OPTIMIZING DRUG ACCESS
Florida Blue + Prime delivers key stakeholder and provider alignment that allows us to work through any channels you prefer. That means employees can get their medication where they want at the lowest cost.
ADVANCED FRAUD, WASTE AND ABUSE
Smart technology to uncover savings opportunities
In addition to the savings you can see, employers can realize significant savings through our Advanced Fraud, Waste and Abuse (FWA) platform, which integrates pharmacy and medical claims data and applies AI technology and machine learning capabilities to detect FWA across the health system. Recognized by Fast Company for this first-of-its-kind initiative leveraging AI technology to fight FWA, Prime’s platform has helped employers save a total of $291 million in FWA.1
Standard NETWORK
Access, savings and choice
To make sure your employees have the choice they need, it’s important that you provide access to all major chains, so a solution that provides broad national access is key to our offering. With more than 60,000 retail pharmacies, the Standard Network. It also offers savings of up to $0.45 per member per month.²
MEDSYOURWAY® – RETAIL
The best available price at local pharmacies
Your employees no longer need to search for the best discount card prices and then try to remember which card to present at the pharmacy. Through MedsYourWay – Retail, all they need to do is show their insurance card when they fill a prescription to get the lowest available price.
MEDSYOURWAY® – HOME DELIVERY
The lowest available price, integrated home shopping
MedsYourWay – Home Delivery offers an innovative shopping experience through Amazon Pharmacy, including real-time benefits data and integrated discount drug card pricing. Through this offering, your employees get the lowest available prices, and all covered purchases count toward their deductibles.
Florida Blue contracts with Prime Therapeutics, LLC to provide pharmacy benefit management and home delivery pharmacy services.
Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., DBA Florida Blue.
MedsYourWay prescription drug discount card, administered by Inside Rx LLC is not insurance. You are responsible for the cost of prescription(s) when using the card. Limitations apply.
Amazon Pharmacy is an independent company contracted to provide Pharmacy Home Delivery Services for both Florida Blue and Florida Blue HMO.
¹ Prime internal data, 2020
² Internal Prime data, 2021. Savings not guaranteed. Estimates are based on groups who have not already implemented a portion of these strategies. Your actual savings may vary, based on utilization for each segment across the BoB. Represents the opportunity for savings if moving to each of the narrow networks. Savings include the client or group and the employee savings.