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.