Prime Therapeutics

Contract ID Number:  99999-DCH0000136-007

 Prime Therapeutics State Government Solutions LLC (Prime SGS) helps our state customers build healthier communities by delivering affordable, reliable services that help improve health outcomes and coordinate care. We help you get your members the resources they need to live healthier lives. With over 53 years of Medicaid experience, including 40+ years of pharmacy benefit administration experience, Prime SGS successfully provides person-centered support to over 49 million Americans enrolled in state government programs. By partnering with us, you will get the expertise and flexibility you need to help control costs and optimize member care. We provide traditional Fee-for-Service (FFS) models, Medicaid pharmacy benefits carved out of managed care organization (MCO) agreements, and pharmacy benefit management services in which we contract with your state Medicaid program and MCOs.

We support Medicaid pharmacy programs, AIDS Drug Assistance Programs (ADAPs), and State Pharmaceutical Assistance Programs (SPAPs) through a comprehensive suite of state government solutions. Our pharmacy benefits administration solution has been CMS certified in 15 states since 2007, having received each certification on the first attempt with no findings. We work closely with you to meet statutory and regulatory requirements in the continually changing healthcare environment.