2019 PHARMACY DIRECTORY

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1 HealthPartners Freedom Basic (Cost) HealthPartners Freedom Vital (Cost) HealthPartners Freedom Vital with Rx (Cost) HealthPartners Freedom Balance (Cost) HealthPartners Freedom Balance with Rx (Cost) HealthPartners Freedom Ultimate (Cost) HealthPartners Freedom Group (Cost) (Collectively known as HealthPartners Freedom) 2019 PHARMACY DIRECTORY This Pharmacy Directory was updated August For more recent information or other questions, please contact HealthPartners Member Services at: or or, for TTY users, 711. From Oct. 1 through March 31, we take calls from 8 a.m. to 8 p.m. CT, seven days a week. You ll speak with a representative. From April 1 to Sept. 30, call us 8 a.m. to 8 p.m. CT, Monday through Friday to speak with a representative. On Saturdays, Sundays and Federal holidays, you can leave a message and we ll get back to you within one business day. Or visit healthpartners.com/medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at healthpartners.com/partdpharmacy. You may also call Member Services for updated provider information. H2462_112878_C NM 09/2018

2 Table of contents Introduction Retail pharmacies, including chain pharmacies Mail-order pharmacies Home infusion pharmacies Long-term care pharmacies Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies National chain pharmacies

3 Introduction This booklet provides a list of HealthPartners network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage (EOC) and HealthPartners 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 HealthPartners 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. 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 marked these pharmacies with - 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. 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. Pharmacies are organized first by type of pharmacy, then alphabetically by state, city and pharmacy name. 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 August For the most current list, please contact us. Our contact information appears on the front and back cover pages. 2

4 Retail pharmacies, including chain pharmacies For more information, contact Member Services at the numbers on the front cover or TRS Relay at 711. MINNESOTA Aitkin 25 Second St Ne Aitkin, MN (218) Shopko 190 Southgate Dr Aitkin, MN (218) Arlington Morreim 201 W Main St Arlington, MN (507) Aurora Essentia Health Northern Pines Medical * 5211 Hwy 110 Aurora, MN (218) Bigfork Bigfork Valley 258 Pine Tree Dr Bigfork, MN (218) Browns Valley Lewis Family Drug * 332 Broadway Browns Valley, MN (320) Canby Canby Drug * 130 St Olaf Ave N Canby, MN (507) Cannon Falls Family Fare Pharmacy 3348 * 425 Main St W Cannon Falls, MN (507) Mayo Clinic Pharmacy Cannon Falls County 24 Blvd Cannon Falls, MN (507) Chisholm Casey Drug * 121 W Lake St Chisholm, MN (218) Clarkfield Larson Drug * th St Clarkfield, MN (320) Cloquet The Medicine Shoppe 1208 Cloquet Avenue Cloquet, MN (218) The Medicine Shoppe 419 Skyline Blvd Cloquet, MN (218) Doddridge Ave Cloquet, MN (218) Walmart Pharmacy * 1308 Hwy 33 South Cloquet, MN (218) White Drug * 707 Highway 33 South Suite 12 Cloquet, MN (218) Cook Franks Pharmacy Inc * 1 Vermilion Dr Cook, MN (218) Deer River Ott Drug Store * 117 Main Ave E Deer River, MN (218) Duluth Cub 615 W Central Entrance Duluth, MN (218) E Superior St Duluth, MN (218) Miller Trunk Hwy Duluth, MN (218) Grand Ave Duluth, MN (218) Essentia Health Duluth 1st Street 420 E 1st St Ste A Duluth, MN (218) Essentia Health Duluth 3rd Street 400 E 3rd St Ste A Duluth, MN (218) Essentia Health Lakeside 4621 E Superior St Ste A Duluth, MN (218) Essentia Health Lakewalk Pharmacy * 1502 London Rd Ste 101 Duluth, MN (218) Essentia Health West Duluth 4212 Grand Ave Ste A Duluth, MN (218) Fairview Home Infusion Duluth * 1527 London Rd Duluth, MN (218) Falks Nursing Service * 221 E 14th St Duluth, MN (218) Northland 1000 E 1st St Duluth, MN (218) Shopko 801 W Central Entrance Duluth, MN (218) N Central Ave Duluth, MN (218) E Superior St Duluth, MN (218) Miller Trunk Hwy Duluth, MN (218) Kenwood Avenue Duluth, MN (218) Edgerton Guidepoint 735 Main St Edgerton, MN (507) * indicates pharmacies able to fill up to a three month supply of medications. 3

5 RETAIL AND CHAIN PHARMACIES Ely Ely Community 328 W Conan St Ely, MN (218) Shopko 1500 E Sheridan St Ely, MN (218) Eveleth Jons Drug * 318 Grant Ave Eveleth, MN (218) Faribault Allina Health District One 200 State Avenue Faribault, MN (507) Hy-Vee Pharmacy (1177) * 1920 Grant Street Faribault, MN (507) Sterling Drug * 430 2nd Ave Nw Faribault, MN (507) th St Nw Faribault, MN (507) Walmart Pharmacy * 150 Western Avenue Faribault, MN (507) Gaylord First Choice 660 3rd St Gaylord, MN (507) Glencoe Coborns th St E Glencoe, MN (320) Shopko th St E Glencoe, MN (320) Grand Marais Grand Marais 425 W Highway 61 Grand Marais, MN (218) North Shore 21 West Highway 61 Grand Marais, MN (218) Grand Rapids 2140 S Pokegama Ave (218) Essentia Health Grand Rapids 1542 Golf Course Rd Ste 205 (218) Globe Drug And Medical Equipment * 304 N Pokegama Ave (218) Grand Itasca 1601 Golf Course Road (218) S Pokegama Ave (218) S Pokegama Ave (218) Se 10th St (218) Walmart Pharmacy * 100 Se 29th St (218) Granite Falls Thrifty White Drug * 760 Prentice Street Granite Falls, MN (320) Hermantown Essentia Health Hermantown 4855 W Arrowhead Rd Ste A Hermantown, MN (218) Sams Pharmacy * 4743 Maple Grove Road Hermantown, MN (218) Walmart Pharmacy * 4740 W Mall Drive Hermantown, MN (218) Hibbing Barons 1120 E 34th St Hibbing, MN (218) Baron s 3605 Mayfair Ave Hibbing, MN (218) Essentia Health Hibbing 730 East 34th Street Hibbing, MN (218) E Beltline Hibbing, MN (218) E 37th St Hibbing, MN (218) Walmart Pharmacy * Hwy 169 Hibbing, MN (218) Hinckley 45 Lady Luck Drive Hinckley, MN (320) Hoyt Lakes Mesaba Drug * 221 Kennedy Memorial Dr Hoyt Lakes, MN (218) Kennedy Memorial Dr Hoyt Lakes, MN (218) Hutchinson Cash Wise 1020 Hwy 15 S (320) Highway 15 S (320) Family Rexall Drug * 237 Hassan St Se (320) Family Rexall Drug * 237 Hassan St Se (320) Shopko 125 Main St N (320) Highway 15 S (320) Walmart Pharmacy * 1300 Highway 15 S (320) International Falls City Drug * 314 3rd St International Falls, MN (218) Essentia Health International Falls 2501 Keenan Dr Ste A International Falls, MN (218) * indicates pharmacies able to fill up to a three month supply of medications.

6 RETAIL AND CHAIN PHARMACIES Kmart Pharmacy9689 * 1606 Hwy International Falls, MN (218) Isle Thompsons Lake Country Drug Inc * 205 Main St W Isle, MN (320) Le Sueur Corner Drug Health Mart * 204 Valleygreen Square Le Sueur, MN (507) Litchfield Econofoods Pharmacy 3335 * 951 East Frontage Road Litchfield, MN (320) The Medicine Shoppe 329 E Hwy 12 Litchfield, MN (320) Walmart Pharmacy * 2301 East Frontage Road Litchfield, MN (320) Littlefork Littlefork Medical Center 912 Main Street Littlefork, MN (218) Lonsdale Herrmann 744 Ash St Ne Lonsdale, MN (507) Luverne Lewis Family Drug * 202 Kniss Ave S Luverne, MN (507) Shopko 405 W Interstate Dr Luverne, MN (507) Mcgregor 241 W Hwy 210 Mcgregor, MN (218) Milaca Fairview Northland Pharmacy Milaca * 115 Second Avenue Southwest Milaca, MN (320) nd Ave Sw Milaca, MN (320) Montgomery Herrmann Thrifty White * 120 1st St South Montgomery, MN (507) Moose Lake 4570 County Highway 61 Moose Lake, MN (218) Arrowhead Ln Moose Lake, MN (218) Mora Coborns 710 Frankie Lane Mora, MN (320) Shopko 340 Highway 65 S Mora, MN (320) Morris Shopko 116 State Highway 28 Morris, MN (320) E Highway 28 Morris, MN (320) Mountain Iron Walmart Pharmacy * 8580 Rock Ridge Dr Mountain Iron, MN (218) Northfield Cub 2423 S Hwy 3 Northfield, MN (507) Highway 3 S Northfield, MN (507) Econofoods Pharmacy 3330 * 603 Division Street Northfield, MN (507) Northfield 601 S Water St Northfield, MN (507) Sterling * 700 Division St Northfield, MN (507) th St W Northfield, MN (507) Onamia Mille Lacs Hospital 200 N Elm St Onamia, MN (320) Onamia Drug * 516 Main St Onamia, MN (320) Pine City Firstlight Health System 1425 Main St N Pine City, MN (320) Walmart Pharmacy * th St Sw Pine City, MN (320) Pine Island Weber & Judd - Pine Island * 111 Cty Road 11 Pine Island, MN (507) Pipestone A And S Drugs * 101 W Main St Pipestone, MN (507) Coborn s th St Sw Pipestone, MN (507) Shopko th St Se Pipestone, MN (507) Snyder Drug * 802 8th Ave Se Pipestone, MN (507) Princeton Coborns th Ave South Princeton, MN (763) Fairview Northland Pharmacy Princeton * 919 Northland Drive Princeton, MN (763) Fairview Northland Regional Hospital 911 Northland Dr Princeton, MN (763) Walmart Pharmacy * st Ave N Princeton, MN (763) Proctor Ltc Prescription Providers Inc * 220 Third Ave Proctor, MN (218) * indicates pharmacies able to fill up to a three month supply of medications. 5

7 RETAIL AND CHAIN PHARMACIES Red Wing 151 Tyler Rd N Red Wing, MN (651) Econofoods Pharmacy 3328 * 623 Main Street Red Wing, MN (651) Mayo Clinic Pharmacy-Red Wing 701 Hewitt Blvd Red Wing, MN (651) Red Wing Corner Drug, A Walgreens 401 W 3rd St Red Wing, MN (651) S Service Dr Red Wing, MN (651) Walmart Pharmacy * 295 Tyler Road South Red Wing, MN (651) Sandstone 707 Lundorff Drive Sandstone, MN (320) Silver Bay Essentia Health Silver Bay Pharmacy * 99 Edison Blvd Silver Bay, MN (218) Two Harbors Essentia Health Two Harbors th St Ste C Two Harbors, MN (218) Lake View th Street Two Harbors, MN (218) Virginia th St S Virginia, MN (218) Essentia Health Virginia Hospital 901 9th St N Virginia, MN (218) Essentia Health Virginia th St N Ste A Virginia, MN (218) S 2nd Ave Virginia, MN (218) Moutain Iron Dr Virginia, MN (218) West Duluth 4501 Grand Ave West Duluth, MN (218) Wheaton Wheaton Drug And Gifts * 1105 Broadway Wheaton, MN (320) Winsted Keaveny Drug * 150 Main Ave Winsted, MN (320) Winthrop Guidepoint 112 E 2nd St Winthrop, MN (507) Zumbrota Weber & Judd Zumbrota * 370 Main Street Zumbrota, MN (507) WISCONSIN Amery Chet Johnson Drugs Inc * 204 N Keller Ave Amery, WI (715) Johnson Drug At Armc * 265 E Griffin St Amery, WI (715) Baldwin Village 840 Main St Baldwin, WI (715) Village Pharmacy At Wwh * 1100 Bergslien St Baldwin, WI (715) Balsam Lake Balsam Lake 315 Main St Balsam Lake, WI (715) Unity th Ave Balsam Lake, WI (715) Colfax Colfax 525 Main St Colfax, WI (715) Ellsworth Shopko 598 Lucas Lane Ellsworth, WI (715) Frederic Frederic 201 Oak Street West Frederic, WI (715) Glenwood City Village Pharmacy Glenwood * 224 W. Oak St. Glenwood City, WI (715) Grantsburg Burnett Medical Center * 257 W St George Ave Grantsburg, WI (715) Wood River 122 W Madison Ave Grantsburg, WI (715) Hudson County Market 2310 Crestview Dr (715) Coulee Rd (715) Family Fresh Market 2351 Coulee Road (715) Hudson Hospital & Clinic * 405 Stageline Rd (715) Micklesen Drug * 530 2nd St (715) Carmichael Rd (715) Walmart Pharmacy * 2222 Crest View Drive (715) Luck Luck 132 S Main St Luck, WI (715) * indicates pharmacies able to fill up to a three month supply of medications.

8 RETAIL AND CHAIN PHARMACIES Menomonie 433 Broadway St S Menomonie, WI (715) Mayo Clinic Health System-Red Cedar 2321 Stout Rd Menomonie, WI (715) The Medicine Shoppe 1302 Stout Rd Menomonie, WI (715) Pine Ave W Menomonie, WI (715) Walmart Pharmacy * 180 Cedar Falls Road Menomonie, WI (715) New Richmond Family Fresh Market 110 West 4th Street New Richmond, WI (715) Walmart Pharmacy * 250 West Richmond Way New Richmond, WI (715) Westfields Community 535 Hospital Rd New Richmond, WI (715) Osceola Osceola Clinic th Ave Osceola, WI (715) River Falls Family Fresh Market 303 South Main St River Falls, WI (715) Freeman Drug * 104 S Main St River Falls, WI (715) Freeman Drug * 104 S Main St River Falls, WI (715) Shopko 1777 Paulson Rd River Falls, WI (715) N Main St River Falls, WI (715) Shell Lake Shell Lake 108 4th Ave Shell Lake, WI (715) Shell Lake 108 4th Ave W Shell Lake, WI (715) Siren Siren State Rd 35 Siren, WI (715) Somerset Somerset Drug * 107 Parent Street Somerset, WI (715) Spooner Red Cross 146 Walnut St Spooner, WI (715) Schmitzs Economart * 700 S River St Spooner, WI (715) Spring Valley Spring Valley Drug * 104 S Mckay Ave Spring Valley, WI (715) St Croix Falls St Croix Falls 216 S Adams Street St Croix Falls, WI (715) Tangen Drug Inc * 124 N Washington St St Croix Falls, WI (715) Walmart Pharmacy * 2212 Glacier Drive St Croix Falls, WI (715) Superior 2631 Tower Ave Superior, WI (715) Essentia Health Prescription Service Center * 3500 Tower Ave Ste C Superior, WI (715) Essentia Health Specialty 3500 Tower Ave Ste B Superior, WI (715) Essentia Health Superior East 2202 E 2nd St Ste 477 Superior, WI (715) Essentia Health Superior 3500 Tower Ave Ste A Superior, WI (715) Tower Avenue Superior, WI (715) Walmart Pharmacy * 3705 Tower Avenue Superior, WI (715) * indicates pharmacies able to fill up to a three month supply of medications. Webster Yellow River Pharmacy Inc * 7438 Main St West Webster, WI (715)

9 Mail-order pharmacies You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of your mail order prescriptions, please contact us five to seven 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 five to eight 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 or TRS Relay at 711. For rush shipping and urgently needed prescription drugs or supplies, call your mail order pharmacy during regular business hours for delivery options. Rush mail order delivery may cost you extra. MAIL ORDER PHARMACY WITH PREFERRED COST-SHARING MINNESOTA HealthPartners Mail Order Pharmacy W 76th St Door 106 Eden Prairie, MN (800) MAIL ORDER PHARMACIES WITH STANDARD COST-SHARING ARIZONA Tempe Alliancerx Walgreens Prime 8350 S River Pkwy Tempe, AZ (800) NORTH CAROLINA Raleigh U.S. Pharmamed, Llc 3450 Tarheel Dr., Ste #101 Bldg. 4 Raleigh, NC (877) OREGON Portland Postal Prescription Services 3500 Se 26th Ave Portland, OR (503) FLORIDA Lakeland Welldynerx-Fl 500 Eagles Landing Drive Lakeland, FL (888) NEW YORK New York Cureways 2201 Amsterdam Ave New York, NY (646) UTAH Sandy New Life Pharmacy 9883 S 500 W Sandy, UT (801) indicates pharmacies with preferred-cost sharing

10 Home infusion pharmacies Home infusion services and prescription drugs may be accessed through the following HealthPartners network home infusion pharmacies. For more information, contact Member Services at the numbers on the front cover or TRS Relay at

11 Long-term care pharmacies Residents of a long-term care facility may access their prescription drugs covered under HealthPartners through the facility s long-term care pharmacy or another network long-term care pharmacy. For more information, contact Member Services at the numbers on the front cover or TRS Relay at 711. MINNESOTA Aurora Essentia Health Northern Pines Medical 5211 Hwy 110 Aurora, MN (218) Bigfork Bigfork Valley Pharmacy 258 Pine Tree Dr Bigfork, MN (218) Canby Canby Drug 130 St Olaf Ave N Canby, MN (507) Cloquet The Medicine Shoppe Pharmacy 1208 Cloquet Avenue Cloquet, MN (218) The Medicine Shoppe Pharmacy 419 Skyline Blvd Cloquet, MN (218) White Drug 707 Highway 33 South Suite 12 Cloquet, MN (218) Duluth Falks Nursing Service 221 E 14th St Duluth, MN (218) N Central Ave Duluth, MN (218) Ely Ely Community Pharmacy 328 W Conan St Ely, MN (218) Eveleth Jons Drug 318 Grant Ave Eveleth, MN (218) Faribault Hy-Vee Pharmacy (1177) 1920 Grant Street Faribault, MN (507) Grand Rapids 1105 S Pokegama Ave (218) Granite Falls Thrifty White Drug 760 Prentice Street Granite Falls, MN (320) Hibbing Barons Pharmacy 1120 E 34th St Hibbing, MN (218) E Beltline Hibbing, MN (218) Hoyt Lakes 221 Kennedy Memorial Dr Hoyt Lakes, MN (218) Hutchinson Family Rexall Drug 237 Hassan St Se (320) Family Rexall Drug 237 Hassan St Se (320) Isle Thompsons Lake Country Drug Inc 205 Main St W Isle, MN (320) Le Sueur Corner Drug Health Mart 204 Valleygreen Square Le Sueur, MN (507) Litchfield The Medicine Shoppe Pharmacy 329 E Hwy 12 Litchfield, MN (320) Littlefork Littlefork Medical Center Pharmacy 912 Main Street Littlefork, MN (218) Milaca 127 2nd Ave Sw Milaca, MN (320) Montgomery Herrmann Thrifty White 120 1st St South Montgomery, MN (507) Moose Lake 4570 County Highway 61 Moose Lake, MN (218) Arrowhead Ln Moose Lake, MN (218) Morris 3 E Highway 28 Morris, MN (320) Northfield Sterling 700 Division St Northfield, MN (507) Onamia Mille Lacs Hospital Pharmacy 200 N Elm St Onamia, MN (320) Onamia Drug 516 Main St Onamia, MN (320) Pipestone A And S Drugs 101 W Main St Pipestone, MN (507) Proctor Ltc Prescription Providers Inc 220 Third Ave Proctor, MN (218)

12 LONG TERM CARE PHARMACIES Sandstone 707 Lundorff Drive Sandstone, MN (320) Virginia Essentia Health Virginia Hospital Pharmacy 901 9th St N Virginia, MN (218) S 2nd Ave Virginia, MN (218) Wheaton Wheaton Drug And Gifts 1105 Broadway Wheaton, MN (320) Winthrop Guidepoint Pharmacy 112 E 2nd St Winthrop, MN (507) Hudson Hudson Hospital & Clinic 405 Stageline Rd (715) Micklesen Drug 530 2nd St (715) River Falls Freeman Drug 104 S Main St River Falls, WI (715) Shell Lake Shell Lake Pharmacy 108 4th Ave Shell Lake, WI (715) Shell Lake Pharmacy 108 4th Ave W Shell Lake, WI (715) WISCONSIN Baldwin Village Pharmacy 840 Main St Baldwin, WI (715) Frederic Frederic Pharmacy 201 Oak Street West Frederic, WI (715) Glenwood City Village Pharmacy Glenwood 224 W. Oak St. Glenwood City, WI (715) Grantsburg Burnett Medical Center 257 W St George Ave Grantsburg, WI (715)

13 Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies Only Native Americans and Alaskan Natives have access to Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies through HealthPartners 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, contact Member Services at the numbers on the front cover or TRS Relay at

14 National chain pharmacies For more information, contact Member Services at the numbers on the front cover or TRS Relay at 711. Albertsons/Savon * Costco * Cub * CVS * Duane Reade * Farm Fresh * Fred Meyer * Fred s * Fry s Food And Drug * Giant Eagle * Hy-Vee * Jewel/Osco * Kmart * Kroger * Publix * Ralph s * Rite Aid * Safeway * Smiths * Stop And Shop * Vons/Pavillion * Walmart * Winn-Dixie * * indicates pharmacies able to fill up to a three month supply of medications. 13

15 14

16 This Pharmacy Directory was updated August For more recent information or other questions, please contact HealthPartners Member Services at: or or, for TTY users, 711. From Oct. 1 through March 31, we take calls from 8 a.m. to 8 p.m. CT, seven days a week. You ll speak with a representative. From April 1 to Sept. 30, call us 8 a.m. to 8 p.m. CT, Monday through Friday to speak with a representative. On Saturdays, Sundays and Federal holidays, you can leave a message and we ll get back to you within one business day. Or visit healthpartners.com/medicare. The pharmacy network may change at any time. You will receive notice when necessary. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at healthpartners.com/partdpharmacy. You may also call Member Services for updated provider information. HealthPartners is a Cost plan with a Medicare contract. Enrollment in HealthPartners depends on contract renewal rd Ave. S. P.O. Box 1309 Bloomington, MN healthpartners.com/medicare (8/18) 2018 HealthPartners

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