
As a pharmacist, you make a difference in the care of members. More than dispensing prescriptions, we know you also dispense advice and guidance. Prime is dedicated to providing you with the information you need to better serve your customers. Count on Prime for:
Our pharmacists and staff specialists are standing by, ready to answer any questions you may have about medications, prescriptions, benefits and formularies. If you have general questions, you can also contact us via e-mail, .
For more urgent questions call our Pharmacy Contact Center
General - (800) 821-4795
Florida - (888) 877-6323
Kansas - (877) 893-8485
Please click below for the listing of Medicare D Pharmacy Contact Center Phone Numbers.
Medicare D Processing Information
Check Inquiry Form
Network Contract Request Form
Pharmacy Remittance Request
On February 13, 2008, Prime began requiring that all claims transmissions include the pharmacy National Provider Identifier number (NPI). The Service Provider ID Qualifier (202-B2) must equal 01 and the Service Provider ID must be the Pharmacy NPI number. Please note refill prescriptions may require a manual update on your system if the initial prescription was submitted with an NCPDP number.
Prime will continue to accept the Prescriber DEA or the Prescriber NPI after May 23, 2008. However, when available, Prime prefers the Prescriber NPI as the submitted value.
For more information please see the links below or e-mail, .
NPI Frequently Asked Questions
NPI Test Scenarios
Prime's Commercial Vaccination Administration Network is a National Network which allows participating pharmacies additional payments for the administration of covered vaccines.
Commercial Vaccination Administration Network Processing Requirements
Commercial Vaccination Product Listing
SCRIPS is an incentive program that reimburses pharmacies for each Blue Cross and Blue Shield of Minnesota (BCBSM) member referred to the BluePrint for Health® stop-smoking program. SCRIPS is a collaboration between BCBSM, Prime and participating pharmacies.
Referral Form
Order Form
Instruction Sheet
If you suspect fraud, waste or abuse, whether by a member, provider, pharmacy or anyone else, please notify Prime's Pharmacy Help Desk at (800)821-4795 or send the information to: Prime Therapeutics LLC, Attn: Pharmacy Compliance Officer, P.O. Box 64812, St Paul, MN 55164-0812.
Formulary
Maximum Allowable Cost Program (MAC)
Medicare Part D Information
Check Inquiry Form
Network Contract Request Form
Pharmacy Remittance Request
Formulary Updates
Pharmacy Operating Guidelines (Commercial)
Pharmacy Operating Guidelines (Medicare)
Payor Sheets - Commercial Clients
Payor Sheet - Supplemental to Medicare D
Payor Sheets - Medicare D PDP and MA-PD
BCBSNM BlueSalud and BlueSCI
BCBSOK
BCBSFL PFFS
Noridian Mutual Insurance Company
First Plan Blue (SNBC)
PrimeWest Health (SNBC)
Medicare D MN Dual Eligible Requirements
September 2008
June 2008
March 2008
December 2007
September 2007
June 2007
March 2007
MyPrimeMail.com (California Members)
MyRxHealth.com (Commercial Members)
MyRxAssistant.com (Medicare Members)