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PATIENT RESOURCES


Explore the resources on this page for more information about cervical dystonia and MYOBLOC

Download MYOBLOC and Cervical Dystonia: A Patient's Guide for more information.

MYOBLOC COPAY PROGRAM


Eligible patients can receive up to $4,000 each year to help with out-of-pocket expenses for MYOBLOC

NO FINANCIAL REQUIREMENTS

Patients who:

  • Are 18 years or older and a legal US resident
  • Have commercial insurance coverage
  • Are diagnosed with cervical dystonia (G24.3)
  • Are NOT enrolled in a government insurance plan (e.g., Medicare, Medicaid, TRICARE®, and other federal- or state-funded programs)
  • Any size vial of MYOBLOC
  • Injection procedure costs
  • Injection guidance costs
    • Ultrasound or EMG
  • Residents of Michigan, Rhode Island and Minnesota are not eligible for injection procedure or injection guidance costs

Your healthcare provider can enroll you OR you can call 1-888-461-2255, Option 3 to enroll.

  • No enrollment forms needed
  • No financial requirements
  • Up to $4,000 per year
  • There are NO cost limitations per injection

Terms and Conditions for Patients

1. This offer is valid for commercially-insured patients only and is good for use only with a MYOBLOC prescription at the time the prescription is filled or after the product is administered to the patient. 2. Depending on insurance coverage, eligible insured patients may pay no more than zero dollars ($0) for MYOBLOC and the administrative services associated with MYOBLOC, up to a maximum savings limit of four thousand dollars ($4,000) per year. Patient out-of-pocket expense may vary. 3. This offer is not valid for patients enrolled in Medicare, Medicaid, or other federal or state healthcare programs, or private indemnity or HMO insurance plans that reimburse you for the entire cost of your prescription drugs. Patients may not use this Program if they are Medicare-eligible and enrolled in an employer-sponsored health plan or medical or prescription drug benefit program for retirees. 4. The offer is valid for one (1) year. 5. US WorldMeds reserves the right to rescind, revoke, or amend this offer without notice. 6. Offer good only in the USA, including Puerto Rico, at participating pharmacies or healthcare providers. 7. Void if prohibited by law, taxed, or restricted. 8. Residents of Michigan, Rhode Island, and Minnesota are not eligible for assistance with payment for injection or injection guidance-related costs, but may receive assistance with MYOBLOC. 9. This Program is not transferable. The selling, purchasing, trading, or counterfeiting of this Program is prohibited by law. 10. This Program is not insurance. 11. By redeeming this assistance, you represent that you are an eligible patient and that you understand and agree to comply with the terms and conditions of this offer.

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    FAQs


    MYOBLOC is a prescription medicine that is injected into neck muscles and used to treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in adults.

    It is not known whether MYOBLOC is safe or effective in children. It is not known whether MYOBLOC is safe or effective for other types of muscle spasms.

    Side effects with MYOBLOC are generally mild to moderate and temporary, and are more common with higher doses. The most frequently reported side effects with MYOBLOC were dry mouth, swallowing difficulties, indigestion and injection site pain. Dry mouth and swallowing difficulties were the side effects that most often resulted in discontinuation of treatment. These are not all the possible side effects of MYOBLOC, please see the full Important Safety Information.

    The MYOBLOC Copay Program may be able to help. The Copay Program helps eligible CD patients with out of pocket expenses for MYOBLOC. Learn more about the MYOBLOC Copay Program here.

    MYOBLOC is available at no charge to patients approved for the Patient Assistance Program.

    Qualification criteria:

    • MYOBLOC is prescribed by a licensed physician to treat cervical dystonia
    • Patient has no health insurance benefits for MYOBLOC
      • Insured – No benefits
      • Uninsured
    • Patient cannot otherwise afford MYOBLOC treatment
    • Legal resident of the U.S.
    • Injected with J0587 accompanied with ICD-10 code G24.3

    To learn more call 1-888-461-2255, Option 3.

    References:

    1. 1. Camfield L, Ben-Shlomo Y, Warner TT, and the Epidemiological Study of Dystonia in Europe Collaborative Group. Mov Disord. 2002;17:838–841.
    2. 2. DMRF website: https://www.dystonia-foundation.org/what-is-dystonia/forms-of-dystonia/focal-dystonias/cervical-dystonia/more-on-cervical-dystonia
    3. 3. Costa J, Espirito-Santo C, Borges A, et al. Botulinum toxin type B for cervical dystonia. Cochrane Database Syst Rev. 2005 Jan 25;(1):CD004315.
    4. 4. Jankovic J. Dystonias, choreas, athetosis, and ballism. In: Goldman L, Ausiello D, eds. Cecil Textbook of Medicine. Philadelphia, PA: Saunders; 2004:2312–2314.
    5. 5. Lew MF. Botulinum toxin type B: an effective treatment for alleviating pain associated with cervical dystonia. J Back Musculoskel Rehab. 2002;16:3–9.
    6. 6. Chan J, Brin MF, Fahn S. Idiopathic cervical dystonia: clinical characteristics. Mov Disord. 1991;6:119–126.
    7. 7. Van Zandijcke M. Cervical dystonia (spasmodic torticollis). Some aspects of natural history. Acta Neurol Belg. 1995;95:210–215.
    8. 8. Ben-Shlomo Y, Camfield L, Warner T. What are the determinants of quality of life in people with cervical dystonia? J Neurol Neurosurg Psychiatry. 2002;72:608–614.
    9. 9. Montecucco C, Papini E, Schiavo G. Bacterial protein toxins penetrate cells via a four-step mechanism. FEBS Lett. 1994;346:92–98.

    INDICATIONS

    MYOBLOC® (rimabotulinumtoxinB) injection is indicated for:

    • the treatment of cervical dystonia (CD) to reduce the severity of abnormal head position and neck pain associated with CD in adults
    • the treatment of chronic sialorrhea in adults

    IMPORTANT SAFETY INFORMATION

    MYOBLOC® may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems anytime (hours to weeks) after treatment with MYOBLOC:

    • Problems swallowing, speaking, or breathing if the muscles that you use to breathe and swallow become weak after the injection. Death can happen as a complication if you have severe problems with swallowing or breathing after treatment with MYOBLOC.
    • People with certain breathing problems may need to use muscles in their neck to help them breathe and may be at greater risk for serious breathing problems with MYOBLOC.
    • Swallowing problems may last for several months. People who cannot swallow well may need a feeding tube to receive food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already have swallowing or breathing problems before receiving MYOBLOC have the highest risk of getting these problems.
    • Spread of toxin effects. In some cases, the effect of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of botulism include loss of strength and muscle weakness all over the body, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing (dysphagia).

    MYOBLOC is a prescription medicine used in adults that is injected into:

    • Muscles and used to treat the abnormal head position and neck pain that happens with cervical dystonia (CD)
    • Glands that make saliva and is used to treat long-lasting (chronic) drooling (sialorrhea)

    Do not receive MYOBLOC if you: are allergic to MYOBLOC or any of its ingredients (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as BOTOX® or BOTOX® Cosmetic, DYSPORT®, or XEOMIN®; have a skin infection at the planned injection site.

    Tell your doctor about all your medical conditions, including if you have: a disease that affects your muscles or nerves (such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome); had any side effect from any botulinum toxin product in the past; a breathing problem, such as asthma or emphysema; a history of swallowing problems or aspiration; bleeding problems; drooping eyelids; plans to have surgery; had surgery on your face.

    Tell your doctor if you: are pregnant or plan to become pregnant (it is not known if MYOBLOC can harm your unborn baby); are breastfeeding or plan to breastfeed (it is not known if MYOBLOC passes into breast milk).

    Tell your doctor about all medicines you take, including: prescription and over-the-counter medicines, vitamins, and herbal supplements. Using MYOBLOC with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received MYOBLOC in the past.

    Especially tell your doctor if you: received any other botulinum toxin product in the last 4 months; received injections of botulinum toxin such as BOTOX® or BOTOX® Cosmetic, DYSPORT®, or XEOMIN® in the past (tell your doctor exactly which product you received); recently received an antibiotic injection; take muscle relaxants; take allergy or cold medicines; take sleep medicine.

    MYOBLOC can cause serious side effects, including allergic reactions. Symptoms of allergic reaction may include: itching, rash, redness, swelling, wheezing, trouble breathing, or dizziness or feeling faint. Tell your doctor or get medical help right away if you get wheezing, or trouble breathing, or if you get dizzy or faint.

    Other side effects of MYOBLOC include:

    • Cervical Dystonia: dry mouth, trouble swallowing, injection site discomfort or pain, headache
    • Sialorrhea: dry mouth, trouble swallowing

    For more information, refer to the Medication Guide or talk with your doctor.

    You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.