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Independent analysis of NHS open data
PharmaInsight

Botulinum toxin type A 100unit powder for solution for injection vials

Secondary Care Medicines Data (SCMD) · indicative cost
Data updated April 2026

NHS hospitals in England used £24,116,367 of indicative cost of Botulinum toxin type A 100unit powder for solution for injection vials in the 12 months to April 2026, about 0.1% of all hospital medicines spend. That is up 4.0% on the previous 12 months.

£24,116,367 +4%

Indicative cost · 12 months

183,400units

Quantity (VMP units) · 12 months

0.1%

Share of hospital medicines spend

Figure 1. Botulinum toxin type A 100unit powder for solution for injection vials: NHS hospital indicative cost by month (£ millions)

£0m £1.1m £2.2m Apr 2021 Jan 2022 Oct 2022 Jul 2023 Apr 2024 Jan 2025 Apr 2026 £2.1m Apr 2021: £1.4m May 2021: £1.5m Jun 2021: £1.7m Jul 2021: £1.6m Aug 2021: £1.4m Sep 2021: £1.6m Oct 2021: £1.5m Nov 2021: £1.7m Dec 2021: £1.5m Jan 2022: £1.4m Feb 2022: £1.5m Mar 2022: £1.7m Apr 2022: £1.4m May 2022: £1.8m Jun 2022: £1.6m Jul 2022: £1.6m Aug 2022: £1.6m Sep 2022: £1.6m Oct 2022: £1.7m Nov 2022: £1.8m Dec 2022: £1.5m Jan 2023: £1.6m Feb 2023: £2.0m Mar 2023: £1.7m Apr 2023: £1.3m May 2023: £1.8m Jun 2023: £1.7m Jul 2023: £1.7m Aug 2023: £1.7m Sep 2023: £1.5m Oct 2023: £1.8m Nov 2023: £1.9m Dec 2023: £1.6m Jan 2024: £1.9m Feb 2024: £1.8m Mar 2024: £1.7m Apr 2024: £1.9m May 2024: £2.0m Jun 2024: £1.8m Jul 2024: £2.0m Aug 2024: £1.8m Sep 2024: £2.0m Oct 2024: £2.1m Nov 2024: £2.0m Dec 2024: £1.8m Jan 2025: £1.9m Feb 2025: £1.9m Mar 2025: £2.0m Apr 2025: £2.0m May 2025: £2.0m Jun 2025: £2m Jul 2025: £1.9m Aug 2025: £1.9m Sep 2025: £2.0m Oct 2025: £2.2m Nov 2025: £2.0m Dec 2025: £2.0m Jan 2026: £2m Feb 2026: £1.9m Mar 2026: £2.1m Apr 2026: £2.1m

Source: NHSBSA Secondary Care Medicines Data, to April 2026

Cost is indicative — actual hospital medicine prices are commercially confidential, so these figures are estimated from list prices. See methodology.

NHS trusts using Botulinum toxin type A 100unit powder for solution for injection vials most

By indicative cost over the 12 months to April 2026.

NHS trusts using Botulinum toxin type A 100unit powder for solution for injection vials most, by indicative cost
NHS trustIndicative cost (12 months)
Sheffield Teaching Hospitals Nhs Trust £1,363,542
University College London Foundation Tr £1,181,767
University Hpls North Midlands Nhs Trust £806,903
Northumberland Tyne And Wear Nhs Trust £804,850
Nottingham University Hospitals Trust £647,163
Salford Royal Nhs Foundation Trust £597,802
South Tyneside And Sunderland Nhs Ft £564,366
Manchester University Nhs Ft £503,142
Univ Hpl B/Ham Nhs Foundation Trust £474,017
Lancashire T/Ing Hsp Nhs Foundation Trus £468,680

The primary-care picture

Botulinum toxin type A is also dispensed in the community. See the national primary-care prescribing volume, cost and trend on the Botulinum toxin type A medicine page.