Order OPENINGS™ Patient Support Program Starter Kits

Order OPENINGS Patient Support Program Starter Kits

Using the Starter Kits provided by your Alcon reps is a great way to let your patients know you’re committed to their success. Order more below.

To request more kits, please fill in the fields below. Allow 2-3 weeks for delivery.

Name of Doctor

State License #

Name of Practice

Specialty: Ophthalmologist, Optometrist, Other

Address

Address

City
State
Zip

Ship to the attention of

Phone Number

E-mail Address

Confirm E-mail Address

Number of English kits*

Number of Spanish kits*
*Maximum of 20 kits total (any combination per address per month)

Privacy Statement : Alcon will use this information to respond to your request. Please read our Privacy Policy for more information.

I HAVE READ AND AGREED TO ALCON'S PRIVACY STATEMENT.

Eligibility: Offer applies only to eligible Alcon prescriptions (1) that are subject to a private insurance copay requirement, or (2) for which the patient has no insurance. This offer is not valid for patients who are enrolled in Medicare Part D, Medicaid, Medigap, VA, DOD, Tricare, or any other government-run or government-sponsored health care program with a pharmacy benefit. Click here for full terms and conditions.

 
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