Medical Information (Med Info) Request Form

By clicking the "Submit" button, you confirm your consent to the processing of the personal data as provided in the request form. Personal data will be used by Teva Pharmaceutical Industries Ltd. and its affiliates solely to provide a response to your request, and may be transferred out of your country.

 

For more information on how Teva processes your personal data, including information on your data protection rights, please visit our privacy policy.