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.

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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.