Medical Affairs Form

For medical information request please fill out the form below and one of our medical affairs representatives will contact you within 48 hours.

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If you are a human, please do not fill in this field:

First Name:

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Affiliation:

Address 1:

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What Octapharma product are you inquiring about?

Please describe your medical inquiry below:

I certify this is an unsolicited medical request.

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You may also call Octapharma medical affairs and and leave a message at 888-429-4535, or send an e-mail with your unsolicited medical request to usmedicalaffairs@octapharma.com.