The MMAS Scales are not in the public domain

Permission from Dr. Morisky is required to use the copyrighted Morisky Scales (MMAS-4 and MMAS-8), the most commonly used validated measure of medication non-adherence.

The MMAS Scales are not subject to fair use, as we have had the unfortunate circumstance to litigate against large pharma and prestigious universities in order to protect our intellectual property. Although the settlements are private, public records will show whom we've had to force to comply.