Sample Request

Covidien understands that product samples benefit health care providers by enabling them to immediately initiate treatment. Select the Sample Request link located to the right and follow the download instructions to request samples of TussiCaps^®.

The accompanying links provide access to important support, including Prescribing Information, the TussiCaps^® Trial Scripts program, and Copay Coupons.

TussiCaps^® is a Schedule III narcotic. Professional samples of TussiCaps^® are only available through secured shipment by Covidien, or through Trial Scripts from participating pharmacies. If you are interested in obtaining professional samples, please fill out the following request, and submit the completed form. Requests will be verified for security purposes prior to shipment.

NOTE: TussiCaps^® Representatives do not provide professional samples.

IMPORTANT RISK INFORMATION
TussiCaps^® (hydrocodone polistirex and chlorpheniramine polistirex) extended-release capsules are indicated for relief of cough and upper respiratory symptoms associated with allergy or cold in adults and children 6 years of age and older.

TussiCaps^® is contraindicated in the presence of known allergy or sensitivity to hydrocodone or chlorpheniramine. The most common adverse reactions associated with TussiCaps^® are sedation, drowsiness, and mental clouding, which may impair the mental and/or physical abilities required for potentially hazardous tasks.