METHODS: A list of 3000 patients (18-65 years) were identified from a Specialty Pharmacy database.  1,041 patients with a diagnosis of rheumatoid arthritis (RA) were identified from the list and were invited to participate in a survey. The patients were mailed a cover letter, consent letter, and a demographic questionnaire. Additionally, the Work Productivity and Activity Impairment (WPAI) questionnaire (assess productivity losses), Health Assessment Questionnaire (HAQ; disease severity), Modified Morisky Scale (MMS; medication adherence) were administered. Survey responses were linked to clinical measures obtained from the specialty pharmacy database. Descriptive and logistic regression analyses were conducted using employment status as an outcome variable and HAQ, adherence, and demographics as input variables. The statistical analyses were conducted using SPSS version