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J Am Pharm Assoc (2003). 2016 Jan;56(1):47-53. doi: 10.1016/j.japh.2015.11.003.

The adherence impact of a program offering specialty pharmacy services to patients using retail pharmacies.

Abstract

BACKGROUND:

A new service model integrates the specialty pharmacy's comprehensive service with the retail pharmacy's patient contact, giving patients options for medication delivery to home, pharmacy, or doctor's office.

OBJECTIVE:

Evaluate the impact of the new service model on medication adherence.

DESIGN:

Retrospective cohort study

SETTINGS:

One hundred fifteen CVS retail stores in Philadelphia participated in a pilot from May 2012 to October 2013, and 115 matched CVS retail stores from around the nation served as controls.

PATIENTS:

All eligible patients from the intervention and control stores received specialty medications through CVS retail pharmacies prior to implementation of the new service model.

INTERVENTION:

The intervention patients were transitioned from retail pharmacy service to the specialty pharmacy with delivery options. The control patients received standard retail pharmacy services.

MAIN OUTCOME MEASURES:

Proportion of days covered and first fill persistence were tracked for 12 months before and after program implementation.

RESULTS:

Under the new service model, 228 patients new to therapy in the post period had a 17.5% increase in the rate of obtaining a second fill as compared to matched controls. Patients on therapy in both the pre- and the post-periods had a pre-post increase of 6.6% in average adherence rates and a pre-post increase of 10.8% in optimal adherence rates as compared to 326 matched controls.

CONCLUSION:

The study demonstrated significant improvement in both adherence to therapy and first-fill persistence among patients in the new service model integrating specialty pharmacy's comprehensive services with the retail pharmacy's patient contact and medication delivery choices.

PMID:
26802920
DOI:
10.1016/j.japh.2015.11.003
[Indexed for MEDLINE]

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