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

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

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

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

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

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

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

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

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

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

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

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

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

Connect members with tools to support their health journey We offer a variety of clinically backed programs and solutions to integrate care and improve the member experience. Breadcrumb Home Our...

Optimizing drug access When it comes to accessing drugs and pharmacies, our channel optimization means you can choose the solutions that best meet your needs – and your employees’ preferences. We...

Optimizing drug access When it comes to accessing drugs and pharmacies, our channel optimization means you can choose the solutions that best meet your needs – and your employees’ preferences. We...

Report compliance, privacy, or fraud, waste and abuse concerns Breadcrumb Home Other Navigation Pharmacy + Providers Report compliance concern Compliance Report suspected compliance concerns:...

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

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

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...

publications Learnings and impact generated from artificial intelligence (AI) systems February 18, 2025 Over time, technology has significantly contributed to health care advancements. Some of...

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.

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”

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

Contact us Member services Prescription help: Please call the toll-free number on the back of your prescription benefit card or sign in to your member account. Report compliance, privacy, or fraud,...

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...

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)”

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...

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...

Compliance training Breadcrumb Home Other Navigation Pharmacy + Providers Compliance training Every pharmacy in Prime’s network must do the following to meet compliance requirements: Training:...

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

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

Breadcrumb Home Read, watch, listen Read Explore what's trending at Prime Example Link Example Link Card Title example Example Link Example Link Card Title example The Latest Tab 1 Press Releases...

As prescription opioid overdoses rise in the U.S., the Prime/MRx Special Investigations Unit (SIU) shares how to identify if someone has overdosed and how you can help save a life

Jessica Johnson, clinical consultant, shares how to identify and prevent opioid overdoses

Real-world, integrated data follows-up on previous insights, analytics.

See our history Our teams have poured energy, integrity and compassion into transforming pharmacy solutions, turning barriers into breakthroughs. Breadcrumb Home Who we are Our history Tab 1 2021 –...

The best implementation happens when no one notices To help put you on a clear path to success from day one, your PBM solution must deliver a seamless employee experience. Between signing the...

The best implementation happens when no one notices To help put you on a clear path to success from day one, your PBM solution must deliver a seamless employee experience. Between signing the...

Edwards joins as president, markets.

Designation demonstrates highest level of commitment to quality health care

Comprehensive PDL services With 40+ years of Medicaid pharmacy experience supporting over half the nation’s programs, we help states manage high drug costs and ensure members get the meds they...

Designation demonstrates highest level of commitment to quality health care.

Meredith Delk, senior vice president and general manager of state government solutions at Prime Therapeutics, shares more about the important role women play in our world today

A Q&A with Kristen Tveit, SVP, chief financial officer, Magellan Rx

AMCP Nexus offers opportunity to nurture next generation of managed care leaders

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...

Breadcrumb Home Pharmacy Specialty Pharmacy Specialty Pharmacy - Patients Care Specialists Program Education Center Hemophilia Hemophilia While there are several variations of hemophilia,...