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Patient Assistance - XEOMIN®

XEOMIN Patient Assistance Program

Once you and your doctor have decided XEOMIN is right for you, MERZ CONNECT offers you savings and support to help you get started and stay on therapy

Merz may be able to help eligible patients pay for XEOMIN (incobotulinumtoxinA). Through the Patient Assistance Program (PAP), you could get your XEOMIN at no charge.

Eligibility Criteria*

    XEOMIN is available at no charge to eligible* patients who:

  • Are uninsured or underinsured

  • Meet financial eligibility requirements (based on the Federal Poverty Guidelines)

    • Proof of income is required

    • Eligibility will be determined prior to the first injection for both uninsured and underinsured patients

  • Are US residents

  • Are not eligible for Medicare, Medicaid, or any other government program

  • Meet specific medical and clinical guidelines as determined by Merz

  • Eligibility must be re-established every 12 months

If you are underinsured, there are certain steps your doctor must follow before you can receive XEOMIN at no charge. Talk to your doctor if you have any questions.

*Criteria for the Patient Assistance Program (PAP) are established by Merz North America, Inc. Acceptance into the program does not entitle patients to receive assistance indefinitely. Eligibility must be re-established every twelve (12) months and assistance under the program may be terminated at any time. Changes in the status of the patient’s eligibility (such as changes in income and health coverage) should be reported to the Merz Neurosciences Patient Assistance Program within 30 days. Please see the Patient Assistance Program application for additional details.