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CONTACT US

Phone Number:
Voice: (800) 44-BOTOX, Option 4
Fax: (877) 530-6680
M-F, 9:00 am - 8:00 pm ET.
Contact Address:
BOTOX®
PO Box 1370
San Bruno, CA 94066
BotoxReimbursementSolutions.com
Questions or feedback about the program?
Submit general questions or feedback here

If you are a new user to the site, please click the button below to begin the registration process.

If you are a registered user, please login above.

HELPFUL LINKS

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Download PAP Application For Additional Information
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Welcome to the Allergan BOTOX® Reimbursement Solutions Website

Your Provider Resource Center for Service and Information Relating to BOTOX® Reimbursement
Click here to see Important Information about Botox (onabotulinumtoxinA)

  • Reimbursement Support Services
    Discover the many programs Allergan has created to make the BOTOX® Reimbursement process easier for you.

    Insurance Verification (IV)
    Simply submit a request for an Insurance Verification and a hotline Reimbursement Counselor will contact the payer to verify coverage status for BOTOX® treatment, check Medical & Pharmacy benefits including co-pay and deductible (if applicable). This service is available to registered Provider Homepage users.

    Reimbursement Forms
    Download many useful forms, including sample CMS 1500, UB-04, Letter of Medical Necessity and many others.

    Reimbursement Information
    Access helpful information about BOTOX® best practices concerning the reimbursement process, denied claims, appeals and more.
  • Provider Homepage
    • Register to gain access to many valuable features and services
    • Immediate access to all your active BOTOX® patients – regardless of when you started using the provider website - with real-time patient status
    • Pre-population of active patient information and current physician information
  • BOTOX PATIENT ASSISTANCE® Program
    This program provides BOTOX® at no charge to financially eligible patients. Those who may qualify include patients who are uninsured or underinsured. Allergan is proud to assist eligible uninsured and underinsured patients with their treament through the donation of BOTOX® vials.


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The information on this site is intended for US healthcare providers only.
No information in this site is provided with the intention to give medical advice or instructions on the accurate use of Allergan products.
Allergan cannot answer unsolicited e-mails requesting personal medical advice; visitors should always consult a healthcare professional.