Terms and Conditions:

For patients whose prescriptions for INVELTYS are covered by commercial insurance, use of this card may reduce your copayment responsibility to as little as $35.

For patients whose prescriptions for INVELTYS are not covered by either commercial or government insurance, use of this card may reduce your cost for INVELTYS to as little as $55.

This program is not valid for patients with prescription coverage under Medicaid, Tricare, or VA.

This program is subject to overall maximum support amounts and is valid for up to 6 prescriptions.

Patients participating in Medicare Part D or a Medicare Advantage prescription drug plan who are eligible to use the INVELTYS Co-pay Card Program must agree to the following conditions:

  • Patient must agree to not seek reimbursement from their Medicare or Medicare Advantage prescription plan for their out-of-pocket costs for INVELTYS purchased with the card.
  • Patient must also agree not to count the cost of INVELTYS toward their deductible or true out-of-pocket cost.
  • Patient must notify prescription plan that INVELTYS has been purchased outside benefit by sending the form letter provided by Kala Pharmaceuticals.
  • The patient must purchase all prescriptions for INVELTYS before 12/31/2019 with the card, and the patient must not use Medicare Part D for INVELTYS.

Offer is valid through December 31, 2019.