Join the Salonpas Sample Subscription Program!

Once every four months or three times per year you will receive at least 20 of a variety of Salonpas samples shown above.

If you have previously signed up and received Salonpas samples, you are already in the subscription plan. No need to sign-up again.

Not all products and services described in this page are available to all persons or at all locations. For example, some states and government agencies, by law, restrict our ability to provide samples. We reserve the right to limit or cancel, at our sole discretion, the provision of any such products and services to any person or in any location. Any offer of a service in this page shall be deemed void where prohibited.

Use as directed.

Sign up for the Salonpas Sample Subscription Program

Sample Subscription Program Details

First Name

Last Name

NPI Number

Your Specialty Select Specialty AMBULATORY CARE ANESTHESIOLOGY ACUTE PAIN MEDICINE CARDIOVASCULAR DISEASE CHIROPRACTIC CRITICAL CARE EMERGENCY MEDICINE FAMILY MEDICINE GENERAL SURGERY GERIATRICS HOSPICE INFECTIOUS DISEASE INTERNAL MEDICINE NEUROLOGY NURSE PRACTITONER NUCLEAR MEDICINE OB/GYN ONCOLOGY ORTHOPAEDICS OSTEOPATHIC MEDICINE PALLIATIVE MEDICINE PAIN MANAGEMENT PATHOLOGY PHARMACY PHYSICIAN ASSISTANT PHYSICAL MEDICINE & REHABILITATION PODIATRY PREVENTITIVE MEDICINE PRIMARY CARE PROVIDER RADIOLOGY RESIDENT RHEUMATOLOGY SURGERY, NEUROSURGERY SURGERY, PLASTIC SPORTS MEDICINE TRAUMA SURGERY URGENT CARE MEDICINE OTHER

Practice Name

Address Line 1

Address Line 2

City

State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP

Phone

Fax

Email

Password

Retype Password

Interested in staying up to date about Salonpas? You can choose to receive periodic information regarding our current and future product lines.

Yes, send me information about Salonpas

Please send me a reprint of the Higashi study

* Required Fields

Exact product may vary. By accepting this subscription offer, you agree to be fully bound by the following terms. This offer is available only for the recipient and can be canceled at any time. It is nontransferable, no cash substitution is allowed, and void where prohibited by law. Hisamitsu reserves the right to cancel, limit, modify or refuse, in its sole discretion and without any notification, the provision of quantity of any product to any person or geographic area. The recipient’s discretion in using and storing the products is advised.

Have questions? Contact Eugene Kucinski at EKucinski@hisamitsu-usa.com.

If you no longer wish to receive samples, contact: salonpas@pjmcnerney.com. Please include your name, address, and NPI number(s).