Free Medication, Patient Assistance Programs & More

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*Complete the short registration form for Immediate, Free Access to the Complete Details of this Patient Assistance Program.


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Complete the short form below to INSTANTLY Receive Your FREE MEDICATION Information

*Important information regarding how you can take advantage of FREE MEDICATION PROGRAMS will be sent to this email address.

Program Name: 291

Program provides FREE medication to patients in financial need.

Medications covered:
Alamast 0.1% (pemirolast potassium ophthalmic solution )
Betimol 0.25% (timolol ophthalmic solution)
Betimol 0.5% (timolol ophthalmic solution)
Quixin 0.5% (levofloxacin ophthalmic solution)

* Do You Need Help with your Free Medication Application?
* Do you want to know if you qualify to receive your medications for FREE?

Click 'Continue' & Complete the Form to be contacted by a Professional, Patient Assistance Agent.