US DIGITAL PRIME THERAPEUTICS BENEFITS
Prime Therapeutics
PRIME THERAPEUTICS: BIN 0174494
PRIME THERAPEUTICS: PCN 06792000
PRIME THERAPEUTICS: GRP PRXCBE
CUSTOMER SERVICE: 800-424-5876
PRIME THERAPEUTICS | COPAY (IN NETWORK) | MAIL ORDER COPAY |
|---|---|---|
Generic | $15 | $30 |
Brand Formulary | $30 | $60 |
Brand Non-Formulary | $50 | $100 |