embecta | Diabetes Professional Resource Center

embecta, formerly part of BD

Welcome to the embecta diabetes professional resource center

This order form is for healthcare professionals only.

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Downloadable resources

We now offer easy self-printing at the click of a button! Select “Download” to receive digital copies of our embecta Patient Education materials.

Easy online ordering

Find your desired items and select the quantity.
Fill out contact and shipping information.
Don’t forget to click submit.

For any questions contact

888.367.9539 / HCPINQUIRIES@embecta.com

Order information

Patient education

Item number

Quantity

Getting Started™ patient booklet (English)

Download

2502705314GSB

Getting Started™ patient booklet (Spanish)

Download

2502705314GSBSP

Pen needle injection technique tear pad (English)

Download

2502802971PNIT

Pen needle injection technique tear pad (Spanish)

Download

EMB-05504

Pen needle injection technique tear pad (Spanish)

Insulin syringe injection technique tear pad

Download

2502904035SYRIT

Insulin syringe injection technique tear pad (Spanish)

Download

EMB-02970

Insulin syringe injection technique tear pad (Spanish)

Injection Tummy Template

2504205010TUMTEMP

Healthcare professional education

Item number

Quantity

ERx How to Find Card

Download

2602505078ERXNLC

Nano™ 2nd Gen
Pen Needle samples
(limit 2 boxes - 10 bags with 5 pen needles per box per month)

Item number

Boxes

Nano™ 2nd Gen Pen Needle samples are no longer available from embecta. Thank you for your understanding.

We are in the process of transitioning our pen needles from BD to embecta packaging. While we work through this transition, we are still providing BD samples until the embecta samples are available. Your patients may receive either BD or embecta packaging at the point of sale based on inventory available across the channel.

BD Veo™ Insulin Syringes with BD Ultra-Fine™ 6mm needle samples
(limit 2 boxes total/10 sample bags per box per month)

Item number

Boxes

All BD Veo™ Insulin Syringe samples have been discontinued. Thank you for your understanding.

Healthcare professional information

*First Name:

*Last Name:

NPI:

10 digits only

License number:

*Name of facility:

*Address 1:

Address 2:

*City:

State:

*ZIP Code:

*Mobile: (without a country code)

*Email:

Shipping information

embecta cannot ship items to healthcare practitioner’s private residential addresses. embecta shall only ship items to the healthcare entity’s facility and registered address for prescription of products.

We cannot accept wireless device email addresses (mycingular.net, archwireless.net, blackberry.net, etc). Please provide a non-mobile email address (AOL, Yahoo!, MSN, etc).

Click here if the address is same as above

*First Name:

*Last Name:

*Name of facility:

*Address 1:

Address 2:

*City:

*State:

*ZIP Code:

*Mobile: (without a country code)

*Email:

Email Communication Preference

I would like to receive additional information from embecta and its non-affiliates such as special offers, coupons, product news, surveys, mailings and other communications. By doing so, I understand that the information I am providing may be used by embecta for such business purposes. My information will now be available both to embecta and to such non-affiliates. While embecta will only use such personal data in accordance with our privacy statement and consent, such non-affiliate company’s use of your personal data will be subject to the privacy policy of that company and embecta cannot be responsible for their use of your information.

Yes, I would like to receive information by e-mail from embecta, including its affiliates and subsidiaries, about embecta's products, solutions, and services. I know I can unsubscribe from embecta news at any time using the link available in the footer of embecta communications. No

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embecta, formerly part of BD. BD is the manufacturer of the advertised products. embecta and the embecta logo are trademarks of Embecta Corp. BD and the BD logo are trademarks of Becton, Dickinson and Company. All other trademarks are the property of their respective owners. © 2024 Embecta Corp. All rights reserved.