Effective April 1, 2017, Prime will be implementing a new pharmacy payment cycle structure. As a result of this change, pharmacy payment amounts will be reduced and Participating Pharmacies will see an increase in their total number of payments.
This change falls within the contractual requirements of the Payment Provisions section referenced in your Prime Therapeutics LLC Pharmacy Participation Agreement and is in compliance with payments related to CMS and/or Prompt Pay (state specific) regulations.
If you have any additional questions, please contact Prime’s Pharmacy Operations at 888.277.5510 option 2 or at pharmacyops@primetherapeutics.com.
Sincerely,
Pharmacy Network Management
Prime Therapeutics LLC