www.pbainfo.org Open in urlscan Pro
2606:4700::6812:13bb  Public Scan

Submitted URL: http://www.pbainfo.org/
Effective URL: https://www.pbainfo.org/
Submission: On November 07 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /

<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 &quot;I Have PBA&quot; 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">
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 * 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
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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

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The health information contained herein is provided for educational purposes
only and is not intended to replace discussions with a healthcare provider.
All decisions regarding patient care must be made with a healthcare provider,
considering the unique characteristics of the patient.

© 2024 Otsuka America Pharmaceutical, Inc. All rights reserved.

October 2024

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