Services + Solutions

Total drug management that combines a superior partnership model with consumer-centric innovations.

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Making health care better

At Prime, we’re different. We aren’t settling for the complicated state of health care today. There’s more money being spent and more waste to go with it. Our industry is managing new breakthroughs, new treatments and new ways to deliver care. Those are good things, but the cost is at an all-time high.

We want to make health care work better by helping people get the medicine they need to feel better and live well. And we’ll do it through a new approach: total drug management that combines consumer-centric innovations with a superior partnership model.


Transformation of health care starts with total drug management

Specialty treatments can be expensive. And it gets complicated when the cost is divided across the benefit. That’s why total drug management is so important. 

It’s not enough to simply manage the pharmacy side of drug costs. Together, Prime and our Blue Plans will holistically manage both medical and pharmacy drug therapies. That helps you achieve the best outcomes. 

We’ll use every lever in our tool box to do it: formulary management (medical and pharmacy), networks, utilization management, adherence, value-based agreements, fraud waste and abuse prevention, medical cost avoidance, and more. That helps us better manage the overall cost of care, including medical drug spend.


Consumer-centric innovations

Health care is complicated, and can be confusing to members. That’s why Prime puts members at the center of everything we do.  We look up and down the health care value chain to anticipate the need to improve the member experience. We work with clients to develop solutions that meet their specific needs. Then we test, learn, scale and adapt. Together, we’ll create meaningful innovations that increase access, improve health outcomes and lower costs.


Our approach begins and ends with the member experience


Superior partnership model

Our close integration with our Blue Plans has a lasting impact on how we approach every question, challenge and decision. That integration also means total transparency when it comes to projected drug costs. There are no hidden fees or confusing numbers. Only a clear view of projected drug costs and the savings we offer.

Prime also offers specialized peer-to-peer forums on topics from governmental regulations, drug management strategies and more. These forums are unlike anything else in the industry.

We’re all in it together

We provide customized support to each client, giving you the right tools to be successful. And we stay with you, right by your side, helping you grow your business and enhance your competitiveness.