Botox OnabotulinumtoxinA Injection BOTOX® for adults with Chronic Migraine with 15 or more headaches per a month.
Chronic Migraine
Allergan

The BOTOX® Savings Program

Most insurance plans cover the cost of BOTOX® treatment

If you’re commercially insured, you can use the BOTOX® Savings Program to help with any remaining out-of-pocket costs.

Savings Program Banner

You could pay $0 for BOTOX®
treatments, if you’re eligible.

How does the BOTOX® Savings Program help me pay $0 for BOTOX® treatment?

Most insurance plans cover the cost of treatment. However, some patients with commercial insurance have to pay out of pocket. The average out-of-pocket cost for commercially-insured BOTOX® patients is $157 for Chronic Migraine.*

The BOTOX® Savings Program was created to help commercially-insured patients with these out-of-pocket costs not covered by insurance.†‡

How much can I save per BOTOX® treatment?

Up to $400—enough to cover remaining out-of-pocket costs so many patients pay $0.

Why should I enroll?

The BOTOX® Savings Program may help patients start and stay on treatment. In addition to helping with out-of-pocket costs for BOTOX® treatment, the program also includes treatment reminders, BOTOX® information, and lifestyle tips.

4 steps to savings

  • Step 1

    Visit BOTOXSavingsProgram.com to check eligibility and enroll.

  • Step 2

    If you qualify, we’ll ask you a few questions, like your contact, physician, and insurance information.

  • Step 3

    You’ll then receive a Welcome Email from BOTOX®. Follow the instructions to submit a claim on BOTOXSavingsProgram.com.

  • Step 4

    If your claim is approved, we will mail you a check (in just 2–3 weeks) with the amount of out-of-pocket costs not covered by insurance. If your claim is not approved, we will let you know why.

Savings that continue over time

To continue to save, follow the steps above for your next BOTOX® treatment—and for every treatment after. Each time your claim is approved, you will receive a check in the mail.

Stay on track

Get healthy living tips from Prevention® Magazine, along with treatment reminders to stay on track with BOTOX® treatment.

Sign up here

*Coverage and out-of-pocket costs vary.

Covers out-of-pocket costs for BOTOX® for up to $2,000 in a 12-month period.

Must be commercially insured and meet eligibility criteria to qualify. Please see terms and conditions below.

IMPORTANT SAFETY INFORMATION (continued)Back to top

Important Safety Information & Approved UseExpandCollapse

Indication
BOTOX® is a prescription medicine that is injected to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older.

It is not known whether BOTOX® is safe or effective to prevent headaches in patients with migraine who have 14 or fewer headache days each month (episodic migraine).

IMPORTANT SAFETY INFORMATION
BOTOX® may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX®:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months.
  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing.

There has not been a confirmed serious case of spread of toxin effect away from the injection site when BOTOX® has been used at the recommended dose to treat chronic migraine.

BOTOX® may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX®. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Do not receive BOTOX® if you: are allergic to any of its ingredients (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

The dose of BOTOX® is not the same as, or comparable to, another botulinum toxin product.

Serious and/or immediate allergic reactions have been reported, including itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX® should be discontinued.

Tell your doctor about all your muscle or nerve conditions such as ALS or Lou Gehrig's disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX®.

Tell your doctor about all your medical conditions, including if you: have or have had bleeding problems; have plans to have surgery; had surgery on your face; weakness of forehead muscles; trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® can harm your unborn baby); are breastfeeding or plan to (it is not known if BOTOX® passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® with certain medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you received BOTOX® in the past.

Tell your doctor if you received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic injection; take muscle relaxants; take allergy or cold medicines; take sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® include: dry mouth, discomfort or pain at injection site, tiredness, headache, neck pain, eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of eyelids, dry eyes; and drooping eyebrows.

For more information refer to the Medication Guide or talk with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Indication
BOTOX® is a prescription medicine that is injected to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older.

It is not known whether BOTOX® is safe or effective to prevent headaches in patients with migraine who have 14 or fewer headache days each month (episodic migraine).

Please see BOTOX® full Product Information including Boxed Warning and Medication Guide.

References:

  1. Data on file, Allergan, Inc.; Q1 2017 CM Reimbursement Coverage.
  2. Data on file, Allergan, Inc.; 2015 to 2017 Savings Program Analysis.

BOTOX Savings Program Terms, Conditions, and Eligibility Criteria: 1. This offer is good for use only with a valid prescription for BOTOX® (onabotulinumtoxinA). 2. Based on insurance coverage, Chronic Migraine patients can receive up to $400 off per treatment for up to 5 treatments in 2018. All treatments must be received during 2018. Maximum savings limit of $2000 per year for people with Chronic Migraine applies; patient out-of-pocket expense may vary. 3. This offer is not valid for use by patients enrolled in Medicare, Medicaid, or other federal or state programs (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this offer if they are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees. This offer is not valid for cash-paying patients. 4. This offer is valid for up to 5 treatments per year. Offer applies only to treatment received before the program expires on 12/31/18. 5. Offer is valid only for BOTOX® and BOTOX® treatment-related costs not covered by insurance. 6. A BOTOX® Savings Program check will be provided upon approval of a claim. The claim must be submitted with treatment details from an Explanation of Benefits (EOB) or a Specialty Pharmacy Provider (SPP) receipt. (If the BOTOX® prescription was filled by a Specialty Pharmacy Provider, both EOB and SPP details must be provided.) All claims must be submitted within 90 days of the date of EOB receipt. You may be required to provide a copy of your EOB or SPP receipt for your claim to be approved. 7. Allergan reserves the right to rescind, revoke, or amend this offer without notice. 8. Offer good only in the USA, including Puerto Rico, at participating retail locations. 9. Void where prohibited by law, taxed, or restricted. 10. This offer is not health insurance. 11. By participating in the BOTOX® Savings Program, you acknowledge that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

For questions about this program, please call 1-800-44-BOTOX.