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 us

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.  

Reimagining Pharmacy for Our Loved Ones

At Prime Therapeutics and Magellan Rx, we are reimagining pharmacy management to provide the same care we would want for our loved ones by delivering differentiated solutions that drive affordability, improve efficiency, and enhance health outcomes. These aren’t just words; it’s our purpose and the why behind the work we do every day.

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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
Conflict free

We are not incentivized to promote pharmacies we own. We work with our customers to help them choose the best and most affordable paths for their business and their members.

Cross Benefit Management and Specialty Expertise
Cross-benefit management and specialty expertise

As the pioneers and market leaders in specialty and medical drug benefit management, we take a holistic view of care. 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 health outcomes.

Purpose beyond profits
Purpose beyond profits

Because we are privately owned by a collection of not-for-profit Blue Cross and Blue Shield health plans, we can focus on providing the same care we would want for our loved ones instead of worrying about the pressures of Wall Street.

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

Discover how we serve employers

Health plans

Blues, regional health plans and managed Medicaid plans

Learn how we work with health plans

Consultants

Strategic partners across the industry

See how we partner with consultants

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

Discover how we serve employers

Health plans

Blues, regional health plans and managed Medicaid plans

Learn how we work with health plans

Consultants

Strategic partners across the industry

See how we partner with consultants

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.

Listen to Pharmacy Friends

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.

See how we lead

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.

Read 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.

Read press release

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