HONOLULU – AlohaCare, Hawai’i's only community-led Medicaid and dual eligible Medicare health insurer, has entered into a three-year pharmacy benefits management agreement with CarelonRx starting July 1, 2021. Through this agreement, CarelonRx will provide exclusive pharmacy benefit management services for AlohaCare’s QUEST Integration membership. This new partnership will support members and providers with prescription drug benefit services designed to improve the pharmacy experience and drive better health outcomes, while further lowering costs.
“AlohaCare selected CarelonRx because they share our member-centric values,” said Francoise Culley-Trotman, Chief Executive Officer for AlohaCare. “We are excited to offer our members CarelonRx’s Hawai`i network of pharmacies and prescribers a more streamlined prior authorization process. Members will be able to opt for free, convenient doorstep delivery and extras, like easy-to-use pill packets for multiple medication regiments.”
Under the terms of the agreement, AlohaCare will be able to deliver even greater value to members on all islands by leveraging CarelonRx’s member-first capabilities, bringing new tools and digital technology designed to better increase member engagement in pharmacy treatment and manage overall drug spend.
“We are honored to have been selected by AlohaCare as its exclusive pharmacy benefits partner,” said Nancy Gilbride, Vice President and Chief Sales Officer for CarelonRx. “This further validates that our dedication to whole-person health and a focus on outcomes creates strong partnership opportunities with Hawai`i’s communities. We are looking forward to a deep and fruitful partnership with AlohaCare to help achieve its mission of serving the people of Hawai`i.”
About AlohaCare
AlohaCare is a community-led, non-profit health plan founded in 1994 by Hawai`i’s community health centers and is the only local health plan solely dedicated to serving those eligible for Hawai`i's QUEST Integration Medicaid and Medicare program. For more information, visit alohacare.org.
About CarelonRx
CarelonRx provides pharmacy benefit management services to payers, including affiliates of Anthem, Inc. (ANTM), and is focused on bringing new clarity to the complicated world of pharmacy so members get the benefits they need in a way that’s simple and seamless. CarelonRx offers a whole-health approach that helps drive better outcomes and lowers member, employer and plan costs by delivering member-centric solutions that eliminates much of the unnecessary complexity that slows down the delivery of care. For more about CarelonRx, go to Carelonrx.com.
Looking ahead
CarelonRx disrupted the pharmacy benefit industry with its historic member transition. Having proved its potential, the PBM is positioned to serve an even wider audience. An ever-growing list of clients is choosing CarelonRx for its member-focused, innovative approach. In 2021, the PBM aims to expand its commercial footprint. As CarelonRx eyes future growth opportunities, it remains committed to its original vision: leveraging innovation, personalization, and expertise — all in the name of better health.