REIMAGINING INTEGRATED DRUG MANAGEMENT
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.
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.
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
“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.
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.
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.
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Each Blue Cross® and/or Blue Shield® plan is an independent licensee of the Blue Cross and Blue Shield Association.
¹ Prime internal analysis, 2022