www.janssenmedicalcloud.ch Open in urlscan Pro
2606:4700:4400::6812:2231  Public Scan

Submitted URL: https://tremfya.ch/
Effective URL: https://www.janssenmedicalcloud.ch/de-ch/produkte/tremfya?redirect=easyredir
Submission: On August 20 via api from CH — Scanned from CH

Form analysis 1 forms found in the DOM

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      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">Geschlecht*</div>
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            <div class=" css-1lx7dxn" data-value=""><input class="" autocapitalize="none" autocomplete="off" autocorrect="off" id="react-select-3-input" spellcheck="false" tabindex="0" type="text" aria-autocomplete="list" aria-expanded="false"
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          <div class=" css-1wy0on6"><span class=" css-1hyfx7x"></span>
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        </div><input name="gender" type="hidden" value="">
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    <div class="order-form-module--halfGrid--c657c">
      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">Vorname*</div>
      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.firstName"
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    </div>
    <div class="order-form-module--halfGrid--c657c">
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      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.lastName"
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    <div class="order-form-module--fullGrid--0fcbe">
      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">E-Mail*</div>
      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.email"
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    </div>
    <div class="order-form-module--fullGrid--0fcbe" data-test-id="orderFormPhone">
      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">Telefon*</div>
      <div><input name="phone" type="hidden" value="+32">
        <div class="style-module--phonenumber__field--a4079">
          <div class="style-module--phonenumber__dropdown--c2f7a">
            <div class=" css-ixbp42-container" id="Select"><span id="react-select-4-live-region" class="css-7pg0cj-a11yText"></span><span aria-live="polite" aria-atomic="false" aria-relevant="additions text" role="log"
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              <div class=" css-1t5kc52-control">
                <div class=" css-1swfxoz">
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                      <div class="style-module--phonenumber__option--f2cfd">
                        <div class="style-module--phonenumber__flag--6c7e6" data-test-id="PhoneNumberInput.Option.BE.flag">
                          <div class="style-module--fflag--5c058 style-module--fflag-BE--c7c77 style-module--ff-sm--6b2f2"></div>
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                        <div class="style-module--phonenumber__country--69f71" data-test-id="PhoneNumberInput.Option.BE.country"><span class="style-module--phonenumber__long--e255a">Belgium</span><span
                            class="style-module--phonenumber__short--7c127">BE</span></div>
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                    </span></div><input id="react-select-4-input" tabindex="0" inputmode="none" aria-autocomplete="list" aria-expanded="false" aria-haspopup="true" role="combobox" aria-activedescendant="" aria-readonly="true"
                    class="css-1hac4vs-dummyInput" value="">
                </div>
                <div class=" css-1wy0on6"><span class=" css-1hyfx7x"></span>
                  <div class=" css-efptrs-indicatorContainer" aria-hidden="true"><span data-test-id="Select.DropdownIndicator" data-test-name="DropdownIndicator.undefined"><span
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                          <path d="M7.41,8.58L12,13.17L16.59,8.58L18,10L12,16L6,10L7.41,8.58Z" style="fill: currentcolor;"></path>
                        </svg></span></span></div>
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          </div>
          <div class="style-module--phonenumber__number--4c777">
            <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;">
              <div class="style-module--adornment--46864 style-module--start--63a95">
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              </div><input id="textarea" type="number" data-test-id="PhoneNumberInput.TextField" name="phonenumber" value="">
            </div>
          </div>
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      </div>
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      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.street"
          placeholder="Strasse" name="street"></div>
    </div>
    <div class="order-form-module--oneThird--feacb" data-test-id="address.number.field">
      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">Hausnummer (+ Postfach)*</div>
      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.number" name="number"
          placeholder="Hausnummer (+ Postfach)"></div>
    </div>
    <div class="order-form-module--twoThird--59ddb" data-test-id="city.field">
      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">Stadt*</div>
      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.city" name="city"
          placeholder="Name der Stadt"></div>
    </div>
    <div class="order-form-module--oneThird--feacb" data-test-id="postal.code.field">
      <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--dark--278b2" data-test-id="Typography">Postleitzahl*</div>
      <div class="style-module--input--e4469 style-module--corners-default--5c4cd" data-test-id="TextField.Input" role="presentation" style="min-height: initial;"><input id="textarea" type="text" data-test-id="TextField.Input.postalCode"
          placeholder="Postleitzahl" name="postalCode"></div>
    </div>
    <div class="order-form-module--fullGrid--0fcbe">
      <p class="style-module--element--61e45 style-module--font-title--43c8e style-module--weight-500--03acc style-module--title--315b9 style-module--helperText--02619" data-test-id="Typography">* Pflichfelder</p>
    </div>
    <div class="order-form-module--fullGrid--0fcbe">
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          value=""><label for="checkbox_terms_undefined" class="style-module--label--d8e24" data-test-id="CheckBox.Label.terms.undefined">
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            <div data-test-id="termsLabel">
              <div class="style-module--element--61e45 style-module--font-text--8b4a4 style-module--weight-400--c1fea style-module--inherit--5961d" data-test-id="Typography">Wir werden Ihre Informationen im Einklang mit unserer Datenschutzerklärung
                nutzen, um Ihre Anfragen zu beantworten und / oder Ihre Bestellungen auszuführen, zur Wahrung unserer legitimen Interessen und gegebenenfalls um unsere gesetzlichen Verpflichtungen in Bezug auf Pharmakovigilanz oder Produktqualität
                einzuhalten. Bitte lesen Sie unsere Datenschutzerklärung.</div>
            </div>
          </div>
        </label></div>
    </div>
  </div>
  <hr><span class="style-module--actions--7dd54"><button
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      data-test-id="button.backToOrder">
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          </svg></span><span class="style-module--content--417bc" data-test-id="Button.Children.undefined">Order overview</span></div>
    </button><button class="style-module--element--759f0 style-module--contained--ad730 style-module--contained__secondary--2f5f6 style-module--element__rounded--9279b style-module--justifiedDefault--47218" tabindex="0" type="submit">
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          data-test-id="Button.Children.undefined">Finalize order</span></div>
    </button></span>
</form>

Text Content

schliessen

IHRE KOSTENLOSE BESTELLÜBERSICHT

--------------------------------------------------------------------------------

 * 



--------------------------------------------------------------------------------

Back
Zur Bestellung
schliessen

YOUR CONTACT DETAILS

--------------------------------------------------------------------------------

Title
Title


Geschlecht*
Geschlecht


Vorname*

Nachname*

E-Mail*

Telefon*
BelgiumBE

+32
Strasse*

Hausnummer (+ Postfach)*

Stadt*

Postleitzahl*


* Pflichfelder

Wir werden Ihre Informationen im Einklang mit unserer Datenschutzerklärung
nutzen, um Ihre Anfragen zu beantworten und / oder Ihre Bestellungen
auszuführen, zur Wahrung unserer legitimen Interessen und gegebenenfalls um
unsere gesetzlichen Verpflichtungen in Bezug auf Pharmakovigilanz oder
Produktqualität einzuhalten. Bitte lesen Sie unsere Datenschutzerklärung.

--------------------------------------------------------------------------------

Order overview
Finalize order

schliessen

ORDER COMPLETED!

--------------------------------------------------------------------------------


THANK YOU

Vielen Dank, dass Sie Janssen Medical Cloud für die Bestellung Ihrer Unterlagen
gewählt haben.

--------------------------------------------------------------------------------

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Letzte Aktualisierung: 25. Juni 2024
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