Contact Us ProAct

First Name

Last Name

Date of Birth

mm/dd/yyyy

Subject

Message

Relationship

Member Name

Fill in if submitting on behalf of a member

Department

Other (please specify)

Member ID

Member Rx Group#

typically 3-4 characters, can be found on prescription card

Member Address (City, State, and Zip)

Member Phone

Member Email (if different than above)

Validation field

ProAct Help Desk: 1-877-635-9545

Mail Order: 1-866-287-9885

Mail Order Fax: 1-315-287-3330

ProAct Sales: 1-888-254-3552

Media Inquiries: 1-315-413-7780 ext. 3212

ProAct, Inc.
6333 Route 298 - Suite 210
East Syracuse, NY, 13057

ProAct Pharmacy Services (Mail Order Pharmacy)
1226 US Highway 11
Gouverneur, NY, 13642