Botox Savings Program

Funded

About

The Botox Savings Program offers incredible benefits for eligible patients using Botox for FDA-approved medical conditions. Participants in the Botox Savings Program can access potential savings on their treatments, enjoying reimbursements for out-of-pocket costs up to $1,000 per treatment, totaling $4,000 per year. With the Botox Savings Program, eligible patients may even pay as little as $0 for up to five Botox treatments over a 12-month period, providing significant financial relief and enhancing access to necessary healthcare.

Insurance requirements: Commercially insured

Enrollment Forms

Enrollment Form

Benefits

•$4000 annual maximum benefit

•5 maximum fills per year

Program Requirements

•Valid only for residents in the US and Puerto Rico

•Must be 18 years of age or older

•Enrollment Required: Yes

•Coverage Required: No

•Needs Based: No

•Activation Required: No

Program Details

•Note: Patient is responsible for submitting claim and will be reimbursed; SPs do not submit claim for payment

•May pay as little as $0 for BOTOX® treatments, valid for up to 5 treatments and treatmentrelated costs not covered by insurance over a 12month period

•For residents of Massachusetts and Rhode Island, offer applies only to the cost of BOTOX® and not to any related medical service(s)

•Eligible patients receive money back on any outofpocket treatment costs not covered by insurance: up to $1,000 per treatment and $4,000 per year

•Three step process:

•1. Patient confirms eligibility by enrolling online

•2. Patient then receives treatment, and saves the documents from their physician (receipt), insurance company (EOB/P), and Specialty Pharmacy (receipt)

•3. Patient then uploads documents & submits claim

•Once everything is all set, patient should receive a check in the mail in as little as 23 weeks

•Specialty pharmacy patients may also enroll for a savings card online and present it at the pharmacy to reduce the prescription cost when it is filled instead of submitting a claim

Enrollment Forms

Enrollment Form