White Papers

White Papers

Pharmacy Audits are Inevitable, But a Comprehensive Technology System Can Keep You Organized and Minimize Disruption

Monday, August 30, 2021

In March 2020, as pharmacists were fully engaged in the COVID-19 public health emergency, National Community Pharmacists Association (NCPA) Chief Executive Officer B. Douglas Hoey wrote a letter to Seema Verma, who at the time was administrator of the Centers for Medicare & Medicaid Services with a clear request: Please require pharmacy benefit managers (PBMs) and Part D sponsors to suspend pharmacy audits during the COVID-19 emergency.

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Ensure HIPAA Compliance with a Comprehensive Pharmacy Technology Solution

Friday, July 30, 2021

The following discussion includes an overview of HIPAA, with a focus on parts of the legislation that directly affect pharmacies. In addition to helping pharmacy managers understand their legal requirements, the discussion will detail how technology systems, including PrimeRx™ from Micro Merchant Systems, can help facilitate the compliance process.

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Five Ways PrimeRx™ Can Help Better Serve Customers: Good Pharmacy Customer Service Starts with a Comprehensive Technology System

Wednesday, July 14, 2021

Few things are as disheartening to a community pharmacist as having a customer leave the store feeling disappointed or undervalued. Most local pharmacists will take reports of poor customer service as personal failings, since serving others is the very reason most pursue the pharmacy profession. At a time when pharmacies face a decrease in profit margins and an increase in competition from box stores and online pharmacies, local pharmacies must prioritize good customer service as a way to build loyalty and ensure continued patronage.

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Medicare Part B Provider Status: What is it? Why don't pharmacists have it? And how technology can support pharmacies in demonstrating why they deserve it.

Friday, May 28, 2021

Researchers at the University of Southern California reported in May 2021 that Black and Latino neighborhoods in the 30 most populous cities in the United States had fewer pharmacies than white or diverse neighborhoods, suggesting that “pharmacy deserts” could be an overlooked contributor to “persistent racial and ethnic health disparities.”

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PBM Fees and the Pharmacy: Using Technology to Document and Analyze Bottom-line Impact

Wednesday, April 21, 2021

The following discussion will provide an overview of current PBM practices as a way to help pharmacists better understand the effect of these practices on their bottom lines. The discussion will also highlight opportunities for pharmacy owners to rely on their technology systems, such as PrimeRx™ management solution, to better manage the impact of these fees on their pharmacies.

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The Pharmacy of the Future: Technology-Based Efficiencies that Enable Increased Focus on Patient-Care

Wednesday, March 24, 2021

Pharmacies that have invested in technology-based management systems already demonstrate a commitment to using technology to improve operations and efficiency. But as with essentially all elements of technology, current capabilities barely scratch the surface of what is possible. New solutions are brought to market every day, and innovative thinking continually raises the bar.

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Using Technology for Pharmacy Hard Copy Document Management

Wednesday, February 24, 2021

A survey of elderly patients living in the Pittsburgh, PA area found overwhelming support – more than 80 percent – for electronic prescriptions, with 85 percent of patients saying they preferred having their prescriptions electronically transmitted to the pharmacy, rather than having a doctor write a paper prescription. The findings of this survey, which were published by the American Health Information Management Association (AHIMA), are notable because they point out just how accepted e-prescribing has become, and how patients have grown accustomed to the convenience of having their medications waiting for them when they arrive at the pharmacy.

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COVID-19 Vaccine Administration Pharmacy Checklist for Registration, Billing and Reporting Requirements

Tuesday, January 26, 2021

The following overview will bring pharmacists up-to-date with regard to COVID-19 vaccine-related requirements, and will also shed light on how technology, including the PrimeRx™ management system, can facilitate requirements associated with vaccine administration.

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Technology-Based Capabilities for Your Ideal Pharmacy Loyalty Program

Wednesday, December 16, 2020

The latest threat to community pharmacies came in mid-November when internet giant Amazon.com, Inc. announced two new initiatives designed to extend the “Amazon experience” to patients in need of prescription medications. The first initiative, Amazon Pharmacy is a new store on Amazon that allows customers to complete an entire pharmacy transaction on their desktop or mobile device. The second initiative allows Amazon Prime members to access savings on medications purchased without insurance – a benefit via Amazon Pharmacy and at more than 50,000 participating pharmacies across the country.

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CARES Act Provisions for OTC Products: Implications for Pharmacies

Monday, November 23, 2020

Today in the United States, an estimated 240 million people, roughly 75 percent of the population, regularly use over-the-counter (OTC) drug products to treat a range of ailments including everything from back pain and allergies, to colds, sunburns, minor cuts, and toothaches. There are more than 300,000 OTC products on the market today, with an option for just about every malady.

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Preparing Your Pharmacy for COVID-19 Vaccine Administration

Monday, October 26, 2020

As researchers race to produce a safe and effective COVID-19 vaccine, preparations are underway across multiple channels to ensure that once approved, the vaccine will be efficiently manufactured, distributed, and administered. Many professionals will have a role in this procedure, including the health care professionals who will actually administer the vaccine. This will include the nation’s pharmacists who in September, were authorized by the U.S. Department of Health and Human Services to administer COVID-19 vaccines approved by the Food and Drug Administration (FDA).

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Pharmacies with more than One Location? A Comprehensive Technology System is Essential for Visibility and Efficiency

Wednesday, September 30, 2020

In an August 2020 podcast interview, Hari Sabnani, president and chief executive officer of Puerto Rico’s largest independent pharmacy chain, spoke about some of the challenges of folding 14 retail pharmacies into a single, functioning operation. “As we worked to get financing,” he explained, “the bankers and external auditors told us we needed a robust system to manage inventory, with complete visibility into what we had, with the ability to track electronically purchasing and dispensing activity.” Insurance providers, he noted, had additional concerns, including strong verification points and a dispensing system that ensured “very low rates of error.”

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Five Lessons from the Pandemic - How Technology Has Improved Pharmacy Efficiency

Thursday, August 27, 2020

At some point, the plexiglass shields may come down, and the foot traffic arrows removed. Facial masks may no longer be mandatory, and six-foot social distancing may eventually fall by the wayside. While these temporary precautions may be lifted once the COVID-19 virus abates, other changes put in place are likely to remain, resulting in lasting changes in how America’s pharmacists interact with patients and go about their work.

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Pharmacy Technology Systems Can Help Reduce Risks of Drug Interactions

Thursday, July 23, 2020

Back in 1996, U.S. News & World Report published an article that documented a high incidence of pharmacists failing to notice interactions among patients’ prescribed medications. The article was called “Danger at the Drugstore,” and it reported on a study that found more than half of the pharmacists located in 245 pharmacies across seven cities, failed to appropriately warn patients about four common drug interactions.

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Has Your POS System Kept Pace with the Needs of Today's Busy Pharmacy?

Thursday, June 18, 2020

The 2019 edition of Cardinal Health’s National Community Pharmacists Digest (NCPA) revealed that almost 85 percent of pharmacies have a point-of-sale (POS) in place. That would seem to be a good sign, since technology-based solutions have become critical to efficiency and success in today’s busy – and changing – pharmacies. But what the “almost 85 percent” statistic fails to reveal, is what exactly those POS systems look like, and the capabilities they provide.

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Using Technology to Manage Your Pharmacy Delivery Service

Monday, June 01, 2020

Prescription delivery services initially started as a way to meet customer expectations for flexibility and convenience in obtaining their medications. Today though, home delivery has become a vital link in ensuring patients have uninterrupted access to their medications. It may have taken a pandemic to put the spotlight on the need for pharmacy delivery services, but in fact, it’s a need the nation’s pharmacies recognized long ago.

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The Role of Technology in Improving Long-Term Care Pharmacy Efficiency

Tuesday, April 14, 2020

Last year the nation’s long-term care (LTC) pharmacies generated nearly $17 billion in revenue, and dispensed more than 400 million prescriptions to patients residing in a range of facilities including nursing homes, assisted living facilities, rehab centers and long-term care facilities. Long-term pharmacy is a growing, critically important component of healthcare management.

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Five Critical Considerations in Selecting a Pharmacy Technology System

Friday, February 28, 2020

An overview of five critical “must haves” to help a pharmacy manager in identifying the best possible technology solution. These considerations reflect “core” capabilities, as well as innovations some technology providers have introduced that provide heightened efficiency and functionality. Ultimately, a pharmacy manager will choose the best system for his or her unique needs. But as the following review will make clear, when it comes to pharmacy management systems, good, efficient and innovative aren’t asking too much.

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Pharmacy Electronic Signature Capabilities – Innovative Technology can Ensure Regulatory Compliance and Pharmacy Efficiency

Tuesday, January 21, 2020

During 2018, an estimated 85 percent of all prescriptions in the United States were sent electronically, a figure that represents almost 2 billion prescriptions. That information, included in the Surescripts 2018 National Progress Report, showed a more than 500 percent increase in e-prescribing since 2015, and includes prescriptions for more than 115 million controlled substances. Each of these e-prescriptions – all 1.91 billion of them – was accompanied by a prescriber’s signature and required a signature at time of pickup.

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Time Management Tips for Today's Busy Pharmacy

Friday, December 20, 2019

Since 2000, the American Association of Colleges of Pharmacy (AACP), has conducted five Pharmacist Workforce Studies as a way to gauge trends in the pharmacy profession, and capture key demographic information. The last time survey results were reported was in 2014, and among the more notable findings was a sense among 45 percent of respondents of “having so much work to do that everything cannot be done well.” Specifically, among independent community pharmacists, almost 40 percent noted that “doing excessive paperwork” was a significant source of job stress.

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Pharmacy Responsibilities in Implementing the Drug Supply Chain Security Act

Thursday, November 21, 2019

Pharmacists of course have an important role to play and are subject to full compliance with all applicable provisions of the law. While the specifics of the track-and-trace system remain in development, other provisions have been implemented, each of which support the law’s goal of patient and drug safety. As pharmacy managers adapt to these provisions, it has become clear that technology will be critical to their success.

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A Comprehensive Technology System Can Improve Compounding Pharmacy Efficiency

Wednesday, October 30, 2019

Compounding pharmacies represent an important and growing segment of the nation’s prescription drug industry. Through compounding, pharmacies provide customized medications to address patients’ unique needs, which may include an intolerance for ingesting pills, allergies to certain ingredients, or strong reaction to a medication’s taste. Although not a new concept, compounded medications have seen significant growth in recent years. The American Pharmacists Association (APhA) notes “while most pharmacies offer some level of compounding, most compounding is done in pharmacies that have made the investment in equipment and training to do so safely and efficiently.” APhA notes that of the 56,000 community-based pharmacies, about 7,500 – 13 percent – specialize in compounding services, meaning the pharmacists in those facilities spend most of their time preparing customized medications for patients. In addition, compounding pharmacies are found in all hospitals and many health care facilities.

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Leverage your Pharmacy Technology System to Increase Profits

Friday, September 27, 2019

Earlier this year, two of the country’s largest pharmacy chains, Walgreens Boots Alliance Inc. and CVS Health Corp. reduced 2019 earnings estimates, and each cited smaller profit from the sale of generic drugs, along with declining drug reimbursement rates as major reasons behind the downward forecasts. As reported by The Wall Street Journal, the pharmacies find themselves in a situation in which branded drug prices are on the increase, though at slower rates than in previous years, while prices for generic drugs have been falling for years. At the same time though, insurer reimbursement rates have fallen at a disproportionate rate, which has impacted the pharmacies’ bottom lines.

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Specialty Pharmacies and the Critical Patient Services They Provide

Wednesday, August 21, 2019

According to the Specialty Pharmaceutical Care Management Association (SPCMA), specialty pharmacies were established to accommodate the unique needs of the category of medications known as “specialty drugs” that have entered the market in recent years. “Among other things,” SPCMA explained in a research paper, “these pharmacies specialize in the unique storage and shipping requirements that oral, injectable, inhalable, and infusible products require. Pharmacists and personnel working for these specialty pharmacies provide patient education and clinical support beyond the capabilities of a traditional retail pharmacy.”

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The Role of Technology in Specialty Pharmacy Efficiency

Thursday, July 18, 2019

When the U.S. Food and Drug Administration gave final approval in May 2019 to alpelsib, a new drug manufactured by Novartis Pharmaceutical, it was hailed by the company as “the first ever treatment specifically for HR+/HER2- advanced breast cancer that specifically addresses the needs of the patients living with this mutation.The drug was quickly brought to market under the brand name “Piqray,” at a cost of $15,500 for a 28-day supply. This example illustrates the critically important sector of the pharmaceutical market known as “specialty pharmacy” – a small but growing number of medications that are highly complex, very costly, and targeted at a small number of patients.

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Engage More Customers, Keep Them Longer

Thursday, June 20, 2019

Do more than fill prescriptions, be an active participant in your patients' health. Pharmacy eCare plans allow pharmacists to document the wide scope of services they provide, and the favorable impact these services have on patient outcomes. The eCare plan initiative is managed by CPESN, which oversees what has become a nationwide movement of community pharmacists interested in joining integrated networks. As of mid-2019, CPESN reports 2,100 member-pharmacies have built 45 local networks across 45 states. A guiding principle of CPESN was creation of a clinically-integrated network of pharmacies, defined as “a collection of health care providers that demonstrates value to the market by working together to facilitate the coordination of patient care across conditions, providers, settings, and time to improve patient care and decrease overall health care costs.”

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Use your Pharmacy Technology System for a Better Customer Experience

Friday, May 31, 2019

The fact is, pharmacies are being held to increasingly high standards for customer service. And as Amazon and other online companies make forays into the pharmaceutical industry – with easy, hassle-free retail experiences – local pharmacies find they must up their game to remain competitive and solidify their role as “pharmacy of choice” for their patients.This process begins with recognizing that patients do indeed have choices about where they purchase their medications, and that just as shoppers can jump from one retailer to another, the same is true about pharmacies. Pharmacies are as impacted by the need to provide a high quality “customer experience,” as any other type of retailer. Perhaps more so, given the highly personal and important nature of the pharmacy experience.

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Manage Pharmacy Audit Risk with Technology and Internal Controls

Thursday, April 18, 2019

No single word strikes fear into the hearts of pharmacy managers as the simple five-letter word A-U-D-I-T. Pharmacy managers understand that an audit can paralyze operations with extensive documentation requests, and result in clawbacks of payments from prior years, along with fines and even contract cancellations. Pharmacies face a continual risk of being selected for audits by insurance companies, pharmacy benefit managers (PBMs), third-party payers and regulators. In recent years, the number of audits has been on the increase, as payers look to streamline processes and recoup payments that may have been based on incorrect or fraudulent claims. In addition, pharmacy prescription practices have come under increased federal and state regulatory scrutiny, in the wake of the nationwide opioid crisis.

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Pharmacy Performance and Medicare Star Ratings

Monday, March 04, 2019

The first thing to understand about Medicare pharmacy star ratings is that they do not apply directly to pharmacies. Instead, the Five-Star Quality Rating System is used by the Centers for Medicare & Medicaid Services (CMS) to help evaluate health plans based on several factors including quality, cost and coverage. But, several of the criteria used in determining a plan’s rating are directly linked to activities that place in the pharmacy. This means then, that pharmacies that do a good job of helping patients with medication adherence, and managing patients with diabetes, for example, reflect positively on the drug plan, which in turn would lead to a higher star rating. Conversely, pharmacies that do not monitor adherence, or proactively engage with patients about managing chronic illnesses, would be a drag on plan performance.

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Issues and Solutions: Pharmacy Inventory Management

Friday, February 01, 2019

At the start of 2019, the list of “most widely prescribed drugs” for patients in the United States included Atorvastatin (Lipitor), Levothyroxine (Synthroid, Levoxyl, Unithroid) and Lisinopril (Prinivil, Zestril). At an average monthly cost of $9, and with a rapid turnover rate, pharmacists can have a high level of confidence that inventories of these drugs will be sold, and can be replenished regularly to satisfy patient demand. Help has arrived in the form of “smart” technology systems that can automate the inventory management system. Pharmacists can rely on technology to gauge demand for certain drugs, to identify patients with prescriptions for specialty or high-cost drugs, and adjust orders based on that data. Technology can also help with inventory returned to stock, and with drug recalls, among a growing list of capabilities. The key though, is for a pharmacist to be “all in” with regard to maximizing the potential of an integrated technology system.

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2019 Proposed CMS Medicare Parts B and D Reform: Implications for DIR Fees

Tuesday, January 01, 2019

In November 2018, the Centers for Medicare & Medicaid Services (CMS) released a much-anticipated proposal to amend certain Medicare Part D and Medicare Advantage (Part B) provisions as a way to lower prescription drug costs for beneficiaries. In announcing the proposal, Health and Human Services Secretary Alex Azar and CMS Administrator Seema Verma noted that while Part D is driven by market competition, “certain CMS regulations also constrain plans’ full negotiating power and keep them from lowering costs for their enrollees.” Since pharmacists are affected by many of the proposed changes, it’s a good idea to become familiar with the CMS plan, and to understand the impact of those changes on pharmacy operations.

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Pharmacist Provider Status – Issue Overview and Discussion

Friday, December 21, 2018

Imagine a scenario in which a patient walked into a drug store, and asked the on-duty pharmacist some questions about a health concern only to be told: “Sorry, I can’t help you.” Of course, that would almost certainly never happen, since the nation’s pharmacists value their patient relationships, and take seriously their role as patient advocates. Which is why it’s so puzzling, that pharmacists are not universally considered “medical providers.” Without this categorization, pharmacists are effectively prevented from being reimbursed by federal and state payers for services they are well-qualified to offer patients. The American Pharmacists Association considers achieving full provider status for all pharmacists a top priority, and is seeking federal legislative relief.

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Improving the Pharmacy Experience for Senior Patients

Wednesday, October 17, 2018

With a growing number of Americans entering their golden years – 10,000 baby boomers celebrate their 65th birthday every day – the nation’s pharmacies will continue to be an essential source of products and services including prescription drugs, medical devices, testing and immunizations, and counseling and education. More than ever pharmacies provide a lifeline to their senior patients, and are a vital link in the health care network. That said, it’s increasingly important for pharmacy managers to ensure they provide an optimal in-store experience for their senior citizen customers, and achieve maximum efficiency from technology-based pharmacy systems. As pharmacists prioritize the need to provide “whole patient care,” it can be helpful to evaluate current processes, and determine if changes are in order to improve efficiency or levels of care.

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Five Essential Benefits of a Pharmacy Technology Solution

Saturday, September 01, 2018

When a trio of reporters from The Chicago Tribune set out in 2016 to investigate the rate at which local pharmacies warned patients about potentially dangerous drug combinations, they could hardly have predicted that their findings would result in legislation to change pharmacy protocols, and serve as a catalyst for reform among pharmacies nationwide. The reporters armed themselves with prescriptions for various drug combinations which, taken together, could have serious health implications. One combination, for example, included a prescription for the common antibiotic clarithromycin, along with one for anti-cholesterol drug simvastatin. Used alone, each drug is relatively safe but, as the Tribune noted, “together they can cause a severe breakdown in muscle tissue and lead to kidney failure and death.”

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The Pharmacist’s Role in Addressing the Opioid Crisis

Monday, August 20, 2018

According to the Centers for Disease Control and Prevention (CDC), every day more than 115 Americans die from opioid overdoses and in 2016, more than 2 million Americans were addicted to opioids. As many as 29 percent of patients prescribed opioids for chronic pain will misuse them, and between 8 and 12 percent will develop an opioid use disorder. Despite the widespread media attention the opioid crisis is now receiving, the crisis seems to be worsening, with CDC analysis finding “that America’s overdose epidemic is spreading geographically and increasing among demographic groups.” In the Midwest alone, for example, opioid overdoses increased by 70 percent from July 2016 through September 2017. And overdoses in large cities increased by 54 percent across 16 states during that same period.

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Pharmacist eCare Plans: A Critical Link in Comprehensive Pharmacy Management

Friday, July 20, 2018

Developed as part of the national initiative to implement electronic patient records across the healthcare industry, the Pharmacist eCare Plan initiative – which recently concluded a successful pilot phase -- will allow pharmacists to maintain detailed patient health and medication histories, and to share that information across a patient’s health care team. At the same time, the system will help facilitate changing payment requirements, which require documentation of services delivered to patients. As pharmacies embrace the benefits of being able to provide electronic, accessible records for their patients, it’s essential for managers to take the time to consider their technology options, and ensure they select the best solution for their pharmacy.

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Understanding Pharmacy Benefit Managers (PBMs)

Tuesday, June 19, 2018

While prescription drug prices have long been a source of friction between patients, manufacturers and insurers, PBMs are increasingly being cast as the villain for this and many other pharmacy-related issues. Research by the National Community Pharmacists Association (NCPA), for example, found overwhelming dissatisfaction with PBMs among its pharmacist members. Developed as part of the national initiative to implement electronic patient records across the healthcare industry, the Pharmacist eCare Plan initiative – which recently concluded a successful pilot phase -- will allow pharmacists to maintain detailed patient health and medication histories, and to share that information across a patient’s health care team. At the same time, the system will help facilitate changing payment requirements, which require documentation of services delivered to patients. As pharmacies embrace the benefits of being able to provide electronic, accessible records for their patients, it’s essential for managers to take the time to consider their technology options, and ensure they select the best solution for their pharmacy.

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Technology is Essential as Pharmacies Address Non-Adherence

Friday, May 25, 2018

Former Surgeon General C. Everett Koop once famously said that “Drugs don’t work in people who don’t take them.” Dr. Koo¬p was referring to the high incidence of medication non-adherence among U.S. patients, a problem The New York Times referred to as “an out-of-control epidemic.” Non-adherence is clearly a serious problem and a top concern for the healthcare industry. Pharmacists, who interact directly with patients, can be a leading force in encouraging prescription compliance. And now, thanks to innovative technology solutions, pharmacists have an additional tool to use in helping to guide patient behavior.

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