Indications

This site is intended for U.S. residents 18 years of age or older.

Indications

This site is intended for U.S. residents 18 years of age or older.

All fields are required unless otherwise noted.

1. Which of the below best describes your current treatment status?

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Currently taking ELIQUIS

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No longer taking any
prescription blood thinner

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No longer taking ELIQUIS, but
taking another prescription
blood thinner

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Never treated with ELIQUIS

2. What kind of content would you be most interested in seeing as a part of the ELIQUIS 360 Support program? (Select all that apply)

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More information about ELIQUIS

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Connecting with others who
have your condition

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Learning more about your
condition from a healthcare
provider

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Tips and practical advice for
managing your condition
at home

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Stories from other ELIQUIS
patients

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Information, resources, and tools
to help manage your condition
and treatment with ELIQUIS