Adherence

Have you ever taken a medication a day late? Forgotten a dose altogether? Any time patients don’t stick to their doctors’ prescribed medication regimen, their health can deteriorate and they may pay expensive medical bills that were completely avoidable… Read More

Why Adherence is Important
Why does adherence matter? Patients who fail to take medications as prescribed have higher healthcare costs and suffer from unnecessary complications. Depending on the therapy, these complications can include heart attacks, stokes, heart failure, peripheral vascular disease, amputations, retinopathy, end-stage renal disease, and vision loss.

Express Scripts estimates that failure to take medications as prescribed costs the U.S. approximately $317 billion annually. That’s $106 billion just from lack of adherence to medications for diabetes, high cholesterol, and high blood pressure/heart disease.

Adherence Findings from the Lab
Researchers in the Express Scripts Lab are hard at work on this critical issue, and have identified these seemingly contradictory findings:

  • Patients consider medication adherence among the most important of their health behaviors – more important than even diet and exercise
  • Still, for many diseases, more than half of patients fail to take their medication as prescribed

Further complicating the issue, patients significantly overestimate their own adherence – 89% of nonadherent people report that they are adherent.

So, patients know that medication adherence is important, think they’re complying, and yet…we know that they’re not. How can we take patients’ good intentions and turn them into reality?

At Express Scripts, we’re setting the stage for new solutions to increase medication adherence. In this section, read about how we’re tackling the challenge head-on.

Adherence

So You’re Confused About Your Daily Meds

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It seems like it should be a simple task, but as anyone prescribed a long-term drug knows, taking medications regularly and properly can be challenging. In fact, the problem is so widespread that people typically only take half of the dosages of medications they’re supposed to. There are different reasons: Drug labels can sometimes be difficult …

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Adherence

Un-fragmenting Patient Care

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Medications that keep blood pressure levels in check — also known as ACE inhibitors — play a critical role in keeping patients who have been hospitalized with heart failure healthy. Omitting these drugs or nonadherence to the treatment regimen could lead to worsening symptoms, disease progression, and emotionally and financially costly readmission. So you would assume that ACE …

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Adherence

Pharmacist Collaboration Closes Gaps in Care

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Combining innovative technology with specially trained community pharmacists, Express Scripts — through its groundbreaking SOCRxATES® program — is playing an even more integral role in helping patients improve adherence to chronic therapies. The SOCRxATES program addresses several vital aspects of real healthcare reform. It transforms traditional competitors into collaborators; creates a partnership across private business, public employers and …

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Adherence

RationalMed: Closing Gaps in Patient Safety

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How is it that people with heart failure receive prescriptions for diabetes medications known to worsen heart failure? Or women with a history of life-threatening blood clots can be prescribed estrogen products known to cause blood clots? Drug-disease interactions are a major safety issue and too often go undetected until it’s too late. Such medication …

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Adherence

The Heart of the Matter

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Valentine’s Day comes once a year, but Express Scripts cardiovascular specialist pharmacists play Cupid every day by making sure patients have a lasting relationship with their medication. One in six Americans has high cholesterol and nearly one-third of American adults — 76 million individuals — have hypertension or high blood pressure. Both are conditions that can cause …

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