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Individual Rights Request Form

Welcome to Hikma’s Individual Rights Request form

Please provide the information requested below to the best of your ability. Items with an asterix (*) denote required fields.

We will respond to your request as required by applicable state law. Depending on the nature of your request, we may need to contact you for additional information and for verification purposes. Please note that your email address is required so that we can provide final confirmation on how your request was handled. Personal information provided on this form will only be used to process your request. For additional information regarding privacy at Hikma please visit privacy policy page.

First Name *

Last Name *

Email address of the individual completing this form *

reCaptcha *

Thank you for contacting Hikma. For product enquiries and information, please email pv@hikma.com. For career opportunities and job enquiries, please visit talents.hikma.com. For general contact information, please visit https://www.hikma.com/contact

If you would like to report a side effect, adverse event, product complaint, medication error, or other safety-related concern, please use the appropriate contact details below to ensure your report is received and processed promptly:

Benelux, Italy, Spain, Portugal and the UK

Call: +351 939 610 004

United Kingdom

You may also report directly to the MHRA Yellow Card Scheme:
https://yellowcard.mhra.gov.uk/

France

Call: +33 01 87 69 98 43

Germany

Call: +49 89 45450-0

United States

Call: +1-877-845-0689 or +1-800-962-8364

You may also report directly to the FDA at +1-800-FDA-1088 or visit:
www.fda.gov/medwatch

Middle East and North Africa (MENA)

Email: pv@hikma.com

For the fastest response regarding product safety-related matters, please use the dedicated reporting channels listed above.

Our international presence