Diagnostic Testing Inquiry

If you need to report an Adverse Event or Product Complaint or you cannot find a product, please contact 1-800-LILLYRX (1-800-545-5979).

Please provide us with the following information so that we can verify your identity as you move through the process of submitting a medical question. By providing your information we can ensure your question is triaged appropriately and a response can be provided to you in timely manner.

Fields with (*) are mandatory

Oncology Biomarker *

Your Question * 0 / 500

First Name *

Last Name *

Type of HCP *

Hospital/Institution of Practice *

Testing Location

Testing Location *

Street Address *

City *

State *

ZIP Code *

Telephone *

Email *

Diagnostic Documentation

No file uploaded

With regard to the documentation that I have submitted with my diagnostic inquiry, I certify that I am disclosing this information to Eli Lilly and Company, and its affiliates, to seek further information to help enable treatment for a patient in my care; and I will not include any patient identifiable information within the attached documentation.

For more information about Lilly's privacy practice, please view the Privacy Statement.