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. Author manuscript; available in PMC: 2013 Dec 10.
Published in final edited form as: South Med J. 2009 Feb;102(2):10.1097/SMJ.0b013e31818bbe5e. doi: 10.1097/SMJ.0b013e31818bbe5e

Table 1.

Questions on use of Medication Assistance Programs (MAPs) included in a survey of primary care physicians in four southern US states

When patients cannot afford drugs, does your office enroll patients in pharmaceutical companies’ indigent patient programs?
Yes □ Sometimes □ No □
How helpful are pharmaceutical companies’ indigent patient programs in obtaining drugs for patients who cannot afford them?
Not Helpful 1 2 3 4 5 Very Helpful
Who in your office initiates and/or oversees the processing of required drug assistance program enrollment materials?
□ Myself □ Nurse □ Social Worker □ Support Staff Member □ Other, Please Specify
What are the barriers to enrolling patients in pharmaceutical companies’ indigent patient programs?
□ There are no barriers □ I am not familiar with indigent patient programs
□ The income level threshold is set too low for my patients □ It is too time-consuming for staff to attempt to enroll patients
□ It is too time-consuming for patients to be enrolled □ Patients cannot directly apply for indigent patient programs
□ Other ___________________________________