Letter of Authorization Form

To request an Letter of Authorization (LOA), please complete West’s on-line LOA request form.

Note: To submit the LOA, you are required to complete the registration process

Submit LOA Form

Letter of Authorization Form

To request an Letter of Authorization (LOA), please complete West’s on-line LOA request form.

To request an Letter of Authorization (LOA), please complete West’s on-line LOA request form.

Note: To submit the LOA, you are required to complete the registration process

Submit LOA Form

west item number

English is required for FDA and Health Canada LOAs. For assistance locating your West item number, click here.

contact

If you have any issues or questions,
please contact Exton.LOArequests@westpharma.com