Applying to the Program

Governments and NGOs in eligible countries interested in applying to receive Diflucan® through the program must complete an application form. You will need to provide a description of your institution and program; contact information for the responsible person(s); and quantities of Diflucan® needed.

Download the application


The applying organization must provide the shipping address and other information required for sending the drug to the country. After Direct Relief receives complete shipping instructions, the receiving organization will be notified of the shipment schedule. If you have questions, e-mail us at Contact us by phone in the U.S.: Phone:  +1 805 964 4767 Or in South Africa: +27 11 351 1287


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Direct Relief is a registered 501(c)(3) organization.
Direct Relief
27 S. La Patera Lane
Santa Barbara, CA 93117
Phone: (805) 964-4767
Fax: (805) 681-4838
Federal Tax ID number: 95-1831116
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