Medical Inquiry

Submit a medical inquiry to Catalyst Pharmaceuticals to learn more about FYCOMPA® (perampanel), FIRDAPSE® (amifampridine), and AGAMREE® (vamorolone) oral suspension 40 mg/mL

Medical inquiry form

Please fill out the following form to submit a medical inquiry to Catalyst Pharmaceuticals for FYCOMPA, FIRDAPSE, or AGAMREE.

Contact Information

Professional Designation*
Institutional Affiliation
Position in Insititution
NPI or Physician License Number
Response Via*
Describe Request*

Please note that your personal information will be used by Catalyst Pharmaceuticals (“Catalyst”) to respond to your request. By submitting your information, you agree to Catalyst’s Privacy Policy, which will govern the collection, use, disclosure, and retention of your personal information. Please do not click “SUBMIT” unless you have read and agree with the terms of the Privacy Policy. By clicking “SUBMIT”, you agree that you have read, understand, and agree to these conditions.

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