2019 Pharmacy Directory

Transcription

1 2019 Pharmacy Directory Jan. 1, 2019 Dec. 31, TTY 711 Seven Days a Week, 8 A.M. to 8 P.M.(Oct. 1, 2018, to Mar. 31, 2019) Monday-Friday, 8 A.M. to 8 P.M. (All Other Times) (PDP) 12782M-2019

2 BlueCross Rx Value 2019 Pharmacy Directory This pharmacy directory was updated on October 18, For more recent information or other questions, please contact BlueCross Rx Value at or, for TTY users, 711, 8 a.m. to 8 p.m. Eastern Time, Monday through Friday. Our automated telephone system handles calls received after 8 p.m. and on Saturdays, Sundays and holidays. From October 1, 2018, to March 31, 2019, we are available 8 a.m. to 8 p.m. Eastern Time, seven days a week. Or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Customer Service for updated provider information. The pharmacy network may change at any time. You will receive notice when necessary. BlueCross Rx Value is a stand-alone prescription drug plan with a Medicare contract. Enrollment in BlueCross Rx Value depends on contract renewal. Updated 10/18/2018

3 Introduction This booklet provides a list of BlueCross Rx Value 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 BlueCross Rx Value s formulary. When this pharmacy directory refers to we, us, or our, it means BlueCross BlueShield of South Carolina. When it refers to plan or our plan, it means BlueCross Rx Value. 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 October 18, For the most current list, please contact us. Our contact information appears on the front and back covers. Pharmacies are listed alphabetically by city and by type of pharmacy. The types of pharmacies in this directory appear in this order: Mail-Order Pharmacy Chain Pharmacies Retail Pharmacies Long-Term Care Pharmacies Home Infusion Pharmacies Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies Under each listing we also show additional pharmacy features. These features are identified on each page with the following key: SAVE = Preferred cost-sharing. Drugs from these pharmacies may cost less than other pharmacies in our network. = -day supply. These are retail pharmacies that offer an extended (-day) supply of medications. erx = Pharmacy accepts electronic prescriptions from prescribers. You can go to all the pharmacies on this list, but your costs for some drugs may be lower at pharmacies in this list that offer preferred costsharing. We have marked these pharmacies with SAVE to distinguish them from other pharmacies in our network that offer standard cost-sharing. Cost sharing information can be found in the Summary of Benefits. You can get prescription drugs shipped to your home through our network mail-order delivery program, CVS Caremark. 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.

4 Mail Order Pharmacy CVS Caremark (866) (TTY users: 711) 24 hours a day, seven days a week 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. 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 15 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 CVS Caremark at (866) Typically, you should expect to receive your prescription drugs within 10 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 (866) /TTY

5 Chain Pharmacies Below are chain pharmacies in our network. For locations and phone numbers of stores near you, call the numbers below or visit the pharmacy website. Unless a separate number is provided, TTY users: 711. Bi-Lo... (800) SAVE, CVS... (800) SAVE, Fred s Pharmacy... (800) Harris Teeter... (800) SAVE, Ingles Markets... (828) Kmart... (800) Kroger... (800) SAVE, Publix... (800) Rite Aid..... (800) Sam s Club... (888) SAVE, Walgreens... (800) Walmart... (800) SAVE, SAVE = Preferred cost sharing = Day Supply 2

6 ABBEVILLE SAVITZ DRUG STORE INC... (864) W GREENWOOD ST STE SAVE erx AIKEN AIKEN DRUG COMPANY... (803) LAURENS ST SW SAVE erx CLYBURN CENTER FOR PRIMARY CARE... (803) CLYBURN PL SAVE erx FAMILY PHARMACY... (803) NEWBERRY ST NW SAVE erx FAMILY PHARMACY SOUTH AIKEN... (803) PRICE AVE SAVE erx HAWTHORNE AIKEN PHCY... (803) UNIVERSITY PKWY STE SAVE erx LOMINICK'S PHARMACY... (803) RICHLAND AVE W SAVE erx MEDICINE MART... (803) RICHLAND AVE W SAVE erx TLC MEDICAL CENTRE INC... (803) CREPE MYRTAL DR SAVE erx ANDERSON ANDERSON BARIATRIC PHYSICIANS I... (864) N MAIN ST ANMED HEALTH HOME INFUSION...(864) E GREENVILLE ST erx = -Day Supply BRYANT PHARMACY & SUPPLY.. (864) N MAIN ST SAVE erx DIXON POWERS DRUG COMPANY... (864) N FANT ST SAVE erx HUMANA PHARMACY, INC.... (864) E. GREENVILLE STREET erx PALMETTO PHYSICAL MEDICINE... (864) FINANCIAL BLVD PATRICK B HARRIS PSYCHIATRIC H... (864) HIGHWAY PRESCRIPTION SHOP, INC.... (864) N FANT ST erx PROFESSIONAL PHARMACY... (864) N MAIN ST SAVE erx PROPP DRUGS... (864) N FANT ST SAVE erx THE MEDICINE MART... (864) S MAIN ST SAVE erx ANDREWS REYNOLDS DRUG STORE... (843) S MORGAN AVE SAVE erx SUPRX PHARMACY... (843) W ASHLAND ST SAVE erx 3

7 AYNOR AYNOR FAMILY PHARMACY... (843) TH AVENUE SAVE erx GOLDEN TOWN PHARMACY... (843) HIGHWAY 501 EAST SAVE erx BAMBERG HIERS DRUG STORE... (803) HERITAGE HWY 203 SAVE erx BARNWELL BARNWELL FAMILY MEDICINE PHCY... (803) WREN STREET erx BERLEY'S PHARMACY INC... (803) BURR ST SAVE erx DANIEL'S PHCY OF BARNWELL... (803) WREN ST SAVE erx BATESBURG MORGANS PHARMACY OF BATESBURG... (803) W RAILROAD AVE 206 SAVE erx BEAUFORT BEAUFORT PHARMACY & COMPOUND... (843) RIBAUT RD STE SAVE erx BEECH ISLAND MARGARET J WESTON HEALTH CTR... (803) AUGUSTA RD SAVE erx BELTON CLINKSCALES DRUGS...(864) ANDERSON ST, STE C erx = -Day Supply BENNETTSVILLE CSC COMMUNITY PHCY BENNETTSVILLE... (843) CHERAW ST SAVE erx FOWLER PHARMACY... (843) E MARKET ST SAVE erx MARLBORO DRUG COMPANY... (843) N MARLBORO ST SAVE erx MEDCARE PHARMACY... (843) COTTINGHAM BLVD N STE B SAVE erx BISHOPVILLE BISHOPVILLE DRUG COMPANY INC... (803) S MAIN ST 210 SAVE erx CSC COMMUNITY PHARMACY- BISHOPVILLE... (803) SUMTER HWY 210 SAVE erx MCLEOD PHARMACY, INC... (803) N MAIN ST 210 SAVE erx BLACKSBURG IRON CITY PHCY MEDICINE SHOPPE... (864) B W CHEROKEE ST SAVE erx BLACKVILLE DANIELS' PHARMACY- BLACKVILLE... (803) SOLOMON BLATT AVE N SAVE erx BLUFFTON BLUFFTON PHARMACY... (843) BLUFFTON RD STE B SAVE erx 4

8 ULMER FAMILY PHARMACY AND WELLNESS... (843) BLUFFTON RD SUITE SAVE erx BLYTHEWOOD BLYTHEWOOD PHCY & HOME MED EQUIP... (803) C UNIVERSITY VILLAGE DR 216 SAVE erx BOILING SPRINGS RXCARE HEALTHWISE PHCY... (864) BOILING SPRINGS RD UNIT A SAVE erx UPSTATE PHARMACY BOILING SPRINGS... (864) BOILING SPRINGS ROAD SAVE erx BOWMAN BOLAND PHARMACY... (803) CHARLESTON HWY 218 SAVE erx BRANCHVILLE BRANCHVILLE PHARMACY... (803) FREEDOM RD SAVE erx CALHOUN FALLS CALLAWAY'S PHARMACY... (864) E SAVANNAH ST erx CAMDEN HAWTHORNE CAMDEN PHARMACY... (803) BROAD ST 220 SAVE erx MEDI-SAVE PHARMACY... (803) A W DEKALB ST 220 SAVE erx CHAPIN CHAPIN PHARMACY...(803) A AMICKS FERRY RD 236 SAVE erx = -Day Supply GENERX PHARMACY... (803) E BOUNDARY ST 236 erx CHARLESTON ATLANTIC PHARMACY SERVICES... (843) EXECUTIVE HALL RD STE erx CHARLESTON CANCER CENTER... (843) TRICOM STREET erx CHARLESTON ENT PHARMACY... (843) HENRY TECKLENBURG DR SAVE erx CHARLESTON HEMATOLOGY ONC PHCY... (843) HENRY TECKLENBURG DR FLR SAVE erx CHARLESTON HEMATOLOGY ONCOLOGY... (843) DOUGHTY ST STE SAVE erx COMMUNITY A WALGREENS PHCY... (843) RUTLEDGE AVE COSTCO PHARMACY... (843) ASHLEY TOWN CORP. DRIVE SAVE erx DELTA PHARMACY AND MEDICAL SUPPLY... (843) E BAY ST STE A SAVE erx DOTTIES PHARMACY... (843) FOLLY RD STE SAVE erx FAMILY MEDICINE PHARMACY...(843) ELLIS OAK DR RM erx 5

9 FETTER HEALTH CARE NETWORK... (843) NASSAU ST erx FOCUS MEDS PHARMACY AND WELLNESS... (843) SAM RITTENBERG BLVD # FOCUS: MEDS PHCY AND WELLNESS... (843) SAM RITTENBERG BL STE SAVE erx HEALTHQUEST PHARMACY... (843) JESSEN LN STE A erx HEROLD'S PHARMACY... (843) CHARLIE HALL BLVD ST C SAVE erx LONG'S DRUGS OF CHARLESTON... (843) TOBIAS GADSDEN BLVD #2D SAVE erx MUSC ASHLEY RIVER TOWER PHCY... (843) COURTENAY DRIVE RM M SAVE erx MUSC HOLLINGS CANCER CTR PHCY... (843) JONATHAN LUCAS RM SAVE erx MUSC MAIL ORDER PHCY... (843) ALBEMARLE RD RM WH # erx MUSC RUTLEDGE TOWER PHCY. (843) RUTLEDGE AVE RM SAVE erx MUSC UNIVERSITY HOSPITAL PHCY...(843) ASHLEY AVE RM SAVE erx = -Day Supply OMNICARE OF BISHOP GADSEN... (843) BISHOP GADSDEN WAY erx OMNICARE OF CHARLESTON... (614) DEANNA LN STE D erx PLANTATION PHARMACY... (843) WAPPOO RD SAVE erx PLANTATION PHARMACY LLC... (843) DANIEL ELLIS DR 2C SAVE erx CHERAW CSC COMMUNITY PHARMACY... (843) S DOCTORS DR SUITE A SAVE erx HARSEY'S PHARMACY... (843) US HWY 1 SOUTH SAVE erx P & H PHARMACY... (843) CHESTERFIELD HWY SAVE erx WANNAMAKERS DRUG STORE... (843) MARKET ST SAVE erx CHESNEE CASH & HENDERSON DRUGS INC... (864) S ALABAMA AVE SAVE erx CHESTER BLACK'S DRUG STORE... (803) CHURCH ST SAVE erx COMMUNITY MEDICINE PHARMACY... (803) CESTRAIN SQ SAVE erx 6

10 CHESTERFIELD CHESTERFIELD DRUG COMPANY... (843) MAIN ST SAVE erx WANNAMAKER DRUG... (843) WEST BLVD SAVE erx CLEMSON HUBBARD YOUNG PHCY INC... (864) COLLEGE AVE STE SAVE erx PATRICK SQUARE PHARMACY... (864) THOMAS GREEN BLVD SAVE erx CLINTON CLINTON DISCOUNT PHARMACY. (864) N BROAD ST SAVE erx SADLER-HUGHES APOTHECARY. (864) S BROAD ST SAVE erx CLOVER MEDCARE PHARMACY... (803) BETHEL ST SAVE erx COLUMBIA AGAPE PHARMACY... (803) MAIN ST erx AHF PHARMACY... (803) FARROW RD SAVE erx CM TUCKER JR NCC PHCY... (803) HARDEN ST CORAM HEALTHCARE/CAROLINA HOME THER... (803) GRACERN RD STE erx COSTCO PHARMACY... (803) PINEY GROVE ROAD SAVE erx FINKLIN PHARMACY... (803) N MAIN ST SAVE erx FIVE POINTS COOPERATIVE PHCY... (803) HARDEN ST SAVE erx G WERBER BRYAN PHARMACY... (803) FAISON DR GENOA-QOL HEALTHCARE... (803) BERRYHILL RD STE SAVE erx HAWTHORNE LAUREL PHCY... (803) LAUREL ST SAVE erx HAWTHORNE PHARMACY... (803) A TAYLOR ST SAVE erx LANDY'S PHARMACY... (803) CLEMSON RD SAVE erx LONGS CLOSED DOOR PHCY INC (803) EXECUTIVE CENTER DR # erx LONG'S DRUGS OF IRMO... (803) ST ANDREWS RD SAVE erx COOPERATIVE HEALTH PHARMACY...(803) MONTICELLO RD SAVE erx = -Day Supply LONGS KILBOURNE RD. DRUGSTORE (803) KILBOURNE RD SAVE erx 7

11 LONG'S MILLWOOD DRUGS STORE... (803) MILLWOOD AVE SAVE erx LONGS PHARMACY AT GATEWAY... (803) FARROW RD STE C SAVE erx MEDICINE MART PHARMACY... (803) ROSEWOOD DR SAVE erx PALMETTO HEALTH PHARMACY 10 MP... (803) MEDICAL PARK DR SAVE erx PALMETTO RX SOLUTIONS INC... (803) HARBISON WAY erx SC ONCOLOGY RETAIL PHARMACY... (803) STONERIDGE DR SAVE erx THOMSON STUDENT HLTH CTR PHCY... (803) DEVINE ST erx CONWAY HEALTHCARE PARTNERS PHARMACY... (843) N MAIN ST erx MEDICINE MART... (843) MAIN ST SAVE erx NYE'S PHARMACY... (843) TH AVE SAVE erx RIVERTOWN PHARMACY INC...(843) MAIN ST SAVE erx = -Day Supply SOUTHSIDE PHARMACY... (843) TH AVE STE F SAVE erx CROSS ELIJAH WRIGHT HEALTH CARE PHARMACY... (843) OLD HIGHWAY SAVE erx DANIEL ISLAND DELTA PHCY & MEDICAL SUPPLY... (843) SEVEN FARMS DR STE SAVE erx DARLINGTON CAROLINA DRUG STORE, INC.... (843) PUBLIC SQ SAVE erx DARLINGTON FAMILY PHARMACY... (843) S MAIN ST SAVE erx MED CENTER LTC PHARMACY... (843) RUSSELL ST STE C erx PALMETTO BREATHING SOLUTIONS... (843) PUBLIC SQUARE erx PROFESSIONAL PHARMACY... (843) CASHUA ST STE erx DENMARK DANIELS PHARMACY INC... (803) CAROLINA HWY 242 erx DENMARK MEDICAL CENTER PHCY... (803) CAROLINA HWY 242 erx 8

12 DILLON DILLON COMMUNITY PHCY... (843) W HARRISON ST STE A SAVE erx DILLON FAMILY PHARMACY... (843) N 6TH AVE SAVE erx DUNCAN BIOSCRIP INFUSION SERVICES... (864) CONGRESS BLVD EASLEY ARK PHARMACY SERVICES... (864) CALHOUN MEMORIAL HWY STE erx EASLEY HEALTHMART PHARMACY... (864) HILLCREST DR SAVE erx EXIGO PHARMACEUTICALS... (864) BRUSHY CREEK RD SAVE erx FLEETWOOD PHARMACY... (864) FLEETWOOD DR SAVE erx KELLYS FAMILY PHARMACY... (864) BRUSHY CREEK RD SAVE erx MEIYA PHARMACY... (864) S PENDLETON STR SUITE E SAVE erx EDGEFIELD BANKS PHARMACY... (803) RIDGE MEDICAL PLAZA RD # erx EHRHARDT EHRHARDT PHARMACY LLC... (803) BROXTON BRIDGE RD 281 SAVE erx ELGIN ELGIN PHARMACY... (803) ROSE ST 245 SAVE erx ELLOREE ELLOREE PHARMACY... (803) CLEVELAND ST 247 SAVE erx ESTILL ESTILL COMMUNITY PHCY... (803) MARTIN L KING JR BLVD N SAVE erx EUTAWVILLE DELTA OF EUTAWVILLE... (803) PORCHER AVE 248 SAVE erx FAIRFAX LOW COUNTRY HEALTH CARE SYSTEM PHCY... (803) REVOLUTIONARY TRL erx FLORENCE ADVANTAGE PHARMACY AND WELLNESS... (843) W PALMETTO ST SAVE erx GP PHARMACY... (843) W PALMETTO ST SAVE erx K J PHARMACY... (843) PAMPLICO HWY SAVE erx LONGS DRUGS... (843) N IRBY ST SAVE erx LOWCOUNTRY PHARMACY LLC.. (843) MCCLURE COURT SAVE erx = -Day Supply 9

13 MCLEOD OUTPATIENT PHCY... (843) E CHEVES ST STE D SAVE erx MEDICINE MART... (843) S IRBY ST SAVE erx OMNICARE OF FLORENCE... (843) W PALMETTO ST STE G erx PALMETTO PRESCRIPTION CENTER... (843) CELEBRATION BLVD erx PIGGLY WIGGLY PHARMACY... (843) W PALMETTO ST SUITE SAVE erx THE PHARMACY... (843) HOFFMEYER RD SAVE erx VISTARA PHARMACY... (843) S CASHUA DR STE C SAVE erx FORT MILL FORT MILL PHARMACY... (803) SPRINGCREST DR SAVE erx PALMETTO FAMILY PHARMACY.. (803) REGENT PARKWAY SUITE erx REDEC PHARMACY... (803) N DOBYS BRIDGE RD STE SAVE erx TEGA CAY FAMILY PHARMACY... (803) GOLD HILL RD STE SAVE erx FOUNTAIN INN BESTRX...(864) N MAIN ST STE E SAVE erx = -Day Supply GAFFNEY BUFORD STREET DRUG STORE... (864) W BUFORD ST SAVE erx MEDICINE MART OF GAFFNEY... (864) N LIMESTONE ST SAVE erx PRESCRIPTIONS PLUS... (864) CHESNEE HWY STE C SAVE erx GASTON GASTON FAMILY PHARMACY... (803) MACK ST 253 SAVE erx GEORGETOWN CARE PHARMACY LLC... (843) N FRASER ST SAVE erx FAMILY PHARMACY AT GMH... (843) BLACK RIVER RD erx PRESCRIPTION SHOPPE... (843) N FRASER ST erx THE MEDICINE SHOPPE... (843) NORTH FRASER ST SAVE erx WINYAH PHARMACY SOLUTIONS... (843) ELIZABETH ST erx GILBERT MORGANS PHARMACY... (803) BROAD ST 254 SAVE erx RIDGE LTC PHARMACY LLC... (803) AUGUSTA HWY STE A 254 erx 10

14 GRAY COURT GRAY COURT PHARMACY... (864) W MAIN STREET SAVE erx GREAT FALLS GREAT FALLS PHARMACY... (803) CHESTER AVE SUITE A 255 SAVE erx GREELEYVILLE GREELEYVILLE PHARMACY... (843) VARNER AVE 256 SAVE erx GREENVILLE ADVANCED PHARMACY LLC... (855) FEASTER RD STE D SAVE erx AVITA PHARMACY... (864) PENDLETON ST STE SAVE erx CHARLESTON RX, LLC... (843) N PLEASANTBURG DR SUITE A erx CORNER DRUGS INC... (864) B VARDRY ST erx COSTCO PHARMACY... (864) WOODRUFF RD SAVE erx FIRSTCHOICE PHARMACY... (864) GROVE RD SAVE erx FOWLERS PHARMACY... (864) LAURENS RD SAVE erx GREENVILLE DISCOUNT PHARMACY... (864) AUGUSTA ST SAVE erx = -Day Supply HUMANA PHARMACY, INC.... (864) ORCHARD PARK DRIVE erx KASH & KARRY PHARMACY LLC. (864) PETE HOLLIS BLVD SAVE erx MEDSCRIPTS MEDICAL PHARMACY... (864) MILLER RD STE K SAVE erx MEMORIAL PHARMACY INC... (864) A SIMPSON ST erx NETWORK HEALTH CARE SC... (864) WOODRUFF RD STE C erx NEW HORIZON PHARMACY... (864) W FARIS RD erx PARKER ROAD DRUG STORE... (864) WOODSIDE AVE SAVE erx PHARMACY INNOVATIONS... (864) CONGAREE RD SAVE erx PICKWICK PHARMACY... (864) AUGUSTA ST SAVE erx SAM PHARMACY & HEALTH FOOD... (864) AUGUSTA ST STE F SAVE erx SHAWS PHARMACY... (864) E NORTH ST SAVE erx ST. FRANCIS CANCER CENTER PHCY...(864) INNOVATION DR STE SAVE erx 11

15 STONE PLAZA PHARMACY... (864) RUTHERFORD RD erx UPSTATE MEDICAL PHARMACY.. (864) GROVE RD SAVE erx UPSTATE PHARMACY CROSS CREEK... (864) DOCTORS DR SAVE erx UPSTATE PHARMACY EASTSIDE... (864) PATEWOOD DR STE B SAVE erx UPSTATE PHARMACY IMA... (804) VERDAE BLVD STE A SAVE erx UPSTATE PHCY CTR FOR FAMILY MEDI... (864) W FARIS RD SAVE erx WELCOME PHARMACY INC.... (864) WHITE HORSE RD, STE F SAVE erx GREENWOOD CAROLINA COMMUNITY PHARMACY... (864) EPTING AVE SAVE erx CAROLINA COMMUNITY PHARMACY NW... (864) BYPASS 72 NW SAVE erx FOOD LION PHARMACY... (864) BYPASS 72 NE erx SELF REGIONAL HEALTHCARE... (864) SPRING ST erx WINGARDS PHARMACY... (864) SEABOARD AVE SAVE erx GREER ASSOCIATE FAMILY PHCY... (864) BROCKMAN MCCLIMON RD STE B erx MCLESKEY TODD PHARMACY... (864) N MAIN ST SAVE erx NEW HORIZON PHARMACY... (864) BERRY AVE # A erx PROFESSIONAL PHARMACY OF GREER... (864) MEMORIAL DR SAVE erx PROFESSIONAL PHCY AT MT VIEW... (864) MEMORIAL DR EXTENSION SAVE erx UPSTATE PHARMACY GREER... (864) S BUNCOMBE RD STE B SAVE erx UPSTATE SPECIALTY PHARMACY... (864) S BUNCOMBE RD STE D SAVE erx HAMPTON CAROLINA PHCY OF THE LOWCOUNTRY... (803) ELM ST E SAVE erx HANAHAN CAMMERS PHARMACY... (843) YEAMANS HALL RD SAVE erx = -Day Supply 12

16 HARDEEVILLE HARDEEVILLE MEDICAL CENTER PHARMACY... (843) STINEY RD erx RICK'S CAROLINA PHARMACY... (843) WHYTE HARDEE BLVD SAVE HARLEYVILLE HARLEYVILLE DRUG... (843) W MAIN ST SAVE erx HARTSVILLE CSC COMMUNITY PHARMACY... (843) S 4TH ST SAVE erx HARTSVILLE DRUG COMPANY INC... (843) W CAROLINA AVE SAVE erx MEDICAL ARTS PHARMACY... (843) W CAROLINA AVE MORPHIS PEDIATRIC GROUP... (843) MEDICAL PARK DRIVE NURSING HOME DISPENSARY... (843) W CAROLINA AVE erx HEMINGWAY STUCKEY PHARMACY... (843) SOUTH MAIN ST SAVE erx HILTON HEAD ST JOSEPHS CANDLER OUTPATIENT PHCY... (843) HOSPITAL CENTER COMMONS SAVE erx HILTON HEAD ISLAND BURKES MAIN STREET PHCY... (843) MAIN ST SAVE erx HOLLY HILL HOLLY HILL PHARMACY... (803) HOLLY ST 259 SAVE erx HOLLYWOOD DELTA PHARMACY & MEDICAL SUPPLY... (843) HIGHWAY SAVE erx PREFERRED CARE PHARMACEUTICAL SV... (843) HIGHWAY erx HOPKINS LONGS DRUGS GARNERS FERRY... (803) GARNERS FERRY RD 261 SAVE erx INDIAN LAND HEALTHPOINT PHARMACY... (803) EDGEWATER CORP PKWY SAVE erx INDIAN LAND PHARMACY... (803) CHARLOTTE HWY SAVE erx INMAN KEMPSON REXALL DRUGS... (864) N MAIN ST SAVE erx IRMO IRMO DRUG... (803) LAKE MURRAY BLVD STE B 263 SAVE erx MEDI HOME PHARMACY... (803) PALMETTO WOOD PKWY STE erx = -Day Supply 13

17 ISLE OF PALMS DELTA PHCY & MEDICAL SUPPLY... (843) PALM BLVD STE E SAVE erx IVA IVA DRUG STORE INC... (864) E FRONT ST SAVE erx JEFFERSON JEFFERSON DRUG... (843) E CHURCH ST SAVE erx JOANNA GILDER AND WEEKS INC... (864) N MAIN ST SAVE erx JOHNS ISLAND VINCENTS DRUG STORE... (843) PLANTED ROW LANE SAVE erx JOHNSONVILLE WALL DRUGS OF JOHNSONVILLE INC... (843) EAST STUCKEY ST SAVE erx JOHNSTON MAXWELL & HALFORD DRUG... (803) CALHOUN ST SAVE erx KERSHAW KERSHAW FAMILY PHARMACY... (803) S HAMPTON ST 267 SAVE erx KINGSTREE WILLIAMSBURG PHARMACY... (843) THURGOOD MARSHALL BLVD SAVE erx = -Day Supply LAKE CITY KJ'S PHARMACY # (843) KELLEY ST SAVE erx M & D DRUG COMPANY... (843) E MAIN ST SAVE erx THE MEDICINE CABINET... (843) MERCY ST SAVE erx LAKE VIEW CENTRAL PHARMACY... (843) N MAIN ST SAVE erx LAKE WYLIE LAKE WYLIE PHARMACY... (803) LATITUDE LN STE SAVE erx LAMAR PIGGLY WIGGLY PHARMACY... (843) N RAILROAD AVE 269 SAVE erx LANCASTER BARNETT HONEYCUTT PHARMACY... (803) COLONIAL COMMONS CT SAVE erx CARE HEALTH PHARMACY... (803) W. MEETING ST BLDG 5 STE H erx LANCASTER PHARMACY & WELLNESS... (803) N WOODLAND DR STE C SAVE erx LR FAMILY PHARMACY... (803) AIRPORT RD STE SAVE erx MOBLEY DRUGS, INC....(803) W MEETING ST SAVE erx 14

18 LANDRUM LANDRUM DRUG COMPANY... (864) W RUTHERFORD ST SAVE erx YOUR CHOICE PHARMACY... (855) HIGHWAY 14 E erx LANGLEY LANGLEY DRUG COMPANY... (803) AUGUSTA RD SAVE erx LATTA CSC COMMUNITY PHCY-LATTA... (843) LATIMER ST SAVE erx LATTA DRUG CO., INC.... (843) E MAIN ST SAVE erx LAURENS ADAIR APOTHECARY... (864) W MAIN ST SAVE erx FLEETWOOD PHARMACY OF L AURENS... (864) D FLEMING ST SAVE erx LAURENS DRUG COMPANY... (864) W MAIN ST SAVE erx WATTSVILLE DRUGS... (864) SIRRINE ST SAVE erx LEESVILLE APOTHECARE PHARMACY... (803) E COLUMBIA AVE 270 SAVE erx LEXINGTON LONGS DRUGS LEXINGTON...(803) W MAIN ST 272 SAVE erx = -Day Supply MEDICINE MART... (803) COLUMBIA AVE STE B 272 SAVE erx PRUITTHEALTH PHCY SVCS LEXINGT... (803) RIVERCHASE WAY STE A 272 erx RILEY'S DRUGS INC... (803) WEST MAIN ST 272 SAVE erx SOUTH LAKE DRUG... (803) S LAKE DR STE K 273 SAVE erx STERLING PHCY SYSTEMS LLC... (803) PARK PLACE COURT 272 erx LIBERTY LIBERTY FAMILY PHARMACY... (864) W MAIN ST SAVE erx LITTLE RIVER LITTLE RIVER MEDICAL CTR PHCY... (843) LIVE OAK DR erx SEASHORE DRUGS... (843) HIGHWAY SAVE erx WATERWAY PHARMACY... (843) HIGHWAY 9 E SAVE erx LONGS PARKWAY DISCOUNT PHARMACY... (843) HIGHWAY 9 E BLDG D # erx LORIS LORIS DRUG STORE...(843) MAIN ST erx 15

19 LORIS EXTENDED CARE PHCY... (843) MITCHELL ST erx SHERRYS MEDS AND MORE PHARMACY... (843) MAIN ST SAVE erx THE MEDICINE SHOPPE... (843) MEETING ST SAVE erx LUGOFF HAWTHORNE LUGOFF PHARMACY (803) HIGHWAY 1 SOUTH 278 SAVE erx SANDHILLS MEDICAL PHCY... (803) BALDWIN AVE 278 SAVE erx LYMAN LYMAN DRUG INC... (864) SPARTANBURG HWY SAVE erx MANNING ANDERSON PHARMACY... (803) S MILL ST SAVE erx BRUNSON'S PHARMACY... (803) N BROOKS ST SAVE erx SUP-RX PHARMACY... (803) SUNSET DR SAVE erx MARIETTA SLATER DRUG COMPANY... (864) PUMPKINTOWN RD SAVE erx MARION BRIDGERS DRUG STORE...(843) N MAIN ST SAVE erx = -Day Supply MAULDIN MAULDIN DISCOUNT PHCY... (864) W BUTLER RD STE A SAVE erx MAULDIN FAMILY PHARMACY... (864) N MAIN ST STE A SAVE erx MCBEE SANDHILLS MEDICAL PHARMACY... (843) S 7TH ST SAVE erx MCCORMICK STROMS DRUG STORE... (864) S MAIN ST SAVE erx MONCKS CORNER BERKELEY HOME PHARMACY... (843) REMBERT C DENNIS BLVD # B SAVE erx DELTA PHARMACY... (843) E MAIN ST SAVE erx MOUNT PLEASANT CHARLESTON ENT ASSOCIATES SMP... (843) WINGO WAY STE erx COSTCO PHARMACY... (843) PARK AVENUE BLVD SAVE erx EAST COOPER FAMILY PHCY... (843) BOWMAN RD STE A SAVE erx LONG POINT PHARMACY... (843) LONG POINT RD UNIT H SAVE erx RAVEN PHARMACY...(843) HOUSTON NORTHCUTT BLVD erx 16

20 SWEETGRASS PHCY AND COMPOUNDING... (843) LONG GROVE DR STE SAVE erx TIDEWATER PHARMACY... (843) JOHNNIE DODDS BLVD STE SAVE erx MT PLEASANT BLUE SKY SPECIALTY PHCY... (843) LONG POINT RD SAVE erx CHARLESTON ENT NMP... (843) N HIGHWAY 17 STE erx MULLINS MULLINS DISCOUNT DRUG... (843) S MAIN ST SAVE erx MURRELLS INLET FAMILY PHARMACY AT WCH... (843) HIGHWAY 17 BYPASS erx LEES INLET APOTHECARY & GIFTS... (843) HIGHWAY 17 BUSINESS SAVE erx MYRTLE BEACH CAROLINA FOREST PHCY... (843) RIVER OAKS DR UNIT B SAVE erx CAROLINA HEALTH PHCY... (843) DICK POND RD SAVE erx COASTAL CANCER CENTER PHARMACY... (843) ROURK ST SAVE erx COSTCO PHARMACY...(843) OAK FOREST LN SAVE erx = -Day Supply LITTLE RIVER MEDICAL CTR PHCY... (843) CAROLINA EXCHANGE DR erx RESPONSIVE SOLUTIONS INC... (843) OLEANDER DR STE erx NEESES GIANT DISCOUNT PHARMACY... (803) SAVANNAH HWY SAVE erx NORFIELD MEDICAL CENTER PHARMACY... (803) NORWAY RD erx NEW ELLENTON HIBBITTS DRUG CO LLC... (803) MAIN ST N SAVE erx NEWBERRY LONG'S DRUGS OF NEWBERRY... (803) MAIN ST SAVE erx LOREX... (803) WILSON RD SAVE erx NINETY SIX FAMILY PHARMACY... (864) N CAMBRIDGE ST SAVE erx NORTH R AND J DRUGS... (803) SAVANNAH HWY SAVE erx NORTH AUGUSTA CTR FOR PRMY CARE N AUGUSTA... (803) E HUGH ST erx 17

21 FOOD LION PHARMACY... (803) MARKET PLAZA DR erx GEORGE PARKS PHARMACY... (803) GEORGIA AVE SAVE erx NORTH CHARLESTON CORAM CVS/SPLTY INFUSION SVCS... (843) CORE AVE STE erx HEROLD'S PHARMACY NORTH... (843) UNIVERSITY BLVD STE SAVE erx NC CHARLESTON ENT PHARMACY... (843) UNIVERSITY BLVD SAVE erx PALMETTO INFUSION SERVICES. (843) MEDICAL PLAZA DR SUITE C PRONETICS HLTH CARE GROUP INC... (843) LEEDS PL W erx TPC PHARMACY... (843) A MEDICAL PLAZA DRIVE SAVE erx NORTH MYRTLE BEACH CHERRY GROVE DRUG... (843) SEA MOUNTAIN HIGHWAY SAVE erx OLANTA F & L DRUG STORE... (843) N JONES RD erx ORANGEBURG FAMILY HEALTH CENTERS INC...(803) MAGNOLIA ST erx = -Day Supply GROVE PARK PHARMACY... (803) GROVE PARK NE SAVE erx HF MABRY CANCER CENTER... (803) COOK RD erx JAMISON'S PHARMACY... (803) GOFF AVE SAVE erx MEDICAP PHARMACY... (803) NORTH RD SAVE erx ORANGE CUT RATE DRUGS INC.. (803) RUSSELL ST SAVE erx ORANGE NURSING HOME SERVICES... (803) SMOAK ALLEY erx RMC PHARMACY... (803) ST MATTHEWS RD SAVE erx PAGELAND PAGELAND FAMILY PHCY... (843) S VAN LINGLE MUNGO BL SAVE erx PAMPLICO PAMPLICO PHARMACY... (843) S WALNUT ST SAVE erx PAWLEYS ISLAND PAWLEY'S ISLAND PHARMACY... (843) OCEAN HWY SAVE erx PAWLEYS ISLAND PHCY OF LITCHFIELD... (843) WILLBROOK BLVD UNIT A SAVE erx 18

22 PEAK PEAK PHARMACY INC... (803) RIVER ST SAVE erx PELION BIG S DRUGS... (803) EDMUND HWY SAVE erx PICKENS CORNER DRUG STORE... (864) W CEDAR ROCK ST SAVE erx PORT ROYAL PORT ROYAL MEDICAL CENTER PHARMACY... (843) RIBAUT RD erx PROSPERITY PROSPERITY DRUG COMPANY... (803) N MAIN ST SAVE erx RICHBURG RICHBURG DISCOUNT PHARMACY... (803) LANCASTER HWY STE H SAVE erx RIDGE SPRING BANKS DRUG LTC... (803) E MAIN ST BANKS DRUGS... (803) E MAIN ST erx RIDGELAND CHELSEA CENTER PHARMACY... (843) OKATIE HWY erx MAIN STREET PHARMACY... (843) W MAIN ST SAVE erx ROCK HILL AVITA PHARMACY... (803) LAKESHORE PARKWAY SAVE erx CAROLINA BLOOD & CANCER CARE... (803) HEALTHCARE DR erx CAROLINA PHARMACY... (803) CHERRY RD STE SAVE erx COMMUNITY MEDICINE PHARMACY... (803) SALUDA ST SAVE erx FAMILY CARE SPECIALTY PHARMACY... (803) CELANESE RD STE SAVE erx FOOD LION PHARMACY... (803) E MAIN ST erx GOOD PHARMACY INC... (803) EBENEZER RD SAVE erx PALMETTO FAMILY PHARMACY.. (803) OAKLAND AVE STE erx PIEDMONT RETAIL PHARMACY... (803) S HERLONG AVE erx SOUTH END PHARMACY... (803) ALBRIGHT ROAD SAVE erx ROEBUCK RXCARE HEALTHWISE PHARMACY... (864) S CHURCH ST EXT SAVE erx = -Day Supply 19

23 SAINT GEORGE ST GEORGE MED CENTER PHCY... (843) RIDGE ST erx WESTBURY PHARMACY INC... (843) N PARLER AVE SAVE erx SAINT HELENA ISLAND ST HELENA MEDICAL CENTER PHARMACY... (843) JONATHAN FRANCIS SR RD erx SAINT MATTHEWS BOLAND PHARMACY... (803) HARRY C RAYSOR DR SAVE erx ST MATTHEWS PHARMACY... (803) F R HUFF DR SAVE erx SALUDA LONGS DRUGS OF SALUDA... (864) W BUTLER AVE SAVE erx SENECA ROSA CLARK CLINIC PHCY... (864) S OAK ST erx SENECA PHARMACY... (864) WELLS HWY SAVE erx UPSTATE PHARMACY OCONEE... (864) MEMORIAL DR SAVE erx UPSTATE PHARMACY SENECA... (864) LILA DOYLE DR SAVE erx = -Day Supply SHELDON SHELDON MEDICAL CENTER PHARMACY... (843) PAIGE POINT RD erx SIMPSONVILLE CONNECTED HEALTH PHARMACY... (864) GRANDVIEW DR STE D SAVE erx GREENHILL SPECIALTY PHARMACY... (864) WOODRUFF RD STE erx HOWARD'S PHARMACY... (864) S MAIN ST erx SOCIETY HILL CSC COMMUNITY PHARMACY- SOCIETY HILL... (843) S MAIN ST SAVE SOCIETY HILL PHARMACY... (843) S MAIN ST SAVE SPARTANBURG CAROLINAS UPSTATE PHCY AT GIBB... (864) SERPENTINE DR STE SAVE erx COSTCO PHARMACY... (864) W BLACKSTOCK RD SAVE erx FAMILY PHYS OF SPARTNBURG PHCY... (864) REIDVILLE RD SAVE erx FORDS HEALTHWISE PHCY & MED...(864) E MAIN ST STE SAVE erx 20

24 HORIZON MEDICAL ASSOCIATES PC... (864) E MAIN ST HUB CITY PHARMACY... (864) JOHN B WHITE SR BLVD # SAVE erx OMNICARE OF SPARTANBURG... (864) CORPORATE DR erx REGENESIS HEALTH CARE PHARMACY... (864) S CHURCH ST erx SMITHS DRUG STORE... (864) E MAIN ST SAVE erx SPARTANBURG REGIONAL O/P PHCY... (864) E WOOD ST erx SRHS EMPLOYEE PHARMACY... (864) E WOOD ST STE SAVE erx THE PRESCRIPTION CENTER... (864) CANNONS CAMPGROUND RD SAVE erx U SAVE IT PHARMACY... (864) CHESNEE HWY STE SAVE erx WHITE OAK PHARMACY, INC... (864) BOILING SPRINGS RD erx SPRINGFIELD MORGANS PHARMACY... (803) FESTIVAL TRAIL RD SAVE erx ST MATTHEWS ST MATTHEWS MEDICAL CENTER PHCY... (803) CHESTNUT ST erx ST STEPHEN SANTEE DRUG CENTER... (843) BYRNES DR STE D SAVE erx SUMMERTON SUMMERTON DRUG COMPANY... (803) MAIN ST SAVE SUMMERTON DRUGS COMP AND DISP... (803) E MAIN ST SAVE erx SUMMERVILLE GUERINS PHARMACY INC... (843) S MAIN ST SAVE erx SV CHARLESTON ENT PHARMACY... (843) MIDLAND PKWY SAVE erx T J BELL FAMILY HEALTH CENTER PHCY... (843) VARNFIELD DRIVE SUMTER ALDERMAN DRUG CO.... (803) N MAIN ST SAVE erx COLONIAL RX... (803) BROAD ST - SUITE SAVE erx MEDICAL COURT PHARMACY... (803) W LIBERTY ST SAVE erx = -Day Supply 21

25 PRESCRIPTIONS, INC.... (803) CHURCH ST SAVE erx SANDHILLS MEDICAL PHARMACY... (803) N SALEM AVE SAVE erx SIBERTS DRUG STORE... (803) W LIBERTY ST SAVE erx SUMTER CUT RATE DRUG STORE... (803) S MAIN ST SAVE erx SUMTER FAMILY HEALTH CENTER PHCY... (803) N LAFAYETTE DR SAVE erx SUP-RX PHARMACY... (803) E CALHOUN ST SAVE erx SUP-RX PHARMACY... (803) BROAD ST SAVE erx SUP-RX PHARMACY... (803) S GUIGNARD PKWY SAVE erx SURFSIDE BEACH CARE PHARMACY OF SURFSIDE LLC... (843) HIGHWAY 17 N SAVE erx OCEAN LAKES PHARMACY... (843) HIGHWAY 17 N SAVE erx SWANSEA DISCOUNT DRUG OF SWANSEA.. (803) NORTH CHURCH ST SAVE erx = -Day Supply TIMMONSVILLE TIMMONSVILLE PHARMACY... (843) E SMITH ST SAVE erx TRAVELERS REST MCLESKEY TODD PHCY OF TRAVELER... (864) S MAIN ST 296 SAVE erx NEW HORIZON PHARMACY... (864) GEER HWY 296 SAVE erx TURBEVILLE COMMUNITY PHARMACY OF TURBEVILLE... (843) SMITH ST SAVE erx UNION UNION FAMILY PHARMACY... (864) A RICE AVE erx VANCE COMMUNITY MED CTR FMLY HLTH CTR INC... (803) OLD NUMBER SIX HWY erx WAGENER TYLER BROS PRESCRIPTION SHOPPE... (803) A EARLE ST S SAVE erx WAGENER DRUG CO... (803) MAIN ST N erx WALHALLA KEN'S THRIFTEE PHCY INC... (864) E MAIN ST SAVE erx WALHALLA PHARMACY...(864) E MAIN ST SAVE erx 22

26 WALHALLA PHARMACY... (864) E MAIN ST WALTERBORO ADVANTAGE VETERANS SVS WALTERBORO... (843) SIDNEYS RD HIOTTS PHARMACY... (843) E WASHINGTON ST SAVE erx THE MEDICINE SHOPPE... (843) N JEFFERIES BLVD SAVE erx WEST COLUMBIA AGAPE RX... (803) LEAPHART RD STE A SAVE erx HAWTHORNE PHARMACY SUNSET... (803) SUNSET BLVD SAVE erx MEDICINE MART... (803) SUNSET BLVD SAVE erx PALMETTO INFUSION SERVICES LLC... (803) SUNSET BLVD PINE RIDGE PHARMACY... (803) PINE RIDGE DR # A SAVE erx TRIANGLE PHARMACY... (803) D AVE SAVE erx WESTMINSTER MOON'S DRUG STORE... (864) W MAIN ST SAVE erx WHITMIRE ROCHE PHARMACY INC... (803) MAIN ST SAVE erx WILLISTON MORGAN'S DRUGS... (803) MAIN ST SAVE erx WINNSBORO HAWTHORNE WINNSBORO PHARMACY... (803) S CONGRESS ST SAVE erx WOODRUFF WOODRUFF DIABETIC SUPP AND PHCY... (864) W GEORGIA ST erx YORK CREEKSIDE PHARMACY... (803) CREEKSIDE MEDICAL DR SAVE erx YORKVILLE PHARMACY... (803) E LIBERTY ST STE B SAVE erx PRIVILEGE PHARMACY SPRINGDALE... (803) PLATT SPRINGS RD SAVE erx SUNSET PHARMACY INC... (803) PROFESSIONAL AVE SAVE erx = -Day Supply 23

27 Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility s long-term care pharmacy or another network long-term care pharmacy. ADVANTAGE VETERANS SVS WALTERBORO... (843) SIDNEY RD, WALTERBORO AGAPE PHARMACY... (803) MAIN ST, COLUMBIA ARK PHARMACY SERVICES... (864) CALHOUN MEMORIAL HWY STE, EASLEY BANKS DRUG LTC... (803) E MAIN ST, RIDGE SPRING BANKS DRUGS... (803) E MAIN ST, RIDGE SPRING CM TUCKER JR NCC PHARMACY (803) HARDEN ST, COLUMBIA FOCUS MEDS PHARMACY AND WELLNESS... (843) SAM RITTENBERG BLVD #134, CHARLESTON G WERBER BRYAN PHARMACY... (803) FAISON DR, COLUMBIA GENERX PHARMACY... (803) E BOUNDARY ST, CHAPIN 236 GENOA-QOL HEALTHCARE... (803) BERRYHILL RD STE 109, COLUMBIA GUERINS PHARMACY INC... (843) S MAIN ST, SUMMERVILLE HEALTHQUEST PHARMACY... (843) JESSEN LN STE A, CHARLESTON IRON CITY PHCY MEDICINE SHOPPE... (864) B W CHEROKEE ST, BLACKSBURG KELLYS FAMILY PHARMACY... (864) BRUSHY CREEK RD, EASLEY LONGS CLOSED DOOR PHARMACY INC... (803) EXECUTIVE CENTER DR #222, COLUMBIA LONGS DRUGS OF SALUDA... (864) W BUTLER AVE, SALUDA LORIS EXTENDED CARE PHCY... (843) MITCHELL ST, LORIS MED CENTER LTC PHARMACY... (843) RUSSELL ST STE C, DARLINGTON NETWORK HEALTH CARE SC... (864) WOODRUFF RD STE C28, GREENVILLE NURSING HOME DISPENSARY... (843) W CAROLINA AVE, HARTSVILLE OMNICARE OF BISHOP GADSEN... (843) BISHOP GADSDEN WAY, CHARLESTON OMNICARE OF CHARLESTON... (614) DEANNA LN STE D, CHARLESTON OMNICARE OF FLORENCE... (843) W PALMETTO ST STE G, FLORENCE OMNICARE OF SPARTANBURG... (864) CORPORATE DR, SPARTANBURG ORANGE NURSING HOME SERVICES... (803) SMOAK ALLEY, ORANGEBURG PALMETTO RX SOLUTIONS INC... (803) HARBISON WAY, COLUMBIA PATRICK B HARRIS PSYCHIATRIC H... (864) HIGHWAY 252, ANDERSON PHARMACY INNOVATIONS... (864) GROVE RD, GREENVILLE

28 Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility s long-term care pharmacy or another network long-term care pharmacy. PREFERRED CARE PHARMACEUTICAL SV... (843) A HWY 162, HOLLYWOOD PRUITTHEALTH PHCY SVCS LEXINGT... (803) RIVERCHASE WAY STE A, LEXINGTON 272 RIDGE LTC PHARMACY LLC... (803) AUGUSTA HWY STE A, GILBERT 254 RM CAMPBELL VET NURS HOME DIS... (864) BELTON HWY, ANDERSON STERLING PHARMACY SYSTEMS LLC... (803) PARK PLACE CT, LEXINGTON 272 SUMMERTON DRUGS COMP AND DISP... (803) E MAIN ST, SUMMERTON UPSTATE PHARMACY GREER... (864) S BUNCOMBE RD STE B, GREER WALHALLA PHARMACY... (864) E MAIN ST, WALHALLA WHITE OAK PHARMACY, INC... (864) BOILING SPRINGS RD, SPARTANBURG WINYAH PHARMACY SOLUTIONS... (843) ELIZABETH ST, GEORGETOWN

29 ANMED HEALTH HOME INFUSION... (864) E GREENVILLE ST, ANDERSON CORAM HEALTHCARE/CAROLINA HOME THER... (803) GRACERN RD STE 123, COLUMBIA CORAM SPECIALTY INFUSION SERVICES... (843) CORE AVE STE 512, NORTH CHARLESTON HOMECHOICE PARTNERS, INC.... (864) CONGRESS BLVD, DUNCAN INFUSCIENCE... (843) ELMS PLNTTION BLVD #101, NORTH CHARLESTON INTRAMED PLUS... (803) SALUDA RIDGE CT STE 100, WEST COLUMBIA INTRAMED PLUS... (843) LACROSS RD STE 1200, CHARLESTON INTRAMED PLUS... (864) WOODRUFF RD STE G28, GREENVILLE PALMETTO INFUSION SERVICES... (843) MEDICAL PLAZA DR SUITE C, NORTH CHARLESTON PALMETTO INFUSION SERVICES LLC... (800) SUNSET BLVD, WEST COLUMBIA PRONETICS HLTH CARE GROUP INC... (843) LEEDS PL W, NORTH CHARLESTON RESPONSIVE SOLUTIONS INC... (843) OLEANDER DR STE 5, MYRTLE BEACH Home Infusion Pharmacies 26

30 Indian Health Services/Tribunal/Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through our plan s 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 see your Evidence of Coverage. CATAWBA SERVICE UNIT-IHS (803) STURGIS RD ROCK HILL

31 Rvs 3/13/2017 3/ [Type here] [Type here] [Type here]

32 Rvs 3/13/ /[Type here] [Type here] [Type here]

33 Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Customer Service for updated provider information. This pharmacy directory was updated on October 18, For more recent information or other questions, please contact BlueCross Rx Value at or, for TTY users, 711, 8 a.m. to 8 p.m. Eastern Time, Monday through Friday. Our automated telephone system handles calls received after 8 p.m. and on Saturdays, Sundays and holidays. From October 1, 2018, to March 31, 2019, we are available 8 a.m. to 8 p.m. Eastern Time, seven days a week. Or visit

34 75464_4_2018