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Medication Adherence for Diabetes Medications

Advantage MD. Members 18 years or older.

Percentage of members ages 18 or older who are adherent to their diabetes medications at least 80% or more of the time they are supposed to be taking the medication in the measurement period.

Best Practice and Measure Tips

These classes of diabetes medications are included in this measure:

  • Biguanides
  • DPP-4 inhibitors
  • Incretin mimetics
  • Meglitinides
  • SGLT2 inhibitors
  • Sulfonylureas
  • Thiazolidinediones

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.

Measure Exclusions

Required Exclusions: Anytime in the Measurement year:

  • Hospice
  • End-stage renal disease (ESRD)
  • One or more prescription claims for insulin