2009 Pharmacy Directory

Transcription

1 This directory is for: United American Insurance Company 2009 Pharmacy Directory UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D This booklet provides a list of network pharmacies. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about network pharmacies in your area, or if you need further information, contact Customer Service at the number listed on the back of your Part D member ID card. Introduction To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and your plan Formulary. If you have additional questions, please call Customer Service at the number listed on the back of your Part D member ID card. 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 your Medicare Prescription Drug Plan. In most cases, your prescriptions are covered under your Plan 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 nonnetwork pharmacies under certain circumstances as described in your Evidence of Coverage. S5755_09PHARM F7048_24

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3 Retail Pharmacies

4 BUTLER COWLEY DONIPHAN ALLEN Augusta Winfield White Cloud Iola Gericare Ltc 113 E Madison Ave Iola,KS (620) ATCHISON Atchison Ball Brothers Health Mart 504 Commercial St Atchison,KS (913) BARBER Medicine Lodge Hibbard's Prescription 102 N Main St Medicine Lodge,KS (620) BARTON Great Bend The Medicine Shoppe # Adams St Great Bend,KS (620) BOURBON Fort Scott Mercy Hospital 401 Woodland Hills Blvd Fort Scott,KS (620) Woods Pharmacy 2322 S Main St Fort Scott,KS (620) Cooper Drug Inc 509 State St Augusta,KS (316) El Dorado El Dorado Truecare Phcy 205 N Vine St El Dorado,KS (316) Towanda Wesley Outpatient Pharmacy 1879 SW Andrew Rd Towanda,KS (316) CLAY Clay Center Patterson Hlth Mart Phcy 422 Lincoln Ave Clay Center,KS (785) CLOUD Concordia Elmhurst Apothecary 1018 Elmhurst Blvd Concordia,KS (785) Funk Pharmacy 1020 Elmhurst Blvd Concordia,KS (785) COFFEY Burlington The Medicine Shoppe # N 4Th St Burlington,KS (620) Professional Medical Services 1708 E 9Th Ave Ste B Winfield,KS (620) CRAWFORD Pittsburg Crowell Drug Co Inc 401 N Broadway St Pittsburg,KS (620) The Medicine Shoppe # N Broadway St Pittsburg,KS (620) DECATUR Oberlin Addleman Drug Store 137 S Penn Ave Oberlin,KS (785) DICKINSON Abilene Bankes Drug Store 304 N Broadway St Abilene,KS (785) Trapp Pharmacy 204 N Cedar St Abilene,KS (785) Herington Boelling Pharmacy Inc 2 W Main St Herington,KS (785) Usphs Whitecloud Hlth Station 3313 Thrasher Rd White Cloud,KS (785) DOUGLAS Baldwin City Roberts Drug Store 112 8Th St Baldwin City,KS (785) Lawrence Haskell Ihs Pharmacy 2415 Massachusetts St Lawrence,KS (785) Heartland Homecare Svc's 1025 N 3Rd St Ste 110 Lawrence,KS (785) Orchards Drug 1410 Kasold Dr Ste A16 Lawrence,KS (785) Qualicare Inc 2336 Ridge Ct Ste C Lawrence,KS (785) Sigler Pharmacy 4525 W 6Th St Lawrence,KS (785) Sigler Pharmacy Lfpc 4951 W 18Th St Lawrence,KS (785) Sunflower Pharmacy Inc 1501 Inverness Dr Lawrence,KS (785) This pharmacy does not offer extended supplies of maintenance medications.

5 Watkins Health Center 1200 Schwegler Dr Lawrence,KS (785) ELLSWORTH Ellsworth F & M Drug LLC 209 N Douglas Ave Ellsworth,KS (785) FINNEY Garden City Garden Pharmacy 701 E Kansas Plz Garden City,KS (620) Plaza Pharmacy Inc 911 N Main St Garden City,KS (620) FRANKLIN Ottawa Kramer Drug Store 134 S Main St Ottawa,KS (785) Wellsville Auburn Pharmacy LLC 601 Main / PO Box 705 Wellsville,KS (785) GRAY Montezuma Montezuma Drug Store 300 N Aztee Montezuma,KS (620) HAMILTON Syracuse Hamilton Cty Drug Store 302 E Ave A Syracuse,KS (620) HASKELL Satanta Satanta Pharmacy 401 Cheyenne Satanta,KS (620) JACKSON Holton Medica Pharmacy 1100 Columbine Dr Holton,KS (785) Prairie Band Potawatomi Family P 510 Kansas Ave Holton,KS (866) JEFFERSON Oskaloosa Oskaloosa Pharmacy 321 Jefferson Oskaloosa,KS (785) Valley Falls Valley Falls Pharmacy 320 Broadway St Valley Falls,KS (785) JOHNSON Gardner Price Chopper Pharmacy # E Main St Gardner,KS (913) Leawood Price Chopper Pharmacy # W 95Th St Leawood,KS (913) Price Chopper Pharmacy # Mission Rd Leawood,KS (913) Lenexa Apria Pharmacy-Lenexa 9500 Widmer Rd Lenexa,KS (800) Arj Infusion Services Inc Lakeview Ave Lenexa,KS (913) Biomed Pharmaceuticals Rene St Lenexa,KS (913) Critical Care Systems Inc 8053 Bond St Lenexa,KS (913) Global Medical W 95Th St Lenexa,KS (913) Great Plains Compounding W 79Th St Lenexa,KS (913) US Bioservices 9652 Loiret Blvd Lenexa,KS (913) Olathe Alternacare Infusion Pharmacy In W 116Th St Olathe,KS (913) Medicine Store 539 E Santa Fe St Ste 8 Olathe,KS (913) Overland Park Health One Pharmacy of Kansas Ci 9204 Bond St Overland Park,KS (913) Mahoney's Pharmacy Quivira Rd Overland Park,KS (913) Price Chopper Pchy # W 119Th St Overland Park,KS (913) Price Chopper Pharmacy 8686 Antioch Rd Overland Park,KS (913) Price Chopper Pharmacy # W 135Th St Overland Park,KS (913) Queens Price Chopper # W 151St St Overland Park,KS (913) The Medicine Shoppe # Mastin St Overland Park,KS (913) This pharmacy does not offer extended supplies of maintenance medications.

6 The Medicine Shoppe # W 80Th St Overland Park,KS (913) Walgreens Optioncare 8940 Nieman Rd Overland Park,KS (913) Shawnee Price Chopper Pharmacy # W 66Th St Shawnee,KS (913) Price Chopper Pharmacy # Hedge Lane Ter Shawnee,KS (913) The Medicine Shoppe # Nieman Rd Shawnee,KS (913) KEARNY Lakin J & J Pharmay 500 Thorpe St Lakin,KS (620) LABETTE Parsons Auburn Pharmacy 2020 Main St Parsons,KS (620) LOGAN Oakley Oakley Health Mart Pharmacy 103 Center Ave Oakley,KS (785) LYON Emporia The Medicine Shoppe # Candlewood Dr Apt A Emporia,KS (620) The Medicine Shoppe # W 12Th Ave Emporia,KS (620) MARION Marion Marion Pharmacy Inc 217 E Main St Marion,KS (620) MARSHALL Marysville Ar-Ex Drug Store Inc 801 Broadway Marysville,KS (785) MC PHERSON Mcpherson Medicine Shoppe Phcy # N Main St Mcpherson,KS (620) MIAMI Louisburg Hometown Pharmacy 6 S Metcalf Rd Louisburg,KS (913) McKeevers Pharmacy # W Amity St Louisburg,KS (913) Paola Miller Pharmacy 2 E Peoria St Paola,KS (913) Spring Hill Price Chopper Pharmacy # Harris St Spring Hill,KS (913) MITCHELL Beloit S & S Drug Co 110 S Mill St Beloit,KS (785) MONTGOMERY Coffeyville The Medicine Shoppe # W 11Th St Coffeyville,KS (620) Independence Defever Osborn Rx Drug 205 N Penn Ave Independence,KS (620) Proscript Family 412 W Main St Independence,KS (620) The Medicine Shoppe # N Penn Ave Independence,KS (620) NEOSHO Chanute Cardinal Drug Store 103 E Main St Chanute,KS (620) NESS Ness City G & L Pharmacy Inc 207 S Pennsylvania Ave Ness City,KS (785) OSAGE Osage City Schroeder Drugs 131 W Market St Ste A Osage City,KS (785) OSBORNE Downs Corner Drug & Gift Inc 823 Morgan Ave Downs,KS (785) PHILLIPS Phillipsburg Wenzl Drug Inc 719 3Rd St Phillipsburg,KS (785) This pharmacy does not offer extended supplies of maintenance medications.

7 POTTAWATOMIE Westmoreland Hoffman Pharmacy 402 Main St Box 130 Westmoreland,KS (785) RENO Hutchinson The Medicine Shoppe # N Main St Hutchinson,KS (620) South Hutchinson Ashcraft Pharmacy 503 N Main St South Hutchinson,KS (620) REPUBLIC Belleville Cr0Ssroads Pharmacy 2311 M St Belleville,KS (785) RICE Lyons Hogans Pharmacy Inc 120 W Commercial St Lyons,KS (620) RILEY Manhattan Barry's Drug Center 414 Poyntz Ave Manhattan,KS (785) Candlewood Healtmart Pharmacy 3254 Kimball Ave Manhattan,KS (785) Dunne's Pharmacy 2429 Claflin Rd Manhattan,KS (785) Kansas State University Lafene P 1105 Sunset Ave Manhattan,KS (785) Kellstrom Pharmacy 1860 Claflin Rd Manhattan,KS (785) RUSH La Crosse Barrows Health Mart Phmcy 721 Main St La Crosse,KS (785) RUSSELL Russell Don Dawson Phcy Inc 725 N Main St Russell,KS (785) SALINE Salina Key Rx Drugs Southgate 2024 S Ohio St Salina,KS (785) SCOTT Scott City Scott City Pharmacy 401 S Main St Scott City,KS (620) SEDGWICK Goddard Kombo Phcy W Kellogg Dr Goddard,KS (316) Haysville Haysville Healthmart Phcy 145 N Main St Haysville,KS (316) Valley Center Valley Drug Store 801 S Meridian Ave Valley Center,KS (316) Wichita Dandurand Pharmacy Inc 7732 E Central Ave # 102B Wichita,KS (316) Hart Pharmacy 6217 E 13Th St N Wichita,KS (316) Heartland Homecare Svc 7777 E Osie St Wichita,KS (316) Leekers Family Pharmacy 6223 N Broadway St Wichita,KS (316) Lindsay Pharmacy Inc 2131 N Ridge Rd Wichita,KS (316) Pharmacare Health Specialists Ll 243 N Cleveland Ave Wichita,KS (316) Preston Pharmacy 2622 W Central Ave # 302 Wichita,KS (316) Senior Care Pharmacy 8975 W Monroe Cir Ste 100 Wichita,KS (316) The Medicine Shoppe # Amidon St Wichita,KS (316) SEWARD Liberal El-Kan Drug Inc 1033 N Kansas Ave Liberal,KS (620) SHAWNEE Topeka Jayhawk Pharmacy Svc's 2860 SW Mission Woods Dr Topeka,KS (785) Senior Rx Care of Kansas LLC 121 SE 6Th Ave Topeka,KS (785) SMITH Smith Center Kriley's Family Drug Ctr 125 S Main St Smith Center,KS (785) This pharmacy does not offer extended supplies of maintenance medications.

8 TREGO Wa Keeney Gibson Drug Inc 125 N Main St Wa Keeney,KS (785) WICHITA Leoti Wichita County Pharmacy 211 E Earl St Leoti,KS (620) WYANDOTTE Bonner Springs Miller Pharmacy 207 Oak St Bonner Springs,KS (913) Queen's Price Chopper Pharmacy 501 S Commercial Dr Bonner Springs,KS (913) Edwardsville Degoler Pharmacy 21 N 12Th St Ste 100 Kansas City,KS (913) Degoler Pharmacy 8101 Parallel Pkwy # 200 Kansas City,KS (913) Genoa Healthcare of Kansas LLC 1301 N 47Th St Room 169 Kansas City,KS (913) The Medicine Shoppe # Parallel Ave Kansas City,KS (913) The Medicine Shoppe # Rainbow Blvd Kansas City,KS (913) University of Ks Med Cntr 3901 Rainbow Blvd Kansas City,KS (913) Miller Pharmacy 540 S 4Th St Edwardsville,KS (913) Kansas City De Goler Pharmacy 2040 Hutton Rd Kansas City,KS (913) Degoler Care Midwest Pharmacy 7622 State Ave Kansas City,KS (913) Degoler Pharmacy 5701 State Ave Kansas City,KS (913) This pharmacy does not offer extended supplies of maintenance medications.

9 Chain Pharmacies

10 ALLEN Iola Wal*Mart # N State St Iola,KS (620) ATCHISON Atchison Wal*Mart # RR 3 Atchison,KS (913) BARTON Great Bend Dillon's # Th St Great Bend,KS (620) Wal*Mart # Th St Great Bend,KS (620) Walgreens # Th St Great Bend,KS (620) BOURBON Fort Scott Wal*Mart # S Main St Fort Scott,KS (620) Walgreens # S Main St Fort Scott,KS (620) BROWN Hiawatha Wal*Mart # US Highway 36 W Hiawatha,KS (785) BUTLER Andover Dillon's # S Andover Rd Andover,KS (316) Walgreens # N Andover Rd Andover,KS (316) Augusta Dillon's # Ohio St Augusta,KS (316) Wal*Mart # Ohio St Augusta,KS (316) El Dorado Dillon's # N Main St El Dorado,KS (316) Wal*Mart # Village Rd El Dorado,KS (316) Walgreens # W 6Th Ave El Dorado,KS (316) CHEROKEE Baxter Springs Baxter Drug 1000 Military Ave Baxter Springs,KS (620) Wal*Mart # Military Ave Baxter Springs,KS (620) CLOUD Concordia Wal*Mart Phcy # E College Dr Concordia,KS (913) COWLEY Arkansas City Dillon's # N Summit St Arkansas City,KS (620) Wal*Mart # N Summit St Arkansas City,KS (620) Walgreens # N Summit St Arkansas City,KS (620) Winfield Dillon's # Main St Winfield,KS (620) Medicap Pharmacy # Alexander St Winfield,KS (620) Wal*Mart # Pike Rd Winfield,KS (620) CRAWFORD Pittsburg Dillon's # N Broadway St Pittsburg,KS (620) Wal*Mart # N Broadway St Pittsburg,KS (620) Walgreens # N Broadway St Pittsburg,KS (620) DOUGLAS Lawrence CVS Pharmacy # Iowa St Lawrence,KS (785) Dillon # W 6Th St Lawrence,KS (785) Dillon's # Massachusetts St Lawrence,KS (785) Dillon's # W 6Th St Lawrence,KS (785) Dillon's # W 23Rd St Lawrence,KS (785) This pharmacy does not offer extended supplies of maintenance medications. 10

11 Hy-Vee Pharmacy #1 (1377) 3504 Clinton Pkwy Lawrence,KS (785) Hy-Vee Pharmacy #2 (1379) 4000 W 6Th St Lawrence,KS (785) Target #T Iowa St Lawrence,KS (785) Wal*Mart # Iowa St Lawrence,KS (785) Walgreens # W 6Th St Lawrence,KS (785) Walgreens # W 23Rd St Lawrence,KS (785) ELLIS Hays Dillon's # Vine St Hays,KS (785) Dillons Pharmacy #14 27Th & Hall Hays,KS (785) Wal*Mart Phcy # N Vine St Hays,KS (913) Walgreens # Vine St Hays,KS (785) FINNEY Garden City Dillon's # E Kansas Ave Garden City,KS (620) Dillon's # Jones Ave Garden City,KS (620) Wal*Mart # E Kansas Ave Garden City,KS (620) Walgreens # E Kansas Ave Garden City,KS (620) FORD Dodge City Dillon's # N 14Th Ave Dodge City,KS (620) Wal*Mart # N 14Th Ave Dodge City,KS (620) Walgreens # N 14Th Ave Dodge City,KS (620) FRANKLIN Ottawa Wal*Mart # S Princeton St Ottawa,KS (785) Walgreens # S Main St Ottawa,KS (785) GEARY Junction City Dillon's # W 6Th St Junction City,KS (785) Wal*Mart # E Chestnut St Junction City,KS (785) HARVEY Newton Dillon's # N Main St Newton,KS (316) Dillon's # S Kansas Ave Newton,KS (316) Dillon's # N Main St Newton,KS (316) Wal*Mart # S Kansas Rd Newton,KS (316) Walgreens # N Main St Newton,KS (316) JACKSON Holton Wal*Mart # Highway 75 Holton,KS (785) JOHNSON Gardner Wal*Mart Phcy # E Santa Fe St Gardner,KS (913) Walgreens # E Main St Gardner,KS (913) Leakwood Walgreens # W 151St St Leakwood,KS (913) Leawood CVS Pharmacy # Roe Ave Leawood,KS (913) CVS Pharmacy # W 95Th St Leawood,KS (913) CVS Pharmacy # West 135 Street Leawood,KS (913) Hy-Vee Pharmacy # State Line Rd Leawood,KS (913) Lenexa Biopartners In Care Inc Strang Line Rd Lenexa,KS (913) Coram Alternate Site 8013 Flint St Lenexa,KS (913) This pharmacy does not offer extended supplies of maintenance medications. 11

12 Costco Pharmacy # Marshall Dr Lenexa,KS (913) CVS Pharmacy # W 87Th St Lenexa,KS (913) CVS Pharmacy # W 87Th Street Pkwy Lenexa,KS (913) K Mart # Maurer Rd Lenexa,KS (913) Pharmerica # Reeder St Lenexa,KS (913) Sams Pharmacy # W 95Th St Lenexa,KS (913) Walgreens # W 87Th Street Pkwy Lenexa,KS (913) Merriam Walgreens # Johnson Dr Merriam,KS (913) Mission CVS Pharmacy # Roe Blvd Mission,KS (913) Hy-Vee Pharmacy # Martway St Mission,KS (913) Target #T Broadmoor St Mission,KS (913) Olathe CVS Pharmacy # E Santa Fe St Olathe,KS (913) CVS Pharmacy # E 119Th St Olathe,KS (913) CVS Pharmacy # S Mur Len Rd Olathe,KS (913) CVS Pharmacy # N Parker St Olathe,KS (913) Dillon's # E Santa Fe St Olathe,KS (913) Hy-Vee Pharmacy #1 (1463) W 135Th St Olathe,KS (913) Hy-Vee Pharmacy # W 119Th St Olathe,KS (913) K Mart # E Santa Fe St Olathe,KS (913) Target #T W 154Th St Olathe,KS (913) Target #T W 119Th St Olathe,KS (913) Wal*Mart # S Alden St Olathe,KS (913) Wal*Mart Phcy # N K 7 Hwy Olathe,KS (913) Walgreens # E Santa Fe St Olathe,KS (913) Walgreens # S Blackbob Rd Olathe,KS (913) Walgreens # W 151St St Olathe,KS (913) Overland Walgreens # Pflumm Rd Overland,KS (913) Overland Park Accredo Therapeutics Inc Foster St Ste 120 Overland Park,KS (913) Costco Pharmacy # Blue Valley Pkwy Overland Park,KS (913) CVS Pharmacy # W 135Th St Overland Park,KS (913) CVS Pharmacy # W 95Th St Overland Park,KS (913) CVS Pharmacy # Antioch Rd Overland Park,KS (913) CVS Pharmacy # W 151St St Overland Park,KS (913) CVS Pharmacy # College Blvd Overland Park,KS (913) CVS Pharmacy # Metcalf Ave Overland Park,KS (913) Dillon Pharmacy # Metcalf Ave Overland Park,KS (913) Hy-Vee Pharmacy # W 95Th St Overland Park,KS (913) Hy-Vee Pharmacy # W 135Th St Overland Park,KS (913) Hy-Vee Pharmacy # W 91St St Overland Park,KS (913) Hy-Vee Pharmacy # W 119Th St Overland Park,KS (913) K Mart # Metcalf Ave Overland Park,KS (913) Sams Pharmacy # West 135Th St Overland Park,KS (913) This pharmacy does not offer extended supplies of maintenance medications. 12

13 Target #T Blue Valley Pkwy Overland Park,KS (913) Target #T W 151St St Overland Park,KS (913) Target #T W 97Th St Overland Park,KS (913) Wal*Mart # Metcalf Ave Overland Park,KS (913) Wal*Mart # Frontage Rd Overland Park,KS (913) Wal*Mart Phcy # Metcalf Ave Overland Park,KS (913) Wal*Mart Phcy # Metcalf Ave Overland Park,KS (913) Wal*Mart Phcy # Metcalf Ave Overland Park,KS (913) Walgreens # W 151St St Overland Park,KS (913) Walgreens # Metcalf Ave Overland Park,KS (913) Walgreens # W 135Th St Overland Park,KS (913) Prairie Village CVS Pharmacy # Mission Rd Prairie Village,KS (913) Hy-Vee Pharmacy # State Line Rd Prairie Village,KS (913) Roeland Park Wal*Mart # Roe Blvd Roeland Park,KS (913) Walgreens # Roe Blvd Roeland Park,KS (913) Shawnee CVS Pharmacy # Nieman Rd Shawnee,KS (913) CVS Pharmacy # W 55Th Terrace Shawnee,KS (913) CVS Pharmacy # W 62Nd Ter Shawnee,KS (913) Dillon's # Quivira Rd Shawnee,KS (913) Hy-Vee Pharmacy #1 (1560) W 63Rd St Shawnee,KS (913) Hy-Vee Pharmacy # Quivira Rd Shawnee,KS (913) Target #T Shawnee Mission Pky Shawnee,KS (913) Wal*Mart Phcy # W 65Th St Shawnee,KS (913) Wal*Mart Phcy # W 74Th Ter Shawnee,KS (913) Shawnee Mission CVS Pharmacy # Nall Ave Shawnee Mission,KS (913) CVS Pharmacy # Johnson Dr Shawnee Mission,KS (913) K Mart # W 63Rd St Shawnee Mission,KS (913) Walgreens # Shawnee Mission Pky Shawnee Mission,KS (913) LABETTE Parsons Wal*Mart # Main St Parsons,KS (620) Walgreens # Main St Parsons,KS (620) LEAVENWORTH Leavenworth CVS Pharmacy # Limit St Leavenworth,KS (913) Dillon's Pharmacy # Eisenhower Rd Leavenworth,KS (913) K Mart # S 4Th St Leavenworth,KS (913) Wal*Mart # S 4Th St Leavenworth,KS (913) LINN Pleasanton Pleasanton Family Practice 9Th & Main Pleasanton,KS (952) LYON Emporia Wal*Mart # Industrial Rd Emporia,KS (620) Walgreens # Industrial Rd Emporia,KS (620) MARSHALL Marysville Wal*Mart # US Highway 36 East Marysville,KS (785) This pharmacy does not offer extended supplies of maintenance medications. 13

14 MC PHERSON NEMAHA PRATT RILEY Mcpherson Seneca Pratt Manhattan Dillon's # N Main St Mcpherson,KS (620) Pamida Pharmacy # Main St Seneca,KS (785) Dillon's # E 1St St Pratt,KS (620) Dillon's # Westloop Pl Manhattan,KS (785) Wal*Mart # E Kansas Ave Mcpherson,KS (620) MIAMI Paola Wal*Mart # Hedge Ln Paola,KS (913) MITCHELL Beloit Medicap Pharmacy # N Independence Ave Beloit,KS (785) MONTGOMERY Coffeyville Wal*Mart # W 11Th St Coffeyville,KS (620) Independence Wal*Mart Phcy # Peter Pan Rd Independence,KS (620) Walgreens # W Main St Independence,KS (620) NEOSHO Chanute Medicap Pharmacy # S Santa Fe St Chanute,KS (620) Wal*Mart # S Santa Fe St Chanute,KS (620) NORTON Norton Pamida Pharmacy # W Holme St Norton,KS (785) PAWNEE Larned Pamida Pharmacy # E 14Th St Larned,KS (620) POTTAWATOMIE Manhattan Dillon's # Sarber Ln Manhattan,KS (785) K Mart # E Poyntz Ave Manhattan,KS (785) Wal*Mart # E 1St St Pratt,KS (620) RENO Hutchinson Dillon's # E 4Th Ave Hutchinson,KS (620) Dillon's # W 5Th Ave Hutchinson,KS (620) Dillon's # E 30Th Ave Hutchinson,KS (620) K Mart # E 30Th Ave Hutchinson,KS (620) Wal*Mart # E 17Th Ave Hutchinson,KS (620) Walgreens # E 30Th Ave Hutchinson,KS (620) RICE Lyons Pamida Pharmacy # W Main St Lyons,KS (620) Target #T Commons Pl Manhattan,KS (785) Wal*Mart # Tuttle Creek Blvd Manhattan,KS (785) Walgreens # Bluemont Ave Manhattan,KS (785) SALINE Salina Dillon's # W Crawford St Salina,KS (785) Dillon's # Planet Ave Salina,KS (785) K Mart # S Broadway Blvd Salina,KS (785) Sam's Pharmacy # Market Pl Salina,KS (785) Wal*Mart # S 9Th St Salina,KS (785) This pharmacy does not offer extended supplies of maintenance medications. 14

15 Walgreens # S Broadway Blvd Salina,KS (785) Dillon's # W 13Th St N Wichita,KS (316) K Mart # W Kellogg Dr Wichita,KS (316) Wal*Mart Phcy # W 21St St N Wichita,KS (316) SEDGWICK Derby Dillon's # N Rock Rd Derby,KS (316) Wal*Mart # N Southeast Blvd Derby,KS (316) Walgreens # N Baltimore Ave Derby,KS (316) Wichita Dillon's # E Central Ave Wichita,KS (316) Dillon's # E Harry St Wichita,KS (316) Dillon's # S Broadway St Wichita,KS (316) Dillon's # W 13Th St N Wichita,KS (316) NCS Healthcare of Ks Inc 4999 Lulu St Wichita,KS (316) Sams Pharmacy # N Rock Rd Wichita,KS (316) Sams Pharmacy # W Kellogg Dr Wichita,KS (316) Target #T W Maple St Wichita,KS (316) Wal*Mart Phcy # E Kellogg Dr Wichita,KS (316) Wal*Mart Phcy # N Meridian Wichita,KS (316) Walgreens # S Broadway St Wichita,KS (316) Walgreens # Maple St Wichita,KS (316) Dillon Pharmacy # N Woodlawn St Wichita,KS (316) Dillon's # W 21St St N Wichita,KS (316) Target #T E 21St St N Wichita,KS (316) Walgreens # E Harry St Wichita,KS (316) Dillon Pharmacy # Maple St Wichita,KS (316) Dillon's # N Waco St Wichita,KS (316) Target #T N Maize Rd Wichita,KS (316) Walgreens # E Central Ave Wichita,KS (316) Dillon Pharmacy # W 21St St N Wichita,KS (316) Dillon's # S Seneca St Wichita,KS (316) Target T S Armour St Wichita,KS (316) Walgreens # S Seneca St Wichita,KS (316) Dillon Pharmacy # E Douglas Ave Wichita,KS (316) Dillon's # N Rock Rd Wichita,KS (316) Wal*Mart # E Pawnee St Wichita,KS (316) Walgreens # N West St Wichita,KS (316) Dillon Pharmacy # N West St Wichita,KS (316) Dillon's # W Central Ave Wichita,KS (316) Wal*Mart # W Kellogg Dr Wichita,KS (316) Walgreens # N Maize Rd Wichita,KS (316) Dillon's # E Harry St Wichita,KS (316) K Mart # S Broadway St Wichita,KS (316) Wal*Mart # N Rock Rd Wichita,KS (316) Walgreens # W 21St St N Wichita,KS (316) This pharmacy does not offer extended supplies of maintenance medications. 15

16 Walgreens # S Webb Rd Wichita,KS (316) Walgreens # N Maize Rd Wichita,KS (316) Walgreens # N Woodlawn St Wichita,KS (316) Walgreens # W 13Th St N Wichita,KS (316) Walgreens # N Woodlawn St Wichita,KS (316) Walgreens # S Broadway St Wichita,KS (316) SEWARD Liberal Dillon's # N Kansas Ave Liberal,KS (620) Wal*Mart # E Tucker Rd Liberal,KS (620) Walgreens # W 15Th St Liberal,KS (620) SHAWNEE Topeka CVS Pharmacy # SW Wanamaker Rd Topeka,KS (785) Dillon Pharmacy # SW 22Nd Topeka,KS (785) Dillon's # SW 29Th St Topeka,KS (785) Dillon's # SW 29Th St Topeka,KS (785) Dillon's # SW Huntoon St Topeka,KS (785) Dillon's # SW 21St St Topeka,KS (785) Dillon's # SE 29Th St Topeka,KS (785) Dillon's Pharmacy # SW 29Th Topeka,KS (785) Hypermart # SW Wanamaker Rd Topeka,KS (785) Hy-Vee Pharmacy # SW Wanamaker Dr Topeka,KS (785) K Mart # NW Tyler St Topeka,KS (785) K Mart # SW Wanamaker Rd Topeka,KS (785) Northside Dillon Pharmacy 2037 N Topeka Ave Topeka,KS (785) Sam's Pahrmacy # SW Wanamaker Rd Topeka,KS (785) Wal*Mart # SW 37Th St Topeka,KS (785) Wal*Mart Phcy # NW Rockester Topeka,KS (785) Walgreens # SW Gage Blvd Topeka,KS (785) Walgreens # NW Topeka Blvd Topeka,KS (785) Walgreens # SW Topeka Blvd Topeka,KS (785) Walgreens # SE California Ave Topeka,KS (785) Walgreens # SW Fairlawn Rd Topeka,KS (785) Walgreens # SW Topeka Blvd Topeka,KS (785) Walgreens # SW Wanamaker Rd Topeka,KS (785) Walgreens # SW Gage Blvd Topeka,KS (785) SHERMAN Goodland Wal*Mart # Commerce Rd Goodland,KS (785) SMITH Smith Center Pamida Pharmacy # S Main St Smith Center,KS (785) SUMNER Wellington Dillon's # W 8Th St Wellington,KS (620) Wal*Mart # W 8Th St Wellington,KS (620) THOMAS Colby Dillon's # S Range Ave Colby,KS (785) This pharmacy does not offer extended supplies of maintenance medications. 16

17 Wal*Mart # S Range Ave Colby,KS (785) WYANDOTTE Bonner Springs Wal*Mart Phcy # Kansas Ave Bonner Springs,KS (913) Kansas City Wal*Mart # State Ave Kansas City,KS (913) Walgreens # State Ave Kansas City,KS (913) Walgreens # State Ave Kansas City,KS (913) CVS Pharmacy # Minnesota Ave Kansas City,KS (913) CVS Pharmacy # State Ave Kansas City,KS (913) CVS Pharmacy # State Ave Kansas City,KS (913) CVS Pharmacy # Shawnee Dr Kansas City,KS (913) K Mart # State Ave Kansas City,KS (913) Pharmacare Specialty Phcy # State Line Rd Kansas City,KS (913) Target #T Stadium Pkwy Kansas City,KS (913) This pharmacy does not offer extended supplies of maintenance medications. 17

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19 Mail Order Pharmacies 19

20 Mail-Order Pharmacies Medco By Mail Contact the Medco By Mail Customer Service department using the contact information on the front cover. TTY/TDD users should call Liberty Medical TTY/TDD users should call

21 Home Infusion Pharmacies This plan will cover home infusion therapy if: Your prescription drug is on the plan s formulary or you have a formulary exception. The Plan has approved your prescription drug for home infusion therapy. Your prescription is written by an authorized prescriber. Home infusion pharmacies specialize in the preparation of medications that are administered intravenously or by injection. To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. 21

22 Accredo Therapeutics Inc Foster St Ste 120 Overland Park,KS (913) Alternacare Infusion Pharmacy In W 116Th St Olathe,KS (913) Apria Pharmacy-Lenexa 9500 Widmer Rd Lenexa,KS (800) Arj Infusion Services Inc Lakeview Ave Lenexa,KS (913) Biopartners In Care Inc Strang Line Rd Lenexa,KS (913) Candlewood Healtmart Pharmacy 3254 Kimball Ave Manhattan,KS (785) Ihs Infusion Services 9652 Loiret Blvd Lenexa,KS (913) Kingman Drug Store 211 N Main St Kingman,KS (620) Medical Center Pharmacy 1100 N Main St Hutchinson,KS (620) Pharmacare Health Specialists Ll 243 N Cleveland Ave Wichita,KS (316) Professional Pharmacy 744 N Waco Ave Wichita,KS (316) Walgreens Optioncare 8940 Nieman Rd Overland Park,KS (913) Cheney Pharmacy 120 N Main Cheney,KS (316) City Pharmacy 209 W 2Nd St Minneapolis,KS (785) Coram Alternate Site 8013 Flint St Lenexa,KS (913) Critical Care Systems Inc 8053 Bond St Lenexa,KS (913)

23 Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under the Plan through the facility s longterm care pharmacy or another network long-term care pharmacy. A long-term care pharmacy provides medications to residents of long-term care facilities (such as nursing homes and residential care facilities, mental health facilities, hospices, and long-term care or skilled nursing care beds in hospitals). To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. 23

24 Arma Drug 504 E Washington St Arma,KS (620) Ashcraft Pharmacy 503 N Main St South Hutchinson,KS (620) B & K Prescription Shop 601 E Iron Ave Salina,KS (785) Ball Brothers Health Mart 504 Commercial St Atchison,KS (913) Bankes Drug Store 304 N Broadway St Abilene,KS (785) Barrows Health Mart Phmcy 721 Main St La Crosse,KS (785) Boelling Pharmacy Inc 2 W Main St Herington,KS (785) Bond Pharmacy 3017 Strong Ave Kansas City,KS (913) Bowen Pharmacy 1519 Main St Parsons,KS (620) Brunswig Pharmacy Pa 401 Main St Ste A Scott City,KS (620) Candlewood Healtmart Pharmacy 3254 Kimball Ave Manhattan,KS (785) Cheney Pharmacy 120 N Main Cheney,KS (316) City Pharmacy 209 W 2Nd St Minneapolis,KS (785) Corner Drug & Gift Inc 823 Morgan Ave Downs,KS (785) Degoler Care Midwest Pharmacy 8040 Parallel Pkwy Ste 250 Kansas City,KS (913) F & M Drug LLC 209 N Douglas Ave Ellsworth,KS (785) G & L Pharmacy Inc 207 S Pennsylvania Ave Ness City,KS (785) Genoa Healthcare of Kansas LLC 1301 N 47Th St Room 169 Kansas City,KS (913) Gericare Ltc 113 E Madison Ave Iola,KS (620) Graves Drug Store 609 Commercial St Emporia,KS (620) Great Plains Compounding W 79Th St Lenexa,KS (913) Greenhaw Pharmacy 508 S Ash St Hillsboro,KS (620) Hamilton Cty Drug Store 302 E Ave A Syracuse,KS (620) Health One Pharmacy of Kansas Ci 9204 Bond St Overland Park,KS (913) Heartland Homecare Svc 106 E 21St St N Wichita,KS (316) Heartland Homecare Svc's 1025 N 3Rd St Ste 110 Lawrence,KS (785) Hutchinson Clinic Phcy 2101 N Waldron St Hutchinson,KS (620) Hy-Vee Pharmacy # Clinton Pkwy Lawrence,KS (785) J & J Pharmay 500 Thorpe St Lakin,KS (620) Jefferson County Memorial 408 Delaware St Winchester,KS (913) Key Rx Drugs Southgate 2024 S Ohio St Salina,KS (785) Kingman Drug Store 211 N Main St Kingman,KS (620) Kombo Phcy W Kellogg Dr Goddard,KS (316) Lindburg Pharmacy 909 E Centennial Dr Pittsburg,KS (620) Medicap Pharmacy # Alexander St Winfield,KS (620) Medicap Pharmacy # S Santa Fe St Chanute,KS (620) Medicap Pharmacy # Lincoln St Concordia,KS Medicap Pharmacy # N Independence Ave Beloit,KS (785) Montezuma Drug Store 300 N Aztee Montezuma,KS (620) NCS Healthcare of Ks Inc 4999 Lulu St Wichita,KS (316) Pamida Pharmacy # W Holme St Norton,KS (785) Pharmerica # Reeder St Lenexa,KS (913)

25 Preston Pharmacy 434 Ellis St Wichita,KS (316) Professional Medical Services 1708 E 9Th Ave Ste B Winfield,KS (620) Professional Pharmacy 744 N Waco Ave Wichita,KS (316) Qualicare Inc 2336 Ridge Ct Ste C Lawrence,KS (785) The Medicine Shoppe # N Main St Hutchinson,KS (620) U-Save Pharmacy Inc 2505 Canterbury Dr Hays,KS (785) Valley Falls Pharmacy 320 Broadway St Valley Falls,KS (785) Wichita County Pharmacy 211 E Earl St Leoti,KS (620) Riggs Drug Inc 426 Maple St Chetopa,KS (620) Scott City Pharmacy 401 S Main St Scott City,KS (620) Senior Care Pharmacy 8975 W Monroe Cir Ste 100 Wichita,KS (316) Sun Flower Pharmacy Inc 1501 Inverness Dr Lawrence,KS (785) The Medicine Shoppe # N Penn Ave Independence,KS (620) The Medicine Shoppe # Candlewood Dr Apt A Emporia,KS (620)

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27 Indian Health Service/Tribal/ 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 the 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). To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. 27

28 Haskell Ihs Pharmacy 2415 Massachusetts St Lawrence,KS (785) Prairie Band Potawatomi Family P 510 Kansas Ave Holton,KS (866) Usphs Whitecloud Hlth Station 3313 Thrasher Rd White Cloud,KS (785)

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32 Prescription Drug Coverage UNITED AMERICAN INSURANCE COMPANY P.O. BOX 8080 MCKINNEY, TX FORWARDING SERVICE REQUESTED