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. 2009 Oct 31;25(1):10–17. doi: 10.1007/s11606-009-1134-2

Table 4.

Efforts to Contain Prescription Spending by Coverage Source, 2003–2006

  Cost-related non-adherence (%) Didn’t fill Rx 1+ times (%) Skipping doses of Rx to make Rx last longer (%) Taking smaller doses of Rx to make Rx last longer (%)
2003 2006 Unadj Chg Adj ORa 2003 2006 Unadj Chg Adj ORa 2003 2006 Unadj Chg Adj ORa 2003 2006 Unadj Chg Adj ORa
Total (n = 9573) 26.0 19.4 −6.6*** 0.6*** 17.9 11.0 −6.9*** 0.5*** 15.2 11.1 −4.1*** 0.7*** 12.0 9.9 −2.1** 0.8**
Current Part D (2006), Previous Rx Coverage was:
None (n = 1619) 39.8 23.2 −16.6*** 0.4*** 29.2 13.7 −15.5*** 0.3*** 25.4 13.3 −12.1*** 0.4*** 18.3 12.1 −6.2*** 0.6***
Medicaid (n = 1125) 29.3 25.5 −3.8 0.9 14.4 13.5 −0.9 0.9 20.8 13.0 −7.8* 0.6* 14.4 12.6 −1.8 0.8
HMO (n = 712) 41.0 27.5 −13.5*** 0.4*** 29.9 17.5 −12.4*** 0.4*** 22.0 12.9 −9.1** 0.4** 15.6 12.6 −3.0 0.7
Medigap/ Private (n = 827) 31.3 22.8 −8.5** 0.6** 22.3 14.0 −8.3** 0.5** 18.3 13.2 −5.1* 0.6* 13.4 10.9 −2.5 0.7
Employer (n = 649) 17.4 25.0 7.6** 1.7** 12.3 14.7 2.4 1.2 10.0 15.2 5.2* 1.7* 9.7 12.1 2.4 1.3
Other Rx coverage 2003–2006
Employer (n = 1882) 13.1 9.8 −3.3* 0.7* 6.9 5.4 −1.5 0.8 6.9 5.4 −1.5 0.8 5.8 5.0 −0.8 0.8
VA (n = 150) 22.5 11.8 −10.7 0.5 16.9 7.0 −9.9 0.4 8.7 8.6 −0.1 1.1 14.5 4.8 −9.7 0.3
No Rx coverage, 2003–2006
None (n = 476) 30.2 24.4 −5.8 0.7 22.8 18.7 −4.1 0.7 18.9 12.0 −6.9 0.5 12.2 11.6 −0.6 0.9

*p ≤ 0.05 **p ≤ 0.01 ***p ≤ 0.001

aAdjusted odds ratio. Results are adjusted for the following: Age in 2003, race, poverty status in 2003, change in poverty status, number of Rx medicines in 2003, change in number of Rx medicines, acquisition of specific chronic condition, change in Rx coverage