Referral Program for Professionals

Thank you for your interest in our complementary Lubricity Samples & Patient Discounts.
To learn more about Lubricity, click here.


Offer your patients something more!
Our Lubricity Referral Program is designed to help you and your patients get the most out of Lubricity Dry Mouth Spray!

By registering you will receive:

  • FREE Patients Coupons (Digital & Hard Copy)

  • Special Sample Offers

  • Complementary Samples of Lubricity

  • Downloadable Patient Materials

  • Monthly Newsletter about Xerostomia and Lubricity

What is the registration process?

Request Samples

Thank you for participating in our Lubricity Referral Program for Professionals!

Please complete the following registration form.

* indicates required

You can also call the Lubricity Innovations Customer Care Team at 1-866-265-6105 to place a request.

FREE Bonus Offer:

Call 1-866-265-6105 to request 1 case (25 bottles) of Sample Size Lubricity Bottles for your patients.
Mention promo code “RPPSpecial” and pay just $9.99 for processing and shipping for every case. 

Customer Testimonials