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Patients were included in the diabetes cohort if they (1) were age 65 to 75 as of 1/1/2009, (2) met the HEDIS definition of diabetes mellitus in 20091, (3) were enrolled in a stand-alone Medicare Part D plan for at least 6 months of 2009 and at least 6 months of 2010, (4) filled at least one prescription for a insulin or an oral diabetes medication recorded in the 2009 PDE file, and (5) were not enrolled in hospice or a managed Medicare plan at any time during 2009 and 2010.
All medication use measures were based on Part D event fill records for the time frame specific to each cohort’s observation. The Lexi-Data Basic database (Lexicomp) was used to obtain the drug name, dose, brand or generic status, and active ingredient according to the National Drug Code (NDC).
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