Asuris Medicare Script Basic (PDP) and Asuris Medicare Script Enhanced (PDP) 2016 Pharmacy Directory

Transcription

1 Asuris Medicare Script Basic (PDP) and Asuris Medicare Script Enhanced (PDP) 2016 Pharmacy Directory This pharmacy directory was updated on November 12, For more recent information or other questions, please contact Asuris Northwest Health Member Services, at or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit asuris.com/medicare. Y0062_2016PharmacyDirectory_Accepted

2 Table of Contents Introduction Mail Order Pharmacies Home Infusion Pharmacies Long-Term Care Pharmacies Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Specialty Pharmacies Pharmacy Index MA_Rx

3 Introduction This booklet provides a list of Asuris Medicare Script Basic and Asuris Medicare Script Enhanced network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Asuris Medicare Script Basic and Asuris Medicare Script Enhanced formulary. When this pharmacy directory refers to we, us, or our, it means Asuris Northwest Health. When it refers to plans or our plans, it means Asuris Medicare Script Basic and Asuris Medicare Script Enhanced. 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 Asuris 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. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at asuris.com/medicare. You may also call Member Services for updated provider information. You can get prescription drugs shipped to your home through our network mail order delivery service. For more information, please contact us or see the mail order section of this pharmacy directory. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. 1

4 NATIONAL CHAING PHARMACIES OREGON ALBANY NATIONAL CHAING PHARMACIES ACCREDO HEALTH GROUP INC ALBERTSONS/SAVON PHARMACIES AMERITA INC BIMART CORPORATION CITY MARKET INC COMPLETE CLAIMS PROCESSING INC CORAM LLC COSTCO PHARMACIES CVS PHARMACY IN TARGET CVS PHARMACY INC FRED MEYER INC GENOA A QOL HEALTHCARE COMPANY LLC HARMONS CITY INC HI SCHOOL IHC HEALTH SERVICES INC K MART LONGS DRUG STORES CALIFORNIA LLC MEDICAP PHARMACIES INC MEDICINE SHOPPE INTERNATIONAL INC OMNICARE INC NCS HEALTHCARE LLC OPTION CARE ENTERPRISES INC PACMED CLINICS PHARMACA INTEGRATIVE PHARMERICA PHOENIX AREA IHS PILL BOX DRUGS INC PORTLAND AREA IHS PROCARE PHARMACY LLC QUALITY FOOD CENTERS INC RITE AID CORPORATION SAFEWAY INC SAV MOR DRUG STORES SHOPKO STORES OPERATING CO LLC SMITHS FOOD AND DRUG CENTER INC THE BARTELL DRUG COMPANY UNIVERSITY OF UTAH PHARMACIES WALGREENS DRUG STORE WALMART STORES INC YAKIMA VALLEY FARM WORKERS CLINIC OREGON ALBANY ELM STREET TH AVE SW ALBANY, GEARY STREET CLINIC 1700 SE GEARY ST ALBANY, MA_Rx 2

5 OREGON ASHLAND OREGON BEND OREGON (CONTINUED) ASHLAND ASHLAND DRUG 53 NORTH SECOND STREET ASHLAND, ASTORIA COLUMBIA MEMORIAL HOSPITAL OUTPATIENT 2120 EXCHANGE ST ASTORIA, PARAMOUNT DRUG 1319 COMMERCIAL ST ASTORIA, BAKER CITY BAKER CITY 1920 RESORT STREET BAKER CITY, BANKS BANKS NW MAIN ST STE 102 BANKS, BEAVERTON BEAVERTON SW CANYON RD BEAVERTON, OHSU KNIGHT CANCER INSTITUTE-BEAVERTON HEMATOLOGY ONCOLOGY O SW GREYSTONE CT BEAVERTON, OHSU MAIL ORDER 9315 SW NIMBUS AVE BEAVERTON, VG BEAVERTON 2935 SW CEDAR HILLS BLVD BEAVERTON, BEND BEND MEMORIAL CLINIC 1501 NE MEDICAL CENTER DR BEND, CASCADE CUSTOM AMBER MEADOW DR STE 170 BEND, COMMUNITY 2500 NE NEFF RD BEND, NORCHEM L L C DBA ROSE PHY 1247 NE MEDICAL CENTER DR BEND, WESTSIDE 359 SW CENTURY DR BEND, MA_Rx

6 OREGON BOARDMAN OREGON EUGENE OREGON (CONTINUED) BOARDMAN GOOD SHEPHERD BOARDMAN 220 S. MAIN BOARDMAN, BROWNSVILLE BROWNSVILLE 411 N MAIN BROWNSVILLE, CANBY DAVES PRESCRIPTION SHOP 911 SW 4TH AVE CANBY, PARSONS CANBY PHARMACY 294 NW 2ND AVE CANBY, CANYONVILLE GORDON'S PHARMACY AND GIFTS 314 MAIN ST CANYONVILLE, CLACKAMAS SUNNYSIDE SE SUNNYSIDE RD STE 100A CLACKAMAS, CONDON MURRAYS CONDON 225 SOUTH MAIN CONDON, CORNELIUS VIRGINIA GARCIA MEM HLTH CTR PHCY 1151 N ADAIR ST CORNELIUS, CORVALLIS CORVALLIS CLINIC 3680 NW SAMARITAN DR CORVALLIS, HEALTH SERVICES 530 NW 27TH ST CORVALLIS, OSU STUDENT HLTH CTR PHCY PLAGEMAN BUILDING ROOM 109 CORVALLIS, SAMARITAN PHARMACY SERVICES 3521 NW SAMARITAN DR STE 202 CORVALLIS, COTTAGE GROVE COTTAGE GROVE COMMUNITY HOSPITAL 1515 VILLAGE DR COTTAGE GROVE, ENTERPRISE OLIVE BRANCH 306 W NORTH ST ENTERPRISE, EUGENE BROADWAY APOTHECARY 1515 OAK ST EUGENE, MA_Rx 4

7 OREGON EUGENE OREGON GRESHAM OREGON (CONTINUED) EUGENE (CONTINUED) HIRONS DRUG #1 185 E 18TH AVE EUGENE, HIRONS DRUG # FRANKLIN BLVD EUGENE, RIVER ROAD HEALTHMART 884 RIVER ROAD EUGENE, SACRED HEART MEDICAL CENTER - UNIV DISTRICT 1255 HILYARD ST EUGENE, HOUR SERVICE SYNERGY RX 55 COBURG RD EUGENE, WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER 520 COUNTRY CLUB RD EUGENE, GOLD BEACH CORNER DRUG ELLENSBURG AVE GOLD BEACH, GOLD HILL GOLD HILL 808 2ND AVE GOLD HILL, GRANTS PASS ASANTE THREE RIVERS 500 SW RAMSEY AVE GRANTS PASS, GRANTS PASS PHARMACY, INC. 414 SW 6TH ST GRANTS PASS, RXMEDLAB 162 NE BEACON DR GRANTS PASS, SISKIYOU COMMUNITY HEALTH CENTER PHARMACY 1701 NW HAWTHORNE AVE GRANTS PASS, TRINITY VALLEY PHARMACY LLC RETAIL 2001 FOOTHILL BLVD GRANTS PASS, GRESHAM EAST COUNTY CLINIC 600 NE 8TH ST SUITE 300 GRESHAM, LEGACY MOUNT HOOD MEDICAL CENTER SE STARK ST GRESHAM, MA_Rx

8 OREGON HARRISBURG OREGON LA GRANDE OREGON (CONTINUED) HARRISBURG HARRISBURG 230 N 3RD ST HARRISBURG, HEPPNER MURRAY DRUG INC 217 N MAIN ST HEPPNER, HERMISTON GOOD SHEPHERD CLINIC 610 NW 11TH ST HERMISTON, HERMISTON DRUG AND GIFT 114 MAIN ST HERMISTON, HILLSBORO HILLSBORO 243 E MAIN HILLSBORO, INTEL HEALTH FOR LIFE CENTER 2111 NE 25TH AVE HILLSBORO, PROVIDENCE TANASBOURNE NW CORNELL RD STE 102 HILLSBORO, VG HILLSBORO 226 SE 8TH AVE HILLSBORO, ZOOMCARE NW TANASBOURNE DR STE 210 HILLSBORO, JOHN DAY LENS DRUG 120 E MAIN ST JOHN DAY, KING CITY MCCANNS SW 116TH AVE KING CITY, KLAMATH FALLS SKY LAKES OUTPATIENT 2865 DAGGETT AVENUE KLAMATH FALLS, LA GRANDE GRANDE RONDE HOSPITAL 900 SUNSET DR LA GRANDE, RED CROSS DRUG STORE 1123 ADAMS AVE LA GRANDE, MA_Rx 6

9 OREGON LA PINE OREGON MEDFORD OREGON (CONTINUED) LA PINE DRUG MART HUNTINGTON RD LA PINE, LAKE OSWEGO CCP RX 6025 SW JEAN RD LAKE OSWEGO, LAKEVIEW HOWARDS DRUGS 101 NORTH F STREET LAKEVIEW, LEBANON SAMARITAN LEBANON COMMUNITY 35 MULLINS DR LEBANON, MADRAS HOMETOWN DRUGS 65 NE OAK ST STE 100 MADRAS, MCMINNVILLE MAC PRESCRIPTION SHOP 225 NE 3RD STREET MCMINNVILLE, MAC PRESCRIPTION SHOP AT PMC 2435 NE CUMULUS AVE STE C MCMINNVILLE, VG MCMINNVILLE 115 NE MAY LN MCMINNVILLE, MEDFORD ASANTE 2900 E BARNETT RD MEDFORD, ASANTE RRMC 2825 E BARNETT RD MEDFORD, HOUR SERVICE BLACK OAK 2924 SISKIYOU BLVD MEDFORD, CHRISTIAN'S DOWNTOWN 333 N RIVERSIDE AVE MEDFORD, LONE PINE DRUG 3528 LONE PINE RD # 2 MEDFORD, ROGUE COMMUNITY HEALTH 11 MYRTLE ST MEDFORD, MA_Rx

10 OREGON MEDFORD OREGON PORTLAND OREGON (CONTINUED) MEDFORD (CONTINUED) ROGUE VALLEY MANOR 1250 MIRA MAR AVE MEDFORD, WELLNESS 1150 CRATER LAKE AVENUE MEDFORD, WEST MAIN 2355 WEST MAIN ST MEDFORD, MERRILL THE MERRILL CLINIC LLC 125 N LINCOLN ST MERRILL, MILL CITY MILL CITY 218 SW BROADWAY MILL CITY, MYRTLE POINT SEMPERTS DRUG 735 SPRUCE ST MYRTLE POINT, NEWBERG CENTER 502 VILLA RD NEWBERG, NORTH BEND WATERFALL COMMUNITY 1890 WAITE ST STE 1 NORTH BEND, NYSSA MALHEUR DRUG INC 424 MAIN ST NYSSA, OAKRIDGE POSTAL PHARMACY,INC HWY 58 OAKRIDGE, PHILOMATH PHILOMATH FAMILY 1640 MAIN ST PHILOMATH, PHOENIX PHOENIX 404 N MAIN ST PHOENIX, SE POWELL BLVD STE J PORTLAND, APEX 1215 NW 23RD AVE PORTLAND, APOTHECARY AT GOOD SAMARITAN 1040 NW 22ND AVENUE PORTLAND, MA_Rx 8

11 OREGON PORTLAND OREGON PORTLAND OREGON (CONTINUED) PORTLAND (CONTINUED) APOTHECARY EMANUEL 501 N GRAHAM ST PORTLAND, BOWMANS HILLSDALE 6256 SW CAPITOL HWY PORTLAND, BROOKLYN PHARMACY INC 3131 SE MILWAUKIE AVENUE PORTLAND, CENTRAL CITY CONCERN 727 W BURNSIDE ST PORTLAND, CENTRAL DRUGS 538 SW 4TH AVE PORTLAND, COLUMBIA 8122 SE TIBBETTS STREET PORTLAND, COMMUNITY SW CAPITAL HIGHWAY PORTLAND, FAIRLEYS 7206 NE SANDY BLVD PORTLAND, GOLDEN DAWN CLINIC 2448 SE 89TH AVE STE 1 PORTLAND, HEALTHSCRIPTS OF AMERICA - PORTLAND, LLC SW PARK WAY PORTLAND, LLOYD CENTER 438 EAST BURNSIDE ST PORTLAND, MEDICAL OFFICE BUILDING PHCY 9155 SW BARNES RD PORTLAND, MIDCOUNTY CLINIC SE DIVISION ST PORTLAND, MULTNOMAH COUNTY OREGON- ROCKWOOD HEALTH CLINIC 2020 SE 182ND AVE PORTLAND, N PORTLAND CLINIC 9000 N LOMBARD ST PORTLAND, MA_Rx

12 OREGON PORTLAND OREGON PORTLAND OHSU DOERNBECHER OREGON (CONTINUED) CHILDRENS HOSPITAL PORTLAND (CONTINUED) 3181 SW SAM JACKSON PARK NORTHEAST CLINIC ROAD PORTLAND, NE MARTIN L KING JR BLVD PORTLAND, OHSU GABRIEL PARK 4411 SW VERMONT AVE NORTHWEST UROLOGY LLC PORTLAND, NW PETTYGROVE ST PORTLAND, OHSU CASEY EYE INSTITUTE OHSU OUTPATIENT PHCY 3181 SW SAM JACKSON PARK 3375 SW TERWILLIGER BLVD RD PORTLAND, PORTLAND, OHSU CENTER FOR HEALTH AND HEALING OHSU RICHMOND CLINIC 3303 SW BOND AVE PORTLAND, SE DIVISION PORTLAND, PAULSENS 4246 NE SANDY BLVD PORTLAND, PORTLAND PROFESSIONAL NE GLISAN ST PORTLAND, PROVIDENCE PLAZA 5050 NE HOYT PORTLAND, SOUTHEAST HEALTH CLINIC 3653 SE 34TH AVE PORTLAND, STROHECKERS 2855 SW PATTON RD PORTLAND, MA_Rx 10

13 OREGON PORTLAND OREGON SALEM OREGON (CONTINUED) PORTLAND (CONTINUED) WESTSIDE CLINIC PHARMACY 426 SW STARK PORTLAND, PRINEVILLE CLINIC 198 NE COMBS FLAT RD PRINEVILLE, REDMOND COMMUNITY PHARMACY REDMOND 1253 N. CANAL BLVD. REDMOND, REEDSPORT LOWER UMPQUA HOSPITAL 600 RANCH RD REEDSPORT, REEDSPORT PHARMACY INC 1409 HWY 101 REEDSPORT, ROSEBURG HARVARD AVENUE DRUGS AND HEALTH MART 1175 W HARVARD AVE ROSEBURG, HOMETOWN DRUGS 1813 W HARVARD AVE STE 210 ROSEBURG, NW 1350 NORTHEAST STEPHENS ROSEBURG, SALEM CALHOUN 990 COMMERCIAL ST SE SALEM, HEMATOLOGY ONCOLOGY OF SALEM, LLP 875 OAK ST SE STE 4030 SALEM, MEDICINE SHOPPE 1890 CAPITOL STREET NE SALEM, OAK TREE 2940 COMMERCIAL ST SE SALEM, PHYSICIANS BUILDING 1234 COMMERICAL ST SE SALEM, QUISENBERRY PHARMACIES 150 LIBERTY ST SE SALEM, SALEM HOSPITAL 890 OAK ST SE SALEM, HOUR SERVICE 11 MA_Rx

14 OREGON SALEM OREGON TOLEDO OREGON (CONTINUED) SALEM (CONTINUED) SALEM HOSPITAL COM RETAIL 890 OAK ST SE SALEM, WILLAMETTE UROLOGY PC TH ST SE SALEM, SEASIDE PROVIDENCE SEASIDE 725 S WAHANNA RD SEASIDE, SHADY COVE SHADY COVE HWY 62 SHADY COVE, SILETZ SILETZ COMMUNITY HEALTH CLINIC 107 SE SWAN ST SILETZ, SPRINGFIELD OREGON UROLOGY INSTITUTE, PC 2400 HARTMAN LANE SPRINGFIELD, SACRED HEART - RIVERBEND 3333 RIVERBEND DR SPRINGFIELD, HOUR SERVICE STAYTON STAYTON 102 MARTIN DR STAYTON, SUNRIVER SUNRIVER VENTURE LN SUNRIVER, SUTHERLIN SUTHERLIN DRUG 113 CENTRAL AVE E SUTHERLIN, SWEET HOME ECONOMY DRUGS 621 MAIN ST SWEET HOME, TILLAMOOK TILLAMOOK 915 MAIN AVE TILLAMOOK, TOLEDO MIKES 722 W HIGHWAY 20 TOLEDO, MA_Rx 12

15 OREGON TUALATIN ABERDEEN OREGON (CONTINUED) TUALATIN MERIDIAN PARK MEDICAL CENTER COMMUNITY SW 65TH AVE TUALATIN, TUALATIN SW MARTINAZZI AVE TUALATIN, WELLPARTNER SW 115TH AVE STE 100 TUALATIN, WELLPARTNER SW 115TH AVE STE 100 TUALATIN, UMATILLA CARLSONS UMATILLA 821 6TH ST UMATILLA, UNION UNION DRUG COMPANY 105 N MAIN UNION, VALE MALHEUR DRUG 198 A ST W VALE, WELCHES WILLIAMS PHARMACY LLC E HIGHWAY 26 WELCHES, WHEELER RINEHART PHARMACY, LLC 278 ROWE ST WHEELER, WHITE CITY CASCADE 7591A CRATER LAKE HWY WHITE CITY, WINSTON VALLEY DRUGS 157 NW DOUGLAS BLVD WINSTON, WOODBURN WOODBURN HEALTH CENTER 1475 MOUNT HOOD AVE WOODBURN, ABERDEEN ABERDEEN HEALTH MART 1812 SUMNER AVE ABERDEEN, MA_Rx

16 ABERDEEN BELLINGHAM (CONTINUED) ABERDEEN (CONTINUED) CITY CENTER DRUG 108 E WISHKAH ST ABERDEEN, SWANSON'S OWL PHARMACY 117 N BOONE ST ABERDEEN, ANACORTES FAMILY TH ST ANACORTES, ARLINGTON ARLINGTON 540 N WEST AVE ARLINGTON, AUBURN HEALTHPOINT AUBURN 126 AUBURN AVE AUBURN, BAINBRIDGE ISLAND WINSLOW DRUG 290 WINSLOW WAY E BAINBRIDGE ISLAND, BELLEVUE BELLEVUE CLINIC AND SURGERY CENTER TH AVE NE BELLEVUE, LAKEMONT 4935 LAKEMONT BLVD SE STE B4 BELLEVUE, PHARMACY PLUS INC TH AVENUE NE BELLEVUE, BELLINGHAM BELLINGHAM UROLOGY GROUP PLLC 340 BIRCHWOOD AVE BELLINGHAM, HOAGLAND 2330 YEW ST BELLINGHAM, INTERFAITH 218 UNITY ST BELLINGHAM, RX MART 300 E SUNSET DR BELLINGHAM, MA_Rx 14

17 BENTON CITY CENTRALIA (CONTINUED) BENTON CITY LOGAR TH ST BENTON CITY, BONNEY LAKE FRANCISCAN PHARMACY BONNEY LAKE 9230 SKY ISLAND DR E BONNEY LAKE, RXPRESS STATE ROUTE 410 E STE # 4 BONNEY LAKE, BOTHELL HEALTHPOINT BOTHELL BEARDSLEE BLVD BOTHELL, BREMERTON APOTHECARY SHOPPE 2500 CHERRY AVE BREMERTON, PENINSULA COMMUNITY HEALTH SERVICES BREMERTON 616 6TH ST BREMERTON, PENINSULA COMMUNITY HEALTH SERVICES PHARMACY - BREMERTON - WH 2508 WHEATON WAY BREMERTON, BREWSTER BREWSTER HEALTH MART DRUG 811 STATE HWY 97 NINTH BREWSTER, FAMILY HEALTH CENTERS 525 W JAY BREWSTER, BUCKLEY CHUCKS UNITED DRUGS 787 MAIN ST BUCKLEY, CAMANO ISLAND MARKS CAMANO PHARMACY PC 370 NE CAMANO DR CAMANO ISLAND, CASHMERE DOANES VALLEY PHARMACY 119 COTTAGE AVE CASHMERE, CASTLE ROCK CASTLE ROCK 117 1ST SW CASTLE ROCK, CENTRALIA HALLS DRUG CENTER 505 S TOWER AVE CENTRALIA, MA_Rx

18 CENTRALIA CONCRETE (CONTINUED) CENTRALIA (CONTINUED) PROVIDENCE HOSPITAL 914 S SCHEUBER RD CENTRALIA, HOUR SERVICE CHELAN LAKE CHELAN PHARMACY INC 223 E JOHNSON CHELAN, CHENEY CHENEY OWL 120 F ST CHENEY, CHEWELAH AKERS UNITED DRUG 406 N PARK ST CHEWELAH, VALLEY DRUG CO 102 E MAIN AVE CHEWELAH, CLARKSTON CLARKSTON HEIGHTS TH AVE CLARKSTON, OWL TRI-STATE 1275 HIGHLAND AVE CLARKSTON, WASEM 800 6TH ST CLARKSTON, CLE ELUM CAVALLINI 106 E 1ST ST CLE ELUM, CLE ELUM DRUG HEALTH MART 219 E 1ST ST CLE ELUM, COLFAX TICK KLOCK DRUGS LLC 109 S MAIN COLFAX, COLVILLE PROVIDENCE NORTHEAST MEDICAL GROUP 1200 E COLUMBIA AVE COLVILLE, SUPER NORTH HIGHWAY COLVILLE, UPTOWN DRUG 358 N MAIN ST COLVILLE, CONCRETE SEA MAR COMMUNITY HEALTH CENTERS 7438 SOUTH D AVENUE CONCRETE, MA_Rx 16

19 COUPEVILLE EASTSOUND (CONTINUED) COUPEVILLE WHIDBEY GENERAL HOSPITAL 101 N MAIN ST COUPEVILLE, DARRINGTON DARRINGTON 1200 SEEMAN ST DARRINGTON, DAVENPORT DAVENPORT GOOD NEIGHBOR 525 MORGAN ST DAVENPORT, LINCOLN COUNTY HEALTHMART PHARM 621 MORGAN S DAVENPORT, DAYTON ELK DRUG 176 E MAIN ST DAYTON, DEER PARK CHAS NORTH COUNTY 401 S MAIN ST DEER PARK, DES MOINES DES MOINES DRUG STORE INC 627 S 227TH ST DES MOINES, HEALTHPOINT - MIDWAY PACIFIC HWY S STE 102 DES MOINES, DUPONT DUPONT 1545 WILMINGTON DR STE 160 DUPONT, DUVALL DUVALL FAMILY DRUGS MAIN ST NE DUVALL, EAST WENATCHEE FOOD PAVILION 315 VALLEY MALL PKWY EAST WENATCHEE, EASTSOUND RAYS 5 TEMPLIN CTR EASTSOUND, MA_Rx

20 EATONVILLE ELMA (CONTINUED) EATONVILLE KIRKS 104 MASHELL AVE EATONVILLE, EDMONDS COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY EDMONDS HIGHWAY 99 EDMONDS, EDMONDS TH ST SW STE D-100 EDMONDS, EDMONDS STEVENS HEALTH CENTER TH AVE W STE 104A EDMONDS, FAMILY TH ST SW STE 100 EDMONDS, HIGHLAND HWY 99 EDMONDS, PAKTIA 315 5TH AVE S UNIT C EDMONDS, PAVILION TH ST SW EDMONDS, SOUND UROLOGICAL ASSOCIATES PS TH AVE W EDMONDS, THE APOTHECARY 300 ADMIRAL WAY STE 107 EDMONDS, ELLENSBURG COMMUNITY HEALTH OF CENTRAL ELLENSBURG 521 E. MOUNTAIN VIEW AVE ELLENSBURG, DOWNTOWN HEALTH MART 414 N PEARL ST ELLENSBURG, SUPER E MOUNTAIN VIEW AVE ELLENSBURG, ELMA ELMA 221 W MAIN ST ELMA, MA_Rx 18

21 ENUMCLAW FEDERAL WAY (CONTINUED) ENUMCLAW JIMS 3021 GRIFFIN AVE ENUMCLAW, EVERETT CHC OF SNOHOMISH COUNTY EVERETT-NORTH PHARMACY 1424 BROADWAY EVERETT, CHC OF SNOHOMISH COUNTY EVERETT-SOUTH PHARMACY TH ST SW EVERETT, PROVIDENCE MEDICAL CENTER 1321 COLBY AVE EVERETT, PROVIDENCE MILL CREEK BOTHELL EVERETT HWY EVERETT, SEA MAR COMMUNITY HEALTH CENTER PHARMACY TH ST SE STE B EVERETT, SEVAN 620 SE EVERETT MALL WAY EVERETT, SHIRAZ 205 E CASINO RD EVERETT, EVERSON VALLEY DRUG 208 E MAIN ST EVERSON, FAIRFIELD FAIRFIELD OWL E 208 MAIN ST FAIRFIELD, FEDERAL WAY FRANCISCAN PHARMACY - FEDERAL WAY TH AVE S FEDERAL WAY, FRANCISCAN PHARMACY FIRST AVENUE ST AVE S FEDERAL WAY, HEALTHPOINT FEDERAL WAY TH PL S FEDERAL WAY, HIGHLAND PACIFIC HWY S FEDERAL WAY, ONURI TH AVE. S. BLDG B STE 2 FEDERAL WAY, MA_Rx

22 FIRCREST KELSO (CONTINUED) FIRCREST FIRCREST 1107 REGENTS BLVD FIRCREST, FORKS CHINOOK PHARMACY INC 11 S FORKS AVE FORKS, FRIDAY HARBOR FRIDAY HARBOR DRUG 210 SPRING ST W FRIDAY HARBOR, GIG HARBOR FRANCISCAN PHARMACY - ST ANTHONY CANTERWOOD BLVD NW GIG HARBOR, OLYMPIC 4700 PT FOSDICK DR NW GIG HARBOR, PURDY COST LESS PRESCRIPTIONS ND AVE NW GIG HARBOR, GOLDENDALE K-C PHARMACY INC 104 W MAIN ST GOLDENDALE, GRANITE FALLS PHARM A SAVE INC 207 E STANLEY ST # A GRANITE FALLS, HOQUIAM CROWN DRUG 2544 SIMPSON AVE HOQUIAM, HARBOR DRUG COMPANY 316 8TH ST HOQUIAM, ILWACO ILWACO DRUGS 101 1ST AVE SOUTH ILWACO, ISSAQUAH MEDICAL CENTER 450 NW GILMAN BLVD ISSAQUAH, SWEDISH ISSAQUAH RETAIL 751 NE BLAKELY DR ISSAQUAH, KALAMA GODFREYS 270 NE 1ST ST KALAMA, KELSO LJS FURNESS DRUG 114 S PACIFIC AVE KELSO, MA_Rx 20

23 KENMORE LACEY (CONTINUED) KENMORE OSTROMS DRUG & GIFT 6414 NE BOTHELL WAY KENMORE, KENNEWICK BENTON FRANKLIN ORTHOPEDIC ASSOCIATES 911 S ST STE B KENNEWICK, KADLEC CLINIC HEMATOLOGY AND ONCOLOGY 7360 W DESCHUTES AVE KENNEWICK, MEDICAL MALL 521 N YOUNG ST KENNEWICK, RELIANCE 133 N ELY ST STE C1 KENNEWICK, KENT HEALTHPOINT KENT 403 E MEEKER ST KENT, UNITED CARE PHARMACY- RETAIL E VALLEY HWY KENT, KENTON READY MEDS 1412 SW 43RD ST STE 120 KENTON, KETTLE FALLS KETTLE FALLS W 280 THIRD AVE KETTLE FALLS, KIRKLAND ASSURED PHARMACY # TH AVE NE KIRKLAND, EVERGREEN PROFESSIONAL CENTER NE 130TH LN KIRKLAND, LACEY HAWKS PRAIRIE HEALTH MART 2539 MARVIN RD NE STE E LACEY, METMEDS 5707 LACEY BLVD SE LACEY, MA_Rx

24 LAKEWOOD LYNNWOOD (CONTINUED) LAKEWOOD COMMUNITY HEALTH CARE GRAVELLY LAKE DR SW LAKEWOOD, FRANCISCAN PHARMACY ST. CLARE BRIDGEPORT WAY SW SUITE A1087 LAKEWOOD, GOOD 8741 SOUTH TACOMA WAY LAKEWOOD, INTERNATIONAL PHARMACY BRIDGEPORT WAY SW LAKEWOOD, LAKEWOOD 8720 SOUTH TACOMA WAY STE 103 LAKEWOOD, LEAVENWORTH VILLAGE 815 FRONT ST LEAVENWORTH, LIBERTY LAKE WELL LIFE LIBERTY LAKE E APPLEWAY LIBERTY LAKE, LONG BEACH LONG BEACH 101 BOLSTAD AVE 3 LONG BEACH, LONGVIEW PEACEHEALTH ST JOHN MEDICAL CENTER 1615 DELAWARE ST LONGVIEW, ST JOHN MEDICAL CENTER 1615 DELAWARE ST LONGVIEW, LOPEZ ISLAND LOPEZ ISLAND 352 LOPEZ RD LOPEZ ISLAND, LYNDEN FAIRWAY DRUG, INC 1758 FRONT ST LYNDEN, LYNNWOOD BETHEL 17414HWY 99 LYNNWOOD, LYNNWOOD COMMUNITY HEALTH CENTER PHARMACY TH ST SW LYNNWOOD, MA_Rx 22

25 LYNNWOOD MOUNT VERNON (CONTINUED) LYNNWOOD (CONTINUED) PHARMACY CARE TH ST SW STE A LYNNWOOD, MARYSVILLE HILTON 220 STATE AVE MARYSVILLE, MATTAWA WAHLUKE FAMILY HEALTH CENTER 601 GOVERNMENT WAY MATTAWA, MEDICAL LAKE MEDICAL LAKE OWL 123 E LAKE ST MEDICAL LAKE, MONROE PHARM A SAVE MONROE TH ST SE MONROE, PROVIDENCE PHARMACY MONROE N KELSEY STREET MONROE, MONTESANO VALU DRUG 201 PIONEER AVE E MONTESANO, MORTON COLTON 377 S 2ND ST MORTON, MOSES LAKE MOSES LAKE COMM HLTH CTR 605 S COOLIDGE ST MOSES LAKE, PIONEER MEDICAL CENTER PHCY 1550 S PIONEER WAY STE 105 MOSES LAKE, SOUTHGATE 2709 W. BROADWAY AVE MOSES LAKE, MOUNT VERNON HILLTOP 1223 E DIVISION ST MOUNT VERNON, MA_Rx

26 MOUNT VERNON OLYMPIA (CONTINUED) MOUNT VERNON (CONTINUED) SEA MAR COMMUNITY HEALTH CENTER PHARMACY 1400 N. LAVENTURE ROAD MOUNT VERNON, SKAGIT REGIONAL CLINICS MOUNT VERNON PHARMACY 1410 E KINCAID ST MOUNT VERNON, SKAGIT REGIONAL CLINICS RIVERBEND 2320 FREEWAY DR MOUNT VERNON, NEWPORT SEEBERS 336 S AVE NEWPORT, NINE MILE FALLS LAKE SPOKANE 5919 F HWY 291, STE 5 NINE MILE FALLS, NORMANDY PARK ACCESS ST AVE S STE C NORMANDY PARK, OAK HARBOR SAAR'S MARKETPLACE FOOD AND DRUG STATE ROUTE 20 OAK HARBOR, OCEAN PARK OCEAN PARK 1501 BAY AVE OCEAN PARK, OCEAN SHORES OCEAN SHORES 172 W CHANCE A LA MER NW OCEAN SHORES, ODESSA ODESSA DRUG 19 W 1ST AVE ODESSA, OKANOGAN OKANOGAN VALLEY 236 N. 2ND AVE. OKANOGAN, OLYMPIA PROVIDENCE ST PETER HOSPITAL 413 LILLY RD NE OLYMPIA, HOUR SERVICE RALPHS THRIFTWAY TH AVE E OLYMPIA, SAMY'S DRUG STORE 3525 ENSIGN RD NE STE H OLYMPIA, MA_Rx 24

27 OLYMPIA PORT HADLOCK (CONTINUED) OLYMPIA (CONTINUED) SEA MAR COMMUNITY HEALTH CENTERS 3030 LIMITED LANE NW OLYMPIA, VISTA ONCOLOGY INC PS 141LILLY ROAD NE OLYMPIA, VISTA ONCOLOGY INC, PS 420 MCPHEE RD SW OLYMPIA, WEST OLYMPIA PHARMACY, PLLC 400 YAUGER WAY SW STE B OLYMPIA, OMAK OMAK 903 ENGH RD STE A OMAK, OROVILLE OROVILLE 1416 MAIN ST OROVILLE, ORTING COPES 134 AVE S ORTING, OTHELLO OTHELLO FAMILY CLINIC 140 E MAIN ST OTHELLO, PASCO FIESTA 115 S 10TH AVE PASCO, LOURDES WEST PASCO 7425 WRIGLEY DR STE 104 PASCO, TCCH 515 W COURT ST PASCO, POMEROY POMEROY PHARMACY INC 764 MAIN ST POMEROY, PORT ANGELES JIMS PHARMACY AND HOME HEALTH 424 E 2ND ST PORT ANGELES, PORT HADLOCK TRI-AREA 65 OAK BAY ROAD PORT HADLOCK, MA_Rx

28 PORT ORCHARD RAYMOND (CONTINUED) PORT ORCHARD PENINSULA COMM HLTH SVCS PT ORCHARD 320 S KITSAP BLVD PORT ORCHARD, SOUTH PARK 1743 VILLAGE LN SE PORT ORCHARD, PORT TOWNSEND DONS PHARMACY INC 1151 WATER ST PORT TOWNSEND, POULSBO CASCADE SPECIALTY 325 HOSTMARK ST POULSBO, KITSAP TH AVE NE POULSBO, MEDORGANIZE 325 NE HOSTMARK ST, STE B POULSBO, PENINSULA COMMUNITY HEALTH SERVICES PHARMACY-POULSBO SEVENTH AVE NE POULSBO, PROSSER ELFERS LYON 820 MEMORIAL STREET PROSSER, PULLMAN SID'S 825 SE BISHOP BLVD PULLMAN, WSU HEALTH AND WELLNESS SERVICES 1125 SE ST PULLMAN, PUYALLUP FRANCISCAN PHARMACY CANYON ROAD CANYON RD E STE 110 PUYALLUP, KIRKS PHARMACY AT HARTLAND TH ST SE STE 2 PUYALLUP, KIRKS PHARMACY AT SUNRISE SUNRISE BLVD E STE 204 PUYALLUP, PARTNER ONCOLOGY RD ST SE PUYALLUP, RAYMOND SAGENS 515 COMMERCIAL ST RAYMOND, MA_Rx 26

29 REDMOND SEATTLE (CONTINUED) REDMOND HEALTHPOINT REDMOND NE 87TH ST STE B6 REDMOND, RENTON HEALTHPOINT CENTRAL FILL 947 POWELL AVE SW RENTON, SUNSET PLAZA 3188 NE SUNSET BLVD RENTON, THE PRESCRIPTION PAD PHARMACY - NORTH 3915 TALBOT RD S RENTON, THE PRESCRIPTION PAD PHARMACY - SOUTH 400 S 43RD ST RENTON, REPUBLIC REPUBLIC DRUG STORE 6 N CLARK AVE REPUBLIC, RICHLAND MALLEY'S 1906 GEORGE WAY RICHLAND, RX 800 SWIFT BLVD STE 140 RICHLAND, RITZVILLE RITZVILLE DRUG COMPANY 209 W MAIN AVE RITZVILLE, SEATTLE 45TH STREET CLINIC 1629 N 45TH ST SEATTLE, BALLARD PLAZA PHARMACY 1801 NW MARKET ST SEATTLE, BOB JOHNSONS 1407 NW 85TH ST SEATTLE, CABRINI PHARMACY SERVICES 901 BOREN AVE SEATTLE, CHESTERFIELD 720 7TH AVE SEATTLE, MA_Rx

30 SEATTLE SEATTLE (CONTINUED) SEATTLE (CONTINUED) COLUMBIA 4741 RAINIER AVE S SEATTLE, EASTERN'S 515 MINOR AVE SEATTLE, HARBORVIEW MEDICAL CENTER 325 9TH AVE SEATTLE, HOLLY PARK PHARMACY - ICHS 3815 SOUTH OTHELLO ST SEATTLE, ICHS-INTERNATIONAL DISTRICT 720 8TH AVE S SEATTLE, KATTERMANS SAND POINT 5400 SAND POINT WAY NE SEATTLE, KELLEY-ROSS PHARMACY AT THE POLYCLINIC 904 7TH AVE # 103 SEATTLE, KING PLAZA 7101 ML KING WY S SEATTLE, LAFFERTYS TH AVE NW SEATTLE, LOWRYS PRESCRIPTIONS MERIDIAN AVE N SEATTLE, LUKES 611 MAYNARD AVE S SEATTLE, MERIDIAN MERIDIAN AVE N STE 100 SEATTLE, NAVOS 2600 SW HOLDEN ST SEATTLE, NEIGHBORCARE HEALTH - RAINIER PARK PHARMACY CLINIC TH AVE S SEATTLE, NGUYENS 1221 S MAIN ST SEATTLE, RAINER AVE S SEATTLE, NORTHWEST KIDNEY CENTER PHCY 700 BROADWAY SEATTLE, MA_Rx 28

31 SEATTLE SEATTLE (CONTINUED) SEATTLE (CONTINUED) NORTHWEST PRESCRIPTION AND MEDICAL SUPPLY 1536 N 115TH ST SEATTLE, PACIFIC DRUGS INC 822 1ST AVE SEATTLE, PARK'S 401 NE RAVENNA BLVD SEATTLE, PIKE MARKET MEDICAL CLINIC 1930 POST ALLEY SEATTLE, PLANNED PARENTHOOD OF THE GREAT NORTHWEST 2001 E MADISON ST SEATTLE, RUBEINSTEIN MEMORIAL HEALTH CENTER PHARMACY 106 HALL HEALTH CENTER SEATTLE, RXTRA CARE TH AVE NE SEATTLE, SEA MAR CHC TH AVE S SEATTLE, SEATTLE CANCER CARE ALLIANCE PHCY 825 EASTLAKE AVE E SEATTLE, SEATTLE CHILDRENS OUTPATIENT 4800 SAND POINT WAY NE # OB6.402 SEATTLE, SEATTLE MEDS 1305 MADISON STREET SEATTLE, SWEDISH ARNOLD PAVILION 1221 MADISON ST SEATTLE, SWEDISH ORTHOPEDIC INSTITUTE 601 BROADWAY SEATTLE, SWEDISH PHARMACY CHERRY HILL TH AVE SEATTLE, SWEDISH PHARMACY FIRST HILL 747 BROADWAY SEATTLE, UNION CENTER 2324 EASTLAKE AVE E SEATTLE, UNIVERSITY OF WA MED CTR AMBULATORY 1959 NE PACIFIC ST SEATTLE, HOUR SERVICE 29 MA_Rx

32 SEDRO WOOLLEY SPOKANE (CONTINUED) SEDRO WOOLLEY HOAGLAND PHARMACY SOUTH 640 SR HWY 20 SEDRO WOOLLEY, HOMETOWN 640 SR HWY 20 SEDRO WOOLLEY, SKAGIT REGIONAL CLINICS SEDRO-WOOLLEY PHARMACY 1990 HOSPITAL DR SEDRO WOOLLEY, SELAH HOWARDS DRUG 119 E 3RD AVE SELAH, SELAH SAVE ON FOODS 800 N PARK CTR SELAH, SHELTON NEILS 512 W FRANKLIN SHELTON, SNONOMISH KUSLER'S 700 AVENUE D SNONOMISH, SNOQUALMIE RIDGE 7730 CENTER BLVD SE SNOQUALMIE, THE FALLS 8112 RAILROAD AVE SE SNOQUALMIE, SOUTH BEND SOUTH BEND 101 WILLAPA AVE SOUTH BEND, SPANAWAY SPANAWAY PACIFIC AVE S STE D2 SPANAWAY, SPOKANE BATES 3704 N NEVADA SPOKANE, CHAS CENTRALIZED MAIL- OUT 3919 N MAPLE ST LOWR LEVEL SPOKANE, MA_Rx 30

33 SPOKANE SPOKANE (CONTINUED) SPOKANE (CONTINUED) CHAS DENNY MURPHY W ND AVE SPOKANE, CHAS MAPLE 3919 N MAPLE ST SPOKANE, CHAS MARKET 5921 N MARKET ST SPOKANE, CHAS PERRY STREET 817 S PERRY ST SPOKANE, HART AND DILATUSH 601 W RIVERSIDE SPOKANE, LATAH 4235 S CHENEY SPOKANE RD SPOKANE, LIDGERWOOD OWL 5901 N LIDGERWOOD ST SPOKANE, MEDICAL ONCOLOGY ASSOCIATES PS 6001 N MAYFAIR ST SPOKANE, ORTHOPAEDIC SPECIALITY CLINIC 785 E HOLLAND AVE SPOKANE, PROVIDENCE SACRED HEART OUTPATIENT 101 W. 8TH AVENUE SPOKANE, RIVERPOINT 528 E SPOKANE FALLS BLVD SPOKANE, ROSAUERS E SPRAGUE AVE SPOKANE, W FRANCIS AVE SPOKANE, W 3RD AVE SPOKANE, E 29TH AVE SPOKANE, W 14TH AVE SPOKANE, N DIVISION ST SPOKANE, SIXTH AVENUE MEDICAL W 508 6TH AVE SPOKANE, SPOKANE URGENT CARE 5901 N LIDGERWOOD ST STE 126 SPOKANE, MA_Rx

34 SPOKANE TACOMA (CONTINUED) SPOKANE (CONTINUED) VALLEY MISSION PHARMACY E MISSION AVE SPOKANE, WELL LIFE LATAH 5608 S REGAL ST STE 102 SPOKANE, SPOKANE VALLEY CHAS VALLEY E INDIANA AVE STE 200 SPOKANE VALLEY, TRADING COMPANY E SPRAGUE AVE SPOKANE VALLEY, ST JOHN ST JOHN 18 E FRONT ST ST JOHN, SULTAN SULTAN PHARMACY AND NATURAL CARE 505 W STEVENS AVE SULTAN, SUMAS SUMAS DRUG 1143 CHERRY ST SUMAS, SUMNER NICHOLSONS SUMNER 910 ALDER AVE SUMNER, SUNNYSIDE YAKIMA NEIGHBORHOOD HEALTH SERVICES SUNNYSIDE 617 SCOON RD SUNNYSIDE, TACOMA CHUNG 9122 S TACOMA WAY TACOMA, COMMUNITY HEALTH CARE PACIFIC AVE TACOMA, MARTIN LUTHER KING JR WAY TACOMA, E 44TH ST TACOMA, COST LESS PRESCRIPTIONS INC 5431 PACIFIC AVE TACOMA, MA_Rx 32

35 TACOMA TONASKET (CONTINUED) TACOMA (CONTINUED) FRANCISCAN PHARMACY TACOMA 1608 S J ST TACOMA, LINCOLN 821 S 38TH ST TACOMA, MAI LINH 1211 S 11TH ST TACOMA, NORTHWEST MEDICAL SPECIALTIES INC 1624 S I ST STE 407 TACOMA, PARKLAND MARKETPLACE PACIFIC AVE S TACOMA, PUGET SOUND PHARMACY, LLC TH AVE STE 101 TACOMA, RANKOS STADIUM PHARMACY INC 101 TACOMA AVE N TACOMA, RUMED INC 3602 CENTER ST TACOMA, SEA MAR COMMUNITY HEALTH CENTERS 1112 S. CUSHMAN AVE. TACOMA, TACOMA EYE SURGEONS 502 S M ST TACOMA, TACOMA MEDICAL CENTER 1206 S 11TH ST TACOMA, UNION AVENUE 2302 S UNION AVE TACOMA, TEKOA TEKOA 124 N CROSBY TEKOA, TENINO HEDDENS 196 W SUSSEX AVE TENINO, TONASKET ROYS PHARMACY INC 318 S WHITCOMB TONASKET, MA_Rx

36 TOPPENISH WALLA WALLA (CONTINUED) TOPPENISH GIBBONS 117 S TOPPENISH AVE TOPPENISH, TUKWILA HEALTHPOINT TUKWILA MILITARY RD S STE 206 TUKWILA, TULALIP TULALIP TH AVE NE TULALIP, TUMWATER MARTIN'S SOUTHGATE DRUG 5201 CAPITOL BLVD S TUMWATER, YAUGER PARK FAMILY 1625 MOTTMAN RD SW STE 101 TUMWATER, TWISP ULRICHS VALLEY PHARMACY 423 E METHOW HWY TWISP, UNIVERSITY PLACE FRANCISCAN HOSPICE 2901 BRIDGEPORT WAY UNIVERSITY PLACE, VANCOUVER APOTHECARY AT SALMON CREEK 2121 NE 139TH ST VANCOUVER, PACIFIC NW SPECIALTY 3801 MAIN ST STE A VANCOUVER, PHSW PHARMACY AT MEDICAL CENTER 420 NE MOTHER JOSEPH PL VANCOUVER, THE VANCOUVER CLINIC 700 NE 87TH AVE VANCOUVER, THE VANCOUVER CLINIC PHARMACY COLUMBIA TECHNOLOGY CENTER 501 SE 172ND AVE STE 120 VANCOUVER, VANCOUVER CLINIC PHARMACY SALMON CREEK 2525 NE 139TH ST VANCOUVER, VASHON VASHON VASHON HWY SW VASHON, WALLA WALLA ADVENTIST HEALTH COMMUNITY 1111 S 2ND AVE WALLA WALLA, MA_Rx 34

37 WALLA WALLA YAKIMA (CONTINUED) WALLA WALLA (CONTINUED) PROVIDENCE ST MARY MEDICAL CENTER OUTPATIENT 401 W POPLAR ST WALLA WALLA, TALLMANS 4 W MAIN ST WALLA WALLA, WAPATO HORIZON 633 W 1ST ST WAPATO, WENATCHEE CENTRAL HOSPITAL PROFESSIONAL 933 RED APPLE RD, STE A WENATCHEE, COLUMBIA VALLEY COMM HLTH PHCY 600 ORONDO AVE STE 1 WENATCHEE, WENATCHEE CLINIC 820 N CHELAN AVE WENATCHEE, WESTPORT TWIN HARBOR 733 N MONTESANO WESTPORT, WINLOCK CEDAR VILLAGE PHARMACY 206 E WALNUT STREET WINLOCK, WOODINVILLE WOODINVILLE PHARMACY INC TH AVE NE WOODINVILLE, YAKIMA BARTONS CENTER 1011 W SPRUCE ST YAKIMA, CENTRAL FAMILY MEDICINE 1806 W LINCOLN AVE YAKIMA, MEDICINE MART WESTSIDE 3910 SUMMITVIEW AVE YAKIMA, MEMORIAL PHARMACY AT CORNERSTONE 4003 CREEKSIDE LOOP YAKIMA, MA_Rx

38 YAKIMA YELM (CONTINUED) YAKIMA (CONTINUED) NORTH STAR LODGE 808 N 39TH AVE YAKIMA, ROSAUERS 410 S 72ND AVE YAKIMA, TERRACE VILLAGE 4040 TERRACE HEIGHTS DR YAKIMA, TIETON VILLAGE DRUG 3708 TIETON DR YAKIMA, WRAYS CHALET THRIFTWAY 5605 SUMMITVIEW AVE YAKIMA, WRAYS THRIFTWAY 7200 W NOB HILL BLVD YAKIMA, YAKIMA NEIGHBORHOOD HEALTH SERVICES 12 S 8TH ST YAKIMA, YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DR YAKIMA, HOUR SERVICE YELM TIMS PHARMACY AND GIFT SHOP 106 FIRST STREET S YELM, MA_Rx 36

39 ARIZONA TEMPE Mail Order Pharmacies OREGON PORTLAND You can get prescription drugs shipped to your home through our network mail order delivery service. To refill your mail order prescriptions, 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. Typically, you should expect to receive your prescription drugs within 14 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 or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit asuris.com/medicare. ARIZONA TEMPE WALGREENS # S RIVER PKWY TEMPE, HOUR SERVICE FLORIDA MIRAMAR OPTUM HOME 9994 PREMIER PKWY MIRAMAR, ORLANDO WALGREENS # SOUTH PARK CIR ORLANDO, HOUR SERVICE OHIO AVON LAKE OPTUM HOME WALKER RD AVON LAKE, OREGON PORTLAND POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND, MA_Rx

40 OREGON BEND Home Infusion Pharmacies TUKWILA For more information, call Member Services. Phone numbers and hours are listed on the front and back of this book. OREGON BEND AXELACARE 2065 NE WILLIAMSON CT BEND, HOUR SERVICE EUGENE HOME PARENTERAL CARE 1000 S BERTELSEN NUMBER 5 EUGENE, HOUR SERVICE SACRED HEART HOME INFUSION 677 E. 12TH AVE EUGENE, PORTLAND PROVIDENCE SPECIALTY PHARMACY SERVICES- INFUSION/SPP 6410 NE HALSEY STREET PORTLAND, BELLINGHAM INFUSION SOLUTIONS 134 PRINCE AVE STE B BELLINGHAM, TUKWILA PROVIDENCE INFUSION AND PHARMACY SERVICES 3333 S 120TH PLACE TUKWILA, HOUR SERVICE MA_Rx 38

41 OREGON CLACKAMAS Long-Term Care Pharmacies OREGON PORTLAND Residents of a long-term care facility may access their prescription drugs covered under Asuris through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Member Services. Phone numbers and hours are listed on the front and back of this book. OREGON CLACKAMAS ISSE PHARMACY SERVICES SE 114TH AVE CLACKAMAS, EUGENE BHS 1455 WESTEC DR EUGENE, MANAGED HEALTHCARE 1750 WILLOW CREEK CIR EUGENE, GRANTS PASS TRINITY VALLEY PHARMACY LLC 2001 FOOTHILL BLVD F3 GRANTS PASS, GRESHAM GENOA HEALTHCARE 400 NE 7TH ST GRESHAM, LA GRANDE RED CROSS INSTITUTIONAL 206 DEPOT ST LA GRANDE, MILWAUKIE CONSONUS PHARMACY SERVICES LLC 4560 SE INTERNATIONAL WAY MILWAUKIE, OLSON LONG TERM CARE SE MCLOUGHLIN BLVD MILWAUKIE, ONTARIO PHS LONG TERM CARE 1085 N OREGON ST ONTARIO, OREGON CITY GENOA HEALTHCARE 998 LIBRARY CT RM 4 OREGON CITY, PORTLAND FAIRLEYS HEALTHCARE 7206 NE SANDY BLVD PORTLAND, LUKE-DORF NE SANDY BLVD PORTLAND, MA_Rx

42 OREGON PORTLAND Long-Term Care Pharmacies CENTRALIA OREGON (CONTINUED) PORTLAND (CONTINUED) PROVIDENCE SPECIALTY PHARMACY SERVICES - LTC 6410 NE HALSEY STREET PORTLAND, SALEM GENOA HEALTHCARE 750 FRONT ST NE SALEM, OREGON STATE HOSPITAL 2600 CENTER ST NE SALEM, STAYTON SUBLIMITY 102 MARTIN DR STAYTON, WILSONVILLE PROGRESS HEALTH SERVICES 9150 SW PIONEER COURT, WILSONVILLE, AUBURN GENOA HEALTHCARE 4508 AUBURN WAY N STE A104 AUBURN, BELLINGHAM CUSTOM PRESCRIPTION SHOPPE 1313 E MAPLE ST BELLINGHAM, HOAGLAND 1414 MEADOR AVENUE BELLINGHAM, BREMERTON GENOA HEALTHCARE 5455 ALMIRA DRIVE NE BREMERTON, BURIEN GENOA HEALTHCARE 1210 SW 136TH ST RM 101 BURIEN, CASHMERE DOANE'S SENIOR CARE 108 ELBERTA AVE CASHMERE, CENTRALIA HALLS LONG TERM CARE 505 S TOWER AVE STE 2B CENTRALIA, MA_Rx 40

43 EDMONDS Long-Term Care Pharmacies OLYMPIA (CONTINUED) EDMONDS EDMONDS STEVENS HEALTH CENTER LTC TH AVE W STE 104B EDMONDS, PAVILION HOMECARE TH ST SW EDMONDS, EVERETT GENOA HEALTHCARE 3322 BROADWAY STE 230 EVERETT, SHIRAZ SPECIALTY 205 E CASINO RD EVERETT, GIG HARBOR COSTLESS SENIOR SERVICES ND AVE NW GIG HARBOR, KENT A AND H PHARMACEUTICAL SERVICES 610 W MEEKER ST STE 201 KENT, PROPAC 7102 S 220TH ST KENT, UNITED CARE PHARMACY- LONG TERM CARE E VALLEY HWY KENT, LAKEWOOD GENOA HEALTHCARE TH AVE SW LAKEWOOD, INTERNATIONAL PHARMACY LTC BRIDGEPORT WAY SW LAKEWOOD, MARYSVILLE ARLINGTON PHARMACY PRIME CARE 9417 STATE AVE MARYSVILLE, MOUNTLAKE TERRACE MERCURY PHARMACY SVCS INC TH AVE W MOUNTLAKE TERRACE, OAK HARBOR ISLAND DRUG LTC # STATE ROUTE 20 OAK HARBOR, OLYMPIA NORTHWEST SPECIALTY TH AVE E OLYMPIA, MA_Rx

44 OLYMPIA Long-Term Care Pharmacies SNOHOMISH (CONTINUED) OLYMPIA (CONTINUED) PROVIDENCE MOTHER JOSEPH CCP 3333 ENSIGN RD NE OLYMPIA, ORTING SOLDIERS HOME 1301 ORTING KAPOWSIN HWY ORTING, PORT ORCHARD VETERANS HOME 1141 BEACH DR PORT ORCHARD, PULLMAN SID'S LTC 825 SE BISHOP BLVD STE 301B PULLMAN, REDMOND CONSONUS PHCY SVCS WA LLC NE 87TH ST REDMOND, RENTON READY MEDS 1412 SW 43RD ST RENTON, RICHLAND DENSOWS LTC 1011 WRIGHT AVE RICHLAND, RELIANT RX, LLC 767 WILLIAMS BLVD RICHLAND, SEATTLE GENEVA WOODS 1605 SOUTH 93RD ST SEATTLE, GENOA HEALTHCARE 1600 E OLIVE ST BLDG D SEATTLE, KELLEY ROSS LONG TERM CARE 2324 EASTLAKE AVE E SEATTLE, NORTHWEST MEDICATION MANAGEMENT 4120 STONE WAY N SEATTLE, OTTERSENS PHARMACEUTICAL SVCS GREENWOOD AVE N SEATTLE, PREMIERE LONG TERM CARE 1618 SOUTH LANE SUITE 204 SEATTLE, SNOHOMISH MATRX 1030 AVE D SNOHOMISH, MA_Rx 42

45 SPOKANE Long-Term Care Pharmacies YAKIMA (CONTINUED) SPOKANE 1ST AVE 6 E 1ST AVE SPOKANE, BATES PHARMACEUTICAL SERVICES 3704 N NEVADA SPOKANE, RELIANT RX LLC 2820 N ASTOR ST SPOKANE, SPOKANE VALLEY NORTHWEST HEALTH SYSTEMS INC 2818 N SULLIVAN RD BLDG 2E SPOKANE VALLEY, TACOMA LINCOLN PHARMACY LTC 821B S 38TH ST TACOMA, MEGA TH ST S STE A TACOMA, TUKWILA PROVIDENCE INFUSION AND PHARMACY SERVICES 3333 S 120TH PL TUKWILA, VANCOUVER GENEVA WOODS 6600 NE 112TH COURT VANCOUVER, PROPAC NE 95TH ST VANCOUVER, WOODINVILLE BELLEGROVE ND AVE NE WOODINVILLE, YAKIMA GENOA HEALTHCARE 402 S 4TH AVE YAKIMA, RIVER VILLAGE 3708 TIETON DR # A YAKIMA, MA_Rx

46 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies OREGON CHILOQUIN TAHOLAH Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Asuris' pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information please contact Member Services. Phone numbers and hours are listed on the front and back of this book. OREGON CHILOQUIN KLAMATH TRIBAL HEALTH 330 CHILOQUIN BLVD CHILOQUIN, GRAND RONDE GRAND RONDE HEALTH AND WELLNESS 9605 GRAND RONDE RD GRAND RONDE, PENDLETON YELLOWHAWK TRIBAL HEALTH CLINIC PHCY CONFEDERATED WAY PENDLETON, PORTLAND NARA INDIAN HEALTH CLINIC 15 N MORRIS PORTLAND, AUBURN MUCKLESHOOT HEALTH AND WELLNESS CENTER SE 392ND ST AUBURN, INCHELIUM INCHELIUM HEALTH CENTER 39 SHORTCUT RD INCHELIUM, NEAH BAY SOPHIE TRETTEVICK PHS INDIAN HLTH HWY 112 CLINIC RD NEAH BAY, OLYMPIA NISQUALLY TRIBAL 4816 SHE NAH NUM DR SE OLYMPIA, SEATTLE SEATTLE INDIAN HEALTH BOARD TH AVE S SEATTLE, SHELTON KAMILCHE 90 SE KLAH-CHE-MIN DR SHELTON, SPOKANE THE NATIVE PROJECT 1803 WEST MAXWELL AVE. SPOKANE, TACOMA PUYALLUP TRIBAL CLINIC PHCY 2209 E 32ND ST TACOMA, TAHOLAH ROGER SAUX HEALTH CLINIC 1505 KLA OOK WAH DR TAHOLAH, MA_Rx 44

47 OREGON BEAVERTON Specialty Pharmacies OREGON BEAVERTON OREGON BEAVERTON WALGREENS SPECIALTY PHARMACY # SW GEMINI BEAVERTON, MA_Rx

48 Pharmacy CENTRAL BATES PHARMACEUTICAL 8 BATES PHARMACY BEAVERTON PHARMACY ST AVE PHARMACY BELLEGROVE PHARMACY BELLEVUE CLINIC AND SURGERY 4 CENTER PHARMACY TH STREET CLINIC PHARMACY...27 BELLINGHAM UROLOGY GROUP PLLC A BEND MEMORIAL CLINIC... 3 A AND H PHARMACEUTICAL BENTON FRANKLIN ORTHOPEDIC SERVICES...41 ASSOCIATES ABERDEEN HEALTH MART BETHEL PHARMACY PHARMACY...13 BHS PHARMACY ACCESS PHARMACY BIMART CORPORATION... 2 ACCREDO HEALTH GROUP INC... 2 BLACK OAK PHARMACY... 7 ADVENTIST HEALTH COMMUNITY BOB JOHNSONS PHARMACY...27 PHARMACY...34 BOWMANS HILLSDALE PHARMACY...9 AKERS UNITED DRUG BREWSTER HEALTH MART DRUG...15 ALBERTSONS/SAVON PHARMACIES... 2 BROADWAY APOTHECARY... 4 AMERITA INC...2 BROOKLYN PHARMACY INC... 9 APEX PHARMACY...8 BROWNSVILLE PHARMACY... 4 APOTHECARY AT GOOD SAMARITAN...8 C APOTHECARY AT SALMON CREEK CABRINI PHARMACY SERVICES APOTHECARY EMANUEL... 9 CALHOUN APOTHECARY SHOPPE PHARMACY PHARMACY ARLINGTON PHARMACY...14 CARLSONS UMATILLA PHARMACY...13 ARLINGTON PHARMACY PRIME CASCADE CUSTOM PHARMACY... 3 CARE CASCADE PHARMACY ASANTE PHARMACY... 7 CASCADE SPECIALTY PHARMACY ASANTE RRMC PHARMACY... 7 CASTLE ROCK PHARMACY ASANTE THREE RIVERS PHARMACY... 5 CAVALLINI PHARMACY...16 ASHLAND DRUG... 3 CCP RX... 7 ASSURED PHARMACY # CEDAR VILLAGE PHARMACY...35 AXELACARE CENTER PHARMACY... 8 B CENTRAL CITY CONCERN PHARMACY... 9 BAKER CITY PHARMACY... 3 CENTRAL DRUGS... 9 BALLARD PLAZA PHARMACY CENTRAL FAMILY BANKS PHARMACY...3 MEDICINE PHARMACY...35 BARTONS CENTER PHARMACY...35 CENTRAL HOSPITAL PROFESSIONAL PHARMACY...35 MA_Rx 46