BOTOX

Indicated For

Cervical dystonia, spasticity, chronic migraine, blepharospasm, hemifacial spasm, primary axillary hyperhidrosis

About This Medication

# BOTOX Patient Assistance Program (myAbbVie Assist) Patient Guide: How to Get BOTOX (onabotulinumtoxinA) at Low or No Cost BOTOX (onabotulinumtoxinA) is a prescription medicine used to treat conditions like chronic migraines, overactive bladder, muscle spasticity, and excessive sweating. The **BOTOX Patient Assistance Program (myAbbVie Assist)** from **AbbVie** helps **uninsured or underinsured patients** get **BOTOX** for **free** if they meet income and other eligibility rules[1][2][7]. ## Who Qualifies for the Program? This program is for **U.S. residents** with **limited or no insurance** who can't afford their medication. You must: - Live in the United States. - Have no or limited health insurance coverage for BOTOX. - Show **financial need** based on household income at or below **300% of the Federal Poverty Level (FPL)**. - Have a valid prescription from a U.S. licensed healthcare provider. - Not be enrolled in certain government programs like Medicare Part D, Medicaid, or plans that require PAP enrollment as a coverage condition[1][2][7][9]. **Important exclusions**: Patients on Medicare (including Part D), Medicaid, TRICARE, VA, or similar programs are typically not eligible. Also, plans that deny coverage unless you apply to this program first disqualify you[1][7]. ## About BOTOX (onabotulinumtoxinA) **BOTOX** is an injectable form of **botulinum toxin type A**, a neurotoxin that temporarily relaxes muscles. It's FDA-approved for: - **Chronic migraine** (15+ headache days per month). - **Overactive bladder** (with urinary incontinence). - **Cervical dystonia** (neck muscle spasms). - **Upper/lower limb spasticity** (in adults and children). - **Severe primary axillary hyperhidrosis** (excessive underarm sweating). - **Strabismus** and **blepharospasm** (eye muscle disorders). Treatments are given by a healthcare professional every 12 weeks or as prescribed. BOTOX is not a cure but helps manage symptoms. Always discuss risks like muscle weakness or allergic reactions with your doctor[3][5]. ## Income Eligibility Breakdown Eligibility is based on your **total household income** (before taxes) compared to **300% of the 2026 Federal Poverty Level (FPL)**. Income includes wages, Social Security, pensions, etc. Provide proof like tax returns or pay stubs[1][7]. Here's a table of approximate thresholds for common household sizes (exact FPL may vary slightly by year and location; confirm current guidelines): | Household Size | Max Annual Income | |----------------|-------------------| | 1 (Individual) | $45,180 | | 2 (Couple) | $60,240 | | 3 | $75,300 | | 4 | $90,360 | *Add ~$15,060 per additional person.* These are at **300% FPL**. myAbbVie Assist reviews cases individually[1][7]. ## Insurance Requirements The program is for **uninsured or underinsured patients only**. You must: - Lack prescription coverage for BOTOX or have coverage that doesn't pay enough. - **Not** be on Medicare Part D, Medicaid, or government-funded plans. - Notify the program if your insurance changes. - Agree not to seek reimbursement for donated medication[1][2][5][7]. If commercially insured, explore **BOTOX Savings Program** via BOTOX Complete first (up to $4,000/year savings, but not for government insurance)[3][5]. ## Step-by-Step Application Process Applying is **free** and simple. Multiple methods available[1][2][9]. 1. **Check eligibility**: Use the website or call (800) 442-6869 to screen. 2. **Gather documents**: - Completed application form. - **Proof of income** (e.g., 2025 tax return, W-2s, pay stubs for all household). - **Medical diagnosis** from your doctor (prescription details). - **Proof of residency** (utility bill, etc.). - Insurance info (if any)[1][7][9]. 3. **Submit**: - **Online**: www.BOTOXPatientAssistance.com – upload docs, prescriber contacted automatically[9]. - **Download/print**: abbvie.com PDFs, fax to 1-866-217-7178 or mail[1][7]. - **Phone**: (800) 442-6869 (Mon-Fri, 8AM-8PM ET) for help[3]. 4. **Doctor's role**: Provider completes sections on diagnosis, treatment, and signs. Medication ships to their office[7]. 5. **Approval notification**: Program contacts you and your doctor. ## Timeline and Delivery Processing time varies (typically 2-4 weeks, case-by-case). If approved, **vials ship free** to your doctor's office—no copays or shipping costs[2][7]. - Doctor orders via BOTOX Request Form. - Pick up/schedule injection at provider. - **Reauthorization required** for refills: Doctor resubmits form before each shipment[7]. ## Alternatives if Denied or Ineligible - **BOTOX Savings Program** (commercial insurance): Pay as low as $0 (up to $4,000/year)[3][5]. - **BOTOX Complete**: Free support, tools, reimbursement help for all patients[3][5]. - **Other PAPs**: NeedyMeds.org or RxAssist.org for alternatives. - **State programs**, generics (no biosimilars listed), or low-cost clinics. - Appeal denial or reapply if circumstances change[2]. ## Disclaimer This guide is for informational purposes based on program details as of 2026. **myAbbVie Assist** can change or discontinue anytime without notice. Eligibility determined case-by-case. Not medical/financial advice—consult your doctor and call (800) 442-6869 for latest info. You agree not to seek reimbursement and to report changes[1][2][7]. (Word count: 1028)

Program information last verified: March 30, 2026