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Glyclapan MR 60
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Composition
– Gliclazide Modified – Release Tablets 60mg
Drug Category
– Sulfonylurea
Indication
– Type 2 diabetes mellitus
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Who needs medicine?
*
For company
For person
Company
*
Name
*
Website
Email
*
Phone
*
What is your company's specialty?
Select specialty
Option 1
Option 2
Address
*
Zip Code
*
City
*
Country/Region
*
Select your country/region
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Virgin Islands, U.S.
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Additional comments
Quantity of request
*
Purpose of request
Company Summary
Request summary
Company name :
{name-1}
Company website :
{url-1}
Email address :
{email-1}
Phone No :
{phone-1}
Specialized for :
{select-1}
Address :
{textarea-1}
Zip code :
{text-1}
City :
{text-2}
Country/Region :
{select-2}
Additional comments :
{textarea-2}
Quantity of request :
{text-3}
Purpose of request :
{text-4}
Person Summary
Request summary
Name :
{name-2}
Email address :
{email-1}
Phone No :
{phone-1}
Address :
{textarea-1}
Zip code :
{text-1}
City :
{text-2}
Country/Region :
{select-2}
Additional comments :
{textarea-2}
Quantity of request :
{text-3}
Purpose of request :
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