Swallowing problems may last for several months You are at the highest risk if these problems are preexisting before injection. Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life.Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX ® : By participating in the BOTOX ® Savings Program, you acknowledge and agree to the terms and conditions of this program.įor questions about this program, please call 1-800-44-BOTOX.īOTOX ® may cause serious side effects that can be life threatening. Offer does not constitute health insurance.ġ2. Void where prohibited by law, taxed, or restricted.ġ1. Offer good only in the USA, including Puerto Rico, at participating retail locations.ġ0. Allergan ® reserves the right to rescind, revoke, or amend this offer without notice.ĩ. A BOTOX ® Savings Program check will be issued to the patient upon approval of a claim.Ĩ. Claims must be submitted within 180 days of treatment date and must include a copy of (a) an Explanation of Benefits (EOB) for the BOTOX ® treatment, (b) a Specialty Pharmacy (SP) receipt for BOTOX ®, or (c) other writing showing payment of out-of-pocket BOTOX ® and treatment-related out-of-pocket costs.ħ. For residents of Massachusetts and Rhode Island, offer applies only to the cost of BOTOX ® and not to any related medical service(s).Ħ. Offer valid only for BOTOX ® and BOTOX ® treatment-related costs not covered by insurance. Offer valid for up to 5 treatments over a 12-month period.ĥ. Offer not valid for (a) patients enrolled in Medicare, Medicaid, TRICARE or any other government-reimbursed healthcare program (including any state pharmaceutical assistance programs), or private indemnity or HMO insurance plans that reimburse for the entire cost of prescription drugs (b) patients who are Medicare-eligible and enrolled in an employer-sponsored health plan or prescription drug benefit program for retirees (c) cash-paying patients.Ĥ. $1000 per treatment with a maximum savings limit of $4000 per year patient out-of-pocket expense may vary.ģ.
Based on insurance coverage, reimbursement may be up to Offer good only with a valid prescription for BOTOX ® (onabotulinumtoxinA).Ģ.
* Program Terms, Conditions, and Eligibility Criteria:ġ.
Triumeq copay card full#
Please see BOTOX ® Cosmetic full Prescribing Information including Boxed Warning and Medication Guide.īOTOX ® Savings Program Terms and Conditions Data are not a guarantee of coverage, or partial or full payment, by any payers listed.įor information on BOTOX ® Cosmetic (onabotulinumtoxinA) please see. Out-of-pocket costs and insurance plans vary. †Data on file, Allergan, BOTOX ® Blended Coverage March 2021.