Better care when medicines play a role
Efficient and affordable care
Through our fully integrated model, we harness our collective Blue and Prime energy and knowledge with one focus: advancing care that’s right for each person. We are deeply connected whenever medicines play a role to help unlock better, more affordable care together. Our unconstrained model brings freedom and flexibility to tailor the right solutions for you and your members.
Choosing your PBM
The pharmacy benefit manger (PBM) you work with impacts your employees’ health and satisfaction. To make the most of this partnership, discover how PBMs can deliver results, learn how to navigate PBM pricing and develop a better understanding of some of the complex terms PBM’s use.
STATE OF SPECIALTY
Understanding the specialty landscape
Specialty drugs have changed pharmacy over the past decade and now represent more than half of total drug spend. And having a strong specialty strategy that spans pharmacy and medical benefits has never been more essential to the success of your business.
Prime and Magellan Rx
Joining forces for a brighter future
Prime Therapeutics closes $1.35 billion Magellan Rx acquisition, uniting pharmacy and medical drug management expertise. The combination creates an opportunity to transform the industry by driving affordability and integrating whole-person care to enhance the patient, provider and customer experience.
Integrated drug management solutions
Effective drug lists are one of the most efficient ways to manage drug costs. Our formulary management approach focuses on curating the right selection of medications, while cutting out medications that are medically unnecessary and those that have a clinically-appropriate, more cost-effective alternative.
Our channel independence means you can choose the solutions that best meet your needs — and those of your employees. You’ll have several options for offering access to affordable medication by encouraging use of preferred providers and pharmacies.
Good things happen when adherence goes up. Our clinical programs support adherence and help eliminate gaps in care. By helping members get the medication they need, when they need it, our solutions help improve health outcomes and reduce the total cost of care.
As care becomes more complex, our ability to look across both pharmacy and medical benefits and coordinate across the continuum of care is critical. The Blue + Prime model can help deliver better outcomes for your members and help you get a grip on growing costs.
Preparing for the future
Our dedicated team of professionals monitors the market and navigates the ins and outs of the changing health care system. This means less surprises for you and less risk for employers.
We take an integrated, channel-optimized approach to design people-centered products that help manage cost and provide smarter care.
We’re unlocking the potential of integrated drug management to help lower costs and deliver better outcomes.
Built on a unique business model, we’ve become a leading integrated drug management company.
June 1, 2023
Prime reimagines patient care, unites care team for a better experience and smarter treatment plan
The patient journey from a cancer diagnosis through treatment with multiple specialty medications…
May 30, 2023
Specialty Drug Pipeline Update: May 2023
This monthly pipeline wrap-up provides a review of newly approved specialty drugs, recent…
May 30, 2023
Traditional Drug Pipeline Update: May 2023
This monthly pipeline wrap-up provides a review of newly approved traditional drugs, recent…
Each Blue Cross® and/or Blue Shield® plan is an independent licensee of the Blue Cross and Blue Shield Association.