Habit Formation for Adherence to Statin Use and LDL Reduction

Inclusion Criteria: * Individuals at high risk of a cardiac event, specifically one of the following: * Individuals with clinical CVD (defined as diagnosis with myocardial infarction, stroke, or peripheral vascular disease) with an LDL greater than or equal to 100 mg/dl ; * Individuals with Diabetes (between the ages of 40-75) with an LDL greater than or equal to 100 mg/dl; * Individuals without clinical CVD or diabetes with LDL greater than or equal to 100 mg/dl and estimated 10-year CVD risk 7.5%; * Individuals without clinical CVD or diabetes with LDL cholesterol greater than or equal to 190 mg/dl A prescription filled for a statin medication within the last 12 months (derived from pharmacy records); * Medication Possession Ratio (MPR) less than or equal to 80% * Low medication adherence on self-report completed during enrollment Exclusion Criteria: * Less than 18 years old * Contraindication to further statin use or have suffered side effects from statins, such as myopathy * Will not or cannot give consent * History of active or progressive liver disease or abnormal liver function tests on baseline screening when applicable * Currently participating in another clinical trial with related aims * Co-morbidities likely to lead to death within a short-period