THE BOTOX® SAVINGS PROGRAM FOR
ELIGIBLE PATIENTS WITH OVERACTIVE BLADDER

Program Details

The BOTOX® Savings Program helps eligible patients save on out-of-pocket costs for BOTOX® treatment that are not covered by insurance.*
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STEP 1

See if you are eligible

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STEP 2

Enroll

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STEP 3

Get treated, receive your EOB in the mail, submit your claim to us for review

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STEP 4

If approved, receive a check from the BOTOX® Savings Program in the mail

*Maximum savings limit applies; patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Please see Program Terms, Conditions, and Eligibility Criteria.

What's Covered

Savings for eligible patients with overactive bladder*

up to $500 per treatment

enough to cover remaining out-of-pocket costs so many patients pay

$0

*Maximum savings limit applies; patient out-of-pocket expense may vary. Offer not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs. Please see Program Terms, Conditions, and Eligibility Criteria.

Coverage and out-of-pocket cost vary.

Frequently Asked Questions

We are excited to have a patient savings program to offer eligible patients who are getting treated with BOTOX®. The program is more efficient to make the process quick and easy for patients.

  • 1. First, check if you are eligible with a few quick questions.
  • 2. If you are eligible, we’ll ask you for some additional information, like your contact information, physician, and insurance information. The information pertaining to you that we collect will be used in accordance with the AbbVie Privacy Statement, which can be found at www.abbvie.com/privacy.
  • 3. Once you’ve been treated with BOTOX® and have received an Explanation of Benefits (EOB) from your insurance company, let us know via this website, and we will begin a treatment claim verification for you. This is why we need your insurance information during enrollment, so that we can do this on your behalf.
  • 4. We will verify your treatment claim with your insurance on your behalf.
  • 5. If your claim is approved based on review with insurance—we need to confirm you received BOTOX® treatment for an FDA-approved indication—we will mail you a check for your treatment costs up to the amount allowed for your condition. If for some reason your claim is not approved, we will let you know why.
  • 6. Following each future treatment with BOTOX®, you can submit each claim to our program and follow the same process.
  • 7. We will keep you updated at each step of the way by email and/or text messages based on your communication preference, so you know where your claim is at any time.
  • 8. For any additional questions, please see further details below. If you still have a question, simply call us at 1-800-44-BOTOX, and our customer service team will be glad to help.

You can enroll quickly and easily at BotoxSavingsProgram.com. You’ll start by checking your eligibility. If you’re eligible, you’ll be led through the enrollment process. If you’d prefer to enroll by phone, just call 1-800-44-BOTOX (1-800-442-6869) and you’ll be connected with a representative.

You are eligible if you:

  • - Are currently receiving BOTOX® treatment for an FDA-approved indication for BOTOX®
  • - Are commercially insured
  • - Are not enrolled in or eligible for Medicare, Medicaid, or other federal or state healthcare programs
  • - Are 18 years or older
  • - Receive treatment in the United States or Puerto Rico (void where prohibited by law, taxed, or restricted)
  • - Please see full Terms and Conditions

In most cases, it's as simple as submitting an online claim form that needs to be approved. If neccessary, we may require additional documentation. If your claim is approved, you may either receive your BOTOX® Savings Program check in the mail or the check may be sent directly to your doctor on your behalf (depending on the option you choose while submitting your claim). Your check should be delivered within 2 to 3 weeks after your claim is approved.

Your check should be delivered within 2 to 3 weeks after your claim is approved.

Yes, your BOTOX® Savings Program check can be sent directly to your doctor to help cover any out-of-pocket costs for your treatment not covered by insurance. If you would prefer this, make sure you choose this option when submitting your claim online. Note: You may not be able to have a check sent to your doctor if they have elected not to receive checks. Please speak with your doctor before submitting your claim.

Depending on your computer’s configuration, you may need to scroll down the page in order to complete the forms. If you are having difficulty, you can try using the arrow keys on your keyboard to scroll down the page. Alternatively, you can try moving the scroll bar on the right-hand side of the browser window using your mouse.

The BOTOX® Savings Card has been replaced with the BOTOX® Savings Program. If you received this letter it is because you are enrolled in BOTOX® Savings Card. You will need to log-in (vs. enroll) to BotoxSavingsProgram.com using your email address and password from BotoxSavingsCard.com. Once logged in, you need to complete re-enrollment by accepting the new program terms and conditions, then provide a few additional pieces of information.

Your username and password are the same as what you used to access BotoxSavingsCard.com. The username is the email address that you used to register for that program. If you have forgotten your password, click “Log In” at the top right portion of BotoxSavingsProgram.com screen, then scroll down to click “Forgot Password”. Using the form will send a temporary password to the email address you used to register for BotoxSavingsCard.com.

Please complete the re-enrollment process to ensure the review of your claim. Once logged into BotoxSavingsProgram.com, you will be able to access your personalized dashboard where you can check the status of your claim and receive personalized updates regarding its progress. If you are unable to see your claim on your Member Dashboard, select the Activity History tab to view your complete claim history for the past two years.

Yes. All claims must be submitted within 120 days of the treatment date.

An EOB is sent to you by your insurance provider after your healthcare service or visit. It explains what medical treatments and/or services were paid by your insurance provider and whether you have any out-of-pocket costs. An EOB may also have information about your deductible. Your deductible is the amount that your insurance provider requires you to pay out-of-pocket before they will pay any expenses. If you don't know how much your deductible is or how much you've already paid, you can find out by contacting your insurance provider. An EOB will also contain your claim number, which you will need in order to submit a claim. The claim number will typically be near the top of the EOB. It may also be listed with the details for each date of service included on the EOB.

An SPP receipt is issued by companies that provide specialty pharmaceuticals like BOTOX®. Ask your doctor if you are unsure whether or not you’re using an SPP. You can get an SPP receipt by contacting your Specialty Pharmacy Provider.

  • - Treatment procedure
  • - BOTOX® product

You can save up to $500 per treatment (maximum $5,000 per year).

You will not receive more than what you paid for treatment, which can be found on the Explanation of Benefits (EOB) form you’ll receive from your insurance provider. If your claim is approved, the amount you receive will be based on how much you paid in out-of-pocket expenses for your BOTOX® treatment. For example, if your eligible out-of-pocket expenses were $262, your BOTOX® Savings Program check will be for $262. Please note the amount you pay and the amount you receive may vary from treatment to treatment. Eligibility amounts reflect current program offerings and are subject to cancellation by Allergan® at any time. Maximum limits are applicable for each indication.

Yes, the BOTOX® Savings Program helps eligible patients save on out-of-pocket costs related to both BOTOX® medicine and/or related procedure not covered by insurance. These costs are sometimes billed separately from one another. The BOTOX® Savings Program does not provide help for office visit co-pay costs.

If you do not receive your BOTOX® Savings Program check within 10 to 15 days of submitting a claim, call 1-800-44-BOTOX, and you’ll be connected with a representative.

You can report your lost or stolen BOTOX® Savings Program check and request a new one by phone. Simply call 1-800-44-BOTOX, and you’ll be connected with a representative.

Allergan® and its authorized partners use the information you provide for legitimate business purposes only and will not sell, share, or otherwise distribute your personal information to third parties. Please see our Privacy Policy and Terms of Use for more information.

You can speak with a representative Monday through Friday, from 9 AM to 8 PM ET. Simply call 1-800-44-BOTOX, and you’ll be connected with a representative.

INDICATIONS

BOTOX® (onabotulinumtoxinA) is a prescription medicine that is injected into muscles and used:

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 :


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 the highest risk if these problems are preexisting 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; drooping eyelids; hoarseness or change or loss of voice; trouble saying words clearly; loss of bladder control; trouble breathing; and trouble swallowing.

INDICATIONS

BOTOX® (onabotulinumtoxinA) is a prescription medicine that is injected into muscles and used:

  • To treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults 18 years and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken
  • To treat leakage of urine (incontinence) in adults 18 years and older with overactive bladder due to a neurologic disease when another type of medicine (anticholinergic) does not work well enough or cannot be taken
  • To treat overactive bladder due to a neurologic disease in children 5 years of age and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken
  • 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 and older
  • To treat increased muscle stiffness in people 2 years of age and older with spasticity
  • To treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in people 16 years and older
  • To treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years of age and older

BOTOX is also injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older.

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

BOTOX has not been shown to help people perform task-specific functions with their upper limbs or increase movement in joints that are permanently fixed in position by stiff muscles.

It is not known whether BOTOX is safe and effective for severe sweating anywhere other than your armpits.

IMPORTANT SAFETY INFORMATION (continued)

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, severe underarm sweating, blepharospasm, or strabismus.

BOTOX may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of receiving 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 the ingredients in BOTOX (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.

Do not receive BOTOX for the treatment of urinary incontinence if you have a urinary tract infection (UTI) or cannot empty your bladder on your own and are not routinely catheterizing. Due to the risk of urinary retention (difficulty fully emptying the bladder), only patients who are willing and able to initiate catheterization posttreatment, if required, should be considered for treatment.

Patients treated for overactive bladder: In clinical trials, 36 of the 552 patients had to self-catheterize for urinary retention following treatment with BOTOX compared to 2 of the 542 treated with placebo. The median duration of postinjection catheterization for these patients treated with BOTOX 100 Units (n = 36) was 63 days (minimum 1 day to maximum 214 days), as compared to a median duration of 11 days (minimum 3 days to maximum 18 days) for patients receiving placebo (n = 2). Patients with diabetes mellitus treated with BOTOX were more likely to develop urinary retention than nondiabetics.

Adult patients treated for overactive bladder due to a neurologic disease: In clinical trials, 30.6% of adult patients (33/108) who were not using clean intermittent catheterization (CIC) prior to injection required catheterization for urinary retention following treatment with BOTOX 200 Units, as compared to 6.7% of patients (7/104) treated with placebo. The median duration of postinjection catheterization for these patients treated with BOTOX 200 Units (n = 33) was 289 days (minimum 1 day to maximum 530 days), as compared to a median duration of 358 days (minimum 2 days to maximum 379 days) for patients receiving placebo (n = 7).

Among adult patients not using CIC at baseline, those with multiple sclerosis were more likely to require CIC postinjection than those with spinal cord injury.

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; 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 if you have any breathing-related problems. Your doctor may monitor you for breathing problems during treatment with BOTOX for spasticity or for detrusor overactivity associated with a neurologic condition. The risk of developing lung disease in patients with reduced lung function is increased in patients receiving BOTOX.

Cornea problems have been reported. Cornea (surface of the eye) problems have been reported in some people receiving BOTOX for their blepharospasm, especially in people with certain nerve disorders. BOTOX may cause the eyelids to blink less, which could lead to the surface of the eye being exposed to air more than is usual. Tell your doctor if you experience any problems with your eyes while receiving BOTOX. Your doctor may treat your eyes with drops, ointments, contact lenses, or with an eye patch.

Bleeding behind the eye has been reported. Bleeding behind the eyeball has been reported in some people receiving BOTOX for their strabismus. Tell your doctor if you notice any new visual problems while receiving BOTOX.

Bronchitis and upper respiratory tract infections (common colds) have been reported. Bronchitis was reported more frequently in adults receiving BOTOX for upper limb spasticity. Upper respiratory infections were also reported more frequently in adults with prior breathing-related problems with spasticity. In pediatric patients treated with BOTOX for upper limb spasticity, upper respiratory tract infections were reported more frequently. In pediatric patients treated with BOTOX for lower limb spasticity, upper respiratory tract infections were not reported more frequently than placebo.

Autonomic dysreflexia in patients treated for overactive bladder due to a neurologic disease. Autonomic dysreflexia associated with intradetrusor injections of BOTOX could occur in patients treated for detrusor overactivity associated with a neurologic condition and may require prompt medical therapy. In clinical trials, the incidence of autonomic dysreflexia was greater in adult patients treated with BOTOX 200 Units compared with placebo (1.5% versus 0.4%, respectively).

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; have weakness of forehead muscles, trouble raising your eyebrows, drooping eyelids, and any other abnormal facial change; have symptoms of a UTI and are being treated for urinary incontinence (symptoms of a UTI may include pain or burning with urination, frequent urination, or fever); have problems emptying your bladder on your own and are being treated for urinary incontinence; 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 other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have 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 by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX include dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems such as double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes; drooping eyebrows; and upper respiratory tract infection. In adults being treated for urinary incontinence, other side effects include UTI and painful urination. In children being treated for urinary incontinence, other side effects include UTI; bacteria, white blood cells, and blood in the urine. In patients being treated for urinary incontinence, another side effect includes the inability to empty your bladder on your own. If you have difficulty fully emptying your bladder on your own after receiving BOTOX, you may need to use disposable self-catheters to empty your bladder up to a few times each day until your bladder is able to start emptying again.

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 .

If you are having difficulty paying for your medicine, AbbVie may be able to help. Visit AbbVie.com/myAbbVieAssist to learn more.

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

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