Interventions to Improve Specialty Medication Adherence

Inclusion Criteria: * The same medication (at the Generic Product Identifier level 12) filled ≥4 times in the 12 months before date of import into the study database * Prescription generated from one of the following Vanderbilt outpatient specialty clinics: Pediatric Rheumatology, Pediatric Gastroenterology/Inflammatory Bowel Disease, adult Vanderbilt Rheumatology clinics, Dermatology, Hematology, Adult Endocrinology, Neurology, Asthma Sinus \& Allergy, Idiopathic Pulmonary Fibrosis, Pulmonary Arterial Hypertension, Cystic Fibrosis, Multiple Sclerosis, Neurology, or a Lipid clinic * Proportion of Days Covered (PDC) \< 90% over the previous 4 months and 12 months Exclusion Criteria: * Prescription issued by a non-VUMC provider * Planned treatment discontinuation in the subsequent eight months * More than one unique specialty medication from the same clinic in the previous four months * Patients with \> 30 gap days in the previous four months and whose last fill was \> 30 days from importing into the study database. * Any reason for misidentified nonadherence in the previous four months * Deceased patients * Incarcerated patients