By December 1, 2019: Billing team must obtain prior authorization from Prime Therapeutics, LLC before administering any of the 22 specialty drugs listed (J-codes J9261, J9032, J9229, J9039, J9044, J9145, J9176, J9307, J9179, J9325, J9315, J9043, J9285, J9203, J9205, J9295, J9262, J9999, J9041, J9153, J9353, A9543) for commercial plan patients. Update billing system to flag these codes for prior auth verification. This requirement does not apply to Medicare Advantage patients.