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05:10
Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System
Published on: December 11, 2016
Revealed preference for community and mail service pharmacy
Joshua N Liberman1, Yun Wang, David S Hutchins
1Strategic Research, CVS Caremark, Hunt Valley, MD 21031, USA. josh.liberman@caremark.com
Journal of the American Pharmacists Association : Japha
|January 21, 2011
Summary
Many patients prefer community pharmacies over mail-order for 90-day prescriptions, even with no cost difference. Benefit designs impacting pharmacy choice may affect medication adherence.
Area of Science:
- Health Services Research
- Pharmacy Practice
- Patient Behavior Analysis
Background:
- Pharmacy benefit designs increasingly offer 90-day prescription supplies.
- Patient choice between mail service and community pharmacies is a key consideration.
Purpose of the Study:
- To determine patient pharmacy preferences for 90-day supplies.
- To identify predictors of choosing mail service versus community pharmacy.
Main Methods:
- Retrospective cohort study of 324,968 commercially insured participants.
- Analysis of pharmacy selection rates after implementing a benefit design with optional mail or community pharmacy use for 90-day supplies.
Main Results:
- 31.8% of patients previously mandated to use mail service pharmacy chose community pharmacies for 90-day supplies.
- Preference varied significantly based on prior pharmacy use, age, income, region, and medication habits.
- Among new prescriptions, 44.3% were filled at community pharmacies.
Conclusions:
- Patient preferences for mail service or community pharmacy channels are evident.
- Restrictive benefit designs may negatively impact patient convenience and medication adherence.
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