Request a sample

To order a Levitra sample:

  • download the 'Levitra sample request form'
  • complete ALL of the sections
  • fax the completed form to 0113 201 8100

Note:  Healthcare professionals are only permitted to receive 10 samples in a 12 month period.  If your request will cause you to exceed this level, Bayer Schering Pharma will send you enough samples to take you to the maximum of 10.

Click here to download the Levitra sample request form

 

Information about adverse event reporting can be found at www.yellowcard.gov.uk. Adverse events should also be reported to Bayer Healthcare Drug Surveillance Department either by phone on 01635 563500, fax 01635 563703 or by e-mail to phdsguk@bayer.co.uk