Medicare Part D 2017 Oregon Pharmacy Directory

Transcription

1 Health Net Medicare Part D 2017 Oregon Pharmacy Directory Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option 3 (PPO) This pharmacy directory was updated on 09/01/2016. For more recent information or other questions, please contact Health Net at or, for TTY users, 711, 8:00 a.m. to 8:00 p.m., seven days a week (automated telephone service is used on some weekends and holidays), 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 Member Services for updated provider information. Y0020_2017_0013_NM ( , )

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3 Table of Contents Table of Conten ts Introduction...5 Retail Pharmacies, including Chain Pharmacies Mail Order Pharmacy...51 Specialty Pharmacies...55 Home Infusion Pharmacies...59 Long-Term Care Pharmacies...63 Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies...69

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5 Introdu ction Introduction This booklet provides a list of our 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 Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option 3 (PPO) s formulary. When this pharmacy directory refers to we, us, or our, it means Health Net. When it refers to plan or our plan, it means Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option 3 (PPO). 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 09/01/2016. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost-sharing. We have marked these pharmacies with a $ to distinguish them from other pharmacies in our network that offer standard cost-sharing. / 5

6 You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory. This directory is for Oregon which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory contact us. Our contact information appears on the front and back cover pages. 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. The directory is sorted by type of pharmacy and location. Pharmacy types include Retail, Mail Order, Specialty, Home Infusion, Long-Term Care, and Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies. To find a pharmacy near you, locate the section for the type of pharmacy you need. This is not a complete list of our network pharmacies. You can go to any pharmacy in our nationwide network of more than 67,000 pharmacies. To find a pharmacy outside of your state, please visit medicare or contact us. Our contact information appears on the front and back cover pages. 6 /

7 Notice of Non-Discrimination: Health Net complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Health Net: Provides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats). Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. If you need these services, contact Health Net s Customer Contact Center at: Arizona: (TTY: 711), 8:00 a.m. to 8:00 p.m., Mountain time, seven days a week. California: (TTY: 711), 8:00 a.m. to 8:00 p.m., Pacific time, seven days a week. Oregon: (TTY: 711), 8:00 a.m. to 8:00 p.m., Pacific time, seven days a week. If you believe that Health Net has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance by calling the number above and telling them you need help filing a grievance; Health Net s Customer Contact Center is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201, , (TDD: ). Complaint forms are available at / 7

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13 Retail Pharmacies, including Chain Pharmacies Retail Pharmacies / 13

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15 Retail Retail Pharmacies, including Chain Pharmacies Baker Baker City 700 Campbell St Baker City, OR (541) Campbell St Baker City, OR (541) Campbell St Baker City, OR (541) St Elizabeth Health Services 3325 Pocahontas Rd Baker City, OR (541) Benton Corvallis 1555 SW 53rd St Corvallis, OR (541) NW 9th St Corvallis, OR (541) Corvallis Corvallis Clinic Pharmacy 3680 NW Samaritan Dr Corvallis, OR (541) NW Kings Blvd Corvallis, OR (541) Health Services Pharmacy 530 NW 27th St Corvallis, OR (541) Kmart Pharmacy 400 N East Circle Blvd Corvallis, OR (541) OSU Student Health Pharmacy Plageman 109 Corvallis, OR (541) Pillbox Health Center Pharmacy 906 NW Kings Blvd Corvallis, OR (541) Rices Pharmacy $ 910 NW Kings Blvd Corvallis, OR (541) Corvallis 922 NW Circle Blvd Corvallis, OR (541) SW Philomath Blvd Corvallis, OR (541) NE Circle Blvd Corvallis, OR (541) SW 3rd St Corvallis, OR (541) Samaritan Pharmacy Services $ 3521 NW Samaritan Dr Ste 102 Corvallis, OR (541) NW 9th St Corvallis, OR (541) Philomath Philomath Family Pharmacy $ 1640 Main St Philomath, OR (541) $ Offers preferred cost-sharing / 15

16 Retail Pharmacies, including Chain Pharmacies Clackamas Boring SE Highway 212 Boring, OR (503) Canby Daves Prescription Shop 911 SW 4th Ave Canby, OR (503) SE 1st Ave Canby, OR (503) Parsons Canby Pharmacy Inc 294 NW 2nd Ave Canby, OR (503) SW 1st Ave Canby, OR (503) SW 1st Ave Canby, OR (503) Clackamas SE Highway 212 Clackamas, OR (503) Costco Pharmacy SE 84th Ave Clackamas, OR (503) CVS Pharmacy $ 9000 SE Sunnyside Rd Clackamas, OR (503) SE 82nd Dr Clackamas, OR (503) Isse Pharmacy Services SE 114th Ave Clackamas, OR (503) SE Sunnyside Rd Clackamas, OR (503) Sunnyside Pharmacy SE Sunnyside Rd Ste 100A Clackamas, OR (503) Estacada Hi School Pharmacy $ 207 S Broadway St Estacada, OR (503) Gladstone 95 82nd Dr Gladstone, OR (503) McLoughlin Blvd Gladstone, OR (503) Happy Valley SE 82nd Ave Happy Valley, OR (503) Lake Oswego 90 B Ave Lake Oswego, OR (503) Bryant Rd Lake Oswego, OR (503) A Ave Lake Oswego, OR (503) / $ Offers preferred cost-sharing

17 Retail Pharmacies, including Chain Pharmacies Lake Oswego Lower Boones Ferry Rd Lake Oswego, OR (503) Sav-On Pharmacy $ Boones Ferry Rd Lake Oswego, OR (503) SW Boones Ferry Rd Lake Oswego, OR (971) Milwaukie Consonus Pharmacy Services LLC 4560 SE International Way #101 Milwaukie, OR (971) Olson Long Term Care Pharmacy SE McLoughlin Blvd Milwaukie, OR (503) SE Oak St Milwaukie, OR (503) SE Webster Rd Milwaukie, OR (503) Milwaukie 4200 SE King Rd Milwaukie, OR (503) SE McLoughlin Blvd Milwaukie, OR (503) SE McLoughlin Blvd Milwaukie, OR (503) Molalla 514 W Main St Molalla, OR (503) Cutters Hi School Pharmacy $ 103 Robbins St Molalla, OR (503) W Main St Molalla, OR (503) Oregon City Albertson s Pharmacy $ Beavercreek Rd Oregon City, OR (503) Oregon City 1813 Molalla Ave Oregon City, OR (503) Mollala Avenue Oregon City, OR (503) Genoa A QOL Healthcare Co LLC 998 Library Ct Rm 4 Oregon City, OR (503) McLoughlin Blvd Oregon City, OR (503) Colton Pl Oregon City, OR (503) Molalla Ave Oregon City, OR (503) Portland SE McLoughlin Blvd Portland, OR (503) $ Offers preferred cost-sharing / 17

18 Retail Pharmacies, including Chain Pharmacies Portland SE Oak St Portland, OR (971) Sandy Highway 26 Sandy, OR (503) SE 362nd Dr Sandy, OR (503) Highway 26 Sandy, OR (503) Proctor Blvd Sandy, OR (503) Welches Williams Pharmacy LLC E Highway 26 Welches, OR (503) West Linn Hi School Pharmacy $ 5639 Hood St West Linn, OR (503) West Linn S Salamo Rd West Linn, OR (503) Willamette Dr West Linn, OR (503) Wilsonville Albertsons Pharmacy $ SW Boones Ferry Rd Wilsonville, OR (503) Costco Pharmacy SW Heather Pl Wilsonville, OR (503) CVS Pharmacy $ SW Heather Pl Wilsonville, OR (503) SW Boones Ferry Rd Wilsonville, OR (503) SW Wilsonville Rd Wilsonville, OR (503) Wilsonville University Compounders LLC 9150 SW Pioneer Ct Ste B Wilsonville, OR (503) SW Wilsonville Rd Wilsonville, OR (503) Clatsop Astoria Columbia Memorial Hosp Outpatient Pharmacy 2120 Exchange St Ste 101 Astoria, OR (503) Paramount Drug $ 1319 Commercial St Astoria, OR (503) Leif Erickson Dr Astoria, OR (503) Seaside Providence Seaside Pharmacy $ 725 S Wahanna Rd Seaside, OR (503) / $ Offers preferred cost-sharing

19 Retail Pharmacies, including Chain Pharmacies Seaside 313 S Roosevelt Dr Seaside, OR (503) S Roosevelt Dr Seaside, OR (503) Warrenton Costco Pharmacy 1804 SE Ensign Lane Warrenton, OR (503) S Highway 101 Warrenton, OR (503) S Highway 101 Warrenton, OR (503) E Harbor St Warrenton, OR (503) Columbia Clatskanie Hi School Pharmacy $ 4005 Columbia R Hwy Clatskanie, OR (503) Saint Helens 785 S Highway Saint Helens, OR (503) Columbia Blvd Saint Helens, OR (503) S Columbia River Hwy Saint Helens, OR (503) Gable Rd Saint Helens, OR (503) Scappoose SE 2nd St Scappoose, OR (503) Scappoose Columbia River Hwy Scappoose, OR (503) Hi School Pharmacy $ SW Chinook Plz Scappoose, OR (503) Coos Bandon 44 Michigan Ave NE Bandon, OR (541) Coos Bay 550 S 4th St Coos Bay, OR (541) st St Coos Bay, OR (541) Johnson Ave Coos Bay, OR (541) $ Offers preferred cost-sharing / 19

20 Retail Pharmacies, including Chain Pharmacies Coos Bay 2051 Newmark Ave Coos Bay, OR (541) Coquille 3 E 1st St Coquille, OR (541) Myrtle Point Semperts Drug Store $ 735 Spruce St Myrtle Point, OR (541) North Bend 2131 Newmark St North Bend, OR (541) Broadway St North Bend, OR (541) Virginia Ave North Bend, OR (541) Broadway St North Bend, OR (541) North Bend Waterfall Community Pharmacy 1890 Waite St North Bend, OR (541) Crook Prineville 2091 NE 3rd St Prineville, OR (541) Clinic Pharmacy $ 198 NE Combs Flat Rd Prineville, OR (541) NE 3rd St Prineville, OR (541) Curry Brookings 248 Wharf St Brookings, OR (541) th St Brookings, OR (541) Gold Beach Corner Drug & Gifts $ Ellensburg Ave Gold Beach, OR (541) Harbor Highway 101 S Harbor, OR (541) Deschutes Bend Bend LTC Pill Box 727 NE Greenwood Ave Bend, OR (541) NE 2nd St Bend, OR (541) Cascade Custom Pharmacy SW Amber Meadow Dr #170 Bend, OR (541) Costco Pharmacy 2500 NE Highway 20 Bend, OR (541) / $ Offers preferred cost-sharing

21 Retail Pharmacies, including Chain Pharmacies Bend S Highway 97 Bend, OR (541) Homecare IV Of Bend Inc 2065 NE Williamson Ct Ste B Bend, OR (541) NE 3rd St Ste 111 Bend, OR (541) SE 3rd St Bend, OR (541) NE Highway 20 Bend, OR (541) NE 3rd St Bend, OR (541) SW Century Dr Bend, OR (541) Sav-On Pharmacy $ S Highway 97 Bend, OR (541) Bend Shopko Pharmacy $ 60 NE Bend River Mall Dr Bend, OR (541) St Charles Community Pharmacy $ 2500 NE NEff Rd Bend, OR (541) NE Highway 20 Bend, OR (541) NE Franklin Ave Bend, OR (541) NW Wall St Bend, OR (541) Pinebrook Blvd Bend, OR (541) Westside Pharmacy $ 359 SW Century Dr Bend, OR (541) La Pine S Huntington Rd La Pine, OR (541) Drug Mart Pharmacy $ Huntington Rd Ste A La Pine, OR (541) Redmond 1727 SW Odem Medo Rd Redmond, OR (541) Central Oregon Pharmacy And Compounding $ 655 NW Greenwood Ave. Suite #1 Redmond, OR (541) Community Pharmacy $ 1253 N Canal Blvd Redmond, OR (541) SW 9th St Redmond, OR (541) SW Odem Medo Rd Redmond, OR (541) $ Offers preferred cost-sharing / 21

22 Retail Pharmacies, including Chain Pharmacies Redmond 1705 S Highway 97 Redmond, OR (541) S Highway 97 Redmond, OR (541) NW Oak Tree Ln Redmond, OR (541) Sisters 445 W Highway 20 Sisters, OR (541) Sisters Drug And Gift $ 211 E Cascade Sisters, OR (541) Sunriver Sunriver Pharmacy $ Venture Ln Sunriver, OR (541) Douglas Canyonville Gordons Pharmacy $ 314 S Main St Canyonville, OR (541) Myrtle Creek 821 S Main St Myrtle Creek, OR (541) Reedsport Lower Umpqua Hospital Pharmacy $ 600 Ranch Rd Reedsport, OR (541) Reedsport Pharmacy $ 1409 Hwy 101 Reedsport, OR (541) Roseburg Albertson s Pharmacy $ 3013 NW Stewart Pkwy Roseburg, OR (541) NW Garden Valley Blvd Roseburg, OR (541) Roseburg Costco Pharmacy 4141 NE Stephens St Roseburg, OR (541) NW Garden Valley Blvd Roseburg, OR (541) Harvard Avenue Drugs $ 1175 W Harvard Ave Roseburg, OR (541) Hometown Drugs $ 1813 W Harvard Ave Ste 210 Roseburg, OR (541) Kmart Pharmacy 2757 NW Stewart Pkwy Roseburg, OR (541) Northwest Compounding Pharmacy 1350 NE Stephens St Ste 42 Roseburg, OR (541) SE Stephens St Roseburg, OR (541) / $ Offers preferred cost-sharing

23 Retail Pharmacies, including Chain Pharmacies Roseburg 1430 NW Garden Valley Blvd Roseburg, OR (541) NE Stephens St Roseburg, OR (541) NE Stephens St Roseburg, OR (541) NW Garden Valley Blvd Roseburg, OR (541) NW Stewart Pkwy Roseburg, OR (541) Sutherlin 833 E Central Ave Sutherlin, OR (541) Sutherlin Drug $ 113 E Central Ave Sutherlin, OR (541) Winston 391 NW Douglas Blvd Winston, OR (541) Valley Drugs $ 157 NW Douglas Blvd Winston, OR (541) Gilliam Condon Murrays Condon Pharmacy 225 S Main St Condon, OR (541) Grant John Day Lens Drug $ 120 E Main St John Day, OR (541) Harney Burns 246 W Monroe St Burns, OR (541) Hines 629 N Highway 20 Hines, OR (541) Hood River Hood River Providence Hood River Pharmacy th St Hood River, OR (541) Cascade Ave Hood River, OR (541) Cascade Ave Hood River, OR (541) th St Hood River, OR (541) Wasco St Hood River, OR (541) $ Offers preferred cost-sharing / 23

24 Retail Pharmacies, including Chain Pharmacies Jackson Ashland Ashland Drug $ 275 E Main St Ashland, OR (541) Ashland St Ashland, OR (541) Ashland St Ashland, OR (541) Central Point Albertson s Pharmacy $ 1360 Plaza Blvd Central Point, OR (541) N Front St Central Point, OR (541) Eagle Point Hannon Rd Eagle Point, OR (541) Gold Hill Gold Hill Pharmacy $ 808 2nd Ave Gold Hill, OR (541) Medford Albertson s Pharmacy $ 910 N Phoenix Rd Medford, OR (541) Albertson s Pharmacy $ 113 N Ross Ln Medford, OR (541) W Main St Medford, OR (541) Biddle Rd Medford, OR (541) Black Oak Pharmacy $ 2924 Siskiyou Blvd Ste 102 Medford, OR (541) Budget Institutional Pharmacy 259 E Barnett Rd Ste L Medford, OR (541) Medford Costco Pharmacy 3639 Crater Lake Hwy Medford, OR (541) CVS Pharmacy $ 2000 Crater Lake Hwy Medford, OR (541) Center Dr Medford, OR (541) Crater Lake Hwy Medford, OR (541) Lone Pine Drug $ 3528 Lone Pine Rd # 2 Medford, OR (541) Medford Ctr Medford, OR (541) Rogue Community Health Pharmacy $ 11 Myrtle St Medford, OR (541) / $ Offers preferred cost-sharing

25 Retail Pharmacies, including Chain Pharmacies Medford Rogue Valley Rx $ 2900 E Barnett Rd Ste 1 Medford, OR (541) Rouge Manor Valley Pharmacy $ 1200 Mira Mar Ave Medford, OR (541) Medford Ctr Medford, OR (541) Crater Lake Hwy Medford, OR (541) W Main St Medford, OR (541) E Barnett Rd Medford, OR (541) Crater Lake Hwy Medford, OR (541) Medford 1360 Center Dr Medford, OR (541) Wellness Compouding Pharmacy 1150 Crater Lake Ave Ste M Medford, OR (541) West Main Pharmacy $ 2355 West Main St Medford, OR (541) Phoenix 404 N Main St Phoenix, OR (541) Rogue River Rogue River Pharmacy $ 506 E Main St Rogue River, OR (541) Shady Cove Shady Cove Pharmacy $ Highway 62 Shady Cove, OR (541) Talent Medicap Pharmacy $ 205 N Pacific Hwy Talent, OR (541) White City Cascade Pharmacy $ 7591 Crater Lake Hwy Ste A White City, OR (541) Jefferson Madras 1575 SW Highway 97 Madras, OR (541) Hometown Drugs $ 196 SW 5th St Madras, OR (541) NE Cedar St Madras, OR (541) $ Offers preferred cost-sharing / 25

26 Retail Pharmacies, including Chain Pharmacies Josephine Cave Junction Caves Pharmacy $ 143 Redwood Hwy Cave Junction, OR (541) Siskiyou Community Health Center Redwood Hwy Cave Junction, OR (541) Grants Pass Asante Three Rivers Pharmacy $ 500 SW Ramsey Ave Grants Pass, OR (541) Redwood Hwy Grants Pass, OR (541) Grants Pass Pkwy Grants Pass, OR (541) Grants Pass Pharmacy Inc $ 414 SW 6th St Grants Pass, OR (541) Grants Pass 1642 Williams Hwy Grants Pass, OR (541) NE D St Grants Pass, OR (541) Rxmedlab Pharmacy $ 162 NE Beacon Dr Ste 109 Grants Pass, OR (541) NE 7th St Grants Pass, OR (541) Sav-On Pharmacy $ 1690 Allen Creek Road Grants Pass, OR (541) Siskiyou Community Health Ctr Pharmacy 1701 NW Hawthorne Ave Ste 101 Grants Pass, OR (541) Trinity Valley Pharmacy LLC 2001 NE Foothill Blvd Ste F3 Grants Pass, OR (541) Grants Pass 111 Union Ave Grants Pass, OR (541) NE Terry Ln Grants Pass, OR (541) Klamath Chiloquin Klamath Tribal Health Pharmacy 330 Chiloquin Blvd Chiloquin, OR (541) Klamath Falls Albertson s Pharmacy $ 5500 S 6th St Klamath Falls, OR (541) Washburn Way Klamath Falls, OR (541) Shasta Way Klamath Falls, OR (541) / $ Offers preferred cost-sharing

27 Retail Pharmacies, including Chain Pharmacies Klamath Falls 2521 S 6th St Klamath Falls, OR (541) Sky Lakes Outpatient Pharmacy $ 2865 Daggett Ave Klamath Falls, OR (541) Washburn Way Klamath Falls, OR (541) Lake Lakeview Howard s Drugs 101 N F St Lakeview, OR (541) Lane Cottage Grove 100 Gateway Blvd Cottage Grove, OR (541) E Main St Cottage Grove, OR (541) Cottage Grove 1704 E Main St Cottage Grove, OR (541) Row River Rd Cottage Grove, OR (541) Creswell Bi Mart Pharmacy 150 Melton Rd Creswell, OR (541) Eugene Albertson s Pharmacy $ 311 Coburg Rd Eugene, OR (541) Albertson s Pharmacy $ 55 Division Ave Eugene, OR (541) Albertson s Pharmacy $ 4740 Royal Ave Eugene, OR (541) BHS Pharmacy 1455 Westec Dr. Eugene, OR (541) Eugene 4780 Royal Ave Eugene, OR (541) W 18th Ave Eugene, OR (541) Willakenzie Rd Eugene, OR (541) Bimart Pharmacy 2030 River Rd Eugene, OR (541) Broadway Apothecary 1515 Oak St Eugene, OR (541) Costco Pharmacy 2828 Chad Dr Eugene, OR (541) CVS Pharmacy $ 4575 W 11th Ave Eugene, OR (541) W 11th Ave Eugene, OR (541) $ Offers preferred cost-sharing / 27

28 Retail Pharmacies, including Chain Pharmacies Eugene 60 Division Ave Eugene, OR (541) Hirons Drug 185 E 18th Ave Eugene, OR (541) Hirons Drug 1950 Franklin Blvd Eugene, OR (541) Home Parenteral Care Inc 1000 S Bertelsen Rd Ste 5 Eugene, OR (541) Lane Co Pharmacy 2411 Martin Luther King Jr Blv Eugene, OR (800) Managed Healthcare Pharmacy 1750 Willow Creek Cir Eugene, OR (541) Payless Long Term Care Pharmacy Grumman Dr Eugene, OR (800) Eugene 1970 Echo Hollow Rd Eugene, OR (541) W 29th Ave Eugene, OR (541) Coburg Rd Eugene, OR (541) River Road Healthmart Pharmacy $ 884 River Rd Eugene, OR (541) E 40th Ave Eugene, OR (541) E 18th Ave Eugene, OR (541) Coburg Rd Eugene, OR (541) Eugene Sav-On Pharmacy $ 1675 W 18th Ave Eugene, OR (541) Sav-On Pharmacy $ 3075 Hilyard Street Eugene, OR (541) Shopko Pharmacy $ 2815 Chad Dr Eugene, OR (541) Synergy Rx $ 55 Coburg Rd Eugene, OR (541) River Rd Eugene, OR (541) Coburg Rd Eugene, OR (541) Green Acres Rd Eugene, OR (541) W 11th Ave Eugene, OR (541) / $ Offers preferred cost-sharing

29 Retail Pharmacies, including Chain Pharmacies Eugene Willamette Valley Cancer Institute 520 Country Club Pkwy Eugene, OR (541) Florence Bi Mart Pharmacy 4310 Highway 101 Florence, OR (541) Florence Pharmacy $ 2935 Highway 101 Florence, OR (541) Fred Meyers Pharmacy $ 4701 Highway 101 Florence, OR (541) Highway 101 Florence, OR (541) Hwy 101 Florence, OR (541) Junction City 110 E 6th Ave Junction City, OR (541) Junction City 1755 Ivy St Junction City, OR (541) Oakridge Postal Pharmacy $ Highway 58 Oakridge, OR (541) Springfield Albertson s Pharmacy $ 5755 Main St Springfield, OR (541) Albertson s Pharmacy $ 2000 Marcola Rd Springfield, OR (541) Mohawk Blvd Springfield, OR (541) Main St Springfield, OR (541) CVS Pharmacy $ 2750 Gateway St Springfield, OR (541) Springfield 650 Q St Springfield, OR (541) Marcola Rd Springfield, OR (541) Pioneer Pkwy E Springfield, OR (541) Mohawk Blvd Springfield, OR (541) Riverbend Dr Springfield, OR (541) W Q St Springfield, OR (541) Main St Springfield, OR (541) Olympic St Springfield, OR (541) $ Offers preferred cost-sharing / 29

30 Retail Pharmacies, including Chain Pharmacies Springfield 2730 Gateway St Springfield, OR (541) Veneta Jeans Rd Veneta, OR (541) Tiffany s Pharmacy & Gift # 1188 $ Highway 126 Veneta, OR (541) Lincoln Lincoln City 1030 SE Oar Ave Lincoln City, OR (541) NW Logan Rd Lincoln City, OR (541) NW Logan Rd Lincoln City, OR (541) Lincoln City 4048 NW Highway 101 Lincoln City, OR (541) Newport 150 NE 20th St Newport, OR (541) N Coast Hwy Newport, OR (541) N Coast Hwy Newport, OR (541) Samaritan Pacific Comm Hosp Pharmacy 930 SW Abbey St Newport, OR (541) S Coast Hwy Newport, OR (541) NW 25th St Newport, OR (541) Siletz Siletz Community Health Clinic 200 Gwee-Shut Rd Siletz, OR (541) Toledo Mikes Pharmacy $ 722 W Highway 20 Toledo, OR (541) Waldport Waldport Pharmacy $ 180 NW Highway 101 Waldport, OR (541) Linn Albany 2272 Santiam Hwy SE Albany, OR (541) Costco Pharmacy 3031 Killdeer Ave SE Albany, OR (541) CVS Pharmacy $ th Ave SE Albany, OR (541) / $ Offers preferred cost-sharing

31 Retail Pharmacies, including Chain Pharmacies Albany Elm Street Pharmacy $ th Ave SW Albany, OR (541) Santiam Hwy SE Albany, OR (541) Geary Street Clinic Pharmacy $ 1700 Geary St SE Albany, OR (541) Medicap Pharmacy $ 1333 Clay St SE Albany, OR (541) Waverly Dr SE Albany, OR (541) th Ave SE Albany, OR (541) Pacific Blvd SE Albany, OR (541) Albany 1330 Goldfish Farm Rd SE Albany, OR (541) Brownsville Brownsville Pharmacy $ 411 N Main St Brownsville, OR (541) Harrisburg Harrisburg Pharmacy $ 230 N 3rd St Ste 106 Harrisburg, OR (541) Lebanon 2680 S Santiam Hwy Lebanon, OR (541) Lebanon Pill Box $ 185 S Main St Lebanon, OR (541) E Oak St Lebanon, OR (541) S Main St Lebanon, OR (541) Lebanon Samaritan Lebanon Comm Pharmacy $ 35 Mullins Dr Ste 1 Lebanon, OR (541) Burdell Blvd Lebanon, OR (541) S Santiam Hwy Lebanon, OR (541) Mill City Mill City Pharmacy 218 SW Broadway St Mill City, OR (503) Sweet Home 1980 Main St Sweet Home, OR (541) Economy Drugs $ 621 Main St Ste A Sweet Home, OR (541) Main St Sweet Home, OR (541) $ Offers preferred cost-sharing / 31

32 Retail Pharmacies, including Chain Pharmacies Malheur Nyssa Malheur Drug 424 Main St Nyssa, OR (541) Ontario 2283 SW 4th Ave Ontario, OR (541) Presbyterian Nursing Home 1085 N Oregon St Ontario, OR (541) Westpark Plz Ontario, OR (541) SE Goodfellow St Ontario, OR (541) E Idaho Ave Ontario, OR (541) Vale Malheur Drug $ 198 A St E Vale, OR (541) Marion Keizer 3862 River Rd N Keizer, OR (503) CVS Pharmacy $ 6450 Keizer Station Blvd NE Keizer, OR (503) River Rd N Keizer, OR (503) River Rd N Keizer, OR (503) River Rd N Keizer, OR (503) Mount Angel Mount Angel Drug $ 105 N Main St Mount Angel, OR (503) Salem 2155 Lancaster Dr NE Salem, OR (503) Calhoun Compounding Pharmacy 990 Commercial St SE Salem, OR (503) Costco Pharmacy 1010 Hawthorne Ave SE Salem, OR (503) CVS Pharmacy $ 3790 Center St NE Salem, OR (503) Broadway St NE Salem, OR (503) Market St NE Salem, OR (503) / $ Offers preferred cost-sharing

33 Retail Pharmacies, including Chain Pharmacies Salem 3450 Commercial St SE Salem, OR (503) Genoa Healthcare 3180 Center St NE Ste 3360 Salem, OR (503) Medicine Shoppe 1890 Capitol St NE Salem, OR (503) Oak Tree Pharmacy $ 2940 Commercial St SE Salem, OR (503) Oregon State Hospital Pharmacy 2600 Center St NE Salem, OR (503) Pharmacysicians Building Pharmacy $ 1234 Commerical St SE Salem, OR (503) Quisenberry Pharmacy $ 150 Liberty St SE Salem, OR (503) Salem 435 Liberty St NE Salem, OR (503) Lancaster Dr NE Salem, OR (503) Commercial St SE Salem, OR (503) Lancaster Dr NE Salem, OR (503) Commercial St SE Salem, OR (503) Center St NE Salem, OR (503) Salem Hosp Outpatient Retail Pharmacy $ 890 Oak St SE Salem, OR (503) Salem Shopko Pharmacy $ 1230 Lancaster Dr SE Salem, OR (503) Fairgrounds Rd NE Salem, OR (503) Lancaster Dr SE Salem, OR (503) Lancaster Dr NE Salem, OR (503) Liberty Rd S Salem, OR (503) Commercial St SE Salem, OR (503) Commercial St SE Salem, OR (503) Turner Rd SE Salem, OR (503) $ Offers preferred cost-sharing / 33

34 Retail Pharmacies, including Chain Pharmacies Salem 3025 Lancaster Dr NE Salem, OR (503) Silverton 333 Westfield St Silverton, OR (503) Silverton Hi School Pharmacy $ 406 McClaine St Silverton, OR (503) Stayton Sublimity Pharmacy Services Inc* 102 Martin Dr Ste B Stayton, OR (503) Woodburn 1600 Mount Hood Ave Woodburn, OR (503) N Pacific Hwy Woodburn, OR (503) Morrow Boardman Good Shepherd Boardman Pharmacy $ 220 S. Main Boardman, OR (541) Heppner Murray Drugs Inc. 217 N. Main St. Heppner, OR (541) Multnomah Silverton Pill Box $ 302 N 1st St Silverton, OR (503) Stayton 1701 Shaff Rd Stayton, OR (503) N 1st Ave Stayton, OR (503) Stayton Pharmacy LLC $ 102 Martin Dr Ste A Stayton, OR (503) Salud Medical Center 1175 Mount Hood Ave Woodburn, OR (509) Silverton Health 1475 Mount Hood Ave Woodburn, OR (971) N Evergreen Rd Woodburn, OR (503) Stacey Allison Way Woodburn, OR (503) Fairview CVS Pharmacy $ NE Halsey St Fairview, OR (503) Gresham 2800 NE Hogan Dr Gresham, OR (503) East County Clinic Pharmacy 600 NE 8th St Fl 3 Gresham, OR (503) * Only dispenses 30-day supplies $ Offers preferred cost-sharing 34 /

35 Retail Pharmacies, including Chain Pharmacies Gresham 2497 SE Burnside Rd Gresham, OR (503) Genoa Healthcare 400 NE 7th St Gresham, OR (503) Legacy Mount Hood Medical Cntr SE Stark St Gresham, OR (503) NE Division St Gresham, OR (503) SW Highland Dr Gresham, OR (503) NE Division St Gresham, OR (503) NE Burnside Rd Gresham, OR (503) Gresham 439 SE 223rd Ave Gresham, OR (503) W Powell Blvd Gresham, OR (503) W Powell Blvd Gresham, OR (503) E Powell Blvd Gresham, OR (503) $ 7901 SE Powell Blvd Ste J Portland, OR (503) Albertson s Pharmacy $ 5415 SW Beaverton Hillsdale Hw Portland, OR (503) Albertson s Pharmacy $ 5850 NE Prescott St Portland, OR (503) Portland Albertson s Pharmacy $ 451 NE 181st Ave Portland, OR (503) Apex Pharmacy $ 1215 NW 23rd Ave Portland, OR (503) Apothecary At Good Samaritan Hosp. $ 1130 NW 22nd Ave Ste 105 Portland, OR (503) SE Powell Blvd Portland, OR (503) NE Halsey St Portland, OR (503) SE Woodstock Blvd Portland, OR (503) Brooklyn Pharmacy Inc $ 3131 SE Milwaukie Ave Portland, OR (503) $ Offers preferred cost-sharing / 35

36 Retail Pharmacies, including Chain Pharmacies Portland Care Plus CVS/Pharmacy $ 1309 NW 23rd Ave Portland, OR (503) Central City Concern Pharmacy 727 W Burnside Portland, OR (503) Central Drugs $ 538 SW 4th Ave Portland, OR (503) Columbia Pharmacy $ 8122 SE Tibbetts Street Portland, OR (206) Community Compounding Pharmacy SW Capitol Hwy Portland, OR (503) Costco Pharmacy 4849 NE 138th Ave Portland, OR (503) CVS Pharmacy $ 9401 NE Cascades Pkwy Portland, OR (971) Portland CVS Pharmacy $ 939 SW Morrison St Portland, OR (503) CVS Pharmacy $ 9800 SE Washington St Portland, OR (503) CVS Pharmacy $ 1555 N Tomahawk Island Dr Portland, OR (503) Emanuel Pharmacy $ 501 N Graham St Portland, OR (503) Evergreen Pharmaceutical NE Glenn Widing Dr Portland, OR (503) Fairleys Healthcare 7206 NE Sandy Blvd Portland, OR (503) Fairleys Pharmacy Inc $ 7206 NE Sandy Blvd Portland, OR (503) N Interstate Ave Portland, OR (503) Portland 1111 NE 102nd Ave Portland, OR (503) SE 82nd Ave Portland, OR (503) SE Division St Portland, OR (503) NW 20th Pl Portland, OR (503) SE 82nd Ave Portland, OR (503) SE Hawthorne Blvd Portland, OR (503) NE Weidler St Portland, OR (503) SW Barbur Blvd Portland, OR (503) / $ Offers preferred cost-sharing

37 Retail Pharmacies, including Chain Pharmacies Portland 6850 N Lombard St Portland, OR (503) NE Glisan St Portland, OR (503) Gateway Medical Pharmacy $ 1125 NE 99th Ave Portland, OR (503) Hillsdale Pharmacy $ 6256 SW Capitol Hwy Portland, OR (503) Luke-Dorf Pharmacy NE Sandy Blvd Portland, OR (503) Mid County Clinic Pharmacy SE Division St Portland, OR (503) Nara Indian Health Clinic 15 N Morris St Portland, OR (503) Portland North Portland Clinic Pharmacy 9000 N Lombard St Portland, OR (503) Northeast Clinic Pharmacy 5329 NE M L King Blvd Portland, OR (503) OHSU Casey Eye Institute Pharmacy 3375 SW Terwilliger Blvd Portland, OR (503) OHSU Center For Health & Healing 3303 SW Bond Ave Portland, OR (503) OHSU Doernbecher Pharmacy 3181 SW Sam Jackson Park Rd Portland, OR (503) OHSU Gabriel Park Pharmacy 4411 SW Vermont Ave Portland, OR (503) Portland OHSU Pavillion Pharmacy 3181 SW Sam Jackson Park Rd Portland, OR (503) OHSU Richmond Clinic Pharmacy $ 3930 SE Division St Portland, OR (503) Outside In Pharmacy 1132 SW 13th Ave Portland, OR (503) Paulsens Pharmacy $ 4246 NE Sandy Blvd Portland, OR (503) Pharmaca Integrative Pharmacy $ 13 NW 23rd Pl Portland, OR (503) Portland Professional Pharmacy $ NE Glisan St Portland, OR (503) Postal Prescription Services $ 3535 SE 26th Ave Portland, OR (503) $ Offers preferred cost-sharing / 37

38 Retail Pharmacies, including Chain Pharmacies Portland Providence Plaza Pharmacy $ 5050 NE Hoyt St Ste 142 Portland, OR (503) Providence Specialty Pharmacy Services 6410 NE Halsey St Ste 400 Portland, OR (503) QFC Pharmacy $ 5544 E Burnside St Portland, OR (503) SW Beaverton Hillsdale Hw Portland, OR (503) NE 41st Ave Portland, OR (503) N Denver Ave Portland, OR (503) SW Alder St Portland, OR (503) Portland 2440 SE 39th Ave Portland, OR (503) SE Division St Portland, OR (503) NE 181st Ave Portland, OR (503) SE Division St Portland, OR (503) NE Cully Blvd Portland, OR (503) NW 10th Ave Portland, OR (503) Rockwood Health Clinic Pharmacy 2020 SE 182nd Ave Portland, OR (503) Portland 1100 NE Broadway St Portland, OR (503) NE 122nd Ave Portland, OR (503) SE Powell Blvd Portland, OR (503) NE M L King Blvd Portland, OR (503) SW Jefferson St Portland, OR (503) SE 122nd Ave Portland, OR (503) N Jantzen Dr Portland, OR (503) SW Barbur Blvd Portland, OR (503) / $ Offers preferred cost-sharing

39 Retail Pharmacies, including Chain Pharmacies Portland 1303 NW Lovejoy St Portland, OR (503) NE Sandy Blvd Portland, OR (503) SE Hawthorne Blvd Portland, OR (503) SE Woodstock Blvd Portland, OR (503) N Burlington Ave Portland, OR (503) Sisters Of Providence Home IV Therapy* 6410 NE Halsey St Ste 400 Portland, OR (503) Southeast Health Clinic Pharmacy 3653 SE 34th Ave Portland, OR (503) Portland Stroheckers Pharmacy 2855 SW Patton Rd Ste A Portland, OR (503) NE Sandy Blvd Portland, OR (503) NE 33rd Ave Portland, OR (971) SE Holgate Blvd Portland, OR (503) NE 82nd Ave Portland, OR (503) W Burnside St Portland, OR (503) NE M L King Blvd Portland, OR (503) SE 82nd Ave Portland, OR (503) Portland NE Glisan St Portland, OR (503) SE 82nd Ave Portland, OR (503) N Lombard St Portland, OR (503) SE 82nd Ave Portland, OR (503) NE Glisan St Portland, OR (503) NE Grand Ave Portland, OR (503) Capitol Hwy Portland, OR (503) SE 39th Ave Portland, OR (503) * Only dispenses 30-day supplies $ Offers preferred cost-sharing / 39

40 Retail Pharmacies, including Chain Pharmacies Portland SE Powell Blvd Portland, OR (503) Hayden Meadows Dr Portland, OR (503) SE 82nd Ave Portland, OR (503) Westside Health Center Pharmacy 426 SW Stark St Fl 2 Portland, OR (503) Troutdale Albertson s Pharmacy $ SE Stark St Troutdale, OR (503) SW Cherry Park Rd Troutdale, OR (503) SE Stark St Troutdale, OR (503) Wood Village NE Parkland Wood Village, OR (503) NE Sandy Blvd Wood Village, OR (503) Polk Dallas Dallas Pill Box $ 625 SE Miller Ave Dallas, OR (503) W Ellendale Ave Dallas, OR (503) W Ellendale Ave Dallas, OR (503) NE Kings Valley Hwy Dallas, OR (503) Independence Hi School Pharmacy $ 1357 Monmouth St Independence, OR (503) Monmouth 444 Pacific Ave S Monmouth, OR (503) Salem 1455 Edgewater St NW Salem, OR (503) Wallace Rd NW Salem, OR (503) Tillamook Tillamook 2500 Main Ave N Tillamook, OR (503) th St Tillamook, OR (503) / $ Offers preferred cost-sharing

41 Retail Pharmacies, including Chain Pharmacies Tillamook Tillamook Pharmacy $ 915 Main Ave Tillamook, OR (503) Wheeler Rinehart Pharmacy LLC 278 Rowe St Ste 222 Wheeler, OR (503) Umatilla Hermiston 200 S 1st St Unit 1 Hermiston, OR (541) Good Shepherd Clinic Pharmacy $ 600 NW 11th St Ste E04 Hermiston, OR (541) Hermiston Drug $ 114 E Main St Hermiston, OR (541) S Highway 395 Hermiston, OR (541) Hermiston 990 S Highway 395 Hermiston, OR (541) N 1st St Hermiston, OR (541) Milton Freewater 105 SW 2nd Ave Milton Freewater, OR (541) N Columbia St Milton Freewater, OR (541) Pendleton 901 SW Emigrant Ave Pendleton, OR (541) SW Court Pl Pendleton, OR (541) SW 20th St Pendleton, OR (541) Pendleton 144 SW 20th St Pendleton, OR (541) SW Court Ave Pendleton, OR (541) Yellowhawk Tribal Health Ctr Confederated Way Pendleton, OR (541) Umatilla Carlsons Umatilla United Drug 821 6th St Umatilla, OR (541) Union La Grande 2510 Adams Ave La Grande, OR (541) Red Cross Drug Store 1123 Adams Ave La Grande, OR (541) $ Offers preferred cost-sharing / 41

42 Retail Pharmacies, including Chain Pharmacies La Grande Red Cross Institutional Pharmacy 206 Depot St La Grande, OR (541) Island Ave Ste O La Grande, OR (541) Adams Ave La Grande, OR (541) Island Ave La Grande, OR (541) Union Union Drug Company $ 105 N Main Union, OR (541) Wallowa Enterprise Olive Branch Pharmacy 306 W North St Enterprise, OR (541) Enterprise 601 W North St Enterprise, OR (541) Wasco The Dalles 3300 W 6th St The Dalles, OR (541) W 6th St The Dalles, OR (541) Kmart Pharmacy 2640 W 6th St The Dalles, OR (541) W 6th St The Dalles, OR (541) Mount Hood St The Dalles, OR (541) Mount Hood St The Dalles, OR (541) Washington Aloha 5975 SW 185th Ave Aloha, OR (503) Costco Pharmacy SW Jenkins Rd Aloha, OR (503) SW Tualatin Valley Hwy Aloha, OR (503) SW Tualatin Valley Hwy Aloha, OR (503) Banks Banks Pharmacy $ 662 S Main St Banks, OR (503) Beaverton Beaverton Pharmacy $ SW Canyon Rd Beaverton, OR (503) / $ Offers preferred cost-sharing

43 Retail Pharmacies, including Chain Pharmacies Beaverton 4750 SW Western Ave Beaverton, OR (503) CVS Pharmacy $ NW Evergreen Pkwy Beaverton, OR (503) CVS Pharmacy $ SW Beaverton Hillsdale Hwy Beaverton, OR (503) SW Beaverton Hillsdale Hwy Beaverton, OR (503) SW Walker Rd Beaverton, OR (503) OHSU Knight Cancer Institute SW Greystone Ct Beaverton, OR (503) OHSU Mail Central Pharmacy 9315 SW Nimbus Ave Beaverton, OR (503) Beaverton Pharmaca Integrative Pharmacy $ 240 NW Lost Springs Ter Ste 36 Beaverton, OR (503) SW Walker Rd Beaverton, OR (503) SW Allen Blvd Beaverton, OR (503) SW Farmington Rd Beaverton, OR (503) SW Murray Blvd Beaverton, OR (503) SW Teal Blvd Beaverton, OR (503) VG Beaverton Pharmacy 2935 SW Cedar Hills Blvd Beaverton, OR (503) Beaverton SW Farmington Rd Beaverton, OR (503) SW Murray Scholls Dr Beaverton, OR (503) NW Cornell Rd Beaverton, OR (503) SW Murray Blvd Beaverton, OR (519) Cornelius 2200 Baseline St Cornelius, OR (503) Virginia Garcia Mem Health Ctr Pharmacy 1151 N Adair St Cornelius, OR (503) N 20th Ave Cornelius, OR (503) $ Offers preferred cost-sharing / 43

44 Retail Pharmacies, including Chain Pharmacies Cornelius 220 N Adair St Cornelius, OR (503) Forest Grove 3225 Pacific Ave Forest Grove, OR (503) Pacific Ave Forest Grove, OR (503) Hillsboro Albertson s Pharmacy $ 888 NE 25th Ave Hillsboro, OR (503) Albertson s Pharmacy $ 7500 W Baseline Hillsboro, OR (503) SE Tualatin Valley Hwy Hillsboro, OR (503) Costco Pharmacy 1255 NE 48th Ave Hillsboro, OR (503) Hillsboro CVS Pharmacy $ 2295 SE Tualatin Valley Hwy Hillsboro, OR (503) NW Imbrie Dr Hillsboro, OR (503) SW Tualatin Hwy Hillsboro, OR (503) Hillsboro United Drugs 243 E Main St Hillsboro, OR (503) Providence Tanasbourne Pharmacy $ NW Cornell Rd Ste 102 Hillsboro, OR (503) SE Tualatin Valley Hwy Hillsboro, OR (503) NW 185th Ave Hillsboro, OR (503) Hillsboro 2525 SE Tualatin Valley Hwy Hillsboro, OR (503) The Medicine Shoppe $ 333 SE 7th Ave Ste 1500 Hillsboro, OR (503) VG Hillsboro Pharmacy 226 SE 8th Ave Hillsboro, OR (503) NE Cornell Rd Hillsboro, OR (503) SE Tualatin Valley Hwy Hillsboro, OR (503) SE Baseline St Hillsboro, OR (503) NE Shaleen St Hillsboro, OR (503) / $ Offers preferred cost-sharing

45 Retail Pharmacies, including Chain Pharmacies Hillsboro Zoomcare Pharmacy $ NW Tanasbourne Dr # 210 Hillsboro, OR (503) Portland Care Rx SW 72nd Ave Portland, OR (503) Coram Alternate Site Services 7358 SW Durham Rd Portland, OR (503) CVS Pharmacy $ 9009 SW Hall Blvd Portland, OR (503) SW Beaverton Hillsdale Hwy Portland, OR (503) Medical Office Building Pharmacy $ 9155 SW Barnes Rd Portland, OR (503) Portland Option Care At Legacy LLC SW 72nd Ave Portland, OR (866) QFC Pharmacy $ 7525 SW Barnes Rd Portland, OR (503) SW Barnes Rd Portland, OR (503) NW Cornell Rd Portland, OR (503) NW Cornell Rd Portland, OR (503) SW Beaverton Hillsdale Hwy Portland, OR (503) NW Bethany Blvd Portland, OR (503) Portland Wellpartner Pharmacy 7216 SW Durham Rd Ste 200 Portland, OR (503) Sherwood CVS Pharmacy $ SW Baler Way Sherwood, OR (503) SW Roy Rogers Rd Sherwood, OR (503) SW Pacific Hwy Sherwood, OR (503) SW Langer Farms Pkwy Sherwood, OR (503) Tigard SW Pacific Hwy Ste 70 Tigard, OR (503) Costco Pharmacy 7855 SW Dartmouth Rd Tigard, OR (503) $ Offers preferred cost-sharing / 45