Prime Therapeutics is a pharmacy benefits solutions company dedicated to providing innovative, clinically-based, cost-effective pharmacy solutions.

Providing Solutions

Prime Therapeutics is a thought leader in the development of collaborative and workable strategies that help our clients and members effectively and efficiently manage pharmacy benefits. We focus on developing programs, services and processes that are clinically based, member-focused and aligned with the goals of our clients.

Our unique approach of looking at pharmacy benefit management (PBM) from a total health care perspective allows us to be an industry leader in the promotion of good health and the management of prescription drug costs.

Prime at a Glance

Core Services

Prime offers a full range of pharmacy services including:

  • Claims processing
  • Clinical and medication management
  • Consumer-directed health plans (CDHP)
  • Drug utilization review
  • Formulary management
  • Generic drug programs
  • Mail service
  • Manufacturer contracting
  • Medicare Part D administration
  • National pharmacy networks
  • Predictive benefit modeling
  • Rebate administration
  • Reporting and analysis
  • Specialty drug management
  • Trend forecasting
  • Utilization management
  • Web-based drug cost calculators and tools

Recognitions and Memberships

URAC Accredited

The URAC PBM accreditation program is designed to encourage PBM industry best practices, promote quality improvement and protect and empower consumers. The URAC standards development process is consensus driven, with hundreds of industry experts serving as volunteers to establish and revise appropriate industry benchmarks. Prime began its participation with URAC's beta testing process in June 2007 and became officially accredited in October 2007.

Center for Health Value Innovation Membership

Prime joined the Center for Health Value Innovation as the first participant from the pharmacy benefit manager industry. The Center for Health Value Innovation is a non-profit organization that collaborates with leading organizations to develop and promote innovative value-based health strategies.

Pharmaceutical Care Management Association Membership

In January 2008, Prime became a member of the Pharmaceutical Care Management Association (PCMA). PCMA is the national association representing America's pharmacy benefit managers. PCMA offers a full range of lobbying, advocacy and business networking services and is actively engaged in developing new, and expanding existing resources.

TIPPS Certified

In September 2007, Prime received its Transparency in Pharmaceutical Purchasing Standards (TIPPS) certification. The TIPPS initiative calls for adherence to nine drug purchasing transparency standards, including providing acquisition costs for all drugs through mail-service and specialty pharmacy.

Our Mission

Prime Therapeutics provides the highest quality of care and service for members and empowers clients to make informed decisions in health care management.

Executives

  • Timothy F. Dickman
    President and Chief Executive Officer
  • Erin Ascher
    Vice President of Human Resources
  • Sharon Carlin
    Senior Vice President of Government Programs
  • David Lassen
    Chief Clinical Officer
  • Kim Mageau
    Senior Vice President & Chief Operating Officer
  • John Mielke
    Chief Information Officer
  • Cameron Olig
    Senior Vice President of Client Services
  • Charles Roehrick
    Chief Financial Officer
  • Valerie Ruttenberg
    Senior Vice President & General Counsel
  • Matt S. Yordy
    Senior Vice President of Business Development

Board

Chairman of the Board
  • Tim J. Crilly
    President and Chief Executive Officer
    Blue Cross Blue Shield of Wyoming
Directors
  • Mark W. Banks, M.D.
    President and Chief Executive Officer
    Blue Cross and Blue Shield of Minnesota
  • Timothy F. Dickman
    President and Chief Executive Officer
    Prime Therapeutics LLC
  • Robert I. Lufrano, M.D.
    Chairman, CEO and President
    Blue Cross and Blue Shield of Florida
  • Steven S. Martin
    President and Chief Executive Officer
    Blue Cross and Blue Shield of Nebraska
  • Andrew C. Corbin
    President and Chief Executive Officer
    Blue Cross and Blue Shield of Kansas
  • Raymond McCaskey
    President and Chief Executive Officer
    Health Care Service Corporation
  • Michael B. Unhjem
    President and Chief Executive Officer
    Blue Cross Blue Shield of North Dakota

Board of Directors Website

For use by board members only.