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Welcome to the Allergan BOTOX® Reimbursement Solutions Website

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Phone Number (800) 44-BOTOX, Option 4
Fax Number (877) 530-6680

Monday through Friday
9:00am- 8:00pm ET
PO Box 1370
San Bruno, CA 94066

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

BOTOX® (onabotulinumtoxinA) Reimbursement Forms

Useful Forms for your Reimbursement Needs

BOTOX ® Reimbursement Solutions Forms

Insurance Verification Request Form
The BOTOX® Reimbursement Solutions Hotline can help you contact a patient's insurance company to determine coverage benefits for BOTOX® treatment. Registered Provider Homepage users can access forms pre-filled with their demographic information. They also have the ability to save and retrieve partially completed forms.
CPT is a registered trademark of the American Medical Association.

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.