Request samples (for Dental Professionals only)

Please complete the form below to request samples for your practice. Sample order quantities are at GSK's discretion.

Please note: Any changes to your practice shipping information will require us to revalidate you as a healthcare professional, which could take up to 3 business days. All accounts must be validated before GSK will process a sample order.

Please contact us if it has been more than one week since you have registered or made changes and would like to follow up on the status of your registration/change.


Select Products


Select Shipping address: