What you need to know

The latest formulary updates notice is now available, highlighting notable formulary and utilization management (UM) changes through the upcoming quarter.

Overview

At Prime Therapeutics (Prime), committees made up of clinicians and other experts review medications to develop formularies that offer safe, high-quality and cost-effective products. Formulary determinations made through this review process are detailed in the quarterly formulary update notice. This notice summarizes additional formulary and UM changes.
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Note: Members affected by tier increases, drug removals and/or select UM additions may receive written communication two months before the effective date. 

Questions?

Please contact your account management team.