Jessica Johnson, clinical consultant at Prime Therapeutics, shares how the Special Investigations Unit (SIU) helps prevent fraud, waste and abuse (FWA) in health care

Jessica Johnson, clinical consultant at Prime Therapeutics, shares some ways to avoid common fraud schemes

Jessica Johnson, clinical consultant at Prime's Special Investigations Unit, shares tips to stay safe when using online pharmacies

Jessica Johnson, clinical consultant at Prime Therapeutics, shares more about common GLP-1 fraud schemes

Jessica Johnson, clinical consultant at Prime's Special Investigations Unit, shares tips to identify fraud

Jessica Johnson, clinical consultant at Prime Therapeutics, shares more about common fraud schemes in health care.

Jessica Johnson, clinical consultant at Prime, shares some tips to stay safe

Jessica Johnson, clinical consultant at Prime's Special Investigations Unit, shares tips to properly dispose of unused or expired medications

Care Management feature offers holistic assessment that helps support members by mitigating fraud, waste and abuse and patient safety concerns

Prime’s Special Investigations Unit is specially trained to protect patients and providers throughout the health care continuum

When a member obtained diabetic supplies from 73 unique pharmacies and 53 prescribers, here’s how Prime worked closely with the insurance company to intervene

An individual obtained more than a dozen inhalers from scores of pharmacies and prescribers. Here’s how Prime took a collaborative approach to intervene.

Nationwide effort on April 26 offers opportunity to safely dispose of unused or expired medications

Mitch Scott, senior director, Special Investigations Unit and pharmacy audit, shares how going beyond traditional FWA models helps enhance safety, and why that’s more important than ever

Jessica Johnson, clinical consultant at Prime/Magellan Rx’s special investigations unit, shares how to help lower the risk of drug misuse.

Lassen, chief clinical officer at Prime Therapeutics/Magellan Rx, shares insights on GLP-1 weight-loss drugs and evidence-based approaches to providing the kind of care we’d want for our loved ones.

September 29, 2026 publications Clinical Insights: Alzheimer’s in Focus Evidence, Answers and Perspectives Across an Evolving Alzheimer’s Landscape Prime Therapeutics’ Clinical insights is your...

The SIU promotes safety to prevent fraud, waste and abuse schemes

How Prime's SIU helps promote safety to prevent fraud, waste and abuse schemes

Join us and help reimagine pharmacy benefit management to provide the same care you would want for your loved ones. Check out our Careers page to see additional job listings, benefits and more....

2M HighTouchRx® has contributed to more than $200 million in savings across commercial and Medicare plans since 2022. Prime serves approximately 6 million Floridians. IntegratedRx® connects...

Special Investigations Unit helps promote safety to prevent fraud, waste and abuse schemes

Jessica Johnson, clinical consultant, shares how the Special Investigations Unit at Prime helps identify cases of fraud

cover image Evidence, Answers and Perspectives Across an Evolving Alzheimer’s Landscape Prime Therapeutics /clinical-insights-alzheimers-in-focus Prime Therapeutics’ Clinical insights is your...

What to expect at Academy of Managed Care Pharmacy (AMCP) Nexus 2023

Managed Healthcare Executive: Use of GLP-1 drugs and weight-loss care management programs need to focus on adherence and persistency for better health outcomes, suggests Prime...

Fraud, waste and abuse protection We offer a variety of clinically backed programs and solutions to integrate care and improve the member experience. Home Our solutions Drug access Connect members...

George Van Antwerp breaks down how Prime is poised to drive affordability in drug pricing

Anonymous reporting Report a compliance concern or suspected fraud, waste or abuse anonymously, by contacting Prime’s 24-hour anonymous compliance hotline: 800.474.8651...

Over time, technology has significantly contributed to health care advancements. Some of these enhancements are now considered routine components of care and include electronic health record,...

Experts share insights in “The evolving strategies for managing nAMD and DME” session at Las Vegas event

In this episode, you’ll learn about advancements in the pharmacy profession and how pharmacists are working to help care for patients and make health care better and more accessible

Warning:You do not have the permission to access the upload fields on this form. Contact the form owner or portal administrator to request the access. Pharmacy/Provider Warning:You do not have the...

For the first time, Prime Therapeutics hosted the AMCP Nexus specialty keynote, addressing trends in cell and gene therapy and rare disease and immunology categories

With an established playbook for launching new union business, we ensure smooth transitions, clear communication and rapid implementation. Our Special Investigations Unit (SIU) uses advanced...

Prime's Sneha Sharma and Michael Szatkowski present “A beginner’s guide to decoding cell and gene therapy” educational session at event in Las Vegas, Nevada

Nick Friedlander, clinical program pharmacist at Prime, shares more about two research studies that convey the impact of one cost-savings solution.

Nicole Grevenitz, director of clinical account services, shares more from the research study “Promoting Health Equity Through Enhanced, Personalized Digital Outreach.”

Brooke Hunter, senior health outcomes scientist at Prime, shares more about the study “Methodological Framework for Propensity Adjusted Benchmarks for Pharmacy Key Performance Indicators”