FOR MEDICAL PROFESSIONALS ONLY
ENLUXTRA FREE PROFESSIONAL SAMPLE PACKAGE REGISTRATION
Do you have an NPI number?
YES: Click Here
NO: Please read terms carefully and fill the Sample Package Order Form below.
YES: Click Here
NO: Please read terms carefully and fill the Sample Package Order Form below.
All medical professionals MUST watch this 3-minute "Basic Rules" video BEFORE ordering samples!
PLEASE READ SHIPPING TERMS CAREFULLY:
1. Free samples are being sent for professional use only. If you are a patient, please ask a medical professional (doctor or nurse) to request samples for you.
2. PRIORITY is given to requests with business email addresses (it makes our verification process easier)
3. Tracking information will be provided via email. Make sure that your email address is correct.
4. Due to customs regulations for medical devices, the product samples will be sent only to requestors in the USA.
5. Our standard carrier is USPS.
6. We do not ship to PO Boxes! Please provide us with an alternative address if you can.
7. Signature service will be required for delivery of samples to ensure your sample pack reaches you.
8. With any questions call (888) 519-2297.
2. PRIORITY is given to requests with business email addresses (it makes our verification process easier)
3. Tracking information will be provided via email. Make sure that your email address is correct.
4. Due to customs regulations for medical devices, the product samples will be sent only to requestors in the USA.
5. Our standard carrier is USPS.
6. We do not ship to PO Boxes! Please provide us with an alternative address if you can.
7. Signature service will be required for delivery of samples to ensure your sample pack reaches you.
8. With any questions call (888) 519-2297.
ATTENTION:
If you would like to be contacted by our clinical specialist for advice on how to use Enluxtra correctly to avoid product misuse, please put in the "Comment" field at the end of the form your preferred email, a phone number where you can be reached, and a convenient time to contact you.
All submitted information will be kept confidential. We respect your privacy and do not tolerate spam and will never sell, rent, lease or give away your information (name, address, email, etc.) to any third party.
All submitted information will be kept confidential. We respect your privacy and do not tolerate spam and will never sell, rent, lease or give away your information (name, address, email, etc.) to any third party.
FREE SAMPLES REQUEST FORM:
If nothing happens when you click the SUBMIT button, check if the required fields above are filled correctly. Incorrect/missed fields will be outlined with RED color.
If you have experienced a problem with the form submission, please report it to
contact@osnovative.com
If you have experienced a problem with the form submission, please report it to
contact@osnovative.com
MEDICARE REIMBURSEMENT CODES:
HCPCS A6196 for size 4x4"
HCPCS A6197 for size 6x6"
