Product Sample Kit 

If your business is located in the United States, Canada or Mexico, you may qualify for a free packaging component product sample kit, valued at $100. The kit contains 10 samples of a vial, stopper and seal most suitable for your biotech drug product, based on the information you supply. The kit also includes technical information about these products. The product samples you will receive are for observation purposes only. They are not intended for use in qualification testing, which includes initial screening through stability analysis.

To qualify, please answer the questions on the form below.

You may request one sample kit for each new drug you have under development. Your first request can be sent through westthesource.com.

To request a sample kit for another drug, please click here to contact your Technical Customer Service Representative.

All information provided is treated as CONFIDENTIAL.

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*  1) Is your product an injectable drug? YesNoOther

*  2) Is your drug packaged in a 13mm or 20mm vial finish? 13mm20mmOther

*  3) Is your drug liquid serum or lyophilized (freeze-dried or powder fill)? SerumLyophilizedUnknown

*  4) Is your drug an oncology product? YesNo

*  5) Is your drug product extremely sensitive to hydrolysis?? YesNoUnknown

*  6) Will your packaging components be exposed to gamma sterilization? YesNoUnknown