High demand products

We have identified this as a ‘high demand’ product and are attempting to secure a reliable source of supply. In the meantime, please complete the form below and be assured that your request will be treated as a priority.

Forms should only be completed by healthcare professionals. If you are a patient or a relative / friend of a patient please contact your local healthcare professional for advice.

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Contact details

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Your organisation

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Your drug request

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Drug authorisation

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