
CONNECT to Care
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Dompé CONNECT to Care
Access support and more through a single point of contact
Providing practices and patients with assistance every step of the way

Program enrollment

Benefits verification

Prior authorizations

Patient financial assistance

Delivery coordination
& confirmation

General questions
Since approval in 2018, more than 2000 total ophthalmologists and optometrists have prescribed OXERVATE®1
Patient Enrollment
How to enroll a patient
Submit a Patient Enrollment Form
Fax completed enrollment form
on the patient’s behalf.
Use the iAssist digital portal
to complete enrollment.
Remember: Patient Authorization section of enrollment form must be completed.
Questions? Contact Dompé CONNECT to Care