MYOBLOC

MYOBLOC Patient Assistance Program Patient Guide: How to Get MYOBLOC at Low or No Cost

MYOBLOC (rimabotulinumtoxinB) Patient Assistance Program provides free medication to eligible uninsured or underinsured adults with cervical dystonia or chronic sialorrhea who cannot afford treatment and meet specific criteria.[1][2][3]

About MYOBLOC

MYOBLOC is an injectable botulinum toxin type B medication used to treat two conditions:

• Cervical dystonia (CD): Abnormal head position and neck pain from involuntary muscle contractions.[10]
• Chronic sialorrhea (CS): Excessive drooling that impacts daily life.[1][2]

Administered by a healthcare provider (HCP) via injection into affected muscles, MYOBLOC temporarily blocks nerve signals to reduce symptoms. Effects typically last about 12-13 weeks.[9][10] It's supplied in ready-to-use vials (2,500, 5,000, or 10,000 Units) with J-Code J0587 and specific ICD-10 codes: G24.3 for CD or K11.7 for CS.[1][2]

Important: MYOBLOC is prescription-only. Discuss with your doctor if it's right for you. Common side effects include dry mouth, swallowing difficulty, and injection site pain—report serious issues to your HCP or Solstice Neurosciences at 1-888-461-2255.[10]

Who Qualifies for the Program?

This needs-based program from Solstice Neurosciences, LLC offers MYOBLOC at no charge to qualifying adults.[1][2][3] Key eligibility:

• 18+ years old and legal US resident.[1][5]
• Prescribed MYOBLOC by a licensed physician for CD or CS, with proper diagnosis codes.[1][2]
• Uninsured (no coverage for MYOBLOC) or underinsured (insurance denies benefits/coverage).[1][3]
• Cannot afford treatment otherwise (needs-based; income details not publicly disclosed).[3]
• Not enrolled in government programs like Medicare, Medicaid, TRICARE, or other federal/state-funded insurance.[1][5]
• Receive injections of MYOBLOC (J0587).[1][2]

Note: Separate MYOBLOC Co-Pay Program helps commercially insured patients with up to $4,000/year for out-of-pocket costs (vials, injections, ultrasound/EMG guidance)—but excludes government insurance.[1][2][5] This guide focuses on the Patient Assistance Program (PAP).[3]

Income Eligibility

Income requirements are not publicly disclosed; it's a needs-based assessment by Solstice Neurosciences.[3] No specific thresholds (e.g., FPL percentages) are listed. Your HCP or program staff evaluate financial hardship case-by-case.

Call 1-888-461-2255 (Option 3, M-F 8AM-8PM ET) for personalized guidance.[1][3]

Insurance Requirements

• Eligible: Uninsured or underinsured (no MYOBLOC benefits from private insurance).[1][3]
• Ineligible: Government insurance (Medicare, Medicaid, TRICARE, etc.).[1][5]
• Provide insurance details (if any) on application to confirm lack of coverage.[3]

Step-by-Step Application Process

1. Talk to your HCP: Confirm MYOBLOC prescription for CD/CS. They complete physician section.[1][3]
2. Gather documents:
   • Completed application (patient + physician signatures).[3]
   • Proof of diagnosis (e.g., medical records with ICD-10 codes).[1][2]
   • Insurance info (or proof of no coverage).[3]
3. Apply (multiple methods):
   • Online: HCP enrolls via Circle of Care Provider Portal.[3]
   • Phone: Call 1-888-461-2255 (Option 3).[1][3]
   • Website: Visit https://www.myoblochcp.com/reimbursement-program-information for forms/info.[2]
4. Submit: HCP faxes details or program verifies.[3]
5. Wait for approval: ~12 business days; notified if approved, details faxed to Acredo.[3]

Tip: Start early—processing takes time.

Timeline and Delivery

• Processing: 12 business days.[3]
• Delivery: Shipped free to your pharmacy or HCP's office via Acredo (specialty pharmacy).[3]
• Reauthorization: Required for refills/ongoing treatment—resubmit periodically.[3]

If Denied or Alternatives

• Denied? Ask for reason (e.g., insurance issue, income). Appeal or check Co-Pay Program if commercially insured (up to $4,000/year).[1][2]
• Other options:
  • MYOBLOC Co-Pay Program for insured patients.[5]
  • Generic/biosimilar: None available.[ ]
  • Other botulinum toxins (e.g., Botox for CD, but consult HCP).[9]
  • State programs, NeedyMeds, or PAN Foundation.

Disclaimer

This guide is for informational purposes only, based on publicly available data as of 2026.[1][2][3] Eligibility not guaranteed—criteria set by Solstice Neurosciences; subject to change. Not medical/financial advice. Consult your HCP and call 1-888-461-2255 for latest details. MYOBLOC has risks; see full prescribing info.[10]