Quick and easy sample request process, featuring electronic signature

  • Register or sign in

  • Select samples or Savings Card (based on eligibility*)

  • Enter medical office shipping address

  • Confirm request

  • Electronically sign, or print and fax back your request form

*Not all Pfizer products are available for sampling through this website. After you log in, sample selections will appear based on eligibility. Sample eligibility is subject to change at any time.
To access electronic signature feature, you must first submit an order via print, sign and fax, and then accept the electronic signature enrollment when prompted. Electronic signature applies only to noncontrolled substance samples and Savings Card requests. You can also call the PfizerPro Customer Service Center at 1-800-505-4426 to place a request.

  1. Data on file. Pfizer Inc., New York, NY.