Optimizing drug access

When it comes to accessing drugs and pharmacies, our channel optimization means you can choose the solutions that best meet your needs – and your employees’ preferences. We help ensure your employees have access to their medication where they want it, and at the best available cost.

FWA monitoring across pharmacy, prescribers and members

Prime’s Fraud Waste and Abuse (FWA) solution sets the standard for detecting and preventing fraud. Many PBMs offer pharmacy fraud products, but only Prime can extend fraud protection to cover member and prescriber fraud. Our FWA offering encompasses all in-network pharmacy types, including retail, mail and specialty. 

Smart technology to uncover cost avoidance opportunities

In addition to the visible savings, you can realize significant cost avoidance through our Advanced Fraud, Waste and Abuse (FWA) platform, which integrates pharmacy and medical claims data and applies AI technology and machine learning capabilities to detect FWA across the health system. Recognized by Fast Company for this first-of-its-kind initiative leveraging AI technology to fight FWA, Prime’s platform has helped employers save a total of $291 million in FWA.1

The lowest available price, integrated home shopping

MedsYourWay® – Home Delivery offers an innovative shopping experience through Amazon Pharmacy, including real-time benefits data and integrated discount drug card pricing. Through this offering, your employees get the lowest available prices, and all covered purchases count toward their deductibles.

1 Prime internal data. 2020

Horizon Blue Cross Blue Shield of New Jersey is an independent licensee of the Blue Cross Blue Shield Association. The Blue Cross® and Blue Shield® names and symbols are registered marks of the Blue Cross Blue Shield Association. The Horizon® name and symbols are registered marks of Horizon Blue Cross Blue Shield of New Jersey.