Ordering samples of Cetraxal® (ciprofloxacin otic solution 0.2%) is easy!  If you are a medical professional (MD, DO, NP, PA) please take a few seconds to fill out ALL the information below and hit submit, it's that easy.  *Note samples will only be sent to medical clinics with confirmed active medical license numbers and information. 

ASK YOUR WRASER REPRESENTATIVE TODAY ABOUT AN INSTANT CETRAXAL® REBATE TO HELP IN YOUR PATIENTS OUT OF POCKET EXPENSES.

 
     
 
*First Name:
   
*Last Name:
   
*Title:  M.D.    D.O.    N.P.    P.A.  
   
*Street Address:
   
*City:
   
*State:
   
*Zip:
   
*State Medical License:
   
*Clinic Name:
   
Email Address:
   
Phone:
   
Comments:
   
 
   
(*) Required Information, please include a deliverable mailing address