abarca health LLC
650 Ave Muñoz Rivera, Suite 701
San Juan, PR 00918
December 16, 2015
To:
From:
Re:
abarca health Participating Pharmacies
Pharmacy Partnerships Department
Processing Claims for Lilly and Lilly Export – Effective January 1, 2016
Dear Pharmacy Partner:
abarca health is pleased to announce that we have been selected by Lilly and Lilly Export for Pharmacy Benefit
Manager services. All pharmacy claims for members will be processed and adjudicated by abarca health
beginning on January 1, 2016 at 12:00 a.m. (midnight).
All members will receive a new member card but will maintain their current Cardholder ID.
To ensure a positive experience for your pharmacy and patients, please be sure to configure your system or work
with software vendors as necessary to be able to adjudicate these claims to abarca health versus the plans’
previous Pharmacy Benefit Manager. Existing refills will be covered as allowed by the benefit without the need
for a new prescription from the physician.
Below you will find important information needed to effectively process pharmacy claims through abarca health.
Please be aware that the processing 4Rx information is different for Lilly and Lilly Export, see below.
Lilly
Effective
RxBIN
RxPCN
RxGroup
January 1, 2016
610674
ABARCA
LILLY
Effective
RxBIN
RxPCN
RxGroup
Lilly Export
January 1, 2016
610674
ABARCA
LILLYSA
For information related to benefit plans, drug formularies and abarca health Payer Sheets, please visit our Website,
www.abarcahealth.com, under “For Providers” or “For Pharmacies”. If you need additional information, please
contact our RxCustomer Service team at 1.787.523.1295 or send an email to [email protected].
Sincerely,
Rebecca Sabnani
AVP Client & Pharmacy Partnerships