Botox (onabotulinumtoxinA)

Do You Qualify?

Income Limits (600% FPL)

Income threshold for Botox therapeutic is 600% of the Federal Poverty Level.

Based on 2025 HHS Federal Poverty Level guidelines.

# Getting Botox at No Cost Through myAbbVie Assist: A Complete Patient Guide

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Who Qualifies for the myAbbVie Assist?

If you have been prescribed Botox (onabotulinumtoxinA) and cannot afford it, the myAbbVie Assist program may be able to provide it to you at no cost. This program is run directly by AbbVie, the maker of Botox, and is designed for patients who need financial help covering the cost of their medication.

To qualify, a single-person household must earn no more than $90,360 per year. Income limits are higher for larger households. You must be uninsured, underinsured, or enrolled in Medicare to be eligible — patients who have commercial (private) insurance that adequately covers Botox are generally directed to a separate savings card program instead. If you meet the income and insurance requirements, you may qualify to receive Botox shipped directly to your prescriber's office at no charge.

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About Botox (onabotulinumtoxinA)

Botox is an injectable prescription medication made from botulinum toxin type A, a neuromuscular blocking agent. It is FDA-approved to treat several medical conditions, including chronic migraine, cervical dystonia, blepharospasm, strabismus, upper and lower limb spasticity, overactive bladder, and urinary incontinence due to neurological conditions.

Botox is manufactured as a biologic drug, meaning it is derived from biological processes rather than simple chemical synthesis. Biologic medications tend to carry higher price tags than traditional drugs, and Botox is no exception — treatment courses can cost several hundred to several thousand dollars depending on the indication and dosage. Without insurance or assistance, this cost is out of reach for many patients.

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Income Eligibility: Full Breakdown

The myAbbVie Assist program uses income thresholds set at 600% of the Federal Poverty Level. The table below shows the maximum annual household income allowed for each household size:

| Household Size | Maximum Annual Income |

|---|---|

| 1 person | $90,360 |

| 2 persons | $122,640 |

| 3 persons | $154,920 |

| 4 persons | $187,200 |

If your household is larger than four people, contact myAbbVie Assist directly at (800) 222-6885 to ask about the income limit that applies to your situation, as limits continue to scale upward with household size.

To verify your income, AbbVie will typically ask for your most recent federal tax return, W-2 forms, 1099 forms, or three months of recent pay stubs. They use your prior year's income as the standard measure. If your income has recently dropped — for example, due to job loss — you may be able to use recent pay stubs to better reflect your current financial situation.

If your income is above the listed limit, you will not automatically be turned away. It is still worth calling the program directly, as individual circumstances can sometimes be reviewed. Additionally, other assistance options may be available to you, which are covered later in this guide.

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Insurance Requirements Explained

Your insurance status is one of the most important factors in determining which type of help you can get. Here is how different situations are handled:

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Step-by-Step: How to Apply

Follow these steps to apply for myAbbVie Assist for Botox:

1. Gather your documents before you start. You will need: proof of income (tax return, W-2, 1099, or three months of pay stubs), a valid prescription for Botox from your prescriber, a patient-signed application, and a prescriber-signed application.

2. Choose your application method. You can apply online, by phone, or by fax.

- Online: Visit https://www.myabbvieassist.com/ to start your application.

- Phone: Call (800) 222-6885 to apply with a program representative or ask questions.

- Fax: Send completed application materials to (866) 895-3924.

3. Complete both the patient and prescriber sections. Your doctor or their office staff must sign the application. Many prescriber offices are familiar with this process and can assist you.

4. Submit your proof of income along with the signed application and prescription, using whichever method you chose above.

5. Wait for confirmation. Processing typically takes 1 to 2 business days after your complete application is received.

6. Your prescriber's office will be notified of approval and will receive the medication directly — you do not need to pick it up at a pharmacy.

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What to Expect: Timeline and Delivery

Once AbbVie receives your complete application, a decision is typically made within 1 to 2 business days. You or your prescriber's office will be notified of the outcome. If approved, Botox is shipped directly to your prescriber's office — not to your home. You do not need to do anything special at your appointment beyond confirming with your doctor's office that the medication has arrived before your scheduled visit.

Your approval will be valid for one year. Before your approval period ends, you will need to go through a reauthorization process. This typically involves submitting updated income documentation and a renewed prescription. Your prescriber's office may help initiate this, but it is a good idea to track your renewal date yourself.

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Alternatives If You Don't Qualify

If you do not qualify for myAbbVie Assist, other options may still be available to you.

Biosimilars: At this time, there are no FDA-approved biosimilar alternatives to Botox on the market, so switching to a lower-cost equivalent is not currently an option.

Manufacturer savings card (insured patients): If you have commercial insurance, AbbVie offers a separate savings program through the Botox Savings Program. You can enroll at https://www.botoxsavingsprogram.com/. This program may reduce your out-of-pocket costs significantly at the point of care.

State Pharmaceutical Assistance Programs (SPAPs): Many states offer their own drug assistance programs, especially for older adults or people with disabilities. Eligibility and benefits vary by state. Ask your prescriber or a social worker about programs in your area.

NeedyMeds.org: This free, nonprofit database at https://www.needymeds.org lists hundreds of patient assistance programs, disease-specific funds, and discount options. It is a useful starting point if you need to explore additional resources.

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*This guide is for informational purposes only and does not constitute medical or legal advice. Eligibility determinations are made solely by AbbVie. Program terms may change — verify current requirements at [https://www.abbvie.com/patients/patient-assistance-program.html](https://www.abbvie.com/patients/patient-assistance-program.html) before applying.*

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