Prime Therapeutics
Reimagining pharmacy management to provide the care we'd want for our loved ones.
Overview
Prime Therapeutics is a PBM that partners with its health plan owners and other clients to manage pharmacy benefits. It focuses on a total drug management approach, looking at both pharmacy and medical benefits to control costs and improve health outcomes. Being owned by non-profit health plans gives it a different perspective, emphasizing value and patient care.
✨ Key Features
- Total Drug Management (Medical and Pharmacy Benefit)
- Specialty Drug Management
- Formulary and Clinical Program Management
- Claims Processing and Analytics
- Home Delivery and Specialty Pharmacy Services
🎯 Key Differentiators
- Owned by Blue Cross and Blue Shield plans, creating strong alignment with payer clients
- Focus on total drug management across both pharmacy and medical benefits
- Transparent, full pass-through rebate model
Unique Value: As a PBM owned by health plans, Prime Therapeutics offers a unique alignment of interests with its clients, focusing on total cost of care and passing through 100% of negotiated rebates.
🎯 Use Cases (3)
✅ Best For
- Serving as the PBM for numerous BCBS plans across the country.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Direct software purchase by a small employer or medical group.
🏆 Alternatives
Unlike publicly traded PBMs, its ownership structure is designed to directly benefit its health plan clients and their members, rather than external shareholders.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Client tier)
🔒 Compliance & Security
💰 Pricing
Free tier: NA
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