pharmacy directory UnitedHealth Rx Value Alaska

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1 UnitedHealth Rx Value pharmacy directory This directory provides a list of UnitedHealth Rx Value plan's network pharmacies by county for the state of. All network pharmacies are not listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. The UnitedHealth Rx Value plan pharmacy network comprises more than 60,000 pharmacies nationwide, including retail, mail order, long-term care, home infusion and I/T/U (Indian Health Service / Tribal / Urban Indian) pharmacy services. The UnitedHealth Rx Value plan has contracts with all network pharmacies that are equal to or exceed Medicare requirements for pharmacy access in your area. To get current information about UnitedHealth Rx Value network pharmacies in your area, please call our Customer Care Associates at hours a day, 7 days a week. TTY users should call Para información en español, por favor llame al departamento de atención al cliente.

2 Introduction. 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 as a plan member; you obtain prescription drug benefits provided by the UnitedHealth Rx Value plan. In most cases, your prescriptions are covered under the UnitedHealth Rx Value plan only if they are filled at a network pharmacy or through our mail service pharmacies. You are not required to continue going to the same network 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 in your Evidence of Coverage. For a complete description of your prescription coverage, including how to fill your prescriptions, please review your Evidence of Coverage and UnitedHealth Rx Value Formulary. Please refer to the pharmacy listing on the following pages for network pharmacies in your area. Filling a prescription through UnitedHealth Rx Value's network mail service pharmacies. You can use one of the UnitedHealth Rx Value plan's network mail service pharmacies to fill prescriptions for what we call "maintenance drugs." These are drugs that you take on a regular basis for a chronic or long-term medical condition. When you order prescription drugs by mail, you will need to order a 90-day supply (extended supply) of the drug. To get order forms and more information about filling your prescriptions by mail, please contact the mail service pharmacies listed later in this directory. Please note that you must use one of the UnitedHealth Rx Value's network mail service pharmacies. Prescription drugs that you get through any other mail order service pharmacy are not covered. Generally, it takes mail service pharmacies 14 days to process your order and ship it to you. Please be aware of this turn-around time, and request refills early enough to leave time for your refills to be processed and sent out to you. You should fill your prescription at a local network pharmacy if you are out of your medication and cannot wait for your mail service prescription to arrive. UnitedHealth Rx Value Retail Pharmacies offering 90-day supplies of medications. You are not required to use mail order prescription drug services to obtain a 90-day supply of medications. You have the choice of using retail pharmacies in our network to fill your prescriptions. Some retail pharmacies in UnitedHealth Rx Value plan's network have agreed to offer a 90-day supply of medications, which will result in no out-of-pocket payment difference to you. In other words, you will only be responsible for three copays, coinsurance payments or out-of-pocket payments at the time of dispensing.¹ If you qualify for extra help, you may have lower or no copays/coinsurance. Please refer to the pharmacy listing in this directory for pharmacies in our network where you can fill a 90-day supply of medications in your area. Or call one of our Customer Care Associates at the number listed below for more information.

3 National pharmacy chains. The list below is a partial listing of national pharmacy chains that are in UnitedHealth Rx Value plan's network. All stores in these national network chain pharmacies are participating UnitedHealth Rx Value plan providers. For locations and phone numbers of stores in your area, call the numbers listed below or go to Ahold* Giant Food Giant Food Stores of Carlisle Stop & Shop CVS Pharmacy* Kmart* Kroger & Affiliates* Kroger Fred Meyer Smith's Food & Drug Fry's Pharmacy King Soopers Ralphs Dillons City Market QFC Pharmacy Food-4-Less Baker's Pharmacy Gerbes Hilander Pharmacy Pay-Less Pharmacy Owens Pharmacy Longs Drugs* SHOP-CVS ( ) TO-LONGS ( ) Medicine Shoppe Pharmacy * The Medicap Pharmacy Safeway & Affiliates* SAFEWAY Safeway Vons Randalls Tom Thumb Carr's Quality Center Genuardi's Pavilions Dominick's SUPERVALU & Affiliates* Osco Pharmacy Sav-on Pharmacy Cub Pharmacy Shoppers Pharmacy Shop n Save Pharmacy Farm Fresh Pharamacy Bigg's Pharmacy Target Pharmacy* Walgreens TTY (for the hearing impaired) Wal-Mart* WALMART ( ) Sam's Club *For the hearing impaired, please contact your state relay center at Rite Aid * RITEAID ( ) This list of network pharmacies may change. For the most current list of pharmacies, contact our Customer Care Associates. To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at ,

4 Mail service pharmacies. You can use mail service pharmacies for filling a 90-day supply of your maintenance drugs. Mail Service Pharmacies: Prescription Solutions Toll-Free Number: TTY: Walgreens Mail Service Toll-Free Number: TTY: To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at ,

5 Retail pharmacies. Retail pharmacies in bold print below have agreed to offer a 90-day supply of medications, which will result in no out-of-pocket payment difference to you. Retail network pharmacies by county: ANCHORAGE COUNTY ANCHORAGE MEDSET PHARMACY 4101 ARCTIC BLVD ANCHORAGE, AK COSTCO PHARMACY 7731 EAST NORTHERN LIGHTS BOUL 4125 DEBARR ROAD ANCHORAGE, AK ANCHORAGE, AK BERNIES PHARMACY INC 4100 LAKE OTIS PKWY 200 ANCHORAGE, AK COSTCO PHARMACY 5600 DEBARR RD 330 W DIMOND BLVD ANCHORAGE, AK ANCHORAGE, AK GAMBELL STREET ANCHORAGE, AK FAMILY PHARMACY 1725 ABBOTT ROAD BUSINESS BLVD 10 ANCHORAGE, AK EAGLE RIVER, AK W DIMOND BLVD ANCHORAGE, AK PENLAND PKWY 7701 DEBARR RD ANCHORAGE, AK ANCHORAGE, AK W NORTHERN LIGHTS BLVD ANCHORAGE, AK E HUFFMAN RD 2300 ABBOTT ROAD ANCHORAGE, AK ANCHORAGE, AK EAST NORTHERN LIGHTS BOULE ANCHORAGE, AK BUSINESS BOULEVARD 1000 E NORTHERN LIGHTS BLVD EAGLE RIVER, AK ANCHORAGE, AK

6 Retail network pharmacies by county: 2000 WEST DIMOND BLVD DIMOND, AK PROVIDENCE MEDICAL ARTS PHARMAC 3300 PROVIDENCE DR 930 OLD STEESE HIGHWAY ANCHORAGE, AK FAIRBANKS, AK OLD GLENN HWY EAGLE RIVER, AK SAMS PHARMACY 8801 OLD SEWARD HWY 3755 AIRPORT WAY ANCHORAGE, AK FAIRBANKS, AK GENEVA WOODS PHARMACY INC 1200 AIRPORT HEIGHTS DR ANCHORAGE, AK MEDICAL CENTER PHARMACY 3101 A STREET 1867 AIRPORT WAY ANCHORAGE, AK FAIRBANKS, AK GREAT LAND INFUSION PHCY INC 2421 E TUDOR RD ANCHORAGE, AK PRESCRIPTION CENTER 8900 OLD SEWARD HWY 1919 LATHROP ST ANCHORAGE, AK FAIRBANKS, AK HEWITTS DRUG STORE 751 EAST 36TH AVE ANCHORAGE, AK LAKE OTIS PHARMACY 4201 LAKE OTIS PKWY ANCHORAGE, AK PROFESSIONAL PHARMACY EAGLE RIVER ROAD 1001 NOBLE ST EAGLE RIVER, AK FAIRBANKS, AK FAIRBANKS NORTH STAR COUNTY CHIEF ANDREW ISAAC HEALTH CENTER SAFEWAY TH AVE 30 COLLEGE ROAD FAIRBANKS, AK FAIRBANKS, AK PROVIDENCE HEALTH PARK PHARMACY DENALI PHARMACY SAFEWAY 3841 PIPER STREET 1650 COWLES ST 3627 AIRPORT WAY ANCHORAGE, AK FAIRBANKS, AK FAIRBANKS, AK

7 Retail network pharmacies by county: SAFEWAY 301 NORTH SANTA CLAUS LANE NORTH POLE, AK SAFEWAY SOLDOTNA PROFESSIONAL PHARMACY 3011 VINTAGE BOULEVARD 299 N BINKLEY ST JUNEAU, AK SOLDOTNA, AK SAMS PHARMACY 48 COLLEGE ROAD FAIRBANKS, AK JOHANSEN EXPRESSWAY FAIRBANKS, AK JUNEAU COUNTY FOODLAND SUPER DRUG 631 WILLOUGHBY AVE JUNEAU, AK THREE BEARS PHARMACY 6525 GLACIER HIGHWAY KENIA SPUR HWY JUNEAU, AK KANIA, AK KENAI PENINSULA COUNTY ULMER DRUG AND HARDWARE KENAI SPUR HIGHWAY 3858 LAKE ST STE 5 KENAI, AK HOMER, AK KETCHIKAN GATEWAY COUNTY EAGLE 90 STERLING HWY 2417 TONGASS AVENUE HOMER, AK KETCHIKAN, AK OLD GLACIER HWY JUNEAU, AK DOWNTOWN DRUGSTORE STERLING HWY 300 FRONT ST SOLDATNA, AK KETCHIKAN, AK JUNEAU DRUG COMPANY 202 FRONT ST JUNEAU, AK SAFEWAY ISLAND PHARMACY MILE 15 SEWARD HIGHWAY 3526 TONGASS AVE SEWARD, AK KETCHIKAN, AK RONS APOTHECARY SHOPPE PHCY 9101 MENDENHALL MALL JUNEAU, AK SAFEWAY STERLING HIGHWAY 4230 DON KING ROAD SOLDOTNA, AK KETCHIKAN, AK

8 Retail network pharmacies by county: KODIAK ISLAND COUNTY KANA PHARMACY 3449 E REZANOF DR KODIAK, AK VALDEZ-CORDOVA COUNTY MYDOKTORS PHARMACY VILLAGE PHARMACY OF VALDEZ 950 E BOGARD RD MEALS AND PIONEER WASILLA, AK VALDEZ, AK SAFEWAY 2685 MILL BAY RD KODIAK, AK SUSITNA MEDISET SERVICES 1751 E GARDNER WAY WASILLA, AK MILL BAY ROAD KODIAK, AK MATANUSKA-SUSITNA COUNTY PIONEER SQUARE PALMER, AK SUSITNA PROFESSIONAL PHARMACY 1751 E GARDNER WAY WASILLA, AK THREE BEARS ALASKA INC 8151 E PALMER WASILLA HWY PALMER, AK EAST PARKS HIGHWAY 300 WASILLA, AK SOUTH COBB ST PALMER, AK GENEVA WOODS MAT SU PHARMACY 3674 E COUNTRY FIELD CIRCLE WASILLA, AK S SEWARD MERIDIAN PKWY WASILLA, AK NOME COUNTY 1501 EAST PARKS DRIVE WASILLA, AK PRINCE OF WALES COUNTY WHALE TAIL PHARMACY 333 COLD STORAGE RD CRAIG, AK

9 Home infusion pharmacies. The UnitedHealth Rx Value plan will cover home infusion therapy if: n n n Your prescription drug is on UnitedHealth Rx Value plan's Formulary or you have a formulary exception; The UnitedHealth Rx Value plan has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. If you have questions about coverage for home infusion medications, or for more information on UnitedHealth Rx Value network home infusion pharmacy services, call our Customer Care Associates. Home infusion network pharmacies by county: ANCHORAGE COUNTY HEWITTS DRUG STORE 751 EAST 36TH AVE ANCHORAGE, AK PROFESSIONAL INFUSION PHCY INC 3101 PENLAND PKWY STE J11 ANCHORAGE, AK KENAI PENINSULA COUNTY PROFESSIONAL HOME IV PHCY 182 S BIRCH ST SOLDOTNA, AK

10 Long-term care pharmacies. 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. For more information on UnitedHealth Rx Value plan's network of long-term care pharmacy services, call our Customer Care Associates. Long-term care network pharmacies by county: ANCHORAGE COUNTY ANCHORAGE MEDSET PHARMACY SUSITNA MEDISET SERVICES 4101 ARCTIC BLVD 1751 E GARDNER WAY ANCHORAGE, AK WASILLA, AK GENEVA WOODS MEDSET PHARMACY 501 W INTERNATIONAL AIRPORT RD ANCHORAGE, AK PIONEERS HOME PHCY 923 W 11TH AVE ANCHORAGE, AK FAIRBANKS NORTH STAR COUNTY FAIRBANKS MEMORIAL HOSP PHCY 1650 COWLES ST FAIRBANKS, AK KENAI PENINSULA COUNTY SOUTH PENINSULA HOSPITAL PHCY 4300 BARTLETT ST HOMER, AK MATANUSKA-SUSITNA COUNTY GENEVA WOODS MAT SU MEDSET PHAR 3674 E COUNTRY FIELD CR WASILLA, AK

11 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) pharmacies. Only Native Americans and Natives have access to I/T/U pharmacies through UnitedHealth Rx Value plan's pharmacy network. Other people may access these pharmacies under limited circumstances (e.g., emergencies). For more information on UnitedHealth Rx Value plan I/T/U network pharmacy services, contact our Customer Care Associates. I/T/U network pharmacies by county: ANCHORAGE COUNTY JUNEAU COUNTY PRINCE OF WALES COUNTY ALASKA NATIVE MEDICAL CENTER PHCYSEARHC JUNEA PHARMACY ALICIA ROBERTS MEDICAL CENTER PHC 4315 DIPLOMACY DR 3245 HOSPITAL DR KLAWOCK HOLLIS HWY ANCHORAGE, AK JUNEAU, AK KLAWOCK, AK KETCHIKAN GATEWAY COUNTY ANCHORAGE NATIVE PRIMARE CARE CNKETCHIKAN INDIAN CORPORATION SITKA COUNTY 4320 DIPLOMACY DR 2960 TONGASS AVE 222 TONGASS DR ANCHORAGE, AK KETCHIKAN, AK SITKA, AK SEARHC MT EDGECUMBE PHARMACY BETHEL COUNTY NOME COUNTY YUKON KUSKOKWIM DELTA REG HOSP NORTON SOUND HLTH CORP 700 CHIEF EDDIE HOFFMAN HWY 306 W 5TH AVE BETHEL, AK NOME, AK DILLINGHAM COUNTY KANAKANAK HOSPITAL NORTH SLOPE COUNTY 6000 KANAKANAK RD 1296 AGVIK ST DILLINGHAM, AK BARROW, AK HAINES COUNTY SEARHC HAINES PHCY 131 FIRST AVE S PO BOX 43 SAMUEL SIMMONDS MEM HOSP PHARM NORTHWEST ARCTIC COUNTY MANIILAQ HEALTH CENTER PHARMACY HAINES, AK KOTZEBUE, AK

12 ¹ If a retail pharmacy has not agreed to accept a contract to dispense an extended supply of Medications beyond 30 days per dispensing, you will be responsible for any differences in cost for the extended supply. This Medicare Prescription Drug Plan is insured by an affiliate of UnitedHealthCare, which contracts with Federal government as a PDP sponsor. All decisions about prescription drugs are between you and your physician or other health care provider. NDPDP _XUVE000ST S5820S5808S5921S5917_PDP _000