If you would like to receive samples of Chromagen®, please fill out the sample request form below. You may also call 888.61.AVION (1.888.612.8466) to request free samples.

Samples are available to prescribers only. License numbers and addresses will be verified prior to shipping.

 Pharmacist Ordering Information
 NDC# 75854-320-30
Savings Offer*Patients pay no more than $30 per Rx*

Maximum $60 savings per Rx

*Subject to terms, conditions, and eligibility criteria

Wholesale Ordering NumbersAmerisourceBergen: 10172933

Cardinal Health: 5315288

McKesson: 3613940

Anda Distribution: 326581

Bellco: 10172933

HD Smith: 563-5446

Morris & Dickson: 869891

North Carolina Mutual: 249250

Rochester Drug: 10727923

Smith Drug: 797613

Value Drug: 167895

 

    Sample Request Form

    Professional Designation: