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7% were black or African American. The primary composite was significantly lower in the pharmacist intervention group compared to usual care (mean difference 0.82, =0.0364, 95% confidence interval [CI] 0.05-1.6, driven by lower 30-day hospitalizations in the intervention group (mean difference 0.15, =0.0099, 95% CI 0.04-0.27). Cost associated with COPD-related hospitalizations was significantly lower in the pharmacist intervention group compared to usual care ($173,808, = 0.033 as well as before intervention ($79,662, =0.0233). There