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This form is for U.S healthcare providers only.

This form is not intended to report Adverse Events. To report an Adverse Event or Product Quality Complaint for Actelion Pharmaceuticals Deutschland GmbHproducts please call (877) 361-2719.

Submit your medical inquiry directly to Actelion Pharmaceuticals Deutschland GmbHMedical Information team by completing the form below.

Please tell us what information you are requesting, being as specific as possible. If you have any additional questions on other products, please submit another request form.

Actelion Pharmaceuticals Deutschland GmbHMedical Information provides Healthcare Professionals with accurate and balanced scientific evidence-based information on our products.

 

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Your Signature confirms your question(s) was (were) not prompted or solicited by anyone at Actelion Pharmaceuticals Deutschland GmbHand that the wording above accurately states your question(s).

In compliance with the Physician Payments Sunshine Act, when a us licensed physician makes an unsolicited request to Actelion Pharmaceuticals Deutschland GmbHfor a journal article reprint, the value of the reprint may be subject to reporting. Shipping costs for articles that are mailed are also subject to reporting.

The information you provide will be used by Actelion Pharmaceuticals Deutschland GmbHus, LLC, its affiliates and third parties to fulfill your request for medical information. At Actelion Pharmaceuticals Deutschland GmbH, we take the issue of privacy seriously and your information will not be shared with anyone else except as required by law. For more information, please review our Privacy Policy .

Your Signature confirms your question(s) was (were) not prompted or solicited by anyone at Actelion Pharmaceuticals Deutschland GmbHand that the wording above accurately states your question(s).

In compliance with the Physician Payments Sunshine Act, when a us licensed physician makes an unsolicited request to Actelion Pharmaceuticals Deutschland GmbHfor a journal article reprint, the value of the reprint may be subject to reporting. Shipping costs for articles that are mailed are also subject to reporting.

The information you provide will be used by Actelion Pharmaceuticals Deutschland GmbHus, LLC, its affiliates and third parties to fulfill your request for medical information. At Actelion Pharmaceuticals Deutschland GmbH, we take the issue of privacy seriously and your information will not be shared with anyone else except as required by law. For more information, please review our Privacy Policy .