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SAMPLE REQUEST FAX FORM To receive your samples of RAPAFLO silodosin 8 mg capsules complete this form and fax it along with a copy of your state license to RAPAFLO Sample Order Fulfillment FAX 1-877-619-5796 Your shipment of professional samples may only be sent to your office address. PLEASE NOTE In compliance with the Prescription Drug Marketing Act regulations incomplete request forms cannot be processed and samples will not be forwarded. PRACTITIONER NAME PHONE FAX STREET ADDRESS Samples...
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Viagra samples refer to trial doses of the medication Viagra that are made available for physicians to provide to patients as a way to test the drug's efficacy and tolerability before committing to a full prescription.
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