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Contact an Upsher-Smith Representative

To request coupons, rebate offers, or additional product information, please fill out the following form:

Your Name*
Organization
Address*
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Phone Number*
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Specialty:
Physician Specialties
Allergy
Dermatology
Cardiology
GP/FP/DO
Internal Medicine
OB/GYN
Pediatrics
Podiatry
Other: 		  Other Healthcare
Profession Specialties
Diabetes Educator
Nurse Practitioner
PharmD
Physician Assistant
RN
RPh
Other:
 

Patient/Caregiver

 
Check here and a representative will follow up with additional information on the following products:
AMLACTIN XL®
      Moisturizing Lotion
AmLactin® 12%
      Moisturizing Lotion
AmLactin® 12%
      Moisturizing Cream
AmLactin AP® Anti-Itch
      Moisturizing Cream
Clenia® Foaming Wash &
      Emollient Cream
Folgard® OS Tablets
Folgard® RX Tablets		  

Fortical® Nasal Spray
Jantoven® Tablets
Klor-Con® 8 & 10 Tablets
Klor-Con® M20, M15, & M10 Tablets
Pacerone® Tablets 100mg
Pacerone® Tablets 200mg
Pacerone® Tablets 400mg
Slo-Niacin® Tablets
Vandazole™ Gel

 
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