You've been approved for REVIVOL-XR samples for your practice. Use the access code from your approval email and your unique sample codes (also in your email) to claim up to 5 tubes per 30 days.
One tube per claim. Repeat with each of your 5 codes (one redemption per code).
How to claim each tube
Click "Claim 1 Tube" above. One tube is added to your cart and you go straight to checkout.
At checkout, paste one of your sample codes (from your approval email) in the "Discount code" field.
Total goes to $0.00. Fill in your shipping info (ship to your practice address) and place the order.
Repeat with each of your 5 codes if you want all 5 tubes. Each code is single-use.
Tubes ship in 2–3 business days, US only.
Need more after 30 days?
You can request another batch of 5 codes after 30 days. Submit a refill request with the same email and we'll auto-approve within 24 hours.
Compliance reminder
By accepting samples, you agreed to use them for patient education and trial, not for personal use or resale. REVIVOL-XR is an FDA-registered OTC drug. For questions, contact us.