PharmacoEconomics & Outcomes News 673 - 9 Mar 2013 Costs stop stroke survivors taking their medications Cost-related nonadherence to medication (CRN) increased significantly between 1999 and 2010 among younger stroke survivors in the US, particularly among those without health insurance. This is the main finding of a study that used data from the National Health Interview Survey (NHIS) to assess CRN * in 8673 stroke survivors aged 45 years or older for the years 1999 to 2010, particularly comparing the time period before Medicare Part D implementation (1999–2005) to that after implementation (2006–2010). CRN was reported by 11.4% of stroke survivors during the period from 1999 to 2010. CRN increased significantly among stroke survivors aged 45–64 years from 1999–2005 to 2006–2010, particularly among those with no health insurance (from 43.1% to 57.1%) and those with private insurance (from 8.6% to 13.6%). CRN remained fairly stable among those aged 65 years or older. Interestingly, among older stroke survivors with Medicare coverage, CRN was 2-fold greater among Medicare Part D enrollees than those without the drug benefit (7.7% vs 4.5%). However, after adjustment for sociodemographics, clinical factors and insurance, CRN was similar among Medicare Part D enrollees and nonenrollees. Nevertheless, "our results demonstrate that Medicare Part D has not solved the problem of CRN for many stroke survivors," comment the researchers. * defined as inability to afford prescription medications during the past 12 months, as self-reported by respondents Levine DA, et al. Recent trends in cost-related medication nonadherence among US stroke survivors. Annals of Neurology : 22 Feb 2013. Available from: URL: http://dx.doi.org/10.1002/ana.23823 803084231 1 PharmacoEconomics & Outcomes News 9 Mar 2013 No. 673 1173-5503/10/0673-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved

Costs stop stroke survivors taking their medications

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PharmacoEconomics & Outcomes News 673 - 9 Mar 2013

Costs stop stroke survivors takingtheir medications

Cost-related nonadherence to medication (CRN)increased significantly between 1999 and 2010 amongyounger stroke survivors in the US, particularly amongthose without health insurance.

This is the main finding of a study that used data fromthe National Health Interview Survey (NHIS) to assessCRN* in 8673 stroke survivors aged 45 years or older forthe years 1999 to 2010, particularly comparing the timeperiod before Medicare Part D implementation(1999–2005) to that after implementation (2006–2010).

CRN was reported by 11.4% of stroke survivorsduring the period from 1999 to 2010. CRN increasedsignificantly among stroke survivors aged 45–64 yearsfrom 1999–2005 to 2006–2010, particularly amongthose with no health insurance (from 43.1% to 57.1%)and those with private insurance (from 8.6% to 13.6%).CRN remained fairly stable among those aged 65 yearsor older. Interestingly, among older stroke survivorswith Medicare coverage, CRN was 2-fold greater amongMedicare Part D enrollees than those without the drugbenefit (7.7% vs 4.5%). However, after adjustment forsociodemographics, clinical factors and insurance, CRNwas similar among Medicare Part D enrollees andnonenrollees. Nevertheless, "our results demonstratethat Medicare Part D has not solved the problem of CRNfor many stroke survivors," comment the researchers.* defined as inability to afford prescription medications during the past12 months, as self-reported by respondents

Levine DA, et al. Recent trends in cost-related medication nonadherence amongUS stroke survivors. Annals of Neurology : 22 Feb 2013. Available from: URL:http://dx.doi.org/10.1002/ana.23823 803084231