Find the most convenient place for you to get the medicine you need.

Transcription

1 Rx Choice Tiered Network Colorado December 2017 Pharmacy near you services Find the most convenient place for you to get the medicine you need. The pharmacies listed in this directory participate in the Rx Choice Tiered network, operated by our pharmacy benefi t manager, Express Scripts, and available within Anthem Blue Cross and Blue Shield (Colorado). If you are covered by Anthem Blue Cross and Blue Shield (Colorado), the participating pharmacies in the following listing are considered in network for that health plan. If you have questions about this network, call the Customer Service number on the back of your health plan ID card ANMENABS 09/16

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3 Welcome With your Anthem Blue Cross and Blue Shield (Colorado) health plan, you can choose from thousands of pharmacies across the country. You have access to many local, independent pharmacies as well as national chains. This directory shows you where you can easily get prescriptions, whether you re at work, at home or even on vacation. Using these pharmacies in your plan can help you get the most out of your benefits. Just show your member ID card when you pick up your prescriptions. Express Scripts, the company that manages your pharmacy services, has identifi ed certain pharmacies that offer fl u shots as part of your benefits. Please call the pharmacy to be sure it s a participating pharmacy before you get your flu shot. How we Choose Pharmacies for our Plans We offer pharmacy networks that provide members with choices and fl exibility when filling prescriptions. To ensure members have convenient access to participating pharmacies in their network, we offer local and national pharmacies including: National chains Grocery stores Independent pharmacies The new Rx Choice Tiered Network is a pharmacy network that offers high quality healthcare services to members, while keeping copayments affordable. Members can save money on out-of-pocket costs by fi lling their prescriptions at a level 1 pharmacy. Members may also fill prescriptions at a level 2 pharmacy but will pay more out of pocket. Pharmacies designated as level 1 were selected to ensure adequate network choices, competitive pharmacy pricing and convenience. This directory is correct as of the date shown. You can also fi nd a list of participating pharmacies at anthem.com. For the latest updates, call the Member Services number on the back of your member ID card. Si necesita ayuda en español para entender este documento, puede solicitarla sin costo adicional, llamando al número de Servicio al Cliente que aparece al dorso de su tarjeta de identificación o en el folleto de inscripción. If you are a member, you are entitled to language interpreter services at no cost. Members can get language assistance by calling All members, including members with disabilities, are entitled to full and equal access to covered services. Anthem makes available to its members information relating to their health plan in alternative formats, including electronic, braille, large print and audio (CD or mp3). Members may request an alternative format of a member document by calling the Member Services number on the back of their member ID card, or by logging in and ing us using the feature on the Customer Support page of anthem.com. If you f nd information in this directory that you think is inaccurate, you can let us know by writing us at i ProviderDirectoryDiscrepancy@Anthem.com or by calling ANMENABS Rev. 09/16

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5 Table of Contents Rx Choice Tiered Network Pharmacies... 1 Index... 17

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7 Adams COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES Alamosa COUNTY, CO ADAMS APOLLO License(s): PDO WASHINGTON ST THORNTON, CO (303) CENTURA HEALTH PHARMACY AT ST Û k License(s): PDO ORCHARD PARKWAY WESTMINSTER, CO (720) CO STATE VETS HOME- FITZSIMONS Û k License(s): QUENTIN ST AURORA, CO (720) COSTCO #629 Û j License(s): WASHINGTON ST THORNTON, CO (303) CVS #00102 Û j License(s): PDO N URSULA ST UNIT 35 AURORA, CO (866) CVS #16711 Û j License(s): PDO EAST 120TH AVE THORNTON, CO (303) CVS #17263 Û j License(s): PDO PRAIRIE CENTER PKWY BRIGHTON, CO (303) CVS #17276 Û j License(s): PDO ORCHARD PKWY WESTMINSTER, CO (303) DOD BUCKLEY EPHCY Û k E COLFAX AVE BUCKLEY AFB, CO (720) GENOA HEALTHCARE Û k License(s): HURON ST STE 204 THORNTON, CO (303) IDGP PHARMACY AT UCH Û j License(s): AURORA CT RM 7284 AURORA, CO (720) #03 Û j 6350 SHERIDAN BLVD ARVADA, CO (303) #24 Û j 750 E 104TH AVE THORNTON, CO (303) #34 Û j 1575 W 84TH AVE FEDERAL HEIGHTS, CO (303) #52 Û j E COLFAX AVE AURORA, CO (303) #68 Û j 3801 E 120TH AVE THORNTON, CO (303) #81 Û j 500 E BROMLEY LN BRIGHTON, CO (303) #92 Û j 4850 E 62ND AVE COMMERCE CITY, CO (303) #101 Û j BLVD THORNTON, CO (720) #112 Û j License(s): S FIRST STREET BENNETT, CO (303) #114 Û j License(s): E 104TH AVE COMMERCE CITY, CO (303) #118 Û j License(s): W 136TH AVE BROOMFIELD, CO (303) #136 Û j License(s): PDO N 50TH AVE BRIGHTON, CO (303) #62 Û j N FEDERAL BLVD WESTMINSTER, CO (303) PLATTE VALLEY License(s): PRAIRIE CTR PKWY BRIGHTON, CO (303) RITE AID #6330 Û k 3905 E 104TH AVE THORNTON, CO (303) #0881 Û j License(s): PDO E 120TH AVE NORTHGLENN, CO (303) #0892 Û j License(s): PDO E 104TH AVE THORNTON, CO (303) #1587 Û j License(s): FEDERAL BLVD WESTMINSTER, CO (303) #1635 Û j License(s): FEDERAL BLVD FEDERAL HEIGHTS, CO (303) #1873 Û j THORNTON PKWY THORNTON, CO (303) #2917 Û j License(s): BRIDGE ST BRIGHTON, CO (303) SALUD PHARMACY BRIGHTON Û k License(s): E EGBERT ST BRIGHTON, CO (303) SALUD PHARMACY COMMERCE CITY Û k License(s): QUEBEC PKWY COMMERCE CITY, CO (303) SAM S CLUB #4745 Û j GRANT ST THORNTON, CO (303) UCH ATRIUM License(s): E 16TH AVE RM 1054 AURORA, CO (720) UCH OP License(s): AURORA CT STE F702 AURORA, CO (720) UCH License(s): E 16TH AVE ROOM AURORA, CO (720) WAL-MART #1231 Û j GRANT ST THORNTON, CO (303) WAL-MART #1659 Û j W BROMLEY LN BRIGHTON, CO (303) WAL-MART #2752 Û j License(s): DAHLIA ST COMMERCE CITY, CO (303) WAL-MART #3019 Û j 850 E 88TH AVE THORNTON, CO (303) WAL-MART #3867 Û j License(s): W 136TH AVE WESTMINSTER, CO (720) WAL-MART #4567 Û j License(s): E 128TH ST BRIGHTON, CO (303) WAL-MART #4747 Û j License(s): PDO WASHINGTON ST NORTHGLENN, CO (303) WAL-MART #5334 Û j License(s): N TOWER RD AURORA, CO (720) WAL-MART #6177 Û j 7170 N FEDERAL BLVD WESTMINSTER, CO (303) WALGREENS #03207 Û k E 120TH AVE THORNTON, CO (303) WALGREENS #03655 Û k License(s): E COLFAX AVE AURORA, CO (303) WALGREENS #04025 Û k License(s): W 120TH AVE BROOMFIELD, CO (303) WALGREENS #04667 Û k License(s): W 84TH AVE FEDERAL HEIGHTS, CO (303) WALGREENS #04894 Û k License(s): N WASHINGTON ST THORNTON, CO (720) WALGREENS #05644 Û k License(s): E 120TH AVE NORTHGLENN, CO (303) WALGREENS #05837 Û k License(s): PDO E 104TH AVE THORNTON, CO (303) WALGREENS #06213 Û k FEDERAL BLVD FEDERAL HEIGHTS, CO (720) WALGREENS #06344 Û k E BRIDGE ST # A BRIGHTON, CO (720) WALGREENS #06552 Û k 7211 FEDERAL BLVD WESTMINSTER, CO (303) WALGREENS #07929 Û k License(s): DEXTER ST COMMERCE CITY, CO (720) WALGREENS #07955 Û k License(s): PDO N BLVD THORNTON, CO (303) WALGREENS #10118 Û k License(s): PDO WASHINGTON ST THORNTON, CO (720) WALGREENS #11448 Û k License(s): PO E 16TH AVE AURORA, CO (720) WALGREENS #12422 Û k License(s): PDO E 104TH AVE COMMERCE CITY, CO (303) ALAMOSA ALAMOSA HM License(s): PDO BLANCA AVE ALAMOSA, CO (719) #422 Û j 131 MARKET ST ALAMOSA, CO (719) GENOA A QOL HEALTHCARE k License(s): PDO COUNTY ROAD 9 S ALAMOSA, CO (719) #1681 Û j License(s): MAIN ST ALAMOSA, CO (719) WAL-MART #0869 Û j License(s): CLARK ST ALAMOSA, CO (719) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

8 Alamosa COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES Arapahoe COUNTY, CO ALAMOSA WALGREENS #09912 Û k License(s): MAIN ST ALAMOSA, CO (719) ARAPAHOE 460TH MED GRP/SGSB Û k License(s): B S ASPEN ST STOP 89 BUCKLEY AFB, CO (720) ADMHN License(s): PDO S SYCAMORE ST #100 LITTLETON, CO (303) ANDY M FINE MD Û k License(s): CO S BROADWAY STE 590 LITTLETON, CO (303) ASSURED PHARMACY DENVER Û k License(s): PDO E BELLEVIEW AVE GREENWOOD VILLAGE, CO (303) BENZER 1 Û j License(s): PDO US HIGHWAY 36 BYERS, CO (303) CENTENNIAL MEDICAL CTR PHCY Û k License(s): E ARAPAHOE RD CENTENNIAL, CO (303) CLEARSPRING License(s): SOUTHPARK CIR STE A LITTLETON, CO (303) SOUTHPARK CIR STE B LITTLETON, CO (303) PHYSICIANS HLTH ASSOC Û k License(s): DR S QUEBEC ST STE 210 GREENWOOD VILLAGE, CO (720) REHAB AND OCCU Û k 1390 S POTOMAC ST STE 128 AURORA, CO (303) REHABILITATION Û k 8200 E BELLEVIEW AVE GREENWOOD VILLAGE, CO (303) CORAM k License(s): E ARAPAHOE RD STE A1 CENTENNIAL, CO (303) COSTCO #1027 Û j License(s): RIVER POINT PKWY SHERIDAN, CO (303) COSTCO #439 Û j 1471 S HAVANA ST AURORA, CO (303) CVS #16033 Û j License(s): PDO S CLINTON ST ENGLEWOOD, CO (303) CVS #16074 Û j License(s): PDO E QUINCY AVE AURORA, CO (303) CVS #16751 Û j License(s): PDO S HAVANA ST AURORA, CO (303) CVS #16803 Û j License(s): PDO E ELLSWORTH AVE AURORA, CO (303) CVS #16929 Û j License(s): PDO E VIRGINIA AVE GLENDALE, CO (303) CVS #17092 Û j License(s): PDO S GARTRELL RD AURORA, CO (303) CVS #17335 Û j License(s): PDO RIVERPOINT PKWY SHERIDAN, CO (303) CVS #17511 Û j License(s): PDO E BRIARWOOD CIR AURORA, CO (720) ELITE License(s): S LINCOLN ST LITTLETON, CO (303) GEM PHARMACY Û k License(s): PDO E ORCHARD RD STE 100 LITTLETON, CO (303) GENOA A QOL HEALTHCARE CO k License(s): PDO CHAMBERS RD RM 152 AURORA, CO (303) GRACE HEALTH License(s): PHA S VAUGHN WAY UNIT 102 AURORA, CO (720) HP COMPOUND PHCY AND MED SUPP Û k License(s): S HAVANA ST UNIT HJ AURORA, CO (303) KEYSTONE HEALTH AND WELLNESS Û k 7955 E ARAPAHOE CT CENTENNIAL, CO (720) #096 Û j 6000 S HOLLY ST GREENWOOD VILLAGE, CO (720) #10 Û j E MISSISSIPPI AVE AURORA, CO (303) #100 Û j 4910 S YOSEMITE ST GREENWOOD VILLAGE, CO (303) #14 Û j 655 PEORIA ST AURORA, CO (303) #16 Û j E SMOKY HILL RD AURORA, CO (303) #38 Û j 5050 E ARAPAHOE RD LITTLETON, CO (303) #39 Û j 3190 S PARKER RD AURORA, CO (303) #47 Û j 7575 S UNIVERSITY BLVD CENTENNIAL, CO (303) #49 Û j E ILIFF AVE AURORA, CO (303) #63 Û j 8200 S HOLLY ST LITTLETON, CO (303) #65 Û j 101 ENGLEWOOD PKWY ENGLEWOOD, CO (303) #69 Û j 4271 S BUCKLEY RD AURORA, CO (303) #84 Û j 6412 S PARKER DR AURORA, CO (303) #107 Û j License(s): PDO E SMOKY HILL RD AURORA, CO (303) #109 Û j License(s): S FEDERAL BLVD ENGLEWOOD, CO (303) #122 Û j 7901 S BROADWAY LITTLETON, CO (303) #128 Û j E HAMPDEN AVE AURORA, CO (303) #131 Û j License(s): PDO LITTLETON BLVD LITTLETON, CO (303) #199 Û j License(s): S UNIVERSITY BLVD ENGLEWOOD, CO (303) #30 Û j 1155 S HAVANA ST AURORA, CO (303) # Û j License(s): LEETSDALE DR GLENDALE, CO (303) PEAK VITALITY Û k E PRENTICE AVE GREENWOOD VILLAGE, CO (720) PHARMACA INTEGRATIVE 5910 S UNIVERSITY BLVD GREENWOOD VILLAGE, CO (303) RITE AID #06773 Û k E JEFFERSON AVE ENGLEWOOD, CO (303) RITE AID #6158 Û k 100 E MINERAL DR LITTLETON, CO (303) RITE AID #6159 Û k 6780 S UNIVERSITY BLVD LITTLETON, CO (303) RITE AID #6162 Û k 4550 LEETSDALE DR DENVER, CO (303) RITE AID #6284 Û k E QUINCY AVE AURORA, CO (303) RITE AID #6329 Û k E SMOKY HILL RD AURORA, CO (303) SADDLE ROCK License(s): E SMOKY HILL RD AURORA, CO (720) #0008 Û j License(s): E ARAPAHOE RD ENGLEWOOD, CO (303) #0017 Û j License(s): E JEFFERSON AVE ENGLEWOOD, CO (303) #0137 Û j License(s): E MISSISSIPPI AVE AURORA, CO (303) #0899 Û j License(s): PDO S GUN CLUB RD AURORA, CO (303) #1928 Û j License(s): E HAMPDEN AVE AURORA, CO (720) #2612 Û j 1677 S HAVANA ST AURORA, CO (303) #2791 Û j License(s): W MINERAL AVE LITTLETON, CO (303) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

9 Arapahoe COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES Boulder COUNTY, CO ARAPAHOE #841 Û j License(s): PDO S BUCKLEY RD AURORA, CO (303) SAM S CLUB #4816 Û j License(s): S AURORA PKWY AURORA, CO (303) SAM S CLUB #6631 Û j License(s): S ABILENE ST AURORA, CO (303) SIRONA INFUSION Û k License(s): PD E EUCLID DR STE 80 CENTENNIAL, CO (303) TERRASCRIPTS Û k License(s): E YALE AVE UNIT 119 AURORA, CO (303) VA DENVER MEDCIAL CENTER k 1055 CLEMONT ST DENVER, CO (303) WAL-MART # Û j License(s): S CHAMBERS RD AURORA, CO (303) WAL-MART #1492 Û j License(s): E EXPOSITION AVE AURORA, CO (303) WAL-MART #2751 Û j License(s): ENGLEWOOD PKWY ENGLEWOOD, CO (303) WAL-MART #3126 Û j E SMOKY HILL RD CENTENNIAL, CO (303) WAL-MART #3128 Û j 1442 S PARKER RD DENVER, CO (303) WAL-MART #3313 Û j License(s): E BRIARWOOD AVE CENTENNIAL, CO (303) WAL-MART #3566 Û j License(s): E HAMPDEN AVE DENVER, CO (720) WAL-MART #3740 Û j E QUINCY AVE AURORA, CO (303) WAL-MART #4196 Û j License(s): PDO E ILIFF AVE AURORA, CO (303) WAL-MART #5137 Û j License(s): S AURORA PKWY AURORA, CO (303) WAL-MART #6178 Û j E COLFAX AVE AURORA, CO (303) WALGREENS #03091 Û k License(s): S QUEBEC ST ENGLEWOOD, CO (303) WALGREENS #03298 Û k License(s): S BROADWAY ENGLEWOOD, CO (303) WALGREENS #04307 Û k License(s): E MISSISSIPPI BLVD AURORA, CO (303) WALGREENS #04469 Û k License(s): E MISSISSIPPI AVE AURORA, CO (303) WALGREENS #04470 Û k License(s): E SMOKY HILL RD CENTENNIAL, CO (720) WALGREENS #04610 Û k License(s): E HAMPDEN AVE AURORA, CO (303) WALGREENS #06513 Û k License(s): E ILIFF AVE AURORA, CO (303) WALGREENS #06986 Û k E ALAMEDA AVE AURORA, CO (720) WALGREENS #07021 Û k E ILIFF AVE AURORA, CO (303) WALGREENS #07432 Û k License(s): W BELLEVIEW AVE LITTLETON, CO (720) WALGREENS #07451 Û k License(s): PDO E ARAPAHOE RD FOXFIELD, CO (303) WALGREENS #10175 Û k License(s): PDO E LLIFF AVE AURORA, CO (303) WALGREENS #10455 Û k License(s): PDO E ARAPAHOE RD CENTENNIAL, CO (720) WALGREENS #10704 Û k License(s): E DRY CREEK RD CENTENNIAL, CO (720) WALGREENS #10739 Û k License(s): PDO E COLFAX AVE AURORA, CO (720) WALGREENS #11615 Û k License(s): PDO E SMOKY HILL RD AURORA, CO (303) WALGREENS #12024 Û k License(s): PDO E HAMPDEN AVE AURORA, CO (303) WALGREENS #12366 Û k License(s): PDO S BLVD GLENDALE, CO (720) WALGREENS #12423 Û k License(s): E BELLEVIEW AVE ENGLEWOOD, CO (303) WALGREENS #12805 Û k License(s): PDO HAMPDEN AVE STE 150 ENGLEWOOD, CO (303) WALGREENS #13148 Û k License(s): PDO E SMOKY HILL RD CENTENNIAL, CO (303) XENIA CUSTOM E ILIFF AVE STE 200 AURORA, CO (303) ARCHULETA #045 Û j 165 COUNTRY CENTER DR PAGOSA SPRINGS, CO (970) PAGOSA SPECIALTY License(s): PDO PAGOSA ST PAGOSA SPRINGS, CO (970) WAL-MART #5003 Û j 211 ASPEN VILLAGE DR PAGOSA SPRINGS, CO (970) BACA R AND R FAMILY PHARMACY Û k MAIN ST SPRINGFIELD, CO (719) BENT VAL-U-MED HEALTHMART Û j License(s): BENT AVE LAS ANIMAS, CO (719) BOULDER BOULDER MEDICAL CENTER PHCY Û k License(s): BROADWAY ST BOULDER, CO (303) CHINOOK HEALTHCARE License(s): W S BOULDER RD STE 5 LOUISVILLE, CO (720) COSTCO #480 Û j 600 MARSHALL RD SUPERIOR, CO (720) CVS #16013 Û j License(s): PDO PEARL ST BOULDER, CO (303) CVS #16895 Û j License(s): PDO MARSHALL RD SUPERIOR, CO (303) CVS #17295 Û j License(s): PDO S HOVER RD LONGMONT, CO (720) FLATIRONS FAMILY PHARMACY Û k License(s): KEN PRATT BLVD LONGMONT, CO (303) GENOA A QOL HEALTHCARE COMPAN k License(s): PDO IRIS AVE BOULDER, CO (303) GOOD DAY PHARMACY #8 Û j License(s): PDO W MOUNTAIN VIEW AVE LONGMONT, CO (303) GOOD SAMARITAN MED CTR Û j License(s): EXEMPLA CIR LAFAYETTE, CO (303) #13 Û j 1375 S BOULDER RD LOUISVILLE, CO (303) #28 Û j 6550 LOOKOUT RD BOULDER, CO (303) #33 Û j 3600 TABLE MESA DR BOULDER, CO (303) #42 Û j 2255 N MAIN ST LONGMONT, CO (303) #61 Û j TH ST BOULDER, CO (303) #80 Û j 995 S HOVER ST LONGMONT, CO (303) #102 Û j 1611 PACE ST LONGMONT, CO (303) #135 Û j License(s): US HIGHWAY 287 LAFAYETTE, CO (303) LONGS PEAK HOSPITAL License(s): PDO E KEN PRATT BLVD LONGMONT, CO (720) LOUISVILLE MEDICAL CENTER Û k 1017 E SOUTH BOULDER RD LOUISVILLE, CO (303) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

10 Boulder COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES Denver COUNTY, CO BOULDER PDC PHARMACY Û k License(s): PDO NAUTILUS CT S BOULDER, CO (303) PHARMACA INTEGRATIVE PHCY #1 Û k License(s): BROADWAY ST BOULDER, CO (303) PHARMACA INTEGRATIVE PHCY #14 Û k License(s): PD S BROADWAY BOULDER, CO (303) PHARMACA INTEGRATIVE PHCY #2 Û k License(s): PEARL ST BOULDER, CO (303) RITE AID #6170 Û k 3348 N 28TH ST BOULDER, CO (303) RITE AID #6171 Û k 4800 BASELINE RD # 107 BOULDER, CO (303) #1116 Û j License(s): KEN PRATT BLVD LONGMONT, CO (303) #1615 Û j License(s): TH ST BOULDER, CO (303) #1656 Û j License(s): COALTON RD SUPERIOR, CO (303) #1667 Û j License(s): ARAPAHOE RD STE B ERIE, CO (720) #2812 Û j License(s): PDO W CHERRY ST LOUISVILLE, CO (303) #2910 Û j License(s): HOVER RD LONGMONT, CO (303) #2911 Û j ARAPAHOE AVE BOULDER, CO (303) #2919 Û j License(s): E BASELINE RD BOULDER, CO (303) SALUD PHARMACY LONGMONT Û k License(s): E RODGERS RD LONGMONT, CO (303) SAMS CLUB #4987 Û j 1200 S HOVER ST LONGMONT, CO (303) ST VRAIN License(s): PDO MAIN ST LYONS, CO (303) THE APOTHECARY AT UMGP Û j License(s): BROADWAY ST BOULDER, CO (303) THE APOTHECARY- WHC Û j License(s): UNIVERSITY OF BOULDER, CO (303) WAL-MART #1045 Û j License(s): US HIGHWAY 287 LAFAYETTE, CO (303) WAL-MART #5370 Û j License(s): MAIN ST LONGMONT, CO (303) WALGREENS #01286 Û k License(s): E SOUTH BOULDER RD LOUISVILLE, CO (303) WALGREENS #02482 Û k License(s): TH ST BOULDER, CO (303) WALGREENS #06111 Û k 309 US HIGHWAY 287 LAFAYETTE, CO (720) WALGREENS #06467 Û k 1600 COALTON RD SUPERIOR, CO (303) WALGREENS #06785 Û k 835 E 17TH AVE LONGMONT, CO (303) WALGREENS #07006 Û k 191 S MCCASLIN BLVD LOUISVILLE, CO (303) WALGREENS #07927 Û k License(s): HOVER ST LONGMONT, CO (303) WALGREENS #09598 Û k License(s): MAIN ST LONGMONT, CO (303) WALGREENS #11327 Û k License(s): PDO KEN PRATT BLVD LONGMONT, CO (303) WALGREENS #12683 Û k License(s): PDO TH ST BOULDER, CO (720) WALGREENS #12918 Û k License(s): PDO ARAPAHOE AVE STE 120 BOULDER, CO (720) BROOMFIELD #86 Û j SHERIDAN BLVD BROOMFIELD, CO (303) #89 Û j 1150 US HIGHWAY 287 BROOMFIELD, CO (303) PHARMERICA #3655 k License(s): BURBANK ST UNIT Q BROOMFIELD, CO (303) #2624 Û j License(s): W 144TH AVE BROOMFIELD, CO (303) SUMMIT MEDICAL CARE CENTER Û k 54 GARDEN CTR BROOMFIELD, CO (303) WAL-MART #4288 Û j License(s): W 121ST AVE BROOMFIELD, CO (303) WAL-MART #5341 Û j License(s): SUMMIT BLVD BROOMFIELD, CO (303) WALGREENS #06345 Û k License(s): E MIDWAY BLVD DENVER, CO (303) WALGREENS #09570 Û k 570 US HIGHWAY 287 BROOMFIELD, CO (720) CHAFFEE BUENA VISTA DRUG Û j License(s): US HIGHWAY 24 N BUENA VISTA, CO (719) #437 Û j 438 US HIGHWAY 24 N BUENA VISTA, CO (719) #2817 Û j License(s): G ST SALIDA, CO (719) WAL-MART #0921 Û j License(s): W HIGHWAY 50 SALIDA, CO (719) CHEYENNE WELLS PHARMACY Û k License(s): S 1ST EAST ST CHEYENNE WELLS, CO (719) CLEAR CREEK #0390 Û j License(s): MINER ST IDAHO SPRINGS, CO (303) CONEJOS LA JARA HEALTH MART License(s): PDO MAIN ST LA JARA, CO (719) CROWLEY ARKANSAS VALLEY ACCUMED Û k License(s): MAIN ST ORDWAY, CO (719) ORDWAY License(s): MAIN ST ORDWAY, CO (719) CUSTER CUSTER COUNTY MEDICAL CLINIC Û k License(s): DR EDWARDS ST WESTCLIFFE, CO (952) DELTA CEDAREDGE License(s): PDO INDEPENDENCE AVE CEDAREDGE, CO (970) #004 Û j 122 GUNNISON RIVER DR DELTA, CO (970) #429 Û j 215 SIXTH ST HOTCHKISS, CO (970) HAYS DRUG STORE Û j License(s): GRAND AVE PAONIA, CO (970) #1863 Û j License(s): HIGHWAY 92 DELTA, CO (970) WAL-MART #5458 Û j License(s): STAFFORD LN DELTA, CO (970) DENVER ADVANCED PHARMACY SERVICES Û k License(s): QUEBEC ST STE B11 DENVER, CO (303) ADVANCED RX Û k License(s): S FEDERAL BLVD STE B DENVER, CO (303) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

11 Denver COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES Denver COUNTY, CO DENVER AVELLA OF DENVER Û k License(s): PDO E COLFAX AVE STE 102 DENVER, CO (303) CAPITOL HEIGHTS License(s): MADISON ST DENVER, CO (303) CARES License(s): PCO E 9TH AVE STE 180 DENVER, CO (303) CCC License(s): MARION ST DENVER, CO (303) CENTURA HLTH PHCY PORTER HOSP Û k License(s): PDO S DOWNING ST STE G10 DENVER, CO (303) CHERRY CREEK 6336 LEETSDALE DR DENVER, CO (303) CLEARSPRING License(s): UNIVERSITY BLVD DENVER, CO (303) COSTCO #443 Û j 7900 W QUINCY AVE LITTLETON, CO (303) CVS #10784 Û j License(s): PDO SHERIDAN BLVD DENVER, CO (720) CVS #17142 Û j License(s): PDO NORTHFIELD BLVD DENVER, CO (303) CVS #17654 Û j License(s): PDO E HAMPDEN AVE DENVER, CO (303) DENVER HEALTH AND HOSP AUTH CF Û k License(s): PD QUIVAS ST STE A DENVER, CO (303) DENVER HEALTH MED CTR PHCY 13 Û k License(s): DELAWARE ST DENVER, CO (303) DENVER HLTH MED CTR ID PHCY Û k License(s): BANNOCK ST DENVER, CO (303) DENVER SPINE AND POSTURE CTR Û k TH ST STE 701 DENVER, CO (720) DOWNTOWNS HEALTH CARE Û k TH ST STE 200 DENVER, CO (303) EASTSIDE NEIGHBORHOOD HLTH CTR Û k License(s): TH ST DENVER, CO (303) FEDERICO F PENA FAMILY HEALTH Û k License(s): S FEDERAL BLVD DENVER, CO (303) GOLDIN License(s): S ONEIDA ST DENVER, CO (303) HMS- CDHCPF k 1570 GRANT ST DENVER, CO (111) HUAN 633 S FEDERAL BLVD STE 203 DENVER, CO (303) INJURY CARE ASSOCIATES Û k License(s): DR W 26TH AVE STE 5A DENVER, CO (303) #01 Û j 1331 N SPEER BLVD DENVER, CO (303) #05 Û j 1355 KRAMERIA ST DENVER, CO (303) #19 Û j 3100 S SHERIDAN BLVD UNIT 2 DENVER, CO (303) #21 Û j 825 S BLVD DENVER, CO (303) #26 Û j 6470 E HAMPDEN AVE DENVER, CO (303) #29 Û j 1155 E 9TH AVE DENVER, CO (303) #35 Û j 890 S MONACO PKWY DENVER, CO (303) #56 Û j 2727 W EVANS AVE DENVER, CO (303) #72 Û j 2750 S BLVD DENVER, CO (303) #07 Û j 5125 W FLORIDA AVE DENVER, CO (303) #093 Û j 2810 QUEBEC ST DENVER, CO (303) #115 Û j License(s): PDO CHESTNUT PL DENVER, CO (303) #123 Û j License(s): MLK BLVD DENVER, CO (720) #83 Û j GREEN VALLEY RANCH DENVER, CO (303) LA CASA-QUIGG NEWTON HEALTH Û k License(s): NAVAJO ST DENVER, CO (720) LOWRY FAMILY HEALTH CENTER Û k License(s): PDO YOSEMITE ST STE 100 DENVER, CO (303) MEDSTUFF III Û k License(s): PDO S ONEIDA ST UNIT 1B DENVER, CO (303) MHCD License(s): PDO E 12TH AVE DENVER, CO (303) MONTBELLO FAMILY HEALTH CENTER Û k License(s): ALBROOK DR DENVER, CO (303) NATIONAL JEWISH HEALTH Û j License(s): JACKSON ST DENVER, CO (303) PLANNED PARENTHOOD ROCKY MTNS Û k License(s): E 38TH AVE DENVER, CO (303) PRIMARY CARE PHARMACY Û k License(s): W 6TH AVE DENVER, CO (303) RITE AID #6166 Û k 2870 S BLVD DENVER, CO (303) RITE AID #6186 Û k TH ST DENVER, CO (303) ROCKY MOUNTAIN CANCER CENTERS Û j License(s): HALE PKWY STE 400 DENVER, CO (303) #0244 Û j W 44TH AVE DENVER, CO (303) #0885 Û j License(s): PDO S BROADWAY DENVER, CO (303) #1038 Û j S BLVD DENVER, CO (303) #1248 Û j License(s): N FEDERAL BLVD DENVER, CO (303) #1267 Û j E YALE AVE DENVER, CO (303) #1463 Û j License(s): S DOWNING ST DENVER, CO (303) #1614 Û j License(s): CORONA ST DENVER, CO (303) #2246 Û j License(s): E 20TH AVE DENVER, CO (303) #2714 Û j 6220 E 14TH AVE DENVER, CO (303) #3836 Û j License(s): PDO QUEBEC ST BLDG 400 DENVER, CO (303) SAINT JOSEPH HOSPITAL OUTPT Û j License(s): N FRANKLIN ST DENVER, CO (303) SAM S CLUB #4777 Û j License(s): E 35TH AVE DENVER, CO (720) SAM S CLUB #6632 Û j License(s): S BROADWAY DENVER, CO (303) SAM S CLUB #6635 Û j License(s): S WADSWORTH WAY LITTLETON, CO (303) SCALES PHARMACY k License(s): PDO N PENNSYLVANIA ST DENVER, CO (303) SCL HEALTH FRANKLIN License(s): N FRANKLIN ST DENVER, CO (303) THE UROLOGY CENTER OF k MILE HIGH STADIUM CIR DENVER, CO (303) TKS License(s): ARGONNE ST STE 225 DENVER, CO (720) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

12 Denver COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES Douglas COUNTY, CO DENVER TODD S License(s): E HARVARD AVE STE 170 DENVER, CO (303) UCH LOWRY PHARMACY Û j License(s): LOWRY BLVD STE 110 DENVER, CO (720) US BIOSERVICES k License(s): PDO W 44TH AVE UNIT A DENVER, CO (800) WAL-MART #1308 Û j License(s): W QUINCY AVE LITTLETON, CO (303) WAL-MART #3127 Û j 5141 CHAMBERS RD DENVER, CO (303) WAL-MART #3533 Û j License(s): E SMITH RD DENVER, CO (720) WAL-MART #5676 Û j License(s): PDO W EVANS AVE DENVER, CO (303) WALGREENS #00356 Û k License(s): TH ST DENVER, CO (303) WALGREENS #01769 Û k License(s): E COLFAX AVE DENVER, CO (303) WALGREENS #02843 Û k License(s): BROADWAY DENVER, CO (303) WALGREENS #03190 Û k License(s): S BLVD DENVER, CO (303) WALGREENS #03500 Û k License(s): S QUEBEC ST DENVER, CO (303) WALGREENS #03867 Û k License(s): E COLFAX AVE DENVER, CO (303) WALGREENS #04301 Û k License(s): FEDERAL BLVD DENVER, CO (303) WALGREENS #06827 Û k 1505 S FEDERAL BLVD DENVER, CO (303) WALGREENS #07253 Û k License(s): E 48TH AVE DENVER, CO (720) WALGREENS #07581 Û k 7311 E 29TH DR DENVER, CO (720) WALGREENS #09566 Û k License(s): W ALAMEDA PKWY LAKEWOOD, CO (303) WALGREENS #09567 Û k License(s): E EVANS AVE DENVER, CO (303) WALGREENS #09657 Û k License(s): W COLFAX AVE DENVER, CO (720) WALGREENS #10070 Û k License(s): PDO E EVANS AVE DENVER, CO (303) WALGREENS #10116 Û k License(s): PDO S SHERIDAN BLVD DENVER, CO (720) WALGREENS #10935 Û k License(s): PDO S FEDERAL BLVD DENVER, CO (303) WALGREENS #11101 Û k License(s): PDO E HAMPDEN AVE DENVER, CO (303) WALGREENS #11255 Û k License(s): PDO E 9TH AVE STE 100 DENVER, CO (303) WALGREENS #13100 Û k License(s): PDO E 19TH AVE DENVER, CO (303) WALGREENS #15434 Û k License(s): PDO BLVD DENVER, CO (303) WALGREENS #16516 Û k E COLFAX AVE DENVER, CO (303) WELLSHIRE License(s): PDO E DICKENSON PL DENVER, CO (303) WESTSIDE NEIGHBORHOOD HLTH CTR Û k License(s): FEDERAL BLVD DENVER, CO (303) DOUGLAS ALLHEALTH NETWORK PHARMACY AT Û j License(s): CROWN CREST BLVD PARKER, CO (303) COSTCO #1022 Û j License(s): COTTONWOOD DR PARKER, CO (303) COSTCO #468 Û j 8686 PARK MEADOW CTR DR LITTLETON, CO (303) CVS #10785 Û j License(s): PDO LINCOLN AVE PARKER, CO (303) CVS #16081 Û j License(s): PDO E COUNTY LINE RD HIGHLANDS RANCH, CO (303) CVS #16667 Û j License(s): PDO FOUNDERS PKWY CASTLE ROCK, CO (303) CVS #17116 Û j License(s): PDO COMMONS ST LONE TREE, CO (303) CVS #17296 Û j License(s): PDO S TWENTY MILE RD PARKER, CO (303) CVS #17603 Û j License(s): PDO SGT JON STILES DR HIGHLANDS RANCH, CO (303) HEARTLAND PHARMACY DENVER Û k 8599 PRAIRIE TRAIL DR ENGLEWOOD, CO (303) ITC CMPD AND NATURAL WELLNESS Û k License(s): P TOPEKA WAY STE 600 CASTLE ROCK, CO (303) KAISER PERMANENTE CASTLE ROCK k License(s): TRAIL BOSS DR CASTLE ROCK, CO (303) #08 Û j 2205 WILDCAT RESERVE PKWY LITTLETON, CO (720) #091 Û j 7284 LAGAE RD CASTLE PINES, CO (303) #27 Û j 9551 S UNIVERSITY BLVD HIGHLANDS RANCH, CO (303) #71 Û j 100 FOUNDERS PKWY CASTLE ROCK, CO (303) #75 Û j S PARKER RD PARKER, CO (303) #108 Û j 4000 RED CEDAR DR HIGHLANDS RANCH, CO (303) #110 Û j 8673 S QUEBEC ST HIGHLANDS RANCH, CO (303) #126 Û j License(s): PDO COTTONWOOD DR PARKER, CO (303) #132 Û j License(s): RIDGE RD CASTLE ROCK, CO (303) #88 Û j LINCOLN AVE PARKER, CO (720) MIRAMONT FAMILY MEDICINE Û k 9251 S TWENTY MILE RD PARKER, CO (303) #1446 Û j License(s): S PARKER RD PARKER, CO (303) #1480 Û j License(s): S BROADWAY HIGHLANDS RANCH, CO (303) #1548 Û j License(s): E LINCOLN AVE LONE TREE, CO (303) #1877 Û j License(s): S PERRY ST CASTLE ROCK, CO (303) #2722 Û j 8355 N RAMPART RANGE RD LITTLETON, CO (303) SAM S CLUB #6634 Û j License(s): PARK MEADOWS DR LONE TREE, CO (303) SAMS CLUB #4853 Û j PROMENADE PKWY CASTLE ROCK, CO (303) WAL-MART #0984 Û j License(s): SAM WALTON LN CASTLE ROCK, CO (303) WAL-MART #1252 Û j License(s): BUSINESS CENTER DR HIGHLANDS RANCH, CO (303) WAL-MART #2892 Û j License(s): S PARKER RD PARKER, CO (303) WALGREENS #02641 Û k License(s): E WILDCAT RESERVE PKWY HIGHLANDS RANCH, CO (720) WALGREENS #03489 Û k License(s): S UNIVERSITY BLVD HIGHLANDS RANCH, CO (303) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

13 Douglas COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES El Paso COUNTY, CO DOUGLAS WALGREENS #04952 Û k License(s): S BROADWAY HIGHLANDS RANCH, CO (720) WALGREENS #05261 Û k License(s): LINCOLN AVE PARKER, CO (303) WALGREENS #06514 Û k 14 ALLEN ST CASTLE ROCK, CO (303) WALGREENS #06987 Û k 355 S WILCOX ST CASTLE ROCK, CO (303) WALGREENS #07138 Û k License(s): S PARKER RD PARKER, CO (720) WALGREENS #07837 Û k License(s): PDO LAGAE RD CASTLE PINES, CO (720) WALGREENS #16569 Û k RIDGEGATE PKWY LONE TREE, CO (303) WALGREENS #5538 Û k License(s): TIMBERLAND RD HIGHLANDS RANCH, CO (303) EAGLE BASALT CLINIC License(s): MIDLAND AVE BASALT, CO (970) #426 Û j 72 E BEAVER CREEK BLVD AVON, CO (970) #433 Û j 250 E VALLEY RD EL JEBEL, CO (970) #434 Û j 0103 MARKET ST EAGLE, CO (970) #442 Û j 2109 N FRONTAGE RD W VAIL, CO (970) COSTCO #637 Û j License(s): COOLEY MESA RD GYPSUM, CO (970) EAGLE License(s): BROADWAY EAGLE, CO (970) EDWARDS MED CTR License(s): PDO BEARD CREEK RD EDWARDS, CO (970) THRIVEMD Û k License(s): DR EDWARDS VILLAGE BLVD EDWARDS, CO (970) VAIL License(s): PDO W MEADOW DR VAIL, CO (970) VAIL VALLEY License(s): EDWARDS VILLAGE BLVD EDWARDS, CO (970) WAL-MART #1199 Û j License(s): YODER AVE AVON, CO (970) WALGREENS #15101 Û k License(s): PD SUN RD AVON, CO (970) EL PASO 10TH MDSS/SGSR Û k 2355 FACULTY DR ST 1N207 USAF ACADEMY, CO (719) PINION DR STE 100 USAF ACADEMY, CO (719) (719) PARK DR USAF ACADEMY, CO (000) BLDG 5136 EAGLE DR STE 102 USAF ACADEMY, CO (719) MDSS-PETERSON PHARMACY Û k 559 VINCENT ST BLDG 959 PETERSON AFB, CO (719) A VILLAGE License(s): PDO W CAREFREE CIR (719) ALBERTSONS/SAV-ON PHCY#803 Û j License(s): AUSTIN BLUFFS PKWY (719) ALBERTSONS/SAV-ON PHCY#840 Û j License(s): N UNION BLVD (719) BENZER 2 Û j License(s): PDO E PIKES PEAK AVE (719) CARSON #10 TMC PHARMACY Û k 7490 SOUTHERLAND CIRCLE FORT CARSON, CO (719) CARSON #9 TMC PHARMACY Û k 7500 COCHRANE CR FORT CARSON, CO (719) CARSON CBPCC PHCY Û k SPACE CENTER DR (719) CARSON INPAT PHARMACY Û k 7500 COCHRANE CIRCLE FORT CARSON, CO (719) CARSON MAIN PHARMACY Û k TREASURY DEPT. FORT CARSON, CO (000) CARSON MP PHCY Û k License(s): SPACE CENTER DR STE (719) CARSON PREMIER PHARMACY Û k 3220 UNION BLVD (719) CARSON REFILL PHCY Û k 1650 COCHRANE CIR FORT CARSON, CO (000) CARSON SFCC PHCY Û k 1650 COCHRANE CIR BLDG 7500 FORT CARSON, CO (719) CARSON SRP PHCY Û k WETZEL AVE RM 402 FT CARSON, CO (719) CARSON WTU PHCY Û k 1650 COCHRANE CIR BLDG 7503 FT CARSON, CO (719) CENTURA HLTH PHCY PENROSE HOSP Û k License(s): PD N NEVADA AVE (719) CITY EMPLOYEE PHARMACY Û k License(s): S NEVADA AVE (719) COLLEGE PHARMACY Û k License(s): AUSTIN BLUFFS PKWY (719) SPRINGS VA CBOC PHCY k 3141 CENTENNIAL BLVD (719) COMPASS License(s): PDO E PIKES PEAK AVE (719) COSTCO #1014 Û j License(s): BARNES RD (719) COSTCO #1030 Û j License(s): N NEVADA AVE (719) CVS #16035 Û j License(s): PDO N ACADEMY BLVD (719) CVS #16832 Û j License(s): PDO BLOOMINGTON ST (719) CVS #17298 Û j License(s): PDO PROMINENT PT (719) DOD FT CARSON EPHCY Û k 1650 COCHRANE CIR FORT CARSON, CO (719) DOD PETERSON SATL EPHCY Û k License(s): AP W ENT AVE PETERSON AFB, CO (719) DOD SCHRIEVER EPHCY Û k License(s): AP FALCON PKWY SCHRIEVER AFB, CO (719) DOD USAFA COMMUNITY EPHCY Û k License(s): PARK DR USAF ACADEMY, CO (719) FORT CARSON REFILL PROCESSING Û k 8119 PARK DR USAF ACADEMY, CO (000) INTEGRITY URGENT CARE Û k License(s): PA VOYGER PKWY (952) INTEGRITY CENTER PT (952) IVYWILD License(s): S NEVADA AVE (719) #06 Û j 1750 W UINTAH ST (719) #53 Û j 6930 N ACADEMY BLVD (719) #58 Û j 815 CHEYENNE MEADOWS RD (719) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

14 El Paso COUNTY, CO RX CHOICE TIERED NETWORK PHARMACIES El Paso COUNTY, CO EL PASO #76 Û j 3570 HARTSEL DR (719) #77 Û j 1070 W BAPTIST RD (719) #103 Û j 2910 S ACADEMY BLVD (719) #119 Û j License(s): N UNION BLVD (719) #130 Û j License(s): AUSTIN BLUFFS PKWY (719) #133 Û j License(s): CENTENNIAL BLVD (719) #134 Û j License(s): PDO CONSTITUTION AVE (719) #98 Û j 6030 STETSON HILLS BLVD (719) MEDICINE SHOPPE PHARMACY #0014 Û k License(s): W AVE (719) MEDICINE SHOPPE PHARMACY #0437 Û k License(s): N UNION BLVD (719) MEDICINE SHOPPE PHARMACY #1146 Û k License(s): N WAHSATCH AVE (719) MEDICINE SHOPPE PHARMACY #1404 Û k License(s): MEDICAL CENTER PT (719) PEAK VISION CENTER Û k License(s): N UNION BLVD (719) PETERSON AFB REFILL PROCESS Û k 8119 PARK DR USAF ACADEMY, CO (000) PHARMERICA #7017 k License(s): ELKTON DR STE A (719) PREMIER PHARMACY GROUP Û k License(s): PDO S UNION BLVD (719) PROFESSIONAL PHARMACY Û j License(s): PRINTERS PKWY STE (719) QOL MEDS Û k License(s): W MORENO AVE (719) ROCKY MOUNTAIN HLTH CENTER Û k License(s): KELLY JOHNSON BLVD (719) #0835 Û j License(s): N ACADEMY BLVD (719) #1286 Û j License(s): W AVE (719) #1440 Û j License(s): HIGHWAY 105 MONUMENT, CO (719) #1466 Û j License(s): N CIRCLE DR (719) #1499 Û j License(s): N POWERS RD (719) #1577 Û j 6520 S ACADEMY BLVD (719) #1644 Û j License(s): MCLAUGHLIN RD FALCON, CO (719) #1792 Û j License(s): S MURRAY BLVD (719) #1975 Û j License(s): MESA RIDGE PKWY FOUNTAIN, CO (719) #2816 Û j License(s): S NEVADA AVE (719) #2839 Û j License(s): VILLAGE CENTER DR (719) SAM S CLUB #6219 Û j License(s): E WOODMAN RD (719) SAM S CLUB #8272 Û j License(s): VENETUCCI BLVD (719) SCHRIEVER PHARMACY Û k 220 FALCON PKWY SCHRIEVER AFB, CO (719) UC HEALTH SPRINGS License(s): E BOULDER ST (719) UROLOGICAL ASSOCIATES Û k License(s): DR MEDICAL CENTER PT (719) WAL-MART #1200 Û j License(s): E PLATTE AVE (719) WAL-MART #1273 Û j License(s): S US HIGHWAY FOUNTAIN, CO (719) WAL-MART #1434 Û j License(s): S 8TH ST (719) WAL-MART #1896 Û j License(s): RAZORBACK RD (719) WAL-MART #3018 Û j 4425 VENETUCCI BLVD FOUNTAIN, CO (719) WAL-MART #3082 Û j 1622 S ACADEMY BLVD (719) WAL-MART #3083 Û j 665 N MURRAY BLVD (719) WAL-MART #3175 Û j License(s): PDO AUSTIN BLUFFS PKWY (719) WAL-MART #3176 Û j 1725 N UNION BLVD (719) WAL-MART #3227 Û j License(s): JACKSON CREEK PKWY MONUMENT, CO (719) WAL-MART #3582 Û j License(s): SPACE CENTER DR (719) WAL-MART #4335 Û j License(s): MERIDIAN MARKET VW FALCON, CO (719) WAL-MART #5123 Û j License(s): E WOODMEN RD (719) WALGREENS #03583 Û k License(s): DUBLIN BLVD (719) WALGREENS #03584 Û k License(s): N NEVADA AVE (719) WALGREENS #03585 Û k License(s): CENTENNIAL BLVD (719) WALGREENS #03586 Û k License(s): N ACADEMY BLVD (719) WALGREENS #03914 Û k License(s): CONSTITUTION AVE (719) WALGREENS #04043 Û k License(s): N CIRCLE DR (719) WALGREENS #04596 Û k License(s): S CHELTON RD (719) WALGREENS #04709 Û k License(s): MAIN ST (719) WALGREENS #05262 Û k License(s): LEXINGTON DR (719) WALGREENS #05547 Û k License(s): N UNION BLVD (719) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF November 30, LISTED ON YOUR MEMBER ID CARD OR VISIT j Tier 1 Pharmacies k Tier 2 Pharmacies Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.