• Drug Information Form

  • To submit a data request only, complete the following online form:

    To expedite the addition of product images to the database, please download the Drug Information Form PDF. Send the completed form, a product sample, and package insert (if available) to:

    ScriptPro Industry Data Resources
    5828 Reeds Road
    Mission KS 66202

    Drug Information pre-paid mailers are available through Customer Service.

    * Required.