Helping lower drug costs
Effective formularies are one of the best ways to ensure you have the lowest total cost of care, and a well-managed formulary starts with proactive, comprehensive pipeline management. Best of all, you have the flexibility to choose a drug mix that best meets your goals thanks to our highly configurable options for formulary management.
KEYRX
A powerful tool for integrated drug management
Our KeyRx formulary gives employees access to the right medications while cutting out drugs that are medically unnecessary or more costly than other available therapies. Simply put, we focus on providing access to the drugs people need and not the ones they don’t.
Case study
Big savings with no employee disruption
KeyRx can have a dramatic effect on a group’s bottom line. One 9,000-employee group in the energy solutions and natural gas industry was using an unmanaged approach to formulary and utilization management, and they were concerned about employee disruption if they implemented a new approach. However, the rising costs of drugs was becoming too much to bear. Prime recommended a managed formulary with new utilization management programs, and the employer saw clear results, including $17 PMPM savings – with no negative impact on the employee experience.
Trend²
PMPM savings²
Increase in preferred brand use²
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
Prime Therapeutics LLC is an independent company that provides pharmacy benefit management services for Blue Cross® and Blue Shield® of Minnesota.
¹ Prime internal data 2022
² Prime internal data 2017