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 a plan from the links below:

• Blue Advantage Plus (PPO) 
• Blue Advantage Capital (PPO)
• Blue Advantage Magnolia (PPO) 

Reference Guides:

• Statin Measures
• Medication Adherence for Diabetes
• Medication Adherence for Hypertension and Controlling Blood Pressure                                                                                                                

Use these links to find other important pharmacy-related information for your patients:

• Blue Advantage Part B Provider-Administered Drugs Precertification Program
• Pharmaceutical Assistance Programs 
• Prime Therapeutics Drug Lookup Tool
  • Blue Advantage Plus (PPO)
  • Blue Advantage Capital (PPO)
  • Blue Advantage Magnolia (PPO)

Coverage Determination/Formulary Exception Requests

• Coverage Determination Electronic Submission Through CoverMyMeds 
• Coverage Determination Forms
  • Blue Advantage Plus (PPO)
  • Blue Advantage Capital (PPO)
  • Blue Advantage Magnolia (PPO)
• Coverage Determination/Redetermination Online Form
  • Blue Advantage Plus (PPO)
  • Blue Advantage Capital (PPO)
  • Blue Advantage Magnolia (PPO)

Part B Diabetic Testing Supplies

• Coverage Determination Electronic Submission Through CoverMyMeds 

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.