Prime Therapeutics State Government Solutions, LLC
Portfolio: Medicaid Enterprise Systems - Pharmacy Benefits Services
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Buying from a NASPO ValuePoint Contract? Learn How
How to Buy from a NASPO ValuePoint Contract
If you’ve identified a portfolio or supplier on the NASPO ValuePoint website and are ready to make a purchase:
The first step is to check whether your state has a Participating Addendum (PA) for that contract. Each PA outlines which entities within the state (such as agencies, counties, cities, public universities, or school districts) are authorized to purchase from the agreement.
If your organization is covered by a PA:
The next step is to follow your state’s or your organization’s established procurement procedures to complete the purchase. NASPO ValuePoint does not issue purchase orders or manage individual transactions, as each state or local entity retains its own procurement authority. These processes can vary widely, some state agencies may be required to use a central procurement platform (for example, an ERP (SAP, Workday, JD Edwards, etc.) or eProcurement System (Ivalua, SOVRA, CGI Advantage, etc.)), while local entities such as public universities or municipalities may have their own systems and approval thresholds.
Because these rules differ from state to state and even between organizations within the same state, NASPO ValuePoint cannot prescribe a single buying process, but encourages purchasers to work within their local procurement guidelines when utilizing NASPO ValuePoint contracts.
Contract Information
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Description
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.
Master Agreement
MA #99999-DCH0000136-007
Download and review this supplier's contract and any amendments.
Master Agreement Amendments
Products & Services Scope
- Category 1 - Pharmacy Fraud, Waste and Abuse Audit Services (PFWA)
- Category 2 â Pharmacy Benefit Administrator Services (PBA)
- Category 3 â Pharmacy Clinical Management Services (PCM)
- Category 4 â Pharmacy Drug Rebate Services (PDRS)
Pricing
Products and pricing are subject to change.
Price Lists
Additional Documents
NASPO ValuePoint makes every effort to maintain the accuracy and completeness of the documents on this website. However, all official records are maintained by the Lead State (or Participating Entity, in the case of participating addenda). In the event of any conflict between the documents on this site and an entity’s official records, the official records govern.
Questions, concerns, and feedback on this website’s content may be sent to [email protected].
What is a Participating Addendum?
A Participating Addendum (PA) is generally used by a state Chief Procurement Official (CPO) to establish a state contract tied to a specific NASPO ValuePoint master agreement. The PA identifies unique terms and conditions specific to a state and identifies state agencies and other eligible entities in the state that are authorized to participate in the agreement. A state CPO may issue PAs that allow participation as follows:
- Statewide provides for participation by all state and local government agencies and other eligible entities within the state
- State only provides for participation only by state agencies.
- Non State entities only provides for participation by local government agencies and other eligible entities, but prohibits participation by state agencies.
Review your state’s Participating Addendum (PA) to determine eligibility. If a PA is not currently in place, contact the state CPO to discuss whether participation may be considered.
For questions related to participation in NASPO ValuePoint master agreements, please contact the Cooperative Contract Coordination team at [email protected].
Please click here to review the Participating Addendum for eligibility details.