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If you are a healthcare provider and would like to request samples or have an EXPAREL representative contact you, please fill in the information below and click submit.

Personal Information

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Hospital/Practice/Clinic Information

Use our search tool to find the facility you are looking for and we will fill out the rest!

So we can best respond to your request, please describe how your representative can best assist you
(ie, provide details regarding specific question(s) or indicate if you are interested in samples).

*Required field