Botox® is not the only botulinum toxin (BT), just the most expensive

Potential $6 million savings if plans switch from Botox® to lower-cost BT therapies

March 21, 2020

Study shows the potential for more than $6 million savings if plans switch from high-cost Botox® to lower-cost BT therapies to treat certain neurologic conditions

Prime analyzed health care claims from 15 million commercially insured members and found 58,000 BT claims totaling more than $76 million in 2018 (Migraine treatments accounted for 60 percent of the Botox spend). Besides migraines, the BT drug class treats three movement disorders – cervical dystonia (CD), limb spasticity (LS) and blepharospasm (BS). Botox has the highest cost of four drugs in the BT class, and accounted for 93 percent of BT spend. Other drugs in the BT drug class (like Abobotulinumtoxin A and Incobotulinumtoxin A) are priced between one-quarter and one-third less than Botox.

Prime’s ability to study medical claims found that shifting treatments from Botox to the equally effective, lower cost BT therapies would save an estimated $6.3 million annually. Because BT is administered in the doctor’s office, the study evaluated and found the timing of doses was not different between the BT products. Therefore, the number of expected administration visits would not increase if switching to a different BT product.

Real-World Botulinum Toxin Utilization and Treatment Cost for Cervical Dystonia and Limb Spasticity among 15 Million Commercially Insured Members (Fall 2019)

Related news


April 19, 2024

AMCP 2024: Behind the Research with Prerak Parikh

Parikh, director of medical pharmacy strategy at Prime/MRx, shares the latest on interchangeable biosimilars


April 19, 2024

LISTEN NOW: Live at AMCP Annual 2024 – Digging into managed care pharmacy insights | Pharmacy Friends podcast

In this episode, Prime/MRx clinicians — along with special guests — discuss the hottest topics covered at the Academy of Managed Care Pharmacy (AMCP)'s 2024 Annual Meeting in New Orleans


April 17, 2024

AMCP 2024: Behind the research with YuQian Liu

Ahead of her session with Andy Killpack, Liu — senior director of specialty clinical solutions at Prime/MRx — shares current care management strategies for cell and gene therapy and the future of this exciting frontier