Pharmacy Benefits Management

Integrated pharmacy program administered your way

Integrating your pharmacy benefits management (PBM) and health plan management lowers your costs and provides a better benefits experience.

Using MagnaCare Rx as your Pharmacy Benefits Manager (PBM) provides value through lower drug and overall pharmacy costs, MagnaCare Rx goes beyond other PBM solutions in the market to deliver:

  • Absolute flexibility (your plan, your way)
  • Sustained savings
  • Full transparency/no hidden costs
  • Completely customizable pharmacy networks

Depending on your goals, we can support Medicare Part D/EGWP plans as well as cutting edge pharmacy programs that focus on clinical management and savings guarantees.

We seamlessly integrate with other leading PBMs, including Elixir, EmpiRx, and Sav-Rx, and we can integrate with any PBM. Whichever PBM you choose, you benefit from deep collaboration across the PBM and your MagnaCare health plan, which ensures timely exchange of data for medical management interventions and accurate accumulator and out-of-pocket expenses tracking.

You will gain better insight into pharmacy utilization through our advanced technology platform and reporting, which also provides truly integrated data sets, deep analytical capabilities, and governance that can aid in the deployment of high-impact interventions.

MagnaCare keeps your population safe and healthy and helps you control costs through:

MagnaCare Rx Pharmacy Networks and Programs

National Pharmacy Network

Includes every major pharmacy chain as well as most regional chains and independent pharmacies.

Mail Order Pharmacy

Offers timely delivery, quality products, excellent service, and competitive prices.

Specialty Pharmacy

Manage patients’ complex therapies and specialty medications and is accredited by ACHC, URAC and ASHP.

Formulary Program

A list of preferred medications supported by medical evidence and by the clinical judgment of physicians and pharmacists, customized to your needs.