Streamlining the treatment pathway for members and providers

Complete coordination across the cancer treatment pathway helps promote lower drug costs, quicker time-to-medication, better adherence and an improved patient and provider experience for Blue Plans and their members.

IntegratedRx™ – Oncology

Cancer patients, caregivers benefit with integrated clinic-to-pharmacy care

This new clinically integrated program streamlines the treatment pathway for members who are fighting cancer so they can now receive their oral oncolytic and companion medications in the clinical setting directly from their oncologist’s clinic or affiliated hospital pharmacy.

“My patient had the oncology drug in hand in less than 24 hours. We are helping the make the end-to-end experience so much better.”

Joseph Leach, M.D. Senior Vice President and Chief Medical Officer

Watch Jaqui’s Story

Improves speed-to-therapy

Integration means patients may begin treatment up to two days faster.

Helps lower costs

IntegratedRx delivers people-centric care and competitive costs through an open network.

Promotes adherence

IntegratedRx helps members get their medications and connects their providers and pharmacists, improving adherence and quality of care.

Reducing the risk of major side effects
Analytic intel + insights

Our IntegratedRx clinical pharmacist determined that a member was prescribed Nerlynx at a high dose without being weaned on or receiving a prescription for loperamide to counteract potential side effects.

Outreach

The pharmacist contacted the provider to chare the recommended dose and frequency of loperamide. They also reached out the member to explain the situation and review new prescription instructions.

Outcome

Integration allowed Prime to manage this unexpected situation for the member, creating a better experience than they may have received through a central fill pharmacy.

Testimonials

“Everyone wins with IntegratedRx for Oncology. The patient wins, the provider wins, the payer wins.”

Joseph Leach, M.D. Senior Vice President and Chief Medical Officer

“We created IntegratedRx, because unlike other PBM’s, we don’t have to think about having medications filled out of our own pharmacy. We’re able to ask, what’s the right pharmacy for you?”

Marci ConlinVice President, Pharmacy Network Management

“It’s been so easy. I go to the clinic, I do my blood work. I’ve gotten home and they’ve called me almost the same day, within a couple hours, to set up delivery. And then I’ve gotten my medication the next day. It’s been very easy.”

JacquiOncology Patient

 

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