This for page is for submitting product verification requests. Following the submission of a request the system will confirm the success of the submission and display a REQUEST NUMBER. You will receive an e-mail from a Santen Inc. team member following your submission.


This form is for submitting manual product verification requests to Santen Inc. in compliance with the DSCSA. By completing this form and clicking “Submit,” you are providing Santen non-confidential information that identifies a Santen Inc. product. Santen considers all information disclosed to be non-confidential and non-proprietary. Santen shall not be liable for any disclosure of any information you submit nor for the submission for erroneous or incorrect information.
Your submission neither creates nor implies a confidential, fiduciary, employment or contractual relationship. You expressly waive any rights you may have to challenge Santen’s use of your submission and any information contained therein.