Onabotulinumtoxina Coupon - Onabotulinumtoxina 100 units vial
Onabotulinumtoxina
Specialty Drug

Botox

ONABOTULINUMTOXINA is a neuro-muscular blocker. This medicine is used to treat crossed eyes, eyelid spasms, severe neck muscle spasms, ankle and toe muscle spasms, and elbow, wrist, and finger muscle spasms. It is also used to treat excessive underarm sweating, to prevent chronic migraine headaches, and to treat loss of bladder control due to neurologic conditions such as multiple sclerosis or spinal cord injury. The lowest GoodRx price for the most common version of Botox is around $605.34, 18% off the average retail price of $747.02. Compare acetylcholine release inhibitors.
Onabotulinumtoxina Coupon - Onabotulinumtoxina 100 units vial

Onabotulinumtoxina Medicare Coverage

Overview

Does Medicare cover Botox?

Maybe.
32% of Medicare Part D and Medicare Advantage plans cover this drug, so it's pretty much a toss-up.

How much is my Botox co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

Deductible
Typical
Donut Hole
Post-Donut Hole
Co-Pay Range
$42 – $691
In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.
Co-Pay Range
$42 – $691
In the Typical co-pay stage, your deductible has been satisfied, and Medicare pays the majority of your drug costs.
Co-Pay Range
$264 – $691
In the Donut Hole (also called the Coverage Gap) stage, you’ll pay more for your prescriptions. In 2016, the Donut Hole begins once you’ve spent $3,310 in one year.
Co-Pay Range
$29 – $691
In the Post-Donut Hole (also called Catastrophic Coverage) stage, Medicare will cover most of your drug costs. In 2016, this stage begins once you have spent $4,850.
Want an exact price for your co-pay?

Ways to Save on Onabotulinumtoxina

Here are some ways that may lower the cost of your Botox prescription.

Manufacturer Coupon
Save up to $300 per treatment with insurance.
Patient Assistance Program
Receive your prescription at no cost if you are eligible.

Find Your Onabotulinumtoxina Medicare Co-Pay

Here are average co-pays for some of the most popular Medicare plans. Be sure to add your plan to see your specific co-pay. If a price is shown in red, GoodRx has found discount prices that are lower than your Medicare co-pay.

Average Co-Pay for 1 vial of Botox 100 units

Medicare Plan Name Average Co-Pay
AARP MedicareRx Preferred (PDP) $291
AARP MedicareRx Saver Plus (PDP) $234
AARP MedicareRx Walgreens (PDP) $194
Aetna Medicare Rx Saver (PDP)Lower price available $691
Anthem Blue Cross MedicareRx Plus (PDP)Lower price available $691
Anthem MediBlue Essential (HMO) $95
Cigna-HealthSpring Preferred (HMO)Lower price available $683
EnvisionRxPlus (PDP)Lower price available $691
Express Scripts Medicare - Choice (PDP) $42
Express Scripts Medicare - Value (PDP) $278
First Health Part D Value Plus (PDP) $469
Humana Enhanced (PDP)Lower price available $691
Humana Preferred Rx Plan (PDP)Lower price available $691
Humana Walmart Rx Plan (PDP)Lower price available $691
Kaiser Permanente Medicare Plus Std w/Part D (AB) (Cost) $42
MedicareBlue Rx Standard (PDP)Lower price available $691
SilverScript Plus (PDP)Lower price available $691
Symphonix Value Rx (PDP) $182
TexanPlus Classic (HMO)Lower price available $691
WellCare Classic (PDP)Lower price available $691
Don't see your Medicare plan above?

Find and configure your plan to see exact co-pay prices for your meds.

Onabotulinumtoxina Medicare Formulary Information & Restrictions

Are there any restrictions on coverage?

Some Medicare plans have restrictions on coverage of Botox that may include:

Prior Authorization

Most Medicare plans will require you to obtain their authorization before they will provide coverage for this prescription. You’ll need to contact your plan and they may require you to have your health care provider fill out paperwork indicating why you need this prescription. If you do not receive authorization or don’t want to go through this process, you may want to consider using a GoodRx discount instead of Medicare to find the best price for this prescription.

What drug tier is Botox typically on?

Tier 4

Medicare plans typically list Botox in Tier 4 of their formulary. Tier 4 drugs are usually non-preferred brand-name drugs. Tier 4 drugs cost more than Tier 1, 2 and 3 drugs.

Does your plan have restrictions?

See discount prices that can save you money when your Medicare plan doesn't work for you.

Medicare prices are provided by the Centers for Medicare and Medicaid Services (CMS). They are accurate as-of July 2018 and the information may be updated. If you encounter any issues, please let us know.
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