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Will the Dysport Launch Affect Botox Prices?

Will a Dysport injection 2009 launch affect Botox prices?  I've heard people talking like Botox cost might drop if the Reloxin launch happens this year.  Is that true or likely?

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+4

I don't think Botox will go down in price

For years prior to Botox cosmetic, Botox was used for functional purposes. Because there are Medicare indications for which Allergan is and was able to command a certain price point, Botox cosmetic (since it is identical) has been priced at the same level as regular Botox for functional purposes. This has been Allergan's position when asked about pricing of their product. Perhaps their legal health team is working on a way to position themselves for the coming price wars. I think it is... more
Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
+4

Finally we'll have a market instead of a monopoly

Botox has been the only product for improving facial rhytids for many years. And as such they can dictate the price. Their prices have gone up every year!! Unfortunately, it's difficult for practitioners to elevate their prices in accordance. So Allergan has had a strangle hold on us. When Mentor releases Reloxin they will do so at a cheaper price, unless they don't want to sell any. Then we'll have a market and whoever will give us the best price wins.
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+4

I certainly hope Reloxin will affect Botox prices, but we will see

Reloxin is not the only product to be competing with BOTOX. Purtox is another identical product which will emerge in the near future and like Botox and Reloxin consists of botulinum toxin type A. At the very least, it will keep Botox from going up in price. Although the public has been protected from the rising price of Botox cosmetic, it's price has consistently gone up since it's introduction by nearly 2-3% per year. The only exception was last year. Due to the competition amongst... more
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+3

What a great question about Reloxin--doctors wondering the same thing!!

Everyone is asking that question, from patients to doctors. It wouldn't even surprise me if the Medicis company (makers of Reloxin) are reading this email while trying to figure out the very same thing! If you can tell by history, when Juvederm came out, we were wondering how it would affect Restylane prices. The came out priced the same--so competition didn't change a thing. Just like with IBM and MAC--they remain 2 very good choices. Not everyone loves Botox (but about 90% of my patients... more
Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon
+3

Reloxin and Botox prices

I am hopeful but skeptical that the introduction of Reloxin would decrease Botox prices. I would be pleased if they simply do not raise the price of Botox next year as it really has become quite expensive. The majority of us at this point are comfortable with the dosing, diffusion and expected response with Botox so for many, it may take a significant difference in pricing to make a switch. We'll see.
Bryan K. Chen, MD
San Diego Dermatologist
+3

Hopefully

As Botox prices continue to escalate, most physicians are hoping for a little competition in the market. Since there are really only two competetive products, that situation doesn't always lead to "monopoly busting" unfortunately.
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+3

We will have to wait and see

Reloxin will give Botox a run for its money, but I do not foresee it being that much cheaper. These drugs are very expensive to bring to market, and companies must recoup their investment. I think Allergan is very confident in its product and will rely on brand loyalty, which it will get unless Reloxin is very cheap. We have already seen a positive impact already this year, though, as it was the first time ever that the Botox price did not INCREASE!
Mary Lupo, MD
New Orleans Dermatologist
+3

Hope So

When I first started using Botox a few years ago the price was $385 for a vial. Now I am charged $525 per vial. The cap of the vial is different, but it hardly accounts for the $140 difference...I am still getting the same 100 cc. I certainly hope that Reloxin will be priced lower. I have heard it will be 15% less than Botox, but this is only rumor.
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
+3

No one knows yet, but it's likely Reloxin will affect Botox cost

The pricing for Reloxin is still undetermined. My assumption is that a little competition will be good for lower prices.  Since Botox has had control of the market for so long, they could basically charge whatever they wanted.
Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
+2

Competition Effect on Botox pricing

Competition is always good as it encourages companies to perform better.  Allergan has indicated that they will need to respond to the competitors, but have not lowered their pricing.  They have been more visible and supportive of rebates.
Kris M. Reddy, MD
West Palm Beach Plastic Surgeon
+2

It will take more than a few dollars to get me to switch.

Hi. The most you can expect is a 10% or 20% decrease in the cost of the material. And the details of the results are so important. This not like another brand of aspirin. How each product is injected by the individual doctor is different and matters a lot. So I am sticking with Botox for the foreseeable future.
George J. Beraka, MD
Manhattan Plastic Surgeon
+2

I am not holding my breath.

Dear Lady Bonbon It won't hurt to have competing botulinum toxin products on the market. However, recognize that Allergan's BOTOX is the market leader and Reloxin will be the johnny-come-lately. It will need to prove its value in the market. Generic drugs are bioequivalent to the original brand name product. This means that doctors can use the generic product without worrying about adjusting dosing or any other issues. To be bioequivalent, the dose range of the generic product must be... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

Has the price of Botox gone down since Dysport was launched?

As of now, no. Who knows what Allergan will do in the future in terms of Patient rebate programs, patient reward programs, or a decrease in the price of Botox. To me, the lattermost option appears to be most unlikely.
Robert S. Bader, MD
Miami Dermatologic Surgeon
+1

Dysport and Botox pricing

The launch of Dysport did not affect Botox pricing.  It simply allowed patients and doctors to have another choice for wrinkle treatment.  The launch however did cause representatives of the respective companies to work harder to promote their product, which paradoxically could raise prices over time.  Hope that helps!
Thomas T. Le, MD
Baltimore Facial Plastic Surgeon
+1

Botox pricing affect by Dysport

Healthy competition is not a bad thing, and benefits the consumer.  Dysport and Botox usually run some kind of promotion.
Josh Korman, MD
Monterey Plastic Surgeon
+1

Will the Dysport Launch Affect Botox Prices?

Absolutely.  Allergan, the makers of Botox,  was the only supplier of neuromodulators in US for the past 15 years.  Once Dysport was FDA approved prices stabilized and the approval of other drugs in this category such as Xeomyn and Purtox will create more competition and ultimately result in better prices for consumers.   I've used all the existing neuromodulators overseas and am excited about offering them to my patients when they are approved here in... more
Ramtin Kassir, MD
New York Facial Plastic Surgeon
+1

Pricing of Botox

I do not believe that the launch of Dysport will affect the pricing of Botox. It will just give patient another option. There are other neurotoxins out in the horizon that may ultimately affect pricing. Lets see...
Carlos Wolf, MD
Miami Facial Plastic Surgeon
+1

Dyport vs Botox: competition is always good for the consumer

As of October 2010, Botox prices have not dropped in response to the introduction of Dysport. However, competition is always good for the consumer.  Allergan, the manufacturer of Botox, is offering a rewards program to keep customers loyal to its products.  Both Dyport and Botox have offered rebates for treatment, though these change on a nearly monthly basis.  A third competitor, PurTox, manufactured by Mentor (a subsidiary of Johnson & Johnson) will hit the... more
Ronald Friedman, MD
Dallas Plastic Surgeon
+1

Dysport = Lower Prices

Dysport will DEFINITELY decrease the cost of Botox--and already has done so.  While up to this point there has been a monopoly on this type of product (collectively called "neuromodulators"), there is now a new alternative on the market.  You will see a significant decrease in cost over the next several years. Further, there are 2 more products coming down the pipeline (Purtox and Xeomin). Stay tuned!
Andrew Winkler, MD
Lone Tree Facial Plastic Surgeon
+1

Update on the effect of Dysport on Botox pricing

As of August, 2010, I can tell you that Dysport's availability has definitely affected Botox pricing.  First, this was the first year I can recall that Allergan didn't increase the cost of Botox to physicians.  EVERY OTHER YEAR I've been in practice, Allergan has increased its price to us, which meant we had to increase our cost to patients.  Also new this year has been Allergan's launch of first-time-ever Botox rebates, as they try to match the lower... more
Carmen Kavali, MD
Atlanta Plastic Surgeon
+1

Botox and Dysport Rebate Offers for Wrinkle Injection

Dysport is a suitable alternative to Botox injections and provides patients with a safe alternative to Botox.  Since its introduction, both Botox and Dysport have both offered unprecedented rebates for first time users. 
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Has the Launch of Dysport Affected Botox Prices?

Update 6/11/2010.  The launch of Dysport has absolutely affected the price of Botox.  Previous to the launch of Botox, Allergan, the makers of Botox, very rarely had promotions to incentivise consumers to adopt Botox.  They were essentially competing with themselves, trying to figure out how to gain new patients but at the same time increasing prices.  Dysport has changed all that.  Over the past several months, Medicis, the makers of Dysport have launched... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+1

Dysport's effect on Botox market

Dysport is a close relative of Botox that is now available in the United States. In clinical studies, it has shown to have a faster onset of action than Botox and lasts a little bit longer. The amount of Dysport used is slightly different than the amount of Botox per area. For great results, work with a board-certified plastic surgeon who has a great deal of experience with fillers, Botox and the new Dysport. The price of Dysport will vary by the practice. In our practice, Dysport is... more
B. Pat Pazmino, MD
Miami Plastic Surgeon
+1

Botox vs. Dysport Competition is good for consumers

In the past, Allergan has rarely made available mail-in rebate until this year when Dysport become available. Most high volume board-certified dermatologists and plastic surgeons should have $50 mail-in rebate for Botox and $75 mail-in rebate for Dysport. Look forward to see Puretox enter the US market once it gets FDA approval in a year.
William Ting, MD
Bay Area Dermatologic Surgeon
+1

The launch of Dysport might spur a decrease in Botox prices over time

The launch of Dysport might spur a decrease in Botox prices over time; however, currently there has been no decrease in the cost of Botox to physician providers from Allergan. On the good side though, there has not been a cost increase for Botox as there had been in the past with high consumer demand. Competition is always good and if Dysport proves to have the same degree of patient satisfaction as initial uses appear to show, then I would expect both products to come down slightly in... more
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
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