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This paper provides recommendations for enhancing MCC patient care outcomes in the current and post-COVID-19 health care delivery settings. To determine whether elimination of co-pays for prescription drugs affects medication adherence and total health care spending. Retrospective comparative study. We conducted a difference-in-differences comparison in the year before and after expansion of a Zero Dollar Co-pay (ZDC) prescription drug benefit in commercially insured Louisiana residents. Blue Cross and Blue Shield of Louisiana members with con