Xeomin (incobotulinumtoxinA)

Dosage & Administration

Chronic Sialorrhea:

Upper limb spasticity, cervical dystonia, and blepharospasm: the optimum dose, frequency, and number of injection sites in the treated muscle(s) should be based on severity and prior treatment response in patients previously treated with botulinum toxin; individualize dosing for each patient:


Upper Facial Lines (Glabellar Lines, Horizontal Forehead Lines, and Lateral Canthal Lines): When treating all three areas simultaneously (glabellar lines, horizontal forehead lines, and lateral canthal lines), the maximum recommended dose is 64 Units . When not treating simultaneously:


Administer retreatment with XEOMIN no more frequently than every three months.

Reconstituted XEOMIN:


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Xeomin Prescribing Information

Xeomin Prior Authorization Resources

Most recent state uniform prior authorization forms

Verified: Oct 24, 2024Arizona - Uniform Prior Authorization Form
Verified: Oct 24, 2024Colorado - Uniform Prior Authorization Form
Verified: Oct 24, 2024Hawaii - Uniform Prior Authorization Form
Verified: Oct 24, 2024Illinois - Uniform Prior Authorization Form
Verified: Oct 24, 2024Indiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Louisiana - Uniform Prior Authorization Form
Verified: Oct 24, 2024Minnesota - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Hampshire - Uniform Prior Authorization Form
Verified: Oct 24, 2024New Mexico - Uniform Prior Authorization Form
Verified: Oct 24, 2024Oregon - Uniform Prior Authorization Form
Verified: Oct 24, 2024Texas - Uniform Prior Authorization Form
Verified: Nov 04, 2024Washington - Uniform Prior Authorization Form
Verified: Nov 04, 2024Wisconsin - Uniform Prior Authorization Form
Coverage Authorization Appeals
Complete Letter of Medical Necessity

Benefits investigation

Benefit Investigation Form

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Xeomin Financial Assistance Options

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Foundation programs

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Xeomin PubMed™ News

    Xeomin Patient Education

    To share resource; ask patient to:
    1.Pull out phone
    2.Open camera
    3.Scan QR code with camera
    4.Tap link

    Patient toolkit

    About Xeomin: Upper Limb Spasticity
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    About Xeomin: Cervical Dystonia
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    About Xeomin: Blepharospasm
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    About Xeomin: Chronic Sialorrhea (Adults)
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    About Xeomin: Chronic Sialorrhea (Pediatrics)
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    About Xeomin: Pediatric Upper Limb Spasticity (excluding spasticity caused by cerebral palsy)
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    Patient Stories: Adults
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    Patient Stories: Pediatric
    ASK PATIENT TO:
    Open Camera on Phone
    Scan QR Code & Tap Link
    Doctor Discussion Guide
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    Xeomin FAQs