Qutenza® (capsaicin) 8% patch

Join Qutenza® Find A Doctor

NeurogesX is pleased to help patients interested in Qutenza® find you. Click here to view the patient website's
Find A Doctor
 search tool.

Here is how it works:
  1. Simply complete the online form below and click Submit to enroll.
  2. We will verify your information and send you an e-mail to confirm enrollment.
  3. You and your practice will be listed in Qutenza®
    Find A Doctor
    .

Enroll now to be listed

Please see our Privacy Statement

*Required field

First name
*

Enter first name
Last name
*

Enter last name
Select your designation(s)
*
(up to 3)
MD DO NP
PharmD RPh PA
† "Doctor" may include a physician or an advanced practitioner with prescribing authority and a valid license in his/her state of practice.
Practice/group name
*

Enter practice or group name
ME # or state license #
*

Enter ME or state license #
Office address
*

Enter street address
Suite #
City
*

Enter city name
State
*

Choose your state
Zip code
*

Enter your zip
Telephone #
*

Enter valid telephone number
Website of your practice
Select your specialty
*

Choose a specialty
Other (please indicate)
Are you board certified in this specialty?
*

Choose yes or no

E-mail address (for internal verification)
*

Enter valid e-mail

Note: Please enter a valid e-mail address, as we will send your confirmation and verification e-mails to this address.

Add fadupdates@qutenza.com to your address book to ensure your verification e-mails are delivered to your inbox.


Confirm e-mail address
*

Re-enter valid e-mail
E-mail addresses do not match

I agree to have completed training with Qutenza®
*
You must check this box to indicate you've completed training and/or have experience with Qutenza® before clicking Submit
I would like to be listed as a physician whose practice has treatment experience with Qutenza®
I would like to receive future communications about NeurogesX products, programs, and services not related to the
Find A Doctor
 program
Please scroll down to read full Term and Conditions below:




I have read and agree to the Terms and Conditions above.
*
You must scroll through the entire Terms and Conditions and then check this box