Rebate up to $10 on PATADAY™ Solution
Restrictions apply

first-time refill
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REBATE ON PATADAY Solution

Pataday Eye Drops
Get your $10 PATADAY Solution rebate in three simple steps:
  1. Visit your healthcare provider and ask about a prescription for PATADAY Solution.
  2. Pick up your prescription from your pharmacist. Pay your applicable out of pocket costs and keep your receipt.
  3. Fill out the required fields below and click "Next" below to generate your rebate form.
  4. Print the rebate form.
  5. Follow all terms and conditions and mail the rebate form to the address on the form.

You'll receive your rebate within 8-10 weeks. Visit our rebate status page for information on checking your rebate status.

Since PATADAY Solution is a prescription eye drop, please visit your healthcare provider and ask about getting a free sample of PATADAY ophthalmic solution.

Terms and Conditions apply.

The personal information requested below will be used for aggregate research and promotional purposes only. To protect the privacy of our users, your information will not be sold to a third party.

Please complete the following required information:

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
Phone:() -
*Email:

*Have you ever purchased PATADAY solution in the past?
Yes No

By providing the information above you will receive a rebate worth up to $10 on your next bottle of PATADAY solution.

It's okay to send future Alcon allergy e-mail communications.