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Medication-Assisted Treatment
We're a startup that is bringing down the barriers to accessing suboxone. We're looking for a few select patients to work with our expert medical team during the final development phase before we launch. Medication and treatment costs will be heavily subsidized. Information collected here will be used exclusively for our research. We'll reach out if we think you may be a fit for our model.
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Email
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Your email
Are you currently taking suboxone or another medication for opioid use disorder?
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Your answer
If yes, how do you get your medication?
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Prescribed by a doctor
Other
N/A
Do you pay for your medication out of pocket?
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Yes
No
N/A
If you are not currently taking suboxone but would like to, please explain (i.e. too expensive, don't know how to get it, scared to try it, etc.):
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Your answer
Are you currently working?
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Yes, full-time
Yes, part-time
No, not currently
Your age:
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Your answer
Do you live in or near New York City or Philadelphia?
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Yes, New York City
Yes, Philadelphia
No
Other comments:
Your answer
Name:
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Your answer
Phone number:
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Your answer
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