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Try AmLactin® today—available without a prescription

Request AmLactin® samples

If you are a physician or other healthcare professional, you can receive AmLactin® samples to support patient trial and use. Use these samples to help your patients improve overall body moisture, and soothe and soften even their driest skin.

To obtain your samples, please answer the following 3 questions, enter your information, and click the Submit button. You will receive your samples by mail.

1. Do you currently recommend any of the AmLactin® family of moisturizers to your patients?
         Yes    No

2. Please rank the following products (1=favorite, 7=least favorite) according to which you would recommend most for patients with rough, dry skin:

AmLactin®
AmLactin XL®
AmLactin® Foot Cream Therapy
Eucerin®
Lubriderm®
Vaseline®
Cetaphil®

3. When recommending or prescribing a dry skin body moisturizer to your patients, what is the most important factor in your decision?

An Rx medication
Manufactured by a trusted pharmaceutical and consumer products company
An economical option for my patients
Easily available at retail pharmacies
Alpha-hydroxy formulation (lactic acid)
Recommended by other clinicians

Your information:

Prefix*  
Specialty*
  Dermatology
Podiatry
Primary Care/Internal Medicine
Nurse Practitioner
Other
State License Number*
 
State Where License Is Valid*
 
Program Code (if known)
 
First Name*
Middle Initial
Last Name*
Suffix
Professional Designation*
Practice/Clinic Name
Address*
Address
City*
State*
ZIP*
Phone* ( ) -
Email*

* Required field

If you are unable to complete your sample request, please contact our Sales Service Department toll free at 800-654-2299 for assistance. Please allow 2 to 4 weeks for sample delivery. Only U.S. residents can request samples.

Check to receive information about Upsher-Smith products and therapies.
Check to receive emails about future AmLactin® sample offers from Upsher-Smith.

Cetaphil is a registered trademark of Galderma Laboratories, L.P.
Eucerin is a registered trademark of Beiersdorf.
Lubriderm is a registered trademark of Johnson & Johnson Consumer Companies, Inc.
Vaseline is a registered trademark of Unilever Supply Chain, Inc.

Upsher-Smith Laboratories, Inc. respects your interest in keeping your personal and professional information private. We will not sell or rent your information to any third parties or outside mailing lists.

AmLactin® moisturizers are for external use only. Avoid unnecessary sun exposure and use a sunscreen. Do not apply to open wounds. Avoid contact with eyes, lips, and mucous membranes. A mild irritation or rash may occur on sensitive skin with initial use. If irritation or rash continues, discontinue use and call your healthcare provider. This safety information is not all-inclusive. For more information, contact your healthcare professional or call 1-800-654-2299.