Prime Therapeutics partners with CoverMyMeds to allow for the submission of electronic PA requests. For faster coverage determinations, go to www.CoverMyMeds.com. Please fill out all …

To obtain the correct form, select the appropriate drug below and follow the instructions at the top of the form. You can search this page by using the search function within your application.

Please fax or mail this form to: Blue Cross and Blue Shield of Illinois c/o Prime Therapeutics LLC, Clinical Review Department 1305 Corporate Center Drive Eagan, Minnesota 55121

PRIOR AUTHORIZATION STEP THERAPY PRESCRIBER FAX FORM Only the prescriber may complete this form. This form is for prospective, concurrent, and retrospective reviews. The …

Prime Therapeutics’ has partnered with CoverMyMeds to offer electronic prior authorization (ePA) services. Select the appropriate Humira form to get started.

The Prescription Drug Prior Authorization form may be completed by the prescriber and faxed to Prime Therapeutics Management at 800-424-3260. For drug specific forms please see the …

You can sign up to use the electronic prior authorization (ePA) system through CoverMyMeds, all that is needed is a computer, and an internet connection. Visit CoverMyMeds to see if it’s …

Only the prescriber may complete this form. This form is for prospective, concurrent, and retrospective reviews. The following documentation is REQUIRED. Incomplete forms will be …

Forms and resources for your prescription drug plan A drug list, also called a formulary, is a list of medicines that are covered by your prescription drug plan. You can find your plan's drug list on …

Whether you're looking for authorization forms, prescription requests or any other necessary paperwork, you'll find it all right here.