Thank you for your interest in Motley Rice. Please complete this form to contact one of our medical drug attorneys. 

Which GLP-1 RA product did you take?
Have you been hospitalized or required medical care for any of the following conditions?
Sudden blindness, color blindness, optic stroke, other vison loss
Have you been hospitalized or required medical care for any of the following conditions?
Did you use a telehealth provider to get your prescription?
Which telehealth provider?
By submitting this form, I agree that Motley Rice LLC may collect my information and use it pursuant to its privacy policy.
If you do not agree with our website privacy policy please call 1.800.768.4026 to discuss your potential case.
CAPTCHA
6 + 12 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.