The cost of Botox, unfortunately, just went up.. from about $390 per 100unit vial to approx $417 a vial.
The cost of Botox does limit it’s use; the average patient now recieves 50 to 100 units per treatment. In the earlier days, we used lower doses. I do think Botox has a role to play in migraine, CDH, and clusters, but the role is still being worked out.