Below is a sample of the emails you can expect to receive when signed up to COPAXONE.
|
|||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
|
Data Name | Data Type | Options |
---|---|---|
I am living with MS | ![]() | |
First name | ![]() | |
Last name | ![]() | |
![]() | ||
I am living with MS | ![]() | What best describes you? |
I care for someone with MS | ![]() | I am living with MS |
Someone I know has MS | ![]() | I care for someone with MS |
Yes | ![]() | |
Daily COPAXONE® 20 mg | ![]() | Yes |
3-times-a-week COPAXONE® 40 mg | ![]() | Daily COPAXONE® 20 mg |
No | ![]() | 3-times-a-week COPAXONE® 40 mg |
Yes | ![]() | |
Daily COPAXONE® 20 mg | ![]() | Yes |
3-times-a-week COPAXONE® 40 mg | ![]() | Daily COPAXONE® 20 mg |
No | ![]() | 3-times-a-week COPAXONE® 40 mg |
Yes | ![]() | |
Daily COPAXONE® 20 mg | ![]() | Yes |
3-times-a-week COPAXONE® 40 mg | ![]() | Daily COPAXONE® 20 mg |
No | ![]() | 3-times-a-week COPAXONE® 40 mg |
* I am 18 years of age or older. | ![]() | 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 | ![]() | * I am 18 years of age or older. |