Primus Care Direct | Guaranteed Lowest-Possible Price

Direct-To-Office Delivery
Licensed Practitioners Only

Questions? Call Customer Service:
1-888-546-2735

STEP 1. Select Products

STEP 2. Complete The Form Below


Sample Cart


EpiCeram
FosteumPLUS
Rheumate
Vasculera

Physician Information

Delivery Information

Compliance

By signing this form, I request the medical samples listed herein and certify that I am a licensed practitioner currently authorized under applicable federal and state law to request, receive, and dispense these medical samples. I am the practitioner responsible for prescription samples at the location listed above. My signature also certifies my understanding of an agreement with the Primus Pharmaceuticals' Medical Samples Policy listed below.

Requests for medical samples are intended for healthcare professionals in the United States only. For you to be able to request Primus Pharmaceuticals' medical samples, you must be a licensed practitioner authorized by state law and federal law to request and receive samples. Samples may not be resold, traded, bartered, returned for credit or otherwise further distributed. One order request for shipment per 30-day period. Samples will not be shipped to hospital addresses. Samples are to be used for the legitimate medical needs of patients. Samples are not to be used as a patient assistant program.

Primus Pharmaceuticals, Inc. reserves the right to decline requests for samples from practitioners whose medical practice and/or patient population is deemed inconsistent with the approved product indication(s). Submission does not guarantee your sample request will be approved.