Eligible prescribers** can now order Tamiflu samples online—easily and conveniently. By filling out this form, you verify you are 18 years of age or older and would like to receive information about influenza and Tamiflu.

Red asterisk (*) indicates a required field.

** Tamiflu samples program limited to licensed prescribers. Six samples per order. Other limitations may apply.

Genentech respects your privacy and is committed to using commercially reasonable means to protect it. Genentech will not sell, rent, or otherwise distribute any personally identifiable information, including your name or any other personally identifiable information. Genentech will use the personally identifiable information for internal purposes only, including those needed to assess the effectiveness of our outreach efforts in accordance with the Genentech Privacy Policy, which can be found at http://www.gene.com/gene/privacy.html.