Dysport – Ipsen
Ipsencares.com or call 1-866-435-5677
Coverage for 4 treatments or 1 year from enrollment date, whichever comes first
o Program resets every Jan 1st
Backdates up to 6 months from enrollment date, multiple EOBs can be submitted at once
Maximum reimbursement of $5,000 per 12-month rolling period
o No cap per injection
Patient enrolls, ipsen entered as secondary or tertiary insurance, check is mailed to provider
Patient also has option to pay at TOS, and receive reimbursement check in mail directly to them after submitting EOB to ipsen
Backdates 6 months