Dysport

Indicated For

spasticity, cervical dystonia

About This Medication

# **IPSEN CARES Patient Assistance Program** Patient Guide: How to Get **Dysport** (abobotulinumtoxinA) at Low or No Cost This guide explains the **IPSEN CARES Patient Assistance Program (PAP)**, offered by **Ipsen**, which provides **Dysport** free to eligible patients facing financial hardship. It covers eligibility, the drug, application steps, and more to help you access treatment easily. ## About **Dysport** (abobotulinumtoxinA) **Dysport** is an injectable prescription medicine used to treat muscle spasms and stiffness in adults with conditions like cervical dystonia (neck muscle spasms), upper and lower limb spasticity, and increased muscle stiffness in children aged 2 and older with cerebral palsy. It works by temporarily relaxing overactive muscles. Dysport is administered by a healthcare provider in a doctor's office or clinic. Common side effects include dry mouth, injection site pain, fatigue, headache, and neck pain. Always discuss risks and benefits with your doctor, as it carries a boxed warning for potential spread of toxin effects.[1][2][5] ## Who Qualifies for the Program? The **IPSEN CARES PAP** helps patients with **financial hardship** who meet specific criteria. You may qualify if you: - Are a U.S. resident (including Puerto Rico). - Have a valid prescription for **Dysport** from a licensed U.S. healthcare provider. - Are **uninsured** or **functionally uninsured** (insurance does not cover **Dysport** or leaves high out-of-pocket costs). - Demonstrate **financial need** based on Ipsen's eligibility review—no fixed income thresholds like Federal Poverty Level (FPL) percentages are specified; cases are assessed individually.[1][9] **Note**: Medicare, Medicaid, or other federal/state programs may disqualify you from PAP but could qualify you for other IPSEN CARES support like copay assistance if commercially insured.[3][7] ## Income Eligibility Breakdown Specific income limits (e.g., 400% FPL) are not publicly detailed; eligibility focuses on **proof of financial hardship**. Ipsen reviews applications case-by-case. Contact IPSEN CARES at **(866) 435-5677** for a pre-screening. | Household Size | Income Threshold | Notes | |---------------|------------------|-------| | Individual | Case-by-case | Proof of hardship required, e.g., income statements, bills[1][9] | | Couple | Case-by-case | No fixed FPL % listed | | Family of 3 | Case-by-case | Individual assessment | | Family of 4+ | Case-by-case | Financial docs reviewed | Submit documents like tax returns, pay stubs, or bank statements to verify need.[1][4] ## Insurance Requirements - **Uninsured or functionally uninsured**: Ideal for PAP—no coverage for **Dysport** or unaffordable costs.[1][9] - **Commercially insured**? Explore IPSEN CARES Copay Program (as low as $0 copay) instead—not PAP.[3][5] - **Medicare/Medicaid**: Typically ineligible for PAP; other options available via enrollment.[3][7] Enroll in IPSEN CARES first for a benefits check.[3] ## Step-by-Step Application Process Applications use **multiple methods**: online, fax, or phone assistance. Work with your doctor. 1. **Discuss with your healthcare provider**: Confirm **Dysport** prescription and PAP interest. They complete prescriber sections.[1][4] 2. **Gather documents**: - Completed enrollment form (patient info, insurance details, PAP section). - Valid **Dysport** prescription. - **Prescriber attestation** (doctor signs confirming medical need). - **Proof of financial hardship** (e.g., income proof, bills).[1][4][9] 3. **Submit**: - **Online**: ipsencares.com (preferred).[1][3] - **Fax**: 1-888-525-2416 (include all pages).[4][6] - **Phone help**: (866) 435-5677 (Mon-Fri, 8am-8pm ET).[1] 4. **IPSEN CARES review**: Patient Access Specialist contacts you and provider within **1 business day**.[1][4] **Tip**: Fill forms completely to avoid delays. Page 3 optional if not seeking PAP, but required here.[4] ## Timeline and Delivery - **Processing**: Review within **1 business day**; approval notice follows.[1][4] - **Delivery**: Free **Dysport** shipped directly to your **healthcare provider** (not home).[1] - **Treatment**: Receive at provider's office. **Reauthorization**: Required for refills/continued therapy—resubmit periodically.[Provided Data] ## Alternatives if Denied - **Copay Assistance**: For commercial insurance ($0 copay possible).[3][5] - **Medication Support Nurse**: Free education and guidance post-enrollment.[3][5] - **Prior Auth/Appeals Help**: IPSEN CARES assists.[5] - **Other PAPs**: Check NeedyMeds.org or RxAssist.org for Dysport alternatives. - **Appeal Denial**: Call (866) 435-5677 with more financial docs. - **No biosimilars** listed for Dysport.[Provided Data] ## Important Disclaimer This guide is for informational purposes based on available program details as of latest updates. Eligibility, terms, and availability can change—Ipsen makes final decisions. Not legal/medical advice. Consult your doctor and call **IPSEN CARES at (866) 435-5677** or visit **https://www.ipsencares.com/dysport-patient-support/dys-us-006064-patient-assistance-program** for personalized help. Program for U.S. residents only; void where prohibited.

Program information last verified: March 30, 2026