If you need to report an Adverse Event or Product Complaint or you cannot find a product please contact 1-800-LILLYRX (1-800-545-5979)

Please provide us with the following information so that we can verify your identity as you move through the process of submitting a medical question. By providing your information we can ensure your question is triaged appropriately and a response can be provided to you in timely manner.

Product *

Product

Your Question *

Title

First Name *

Last Name *

Type of HCP *

Please Select

Contact By *

Email

Telephone

Mailing Address

Fields with (*) are mandatory

For more information about Lilly's privacy practice, please view the Privacy Statement.

Submit

---