I acknowledge that the purpose of the Find-A-Doctor Directory is to provide patients with the business contact information of potential providers of RVL Pharmaceutical’s UPNEEQ so that patients understand that the provider is purchasing or prescribing UPNEEQ from authorized, legitimate, and legal sources, and I agree to have my business contact information processed by RVL Pharmaceuticals and its third-party providers for these purposes;
My participation in the Find-A-Doctor Directory does not constitute an inducement or reward to me or my medical practice for prescribing, purchasing or recommending RVL Pharmaceuticals products;
I have reviewed the current Important Safety Information, including the FDA-approved use for UPNEEQ™ (oxymetazoline hydrochloride ophthalmic solution) 0.1%
My participation in the Find-A-Doctor Directory does not constitute an endorsement or recommendation by RVL Pharmaceuticals of my practice or my use or prescribing of the Product;
RVL Pharmaceuticals may choose to modify or cancel the Find-A-Doctor Directory, or my participation in the Find-A-Doctor Directory, at any time and without prior notice to me;
I am subject to the Terms & Conditions for the Find-A-Doctor Directory that are set forth by RVL Pharmaceuticals, and RVL Pharmaceuticals may modify these Terms and Conditions from time to time;
I certify that I am not excluded, debarred, or suspended from participation in, or otherwise ineligible to participate in, any Federal healthcare program or Federal procurement or non-procurement program, and am not subject to any order that may place a limitation on my ability to practice medicine;
I agree to promptly inform an RVL Pharmaceuticals sales representative or customer service representative in writing of any action that may limit my license in any jurisdiction or makes me ineligible for Federal procurement or non-procurement programs.