Please protect the confidentiality of your patients by not revealing or sharing login credentials.


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


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Download PAP Application For Additional Information
Click Here


The 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 treatment through the donation of BOTOX® vials.

Download PAP Application


 Who May Apply

 How to Apply

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