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Medication Adherence for Cholesterol (Statins)

Advantage MD. Members 18 years or older

Percentage of members ages 18 and older who adhere to their cholesterol (statin) medication at least 80 percent of the time in the measurement period.

Best Practice and Measure Tips

Members qualify for the measure with the second fill, but the measurement period starts with the date of the first fill. To be included in the measure, the first fill of medication must occur at least 91 days before the end of the enrollment period. The PDC is the percent of days in the measurement period covered by prescription claims for the same medication or another in its therapeutic category.

Measure Exclusions

Required Exclusions: Anytime in the Measurement year:

  • Hospice
  • End-stage renal disease (ESRD)

Measure Medications

Statins / Statin Combinations:

  • Advicor
  • Altoprev ER
  • Altoprev
  • Amlodipine/Atorvastatin
  • Atorvastatin/COQ10
  • Atorvastatin
  • Caduet
  • Crestor
  • Ezetimibe/Simvastatin
  • Flolipid
  • Fluvastatin
  • Lescol
  • Lesxol XL
  • Lipitor
  • Livalo
  • Lovastatin
  • Mevacor
  • Pravachol
  • Pravastatin
  • Rosuvastatin
  • Simcor
  • Simvastatin
  • Vytorin
  • Zocor