid toward medications for which you did not qualify to receive prescription assistance (Refund).

To receive a Refund, you must send the letter of denial to us by fax to 866-262-2603, or by e-mail to [email protected] within 30 days of your receipt of such letter. The Refund is your sole and exclusive remedy for any fees you may wish to dispute.


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