How to Save Money on Besifloxacin in 2026: Coupons, Discounts, and Patient Assistance

Besifloxacin Can Cost Up to $300 — But You Don't Have to Pay That

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.

How Much Does Besifloxacin Cost Without Insurance?

The retail (cash) price for Besifloxacin varies by pharmacy, but here's what to expect in 2026:

• Retail cash price: $250 to $300 at most chain pharmacies
• Lowest reported cash price: Around $130 at select pharmacies with discount pricing
• Average without any discount: Approximately $298 for a 5 mL bottle

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.

Coupons and Discount Cards

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.

Top Discount Card Options for Besifloxacin

• SingleCare: Reported prices around $204 for a 5 mL bottle — a savings of roughly $94 off the cash price
• GoodRx: Prices vary by pharmacy, typically $130 to $220 depending on location
• Optum Perks: Competitive pricing available at participating pharmacies
• BuzzRx: Check for current Besifloxacin pricing at your preferred pharmacy
• RxSaver: Compare prices across multiple pharmacies in your area

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.

Bausch + Lomb Access Program

The manufacturer of Besivance — Bausch + Lomb — offers a savings program that can significantly reduce your out-of-pocket cost:

For Commercially Insured Patients

• Pay as little as $25 per prescription
• Valid at Walgreens and other participating pharmacies
• Up to 6 fills per product per 12-month period
• Enroll at bauschaccessprogram.com or call 877-494-4372

For Cash-Paying Patients (No Insurance or Rx Not Covered)

• Pay no more than $69 per prescription
• Up to 6 fills per product per 12-month period
• Same enrollment: bauschaccessprogram.com or call 877-494-4372

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.

Patient Assistance Programs

If you're uninsured, underinsured, or facing financial hardship, you may qualify for free medication through a patient assistance program (PAP).

Bausch + Lomb Patient Assistance Program

• Provides Besivance at no cost to eligible patients
• Typically available to uninsured patients with demonstrated financial need
• Maximum of one bottle per request
• Contact: 855-770-0191
• Your doctor may need to submit the application on your behalf

Other Assistance Resources

• NeedyMeds (needymeds.org) — searchable database of patient assistance programs, discount programs, and disease-specific assistance
• RxAssist (rxassist.org) — comprehensive directory of pharmaceutical company patient assistance programs
• RxHope (rxhope.com) — helps patients and providers find and apply for PAPs

Other Ways to Save on Besifloxacin

Ask About Alternatives

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:

• Generic Moxifloxacin (Vigamox): $15 to $50 — saves $80 to $285 compared to Besivance
• Generic Ofloxacin (Ocuflox): $10 to $30 — saves $100 to $290
• Generic Ciprofloxacin (Ciloxan): $10 to $25 — saves $105 to $290

These are all fluoroquinolone antibiotics used for bacterial conjunctivitis. Your doctor can determine if one would be appropriate for your specific situation.

Compare Pharmacy Prices

Prices for Besivance can vary by $50 to $170 between pharmacies in the same area. Before filling, compare prices at:

• Large chains (CVS, Walgreens, Rite Aid)
• Warehouse clubs (Costco, Sam's Club) — you typically don't need a membership to use the pharmacy
• Independent pharmacies
• Mail-order pharmacies through your insurance plan

Use Medfinder to find pharmacies that have Besifloxacin in stock, then compare discount card prices at those locations.

Use Your Insurance Wisely

If your insurance covers Besivance but with a high copay, try these strategies:

• Stack the Bausch + Lomb Access Program with your insurance to potentially reduce your copay to $25
• Check if mail-order is cheaper — many plans offer lower copays for mail-order prescriptions
• Ask about step therapy exceptions — if your doctor can document that a generic didn't work for you, your insurer may cover Besivance at a lower tier

Final Thoughts

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:

1. Commercially insured? Enroll in the Bausch + Lomb Access Program → pay as low as $25
2. Paying cash? Use the Bausch + Lomb Access Program → pay no more than $69
3. Uninsured with financial need? Apply for the Bausch + Lomb PAP → potentially free
4. Want the cheapest option? Ask your doctor about generic Moxifloxacin → $15 to $50

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.