{"id":1828,"date":"2025-09-03T14:45:54","date_gmt":"2025-09-03T14:45:54","guid":{"rendered":"https:\/\/askmerck.ca\/fr\/?page_id=1828"},"modified":"2025-10-16T18:01:46","modified_gmt":"2025-10-16T18:01:46","slug":"formulaire-de-demande-concernant-la-stabilite-des-produits","status":"publish","type":"page","link":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/","title":{"rendered":"Formulaire de demande concernant la stabilit\u00e9 des produits"},"content":{"rendered":"\n<p\n    class=\"mh-paragraph mh-paragraph--align-full mh-paragraph--450d983ec8045aa05f6a6063fcf95447\"\n    >\n    Formulaire de demande concernant la stabilit\u00e9 des produits<\/p>\n\n\n<div class=\"mh-box mh-box--6e1f8a0063fa8bd71bc5f07848678f9c mh-box--no-background-image\">\n    \n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/fr\/wp-json\/wp\/v2\/pages\/1828' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_66\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_66'>Phone<\/label><div class='ginput_container'><input name='input_66' id='input_2_66' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_66'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_2_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Vos renseignements personnels<\/h3><\/div><div id=\"field_2_65\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"gfield_description\">\u00ab Les renseignements personnels que vous fournissez \u00e0 Merck Canada seront utilis\u00e9s pour traiter votre demande et, au besoin, pour communiquer avec vous \u00e0 ce sujet. Nous pourrions divulguer vos renseignements personnels \u00e0 des tiers, tels que des organismes de r\u00e9glementation, des fournisseurs de services ou nos soci\u00e9t\u00e9s affili\u00e9es, lorsque cela est n\u00e9cessaire. Ces tiers peuvent \u00eatre situ\u00e9s \u00e0 l\u2019ext\u00e9rieur de votre province ou \u00e0 l\u2019ext\u00e9rieur du Canada. Si vous choisissez de ne pas nous fournir vos renseignements personnels, il se peut que nous ne soyons pas en mesure de traiter votre demande. <br>Pour en savoir plus sur la fa\u00e7on dont Merck Canada traite les renseignements personnels, y compris comment acc\u00e9der aux renseignements personnels que Merck Canada d\u00e9tient \u00e0 votre sujet et demander leur correction, veuillez consulter le site :  <a href=\"https:\/\/www.msdprivacy.com\/ca\/fr\/\" target=\"_blank\">https:\/\/www.msdprivacy.com\/ca\/fr\/<\/a>. \u00bb <\/div>\n<\/div><div id=\"field_2_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_3'>Pr\u00e9nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_4'>Nom<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_2_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Mode de communication privil\u00e9gi\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_5'>\n\t\t\t<div class='gchoice gchoice_2_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Adresse courriel'  id='choice_2_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_5_0' id='label_2_5_0' class='gform-field-label gform-field-label--type-inline'>Adresse courriel<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Num\u00e9ro de t\u00e9l\u00e9phone'  id='choice_2_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_5_1' id='label_2_5_1' class='gform-field-label gform-field-label--type-inline'>Num\u00e9ro de t\u00e9l\u00e9phone<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_6\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>Num\u00e9ro de t\u00e9l\u00e9phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_2_6' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'>Adresse courriel<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_2_7' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_58\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Renseignements sur votre pratique<\/h3><\/div><div id=\"field_2_59\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_59'>Province ou territoire d&#039;exercice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_2_59' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Alberta' >Alberta<\/option><option value='Colombie-Britannique' >Colombie-Britannique<\/option><option value='\u00cele-du-Prince-\u00c9douard' >\u00cele-du-Prince-\u00c9douard<\/option><option value='Manitoba' >Manitoba<\/option><option value='Nouveau-Brunswick' >Nouveau-Brunswick<\/option><option value='Nouvelle-\u00c9cosse' >Nouvelle-\u00c9cosse<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Qu\u00e9bec' >Qu\u00e9bec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Terre-Neuve-et-Labrador' >Terre-Neuve-et-Labrador<\/option><option value='Territoires du Nord-Ouest' >Territoires du Nord-Ouest<\/option><option value='Yukon' >Yukon<\/option><\/select><\/div><\/div><div id=\"field_2_60\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_60'>Type de demandeur<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_60' id='input_2_60' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Autre professionnel de la sant\u00e9' >Autre professionnel de la sant\u00e9<\/option><option value='Infirmi\u00e8re' >Infirmi\u00e8re<\/option><option value='Inahloth\u00e9rapeute' >Inahloth\u00e9rapeute<\/option><option value='M\u00e9decin\/sp\u00e9cialiste' >M\u00e9decin\/sp\u00e9cialiste<\/option><option value='M\u00e9decin\/Omnipraticien' >M\u00e9decin\/Omnipraticien<\/option><option value='Nutritionniste' >Nutritionniste<\/option><option value='Pharmacien' >Pharmacien<\/option><\/select><\/div><\/div><div id=\"field_2_8\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Renseignements sur le produit<\/h3><\/div><div id=\"field_2_62\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_62'>Nom du produit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_62' id='input_2_62' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='BRIDION\u00ae' >BRIDION\u00ae<\/option><option value='CANCIDAS\u00ae' >CANCIDAS\u00ae<\/option><option value='CAPVAXIVE\u00ae' >CAPVAXIVE\u00ae<\/option><option value='DELSTRIGO\u00ae' >DELSTRIGO\u00ae<\/option><option value='DIFICID\u00ae' >DIFICID\u00ae<\/option><option value='EMEND\u00ae' >EMEND\u00ae<\/option><option value='EMEND\u00ae IV' >EMEND\u00ae IV<\/option><option value='ERVEBO\u00ae' >ERVEBO\u00ae<\/option><option value='GARDASIL\u00ae9' >GARDASIL\u00ae9<\/option><option value='INVANZ\u00ae' >INVANZ\u00ae<\/option><option value='ISENTRESS\u00ae' >ISENTRESS\u00ae<\/option><option value='ISENTRESS HD\u00ae' >ISENTRESS HD\u00ae<\/option><option value='JANUMET\u00ae' >JANUMET\u00ae<\/option><option value='JANUMET\u00ae XR' >JANUMET\u00ae XR<\/option><option value='JANUVIA\u00ae' >JANUVIA\u00ae<\/option><option value='KEYTRUDA\u00ae' >KEYTRUDA\u00ae<\/option><option value='M-M-R\u00ae II' >M-M-R\u00ae II<\/option><option value='OncoTICE\u00ae' >OncoTICE\u00ae<\/option><option value='PIFELTRO\u00ae' >PIFELTRO\u00ae<\/option><option value='PNEUMOVAX\u00ae23' >PNEUMOVAX\u00ae23<\/option><option value='POSANOL\u00ae' >POSANOL\u00ae<\/option><option value='PREVYMIS\u00ae' >PREVYMIS\u00ae<\/option><option value='PROGLYCEM\u00ae' >PROGLYCEM\u00ae<\/option><option value='PROQUAD\u00ae' >PROQUAD\u00ae<\/option><option value='RECOMBIVAX HB\u00ae' >RECOMBIVAX HB\u00ae<\/option><option value='ROTATEQ\u00ae' >ROTATEQ\u00ae<\/option><option value='STROMECTOL\u00ae' >STROMECTOL\u00ae<\/option><option value='TEMODAL\u00ae' >TEMODAL\u00ae<\/option><option value='VAQTA\u00ae' >VAQTA\u00ae<\/option><option value='VARIVAX\u00ae III' >VARIVAX\u00ae III<\/option><option value='VAXNEUVANCE\u00ae' >VAXNEUVANCE\u00ae<\/option><option value='WELIREG\u00ae' >WELIREG\u00ae<\/option><option value='WINREVAIR\u00ae' >WINREVAIR\u00ae<\/option><option value='ZERBAXA\u00ae' >ZERBAXA\u00ae<\/option><option value='ZOLINZA\u00ae' >ZOLINZA\u00ae<\/option><\/select><\/div><\/div><div id=\"field_2_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_10'>Num\u00e9ro de lot<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_2_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_11\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'>Date de p\u00e9remption<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_11' id='input_2_11' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_11_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_11_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_11' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'>Nombre de flacons touch\u00e9s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_2_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_14\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_14'>A-t-il \u00e9t\u00e9 administr\u00e9 au patient?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_2_14' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_2_15\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_15'>Date de l&#039;administration<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_15' id='input_2_15' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_15_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_2_15_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_15' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_16\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_16'>\u00c9carts de temp\u00e9rature pr\u00e9c\u00e9dents (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_16' id='input_2_16' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_2_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'>Temp. max. pr\u00e9c\u00e9dente d&#039;exposition (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_2_17' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'>Dur\u00e9e pr\u00e9c\u00e9dente d&#039;exposition (heures)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_2_18' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_19\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_19'>Emplacement de la rupture de la cha\u00eene de froid<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_19' id='input_2_19' class='large gfield_select'  aria-describedby=\"gfield_description_2_19\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Autre (veuillez pr\u00e9ciser dans les commentaires)' >Autre (veuillez pr\u00e9ciser dans les commentaires)<\/option><option value='Centre de distribution\/entrep\u00f4t' >Centre de distribution\/entrep\u00f4t<\/option><option value='Clinique\/cabinet du m\u00e9decin\/h\u00f4pital' >Clinique\/cabinet du m\u00e9decin\/h\u00f4pital<\/option><option value='En possession du patient' >En possession du patient<\/option><option value='Grossiste' >Grossiste<\/option><option value='Pharmacie' >Pharmacie<\/option><option value='Sant\u00e9 publique' >Sant\u00e9 publique<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_2_19'>Endroit o\u00f9 les conditions de temp\u00e9rature appropri\u00e9es pour l\u2019entreposage et le transport du produit ont \u00e9t\u00e9 compromises.<\/div><\/div><div id=\"field_2_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_20'>Dur\u00e9e de l&#039;exposition (heures)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_2_20' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_20\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_2_20'>Veuillez indiquer la p\u00e9riode pendant laquelle le produit n\u2019a pas \u00e9t\u00e9 entrepos\u00e9 conform\u00e9ment aux directives indiqu\u00e9es dans la monographie du produit.<\/div><\/div><div id=\"field_2_22\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'>Date de d\u00e9but des \u00e9carts de temp\u00e9rature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_22' id='input_2_22' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_22_date_format gfield_description_2_22\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_22_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_22' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><div class='gfield_description' id='gfield_description_2_22'>Date de d\u00e9but des \u00e9carts de temp\u00e9rature des conditions de temp\u00e9rature appropri\u00e9es.<\/div><\/div><div id=\"field_2_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_23'>Temp. max. d&#039;exposition (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_2_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_24\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_24'>Inscrivez tout commentaire suppl\u00e9mentaire sur ce produit.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_24' id='input_2_24' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Ajouter un autre produit<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_25'>\n\t\t\t<div class='gchoice gchoice_2_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Oui'  id='choice_2_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_25_0' id='label_2_25_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='Non'  id='choice_2_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_25_1' id='label_2_25_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_26\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Renseignements sur le produit (2)<\/h3><\/div><div id=\"field_2_63\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_63'>Nom du produit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_2_63' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='BRIDION\u00ae' >BRIDION\u00ae<\/option><option value='CANCIDAS\u00ae' >CANCIDAS\u00ae<\/option><option value='CAPVAXIVE\u00ae' >CAPVAXIVE\u00ae<\/option><option value='DELSTRIGO\u00ae' >DELSTRIGO\u00ae<\/option><option value='DIFICID\u00ae' >DIFICID\u00ae<\/option><option value='EMEND\u00ae' >EMEND\u00ae<\/option><option value='EMEND\u00ae IV' >EMEND\u00ae IV<\/option><option value='ERVEBO\u00ae' >ERVEBO\u00ae<\/option><option value='GARDASIL\u00ae9' >GARDASIL\u00ae9<\/option><option value='INVANZ\u00ae' >INVANZ\u00ae<\/option><option value='ISENTRESS\u00ae' >ISENTRESS\u00ae<\/option><option value='ISENTRESS HD\u00ae' >ISENTRESS HD\u00ae<\/option><option value='JANUMET\u00ae' >JANUMET\u00ae<\/option><option value='JANUMET\u00ae XR' >JANUMET\u00ae XR<\/option><option value='JANUVIA\u00ae' >JANUVIA\u00ae<\/option><option value='KEYTRUDA\u00ae' >KEYTRUDA\u00ae<\/option><option value='M-M-R\u00ae II' >M-M-R\u00ae II<\/option><option value='OncoTICE\u00ae' >OncoTICE\u00ae<\/option><option value='PIFELTRO\u00ae' >PIFELTRO\u00ae<\/option><option value='PNEUMOVAX\u00ae23' >PNEUMOVAX\u00ae23<\/option><option value='POSANOL\u00ae' >POSANOL\u00ae<\/option><option value='PREVYMIS\u00ae' >PREVYMIS\u00ae<\/option><option value='PROGLYCEM\u00ae' >PROGLYCEM\u00ae<\/option><option value='PROQUAD\u00ae' >PROQUAD\u00ae<\/option><option value='RECOMBIVAX HB\u00ae' >RECOMBIVAX HB\u00ae<\/option><option value='ROTATEQ\u00ae' >ROTATEQ\u00ae<\/option><option value='STROMECTOL\u00ae' >STROMECTOL\u00ae<\/option><option value='TEMODAL\u00ae' >TEMODAL\u00ae<\/option><option value='VAQTA\u00ae' >VAQTA\u00ae<\/option><option value='VARIVAX\u00ae III' >VARIVAX\u00ae III<\/option><option value='VAXNEUVANCE\u00ae' >VAXNEUVANCE\u00ae<\/option><option value='WELIREG\u00ae' >WELIREG\u00ae<\/option><option value='WINREVAIR\u00ae' >WINREVAIR\u00ae<\/option><option value='ZERBAXA\u00ae' >ZERBAXA\u00ae<\/option><option value='ZOLINZA\u00ae' >ZOLINZA\u00ae<\/option><\/select><\/div><\/div><div id=\"field_2_28\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_28'>Num\u00e9ro de lot<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_28' id='input_2_28' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_29\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_29'>Date de p\u00e9remption<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_29' id='input_2_29' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_29_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_29_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_29' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_30'>Nombre de flacons touch\u00e9s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_2_30' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_31\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_31'>A-t-il \u00e9t\u00e9 administr\u00e9 au patient?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_31' id='input_2_31' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_2_32\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_32'>Date de l&#039;administration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_32' id='input_2_32' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_32_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_32_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_32' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_33\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'>\u00c9carts de temp\u00e9rature pr\u00e9c\u00e9dents (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_33' id='input_2_33' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_2_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'>Temp. max. pr\u00e9c\u00e9dente d&#039;exposition (\u00b0C)<\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_2_34' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_35'>Dur\u00e9e pr\u00e9c\u00e9dente d&#039;exposition (heures)<\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_2_35' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_36\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'>Emplacement de la rupture de la cha\u00eene de froid<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_36'>Endroit o\u00f9 les conditions de temp\u00e9rature appropri\u00e9es pour l\u2019entreposage et le transport du produit ont \u00e9t\u00e9 compromises.<\/div><div class='ginput_container ginput_container_select'><select name='input_36' id='input_2_36' class='large gfield_select'  aria-describedby=\"gfield_description_2_36\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Autre (veuillez pr\u00e9ciser dans les commentaires)' >Autre (veuillez pr\u00e9ciser dans les commentaires)<\/option><option value='Centre de distribution\/entrep\u00f4t' >Centre de distribution\/entrep\u00f4t<\/option><option value='Clinique\/cabinet du m\u00e9decin\/h\u00f4pital' >Clinique\/cabinet du m\u00e9decin\/h\u00f4pital<\/option><option value='En possession du patient' >En possession du patient<\/option><option value='Grossiste' >Grossiste<\/option><option value='Pharmacie' >Pharmacie<\/option><option value='Sant\u00e9 publique' >Sant\u00e9 publique<\/option><\/select><\/div><\/div><div id=\"field_2_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_37'>Dur\u00e9e de l&#039;exposition (heures)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_37'>Veuillez indiquer la p\u00e9riode pendant laquelle le produit n\u2019a pas \u00e9t\u00e9 entrepos\u00e9 conform\u00e9ment aux directives indiqu\u00e9es dans la monographie du produit.<\/div><div class='ginput_container ginput_container_text'><input name='input_37' id='input_2_37' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_37\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_38\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'>Date de d\u00e9but des \u00e9carts de temp\u00e9rature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_38'>Date de d\u00e9but des \u00e9carts de temp\u00e9rature des conditions de temp\u00e9rature appropri\u00e9es.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_38' id='input_2_38' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_38_date_format gfield_description_2_38\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_38_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_38' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_39\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_39'>Temp. max. d&#039;exposition (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_39' id='input_2_39' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_40\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_40'>Inscrivez tout commentaire suppl\u00e9mentaire sur ce produit.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_40' id='input_2_40' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Ajouter un autre produit<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_43'>\n\t\t\t<div class='gchoice gchoice_2_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Oui'  id='choice_2_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_43_0' id='label_2_43_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Non'  id='choice_2_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_43_1' id='label_2_43_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_41\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Renseignements sur le produit (3)<\/h3><\/div><div id=\"field_2_64\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_64'>Nom du produit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_2_64' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='BRIDION\u00ae' >BRIDION\u00ae<\/option><option value='CANCIDAS\u00ae' >CANCIDAS\u00ae<\/option><option value='CAPVAXIVE\u00ae' >CAPVAXIVE\u00ae<\/option><option value='DELSTRIGO\u00ae' >DELSTRIGO\u00ae<\/option><option value='DIFICID\u00ae' >DIFICID\u00ae<\/option><option value='EMEND\u00ae' >EMEND\u00ae<\/option><option value='EMEND\u00ae IV' >EMEND\u00ae IV<\/option><option value='ERVEBO\u00ae' >ERVEBO\u00ae<\/option><option value='GARDASIL\u00ae9' >GARDASIL\u00ae9<\/option><option value='INVANZ\u00ae' >INVANZ\u00ae<\/option><option value='ISENTRESS\u00ae' >ISENTRESS\u00ae<\/option><option value='ISENTRESS HD\u00ae' >ISENTRESS HD\u00ae<\/option><option value='JANUMET\u00ae' >JANUMET\u00ae<\/option><option value='JANUMET\u00ae XR' >JANUMET\u00ae XR<\/option><option value='JANUVIA\u00ae' >JANUVIA\u00ae<\/option><option value='KEYTRUDA\u00ae' >KEYTRUDA\u00ae<\/option><option value='M-M-R\u00ae II' >M-M-R\u00ae II<\/option><option value='OncoTICE\u00ae' >OncoTICE\u00ae<\/option><option value='PIFELTRO\u00ae' >PIFELTRO\u00ae<\/option><option value='PNEUMOVAX\u00ae23' >PNEUMOVAX\u00ae23<\/option><option value='POSANOL\u00ae' >POSANOL\u00ae<\/option><option value='PREVYMIS\u00ae' >PREVYMIS\u00ae<\/option><option value='PROGLYCEM\u00ae' >PROGLYCEM\u00ae<\/option><option value='PROQUAD\u00ae' >PROQUAD\u00ae<\/option><option value='RECOMBIVAX HB\u00ae' >RECOMBIVAX HB\u00ae<\/option><option value='ROTATEQ\u00ae' >ROTATEQ\u00ae<\/option><option value='STROMECTOL\u00ae' >STROMECTOL\u00ae<\/option><option value='TEMODAL\u00ae' >TEMODAL\u00ae<\/option><option value='VAQTA\u00ae' >VAQTA\u00ae<\/option><option value='VARIVAX\u00ae III' >VARIVAX\u00ae III<\/option><option value='VAXNEUVANCE\u00ae' >VAXNEUVANCE\u00ae<\/option><option value='WELIREG\u00ae' >WELIREG\u00ae<\/option><option value='WINREVAIR\u00ae' >WINREVAIR\u00ae<\/option><option value='ZERBAXA\u00ae' >ZERBAXA\u00ae<\/option><option value='ZOLINZA\u00ae' >ZOLINZA\u00ae<\/option><\/select><\/div><\/div><div id=\"field_2_45\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_45'>Num\u00e9ro de lot<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_2_45' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_46\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_46'>Date de p\u00e9remption<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_46' id='input_2_46' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_46_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_46_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_46' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_47'>Nombre de flacons touch\u00e9s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_2_47' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_48\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_48'>A-t-il \u00e9t\u00e9 administr\u00e9 au patient?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_48' id='input_2_48' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_2_49\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_49'>Date de l&#039;administration<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_49' id='input_2_49' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_49_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_2_49_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_49' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_50\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_50'>\u00c9carts de temp\u00e9rature pr\u00e9c\u00e9dents (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_50' id='input_2_50' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Non' >Non<\/option><option value='Oui' >Oui<\/option><\/select><\/div><\/div><div id=\"field_2_51\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Temp. max. pr\u00e9c\u00e9dente d&#039;exposition (\u00b0C)<\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_2_51' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_52\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_52'>Dur\u00e9e pr\u00e9c\u00e9dente d&#039;exposition (heures)<\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_2_52' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_53\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_53'>Emplacement de la rupture de la cha\u00eene de froid<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_53'>Endroit o\u00f9 les conditions de temp\u00e9rature appropri\u00e9es pour l\u2019entreposage et le transport du produit ont \u00e9t\u00e9 compromises.<\/div><div class='ginput_container ginput_container_select'><select name='input_53' id='input_2_53' class='large gfield_select'  aria-describedby=\"gfield_description_2_53\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='Autre (veuillez pr\u00e9ciser dans les commentaires)' >Autre (veuillez pr\u00e9ciser dans les commentaires)<\/option><option value='Centre de distribution\/entrep\u00f4t' >Centre de distribution\/entrep\u00f4t<\/option><option value='Clinique\/cabinet du m\u00e9decin\/h\u00f4pital' >Clinique\/cabinet du m\u00e9decin\/h\u00f4pital<\/option><option value='En possession du patient' >En possession du patient<\/option><option value='Grossiste' >Grossiste<\/option><option value='Pharmacie' >Pharmacie<\/option><option value='Sant\u00e9 publique' >Sant\u00e9 publique<\/option><\/select><\/div><\/div><div id=\"field_2_54\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_54'>Dur\u00e9e de l&#039;exposition (heures)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_54'>Veuillez indiquer la p\u00e9riode pendant laquelle le produit n\u2019a pas \u00e9t\u00e9 entrepos\u00e9 conform\u00e9ment aux directives indiqu\u00e9es dans la monographie du produit.<\/div><div class='ginput_container ginput_container_text'><input name='input_54' id='input_2_54' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_54\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_55\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_55'>Date de d\u00e9but des \u00e9carts de temp\u00e9rature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_55'>Date de d\u00e9but des \u00e9carts de temp\u00e9rature des conditions de temp\u00e9rature appropri\u00e9es.<\/div><div class='ginput_container ginput_container_date'>\n                            <input name='input_55' id='input_2_55' type='text' value='' class='datepicker gform-datepicker ymd_slash datepicker_with_icon gdatepicker_with_icon'   placeholder='yyyy\/mm\/dd' aria-describedby=\"input_2_55_date_format gfield_description_2_55\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_2_55_date_format' class='screen-reader-text'>YYYY slash MM slash DD<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_2_55' class='gform_hidden' value='https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_2_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_56'>Temp. max. d&#039;exposition (\u00b0C)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_2_56' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_57\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'>Inscrivez tout commentaire suppl\u00e9mentaire sur ce produit.<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_57' id='input_2_57' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_61\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\n.gsection_title {\n    margin-top: 30px;\n    margin-bottom: 10px !important;\n}\n.gfield_description {\n    padding-top: 5px !important;\n}\n\nlabel, legend {\nfont-size: 15px !important;\n}\n\n.gfield_description{\ncolor: grey !important;\nfont-size: 12px !important;\nline-height: 18px !important;\n}\n\nlabel#label_2_5_0, label#label_2_5_1{\nfont-weight: 400 !important;\n}\n<\/style><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_2' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_2' id='gform_theme_2' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_2' id='gform_style_settings_2' value='{&quot;inputBackgroundColor&quot;:&quot;#ffffff&quot;,&quot;inputPrimaryColor&quot;:&quot;#00857c&quot;,&quot;labelFontSize&quot;:&quot;9&quot;,&quot;descriptionFontSize&quot;:&quot;9&quot;,&quot;buttonPrimaryBackgroundColor&quot;:&quot;#00857c&quot;,&quot;buttonPrimaryColor&quot;:&quot;#ffffff&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_2' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='2' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='YvaKzJ\/Z5TgCiz8N2bnqK4zJw1nBsxHJxQpDEpjU0fTbOTrfa\/XefzZDBB5fPyz72V+34DEMdCqJDJi7afu4UTsLAXAWeCX417UauQn18AIYY1U=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_2' value='["{\"5\":[\"dfbf29815b503c1fc9274f1ca8d3c38e\",\"9b705768f772fce4873d6b925ff95828\"],\"59\":[\"bc0542ad19e0e0efaf146d13d08741fd\",\"e93463d9a2d6f43a284dd480e72c508b\",\"d50190d27b102a3a273c7dc7c8d5ae17\",\"073f935d8f2d4398f89721aa46ef11cc\",\"202eee388e33b330f6bcd73a63875b7c\",\"d6f276d28c3e3d48b0e65d48082ec54f\",\"e913bc73b46264116dc97c5681871f6a\",\"3f90a10d22c11591749d2f4104c4a296\",\"631cb67d2a78789c5be842ef41144b3b\",\"2bbf1c299b227f2cd483d41261b0dec4\",\"19aae57faced215f996aede0abc3d184\",\"171c39c1f40d1fc317e931750dd82359\",\"b80fbbbca5e3777821ce568206d7aef4\"],\"60\":[\"bf74e91d1a391fff93ce6d671d4e85e8\",\"7431cf0c95a0ef74975147fc7e8477c6\",\"735516b81fe53bb98e10821b1653bf00\",\"3d14b3fb97ba42faebd2344560a92136\",\"1f5a855cd03373d2fd9fbace8824b37f\",\"f519dda0248f6fec928914814aa30e66\",\"013cdfd47d258bd44a6473aa79f39dfa\"],\"62\":[\"d8eaa432ef0f2b12f15efeb2fcba430b\",\"7e4134b28c340d80243200456d8fba20\",\"8e5eff913c2193756b9404aca8f41dee\",\"f1e9070018023c56e5fd255df73e103f\",\"9f31f6b16c77f3bb3c842b85bef88703\",\"7dff4e1ed6c2f07ada8c7fa496f39866\",\"58bbce9d6ef71eeba602855e1cfa9319\",\"cbd793ebc722d1cfd10f21159818bc22\",\"36c90d9ed23cacb7f4439af63e2959a8\",\"702a20333530f2dbc587b8478c24ca01\",\"8381d8b01e20f0da4ca7acc37a25f002\",\"5057c7735075d23982285a6625b94d9f\",\"a4e4d36eebfb1cf29a764e49e680ccd7\",\"66127360118bd5f131afdca614121b63\",\"080ef8b021192b692fab068bfe698337\",\"fd9efa73be8907bac33b309bb9c5afa9\",\"3372f72fbf299059645009ea931891fb\",\"86900ddfca909bd48ab37c87e816c8ca\",\"e76dcd1252becc3450d305ca6e778778\",\"ff39020a62d1e69194a297a96beffefe\",\"cf7d91ab21d3efdb33d430d4b272cf74\",\"a84c34ed2e47c7f37173a3c6fded79b1\",\"7ba7657eeb646356cade8896994731ce\",\"e4e8398c69dd7791c414c48c4c16670f\",\"2baf4e464b45663f85ee4e207dec5e09\",\"b5d9441ddfad329b85c15d4169bcdc57\",\"0be729feaccf66d71daaa67e94892fe3\",\"669d34fdad2c9bb21ed806f628207208\",\"12c9f0b9f6cc60754d540783ff1343be\",\"a6431fe3128107656070ac049a439538\",\"2e6bd0c774e78a25f179b3cf167f5c6c\",\"1f8f6bafcffe337c01177a978b06da71\",\"56b20556d9610028e0d0f074463dc095\",\"15021fd67620546a007b4657964133dd\",\"6ac0784b008b565d14859b2233b68f88\"],\"14\":[\"e6123eb54cafb64703c517320183694d\",\"1460e636a3280634a1c533dd356cd4d6\"],\"16\":[\"e6123eb54cafb64703c517320183694d\",\"1460e636a3280634a1c533dd356cd4d6\"],\"19\":[\"f0ed6280a80b6dfcd07587b86c4e5db6\",\"b98ff811c24db44173fe37167cf91266\",\"5437ac776eac7bc11827f578cb7d185d\",\"84a35eb5f661bf138de1d8c60dc65221\",\"dec188563e83c070e5a7972d5ae2e41b\",\"43657c20a3ecee33123b51c148184f10\",\"4bc566859eb144d39020541f8eaf7350\"],\"25\":[\"1460e636a3280634a1c533dd356cd4d6\",\"e6123eb54cafb64703c517320183694d\"],\"63\":[\"d8eaa432ef0f2b12f15efeb2fcba430b\",\"7e4134b28c340d80243200456d8fba20\",\"8e5eff913c2193756b9404aca8f41dee\",\"f1e9070018023c56e5fd255df73e103f\",\"9f31f6b16c77f3bb3c842b85bef88703\",\"7dff4e1ed6c2f07ada8c7fa496f39866\",\"58bbce9d6ef71eeba602855e1cfa9319\",\"cbd793ebc722d1cfd10f21159818bc22\",\"36c90d9ed23cacb7f4439af63e2959a8\",\"702a20333530f2dbc587b8478c24ca01\",\"8381d8b01e20f0da4ca7acc37a25f002\",\"5057c7735075d23982285a6625b94d9f\",\"a4e4d36eebfb1cf29a764e49e680ccd7\",\"66127360118bd5f131afdca614121b63\",\"080ef8b021192b692fab068bfe698337\",\"fd9efa73be8907bac33b309bb9c5afa9\",\"3372f72fbf299059645009ea931891fb\",\"86900ddfca909bd48ab37c87e816c8ca\",\"e76dcd1252becc3450d305ca6e778778\",\"ff39020a62d1e69194a297a96beffefe\",\"cf7d91ab21d3efdb33d430d4b272cf74\",\"a84c34ed2e47c7f37173a3c6fded79b1\",\"7ba7657eeb646356cade8896994731ce\",\"e4e8398c69dd7791c414c48c4c16670f\",\"2baf4e464b45663f85ee4e207dec5e09\",\"b5d9441ddfad329b85c15d4169bcdc57\",\"0be729feaccf66d71daaa67e94892fe3\",\"669d34fdad2c9bb21ed806f628207208\",\"12c9f0b9f6cc60754d540783ff1343be\",\"a6431fe3128107656070ac049a439538\",\"2e6bd0c774e78a25f179b3cf167f5c6c\",\"1f8f6bafcffe337c01177a978b06da71\",\"56b20556d9610028e0d0f074463dc095\",\"15021fd67620546a007b4657964133dd\",\"6ac0784b008b565d14859b2233b68f88\"],\"31\":[\"e6123eb54cafb64703c517320183694d\",\"1460e636a3280634a1c533dd356cd4d6\"],\"33\":[\"e6123eb54cafb64703c517320183694d\",\"1460e636a3280634a1c533dd356cd4d6\"],\"36\":[\"f0ed6280a80b6dfcd07587b86c4e5db6\",\"b98ff811c24db44173fe37167cf91266\",\"5437ac776eac7bc11827f578cb7d185d\",\"84a35eb5f661bf138de1d8c60dc65221\",\"dec188563e83c070e5a7972d5ae2e41b\",\"43657c20a3ecee33123b51c148184f10\",\"4bc566859eb144d39020541f8eaf7350\"],\"43\":[\"1460e636a3280634a1c533dd356cd4d6\",\"e6123eb54cafb64703c517320183694d\"],\"64\":[\"d8eaa432ef0f2b12f15efeb2fcba430b\",\"7e4134b28c340d80243200456d8fba20\",\"8e5eff913c2193756b9404aca8f41dee\",\"f1e9070018023c56e5fd255df73e103f\",\"9f31f6b16c77f3bb3c842b85bef88703\",\"7dff4e1ed6c2f07ada8c7fa496f39866\",\"58bbce9d6ef71eeba602855e1cfa9319\",\"cbd793ebc722d1cfd10f21159818bc22\",\"36c90d9ed23cacb7f4439af63e2959a8\",\"702a20333530f2dbc587b8478c24ca01\",\"8381d8b01e20f0da4ca7acc37a25f002\",\"5057c7735075d23982285a6625b94d9f\",\"a4e4d36eebfb1cf29a764e49e680ccd7\",\"66127360118bd5f131afdca614121b63\",\"080ef8b021192b692fab068bfe698337\",\"fd9efa73be8907bac33b309bb9c5afa9\",\"3372f72fbf299059645009ea931891fb\",\"86900ddfca909bd48ab37c87e816c8ca\",\"e76dcd1252becc3450d305ca6e778778\",\"ff39020a62d1e69194a297a96beffefe\",\"cf7d91ab21d3efdb33d430d4b272cf74\",\"a84c34ed2e47c7f37173a3c6fded79b1\",\"7ba7657eeb646356cade8896994731ce\",\"e4e8398c69dd7791c414c48c4c16670f\",\"2baf4e464b45663f85ee4e207dec5e09\",\"b5d9441ddfad329b85c15d4169bcdc57\",\"0be729feaccf66d71daaa67e94892fe3\",\"669d34fdad2c9bb21ed806f628207208\",\"12c9f0b9f6cc60754d540783ff1343be\",\"a6431fe3128107656070ac049a439538\",\"2e6bd0c774e78a25f179b3cf167f5c6c\",\"1f8f6bafcffe337c01177a978b06da71\",\"56b20556d9610028e0d0f074463dc095\",\"15021fd67620546a007b4657964133dd\",\"6ac0784b008b565d14859b2233b68f88\"],\"48\":[\"e6123eb54cafb64703c517320183694d\",\"1460e636a3280634a1c533dd356cd4d6\"],\"50\":[\"e6123eb54cafb64703c517320183694d\",\"1460e636a3280634a1c533dd356cd4d6\"],\"53\":[\"f0ed6280a80b6dfcd07587b86c4e5db6\",\"b98ff811c24db44173fe37167cf91266\",\"5437ac776eac7bc11827f578cb7d185d\",\"84a35eb5f661bf138de1d8c60dc65221\",\"dec188563e83c070e5a7972d5ae2e41b\",\"43657c20a3ecee33123b51c148184f10\",\"4bc566859eb144d39020541f8eaf7350\"]}","37de29a46904877ff1e14a02b241a3cc"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_2' id='gform_target_page_number_2' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_2' id='gform_source_page_number_2' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 2, 'https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_2').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_2');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_2').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_2').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_2').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_2').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_2').val();gformInitSpinner( 2, 'https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [2, current_page]);window['gf_submitting_2'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_2').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [2]);window['gf_submitting_2'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_2').text());}else{jQuery('#gform_2').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"2\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_2\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_2\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_2\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 2, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n\n<\/div>\n\n\n<div class=\"mh-box mh-box--align-full mh-box--c8a77004a349885372a9b4361b0f731f mh-box--no-background-image\">\n    \n<div class=\"mh-columns mh-columns--vertical-alignment-top mh-column--42104460bdf746428b7d185e4b0f97fb mh-columns--gutter-s\">\n    <div class=\"mh-columns-inner\">\n        \n<div class=\"mh-column mh-column--6b7f9f0c8945768409364245bd8db322 mh-column--12 mh-column--m-4 mh-column--l-4\">\n    \n\n<p\n    class=\"mh-paragraph mh-paragraph--d9408b5911f24000aea5021bfeba6235\"\n    >\n    <strong>Centre d&rsquo;information m\u00e9dicale de Merck Canada Inc.<\/strong><\/p>\n\n\n\n<p\n    class=\"mh-paragraph mh-paragraph--0b693b34138bc0424cd8c6423e8572e9\"\n    >\n    Du lundi au vendredi : de 8 h 30 \u00e0 16 h 30 (HE)<br \/>\n<a href=\"tel:1 800 5672594\">1 800 567-2594<\/a><br \/>\n<a href=\"mailto:medinfocanada@merck.com\">medinfocanada@merck.com<\/a><\/p>\n\n<\/div>\n\n\n<div class=\"mh-column mh-column--cb39b16688ea800e22a7fd227349e6ef mh-column--12 mh-column--m-8 mh-column--l-8\">\n    \n\n<p\n    class=\"mh-paragraph mh-paragraph--a2dd26b7e5861735ef267707dc3092c6\"\n    >\n    Ce site est destin\u00e9 uniquement aux professionnels de la sant\u00e9 et aux patients du Canada. Le contenu de ce site Web, y compris, sans s&rsquo;y limiter, les renseignements sur les produits et les monographies de produit de Merck, est fourni \u00e0 titre informatif seulement et s&rsquo;adresse uniquement aux r\u00e9sidents du Canada. Il n&rsquo;est pas destin\u00e9 \u00e0 remplacer un avis professionnel, un diagnostic ou un traitement m\u00e9dical, et ne doit pas servir \u00e0 cette fin. Demandez toujours conseil \u00e0 votre m\u00e9decin, \u00e0 votre pharmacien ou \u00e0 un autre professionnel de la sant\u00e9 qualifi\u00e9 si vous avez des questions au sujet d&rsquo;un probl\u00e8me de sant\u00e9.<\/p>\n\n<\/div>\n\n    <\/div>\n<\/div>\n\n\n<hr class=\"mh-spacer mh-spacer--18ed09467a8ca8e30235f223abff62e2\" aria-hidden=\"true\" \/>\n\n<\/div>\n\n\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">landing page popup and copyright<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/1828' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_6\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'>Phone<\/label><div class='ginput_container'><input name='input_6' id='input_5_6' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_5_6'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_5_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\n\/* Hide popup instantly if choice already exists *\/\nbody[data-askmerck-choice] #mconnect-announcement--1835 {\n    display: none !important;\n}\n\na.mh-announcement-dialog__button.mh-anc-button.notCanadian {\n    color: #00857c;\nmargin-top: 15px;\n}\n\na.mh-announcement-dialog__button.mh-anc-button.notCanadian:hover {\n    color: #ffffff;\n    background-color: #005c55;\n}\n\na.mh-announcement-dialog__button.mh-anc-button.notCanadian:focus {\n    color: #ffffff;\n    background-color: #005c55;\n}\n\n<\/style>\n\n\n<script>\n\n\n\nconst notCanadaButton = `<a class=\"mh-announcement-dialog__button mh-anc-button notCanadian\" href=\"https:\/\/www.msd.com\/contact-us\/worldwide-locations\/\" target=\"_blank\">I am not based in Canada<\/a>`;\n\n\n const nonCanada = document.querySelector(\".mh-announcement-dialog__confirmation-wrapper.mh-announcement-dialog__confirmation-wrapper--align-left\");\n  if (nonCanada) {\n    nonCanada.insertAdjacentHTML(\"beforeend\", notCanadaButton);\n  }\n\n\n\n\n\n\n(function waitForPopup(){\n    \/\/ Before anything, mark body if choice exists\n    if (sessionStorage.getItem(\"askmerck_choice\")) {\n        document.body.setAttribute(\"data-askmerck-choice\", \"true\");\n    }\n\n    const popup = document.getElementById(\"mconnect-announcement--1835\");\n    if (!popup) {\n        setTimeout(waitForPopup, 200);\n        return;\n    }\n\n    \/\/ If already chosen before, hide popup\n    if (sessionStorage.getItem(\"askmerck_choice\")) {\n        popup.style.display = \"none\";\n        return;\n    }\n\n    const patientBtn = popup.querySelector(\".mh-anc-button--decline\");\n    const hcpBtn = popup.querySelector(\".mh-anc-button--accept\");\nconst wrapper = popup.querySelector(\".mh-announcement-dialog__confirmation-wrapper\");\n    const currentPath = window.location.pathname;\n\n\n\n\t \/\/ --- Add \"Not based in Canada\" button ---\n    if (wrapper && !wrapper.querySelector(\".notCanadian\")) {\n        const notCanadaButton = `\n          <a class=\"mh-announcement-dialog__button mh-anc-button notCanadian\" \n             href=\"https:\/\/www.msd.com\/contact-us\/worldwide-locations\/\" \n             target=\"_blank\">\n            Je ne suis pas \u00e9tabli au Canada\n          <\/a>`;\n        wrapper.insertAdjacentHTML(\"beforeend\", notCanadaButton);\n    }\n\n\n\n\n\n    \/\/ Patient \/ Caregiver click\n    if (patientBtn) {\n        patientBtn.addEventListener(\"click\", function (e) {\n            e.preventDefault();\n            sessionStorage.setItem(\"askmerck_choice\", \"patient\");\n\n            if (currentPath.includes(\"\/patient\/\")) {\n                popup.style.display = \"none\";\n            } else {\n                window.location.href = \"https:\/\/askmerck.ca\/fr\/patient\/\";\n            }\n        });\n    }\n\n    \/\/ Healthcare Professional click\n    if (hcpBtn) {\n        hcpBtn.addEventListener(\"click\", function (e) {\n            e.preventDefault();\n            sessionStorage.setItem(\"askmerck_choice\", \"hcp\");\n\n            if (currentPath.includes(\"\/patient\/\")) {\n                window.location.href = \"https:\/\/askmerck.ca\/fr\/\";\n            } else {\n                popup.style.display = \"none\";\n            }\n        });\n    }\n})();\n<\/script>\n<\/div><div id=\"field_5_3\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><style>\n\n\n.mh-footer-main-content {\n    padding: 30px 0px !important;\n}\n\ndiv#gform_wrapper_5 {\n    display: none !important;\n}\n\nfooter#mh_footer {\n    background-color: white;\n}\n\n\n\na.mh-announcement-dialog__button.mh-anc-button.mh-anc-button--decline {\nmargin-right: 10px !important ;\nborder: 1px solid #00857c !important ;\nwidth: 300px;\ntext-align: center !important;\n}\n\na.mh-announcement-dialog__button.mh-anc-button.mh-anc-button--accept {\nmargin-right: 20px !important ;\nwidth: 300px;\ntext-align: center !important;\n}\n\n.mh-announcement-dialog__confirmation-wrapper {\nflex-direction: row-reverse !important;\n}\n\n.mh-footer-main-content{\nfont-size:14px !important;\n}\n\n@media screen and (max-width: 480px) {\n  \/* CSS rules for screens 480px and narrower (mobile phones) *\/\n a.mh-announcement-dialog__button.mh-anc-button.mh-anc-button--decline, a.mh-announcement-dialog__button.mh-anc-button.mh-anc-button--accept {\n    margin-right: 10px !important  ;\n    font-size: 12px !important;\n    text-align: center !important ;\n}\n\n}\n\n<\/style><\/div><div id=\"field_5_4\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><script>\ndocument.addEventListener(\"DOMContentLoaded\", function () {\n  \/\/ Map URLs (or parts of URLs) to job codes\n  const jobCodes = {\n    \"\/ressources-utiles\/\": \"CA-NON-03955\",\n    \"\/contacter-nous\/\": \"CA-NON-04292\",\n    \"\/parler-a-un-specialiste-en-information-medicale-de-merck\/\": \"CA-NON-03559\",\n    \"\/formulaire-de-demande-concernant-la-stabilite-des-produits\/\": \"CA-NON-04302\",\n\"\/maintenance-page\/\": \"CA-NON-04722\",\n    \"\/https:\/\/mhh-global.com\/askmerck-fr\/\": \"CA-NON-04290\" \/\/ default example\n  };\n\n  \/\/ Get current page path\n  const path = window.location.pathname;\n\n  \/\/ Find matching job code (default fallback if not found)\n  let jobCode = \"CA-NON-04290\";\n  for (const url in jobCodes) {\n    if (path.includes(url)) {\n      jobCode = jobCodes[url];\n      break;\n    }\n  }\n\n  \/\/ Create the footer block\n  const newDiv = `\n<div style=\"width:100%; background-color:#ffffff; box-sizing:border-box;\">\n  <hr style=\"border:0; height:2px; background-color:#e5e7eb; margin-bottom:15px;\">\n  <p style=\"margin:0; font-family:Arial, sans-serif; font-size:13px; line-height:1.5; color:#000; padding:15px 40px;\">\n    \u00a9 2025 Merck & Co., Inc., Rahway, NJ, \u00c9.-U. et ses soci\u00e9t\u00e9s affili\u00e9es. Tous droits r\u00e9serv\u00e9s.<br><br>\n    <span class=\"jobcode\">${jobCode}<\/span>\n  <\/p>\n<\/div>`;\n\n  \/\/ Insert it inside the footer\n  const footer = document.querySelector(\"#mh_footer\");\n  if (footer) {\n    footer.insertAdjacentHTML(\"beforeend\", newDiv);\n  }\n});\n<\/script>\n<\/div><div id=\"field_5_5\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><script>\n  \/\/ Select the container\n  const container = document.getElementById('mh_side_navigation_closer');\n\n  \/\/ Create a new div\n  const menuDiv = document.createElement('div');\n  menuDiv.textContent = 'MENU';\n  menuDiv.className = 'mh-menu-text'; \/\/ optional, for styling\n\n  \/\/ Insert the new div before the SVG\n  const svg = container.querySelector('svg');\n  container.insertBefore(menuDiv, svg);\n<\/script>\n\n<style>\n  .mh-menu-text {\n    font-size: 14px;\n    font-weight: bold;\n     color: #ffffff;\n  }\n\ndiv#mh_side_navigation_closer {\n    display: flex;\n    justify-content: space-between !important;\n    align-items: center !important;\n}\n\ndiv#mh_side_navigation_closer {\n    background-color: #00857c !important;\n}\n\nsvg.mh-icon.mh-icon--kind-generic.mh-icon--name-close.mh-icon--close {\n    color: #ffffff !important;\n}\n\n.mh-nav-side-accordion{\nfont-weight:bold !important;\n}\n\n<\/style><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='{&quot;inputPrimaryColor&quot;:&quot;#204ce5&quot;}' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='c+D2W9bVvhFfSN5V9tk11VsmA4Lwo696b6gLnhVZfr3zupv+gdCcXGd53S6is6KagA9EO1PFA\/r4tNzybd11A5Dk0o\/VytnMpCBkKHiLMyQp\/EQ=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJbXSIsIjQ0ZGQ5ZDhkNDI3ZWM0YmEyZGU1NmE3MTAzNWZiMDE5Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 5, 'https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_5').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_5');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_5').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_5').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_5').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_5').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_5').val();gformInitSpinner( 5, 'https:\/\/askmerck.ca\/fr\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [5, current_page]);window['gf_submitting_5'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_5').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [5]);window['gf_submitting_5'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_5').text());}else{jQuery('#gform_5').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"5\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_5\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_5\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_5\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 5, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":859,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank-canvas-template.php","meta":{"_mh_page_language":"fr_FR","_mh_page_is_rtl":false,"editor_notices":[],"footnotes":""},"ga4_page_audience":[787],"ga4_page_birn_id":[],"ga4_page_branding":[227],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[716],"ga4_page_customer_journey_stage":[280],"ga4_page_customer_specialty":[318],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[],"ga4_page_product":[],"ga4_page_region":[662],"ga4_page_therapeuticarea":[],"class_list":["post-1828","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formulaire de demande concernant la stabilit\u00e9 des produits - AskMerck<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formulaire de demande concernant la stabilit\u00e9 des produits - AskMerck\" \/>\n<meta property=\"og:url\" content=\"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/\" \/>\n<meta property=\"og:site_name\" content=\"AskMerck\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-16T18:01:46+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/formulaire-de-demande-concernant-la-stabilite-des-produits\\\/\",\"url\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/formulaire-de-demande-concernant-la-stabilite-des-produits\\\/\",\"name\":\"Formulaire de demande concernant la stabilit\u00e9 des produits - AskMerck\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/#website\"},\"datePublished\":\"2025-09-03T14:45:54+00:00\",\"dateModified\":\"2025-10-16T18:01:46+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/formulaire-de-demande-concernant-la-stabilite-des-produits\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/askmerck.ca\\\/fr\\\/formulaire-de-demande-concernant-la-stabilite-des-produits\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/formulaire-de-demande-concernant-la-stabilite-des-produits\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Formulaire de demande concernant la stabilit\u00e9 des produits\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/\",\"name\":\"AskMerck\",\"description\":\"Just another mhh-global.com site\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/askmerck.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Formulaire de demande concernant la stabilit\u00e9 des produits - AskMerck","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/","og_locale":"fr_FR","og_type":"article","og_title":"Formulaire de demande concernant la stabilit\u00e9 des produits - AskMerck","og_url":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/","og_site_name":"AskMerck","article_modified_time":"2025-10-16T18:01:46+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/","url":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/","name":"Formulaire de demande concernant la stabilit\u00e9 des produits - AskMerck","isPartOf":{"@id":"https:\/\/askmerck.ca\/fr\/#website"},"datePublished":"2025-09-03T14:45:54+00:00","dateModified":"2025-10-16T18:01:46+00:00","breadcrumb":{"@id":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/askmerck.ca\/fr\/formulaire-de-demande-concernant-la-stabilite-des-produits\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/askmerck.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Formulaire de demande concernant la stabilit\u00e9 des produits"}]},{"@type":"WebSite","@id":"https:\/\/askmerck.ca\/fr\/#website","url":"https:\/\/askmerck.ca\/fr\/","name":"AskMerck","description":"Just another mhh-global.com site","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/askmerck.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/pages\/1828","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/users\/859"}],"replies":[{"embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/comments?post=1828"}],"version-history":[{"count":2,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/pages\/1828\/revisions"}],"predecessor-version":[{"id":1841,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/pages\/1828\/revisions\/1841"}],"wp:attachment":[{"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/media?parent=1828"}],"wp:term":[{"taxonomy":"ga4_page_audience","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_audience?post=1828"},{"taxonomy":"ga4_page_birn_id","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_birn_id?post=1828"},{"taxonomy":"ga4_page_branding","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_branding?post=1828"},{"taxonomy":"ga4_page_businessunit","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_businessunit?post=1828"},{"taxonomy":"ga4_page_campaign","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_campaign?post=1828"},{"taxonomy":"ga4_page_content_purpose","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_content_purpose?post=1828"},{"taxonomy":"ga4_page_customer_journey_stage","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_customer_journey_stage?post=1828"},{"taxonomy":"ga4_page_customer_specialty","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_customer_specialty?post=1828"},{"taxonomy":"ga4_page_experience","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_experience?post=1828"},{"taxonomy":"ga4_page_indication","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_indication?post=1828"},{"taxonomy":"ga4_page_material_intent","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_material_intent?post=1828"},{"taxonomy":"ga4_page_product","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_product?post=1828"},{"taxonomy":"ga4_page_region","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_region?post=1828"},{"taxonomy":"ga4_page_therapeuticarea","embeddable":true,"href":"https:\/\/askmerck.ca\/fr\/wp-json\/wp\/v2\/ga4_page_therapeuticarea?post=1828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}