vivelle dot samples/menopausal DOCTORS/CLINICS

http://www.vivelledot.com/HCP/SampleRequest.aspx

Vivelle-Dot: The Smallest ET Patch Available

Please enter your information below to generate a Sample Request Form to receive samples of Vivelle-Dot, the smallest ET patch available for the treatment of moderate to severe menopausal symptoms1 and the prevention of postmenopausal osteoporosis.

Please do not change the designated quantities; sample request will be denied.

A confirmation will be emailed to you within two business days of receiving your faxed request. If you do not receive a confirmation as indicated, please re-fax your request and call 1-877-540-6498 to confirm its receipt.

You can expect samples to arrive within two weeks from the date your fax request is received. If you have any questions regarding your request, please call 1-877-540-6498 AND have your REFERENCE # available.

Please retain this request form for future

Vivelle-Dot: The Smallest ET Patch Available

Please enter your information below to generate a Sample Request Form to receive samples of Vivelle-Dot, the smallest ET patch available for the treatment of moderate to severe menopausal symptoms¹ and the prevention of postmenopausal osteoporosis.

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