Last Step! Congratulations! We want to thank you for taking the time to fill out your Onglyza contract. In order for us to move forward with your case, please fill out the following: Full Name(required) Phone Number(required) Email Address(required) What years did you take Onglyza?(required) What Pharmacy did you use?(required) What type of injury/symptoms occurred?(required) cardiac arrest congestive heart failure heart disease death other What Hospital treated you for your injury? What year did you suffer your injury? Additional Information Submit
