The Living With Keratoconus Patient Support Program (The Program) is sponsored by Glaukos. Glaukos’s mission is to transform the treatment of chronic eye diseases with novel therapies that provide sustainable solutions to important clinical needs.
LivingwithKeratoconus.com is an inclusive patient community that supports you on your keratoconus journey.
*The Living With Keratoconus Patient Support Program covers copays related to the performance of the FDA approved corneal cross-linking procedure with Photrexa® drug formulations up to $100. The maximum payment under the program is $100.
The program runs from June 15, 2020 and September 30, 2020. Offer is valid only in the United States and U.S. Territories. Voucher requests for procedures completed between June 15, 2020, and September 30, 2020, must be submitted by November 15, 2020. The patient must have enrolled in the Living With Keratoconus Patient Support Program and have received a voucher code to request a payment under the program. The patient or their guardian must be 18 years or older for the patient to be eligible. This Program is only valid in the United States and U.S. Territories. This Program is void where prohibited by law. This offer cannot be combined with other offers. Not valid for copays that are not related to the FDA approved corneal cross-linking procedure with Photrexa® drug formulations [Photrexa® Viscous (riboflavin 5’-phosphate in 20% dextran ophthalmic solution), Photrexa® (riboflavin 5’-phosphate ophthalmic solution)] and the KXL® System that slows or halts the progression of keratoconus. Receipts must clearly state that the copays were for the corneal cross-linking procedure with Photrexa® drug formulations.
The Explanation of Benefits (EOB) Form you receive from your insurance provider should show both the professional fee and pharmaceutical fee associated with your procedure. Legally, the copay voucher can only apply to your out of pocket expenses related to the pharmaceutical fee. Your EOB form should show J2787 and 0402T. The J code is for the Photrexa drug formulations. Your copay related to this code will be eligible for reimbursement. The T code is related to your physician’s time during the procedure and is not eligible for reimbursement as part of this program.