Tracking members with pharmacy gaps allows for the entity to engage patients that are out of compliance with filling prescriptions. 

Target Audience for this Report 

Chief Medical Officer, Medical management/Care Management Department, Pharmacy & Therapeutics Committee, Physician Relations, and Utilization Management.

 

Business Processes Impacted by this Report

The P&T Committee, CMO, Medical Management and PBM will use this report to track, trend, and evaluate gap days by chronic conditions and member patterns.

 

Detail and Definitions

This entire visualization is based the most current 12 months of data.

 

Note: Pharmacy data must be provided and the Days Supply Count of the prescription must be included in the data in order for this report to populate.

 

Total Members by Chronic Condition

  • Condition Name
  • Patients

 

Total Members by Drug Class

  • Drug Class
  • Patients

 

Member Gap Days

  • Member Number
  • Member Name
  • Avg Gap Days

 

Detail Data

  • Member Number
  • Member Name
  • Chronic Condition
  • Drug Class
  • Total Days Supply
  • Total Gaps
  • Total Gap Days
  • Max Gap Days
  • Avg Gap Days
  • End of Period Possession
  • Medication Possession Ratio
  • CSA
  • Total PDC Days Supply
  • PDC