Skip to main content

Take the PBA Quiz

- About PBA
- Do I Have PBA?
- Educate Yourself & Loved Ones
- Talking to a Doctor
Take the PBA Quiz

Sitemap

Homepage
Understanding PBA
- About PBA
- Do I Have PBA?
Living with PBA
Support & Resources
- Educate Yourself & Loved Ones
- Talking to a Doctor
Take the PBA Quiz
Contact Us
Privacy Policy
Terms of Use

MLR-PBA-US-0792-1022

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. 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

Check to confirm you are over 18 years of age.

External ID

SFMC Interaction Details

Brand Code

Vendor Code

Interaction Channel

Interaction Source

Referral URL

Media Campaign ID

Device type

OptCodes

SFMC OPT Status AVANIR - Brand Opt - All Channels

Opt Code

Opt Channel?

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?

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?

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

Check if this is an open text answer

Contact Us
Privacy Policy
Terms of Use
Sitemap

Facebook Page
Facebook Support Group
Instagram
Youtube

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.

© 2023 Otsuka America Pharmaceutical, Inc. All rights reserved.

January 2023

18US22EUC0012

You Are Now Leaving This Site

Would you like to leave this site?