Prime provides Medicare Part D prescription benefit services to over 14 health plans totaling over 800,000 Medicare beneficiaries. Prime works to ensure our network pharmacies have the information they need to provide effective service to all of their beneficiaries. Prime manages the pharmacy network, maintains the formulary, processes pharmacy claims, provides Medication Therapy Management (MTM) services to eligible beneficiaries and performs other PBM services on behalf of its plan sponsors.
Prime is committed to optimizing therapeutic outcomes through improved medication use as well as through the reduction of adverse drug events. Prime has developed an outpatient pharmacy MTM program that provides patients with direct interaction with pharmacists. Pharmacies must be under contract with Prime to provide MTM services to be eligible to receive payment for performing MTM interventions.
Important Medicare Information
2008 Medicare Part D Vaccine Program
Medicare Part D Vaccine Processing Requirements
Medicare Part D Covered Vaccines with Allowable Administration Service Fee
2008 Medicare Formularies
2008 Medicare Part D Formulary
Medicare Part D Formulary Updates
2008 Expanded Medicare Part D Formulary
Expanded Medicare Part D Formulary Updates
2007 to 2008 Medicare Part D Formulary Changes
Medicare D Plan Announcements
Florida BlueMedicare Group Plan Announcement
Blue Cross and Blue Shield of Florida
Northern Plains Alliance: Region 25
Employer Groups, Northern Plains Alliance: Region 25
Northern Plains Alliance: Region 19
HISC BCBS of IL, PDP Region 17
Employer Groups, BCBS of NM, PDP Region 26
BCBS of TX, PDP Region 22
Employer Groups, BCBS of TX, PDP Region 22
HISC BCBS of NM, MA-PD Region 20
HISC BCBS of TX, MA-PD Region 17
BCBS of OK, PDP Region 23
Employer Groups, BCBS of OK, PDP Region 23
South Country Health Alliance MSHO
South Country Health Alliance, AbilityCare
PrimeWest MSHO
First Plan of MN
BCBS of MN, Secure Blue MSHO