Health New England Medicare Advantage Plan HMO and HMO-POS Pharmacy Directory

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1 Health New England Medicare Advantage Plan HMO and HMO-POS Pharmacy Directory This booklet provides a list of Health New England (HNE) Medicare Advantage Plan 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 the HNE Medicare Advantage Plan network pharmacies in your area, please visit our Website at and click on "HNE Medicare Advantage," or call Member Services at or from 8:00 a.m. to 8:00 p.m. seven days a week. (TTY/TDD Users should call ) For questions related to your prescription drug coverage, call , 24 hours a day, seven days a week. (TTY/TDD Users should call ) H8578_2010_104 F&U CMS Approved 10/1/2009 Last Updated 12/7/2009

2 Introduction This booklet provides a list of the HNE Medicare Advantage Plan'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 the HNE Medicare Advantage Plan's formulary. If you have additional questions, please call Member Services at or from 8:00 a.m. to 8:00 p.m. seven days a week. (TTY/TDD Users should call ) For questions related to your prescription drug coverage, call , 24 hours a day, seven days a week. (TTY/TDD Users should call ) Or, visit and click on "HNE Medicare Advantage." 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 the HNE Medicare Advantage Plan. In most cases, your prescriptions are covered under the HNE Medicare Advantage 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 non-network pharmacies under certain circumstances as described in your Evidence of Coverage/Member Handbook. 2

3 Retail Pharmacies To contact your retail pharmacy via TTY/TDD Service, you may use the TRS Relay number 711. STATE: MA COUNTY: FRANKLIN CITY: Greenfield ZIP: Big Y Pharmacy # Mohawk Trl Rt 2 Greenfield, MA CVS Pharmacy # Federal St Greenfield, MA Rite Aid Pharmacy # Main St Greenfield, MA Stop And Shop Pharmacy #45 89 French King Hwy Ste Greenfield, MA Walgreens Pharmacy # Pierce St Greenfield, MA CITY: Orange ZIP: Wal-Mart Pharmacy # E Main St Orange, MA CITY: Shelburne Falls ZIP: The Baker Pharmacy PO Box 188 Shelburne Falls, MA CITY: South Deerfield ZIP: Deerfield Pharmacy 45 Main St South Deerfield, MA CITY: Turners Falls ZIP: Rite Aid Pharmacy # Avenue A Turners Falls, MA COUNTY: HAMPDEN CITY: Agawam ZIP: CVS Pharmacy # Silver St Agawam, MA CVS Pharmacy # Springfield St Agawam, MA Rite Aid Pharmacy # Springfield St Agawam, MA Walgreens Pharmacy # Springfield St Agawam, MA CITY: Chicopee ZIP: Chicopee Health Center Pharmacy 505 Front St Chicopee, MA CVS Pharmacy # Exchange St Chicopee, MA Rite Aid Pharmacy # Meadow St Chicopee, MA

4 ZIP: CVS Pharmacy # Granby Rd Chicopee, MA CVS Pharmacy # Memorial Dr Chicopee, MA Louis And Clark Drug # Memorial Dr Chicopee, MA Stop And Shop Pharmacy # Memorial Dr Chicopee, MA Wal-Mart Pharmacy # Memorial Dr Chicopee, MA Walgreens # James St Chicopee, MA Walgreens Pharmacy # Granby Rd Chicopee, MA CITY: East Longmeadow ZIP: Big Y Pharmacy # N Main St East Longmeadow, MA CVS Pharmacy # N Main St East Longmeadow, MA Stop And Shop Pharmacy # N Main St East Longmeadow, MA Walgreens Pharmacy # Maple St East Longmeadow, MA CITY: East Springfield ZIP: Louis And Clark Drug #5 490 Page Blvd East Springfield, MA CITY: Feeding Hills ZIP: Stop And Shop Pharmacy # Springfield St Feeding Hills, MA CITY: Holyoke ZIP: Arrow Pharmacy And Nutrition Center # Westfield St CVS Pharmacy # Beech St CVS Pharmacy # Northampton St Holyoke Health Center Pharmacy 230 Maple St Kmart Pharmacy # Northampton St Rite Aid Pharmacy # Northampton St Stop And Shop Pharmacy # Lincoln St Stop And Shop Pharmacy # Northampton St Walgreens Pharmacy # Northampton St ZIP: Target Pharmacy # Holyoke St Holyoke, MA CITY: Longmeadow 4

5 ZIP: Big Y Pharmacy # Williams Street Longmeadow, MA CVS Pharmacy # Bliss Rd Longmeadow Shops Longmeadow, MA CVS Pharmacy # Longmeadow St Longmeadow, MA CITY: Ludlow ZIP: Big Y Pharmacy # Center St Ludlow, MA CVS Pharmacy # Center St Ludlow, MA Walgreens Pharmacy # East St Ludlow, MA CITY: Monson ZIP: Rite Aid Pharmacy # Main St Monson, MA CITY: Palmer ZIP: Big Y Pharmacy # Thorndike St Rt 32 Palmer, MA CVS Pharmacy # Thorndike St Palmer, MA Rite Aid Pharmacy # Thorndike St Palmer, MA CITY: Southwick ZIP: Big Y Pharmacy #8 195 College Hwy Southwick, MA Rite Aid Pharmacy #10105 PO Box 118 Southwick, MA CITY: Springfield ZIP: The Community Pharmacy At Mercy Medical Center 299 Carew St Springfield, MA ZIP: Apothecary Center 1985 Main St Springfield, MA ZIP: CVS Pharmacy # Saint James Ave Springfield, MA Rite Aid Pharmacy # Liberty St Springfield, MA Stop And Shop Pharmacy # Liberty St Springfield, MA Walgreens Pharmacy # Carew St Springfield, MA Walgreens Pharmacy # Saint James Blvd Springfield, MA ZIP: Baystate Pharmacy 140 High St Springfield, MA CVS Pharmacy # State St Springfield, MA

6 ZIP: Baystate Pharmacy 3300 Main St Springfield, MA Baystate Pharmacy 380 Plainfield St Springfield, MA Louis And Clark Drug 300 Birnie Ave Ste 102 Springfield, MA Louis And Clark Drug #6 2 Medical Center Dr Springfield, MA ZIP: CVS 24 Hour Pharmacy # Belmont Ave Springfield, MA Walgreens 24 Hour Pharmacy # Sumner Ave Springfield, MA ZIP: Louis And Clark Drug # Breckwood Blvd Springfield, MA Walgreens Pharmacy # State St Springfield, MA ZIP: CVS Pharmacy # Main St Springfield, MA ZIP: Rite Aid Pharmacy # Island Pond Rd Springfield, MA ZIP: CVS Pharmacy # Boston Rd Springfield, MA Wal-Mart Pharmacy # Boston Rd Springfield, MA ZIP: Big Y Pharmacy # Cooley St Springfield, MA Rite Aid Pharmacy # Cooley St Springfield, MA ZIP: Stop And Shop Pharmacy # Boston Rd Springfield, MA Walgreens Pharmacy # Boston Rd Springfield, MA Walgreens Pharmacy # Wilbraham Rd Springfield, MA ZIP: Baystate Pharmacy 759 Chestnut St Springfield, MA CITY: West Springfield ZIP: Costco Pharmacy # Daggett Dr West Springfield, MA CVS Pharmacy # Elm St West Springfield, MA CVS Pharmacy # b Memorial Ave West Springfield, MA Rite Aid Pharmacy # Westfield St West Springfield, MA Stop And Shop Pharmacy # Riverdale St West Springfield, MA CITY: Westfield 6

7 ZIP: Arrow Prescription Center 427 N Elm St Big Y Pharmacy # E Main St CVS Pharmacy # Elm St CVS Pharmacy # E Main St Ste E. Main Street Rite Aid Pharmacy # E Silver St Stop And Shop Pharmacy #72 57 Main St Wal-Mart Pharmacy # Springfield Rd Walgreens Pharmacy # Main St CITY: Wilbraham ZIP: Big Y Pharmacy # Boston Rd Wilbraham, MA CVS Pharmacy # Boston Rd Wilbraham, MA Louis And Clark #3 459 Main St Wilbraham, MA Louis And Clark # Main St Wilbraham, MA COUNTY: HAMPSHIRE CITY: Amherst ZIP: CVS Pharmacy # University Dr Amherst, MA CVS Pharmacy # N Pleasant St Amherst, MA Familymeds Pharmacy # Hall Dr Amherst, MA Walgreens Pharmacy # Hall Dr Amherst, MA CITY: Belchertown ZIP: CVS Pharmacy #1230 Crystal Springs Plz 151 N Main St Belchertown, MA Stop And Shop Pharmacy # George Hannum St Belchertown, MA CITY: Easthampton ZIP: CVS Pharmacy #2025 Rte Northampton St Easthampton, MA Rite Aid Pharmacy # Union St Easthampton, MA CITY: Florence ZIP: Walgreens Pharmacy # Main St Florence, MA CITY: Granby ZIP: Center Pharmacy Inc 242 State St Granby, MA CITY: Hadley 7

8 ZIP: Stop And Shop Pharmacy # Russell St Hadley, MA Target Pharmacy # Russell St Hadley, MA Wal-Mart Pharmacy # Russell St Hadley, MA CITY: Northampton ZIP: Big Y Pharmacy #7 Rte N King St Northampton, MA CVS Pharmacy # Main St Northampton, MA CVS Pharmacy # King St Northampton, MA Serios Pharmacy 63 State St Northampton, MA Stop And Shop Pharmacy # King St Northampton, MA Wal-Mart Pharmacy # N King St Northampton, MA Walgreens Pharmacy # r King St Northampton, MA CITY: South Hadley ZIP: Big Y Pharmacy #50 44 Willimansett St South Hadley, MA Big Y Pharmacy # Newton St South Hadley, MA CITY: Southampton ZIP: Rite Aid Pharmacy # College Hwy Ste 4 Southampton, MA CITY: Ware ZIP: CVS Pharmacy # West St Ware, MA Rite Aid Pharmacy # West St Ware, MA Wal-Mart Pharmacy # Palmer Rd Ware, MA Walgreens # West St Ware, MA CITY: Williamsburg ZIP: Williamsburg Pharmacy PO Box Main St Williamsburg, MA

9 Mail Order Pharmacy WellDyneRX (Toll Free) (TTY/TDD) 9

10 Home Infusion Pharmacies Are home infusion pharmacies part of the HNE Medicare Advantage Plan (HMO and HMO-POS) pharmacy network? The HNE Medicare Advantage Plan (HMO and HMO-POS) will cover home infusion therapy if: Your prescription drug is on the HNE Medicare Advantage Plan (HMO and HMO-POS)'s formulary or you have a formulary exception The HNE Medicare Advantage Plan (HMO and HMO-POS) has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber For more information, call our Member Services Department at , 24 hours a day, seven days a week. (TTY/TDD Users should call ) STATE: MA COUNTY: BARNSTABLE CITY: North Falmouth ZIP: North Falmouth Pharmacy 111 County Road Po Box 1316 North Falmouth, MA COUNTY: BERKSHIRE CITY: North Adams ZIP: Nassifs Professional Pharmacy PO Box 778 North Adams, MA CITY: Williamstown ZIP: Harts Pharmacists 40 Spring St Williamstown, MA COUNTY: ESSEX CITY: Byfield ZIP: Byfield Drug Inc 12 Kent Way Ste 102e Byfield, MA Curascript Infusion Pharmacy - Byfield 12 Kent Way Ste F Byfield, MA CITY: Haverhill ZIP: The Whittier Pharmacist Inc Railroad Sq Ste 304 Haverhill, MA ZIP: Preferred Pharmacy Solutions Inc 35 Avco Rd Haverhill, MA COUNTY: MIDDLESEX CITY: Framingham ZIP: Diversified Specialty Pharmacy 1451 Concord St Ste 6 Framingham, MA CITY: Hopkinton ZIP: 01748

11 Integrity Pharmacy Services LLC 45 S St Ste 2 Hopkinton, MA CITY: Lowell ZIP: Long Term Pharmacy Solutions Inc 225 Stedmans St Unit 27 Lowell, MA CITY: Malden ZIP: Elmwood Pharmacy 299 Pleasant St Malden, MA CITY: Marlborough ZIP: Accredo Health Group 261 Cedar Hill St Bld C Marlborough, MA Partners Pharmacy 181 Cedar Hill Rd Marlborough, MA West River Pharmacy Inc 140 Locke Dr Ste C Marlborough, MA CITY: Norwood ZIP: Coram Healthcare Corp Of Ma 574 University Ave Ste 2 Norwood, MA CITY: Tewksbury ZIP: Tewksbury State Hospital 365 E St Tewksbury, MA CITY: West Newton ZIP: Americas Compounding Center 950 Watertown St Ste 3 West Newton, MA COUNTY: NORFOLK CITY: Norwood ZIP: Apria Healthcare - Indianapolis 575 University Ave Norwood, MA COUNTY: PLYMOUTH CITY: Plymouth ZIP: Apothecare Of Plymouth Inc Camelot Dr Plymouth, MA CITY: Whitman ZIP: Apothecare Of South Shore Inc 7 Marble St P.O. Box 429 Whitman, MA COUNTY: SUFFOLK CITY: Brighton ZIP: Health First Pharmacy Inc Common Wealth Ave Brighton, MA CITY: Roslindale ZIP: Sullivans Health Care Inc 30 Belgrande Ave Roslindale, MA CITY: West Roxbury ZIP: Greater Boston Long Term Care 1864 Centre St Ste # 2 West Roxbury, MA COUNTY: WORCESTER CITY: North Grafton ZIP: Stat Care Pharmacy 198 Worcester St North Grafton, MA

12 Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under the HNE Medicare Advantage Plan (HMO and HMO-POS) through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, call our Member Services Department at , 24 hours a day, seven days a week. (TTY/TDD Users should call ) STATE: MA COUNTY: BARNSTABLE CITY: North Falmouth ZIP: North Falmouth Pharmacy 111 County Road Po Box 1316 North Falmouth, MA COUNTY: BERKSHIRE CITY: Dalton ZIP: Olaughlins Homecare Pharmacy 403 Main Street Dalton, MA CITY: North Adams ZIP: Nassifs Professional Pharmacy PO Box 778 North Adams, MA CITY: Williamstown ZIP: Harts Pharmacists 40 Spring St Williamstown, MA COUNTY: BRISTOL CITY: N Dartmouth ZIP: Pharmahealth LTC Inc 360 Faunce Corner Rd N Dartmouth, MA COUNTY: ESSEX CITY: Beverly ZIP: Medicine Shoppe # Cabot St Beverly, MA CITY: Haverhill ZIP: The Whittier Pharmacist Inc Railroad Sq Ste 304 Haverhill, MA ZIP: Preferred Pharmacy Solutions Inc 35 Avco Rd Haverhill, MA CITY: Lynn ZIP: Richmond Pharmacy 499 Eastern Ave Lynn, MA COUNTY: HAMPDEN CITY: Holyoke ZIP: Arrow Pharmacy And Nutrition Center # Westfield St CITY: Springfield ZIP: Medicine Centre LTC 41 Sullivan St Springfield, MA ZIP:

13 Louis And Clark Drug 300 Birnie Ave Ste 102 Springfield, MA CITY: West Springfield ZIP: Mcclelland Health 85 Interstate Dr West Springfield, MA CITY: Westfield ZIP: Arrow Prescription Center 427 N Elm St COUNTY: HAMPSHIRE CITY: Amherst ZIP: Familymeds Pharmacy # Hall Dr Amherst, MA CITY: Granby ZIP: Center Pharmacy Inc 242 State St Granby, MA COUNTY: MIDDLESEX CITY: Concord ZIP: West Concord Pharmacy 1212 Main St Concord, MA CITY: Framingham ZIP: Diversified Specialty Pharmacy 1451 Concord St Ste 6 Framingham, MA CITY: Hopkinton ZIP: Integrity Pharmacy Services LLC 45 S St Ste 2 Hopkinton, MA CITY: Lowell ZIP: Long Term Pharmacy Solutions Inc 225 Stedmans St Unit 27 Lowell, MA CITY: Malden ZIP: Elmwood Pharmacy 299 Pleasant St Malden, MA CITY: Marlborough ZIP: Partners Pharmacy 181 Cedar Hill Rd Marlborough, MA West River Pharmacy Inc 140 Locke Dr Ste C Marlborough, MA CITY: Tewksbury ZIP: Tewksbury State Hospital 365 E St Tewksbury, MA CITY: Wakefield ZIP: North Shore Pharmacy Services 360 Audubon Rd Wakefield, MA CITY: Waltham ZIP: Village Pharmacy 335 Bear Hill Rd Waltham, MA Village Pharmacy West 335 Bear Hill Rd Waltham, MA

14 ZIP: Johnson Compounding And Wellness 577 Main St Waltham, MA CITY: West Newton ZIP: Americas Compounding Center 950 Watertown St Ste 3 West Newton, MA COUNTY: NORFOLK CITY: Wellesley ZIP: Andrews Pharmacy 324 Weston Rd Wellesley, MA CITY: Westwood ZIP: Kindred Pharmacy Svc 390 University Ave Westwood, MA COUNTY: PLYMOUTH CITY: East Bridgewater ZIP: Duvals Pharmacy #2 1 Compass Way Ste 101 East Bridgewater, MA CITY: Plymouth ZIP: Apothecare Of Plymouth Inc Camelot Dr Plymouth, MA CITY: Whitman ZIP: Apothecare Of South Shore Inc 7 Marble St P.O. Box 429 Whitman, MA Duval Pharmacy Inc 571 Washington St Whitman, MA COUNTY: SUFFOLK CITY: Allston ZIP: Pelham Community Pharmacy 280 Lincoln St Allston, MA CITY: Brighton ZIP: Health First Pharmacy Inc Common Wealth Ave Brighton, MA CITY: Roslindale ZIP: Sullivans Health Care Inc 30 Belgrande Ave Roslindale, MA Sullivans Pharmacy 1 Corinth St Roslindale, MA CITY: West Roxbury ZIP: Greater Boston Long Term Care 1864 Centre St Ste # 2 West Roxbury, MA COUNTY: WORCESTER CITY: North Grafton ZIP: Stat Care Pharmacy 198 Worcester St North Grafton, MA CITY: West Boylston ZIP: Omnicare Of Massachusetts 127 E Hartwell St West Boylston, MA CITY: Worcester ZIP: Familymeds Pharmacy # Main St Worcester, MA

15 Network Pharmacies outside the HNE Medicare Advantage Plan (HMO and HMO-POS) 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 Member Services Department at , 24 hours a day, seven days a week (TTY/TDD Users should call ), for additional information. 15

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