BOTOX® may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours
to weeks) after injection of BOTOX®:
-
Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
-
Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing
There has not been a confirmed serious case of spread of toxin effect away from the injection site when BOTOX® has been used at the recommended dose to treat chronic migraine.
BOTOX® may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX®. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Do not receive BOTOX® if you: are allergic to any of its ingredients in BOTOX®
(see
Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin
product
such as Myobloc® (rimabotulinumtoxinB), Dysport®
(abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin
infection at the planned injection site.
The dose of BOTOX® is not the same as, or comparable to, another botulinum
toxin
product.
Serious and/or immediate allergic reactions have been reported including itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX® should be discontinued.
Tell your doctor about all your muscle or nerve conditions such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX®.
Tell your doctor about all your medical conditions, including if you: have or have had bleeding problems; have plans to have surgery; had surgery on your face; weakness of forehead muscles; trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® can harm your unborn baby); are breastfeeding or plan to (it is not known if BOTOX® passes into breast milk).
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® in the past.
Tell your doctor if you received any other botulinum toxin product in the last 4 months; have
received injections of botulinum toxin such as Myobloc®,
Dysport®, or Xeomin® in the past (tell your doctor
exactly which product you received); have recently received an antibiotic by injection; take
muscle
relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products
or
blood thinners.
Other side effects of BOTOX® include: dry mouth, discomfort or pain
at the
injection site, tiredness, headache, neck pain, eye problems: double vision, blurred vision,
decreased eyesight, drooping eyelids, swelling of your eyelids, dry eyes; and drooping eyebrows.
For more information refer to the
Medication
Guide
or talk with your doctor.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call
1-800-FDA-1088.
Indication
BOTOX® is a prescription medicine that is injected to prevent headaches in adults
with chronic migraine who have 15 or more days each month with headache lasting 4 or more
hours
each day in people 18 years or older.
It is not known whether BOTOX® is safe or effective to prevent headaches in
patients
with migraine who have 14 or fewer headache days each month (episodic migraine).
Please see BOTOX® full Product Information including
Boxed Warning and Medication Guide.
Program Terms, Conditions, and Eligibility Criteria: 1. This offer is
good
for
use only with a valid prescription for BOTOX
® (onabotulinumtoxinA).
2. Based on insurance coverage, each
patient can be reimbursed up to $1000 per treatment with a maximum savings limit of $4000
per year. Patient out-of-pocket expense may vary.
3. This offer is not valid for use by patients enrolled in Medicare,
Medicaid,
or other federal or state programs (including any state pharmaceutical assistance
programs),
or
private indemnity or HMO insurance plans that reimburse you for the entire cost of your
prescription drugs. Patients may not use this offer if they are Medicare-eligible and
enrolled
in an employer-sponsored health plan or prescription drug benefit program for retirees.
This
offer is not valid for cash-paying patients.
4. This offer is
valid for up to 4 treatments over a 12-month period.
5. Offer is valid only for BOTOX
® and
BOTOX
® treatment-related costs not covered by insurance.
6. A
BOTOX
® Savings Program check will be provided upon approval of a claim. The
claim
must be submitted with treatment details from an Explanation of Benefits (EOB) or a
Specialty Pharmacy (SP) receipt. (If the BOTOX
® prescription was filled by a
Specialty Pharmacy, both EOB and SP details must be provided.) All claims must
be
submitted within 120 days of treatment date. You may be required to provide a copy of
your
EOB
or SP receipt for your claim to be approved.
7. A BOTOX
® Savings
Program
check may be sent either directly to you or to your selected healthcare provider who
provided
treatment. For payment to be made directly to your healthcare provider, you must
authorize
an
assignment of benefit during each claim submission. You are not obligated to assign your
BOTOX
® Savings Program benefit to your healthcare provider to participate in
the
program.
8. Allergan
® reserves the right to rescind, revoke, or amend this
offer
without notice.
9. Offer good only in the USA, including Puerto Rico, at
participating retail locations.
10. Void where prohibited by law, taxed, or
restricted.
11. This offer is not health insurance.
12. By
participating
in
the BOTOX® Savings Program, you acknowledge that you are an eligible
patient
and
that you understand and agree to comply with the terms and conditions of this
offer.
For questions about this program, please call 1-800-44-BOTOX.
