Information kit request






Request your FREE PROVIGIL Information Kit today

If you feel tired during the day, you may have excessive sleepiness (ES) associated with treated obstructive sleep apnea (OSA). A free trial of PROVIGIL could help you stay awake.

Try PROVIGIL free for 7 days

The PROVIGIL Information Kit includes:

FREE 7-day trial coupon
which you can use with a prescription from your doctor

More information
about excessive sleepiness (ES) associated with treated obstructive sleep apnea (OSA) and PROVIGIL

Guide for talking to your doctor
including a tool to help you measure your level of sleepiness

For more information about PROVIGIL, ask your doctor or call Cephalon Medical Services at 1-800-896-5855.

Please Provide Your Contact Information:
* Required Field
First Name*  
Last Name*  
Mailing Address*  
Address 2
City*  
State*
Zip Code*  
Email Address*
Gender*
Birth Month & Year*  

Check this box to also receive the PROVIGIL Information Kit through the mail.

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Have you (or the person above) ever discussed excessive sleepiness (ES) with a doctor?
Do you (or the person above) plan to visit a doctor in the near future?

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