Your Medicare quality scores are built one refill at a time. The pharmacy your patients use decides whether you win.
The highest weighted measures in Medicare are tied to medication adherence. Every diabetes, blood pressure, and cholesterol patient who lapses at a chain pharmacy pulls your numbers down, and your Star Ratings and MIPS score decide how much Medicare pays you. Fairview Pharmacy is a 5 star rated pharmacy, 4 years running, across every one of those measures.
Why primary care carries the most adherence risk
A primary care panel touches every chronic measure Medicare weights most.
A cardiologist worries about anticoagulation. An endocrinologist worries about diabetes. You worry about all of it: the metformin, the lisinopril, the atorvastatin, the inhaler, often in the same patient on the same visit. Every one is a refill that can lapse, a prior authorization that can stall, a medication a patient can quietly abandon over cost. And every lapse flows into a quality measure attached to your practice.
You cannot follow each patient to the pharmacy counter for each medication. A high performing pharmacy can.
Primary care quality risk
Every abandoned refill moves a triple weighted number the wrong way.
Star Ratings adherence: MAD, MAH, MAC
The three triple weighted Part D adherence measures, diabetes, blood pressure, and cholesterol. A lapse on any one pulls the score down for every plan that patient belongs to.
Statin use in persons with diabetes (SUPD, MIPS #438)
Diabetic patients aged 40 to 75 are expected to be on a statin. Fairview's verified SUPD performance is 96.3%, exactly what this measure rewards.
MIPS quality and cost, your full panel
Non adherent patients are associated with more strokes, infarcts, and admissions, which raise your MIPS cost score and erode the quality measures tied to your reimbursement. MIPS adjustments can reach up to 9 percent, a maximum.
Primary care carries the broadest adherence exposure of any specialty. A 5 star pharmacy partner reduces that exposure across all three measures at once.
The liability between you and your scores
At a chain pharmacy, your patient is a number.
If a prescription hits a prior authorization, nobody resolves it. If they skip a refill, nobody calls. If cost scares them off, nobody tells you. You learn months later, after the lapse has already pulled down the measures that decide your pay.
That guesswork is a pharmacy gap, and it is a liability sitting between you and your quality scores.
EQuIPP verified, 5 star, 4 years running
Fairview beats the state average on every measure your panel touches.
Fairview performs in the 93rd percentile nationally on the EQuIPP quality platform.
Fairview's verified, EQuIPP measured performance: Cholesterol PDC 97.2%, Diabetes PDC 95.6%, Hypertension RASA PDC 98.2%, and SUPD 96.3%, against a Mississippi state average near 82 to 83%. We rank in the 93rd percentile nationally and hold a 5 star rating, 4 years running. Our livelihood depends on patient adherence, exactly like your value based contracts do.
EQuIPP performance metrics as of Quarter 4, 2025. Source: Pharmacy Quality Solutions EQuIPP platform.
You prescribe.
E prescribe to Fairview. NCPDP 2515104, NPI 1144383613.
We fill same day.
We clear every prior authorization.
We monitor.
We watch every medication on the regimen and call before any refill lapses.
We report to you.
A monthly PDC adherence report across all measures for the patients you referred.
You reinforce.
You address adherence at the next visit, with real data.
Same day fills
Every prescription filled within 24 hours, no waiting.
100% prior authorization handling
We carry the full prior authorization burden for your staff.
Pill pack program
Diabetes, blood pressure, and statin refills in one synced regimen, especially valuable for patients on five or more medications.
Monthly adherence reports
Who is compliant and who is not, delivered monthly.
Proactive refill calls
We reach patients 5 days before they run out.
Direct clinical line
Your patients call us about side effects and cost, not your nurses.
Start with 5, zero risk
Send us 5 of your hardest chronic disease patients. 90 days. Zero risk.
We resolve the prior authorizations, keep them on therapy, and report adherence to your office monthly. If you do not see better numbers, you owe us nothing. No long term contracts. No commitments. Just results.
Request your intro call
A 10 minute call with Dr. Mike, no commitment and no paperwork to start. Just tell us how to reach you and a little about your practice. The 5 patient pilot is what we walk through on the call.
Typical response: Within 1 business day
