Have you been impacted by a drug shortage?
Reporter Sam Wildow wants to talk to you if you and/or your patients or customers have been impacted by the ongoing drug shortage. If the form below does not go through, she can be reached at samantha.wildow@coxinc.com. 
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Have you been impacted by a drug shortage?
If yes, in what ways has it impacted you? 
If you feel comfortable sharing, what was the medication, such as insulin or adderall?
If you're a provider or pharmacist, in what way(s) have the ongoing drug shortages impacted you? Or your patients or customers? 
Can we contact you for an interview?  *
What is your name?  *
What is the best way to contact you? Please type out your phone number and/or email address below. 
Where are you from or what town do you currently live in?  *
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