Please fill out the form and agree with the submission terms.


Contact Information

Opportunity Name

Rx or Rx+? Please select one.

Rx: Prescription drug opportunity

Rx+®: New healthcare solutions beyond medicine

Areas of Interest (Required)
Areas of Interest (Required)

Opportunity Information

Please submit only one opportunity for each inquiry.

Maximum 3 files.
3 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, dmg, jar, rar, sit, svg, zip.

Submission Terms

Please agree to the following to complete this application form.

1. I represent and warrant that I have the authority to disclose this information to Astellas.
2. I represent and warrant that use of the provided information will not infringe the intellectual property rights of any third party.
3. I acknowledge and agree that Astellas will not treat the information as confidential or proprietary, and thus will not be restricted from using such information or disclosing such information to third parties.
4. I acknowledge and agree that there is no guarantee that Astellas will pursue an opportunity with me, or that Astellas will reply to my submission. Any decision to pursue an opportunity with me shall be made by Astellas in its sole discretion.
5. I acknowledge that I have read and agree to Astellas' Privacy Notice at

Thank you for your application. We will review the information in your application form and consider our partnering opportunities. Please note that we will only be replying to applicants who we feel there is a potential for partnership. This will take six weeks.