I am now 10 months post liver transplant and my tac levels had been steady for about 6 months at about an 8 up until this week. My most recent blood test showed a 4.3, so the transplant team increased my tac to 2.5mg 2X per day. They asked me if anything had changed, or if I missed a dose. I did not miss a dose, and the only thing I can think of is CVS changed the provider of the medication. It was previously prepared by Strides up until last week when I received medication prepared by Ascend. Based on what I read on the Beth Israel link, the change in medication provider can impact the tac levels. Has anyone else experienced this? I was hoping to get my tac reduced, as I would rather be on less medication if at all possible. Thanks & Happy New Year.