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State homepage CMS approval letter Alaska Minnesota State homepage CMS approval letter Michigan State homepage CMS approval letter New Hampshire Attachment B – Catalogue of NMPI participating...

NCCN Recommendations for use of immunoglobulin² Intervention CAR T BsAbs Other indications Immunoglobulin replacement After CAR T-cell therapy, regular immune globulin infusions based on clinical...

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Learn how Prime champions cancer care through its industry-leading solutions, clinical insights, charitable giving and volunteer efforts

$1 MILLION Contact us to learn more The state estimates they will treat 10 patients with Product X over the next 12 months for a total spend of $10 million. Tie costs to outcomes with VBCs 7,000...

Expert Clinical Insights A look into our Expert Clinical Network (ECN) — part of Prime/MRx’s value-based approach to medical and pharmacy benefit management that offers access to more than 175...

Home Pharmacy Specialty Pharmacy Specialty Pharmacy - Patients Care Specialists Program Care Specialists program It's quick and easy to make an appointment with one of our care specialists. Tab 1...

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,...

Researchers share insights on accelerated approvals, health equity in food allergies and legislative impacts on sight of service

Home Test Pages [hold] tools Pharmacy + provider tools Arkansas Pharmacies A pharmacy may submit an administrative appeal up to 30 business days after claim submission. New Mexico Pharmacies If the...

Tennessee pharmacies In accordance with Texas Senate Bill 1236, Prime Therapeutics provides Texas-based pharmacies with secure online access to their pharmacy benefit network contracts that were...

Pharmacy Times

October 1, 2025 publications 2025 Medicaid Pharmacy Trend Report In the 2025 Medicaid Pharmacy trend report, we look back on the last 10 years of Medicaid pharmacy economics, providing data-based...

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Clinical Deliver an easy, transparent experience Learn more We manage whole-person health and look at insights across both the pharmacy and medical benefit. Get flexible, cost-effective strategic...

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Through our person-centered approach, we help coordinate care across multiple providers for members who are at risk for drug abuse or misuse. Targeted provider outreach 1 Mental illness. (March...

Manufacturer contact form Save a copy to your desktop and fill out the details. Access the form Louisiana Department of Health and Hospitals Louisiana Medicaid program Prior Authorization Schedule...

Expert staff Tap into our insurance expertise to ensure you get the most from your benefits. Specialized care Get info and help managing your condition from specially trained pharmacists and...

Early careers Prime Therapeutics (Prime) offers great health care coverage, professional development opportunities, a healthy work/life balance and all the tools and support you need to succeed....

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Who we serve Since 1998, we’ve advanced and adapted to serve our customers and the changing market. Our past has shaped us into the award-winning, purpose-driven organization we are today, and our...

Tap into our Expert Clinical Network Prime received a request for a nonformulary biologic in a young patient with severe Crohn’s disease, as the provider documented past failures of a biologic on...

90-day supply Depending on plan design, you may be able to get a 90-day supply of your medicine for less than three 30-day fills. Registered pharmacists Dedicated pharmacists can help get your meds...

Appetite For Change uses food as a tool to build health, wealth and social change. “For youth experiencing homelessness, the Prime Together Foundation’s donation helps The Bridge for Youth go...

References Ma L, Guo H, Zhao Y, et al. Liquid biopsy in cancer: current status, challenges and future prospects. Nature. 2024;9(336). McDowell S. Liquid biopsies: past, present, and future....

Fall 2024 edition provides insights into groundbreaking specialty solutions for managed care

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Oral selective estrogen receptor degraders Agent Status and key trial data What to watch Elacestrant (Orserdu) Approved in 2023 as the first oral SERD in ESR1-mutant metastatic breast cancer via...

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Drug Approvals Monthly Update: October 2024 This monthly update of United States (U.S.) Food and Drug Administration (FDA) approvals provides a review of newly approved specialty drugs, new...

Cover image for The state of value-based contracting 2.0 An update on Medicaid payment models and opportunities Prime Therapeutics Value-based contracts (VBCs) are performance-based reimbursement...

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Becker’s Payer Issues

Cover image for Summer 2023 Prime Therapeutics Report Gene Therapy Update Prime Therapeutics https://issuu.com/primetherapeutics/docs/2023_pt_summer_report_pdf?fr=xKAE9_zU1NQ Explore the report ...

Oncology Insights: First-in-class bladder cancer therapy and the Bacillus Calmette-Guérin (BCG) shortage

cover image for Drug Approvals: November 2024 Critical updates in an ever-changing environment Prime Therapeutics /drug-approvals-november-2024 Prime Therapeutics’ Drug Approvals provides an...

Drug Approvals Quarterly Update: October 2024 This wrap-up provides a review of newly approved drugs, recent drug launches, new indications and news of note on drugs in the approval process. Prime...