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AbbVie fax number
(866) 217-7178
Wrong or outdated? Report this number
Patient Access / myAbbVie Assist
Used for: Botox patient assistance enrollment (myAbbVie Assist)
Fax destination details
- Department
- Patient Access / myAbbVie Assist
- Purpose
- Botox patient assistance enrollment (myAbbVie Assist)
- Form
- Enrollment form — Botox Patient Assistance Enrollment Form
- Address
- 1 N Waukegan Road, North Chicago, IL 60064
- Voice phone
- 1-800-442-6869
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
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Complete patient and prescriber information, attach required financial documentation; submit enrollment using the fax number 1-866-217-7178; program will determine eligibility and send an eligibility determination letter to the patient.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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