Sample/Sales Representative Request

Medical professionals can submit a request to Eli Lilly and Company for medical information, samples and sales representative visits.

What is this request for? *

Fields with (*) are mandatory




Contact Lilly

Call Us

If you need information about a Lilly product or want to report an Adverse Event or Product Complaint, you may call us.

Available Mon - Fri, 9am - 8pm ET

Or you can

Ask us a question Chat with us

Submit a Request

Visit Us @LillyMedical