Beyond the Claim: What Your Real-World Evidence (RWE) May Be Missing Without Retail Pharmacy Data

Speakers

Joaquim Fernandes, CVS Healthspire™ Life Sciences Solutions, Woonsocket, RI, United States; Jonathan DeShazo, MPH, PhD, CVS, Mechanicsville, VA, United States

In this session, we will cover the practical fundamentals and evidentiary gains of incorporating retail pharmacy data into your real-world evidence (RWE) pipeline:

  • Hidden Patient Therapies: Integrating retail pharmacy fill data provides visibility into critical aspects of patient behavior that traditional medical and pharmacy claims often miss. These data reveal adherence gaps and patient reliance on cash payments to cover medication costs — transactions that typically do not appear in standard claims feeds. They also expose mid-therapy switches that occur within the pharmacy workflow and may never be reflected in payer-submitted claims.
  • Care Path Visibility: Retail pharmacy data also trace the broader journey from the physician’s initial prescription to the patient’s final fill and pickup. This care pathway visibility helps uncover where friction occurs — whether in prescribing, dispensing or patient follow-through.
  • Unique Data: Elements specifically captured at the pharmacy counter, such as real-time pickup behavior, partial fills and pharmacist-patient interactions, offer deeper insights into medication utilization patterns. These insights support a more accurate understanding of adherence, persistence, and therapy uptake.
  • Earlier Identification: Retail pharmacy data enable earlier identification of eligible patients for patient-reported outcomes (PRO) studies. Capturing activity before the first dose is dispensed; these data make it possible to reach out to patients proactively — often during the critical pre-initiation period — ensuring timely engagement before therapy begins.
Sponsored by CVS Healthspire Life Sciences

Topic

Real World Data & Information Systems

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