What You Should Know About Dispensing Limits


Request Override For Dispensing Limit

If your drug request is not shown in the drug categories of the dispensing limits drug list, please use the standard dispensing limit override form below. This form should be completed by the prescribing physician and faxed to the Prime Therapeutics Clinical Review Department at 1-877-243-6930. If you have questions or need additional information, call 1-888-723-7443.

Dispensing Limit Override Physician Fax Form


Last Updated: May 02, 2024