Walgreens - Rx Cost Advisor Validation

Background

  • Walgreens was in the process of building an SMS-based service that allowed patients with prescriptions costing $50 or more to switch to another prescription that did the same thing, but cost less based on their insurance.

  • In this service, the patient could request a lower-cost prescription, their doctor would be consulted, they would receive the status of their doctor’s approval, then their pharmacy would be notified to fill this new prescription.

  • This usability study was conducted after 2 rounds of concept evaluation research with both patients and doctors.

Study Goals

  • Test our initial experience hypotheses of surfacing alternative prescriptions in a real-world context to learn if our design aligned to how users perceived this service.

 
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Research Methods

  • Remote unmoderated sessions using UserZoom

  • Allowed participants to choose their own path, if they wanted to “switch prescriptions” or not

  • Recruited 30 participants to aim for at least 8 participants to receive a final status of “accepted”, “timed out”, or “denied”

Work Partners

  • Product managers

  • UX designer

  • Visual designer

  • Copywriter

  • Service designer

  • Software engineers

My Role

  • Selected method

  • Suggested recruiting criteria and drafted screener

  • Worked with team to identify research questions

  • Drafted research tasks within UserZoom

  • Conducted analysis and wrote findings report alongside service designer

Participants

  • Recruited 30 participants to aim for at least 8 participants to receive a final status of “accepted”, “timed out”, or “denied”

    • Allowed participants to choose their own path, if they wanted to “switch prescriptions” or not

  • Have experienced inquiring about the cost of their prescription at the pharmacy

  • Currently pay $50 or more for a prescription

  • Comfortable using a smartphone

  • Owns or shares responsibility to order and pick up prescriptions

 
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Key Research Questions

  • What questions or concerns do patients have about this service?

  • How many patients would choose to switch medications through this service unprompted?

  • What additional information should be provided about this service?

Key Findings

People wanted more details to understand why unhappy paths occurred.

  • When a request was denied, people wanted to know why their switch wasn’t approved.

  • When a doctor didn’t respond to a request, most patients didn’t know what it meant to “not hear back in time”.

 

Unhappy paths are a dead end today and patients want us to take them a step further.

  • After a request was denied or timed-out, people felt they were given false hope in getting a cheaper medication.

  • In the event of an unhappy path, most patients wanted another way to approve a lower-cost alternative.

  • Some assumed they could try switching again on their next refill, and would stick with their original prescription for now.

 

Most incorrectly thought their original Rx was being filled in a denial or timeout.

  • The majority of unhappy path participants would have been waiting for a notification that their original prescription was ready to be picked up, not knowing they needed to take action. 

 
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Impact

  • UX and content designers provided more details around why unhappy path outcomes occurred, and provided next steps to move forward.

  • The product team built in a feature to resend patients the option to switch medications next month if they originally opted-out.

  • UX and content designers added language to the unhappy paths to let patients know that if their request to switch medications didn’t go through, they still need to request a refill for their original prescription.

Hindsight is 20/20

  • It would have been beneficial for future iterations of the patient experience and the prescriber experience if our electronic medical records (EMR) partner was involved in this research.

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