Member Documents

Araya Mail Order Registration Form

Please download, print and include this form when sending in your first order to Araya’s mail service pharmacy, PPS.

Araya Member Reimbursement Form

Please submit this form along with your cash register and detailed pharmacy receipt for reimbursement of covered prescription costs (excluding co-payments and co-insurance) you paid.
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Araya Preferred Drug List (PDL)

Use our lookup tool to find the right list for your drug coverage. Enter your group id to determine coverage:
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