PR Health Insurance Administration (ASES)

Important Resources Issued by the PR Health Insurance Administration (ASES)


Abarca performs as the Pharmacy Benefit Manager (PBM) for the PR Government Health Insurance Plan (PRGHIP), which is administered by the PR Health Insurance Administration (ASES) with federal Medicaid and State funds. The PRGHIP covers approximately 1.3 million lives.

Below are important resources issued by ASES:

Medication Formularies for PRGHIP Beneficiaries and Providers

The following Preferred Drug List (PDL) serves to guide specific providers on medication decisions under the most updated cost-effective coverage.


Normative Letters

Provider Manual


The information contained in this website is provided for informational purposes only. No warranty expressed or implied is made regarding the accuracy, adequacy, completeness, reliability or usefulness of any information contained herein. For official information, please contact the Puerto Rico Health Insurance Administration (ASES for its Spanish acronym). Neither Abarca Health, LLC or its affiliates shall be held liable for any improper or incorrect use of the information described and/or contained herein and assumes no responsibility for the use of such information.


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