Medicare Masterpiece - Hillsborough County Pharmacy Directory

Transcription

1 Medicare Masterpiece - Hillsborough County Pharmacy Directory This booklet provides a list of Medicare Masterpiece - Hillsborough County's network pharmacies. All network pharmacies may not be listed in this directory. Please contact Medicare Masterpiece - Hillsborough County at , 24 hours a day, seven days a week (TTY/TDD Users should call ) for additional information. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about Medicare Masterpiece - Hillsborough County network pharmacies in your area, please visit our Website at or call our Customer Services Department at , 24 hours a day, seven days a week. (TTY/TDD Users should call ) H5404/5429 UHC3055 CMS Approved 10/6/2006 1

2 Introduction This booklet provides a list of Medicare Masterpiece - Hillsborough County's network pharmacies and includes some basic information about how to fill your prescriptions with Medicare Masterpiece - Hillsborough County. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by Medicare Masterpiece - Hillsborough County. In most cases, your prescriptions are covered under Medicare Masterpiece - Hillsborough County only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription, you can go to any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described later. Can the list of network pharmacies change? Yes, Medicare Masterpiece - Hillsborough County may add or remove pharmacies from our pharmacy directory. To get current information about Medicare Masterpiece - Hillsborough County network pharmacies in your area, please visit our Website at or call our Customer Services Department at , 24 hours a day, seven days a week. (TTY/TDD Users should call ) How do I find Medicare Masterpiece - Hillsborough County network pharmacy in my area? You can visit our Website at or call our Customer Services at , 24 hours a day, seven days a week. (TTY/TDD Users should call ) How do I fill a prescription at a network pharmacy? To fill your prescription at a network pharmacy, you must show your Medicare Masterpiece - Hillsborough County Member ID card. If you do not have your ID card with you when you fill your prescription, you may have to pay the full cost of the prescription (rather than paying just your co-payment). If this happens, you can ask us to reimburse you for our share of the cost by submitting a claim to us. To find out how to submit a claim, look in your Evidence of Coverage or call our Customer Services. 2

3 How do I fill a prescription through Medicare Masterpiece - Hillsborough County's mail order pharmacy service? To get order forms and information about filling your prescriptions by mail, please contact Integrated Pharmacy Services at (TTY users should call ) Monday - Friday 8am - 6pm CST and Saturdays 8am - 12noon or via mail at PO Box 369 Boys Town, NE Please note that you must use the Medicare Masterpiece - Hillsborough County mail order service. Prescription drugs that you get through any other mail order service are not covered. You are not required to use mail order prescription drug services to obtain an extended supply of maintenance medications. Instead, you have the option of using a retail pharmacy in our network to obtain a supply of maintenance medications. Some retail pharmacies may agree to accept the mail order reimbursement rate for an extended supply of medications for up to 90 days per dispensing, which may result in no out-of-pocket payment difference to you. Please look in the Evidence of Coverage or call our Customer Services Department at and TTY/TDD for more information. The maximum expected turnaround time for the processing and shipment of all mail orders is five business days for orders that do not require a call to the prescriber or have a medication that is backordered. If for some reason your medication order from the mail order becomes delayed, you may always obtain a prescription from a local network pharmacy. 3

4 Filling prescriptions outside the network Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available. Below are some circumstances when we would cover prescriptions fill at an out-of-network pharmacy. Before you fill your prescription in these situations, call our Customer Services Department, 24 hours a day, seven days a week at and TTY/TDD to see if there is a network pharmacy in your area where you can fill your prescription. If you do go to an out-of-network pharmacy for the reasons listed below, you may have to pay the full cost (rather than paying just your co-payment) when you fill your prescription. You can ask us to reimburse you for our of the cost by submitting a claim form. However, even after we reimburse you for our share of the cost, you may pay more for a drug purchased at an out-of-network pharmacy because the out-of-network pharmacy's price is higher than what a network pharmacy would have charged. You should submit a claim to us if you fill a prescription at an out-of-network pharmacy as any amount you pay, consistent with the circumstance listed above, will help you qualify for catastrophic coverage. To learn how to submit a paper claim, please refer to the paper claims process described next. The following are a few exceptions when we will pay for a prescription filled at a pharmacy outside of our network. Getting coverage when you travel or are away from the plan s service area If you take a prescription drug on a regular basis and you are going on a trip, be sure to check your supply of the drug before you leave. When possible, take along all the medication you will need. You may be able to order your prescription drugs ahead of time through our mail order pharmacy service. If you are traveling within the United States and territories and become ill, lose or run out of your prescription drugs we will cover prescriptions that are filled at an out-of-network pharmacy. In this situation, you will have to pay the full cost (rather than paying just your co-payment) when you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting a claim form. If you go to an out-of-network pharmacy, you may be responsible for paying the difference between what we would pay for a prescription filled at an in-network pharmacy and what the out-of-network pharmacy charged for your prescription. To learn how to submit a paper claim, please refer to the paper claims process described later. You can also call Customer Service to find out if there is a network pharmacy in the area where you are traveling. If there are no network pharmacies in that area, Customer Service may be able to make arrangements for you to get your prescriptions from an out-of-network pharmacy. We cannot pay for any prescriptions that are filled by pharmacies outside of the United States and territories, even for a medical emergency. What if I need a prescription because of a medical emergency or because I needed urgent care? We will cover prescriptions that are filled at an out-of-network pharmacy if the prescriptions are related to care for a medical emergency or urgent care. In this situation, you will have to pay the full cost (rather than paying just your co-payment) when you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting a paper claim form. If you go to an out-of-network pharmacy, you may be responsible for paying the 4

5 difference between what we would pay for a prescription filled at an in-network pharmacy and what the out-of-network pharmacy charged for your prescription. To learn how to submit a paper claim, please refer to the paper claims process described later. Other times you can get your prescription covered if you go to an out-of network pharmacy We will cover your prescription at an out-of-network pharmacy if at least one of the following applies: If you are unable to obtain a covered drug in a timely manner within our service area because there is no network pharmacy within a reasonable driving distance that provides 24 hour service. If you are trying to fill a prescription drug that is not regularly stocked at an accessible network retail or mail-order pharmacy (including high cost and unique drugs). If you are getting a vaccine that is medically necessary but not covered by Medicare Part B and some covered drugs that are administered in your doctors office. How do I submit a paper claim? When you go to a network pharmacy your claim is automatically submitted to us by the pharmacy. However, if you go to an out-of-network pharmacy because of the reasons listed above, the pharmacy may not be able to submit the claim directly to us. When that happens, you will have to pay the full cost of your prescription. When you return home, simply submit your claim and your receipt to the following address: Medicare Part D Paper Claims P.O. Box 407 Boys Town, NE Upon receipt, we will make an initial coverage determination on the claim. Please refer to your Evidence of Coverage or call Customer Service for more information on initial coverage determinations. For more information For more detailed information about your Medicare Masterpiece - Hillsborough County prescription drug coverage, please review the Evidence of Coverage and Medicare Masterpiece - Hillsborough County's formulary. If you have questions about Medicare Masterpiece - Hillsborough County, please call our Customer Services Department at , 24 hours a day, seven days a week. TTY/TDD Users should call Or, visit 5

6 Retail Pharmacies STATE: FL COUNTY: HILLSBOROUGH CITY: APOLLO BEACH ZIP: CVS # US HWY 41 N APOLLO BEACH, FL PUBLIX # US HWY 41 N APOLLO BEACH, FL WINN-DIXIE # US HWY 41 N APOLLO BEACH, FL CITY: BRANDON ZIP: PUBLIX # KINGSWAY RD BRANDON, FL # E WINDHORST BRANDON, FL ZIP: ALBERTSON'S # E BRANDON BLVD BILL'S PRESCRIPTION CENTER 202 E BRANDON BLVD COSTCO # CAUSEWAY BLVD CVS 1904 W LUMSDEN CVS # W BRANDON BLVD CVS # W LUMSDEN RD CVS # W BRANDON BLVD KMART # W BRANDON BLVD MEDICINE SHOPPE # W BRANDON BLVD PUBLIX # W BRANDON BLVD PUBLIX # CAUSEWAY BLVD SAM'S CLUB # BRANDON BLVD W # E BRANDON BLVD # CAUSEWAY BLVD # E BLOOMINGDALE AVE # PROVIDENCE RD # E BRANDON BLVD WINN-DIXIE # E BLOOMINGDALE AVE

7 ZIP: CVS # E LUMSDEN RD BRANDON, FL CITY: DALLAS ZIP: ROSE DRUG PO BOX DALLAS, FL CITY: DOVER ZIP: DOVER HEALTH CENTER STATE RD 574 DOVER, FL CITY: EAST VALRICO ZIP: WALGREENS # STATE RD 60 EAST VALRICO, FL CITY: GIBSONTON ZIP: WAL-MART # GIBSONTON DR GIBSONTON, FL CITY: LITHIA ZIP: KASH N KARRY # FISHHAWK BLVD LITHIA, FL PUBLIX # FISHHAWK CROSSING BLVD LITHIA, FL CITY: LUTZ ZIP: PUBLIX # N DALE MARBY LUTZ, FL # VAN DYKE RD LUTZ, FL ZIP: CVS # LAND O LAKES BLVD LUTZ, FL KMART # STATE RD 54 LUTZ, FL PUBLIX # VAN DYKE RD LUTZ, FL PUBLIX # N NEBRASKA AVE LUTZ, FL # US HWY 41 N LUTZ, FL WINN-DIXIE # US HWY 41 N LUTZ, FL ZIP: RX EXPRESS STATE RD 54 LUTZ, FL CITY: ODESSA ZIP: KASH N KARRY # GUNN HWY ODESSA, FL TARGET # STATE RD 54 ODESSA, FL CITY: PLANT CITY ZIP: WALGREENS # W BAKER ST PLANT CITY, FL # JAMES L REDMAN PKWY PLANT CITY, FL ZIP:

8 CVS # JAMES L REDMAN PKWY PLANT CITY, FL CVS # N ALEXANDER ST PLANT CITY, FL KASH N KARRY # W ALEXANDER ST PLANT CITY, FL KASH N KARRY # S WHEELER ST PLANT CITY, FL KMART # W ALEXANDER ST PLANT CITY, FL # N JAMES L REDMAN PKWY PLANT CITY, FL ZIP: FAMILY CARE 1505 W REYNOLDS ST PLANT CITY, FL PUBLIX # JAMES L REDMAN PKWY PLANT CITY, FL CITY: RIVERVIEW ZIP: ALBERTSONS # BLOOMINGDALE AVE CVS # GIBSONTON DR CVS # BOYETTE RD CVS # US HWY 301 S CVS # MCMULLEN RD KASH N KARRY # US HWY 301 S PUBLIX # BOYETTE RD PUBLIX # WINTHROP MARKET S PUBLIX # US HWY 301 S SUMMERFIELD BIG BEND RD WALGREENS # BOYETTE RD WALGREENS # BLOOMINGDALE AVE # GIBSONTON DR WINN-DIXIE # US HWY 301 S CITY: RUSKIN ZIP: KASH N KARRY # TAMIAMI TRL RUSKIN, FL KMART # TH AVE NE RUSKIN, FL RUSKIN HEALTH CENTER TH AVE SE RUSKIN, FL

9 # STATE HWY 674 RUSKIN, FL ZIP: # CORTARO DR RUSKIN, FL CITY: SEFFNER ZIP: BETTER HEALTH 2007 S PARSONS AVE SEFFNER, FL CVS # MARTIN LUTHER KING SEFFNER, FL KASH N KARRY # MARTIN LUTHER KING SEFFNER, FL # STATE RD 574 SEFFNER, FL # MARTIN LUTHER KING SEFFNER, FL CITY: SUN CITY ZIP: SUN CITY DRUGS 1615 SUN CITY CTR PLZ SUN CITY, FL CITY: SUN CITY CENTER ZIP: CVS # S PEBBLE BEACH BLVD SUN CITY CENTER, FL PUBLIX 4854 SUN CITY CTR BLVD SUN CITY CENTER, FL WINN-DIXIE # SUN CITY CTR BLVD SUN CITY CENTER, FL CITY: TAMPA ZIP: TAMPA GENERAL OUTPATIENT 2 COLUMBIA DR TAMPA, FL ZIP: CVS # E MADISON ST TAMPA, FL # N FRANKLIN ST TAMPA, FL ZIP: CURTIS DISCOUNT DRUG 4625 N NEBRASKA AVE TAMPA, FL CVS # N NEBRASKA AVE TAMPA, FL CVS # W MARTIN LUTHER KING JR BLVD TAMPA, FL GENOA HEALTHCARE OF FLORIDA, LLC 2313 W VIOLET ST TAMPA, FL KASH N KARRY # W HILLSBOROUGH AVE TAMPA, FL KASH N KARRY # E MARTIN LUTHER KING BLVD TAMPA, FL ROSE'S PROCARE 4810 N NEBRASKA AVE TAMPA, FL WALGREENS # W HILLSBOROUGH AVE TAMPA, FL # N NEBRASKA AVE TAMPA, FL

10 ZIP: ARMENIA 8338 N ARMENIA AVE STE B TAMPA, FL CVS # N FLORIDA AVE TAMPA, FL CVS # N ARMENIA AVE TAMPA, FL JEN MAR SERVICES 7901 N ARMENIA AVE TAMPA, FL KASH N KARRY # N FLORIDA AVE TAMPA, FL KMART # N FLORIDA AVE TAMPA, FL # N FLORIDA AVE TAMPA, FL # N ARMENIA AVE TAMPA, FL WEST COAST 8439 N FLORIDA AVE TAMPA, FL WINN-DIXIE # N ARMENIA AVE TAMPA, FL ZIP: COLLEGE HILL 3503 N 22ND ST TAMPA, FL FLORIDA DRUG STORE 2102 E 7TH AVE TAMPA, FL ZIP: CVS # S HOWARD AVE TAMPA, FL DAVIS ISLANDS 232 E DAVIS BLVD TAMPA, FL KASH N KARRY # W SWANN AVE TAMPA, FL PUBLIX # BAYSHORE BLVD TAMPA, FL # W PLATT ST TAMPA, FL ZIP: BIOSCRIP # W MARTIN LUTHER KING BLVD CVS # N MACDILL AVE DAVIDS 2302 MARTIN LUTHER KING HABANA HOSPITAL 4710 N HABANA AVE IDEL 3314 W COLUMBUS DR KASH N KARRY # DALE MABRY KINGS DRUGS INC 2812 W MARTIN LUTHER KING BLVD KMART # N DALE MABRY HWY TARGET # N DALE MABRY HWY

11 TARGET #T N DALE MABRY HWY THE DRUG SHOPPE 4006 FIESTA PLZ # N DALE MABRY HWY # N ARMENIA AVE ZIP: CVS # HENDERSON BLVD TAMPA, FL CVS # S DALE MABRY TAMPA, FL ECKERD DRUG # HENDERSON BLVD TAMPA, FL MEMORIAL FAMILY 2919 SWANN AVE STE 101B TAMPA, FL POSITIVE HEALTHCARE 4323 W KENNEDY BLVD TAMPA, FL TAMPA BAY PROFESSIONAL 3031 W CYPRESS ST STE B TAMPA, FL # W KENNEDY BLVD TAMPA, FL # HENDERSON BLVD TAMPA, FL # W KENNEDY BLVD TAMPA, FL ZIP: ALBERTSONS # E HILLSBOROUGH AVE TAMPA, FL CITY UNITED DRUGS # E MARTIN LUTHER KING TAMPA, FL SAVE RITE # E HILLSBOROUGH AVE TAMPA, FL VIN KASH INC 5474 WILLIAMS RD STE 1A TAMPA, FL # E HILLSBOROUGH AVE TAMPA, FL ZIP: ALBERTSON'S # S BRITTON PLZ TAMPA, FL CVS # S HIMES AVE TAMPA, FL CVS # W GANDY BLVD TAMPA, FL KASH N KARRY # W GANDY BLVD TAMPA, FL PUBLIX # W GANDY BLVD TAMPA, FL SAM'S CLUB # S DALE MABRY TAMPA, FL WALGREENS # W GANDY BLVD TAMPA, FL # S DALE MABRY HWY TAMPA, FL

12 # W GANDY BLVD TAMPA, FL ZIP: CLINIC MAGNOLIA DR CVS # E FOWLER AVE CVS # E FOWLER AVE DYL 1420 FLETCHER AVE EXTRA CARE, INC E FLETCHER AVE FLORIDA DISCOUNT DRUG 1457 W BUSCH BLVD KASH N KARRY # E FOWLER AVE TAMPA DRUGS AND DIABETIC CENTER 1010 E BUSCH BLVD UNITED PRESCRIPTION SERVICES 2304 E FLETCHER AVE # E FLETCHER AVE WALGREENS # BRUCE B DOWNS BLVD # N BLVD # W BUSCH BLVD # E BUSCH BLVD # E FOWLER AVE ZIP: ALBERTSONS # N FLORIDA AVE CVS # UNIVERSITY PLZ CVS # N FLORIDA AVE CVS # W BEARSS AVE FLETCHER MEDICAL CENTER 3000 E FLETCHER AVE STE KABS 2812 E BEARSS AVE KASH N KARRY # N FLORIDA AVE KAY # E FLETCHER AVE MEDICINE SHOPPE # N FLORIDA AVE UNIVERSAL RX N FLORIDA AVE B

13 UNIVERSITY PAIN BRUCE B DOWNS BLVD WINN-DIXIE # E BEARSS AVE ZIP: ALBERTSON'S # N DALE MABRY HWY TAMPA, FL CVS # W HILLSBOROUGH AVE TAMPA, FL CVS # N DALE MABRY HWY TAMPA, FL HEALTHLINK 3311-B W WATERS AVE TAMPA, FL HEALTHWISE 2708 W WATERS AVE TAMPA, FL MEDIPHARM RX INC 4607 N CLARK AVE TAMPA, FL MEDIPHARM RX INC 4607 N CLARK AVE TAMPA, FL RICARDO SANTAYANA, MD 3201 W WATERS TAMPA, FL # N DALE MABRY HWY TAMPA, FL # W HILLSBOROUGH AVE TAMPA, FL ZIP: ALBERTSONS # W HILLSBOROUGH AVE TAMPA, FL CVS # W WATERS AVE TAMPA, FL CVS # W HILLSBOROUGH AVE TAMPA, FL KMART # W WATERS AVE TAMPA, FL SENIORCARE COMMUNITY RX 8411 MARBLE ST TAMPA, FL # ELLIOT DR TAMPA, FL # SHELDON RD TAMPA, FL # W HILLBOROUGH AVE TAMPA, FL WINN-DIXIE # SHELDON RD TAMPA, FL ZIP: SOUTH TAMPA 5614 S MANHATTAN AVE TAMPA, FL ZIP: CVS # E BUSCH BLVD TAMPA, FL KMART # E BUSCH BLVD TAMPA, FL PUBLIX # N 53RD ST TAMPA, FL

14 ROYAL RX 4941 E BUSCH BLVD TAMPA, FL SUPERIOR 5101 E BUSCH BLVD TAMPA, FL TERRACE 8890 N 56TH ST TAMPA, FL ZIP: BEARSS 3606 MADACA LN CARROLLWOOD LAKE CARROLL WAY CVS # N DALE MABRY HWY CVS # N DALE MABRY HWY CVS # N DALE MABRY HWY ECKERD DRUG # N DALE MABRY HWY KASH N KARRY # N DALE MABRY HWY KMART # N DALE MABRY HWY PUBLIX # N DALE MABRY HWY SAM'S CLUB # N DALE MABRY # N DALE MABRY HWY # N DALE MABRY HWY # N DALE MABRY HWY ZIP: ALPHA DRIVE 7857 PALM RIVER RD TAMPA, FL CVS # E 10TH AVE TAMPA, FL # S 78TH ST TAMPA, FL ZIP: KASH N KARRY # GUNN HWY TAMPA, FL ZIP: CVS # GUNN HWY TAMPA, FL KASH N KARRY # EHRLICH RD TAMPA, FL ZIP: ALBERTSON'S # EHRLICH RD TAMPA, FL CVS # EHRLICH RD TAMPA, FL PUBLIX # ANDERSON RD TAMPA, FL

15 # GUNN HWY TAMPA, FL # GUNN HWY TAMPA, FL ZIP: CVS # COUNTRY BLVD TAMPA, FL CVS # W LINEBAUGH AVE TAMPA, FL KASH N KARRY # SHELDON RD TAMPA, FL PUBLIX # W LINEBAUGH AVE TAMPA, FL PUBLIX # GUNN HWY TAMPA, FL SWEETBAY SUPERMARKET # RACE TRACK RD TAMPA, FL WALGREENS # GUNN HWY TAMPA, FL ZIP: CVS # HENDERSON BLVD TAMPA, FL PUBLIX # S DALE MABRY HWY TAMPA, FL WEST SHORE 3206 S WESTSHORE BLVD TAMPA, FL ZIP: CVS # W HILLSBOROUGH AVE TAMPA, FL HEALTH PLAN SERVICES 5535 MEMORIAL HWY TAMPA, FL KASH N KARRY # W WATERS AVE TAMPA, FL PUBLIX # W WATERS AVE TAMPA, FL TOWN AND COUNTRY 6700 HANLEY RD TAMPA, FL # W WATERS AVE TAMPA, FL WALGREENS # W WALTERS AVE TAMPA, FL ZIP: PUBLIX # RACE TRACK RD TAMPA, FL # W HILLSBOROUGH TAMPA, FL ZIP: CVS # NEW TAMPA BLVD KASH N KARRY # BRUCE B DOWNS MEDICINE SHOPPE # N NEBRASKA AVE MEDICINE SHOPPE # CROSS CREEK BLVD PUBLIX # TAMPA PALMS BLVD PUBLIX # BRUCE B DOWNS BLVD

16 PUBLIX # CROSS CREEK BLVD # BRUCE B DOWNS RD # BRUCE B DOWNS BLVD ZIP: TRELLES ASSOCIATION 3501 RIGA BLVD TAMPA, FL TRELLES PO BOX TAMPA, FL CITY: TEMPLE TERRACE ZIP: CVS # BULLARD PKWY TEMPLE TERRACE, FL CVS # E FOWLER AVE TEMPLE TERRACE, FL ECKERD DRUG # FOWLER AVE TEMPLE TERRACE, FL KASH N KARRY # N 56TH ST TEMPLE TERRACE, FL PUBLIX # E BUSCH BLVD TEMPLE TERRACE, FL # N 56TH ST TEMPLE TERRACE, FL CITY: THONOTOSASSA ZIP: WINN-DIXIE # E FOWLER AVE THONOTOSASSA, FL CITY: VALRICO ZIP: ALBERTSON'S # LITHIA PINECREST RD VALRICO, FL CVS # STATE RD 60 E VALRICO, FL CVS # BLOOMINGDALE AVE VALRICO, FL KASH N KARRY # BLOOMINGDALE AVE VALRICO, FL PUBLIX # STATE RD 60 E VALRICO, FL PUBLIX # LITHIA PINECREST RD VALRICO, FL RITE AID # LITHIA PINECREST RD VALRICO, FL # BLOOMINGDALE AVE VALRICO, FL # LITHIA PINECREST VALRICO, FL COUNTY: MANATEE CITY: PALMETTO ZIP: ALBERTSONS # TH AVE W PALMETTO, FL CVS # TH AVE W PALMETTO, FL

17 FAITH TH ST E PALMETTO, FL KASH N KARRY # TH ST W PALMETTO, FL NORTH MANATEE 5600 BAYSHORE RD PALMETTO, FL # TH ST E PALMETTO, FL # TH AVE W PALMETTO, FL COUNTY: PASCO CITY: TAMPA ZIP: # STATE RD 56 TAMPA, FL CITY: WESLEY CHAPEL ZIP: CVS # BRUCE B DOWNS BLVD WESLEY CHAPEL, FL HEALTH E CHOICE STATE RD 54 WESLEY CHAPEL, FL PUBLIX # COUNTY RD 581 WESLEY CHAPEL, FL PUBLIX # COUNTY RD 581 WESLEY CHAPEL, FL # STATE RD 54 WESLEY CHAPEL, FL CITY: ZEPHYRHILLS ZIP: FLORIDA MEDICAL CLINIC MARKET SQ ZEPHYRHILLS, FL RITE AID # COUNTY RD 54 ZEPHYRHILLS, FL # GALL BLVD ZEPHYRHILLS, FL COUNTY: POLK CITY: LAKELAND ZIP: PUBLIX # GRIFFIN RD LAKELAND, FL # US 98 N LAKELAND, FL CITY: MULBERRY ZIP: MULBERRY /TRUE VALUE PO BOX 767 MULBERRY, FL PUBLIX # SHEPHERD RD MULBERRY, FL # N CHURCH AVE MULBERRY, FL

18 Mail Order Pharmacy INTEGRATED SERVICES Home Infusion Pharmacies Are home infusion pharmacies part of Medicare Masterpiece - Hillsborough County's pharmacy network? Medicare Masterpiece - Hillsborough County will cover home infusion therapy if: l Your prescription drug is on Medicare Masterpiece - Hillsborough County's formulary or you have a formulary exception; l Medicare Masterpiece - Hillsborough County has approved your prescription drug for home infusion therapy; and l Your prescription is written by an authorized prescriber. STATE: FL COUNTY: HILLSBOROUGH CITY: TAMPA CAREMAX MEDICAL RESCOURCES 5910 BENJAMIN CTR DR TAMPA, FL

19 Long-Term Care Pharmacies Are long-term care pharmacies part of Medicare Masterpiece - Hillsborough County's pharmacy network? In some cases, residents of a long-term care facility may access their prescription drugs through the facility s long-term care pharmacy or another network long-term care pharmacy. STATE: FL COUNTY: HILLSBOROUGH CITY: BRANDON ZIP: MEDICINE SHOPPE # W BRANDON BLVD CITY: LUTZ ZIP: PROS CORPORATION N FLORIDA AVE LUTZ, FL CITY: TAMPA ZIP: GENOA HEALTHCARE OF FLORIDA, LLC 2313 W VIOLET ST TAMPA, FL ZIP: SENIORMED 4515 OAK FAIR BLVD TAMPA, FL ZIP: MEDISTAT SERVICES TAMPA 1421 MASSARO BLVD TAMPA, FL RXPERTS 1911 N US HWY 301 TAMPA, FL ZIP: MEDICINE SHOPPE # N NEBRASKA AVE MEDICINE SHOPPE # CROSS CREEK BLVD ZIP: TRELLES ASSOCIATION 3501 RIGA BLVD TAMPA, FL TRELLES PO BOX TAMPA, FL COUNTY: MANATEE CITY: PALMETTO ZIP: COASTALMED TH ST E PALMETTO, FL

20 Network Pharmacies outside the geographic area We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Please call our call our Customer Services at , 24 hours a day, seven days a week. (TTY/TDD Users should call ) for more information. 20