ProCare Rx (Prescription Drug Plan) to
New Vendor
ProCare Rx is the company provider for ARUP
Laboratories prescription drug plan. Your pharmacy
plan under ProCare Rx includes:

24-hour, 365-day-a-year Customer Care Center

Non-Preferred national network of over 64,000
pharmacies.

Preferred Pharmacy Network
o Current preferred pharmacy network include
Dan’s, Harmons, Wal-Mart & Sam’s, Smiths
(Kroger), Fresh Market, Shopko, Kmart and
Fred Myer. Other small independent pharmacy
included are Apothecary West and Burch
Family Pharmacy.

Home Delivery for your medications from the
ProCare Rx mail order and specialty pharmacy,
ProCare PharmacyCare (PPC)
* To receive the in-network level of benefits, you must
use a pharmacy in the Align network.
Getting Prescriptions from a Participating Pharmacy
Please show your new prescription ID card to your
pharmacist each time you get a prescription filled. To
locate pharmacies near you that are in ProCare Rx’s
network, either call the Customer Care Center for
assistance, or use our Pharmacy Locator at
www.procarerx.com.
If for any reason you need to submit a claim to ProCare
Rx for reimbursement, please send to:
ProCare Rx
1267 Professional Parkway
Gainesville, GA 30507
How to Use Mail Order
To take advantage of added savings and the
convenience of home delivery through the mail order
program, just complete the mail order brochure that
was sent to you with your new ID cards. The brochure
is only necessary for your first order, and all
dependents may be listed on the same page of the
brochure. Obtain mail order prescriptions from your
doctor, and clearly write your name, date of birth, and
member ID number on the back. Mail your completed
brochure and prescriptions to ProCare PharmacyCare
(PPC) at the address shown below. Over 99% of all
prescriptions are sent out within 24 hours of receipt.
24-Hour Customer Care Center
If you have questions about your prescription benefit
plan, please call ProCare Rx at 855-828-1484.
Mail Order Address:
When mailing information to the mail order pharmacy,
please send to:
ProCare PharmacyCare
3891 Commerce Parkway
Miramar, FL 33025
PRESCRIPTION DRUGS
Pharmacy Processing
information:
BIN: 009430
PCN: NO PCN
Group: ALRX9999
24 Customer Service
line: 855-828-1484
ProCare
PharmacyCare (PPC)
Mail Order Program
Retail Copays
30-Day Supply at Preferred
Pharmacy
30-Day Supply at NonPreferred Pharmacy
Specialty at Retail
Generic
$5
$15
Brand
$30
$50
35% up to $150
maximum
35% up to $150
35% up to $145
Brand (Non-Preferred)
90-Day Supply at PPC
Specialty Drugs at PPC
Generic
Mail Order Copays
$45
%35 up to $450
Brand
$150
Brand (Non-Preferred)
35% up to $450
Receive up to a 90-day supply of maintenance drugs only with a mail order copay.
What Drugs Are Covered?
The plan has an open formulary that generally covers all drugs prescribed by a physician that require a prescription
either by federal or state law, including:
 All legend drugs are covered unless specified otherwise.
 Compound Medications (Excluding certain compounds) are covered up to $150, member pays out of pocket.
(No Prior Authorization).
 Prior Authorization for athcar gel – only allowed for infantile spas.
 Prior Authorization for Intuniv – requires a trial of guanfacine first.
 DAW 1 penalty applies, excluding SYNTHROID, TRANSPLANT and ANTI-SEIZURE drugs.