Primo Lacto Form

Primo-Lacto^®

Thank you for your interest in Primo-Lacto and for supporting breastfeeding families. Please complete the form below to receive your free Primo-Lacto trial kit from Lansinoh.

*At this time, Primo-Lacto trial kits are only available for US based hospitals.

Lansinoh's healthcare team is here for you and the patients you care for.

Connect with a member of our healthcare sales team via email at medsales@lansinoh.com

First NameLast NameEmail AddressPhone NumberYour Job Decription

Please provide more details about your hospital

Hospital NameYour Healthcare License #Hospital Street AddressFloorDepartment or Room #Hospital CityHospital Zip CodeHosptial State (U.S.)Facility CountryHow many moms per month might use Primo-Lacto at your hospital?What type of breast pump is used at your hospital?What type of syringe tip is used at your hospital?Please let us know if you have questions about Primo-Lacto or other Lansinoh products.How did you hear about our Primo-Lacto Sample Program?

Yes, by applying for the Primo-Lacto Sample Program, I understand that Lansinoh may email me updates about Lansinoh products and special offers. I have read and agree to Lansinoh's Privacy Policy.

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For the last 40 years, Lansinoh® has been committed to advancing maternal health and breastfeeding through innovation.