CONTACT YOUR REGIONAL MANAGER
FOR MORE INFORMATION

Please complete the form below if you would like a BeiGene Regional Manager to contact you regarding your request to receive further information about BRUKINSA.

Your contact information will only be used by a Regional Manager to respond to your request. It will not be used for any other purposes unless you register for BeiGene updates by checking the box below.

All fields are required unless marked “optional”.

BRUKINSA is available to all pharmacies in Canada. If you are a pharmacy looking to purchase BRUKINSA, it is available through the following wholesalers:

Sentrex order desk:
Email: orders@sentrex.com
Fax: 1-833-736-8739
Phone: 1-888-207-4618, Monday through Friday (8AM - 8PM ET).

Innomar order desk:
Email: specialtylogistics@innomar-strategies.com
Phone: 1-866-949-9927, Monday through Friday (8AM - 8PM ET).

My request is regarding (check all that apply):

By submitting this form, you agree to allow BeiGene and its agents to collect the information provided and to be contacted directly by a BeiGene Regional Manager. Your information will not be used for any other purpose than for a Regional Manager to respond to your request.



By checking the box above, you agree to allow BeiGene and its agents to collect the information provided as well as to be contacted by BeiGene and its agents in the future regarding BeiGene products and related disease education.


BeiGene will only use your information in accordance with its Privacy Policy.