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Grants, Donations, & Exhibits

This page contains procedures for the preparation and submission of grant requests for Independent Medical Education/Continuing Medical Education (CME), support for third-party medical meetings and conferences, exhibit applications, and other educational funding and donations from Santen.

Santen grants and donations extend support to educational initiatives that facilitate healthcare provider education, advance the quality of patient care, and align with Santen’s clinical therapeutic interests.

All requests will be reviewed within 60 days of receipt of the completed applications and all the necessary information. Any request submitted within less than 60 days of the program date will automatically be declined.

Proposals describing activities relating to relevant disease areas or broad-based categories will be considered. All submitted proposals must be used to support programs that comply with all applicable laws, including but not limited to, the U.S. Federal Anti-Kickback Statute, Foreign Corrupt Practices Act, and Food, Drug, and Cosmetic Act, and any applicable foreign laws/regulations.

Santen does not control the content of activities funded under independent grants and donations and Santen commercial personnel may not make commitments as all Healthcare Organization related grants and donations must be reviewed by Santen’s Grants, Donations, and Exhibits Committee. The provision of grants, donations, and exhibit fees is not intended as an inducement to prescribe, refer, or recommend any of Santen’s existing or future products and is not intended as any reward for any previous prescribing activity, either. Additionally, Santen does not promote the use of products that have not been approved by the U.S. Food and Drug Administration (FDA) or applicable foreign regulatory agency.

For Santen to appropriately evaluate your request, please complete the attached application. In order to help ensure impartial review, please do not include the following information with your request:

  • Names of proposed or confirmed speakers; or
  • Any reference to products or compounds, direct or implied.

Inclusion of the above information in your request may compromise the independence of the request where Santen may have to decline the provision of support. Completed applications must be submitted a minimum of two months prior to the activity start date. Incomplete applications will be returned.

Thank you for providing Santen with an opportunity to support your endeavors to improve the health of our community. Please note that submission of your request does not guarantee Santen support.

For questions regarding your grant submission, please leave a message at
415-268-9163 or e-mail grants@santeninc.com.

Grant Request Form

Fields marked with an asterisk (*) are required

  • *
  • *
  • CME accredited third-party meeting/conference/symposium support
    Non-CME accredited third-party meeting/conference/
      symposium support

    Exhibit only
    Donation funds
    Independent medical education
     
  • Requestor Information
  • *
    Name must match name on received Form W-9
  • *
  • *
  • *
  • *
  • *
    Tax ID must match Tax ID on received Form W-9
  • *
  • *
  • *
  • *
  • *
  • *
  • Physicians (Ophthalmologists) Optometrists
    Pharmacists Nurses Therapists Patients
    Other
     
  • Live Webcast Teleconference
    CD-ROM Other
     
  • Signature
  • *
  • *
  • *
  • You hereby certify that your digital signature submitted above is valid. Santen does not warrant or
    guarantee the accuracy of your digital signature.
  • Please attach the following (MS Word, PDF, and plain text format files only):
    Please note that max file size limit is 1 MB
  • *
    Cover letter on CME provider's or charitable organizations or institution's letterhead with signature
  • *
    Educational purpose and objectives, general description of content agenda, or description of other program
  • *
    Detailed budget of total program cost
  • If third-party CME provider used, include copy of provider’s written approval of program and certificate
  • *
  • *Required field.

For charitable donation requests, upload completed 501(c)(3) form.

Please note that only fully completed forms that include all required attachments will be considered.

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