How much does Vuity cost? Understanding the price of presbyopia eye drops

October 7, 2025 •

5 min read

Presbyopia, a common age-related eye condition, affects an estimated 128 million Americans and can make reading and focusing up close difficult. For those exploring alternatives to reading glasses, a key question is: How much does Vuity cost, and is it a financially viable option for long-term use?

Quick Summary

Vuity is a prescription eye drop for presbyopia that typically costs $80-$100 per month without insurance. Price varies by pharmacy, bottle size, and available savings programs. Due to its classification as a cosmetic treatment, insurance does not usually cover the expense.

Key Points

Cash-Pay Model: Due to being considered a cosmetic treatment, Vuity is generally not covered by insurance, making it an out-of-pocket expense for most patients.
Monthly Cost Estimate: Without discounts, a one-month supply of Vuity (2.5 mL bottle) typically costs between $80 and $100.
Manufacturer Savings Program: The My VUITY® Points (MVP) program offers eligible patients a discounted cash price and rewards points for future savings.
Discount Cards: Pharmacy discount coupons from services like GoodRx and BuzzRx can help lower the cost of Vuity for patients.
Cost Varies by Pharmacy: The final price you pay can depend on your specific pharmacy and location, so it is worthwhile to compare prices.
Higher Initial Cost for Larger Bottle: A larger 5 mL bottle is available and may offer a lower per-unit cost, but requires a higher upfront payment.
Alternative Costs: When evaluating Vuity, compare its monthly cost to the one-time or recurring expenses of reading glasses, contact lenses, and surgical options.

Vuity costs without insurance

Because Vuity is classified by many insurance providers as a cosmetic or lifestyle medication rather than a medically necessary treatment for presbyopia, it is typically not covered by health insurance. This means that for most users, the purchase is an out-of-pocket, cash-pay expense. The retail price can fluctuate based on the pharmacy and your geographic location, but many users can expect to pay between $80 and $100 for a 2.5 mL bottle, which is a one-month supply.

For those requiring a longer-lasting supply, a larger 5 mL bottle is also available. Manufacturer programs and specific pharmacy prices indicate this might offer better per-unit value, but the initial purchase is higher. It is essential to confirm the current pricing at your preferred pharmacy, as rates can change.

Manufacturer and pharmacy savings programs

To help mitigate the significant out-of-pocket expense, the manufacturer and several pharmacy platforms offer savings programs and discount coupons. These can help lower the monthly cost for eligible patients. The most prominent program is the My VUITY® Points (MVP) Program.

My VUITY® Points (MVP) Program

This manufacturer-sponsored program allows eligible patients to enroll and gain access to specific pricing tiers.

$79 for a 2.5 mL bottle: A reduced, fixed price for a one-month supply, which can make the cost more predictable.
$120 for a 5 mL bottle: A discounted rate for the larger bottle, offering potential per-unit savings.
Points-based rewards: Enrolled patients earn points with each eligible prescription fill. These points can be redeemed for discounted or free bottles after a certain number of fills.

It is important to note that the MVP program is not available to patients enrolled in Medicare, Medicaid, or other federal/state-funded healthcare programs. Patients must present the MVP card at the pharmacy to receive the discounted rate.

Discount coupons and pharmacy savings cards

Aside from the MVP program, several websites and pharmacy networks offer discount coupons or savings cards that can significantly lower the price. These work similar to the manufacturer’s program by providing a discounted cash price, often bypassing insurance altogether.

GoodRx: A popular option for accessing discounted pricing on prescription drugs. Searches on GoodRx frequently show cash prices for Vuity in the $80-$90 range, sometimes lower, depending on the pharmacy.
BuzzRx and SaveHealth: Other services that provide coupons accepted at various pharmacies, potentially offering competitive pricing.

Comparison of Vuity costs with alternative treatments

To determine if Vuity is the right financial choice, it is helpful to compare its monthly out-of-pocket cost to other common treatments for presbyopia. The table below provides a general comparison, though specific costs can vary widely.


Treatment Option	Typical Cost	Advantages	Disadvantages
Vuity (Pilocarpine 1.25%)	~$80-$100/month (cash pay, potential savings with MVP)	Eyedrop formulation, no need for glasses, can be used as needed	Ongoing monthly expense, not covered by insurance, potential side effects
Generic Pilocarpine (e.g., 1% or 2%)	~$25-$30/month (with discount card)	Much lower cost than Vuity, still effective for pupil constriction	Lower efficacy for presbyopia correction than Vuity's specific formulation, requires prescription
Reading Glasses (OTC)	$10-$50 (one-time purchase for many)	Inexpensive, widely available, no side effects	Inconvenient to carry, easy to lose, may require multiple strengths
Multifocal Contact Lenses	~$50-$150+/month (depending on brand, insurance)	Convenient, eliminates need for reading glasses	Higher initial fitting cost, not suitable for everyone, requires careful fitting
Laser Surgery (e.g., PIE)	$5,000+ (per eye, financed over time)	Long-term investment, no glasses or drops needed	Very high initial cost, not reversible, surgical risks

Factors influencing Vuity's cost

Several factors contribute to the total amount a patient pays for Vuity:

Newer Medication Status: As a recently approved, brand-name medication, Vuity does not have a generic alternative for presbyopia. Generic versions of pilocarpine exist for other conditions, but they differ in formulation and concentration. With time, market competition may increase, potentially driving costs down.
Pharmacy and Location: Prices for prescription drugs, even for cash-paying customers, can vary significantly between different pharmacies. Using online tools or calling local pharmacies can help you find the best rate.
Savings Program Eligibility: Your eligibility for manufacturer programs like the MVP depends on whether you have federal insurance like Medicare or Medicaid. If you do, discount cards like GoodRx or BuzzRx might still offer lower rates.
Dosage and Usage Frequency: While the recommended dosage is one drop per eye daily, some patients use it less frequently or opt for a second dose. Occasional use can help extend the life of a single bottle, effectively lowering the monthly average cost. The availability of a larger 5 mL bottle offers further options for cost management.

Conclusion

For adults with presbyopia seeking an alternative to reading glasses, Vuity eye drops offer a viable option, but it comes with a consistent monthly financial commitment. The cost, typically between $80 and $100 per month without insurance, can be reduced through manufacturer savings cards like the MVP program or discount coupons from pharmacy platforms such as GoodRx. When assessing the value of Vuity, it's crucial to compare this recurring expense against the long-term costs of other treatments like glasses, contact lenses, or surgical procedures. Prospective users should discuss the financial aspects with their eye care professional to determine the most suitable and cost-effective approach for their vision needs.

What to consider before starting Vuity

Financial Impact: Are you prepared for a monthly out-of-pocket expense of approximately $80-$100, assuming you qualify for discounts?
Treatment Longevity: Vuity is a long-term solution, unlike the one-time costs of surgery or glasses. The cost continues for as long as you use the drops.
Side Effects: Common side effects include headaches and eye redness. Is the convenience worth the potential for these side effects?
Retinal Health: Individuals with existing retinal conditions or a risk of retinal detachment are advised against using Vuity.
Vision in Low Light: Reduced pupil size can impact night vision. Consider if this will be a significant issue for you.
Alternative Options: Have you discussed all your options with your eye care professional, including generic pilocarpine, multifocal lenses, and surgery?
Saving Opportunities: Explore the My VUITY® Points program and discount cards to minimize your monthly financial outlay.

Frequently Asked Questions

For a one-month supply (2.5 mL bottle), Vuity costs typically range between $80 and $100 without insurance. Using a manufacturer savings card or discount coupon can sometimes reduce this price.

No, most health insurance plans, including Medicare, do not cover the cost of Vuity. They generally classify it as a cosmetic or lifestyle medication for presbyopia rather than a medical necessity.

Yes, funds from a Health Savings Account (HSA) or Flexible Spending Account (FSA) can be used to pay for your Vuity prescription, even though it is not covered by insurance.

Yes. The manufacturer offers the My VUITY® Points (MVP) Program, which provides a discounted cash price and rewards points. You can also find discount coupons from third-party services like GoodRx or BuzzRx.

Vuity is significantly more expensive than generic pilocarpine eye drops, which can cost as low as $25 to $30 with a discount card. However, Vuity's specific formulation is optimized for treating presbyopia.

Yes, the cash price for Vuity can vary depending on the pharmacy you use and your geographic location. It is a good practice to compare prices using online tools or by calling different pharmacies.

To get the best price, first check your eligibility for the My VUITY® Points (MVP) program. If not eligible, use a discount card from services like GoodRx, SaveHealth, or BuzzRx and compare prices at different pharmacies in your area.