505743

research-article2013

AOPXXX10.1177/1060028013505743Kazerooni et alPolitical Research Quarterly

Research Report

Association of Copayment and Statin Adherence Stratified by Socioeconomic Status

Annals of Pharmacotherapy 47(11) 1463­–1470 © The Author(s) 2013 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/1060028013505743 aop.sagepub.com

Rashid Kazerooni, PharmD, BCPS1, Mark Bounthavong, PharmD1, and Jonathan H. Watanabe, PharmD, MS, PhD2

Abstract Background: There is a growing body of evidence supporting means testing out of copayment for high-value therapies such as statins. Objective: To investigate association between statin adherence and copayment when stratified by socioeconomic status. Methods: This was a retrospective cohort study set in a network of VA facilities that includes Southern California and Nevada, with an enrollment of 1.4 million veterans. Socioeconomic status was estimated using zip code median household income. Differences in medication possession ratio (MPR) associated with copayment was the primary outcome measure. Odds of attaining low-density lipoprotein cholesterol (LDL)

Association of copayment and statin adherence stratified by socioeconomic status.

There is a growing body of evidence supporting means testing out of copayment for high-value therapies such as statins...
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