December 18, 2018
Prime Therapeutics recognized again for two NCQA programs
Prime received Certification for Health Information Products – Pharmacy Benefit Information plus Accreditation for Utilization Management
ST. PAUL, MINN. – Prime Therapeutics LLC (Prime), a leading pharmacy benefit manager (PBM) with more than 27 million members, will continue its National Committee for Quality Assurance (NCQA) programs in two areas: 1) Health Information Products (HIP) – Pharmacy Benefit Information and 2) Utilization Management.
According to NCQA, the HIP Certification is for organizations that provide various services such as health information phone lines and online directories. Prime’s certification in the Pharmacy Benefit Information category demonstrates Prime’s proven ability to provide members with information needed to understand and use their pharmacy benefits. The Utilization Management Accreditation helps ensure members have the proper care and required services without overusing resources.
“These recognitions from NCQA validate Prime’s dedication to continuous improvement and implementation of best practices for pharmacy benefit management on behalf of our health plan clients and their members,” said Renee Treberg, chief compliance officer at Prime. “It is critical that we deliver best-in-class service and operations that includes clear communication of complex prescription information to help members get the most appropriate pharmacy benefits care.”
The HIP Certification became effective Dec. 15, 2018 and continues through Nov. 5, 2020. The Utilization Management Accreditation becomes effective Dec. 19, 2018 and continues through Nov. 21, 2021.
About Prime Therapeutics
Prime Therapeutics LLC (Prime) helps people get the medicine they need to feel better and live well. Prime manages pharmacy benefits for health plans, employers, and government programs including Medicare and Medicaid. The company processes claims and offers clinical services for people with complex medical conditions. Prime serves more than 27 million people. It is collectively owned by 18 Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those plans.
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NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s website (www.ncqa.org) contains information to help consumers, employers and others make more informed health care choices.
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