17th February 2017 Kym Jacks-Bryant Request More Information To request further information from Norgine Pharmaceuticals Limited please complete and submit this form. Request for clinical data relating to TARGAXAN® for Hepatic Encephalopathy Request for clinical data relating to TARGAXAN® for Hepatic Encephalopathy Request a discussion with a Norgine representative Request a discussion with a Norgine representative Request for information on the impact of TARGAXAN® use on hospital resource or budgetary information Request for information on the impact of TARGAXAN® use on hospital resource or budgetary information Your Name (required) Your Email (required) Your Telephone Number Your Work Address By submitting this form, you give permission for Norgine to contact you regarding this request but you will not be contacted further except with your permission. Under the General Data Protection Regulation 2016 (EU) 2016/679, we have a legal duty to protect any personal information we collect from you. Please refer to our policies page for further information. UK/XIF5/0719/0525 DOP: October 2019 PI Prescribing Information