Checked against Merz's own pages on 10/01/26

Xeomin copay card, savings card and coupon

Yes, for therapeutic use. Merz offers the XEOMIN Patient Savings Program through MERZ CONNECT: patients with commercial insurance that covers Xeomin may save up to $5,000 a year and may pay as little as $0 out of pocket. It is not available to people with Xeomin coverage through Medicare, Medicaid or other government programs. The XEOMIN Patient Assistance Program offers Xeomin vials at no cost to uninsured or underinsured people who meet its financial and other requirements.

This page describes the savings programs only. It is not medical advice. Program terms can change at any time; confirm them with the program before you rely on them.

Copay card and savings card

XEOMIN Patient Savings Program

Run by Merz (MERZ CONNECT)

What you may save: Save up to $5,000 annually on XEOMIN by enrolling in the Patient Savings Program Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
What it covers: The Program covers eligible patients' actual out-of-pocket XEOMIN medication costs and, where permissible, related administration fees, up to a maximum amount of $5,000 annually. Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
Who qualifies: Have commercial insurance that covers XEOMIN medication costs Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
Treatment type: Be a clinically appropriate patient for therapeutic treatment with XEOMIN, as determined by your doctor Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
Age: Be at least 2 years of age and less than 65 years of age Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
Government insurance: Eligible patients must not have coverage for XEOMIN through Medicare, Medicare Advantage, Medicare Part D, Medicaid, Medigap, TRICARE, Veterans Affairs (VA), the Department of Defense (DoD), or other federally funded or state-funded healthcare programs. Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
State limits: Patients residing in Massachusetts and Rhode Island are eligible for drug co-payment assistance only Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
Claims deadline: Submit claims within 180 days of date of service Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
How to enroll: To enroll electronically in the XEOMIN Savings Program, click "Enroll Now" to complete and submit your application. Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26
Phone: For assistance, call 1-844-4MYMERZ (1-844-469-6379) , option 4, to reach a MERZ CONNECT specialist Monday through Friday between 8am-7pm ET. Source: XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26

Free medication for uninsured or underinsured patients

XEOMIN Patient Assistance Program

Run by Merz (MERZ CONNECT) · Our registry record for Merz Patient Assistance Program (XEOMIN)

What it gives: Merz is proud to offer XEOMIN vials at no cost to those who qualify. Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26
Insurance: Are uninsured or underinsured Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26
Income: Meet financial eligibility requirements (based on the Federal Poverty Guidelines) Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26
Income limit amount: Not stated by the program on the pages we checked.
Proof of income: Proof of income is required Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26
Government insurance: Are not enrolled in Medicare, Medicaid, or any other government program Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26
Renewal: Eligibility must be re-established every 12 months Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26
Phone: For assistance, call 1-855-4MERZTX (1-855-463-7989) , option 4, to reach a MERZ CONNECT specialist Monday through Friday between 8am-7pm ET. Source: XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26

Is there a Xeomin coupon?

Merz does not describe a Xeomin coupon for therapeutic use on the pages we checked. Its offer for commercially insured patients is the XEOMIN Patient Savings Program, which cannot be combined with coupons or other offers. This page does not cover cosmetic (aesthetic) use of Xeomin.

The program's own wording: This offer may not be combined with any other coupon, discount, prescription savings card, free trial, or other offer for XEOMIN. (XEOMIN Patient Savings Program (MERZ CONNECT), checked 10/01/26)

If you have Medicare or Medicaid

Neither the XEOMIN Patient Savings Program nor the XEOMIN Patient Assistance Program is available to people enrolled in Medicare, Medicaid or other government programs, according to Merz.

The program's own wording: Are not enrolled in Medicare, Medicaid, or any other government program (XEOMIN Patient Assistance Program (MERZ CONNECT), checked 10/01/26)

Other routes for people who cannot use a copay card: kinds of help, including charitable foundations and state programs.

More about Xeomin assistance

Sources

Every fact on this page comes from the program's own pages listed here. We do not use third-party coupon or discount sites as sources.

Page	Checked
XEOMIN Patient Savings Program (MERZ CONNECT) https://merzconnect.com/patient-xeomin/patient-savings	10/01/26
XEOMIN Patient Assistance Program (MERZ CONNECT) https://merzconnect.com/patient-xeomin/patient-assistance-program	10/01/26