If you wish to report an adverse event or product complaint, please call 1-800-LILLYRX (1-800-545-5979)
Sample/Sales Representative Request
The Sample and Sales Representative request form is a resource for Healthcare Professionals. Please complete the form below and submit it to Eli Lilly and Company to request samples and/or contact by a sales representative.
Samples may only be requested for use by Prescribing Healthcare Professionals.
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If you need information about a Lilly product or want to report an Adverse Event or Product Complaint, you may call us.
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