Botox Reimbursement Provider Portal

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Updated: May 09, 2022

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Botoxone.com

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FAQs

1

How can I get insurance to cover Botox?

It's important to keep in mind that insurance companies will usually only cover Botox treatments if you have tried — and failed — two other treatments for your migraines. To verify this, they may ask that you work with your healthcare provider to submit a prior authorization form.
2

Can Botox be claimed on Medicare?

When claiming under an item for the injection of botulinum toxin, only the botulinum toxin agent specified in the item can be used. Benefits are not payable where an agent other than that specified in the item is used.
3

Can Botox be billed to insurance?

Most health insurance plans cover medical Botox treatment under FDA approval. Usually, the dosage of 155 units costs around $300 to $600 for each treatment.
4

What is the wholesale cost of Botox per unit?

The BOTOX® list price, also known as the wholesale acquisition cost (WAC),1 is $1,244 for a 200-Unit vial. The approved dose is 155 Units every 12 weeks. There may be additional costs for the procedure, which will vary by healthcare provider and insurance.
5

What are the negative effects of Botox?

Possible side effects and complications include: Pain, swelling or bruising at the injection site.
...
Call your doctor right away if you notice any of these effects hours to weeks after receiving Botox:
  • Muscle weakness.
  • Vision problems.
  • Trouble speaking or swallowing.
  • Breathing problems.
  • Loss of bladder control.
6

What are the long term effects of Botox?

So what are the long-term side effects of Botox injections?
  • Muscle weakness at the injection site while Botox is “working”
  • Smoother appearance of skin at the injection site, even after ending treatment.
  • Gradual muscle atrophy with prolonged usage.
7

What is Botox medically used for?

As a cosmetic treatment, Botox injections can reduce the appearance of skin wrinkles. Also, the Food and Drug Administration (FDA) have approved it as a treatment for various health issues, including eyelid spasms, excessive sweating, some bladder disorders, and migraine.
8

Does Botox interact with any medications?

Botox (onabotulinumtoxinA) Interactions
A total of 112 drugs are known to interact with Botox (onabotulinumtoxinA), categorized as 24 major, 88 moderate, and 0 minor interactions.
2. Botoxmedical.com

Reimbursement | BOTOX® (onabotulinumtoxinA) for Medical

https://www.botoxmedical.com/Office/Reimbursement

Allergan helps make the BOTOX® reimbursement process easier. ... Personalized support for BOTOX® acquisition, treatment approvals, documentation, and more.

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