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'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

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

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

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

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

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

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

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

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, shares some tips to stay safe

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.

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

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

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

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

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

A female-presenting person speaks at a legislative building, wearing a green blazer and glasses. George Van Antwerp breaks down how Prime is poised to drive affordability in drug pricing Alex Cook...

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...

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

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...

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

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,...

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

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

Prime’s Sean Wuest and Highmark Health’s Lisanne Holley present educational session at Last Vegas event

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...

Lead author Kristin Brown-Gentry shares insights from the study “Unlocking Public Health Insights: Leveraging Air Quality Data to Develop Social Determinants of Health Metrics Linked to Asthma...

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.

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

Prime's Madhavi Manduru-Rao presents “Navigating the Final Chapter: What’s Next for Your Managed Care Pharmacy Career Journey – Opportunity for Rewirement vs. Retirement”

Every pharmacy in Prime’s network must do the following to meet compliance requirements: Training: Provide CMS’ “Medicare Parts C and D General Compliance (April 2020)” and “Medicare Fraud & Abuse:...

Important Website Notification of Data Security Incident As part of our commitment to transparency, we are sharing a recent vendor security incident about unauthorized access to Prime’s contact...

Scott Leslie, director of health outcomes, shares more about the study “Real-World Case Series Study of Spinal Muscular Atrophy Pediatric Patients Treated With Onasemnogene Abeparvovec (Zolgensma)”

Jessica Johnson, clinical consultant at Prime's Special Investigations Unit, shares how to identify fake GLP-1s

Jared Scripture, health outcomes scientist, shares more about the study “Leveraging Publicly Available SDOH Measures to Segment Members and Quantify Differences in Diabetic Medication Adherence: A...

Empowering client, providers and members 2024: Using real-time pricing, Pharmacy Match drives affordability for plan sponsors while offering access to the most competitive pharmacy for each member....

Lead authors Erin Ventura and Alina Liang share more about the study “Evaluating the 10-Year Impact of an Immunoglobulin Utilization Management and Dose Optimization Program in the Managed Care...

NMPI: National Medicaid Pooling Initiative We negotiate the best price available from the pharmaceutical industry on behalf of our participating clients. View resources Services we offer Our...

Lead author David Eckwright shares more about the study “Real-World Extended Dosing Assessment for Eye(s) new to Faricimab-svoa Therapy.”

Nationwide effort on Oct. 25 offers opportunity to safely dispose of unused or expired medications

publications Summer 2024 Prime Therapeutics Report June 11, 2024 The Prime Therapeutics Report is your source for innovative managed care strategies, trends and updates. This issue’s cover story...

The Prime Therapeutics Report is your trusted source for the latest in managed care strategies, specialty drug trends and payer-focused insights. The Summer 2025 issue features a cover story on HIV...

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See the difference Explore solutions Get expert insights We don't chase the highest margins. We don’t steer to our pharmacies. And we don’t hide behind complexity. That's why our customers trust us...

Notice of privacy practices Effective Date: March 2023 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE...

Home Careers Hub + Home Relationships thrive at our hub Through our Hub and Home approach, we offer true flexibility, with many employees working primarily from home and others working in an...

A roundup of Prime's award-winning presentations and insights at AMCP Nexus in Las Vegas.

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....

Nov. 6, 2025 | 6–7 p.m. CT Take advantage of a 60-minute webinar that helps you better understand our residency program. The leaders of the program will walk through qualifications, compensation...

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Reimagining pharmacy for our loved ones Please enter a valid video URL. The URL can point to any video file or a Youtube video. View playlist Please enter a valid video URL. The URL can point to...