Besifloxacin (Besivance) can cost $230-$350 without insurance. Learn how to save with coupons, the Bausch + Lomb Access Program, patient assistance, and other tips.
If your doctor prescribed Besifloxacin eye drops for bacterial conjunctivitis, you may have been shocked by the price. Besivance — the only brand available — can cost $230 to $350 for a single 5 mL bottle without insurance. That's a steep price for a 7-day course of eye drops.
The good news is that there are several legitimate ways to reduce what you pay, whether you have insurance or not. Here's a comprehensive guide to saving money on Besifloxacin in 2026.
Let's start with the baseline numbers so you know what you're working with:
Without any savings program, this makes Besifloxacin one of the more expensive ophthalmic antibiotics on the market. For context, generic moxifloxacin eye drops (a comparable antibiotic) cost around $15-$40 for a bottle.
Prescription discount cards can significantly reduce the cash price of Besifloxacin, even if you don't have insurance. These are free to use and accepted at most pharmacies.
GoodRx consistently offers some of the best discount prices for Besivance. As of 2026, GoodRx coupons bring the price down to approximately $226 at participating pharmacies. Prices vary by location, so check goodrx.com for the most current pricing at pharmacies near you.
SingleCare offers Besivance prices starting at approximately $204 for a 5 mL bottle at select pharmacies. SingleCare cards can be used even if you have insurance — you simply choose whichever price is lower at checkout.
Additional discount card options include:
These cards work by negotiating pre-set discount rates with pharmacies. They're completely free — you don't need insurance and there's no enrollment fee. Simply show the card or coupon code at the pharmacy counter.
The Bausch + Lomb Access Program is one of the best savings options for patients with commercial insurance. Here's how it works:
To enroll, visit besivance.com/savings-program or ask your eye doctor's office for a savings card. The card can typically be presented at the pharmacy along with your insurance information.
If your insurance covers Besivance but your copay is high (for example, it's on a specialty tier with a $75-$150 copay), the Access Program can bring that down to $25.
For patients who are uninsured or underinsured, Bausch + Lomb offers a Patient Assistance Program that may provide Besivance at no cost. Key details:
If you know you may need Besifloxacin and are uninsured, exploring this program in advance can save you significant money.
If you have insurance but your plan requires prior authorization for Besivance, work with your doctor's office to submit the PA request promptly. Once approved, your insurance may cover most or all of the cost. Roughly 3 in 10 ACA enrollees and 8 in 10 Medicaid enrollees face PA requirements for Besivance.
If your plan has step therapy requirements, your doctor may need to document why Besifloxacin is medically necessary instead of a generic alternative.
Prices for Besifloxacin can vary significantly between pharmacies — sometimes by $50 or more for the same medication. Use tools like Medfinder or discount card websites to compare prices at pharmacies in your area before filling your prescription.
Some insurance plans offer mail-order pharmacy programs that may provide Besivance at a lower copay than retail pharmacies. Contact your insurance company to see if this is an option.
Your eye doctor's office may have sample bottles of Besivance from the manufacturer. While this isn't a reliable long-term solution, it can provide your initial treatment at no cost while you work on getting the full prescription filled.
If Besifloxacin's cost is simply too high even with discount programs, talk to your doctor about alternatives. Generic options include:
These medications treat the same condition and are effective for most cases of bacterial conjunctivitis.
Here's how the different savings options compare for one 5 mL bottle of Besivance:
Besifloxacin is an effective antibiotic for bacterial conjunctivitis, but its brand-only status means the price can be a real barrier. Don't let cost prevent you from getting treatment — between manufacturer savings programs, discount cards, patient assistance, and affordable generic alternatives, there's almost always a way to make eye infection treatment accessible.
Start by checking if the Bausch + Lomb Access Program applies to you, then compare discount card prices at pharmacies near you. And if you're having trouble finding Besifloxacin in stock, use Medfinder to locate a pharmacy that has it.
You focus on staying healthy. We'll handle the rest.
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