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Request for Prescription Drug Coverage Exception

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About Prime Therapeutics

Our purpose is to help people get the medicine they need to feel better and live well. Learn more at
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Our content providers have utilized reasonable care in collecting and reporting the information contained in the Products on this website and have obtained such information from sources believed to be reliable. However, the content providers do not warrant the accuracy of the information in the website, nor of codes, prices or other data available on this website. Information reflecting prices is not a quotation or offer to sell or purchase. The clinical information contained in the information is intended as a supplement to, and not a substitute for, the knowledge, expertise, skill, and judgment of physicians, pharmacists, or other healthcare professionals in patient care. The absence of a warning for a given drug or drug combination should not be construed to indicate that the drug or drug combination is safe, appropriate or effective in any given patient.

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Pharmacy Benefit Management

01/01/2028

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