FAQs
Get all your questions answered in one place
Member questions
Who can I call about my pharmacy benefits?
Starting 10/28/2023, please contact the Prime Therapeutics call center at 800-424-1664.
How do I refill a prescription?
Please contact your local pharmacy to order prescription refills.
How do I request a new or replacement pharmacy ID card?
Please contact your MCO to request a new or replacement card.
What if my pharmacy claim is denied?
Starting 10/28/2023 Please contact the Prime Therapeutics Call Center at 800-424-1664.
What if I need a prior authorization?
Your doctor can start a prior authorization by contacting Prime Therapeutics.
Who can I call about my medical benefits?
Please contact your MCO regarding medical benefits.
Provider questions
How do I become a Medicaid Provider?
You must apply through LDH Provider Enrollment. https://www.lamedicaid.com/Provweb1/Provider_Enrollment/ProviderEnrollmentIndex.htm
Where do I find on-line training?
The online training video can be found here https://youtu.be/9Wg7FJlgy5Q
How do I find the BIN and PCN?
BIN: 025986
Numeric 0
PCN: 1214172240
Numeric 0
GROUP: LAMCOPBM
Alpha O
What is the System availability for submitting claims?
Prime Therapeutics is available for claims submission daily (24/7/365). Exception: Typically, Sunday 12:00 A.M. to 2:00 A.M. CT. downtime will occur only if a need exists for maintenance. If not, the system will remain available for claims processing.
Who do I contact concerning pharmacy claims processing?
Providers and Pharmacies - Please email Lasinglepbmpharmacies@primetherapeutics.com
How can I request a prior authorization for a member?
Starting 10/28/2023, a prior authorization may be electronically submitted through CoverMyMeds® by visiting www.covermymeds.com, calling Prime at 800-424-1664, or faxing the request to 800-424-7402.