I've just noticed a bulb with both high CRI (92) and high efficacy (89 lumens/watt). It is the Green Creative Titanium Crisp 4.0. It is also rated for fully enclosed fixtures, has an R9 rating of 60, and is dimmable. Overall the specifications are very impressive. Available in 2700K only.
I suspect the bulb is using a separate red emitter combined with a greenish-white LED, a strategy that has been used by a few other companies.
(This type of LED technology has gone under the name "TrueWhite" or "
Brilliant-Mix")
The particular 92CRI is very indicative of this separate emitter approach. The high efficiency, combined with the mediocre R9 red value is also consistent with this presumption.
There is also an MR16 version of the Green Creative Titanium Crisp, which obviously does not have separate wavelength LED emitters (the individual LEDs are visible), but the CRI on that version is 95, which means it is using a different type of LED.