How to Help Your Patients Save Money on Rocklatan: A Provider's Guide to Savings Programs

Rocklatan (netarsudil/latanoprost 0.02%/0.005%) is a highly effective glaucoma combination therapy — but its retail cash price of $450–$482 per 2.5 mL bottle is a significant adherence barrier. For many patients, especially those on fixed incomes or Medicare, cost is why they stop refilling their prescription.

This guide is written for ophthalmologists, optometrists, glaucoma specialists, NPs, and PAs. It covers every cost-reduction strategy available in 2026 — from manufacturer programs to insurance optimization to discount cards — so you can keep your patients on Rocklatan rather than defaulting to less effective alternatives.

The Clinical Cost of Medication Non-Adherence

Non-adherence due to cost is a leading driver of glaucoma progression in real-world practice. Studies consistently show that patients who cannot afford their glaucoma medications underuse them, increasing IOP and optic nerve risk. When Rocklatan is prescribed because simpler therapy is insufficient, switching back to that simpler therapy for cost reasons often leads to suboptimal IOP control.

A proactive approach to cost counseling at the time of prescribing — not after the patient calls to say they can't afford the refill — is the most effective strategy for maintaining adherence.

Program 1: Alcon Savings Card (For Commercially Insured Patients)

The Alcon Savings Card is the most powerful cost-reduction tool for your commercially insured patients:

• Eligible patients may pay as little as $30 per prescription
• Enrollment: Call 844-807-9706 or visit rocklatan.myalcon.com
• Eligibility: Must have commercial insurance (employer plan, ACA marketplace plan); cannot be combined with Medicare, Medicaid, TRICARE, or other government programs
• Annual maximum savings limit applies — confirm current terms on enrollment

Best practice: Provide the Alcon savings card website or phone number on your Rocklatan prescription paperwork so patients know about it at the time of their first fill. Don't wait for them to discover it on their own — many never will.

Program 2: Alcon Patient Assistance Program (For Uninsured or Underinsured Patients)

Alcon operates a patient assistance program (PAP) for patients without adequate insurance coverage who meet income eligibility criteria:

• Contact: 800-222-8103
• Typically requires income documentation (e.g., recent tax return, pay stubs) and proof of uninsured or underinsured status
• Your office typically needs to complete a provider section of the application — plan for 15–20 minutes of staff time upfront, which saves significant downstream patient abandonment
• Processing time is typically 2–4 weeks — bridge with samples or generic latanoprost while pending

Program 3: Free Samples From Alcon

Alcon allows healthcare providers to order Rocklatan samples online at rocklatan.myalcon.com/ecp. Samples are a critically underused tool in your practice. Use them:

• As a bridge while prior authorization is being processed
• While a patient assistance application is pending
• When a patient has an unexpected coverage gap (e.g., insurance change, job loss)
• To let new patients try Rocklatan before committing to the full cost

Program 4: Discount Cards (GoodRx, SingleCare) for Any Patient

For patients who are uninsured, underinsured, or on Medicare/Medicaid (where manufacturer savings cards aren't permitted), prescription discount cards offer meaningful savings:

• GoodRx: Approximately $346 per 2.5 mL bottle (vs. ~$451 retail) — about 23% off. Available at goodrx.com or via the GoodRx app.
• SingleCare: Approximately $358 per 2.5 mL bottle. Available at singlecare.com.

These cards cannot be combined with insurance copays. Advise patients to compare the GoodRx price vs. their insurance copay on each fill and use whichever is cheaper. For Medicare patients whose Part D plan doesn't cover Rocklatan, GoodRx is often the best available option.

Insurance Optimization: Prior Authorization and Formulary Exceptions

For patients with commercial insurance, optimizing Rocklatan coverage requires navigating the PA process effectively:

1. Document the clinical rationale at time of prescribing. Record baseline IOP, prior therapy failures, target IOP, and glaucoma stage in the chart. This reduces back-and-forth with insurance reviewers.
2. Know the step therapy requirements. Most plans require documented failure of generic latanoprost first. If your patient has already failed latanoprost, document this explicitly.
3. Submit PA requests electronically. Electronic PA tools (CoverMyMeds, Surescripts) reduce turnaround time vs. fax. Many EHR systems have integrated e-PA workflows.
4. Appeal denials with visual field and OCT data. If a PA is denied, an appeal with objective evidence of disease progression (visual field worsening, OCT RNFL thinning) often succeeds.
5. For Medicare patients: request formulary exceptions. If Rocklatan isn't on the patient's Part D formulary, submit a formulary exception request with clinical documentation. Many succeed on first or second submission.

Mail-Order Pharmacy: The Underused Access and Savings Tool

Steering patients to mail-order pharmacy serves two purposes: lower per-fill costs and more consistent drug availability. Mail-order pharmacies (CVS Caremark, Express Scripts, OptumRx, Walgreens Mail) reliably stock brand-name specialty medications and offer 90-day supplies at reduced copays under most insurance plans.

For elderly glaucoma patients who find pharmacy calls challenging, mail-order also reduces the burden of having to find a pharmacy with stock. Advise patients to set up mail-order at the same visit when Rocklatan is prescribed — don't leave this as an afterthought.

How medfinder Supports Cost-Related Access Challenges

When patients face both cost barriers and availability challenges, medfinder for providers can help patients locate nearby pharmacies that have Rocklatan in stock and compare prices. This reduces unnecessary pharmacy-to-pharmacy calling and helps identify which local pharmacies have active pricing (often corresponding to better availability). Directing patients to medfinder as a first step when they report fill difficulty can reduce your staff's call volume while improving patient outcomes.

Summary Checklist for Providers at the Time of Prescribing Rocklatan

At every Rocklatan prescription:

• ☐ Give commercially insured patients the Alcon Savings Card info (844-807-9706)
• ☐ Tell uninsured/underinsured patients about the Alcon PAP (800-222-8103)
• ☐ Recommend GoodRx or SingleCare for Medicare/Medicaid patients (~$346–$358)
• ☐ Dispense a sample as a bridge if PA is pending or insurance is uncertain
• ☐ Recommend mail-order pharmacy to ensure consistent supply and lower copays
• ☐ Direct patients to medfinder if they report difficulty finding stock at their pharmacy

For a clinical overview of access challenges, see Rocklatan Shortage: What Providers Need to Know in 2026. For a pharmacy-finding guide, read How to Help Your Patients Find Rocklatan in Stock.