Report AE or Product Quality Complaint

Report Adverse Event or Product Quality Complaint

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Professional Information

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Hospital/Practice/Clinic Information

Report an adverse event or quality complaint

To provide you with the best response to your request, please include complete details including patient demographic information (age, gender, DOB), Pacira product(s) involved, reporter contact information and detailed event and/or complaint information so that a representative can best assist you.

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I certify that I am a licensed healthcare professional and that this medical information request was entirely unsolicited by Pacira personnel. I understand that any reprint provided to me by Pacira may be reportable as a transfer of value under the U.S. Physician Payment Sunshine Act or applicable state transparency laws.

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For additional assistance, please call (855) 793-9727 or email drugsafety@pacira.com

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