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COPD Starter Pack Request Form

Please select the required COPD starter packs from the list below. Once your request is submitted, a summary of your request will be sent to the email address provided.

A. Menarini Australia collects your personal information so we can provide you with information and, if appropriate and/or relevant, provide you with communications relating to your profession. Your information may be shared with other members of the Menarini Group and associated third parties. By submitting this form, you hereby consent to A. Menarini Australia handling your personal information in this way and accept the terms of our Privacy Policy.

Bretaris® Genuair® (aclidinium bromide)
Brimica® Genuair® (aclidinium bromide and formoterol (eformoterol) fumarate dihydrate)
Nebilet® (nebivolol)