Contact Lens Rebates

Welcome

Thank you for choosing Alcon, where innovation helps you see better. To register for your rebate, please make sure you have:

  • An original UPC from the product packaging
  • Your original sales receipt showing total purchase quantity
  • An original eye exam and/or contact lens fitting receipt

Create a Profile

To simplify your rebate registration, please start by creating a profile.

Go

Sign In

If you are a returning customer, please log in to start your rebate registration.

Go
Forgot password? Click here.
  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Your Household Account allows up to five Alcon Vision patients (including yourself). Rebates will be sent to the selected cardholder at the shipping address you provide. Only one address is allowed per Household Account.

log in
Rebate Recipient/Patient 1 Information

Required fields are marked with an asterisk (*).

No P.O. Boxes (except for residents of North Dakota and where required by law), only street rural addresses are acceptable.

Sign In

If you are a returning customer, please log in to start your rebate registration.

Go Forgot password? Click here.
×
  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Confirm Your Household Information

Review your household information below.

Household Account Information
edit

Shipping Address:
City:
State:
Zip Code:

No P.O. Boxes (except for residents of North Dakota and where required by law), only street rural addresses are acceptable.

Email Address:
Password: XXXXXXXXXXXXX

Patient 1 Information
edit

Cardholder First Name:
Cardholder Last Name:
Relationship:
Birthdate(YYYY-MM-DD):

  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Add Another Patient

Patient Information

Please take a moment to provide the information below for another patient in your household.

Required fields are marked with an asterisk (*).

Edit Patient Profile

Patient Information

Please take a moment to provide the information below for another patient in your household.

Required fields are marked with an asterisk (*).

Hello!

What would you like to do today?

Important information for AIR OPTIX® NIGHT & DAY® AQUA (lotrafilcon A) contact lenses: Indicated for vision correction for daily wear (worn only while awake) or extended wear (worn while awake and asleep) for up to 30 nights. Relevant Warnings: A corneal ulcer may develop rapidly and cause eye pain, redness or blurry vision as it progresses. If left untreated, a scar, and in rare cases loss of vision, may result. The risk of serious problems is greater for extended wear vs. daily wear and smoking increases this risk. A one-year post-market study found 0.18% (18 out of 10,000) of wearers developed a severe corneal infection, with 0.04% (4 out of 10,000) of wearers experiencing a permanent reduction in vision by two or more rows of letters on an eye chart. Relevant Precautions: Not everyone can wear for 30 nights. Approximately 80% of wearers can wear the lenses for extended wear. About two-thirds of wearers achieve the full 30 nights continuous wear. Side Effects: In clinical trials, approximately 3-5% of wearers experience at least one episode of infiltrative keratitis, a localized inflammation of the cornea which may be accompanied by mild to severe pain and may require the use of antibiotic eye drops for up to one week. Other less serious side effects were conjunctivitis, lid irritation or lens discomfort including dryness, mild burning or stinging. Contraindications: Contact lenses should not be worn if you have: eye infection or inflammation (redness and/or swelling); eye disease, injury or dryness that interferes with contact lens wear; systemic disease that may be affected by or impact lens wear; certain allergic conditions or using certain medications (ex. some eye medications). Additional Information: Lenses should be replaced every month. If removed before then, lenses should be cleaned and disinfected before wearing again. Always follow the eye care professional’s recommended lens wear, care and replacement schedule. If you have questions, ask your eye care professional or contact at (800) 875-3001 or go to airoptix.com. Ask your eye care professional for complete wear, care and safety information. AIR OPTIX, NIGHT & DAY, Focus, DAILIES, AquaComfort Plus, CIBA VISION and the CIBA VISION logo are trademarks of Novartis AG. ^Trademarks are property of their respective owners.

Thank You for Registering your Rebate!

If you need to reprint your form, you may do so by tracking your rebate and selecting “Print” on the rebate you wish to reprint. Please allow up to 1 hour for your rebate to begin showing in the tracking results.

Important information for AIR OPTIX® NIGHT & DAY® AQUA (lotrafilcon A) contact lenses: Indicated for vision correction for daily wear (worn only while awake) or extended wear (worn while awake and asleep) for up to 30 nights. Relevant Warnings: A corneal ulcer may develop rapidly and cause eye pain, redness or blurry vision as it progresses. If left untreated, a scar, and in rare cases loss of vision, may result. The risk of serious problems is greater for extended wear vs. daily wear and smoking increases this risk. A one-year post-market study found 0.18% (18 out of 10,000) of wearers developed a severe corneal infection, with 0.04% (4 out of 10,000) of wearers experiencing a permanent reduction in vision by two or more rows of letters on an eye chart. Relevant Precautions: Not everyone can wear for 30 nights. Approximately 80% of wearers can wear the lenses for extended wear. About two-thirds of wearers achieve the full 30 nights continuous wear. Side Effects: In clinical trials, approximately 3-5% of wearers experience at least one episode of infiltrative keratitis, a localized inflammation of the cornea which may be accompanied by mild to severe pain and may require the use of antibiotic eye drops for up to one week. Other less serious side effects were conjunctivitis, lid irritation or lens discomfort including dryness, mild burning or stinging. Contraindications: Contact lenses should not be worn if you have: eye infection or inflammation (redness and/or swelling); eye disease, injury or dryness that interferes with contact lens wear; systemic disease that may be affected by or impact lens wear; certain allergic conditions or using certain medications (ex. some eye medications). Additional Information: Lenses should be replaced every month. If removed before then, lenses should be cleaned and disinfected before wearing again. Always follow the eye care professional’s recommended lens wear, care and replacement schedule. If you have questions, ask your eye care professional or contact at (800) 875-3001 or go to airoptix.com. Ask your eye care professional for complete wear, care and safety information. AIR OPTIX, NIGHT & DAY, Focus, DAILIES, AquaComfort Plus, CIBA VISION and the CIBA VISION logo are trademarks of Novartis AG. ^Trademarks are property of their respective owners.

My Account

Any rebate submitted under this household account will be issued to the cardholder name and shipping address provided below.

Household Account
edit

Shipping Address:
City:
State:
Zip Code:

No P.O. Boxes (except for residents of North Dakota and where required by law), only street rural addresses are acceptable.

Email Address:
Password: XXXXXXXXXXXXX

Patient 1 Information
edit

Cardholder First Name:
Cardholder Last Name:
Relationship:
Birthdate:

All rewards will be issued to the cardholder name provided here.
  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Submit a Rebate

Go

Your Alcon Rebates

Here is an overview of your current and previous Alcon Vision rebates. Thank you for choosing Alcon, where innovation helps you see better.

Date Patient Name Product Status Print Form
  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Survey

To help Alcon create better products and offers for you, please answer a few questions.

  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Select Your Rebate

Choose the brand and product you purchased. If you wear a different type of lens in each eye, you may still be eligible for this rebate. Please use the drop-down menu to indicate the combination you purchased.

Required fields are marked with an asterisk (*).

If you purchased a larger number of boxes than the maximum quantity shown in display, please select the maximum option available
Select Cardholder (must be at least 18 years of age). This is the name that will be printed on your prepaid debit card.
  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Confirm your Rebate Registration

Please check to make sure all of the information in your rebate registration is correct. You may make edits, if necessary.

After you click on “Register Rebate,” you will be able to print your rebate form which you will mail in with required proofs of purchase to complete your rebate registration.

Rebate Information
edit

Cardholder Name:
Patient Name:
Brand:
Products Purchased:
Package Size:
Total Number of Boxes Purchased:

Fitting Fee Amount ($):
Account Name:

Household Account Information
edit
If you want this rebate sent to a different person, please click on "edit" and select a different Primary person. The Primary person's name will be on the prepaid debit card, so he or she will be the cardholder.

Shipping Address:
City:
State:
Zip Code:
Email Address:
Birthdate:

  1. Customer Information
  2. Rebate Information
  3. Survey
  4. Print and Mail

Two more steps! Just print and mail.

Instructions
  1. Print
    Print two copies of your official Alcon rebate form [print button below]. Keep one copy for your records and submit one by mail. No printer?
  2. Mail
    Attach these required documents to your official Alcon rebate form:
    • Original sales receipt with Alcon product(s) circled
    • 1 Original UPC code for each brand of lens product purchased
    • Copy of eye exam receipt and/or contact lens fitting receipt with date circled

Send all items in one envelope to the address provided at the top of your official Alcon rebate form. Can’t find the address?

One submission per envelope. If you are submitting for multiple rebates, please mail each in a separate envelope.

Your rebate should arrive 6 to 8 weeks after we receive your valid submission.

Print

Official Alcon Rebate Form

Mail this submission to:

Alcon Contact Lens Rebate Center
Offer
PO Box 540007
El Paso, TX 88554-0007

(Only one submission per envelope.)

Thank you for purchasing Alcon contact lenses. Attach these required documents to your official Alcon rebate form:

  • Original sales receipt with Alcon product(s) circled
  • 1 Original UPC code for each brand of lens product purchased
  • Copy of eye exam receipt and/or contact lens fitting receipt with date circled

Send all items in one envelope to the address provided at the top of this form.

One submission per envelope. If you are submitting for multiple rebates, please mail each in a separate envelope.

Your rebate should arrive 6 to 8 weeks after we receive your valid submission.

Offer Code:
Promotion:
Tracking Number:
Valid Dated: -
Postmark Date:
Individual Rebate Code:
Product(s) Purchased:

Provide your contact and shipping information:

Cardholder Name:
Patient Name:
Address:
City:
State:
Zip:
Phone:
Email:

Your rebate should arrive 6 to 8 weeks after we receive your valid submission. You can track your rebate status at www.myalconlensrebates.com.



Alcon Official Rebate Form
Mail this submission to:

Alcon Contact Lens Rebate Center
Offer
PO Box 540007
El Paso, TX 88554-0007

(NOTE: (ONLY ONE SUBMISSION PER ENVELOPE).)

Thank you for purchasing Alcon contact lenses. Attach these required documents to your official Alcon rebate form:

  • Original sales receipt with Alcon product(s) circled
  • UPC from rebate-eligible product box(es)
  • Copy of eye exam receipt and/or contact lens fitting receipt with date circled

Send all items in one envelope to the address provided at the top of this form.

One submission per envelope. If you are submitting for multiple rebates, please mail each in a separate envelope.

Your rebate should arrive 6 to 8 weeks after we receive your valid submission.

Offer Code:
Promotion:

Tracking Number:

Valid Dated: through
Postmark Date:
Individual Rebate Code:
Product(s) Purchased:

Provide your contact and shipping information:

Cardholder Name:
Patient Name:
Shipping Address:
City:
State:
Zip:
Phone:
Email Address:

Your rebate should arrive 6 to 8 weeks after we receive your valid submission. You can track your rebate status at www.myalconlensrebates.com.



Rebate Status

Below are your tracking results:

Rebate Tracking Number:

Submission Type:
Date Received:
Status:
Status Detail:

×