PDB88 MEASURING INSULIN ADHERENCE USING ADJUSTED MEDICATION POSSESSION RATIO: AN EXAMINATION OF THE METHODOLOGY

Measuring adherence to flexible dose therapies such as insulin with secondary databases is challenging. Due to the inaccuracies of recorded days’ supply when using medication possession ratio (MPR), adjusted MPR (aMPR) has been employed in several insulin adherence studies. This study compared adherence among intermediate-acting (NPH), first or second generation long-acting (FGLA, SGLA) insulin using both MPR and aMPR. Texas Medicaid claims from...