I have found something useful in the unsolicited reports that often come from the mail order pharmacies, saying that the patients are noncompliant because their meds are not being refilled enough. I give them to the patients. It lets patients know that big brother is watching, and they will often get back on track, fearful that there will be repercussions on their insurance coverage. And when the PBMs are wrong, patients have the telephone number to call up and tear up the first miserable Medco or Caremark phone rep they reach.
