Dysport abobotulinumtoxinA logo

This site is intended for US residents only

This site is intended for US residents only

Support when you need it

IPSEN CARES™

Helping patients get access to their prescribed medications with the information and support they need.

IPSEN CARE LOGO

IPSEN CARES (Coverage, Access, Reimbursement & Education Support) serves as a central point of contact between patients/caregivers, healthcare providers (HCPs), insurance companies, and specialty pharmacies.

Patient support for eligible* and enrolled patients prescribed Dysport®

Once the provider has prescribed Dysport for injection, the IPSEN CARES Patient Access Specialists are fully dedicated to:

  • Facilitating patients’ access to their prescribed medications
  • Providing information and support for the interactions among offices, patients, and insurance companies for Ipsen medications

IPSEN CARES Enrollment Is Quick and Easy

Patients must be enrolled to access all IPSEN CARES support offerings.

Patient and HCP download the IPSEN CARES Enrollment Form and complete it at the office. The form is submitted electronically or by printing and faxing it to IPSEN CARES. The patient can also self-enroll.
Once a completed Enrollment Form is received, an IPSEN CARES Patient Access Specialist will conduct a benefits verification to review the patient’s out-of-pocket costs associated with the Ipsen medication. Additional support offerings for which the patient may be eligible will be discussed at that time.

 

Patient Authorization

Patients/caregivers are required to sign the Dysport Patient Authorization Form every 3 years, or sooner if required by state law, to give the Patient Access Specialists at IPSEN CARES permission to access the patient’s personal health information in order to help with treatment. The form can be signed and submitted online, or by downloadable PDF, which must be printed, filled out, signed, and faxed.

Help With Copays?

Check for copay coverage. Considering that some patients need financial assistance, our copay assistance programs may help eligible* patients with the cost of their treatment. The Dysport Copay Program for eligible* commercially insured and uninsured patients is available by enrolling in IPSEN CARES. Here is the key information:

  • Patients may pay as little as $0 per prescription
  • For patients utilizing the Pharmacy Benefit, we will provide the virtual pharmacy copay card information on behalf of the patient directly to the specialty pharmacy being utilized
  • For patients utilizing the Medical Benefit, we will send details for claims processing on behalf of the patient directly to the doctor’s office
  • For patients who are eligible for government health benefits (e.g., Medicare, Medicaid, TRICARE), IPSEN CARES may be able to offer the contact information for independent nonprofit foundations that may be able to offer financial assistance

To learn more about IPSEN CARES, visit www.ipsencares.com

IPSEN CARES Dysport Copay Assistance Program Video

This video will walk you through the copay assistance enrollment process and the steps required for claims reimbursement

National Dysport Coverage Overview*

For patients with spasticity, Dysport has national coverage without restrictions for:

For adult patients with cervical dystonia, Dysport has national coverage without restrictions for:

*Data provided by Breakaway Partners Essentials and current as of February 2021
+Includes Managed and State Medicaid

Patient Resources

Patient Resources

IPSEN CARES Patient Copay Brochure

This brochure provides information on the Dysport Copay Assistance Program.

IPSEN CARES Self Enrollment Form

This form is for patients to sign up for commercial copay assistance. It allows the patient to enroll themselves without their HCP for limited support offerings (benefit verification and copay assistance only).

Patient Assistance Program Application

This application is designed to provide Dysport at no cost to eligible* patients.

Pediatric Patient Consideration Brochure

An informative brochure for parents/caregivers to better understand spasticity, management options, and what to expect with Dysport.

Adventure Book

An interactive book to use with kids with spasticity to discuss their goals and accompany them throughout their treatment journey.

Doctor Discussion Guide

This guide will help you think through your treatment goals and, with your doctor’s help, decide if Dysport may be right for you or your loved one.

Additional Support

Support from those who understand your condition, because you’re not alone.

The spasticity community: Connect with others in similar situations for support, information, or just to have an understanding friend. Sometimes, people who don’t have a child with spasticity just aren’t able to understand what it feels like. Remind yourself that you and your child are not alone and can reach out. Through these organizations, you and your whole family can find helpful information about living with spasticity.

Cerebral Palsy Foundation

212-520-1686

yourcpf.org

Child Neurology Foundation

952-846-7942

www.childneurologyfoundation.org

United Cerebral Palsy (UCP)

202-776-0406
800-USA-5UCP (872-5827)

www.ucp.org

Learn more about Children with Spasticity (Aged 2 Years & Older)

    Patients are not eligible for copay assistance through IPSEN CARES if they are enrolled in any state or federally funded programs for which drug prescriptions or coverage could be paid in part or in full, including, but not limited to, Medicare Part B, Medicare Part D, Medicaid, Medigap, VA, DoD, or TRICARE (collectively, “Government Programs”), or where prohibited by law. Patients residing in Massachusetts, Minnesota, Michigan, or Rhode Island can only receive assistance with the cost of Ipsen products but not the cost of related medical services (injection). Patients receiving assistance through another assistance program or foundation, free trial, or other similar offer or program, are not eligible for the copay assistance program during the current enrollment year.

    Cash-pay patients are eligible to participate. “Cash-pay” patients are defined for purposes of this program as patients without insurance coverage or who have commercial insurance that does not cover Dysport. Medicare Part D enrollees who are in the prescription drug coverage gap (the “donut hole”) are not considered cash-pay patients and are not eligible for copay assistance through IPSEN CARES. For patients with commercial insurance who are not considered to be cash-pay patients, the maximum copay benefit amount per prescription is an amount equal to the difference between the annual maximum copay benefit of $5,000 and the total amount of copay benefit provided to the patient in the Dysport Copay Program. In any calendar year commencing January 1, the maximum copay benefit amount paid by Ipsen Biopharmaceuticals, Inc. will be $5,000, covering no more than four (4) Dysport treatments. For cash-pay patients, the maximum copay benefit amount per eligible Dysport® treatment is $1,250, subject to the annual maximum of $5,000 in total. There could be additional financial responsibility depending on the patient’s insurance plan.

    Patient or guardian is responsible for reporting receipt of copay savings benefit to any insurer, health plan, or other third party who pays for or reimburses any part of the prescription filled through the program, as may be required. Additionally, patients may not submit any benefit provided by this program for reimbursement through a Flexible Spending Account, Health Savings Account, or Health Reimbursement Account. Ipsen reserves the right to rescind, revoke, or amend these offers without notice at any time. Ipsen and/or RxCrossroads by McKesson are not responsible for any transactions processed under this program where Medicaid, Medicare, or Medigap payment in part or full has been applied. Data related to patient participation may be collected, analyzed, and shared with Ipsen for market research and other purposes related to assessing the program. Data shared with Ipsen will be de-identified, meaning it will not identify the patient. Void outside of the United States and its territories or where prohibited by law, taxed, or restricted. This program is not health insurance. No other purchase is necessary.

    IMPORTANT SAFETY INFORMATION

    What is the most important safety information I should know about Dysport?
    Dysport may cause serious side effects, including problems breathing or swallowing and/or spread of toxin effects, that can be life threatening and death can happen as a complication. These problems can happen within hours, or days to weeks after an injection of Dysport.  

    • Problems swallowing, breathing, or speaking. Treatment with Dysport can result in swallowing or breathing problems. People with pre-existing swallowing or breathing problems may be at greater risk following treatment with Dysport. Swallowing problems may last for several weeks; you may need a feeding tube to receive food or water. If swallowing problems are severe, food or liquids may go into your lungs.
    • Spread of toxin effects. The effects of botulinum toxin may affect areas of the body away from the injection site and cause symptoms of a serious condition called botulism which include: loss of strength and muscle weakness all over the body, double or blurred vision, and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, and trouble breathing or swallowing. The risk of these symptoms is probably greatest in children treated for spasticity. These problems could make it unsafe for you to drive a car, operate machinery, or do other dangerous activities.

    Call your doctor or get medical help right away if you experience these problems after treatment with Dysport.

    Do not receive a Dysport injection if: you are allergic to Dysport or any of its ingredients, or cow’s milk protein; you had an allergic reaction to any other botulinum toxin product, such as Myobloc®, Botox®, or Xeomin®; or you have a skin infection at the planned injection site.

    Before you receive a Dysport injection tell your doctor:

    • About all your medical conditions, including if you have a disease that affects your muscles and nerves (such as ALS or Lou Gehrig’s disease [amyotrophic lateral sclerosis], myasthenia gravis, or Lambert-Eaton syndrome). You may be at increased risk of serious side effects, including difficulty swallowing or breathing.
    • If you have or have had any of the following: a side effect from any botulinum toxin in the past; problems with breathing such as asthma or emphysema; swallowing; bleeding; diabetes; and slow heartbeat, or problems with your heart rate or rhythm.
    • If you have plans to have surgery, had surgery on your face, have weakness of your forehead muscles (trouble raising your eyebrows), drooping eyelids, or any other change in the way your face normally looks.
    • If you are pregnant or breastfeeding or plan to become pregnant or breastfeed. It is not known if Dysport can harm your unborn baby or if it passes into breast milk.
    • About all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal products. Using Dysport 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 Dysport in the past.

    Especially tell your doctor if you have received any other injections of botulinum toxin in the last four months or ever; Myobloc®, Botox®, or Xeomin® (exactly which ones); an antibiotic recently by injection; or if you take muscle relaxants; allergy, cold or sleep medicine.

    Most Common Side effects of Dysport in:

    • adults with lower limb spasticity include: fall, muscle weakness, pain in your arms or legs.
    • adults with upper limb spasticity include: muscle weakness.
    • children (2 to 17 years of age) with upper limb spasticity include: upper respiratory infection and sore throat.
    • children (2 to 17 years of age) with lower limb spasticity include: upper respiratory infection, stuffy or runny nose and sore throat, cough, and fever.
    • adults with cervical dystonia include: muscle weakness, difficulty swallowing, dry mouth, injection site discomfort, tiredness, headache, muscle pain, problems speaking, injection site pain and eye problems.

    Tell your doctor if you have any side effect that bothers you or that does not go away. These are not all the possible side effects of Dysport. For more information, ask your doctor or pharmacist. You may report side effects to the FDA at www.fda.gov/medwatch or call 1-800-FDA-1088.

    What is Dysport?
    Dysport is a prescription medicine that is injected into muscles and used to treat:

    • increased muscle stiffness in patients 2 years of age and older with upper and lower limb spasticity
    • cervical dystonia (CD) in adults

    Please see full Prescribing Information including Medication Guide with Important Warning.
    Botox, Xeomin, and Myobloc are registered trademarks of their respective owners.