What's the deal? My insurance company will cover the cost of Botox but not to have it injected. What do they expect me to do with it-smear it on? I've had 2 treatments of the Botox and have another scheduled next week. The first treatment didn't affect my migraines any but the second treatment along with a change in my prophylactic med made a big difference. Does anyone understand insurance decisions and what they are based on?