Vanicream, Pharmaceutical Specialties Inc., PSI, RoBathol, Vitec, Free & Clear, sensitive skin, allergy, non-irritating, hypoallergenic, hypo-allergenic, atopic, non-alkaline, skin, sensitive, moisturizer, skin care, hair care, non-soap, soap free, soap, soap-free, shampoo, lotion, conditioner, eczema, psoriasis, dermatitis, winter itch, moisturizing, dry skin, cream, fragrance free, fragrance-free, Vanicream skin cream, Vanicream lite lotion, Vanicream cleansing bar, Vanicream sunscreen, Free & Clear Shampoo, Free & Clear Conditioner, Free & Clear Liquid Cleanser, Free & Clear Hair Spray, Vitec Vitamin E Lotion

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Physician Information

Compounding Information

Product Availability

Request Samples

Physicians may order patient samples for their offices. Please call our toll free number,
1-800-325-8232, or order online by completing the information below.

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

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

If our products are not available at your local pharmacy, please call our staff at 1-800-325-8232. We will contact the pharmacy to discuss stocking our products for you.

Have you received samples from us before? Yes No

Customer ID:

Medical Specialty (Required):

License Number (Required):

Name (Required):

Title:

Clinic/Medical Facility (Required):

Ordered By (Required):

Daytime Phone:

Fax Number:

Email Address:

If you want samples sent to more than one office, please fill in address information for each office:

	Address 1:	Address 2:	Address 3:
Street:
City:
State:
Zip Code:
Country:
Phone:

Mailing Address (if different than Office Address):

Street:
City:
State:
Zip Code:
Country:

How did you find out about our products:

Advertising	Magazine	Pharmacist
Mailing	Trade Show	Colleague

Please send samples of the following products:

Free & ClearTM	Shampoo Conditioner	RoBatholTM	Bath Oil

VanicreamTM	Skin Cream Lite Lotion Cleansing Bar Shave Cream	VanicreamTM Sunscreen	SPF 30 SPF 60 SPF 35 Sport

* Free & ClearTM Hair Sprays and Liquid Cleanser, VanicreamTM Lip Protectant, and VitecTM Vitamin E Lotion samples are not available.

Questions or comments?

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