Members 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. Download as PDF

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. Download as PDF

Araya Preferred Drug List (PDL)