How does this impact the specialty pharmacy network?

Specialty pharmacies that participate in the Advocate+ Pharmacy Match program gain several benefits, including:

  • More access to approved specialty drug referrals
  • Greater control over which types of referrals they choose to pursue
  • Reduced time and cost spent on misdirected or non‑actionable referrals

To participate in the Advocate+ Pharmacy Match program – and to continue servicing our Administrative Services Only (ASO) members after July 1, 2025 – network specialty pharmacies are required to sign a contract with Prime Therapeutics.