Prime Therapeutics

Prime Therapeutics

Prime Therapeutics LLC is a Pharmacy Benefit Manager (PBM) headquartered in Eagan, Minnesota. The company is privately held by organizations representing 13 Blue Cross and Blue Shield (BCBS) plans in Alabama, Florida, Illinois, Kansas, Minnesota, Montana, Nebraska, New Jersey, New Mexico, North Carolina, North Dakota, Oklahoma, Texas and Wyoming.

Prime Therapeutics operates contact centers in Omaha, Nebraska and Irving, Texas and operates two mail-service pharmacies in Irving, Texas, and Albuquerque, New Mexico. The company also has offices in Bloomington, MN, Chicago, IL, Jacksonville, Florida, Hoover, Alabama, Pittsburgh, PA and Washington, D.C.

Prime Therapeutics is the largest privately held PBM in the United States that does not own any chain pharmacy stores. Its major competition comes from companies such as Caremark Rx, Express Scripts Incorporated, and Catamaran. Prime Therapeutics covers nearly 20 million lives.

Prime is also one of the regional processors for Medicare Part D for: HISC (a subsidiary for Health Care Service Corporation), the Northern Plains Alliance (BCBS of Minnesota, North Dakota, Noridian a BCBSND company, Nebraska, Wellmark, Wyoming and Montana) and Blue Cross Blue Shield of Florida. With BCBS Minnesota it also includes South Country Health Alliance, PrimeWest Health System, the state sponsored health plan called Pre-Paid Health and First Plan of Minnesota.

Prime also provides specialty pharmacy management to its health plan clients through its specialty program. The Prime Specialty program provides safe and efficient medication delivery, personalized member support, and a comprehensive set of tools for managing specialty drug spend under both the pharmacy and medical benefit.