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Salonpas Pro Ambassador Program

Sign up to receive Salonpas product samples and educational resources to help manage your patients’ pain.

If you have previously signed up and received Salonpas samples, there is no need to sign up again.

  • World’s #1 OTC Topical Analgesic Patch
  • Receive Samples 3x Annually
  • Shipped Directly to Your Office
Sample Subscription Program Details

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Please ensure email address fields match.

How It Works
  • Simply click on the “Request Product Samples” link above and complete the registration form
  • The mailing address should be the location where you see patients.
  • There is a box to check if you cannot accept patient samples and you will receive product information only.
  • Approximately 2-3 weeks after submitting your registration you will receive your first shipment.
  • Subsequent shipments will arrive in April, August and December.
Program Eligibility

Physicians, Nurse Practitioners and Physician Assistants in the following specialties are eligible to receive free samples for their patients: Anesthesiology, Family Medicine, Internal Medicine, Primary Care, Geriatrics, OB-GYN, Oncology, Orthopedics, Pain Management, Rheumatology, Sports Medicine and Urgent Care.

In addition, Doctor of Chiropractic, Master/Doctorate of Physical Therapy and PharmD are also eligible to enroll in the Ambassador Program.

Healthcare professionals in all other specialties are welcome to enroll and receive product information.

Similarly, any healthcare professional who cannot accept samples to distribute to patients can enroll and receive product information.

Terms & Additional Info

By accepting this subscription offer, you agree to be fully bound by the following terms. Not all products and services described in this page are available to all persons or at all locations. This offer is available only for the recipient and can be canceled at any time. It is nontransferable, no cash substitution is allowed, and void where prohibited by law. Exact product may vary. Hisamitsu reserves the right to cancel, limit, modify or refuse, in its sole discretion and without any notification, the provision of quantity of any product to any person or geographic area. The recipient's discretion in using and storing the products is advised. Use as directed.

By sharing your email address with us, you will be receiving periodic updates on clinical studies, news about pain relief products and ways to educate your patients about OTC pain relief management solutions.

Have questions? Contact Michael Kalfus at MKalfus@hisamitsu-usa.com.

If you no longer wish to receive samples, contact: salonpas@pjmcnerney.com. Please include your name, address, and NPI number(s).

  • Salonpas® Pain Relieving FLEX Patch LIDOCAINE 4%
  • Salonpas® Pain Relief Patch LARGE

Frequently Asked Questions

What is the Salonpas® Pro Ambassador Program?

The Salonpas Pro Ambassador Program is designed to increase healthcare professional awareness of the wide range of topical pain relief products and ingredients that are available over the counter from Salonpas. The program consists of free product samples for patients, as well as product information delivered periodically via email or postal mail.

Is there a cost to join?

There is no cost to join. Our goal is to provide you product information and samples that help you to make patient recommendations with confidence.

Who is eligible to join the program?

Physicians, Nurse Practitioners and Physician Assistants in the following specialties are eligible to receive free samples for their patients: Anesthesiology, Family Medicine, Internal Medicine, Primary Care, Geriatrics, OB-GYN, Oncology, Orthopedics, Pain Management, Rheumatology, Sports Medicine and Urgent Care.

In addition, Doctor of Chiropractic, Master/Doctorate of Physical Therapy and PharmD are also eligible to enroll in the Ambassador Program.

Healthcare professionals in all other specialties are welcome to enroll and receive product information.

Similarly, any healthcare professional who cannot accept samples to distribute to patients can enroll and receive product information.

How often will I receive samples?

Your first shipment will arrive within 2-3 weeks after initial registration. Subsequent shipments are sent out three times each year in April, August and December.

What product samples are available?

Currently Hisamitsu America, Inc. has samples for 2-3 of its OTC topical pain relief patches. Each shipment contains one product.