With Prime Therapeutics (Prime), you have a true partner who is committed to better, more affordable care as you are. We’re focusing all of our energy and knowledge on enabling the right care for each person with the right medicine, at the right time and place.

Prime and Magellan Rx

Joining forces for a brighter future

Prime has acquired Magellan Rx Management, further integrating pharmacy and expertise and creating an opportunity to transform the industry by driving affordability and integrating whole-person care to enhance patient, provider and customer experiences.

Integrated drug management

We use the power of integrated medical and pharmacy data to develop predictive models, distill actionable information, and tackle the toughest pharmacy challenges.

We take a channel independent approach to help create pharmacy networks tailored to your market and aligned with local providers.

Our member-centric tools can be integrated with your plan for a seamless experience.

Our transparent model means our goals are aligned with yours, and financial savings can be passed through.

Our ownership model offers plans strategic control and tremendous flexibility. We don’t just offer the freedom to grow your own way, we actively help.


An integrated approach unlocks more affordable care

Our model allows us to work closely with our clients to create effective go-to-market strategies. Our underwriting team collaborates to establish goals and create an unmatched strategy to set you up for success.

“We’re able to look at total cost of care because we integrate our medical and pharmacy claims through Prime. That’s really important when we look at opportunities to improve care and lower costs when members are on multiple medications. We can help them by changing medications, lowering doses, and removing barriers. That’s what you get through integration: you have a connected point, you have data together, and then you have an informed decision that looks at a 360-degree picture not just one piece.  The integrated picture is just more cohesive.”

Samir Mistry, PharmD, MBA, Vice President of Pharmacy Strategy & Services, Capital Blue Cross

Helping streamline treatment pathways


Prime’s IntegratedRx® solutions provide a better experience for people with certain complex conditions, promoting faster treatment start times, lower drug costs and coordinated care between providers and pharmacists.

Helping improve experience

Putting people first

There’s a real person at the end of every spreadsheet, script or device. And their experience matters — whether they’re a patient, provider or payor. At Prime, we are reimagining pharmacy management to provide the same care we would want for our loved ones. That’s why every new product, process, report or solution we create is centered on the people we are privileged to serve.

Thought leadership

Driving greater use of biosimilars to help lower drug costs

As part of our integrated drug management strategy, we actively promote evidence-based use of biosimilars (and other low-cost drug options).

Fraud Waste and Abuse

Advanced analytics leads to a robust fraud, waste, and abuse program

Prime’s advanced fraud, waste and abuse (FWA) program has saved health plan clients millions of dollars through audits and investigations. Through our advanced analytics approach, we identify, stop and protect against emerging fraud trends, helping our clients save money and maintain member safety.

Download Prime’s latest FWA Blue Paper

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.

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Each Blue Cross® and/or Blue Shield® plan is an independent licensee of the Blue Cross and Blue Shield Association.