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Merz Pharmaceuticals Receives J-Code For Xeomin® (incobotulinumtoxinA)
Date:1/4/2012

significant milestone for Merz and it complements our ongoing efforts to ensure broad access for patients who have come to rely on this highly refined molecule," said Jack Britts, President and CEO of Merz Pharmaceuticals, LLC. "We are confident that the availability of this product-specific code will assist in streamlining billing and reimbursement for XEOMIN."

When the permanent code, J0588, goes into effect on January 1, 2012, Merz expects most payors will adopt the new code; however, providers are encouraged to verify preferred coding through the XEOMIN Customer Support Program (1-888-4-XEOMIN) or directly with individual payors prior to billing XEOMIN for treatment that occurs on or after January 1, 2012.

Until individual government contractors, state Medicaid agencies and commercial payors update their systems to recognize the newly assigned J-Code, the Q-Code will continue to act as a product-specific reimbursement code for XEOMIN. In most circumstances, utilizing a product-specific Q-Code is administratively identical to billing under a permanent J-Code. Still other payors may not have adopted Q2040 and if they do not have their systems updated by January 1, the use of a miscellaneous J-Code (such as J3590/J3490) may be necessary.

XEOMIN Financial Assistance and Reimbursement Support Services
Merz offers two comprehensive programs to provide patients with financial assistance for XEOMIN. The XEOMIN Patient Co-payment Program is easy-to-use and offers eligible patients, who are appropriate for treatment with XEOMIN as determined by their physician, assistance for their actual out-of-pocket costs for treatment with XEOMIN.

To be eligible, patients must be at least 18 years of age, currently have commercial health insurance that covers treatment costs for XEOMIN, not be enrolled in or eligible for Medicare, Medicare Advantage, Medicaid, Managed Medicaid, TRICARE (i.e., CHAMPUS), or other state or federally fun
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