For Healthcare Professionals Only

Have samples on hand
for your patients to try

Eucerin® and Aquaphor® samples are available for the primary specialties of dermatology, pediatrics, and radiation oncology. If your sample request does not meet validation rules, your sample request will not be processed.

Sample requests require a 10 digit NPI number. Do not enter SLN or Group NPI numbers.

*Denotes required field.
NPI*
Email*
Phone