Patrius Health partners with Prime Therapeutics^®, an independent company, to provide drug management solutions for Blue Advantage^® patients. Review Prime Therapeutics’ drug lists, policies, informational guides, and more by selecting from the links below:

• List of Covered Drugs 
• Pharmaceutical Assistance Programs
• Pharmacy Directory 
• Prime Therapeutics Drug Lookup Tool
• Important 2024 Blue Advantage Formulary Updates

Coverage Determination/Formulary Exception Requests

• Coverage Determination Electronic Submission Through CoverMyMeds 
• Coverage Determination Online Form 
• Coverage Determination/Redetermination Prescriber Fax Form

Part B Diabetic Testing Supplies

• Coverage Determination Electronic Submission Through CoverMyMeds 
• Criteria for Supplies
• Medicare Part B Diabetic Testing Supplies Prescriber Fax Form

Additional forms and resources are available on MyPrime, where you can find coverage criteria, Authorization of Release forms, transition benefit information, and more.

Rx Savings Solutions

Blue Advantage^® patients who have access to Rx Savings Solutions can view lower-cost drug options based on patient-specific benefits. View our Rx Savings Solutions Informational flier for details. 

Rx Savings Solutions pharmacy technicians may contact your office via phone or fax (view sample) on behalf of patients to obtain approval to switch your patient to a lower-cost drug.

For additional information, contact Rx Savings Solutions at 1-800-268-4476 or email support@RxSavingsSolutions.com.

Prime Therapeutics LLC is an independent company contracted by the Blue Cross and Blue Shield Association to provide pharmacy benefit management services. The Prime Therapeutics logo is a registered trademark of Prime Therapeutics LLC.

CoverMyMeds, an independent company, offers assistance with medication access for Blue Advantage members. 

Rx Savings Solutions is an independent company working with Patrius Health to help members find lower-price options for prescription medications.