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 — 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.
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
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
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
Third-party administrators (TPAs), employer groups and labor & trust
Blues, regional health plans and managed Medicaid plans
Strategic partners across the industry
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)
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.
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.
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.