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Optimizing a Member’s Medication Regimen


An 86-year-old female was referred to Mosaic to improve her medication regimen. The member’s medical history includes diabetes with neuropathy, atrial fibrillation, and chronic kidney disease. Her husband had been assisting with medications and was adjusting doses to avoid splitting tablets. In total, the member was taking 18 prescribed and over-the-counter medications.

Therapy problems that were identified during the home visit included: increased risk of bleed due to combination of OTC turmeric and Eliquis, and risk of hypoglycemia due to duplicate therapies.

In addition, the member was using extremely low dose, short-acting insulin and reported symptoms of low blood glucose on a monthly basis, with a recent blood glucose reading of 64.


Following the clinical review, a Mosaic pharmacist communicated with the member to assess diabetic control, and coordinated with the member’s prescribers to improve the regimen for optimal diabetic treatment and to reduce bleed risk. The following interventions were conducted:


A Mosaic clinical pharmacist coordinated with the member’s prescribers, suggesting changes to the member’s medication regimen to simplify the regimen and reduce the risk of adverse side-effects. Outcomes include the following:


Feedback from the member’s husband and caregiver:

Mosaic adherence packaging “is a whole lot easier. I like it because it’s easier for me to dispense to her and saves 3-5 visits to the pharmacy.”