Besifloxacin (Besivance) costs $130–$300 without insurance. Learn how to save with coupons, the Bausch + Lomb Access Program, and patient assistance options.
If you've been prescribed Besifloxacin eye drops (brand name Besivance) for bacterial conjunctivitis, you may have been surprised by the price tag. A single 5 mL bottle of Besivance can cost anywhere from $130 to $300 without insurance — a steep price for a seven-day course of eye drops.
The reason? There's no generic version of Besifloxacin. It's only available as the brand-name product Besivance, manufactured by Bausch + Lomb. Without generic competition to drive prices down, the cost stays high.
But there are real ways to reduce what you pay — sometimes dramatically. Here's everything you need to know about saving money on Besifloxacin in 2026.
The retail (cash) price for Besifloxacin varies by pharmacy, but here's what to expect in 2026:
That's a lot for eye drops. But the cash register price isn't the only price. Below are several ways to pay significantly less.
Prescription discount cards are free to use and can cut the cost of Besifloxacin substantially. These work even if you have no insurance — you simply present the card or coupon at the pharmacy.
To get the best price, compare multiple discount cards at the same pharmacy. Prices can vary by $50 to $100 depending on which card you use and which pharmacy you visit.
Pro tip: Don't assume your insurance copay is the cheapest option. Sometimes a discount card price is lower than your insurance copay — especially if Besivance is on a high formulary tier. Ask your pharmacist to run both and tell you which is cheaper.
The manufacturer of Besivance — Bausch + Lomb — offers a savings program that can significantly reduce your out-of-pocket cost:
This is one of the best savings options available. Going from $300 to $69 — or from a $75 copay to $25 — makes a real difference.
Important: The Bausch + Lomb Access Program is not valid for patients with government insurance (Medicare, Medicaid, TRICARE, or VA). If you have government insurance, see the Patient Assistance Program section below.
If you're uninsured, underinsured, or facing financial hardship, you may qualify for free medication through a patient assistance program (PAP).
If cost is your biggest barrier, talk to your doctor about whether a generic alternative could work for your infection. The savings can be dramatic:
These are all fluoroquinolone antibiotics used for bacterial conjunctivitis. Your doctor can determine if one would be appropriate for your specific situation.
Prices for Besivance can vary by $50 to $170 between pharmacies in the same area. Before filling, compare prices at:
Use Medfinder to find pharmacies that have Besifloxacin in stock, then compare discount card prices at those locations.
If your insurance covers Besivance but with a high copay, try these strategies:
Besifloxacin doesn't have to break the bank. While the retail price of $250 to $300 is undeniably high, the combination of manufacturer savings programs, discount cards, and patient assistance can bring your cost down to as little as $0 to $69 depending on your situation.
Here's the quick summary of your best options:
Don't let cost prevent you from treating your eye infection. Bacterial conjunctivitis needs prompt treatment to heal properly and stop spreading. Use the resources above to find the best price, and check Medfinder to find a pharmacy with Besifloxacin in stock near you.
You focus on staying healthy. We'll handle the rest.
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