Request for Product Information

If you are a healthcare professional and would like a Dermira Medical Information representative to contact you, please complete the form below. You will be contacted during our normal business hours, Monday through Friday, 9 am to 7 pm ET

Please see our privacy policy regarding data submitted here.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

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