Is Juvederm only sold by two vials?

I went to see my plastic surgeon to have Juvederm added to my Rhinoplasty surgery in two weeks. I have already gotten Juvederm about a month and a half ago and its holding up well, so I just wanted a little bit to correct some very mild unevenness. He saw what I did and approved this but didn't specify the amount of Juvederm. However, the change is minimal and having had it done before I knew one vial was going to be enough.

When I went over to the financial lady she quoted me for two vials, when I asked her to double check she said they can only be purchased in 2's because thats how they're packaged. Has anyone every heard of this? Why would the packaging matter if each vial is sterile?

Normally I'd think they're just trying to rip me off but this the chair of PS at university hospitals - A very large and well known hospital in the area so I have a hard time believing it. The doctor is always busy so I didnt want to argue and just paid it but now I'm thinking I shouldnt have given up $550 so easily.

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15 answers to “Is Juvederm only sold by two vials?”

A: Juvederm is available and sold per syringe

Patrick S. Carney, MD

Hi, Juvederm is packaged from Allergan with 2 syringes per box, but this doesn't have any reflection on how it's sold to the patient. Currently, Juvederm syringes are pre-filled with .8 cc in a sterile package. When you are considering Juvederm to treat a nose, or a very small imperfection in the skin, under... more

A: Miscommunication?

Edward S. Lee, MD

It's true. Juvederm is sold by the manufacturer (Allergan) only in boxes of 2 syringes. But, many surgeons/derm/etc will sell the syringes individually. As you said, they are packaged separately in a sterile fashion within the box. The confusion may have been in the amount that you thought you needed and... more

A: Juvederm billing

Brent Moelleken, MD

$550 is about average for a single syringe of Juvederm, not two syringes, so it appears you paid about what is normal for a single syringe of Juvederm. Juvederm does come in packets of 2 but of course these can legitimately be used for two different patients. It is best to air the problem directly with the... more

A: Speak to the surgeon about Juvederm packaging misinformation

Kenneth R. Francis, MD

GG, Don't be afraid to discuss the issue with your plastic surgeon.  I'm sure that he/she is not trying to put one over on you.  The financial person may not know that the syringes in a package can be separated AND the plastic surgeon probably has no idea that his financial person is disseminating... more

A: Worth mentioning to the doc

Hisham Seify, MD, PhD

You might want to bring it up with the doctor next time you see him. It could be used as one vial only. The miscommunication might have been how much filler you really need!

A: It comes with two individual syringes per package

David Shafer, MD

Gg96, They are right, it comes as two individual syringes per package. In the non-university, office-based setting, most people just open the box and sell the syringes individually for two different patients. In many universities, especially in the OR, there are rules about opening up products and splitting... more

A: Typically sold as one syringe

Min S. Ahn, MD

Juvederm comes packaged as single syringes. Two come in a box but they are separately packaged. We charge per syringe and extend a discount for the second syringe if performed at the same setting. We commonly use just one syringe for a given treatment, particularly the lips. Best, Dr. Ahn

A: Juvederm is sold by one vial.

Stella Desyatnikova, MD

There are two syringes in the box, but as you noted they are both sterile and separately packaged, and you don't need to buy two syringes. If you just got it recently, you might want to check on the promotion Allergan is running for the next month, they give you a $100 rebate if you buy two syringes. Check... more

A: Ask before being injected

Philip S. Schoenfeld, MD

Juvederm is sold in packages of two, but, it is common to sell the patient a single syringe for use. I take extra time to go over the exact amount of filler I am recommending prior to injection of the filler. The changes can be subtle from injection of filler and patients feel like you do not have their best... more

A: Juvederm is packaged as 2 syringes per box.

Bryan K. Chen, MD

Most offices charge for Juvederm per syringe.  I suspect this issue will continue to bother you until you bring the matter up to your plastic surgeon.  He may have a reasonable explanation and would probably like to know of your concern.

Comments

annau
unregistered guest

4 Feb 2009

Thanks a lot for all the answers! I confirmed with the doctor that while I did have to purchase 2, they saved the unopened one for next time so I'm okay with that.

jkarlin
6 posts
23 Jan 2009

Juvederm comes with 2 syringes packaged in 1 box but we sell it by the individual syringe. Most offices sell it by the syringe so you can definitely look for an office that does that. Don't think you have to purchase 2 syringes especially if you only need one for your treatment.

Steven A. Schlosser M.D.
92 posts
22 Jan 2009

Juvederm comes 2 syringes in a box, but are sold often one at a time. You should speak to your doctor, as they should only use what you request.

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