AbbVie sues US health agency over Botox price controls

February 11, 2026 6:49 PM EST

FILE PHOTO: Boxes of Botox, owned by AbbVie, are seen in a clinic in Manhattan, New York, U.S., December 8, 2021. REUTERS/Andrew Kelly/File Photo

By Jonathan Stempel

Feb 12 (Reuters) - AbbVie ‌sued the U.S. ​Department ​of Health and Human Services on Wednesday, challenging a decision by the Centers for Medicare & Medicaid Services to impose price controls for Botox.

In ‌a complaint filed in the Washington, D.C., federal court, AbbVie said ⁠Botox is a "plasma-derived product," making it among the medications that Congress specifically excluded from the Medicare Drug ‌Price Negotiation Program created through the ‌Inflation Reduction Act of 2022.

The North Chicago, Illinois-based drugmaker called its lawsuit the first arising from CMS' allegedly violating an exclusion.

AbbVie also said capping the price ​of Botox violated its free speech rights under the U.S. Constitution's First Amendment by forcing it to falsely admit that the price charged is "fair."

HHS said on ⁠Thursday it does not discuss pending litigation.

The lawsuit also names Health Secretary Robert F. Kennedy Jr., CMS and CMS ​administrator Mehmet Oz as defendants. It was assigned on Thursday to U.S. District Judge Carl Nichols, an appointee of President Donald ​Trump.

Botox is known for smoothing facial wrinkles, but ‌can also be used to treat eye- and neck-movement disorders, neck spasms, incontinence and migraines.

AbbVie said one-third of Botox is human serum ⁠albumin, a protein extracted from human blood plasma and essential to the product's safety and efficacy.

"Because HSA is sourced from plasma collected from human donors, Botox is a 'plasma-derived product' that ⁠Congress excluded from the price-control program," the complaint said.

AbbVie said it is being forced to sell ​Botox at "confiscatory prices" to Medicare beneficiaries, or risk "ruinous" tax liability and exclusion from federal government programs.

It also said CMS' actions amounted to a due process violation and illegal "taking" under the Fifth Amendment. ‌Its lawsuit seeks to end the price controls.

Botox accounted for just over 10% of AbbVie's $61.16 billion of revenue last year, ‌with purchases for therapeutic uses accounting for about 6%.

The drugmaker AstraZeneca has asked the U.S. ⁠Supreme Court to review the constitutionality ‌of the drug pricing program.

AbbVie ​shares rose 1% to $223.10 in morning trading on Thursday.

(Reporting by Jonathan Stempel in New York; Editing by Rod Nickel, David Gregorio and ‌Anil D'Silva)



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