Register for an Account

Registration will enable eligible healthcare professionals to request samples and savings offers, sign-up for webinars and updates.

*All fields are required unless marked optional.

Account Information


Current License Information

Your license information is used to identify you in our database, and also to advise you if you are eligible to request product samples. If eligible, you may use our convenient online request system to have samples delivered.

Don't know your NPI? Find it now.

By completing this registration, you agree that GlaxoSmithKline will maintain the information you have provided for the purpose of professional communication and will contact you as needed to update or maintain your registration information. GlaxoSmithKline will not sell or share this information with third parties for their marketing purposes and will always provide you with the opportunity to change your e-mail preferences. Please read our complete privacy statement for more information.