US pharmacy pricing
Botox Cost Without Insurance — US Pharmacy Price Guide
Lowest price found · US pharmacies
$1,275.36/fill
for Botox, across the pharmacies in our data
US pharmacy prices — 200unit
| Pharmacy | Discount-card price | Regular cash price | Average retail |
|---|---|---|---|
 Kroger Pharmacy | $1,275.36Lowest | $1,278.36 | $35.43 |
 Harris Teeter Pharmacy | $1,275.36Lowest | $1,278.36 | $35.43 |
 Walgreens | $1,339.60 | $1,342.60 | $35.43 |
 Publix | $1,348.66 | $1,351.66 | $35.43 |
 Costco | $1,376.91 | $1,379.91 | $35.43 |
"Discount-card price" reflects a standard prescription discount card, not insurance. Prices change often — confirm at the pharmacy before filling.
Interchangeable forms
Per RxNorm (U.S. National Library of Medicine), these share the same active ingredient and strength as Botox.
Frequently asked questions
Is Botox (Botox) expensive if I don't have insurance?
Our most recent US pharmacy data shows a low of roughly $1,275.36 for Botox with a standard discount card. That figure moves with dosage and quantity — check the comparison table for the exact combination you need.
Does Botox have a generic equivalent?
Generic and brand-name pricing for Botox is broken out in the tables above where both exist in our data. Generic versions are typically the lower-cost option, but availability depends on the specific formulation and dosage.
How does insurance affect the price of Botox?
The cost of Botox with insurance depends entirely on the specific details of your health plan, including deductibles, co-pays, and prior authorization requirements. Coverage and patient responsibility can vary widely. You should contact your insurance provider directly to determine your exact out-of-pocket cost. If your insurance coverage is limited or the co-pay is high, it may be worthwhile to compare that price against the cash price available through a pharmacy savings program or discount card. Your pharmacist can often help you run a cost comparison to identify the most affordable option for filling your prescription.
Is a generic version of Botox available?
The active ingredient in Botox is onabotulinumtoxinA. While this is the generic name for the drug, there is currently no FDA-approved generic (or biosimilar) equivalent to Botox available on the market in the United States. Botox remains a brand-name product.
What is Botox, and what is it used for?
Botox is an injectable prescription medication derived from a purified form of botulinum toxin type A. It has both therapeutic and cosmetic applications. Therapeutically, it is used to treat conditions such as chronic migraine, cervical dystonia (neck muscle spasms), focal spasticity, overactive bladder, blepharospasm (uncontrolled eyelid blinking), strabismus (crossed eyes), and severe primary axillary hyperhidrosis (excessive underarm sweating). Cosmetically, it is injected into specific facial muscles to temporarily reduce the appearance of moderate to severe frown lines (glabellar lines), crow's feet lines, and forehead lines in adults. It works by blocking nerve signals to the injected muscles, causing a temporary relaxation. Important safety considerations include discussing your full medical history with your doctor, especially if you are pregnant, planning to become pregnant, or breastfeeding, as the risks in these situations are not fully established.