Healthcare Professionals

*Required Field

Prefix:

*First Name: MI: *Last Name: Suffix:

Company:

*Address: Address 2:

(UPS cannot deliver to USPS PO Box)

*City: *State:

*Zip:

Specialty:

Phone: Extension: Fax:

Email:

*DEA#/License# OR NPI#:

DEA# License# NPI#

I confirm that I am a HealthCare Professional

* Select Product	Qty:
Aleve 25-ct Patient Brochures	1
Aleve 48-ct Caplet Dispenser	1

*Comparison among OTC brands based on minimum label dosing for 24 hours

Bayer Links Bayer Global
Bayer US
Bayer Consumer Care