Get the most from your specialty drug management 

We tap into our expertise and insight, working with you to develop customized specialty drug management strategies that promote affordability and help your members get and stay healthy.

Specialty expertise

We are the market leaders in specialty drug management, with industry-leading solutions across all sites of service that drive savings and improve patient care.

$60B

Prime manages $60B+ in drug spend.

50+

We currently help 50+ plans manage specialty drug costs through our innovative programs. 

16M

We serve 16 million members through our medical pharmacy solutions.

Medical pharmacy expertise

Prime Therapeutics (Prime) is the industry leader and pioneer in providing comprehensive medical pharmacy solutions for drugs covered under the medical benefit. With over 20 years of dedicated experience in this space, we have the expertise to deliver solutions designed to meet your population’s specific needs. Our experience has enabled us to successfully manage highly complex medical specialty products with targeted programs focused on improved member care, while reducing medical benefit spend by up to 20% for our customers. 

Integrated care for a better experience

Prime’s IntegratedRx® solutions provide a better experience for people with cancer and cystic fibrosis, promoting faster treatment start times, lower drug costs and coordinated care between providers and pharmacists.

Specialty pharmacy services

Prime Therapeutics Pharmacy supports 30+ unique specialty disease categories. Our high-touch, high-tech clinical model uses on-demand educational videos, patient texting, video calls with dedicated pharmacists and nursing support to deliver the best experience for your members.

Member support and care

Our Advocate+ program helps members navigate their specialty journey by breaking down roadblocks, assisting with financial assistance and providing support across multiple social determinants of health.

The best-fit pharmacy

Advocate+ Pharmacy Match considers market pricing, drug access, state regulations and clinical programs before routing specialty prescriptions to the best pharmacy that will help reduce costs and enhance the member experience.

Expert Clinical Network (ECN)

With Prime, you can tap into the expertise of key opinion leaders (KOLs) who specialize in a myriad of complex conditions. These KOLs can not only review challenging cases for clinical appropriateness but can also assess outlier members to ensure they receive the best care, while also aiding in peer-to-peer discussions, drug policy and criteria development, and formulary guidance.
Login Portals
Compliance / Legal
Careers
© 2024 Prime Therapeutics LLC