Medical Affairs / American Regent

This webform is intended for Health Care Professionals only.

Complete all Medical Information Request Form fields entirely and include only one requestor per request.

This form should not be used to report Adverse Events (AE) or Product Quality Complaints (PQC).

To report an AE, contact the safety department at 800-734-9236 or click here.

To report a PQC, contact the quality department at 888-354-4859.

For medical information during normal business hours (9:00 am – 5:00 pm Eastern Time, Monday – Friday), please call 888-354-4855. For medical information outside of normal business hours that cannot wait until the next business day, please call 1.877.845.6371

Title *

Specialty *

First Name *

Last Name *

Organization *

Street Address *

City *

Postal code *

Phone Number *

Email *

This form should not be used to report adverse events or product quality complaints. To report an AE, contact the safety department at 800-734-9236. To report a PQC, contact the quality department at 888-354-4859. Otherwise, enter your inquiry. *

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By clicking Submit, you confirm that you accept our Privacy Policy and that you agree to your personal contact information being used to contact you and added to our database. If at any time you wish your personal information to be removed from the American Regent database, please submit a message request to corpcommunications@americanregent.com.

Contact Us

Request for Medical Information Request a Grant Investigator Initiated Study Request a Certificate of Analysis Expanded Access Policy

P: 800-645-1706
(8:00am–6pm Monday - Thursday and Friday 8:00am–4pm Eastern Time)
P: 800-734-9236
F: 610-650-0170
E: pv@americanregent.com

Adverse Drug Events (ADEs) may be reported to the FDA:
Phone: 1-800-FDA-1088
Web: www.fda.gov/medwatch
P: 888-354-4859
E: pqc@americanregent.com
P: 888-354-4855
(9am–5pm Eastern Time, Monday - Friday)
E: ma@americanregent.com

For drug information outside of normal business hours that cannot wait until the next day, please call:

P: 877-845-6371
American Regent, Inc.
5 Ramsey Road
Shirley, NY 11967

P: 631-924-4000
F: 631-924-1731

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By clicking Submit, you confirm that you accept our Privacy Policy and that you agree to your personal contact information being used to contact you and added to our database. If at any time you wish your personal information to be removed from the American Regent^® database, please submit a message request to corpcommunications@americanregent.com.