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The National Community Pharmacists Association shared a proof of concept study that affirmed the value retail pharmacy can deliver in saving healthcare dollars. Patients who opted-in to medication synchronization programs offered through their community pharmacy averaged more than 100 additional days on therapy per year and were 30% more likely to take their medication as prescribed.
At a time when health systems and payers are actively seeking sound strategies to keep their patients from being readmitted to a hospital, pharmacy could very well be their panacea. Sticking to a prescribed drug therapy script does just that — it helps prevent re-hospitalizations, which will be a key metric with the implementation of the Affordable Care Act. The community pharmacist also sees the patients more often than other healthcare practitioners and has as many opportunities to provide appropriate course correction, if necessary, around a particular medicinal regimen if it isn't working. And medication synchronization augments the pharmacists' ability to keep their patients on point.
Nearly 90% of patients who received synchronized refills were considered adherent as measured by the proportion of days covered, compared with 56% of patients not receiving synchronized refills, NCPA reported. The gaps in medication coverage were reduced, along with the provision of adherence-supporting services from the community pharmacies.
That suggests medication synchronization programs represent a validated method to capture patients for the adherence counseling services that more and more pharmacies are offering. According to the latest NCPA Digest, 48% of independent community pharmacies are offering adherence counseling services, up from 39% last year. "We have encouraged that [developing adherence services] strongly because we believe adherence is a building block for pharmacists as they develop clinical services," suggested NCPA CEO Douglas Hoey during a press conference this past fall.
NCPA's synchronization study comes on the heels of another medication synchronization success story — that of Thrifty White. The Nov. 11 issue of DSN reported results from Thrifty White's medication synchronization program, which had at the time of publication enrolled 30,000 patients and was growing at clip of 250 additional patients per week. Patients enrolled in that synchronized refill program were on medication therapy 341 days out of a 12-month period, compared with 235 days of medication coverage averaged by patients in a control group.
Thrifty White also found that medication synchronization programs appeal to patient populations across the age spectrum. “You’d think a lot more of them would be the 65 years and older patients,” Tim Weippert, Thrifty White EVP pharmacy, told DSN. “But looking at all our data, the sweet spot for this model is between the ages of 40 years and 55 years.” One possible reason: folks in that age group are “very active, on the go and need reminders” to stay adherent and persistent with the meds, he suggested. But whatever the cause, with “10,000 people a day turning 65,” Weippert said, “there’s great potential” for growth of the med sync program.