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Magellan Rx Management

Leading humanity to healthy, vibrant lives.

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Overview

Magellan Rx Management is a PBM with a strong focus on managing complex, high-cost specialty drugs across both the pharmacy and medical benefits. They provide solutions for health plans, employers, and government programs, emphasizing clinical excellence and total cost of care management. In 2022, Magellan Rx was acquired by Prime Therapeutics, combining their specialty expertise with Prime's scale.

✨ Key Features

  • Medical Pharmacy and Specialty Drug Management
  • Formulary Management Services
  • Government Program Solutions (Medicaid, Medicare)
  • Clinical Programs and Utilization Management
  • PBM Services

🎯 Key Differentiators

  • Deep expertise in managing drugs billed under the medical benefit.
  • Strong focus on specialty pharmacy and high-cost drug management.
  • Integration with Prime Therapeutics enhances its scale and capabilities.

Unique Value: Provides specialized, in-depth clinical management for the most complex and costly areas of pharmacy, particularly specialty and medical benefit drugs.

🎯 Use Cases (3)

Managing high-cost specialty drugs administered under the medical benefit. Providing PBM services with a focus on clinical rigor and specialty care. Supporting state Medicaid programs with pharmacy benefit administration.

✅ Best For

  • Recognized expertise in managing specialty pharmaceuticals for health plans.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Clients looking for a PBM without a strong focus on specialty drug management.

🏆 Alternatives

PerformRx MedImpact OptumRx (Specialty)

Offers a more targeted and expert approach to managing high-cost drugs compared to broader, less specialized PBMs.

💻 Platforms

Web API

🔌 Integrations

Now integrating with Prime Therapeutics' systems and its BCBS plan owners.

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Client tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ URAC ✓ NCQA

💰 Pricing

Contact for pricing

Free tier: NA

Visit Magellan Rx Management Website →