BESIVANCE (besifloxacin ophthalmic suspension 0.6%) Patient Assistance Program

Don’t let the high cost of brand fluoroquinolone bacterial conjunctivitis drops disrupt your eye-infection treatment. We help eligible patients access Besivance (besifloxacin ophthalmic suspension 0.6%) for as little as $69.95 per month through the manufacturer’s Patient Assistance Program.

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Key ​Takeaways:

What is Besivance Prescription Assistance Program?

The Besivance Patient Assistance Program is a manufacturer-sponsored initiative that helps eligible patients access Besivance (used for treating bacterial conjunctivitis caused by susceptible organisms) at little or no cost when they meet specific income, insurance, and clinical criteria. The program is free to apply for, but the enrollment process involves detailed applications, ophthalmology or primary care coordination, supporting documentation, and ongoing renewal — which can be overwhelming when you are managing an acute eye infection.

At AffordMyPrescriptions, our Patient Advocates handle the entire Besivance PAP enrollment for a flat $69.95 per month. We complete the application, coordinate with your prescriber for required medical documentation, follow up with the manufacturer’s program until approval, manage your refills, and handle annual re-certification — so you never face a gap in your Besivance bacterial conjunctivitis therapy.

AffordMyPrescriptions eliminates that burden. For a flat $69.95 per month, our Patient Advocates handle every step of your Besivance enrollment — from the initial application through ongoing refills and annual re-enrollment — so you never face a gap in your eye-infection treatment.

Pharmacy Price Comparison

Pharmacy(With Coupon)PrIce (30-Day)*You Save W/ Us
Walgreens (brand)

~$150.00

Save substantially
CVS Pharmacy(brand)

~$140.00

Save substantially

Walmart (brand)

~$145.00

Save substantially

Costco(brand)

~$140.00

Save substantially

Generic moxifloxacin 0.5%

~$25/bottle

Generic fluoroquinolone alt

*Retail prices are estimates based on public data and vary by pharmacy. Coupon prices from GoodRx and SingleCare as of April 2026. AffordMyPrescriptions Advocacy Service bypasses pharmacy pricing entirely by using the manufacturer’s assistance program to secure your Besivance — 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 Besivance Patient Assistance Program is free to apply and provides medication at no cost if approved. But the process involves detailed applications, prescriber coordination, documentation, and ongoing management — applications that are commonly delayed or denied when paperwork is incomplete. Our $69.95 per month covers full advocacy: applications, doctor coordination, documentation, refill management, and re-enrollment — so you focus on your health, not paperwork. For most uncomplicated bacterial conjunctivitis cases, generic fluoroquinolone eye drops (moxifloxacin, ciprofloxacin) provide equivalent coverage at a fraction of the cost.

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 AffordMyPrescriptions is the better long-term solution for Besivance:

Limitations of Coupons

  • Prices fluctuate — savings aren’t guaranteed month-to-month
  • Copay accumulators may prevent savings from counting toward deductible
  • Coupon cards expire and require constant renewal

  • Still $180–$280/bottle per month even with the best discount

  • 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 paths on your behalf

DO YOU QUALIFY?

Eligibility is generally determined by annual household income and insurance status. Most programs follow guidelines that include limits of up to $40,000 for individuals, $60,000 for couples, and $100,000 for larger families. Because requirements vary by program and household, we encourage you to contact AffordMyPrescriptions directly so we can review your specific situation and determine if you qualify for Besivance assistance.

Understanding Besivance:

Besivance is a fourth-generation fluoroquinolone designed specifically for topical ophthalmic use — not available as a systemic medication. Its DuraSite mucoadhesive vehicle prolongs ocular contact time, supporting three-times-daily dosing. Broad coverage including some methicillin-resistant strains in vitro.


How Besivance Works:

Bacterial conjunctivitis (pink eye from bacterial infection) presents with purulent discharge, redness, and irritation. Common pathogens include Staphylococcus species, Streptococcus pneumoniae, Haemophilus influenzae, and others.

Besifloxacin (Besivance) inhibits bacterial DNA gyrase (topoisomerase II) and topoisomerase IV — preventing DNA replication and triggering bacterial cell death. The DuraSite vehicle prolongs contact time, allowing three-times-daily dosing with sustained antibacterial effect. Many bacterial conjunctivitis cases resolve in 5–7 days with antibiotic drops.


Form and Use:

Besivance ophthalmic suspension 0.6%. Shake well before use. 1 drop in affected eye(s) three times daily, ideally separated by 4–12 hours, for 7 days. Wash hands before instillation. Avoid contact between dropper tip and any surface to prevent contamination.

Generic Availability:

No generic Besivance. Generic fluoroquinolone eye drop alternatives: moxifloxacin 0.5% (Vigamox/Moxeza generic), gatifloxacin 0.5% (Zymaxid generic), ciprofloxacin 0.3% (Ciloxan generic), ofloxacin 0.3% (Ocuflox generic), levofloxacin 0.5% (Quixin generic). Other antibacterials: gentamicin (aminoglycoside, generic), tobramycin (Tobrex generic), erythromycin ointment, sulfacetamide. For severe or refractory cases: ophthalmology referral for culture-guided therapy. Many cases of conjunctivitis are viral (especially adenovirus) and do not benefit from antibiotic drops — supportive care only.

Warnings:

Local irritation (transient burning or stinging), conjunctival redness, headache. Anaphylaxis and serious hypersensitivity reactions are rare. Bacterial resistance can develop with inappropriate use — limit to confirmed bacterial conjunctivitis, complete prescribed course, and avoid casual use. Not for systemic infections. Not for use in viral or fungal conjunctivitis. Contact lens wear: discontinue during active infection.

FAQ (Frequently Asked Questions)

How Much Does Besivance Cost Without Insurance?

Brand Besivance $180–$280 per bottle. Generic moxifloxacin 0.5% costs $20–$40; generic ciprofloxacin 0.3% costs $10–$20.

Both are fluoroquinolone antibacterials with broad coverage. Generic moxifloxacin is dosed three times daily; Besivance is also three times daily. In most uncomplicated bacterial conjunctivitis cases, generic moxifloxacin or ciprofloxacin provides equivalent clinical outcomes at much lower cost.

They typically are — generic fluoroquinolones (moxifloxacin, ciprofloxacin) are first-line for uncomplicated bacterial conjunctivitis in most insurance formularies. Besivance is reserved for cases where the prescriber specifically wants its broader gram-positive coverage or DuraSite vehicle benefits.

Yes — approved for patients ≥1 year old. Same dosing (three times daily) for pediatric and adult use.

Mild transient burning or stinging on instillation, conjunctival redness, headache, eye irritation. Hypersensitivity reactions are rare. Bacterial resistance is a concern with inappropriate or prolonged use.Mild transient burning or stinging on instillation, conjunctival redness, headache, eye irritation. Hypersensitivity reactions are rare. Bacterial resistance is a concern with inappropriate or prolonged use.Mild transient burning or stinging on instillation, conjunctival redness, headache, eye irritation. Hypersensitivity reactions are rare. Bacterial resistance is a concern with inappropriate or prolonged use.

Bacterial conjunctivitis usually presents with thick yellow or green discharge, while viral conjunctivitis typically has watery discharge, may involve both eyes, and often follows a cold. Most pink eye is viral and doesn’t benefit from antibiotic drops. See your clinician for proper diagnosis.

We help explore generic moxifloxacin (Vigamox generic — very cheap), generic ciprofloxacin (Ciloxan generic — even cheaper), generic ofloxacin/levofloxacin, manufacturer copay programs, and primary care evaluation to confirm bacterial vs viral conjunctivitis (avoiding unnecessary antibiotics).

Take Control of Your Medication Costs

Bacterial conjunctivitis treatment should not be delayed over cost — but most cases respond well to inexpensive generic antibiotic drops. Our Besivance advocacy team is ready to verify your eligibility, complete the manufacturer application on your behalf, and manage your prescription through approval, delivery, and renewal — for a flat $69.95 per month. If we cannot help you access Besivance through a Patient Assistance Program, you are not charged. Call (833) 556-2729 or check your eligibility online today.

Submit Enrollment Form

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We Manage The Process

Our team handles everything, so you can focus on your health.

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