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The Healthcare Compliance Packaging Council (HCPC) awarded the winners of its annual Compliance Package of the Year competition at RxAdherence 2013, the organization’s annual conference on patient adherence and compliance-prompting packaging issues. HCPC’s Compliance Package of the Year competition has been an annual event since 1995 and recognizes the most innovative pharmaceutical packages designed to improve patient adherence. This year’s winners are:
• 2012 Compliance Package of the Year: Avive® customized multi-medication 30-day dosing system from MWV Healthcare.
• Compliance Package of the Year First Runner Up: Med-ic® 21 Dose Multi-Med Pharmacy Seal Pack from Information Mediary Corp.
• Compliance Package of the Year Second Runner Up: Eli Lilly Strattera® Physician Sample (Dosepak®) Submitted by AndersonBrecon Inc.
The judges of the HCPC Compliance Package of the Year were delighted with the Avive multi-medication packaging format. One judge commented that the Avive dosing system “truly brings us to a personalized medication approach.” Another judge commented that the dosing system “seems to be tailor-made for elderly patients, who often have multiple drugs to take, while assisting them in maintaining compliance.”
There is no wonder the judges recognized this because Avive was developed with input from patients and pharmacists, resulting in a patient-customized solution that simplifies daily dosing for patients on multiple medications. The ready-to-dispense, script-filling pharmacy service is designed to increase medication adherence, provide convenience for patients, and allow more time for pharmacist-customer counseling. The development of Avive is an outgrowth of MWV’s long-standing commitment to further awareness of the challenges of medication non-adherence, to understand the underlying causes, and to provide solutions to help patients effectively follow their regimens.
Developed jointly with LTCPCMS, Inc., MWV’s pharmacy innovation partner, the Avive system synchronizes patients’ medications, so all prescriptions are picked up on the same day each month from a single pharmacy. The system also creates a customized regimen specifically for each person, which consolidates dosing times consistent with Universal Medication Schedules and aligns with patients’ current daily habits for ease of integration. Medication dispensing is completed in a central-fill location through a combination of pharmacist oversight and a highly accurate robotic system. It arrives at the local pharmacy ready to dispense, following a final inspection from the pharmacist.
Each Avive package features a month’s supply of prefilled medication packets, labeled with medication names and dosing instructions for the medications inside. The Avive system also includes patient education information with the container. Using this system helps the patient incorporate their medication routines into their daily lifestyle, providing convenience and helping reduce medication errors.
Med-ic pharmacy seal pack
The Med-ic 21 Dose Multi-Med Pharmacy Seal Pack was initially developed for a study to monitor Hepatitis C. The package provides large blisters for multiple dosages, is easily filled at the pharmacy level, and can be heat- or cold-sealed, depending upon the pharmacy requirements.
What makes this package unique is the Med-ic technology, which includes an electronic content monitor (ECM) and grid that are hidden inside the paperboard. Med-ic records the time when the patient breaks through the package, triggering an event the Med-ic grid traces. The event (time it was broken and pills removed) is stored on the ECM tag. The empty package can then be returned to the pharmacy for reading, or the ECM can be read using a smart device, such as an Android phone. By calling into the Med-ic application, a NFC (near field communication) can be used to read the package or, finally, an RFID reader can be used.
One of the judges impressed with the Med-ic Multi-Med Pharmacy Seal Pack commented: “This package is quite unique—especially with a way to transmit information about adherence to the pharmacist straight from the packaging. The ECM tag is a great feature that does not require a patient report of behavior. The simple act of opening a blister pack becomes both a way to get the patient needed medication, but also gather data on adherence. The blister packs are easy to push through, which is good for individuals with arthritis. This can allow pharmacies to send a reminder call or text and interact with the patient to figure out ways to improve adherence. This design also allows for pharmacists to package multiple medications per day in one blister pack for the patient.”
Eli Lilly physician sample
Eli Lilly Strattera is approved for the treatment of attention-deficit/hyperactivity disorder (ADHD) in children aged 6 and older, teens, and adults. Packaged by AndersonBrecon for Eli Lilly, the Strattera Physician Sample utilizes the MWV Dosepak™ design in titrating patients through their drug regimen, progressing them to the target dose. The package graphics feature distinguished color coding for the calendarized dosing format, identifying the starting dose of 18 mg and continuing for the first five days of therapy, progressing to 25 mg for the following five days, 40 mg for the next five, and 60 mg for the remaining 15 days of the 30-day therapy contained in the pack.
Other versions of the titration dosing utilize a 10 / 18 / 25 / 40-mg format or 25 / 40 / 60 / 80 mg, depending on the weight of the patient. Each strength combination is distinguished by a unique color configuration and identifies the recommended weight guidelines for the therapy.
In further supporting patient compliance, the Strattera design identifies dosing instructions including tips to avoid side effects and identifying optimal daily timing for doses. The pack also directs patients to a supporting Web site to seek further information and prescription savings. A medication guide is included for the patient in the cover panel of the Dosepak sleeve.
Noted one of the six judges, “This package is ideal for individuals beginning a new medication regimen. The color-coded sections for each increasing titration of medication helps the patient know what they are taking and also be able to pinpoint side effects to specific dosages. The opening design is great for preventing medication overdose and child resistance. Additional pluses are the easy-to-read instructions included on the inside panel.”
The Compliance Package of the Year and the First Runner-up winners will be asked to designate HCPC-donated scholarship funds to a university-level packaging school focused on the pharmaceutical industry. All qualifying entries will be displayed by the HCPC during trade events in which it participates over the next 12 months. Complete competition guidelines are available on the Internet by visiting the HCPC Web site, or by contacting the HCPC offices at 804-338-5778.
The Healthcare Compliance Packaging Council is a not-for-profit trade association whose mission is to promote the greater use of compliance-prompting packaging to improve patient adherence and patient outcomes.