Submit a Question

To report an adverse event or product quality complaint with a Lilly medicine, please visit the following link for options : Adverse Event/Product Complaint Reporting

To ask questions about our products or services, please fill out the form below. We will do our best to respond to your question promptly

Fields with an asterisk (*) are required

Product*

This is a required field. Please select a product.

Question*

This is a required field. Please enter a question.

Title

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First Name*

This is a required field. Please enter your first name.

Last Name*

This is a required field. Please enter your Last Name.

Type of HCP*

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Telephone*

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Contact by*

Telephone

Mail

Address 1*

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Address 2 (Optional)

City*

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Province*

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Postal Code*

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Consent Statement

Submit a Question is a resource offered by Eli Lilly Canada to respond to customer questions.

By submitting this form, I agree that Lilly may contact me, or provide information to me, in response to my submitted question, using the contact information provided above and that my personal information will be handled in accordance with Lilly's Privacy Statement in effect at the time my information was collected. The current version of this Statement is available online at www.lilly.ca and by contacting Lily Canada's Chief Privacy Officer at:

Eli Lilly Canada Inc.
3650 Danforth Avenue
Toronto, Ontario M1N 2E8

Or call 1-888-545-5972