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Aton Patient Savings Program

Save up to $60! Up to $20 off each of 3 prescription fills for TIMOPTIC^® in OCUDOSE^®.

Step 1:

Enter your contact information below to receive a rebate for up to $20 off each of 3 prescription fills for TIMOPTIC® in OCUDOSE®. Select the box on the form below if you would also like to learn more about TIMOPTIC® in OCUDOSE®. Aton Pharma will only use this information to send your rebate, unless you click the box on the form below indicating that you would like to receive free TIMOPTIC® in OCUDOSE® information.

Step 2:

Once the information is submitted, press the button to view and print your rebate request form. Only 1 rebate is valid per prescription. The rebate will be in the amount of your co-pay, up to $20.

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E-mail*
Is this your first TIMOPTIC® in OCUDOSE® prescription? Yes No
If yes, have you used other glaucoma medications? Which ones?
If no, for how long have you been using TIMOPTIC® in OCUDOSE®? Less than 1 year 1 year 2-5 years More than 5 years
Have you used a form of non–preservative-free timolol before? Yes No
* Indicates required information.
YES, I would like Aton Pharma, Inc. to send me periodic updates about TIMOPTIC® in OCUDOSE®.
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