Prime Therapeutics

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Prime Therapeutics
Limited liability company
Industry PBM, Mail Order Pharmacy
Founded 1998, created by a merger
Headquarters Eagan, Minnesota
Key people
Eric Elliott, CEO
Number of employees
2,800 (2013)
Subsidiaries PrimeMail Pharmacy, Prime Therapeutics Specialty Pharmacy
Website www.primetherapeutics.com

Prime Therapeutics LLC is a Pharmacy Benefit Manager (PBM) headquartered in Eagan, Minnesota. The company is privately held by organizations representing 13 Blue Cross and Blue Shield (BCBS) plans.

Prime Therapeutics operates contact centers in Omaha, Nebraska and Irving, Texas and operates two mail-service pharmacies in Irving, Texas, and Albuquerque, New Mexico. The company also has offices in Bloomington, MN, Chicago, IL, Jacksonville, Florida, Hoover, Alabama, Pittsburgh, PA and Washington, D.C.

Prime Therapeutics is the largest privately held PBM in the United States that does not own any chain pharmacy stores. Its major competition comes from companies such as Caremark Rx, Express Scripts Incorporated, and Catamaran.[1] Prime Therapeutics covers nearly 25 million lives.[2]

Prime also provides specialty pharmacy management to its health plan clients through its Prime Specialty Pharmacy.

Electronic Prescribing (ePrescribing)[edit]

PrimeMail mail order pharmacies are fully enabled for electronic prescribing and support the following messaging protocols via the latest NCPDP SCRIPT standard on the Surescripts network:

Electronic Prescriptions (NEWRX)

Electronic Refill Requests (REFREQ/REFRES)

Medication History Requests (RXHREQ/RXHRES)

Prime Therapeutics as a PBM also supports the ANSI X12 270/271 protocol for formulary and eligibility requests for all of its clients.

Electronic Prior Authorization (ePA)[edit]

Prime Therapeutics utilizes CoverMyMeds to process all electronic prior authorization requests from physicians and pharmacies.

References[edit]

  1. ^ Reference: Health Strategies Group, "Profiles of Leading PBMs." September 2012.
  2. ^ "Prime at a Glance". 2011-02-01. 

External links[edit]