OPTIMIZING DRUG ACCESS
When it comes to accessing drugs and pharmacies, our channel independence means you can choose the solutions that best meet your needs – and your employees’ preferences. We help ensure your employees have access to their medication where they want it, and at the best available cost.
ADVANCED FRAUD, WASTE AND ABUSE
Smart technology to uncover cost-avoidance opportunities
In addition to the savings you can see, employers can realize significant cost avoidance through our Advanced Fraud, Waste and Abuse (FWA) platform, which integrates pharmacy and medical claims data and applies AI technology and machine learning capabilities to detect FWA across the health system. Recognized by Fast Company for this first-of-its-kind initiative leveraging AI technology to fight FWA, Prime’s platform has helped employers save a total of $291 million in FWA.¹
BROAD SELECT NETWORK
Access, savings and choice
To make sure your employees have the choice they need, it’s important that you provide access to all major chains, so a solution that provides broad national access is key to our offering. With more than 67,000 retail pharmacies, the Broad Select Network offers excellent coverage, allowing you to provide employees with uncompromising access. It also offers savings of up to $0.45 per member per month.²
90DAYMYWAY®
Maintenance medications made easier
We help you promote 90-day prescriptions for employees’ maintenance medications, helping deliver lower costs and improving adherence. Employees can get their medications through a participating retail pharmacy or through the mail.
MEDSYOURWAY® – HOME DELIVERY
The lowest available price, integrated home shopping
MedsYourWay – Home Delivery offers an innovative shopping experience through Amazon Pharmacy, including real-time benefits data and integrated discount drug card pricing. Through this offering, your employees get the lowest available prices, and all covered purchases count toward their deductibles.
Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross Blue Shield Association. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.
¹ Prime internal data, 2020
² Internal Prime data, 2021. Savings not guaranteed. Estimates are based on groups who have not already implemented a portion of these strategies. Your actual savings may vary, based on utilization for each segment across the BoB. Represents the opportunity for savings if moving to each of the narrow networks. Savings include the client or group and the employee savings.