Below is a sample of the emails you can expect to receive when signed up to COPAXONE.
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Data Name | Data Type | Options |
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I am living with MS | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Text Box | ||
I am living with MS | option | What best describes you? |
I care for someone with MS | option | I am living with MS |
Someone I know has MS | option | I care for someone with MS |
Yes | option | |
Daily COPAXONE® 20 mg | option | Yes |
3-times-a-week COPAXONE® 40 mg | option | Daily COPAXONE® 20 mg |
No | option | 3-times-a-week COPAXONE® 40 mg |
Yes | option | |
Daily COPAXONE® 20 mg | option | Yes |
3-times-a-week COPAXONE® 40 mg | option | Daily COPAXONE® 20 mg |
No | option | 3-times-a-week COPAXONE® 40 mg |
Yes | option | |
Daily COPAXONE® 20 mg | option | Yes |
3-times-a-week COPAXONE® 40 mg | option | Daily COPAXONE® 20 mg |
No | option | 3-times-a-week COPAXONE® 40 mg |
* I am 18 years of age or older. | checklist | Your privacy is important to us and the information you provide will be handled in accordance with our Privacy Notice. |
* I agree to the statements below and have read and accept the Legal Notice and Privacy Notice. I authorize Teva Pharmaceuticals USA, Inc. (“Teva”), its affiliates and companies working with Teva to c | checklist | * I am 18 years of age or older. |