Claim Forms

Consumers: Your claim must be postmarked or submitted online on or before November 12, 2021. If you do not know the exact amount of the number of Branded or generic EpiPens or amount paid, you should provide your best estimates. You do not need to provide any documentation at this time. However, the Settlement Administrator may ask for additional proof supporting your claim.

Note: These documents are in PDF format. To view the
documents, you will need Adobe Acrobat Reader on your computer or other internet-enabled device.

Adobe Acrobat Reader