title: The impact of 90-day prescriptions on adherence at workplace pharmacies compared to traditional mail order.
abstract: This study evaluated adherence to medications used to treat chronic conditions for patients with 90-day prescriptions, comparing patients with access to workplace pharmacy services versus patients using mail order services. De-identified pharmacy claims data were used to compute medication possession ratio and gaps in therapy. Results were compared for patients who filled 90-day prescriptions at workplace pharmacies versus patients who filled 90-day prescriptions using mail order pharmacy services in a 1-year period. Statistical tests to assess between group differences were performed controlling for differences because of age, sex, number of select chronic conditions, number of unique medication therapeutic classes, and patient out-of-pocket cost per therapy day. Statistically significant differences were found between patients who filled their maintenance medications at the worksite compared to those who used mail-order pharmacy services. Patients filling prescriptions at a workplace pharmacy were 22% less likely to have a gap in therapy of over 30 days compared to similar patients using mail order services. Workplace pharmacy utilizers also had overall adherence rates 3.68% higher than patients who utilized mail order pharmacy services. Our analysis suggests that it may not be just the quantity of medication dispensed that impacts patients' adherence to their prescription medication, but a variety of other factors including pharmacist-patient interaction. Having a pharmacist on-site and available to patients with chronic considerations could provide added value. These results can aid employers and other stakeholders to decide which prescription benefits to offer their employees and members.
authors.affiliation: Walgreen Co., Deerfield, Illinois, USA.
authors.forename: Avinash
authors.initials: A
authors.lastname: Patwardhan
authors.forename: Jeffery
authors.initials: J
authors.lastname: Davis
authors.forename: Patricia
authors.initials: P
authors.lastname: Murphy
authors.forename: Nikhil
authors.initials: N
authors.lastname: Khandelwal
authors.forename: Bruce
authors.initials: B
authors.lastname: Sherman
authors.forename: James
authors.initials: J
authors.lastname: Manfred
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000188:drug therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010593:Pharmaceutical Services / Q000706:statistics & numerical data; D011177:Postal Service / Q000706:statistics & numerical data*; D055656:Prescriptions; D017132:Workplace