Consumers Union: Share your prescription drug story

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Share Your Prescription Drug Story

Have you experienced a problem with a prescription drug, or had trouble paying for your needed medicines?

You're not alone -- many Americans have trouble getting the medications they need because they cost too much or their health plan won’t pay for them. Some people have trouble with specific medications because they learn of side effects or they are misled by an advertisement. Have you or a loved one had a problem with prescription drugs? We would like to hear your story, or any other comment you may have about your experience with prescription medicines.

Use the form below to tell us about your experience. Your story helps support our efforts to improve the prescription drug market for customers.

We apologize that we cannot handle individual complaints. But your story will help us improve the laws and marketplace to prevent problems in the future.

Thanks for sharing your story.

(Your personal information will remain completely confidential unless you give us permission below to use or share it).

*1.

What type of problem did you have related to prescription drugs? (Check any that apply):

	Cost too much
	Not covered by health insurance
	Medication side effects
	Medicare Part D coverage problem
	Other

If you answered "other," briefly identify the topic of your problem:

Briefly describe your experience in your own words:

Name the drug or drugs you've had a problem with (because of cost, side effects, or any of the other reasons identified above):

How do you pay for your prescription drugs?

On average, how much do you spend out-of-pocket for your prescription drugs each month?

*7.

Would you be willing to give us your permission to publish your comments (we will not publish without contacting you again to confirm your permission).

Please provide the following basic contact information, so that we can call you to find out more about your experience. Your personal story will help us move this issue forward!

Name:

First Required	Last Required

Email: Required

Street 1:

City/State/ZIP:

City Required	StateRequired	ZIPRequired

Country:

Phone Number:

Yes, I would like to receive free periodic consumer updates from Consumers Union Advocacy. (Sí, me gustaría recibir boletines con información del consumidor de Consumers Union.)

Email Format:

This is not a scientific survey.