DrugDashboards

Botox

onabotulinumtoxinA · BOTULINUM TOXIN TYPE A 100 [USP'U]/1 · Injection, Powder, Lyophilized, For Solution · Intradermal; Intramuscular · Allergan, Inc.

NDC 00023-1145-01 · 1 VIAL in 1 CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL · BLA · View full market →

The short version

Just 2 companies supply this market — thin enough that a single exit would be felt immediately. The price has held steady around $597.52 per unit over the past year.

The numbers behind every sentence are on this page below — and the Watch button emails you when any of them move.

One drug, every price

The same NDC has different prices depending on who is paying. Units differ between rungs — compare within a rung over time, not rung against rung, unless the units match.

ⓘ How this was built
Data sources
  • CMS NADAC (pharmacy acquisition, weekly)
  • CMS Part B ASP quarterly payment limits
  • CMS Maximum Fair Prices (IRA negotiated, NDC-level)
  • Medicare Part D Spending by Drug (data.cms.gov, name-matched)
  • VA FSS / Big4 federal contract prices (va.gov, twice monthly)
  • ACA Federal Upper Limits + weighted AMP (data.medicaid.gov, monthly)
  • California SB-17 WAC filings (list price, per package)
Method

Each rung is the newest figure for this NDC from one federal price system, shown with its own unit. Part D is matched by drug name because CMS publishes no NDCs there; it is gross spending, before confidential rebates.

Pipeline and calculations built by Claude (Fable 5) from the public datasets above. Educational only — verify against primary sources before acting.

  • Medicare Part B pays (ASP+6%)$6.51per billing unit (1 UNIT)HCPCS J0585 · Jul 1, 2026
  • Part D plans paid (avg)$1,034.36per dosage unitgross, before rebates — matched by drug name · 2024
  • Federal ceiling (Big4)$481.07per unitAbbvie US LLC · Jan 1, 2026

Medicare Part D

No Medicare Part D plan in CMS's quarterly files lists this product. That usually means it is discontinued, a repackager's listing, or a product no plan has added to its formulary.

How Part D pricing works →

NADAC price per unit

$0$200.00$400.00$600.00Jan 2014Jul 2017$597.52
8 price points · per · last surveyed Invalid DateSource: CMS NADAC

Estimated fill cost

WAC per package, as filed
$651.00
Reported to Texas DSHS · 2026 annual filing · Abbvie Inc

Manufacturer list price as filed — not what pharmacies actually pay after discounts.

Medicare Part B (ASP)

Payment limit per 1 UNIT
$6.506
HCPCS J0585 · Jul 1, 2026 quarter · typically ASP + 6%

Medicaid spend (2025)

$108.5M
150,563 prescriptions paid by Medicaid nationally · all Medicaid spend →

Supply fragility

Not scored — fragility is computed for NADAC-priced NDCs.

Is this a "specialty" drug?

There's no legal definition — it meets 3 of 6 public criteria. Why that matters →

  • Part D specialty tier
  • Costs ≥ $950/fill · avg $1,355.25 per prescription
  • Biologic (BLA)
  • Injectable / infused
  • Orphan-drug exclusivity
  • REMS program

Regulatory

Application
BLA103000
TE code
—
Approval date
—
Patents / exclusivity
None on file

Shortage history

No FDA shortage reports for this drug or its presentations.

Recalls (this NDC)

No enforcement reports list this package NDC.

Manufacturers of onabotulinumtoxinA (Injection, Powder, Lyophilized, For Solution)

LabelerStrengthFirst seenLast seen
Allergan, Inc.BOTULINUM TOXIN TYPE A 100 [USP'U]/1Jul 15, 2026Sep 3, 2026
Allergan, Inc.BOTULINUM TOXIN TYPE A 200 [USP'U]/1Jul 15, 2026Sep 2, 2026
Allergan, Inc.BOTULINUM TOXIN TYPE A 50 [USP'U]/1Jul 15, 2026Sep 2, 2026
Sportpharm LLCBOTULINUM TOXIN TYPE A 100 [USP'U]/1Jul 15, 2026Sep 2, 2026

Roster from daily NDC Directory diffs — first/last seen dates start July 2026.

Cite this page

DrugDashboards, "Botox — NDC 00023-1145-01," retrieved September 3, 2026, https://drugdashboards.com/drug/00023114501.

Free to cite with attribution — see how the data is put together.