Medical Information Request Form (MIRF)
Medical Information service provide scientific and medical information about Teva's medical products to Health Care Professionals and Consumers upon request.

Please fill the form below so we can reach you with the answer
First name
Last name*
Title
E-mail*
Phone*
Preferred response method
Contact type*
Contact category
If you are HCP
If you are Non HCP
If you are Internal
please choose contact sub-category
Country*
Product Name
Please type your question*
Please visit or more information please visit www.tevapharm.com and choose your location on the menu to visit our local Teva website.