Climara & Climara Pro Replacement Request

To submit a Climara or Climara Pro Replacement Request to Bayer Medical Information, a pharmacy must complete the required fields below. Please submit one product replacement request per form. This form is not meant to be used for the reporting of adverse events. To report an adverse event, please use our online AE reporting portal

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Product Information
Pharmacy Contact Information

By clicking the submit button I confirm that this is an unsolicited request.