Cost of Prescription Drugs and Barriers to Treatment

Can You Afford Your Arthritis Medications?

Does the cost of medications for your arthritis make it difficult for you to afford treatment?

Whether you have rheumatoid arthritis, juvenile arthritis or another type of arthritis or related condition, we need your story!

Please complete this survey to share how the cost of arthritis medications has impacted your life. A member of the Arthritis Advocacy Team may contact you to learn more.

(For simplification, this survey will use the term "arthritis" to include all rheumatic diseases.)

Question Title

* 1. What is your connection with arthritis?

I have a form of arthritis

I have a family member with arthritis

I am a caregiver for someone with arthritis

I am a healthcare professional

Other (please specify)

Question Title

* 2. What kind of arthritis do you or your loved one have?

Rheumatoid Arthritis

Osteoarthritis

Psoriatic Arthritis

Juvenile Arthritis (also called JRA, JIA)

Spondylitis/Spondyloarthropathy

Other (please specify)

Question Title

* 3. What is the primary source of your prescription drug coverage?

Medicare Part D

Medicaid

Private Health Plan

Government/State/Local Health Plan

None

Other (please specify)

Question Title

* 4. How much do you pay out of pocket for your ARTHRITIS prescription medications per month?

$0-$75

$75-$150

$150-$225

$225-$300

$300 or more

Please Describe

Question Title

* 5. How much do you pay out of pocket for ALL of your prescription medications per month?

$0-$75

$75-$150

$150-$225

$225-$300

$300 or more

Please Describe

Question Title

* 6. Have you or your loved one experienced financial strain, skipped medication, modified dosage, or otherwise changed your treatment plan due to high prescription drug costs?

Yes

Other (please specify)

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* 7. If you answered yes to the previous question, is this due to:

A high copay

High co-insurance (having to pay a percentage of the cost of the drug)

My drug is not covered at all on my plan

I have no health insurance

Other (please specify)

Question Title

* 8. Please share your story of how the high cost of prescription medication has affected your life.

Question Title

* 9. Thank you for sharing your unique story. If you are willing to be contacted by an Arthritis Foundation staff member about your story, please provide your contact information below.

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Email Address:

It is important to show the real faces and stories of arthritis. Aggregate survey results and other information you share will be used in the Arthritis Foundation's advocacy efforts on behalf of people with arthritis.