Pharmaceutical drug manufacturer advertising program

Only approved drug manufacturer advertisers can promote prescription drug ads on the Microsoft Advertising network. Before submitting the application below review the pharmacy and healthcare policies for the market you wish to target to ensure that you qualify.

*Required

Full name*

Email address*

Title and relationship to licensee*

Business name*

Mailing address*

Country/region* Please fill out this field.

Microsoft Advertising account number(s)*

Microsoft Advertising account name(s)*

Website URL*

Display URL

If the market you want to apply for is not listed, it means that pharmaceutical drug advertising is not allowed in that market per our current policy. Please fill out a separate form for each market you want to target.

Countries to target* Canada New Zealand United States Please fill out this field.

Upload a copy of your license

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By typing my name below, I am electronically signing that I hereby represent and I am duly authorized to act on behalf of the named licensee, including accepting of any and all applicable terms and conditions on behalf of licensee. I am also confirming that I am aware of all regulations in the markets I am targeting and agree to follow these regulations.

Full name*

Submit this form

By clicking “Submit” you represent and warrant that all the information provided herewith is truthful and accurate to the best of your knowledge, and agree to comply with:

Microsoft Advertising healthcare and pharmacy policies
Microsoft Advertising policies
Microsoft Advertising Agreement
Any additional terms, policies or guidelines set forth by Microsoft

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