Xeomin

(botulinum toxin type A)
incobotulinumtoxinA 100 UNT Injection [Xeomin]incobotulinumtoxinA 50 UNT Injection [Xeomin]

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:


Glabellar Lines: the recommended dose is 20 Units per treatment session, divided into five equal intramuscular injections of 4 Units each (two injections in each corrugator muscle and one injection in the procerus muscle; wait a minimum of three months before retreatment

Reconstituted XEOMIN:


drug label

Xeomin prescribing information

prior authorization

Xeomin prior authorization resources

Most recent Xeomin prior authorization forms

View By Payer
Updated: Jun 06, 2023Highmark BCBS Northeastern NY - Outpatient Botulinum Toxin Prior Authorization Form (Medical Benefit)
Updated: Jun 06, 2023Highmark BCBS Western NY - Outpatient Botulinum Toxin Prior Authorization Form (Medical Benefit)
Updated: Jun 05, 2023Highmark BCBS West Virginia - Outpatient Botulinum Toxin Prior Authorization Form (Medical Benefit)
Updated: Jun 05, 2023Highmark BCBS Delaware - Outpatient Botulinum Toxin Prior Authorization Form (Medical Benefit)
Updated: Jun 05, 2023Highmark BCBS Central PA - Outpatient Botulinum Toxin Prior Authorization Form (Medical Benefit)
Updated: Jun 04, 2023Highmark BCBS Western PA - Outpatient Botulinum Toxin Prior Authorization Form (Medical Benefit)
Updated: Jun 04, 2023Blue Cross Blue Shield of Michigan - FEP Xeomin Prior Authorization Form (Medical Benefit)
Updated: May 30, 2023Cigna - Botulinum Prior Authorization Form
Updated: May 29, 2023Blue Cross Blue Shield of Michigan - Botulinum Prior Authorization Form (Medical Benefit)

PDF
Complete Letter of Medical Necessity

PDF
Coverage Authorization Appeals
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Benefits investigation

PDF
Benefit Investigation Form
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Reimbursement help (FRM)

Receive Assistance from an FRM Regarding Reimbursement Information
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financial assistance

Xeomin financial assistance options

Co-pay savings program

commercial only

PDF
Enroll in Patient Savings Program
Enroll in Patient Savings Program - For Patients Using Specialty Pharmacy
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Foundation programs

under insured
no insurance
goverment insurance
65+

PDF
Xeomin Patient Assistance Program Application
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patient education

Xeomin patient education

Getting started on Xeomin

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

Patient toolkit

BRAND PAGE
About Xeomin: Upper Limb Spasticity
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Xeomin: Cervical Dystonia
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Xeomin: Blepharospasm
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Xeomin: Chronic Sialorrhea (Adults)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Xeomin: Chronic Sialorrhea (Pediatrics)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

BRAND PAGE
About Xeomin: Pediatric Upper Limb Spasticity (excluding spasticity caused by cerebral palsy)
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

VIDEO
Patient Stories: Adults
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Patient Stories: Pediatric
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link

OTHER
Doctor Discussion Guide
ASK PATIENT TO:
Open Camera on Phone
Scan QR Code & Tap Link
Learn More

Other resources

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people also ask

Xeomin FAQs

How is the dosage of Xeomin?Xeomin is available in 2 dosages, including 100 unt Injection and 50 unt Injection
What does Xeomin treat?Xeomin treats Blepharospasm, Dystonia, Fissure in Ano, Muscle Rigidity, Genetic Skin Diseases and Strabismus
What is Xeomin made of?Xeomin contains botulinum toxin type A which is a Acetylcholine Release Inhibitor
How Is Xeomin Administered?Xeomin is administered as a Injectable
What Are The Xeomin Mechanism Of Action?Xeomin mechanism of action is Acetylcholine Release Inhibitors
FAQ Data Source