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Members can check the patient portal; non-members, please contact our patient care team at info@pcarx.com or (855) 283-7882 .
Contact PCA Rx at (855) 283-7882, info@pcarx.com, online at www.pcarx.myrxplan.com or our mobile app to verify if your medication is covered. If your medication is non-formulary, discuss with your doctor to discuss medication alternatives.
The amount the patient is responsible for before insurance covers any prescription cost.
A deductible is the amount of money the patient is responsible before insurance covers any prescription cost. Please contact PCA Rx at (855) 283-7882 or info@pcarx.com to verify your deductible.
The max dollar amount patients will have to pay in a plan year for prescription cost. Once the out-of-pocket max has been reached, the plan pays 100 % for the cost of prescriptions. Please contact PCA Rx at (855) 283-7882 or info@pcarx.com to verify your deductible.
PCA Rx is contracted with 68,000 + pharmacies nationwide. Specialty medications are limited to CVS Specialty Pharmacy. Please contact PCA Rx at info@pcarx.com to verify.
Specialty medications are required to be filled through CVS Specialty Pharmacy. Contact CVS Specialty at 1-800-237-2767, Monday - Friday, 8 a.m. to 6 p.m. or online at www.cvsspecialty.com.
Amazon mail order pharmacy is the mail order pharmacy for PCA Rx.
Contact Amazon Pharmacy Customer Care at 855-745-5725. Set up Amazon Pharmacy Account at www.amazon.com/homedelivery-meds.
Clinical review to ensure that medications are medically necessary and appropriate for the reason prescribed.
Obtain a Prior Authorization form and ensure that your prescriber completes and returns it to PCA Rx at the fax number: 833-676-2016.
Prior Authorization must be renewed every 6 to 12 months and/or start of a new insurance policy.
