Prescriptions | Rx

Prime Therapeutics - Forms

• Member Portal Guide_2024
• Opioid awareness flyer
• Prime Therapeutics Home Delivery Pharmacy
• Prime Therapeutics Specialty Pharmacy
• Prime Therapeutics Understanding Pharmacy Benefit
• Prime Therapeutics Understanding Prior Authorization
• PrimeCentral

CVS Caremark - Forms

• Allergy Medication Claim Form
• Formulary Exception PA Request Form
• Mail Service Order Form
• Prescription Drug Foreign Claim Form
• Prescription Pre-Determination Request Form
• Prescription Reimbursement Claim Form