PrimeWest Health contracts with Prime Therapeutics, LLC. (Prime), to manage and pay pharmacy claims. Prime is a third-party administrator (TPA). PrimeWest Health does its own direct contracting with pharmacy providers and does not use Prime for this purpose. Learn more about Prime.

Pharmacy Utilization Management programs
To see our Pharmacy Utilization Management program requirements for prior authorization, quantity limits, and step therapy, click on either of the links below.

Utilization Management programs for members of the following programs: Prepaid Medical Assistance Program (PMAP), Minnesota Senior Care Plus (MSC+), and Prime Health Complete (SNBC)

Utilization Management programs for members of the following programs: PrimeWest Senior Health Complete (HMO) and Prime Health Complete (HMO)