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

Besivance (besifloxacin 0.6% ophthalmic suspension) is one of the more expensive antibiotic eye drops on the market. Since no generic version exists, a single 5 mL bottle — a full 7-day treatment course — can cost $230–$350 at retail. But there are real options to reduce what you pay. Here's a complete breakdown of every savings program available for Besivance in 2026.

How Much Does Besivance Cost Without Insurance?

The average retail cash price for one 5 mL bottle of Besivance 0.6% ophthalmic suspension is approximately $230–$350, depending on your pharmacy and location. One bottle provides enough medication for the standard 7-day course of treatment (1 drop in the affected eye(s) 3 times daily). There is no lower-cost generic equivalent available.

For comparison, a generic fourth-generation fluoroquinolone alternative such as moxifloxacin ophthalmic drops typically costs $15–$40. If cost is a significant barrier and your doctor agrees the alternative is appropriate, that's a meaningful difference.

Option 1: Bausch + Lomb Access Program (Best for Commercially Insured Patients)

The Bausch + Lomb Access Program is the best savings option for most patients who have commercial insurance that covers Besivance:

Savings: Pay as little as $25 per prescription

Limit: Up to 6 uses per 12-month period

Where: Walgreens and other participating pharmacies

How to activate: Visit blsavings.com, call 1-866-693-4880, or text BLSAVINGS to 24109

Not eligible: Patients with Medicare, Medicaid, Tricare, or VA coverage cannot use this card

Option 2: Bausch and Lomb Patient Assistance Program (Best for Uninsured/Underinsured)

For patients who are uninsured or underinsured and meet income requirements, the Bausch and Lomb Patient Assistance Program may provide Besivance at no or reduced cost. Income thresholds vary but generally cover individuals earning up to $40,000, couples up to $60,000, and larger families up to $100,000 annually. Applications require a valid prescription and proof of income.

Contact: Call 866-316-7263 or visit bauschaccessprogram.com for eligibility and application details. Note that processing time may take several days, making this less practical for acute infections requiring immediate treatment.

MedFinder savings card

Our free discount card with low prices at 65,000+ pharmacies nationwide. Search your medication, compare the cash price near you, and show the card at the counter to save up to 80%. It's a discount, not insurance, and savings vary by drug and pharmacy. Note: pharmacies can choose not to participate. You can use it whether you find your medication with MedFinder or not.

Option 5: Use Your HSA or FSA

Prescription medications like Besivance qualify as eligible medical expenses under Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). Paying with pre-tax HSA/FSA dollars effectively reduces the cost by your marginal tax rate. If you have $500 in an HSA, using it for Besivance is smarter than spending after-tax cash.

Option 6: Request a Prior Authorization for Insurance Coverage

If your insurance plan doesn't cover Besivance or requires prior authorization, ask your prescriber to submit a PA request with a letter of medical necessity. Once approved, your insurance copay may be significantly lower than the retail price. About 80% of commercial insurance plans and 50% of Medicare plans cover Besivance, so it's worth checking your benefit.

Savings Summary for Besivance

Retail (no savings): $230–$350

the free MedFinder savings card coupon: ~$204

the free MedFinder savings card coupon: ~$133–$226

Bausch + Lomb Access Program (commercial insurance): As low as $25

Patient Assistance Program (uninsured/underinsured): Potentially $0

The Bottom Line

The retail price of Besivance can be a real barrier, but savings programs can reduce costs dramatically. Start with the Bausch + Lomb Access Program if you have commercial insurance, or use the free MedFinder savings card coupons if you're uninsured. Once you've sorted out the cost, check our guide on how to find Besivance in stock near you if availability is also a concern.