2018 HMO AND PPO PHARMACY DIRECTORY

Transcription

1 2018 HMO AND PPO PHARMACY DIRECTORY This pharmacy directory was updated on May For more recent information or other questions, please contact EmblemHealth Customer Service at or, for TTY users, 711, from 8 am to 8 pm, 7 days a week, or visit emblemhealth.com/medicare. Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

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3 2018 EMBLEMHEALTH MEDICARE HMO AND PPO PHARMACY DIRECTORY Introduction This booklet provides a list of EmblemHealth Medicare PPO and HMO s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and EmblemHealth Medicare formulary. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to plan members. In most cases, your prescriptions are covered under our plan only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of May 4, For the most current list, please contact us. Our contact information appears on the front and back cover pages. EmblemHealth insurance plans are underwritten by Group Health Incorporated (GHI), HIP Health Plan of New York (HIP) and HIP Insurance Company of New York. Y0026_ NM i

4 2018 EMBLEMHEALTH MEDICARE HMO AND PPO PHARMACY DIRECTORY You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost-sharing. We have listed these pharmacies with Preferred Pharmacies to distinguish them from other pharmacies in our network that offer standard cost-sharing. You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory. The formulary and/or pharmacy network may change at any time. You will receive notice when necessary. If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us. HIP Health Plan of New York (HIP) is a Medicare Advantage organization with a Medicare contract. Group Health Incorporated (GHI) is a Medicare Advantage organization and a standalone prescription drug plan with a Medicare contract. HIP and GHI are EmblemHealth companies. This information is available for free in other languages. Please contact our Customer Service number at (for PPO) or (for HMO), Monday to Sunday, 8:00 am to 8:00 pm. TTY users should call 711. Customer Service also has free language interpreter services available for non-english speakers. This document may be available in alternate formats such as large print and Braille. Esta información está disponible gratis en otros idiomas. Comuníquese con nuestro departamento se Servicio al cliente al (PPO) o (HMO). Las horas son de lunes a domingo, entre 8:00 am y 8:00 pm. (Los usuarios de TTY deben llamar al 711). ii

5 EXPRESS SCRIPTS HOME DELIVERY SERVICE PO Box Saint Louis, Missouri (877) You can get prescription drugs shipped to your home through our network mail order delivery program. If you have used mail order services with your current plan before, or if you opt in now, our pharmacy will automatically fill and ship new prescriptions received directly from your doctors or other prescribers. You may opt out of automatic deliveries of new prescriptions at any time by contacting us at If you never had mail order delivery and/or decide to stop automatic fills of new prescriptions, we will contact you each time we get a new prescription from a provider, to see if you want the medication filled and shipped at that time. This will give you an opportunity to make sure that the correct drug (including strength, amount, and form) will be delivered, and, if necessary, allow you to cancel or delay the order before you are billed and it is shipped. For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program. Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill program, please contact us 14 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill program, please contact us by calling Typically, you should expect to receive your prescription drugs to your home within 14 business days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at /(TTY users called 711). iii

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7 EMBLEMHEALTH VENDORS The vendors listed below are partners with EmblemHealth and provide certain services on our behalf. Express Scripts, Inc. (ESI) The names of the providers listed and the information about them are furnished and managed by ESI, which has a contract with EmblemHealth. This allows you to find an ESI provider as part of your in-network benefit. The accuracy of these listings is confirmed annually by ESI. Y0026_124657r Accepted 09/18/2016 v

8 ATTENTION: If you speak other languages, language assistance services, free of charge, are available to you. Call (TTY/TDD: 711). Español (Spanish) ATENCIÓN: Si usted habla español, tiene a su disposición, gratis, servicios de ayuda para idiomas. Llame al (TTY/TDD: 711). 中文 (Traditional Chinese) 注意 : 如果您講中文, 我們免費為您提供相關的語言協助服務 請致電 (TTY/TDD: 711) Pусский (Russian) ВНИМАНИЕ! Если Вы говорите на русском языке, Вам доступны бесплатные услуги переводчика. Звоните по тел (служба текстового телефона, TTY/TDD: 711). Kreyòl Ayisyen (Haitian Creole) ATANSYON: Si ou pale Kreyòl Ayisyen, gen sèvis èd nan lang gratis ki disponib pou ou. Rele nimewo (TTY/TDD: 711). 한국어 (Korean) 주의 : 귀하가한국어를사용하는경우, 귀하에게언어지원서비스가무료로제공됩니다 (TTY/TDD: 711) 로전화하십시오. Italiano (Italian) ATTENZIONE: Se parli italiano, sono disponibili servizi gratuiti di assistenza linguistica. Chiama il numero (TTY/TDD: 711). (Yiddish) אידיש אכטונג אױב איר רעדט אידיש, ש פראך הילף סערװיסעס, אהן קײן פרײז, זײנען דא צו באקומען פאר אײך. רופט.)TTY/TDD: 711( ব ল (Bengali) দষ ট আকর ণ: আপষ ট যষ টদ ব ল ভ র ভ র হ, ত হলল আপ র জ য ভ র সহ য়ত পষ টরলর ব গ ষ টল, ষ টব ম ললয, উপলব ধ আল (TTY/TDD: 711) ম বলর ফ কর Polski (Polish) UWAGA: Dla osób mówiących po polsku dostępna jest bezpłatna pomoc językowa. Proszę zadzwonić pod numer (TTY/TDD: 711). (Arabic) العربية يرجى االنتباه: إذا كنت تتكلم اللغة العربية تتوفر لك خدمات المساعدة اللغوية مجانا. اتصل بالرقم )TTY/TDD: 711( Y0026_ Accepted 8/29/16 Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies /18

9 Français (French) ATTENTION : si vous parlez français, une assistance d interprétation gratuite est à votre disposition. Veuillez composer le (Sourds et malentendants : 711). (Urdu) اردو توجہ دیں: اگر آپ اردو بولتے ہیں تو آپ کے لیے ز بان سے متعلق مدد کی خدمات مفت دستیاب ہیں )ٹی ٹی وائی/ٹی ڈی ڈی: 711 ) پر کال کر یں Tagalog (Tagalog) NANANAWAGAN NG PANSIN: Kung nagsasalita ka ng Tagalog, mayroon kang magagamit na mga serbisyo para sa tulong sa wika nang walang bayad. Tawagan ang (TTY/TDD: 711). Ελληνικά (Greek) ΠΡΟΣΟΧΗ: Εάν μιλάτε Ελληνικά, διατίθενται για σας υπηρεσίες γλωσσικής βοήθειας, δωρεάν. Καλέστε (για άτομα με προβλήματα ακοής/tty/tdd: 711). Shqip (Albanian) VINI RE: Nëse flisni Shqip, shërbimi i asistencës për përkthim do të jetë në dispozicionin tuaj, pa pagesë. Telefononi në (TTY/TDD: 711). Notice of Nondiscrimination Policy EmblemHealth complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. EmblemHealth does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. EmblemHealth: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, contact If you believe that EmblemHealth has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with EmblemHealth Grievance and Appeals Department, PO Box 2844, New York, NY 10116, or call (Dial 711 for TTY/TDD services.) You can file a grievance in person, by mail or by phone. If you need help filing a grievance, EmblemHealth s Grievance and Appeals Department is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office of Civil Rights electronically through the Office of Civil Rights Complaint Portal, available at ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at U.S. Department of Health and Human Services, 200 Independence Avenue SW, Room 509F, HHH Building, Washington, DC 20201; , (dial for TTY services). Complaint forms are available at hhs.gov/ocr/office/file/index.html. Y0026_ NM

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11 MEDICARE HMO AND PPO PHARMACY DIRECTORY MAY 2018 PREFERRED... 1 Preferred Retail Pharmacies, Including Chain Pharmacies... 1 Preferred Home Infusion Pharmacies Preferred Long-Term Care Pharmacies STANDARD Standard Retail Pharmacies, Including Chain Pharmacies Standard Mail Order Pharmacies Standard Home Infusion Pharmacies Standard Long-Term Care Pharmacies Standard Indian Health Services/Tribal/Urban/Indian Health Program (I/T/U) Pharmacies

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13 x PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Concourse Pharmacy 767 Concourse Vlg W Bronx, NY (718) Duane Reade # Courtlandt Ave Bronx, NY (718) Lincoln Drugs 526 Morris Ave Bronx, NY (718) Metcare Rx #1 305 E 161st St Bronx, NY (718) Walgreens # E 161st St Bronx, NY (718) Bronx, NY Firo Pharmacy 1418 Wythe Pl Bronx, NY (718) Rite Aid # E 170th St Bronx, NY (718) Rite Aid # Ogden Ave Bronx, NY (718) Rite Aid # Featherbed Ln Bronx, NY (718) Bronx, NY ABC Drugs 1925 Dr Martin L King Jr Blvd Bronx, NY (347) Drug Depot 1588 University Ave Bronx, NY (718) Happy Pharmacy 1831 Grand Concourse Frnt B Bronx, NY (718) Prayosha Pharmacy 54 E 183rd St Bronx, NY (718) Recetas Pharmacy 112 E 183rd St Bronx, NY (718) Rite Aid # E Burnside Ave Bronx, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 1

14 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Star Pharmacy and Surgical rd Ave Bronx, NY (718) Fuller Drug Store rd Ave Bronx, NY (718) Mott Haven Rx 400 E 141st St Bronx, NY (718) One Drug 411 E 138th St Bronx, NY (718) Rite Aid # E 138th St Bronx, NY (718) Tu Salud 615 E 138th St Bronx, NY (718) Bronx, NY st Bronxcare Pharmacy 438 E 149th St Bronx, NY (718) Hunts Point Drugs rd Ave Bronx, NY (718) Metcare Rx 700 Brook Ave Bronx, NY (718) Rite Aid # rd Ave Bronx, NY (718) Rite Aid # Westchester Ave Bronx, NY (718) Bronx, NY Webster Pharmacy 1150 Webster Ave Bronx, NY (718) Crotona Pharmacy 1384b Boston Rd Bronx, NY (917) Drug Depot 619 E 169th St Bronx, NY (718) First Health Pharmacy 1229 Franklin Ave Bronx, NY (347) Medi Center Pharmacy 1262 Boston Rd Bronx, NY (347) V V Pharmacy rd Ave Bronx, NY (718)

15 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Akshar Pharmacy 2200 Grand Concourse Bronx, NY (718) Felicity Pharmacy 621 E Tremont Ave Bronx, NY (718) Rite Aid # Grand Concourse Bronx, NY (718) Rite Aid # E Tremont Ave Bronx, NY (718) Southbronxrx 1650 Grand Concourse Bronx, NY (718) Bronx, NY Fordham Drugs 470 E Fordham Rd Bronx, NY (917) Hopewell Pharmacy 251 E 188th St Bronx, NY (718) Kingsbridge Pharmacy 229 E Kingsbridge Rd Bronx, NY (718) Metcare Rx#3 1 Fordham Plz Fl 5 Bronx, NY (718) Planet Pharmacy 2336a Grand Concourse Bronx, NY (718) POE Pharmacy 2558 Grand Concourse Bronx, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. Rite Aid # E 183rd St Bronx, NY (718) Rite Aid # E 198th St Bronx, NY (718) Walgreens # E Fordham Rd Bronx, NY (718) Bronx, NY Barretto Pharmacy 914 Southern Blvd Bronx, NY (718) Duane Reade # Southern Blvd Ste 943 Bronx, NY (718)

16 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Longwood Drug and Surgical 839b Prospect Ave Bronx, NY (718) Longwood Pharmacy 993 Prospect Ave Bronx, NY (718) Rite Aid # Southern Blvd # 960 Bronx, NY (718) Rite Aid # Westchester Ave Bronx, NY (718) Walgreens # Westchester Ave Bronx, NY (718) Bronx, NY East Tremont Pharmacy 1065 E Tremont Ave Bronx, NY (718) M and V Pharmacy 1663 Boston Rd Bronx, NY (718) Pelham Parkway Pharmacy 1469 Beach Ave Bronx, NY (718) Sas Pharmacy 1481 Leland Ave Bronx, NY (718) Stop and Shop # E 174th St Bronx, NY (718) Twin Parks Pharmacy and Surgical 817 E 180th St Bronx, NY (718) Bronx, NY Falak Pharmacy 2730 E Tremont Ave Bronx, NY (718) Metcare Rx # Blondell Ave Bronx, NY (718) Rite Aid # E Tremont Ave Bronx, NY (718) Rite Aid # Crosby Ave Bronx, NY (718)

17 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Rj Pharmacy 2111 Williamsbridge Rd Bronx, NY (347) Stop and Shop # Eastchester Rd Bronx, NY (718) Walgreens # Westchester Sq Bronx, NY (718) Walgreens # Williamsbridge Rd Bronx, NY (718) Walgreens # E Tremont Ave Bronx, NY (718) Bronx, NY Charmar Pharmacy 781 Lydig Ave Bronx, NY (718) Mcgraw Pharmacy 2048 McGraw Ave Bronx, NY (718) Parkchester Family Pharmacy 1445 Unionport Rd Bronx, NY (347) Parkchester Pharmacy 1663 Metropolitan Ave Bronx, NY (347) Rite Aid # Morris Park Ave Bronx, NY (718) Rite Aid # White Plains Rd Bronx, NY (718) Walgreens # Metropolitan Ave Bronx, NY (718) Bronx, NY Nexmed Pharmacy 239 W 238th St Bronx, NY (347) Rite Aid # Broadway # 35 Bronx, NY (718) Rite Aid # W 235th St Bronx, NY (718) Rite Aid # b Knolls Cres Bronx, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 5

18 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Walgreens # Broadway Bronx, NY (718) Bronx, NY Proserv Pharmacy 3789 E Tremont Ave Bronx, NY (718) Rite Aid # E Tremont Ave Bronx, NY (718) Bronx, NY Care First Pharmacy 3908A White Plains Rd Bronx, NY (718) Rite Aid # White Plains Rd Bronx, NY (718) Rite Aid # E 233rd St Bronx, NY (718) Rite Aid # White Plains Rd Bronx, NY (718) Rite Aid # Baychester Ave Bronx, NY (718) Top Value Pharmacy 3811 Dyre Ave Bronx, NY (718) Bronx, NY Asm Drugs 55 E Gun Hill Rd St A Bronx, NY (718) Big Apple Pharmacy 27 E Gun Hill Rd Bronx, NY (718) Community # White Plains Rd Bronx, NY (718) Gunhill Pharmacy 83 E Gun Hill Rd Bronx, NY (718) Palmville Pharmacy 799 Allerton Ave Bronx, NY (718) Rite Aid # Jerome Ave Bronx, NY (718) Sirisha Pharmacy 2901 White Plains Rd Bronx, NY (718) Walgreens # Boston Rd Bronx, NY (718)

19 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY We Care Pharmacy 764 Burke Ave Bronx, NY (718) Bronx, NY Divino Pharmacy 30 E Kingsbridge Rd Bronx, NY (718) Duane Reade # Kingsbridge Rd Bronx, NY (718) Duane Reade # E Fordham Rd Bronx, NY (718) Fordham Family Pharmacy and Surg 202 W Fordham Rd Bronx, NY (917) Friendly Pharmacy 3137 Grand Concourse Bronx, NY (718) Rite Aid # W Fordham Rd Bronx, NY (718) Tammy Care Pharmacy 2641 Jerome Ave Bronx, NY (718) Bronx, NY Rite Aid # Boston Rd Bronx, NY (718) Rite Aid # Eastchester Rd Bronx, NY (718) Rite Aid # Eastchester Rd Ste 34 Bronx, NY (718) Rite Aid # E Gun Hill Rd Bronx, NY (718) Scheer Drugs 1343 E Gun Hill Rd Bronx, NY (718) Walgreens # Boston Rd Bronx, NY (347) Walgreens # Eastchester Rd Bronx, NY (718) Bronx, NY Walgreens # White Plains Rd Bronx, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 7

20 PREFERRED RETAIL, INCLUDING CHAIN BRONX Bronx, NY Hudson Parkway Pharmacy 5700 Mosholu Ave Bronx, NY (718) Bronx, NY Rite Aid # Westchester Ave Bronx, NY (718) Walgreens # Westchester Ave Bronx, NY (718) Westchester Pharmacy 1780 Westchester Ave Bronx, NY (718) White Plains RD Pharmacy 1207 White Plains Rd Bronx, NY (718) World Pharmacy 1581 Watson Ave Bronx, NY (718) Bronx, NY Cents Top Grade 1903 Story Ave Bronx, NY (718) Castle Hill Drugs 674 Castle Hill Ave Bronx, NY (718) Kmart Pharmacy # Bruckner Blvd Bronx, NY (718) Randall Pharmacy 1753 Randall Ave Bronx, NY (718) Rite Aid # Castle Hill Ave Bronx, NY (718) Rite Aid # Soundview Ave Bronx, NY (718) Bronx, NY Carepoint Pharmacy 888 Hunts Point Ave Bronx, NY (718) Bronx, NY Rite Aid # Bartow Ave Bronx, NY (718) Rite Aid # Co Op City Blvd Bronx, NY (718) Stop and Shop # Co Op City Blvd Bronx, NY (718)

21 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Stop and Shop # Bartow Ave Bronx, NY (718) KINGS Brooklyn, NY Duane Reade # Fulton St Brooklyn, NY (718) Duane Reade # Court St Brooklyn, NY (718) Duane Reade # Fulton St Brooklyn, NY (718) I Care Pharmacy 200B Livingston St Brooklyn, NY (718) Nick's Pharmacy 111 Gold St Brooklyn, NY (718) NYU Langone Pharmacy Cobble Hill 83 Amity St Brooklyn, NY (877) Rite Aid # Court St Brooklyn, NY (718) Rite Aid # Smith St Brooklyn, NY (718) Rite Aid # Clinton St Spc 1 Brooklyn, NY (718) Brooklyn, NY Caribbean American Family Pharmacy 3424 Church Ave Brooklyn, NY (718) Clarkson Pharmacy 524 Clarkson Ave Brooklyn, NY (718) Duane Reade # New York Ave Brooklyn, NY (718) M and I Pharmacy 853 E New York Ave Brooklyn, NY (718) New York Ave Pharmacy 3307 Church Ave Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 9

22 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rite Aid # Utica Ave # 508 Brooklyn, NY (718) Rite Aid # Church Ave Brooklyn, NY (718) Rite Aid # Ave D Brooklyn, NY (718) Val U Drugs 822 Clarkson Ave Brooklyn, NY (718) Walgreens # Church Ave Brooklyn, NY (347) Brooklyn, NY Bobo Pharmacy th Ave Brooklyn, NY (718) Care Plus Pharmacy th Ave Brooklyn, NY (718) Duane Reade # th Ave Brooklyn, NY (718) Fusion Pharmacy th St Brooklyn, NY (718) Linkus Pharmacy th Ave Brooklyn, NY (718) Mercy Pharmacy th Ave Brooklyn, NY (718) Neighbor Care Pharmacy th St Brooklyn, NY (718) Neko Pharmacy th Ave Brooklyn, NY (718) Pyramids Pharmacy th Ave Brooklyn, NY (718) Rite Aid # Bay Pkwy Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718) Valuemed Pharmacy 87 Ave O Brooklyn, NY (718)

23 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Walgreens # th Ave Brooklyn, NY (718) Brooklyn, NY Emblemhealth Pharmacy 233 Nostrand Ave Brooklyn, NY (718) Walgreens # Myrtle Ave Brooklyn, NY (718) Brooklyn, NY Avon Pharmacy and Surgical 82 Graham Ave Brooklyn, NY (718) Bell Drugs 138 Graham Ave Brooklyn, NY (718) DNG Pharmacy 249 Graham Ave Brooklyn, NY (718) Duane Reade # Myrtle Ave Brooklyn, NY (718) Marcy Pharmacy 170 Throop Ave Brooklyn, NY (718) Three P Drugs 791 Flushing Ave Brooklyn, NY (718) Throop Pharmacy 241 Throop Ave Brooklyn, NY (718) Walgreens # Broadway Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. Wallabout Pharmacy 711 Bedford Ave Brooklyn, NY (718) Wyckoff Pharmacy 5 Graham Ave Brooklyn, NY (718) Brooklyn, NY Fulton St Pharmacy 2818 Fulton St Brooklyn, NY (718) New Lots Pharmacy 475 New Lots Ave Brooklyn, NY (718) Rite Aid # Pennsylvania Ave Brooklyn, NY (718) Umamah-Pitkin Pharmacy 2231 Pitkin Ave Brooklyn, NY (718)

24 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Adelphi Drug Store 3350 Fulton St Brooklyn, NY (718) Anh Pharmacy 3167 Fulton St Brooklyn, NY (718) Emblemhealth Pharmacy 2832 Linden Blvd Brooklyn, NY (646) Kruticks Pharmacy 589 Crescent St Brooklyn, NY (718) Malik Pharmacy 2981 Fulton St Brooklyn, NY (718) Mellor's Drug Store 3343 Fulton St Brooklyn, NY (718) Norwood Care Pharmacy 3138 Fulton St Brooklyn, NY (718) Walgreens # Liberty Ave Brooklyn, NY (929) Brooklyn, NY Bay Ridge Rx rd Ave Brooklyn, NY (718) Bay Ridge Rx th Ave Brooklyn, NY (718) Duane Reade # Brighton Beach Ave Brooklyn, NY (718) Duane Reade # th St Brooklyn, NY (718) Lowens Pharmacy rd Ave Brooklyn, NY (718) Nile Rx Pharmacy th Ave Brooklyn, NY (718) NU Edge Pharmacy th Ave Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718) Rite Aid # rd Ave Brooklyn, NY (718)

25 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rite Aid # rd Ave Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718) Rite Aid # rd Ave Brooklyn, NY (718) Teba Pharmacy th Ave Brooklyn, NY (347) Walgreens # rd Ave Brooklyn, NY (718) Brooklyn, NY Brooklyn Pharmacy 1675 Flatbush Ave Brooklyn, NY (347) Duane Reade # Nostrand Ave Ste 45 Brooklyn, NY (718) Navar Pharmacy 3002 Ave M Brooklyn, NY (718) Rite Aid # Nostrand Ave Brooklyn, NY (718) Rite Aid # Flatbush Ave Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. Brooklyn, NY City Chemist 335 Graham Ave Brooklyn, NY (718) S Bros Pharmacy 176 Lee Ave Brooklyn, NY (718) Saldo Drugs 384 Graham Ave Brooklyn, NY (718) Sisto Pharmacy 682 Grand St Brooklyn, NY (718) Unity Drugs 772 Grand St Brooklyn, NY (718) Walgreens # Union Ave Brooklyn, NY (718)

26 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Williamsburg Pharmacy and Surgical 244 Roebling St Brooklyn, NY (718) Brooklyn, NY Duane Reade #305 1 Remsen Ave Brooklyn, NY (718) Hina Drugs 4 Sutter Ave Brooklyn, NY (718) LA Ruche Pharmacy 494 Rockaway Pkwy Brooklyn, NY (718) Rite Aid # Clarkson Ave Brooklyn, NY (718) Rite Aid # Pitkin Ave Ste 43 Brooklyn, NY (718) Walgreens # E New York Ave Brooklyn, NY (718) Brooklyn, NY Albany Pharmacy 178 Albany Ave Brooklyn, NY (718) Lincoln Place Pharmacy 1135 Eastern Pkwy Brooklyn, NY (718) New Ronson Drug 237 Utica Ave Brooklyn, NY (718) Rite Aid # Saint Johns Pl Brooklyn, NY (718) Utica Pharmacy 285 Utica Ave Brooklyn, NY (718) Brooklyn, NY th Street Pharmacy th Ave Brooklyn, NY (718) Pharmacy th St Brooklyn, NY (718) ABC Drugs th St Brooklyn, NY (718) Award Pharmacy th St Brooklyn, NY (718) Bay Parkway Pharmacy 8506a Bay Pkwy Brooklyn, NY (917)

27 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Family Pharmacy and Surg Supply 1757 Bath Ave Brooklyn, NY (718) Kay's Pharmacy 2201 Bath Ave Brooklyn, NY (718) Kira's Pharmacy 88 Kings Hwy Brooklyn, NY (718) Main Pharmacy th St Brooklyn, NY (718) Nextgen Pharmacy th St Brooklyn, NY (718) Nile Express Pharmacy 1950 Bath Ave Brooklyn, NY (718) Paras Drugs 2070 Bath Ave Brooklyn, NY (718) Qualimeds Pharmacy th St Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718) Rite Aid # th St # 54 Brooklyn, NY (718) Rl Health Pharmacy th St Brooklyn, NY (718) Stop and Shop # Cropsey Ave Brooklyn, NY (718) Ummat Pharmacy th Ave Brooklyn, NY (347) Walgreens # th St Brooklyn, NY (917) Brooklyn, NY Rite Aid # th Ave Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 15

28 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Slope Drugs and Surgical Sup 406 5th Ave Brooklyn, NY (718) Walgreens # Prospect Ave Brooklyn, NY (347) Brooklyn, NY M and F Pharmacy 712 Nostrand Ave Brooklyn, NY (718) Rite Choice Pharmacy 1484 Fulton St Brooklyn, NY (718) S and T Pharmacie 391 Eastern Pkwy Brooklyn, NY (718) Walgreens # Fulton St Brooklyn, NY (718) Brooklyn, NY Duane Reade # Flatbush Ave Ste B Brooklyn, NY (718) Emcon Pharmacy 49 5th Ave Brooklyn, NY (718) Stop and Shop # Atlantic Ave Brooklyn, NY (718) True Care Pharmacy 556 Atlantic Ave Brooklyn, NY (347) Brooklyn, NY th Street Pharmacy th Ave Brooklyn, NY (718) ABC Pharmacy 371 McDonald Ave Brooklyn, NY (718) City Drugs 422 Church Ave Brooklyn, NY (718) Ditmas Pharmacy 509 Ditmas Ave Brooklyn, NY (718) Drugs Care Pharmacy 1001 Church Ave Brooklyn, NY (718) Naz Pharmacy 731 Coney Island Ave Brooklyn, NY (718)

29 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rite Aid # Church Ave Brooklyn, NY (718) Silver Pharmacy th Ave Brooklyn, NY (718) Spectrum Pharmacy 952 McDonald Ave Brooklyn, NY (718) Walgreens # Beverley Rd Brooklyn, NY (718) Brooklyn, NY Advantage Pharmacy 4910 Fort Hamilton Pkwy Brooklyn, NY (718) Boro Pharmacy 5027 New Utrecht Ave Brooklyn, NY (718) Drug Mart Pharmacy 4914 New Utrecht Ave Brooklyn, NY (718) Infusion Options th Ave Brooklyn, NY (718) New Utrecht Pharmacy 4624 New Utrecht Ave Brooklyn, NY (718) Rite Aid # Fort Hamilton Pkwy Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718) Brooklyn, NY St Pharmacy th Ave Brooklyn, NY (718) th Avenue Pharmacy th Ave Brooklyn, NY (718) AAUSADH Pharmacy th Ave Brooklyn, NY (718) ABC Pharmacy th Ave Brooklyn, NY (718) Absoluterx Pharmacy th St Brooklyn, NY (718) AM Pharmacy th Ave Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 17

30 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY American Pharmacy th Ave Brooklyn, NY (718) Bbrx Pharmacy th Ave Unit B Brooklyn, NY (718) Best Quality Care Pharmacy th Ave Brooklyn, NY (718) Duane Reade # th Ave Brooklyn, NY (718) Easy Choice Pharmacy th Ave Ste 102 Brooklyn, NY (718) Get Well Pharmacy th Ave Brooklyn, NY (718) Health Mart Pharmacy nd Ave Brooklyn, NY (347) Janus Pharmacy th St Brooklyn, NY (718) Kelly's Pharmacy th Ave Brooklyn, NY (718) Kinetic Pharmacy st St Brooklyn, NY (718) Mannings 8th Ave Pharmacy th Ave Ste G103 Brooklyn, NY (718) New York Drugs and Surgicals th Ave Brooklyn, NY (718) Plus Pharmacy th Ave Brooklyn, NY (718) Pyramids Rx Pharmacy th Ave Brooklyn, NY (718) Rite Aid # th Ave Ste 23 Brooklyn, NY (718) Rite Aid # th Ave Brooklyn, NY (718)

31 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Prestige Rx 858 Dekalb Ave Brooklyn, NY (646) Sam's Drugs 1367 Broadway Brooklyn, NY (718) Walgreens # Broadway Brooklyn, NY (718) Brooklyn, NY Duane Reade # Manhattan Ave Brooklyn, NY (718) Murawski Pharmacy 94 Nassau Ave # 98 Brooklyn, NY (718) Rite Aid # Manhattan Ave # 725 Brooklyn, NY (718) Rite Aid # Manhattan Ave Brooklyn, NY (718) Brooklyn, NY Community Aid Pharmacy 394 Ave P Brooklyn, NY (718) Dear Drugs 490 Ave P Brooklyn, NY (718) L and A Pharmacy 395 Ave X Brooklyn, NY (718) Mayflower Pharmacy 397 Kings Hwy Brooklyn, NY (718) Rite Aid # Kings Hwy Brooklyn, NY (718) Rite Aid # Ave X Brooklyn, NY (718) Walgreens # Kings Hwy Brooklyn, NY (718) Walgreens # Coney Island Ave Brooklyn, NY (718) Walgreens # Kings Hwy Brooklyn, NY (718) Brooklyn, NY Community Care Pharmacy 2913 Surf Ave Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 19

32 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rite Aid # Mermaid Ave # 27 Brooklyn, NY (718) Brooklyn, NY Established Drugs 1233 Nostrand Ave Brooklyn, NY (718) Rite Aid # Bedford Ave Brooklyn, NY (718) Sunshine Pharmacy 411 Kingston Ave Brooklyn, NY (718) Brooklyn, NY B and M Family Pharmacy 969 Flatbush Ave Brooklyn, NY (718) Duane Reade # Flatbush Ave Brooklyn, NY (718) Duane Reade # Cortelyou Rd Brooklyn, NY (718) Established Drugs 3001 Clarendon Rd Brooklyn, NY (718) Kings Court Drugs 610 E 16th St Brooklyn, NY (718) Parkside Chemists 1274 Nostrand Ave Brooklyn, NY (718) Rite Aid # Newkirk Ave Brooklyn, NY (718) Rite Aid # Flatbush Ave Brooklyn, NY (718) Rite Aid # Church Ave Brooklyn, NY (718) Sam Pharmacy 210 Parkside Ave Brooklyn, NY (718) Walgreens # Church Ave Brooklyn, NY (718) Walgreens # Church Ave Brooklyn, NY (718) Brooklyn, NY Rite Aid # th Ave Brooklyn, NY (718)

33 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rite Aid # th St # 34 Brooklyn, NY (718) Walgreens # th Ave Brooklyn, NY (718) Walgreens # th St Brooklyn, NY (347) Brooklyn, NY All Rx Pharmacy II 1231 Ave U Brooklyn, NY (718) Duane Reade # Ave U Brooklyn, NY (718) Duane Reade # Ave U Brooklyn, NY (718) Duane Reade # Kings Hwy Brooklyn, NY (718) Health Star Pharmacy 1422 Ave U Brooklyn, NY (718) Kingsbay Chemists 3610 Nostrand Ave Brooklyn, NY (718) One Stop Pharmacy 1220 Ave P Brooklyn, NY (718) Pharmacy Rx Express Pharmacy 1311 Gravesend Neck Rd Brooklyn, NY (718) Rite Aid # Ave U Brooklyn, NY (718) Rite Aid # Kings Hwy Brooklyn, NY (718) Rxchoice Pharmacy 1908 Ave U Brooklyn, NY (718) Sheepshead Bay Pharmacy 3558 Nostrand Ave Brooklyn, NY (718) Thriftway Pharmacy 1909 Kings Hwy Brooklyn, NY (718) Walgreens # Ave U Brooklyn, NY (347) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 21

34 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Aldav Pharmacy Inc 749 Ocean Pkwy Brooklyn, NY (718) Antelis Pharmacy 1709 Ave M Brooklyn, NY (718) Ave J Royal Care Pharmacy 1315 Ave J Brooklyn, NY (718) First Care Pharmacy 902 Foster Ave Brooklyn, NY (718) J Drugs 1205 Ave J Brooklyn, NY (718) Punjab Pharmacy 1018 Coney Island Ave Brooklyn, NY (718) Shoprite # McDonald Ave Brooklyn, NY (718) Walgreens # Ave J Brooklyn, NY (718) Welcome Pharmacy 1403 Foster Ave Brooklyn, NY (718) Brooklyn, NY Ram Drugs 120 Richards St Brooklyn, NY (718) Rite Aid # President St Brooklyn, NY (718) Brooklyn, NY Costco # rd Ave Brooklyn, NY (718) Phillips Pharmacy th Ave Brooklyn, NY (718) Brooklyn, NY Med Pharmacy 264 Malcolm X Blvd Brooklyn, NY (718) Rite Aid # Halsey St Brooklyn, NY (718) Rite Aid # Fulton St Brooklyn, NY (718)

35 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rossi Pharmacy 1891 Eastern Pkwy Brooklyn, NY (718) Brooklyn, NY Duane Reade # Ralph Ave Brooklyn, NY (718) J Drugs Ave N Brooklyn, NY (718) Rite Aid # Mill Ave Brooklyn, NY (718) Rite Aid # Utica Ave Brooklyn, NY (718) Rite Aid # Flatbush Ave Brooklyn, NY (718) Walgreens # Ave U Brooklyn, NY (718) Walgreens # Flatlands Ave Brooklyn, NY (347) Walgreens # Flatbush Ave Brooklyn, NY (718) Brooklyn, NY Voorhies Ave Pharmacy 1622 Voorhies Ave Brooklyn, NY (347) Ave X-Drugs 3050 Ave X Brooklyn, NY (347) Duane Reade # Ocean Ave Brooklyn, NY (718) International Holistic Pharmacy 3078 Brighton 6th St Brooklyn, NY (718) Monica's Pharmacy 1324 Sheepshead Bay Rd Brooklyn, NY (718) Pharmacy at the Wave 104 W End Ave Brooklyn, NY (718) Rite Aid # Ocean Ave Brooklyn, NY (718) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 23

36 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Rite Aid # Nostrand Ave Brooklyn, NY (718) Saab Pharmacy 291 Neptune Ave Brooklyn, NY (718) Stop and Shop # Ave Y Brooklyn, NY (718) Walgreens # Brighton Beach Ave Brooklyn, NY (718) Brooklyn, NY Dr J Pharmacy Flatlands Ave Brooklyn, NY (917) Rite Aid # Seaview Ave Brooklyn, NY (718) Rite Aid # Flatlands Ave Brooklyn, NY (718) Walgreens # Rockaway Pkwy Brooklyn, NY (718) Walgreens # Rockaway Pkwy Brooklyn, NY (718) Brooklyn, NY Bello's Pharmacy 179 Saint Nicholas Ave Brooklyn, NY (718) Harrico Drugs 214 Stanhope St Brooklyn, NY (718) Knickerbocker Chemists 360 Knickerbocker Ave Brooklyn, NY (718) Myrtle Drugs 1454 Myrtle Ave Brooklyn, NY (718) Rite Aid # Knickerbocker Ave Brooklyn, NY (718) Brooklyn, NY Fine Care Pharmacy 981 Fulton St Brooklyn, NY (718) Brooklyn, NY Duane Reade # Court St Brooklyn, NY (718)

37 PREFERRED RETAIL, INCLUDING CHAIN KINGS Brooklyn, NY Duane Reade # Bedford Ave Brooklyn, NY (718) Duane Reade # Kent Ave Brooklyn, NY (718) NASSAU Albertson, NY Rite Aid # Willis Ave Albertson, NY (516) Bayville, NY Bayville Pharmacy 253 Bayville Ave Bayville, NY (516) Bellmore, NY Keezac Pharmacy 111 Bedford Ave Bellmore, NY (516) Rite Aid # Sunrise Hwy Bellmore, NY (516) Bethpage, NY Bethpage Pharmacy 334 Broadway Bethpage, NY (516) Bethpage Pharmacy 4277 Hempstead Tpke Bethpage, NY (516) King Kullen Pharmacies 598 Stewart Ave Bethpage, NY (516) Rite Aid # Hempstead Tpke Bethpage, NY (516) Walgreens # Hempstead Tpke Bethpage, NY (516) Carle Place, NY Pharmacena Labs 516 Mineola Ave Carle Place, NY (888) Stop and Shop # Old Country Rd Carle Place, NY (516) East Atlantic Beach, NY Kings Pharmacy 1054 W Beech St East Atlantic Beach, NY (516) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 25

38 PREFERRED RETAIL, INCLUDING CHAIN NASSAU East Meadow, NY Rite Aid # Hempstead Tpke East Meadow, NY (516) Wal-Mart # Hemstead Tpke East Meadow, NY (516) Walgreens # Hempstead Tpke East Meadow, NY (516) Walgreens # Hempstead Tpke Ste East Meadow, NY (516) Elmont, NY Rite Aid # Hempstead Tpke Elmont, NY (516) Walgreens # Dutch Broadway Elmont, NY (516) Farmingdale, NY Stop and Shop # Motor Ave Farmingdale, NY (631) Floral Park, NY Rite Aid # Whitney Ave Floral Park, NY (516) Franklin Square, NY Franklin Square, NY (516) Franklin Square Pharmacy 925 Hempstead Tpke Freeport, NY Franklin Square, NY (516) Jayson Pharmacy 686 Dogwood Ave Franklin Square, NY (516) Rite Aid # New Hyde Park Rd Franklin Square, NY (516) Stop and Shop # Franklin Ave Franklin Square, NY (516) Walgreens # Franklin Ave Franklin Square, NY (516) Walgreens # Hempstead Tpke Cannon Pharmacy 23 S Main St Freeport, NY (516) Walgreens # Henry St Freeport, NY (516)

39 PREFERRED RETAIL, INCLUDING CHAIN NASSAU Garden City, NY Walgreens # Franklin Ave Ste Ml1 Garden City, NY (516) Garden City Park, NY Walgreens # Jericho Tpke Garden City Park, NY (516) Glen Cove, NY Rite Aid # Forest Ave Glen Cove, NY (516) Walgreens # Forest Ave Glen Cove, NY (516) Glen Head, NY Glen Head Pharmacy 699 Glen Cove Ave Glen Head, NY (516) Great Neck, NY Region Care 200 Community Dr Great Neck, NY (516) Rite Aid # Great Neck Rd Great Neck, NY (516) Sina Drug 225 Community Dr Ste 100 Great Neck, NY (516) Great Neck, NY Colony Pharmacy 481 Middle Neck Rd Great Neck, NY (516) Greenvale, NY Halsey Drugs and Surgicals 82 Glen Cove Rd Ste 14 Greenvale, NY (516) Stop and Shop # Wheatley Plz Greenvale, NY (516) Hempstead, NY Emblemhealth Pharmacy 226 Clinton St Hempstead, NY (516) Stop and Shop # Fulton Ave Hempstead, NY (516) Walgreens # Front St Hempstead, NY (516) All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, please visit our website at emblemhealth.com.medicare or call Customer Service. *Telecommunications Relay Service (TRS) is a toll-free national and state-wide service that provides full telephone accessibility to deaf, hard-of-hearing (hh) or speech disabled TTY users and hearing voice phone users. 27