Usually means: First or foremost in importance.
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We found 31 dictionaries that define the word primacy:

General (25 matching dictionaries)
  1. primacy: Longman Dictionary of Contemporary English
  2. primacy: Merriam-Webster
  3. primacy: Oxford Learner's Dictionaries
  4. primacy: American Heritage Dictionary of the English Language
  5. primacy: Collins English Dictionary
  6. primacy: Vocabulary.com
  7. Primacy, primacy: Wordnik
  8. primacy: Cambridge Advanced Learner's Dictionary
  9. primacy: Wiktionary
  10. primacy: Webster's New World College Dictionary, 4th Ed.
  11. primacy: The Wordsmyth English Dictionary-Thesaurus
  12. primacy: Infoplease Dictionary
  13. Primacy, primacy: Dictionary.com
  14. primacy: Online Etymology Dictionary
  15. Primacy (company): Wikipedia, the Free Encyclopedia
  16. Primacy: Online Plain Text English Dictionary
  17. primacy: Webster's Revised Unabridged, 1913 Edition
  18. primacy: Rhymezone
  19. Primacy: AllWords.com Multi-Lingual Dictionary
  20. primacy: Webster's 1828 Dictionary
  21. primacy: FreeDictionary.org
  22. primacy: Mnemonic Dictionary
  23. primacy: TheFreeDictionary.com

Business (2 matching dictionaries)
  1. primacy: Legal dictionary
  2. BusinessDictionary.com (No longer online)

Computing (1 matching dictionary)
  1. primacy: Encyclopedia

Medicine (1 matching dictionary)
  1. online medical dictionary (No longer online)

Religion (1 matching dictionary)
  1. Primacy: Catholic Encyclopedia

Tech (1 matching dictionary)
  1. Lake and Water Word Glossary (No longer online)

Definitions from Wiktionary (
)
American English Definition British English Definition
noun:  The state or condition of being prime or first, as in time, place, rank, etc.
noun:  (archaic) Excellence; supremacy.
noun:  (religion) The office, rank, or character of a primate, it being the chief ecclesiastical station or dignity in a national church.
noun:  (religion) The office or dignity of an archbishop.

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