Resources to Address Medication Non-Adherence

Medication non-adherence is a growing concern to clinicians, healthcare systems, and insurers because it is associated with adverse outcomes and increased care costs. Published literature indicates the following:

  • 50 percent of patients take their medications as prescribed by their doctors1
  • 31 percent of prescriptions never get filled at the pharmacy2
  • 33 to 69 percent of medical-related hospital admissions are related to poor medication adherence3

Medication adherence plays an important role in the prevention of long-term complications related to diabetes, hypertension, and hyperlipidemia. Promoting health awareness, simplifying a medication regimen by avoiding pill splitting or multiple daily doses, and prescribing low-cost but safe and effective alternatives are ways that you can help patients achieve the most from their prescription drugs.

There are many free tools and services available within the community that will help your patients stay on track with their medications. Please review the table below to determine the most convenient resources for your patients, our members.

Resource

Description

Call to Action

Automatic refill programs

  • Service is offered by most retail pharmacy chains
  • Tool facilitates automatic refills for prescriptions and notifies patients that their medications are ready

Notify your patients of this program or personally connect them to their pharmacy via telephone to enroll in this service. 

Medication synchronization

Tool that coordinates fill dates so that all medications for a 30-day supply can be obtained on the same day each month

Notify your patients of this program or personally connect them to their pharmacy via telephone to enroll in this service.

Mail order

Service that offers home delivery of 90-day supplies for maintenance medications

Contact Express Scripts at 1-800-903-6228 to set your patients up for mail order services.

Automated reminders

Service offered by pharmacies that will send automated refill reminders in the form of text messages or interactive voice-response calls to notify patients that it's time to pick up their medications 

Notify your patients of this program or personally connect them to their pharmacy via telephone to enroll in this service.

Highmark mobile app

Highmark's app supports patients via automated refill reminders and daily reminders to take each dose of medication.

Refer patients to Highmark Member Service for help in downloading the application. (The Member Service telephone number is on the back of members' ID cards)

 

We realize your patients may be obtaining their medications through discount programs offered throughout the community. Please note that insurance claims aren't generated in these instances. That means your patients appear to be non-adherent, per our records. Please encourage your patients to always use their Highmark member ID cards to obtain their medications. Doing so allows Highmark to identify care coordination opportunities that will help to improve the overall quality of care that is delivered to our members.

  1. Sabate E., et al. Adherence to Long Term Therapies: Evidence for Action. Geneva, Switzerland, World Health Organization; 2003
  2. One in Three Patients Not Filling Prescriptions, study finds: http://www.aafp.org/news/health-of-the-public/20140428nonadherencestudy.html.  Accessed March 22, 2017
  3. Osterberg L., et al. Adherence to Medication. New England Journal of Medicine, 2005; 353(5) 487-497

 

 

esubscribe