Our pharmacy benefit team is reducing costs, improving quality, and helping people to better manage their care — and we’ve got the studies to prove it.
When you integrate pharmacy with medical benefits, you’ll see savings. Let us show you why.
We’re teaming up with the right people to bring the best pharmacy solutions to you.
See disclaimer below 1
Highmark clients with integrated pharmacy can save an average of $230 per member per year.2
Integration also leads to shorter hospital stays, better chronic condition management, and better overall health for members in general. Now that’s a win-win scenario.
We use six key strategies to help keep your costs down while keeping members healthy.
This helps drive members to quality, affordable medications. Save up to 6.9%.3
Choose pharmacy networks to balance cost and access for all prescription needs. Save up to 2.25%.3
Our exclusive specialty pharmacy relationships result in better care for members. Save up to 25%.5
A few extra cost-sharing options like copayment, coinsurance, and mail-order pharmacy that can save you money. Save up to 7%.3
Choose the best formulary to give access to appropriate, affordable drugs. Save up to 6%.3
Support members with a team of on-staff pharmacists, case managers, and health coaches. Save up to 0.6%.3
Our pharmacy solutions can improve lives and save your company money.
2Findings based on 2020 HealthScape Advisors study. HealthScape Advisors, an independent company, was engaged by Highmark to conduct an analysis of medical claims costs for ASO groups from 2017-2019.
3The savings maximum is an estimate based on adding multiple programs in the Six Strategies bucket; actual savings vary based on current benefit setup.
4Network Management is not available to fully insured groups in Delaware; only available to ASO groups.
5Save up to 25% on medical specialty, site of care drugs.
6In Delaware, member copays cannot vary based on whether the prescription is obtained via retail or mail order.
Highmark is a registered mark of Highmark Inc.
© 2023 Highmark Inc., All Rights Reserved.
All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration and/or to one or more of its affiliated Blue companies.
This website is operated by Highmark, Inc. and is not the Health Insurance Marketplace website. It also does not display all Qualified Health Plans available through the Health Insurance Marketplace website. To see all available Qualified Health Plan options, go to the Health Insurance Marketplace website at HealthCare.gov.
Highmark Blue Cross Blue Shield or Highmark Blue Shield are Medicare Advantage HMO, PPO, and/or Part D plans with a Medicare contract. Enrollment in these plans depends on contract renewal.
®Blue Cross, Blue Shield and the Cross and Shield symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Benefits and/or benefit administration may be provided by or through the following entities, which are independent licensees of the Blue Cross Blue Shield Association: Western and Northeastern PA: Highmark Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Choice Company, Highmark Health Insurance Company, Highmark Coverage Advantage Inc., Highmark Benefits Group Inc., First Priority Health, First Priority Life or Highmark Senior Health Company. Central and Southeastern PA: Highmark Inc. d/b/a Highmark Blue Shield, Highmark Benefits Group Inc., Highmark Health Insurance Company, Highmark Choice Company or Highmark Senior Health Company.
PA: Your plan may not cover all your health care expenses. Read your plan materials carefully to determine which health care services are covered. For more information, call the number on the back of your member ID card or, if not a member, call 866-459-4418.
Delaware: Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue Shield.
West Virginia: Highmark West Virginia Inc. d/b/a Highmark Blue Cross Blue Shield, Highmark Health Insurance Company or Highmark Senior Solutions Company. Visit our website to view the Access Plan required by the Health Benefit Plan Network Access and Adequacy Act. You may also request a copy by contacting us at the number on the back of your ID card.
Western NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Cross Blue Shield.
Northeastern NY: Highmark Western and Northeastern New York Inc. d/b/a Highmark Blue Shield.
Enter your ZIP code so we can show you personalized information.
This page is not available for this ZIP code. Please enter your ZIP code or return to highmark.com.