Lilly Representative Request
This Lilly Representative request form is a resource for UK Healthcare Professionals.
Please complete the form below and submit it to Eli Lilly and Company to request contact from a Lilly representative. By submitting this form, you agree that your details will be collected according to the Privacy Policy.
Please do not use this form to report adverse events or product complaints. Adverse events and product complaints should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. Adverse events and product complaints should also be reported to Lilly: please call Lilly UK on 01256 315 000.
Please complete the form below and submit it to Eli Lilly and Company to request contact from a Lilly representative. By submitting this form, you agree that your details will be collected according to the Privacy Policy.
Please do not use this form to report adverse events or product complaints. Adverse events and product complaints should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. Adverse events and product complaints should also be reported to Lilly: please call Lilly UK on 01256 315 000.