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Sample Request Fax Form(HCl and HCl) extended release capsules receive your complimentary samples ofNAMZARIC (HCI and HCI) extended release capsules7/10 mg, 14/10 mg, 21/10 mg, 28/10 mg complete this
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Contains: Active: Tazarotene 0.1% (w/w) Preservative: Benzyl alcohol 1.0% (w/w) Inactives: Carbomer 934P, carbomer 1342, edetate disodium, medium chain triglycerides, mineral oil, purified water, sodium thiosulfate, sorbitan monooleate and sodium hydroxide to adjust the pH.
Use this medication in the affected eye(s) up to 4 times a day as needed or as directed by your doctor. Tilt your head back, look upward, and pull down the lower eyelid to make a pouch. Hold the dropper directly over the eye and place 1 drop into the pouch. Look downward and gently close your eyes for 1 to 2 minutes.
Allergan markets a portfolio of leading brands and best-in-class products primarily focused on four key therapeutic areas including medical aesthetics, eye care, central nervous system and gastroenterology.
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Genticyn (Allergan) 0.3 % Eye Drops is an aminoglycoside antibiotic used to treat eye infections. It is used to treat infection of the cornea (a transparent layer that covers the front part of the eye) and conjunctivitis or pink eye caused by bacteria.

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Allergan samples refer to pharmaceutical product samples provided by Allergan, which may include medications or medical devices for promotional and educational purposes.
Healthcare professionals and organizations that are involved in the distribution or receipt of Allergan samples are typically required to file them, including physicians, pharmacists, and medical institutions.
To fill out Allergan samples, one typically needs to complete a request form that includes details such as the recipient's information, the type and quantity of samples requested, and any relevant patient information as required by regulatory guidelines.
The purpose of Allergan samples is to allow healthcare providers to evaluate the effectiveness and safety of medications, promote product education, and facilitate informed prescribing practices.
The information that must be reported on Allergan samples typically includes the product name, quantity, recipient information, date of distribution, and healthcare provider details, in accordance with legal and regulatory requirements.
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