Connect care for your members with cancer

IntegratedRx® – Oncology puts everyone on the same team and gives members a central location for their cancer medicines.

Streamlining the treatment pathway 

IntegratedRx® streamlines the treatment pathway for people living with cancer, allowing them to receive their oral oncolytic and companion medications directly from their oncologist’s clinic or affiliated hospital pharmacy.  

Reducing the risk of major side effects 

Analytic intel + insights 

Our IntegratedRx® clinical pharmacist determined that a member was prescribed Nerlynx at a high dose without being weaned on or receiving a prescription for loperamide to counteract potential side effects. 

Outreach 

The pharmacist contacted the provider to share the recommended dose and frequency of loperamide. They also reached out to the member to explain the situation and review new prescription instructions. 

Outcome 

Integration allowed Prime to manage this unexpected situation for the member, creating a better experience than they may have received through a central fill pharmacy. 

“We created IntegratedRx® because, unlike other PBMs, we don’t have to think about having medications filled out of our own pharmacy. We’re able to ask, ‘What’s the right pharmacy for you?'"

Marci Conlin 

Vice President, Pharmacy Network Management 
Easy one stop for everything and was ready on my way out. Also, they are very familiar with the drugs and answering questions and helping with side effects.
Member
Pharmacy staff are so professional. Being able to pick up the medication at cancer center was so very convenient.
Member
I love that it is at the same building as my oncologist. I don’t need to drive around town to another pharmacy.
Member

$4,500

IntegratedRx – Oncology drives savings of $4,500 annually per utilizing member.1

5.22%

IntegratedRx – Oncology delivers better effective rate brand AWP discounts compared to central fill.1

9%

IntegratedRx – Oncology reduces total cost of care by 9%.2

94%

94% of utilizing members are ​satisfied or very satisfied ​with their experience.3

Integration is key 

Traditional (non-integrated) specialty pharmacy model

Provider has minimal connection to central specialty pharmacy.

Prime’s IntegratedRx® model

Connected physician, member and pharmacist experience.

Footnotes

* All brand names are property of their respective owners.
1 Based on actual claims, 1/1/23-12/31/23
2 Cost of care differences by site of dispensing for members taking oral anticancer medications, 2/4/2024​
3 Q2 2024 Prime member satisfaction survey

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