www.pbainfo.org
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urlscan Pro
2606:4700::6812:13bb
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Submitted URL: http://www.pbainfo.org/
Effective URL: https://www.pbainfo.org/
Submission: On November 07 via api from US — Scanned from US
Effective URL: https://www.pbainfo.org/
Submission: On November 07 via api from US — Scanned from US
Form analysis
1 forms found in the DOMPOST /
<form
class="webform-submission-form webform-submission-add-form webform-submission-get-pba-card-sfmc-form webform-submission-get-pba-card-sfmc-add-form webform-submission-get-pba-card-sfmc-node-1-form webform-submission-get-pba-card-sfmc-node-1-add-form js-webform-details-toggle webform-details-toggle"
data-drupal-selector="webform-submission-get-pba-card-sfmc-node-1-add-form" action="/" method="post" id="webform-submission-get-pba-card-sfmc-node-1-add-form" accept-charset="UTF-8" data-once="form-updated webform-details-toggle"
data-drupal-form-fields="edit-email,edit-email-optin,edit-sfmc-contact-info-contact-type,edit-sfmc-contact-info-is-over-18,edit-sfmc-contact-info-external-i-d,edit-sfmc-interaction-details-brand-code,edit-sfmc-interaction-details-vendor-code,edit-sfmc-interaction-details-interaction-channel,edit-sfmc-interaction-details-interaction-source,edit-sfmc-interaction-details-referral-url,edit-sfmc-interaction-details-media-campaign-i-d,edit-sfmc-interaction-details-device-type,edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-code,edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-channel,edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-value,edit-sfmc-opt-status-avanir-brand-opt-all-channels-allow-false-value,edit-sfmc-opt-status-avanir-brand-opt-email-opt-code,edit-sfmc-opt-status-avanir-brand-opt-email-opt-channel,edit-sfmc-opt-status-avanir-brand-opt-email-opt-value,edit-sfmc-opt-status-avanir-brand-opt-email-allow-false-value,edit-sfmc-email-personal-email-address,edit-sfmc-email-personal-email-type,edit-sfmc-email-personal-is-active,edit-sfmc-email-personal-is-primary,edit-sfmc-survey-response-i-agree-question-code,edit-sfmc-survey-response-i-agree-answer-code,edit-sfmc-survey-response-i-agree-answer-text,edit-sfmc-survey-response-i-agree-survey-response-type,edit-sfmc-survey-response-i-agree-is-open-text,edit-actions-submit"
novalidate="novalidate">
<div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email form-item-email">
<label for="edit-email" class="js-form-required form-required form-label">Please provide your email to get access to the "I Have PBA" card.</label>
<input data-webform-required-error="Please enter your email address." pattern="^([a-z0-9\+_\-]+)(\.[a-z0-9\+_\-]+)*@([a-z0-9\-]+\.)+[a-z]{2,6}$" data-webform-pattern-error="Please enter a valid email address." data-drupal-selector="edit-email"
data-msg-email="Please enter a valid email address." data-msg-maxlength="Please provide your email to get access to the "I Have PBA" card. field has a maximum length of 254." data-msg-required="Please enter your email address."
data-msg-pattern="Please enter a valid email address." type="email" id="edit-email" name="email" value="" size="60" maxlength="254" placeholder="Email address..." class="form-email required form-control" required="required" aria-required="true"
data-once="webform-required-error">
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-email-optin form-item-email-optin">
<input data-webform-required-error="Agree to terms" data-drupal-selector="edit-email-optin" data-msg-required="Agree to terms" type="checkbox" id="edit-email-optin" name="email_optin" value="1" class="form-checkbox required form-check-input"
required="required" aria-required="true" data-once="webform-required-error">
<label for="edit-email-optin" class="option js-form-required form-required form-label">By opting in, I confirm that I am 18 years of age or older and I understand that the information I have provided will be used by Otsuka America Pharmaceutical,
Inc. (“Otsuka”) and its contracted third parties to contact me by email, direct mail, and/or SMS text message with relevant information, to include participation in market research opportunities. I may also receive relevant information from
Otsuka in the future. I will have the ability to opt out from receiving Otsuka communications at any time by calling
<a class="link__inline text-danger text-nowrap external-link-popup-disabled" href="tel:1-833-468-7852" target="_blank">1-833-468-7852</a> or by following the opt-out instruction within the communications.<br><br>For more information see our
<a class="link__inline text-danger external-link-popup-disabled" href="https://www.otsuka-us.com/terms-and-conditions" target="_blank">Terms of Use</a> and
<a class="link__inline text-danger external-link-popup-disabled" href="https://www.otsuka-us.com/privacy-policy" target="_blank">Privacy Policy</a>.</label>
</div>
<div class="hidden js-form-wrapper form-wrapper" data-drupal-selector="edit-container" id="edit-container">
<fieldset data-drupal-selector="edit-sfmc-contact-info" id="edit-sfmc-contact-info--wrapper"
class="webform-sfmc-contact--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-sfmc-contact webform-type-webform-sfmc-contact js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="visually-hidden fieldset-legend">SFMC contact info</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-select form-type-select js-form-item-sfmc-contact-info-contact-type form-item-sfmc-contact-info-contact-type">
<label for="edit-sfmc-contact-info-contact-type" class="form-label">Contact Type</label>
<select data-drupal-selector="edit-sfmc-contact-info-contact-type" id="edit-sfmc-contact-info-contact-type" name="sfmc_contact_info[contact_type]" class="form-select">
<option value="">- None -</option>
<option value="consumer" selected="selected">Consumer</option>
<option value="HCP">HCP</option>
<option value="NursePractitioner">NursePractitioner</option>
<option value="PharmacyTechnician">PharmacyTechnician</option>
<option value="Physician">Physician</option>
<option value="PhysicianAssistant">PhysicianAssistant</option>
<option value="RegisteredNurse">RegisteredNurse</option>
<option value="Representative">Representative</option>
</select>
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-contact-info-is-over-18 form-item-sfmc-contact-info-is-over-18">
<input data-drupal-selector="edit-sfmc-contact-info-is-over-18" type="checkbox" id="edit-sfmc-contact-info-is-over-18" name="sfmc_contact_info[is_over_18]" value="1" checked="checked" class="form-checkbox form-check-input">
<label for="edit-sfmc-contact-info-is-over-18" class="option form-label">Check to confirm you are over 18 years of age.</label>
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-contact-info-external-i-d form-item-sfmc-contact-info-external-i-d sfmc-conceal">
<label for="edit-sfmc-contact-info-external-i-d" class="form-label">External ID</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-contact-info-external-i-d" data-msg-maxlength="External ID field has a maximum length of 255." type="text" id="edit-sfmc-contact-info-external-i-d"
name="sfmc_contact_info[external_i_d]" value="" size="60" maxlength="255">
</div>
</div>
</fieldset>
<fieldset data-drupal-selector="edit-sfmc-interaction-details" id="edit-sfmc-interaction-details--wrapper"
class="webform-sfmc-interaction-details--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-sfmc-interaction-details webform-type-webform-sfmc-interaction-details js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="visually-hidden fieldset-legend">SFMC Interaction Details</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-interaction-details-brand-code form-item-sfmc-interaction-details-brand-code sfmc-conceal">
<label for="edit-sfmc-interaction-details-brand-code" class="js-form-required form-required form-label">Brand Code</label>
<input class="hidden-sfmc-value form-text required form-control" data-drupal-selector="edit-sfmc-interaction-details-brand-code" data-msg-maxlength="Brand Code field has a maximum length of 255." data-msg-required="" type="text"
id="edit-sfmc-interaction-details-brand-code" name="sfmc_interaction_details[brand_code]" value="PBAUB" size="60" maxlength="255" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-interaction-details-vendor-code form-item-sfmc-interaction-details-vendor-code sfmc-conceal">
<label for="edit-sfmc-interaction-details-vendor-code" class="js-form-required form-required form-label">Vendor Code</label>
<input class="hidden-sfmc-value form-text required form-control" data-drupal-selector="edit-sfmc-interaction-details-vendor-code" data-msg-maxlength="Vendor Code field has a maximum length of 255." data-msg-required="" type="text"
id="edit-sfmc-interaction-details-vendor-code" name="sfmc_interaction_details[vendor_code]" value="OAPI" size="60" maxlength="255" required="required" aria-required="true">
</div>
<div class="js-form-item form-item js-form-type-select form-type-select js-form-item-sfmc-interaction-details-interaction-channel form-item-sfmc-interaction-details-interaction-channel sfmc-conceal">
<label for="edit-sfmc-interaction-details-interaction-channel" class="form-label">Interaction Channel</label>
<select class="hidden-sfmc-value form-select" data-drupal-selector="edit-sfmc-interaction-details-interaction-channel" id="edit-sfmc-interaction-details-interaction-channel" name="sfmc_interaction_details[interaction_channel]">
<option value="">- None -</option>
<option value="BRC">BRC</option>
<option value="DirectMail">DirectMail</option>
<option value="WEB" selected="selected">Web</option>
<option value="CoReg">CoReg</option>
</select>
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-interaction-details-interaction-source form-item-sfmc-interaction-details-interaction-source sfmc-conceal">
<label for="edit-sfmc-interaction-details-interaction-source" class="form-label">Interaction Source</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-interaction-details-interaction-source" data-msg-maxlength="Interaction Source field has a maximum length of 255." type="text"
id="edit-sfmc-interaction-details-interaction-source" name="sfmc_interaction_details[interaction_source]" value="OTA_AVA_UB_WB_CON_PBA_CARD_REG" size="60" maxlength="255">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-interaction-details-referral-url form-item-sfmc-interaction-details-referral-url sfmc-conceal">
<label for="edit-sfmc-interaction-details-referral-url" class="form-label">Referral URL</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-interaction-details-referral-url" data-msg-maxlength="Referral URL field has a maximum length of 255." type="text"
id="edit-sfmc-interaction-details-referral-url" name="sfmc_interaction_details[referral_url]" value="pbainfo.org" size="60" maxlength="255">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-interaction-details-media-campaign-i-d form-item-sfmc-interaction-details-media-campaign-i-d sfmc-conceal">
<label for="edit-sfmc-interaction-details-media-campaign-i-d" class="form-label">Media Campaign ID</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-interaction-details-media-campaign-i-d" data-msg-maxlength="Media Campaign ID field has a maximum length of 255." type="text"
id="edit-sfmc-interaction-details-media-campaign-i-d" name="sfmc_interaction_details[media_campaign_i_d]" value="" size="60" maxlength="255">
</div>
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-interaction-details-device-type form-item-sfmc-interaction-details-device-type sfmc-conceal">
<label for="edit-sfmc-interaction-details-device-type" class="form-label">Device type</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-interaction-details-device-type" data-msg-maxlength="Device type field has a maximum length of 255." type="text"
id="edit-sfmc-interaction-details-device-type" name="sfmc_interaction_details[device_type]" value="desktop" size="60" maxlength="255">
</div>
</div>
</fieldset>
<fieldset data-drupal-selector="edit-optcodes" id="edit-optcodes" class="js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="fieldset-legend">OptCodes</span>
</legend>
<div class="fieldset-wrapper">
<fieldset data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-all-channels" id="edit-sfmc-opt-status-avanir-brand-opt-all-channels--wrapper"
class="webform-sfmc-optstatus--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-sfmc-optstatus webform-type-webform-sfmc-optstatus js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="visually-hidden fieldset-legend">SFMC OPT Status AVANIR - Brand Opt - All Channels</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-opt-status-avanir-brand-opt-all-channels-opt-code form-item-sfmc-opt-status-avanir-brand-opt-all-channels-opt-code sfmc-conceal">
<label for="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-code" class="form-label">Opt Code</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-code" data-msg-maxlength="Opt Code field has a maximum length of 255." type="text"
id="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-code" name="sfmc_opt_status_avanir_brand_opt_all_channels[opt_code]" value="OPTB9000" size="60" maxlength="255">
</div>
<div class="js-form-item form-item js-form-type-select form-type-select js-form-item-sfmc-opt-status-avanir-brand-opt-all-channels-opt-channel form-item-sfmc-opt-status-avanir-brand-opt-all-channels-opt-channel sfmc-conceal">
<label for="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-channel" class="form-label">Opt Channel?</label>
<select class="hidden-sfmc-value form-select" data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-channel" id="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-channel"
name="sfmc_opt_status_avanir_brand_opt_all_channels[opt_channel]">
<option value="">- None -</option>
<option value="DM">DirectMail</option>
<option value="EM">Email</option>
<option value="PH">Phone</option>
<option value="SMS">SMS</option>
<option value="ALL" selected="selected">All</option>
</select>
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-opt-status-avanir-brand-opt-all-channels-opt-value form-item-sfmc-opt-status-avanir-brand-opt-all-channels-opt-value">
<input data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-value" type="checkbox" id="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-value" name="sfmc_opt_status_avanir_brand_opt_all_channels[opt_value]"
value="1" checked="checked" class="form-checkbox form-check-input">
<label for="edit-sfmc-opt-status-avanir-brand-opt-all-channels-opt-value" class="option form-label">Check to confirm you agree to opt-in to this subscriber's list</label>
</div>
<div
class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-opt-status-avanir-brand-opt-all-channels-allow-false-value form-item-sfmc-opt-status-avanir-brand-opt-all-channels-allow-false-value">
<input data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-all-channels-allow-false-value" type="checkbox" id="edit-sfmc-opt-status-avanir-brand-opt-all-channels-allow-false-value"
name="sfmc_opt_status_avanir_brand_opt_all_channels[allow_false_value]" value="1" class="form-checkbox form-check-input">
<label for="edit-sfmc-opt-status-avanir-brand-opt-all-channels-allow-false-value" class="option form-label">Allow opt code false value</label>
</div>
</div>
</fieldset>
<fieldset data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-email" id="edit-sfmc-opt-status-avanir-brand-opt-email--wrapper"
class="webform-sfmc-optstatus--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-sfmc-optstatus webform-type-webform-sfmc-optstatus js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="visually-hidden fieldset-legend">SFMC OPT Status AVANIR - Brand Opt - Email</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-sfmc-opt-status-avanir-brand-opt-email-opt-code form-item-sfmc-opt-status-avanir-brand-opt-email-opt-code sfmc-conceal">
<label for="edit-sfmc-opt-status-avanir-brand-opt-email-opt-code" class="form-label">Opt Code</label>
<input class="hidden-sfmc-value form-text form-control" data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-email-opt-code" data-msg-maxlength="Opt Code field has a maximum length of 255." type="text"
id="edit-sfmc-opt-status-avanir-brand-opt-email-opt-code" name="sfmc_opt_status_avanir_brand_opt_email[opt_code]" value="OPTB9001" size="60" maxlength="255">
</div>
<div class="js-form-item form-item js-form-type-select form-type-select js-form-item-sfmc-opt-status-avanir-brand-opt-email-opt-channel form-item-sfmc-opt-status-avanir-brand-opt-email-opt-channel sfmc-conceal">
<label for="edit-sfmc-opt-status-avanir-brand-opt-email-opt-channel" class="form-label">Opt Channel?</label>
<select class="hidden-sfmc-value form-select" data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-email-opt-channel" id="edit-sfmc-opt-status-avanir-brand-opt-email-opt-channel"
name="sfmc_opt_status_avanir_brand_opt_email[opt_channel]">
<option value="">- None -</option>
<option value="DM">DirectMail</option>
<option value="EM" selected="selected">Email</option>
<option value="PH">Phone</option>
<option value="SMS">SMS</option>
<option value="ALL">All</option>
</select>
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-opt-status-avanir-brand-opt-email-opt-value form-item-sfmc-opt-status-avanir-brand-opt-email-opt-value">
<input data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-email-opt-value" type="checkbox" id="edit-sfmc-opt-status-avanir-brand-opt-email-opt-value" name="sfmc_opt_status_avanir_brand_opt_email[opt_value]" value="1"
checked="checked" class="form-checkbox form-check-input">
<label for="edit-sfmc-opt-status-avanir-brand-opt-email-opt-value" class="option form-label">Check to confirm you agree to opt-in to this subscriber's list</label>
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-opt-status-avanir-brand-opt-email-allow-false-value form-item-sfmc-opt-status-avanir-brand-opt-email-allow-false-value">
<input data-drupal-selector="edit-sfmc-opt-status-avanir-brand-opt-email-allow-false-value" type="checkbox" id="edit-sfmc-opt-status-avanir-brand-opt-email-allow-false-value"
name="sfmc_opt_status_avanir_brand_opt_email[allow_false_value]" value="1" class="form-checkbox form-check-input">
<label for="edit-sfmc-opt-status-avanir-brand-opt-email-allow-false-value" class="option form-label">Allow opt code false value</label>
</div>
</div>
</fieldset>
</div>
</fieldset>
<fieldset data-drupal-selector="edit-email-addresses" id="edit-email-addresses" class="js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="fieldset-legend">Email Addresses</span>
</legend>
<div class="fieldset-wrapper">
<fieldset data-drupal-selector="edit-sfmc-email-personal" id="edit-sfmc-email-personal--wrapper"
class="webform-sfmc-email--wrapper fieldgroup form-composite webform-composite-hidden-title js-webform-type-webform-sfmc-email webform-type-webform-sfmc-email js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="visually-hidden fieldset-legend">SFMC Email Personal</span>
</legend>
<div class="fieldset-wrapper">
<div class="js-form-item form-item js-form-type-email form-type-email js-form-item-sfmc-email-personal-email-address form-item-sfmc-email-personal-email-address">
<label for="edit-sfmc-email-personal-email-address" class="js-form-required form-required form-label">Email</label>
<input data-webform-required-error="Please provide a properly formatted email address." data-drupal-selector="edit-sfmc-email-personal-email-address" data-msg-email="Please enter a valid email address."
data-msg-maxlength="Email field has a maximum length of 254." data-msg-required="Please provide a properly formatted email address." type="email" id="edit-sfmc-email-personal-email-address" name="sfmc_email_personal[email_address]"
value="" size="60" maxlength="254" class="form-email required form-control" required="required" aria-required="true" data-once="webform-required-error">
</div>
<div class="js-form-item form-item js-form-type-select form-type-select js-form-item-sfmc-email-personal-email-type form-item-sfmc-email-personal-email-type sfmc-conceal">
<label for="edit-sfmc-email-personal-email-type" class="form-label">Email type?</label>
<select class="hidden-sfmc-value form-select" data-drupal-selector="edit-sfmc-email-personal-email-type" id="edit-sfmc-email-personal-email-type" name="sfmc_email_personal[email_type]">
<option value="">- None -</option>
<option value="personal" selected="selected">Personal</option>
<option value="business">Business</option>
<option value="other">Other</option>
</select>
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-email-personal-is-active form-item-sfmc-email-personal-is-active">
<input data-drupal-selector="edit-sfmc-email-personal-is-active" type="checkbox" id="edit-sfmc-email-personal-is-active" name="sfmc_email_personal[is_active]" value="1" checked="checked" class="form-checkbox form-check-input">
<label for="edit-sfmc-email-personal-is-active" class="option form-label">Check to confirm this is an active Email address</label>
</div>
<div class="js-form-item form-item js-form-type-checkbox form-type-checkbox form-check js-form-item-sfmc-email-personal-is-primary form-item-sfmc-email-personal-is-primary">
<input data-drupal-selector="edit-sfmc-email-personal-is-primary" type="checkbox" id="edit-sfmc-email-personal-is-primary" name="sfmc_email_personal[is_primary]" value="1" checked="checked" class="form-checkbox form-check-input">
<label for="edit-sfmc-email-personal-is-primary" class="option form-label">Check if this is your primary email address</label>
</div>
</div>
</fieldset>
</div>
</fieldset>
<fieldset data-drupal-selector="edit-survey-question-answers" id="edit-survey-question-answers" class="js-webform-type-fieldset webform-type-fieldset js-form-item form-item js-form-wrapper form-wrapper">
<legend>
<span class="fieldset-legend">Survey Question & Answers</span>
</legend>
<div class="fieldset-wrapper">
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Text Content
Skip to main content Take the PBA Quiz Menu Close * What is PBA? * About PBA * Do I Have PBA? * Living with PBA * Impact of PBA * Meet Real Patients * Caregiving For PBA * Take Action * Educate Yourself & Loved Ones * Talk to Your Doctor * Take the PBA Quiz IF YOUR CRYING AND/OR LAUGHING DOESN’T MATCH HOW YOU FEEL, IT COULD BE A SIGN OF PBA All participants are real patients/caregivers and have been compensated. Pseudobulbar Affect (PBA) is a medical condition causing sudden, frequent, uncontrollable crying and/or laughing that doesn’t match how you feel inside. It can happen in people with a brain injury or certain neurologic conditions. It’s more common than you think. All participants are real patients/caregivers and have been compensated. Do you have PBA symptoms? Scroll to learn more. WHAT IS PBA? Image Laura is a real caregiver, and Amy is a real patient living with PBA. PBA IS DIFFERENT FROM DEPRESSION. PBA is sometimes mistaken for or attributed to depression, but the 2 are separate conditions with their own symptoms. Learn what defines PBA Depression is a common mood disorder, characterized by excessive sadness, that affects how a person feels, thinks, and handles daily activities. Laura is a real caregiver, and Amy is a real patient living with PBA. COULD YOU HAVE PBA? Take a short, 7-question quiz to find out if your crying and/or laughing episodes may suggest PBA. Discuss your quiz results with your healthcare provider to learn more about PBA. Take the PBA Quiz > -------------------------------------------------------------------------------- > > [My episodes are] embarrassing, and no one understands what is happening. I > don't even understand. It is nice to finally learn more about this condition. > > -------------------------------------------------------------------------------- > > - Real PBA patient > > Patient avatar FIND A SPECIALIST WHO TREATS PBA Not all healthcare providers are familiar with PBA. It’s important to speak to a specialist who has experience in treating PBA. Search your location for a specialist near you Search Are you sure you want to leave? By clicking continue, you will be leaving this website and going to another, entirely independent website. These links are provided as a service to website visitors and users; however, no responsibility is taken for the information on other independent websites. ContinueCancel Image All participants are real patients/caregivers and have been compensated. ASK YOUR HEALTHCARE PROVIDER HOW TO MANAGE PBA Get tips for talking to your healthcare provider about your symptoms so you can start the conversation about PBA. Neurologists, psychiatrists, internists, neuropsychiatrists, and physiatrists are types of healthcare providers who may be able to help identify symptoms and properly diagnose PBA. Prepare for a visit with your doctor SUPPORTING SOMEONE WITH PBA If you know or care for someone with PBA, you may be wondering how you can help. Caregiving for PBA Image All ambassadors are real patients living with PBA or caregivers for real patients living with PBA. MLR-PBA-US-0795-1022 Please provide your email to get access to the "I Have PBA" card. By opting in, I confirm that I am 18 years of age or older and I understand that the information I have provided will be used by Otsuka America Pharmaceutical, Inc. (“Otsuka”) and its contracted third parties to contact me by email, direct mail, and/or SMS text message with relevant information, to include participation in market research opportunities. I may also receive relevant information from Otsuka in the future. I will have the ability to opt out from receiving Otsuka communications at any time by calling 1-833-468-7852 or by following the opt-out instruction within the communications. For more information see our Terms of Use and Privacy Policy. SFMC contact info Contact Type - None -ConsumerHCPNursePractitionerPharmacyTechnicianPhysicianPhysicianAssistantRegisteredNurseRepresentative Check to confirm you are over 18 years of age. External ID SFMC Interaction Details Brand Code Vendor Code Interaction Channel - None -BRCDirectMailWebCoReg Interaction Source Referral URL Media Campaign ID Device type OptCodes SFMC OPT Status AVANIR - Brand Opt - All Channels Opt Code Opt Channel? - None -DirectMailEmailPhoneSMSAll Check to confirm you agree to opt-in to this subscriber's list Allow opt code false value SFMC OPT Status AVANIR - Brand Opt - Email Opt Code Opt Channel? - None -DirectMailEmailPhoneSMSAll Check to confirm you agree to opt-in to this subscriber's list Allow opt code false value Email Addresses SFMC Email Personal Email Email type? - None -PersonalBusinessOther Check to confirm this is an active Email address Check if this is your primary email address Survey Question & Answers SFMC Survey Response - I agree Question Code Answer Code Answer Text Survey Response Type - None -QuestionAndAnswerCoPay Check if this is an open text answer Get the "I Have PBA" card * Contact Us * Privacy Policy * Terms of Use * Sitemap * Facebook Page * Facebook Support Group * YouTube The health information contained herein is provided for educational purposes only and is not intended to replace discussions with a healthcare provider. 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