Provider manual - Prime Therapeutics
Provider manual
This Provider Manual explains Prime’s administrative and compliance policies and procedures for participation in Networks managed by Prime. This Manual is incorporated into the Prime Therapeutics Pharmacy Participation Agreement (“Agreement”).
All Prime contracted Pharmacies must comply with the terms and conditions of this Manual, as revised, in providing Prescription Drug Services pursuant to such an Agreement.
All Prime contracted Pharmacies must comply with the terms and conditions of this Manual, as revised, in providing Prescription Drug Services pursuant to such an Agreement.
Current edition
Current addendums
Not applicable
Archived editions
January 2025 Provider Manual
Indiana Regulatory Addendum - Pharmacy Audit Practices
South Carolina Pharmacies ONLY – Notice Regarding Pharmacy Right to External Appeals
New Mexico Pharmacies ONLY – Notice Regarding Provider Grievances
Nebraska Pharmacies ONLY – Notice Regarding New MAC Appeals Requirements
Michigan Regulatory Addendum – Pharmacy Audit Requirements Effective 01/01/2024
Indiana Regulatory Addendum - Pharmacy Audit Practices
South Carolina Pharmacies ONLY – Notice Regarding Pharmacy Right to External Appeals
New Mexico Pharmacies ONLY – Notice Regarding Provider Grievances
Nebraska Pharmacies ONLY – Notice Regarding New MAC Appeals Requirements
Michigan Regulatory Addendum – Pharmacy Audit Requirements Effective 01/01/2024
July 2024 Provider Manual
South Carolina Pharmacies ONLY – Notice Regarding Pharmacy Right to External Appeals
New Mexico Pharmacies ONLY – Notice Regarding Provider Grievances
Nebraska Pharmacies ONLY – Notice Regarding New MAC Appeals Requirements
Michigan Regulatory Addendum – Pharmacy Audit Requirements Effective 01/01/2024
South Carolina Pharmacies ONLY – Notice Regarding Pharmacy Right to External Appeals
New Mexico Pharmacies ONLY – Notice Regarding Provider Grievances
Nebraska Pharmacies ONLY – Notice Regarding New MAC Appeals Requirements
Michigan Regulatory Addendum – Pharmacy Audit Requirements Effective 01/01/2024
January 2024 Provider Manual
South Carolina Pharmacies ONLY – Notice Regarding Pharmacy Right to External Appeals
New Mexico Pharmacies ONLY – Notice Regarding Provider Grievances
Nebraska Pharmacies ONLY – Notice Regarding New MAC Appeals Requirements
Michigan Regulatory Addendum – Pharmacy Audit Requirements Effective 01/01/2024
South Carolina Pharmacies ONLY – Notice Regarding Pharmacy Right to External Appeals
New Mexico Pharmacies ONLY – Notice Regarding Provider Grievances
Nebraska Pharmacies ONLY – Notice Regarding New MAC Appeals Requirements
Michigan Regulatory Addendum – Pharmacy Audit Requirements Effective 01/01/2024