Pharmacy Drug NoncomplianceObjective: The purpose of this study is to conduct a multivariate analysis of non-compliance; to identify organizational and individual factors associated with the quantity and type of Services used by Prime enrollees who use drug and service use for behavioral health care.
Results: Approximately 8% of beneficiaries report that they have been non-compliant in the past 12 months. By contrast, according to administrative data available from four of the study sites, 10% had been non-compliant during a three-month period ending in February 2004. Beneficiaries who report they are non-compliant are younger and more likely to be active duty. The most common reasons for non-compliance include: did not need the drug (19%), forgot (17%), drug not in stock (14%), wait at pharmacy too long (11%), and prescription not ready (11%). Among active duty, common reasons included: moved or left town (28%), did not need drug (27%), forgot (13%), pharmacy wait too long (12%). Non-compliant beneficiaries are more likely to give pharmacy convenience a poor rating. The results of this study imply that compliance can be improved by on-demand prescription dispensing and improved communication between pharmacy and physician (such as forwarding emails to Outlook) and pharmacy and patient (such as reminders) will improve both compliance and quality of care. Interventions should target active duty personnel.