If you've already tried AXIRON with the AXIRON Promise program and are not completely satisfied, get a trial voucher for the testosterone treatment of your choice, as prescribed by your doctor

Your Age: This trial is unavailable for those under 18. It is not known if AXIRON is safe and effective in children younger than 18 years old.

Which of the following best describes your low T treatment experience?

Currently using a prescription low T treatment
Am not using a prescription low T treatment, but I have in the past
Have been prescribed a low T treatment, but have not yet filled my prescription
Have never used a prescription drug for the treatment of low T
Prefer not to answer

Which low T treatment are you currently using?

AndroGel® Patch Other
Fortesta ® Pellets Prefer not to answer
Injections Testim®  
The brands listed are trademarks of their respective owners and are not trademarks of Eli Lilly and Company. The makers of these brands are not affiliated with and do not endorse Eli Lilly and Company or its products.

Which prescription low T treatment(s) have you tried in the past? (Please check all that apply.)

AndroGel® Patch Other
Fortesta ® Pellets Prefer not to answer
Injections Testim®  
The brands listed are trademarks of their respective owners and are not trademarks of Eli Lilly and Company. The makers of these brands are not affiliated with and do not endorse Eli Lilly and Company or its products.

Which low T treatment have you been prescribed?

AndroGel® Patch Other
Fortesta ® Pellets Prefer not to answer
Injections Testim®  
The brands listed are trademarks of their respective owners and are not trademarks of Eli Lilly and Company. The makers of these brands are not affiliated with and do not endorse Eli Lilly and Company or its products.

How did you hear about AXIRON? (Please check all that apply.)

Newspaper ad Online banner ad
Online search Doctor's office brochure
Pharmacy This visit to AXIRON.com
Someone recommended it to me Magazine ad
I prefer not to answer  

I have read and accept the terms listed above.

Eli Lilly and Company will not sell or rent your personally identifiable information from the AXIRON Promise program to third parties for their marketing use.