Abarca Health
Antonio Duarte, Chief Medical Officer
(787) 523-1212

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Abarca is igniting a revolution in healthcare. We are starting by redefining pharmacy benefits, but this is just the beginning. We built our company on the belief that with a smarter technology and a straightforward approach to business, we can provide a better experience and greater value for payers and consumers.
• For nearly a decade, we have challenged many industry conventions and trampled on a few. So call us a PBM for discussion purposes, but we are unlike any other company out there. And today, we manage more than $1 billion in drug costs for millions of Americans, with unheard of client satisfaction and retention.

Corporate Information

Corporate Structure
Private
Parent Company
For Profit
Profit
Year Founded
2005
Number of Covered Individuals
 
Brazil
No
Canada
No
Guam
No
Mexico
No
Puerto Rico
Yes
South America
No
United States
Yes
United Kingdom
No
Virgin Islands
No
Retail Pharmacies?
More than one network?
# of Retail Pharmacies
Mail Pharmacies?
# of Mail Pharmacies
 
Specialty Pharmacies?
   
340B
Yes
Academic Detailing
Yes
Appeals/Grievances
No
App Development
No
Auditing
No
Behavioral Health
No
Bill Presentment
No
Call Center
No
Capitated Programs
No
Case Management
Yes
Claims Processing
Yes
Compliance
Yes
Compound Pharmacy
No
Concurrent DUR
Yes
Contract Assesment
No
Copayment Waivers
No
Data Warehouse
Yes
Debit Cards
No
Disease Mgmt
Yes
Dispensing Systems
No
Dose Optimization
No
e-Business Solutions
Yes
Educational Programs
Yes
Employer Group Waiver Plans
No
e-Prescribing
Yes
Pharmacist Consult
No
Financial Modeling
No
Flexible Benefit Admin Software
No
Formulary Management Software
No
Fraud, Waste, & Abuse Services
No
Health Risk Assessment
Yes
HR Education
No
ID Cards
No
Implementation Support
Yes
International Programs
Yes
IT/Programming
Yes
Adherence Programs
No
MTM
No
Opioid Mgmt
No
Outbound Calls
Yes
Patient Education
Yes
Payment Mgmt
No
Personal Health Records
No
PBA
Yes
Pill Splitting
No
Prescriber Profiling
No
Prior Authorization
Yes
Prospective DUR
Yes
Quantity Limits
Yes
Rebates
Yes
Supply Limits
Yes
Reporting
Yes
Retail Pharmacy
No
Retrospective DUR
Yes
Senior Programs
Yes
Specialty Pharmacy
Yes
Step Therapy
Yes
Therapeutic Substitution
Yes
Transaction Processing
No
Underwriting
No
Utilization Review
Yes
Wellness Programs
Yes
 

Additional Contacts

NameEmail AddressTitlePhone Number
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Alabama
No
Alaska
No
Arizona
No
Arkansas
No
California
No
Colorado
No
Connecticut
No
Delaware
No
District of Columbia
No
Florida
No
Georgia
No
Hawaii
No
Idaho
No
Illinois
No
Indiana
No
Iowa
No
Kansas
No
Kentucky
No
Louisiana
No
Massachusetts
No
Maryland
No
Maine
No
Michigan
No
Minnesota
No
Missouri
No
Mississippi
No
Montana
No
North Carolina
No
North Dakota
No
Nebraska
No
New Hampshire
No
New Jersey
No
New Mexico
No
New York
No
Nevada
No
Ohio
No
Oklahoma
No
Oregon
No
Pennsylvania
No
Puerto Rico
Yes
Rhode Island
No
South Carolina
No
South Dakota
No
Tenneseee
No
Texas
No
Utah
No
Virginia
No
Vermont
No
Washington
No
West Virginia
No
Wisconsin
No
Wyoming
No