Elmiron® Claims Form

Recent clinical studies has shown a widely prescribed drug used to treat interstitial cystitis, a painful bladder condition, drug Elmiron®, with a type of progressive eye disease known by ophthalmologists as retinal pigmentary maculopathy, pattern dystrophy, or age-related macular degeneration. If you or someone you know has suffered vision loss, blurred vision or other eye problems after taking Elmiron®, you may be entitled to a large cash settlement and financial compensation for your injuries.  Use this Secure and Free intake form to qualify for a claim.

Elmiron Claim Form updated on July 13, 2021.