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Addressing noncompliance and side effects

A 67-year-old female was referred to Mosaic Pharmacy Service for medication management. The member has a past medical history of high blood pressure, diabetes, insomnia, and depression. She was not compliant to her new diabetes medication due to unwanted side-effects and was only taking it as needed. Following a home visit and clinical review, the following drug therapy problems were identified:

Given the above drug therapy problems, the clinical pharmacist aimed to achieve the following goals:

To achieve these goals, the following interventions were made to optimize the medication regimen and care management:

As a result of Mosaic intervention, the member is now compliant with her medication regimen; switching the member to a combination diabetic medication also resulted in $120/year savings to the member and $7,500/year in savings to the member’s health plan.