Request
Product Samples

Physicians may order patient samples for their offices. However, we are a small company and are not able to accommodate all requests for samples unless they are from specific specialties.

Note: We do not automatically send out samples on a regular basis. Please reorder as needed.

Office Hours:
Monday - Friday, 8 am - 5 pm CT
1-800-325-8232 or 507-288-8500
Fax: 507-288-7603

PSI is dedicated to developing specialized skin care products for the needs of physicians and their patients. Thank you for recommending our products.

Have you received samples from us before?     Yes         No
Customer ID: Medical Specialty (Required):
License Number (Required): Name (Required):
Title (Required): Clinic/Practice Name (Required):
Ordered By (Required): Daytime Phone (Required):
Fax Number: Email Address:
If you want samples sent to more than one office, please fill in address information for each office:
Office 1
Street:
Suite/Bldg:
City:
State:
Zip Code:
Country:
Phone:
Office 2
Street:
Suite/Bldg:
City:
State:
Zip Code:
Country:
Phone:
Office 3
Street:
Suite/Bldg:
City:
State:
Zip Code:
Country:
Phone:
 
Mailing Address (if different than Office Address):
Street: City: Country:
State: Zip Code:    
 
New Vanicream™ Sunscreen SPF 50+

Replacing Vanicream™ Sunscreen SPF 60.
Meets the new FDA sunscreen regulations.

  •  
Rated 5 out of 5 *****

  The National Eczema Association
  Seal of Acceptance is awarded
  to Vanicream Skin Cream,
  Vanicream Lite Lotion and
  Vaniply Ointment.

Pharmaceutical Specialties, Inc. is a BBB Accredited Business. Click for the BBB Business Review of this Pharmaceutical Products - Wholesale & Manufacturing in Rochester MN Pharmaceutical Specialties, Inc. was voted a Top Workplace by StarTribune for 2011 Pharmaceutical Specialties, Inc. was voted a Top Workplace by StarTribune for 2012

©2010 Pharmaceutical Specialties, Inc.

Free & Clear, RoBathol, Vanicream, Vaniply and Vitec are trademarks, or registered trademarks, of Pharmaceutical Specialties, Inc. in the US or other countries. Made in the USA.