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AbbVie fax number

(866) 217-7178

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

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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.

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