I’ d love to tell you that we planned it this way, but it just happened. Many of the articles this issue deal with managing pharmaceuticals, with several focusing on specialty pharmacy. I pull a comparison from the shelf, one about publishing a newspaper before a presidential election: One topic overrides all others. There’s this difference, though: Elections end, but the challenges of medication use (and non-use) will always be with us. I think pharmacy might be more complex than politics, but that people in both fields share some of the same motives.
Our cover story came about because I found this interesting fact in the Express Scripts “2011 Drug Trend Report”: 37 percent of cancer patients on oral chemotherapies do not adhere. That shocked me. Nearly 40 percent of patients fighting an often life-threatening disease don’t take their medication? Managing Editor Frank Diamond’s report explains why, how such nonadherence leads to more costs down the road, and what one leading insurer has been doing about it.