Botox

Generic name

Onabotulinumtoxina

Covered by Medicare

Yes

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Average Annual Cost per Beneficiary

$3,245.59

Average cost per year*

Average Annual Cost per Dose

$994.61

5.19%

Average cost per beneficiary*

Manufacturer(s)

  • Allergan/Botox

What is Botox

There are different types of botulinum toxin products (toxin A and B) with different uses (eye problems, muscle stiffness/spasms, migraines, cosmetic, overactive bladder). Different brands of this medication deliver different amounts of medication. Your doctor will choose the correct product for you. Botulinum toxin is used to treat certain eye disorders such as crossed eyes (strabismus) and uncontrolled blinking (blepharospasm), to treat muscle stiffness/spasms or movement disorders (such as cervical dystonia, torticollis), and to reduce the cosmetic appearance of wrinkles. It is also used to prevent headaches in people with very frequent migraines. Botulinum toxin relaxes muscle by blocking the release of a chemical called acetylcholine. Botulinum toxin is also used to treat overactive bladder by patients who do not respond to or who cannot tolerate the side effects of other medications. It helps to reduce leaking of urine, feeling of needing to urinate right away, and frequent trips to the bathroom. It is also used to treat severe underarm sweating and drooling/excess saliva. Botulinum toxin works by blocking the chemicals that turn on the sweat and salivary glands. Botulinum toxin is not a cure, and your symptoms will gradually return as the medication wears off. NOTE: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Drug Trends

*Origin of the terms and chart data used within this page: https://data.cms.gov/

Common Questions About Botox

Yes, Botox is covered by Medicare.

In 2021, the average cost per dose of Botox was $994.61.

The average dose of Botox received per year is 64,943 units

21,096 Medicare beneficiaries received Botox in 2021, which was a 0.11% from 2020

There were 50,727 claims made by Medicare beneficiaries, which is a 0.13% from 2020

The average spending amount per claim in 2021 was $1,349.75

The average Medicare spending per beneficiary amount for Botox was $3,245.59

Allergan/Botox received $68,468,937.58

The total amount spent on Botox by Medicare is $68,468,937.58

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