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Letters
October 28, 2009

Cost-Related Medication Nonadherence After Implementation of Medicare Part D, 2006-2007

JAMA. 2009;302(16):1755-1756. doi:10.1001/jama.2009.1516

To the Editor: High drug costs cause some elderly or disabled patients to take less medication than prescribed or forgo basic needs to pay for medicines.13 The 2006 Medicare Part D drug benefit was intended to increase economic access to medicines.4 Data from 2006 indicated modest nationwide decreases in cost-related medication nonadherence (CRN) and forgoing basic needs following Part D implementation, but no decline in high rates of CRN among the sickest beneficiaries.5 We analyzed more recent data to determine whether the reductions remained stable in 2007.

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