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Most consumers say they aren’t notified of physical changes in their prescription pills, even though most pharmacists report they do alert their customers, a disconnect that is contributing to a lack of patient adherence, according to a new analysis.

At issue are the occasional variations in shape, size, or color of medicines that manufacturers make for different reasons. Half of 1,000 consumers who were surveyed reported such a change in the past year, and 29% thought they received the wrong pill. As a result, 1 in 8 either took their pills less frequently or stopped taking them altogether.

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