Have you recently experienced unexpected increases in your out-of-pocket costs for your prescription drugs?

The National MS Society: Lone Star is collecting information on this practice, and we need your help.

Please share your experience with us by answering the questions below:

* 1. When did you experience an increase in your prescription co-pay or out-of-pocket cost for your prescription?

* 2. How did you first receive notification about the increase to your co-pay or out-of-pocket cost?

* 3. How much did your co-pay or cost-share increase? (Provide an estimate.)

* 4. How did this increase in your prescription drug cost affect you?

* 5. We may need to contact you to ask you additional questions about your story. Please list your contact information below.

If you have questions, please contact our office: (512) 340-2700 or toll-free (877) 524-4044.

Thank you for your time!

If you would like to share your story about another issue affecting people with MS, please go here: http://www.surveymonkey.com/s/26GX23F