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ProAct requires the following information in order to provide a Detailed Rx Savings Analysis. Ideally, ProAct would receive background information and one year of Rx claims history in the format listed below. Providing this detailed information allows for a 4–5 day turnaround period, on average, to produce the Rx Savings Analysis. 

Please complete Company Information below and click submit. Immediately following your submission, please email your claims file from your current Pharmacy Benefits Administrator to TEAPBM@ProActRx.com.

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1. Company Information 

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2. Required Data Fields for Rx Savings Analysis

(Claims file must include at a minimum the fields listed below and one full year of claims data, on a claim by claim basis.)
  • Date Filled
  • NDC
  • Quantity
  • Days’ Supply
  • Mail Order Indicator
  • Billed Ingredient Cost
  • Billed Dispense Fee
  • Pharmacy NABP
  • Formulary Indicator
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Submit your claims file to:

TEAPBM@proactrx.com