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Change the way you think about the Pill—forever! Just complete the fields below and receive information about exciting new offers and programs from SEASONIQUE® and Duramed Pharmaceuticals, Inc. Once you learn about SEASONIQUE®, you’ll never think about birth control pills the same way again!

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*1. When did you start taking SEASONIQUE®?





Yes! I would like to receive updates about SEASONIQUE® and other information from Duramed Pharmaceuticals, Inc.


I understand that by completing this registration form, I am providing information that may be deemed personally identifiable information. I authorize Duramed Pharmaceuticals, Inc. to disclose my personally identifiable information to its affiliated companies and contractors, including Barr Laboratories, Inc. (collectively "Affiliates and Contractors"), on a need-to-know basis for purposes of administering both programs related to SEASONIQUE® and other programs administered by Duramed Pharmaceuticals, Inc. I understand that Duramed and its Affiliates and Contractors value my privacy. As such, Duramed and its Affiliates and Contractors will take responsible and appropriate measures to protect the information provided on this form from inappropriate disclosure. However, I also understand that this authorization permits Duramed and its Affiliates and Contractors to share my personally identifiable information with other individuals/entities that may not be bound ethically or by any privacy laws and that, once in their possession, my information could be used or redisclosed for any purpose.


I understand that I may revoke this authorization, in writing, at any time by sending a written notice of revocation to Duramed, Attn: SEASONIQUE® Product Manager, 223 Quaker Road, Pomona, NY 10970. I understand that only a written revocation addressed to such person will constitute an effective withdrawal of my authorization, and that any such revocation will not be effective with respect to disclosures made by Duramed or its Affiliates or Contractors prior to receipt of the revocation by Duramed.


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Important Safety Information

For Prescribers