Zantac

Zantac Intake

  • Hidden
    DD slash MM slash YYYY
  • (If Injured Person Is Deceased)

  • DD slash MM slash YYYY
  • What cancer have you been diagnosed with?
  • Recall notification, Pill Bottles and Pills

  • **** Please be sure to save all evidence of Zantac, including any proof of purchase, receipts, packaging, boxes, etc. ****

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