EAGAN, Minn. –  To meet the growing needs of health plans seeking modern pharmacy benefit solutions in an industry still reliant on decades-old technology, Prime Therapeutics LLC (Prime) is working with PwC to expand capacity for new client implementations on Judi®, Prime’s next-generation, cloud-based Enterprise Health Platform (EHP) developed by Judi Health.

Judi unifies pharmacy benefit manager (PBM) operations onto a scalable platform, enabling clients and members to experience greater transparency, efficiency, and speed in managing health care.

This effort accelerates new client adoption onto the Judi platform more rapidly and efficiently — supporting a future-ready approach to pharmacy solutions across claims, clinical workflows, billing, and eligibility. 

“We’re seeing surging interest for modern pharmacy benefit solutions, and PwC’s support enables us to rapidly scale our implementation processes and add capacity for new clients,” said Matthew Mertel, chief operations officer, Prime. “Together, we’re enabling a new standard in pharmacy benefit management — one that’s built for transparency, simplicity and member-first care.”

PwC provides technology implementation resources and expertise to support new client demand while enabling Prime to continue driving its migration schedule for existing clients. PwC’s certified Judi specialists leverage their experience in technology, health care transformation and program delivery to complement Prime’s expert teams.

Judi — short for “adjudication” — is an award-winning, purpose-built EHP developed to minimize inefficiencies in benefit administration and reduce the administrative burden associated with disconnected legacy systems. The cloud-native, self-service, end-to-end solution supports pharmacy benefit workflows, including claims adjudication, data exchange and integration; prior authorization, patient communications, client reporting, invoicing, reimbursement, and more, thereby enhancing the overall client and member service experience.

About Prime Therapeutics 

Prime Therapeutics LLC (Prime) is a pharmacy solutions partner that delivers savings, simplicity and support to customers and members. Prime provides care to millions of people across the country through pharmacy benefit management, specialty and medical drug management, and state government solutions. Prime creates a new standard for the industry by doing what’s right through a conflict-free approach, offering a holistic specialty experience, accessing the most modern technology, and emphasizing purpose beyond profits. To learn more, visit PrimeTherapeutics.com or follow Prime on LinkedIn.

About PwC 

At PwC, we help clients build trust and reinvent so they can turn complexity into competitive advantage. We’re a tech-forward, people-empowered network with more than 370,000 people in 149 countries. Across audit and assurance, tax and legal, deals and consulting we help clients build, accelerate and sustain momentum. Find out more at www.pwc.com.

About PwC Health Industries 

PwC’s Health Industries practice works with organizations across the health ecosystem — including pharmaceutical and life sciences companies, biotechnology firms, medical device manufacturers, payers, providers, PBMs and more. Our multi-disciplinary team draws on PwC’s Assurance, Tax, and Advisory services to drive our clients to the leading edge. These capabilities include helping clients raise capital, grow (both organically and through deals), transform their businesses with our digitized value chain solutions, and safeguard their enterprises through our cyber, compliance, tax and broader risk offerings.

About Judi Health

Judi Health is a health technology company providing a comprehensive suite of solutions for employers and health plans, including:

• Capital Rx: a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers
• Judi Health™: full-service health benefit management for employers, TPAs, and health plans
• Judi®: a single, scalable SaaS solution that health plans can utilize to manage all their claim workflows

Through these solutions, Judi Health is executing on its mission to give our country the infrastructure it needs for the healthcare we deserve. To learn more, visit www.judi.health.