Request a quotation
This form is for prescribers, hospital and specialty pharmacies, oncology centres, procurement departments and licensed distributors. It is separate from the patient enquiry channel.
A written quotation is issued against a confirmed specification, in response to this specific enquiry. No prices are published on this site.
Professional information
This section is written for prescribers, pharmacists and procurement staff. It is factual information provided in response to specific enquiries. It is not an advertisement for any medicine and contains no pricing and no product claims.
Before you submit
- State the INN as well as the brand — the same molecule is marketed under different brands in different countries.
- State strength and presentation precisely (for example: 100 mg/4 mL concentrate for solution for infusion, single vial).
- State the quantity in the unit you need it in: vials, packs, or treatment courses.
- State the required delivery window and the destination country.
- Do not include patient-identifying information in this form. Clinical documentation is exchanged separately once the enquiry is under way.
Related pages
Frequently asked questions
Will I receive a price by return?
A written quotation is issued against a confirmed specification. If the specification is incomplete, the first reply will ask for the missing detail rather than quote against an assumption.
Can I send patient details through this form?
No. Do not include patient-identifying information here. Clinical documentation is exchanged separately once the enquiry is under way.
Is this the same as the patient enquiry channel?
No. This form is for prescribers, pharmacies and procurement and captures the specification fields a quotation requires.
Last reviewed: 2026-07-29