Sydney Salvati, Stephanie McGrath, Kelsey Linn, Levent Kirisci, Monali Bhosle, Kim C. Coley
{"title":"Improving medication adherence in the medicaid population through community pharmacist-provided services","authors":"Sydney Salvati, Stephanie McGrath, Kelsey Linn, Levent Kirisci, Monali Bhosle, Kim C. Coley","doi":"10.1016/j.japh.2026.103154","DOIUrl":"10.1016/j.japh.2026.103154","url":null,"abstract":"<div><h3>Background</h3><div>The Pennsylvania Pharmacists Care Network established a payor program with a Medicaid Managed Care Organization (MCO) to provide adherence services to health plan members including medication synchronization, medication reconciliation, medication adherence packaging, and medication home delivery. These services are documented through the Pharmacist eCare Plan (PeCP); however, medication adherence metrics cannot be evaluated using PeCP data alone.</div></div><div><h3>Objective</h3><div>To evaluate medication adherence using both PeCP and claims data in patients who received community pharmacist-provided adherence services as part of a Medicaid MCO payor program.</div></div><div><h3>Methods</h3><div>Medication adherence was measured before and after the initiation of the payor program using proportion of days covered (PDC) for 3 targeted medication classes: renin angiotensin system antagonists (RASAs), HMG-CoA reductase inhibitors (statins), and noninsulin diabetic medications (NIDMs). Two-sided paired <em>t</em>-tests were used to compare the percentage of change in PDC values for each of the 3 target medication classes. An additional analysis was conducted for nonadherent patients, defined as those with PDC less than 80% during the baseline period. Regression analyses were used to assess if any factors impacted the likelihood of baseline nonadherent patients achieving a PDC above 80% during the intervention period.</div></div><div><h3>Results</h3><div>There were 1361 Medicaid patients that met inclusion criteria for the analyses. Average PDC across all 3 target drug classes increased significantly during the intervention period. Furthermore, average PDC significantly increased to at least 80% for all 3 drug classes in baseline nonadherent patients. Patients on RASAs or statins with baseline PDC <80% that received medication adherence packaging services were more likely to achieve a PDC of at least 80% during the intervention period.</div></div><div><h3>Conclusion</h3><div>This study demonstrates that community pharmacist-provided adherence services as part of a Medicaid MCO payor program positively impacted patient adherence as measured by PDC for RASAs, statins, and NIDMs.</div></div>","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103154"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148140448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"2026 Remington Honor Medal Address: The power of “WE!”","authors":"Thomas E. Menighan","doi":"10.1016/j.japh.2026.103132","DOIUrl":"10.1016/j.japh.2026.103132","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103132"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Chen, T. Todd, J. Mazan, S. Harpe, C. Clough, C. Cross, J. Hamper
{"title":"153 Assessing the Impact of the Medicare Prescription Payment Plan on Patient Adherence of Chronic Medications","authors":"B. Chen, T. Todd, J. Mazan, S. Harpe, C. Clough, C. Cross, J. Hamper","doi":"10.1016/j.japh.2026.103201","DOIUrl":"10.1016/j.japh.2026.103201","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103201"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"159 Changing Pharmacy Access in Iowa 2008-2024","authors":"M. Andreski","doi":"10.1016/j.japh.2026.103205","DOIUrl":"10.1016/j.japh.2026.103205","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103205"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"125 Evaluation of A Community Pharmacist-Led Continuous Glucose Monitoring Educational Session on Patient Understanding and Satisfaction: Pre-Post Survey","authors":"B. George, K. Lin, M. Stewart","doi":"10.1016/j.japh.2026.103175","DOIUrl":"10.1016/j.japh.2026.103175","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103175"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Roper, A. Turpin, E. DeSimone, J. Payne, J. Gonzalez Pagan, K. Kessler, K. Begley
{"title":"118 A Multistate Assessment of Pharmacy Student Awareness of Substance Use Disorders and Resources","authors":"K. Roper, A. Turpin, E. DeSimone, J. Payne, J. Gonzalez Pagan, K. Kessler, K. Begley","doi":"10.1016/j.japh.2026.103169","DOIUrl":"10.1016/j.japh.2026.103169","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103169"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Dikun, C. Bergman, E. Glorioso, K. Rickard, K. Pate, N. Leong, S. Burks
{"title":"147 Teaching to Transform: Student Pharmacist Experiences as Harm Reduction Trainers for the Collegiate Community through Operation Substance Use Disorder","authors":"J. Dikun, C. Bergman, E. Glorioso, K. Rickard, K. Pate, N. Leong, S. Burks","doi":"10.1016/j.japh.2026.103195","DOIUrl":"10.1016/j.japh.2026.103195","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103195"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148637863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Casarini, A. Sumbul, A. Castilla, A. Arunachalam, B. Yayla, C. Caglevic, D. Kowalski, G. Cohen, K. McQuarrie, N. Bhagwati, O. Bylicki, P. Yañez Weber, S. Saraf, T. Takagi
{"title":"149 A Phase 2 Study of Participant-Reported Preference for Pembrolizumab Administered Subcutaneously or Intravenously","authors":"I. Casarini, A. Sumbul, A. Castilla, A. Arunachalam, B. Yayla, C. Caglevic, D. Kowalski, G. Cohen, K. McQuarrie, N. Bhagwati, O. Bylicki, P. Yañez Weber, S. Saraf, T. Takagi","doi":"10.1016/j.japh.2026.103197","DOIUrl":"10.1016/j.japh.2026.103197","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103197"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148637865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"154 Biomarkers Driving FDA Approvals in Endometrial Cancer (2014–2025): Trial Design, Eligibility, and Endpoint Implications","authors":"S. Schellhaas, F. Frankhauser","doi":"10.1016/j.japh.2026.103202","DOIUrl":"10.1016/j.japh.2026.103202","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103202"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Baldwin, A. Matson, C. Koogler, H. Divine, J. Mills, N. Miracle, T. McIntosh
{"title":"130 Identifying Strategies to Enhance Advanced Pharmacy Practice Experiences: Insights from Students and Preceptors","authors":"K. Baldwin, A. Matson, C. Koogler, H. Divine, J. Mills, N. Miracle, T. McIntosh","doi":"10.1016/j.japh.2026.103180","DOIUrl":"10.1016/j.japh.2026.103180","url":null,"abstract":"","PeriodicalId":50015,"journal":{"name":"Journal of the American Pharmacists Association","volume":"66 4","pages":"Article 103180"},"PeriodicalIF":2.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148640450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}