BOTOX
NowPatient can significantly lower the cost* of your prescription medication by providing free access to drug coupons, savings cards, patient assistance programs and other out of pocket discount programs. Whether you’re insured, uninsured, or underinsured, we empower you with transparency and cost-saving tools to make your BOTOX more affordable.
Manufactured by Allergan
*You can pay as little as $0 per fill using Drug Coupons or Patient Assistance Programs. Subject to applicability & eligibility requirements.
This content is intended for US audiences only
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BOTOX key facts
What is BOTOX?
BOTOX is the brand name for onabotulinumtoxin A and is available for injection, for intramuscular, intradetrusor, or intradermal use.
What dosages is BOTOX available in?
BOTOX is available as 100 Units or 200 Units for injection, for intramuscular, intradetrusor, or intradermal use.
What is BOTOX used for?
- BOTOX is a neuromuscular blocker and is used to temporarily improve the appearance of frown lines, forehead lines, and crow’s feet lines in adults
How does BOTOX work?
BOTOX is a neuromuscular blocker. It’s a toxin made from bacteria (Clostridium botulinum) that temporarily lowers muscle activity by stopping a chemical called acetylcholine from being released in your muscle. This helps to relax the muscles that cause frown lines, forehead lines, and crow’s feet lines around your eyes.
How do I take BOTOX?
- The dose of BOTOX can differ depending on which area of the face is being treated. Typically, you can receive an injection into a particular area at most once every 3 months. The maximum total dose is 400 units in a 3-month period
Is it safe for me to take BOTOX?
BOTOX is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. You should not use this medication if you have an infection at the injection site.
BOTOX Common Side Effects
Common side effects of BOTOX:
- Drooping eyelids
- Facial pain
- Trouble moving parts of the face
- Muscle weakness
- Crow’s feet
- Eyelid swelling
- Forehead lines
- Headache
- Drooping eyebrow
- Skin tightness
BOTOX Serious Side Effects
Serious side effects are rare with BOTOX. Contact your healthcare provider immediately if you experience any of the following.
- Trouble breathing or swallowing
Effects of other drugs, drug classes and over-the-counter products on BOTOX
The following medications may interact with BOTOX:
- Patients receiving concomitant treatment of BOTOX and aminoglycosides or other agents interfering with neuromuscular transmission (e.g., curare-like agents), or muscle relaxants, should be observed closely because the effect of BOTOX may be potentiated
Who makes BOTOX?
Allergan
Is BOTOX safe in pregnancy?
BOTOX Based on animal data, may cause fetal harm. You should talk to your healthcare provider before taking this medication if you are pregnant.
The FDA's medical product safety reporting program for health professionals, patients and consumers.
Learn more about reporting side effects in the USDrug Savings Guide
A practical guide to saving money and receiving support with prescription costs
How can NowPatient help me to lower the cost of my BOTOX prescription?
After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your BOTOX prescription
Applicability to each program will be dependent on your insurance status.
How do the NowPatient BOTOX savings programs work?
After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.
Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.
Are the NowPatient BOTOX savings programs suitable for everyone, regardless of insurance status?
No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.
| Rx Advantage Card* for BOTOX | Canadian Prescription Savings* for BOTOX | BOTOX Drug Coupon* | BOTOX Patient Assistance Program* | |
| Insured (federal, state or government) | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured (Commercial or Private) | Available | Available | Available If Offered by Pharmaceutical Company | Available If Offered by Pharmaceutical Company |
| Uninsured | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
| Insured but without pharmacy benefit or drug coverage | Available | Available | Not Available | Available If Offered by Pharmaceutical Company |
*This is not insurance.
Are the NowPatient drug savings programs suitable for brand and generic versions of BOTOX?
No. Each program has applicability requirements. Please see below
| Rx Advantage Card* for BOTOX | Canadian Prescription Savings* for BOTOX | BOTOX Drug Coupon* | BOTOX Patient Assistance Program* | |
| Brand | Yes | Yes | Yes, If Offered by Pharmaceutical Company | Yes, If Offered by Pharmaceutical Company |
| Generic | Yes | Yes | No | No |
*This is not insurance.
If you have Medicare Part D or Medicare Advantage and none of the BOTOX savings options are applicable or affordable for me, what can you do?
If you are insured with Medicare and the BOTOX drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.
If you are denied Medicaid for BOTOX, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
I am uninsured or underinsured and none of the BOTOX prescription saving options are applicable or affordable for me, what can I do?
If you are uninsured or underinsured (for example, BOTOX is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.
If you are denied and all else fails, and if you have been prescribed BOTOX for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.
I am commercially or privately insured and none of the BOTOX prescription saving options are applicable or affordable for me, what can I do?
If your medication is not covered by your plan, you can you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.
If you cannot afford your copay, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.
However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.
The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.
If I have federal, state or commercial insurance and none of the BOTOX prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay?
If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:
1. Patient Access Network Foundation (PAN) assistance for BOTOX
If you are having trouble paying for your BOTOX medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for BOTOX you will need to meet one or all of the following criteria:
- Your income is below 400% of the federal poverty level
- BOTOX is prescribed for an approved FDA indication
- You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
- You have Medicare insurance coverage that covers BOTOX
- If BOTOX is listed on PAN’s list of covered medications
You can check the Patient Access Network Foundation Website for more information.
2. HealthWell Foundation Copay Program for BOTOX
If you are having trouble paying for your BOTOX medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for BOTOX you will need to meet the following criteria:
- You live in and are being treated in the United States
- You are insured and your plan covers BOTOX
- If BOTOX is listed on the HealthWell Foundation’s list of covered medications
You can check the HealthWell Foundation Website for more information.
3. Patient Advocate Foundation Co-Pay Relief Program for BOTOX
Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your BOTOX treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for BOTOX you will need to meet the following criteria:
- You must be currently insured and have coverage for BOTOX
- You must have a confirmed diagnosis and treatment plan
- You must reside and receive treatment in the United States
- Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
- Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.
You can check the Patient Advocate Foundation Website for more information.
Medical Disclaimer
NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information on this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.
The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.
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