Botox Financial Assistance Guide

The financial assistance guide below is for anyone who has been prescribed BOTOX by their healthcare provider. BOTOX is a prescription medicine that is injected to prevent headaches for those living with chronic migraine disease. If you or someone you know requires help with paying for treatment, review the details provided below to see if you qualify for the manufacturer’s financial assistance program.

BOTOX is covered by most insurers, but numerous patients still have out-of-pocket costs. There are financial assistance programs to help cover the costs. Each program is different to support patients with private or public insurance, as well as the uninsured.

This guide is not produced or approved by the manufacturer. CHAMP does not endorse the use of any treatment over another. Please consult your healthcare providers to determine if BOTOX is right for you.

I Have Been Prescribed BOTOX. What Financial Assistance Programs Exist to Help Me?

Find your insurance coverage and see what Financial Assistance Programs exist to help.

I Have a Private/Commercial Insurance Plan
This category includes insurance plans provided through an employer, purchased with subsidy support from the Affordable Care Act (Obamacare) or purchased privately.

Highlights of the BOTOX Savings Program

Average cost per month for in-office BOTOX procedures for patients with commercial insurance: $26 per month, which includes the cost of the BOTOX and the procedure.

Most insurance plans cover the cost of BOTOX treatment. Depending on your insurance coverage, eligible insured patients can receive reimbursement to help with remaining costs allowing you to pay $0. The Botox Savings Program covers out-of-pocket costs up to $1,300 for the first, and up to $1,000 for each subsequent treatment. Reimbursements are available for up to 5 treatments over a 12-month period. The yearly maximum savings limit is $4,000 over a 12-month period. Please note that the Botox Savings Program covers the cost of the product and out-of-pocket costs for the injection but does not cover any associated office visit costs.

Steps to Benefit from the BOTOX Savings Program

  1. Your doctor writes you a prescription for BOTOX.
  2. Visit botoxsavingsprogram.com to check eligibility and enroll in the program. You may be eligible if you’re 18 years or older, have commercial insurance and receive Botox treatment for chronic migraine. BOTOX is NOT approved for the treatment of episodic migraine disease.
  3. Once you are enrolled and after you receive your first treatment, you will receive an Explanation of Benefits (EOB) from your insurance plan.
  4. Visit botoxsavingsprogram.com to complete the online claim submission form. You must attach a scanned in copy of your EOB. Click submit.
  5. If your claim is rejected, please contact 1-800-44-BOTOX.
  6. If your claim is accepted and processed, you will receive a BOTOX Savings Program reimbursement check in as little as 2-3 weeks.
I Have Medicare Part B Coverage

If a doctor approves BOTOX to treat a medical condition, Medicare Part B may cover the procedure. Medicare covers FDA-approved BOTOX treatments, but the individual must have previously tried unsuccessful alternatives. The exact cost of BOTOX treatments for medical conditions varies according to several factors, including the dose needed and where the person lives.

Average cost per month for in-office BOTOX procedures for patients with Medicare: $16 per month, which includes the cost of the BOTOX and the procedure.

I Have Medicaid Coverage

You may be able to qualify for the Patient Assistance Program (myAbbVie Assist).

Learn more or call 1-800-44-BOTOX.

I Am Uninsured

The BOTOX Savings Program: To be eligible for support, patients need to be uninsured or underinsured and have an income less than or equal to 300% of the Federal Poverty Level. You can apply for the program by visiting botoxsavingsprogram.com or calling 1-800-678-1605
.

Where do I turn if I am not eligible for a financial assistance program?

The Patient Advocate Foundation (a CHAMP participant organization) can be a helpful resource for patients and caregivers who are experiencing access challenges. PAF provides a suite of expert tips to help navigate insurance denials, appeals and common barriers at: patientadvocate.org/migrainematters.

PAF also offers one-on-one case management assistance through its dedicated Migraine Careline for people living with migraine who experience access challenges. The Migraine Careline provides assistance with: navigating eligibility and enrollment in disability benefits; overcoming insurance coverage; and financial burdens that impact patient access to care.

All services are completely free and provided through phone and/or email communication. Visit migraine.pafcareline.org or call 866-688-3625 to speak with a case manager today.

BOTOX® Basics

  • Brand Name

  • BOTOX
  • Biologic Name

  • onabotulinumtoxinA
  • Pharmaceutical Company

  • Allergan
  • Helpline

  • Call 1-800-44-Botox to speak to a BOTOX Savings Program Customer Service Manager, Monday-Friday, 8 am-8 pm ET or visit BotoxChronicMigraine.com for educational support and more.
  • Administration Training Available

  • No, BOTOX must be administered by a trained healthcare provider.
  • Administration

  • Treatment session by injection in your doctor’s office every 12 weeks
  • Indication

  • Adults living with chronic migraine disease (15 or more headache days per month, each lasting 4 hours or more)
    BOTOX is NOT approved for adults living with episodic migraine disease (14 or fewer headache days per month).
  • Home Delivery Available

  • No, your prescription is sent to your healthcare provider.