

REBATE ON PATANOL® Solution

Get your $10 PATANOL® solution rebate in three simple steps:
- Fill out the required fields below and click "submit." The rebate form will appear.
- Print out the rebate form.
- 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 PATANOL® solution is a prescription eye drop, please visit your healthcare provider and ask about getting a free sample of PATANOL® ophthalmic solution.
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:
