Estrace Cream Applicator

To request free applicators for use with ESTRACE® CREAM, please fill out the form below. Fulfillment Limits Apply.

View Full Prescribing Information including Boxed Warning.

View Important Risk Information.

How long have you been treating with ESTRACE®? *

0-3 Months 3+ Months

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Disclaimer: This form will send your message to Foundation Care as an email. The email is not encrypted and is not transmitted in a secured format. By communicating with Foundation Care through email, you accept associated risks. Foundation Care does not accept responsibility or liability for any loss or damage arising from the use of email. To ensure the safety of your PHI, please send us a message through the Secure Member or Provider portal.

Contact Email: Estrace@foundcare.com

Program managed by Foundation Care on behalf of Allergan.

ESTRACE^® is a registered trademark of Allergan Pharmaceuticals International Limited.

EST43126 03/16