The NYUPN Pharmacy Utilization Management team works with patients and providers to ensure safe and cost-effective use of medications. The pharmacy team contacts patients with low medication adherence for diabetes, hypertension, and dyslipidemia. The goal is to uncover barriers and suggest patient-specific interventions to improve medication adherence and outcomes. Barriers include carelessness, concerns about side effects, cost, and understanding the importance of therapy. Pharmacists provide comprehensive medication reviews for complex patients to prevent polypharmacy and reduce medication errors.