Report A Medication Concern

Valisure is a leader in addressing global concerns about drug quality, counterfeits and manufacturing practices.

If you wish to let Valisure know about a potentially problematic medicine, please use this form.

Sharing your concerns will help us better focus our research and development efforts on medications you care about most.

Important: You are providing this information solely for Valisure’s information and use in accordance with our Terms of Use at https://www.valisure.com/terms-of-use/ and Privacy Policy at https://www.valisure.com/privacy-policy/. Valisure is not a healthcare provider and does not provide any medical diagnosis or treatment. We are under no obligation to contact you or provide you with any information about your concerns or your medication. Always seek the advice of your doctor or other qualified healthcare provider. Never disregard medical advice or delay seeking it while reporting a concern to us.

First Name*

Last Name*

Email*

Zip Code*

Phone

Medication Name*

Was this your first time taking this medication?*
Yes No

Describe your concern*

Can we contact you to learn more?*
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Indicates required Field*

Report A Medication Concern

Thank you for sharing your medication concern with Valisure. Input like yours helps Valisure focus our research areas on medications of greatest concern.

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