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Prime Therapeutics tells Sunnyside trustees specialty drugs and neoplastics drove pharmacy costs; offers adherence and app-based savings

Sunnyside Unified District (4407) Benefits Trust · November 10, 2025
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Summary

Prime Therapeutics reported roughly 1,500 members with plan-paid pharmacy costs around $1.9 million year‑to‑date, specialty spend near $788,000 and payer‑matrix savings of about $291,000; recommended adherence programs, PrimeCentral app and a hybrid payer‑matrix add‑on.

Prime Therapeutics presented the trust’s pharmacy review, highlighting specialty-drug concentrations and several operational savings opportunities.

Kelly Shane, account executive at Prime Therapeutics, said the membership is about 1,500 and that plan-paid pharmacy dollars were roughly $1.9 million year‑to‑date, producing a PMPM around…

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