Greater refill adherence to adalimumab therapy for patients using specialty versus retail pharmacies

Advances in Therapy
Yifei LiuParvez M Mulani

Abstract

Retail pharmacies provide regular prescription drugs and some specialty prescription drugs, whereas specialty pharmacies focus on distributing specialty prescription drugs, including tumor necrosis factor (TNF) antagonists. It is unknown whether pharmacy type impacts patients' adherence to anti-TNF therapy. The relationship between pharmacy type (specialty vs. retail) and refill adherence to therapy with the TNF antagonist adalimumab was examined. This was a retrospective analysis of dispensing records of patients in the United States who were prescribed a TNF antagonist (adalimumab 40 mg per 0.8-mL injection) during a dispensation period from January 2003 to August 2009. Patients treated with adalimumab were included in the analysis regardless of diagnosis. For each patient, medication refill adherence (MRA) was calculated as total days of supply divided by total number of days evaluated, multiplied by 100. A regression analysis was conducted in which the dependent variable was MRA and the independent variables included pharmacy type (specialty vs. retail pharmacy), reimbursement/payment type, copayment/payment amount per prescription, age, sex, ethnicity, and annual income. Of the 86,079 patients included, 70% obtained the me...Continue Reading

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Citations

Jul 13, 2017·Inflammatory Bowel Diseases·Mirjam SeversBas Oldenburg
Mar 23, 2013·Inflammatory Bowel Diseases·Anthony LopezLaurent Peyrin-Biroulet
Mar 27, 2018·Journal of Managed Care & Specialty Pharmacy·Hrishikesh P KaleNorman V Carroll
Dec 13, 2017·The American Journal of Gastroenterology·Shail M GovaniAkbar K Waljee
Jun 21, 2017·BMC Health Services Research·Michael StokesLuke Boulanger

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