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Statin Use in Persons with Diabetes

Advantage MD. Members with diabetes ages 40–75

Percentage of members with diabetes ages 40–75 who receive at least one fill of a statin medication in the measurement year.

Members with diabetes definition: Those who have at least two fills of diabetes medications during the measurement year. To comply with this measure, a member with diabetes must have a fill for at least one statin or statin combination medication in any strength or dose using their Part D benefit during the measurement year.

Best Practice and Measure Tips

  • Prescribe at least one statin medication during the measurement year to patients diagnosed with diabetes.
  • Medication samples, when given, could interfere with pharmacy claims and produce false non-adherence results.
  • This measure overlaps with the Statin Therapy for Patients with Cardiovascular Disease measure. Patients with ASCVD should be prescribed a moderate-intensity or high-intensity statin.
  • This measure overlaps with the Medication Adherence for Cholesterol (Statins) measure.
  • Educate patients on the importance of statin medications for diabetic patients over the age of 40, regardless of LDL levels.
  • Remind patients to contact you if they think they are experiencing adverse effects, such as myalgia. Consider trying a different statin that is more hydrophilic or reducing the dose or frequency.

This is a general medication list and should not replace the advice or care you provide your patients regarding what is optimal to meet their healthcare needs.

  • Atorvastatin
  • Pitavastatin
  • Lovastatin
  • Pravastatin
  • Rosuvastatin
  • Simvastatin
  • Amlodipine-atorvastatin
  • Fluvastatin
  • Ezetimibe-simvastatin
  • Livalo®

Measure Exclusions

Required Exclusions:

  • Hospice
  • End-stage renal disease (ESRD) anytime in the Measurement year.