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What's inside? Savings. If you're commercially insured, use the Xiidra iinsider® card to pay $0 for your first 30 days of Xiidra, then $10 every month for as long as you take it (up to $250 in savings each month).

First, let’s make sure you’re eligible.

Please fill in the information below. Items marked with (*) are required.

*When were you born (Don't worry, we won't tell!)
*Are you a resident of the United States?
   
*How about government insurance ... is your prescription covered, in whole or in part, under any state, federal, or government program, including but not limited to Medicare, Medicaid, Medigap, VA, DOD, or TRICARE?
       
*Here are some terms and conditions. Restrictions may apply.

Eligible patients will receive their first 30-day prescription free and up to $250 savings for each 30-day refill. The actual savings on your out-of-pocket costs for Xiidra will vary according to personal healthcare insurance coverage. Program subject to change. Not available under federal or state programs. See Xiidra iinsider® card for full details and restrictions.