scholarly journals Mail-order pharmacy dispensing of mifepristone for medication abortion after in-person clinical assessment

Contraception ◽  
2021 ◽  
Author(s):  
Daniel Grossman ◽  
Sarah Raifman ◽  
Natalie Morris ◽  
Andrea Arena ◽  
Lela Bachrach ◽  
...  
Keyword(s):  
Clinical Assessment ◽  
Mail Order ◽  
Medication Abortion ◽  
Mail Order Pharmacy

Opportunities to Encourage Mail Order Pharmacy Use in Diabetes—A Qualitative Study

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2322-PUB ◽  
Author(s):  
JULIE SCHMITTDIEL ◽  
CASSONDRA MARSHALL ◽  
DEANNE WILEY ◽  
CHRISTOPHER V. CHAU ◽  
CONNIE M. TRINACTY ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Mail Order ◽  
Mail Order Pharmacy

Mail-Order Pharmacy

1989 ◽  
Vol 29 (8) ◽  
pp. 22-25
Author(s):  
Martin J. Jinks ◽  
Lynette M. Evenson ◽  
R. Keith Campbell ◽  
Stan Bye
Keyword(s):  
Mail Order ◽  
Mail Order Pharmacy

Duplicate Prescriptions of Inhaled Medications for Obstructive Lung Diseases

Pneumologie ◽  
2020 ◽  
Vol 74 (03) ◽  
pp. 149-158
Author(s):  
P. Kardos ◽  
F. Geiss ◽  
J. Simon ◽  
C. Franken ◽  
U. Butt ◽  
...  
Keyword(s):  
Lung Diseases ◽  
Fixed Dose Combination ◽  
Fixed Dose ◽  
Dry Powder Inhalers ◽  
Mail Order ◽  
Inhaled Corticosteroid ◽  
German Market ◽  
Metered Dose ◽  
Mail Order Pharmacy ◽  
Dose Combination

Abstract Introduction Inhalative treatments with metered dose aerosols and dry powder inhalers are the backbone of the pharmacotherapy for asthma and COPD. In the last decade many new and generic inhalative bronchodilators were launched at the German market, both monotherapies and fixed dose double bronchodilator (LABA/LAMA, beta adrenergic and antimuscarinic) or LABA and inhaled corticosteroid (ICS) and triple (LABA/LAMA/ICS) combinations. According to two surveys in 2015 among respiratory physicians we expected a high proportion of patients receiving duplicate prescriptions, e. g. a fixed dose new LABA/LAMA combination in addition to an existing ICS/LABA fixed dose combination. Methodology We searched the database of a large mail order pharmacy (DocMorris) to identify duplicate prescriptions of inhalative drugs for a patient by the same or by two or more different physicians during a 3 months period. Results Unexpectedly, we found as little as around 1 % duplicate prescriptions for the same patient. Duplicate prescriptions involving combination products were found to be much more common than duplicate prescriptions of different mono-products. Irrespective the low percentage number of all prescriptions we saw in just one large mail order pharmacy several thousands of erroneous prescriptions. Conclusion At least in the setting of this mail order pharmacy duplicate (i. e. contraindicated and potentially dangerous) prescriptions are relatively rare. Prescribers and pharmacists should be aware of the issue of duplicates – especially when prescribing or filling prescriptions with combination products.

Model Regulations for Mail-Order Pharmacy

1989 ◽  
Vol 29 (8) ◽  
pp. 26-27
Author(s):  
Sara Martin
Keyword(s):  
Mail Order ◽  
Mail Order Pharmacy

Characteristics of Mail-Order Pharmacy Users: Results From the Medical Expenditures Panel Survey

2018 ◽  
Vol 33 (3) ◽  
pp. 293-298 ◽  
Author(s):  
Junyi Ma ◽  
Li Wang
Keyword(s):  
Family Income ◽  
Medical Expenditure Panel Survey ◽  
Population Characteristics ◽  
Medical Expenditure ◽  
Lower Percentage ◽  
Outcome Variable ◽  
Mail Order ◽  
Panel Survey ◽  
Sampling Weights ◽  
Mail Order Pharmacy

Background: There is a paucity of research on the population characteristics of mail-order pharmacy users. Objective: This study utilized a nationally representative sample to examine the characteristics of mail-order pharmacy users. Methods: This study used data from the 2012 Medical Expenditure Panel Survey (MEPS). The outcome variable was defined as whether the participant had used a mail-order pharmacy during the study year. Logistic regression was conducted to determine the factors which influence mail-order pharmacy use. All analyses incorporated MEPS sampling weights to adjust for the complex survey design. Results: Among the 14,106 adults included, approximately 18% of them had used a mail-order pharmacy at least once to fill their prescription in 2012. Compared to community pharmacy users, mail-order pharmacy users were more likely to be white, older, married, have a higher family income, a higher educational level, have health insurance, and have a prescription with at least a 30-day supply. There is no difference in gender or urban/rural disparity. In addition, mail-order pharmacy users had a lower percentage of out-of-pocket costs. Conclusion: Mail-order pharmacy use was significantly associated with certain patient characteristics. Policymakers should consider these characteristics when promoting mail-order pharmacy use.

Abstract TMP101: Mail Order Pharmacy Use is Associated With Greater Adherence to Secondary Preventive Medications and Lower Hospital Readmission Among Stroke Patients

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
William P Neil ◽  
Chrislynn E Shiokari ◽  
Raoul J Burchette ◽  
David B Stapleton ◽  
Bruce Ovbiagele
Keyword(s):  
Medication Adherence ◽  
Hospital Readmissions ◽  
Lipid Lowering ◽  
Mail Order ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Adherence Score ◽  
Improved Outcomes ◽  
Mail Order Pharmacy ◽  
Care Costs

Background: Mail order pharmacies (MOP) are increasingly being used to deliver medications for chronic disease management. Their use is linked to similar or greater medication adherence than local pharmacy (LP) use. Medication adherence is associated with improved outcomes, including reduced cardiovascular events, health care costs, and mortality. We are unaware of any studies that have evaluated the association of MOP use with medication adherence among stroke patients. Objective: To investigate whether stroke patients who use MOPs were more likely to have good medication adherence than those who used LPs and whether adherence was associated with 90 day hospital re-admission after stroke. Methods: We conducted cross-sectional analyses of patients discharged with ischemic stroke from 24 hospitals who received a new anticoagulant, antiplatelet, antiglycemic, antihypertensive, and/or lipid-lowering medication between 01/JAN/2007 and 30/JUL/2016. We compared adherence between MOP users (at least 66% of refills by mail) and LP users (all refills in person). Adherence was calculated by using the Continuous Medication Gap (CMG) methodology, which determines the cumulative period that no medication was available to the patient. The number of days for which the patient did not have the medication is divided by the number of days in the study window for that patient. A CMG adherence score of 0 meant that the patient had no overall gaps in their medications (perfect adherence), a negative number meant that the patient had more medication than days, and a positive number meant that the patient did not have enough medication for the days they should be taking their medication (poor adherence). Results: A total of 44,658 eligible patients refilled an index medication. Of these, 13,676 in the LP and 6,907 in MOP group met inclusion criteria. CMG adherence was 0.28 in the LP group and 0.11 in the MOP group ( p < 0.001). At 90-days there were 893 hospital readmissions for the LP group and 375 for the MOP group for a rate of 0.073 vs. 0.058 (p < 0.001). Conclusions: Stroke patients who obtain medication by mail are more likely to have good adherence, and less likely to be readmitted than those who obtain medications from their local pharmacies.

Regulation of mail‐order pharmacy

1991 ◽  
Vol 12 (2) ◽  
pp. 257-265
Author(s):  
Thomas H. Stanton ◽  
Delbert D. Konnor
Keyword(s):  
Mail Order ◽  
Mail Order Pharmacy

scholarly journals 1303. Impact of Pharmacy Type on HIV Viral Suppression at a University-Based HIV Clinic in the Midwest

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S470-S470
Author(s):  
Josh Havens ◽  
Moses New-Aaron ◽  
Yangyang Gao ◽  
Qingfeng He ◽  
Fadul Nada ◽  
...  
Keyword(s):  
Clinical Characteristics ◽  
Viral Suppression ◽  
Binary Logistic Regression ◽  
Mail Order ◽  
Hiv Viral Load ◽  
Regimen Adherence ◽  
Chi Squared ◽  
Hiv Viral Suppression ◽  
Mail Order Pharmacy ◽  
The Impact

Abstract Background People with HIV (PWH) utilize various pharmacy types beyond the traditional local pharmacy including mail order and specialty pharmacies. Some pharmacies often provide additional adherence services such as refill reminders, expedited delivery, and adherence packaging. Limited data are available describing the relationship between pharmacy type and HIV viral suppression (VS). We evaluated the impact of pharmacy type on VS. Methods We conducted a single-center, retrospective cohort study of PWH (≥19 years) receiving care at a Midwestern HIV clinic between January 1, 2018, and December 31, 2018, with at least 1 HIV RNA reading during the study period. We collected sociodemographic information, ART regimen, adherence (PDC—percentage of days covered), and clinical characteristics. Patients were stratified by pharmacy type: local (traditional pharmacy without adherence services), local specialty (traditional pharmacy with adherence services and same-day, couriered delivery), and mail order (mail order pharmacy with or without adherence services). Pearson Chi-squared tests and binary logistic regression were used to examine the effect of pharmacy type on VS (HIV viral load ≤50 copies/mL). Results A total of 1014 patients met study criteria; 164 (16%) utilized a local, 720 (71%) local specialty, and 130 (13%) mail order. VS rates were similar between pharmacy types: local (91%), semi-specialty local (88%), and mail order (96%). After adjusting for sociodemographic characteristics, ART regimen, ART adherence and other clinical characteristics, there was no association between pharmacy type and VS when comparing local and mail to local specialty pharmacy types (local—aOR: 0.98, 95% CI, 0.46–2.12; mail—aOR: 1.65, 95% CI, 0.46–6.0). Factors found to be negatively associated with VS were single marital status (aOR: 0.49; 95% CI, 0.24–0.95), current or historical opportunistic infection (aOR: 0.51; 95% CI, 0.26–0.99), and usage of a multiclass or dual ART regimen (aOR: 0.40; 95% CI, 0.16–0.98). Conclusion Despite additional services offered by some pharmacies, no differences were observed in HIV VS between pharmacy types. Disclosures All authors: No reported disclosures.

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