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Save hundreds of dollars a year just for staying on your dry eye treatments and joining the My Tears, My Rewards® Program! Membership is absolutely free, so register today and start saving.

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*Are you currently using RESTASIS® (cyclosporine ophthalmic emulsion) 0.05%?         Yes         No

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You are responsible for reporting delivery of a rebate to any private insurer that
pays for, or reimburses you for, any part of the prescription filled.

Indication:
RESTASIS® Ophthalmic Emulsion helps increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS® did not increase tear production in patients using anti-inflammatory eye drops or tear duct plugs.

Important Safety Information:
RESTASIS® Ophthalmic Emulsion should not be used by patients with active eye infections and has not been studied in patients with a history of herpes viral infections of the eye. RESTASIS® should not be used while wearing contact lenses. If contact lenses are worn, they should be removed prior to use.

The most common side effect is a temporary burning sensation. Other side effects include eye redness, discharge, watery eyes, eye pain, foreign body sensation, itching, stinging, and blurred vision.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see product information for RESTASIS® Ophthalmic Emulsion.