SriGen is dedicated to assist healthcare professionals and pharmaceutical companies to access medicines as quickly as possible. Please complete the form and our global sourcing team will help you with your requirements.

    Name*:

    E-mail Address*:

    Phone Number*:

    Generic Name / Active Ingredient*:

    Brand name:

    Strength*:

    Dosage Form*:

    Required Quantity*:

    Pack Size:

    Required Target Price:

    Preferred Product Origin:

    Does this product have a Marketing Authorisation in your country?

    Is this a controlled drug in your country?

    Do you have import permission from the health authorities in your country to receive this product in accordance with the government regulations?

    Is this product for a patient with a clinical need which cannot be met by a licensed product in your country?

    Do you require any compulsory documents along with the product for import purposes?
    If yes, please specify:

    Is there anything else we should be aware of or that might help us find your medicine faster?

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