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`OPENINGS  Patient Support Program
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`JOIN NOW
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`can go a long way.
`Learn about the benefits of
`our patient support program.
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`Click here for savings card 
`Terms and Conditions
`
`Savings Card
`Eligible commercially insured patients pay no more than $25  for their Alcon
`*
`prescription
`Your savings card can help make it a little easier to stay on track with your  
`TRAVATAN Z  Solution (travoprost ophthalmic solution) 0.004%, SIMBRINZA  Suspension


`(brinzolamide/brimonidine tartrate ophthalmic suspension) 1%/0.2%, or AZOPT  Suspension

`(brinzolamide ophthalmic suspension) 1% by helping to make your refills more affordable.
`If you fill your prescription each month with commercial insurance, you pay no more than
`$25 and Alcon will pay the remaining cost, up to $105 for each 30­day supply.
`If you fill your prescription every 3 months with commercial insurance, you pay no more
`than $50 and Alcon will pay the remaining cost, up to $365 for each 90­day supply.
`Join now ›
`
`Learn how to use your savings card
`Using your savings card from the OPENINGS  Patient Support Program is

`easy. If eligible, simply take your activated savings card to the pharmacy  
`(click here if you need to activate your card) along with your prescription. The
`savings card is good for multiple uses and can be used for prescriptions of
`TRAVATAN Z  Solution, SIMBRINZA  Suspension and AZOPT  Suspension.



`Be sure to present your savings card at the pharmacy each time you fill your
`prescription for any of these products.
`
`If your pharmacy does not accept your savings card or you are using a mail
`order pharmacy please contact the McKesson Help Desk at 1‑844‑236‑8027
`(8:00am ­ 8:00pm ET, Monday ­ Friday) for assistance or visit
`www.patientrebateonline.com. You will need to have your savings card
`available when reaching out for assistance.
`
`Click here for full savings card Terms and Conditions › 
`
`One­to­One Support
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`Helpful Information
`We are here to help you with the job of managing your eye pressure by sending you emails
`and mailers filled with practical tips, educational information, and encouragement.
`
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`Get convenient refill alerts because your eyedrops can’t work if you don’t use them, so don’t
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`
`Important information about AZOPT

`(brinzolamide ophthalmic suspension) 1%
`
`INDICATIONS AND USAGE
`AZOPT  Suspension is a carbonic anhydrase

`inhibitor (CAI) indicated in the treatment of
`elevated intraocular pressure in patients with
`ocular hypertension or open­angle glaucoma.
`Dosage and Administration
`The recommended dose is one drop of
`AZOPT  Suspension in the affected eye(s)

`three times daily. If more than one topical
`ophthalmic drug is being used, the drugs
`should be administered at least ten (10)
`minutes apart.
`IMPORTANT SAFETY INFORMATION
`Contraindications
`AZOPT  Suspension is contraindicated in

`patients who are hypersensitive to any
`component of this product.
`Warnings and Precautions
`Sulfonamide Hypersensitivity Reactions ­
`AZOPT  Suspension is a sulfonamide and

`although administered topically it is absorbed
`systemically. The same types of adverse
`reactions that are attributable to sulfonamides
`may occur with topical administration of
`AZOPT  Suspension. Fatalities have occurred,

`although rarely, due to severe reactions to
`sulfonamides. Sensitization may recur when a
`sulfonamide is re­administered irrespective of
`
`2/4
`
`Important information about 
`TRAVATAN Z  (travoprost ophthalmic

`solution) 0.004%
`
`Important information about SIMBRINZA
`(brinzolamide/brimonidine tartrate
`ophthalmic suspension) 1%/0.2%
`

`
`INDICATIONS AND USAGE
`TRAVATAN Z  Solution is indicated for the

`reduction of elevated intraocular pressure (IOP)
`in patients with open­angle glaucoma or ocular
`hypertension.
`Dosing and Administration
`The recommended dosage is one drop in the
`affected eye(s) once daily in the evening.
`TRAVATAN Z  Solution should not be

`administered more than once daily since it has
`been shown that more frequent administration
`of prostaglandin analogs may decrease the
`IOP lowering effect.
`TRAVATAN Z  Solution may be used

`concomitantly with other topical ophthalmic
`drug products to lower IOP. If more than one
`topical ophthalmic drug is being used, the
`drugs should be administered at least five (5)
`minutes apart.
`IMPORTANT SAFETY INFORMATION
`Warnings and Precautions
`Pigmentation ­ Travoprost ophthalmic solution
`has been reported to increase the pigmentation
`of the iris, periorbital tissue (eyelid) and
`eyelashes. Pigmentation is expected to
`increase as long as travoprost is administered.
`After discontinuation of travoprost,
`pigmentation of the iris is likely to be
`http://web.archive.org/web/20160312083239/http://www.myglaucomasupport.com/get­support.shtml?
`
`INDICATIONS AND USAGE
`SIMBRINZA  Suspension is a fixed

`combination indicated in the reduction of
`elevated intraocular pressure (IOP) in patients
`with open­angle glaucoma or ocular
`hypertension.
`Dosage and Administration
`The recommended dose is one drop of
`SIMBRINZA  Suspension in the affected
`eye(s) three times daily. Shake well before use.
`SIMBRINZA  Suspension may be used
`concomitantly with other topical ophthalmic
`drug products to lower intraocular pressure. If
`more than one topical ophthalmic drug is being
`used, the drugs should be administered at least
`five (5) minutes apart.
`IMPORTANT SAFETY INFORMATION
`Contraindications
`SIMBRINZA  Suspension is contraindicated in

`patients who are hypersensitive to any
`component of this product and neonates and
`infants under the age of 2 years.
`Warnings and Precautions
`Sulfonamide Hypersensitivity Reactions ­
`Brinzolamide is a sulfonamide, and although
`administered topically, is absorbed
`systemically. Sulfonamide attributable adverse
`
`® ®
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`000002
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`

`OPENINGS® Patient Support Program from Alcon
`2/24/2017
`permanent, while pigmentation of the periorbital
`reactions may occur. Fatalities have occurred
`the route of administration. If signs of serious
`FEB MAR MAY
`Close
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`12
`tissue and eyelash changes have been
`due to severe reactions to sulfonamides.
`reactions or hypersensitivity occur, discontinue
`reported to be reversible in some patients. The
`Sensitization may recur when a sulfonamide is
`the use.
`29 captures
`Help
`2015 2016 2017
`long term effects of increased pigmentation are
`readministered irrespective of the route of
`8 Oct 15 ­ 8 Nov 16
`Corneal Endothelium ­ Carbonic anhydrase
`not known. While treatment with
`administration. If signs of serious reactions or
`activity has been observed in both the
`TRAVATAN Z  Solution can be continued in
`hypersensitivity occur, discontinue the use of

`cytoplasm and around the plasma membranes
`patients who develop noticeably increased iris
`this preparation.
`of the corneal endothelium. There is an
`pigmentation, these patients should be
`Corneal Endothelium—There is an increased
`increased potential for developing corneal
`examined regularly.
`potential for developing corneal edema in
`edema in patients with low endothelial cell
`Eyelash Changes ­TRAVATAN Z  Solution may
`patients with low endothelial cell counts.
`counts. Caution should be used when

`gradually change eyelashes and vellus hair in
`prescribing AZOPT  Suspension to this group

`Severe Hepatic or Renal Impairment
`the treated eye. These changes include
`of patients.
`(CrCl < 30 mL/min)—SIMBRINZA  Suspension

`increased length, thickness, and number of
`has not been specifically studied in these
`Severe Renal Impairment ­
`lashes. Eyelash changes are usually reversible
`patients and is not recommended.
`AZOPT  Suspension has not been studied in

`upon discontinuation of treatment.
`patients with severe renal impairment
`Acute Angle­Closure Glaucoma—The
`Intraocular Inflammation ­
`(CrCl ≥ 30 mL/min). Because
`management of patients with acute angle­
`TRAVATAN Z  Solution should be used with
`AZOPT  Suspension and its metabolite are

`closure glaucoma requires therapeutic
`caution in patients with active intraocular
`excreted predominantly by the kidney,
`interventions in addition to ocular hypotensive
`inflammation (e.g., uveitis) because the
`AZOPT  Suspension is not recommended in
`agents. SIMBRINZA  Suspension has not

`inflammation may be exacerbated.
`such patients.
`been studied in patients with acute angle­
`Macular Edema ­ Macular edema, including
`closure glaucoma.
`Acute Angle­Closure Glaucoma ­ The
`cystoid macular edema, has been reported
`management of patients with acute angle­
`Contact Lens Wear—The preservative in
`during treatment with travoprost ophthalmic
`closure glaucoma requires therapeutic
`SIMBRINZA  Suspension, benzalkonium

`solution. TRAVATAN Z  Solution should be
`interventions in addition to ocular hypotensive

`chloride, may be absorbed by soft contact
`used with caution in aphakic patients, in
`agents. AZOPT  Suspension has not been

`lenses. Contact lenses should be removed
`pseudophakic patients with a torn posterior
`studied in patients with acute angle­closure
`during instillation of SIMBRINZA  Suspension

`lens capsule, or in patients with known risk
`glaucoma.
`but may be reinserted 15 minutes after
`factors for macular edema.
`instillation.
`Contact Lens Wear ­ The preservative in
`AZOPT  Suspension, benzalkonium chloride,
`Angle­closure, Inflammatory or Neovascular

`Severe Cardiovascular Disease—Brimonidine
`Glaucoma ­ TRAVATAN Z  Solution has not
`may be absorbed by soft contact lenses.

`tartrate, a component of
`been evaluated for the treatment of angle­
`Contact lenses should be removed during
`SIMBRINZA  Suspension, had a less than 5%

`closure, inflammatory or neovascular
`instillation, but may be reinserted 15 minutes
`mean decrease in blood pressure 2 hours after
`glaucoma.
`after instillation.
`dosing in clinical studies; caution should be
`Bacterial Keratitis ­ There have been reports of
`exercised in treating patients with severe
`Adverse Reactions
`bacterial keratitis associated with the use of
`cardiovascular disease.
`In clinical studies of AZOPT  Suspension, the

`multiple­dose containers of topical ophthalmic
`Potentiation of Vascular Insufficiency—
`most frequently reported adverse events
`products. These containers had been
`Brimonidine tartrate, a component of
`reported in 5­10% of patients were blurred
`inadvertently contaminated by patients who, in
`SIMBRINZA  Suspension, may potentiate
`vision and bitter, sour or unusual taste. Adverse

`most cases, had a concurrent corneal disease
`syndromes associated with vascular
`events occurring in 1­5% of patients were
`or a disruption of the ocular epithelial.
`insufficiency. It should be used with caution in
`blepharitis, dermatitis, dry eye, foreign body
`Use with Contact Lenses ­ Contact lenses
`patients with depression, cerebral or coronary
`sensation, headache, hyperemia, ocular
`should be removed prior to instillation of
`insufficiency, Raynaud’s phenomenon,
`discharge, ocular discomfort, ocular keratitis,
`TRAVATAN Z  Solution and may be reinserted
`orthostatic hypotension, or Thromboangiitis
`ocular pain, ocular pruritus and rhinitis.

`15 minutes following its administration.
`obliterans.
`Drug Interactions
`Contamination of Topical Ophthalmic Products
`Adverse Reactions
`Oral Carbonic Anhydrase Inhibitors ­ There is a
`After Use—There have been reports of
`The most common adverse reaction observed
`potential for an additive effect on the known
`bacterial keratitis associated with the use of
`in controlled clinical studies with
`systemic effects of carbonic anhydrase
`multiple­dose containers of topical ophthalmic
`TRAVATAN Z  Solution was ocular hyperemia
`inhibition in patients receiving an oral CAI and

`products. These containers have been
`which was reported in 30 to 50% of patients.
`AZOPT  Suspension. The concomitant

`inadvertently contaminated by patients who, in
`Up to 3% of patients discontinued therapy due
`administration of AZOPT  Suspension and oral

`most cases, had a concurrent corneal disease
`to conjunctival hyperemia. Ocular adverse
`CAIs is not recommended.
`or a disruption of the ocular epithelial surface.
`reactions reported at an incidence of 5 to 10%
`High­Dose Salicylate Therapy ­ In patients
`in these clinical studies included decreased
`Adverse Reactions
`treated with oral CAIs, rare instances of
`visual acuity, eye discomfort, foreign body
`acidbase alterations have occurred with high­
`SIMBRINZA  Suspension
`sensation, pain and pruritus. In postmarketing
`dose salicylate therapy. Therefore, the potential
`use with prostaglandin analogs, periorbital and
`In two clinical trials of 3 months’ duration with
`for such drug interactions should be considered
`lid changes including deepening of the eyelid
`SIMBRINZA  Suspension, the most frequent
`in patients receiving AZOPT  Suspension.

`sulcus have been observed.
`reactions associated with its use occurring in
`Click here for full prescribing information
`approximately 3­5% of patients in descending
`Use in Specific Populations
`for AZOPT  Suspension
`order of incidence included: blurred vision, eye

`Use in pediatric patients below the age of 16
`irritation, dysgeusia (bad taste), dry mouth, and
`You are encouraged to report negative side
`years is not recommended because of potential
`eye allergy. Adverse reaction rates with
`effects of prescription drugs to the FDA. Visit
`safety concerns related to increased
`SIMBRINZA  Suspension were comparable to

`www.fda.gov/medwatch, or call  
`pigmentation following long­term chronic use.
`those of the individual components. Treatment
`1­800­FDA­1088.
`discontinuation, mainly due to adverse
`Click here for full prescribing information
`reactions, was reported in 11% of
`for TRAVATAN Z  Solution

`SIMBRINZA  Suspension patients.

`You are encouraged to report negative side
`Brinzolamide 1%
`effects of prescription drugs to the FDA. Visit
`www.fda.gov/medwatch, or call  
`In clinical studies of brinzolamide ophthalmic
`1­800­FDA­1088.
`suspension 1%, the most frequently reported
`adverse events reported in 5­10% of patients
`were blurred vision and bitter, sour, or unusual
`taste. Adverse events occurring in 1­5% of
`
`® ®
`
`® ®
`
`http://web.archive.org/web/20160312083239/http://www.myglaucomasupport.com/get­support.shtml?
`
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`

`

`FEB MAR MAY
`
`12
`
`2015 2016 2017
`
`Close
`
`Help
`
`2/24/2017
`
`29 captures
`8 Oct 15 ­ 8 Nov 16
`
`Go
`
`OPENINGS® Patient Support Program from Alcon
`patients were blepharitis, dermatitis, dry eye,
`http://www.myglaucomasupport.com/get­support.shtml?
`foreign body sensation, headache, hyperemia,
`ocular discharge, ocular discomfort, ocular
`keratitis, ocular pain, ocular pruritus, and
`rhinitis.
`Brimonidine Tartrate 0.2%
`In clinical studies of brimonidine tartrate 0.2%,
`adverse events occurring in approximately
`10₋30% of the subjects, in descending order of
`incidence, included oral dryness, ocular
`hyperemia, burning and stinging, headache,
`blurring, foreign body sensation,
`fatigue/drowsiness, conjunctival follicles, ocular
`allergic reactions, and ocular pruritus.
`Events occurring in approximately 3­9% of the
`subjects, in descending order, included corneal
`staining/erosion, photophobia, eyelid erythema,
`ocular ache/pain, ocular dryness, tearing,
`upper respiratory symptoms, eyelid edema,
`conjunctival edema, dizziness, blepharitis,
`ocular irritation, gastrointestinal symptoms,
`asthenia, conjunctival blanching, abnormal
`vision, and muscular pain.
`Drug Interactions—Consider the following
`when prescribing SIMBRINZA  Suspension:

`Concomitant administration with oral carbonic
`anhydrase inhibitors is not recommended due
`to the potential additive effect. Use with high­
`dose salicylate may result in acid­base and
`electrolyte alterations. Use with CNS
`depressants may result in an additive or
`potentiating effect. Use with
`antihypertensives/cardiac glycosides may
`result in additive or potentiating effect on
`lowering blood pressure. Use with tricyclic
`antidepressants may blunt the hypotensive
`effect of systemic clonidine and it is unknown if
`use with this class of drugs interferes with IOP
`lowering. Use with monoamine oxidase
`inhibitors may result in increased hypotension.
`Click here for full prescribing information
`for SIMBRINZA  Suspension

`You are encouraged to report negative side
`effects of prescription drugs to the FDA. Visit
`www.fda.gov/medwatch, or call  
`1­800­FDA­1088.
`
`*This offer is not valid for patients who are enrolled in Medicare Part D, Medicaid, Medigap, VA, DOD, Tricare, or any other government­run or government­sponsored health care program with a
`pharmacy benefit. Additional terms and conditions apply. See savings card material for details. If you are not eligible for the savings card, you can still enjoy other benefits of the OPENINGS

`Patient Support Program.
`
`http://web.archive.org/web/20160312083239/http://www.myglaucomasupport.com/get­support.shtml?
`
`4/4
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