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9.5 Ease of Setup DocHub User Ratings on G2 9.0 Ease of Use DocHub User Ratings on G2 The best way to modify prime therapeutics prior authorization fax number 2008 form online With DocHub, making changes to your documentation takes only a few simple clicks. Make these fast steps to modify the PDF prime therapeutics prior authorization fax number 2008 form online for free:Sign up and log in to your account. Log in to the editor using your credentials or click on Create free account to evaluate the tool’s functionality.Add the prime therapeutics prior authorization fax number 2008 form for editing. Click the New Document option above, then drag and drop the document to the upload area, import it from the cloud, or via a link.Alter your document. Make any changes required: insert text and pictures to your prime therapeutics prior authorization fax number 2008 form, highlight important details, erase parts of content and substitute them with new ones, and add symbols, checkmarks, and fields for filling out.Complete redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.Our editor is super intuitive and efficient. Try it out now!be ready to get more Complete this form in 5 minutes or lessGet form be ready to get more Complete this form in 5 minutes or lessGet form Prior authorization (PA) and step therapy (ST) encourage safe, cost-effective medication use by allowing coverage when certain conditions are met. A team of physicians and pharmacists develops and approves the clinical programs and criteria for medications that are appropriate for PA and ST by reviewing U.S. Food and Drug Administration (FDA) approved labeling, scientific literature and nationally recognized guidelines. Prime Therapeutics, our pharmacy benefit manager, conducts all reviews of PA and ST requests from physicians for Blue Cross and Blue Shield of Texas (BCBSTX) members with prescription drug coverage. Physicians must complete and submit a request form for all PA and ST medications. Benefits will apply if the member meets specified criteria. If criteria are not met, the member may still choose to receive the medication and will be responsible for the full cost. The final decision regarding what medicines should be prescribed, regardless of benefit determination, is a decision between the patient and their physician. Not all prescription drug benefit plans include the PA/ST program, and the drug categories may vary depending on the member's plan. If there are questions regarding prescription benefit coverage, please call the phone number on the back of the member's BCBSTX ID card. Program Criteria Summaries and Request FormsPhysicians can access, complete and submit PA and ST program criteria summaries and request forms electronically from the CoverMyMeds® website:
Or, download the PA and ST program criteria summaries and fax forms from the Prime Therapeutics website using the following links:
If you have questions or concerns regarding these programs, please call Prime Therapeutics at 1-800-289-1525. Review the
prior authorization/step therapy program overview list to help you determine which prior authorization form is used for the medication being prescribed. CoverMyMeds is a registered trademark of CoverMyMeds LLC, an independent third party vendor that is solely responsible for its products and services. BCBSTX makes no endorsement, representations or warranties regarding any products or services offered by independent third party vendors. If you have any questions regarding the products or services they offer, you should contact the vendor(s) directly. Prime Therapeutics LLC is a pharmacy benefit management company. BCBSTX contracts with Prime to provide pharmacy benefit management, prescription home delivery and specialty pharmacy services. BCBSTX, as well as several other independent Blue Cross and Blue Shield Plans, has an ownership interest in Prime. BCBSTX reserves the right to make exceptions to pharmacy program criteria that benefit the member when new medical information becomes available. When using pharmacy criteria to determine whether a medication will be covered, please note that member contract language will take precedence over the criteria when there is a conflict. The purpose of the pharmacy criteria is to guide coverage decisions and is not intended to influence treatment decisions. Providers are expected to make treatment decisions based on their medical judgment. What type of insurance is Prime Therapeutics?Prime Therapeutics LLC (Prime) provides Medicare Prescription Drug Plan (Medicare Part D) services in Prescription Drug Plan (PDP) Regions 2, 4, 6, 8, 11, 12, 17, 19, 22, 23, 24, 25, 26, 30, 31 and 32 and Medicare Advantage-Prescription Drug Plan (MA-PD) Regions 2, 4, 6, 8, 11, 12, 17, 19, 22, 23, 24, 25, 26, 30, 31 ...
What specialty pharmacy does Prime Therapeutics use?If you have Prime Therapeutics (Prime) as your pharmacy benefits manager, you have mail order and specialty pharmacy service options. You also have convenient tools and 24/7 support. Your mail order pharmacy services are provided by Express Scripts® Pharmacy. And specialty pharmacy services are provided by Accredo®.
Who is Prime Therapeutics owned by?About Prime Therapeutics
Prime serves nearly 33 million people. It is collectively owned by 19 Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those plans.
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