To request samples of Sancuso®, please completely fill out the below form (required fields are noted). Once completed, please submit the form to receive your printable SRF form (via E-mail). Mail, fax, or email it back to the address or number noted on the form.


Offered Samples

Sancuso® (Granisetron Transdermal System) transdermal patch containing 34.3 mg of granisetron delivering 3.1 mg per 24 hours (NDC 42747-726-72)

Each sample unit is one box containing one patch

Sancuso® is manufactured for, and distributed by, Cumberland Pharmaceuticals Inc. (Nashville, TN).