A Synchronized Prescription Refill Program Improved Medication Adherence | Zendy

Jalpa A. Doshi | Zendy; R. K. S. Lim | Zendy; Pengxiang Li | Zendy; Peinie Young | Zendy; Victor Lawnicki | Zendy; Joseph J. State | Zendy; Andrea B. Troxel | Zendy; Kevin G. Volpp | Zendy

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A Synchronized Prescription Refill Program Improved Medication Adherence

Author(s) -

Jalpa A. Doshi,

R. K. S. Lim,

Pengxiang Li,

Peinie Young,

Victor Lawnicki,

Joseph J. State,

Andrea B. Troxel,

Kevin G. Volpp

Publication year - 2016

Publication title -

health affairs

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.837

H-Index - 178

eISSN - 2694-233X

pISSN - 0278-2715

DOI - 10.1377/hlthaff.2015.1456

Subject(s) - medicine , pharmacy , medical prescription , synchronizing , medication adherence , intervention (counseling) , baseline (sea) , emergency medicine , medicare part d , medicare advantage , family medicine , health care , prescription drug , nursing , computer science , oceanography , economic growth , economics , geology , telecommunications , transmission (telecommunications)

Synchronizing medication refills-renewing all medications at the same time from the same pharmacy-is an increasingly popular strategy to improve adherence to medication regimens, but there has been little research regarding its effectiveness. In light of increasing policy interest, we evaluated the impact of a pilot refill synchronization program implemented by a large national insurer. A random sample of Medicare Advantage patients receiving mail-order refills for common maintenance medications (antihypertensive, lipid-lowering, or antidiabetic agents) were invited to join the program and followed for twelve months. On average, the absolute increase in the proportion of patients deemed adherent during follow-up was 3-10 percentage points for the intervention group, compared to 1-5 percentage points for the control group. Patients with poorer baseline adherence showed larger increases in the absolute proportion deemed adherent in intervention (23-26 percentage points) compared to a control group (13-15 percentage points). Synchronizing refills might be a promising intervention to improve adherence to maintenance medications, especially among Medicare patients with low baseline adherence.

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