Experience pharmacy benefit solutions built for employers
Manage pharmcy costs, improve health outcomes and create a better experience with pharmacy benefit management strategies for employers designed around what matters to you and your employees.
A national PBM, built differently
Prime combines the scale and stablity emplyoers expect from a lsrge national pharmacy benefit manger (PBM) with a model designed to deliver value to employers and the people we collectively serve. When our goals are aligned, it means our success is your success. And, by aligning business success with better health outcomes, better experiences and more sustainable pharmacy costs, we help you make informed decisions without unnecessary tradeoffs.
Lower pharmacy costs powered by clinically guided strategies
Smarter specialty drug cost management
Improved health outcomes through coordinated support
An easier experience for employees and benefit leaders
Strong PBM performance, no added complexity
Managing pharmacy costs shouldn’t create more work for your team or more disruption for employees. See how Prime helped one national employer navigate high-cost categories while delivering stable trend performance, measurable savings and a streamlined member experience.
$72
average per member per month (PMPM) net cost over four years, significantly below benchmark
3.7%
decrease in autoimmune drug spend over four years, remaining below benchmarks
6
points lower average specialty drug spend than comparable employers with similar demographics
Lower costs, simpler experiences, better results
You shouldn't have to choose between managing pharmacy costs, creating better experiences and supporting healthier populations. Prime's Save, Simplify, Support® approach mitigates these tradeoffs, focusing on PBM cost saving solutions, simplifying the experience and supporting employee health.
Frequently asked questions
Pharmacy benefit manager evaluation criteria for employers should include PBM cost savings solutions, transparent pharmacy contracts, superior clinical performance, specialty drug management expertise, strong service, targeted reporting and predictive analytics, history of implementation success and employee experience. The right PBM should provide enough information and clarity for employers to understand performance, make informed decisions and assess whether a pharmacy benefit strategy will meet their goals.
PBMs work with pharmacies and pharmaceutical companies to help reduce prescription drug costs for the benefit of employers and the employees they support. PBMs also provide clinically guided pharmacy benefit strategies, formulary and utilization management, specialty drug management and programs designed to support appropriate medication use. Employers should consider both the savings opportunity and the impact each strategy may have on employee access, experience and outcomes.
Employers can strengthen specialty drug cost management by combining clinical oversight, appropriate-use strategies, formulary management and condition-specific support for employees with complex conditions. They can also prioritize a PBM that can deliver robust reporting that helps them understand specialty drug trends, program performance and opportunities for action.
Strategies & insights for today's challenges
Innovative pharmacy ecosystem
Connect the pharmacy experience with Prime + Judi® — innovative technology backed by Prime's expertise.
GLP-1 strategies built for lasting impact
Explore a whole-person approach that supports appropriate use, better health outcomes and long-term value.
A smarter approach to biosimilars
Discover evidence-based strategies that can help lower drug costs while maintaining high-quality care.
Prime’s Save, Simplify, Support solutions approach means you get a partner that’s focused on three things that will always matter to you and your members: saving on drug costs, simplifying the experience and supporting the best health outcomes.
How PBMs deliver results
A PBM that’s a great fit for you and your members will align with your goals while lowering drug costs, creating better health outcomes and delivering a better member and provider experience.
PBM pricing
The bidding and contracting process is complex. Understanding key pricing concepts can help you choose a PBM that will provide you and your members the greatest value.
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