Tap into solutions that deliver real value

The best Medicare and Managed Medicaid programs are ones that are customized to your needs and member population. Let us put our 40+ years of experience to work for you.

Customized solutions to meet your needs

Prime Therapeutics (Prime) can help elevate your program and get you on the right track with your future Star Ratings. We’re focused on doing what is right for you, every time, providing targeted and customized solutions based on your business, market and member population. As we reimagine pharmacy management to provide the care we would want for our loved ones, we’re focused on:  

Improving affordability

We’ll help drive down your total cost of care by equipping you with the right formularies and networks, preparing you for the Inflation Reduction Act (IRA), providing comprehensive specialty drug management solutions and devising targeted strategies that address your specific needs.  

Delivering better experiences

We’re creating connections with our partners to bring efficiencies and automation to the people we serve. Whether you need to improve Star Ratings or address social determinants of health, you can trust that we’re creating the best experience possible for your members. 

Driving better health outcomes

Prime’s holistic suite of products and solutions is designed to serve our customers and members across the health care continuum. We use next-generation technology to turn your data into actionable insights that can help you make smarter health care decisions.

A fundamental difference

When we say we are different from our competition, we truly mean it. At Prime, we are driven by our purpose of providing the care we would want for our loved ones. Explore how we stay aligned to this purpose.

Truly transparent & conflict free

Prime doesn’t steer people to our pharmacies or pursue the highest margins. Instead, we demonstrate true transparency to do what’s right for our customers and their members, passing value back to those we serve.

Holistic specialty expertise

We help keep costs low and simplify the experience for people taking some of the most complex and expensive drugs across pharmacy and medical benefits.

Modern technology

With exclusive access to the most modern, connected and intuitive pharmacy platform, we’re accelerating innovation to meet the moment for our customers.

Purpose beyond profits

As a privately held company owned by mission-driven partners, we aren’t just about making money, and we’re not distracted by short-term priorities. Instead, we’re creating transformative impact with the best long-term solutions.

Recommended

Managing affordability of cell and gene therapies

Experts predict that the FDA will approve 10–20 cell and gene therapy products each year starting in 2025.¹ These therapies offer renewed hope for people living with highly complex conditions, but they often carry an ultra-high-cost burden for members and plans.

Delivering the latest Medicaid trend insights

In the ninth edition of our annual Medicaid Pharmacy Trend Report™, you’ll find insights about drug spend trends across Medicaid programs to help you best position your business for the future.

Achieving ISO recertification

Prime Therapeutics State Government Solutions, LLC, our PBA solution, was recertified in late 2023. Our ISO 9001:2015 certification means we offer quality management systems that focus on continuous improvement, customer satisfaction and a process-based approach.

Footnotes

¹ U.S. Food & Drug Administration. (2023, December 8). FDA Approves First Gene Therapies to Treat Patients with Sickle Cell Disease. https://www.fda.gov/news-events/press-announcements/fda-approves-first-gene-therapies-treat-patients-sickle-cell-disease 
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