Part I: Practice Setting

This survey will ask about your practice treating patients with opioid dependence and about any documented payer limitations that have been imposed on you and/or your organization regarding the use of FDA-approved medications to treat opioid dependence. The purpose is to gather data on Medicaid and private payer coverage policies regarding the use of pharmacotherapies for opioid dependence. If you practice in multiple states, please restrict your answers to your primary state of practice.

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* 1. Are you an ASAM Member?

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* 2. Please choose your primary state of practice.

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* 3. In which of the following community settings do most of the patients you treat for addiction reside?

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* 4. Please describe your predominant practice setting.

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* 5. Do you prescribe FDA-approved medications for the treatment of opioid dependence? If yes, please indicate which one(s) you prescribe. You may select more than one.

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