Reimagine Pharmacy
Prime Therapeutics and Magellan Rx (Prime and Magellan Rx) have joined forces to offer next-generation pharmacy benefit management solutions and a truly differentiated experience while doing what’s right for everyone we serve.
Learn more about usWHO 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.
Reimagining Pharmacy to deliver cross-benefit management and specialty expertise
At Prime Therapeutics and Magellan Rx, our deep expertise and holistic view of patient care is critical in helping to manage the most complex conditions and expensive specialty drugs across both pharmacy and medical benefits. Hear from our experts on how we help lower the total cost of care for our customers and provide exceptional experiences and improved health outcomes for their members.
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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 — or 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.
Conflict free
We work with many pharmacies and distribution channels and provide customized consultation to help our customers choose the best and most affordable path for their members to get their medicine, prioritizing seamless integration into their health care journeys because that’s what we would want for our loved ones.
Cross-benefit management and specialty expertise
A holistic view of care is critical to help manage the most complex conditions and expensive specialty drugs. Our deep in-house medical pharmacy experience, clinical expertise and ability to deliver therapy-specific care help us lower the total cost of care and improve member experiences and health outcomes.
Purpose beyond profits
We believe in doing well by doing good. As a privately held company owned by not-for-profit health partners, we have the rigor and freedom to remain nimble and focus on the best long-term solutions that provide exceptional member experiences and improved clinical outcomes, driving affordability and lowering the total cost of care.
Who we serve
Delivering flexible partnership
We create targeted solutions based on each customer’s business, market and member population — solutions that work better for everyone. We aren’t about fitting you into an existing drug management plan; you deserve customized, innovative solutions from a team that is energized by discovering new and better ways to solve our industry’s challenges.
Employers
Third-party administrators (TPAs), employer groups and labor & trust
Health plans
Blues, regional health plans and managed Medicaid plans
Consultants
Strategic partners across the industry
Medicare
Medicare Advantage plans, special needs plans, prescription drug plans, Medicare-Medicaid (DNSP) plans, Employer Group Waiver Plans (EGWP)
Medicaid
Managed Medicaid plans, Medicare-Medicaid (DSNP) plans, Fee-for-Service (FFS) plans, AIDS Drug Assistance Programs (ADAPs) and State Pharmaceutical Assistance Programs (SPAPs)
Employers
Third-party administrators (TPAs), employer groups and labor & trust
Health plans
Blues, regional health plans and managed Medicaid plans
Medicare
Medicare Advantage plans, special needs plans, prescription drug plans, Medicare-Medicaid (DNSP) plans, Employer Group Waiver Plans (EGWP)
Medicaid
Managed Medicaid plans, Medicare-Medicaid (DSNP) plans, Fee-for-Service (FFS) plans, AIDS Drug Assistance Programs (ADAPs) and State Pharmaceutical Assistance Programs (SPAPs)
Pharmacy Friends
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.
Thought leadership
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.
Clinical Perspectives
The evolution of GLP-1s
As we work with our clients to address the increasing demand for GLP-1s, we are committed to examining how their use affects the total cost of care, their long-term value and their downstream impact on other health conditions. Read the latest insights in our report.
Press release
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.