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Large Health Employer Solutions

Pharmacy integration

Find out how our pharmacy integration offers your employees better outcomes and greater savings.

Combining pharmacy benefits and medical plans

At Blue Cross and Blue Shield of North Carolina (Blue Cross NC), we continue to look for ways to help employers like you contain the rising cost of health care. One key component of total cost of care is pharmacy. By combining pharmacy benefit management with your medical plan, we can help you better manage your overall health care expenses.

One study found that an integrated medical and pharmacy benefit strategy can produce $148 per member per year savings, 15% lower hospitalization rates and 7% fewer emergency room visits.1 A cohesive plan with solutions from utilization management initiatives to innovative prescription programs can help your employees maintain healthy lifestyles and manage chronic conditions, leading to a lower total cost of care.

Understand the total cost of care

When you fully understand total cost of care, including its components and how they work together, you can reduce costs, improve outcomes and create a better health care experience for everyone.

Integrate your medical-pharmacy strategy

Implementing an integrated pharmacy strategy along with your medical plan will have a positive impact on the total cost of care, providing better value and better outcomes for employees.

Reduce the drug cost burden

Pharmacy costs are often a leading driver in total cost of care. And like most aspects of health care, there is no silver bullet. But we’re designing innovative solutions that can work together to lower the cost burden.

Adverse Reactions: Managing Pharmacy Trends & Cost Drivers

Prescription costs comprise a hefty chunk of many employers’ health care spend. Watch our webcast with Arif Khan, VP of Pharmacy Services, and Joseph Albright, Director of Pharmacy, as they walk through the current pharmacy landscape. They discuss the growing importance of specialty drugs, what Blue Cross NC is doing to help and what’s lurking just around the bend.

Controlling pharmacy costs to improve total cost of care

Learn more about the new and innovative ways Blue Cross NC is helping members get the medications they need with discounts they’ll appreciate.

[SCREEN TEXT] What's New at Blue?

Hi. I'm Janece Brake.

[SCREEN TEXT] Janese Brake

Sr. Strategic Advisor, Market Planning & Performance

Blue Cross and Blue Shield of North Carolina

As the cost of health care continues to rise, we know many employers like you are looking for ways to make your health plan more affordable for your employees and your business.

[SCREEN TEXT] 20% of health care spending is pharmacy costs

Recent studies show that 20% of total health care spending is attributed to pharmacy cost.


Employers reports that specialty drugs alone account for 12% of this overall spend.

At Blue Cross North Carolina, we are dedicated to making prescriptions more affordable and accessible for every member. Not only do these efforts improve health outcomes for members, but they also make it easier for businesses to control pharmacy costs.

That's why we're introducing new, innovative ways to get your employees to get the medications they need with discounts they'll appreciate.

[SCREEN TEXT] Introducing MedsYourWay

MedsYourWay is a benefit design that gives every member access to easy online ordering for their medications, paired with a prescription drug discount card. Members can also compare their copay or cash price.

This card is not insurance, but when it's used for eligible and covered medicine, it counts towards the member's out-of-pocket maximums and deductibles.

[SCREEN TEXT] Savings up to 80%

Plus, they could see savings of up to 80%. And just like when you order your favorite products from Amazon, members skip the line at the pharmacy and have their prescription delivered right to their front door.

[SCREEN TEXT] Sempre Health

Another program to help control pharmacy costs is Sempre Health. Sempre Health targets members taking medication for certain chronic conditions like diabetes and respiratory diseases.

This program helps improve medication adherence and affordability at no additional cost to you or your employees.

It's easy to get started. Eligible members receive a personalized invitation to enroll in the program, and once they are enrolled, they automatically start saving on select prescriptions.

[SCREEN TEXT] Average savings of $230 a year

Members get text message reminders when it's time to refill their medications. The more they fill those prescriptions, the more their discounts increase each month.

When your medical and pharmacy benefits are combined, your business could see cost savings and better health outcomes. That's smarter, better health care.

[SCREEN TEXT] Visit to learn more.

Visit to learn more.

Cut prescription costs with Rx Savings Solutions

Our HIPAA-compliant Rx Savings Solutions tool analyzes pharmacy claims and clinical information against an employer's pharmacy benefit plan to uncover savings opportunities. When a less expensive option is found, we send a savings alert via text and/or email.

[SCREEN TEXT] Blue Cross Blue Shield of North Carolina

Like most American families, the Bennetts have a monthly budget for things like groceries, a mortgage payment, and a movie night every now and then. But the rising cost of prescription drugs can seriously impact that budget.

[SCREEN TEXT] rxss Rx Savings Solutions 

Simplicity, Flexibility, Savings

That's why they use RX Saving Solutions through their Blue Cross and Blue Shield of North Carolina health plan.

Kimberly loves running around the playground, but her asthma doesn't. The price of inhalers came as a surprise. But when an RX savings notification came from Blue Cross North Carolina, it showed the Bennetts that a different brand came at a lower cost. Now Kimberly can continue ruling the playground.

[SCREEN TEXT] 67% of people who don't fill prescriptions say it's because of the cost

Tom's blood pressure medicine costs were so high, he almost stopped taking them. But when he received an alert about a more affordable generic medication, he talked to his doctor and started taking it the next day.

And when Joey's insulin costs increased, the online portal gave the family a way to compare pharmacies and find the insulin at a lower cost.

[SCREEN TEXT] rxss Rx Savings Solutions

RX Saving Solutions with Blue Cross and Blue Shield of North Carolina is keeping money in your pocket, so you're ready for every movie night.

Log on and start saving today.

[SCREEN TEXT] rxss Rx Savings Solutions

To get started, log on to today!

[SCREEN TEXT] Blue Cross Blue Shield of North Carolina

Point of Blue

See the latest Blue Cross NC tips, news and community updates in our blog.

Access & Affordability

Better health care for North Carolina

Between prescription drug costs, inefficient care and administrative burdens, health care is more expensive than it should be, and the costs are only rising. Here's what we're doing to make care higher quality and more affordable for all.

Find an employer plan

Ready to learn more about employee coverage options? Whether you manage the benefits for thousands of employees or just a handful, we have a plan for you.

50 or fewer full-time employees

51 or more full-time employees


  1. "Medical Costs and Health Care Utilization Among Self-Insured Members with Carve-In Versus Carve-Out Pharmacy Benefits." Journal of Managed Care & Specialty Pharmacy 26.6 (2020): 766-774. Online: (Accessed March 2022). 

Rx Savings Solutions is an independent company that is solely responsible for the services it is providing. Rx Savings Solutions does not offer Blue Cross or Blue Shield products or services.

All other trade names are the property of their respective owners.

U20245, 10/22