{"id":27148,"date":"2025-04-04T16:58:39","date_gmt":"2025-04-04T20:58:39","guid":{"rendered":"https:\/\/alliantplans.com\/?p=27148"},"modified":"2025-04-04T17:00:12","modified_gmt":"2025-04-04T21:00:12","slug":"supporting-your-clients-with-pharmacy-benefits-a-brokers-guide","status":"publish","type":"post","link":"https:\/\/alliantplans.com\/supporting-your-clients-with-pharmacy-benefits-a-brokers-guide\/","title":{"rendered":"Supporting Your Clients with Pharmacy Benefits: A Broker\u2019s Guide"},"content":{"rendered":"<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_6e227b-8f, .wp-block-kadence-advancedheading.kt-adv-heading27148_6e227b-8f[data-kb-block=\"kb-adv-heading27148_6e227b-8f\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_6e227b-8f mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_6e227b-8f[data-kb-block=\"kb-adv-heading27148_6e227b-8f\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_6e227b-8f img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_6e227b-8f[data-kb-block=\"kb-adv-heading27148_6e227b-8f\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading27148_6e227b-8f has--font-size wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading27148_6e227b-8f\">At Alliant Health Plans, we know how important it is for brokers to have the right tools and resources to assist their clients. As part of our commitment to providing exceptional service, we want to remind you about the pharmacy benefits available to members through our Pharmacy Benefit Manager (PBM), Prime Therapeutics.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_ad79b7-bf, .wp-block-kadence-advancedheading.kt-adv-heading27148_ad79b7-bf[data-kb-block=\"kb-adv-heading27148_ad79b7-bf\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_ad79b7-bf mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_ad79b7-bf[data-kb-block=\"kb-adv-heading27148_ad79b7-bf\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_ad79b7-bf img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_ad79b7-bf[data-kb-block=\"kb-adv-heading27148_ad79b7-bf\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h6 class=\"kt-adv-heading27148_ad79b7-bf wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading27148_ad79b7-bf\"><strong>Who is Prime Therapeutics?<\/strong><\/h6>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_8cfaf6-9b, .wp-block-kadence-advancedheading.kt-adv-heading27148_8cfaf6-9b[data-kb-block=\"kb-adv-heading27148_8cfaf6-9b\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_8cfaf6-9b mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_8cfaf6-9b[data-kb-block=\"kb-adv-heading27148_8cfaf6-9b\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_8cfaf6-9b img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_8cfaf6-9b[data-kb-block=\"kb-adv-heading27148_8cfaf6-9b\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading27148_8cfaf6-9b wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading27148_8cfaf6-9b\">Prime Therapeutics is a trusted PBM that partners with health plans to provide cost-effective and accessible pharmacy benefits. Their focus on affordability and member well-being ensures that Alliant members receive the best possible support for their prescription needs.<\/p>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_07fae5-51, .wp-block-kadence-advancedheading.kt-adv-heading27148_07fae5-51[data-kb-block=\"kb-adv-heading27148_07fae5-51\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_07fae5-51 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_07fae5-51[data-kb-block=\"kb-adv-heading27148_07fae5-51\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_07fae5-51 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_07fae5-51[data-kb-block=\"kb-adv-heading27148_07fae5-51\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h6 class=\"kt-adv-heading27148_07fae5-51 wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading27148_07fae5-51\"><strong>How Brokers Can Assist with Pharmacy Benefits<\/strong><\/h6>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_11602e-f7, .wp-block-kadence-advancedheading.kt-adv-heading27148_11602e-f7[data-kb-block=\"kb-adv-heading27148_11602e-f7\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_11602e-f7 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_11602e-f7[data-kb-block=\"kb-adv-heading27148_11602e-f7\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_11602e-f7 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_11602e-f7[data-kb-block=\"kb-adv-heading27148_11602e-f7\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading27148_11602e-f7 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading27148_11602e-f7\">When reaching out\u00a0to Prime Therapeutics at <a href=\"tel:8444518288\">(844) 451-8288<\/a> on behalf of a member, the caller must verify their identity by providing the following information:\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list has--font-size\">\n<li>Their first name and the first letter of their last name&nbsp;<\/li>\n\n\n\n<li>Client\u2019s Broker of Record first and last name<\/li>\n\n\n\n<li>Client\u2019s Broker of Record phone number&nbsp;<\/li>\n\n\n\n<li>Agency name&nbsp;<\/li>\n<\/ul>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_3a4ae1-95, .wp-block-kadence-advancedheading.kt-adv-heading27148_3a4ae1-95[data-kb-block=\"kb-adv-heading27148_3a4ae1-95\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_3a4ae1-95 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_3a4ae1-95[data-kb-block=\"kb-adv-heading27148_3a4ae1-95\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_3a4ae1-95 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_3a4ae1-95[data-kb-block=\"kb-adv-heading27148_3a4ae1-95\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading27148_3a4ae1-95 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading27148_3a4ae1-95\">Additionally, the caller will need to provide three member identifiers to proceed with the call:<\/p>\n\n\n\n<ul class=\"wp-block-list has--font-size\">\n<li>Member Name (required)<\/li>\n\n\n\n<li>Two of the following: \n<ul class=\"wp-block-list\">\n<li>Date of Birth<\/li>\n\n\n\n<li>Member ID<\/li>\n\n\n\n<li>Member Address (partial is acceptable, e.g. street address or ZIP code)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_5e4982-7a, .wp-block-kadence-advancedheading.kt-adv-heading27148_5e4982-7a[data-kb-block=\"kb-adv-heading27148_5e4982-7a\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_5e4982-7a mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_5e4982-7a[data-kb-block=\"kb-adv-heading27148_5e4982-7a\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_5e4982-7a img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_5e4982-7a[data-kb-block=\"kb-adv-heading27148_5e4982-7a\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h6 class=\"kt-adv-heading27148_5e4982-7a wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading27148_5e4982-7a\"><strong>What Information Can Brokers Request?<\/strong><\/h6>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_c609a0-86, .wp-block-kadence-advancedheading.kt-adv-heading27148_c609a0-86[data-kb-block=\"kb-adv-heading27148_c609a0-86\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_c609a0-86 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_c609a0-86[data-kb-block=\"kb-adv-heading27148_c609a0-86\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_c609a0-86 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_c609a0-86[data-kb-block=\"kb-adv-heading27148_c609a0-86\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading27148_c609a0-86 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading27148_c609a0-86\">Brokers can access valuable details regarding a member\u2019s pharmacy benefits, including:<\/p>\n\n\n\n<ul class=\"wp-block-list has--font-size\">\n<li>Medication Price Quotes \u2013 Get details on drug cost, copay, coinsurance, deductible, tier level, and out-of-pocket max (excluding member-specific accumulator amounts).<\/li>\n\n\n\n<li>Eligibility Status \u2013 Verify eligibility and coverage dates.<\/li>\n\n\n\n<li>Pharmacy Network Information \u2013 Confirm preferred pharmacies and their network status.<\/li>\n\n\n\n<li>Prior Authorization (PA) Requirements \u2013 Determine if a PA is needed and check the status of a PA or coverage requests.<\/li>\n\n\n\n<li>Claim Status \u2013 Completion of payment.<\/li>\n\n\n\n<li>Processing Information \u2013 Limited processing information that includes group, BIN, and PCN information.<\/li>\n<\/ul>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_c057d1-ee, .wp-block-kadence-advancedheading.kt-adv-heading27148_c057d1-ee[data-kb-block=\"kb-adv-heading27148_c057d1-ee\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_c057d1-ee mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_c057d1-ee[data-kb-block=\"kb-adv-heading27148_c057d1-ee\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_c057d1-ee img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_c057d1-ee[data-kb-block=\"kb-adv-heading27148_c057d1-ee\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<h6 class=\"kt-adv-heading27148_c057d1-ee wp-block-kadence-advancedheading has-theme-palette-3-color has-text-color\" data-kb-block=\"kb-adv-heading27148_c057d1-ee\"><strong>We\u2019re Here to Help<\/strong><\/h6>\n\n\n<style>.wp-block-kadence-advancedheading.kt-adv-heading27148_683c79-22, .wp-block-kadence-advancedheading.kt-adv-heading27148_683c79-22[data-kb-block=\"kb-adv-heading27148_683c79-22\"]{font-style:normal;}.wp-block-kadence-advancedheading.kt-adv-heading27148_683c79-22 mark.kt-highlight, .wp-block-kadence-advancedheading.kt-adv-heading27148_683c79-22[data-kb-block=\"kb-adv-heading27148_683c79-22\"] mark.kt-highlight{font-style:normal;color:#f76a0c;-webkit-box-decoration-break:clone;box-decoration-break:clone;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.wp-block-kadence-advancedheading.kt-adv-heading27148_683c79-22 img.kb-inline-image, .wp-block-kadence-advancedheading.kt-adv-heading27148_683c79-22[data-kb-block=\"kb-adv-heading27148_683c79-22\"] img.kb-inline-image{width:150px;vertical-align:baseline;}<\/style>\n<p class=\"kt-adv-heading27148_683c79-22 wp-block-kadence-advancedheading\" data-kb-block=\"kb-adv-heading27148_683c79-22\"><br>At Alliant Health Plans, we\u2019re committed to making pharmacy benefits as seamless as possible for our brokers and members. By understanding these key details, you can better serve your clients and ensure they have the support they need.<br><br>For additional assistance, feel free to contact your Alliant Account Executive. We appreciate your partnership and the role you play in helping members navigate their health care benefits.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>At Alliant Health Plans, we know how important it is for brokers to have the right tools and resources to assist their clients. As part of our commitment to providing exceptional service, we want to remind you about the pharmacy benefits available to members through our Pharmacy Benefit Manager (PBM), Prime Therapeutics. Who is Prime Therapeutics? Prime Therapeutics is a trusted PBM that partners with health plans to provide cost-effective and accessible pharmacy benefits. Their focus on affordability and member&#8230;<\/p>\n","protected":false},"author":1,"featured_media":14103,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"categories":[106],"tags":[],"class_list":["post-27148","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-broker-news"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Supporting Your Clients with Pharmacy Benefits: A Broker\u2019s Guide - Alliant Health Plans<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alliantplans.com\/es\/supporting-your-clients-with-pharmacy-benefits-a-brokers-guide\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Supporting Your Clients with Pharmacy Benefits: A Broker\u2019s Guide\" \/>\n<meta property=\"og:description\" content=\"At Alliant Health Plans, we know how important it is for brokers to have the right tools and resources to assist their clients. As part of our commitment to providing exceptional service, we want to remind you about the pharmacy benefits available to members through our Pharmacy Benefit Manager (PBM), Prime Therapeutics. Who is Prime Therapeutics? Prime Therapeutics is a trusted PBM that partners with health plans to provide cost-effective and accessible pharmacy benefits. 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