Integration in action

Your health concerns and medication needs don’t fall neatly under pharmacy or medical. We take a deeply integrated, channel independent, holistic approach to designing products that manage cost and provide smarter care that’s right for each person.


Building next-generation solutions for — and with — our clients

We share our clients’ goals, which is why we’re dedicated to offering a wide array of leading-edge solutions that unlock the potential of integrated drug management and help deliver better, more affordable outcomes.

Our solutions

Managing specialty

Specialty drugs are changing lives for the better, but they are also costly for the plans and members who pay for them. We offer a new approach that can help drive savings and better control.

Lowering drug costs

Effective drug lists are one of the best ways to ensure the lowest total cost of care. We curate the right drugs while removing those that are medically unnecessary or have clinically appropriate, cost-effective alternatives.

Optimizing drug access

Channel optimization means our clients can choose any solutions that meet their needs, and members can get their medicine the way they want it — and at the lowest cost.

Improving medication adherence

We ensure members have the medication they need when they need it, helping to keep people healthy while improving safety, decreasing waste and delivering a seamless experience.

Explore our latest work


June 14, 2024

High-Cost Therapy Profile: June 2024

Detailed information about Imetelstat Intravenous (IV)


June 14, 2024

July 2024 decisions expected from the FDA

Your monthly synopsis of new drugs expected to hit the market


June 11, 2024

New clinical program aims to address gaps in cystic fibrosis care

Prime/MRx GuidedHealth® program offers new clinical solution aimed at providing quality care for those with cystic fibrosis

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