Merz Connect

Support for You, Your Office, and Your Patients

The Merz Reimbursement Field Team has been trained to understand coverage and reimbursement for XEOMIN. Specialists are available to assist you and your office with supporting patient access to XEOMIN therapy.

Coding and billing
Prior authorization
Coverage and savings information
Claim denial and appeals
Insurance verification
Payer policy review and support
Call and learn how your commercially insured patients may qualify to save up to $5,000 annually*†

For assistance, call 1-855-4MERZTX (1-855-463-7989) to reach a MERZ CONNECT specialist Monday through Friday between 8 AM and 7 PM ET

Information provided by MERZ CONNECT and the Reimbursement Access Managers is intended solely for educational purposes and does not constitute legal advice. Merz disclaims any responsibility for claims and codes submitted by healthcare providers and does not guarantee that coverage and reimbursement will result. It is the healthcare provider's responsibility to determine appropriate codes, charges, and modifiers, and to submit bills for services and products consistent with what was rendered, as well as the patient's insurer requirements.

Pricing

J0588 Is the Specific J-Code For XEOMIN 1 Unit

In our pursuit to bring better outcomes to more patients, Merz Therapeutics takes a responsible approach to price. As you evaluate toxin pricing with the unique needs of your patients in mind, we believe XEOMIN remains a great choice for your patients and practice.

Download J Code Flashcard
NDC#
Description
List price
0259-1605-01
50-Unit vial
$268.00
0259-1610-01
100-Unit vial
$511.00
0259-1620-01
200-Unit vial
$1,022.00
As of March 1st, 2024. The Merz list price for XEOMIN is subject to change at any time and does not take into account any payment terms, discounts, rebates, fees, chargebacks, or price concessions.
50 unit, 100 unit, and 200 unit vials of XEOMIN falling
To order XEOMIN now, call 1-855-4MERZTX (1-855-463-7989)

Coverage & Affordability

Our commercially insured Patient Savings Program covers related eligible administrative services to XEOMIN, not just product costs*†
Up to $5,000 annually*†
As little as
$0 out of pocket*†
90%
Commercial coverage‡§||
88%
Medicaid coverage‡||¶
100%
coverage for Medicare‡||**
First line†† every time for FDA-approved indications with top 5‡‡ national payers||
Humana®1-3
Aetna®4
Anthem®5
Cigna®6
United
Healthcare®7

XEOMIN is 1 of 2 first-line toxins available for HUMANA patients with Commercial and Medicare Advantage.1-3

Patient Support

Access
Patients can call a MERZ CONNECT specialist at 1-855-4MERZTX (1-855-463-7989) for questions or support between 8 AM and 7 PM ET
Enrollment
Patients get an application from you, on MERZCONNECT.com, or by calling a MERZ CONNECT specialist at 1-855-4MERZTX (1-855-463-7989)
Patients decide if they want their program savings to go to them or directly to you on their behalf
Patients submit the form by fax to 1-888-481-0547, or you can do it on their behalf with their permission

Meeting the needs of people living with movement disorders & neurological conditions

At Merz Therapeutics, we seek to address the unique needs of people who suffer from movement disorders, neurological conditions, and other health conditions that severely impact patients’ quality of life.


Founded in 1908 by Friedrich Merz

Globally headquartered in Frankfurt, Germany

Privately held for more than 110 years

>3000 employees globally

34 locations worldwide with product availability in over 100 countries
XEOMIN has been proven as safe and effective in 6.5 million patients with various conditions from more than 70 countries, for more than 12 years8
*
Restrictions apply to eligibility. Commercial insurance required. Reimbursement limited to out-of-pocket XEOMIN medication costs and related administration fees. State limitations may apply. Please see Full Terms and Conditions at XEOMIN.com. Merz reserves the right to change XEOMIN Patient Savings Program Terms and Conditions, including the eligibility requirements, at any time. This is not health insurance.
†
Your patients may be required to pay upfront for their co-pay/co-insurance, as determined by their insurance coverage/policy and their healthcare provider’s co-pay collection practice.
‡
As of January 9, 2023. Data on file. Percentages are based on lives. Based on information available for approved indications.
§
Commercial, Managed Medicare, Managed Medicaid.
||
As of January 1, 2023. Data on file. Information is subject to change at any time. Subject to applicable plan policies which may differ. This information is for informational purposes only and does not represent a statement, promise, or guarantee concerning levels of reimbursement, payment, or charges. This information is not intended to substitute for any treating physician’s independent diagnosis or treatment of each patient. Providers should confirm coverage with patient’s plan prior to product administration. All information contained herein is the sole responsibility of Merz.
State Medicaid Fee for Service. This information is subject to change at any time. Please consult your patients’ plans with regard to current coverage.
**
Medicare Administrative Contractors.
††
First line indicated no step therapy is required if patient meets clinical eligibility requirements as defined by each payer policy.
‡‡
Top 5 payers based on total covered medical lived by each plan.