BESIVANCE Patient Assistance Program
Don’t let the cost of a specialty antibiotic eye drop delay your treatment. We help eligible patients access Besivance (besifloxacin 0.6%) for as little as $69.95 per month through manufacturer Patient Assistance Programs.
- Clear & Transparent Pricing
- Paperwork & Doctor-Coordination
- Comprehensive Support: From Application to Entire Journey
- Annual Re-certification And Refills Management
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Key Takeaways:
- Besivance Is A Prescription Fluoroquinolone Antibiotic Eye Drop — The Only Ophthalmic Antibiotic Developed Exclusively For Eye Infections, Effective Against Many Resistant Bacterial Strains
- Retail Price Is Approximately $233–$298 Per 5 mL Bottle Without Insurance, While Generic Fluoroquinolone Eye Drops Cost As Little As $10–$40
- AffordMyPrescriptions Provides Access To Besivance For Just $69.95/Month Through The Patient Assistance Program
- No Generic Version Of Besifloxacin Is Currently Available — Patents Extend Through Approximately 2030
What is Besivance Prescription Assistance Program?
The Besivance Prescription Assistance Program is a manufacturer-sponsored initiative that provides Besivance at no medication cost to qualifying patients who cannot afford it. The program is available to U.S. citizens and legal residents who have experienced financial or insurance hardships. The program generally provides up to one bottle per request.
Navigating this program on your own, however, means managing urgent eligibility verification, prescriber coordination, and documentation — all while dealing with an acute infection that demands prompt treatment to prevent spread and complications.
AffordMyPrescriptions eliminates that burden. For a flat $69.95 per month, our Patient Advocates handle every step of your enrollment with the urgency acute eye infections require, prioritizing rapid turnaround so your treatment isn’t delayed.
Pharmacy Price Comparison
- Without assistance,Armour Thyroid can cost hundreds — or even thousands — of dollars per month at retail pharmacies. Discount programs offer some relief, but they don't come close to what a Patient Assistance Program provides, if you qualify:
| Pharmacy(With Coupon) | PrIce (30-Day)* | You Save W/ Us |
|---|---|---|
| Walgreens | ~$150.00 | Save ~$80/mo |
| CVS Pharmacy | ~$140.00 | Save ~$70/mo |
| Walmart | ~$145.00 | Save ~$75/mo |
| Costco | ~$140.00 | Save ~$70/mo |
| Kroger | ~$142.00 | Save ~$72/mo |
*Retail prices are estimates based on public data and vary by pharmacy. Coupon prices from GoodRx and SingleCare as of April 2026. Afford My Prescriptions Advocacy Service bypasses retail pricing by using drug manufacturer programs to secure your medication for you—independent of dosage or retail price.
Our Pricing:
$69.95 Per month
1 Medications
$79.95 Per Month
2 Medications
$89.95 Per Month
3 Medications
$99.95 Per Month
4+ Medications
Why choose us For Your Besivance Prescription Program?
The Patient Assistance Program is free to apply for and provides medication at no cost if approved. But the process involves detailed applications, prescriber coordination, documentation, and ongoing management. Our $69.95/month covers full advocacy: applications, doctor coordination, documentation, refill management, and re-enrollment — so you focus on your health, not paperwork.
Enroll
Complete a simple eligibility form so our team can determine if you may qualify for medication assistance programs.
We Advocate
Our specialists help gather documentation, complete applications, and coordinate with program providers.
Receive Medication
Once approved, you may receive your medication through the assistance program while we help manage ongoing paperwork and renewals.
Discount Coupons vs. Patient Assistance Programs
Many patients try discount cards first. Here’s why the Patient Assistance Program through Afford My Prescriptions is the better long-term solution:
Limitations of Coupons
- Prices fluctuate — savings aren’t guaranteed month-to-month
- Copay accumulators may prevent savings from counting toward deductible
- Cards expire and require constant renewal
- Subject to strict monthly or annual maximum savings caps
- Can’t be used with Medicare, Medicaid, or government insurance
Advantages of PAP Through Us
- Fixed $69.95/month — never changes regardless of retail price
- No expiration — continuous access as long as you qualify
- Medication supplied directly from the manufacturer
- We manage all paperwork, refills, and renewals
- If denied, we explore alternative savings on your behalf
DO YOU QUALIFY?
Eligibility is generally determined by annual household income levels. Most programs follow guidelines that include a limit of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. Because these requirements can vary, we encourage you to contact AffordMyPrescriptions directly so we can review your specific situation and determine if you qualify for assistance.
- You are a U.S. citizen or legal resident
- You Have A Valid Besivance Prescription From A Licensed U.S. Healthcare Provider
- You Are Uninsured Or Underinsured And Cannot Afford Your Medication At Current Pharmacy Prices
- You Have Recently Experienced A Change In Financial Circumstances That Affects Your Ability To Pay
Understanding Besivance:
Besivance (besifloxacin ophthalmic suspension 0.6%) is a prescription antibiotic eye drop used to treat bacterial conjunctivitis (pink eye) in patients 1 year of age and older. It belongs to the fluoroquinolone antibiotic class and is the only antibiotic developed exclusively for ophthalmic use — meaning it was designed specifically for treating eye infections, not adapted from a systemic antibiotic. A special sustained-release formulation keeps the medication active on the eye surface for extended periods.
How It Works:
Bacterial conjunctivitis occurs when bacteria colonize the conjunctiva — the clear membrane covering the white of your eye and lining the inside of your eyelids. The infection causes inflammation, redness, discharge, and discomfort as your immune system fights the invading bacteria. Left untreated, the infection can persist for days to weeks, remain highly contagious, and in rare cases lead to complications.
Besivance works by delivering besifloxacin — a fluoroquinolone antibiotic — directly to the infected eye. Once applied, besifloxacin penetrates bacterial cells and blocks two essential enzymes (DNA gyrase and topoisomerase IV) that bacteria need to copy and repair their DNA. Without functioning DNA replication machinery, the bacteria cannot multiply or survive, and the infection clears. What makes Besivance unique is its dual-target mechanism: by simultaneously blocking two different enzymes instead of one, it makes it much harder for bacteria to develop resistance. Because besifloxacin was designed exclusively for ophthalmic use and has never been used as a systemic antibiotic, bacteria have had less opportunity to develop resistance to it.
Form and Use:
Available as a 5 mL bottle of 0.6% suspension. Instill one drop in the affected eye(s) three times daily for 7 days, with 4- to 12-hour intervals between doses. Shake gently before use.
Generic Availability:
As of April 2026, there is no generic version of Besivance (besifloxacin) available in the United States. Patents are expected to extend through approximately 2030, and no generic entry is anticipated before then. However, other generic fluoroquinolone antibiotic eye drops are available for treating bacterial conjunctivitis at dramatically lower cost: generic moxifloxacin ($15–$40), generic ciprofloxacin ($10–$30), and generic ofloxacin ($10–$25). Your eye doctor can determine whether one of these alternatives would effectively treat your infection.
Warnings:
Do not wear contact lenses while using Besivance or at any time you have signs or symptoms of a bacterial eye infection. Wait until your infection has fully cleared and your doctor has confirmed it is safe to resume lens wear. Complete the full 7-day course even if symptoms improve sooner, to ensure the infection is fully eliminated and to reduce the risk of antibiotic resistance. Do not touch the dropper tip to your eye or any surface.
FAQ (Frequently Asked Questions)
How Much Does Besivance Cost Without Insurance?
Besivance costs approximately $233–$298 per 5 mL bottle at retail. With GoodRx coupons, the price drops to approximately $140. Generic alternatives (moxifloxacin, ciprofloxacin, ofloxacin) cost $10–$40. Through AffordMyPrescriptions, qualifying patients can access Besivance at no medication cost — our $69.95 monthly fee covers advocacy and program management.
Is This The Same Besivance I'd Get At A Pharmacy?
Yes. The Besivance shipped through the Patient Assistance Program is the identical FDA- approved brand-name medication dispensed at U.S. pharmacies. It ships in the manufacturer’s original packaging.
Is There A Generic Version Of Besivance?
No generic besifloxacin is currently available, and patents extend through approximately 2030. However, other generic fluoroquinolone antibiotic eye drops — moxifloxacin ($15–$40), ciprofloxacin ($10–$30), ofloxacin ($10–$25) — treat bacterial conjunctivitis effectively at dramatically lower cost. Your eye doctor can determine whether one of these would work for your infection.
Why Would My Doctor Prescribe Besivance Instead Of A Cheaper Generic?
No generic besifloxacin is currently available, and patents extend through approximately 2030. However, other generic fluoroquinolone antibiotic eye drops — moxifloxacin ($15–$40), ciprofloxacin ($10–$30), ofloxacin ($10–$25) — treat bacterial conjunctivitis effectively at dramatically lower cost. Your eye doctor can determine whether one of these would work for your infection.
What If My Application Is Denied?
Our Patient Advocates will immediately explore every alternative — includingmanufacturer copay cards, GoodRx coupons (~$140), generic moxifloxacin ($15–$40), generic ciprofloxacin ($10–$30), generic ofloxacin ($10–$25), erythromycin ophthalmic ointment ($10–$20), and insurance formulary exception requests. If we can’t help, you won’t be charged.
How Long Does It Take To Get Approved?
Because bacterial pink eye demands prompt treatment, our advocates prioritize rapid turnaround for Besivance applications — typically within days rather than weeks. We work urgently to get your prescription filled while you begin alternative short-term coverage if needed.
Take Control of Your Medication Costs
If you are struggling with the high cost of Besivance, our team may be able to help you
access assistance programs designed to make medications more affordable. Check
your eligibility today and take the first step toward reducing your prescription costs.
Submit Enrollment Form
Start free by filling out a simple online form.
Receive Welcome Call
Our specialist will contact you for a quick welcome call.
We Manage The Process
Our team handles everything, so you can focus on your health.