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Prescription medicine

Incobotulinumtoxina

Drug class: Acetylcholine Release Inhibitor, Neuromuscular Blocker

The FDA’s “Established Pharmacologic Class”: the group of medicines that work in a similar way.

Official FDA data, not advice

Everything here comes from the U.S. Food and Drug Administration (FDA): the drug label, the NDC Directory, Drugs@FDA, recall reports and the drug shortage list. Each fact shows its source and date.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

In an emergency, call 911. If someone may have taken too much of a medicine, call Poison Help: 1‑800‑222‑1222.

Quick answers

What is Incobotulinumtoxina used for?
The FDA-approved label (Botox, Sportpharm LLC, February 2, 2026) says: “BOTOX is an acetylcholine release inhibitor and a neuromuscular blocking agent indicated for: Treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency, in adults who have an inadequate response to or are intolerant of an anticholinergic medication Treatment of urinary incontinence due to detrusor overactivity associated with a neurologic condition [e.g., spinal cord …” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Does Incobotulinumtoxina have a boxed warning?
Yes. The FDA label for Botox has a boxed warning (“WARNING: DISTANT SPREAD OF TOXIN EFFECT”), the FDA’s strongest warning. Read it on the full label and ask your pharmacist.
Is there a shortage of Incobotulinumtoxina?
No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
Has Incobotulinumtoxina been recalled?
No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
Who makes Incobotulinumtoxina?
8 companies list prescription products of Incobotulinumtoxina in the FDA NDC Directory, including Merz Pharmaceuticals, LLC, Allergan, Inc. and Merz North America, Inc..

What Incobotulinumtoxina is used for

Quoted from the “Indications and Usage” section of the FDA-approved label.

BOTOX is an acetylcholine release inhibitor and a neuromuscular blocking agent indicated for: Treatment of overactive bladder (OAB) with symptoms of urge urinary incontinence, urgency, and frequency, in adults who have an inadequate response to or are intolerant of an anticholinergic medication Treatment of urinary incontinence due to detrusor overactivity associated with a neurologic condition [e.g., spinal cord …

— FDA label: Botox, Sportpharm LLC, effective February 2, 2026. Read the full label on DailyMed →

The FDA has 9 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.

This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.

Conditions named on the label

These condition names appear word for word in the label’s “Indications and Usage” text (matched with a reviewed table). Each page lists hospitals whose own websites name the condition.

Related medical specialties

Boxed warning

A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.

This label has a boxed warning. Its heading: WARNING: DISTANT SPREAD OF TOXIN EFFECT. Read it on the full label →

9 of 9 FDA labels for this medicine have a boxed warning.

Forms and how it is given

Dosage formsInjection, powder, lyophilized, for solution · Powder
RouteIntramuscular · Intradermal
Prescription products18 in the FDA NDC Directory
Brand namesXeomin, Botox, Dysport, Botox Cosmetic, Jeuveau, Daxxify

Companies that list this medicine

Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.

FDA approval history

  • BLA: Biologics License Application: how a biologic medicine (made from living cells) is approved.
Brand and biologic applications
ApplicationSponsorApprovedLater changes approved
BLA103000
BOTOX, BOTOX COSMETIC
AllerganDecember 9, 1991 59, latest October 18, 2024
2024: Labeling · 2024: Labeling · 2024: Labeling
BLA125274
DYSPORT
Ipsen Biopharm LtdApril 29, 2009 12, latest September 21, 2023
2023: Labeling · 2023: Efficacy · 2020: Efficacy
BLA125360
Xeomin
Merz PharmsJuly 30, 2010 24, latest June 25, 2026
2026: Efficacy · 2026: Labeling · 2026: Labeling
BLA761085
JEUVEAU
Evolus IncFebruary 1, 2019 1, latest July 12, 2019
2019: Labeling
BLA761127
DAXXIFY
Revance Therapeutics, Inc.September 7, 2022 1, latest August 11, 2023
2023: Efficacy

Shortage status

The FDA drug shortage list does not show these products.

FDA Drug Shortages database →

Recalls

No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.

Official identifiers

RxCUI (RxNorm)860192, 860195, 897366, 897368, 1000107, 1009456, 1009459, 1726293, 1726296, 1726313 … (+10)
SPL set ID of the quoted labela6f42753-d31e-4b23-8da0-4b990fee4b38
FDA labels (SPL)9
FDA applicationsBLA103000, BLA125274, BLA125360, BLA761085, BLA761127
Active ingredients (FDA)BOTULINUM TOXIN TYPE A

Sources

  1. FDA-approved label on DailyMed (National Library of Medicine) — Botox, Sportpharm LLC, effective February 2, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
  2. NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  3. Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
  4. Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
  5. Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026

openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →

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