BOTOX PATIENT ASSISTANCE™ Program—BOTOX PATIENT ASSISTANCE™ Program

Full Prescribing Information

Site Map

Home

BOTOX PATIENT ASSISTANCE™ Program

Who may qualify

How to apply

Other patient programs

For Healthcare Providers

BOTOX PATIENT ASSISTANCE™ Program

Other patient programs

Application process

This program provides BOTOX^® at no charge to financially eligible patients. Those who may qualify include patients who are uninsured or underinsured. Allergan is proud to assist eligible uninsured and underinsured patients with their treatment through the donation of BOTOX^® vials.

To receive help from the program, patients must:

Be uninsured or underinsured
Have income less than or equal to 300% of the Federal Poverty Level
Have a diagnosis that is supported by the clinical compendia
Be a resident of the United States or Puerto Rico

For more information, or help with an application, call our hotline at 1-800-44-BOTOX, Option 6.

To view PDF files, Adobe^® Reader^® must be installed in your computer. If you do not have this program, click here to get it.

Adobe, the Adobe logo, and Reader are registered trademarks of Adobe Systems Incorporated in the United States and/or other countries.

BOTOX^® is indicated for the treatment of cervical dystonia in adults to decrease the severity of abnormal head position and neck pain associated with cervical dystonia.

IMPORTANT SAFETY INFORMATION

Contraindications
BOTOX^® treatment is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation.

Warnings
The recommended dosage and frequency of administration for BOTOX^® should not be exceeded. Risks resulting from administration at higher dosages are not known.

Serious and/or immediate hypersensitivity reactions have been rarely reported. These reactions include anaphylaxis, urticaria, soft-tissue edema, and dyspnea. Patients with peripheral motor neuropathic diseases (eg, amyotrophic lateral sclerosis or motor neuropathy) or neuromuscular junctional disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should only receive BOTOX^® treatment with caution. Patients with neuromuscular disorders may be at increased risk of clinically significant systemic effects including severe dysphagia and respiratory compromise from typical BOTOX^® doses.

Adverse events
There have been rare spontaneous reports of death, sometimes associated with dysphagia, pneumonia, and/or other significant debility or anaphylaxis, after treatment with botulinum toxin. There have been rare reports of adverse events involving the cardiovascular system. The most frequently reported adverse reactions in patients with cervical dystonia following BOTOX^® injection are dysphagia (19%), upper respiratory infection (12%), neck pain (11%), and headache (11%).

Please see full prescribing information for BOTOX^®.

© 2007 ALLERGAN|Terms of Use|Privacy|BOTOX.com|BOTOX^® reimbursement solutions

^® and ™ Marks owned by Allergan, Inc.

The information on this site is intended for US residents only. No information in this site is provided with the intention to give medical advice or instructions on the accurate use of Allergan products. Allergan cannot answer unsolicited e-mails requesting personal medical advice; visitors should always consult a healthcare professional.