Botulinum Toxin Injections

TRICARE may cover the following for use approved by the U.S. Food and Drug Administration, unless otherwise excluded by the program:

• Botulinum toxin A, also known as Botox^®, Dysport^®, and Xeomin^®
• Botulinum toxin B, also known as rimabotulinumtoxinB and Myobloc^®
• Any other FDA-approved botulinum toxin injectable drug

TRICARE may cover off-label use of botulinum toxin type A and B for some treatments. Check with your regional contractor for more information.

TRICARE doesn’t cover botulinum toxin injections for:

• Cosmetic procedures
• Lower back pain
• Severe hand sweating
• Episodic migraines, chronic daily headaches, cluster headaches, cervicogenic headaches, and tension-type headaches
• Muscle spasms caused by cervical degenerative disc disease or spinal column stenosis