| | NOTE: Dysport Therapeutic should be administered personally by a neurologist, pediatrician, or a physician with equivalent post-graduate training and experience with neuromuscular disorders. |
| 130 | To reduce the subjective symptoms and objective signs of cervical dystonia (spasmodic torticollis) in adults. |
| | LU Authorization Period: 1 year |
| 412 | For the management of focal spasticity, due to stroke or spinal cord injury in adults. |
| | LU Authorization Period: 1 year |
| 413 | For the treatment of focal spasticity secondary to cerebral palsy in patients two years of age or older. |
| | LU Authorization Period: 1 year |
