Botox

Generic name: onabotulinumtoxina

Used for: Preventing headaches in chronic migraine · Overactive bladder · Bladder leaks from a nerve condition (spinal cord injury, MS) · Muscle stiffness (spasticity) · Abnormal head position and neck pain (cervical dystonia) · Heavy underarm sweating (hyperhidrosis) · Eyelid spasms (blepharospasm) · Crossed or misaligned eyes (strabismus) · 7 more

How do you pay?

How to pay the least

Ask for the cash price

Botox

Botox is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold.

  1. Ask your pharmacy for Botox’s cash price, and one or two other pharmacies too.
  2. Botox’s savings card works only with insurance from a job or one you bought.

Free from the maker, if you qualify myAbbVie Assist. Our income guidelines are based on the size of your household and annual income. Or call 1-800-222-6885.

See if you qualify 

Compare every option

Question
Brand nameBotox
Authorized genericonabotulinumtoxina
Regular genericonabotulinumtoxina
What you’d pay
Cash priceAsk the pharmacy
Not soldThere isn’t one
Not soldAsk the pharmacy
Same as Botox?
The original
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–

Brand nameThe maker’s card

BOTOX Complete Savings Program (formerly BOTOX Savings Program)

Savings card from AbbVie (Allergan)

No insuranceNeeds insuranceNo cash price listed.
Insurance · as little as $0 a treatment

The card takes up to $4,000 a year off your co-pay.

Sign up on botox.com 

Or call 1-800-442-6869. See the offer on botox.com

In the maker’s words

“Eligible, commercially insured patients may pay as little as $0 for BOTOX®…”

From the maker’s offer on botox.com, checked November 2, 2026. Co-pay cards can’t be used with Medicare (including Medicare Advantage), Medicaid, TRICARE or VA.

Maker’s card or discount card?

A discount card like GoodRx lowers the pharmacy’s cash price, but for a brand-name drug that price often stays high. Compare it with the maker’s card above. You can usually use one or the other on a fill, not both.

Authorized genericNot sold

There isn’t one. An authorized generic is Botox itself, from the same company, sold without the brand name, and usually for less. For now Botox is the only choice; its maker’s savings card can lower what you pay.

See the brand name →

Regular genericNot sold

Botox is a biologic. Biologics don’t have generics, but some have biosimilars or an unbranded version from the same maker. Ask your pharmacist or prescriber whether one is sold. Generics usually come once the brand’s patents and exclusivity end. Until then, the maker’s savings card is the way to pay less.

See the brand name →

What it’s used for

What the FDA label says

BOTOX is an acetylcholine release inhibitor and a neuromuscular blocking agent indicated for:

  • Treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency, in adults who have an inadequate response to or are intolerant of an anticholinergic medication
  • Treatment of urinary incontinence due to detrusor overactivity associated with a neurologic condition [e.g., spinal cord injury (SCI), multiple sclerosis (MS)] in adults who have an inadequate response to or are intolerant of an anticholinergic medication
  • Treatment of neurogenic detrusor overactivity (NDO) in pediatric patients 5 years of age and older who have an inadequate response to or are intolerant of anticholinergic medication.
  • Prophylaxis of headaches in adult patients with chronic migraine (≥15 days per month with headache lasting 4 hours a day or longer)
  • Treatment of spasticity in patients 2 years of age and older
  • Treatment of cervical dystonia in adult patients, to reduce the severity of abnormal head position and neck pain
  • Treatment of severe axillary hyperhidrosis that is inadequately managed by topical agents in adult patients
  • Treatment of blepharospasm associated with dystonia in patients 12 years of age and older
  • Treatment of strabismus in patients 12 years of age and older

Limitations of Use

Safety and effectiveness of BOTOX have not been established for:

  • Prophylaxis of episodic migraine (14 headache days or fewer per month)
  • Treatment of hyperhidrosis in body areas other than axillary

Source: the FDA label for Botox (Allergan, Inc.), November 18, 2023. Full label on DailyMed 

Good to know

Prices checked November 2, 2026. Prices change: confirm with the pharmacy before you fill. drugalt.com/drug/botox/