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Here’s a generalization about millennials you may not have heard before: They struggle mightily to take their daily pills as prescribed.

Commercially insured young adults are significantly less likely than their older counterparts to be adherent to their diabetes medications, concludes a report released Friday by Express Scripts (ESRX), the nation’s largest pharmacy benefit manager. Just 40 percent of women and 48 percent of men between the ages of 20 and 44 had access to their prescribed diabetes medication at least 80 percent of the time, according to the report, which looked at 1.4 million patients in plans managed by Express Scripts.

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