We connect
simplicity and
better care.

Health doesn’t happen in silos. Medical and pharmacy coverage shouldn’t either. Powered by our medical and pharmacy data, our programs work together to better identify care gaps and proactively reach out to members and their doctors for improved health outcomes.

When choosing pharmacy benefits, what should you focus on?

Having both medical and pharmacy benefits with Anthem enables us to better identify and close gaps in your employees’ health care – like when they aren’t filling prescriptions or missing lab tests.

Improved employee health¹
  • 8% fewer hospital inpatient stays
  • 8% fewer ER visits
Specialty pharmacy. Personal support.

What happens when nurses and pharmacists provide caring support and help for members? Improved medication adherence thanks to our specialty pharmacy programs.2

Targeted communication. Meaningful results.

Medication review mailings spotlight actions needed for drug safety, cost savings and adherence.

1 Internal data, 2014-2017; analysis, 2018. Results shown do not represent a guarantee of outcomes; group-specific results/cost savings will vary.

2 When compared to local retail pharmacies

We have pharmacy choices to match your goals. Want lots of local in-network pharmacies or the most drug list choices for employees? Done. Want to maximize savings? We’ve got that, too.

More retail pharmacy networks. More choices.
  • National Plus Network includes over 70,000 pharmacies across the US.
  • Rx Choice Tiered Network offers savings and over ~20,000 locations, plus even more in the National Plus Network.*
  • Retail 90 Network pharmacies can fill up to a 90-day supply of medications.
Drug lists to meet your needs.
  • National Drug List - broad drug list includes most generic and brand-name drugs.
  • Essential Drug List - drives savings by excluding drugs that have over-the-counter and/or formulary alternatives at a lower cost.

* Your employees have more pharmacy location choices when they pay a small additional fee.

Seamless and simplified, that’s the benefit of coordinated medical and pharmacy coverage.

Better for your business
  • A single account management team
  • One group application
  • One eligibility feed
  • One bill
Better for your employees
  • One enrollment application
  • One ID card
  • One website for all health care needs
  • One mobile app for medical & pharmacy
    (including mobile ID card)

Big savings. Big results. By combining our medical and pharmacy programs, employers could save up to $28 PMPM in medical and pharmacy costs.¹

Our programs work together and lead to:

Fewer hospital stays

Fewer ER visits

Lower medical costs

¹ 2014-2017 internal data; analysis, 2018. Savings result from integration of our medical and pharmacy benefits. Results shown do not represent a guarantee of outcomes; group-specific results and cost savings will vary.

Explore new insights
on integrated & specialty pharmacy benefits

Our latest research shows how employers can help manage costs and keep their employees healthy.

Sharon’s Story: medical + pharmacy in action

After multiple ER visits and hospital stays, a case manager is assigned to work with Sharon to help her improve her health. The case manager sees a care gap alert that shows Sharon is late in filling her Hepatitis C medication. Sharon's doctor is also alerted.
The case manager and the doctor help Sharon understand it’s necessary to take her Hepatitis C medication daily and complete all therapy to cure Hepatitis C. Sharon and her case manager create daily medication reminders so that Sharon successfully completes her treatment.
12 weeks later, Sharon sees her tests. She is happy to know she is now free of the Hepatitis C virus.
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Better for you.
Better for your employees.

With medical and pharmacy benefits from Anthem, your business will have seamless administration, streamlined enrollment and simplified claims. Your employees will enjoy more complete care that helps them stay healthy and on the job.

Ready to take the next step?