Prescribers can submit their requests to Humana Clinical Pharmacy Review (HCPR) in the following ways: Electronic requests: Cover My Meds® is a free service that allows prescribers to submit and check the status of prior authorization requests electronically for any Humana plan. You can access this service directly (registration required) or review the flyer below for details. Plaquenil eye exam diagnosis code Mg per kg body wt hydroxychloroquine dosage Your formulary utilizes a Pharmacy and Therapeutics Committee P & T Committee, made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help Generally, drugs that are prone to misuse or high cost require a prior authorization PA. These medicines must meet certain criteria to ensure that the drug is used appropriately. Doctors and pharmacists at your health plan work with Prime Therapeutics to determine which require a prior authorization. Type your Prime user ID and password and click Log In. User ID Password Forgot your password? Prescriber quick reference guide: This guide helps prescribers determine which Humana medication resource to contact for prior authorization, step therapy, quantity limits, medication exceptions, appeals and claims. Fax requests: Complete the applicable form and fax it to 1-877-486-2621. Plaquenil thru prime therapeutics Careers Prime Therapeutics, Coverage and cost Chloroquine hydrochloride sigmaPlaquenil and rheumatoid arthritisHydroxychloroquine cause peptic ulcerChloroquine phosphate hindi Manage your pharmacy benefits with Prime Therapeutics. A drug list, also called a formulary, is a list of medicines that are covered by your prescription drug plan. Forms. Login - Prime Therapeutics. Prime Therapeutics LLC. AllianceRx Walgreens Prime Physician General Use FAX/RX form offsite link Prime Coverage Exception offsite link Prime Therapeutics Prescription Drug Claim Form * Use this form to submit a claim for a prescription drug charge if you have BlueRx Direct. * You may fill out and print this form using your Acrobat Reader program. Blue Cross and Blue Shield of Nebraska and Prime Therapeutics offer new Medicare Advantage Benefit OTC discount card. Quarterly discount card, covering 90,000 over-the-counter health aids and wellness products, helps seniors make better health choices easier, more affordable. Starting January 1, 2018, your prescriptions will be covered by Prime Therapeutics at all Walgreens pharmacies nationwide! Visit a nearby location or use our mobile and online services to get all the benefits of filling at Walgreens. Refill your prescriptions at any of our 8,100+ locations, including thousands of 24-hour and drive-thru pharmacies.