Better benefits start here
Prime integrates with health plans for total drug management — no matter where medicine happens or how it’s reimbursed. We’re member-centric, provider-aligned and data-driven. And we’re here to help make better, more affordable care easier for everyone.
PRIME THERAPEUTICS AND MAGELLAN RX
Making pharmacy’s future brighter
Prime and Magellan Rx have joined forces to offer next-generation pharmacy solutions and a truly differentiated experience while doing what’s right for everyone we serve.
THE VALUE OF INTEGRATION
Integrated pharmacy benefits drive more savings
A recent two-year analysis conducted by Prime and one client shows an average savings of $422 per member per year on medical costs, 13% lower odds of emergency room visits and 17% lower odds of hospitalization.¹
STATE OF SPECIALTY
Helping employers and members manage the evolution of specialty
Specialty drugs drive significant costs up for employers and their employees with certain needs and conditions. With costs continuing to rise, it’s never been more important to help your employer groups develop a strategy to make the most of their specialty spend across pharmacy and medical benefits.
Biosimilars
Driving greater use of biosimilars to help lower drug costs
As part of our total drug management strategy, we actively promote evidence-based use of biosimilars (and other low-cost drug options) that are endorsed by our Pharmacy and Therapeutics Committee.
Executive perspectives
At Prime, we’re focused on redefining our company and how we deliver integrated drug management to support the needs of clients and the members they serve. Dave Schlett, President, PBM Solutions, shares his thoughts about what we accomplished in 2022, and where we are headed in 2023.
Consultant Leadership
Prime’s owner clients
Blue Cross and Blue Shield of Alabama
Blue Cross and Blue Shield of Kansas
Blue Cross and Blue Shield of Minnesota
Blue Cross and Blue Shield of Nebraska
Blue Cross and Blue Shield of North Carolina
Blue Cross Blue Shield of North Dakota
Blue Cross Blue Shield of Rhode Island
Blue Cross Blue Shield of Wyoming
Capital BlueCross
Florida Blue
Health Care Services Corporation (HCSC)
Blue Cross and Blue Shield of Illinois
Blue Cross and Blue Shield of Texas
Blue Cross and Blue Shield of Oklahoma
Blue Cross and Blue Shield of New Mexico
Blue Cross and Blue Shield of Montana
Regence Health Plans
Regence Blue Shield Idaho
Regence Blue Cross Blue Shield of Oregon
Regence Blue Cross Blue Shield of Utah
Regence Blue Shield Washington
Employer groups
Our connected approach helps life be easier for employers. Members get the medicine they need to feel better and live well. Employers can choose products and services that help lower pharmacy benefit costs and improve health outcomes — with less disruption for employees.
Health plans
Created by health plans to be an integrated partner, that unique relationship gives us deeper access to the medical data to help close gaps in care and create an airtight seal on the pharmacy/medical connection. No other pharmacy benefit manager can offer Prime’s level of integration.
Our solutions
We take an integrated, channel-optimized, approach to design people-centered products that help manage cost and provide smarter care.
Our approach
We’re unlocking the potential of integrated drug management to help lower costs and deliver better outcomes.
Our story
Built on a unique business model we’ve become a leading integrated drug management company.
Related research
Perspectives
September 14, 2023
Cheers to 20 years and another amazing Specialty Summit!
The 20th annual Specialty Summit hosted by Prime and Magellan Rx returned to…
Perspectives
September 8, 2023
October 2023 decisions expected from the FDA
At Prime Therapeutics (Prime), we’ve positioned ourselves to best prepare our clients to…
Perspectives
August 28, 2023
Specialty Drug Pipeline Monthly Update: August 2023
This monthly pipeline wrap-up provides a review of newly approved specialty drugs, recent…
Each Blue Cross® and/or Blue Shield® plan is an independent licensee of the Blue Cross and Blue Shield Association.