WHO WE ARE
Making pharmacy’s future brighter
Together, we’re so much greater than the sum of our parts, delivering more value through our best-in-class pharmacy benefit management solutions, market-leading specialty and medical pharmacy solutions, deep Medicare and Medicaid expertise and a unique people-centric approach to health care.
What we do
Changing health care for the better
We partner with our customers and members on their health care journeys, closing the gaps between medical and pharmacy benefits and delivering holistic care. We leverage innovative data and analytics to improve people’s health and help both customers and members save on costs.
Pharmacy benefit management
From advanced formulary management backed by clinical experts to personalized health programs that deliver unmatched care, we put the member at the center of everything we do. We deliver win/win solutions to tackle our industry’s unique challenges.
Specialty drug management
We help manage total specialty costs and drive better health outcomes. We start by identifying opportunities using real-world data and then deliver results with proven, forward-thinking pharmacy solutions.
State government solutions
To help our customers thrive in the continually changing health care industry, we deliver adaptive Medicare and Medicaid solutions that serve covered populations and meet — and exceed — statutory and regulatory requirements.
HOW WE’RE DIFFERENT
Charting a new path
We travel a different path than the competition and are creating a new standard for the industry based on three key areas of distinction.
We help people get medicine through the best channel for their needs, and we remain restlessly focused on meeting the moment for those we serve. In this way, we’re creating a more connected health care continuum to illuminate new possibilities.
The gold standard for integrity
We have created the standard for integrity in the industry. We’re focused on doing what’s right for everyone we serve, and we believe in being straightforward and ethical in all interactions.
Unique privately held model
We don’t report to shareholders or Wall Street. Instead, we align our goals with our customers’ objectives to do what’s best for the people we collectively serve, helping to contain costs, improve the experience and drive positive health outcomes.
Who we serve
Delivering flexible partnership
Third-party administrators (TPAs), employer groups and labor & trust
Blues, regional health plans and managed Medicaid plans
We integrate with health plans for total drug management.
Medicare Advantage plans, special needs plans, prescription drug plans, Medicare-Medicaid (DNSP) plans, Employer Group Waiver Plans (EGWP)
Managed Medicaid plans, Medicare-Medicaid (DSNP) plans, Fee-for-Service (FFS) plans, AIDS Drug Assistance Programs (ADAPs) and State Pharmaceutical Assistance Programs (SPAPs)
Beyond The Script
Prime and Magellan Rx: Brighter Together
Beyond the Script is our live interview series featuring Prime’s leaders discussing topics that are relevant to our business and industry. In this episode, discover how Prime and Magellan have created a diversified pharmacy solutions organization, providing a wide range of solutions that bridge the distance between medical and pharmacy management.
Providing expert insights on industry news and trends
On the Pharmacy Friends podcast, Magellan Rx brings industry experts to the same table to talk about what is happening in pharmacy today, what is on the horizon and what it all means to you.
Leading the industry in innovative thinking
We’re bringing together the brightest minds to transform the industry and deliver new value through our Perspectives series. Our thought leaders and clinical experts share their expertise on key topics, including on innovative cell therapy treatments and the specialty landscape.
Medicaid Pharmacy Insights
Delivering a multi-state VBC solution for Medicaid
Prime and Magellan Rx have launched Value Plus, a first-of-its-kind value-based contracting (VBC) solution that’s helping state Medicaid programs secure access to high-cost therapies for their members — while linking the cost to the value they provide.
Uniting pharmacy and medical drug management expertise
In joining together, we have new opportunities to drive affordability and put people first as we strive to improve the experience for those we serve and transform the health care industry.