Nexium sample order form

Browse samples by category, product name, or therapeutic area. Eligible, validated MDs, DOs, and other licensed practitioners (depending on state-level requirements) can expect to receive samples within 3–5 business days of Merck receiving the signed and dated Sample Request Form

2024-03-29
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  1. Requesting samples for first time I want to update address
  2. You can request supplies below or on your order form
  3. No more visiting multiple manufacturers' sites to order samples
  4. See below
  5. Call 1-855-XOFLUZA to request a sample
  6. Password*
  7. Take 1 hour before a meal
  8. S
  9. Site Training Verification Form
  10. Sell products and vouchers online with a custom order form
  11. Education
  12. PM-US-NEX-22-00055
  13. Sinus Rinse™ Pediatric Kit
  14. Samples are shipped to the Practitioner’s registered address