Is Juvederm Only Sold by Two Vials?

$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 doctor rather than have it bother you, even if he is Division Chief. However it appears as if the billing was about normal for a single syringe.
If you did get two syringes for $550, you got an incredible bargain, with a price so low it is probably a mistake... in your favor!

Juvederm Ultra is a hyaluronic acid filler that is commercially available in units of 0.8 cc. Your experience may not have reflected the surgeon's motives or policy, but rather the policy of the administrative office. Since Juvederm is bought in units of two syringes, it is understandable that a mistake could have occured. Just ask the surgeon and it should be remedied. You should only pay for what you need.

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 interest in mind if their bill exceeds their expectations. The answer you received from the front desk staff at the time of your visit was likely misinformation from the front desk, not the physician's policy.

Just because it is packaged that way does not mean both syringes always have to be used on the same patient. You should really stand your ground here and consider shopping around if they don't show some flexibility.

Hi GG,
You should have a credit for another syringe of Juvederm. The product comes packaged in a box with two individually packaged and sterile syringes. No need to charge patients for two syringes when the "box" is opened unless two syringes are used. Best to go over your chart with your physician at the next visit. Good luck and be well.
Dr. P

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 them up between different patients.
You might want to inquire if you can purchase the Juvederm syringe in his private office and have him bring it with you the day of surgery instead of have the operating room supply the product. I hope this is helpful.

Juvederm comes in a box with 2 individually wrapped syringes.  There should be no issue in injecting just one syringe.  Ask to speak with the physician for clarification of office policy.

I've never heard of a policy requiring a patient to pay for an untouched syringe. Juvederm comes with two syringes in a box and they are packaged in a way that it's perfectly appropriate to sell them each to separate people. I would ask the surgeon directly about this, and if that is their policy for all patients, go elsewhere if you think that doesn't feel right.

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring.

Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye.

Although Juvederm is packaged with two syringes, in our practice is common for us to sell a single syringe to a patient. We just don't open the second syringe. Each syringe is individually and sterilely packaged.
 

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 incorrect information. The surgeon will likely appreciate knowing what is going on once he/she leaves the consultation room. Good luck!