| Name: | Prime Therapeutics State Government Solutions LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Feb 2008 (17 years ago) |
| Identification Number: | 001749974 |
| Place of Formation: | VIRGINIA |
| Purpose: | PHARMACY BENEFIT MANAGER THIRD PARTY ADMINISTRATOR UTILIZATION REVIEW |
| Historical names: |
MAGELLAN MEDICAID ADMINISTRATION, LLC |
| Mailing Address: |
2900 AMES CROSSING ROAD SUITE 200, EAGAN, MN, 55121, USA
|
| Principal Address: |
3900 WESTERRE PARKWAY SUITE 300, RICHMOND, VA, 23233, USA
|
NAICS
524292 Third Party Administration of Insurance and Pension FundsThis U.S. industry comprises establishments primarily engaged in providing third party administration services of insurance and pension funds, such as claims processing and other administrative services to insurance carriers, employee benefit plans, and self-insurance funds. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| MIKE KOLAR | MANAGER | 2900 AMES CROSSING ROAD EAGAN, MN 55121 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2024-10-04 | MAGELLAN MEDICAID ADMINISTRATION, LLC | Prime Therapeutics State Government Solutions LLC |
| Conversion | 2022-12-20 | MAGELLAN MEDICAID ADMINISTRATION, INC. on 12-20-2022 | Prime Therapeutics State Government Solutions LLC |
| Number | Name | File Date |
|---|---|---|
| 202460470340 | Amendment to Application for Registration | 2024-10-04 |
| 202455035330 | Annual Report | 2024-05-30 |
| 202454143180 | Statement of Change of Registered/Resident Agent | 2024-05-09 |
| 202334192130 | Annual Report | 2023-04-27 |
| 202225393990 | Application for Transfer of Authority | 2022-12-20 |
Date of last update: 15 May 2025
Sources: Rhode Island Department of State
