2018 Pharmacy Directory

Transcription

1 2018 Pharmacy Directory Blue Cross Medicare Advantage Basic (HMO) SM Blue Cross Medicare Advantage Premier (HMO) SM Blue Cross Medicare Advantage Choice Plus (PPO) SM Blue Cross Medicare Advantage Select (HMO) SM Blue Cross Medicare Advantage Flex (HMO-POS) SM Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluenm.com/mapd/pharmacies. You may also call Customer Service for updated provider information. This Pharmacy Directory was updated on 12/2017. For more recent information or other questions, please contact Blue Cross Medicare Advantage SM Customer Service, at or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voic ) will be used on weekends and holidays, or visit getbluenm.com/mapd/pharmacies. Y0096_BEN_NM_MAPHAR18_NM

2 Blue Cross Medicare Advantage SM Pharmacy Directory Introduction This booklet provides a list of Blue Cross Medicare Advantage 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 Blue Cross Medicare Advantage s formulary. When this pharmacy refers to we, us, or our, it means Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC). When it refers to the plan or our plan, it means Blue Cross 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. In most cases, your prescriptions are covered under Blue Cross Medicare Advantage 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 12/2017. 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 SAVE to distinguish them from other pharmacies in our network that offer standard cost-sharing. You can get prescription drugs shipped to your home through our network mail order delivery program which is called Prim by Walgreens Mail Service. For more information, please contact us or see the mail order section of this pharmacy directory. This directory is for the State of New Mexico 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 please contact Blue Cross Medicare Advantage SM Customer Service, at or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voic ) will be used on weekends and holidays, or visit getbluenm.com/mapd/pharmacies. ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (TTY: 711). We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voic ) will be used on the weekends and holidays. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz). i

3 We also list pharmacies that are in our network but are outside the State of New Mexico area in which you live. You may also fill your prescriptions at these pharmacies. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the State of New Mexico or contact Blue Cross Medicare Advantage Customer Service, at or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voic ) will be used on weekends and holidays, or visit getbluenm.com/mapd/pharmacies. 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 Blue Cross Medicare Advantage. For more information, please see the section in this pharmacy directory Network Pharmacies outside the geographic area or contact Blue Cross Medicare Advantage Customer Service, at or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voic ) will be used on weekends and holidays, or visit getbluenm.com/mapd/pharmacies. Pharmacy Type Retail Long Term Care Home Infusion Extended Supply Preferred Network Preferred Extended Supply Network Total Number of Pharmacies 65,384 Pharmacies 4,311 Pharmacies 515 Pharmacies 51,092 Pharmacies 17,332 Pharmacies 17,332 Pharmacies Pharmacies are listed alphabetically by county and city and by type of pharmacy. The types of pharmacies in this directory appear in this order: Mail Order Pharmacies Retail Pharmacies Long-Term Care Pharmacies Home Infusion Pharmacies Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Under each listing we also show additional pharmacy features. These features are identified on each page with the following key: SAVE = Preferred cost-sharing. Drugs from these pharmacies may cost less than other pharmacies in our network. = -day supply. These are retail pharmacies that offer an extended (-day) supply of medications. 24HR = Pharmacy is open 24-hours. = Pharmacy accepts electronic prescriptions from prescribers. ii

4 Mail Order Pharmacy Prim by Walgreens Mail Service (877) (TTY users: 711) 24 hours a day, seven days a week You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of your mail order prescriptions, please contact us 10 to 20 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs within 5-8 business days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at: (877) , (TTY users: 711), 24 hours a day, seven days a week, or visit Chain Pharmacies Below are chain pharmacies in our network. For locations and phone numbers of stores near you, call the numbers below (TTY users: 711) or visit the pharmacy website. Albertsons... (877) Sam's Club... (888) SAVE, Costco... (800) Smith's Pharmacy... (800) SAVE, CVS... (800) Walgreens... (800) SAVE, Kmart... (800) Walmart... (800) = -day supply 1

5 ALAMOGORDO ALAMOGORDO ALAMOGORDO FAMILY HEALTH CENTER...(575) TH ST #681...(575) TH ST SAVE,, LOWES MARKETPLACE PHARMACY...(575) E 10TH ST WALGREENS # (575) N WHITE SANDS BLVD SAVE,, WALMART PHARMACY (575) S NEW YORK AVE WALMART PHARMACY (575) INDIAN WELLS ROAD ALBUQUERQUE ABQ BESTCARE PHARMACY...(505) COORS BLVD NW STE SAVE, ABQ BESTCARE PHARMACY 2 LLC (505) GIBSON BLVD SE (GIBSON MEDICAL CENTER PHARMACY) #04...(505) MONTGOMERY NE SAVE,, #05...(505) JUAN TABO BLVD NE SAVE,, # (505) CENTRAL AVE SW SAVE,, # (505) VENTURA ST NE SAVE,, # (505) LOMAS BLVD NE SAVE,, # (505) WYOMING BLVD NE SAVE,, # (505) ACADEMY RD N E SAVE,, #911...(505) A EUBANK BLVD SAVE,, #915...(505) COORS BLVD NW SAVE,, #917...(505) RIO BRAVO BLVD S W SAVE,, #937...(505) COORS BLVD NW SAVE,, ALBUQUERQUE CITY DRUG... (505) SILVER AVE SW STE D 87102, = -day supply = Electronic prescribing 2

6 ALBUQUERQUE ALBUQUERQUE INDIAN HEALTH PHARMACY...(505) VASSAR DRIVE NE ALBUQUERQUE PHARMACY...(505) LOUISIANA BLVD NE ASPCARES...(505) JEFFERSON ST NE STE SAVE, BEST BUY DRUGS... (505) WYOMING BLVD. NE 87112, BRIOVARX INFUSION SERVICES 308, LLC...(505) COMANCHE RD NE SUITE A CANCER CENTER PHARMACY...(505) CAMINO DE SALUD NE CAREMART PHARMACY... (505) SAN PEDRO DR SE UNIT C SAVE,, COMMUNITY, A WALGREENS PHARMACY # (505) SAN MATEO BLVD NE STE SAVE,, CORAM CVS/SPECIALTY INFUSION SERVICES... (505) WASHINGTON ST NE COSTCO PHARMACY... (505) RENAISSANCE BLVD 87107, COSTCO PHARMACY... (505) EUBANK BLVD SE 87123, COSTCO PHARMACY... (505) COORS BYPASS NW 87114, CVS PHARMACY... (505) TRAMWAY BLVD NE CVS PHARMACY... (505) CENTRAL AVE SW CVS PHARMACY #... (505) COORS BLVD NW 87114, CVS PHARMACY #... (505) LOUISIANA BLVD NE 87110, CVS PHARMACY #... (505) PASEO DEL NORTE NE 87113, CVS PHARMACY #... (505) MONTGOMERY BLVD NE 87111, CVS PHARMACY #... (505) LOMAS BLVD NE 87112, CVS PHARMACY # (505) MENAUL BLVD NE CVS PHARMACY # (505) ELLISON DRIVE, NW CVS PHARMACY # (505) SAN MATEO BLVD NE CVS PHARMACY # (505) CENTRAL AVE NE CVS PHARMACY # (505) MONTANO RD NW = -day supply = Electronic prescribing 3

7 ALBUQUERQUE CVS PHARMACY # (505) UNSER BLVD NW CVS PHARMACY # (505) TRAMWAY BLVD NE DURAN CENTRAL PHARMACY...(505) CENTRAL AVE NW SAVE, FIRST NATIONS COMMUNITY HEALTHSOURCE PHARMACY...(505) ZUNI RD SE SAVE, GENOA, A QOL HEALTHCARE COMPANY, LLC...(253) JEFFERSON ST NE STE HIGHLAND PHARMACY...(505) ENCINO PL NE STE SAVE, HIT SPECIALISTS... (505) GOLF COURSE NW MENAUL COMPOUNDING PHARMACY...(505) MENAUL BLVD NE NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD... (505) LANG AVE NE 87109, NORTH VALLEY CENTER FOR FAMILY AND COMMUNITY HEALTH PHARMACY.. (505) N 4TH ST NW STE , OMNICARE OF ALBUQUERQUE...(505) WASHINGTON ST NE SUITE B HR, PHARMACA INTEGRATIVE PHARMACY...(505) HOLLY AVE NE PHIL'S PHARMACY... (505) LOMAS NE 87110, RX INNOVATIONS... (505) WASHINGTON ST NE SAMS PHARMACY (505) COORS BYPASS NW SAMS PHARMACY (505) NORTH RENAISSANCE BLVD NE SAMS PHARMACY (505) EUBANK BLVD NE SAMS REGENT PHARMACY... (505) WYOMING NE STE 7B SMITHS PHARMACY # (505) TH ST NW SAVE,, SMITHS PHARMACY # (505) TRAMWAY SE SAVE,, SMITHS PHARMACY # (505) TRAMWAY NE SAVE,, SMITHS PHARMACY # (505) LOMAS NE SAVE,, SMITHS PHARMACY # (505) GOLF COURSE RD SAVE,, = -day supply = Electronic prescribing 4

8 ALBUQUERQUE SMITHS PHARMACY # (505) ACADEMY RD NE SAVE,, SMITHS PHARMACY # (505) WYOMING NE SUITE A SAVE,, SMITHS PHARMACY # (505) MCMAHON BLVD NW SAVE,, SMITHS PHARMACY # (505) LOUISIANA NE SAVE,, SMITHS PHARMACY # (505) EUBANK NE SAVE,, SMITHS PHARMACY # (505) CONSTITUTION NE SAVE,, SMITHS PHARMACY # (505) COORS RD NW SAVE,, SMITHS PHARMACY # (505) ARENAL SW SAVE,, SOUTHWEST CARE CENTER PHARMACY...(505) JEFFERSON STREET SUITE A SAVE, SW MESA FAMILY & COMMUNITY HEALTH PHARMACY...(505) UNSER BLVD NW STE THE MEDICINE CHEST... (505) CANDELARIA RD NW SAVE, THE PILL BOX PHARMACY...(505) BRIDGE BLVD SW STE B UNIVERSITY HOSPITAL OUTPATIENT PHARMACY...(505) UNIVERSITY BOULVARD NE 87102, UNM HOSPITALS OUTPATIENT AND DISCHARGE PHARMACY...(505) LOMAS BLVD NE # 4ACC 87106, UNM TRUMAN HEALTH SERVICES PHARMACY...(505) ENCINO PL NE STE B UNMH PHARMACY AT SOUTH EAST HEIGHTS CLINIC...(505) CENTRAL AVE SE SUITE VICTOR'S REGENT PHARMACY...(505) ISLETA BLVD SW SAVE, VIDA PHARMACY LLC... (505) JEFFERSON ST NE STE D STE D WALGREENS... (505) ISLETA BLVD, SW SAVE,, WALGREENS... (505) GIBSON BLVD SW SAVE, WALGREENS... (505) MENAUL BLVD NE SAVE,, 24HR, WALGREENS... (505) CENTRAL AVE NW SAVE,, WALGREENS... (505) SAN PEDRO DR NE SAVE,, = -day supply = Electronic prescribing 5

9 ALBUQUERQUE WALGREENS # (505) MONTGOMERY BLVD NE SAVE,, WALGREENS # (505) MENAUL BLVD NE SAVE, WALGREENS # (505) CENTRAL AVE NE SAVE, WALGREENS # (505) VENTURA NE SAVE, WALGREENS # (505) UNSER BLVD NW SAVE, WALGREENS # (505) CENTRALSE SAVE,, WALGREENS # (505) CEDAR ST SE STE SAVE,, WALGREENS # (505) WALTER STREET SUITE SAVE,, WALGREENS # (505) JUAN TABO NE SAVE,, WALGREENS # (505) JOURNAL CENTER BLVD NE SAVE,, WALGREENS # (505) PARADISE BLVD NW SAVE,, WALGREENS #23... (505) MONTGOMERY PLAZA SAVE,, 24HR, WALGREENS # (505) COORS BLVD NW SAVE,, 24HR, WALGREENS # (505) HARPER AVE NE SAVE,, WALGREENS # (505) COORS BLVD NW SAVE,, WALGREENS # (505) LOMAS BLVD NE SAVE,, WALGREENS # (505) COORS BYPASS SAVE,, WALGREENS # (505) COORS BLVD NW SAVE,, WALGREENS # (505) GOLF COURSE RD NW SAVE,, WALGREENS # (505) INDIAN SCHOOL RD SAVE,, WALGREENS # (505) MONTGOMERY BLVD NE SAVE,, WALGREENS # (505) TH ST NW SAVE,, WALGREENS # (505) EUBANK BLVD NE SAVE,, WALGREENS # (505) UNSER BLVD SW SAVE,, = -day supply = Electronic prescribing 6

10 ARTESIA WALGREENS # (505) WYOMING BLVD NE SAVE,, WALGREENS # (505) TH STREET NW SAVE,, WALGREENS # (505) PASEO DEL NORTE NE SAVE,, WALGREENS # (505) UNSER BLVD NW SAVE, WALGREENS # (505) CENTRAL AVE SE SAVE,, WALMART PHARMACY (505) ACADEMY ROAD NE WALMART PHARMACY (505) SAN MATEO BLVD SE WALMART PHARMACY (505) EUBANK BLVD NE WALMART PHARMACY (505) CARLISLE BLVD NE WALMART PHARMACY (505) COORS BYPASSNW WALMART PHARMACY (505) CUTLER AVE NE WALMART PHARMACY (505) COORS BLDV NW WALMART PHARMACY (505) GOLF COURSE ROAD NW WALMART PHARMACY (505) SAGE ROAD SW WALMART PHARMACY (505) MONTGOMERY BLVD NE WALMART PHARMACY (505) UNSER BLVD NW WALMART PHARMACY (505) COORS BLVD SW WALMART PHARMACY (505) WYOMING BLVD NE WALMART PHARMACY (505) MENAUL BLVD NE ZIA PHARMACY...(505) BROADBENT PKWY NE STE C ANGEL FIRE BESTCARE PHARMACY ANGEL FIRE LLC...(575) UNIT B4, THE INN, HIGHWAY ARTESIA ARTESIA FAMILY HEALTH CENTER (575) MEMORIAL DR BROWN DRUG STORE... (575) W WASHINGTON AVE LOWELLS PHARMACY... (575) N 13TH ST STE A SAVE, = -day supply = Electronic prescribing 7

11 AZTEC Blue Cross Medicare Advantage s Network Pharmacies WALMART PHARMACY (575) NORTH 26TH STREET AZTEC KARE DRUG AZTEC...(505) LLANO ST 87410, SAFEWAY PHARMACY # (505) N MAIN ST SAVE, BELEN BUCKLAND PHARMACY... (505) DALIES AVE SHARE 'N CARE PHARMACY... (505) DALIES AVE STE B SHARE N CARE PHARMACY AND MEDICAL SUPPLY... (505) DALIES AVE WALGREENS # (505) N MAIN ST SAVE,, WALMART PHARMACY (505) I 25 INTERCHANGE BERNALILLO PHARMACY PLUS - BERNALILLO...(505) W HWY SAVE, PUEBLO OF SANDIA PHARMACY... (505) SANDIA DAY SCHOOL RD SANTA ANA HEALTH CLINIC PHARMACY...(505) C DOVE RD WALGREENS # (505) E HWY SAVE,, WALMART PHARMACY (505) NM HIGHWAY BLOOMFIELD DZILTH NA O DITH HLE HEALTH CENTER...(505) RD KARE PHARMACY-BLOOMFIELD...(505) N CHURCH ST STE A 87413, CANON JEMEZ VALLEY MEDICAL CLINIC... (575) STATE HIGHWAY CANONCITO CANONCITO BAND OF NAVAJOS HEALTH CLINIC...(505) MEDICINE HORSE RD CARLSBAD ADVANCED MEDICATION MANAGEMENT SYSTEMS... (575) W PIERCE STE 2B #687...(575) N CANAL ST SAVE,, CARLSBAD FAMILY HEALTH CENTER...(575) SAN JOSE BLVD CVS PHARMACY # (575) N CANAL ST = -day supply = Electronic prescribing 8

12 CUBA LA TIENDA PHARMACY... (575) S CANAL 88220, SOUTHWESTERN MEDICAL PHARMACY...(575) W PIERCE ST 1A 88220, WALGREENS # (575) W PIERCE SAVE,, WALMART PHARMACY (575) S CANAL ST CERRILLOS ORTIZ MOUNTAIN HEALTH CENTER...(505) B MAIN ST CHAMA BESTCARE PHARMACY CHAMA LLC...(575) STATE ROAD 17 #B CHAPARRAL CHAPARRAL FAMILY HEALTH CENTER...(575) ANGELINA BLVD EZ PHARMACY... (575) E LISA DR STE C 88081, CLAYTON CITY DRUG...(575) MAIN ST SAVE, CLOUDCROFT SACRAMENTO MOUNTAIN MEDICAL CENTER...(575) JAMES CANYON HWY CLOVIS PLAINS REGIONAL MEDICAL CENTER PHARMACY...(575) W 21ST ST SAVE, RODEN-SMITH PHARMACY... (575) E LLANO ESTACADO BLVD STE A 88101, WALGREENS # (575) E 21ST STREET SAVE,, WALMART PHARMACY (575) N PRINCE STREET COCHITI COCHITI IHS PHARMACY...(505) COCHITI ST CORRALES CORRALES PHARMACY...(505) CORRALES RD SUITE SAVE, COUNSELOR COUNSELOR NAVAJO CLINIC...(575) US HIGHWAY CROWNPOINT CROWNPOINT HEALTH CARE PHARMACY...(505) HWY JCT 57 RT CUBA CUBA HEALTH CENTER...(575) US HWY CUBA HEALTH CENTER PHARMACY...(575) US HIGHWAY = -day supply = Electronic prescribing 9

13 DEMING Blue Cross Medicare Advantage s Network Pharmacies CUBA SCHOOL BASED HEALTH CENTER...(575) #50 COUNTY ROAD DEMING BESTCARE PHARMACY DEMING LLC...(575) E FLORIDA ST DEMING HEALTH CENTER...(575) S. DIAMOND AVENUE WALGREENS... (575) N GOLD AVE SAVE, WALMART PHARMACY (575) EAST PINE STREET DULCE DULCE IHS PHARMACY... (505) STONE LAKE RD EDGEWOOD SMITHS PHARMACY # (505) #2B HWY SAVE,, WALGREENS # (505) WALKER RD SAVE,, WALMART PHARMACY (505) STATE ROAD ESPANOLA CVS PHARMACY # (505) N RIVERSIDE DR FAIRVIEW PHARMACY... (505) N RIVERSIDE DR STE B 87532, SANTA CLARA IHS PHARMACY...(505) ROUTE VALLEY COMMUNITY HEALTH CENTER...(505) SPRUCE ST WALGREENS # (505) N RIVERSIDE DR SAVE,, WALMART PHARMACY (505) N RIVERSIDE DRIVE ESTANCIA ESPERANZA FAMILY HEALTH CENTER...(505) C N 5TH ST EUNICE MICHAEL'S PRESCRIPTION CORNER EUNICE... (575) MAIN STREET FARMINGTON CVS PHARMACY #... (505) E MAIN ST 87402, FARMINGTON COMMUNITY HEALTH CENTER...(505) W BROADWAY PINON FAMILY PHARMACY...(505) B E 30TH SUITE , SAFEWAY PHARMACY # (505) E MAIN STREET SAVE, SAMS PHARMACY (505) EAST MAIN = -day supply = Electronic prescribing 10

14 HOBBS SAN JUAN ONCOLOGY ASSOCIATES, PC...(505) W ANIMAS ST SMITHS PHARMACY # (505) EAST 20TH ST SAVE,, WALGREENS # (505) E MAIN SAVE,, WALGREENS #67... (505) E 20TH ST SAVE,, WALMART PHARMACY (505) EAST MAIN WALMART PHARMACY (505) WEST MAIN STREET FORT SUMNER ADDISON DRUG... (575) E SUMNER AVE GALLUP GALLUP INDIAN MED CENTER PHARMACY...(505) EAST NIZHONI BLVD GALLUP TEEN HEALTH CENTER...(505) /2 RICO ST SAFEWAY PHARMACY # (505) US HIGHWAY SAVE, WALGREENS #07... (505) E HWY SAVE,, WALMART PHARMACY (505) WEST MALONEY AVE WESTERN NEW MEXICO MEDICAL GROUP BEHAVIORAL HEALTH-GALLUP... (505) E AZTEC AVE WESTERN NM MED GROUP GALLUP...(505) N 5TH ST GRANTS PARKHURST PHARMACY... (505) BONITA ST SUITE A TRUST PHARMACY...(505) ROOSEVELT SAVE, WALGREENS... (505) E SANTA FE AVE SAVE, WALMART PHARMACY (505) ROBERTS DRIVE WESTERN NM MEDICAL GROUP GRANTS... (505) BONITA ST HATCH UNITED DRUG... (575) W HALL ST HOBBS #680...(575) N GRIMES SAVE,, CVS PHARMACY # (575) W. BENDER BLVD HOBBS FAMILY HEALTH CENTER...(575) W LEA = -day supply = Electronic prescribing 11

15 ISLETA Blue Cross Medicare Advantage s Network Pharmacies MICHAEL'S PRESCRIPTION CORNER NORTE VISTA... (575) N FOWLER ST STE A WALGREENS # (575) W JOE HARVEY BLVD SAVE, WALGREENS # (575) NORTH TURNER SAVE,, WALMART PHARMACY (575) LOVINGTON HWY ISLETA ISLETA HEALTH CENTER PHARMACY...(505) SAGEBRUSH ST JEMEZ PUEBLO JEMEZ HEALTH CENTER PHARMACY...(575) SHEEPSPRINGS RD LAS CRUCES ASPCARES...(575) E LOHMAN AVE SAVE, BEN ARCHER HEALTH CENTER PHARMACY...(575) THORPE RD BEN ARCHER HEALTH CENTER PHARMACY OF LAS CRUCES... (575) MOTEL BOULEVARD BUILDING B CVS PHARMACY # (575) N MAIN ST 88001, 24HR CVS PHARMACY # (575) N MAIN ST DEL-REY PHARMACY...(575) DEL REY BLVD SUITE SAVE, HEALTHCARE PHARMACY...(575) E LOHMAN AVE STE SAVE, SAMS PHARMACY (575) N. TELSHOR BLVD SAVON PHARMACY...(575) E LOHMAN AVE SAVE,, SAVON PHARMACY #19...(575) EL PASEO RD SAVE,, WALGREENS... (575) NORTHRISE DR SAVE, WALGREENS # (575) E LOHMAN AVE SAVE, WALGREENS # (575) EL PASEO ROAD SAVE,, 24HR, WALGREENS # (575) W PICACHO AVE SAVE, WALGREENS # (575) N MAIN SAVE,, 24HR, WALGREENS # (575) E LOHMAN AVE SAVE,, 24HR, = -day supply = Electronic prescribing 12

16 LOS RANCHOS WALGREENS PRESCRIPTION CENTER...(224) S TELSHOR BLVD SAVE,, 24HR WALMART PHARMACY (575) S WALTON BLVD WALMART PHARMACY (575) RINCONADA BLVD WALMART PHARMACY (575) SOUTH VALLEY DRIVE WALMART PHARMACY (575) N SONOMA RANCH BLVD LAS VEGAS DEL NORTE LONG TERM CARE PHARMACY...(505) UNIVERSITY AVE DEL NORTE PHARMACY OF LA VEGAS... (505) GRAND AVE 87701, NEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS...(505) HOT SPRINGS BLVD PLAZA DRUGS... (505) BRIDGE ST SAVE, WALGREENS # (505) MILLS AVENUE SAVE,, WALMART PHARMACY (505) TH STREET LORDSBURG BESTCARE PHARMACY LORDSBURG LLC...(575) E 4TH ST GENOA, A QOL HEALTHCARE COMPANY, LLC...(575) EAST DEMOSS STREET, STE P LOS ALAMOS NAMBE DRUGS LOS ALAMOS... (505) CENTRAL PARK SQ SMITHS PHARMACY # (505) TRINITY DR STE SAVE,, LOS LUNAS # (505) MAIN ST SE SAVE,, SMITHS PHARMACY # (505) MAIN ST SAVE,, WALGREENS... (505) MAIN ST SAVE,, WALGREENS... (505) MAIN ST NE SAVE,, 24HR, WALMART PHARMACY (505) MAIN STREET NW LOS RANCHOS NEWSCRIPTS PHARMACY...(505) TH ST NW STE G = -day supply = Electronic prescribing 13

17 LOS RANCHOS DE ALBUQ LOS RANCHOS DE ALBUQ WALGREENS # (505) TH ST NW SAVE,, LOVING LOVING HEALTH CLINIC... (575) S 4TH ST LOVINGTON MICHAEL'S PRESCRIPTION CORNER... (575) W AVENUE A NOWELL PHARMACY LLC... (575) W ADAMS 88260, MAGDALENA ALAMO NAVAJO HEALTH CENTER. (575) HWY 169 MM SAVE, MAGDALENA CLINIC... (575) TH ST MESCALERO MESCALERO INDIAN HOSPITAL PHARMACY...(575) ABALONIE LOOP MORA BESTCARE PHARMACY-MORA LLC(575) #3 A MORIARTY MAY HEALTH MART PHARMACY II..(505) CENTRAL SAVE,, MOUNTAINAIR MOUNTAINAIR FAMILY HEALTH CENTER...(505) EAST PINON MOUNTAINAIR MEDS AND MORE LLC...(505) W BROADWAY OJO ENCINO OJO ENCINO NAVAJO CLINIC...(505) #2 OJO ENCINO CHAPTER HOUSE ROAD PECOS PECOS VALLEY MEDICAL CENTER.(505) HIGHWAY PERALTA JOES PHARMACY... (505) HWY , PINE HILL PINE HILL HEALTH CENTER...(505) BIA RT PORTALES CJS PILL BOX...(575) W 4TH ST SIEVERS SPORTS MEDICINE INC... (575) S MAIN AVE VILLAGE PHARMACY INC...(575) S AVE D WALMART PHARMACY (575) EAST SPRUCE STREET = -day supply = Electronic prescribing 14

18 RIO RANCHO QUEMADO QUEMADO HEALTH CENTER... (575) OLD TOWN LOOP QUESTA BESTCARE PHARMACY 4 LLC...(575) STATE ROAD QUESTA HEALTH CENTER... (575) STATE HWY RATON MESA PHARMACY... (575) S 2ND ST 87740, THE MEDICINE SHOPPE PHARMACY...(575) A S SECOND ST RESERVE CATRON COUNTY CLINIC...(575) ONE FOSTER LN RIO RANCHO # (505) ENCHANTED HILLS BLVD NE SAVE,, #3...(505) RIDGECREST DR SAVE,, CVS PHARMACY # (505) NM 528 SE 87124, 24HR FOUR WINDS BEHAVIORAL HEALTH INC... (505) BARBARA LOOP SE PRESBYTERIAN INTEL HEALTH FOR LIFE CENTER...(505) SARA RD SE, MSRR PRESBYTERIAN MEDICAL SERVICES FAMILY HEALTH CENTER... (505) GRANDE BLVD SE RIO RANCHO FAMILY HEALTH CENTER...(505) UNSER BLVD NE SMITHS PHARMACY # (505) RIO RANCHO DR SAVE,, WALGREENS # (505) NORTHERN BLVD NE SAVE, WALGREENS # (505) RIO RANCHO BLVD SAVE,, WALGREENS # (505) SOUTHERN SAVE,, WALGREENS # (505) SOUTHERN BLVD SE SAVE,, 24HR, WALGREENS # (505) ENCHANTED HILLS NE SAVE,, WALMART PHARMACY (505) NM HWY 528 SE WALMART PHARMACY (505) UNSER BLVD SOUTHEAST 87124, = -day supply = Electronic prescribing 15

19 ROSWELL Blue Cross Medicare Advantage s Network Pharmacies ROSWELL #6...(575) S MAIN ST SAVE,, #691...(575) W 2ND ST SAVE,, FARMERS UPTOWN PHARMACY... (575) N MAIN ST 88201, KMART PHARMACY (575) S MAIN ST PRIMM DRUG...(575) N UNION 88201, SAMS PHARMACY (575) NORTH MAIN STREET WALGREENS # (575) S MAIN ST SAVE,, WALGREENS # (575) N MAIN ST SAVE,, 24HR, WALMART PHARMACY (575) A NORTH MAIN RUIDOSO #682...(575) MECHEM DR STE B SAVE,, SIERRA BLANCA PHARMACY...(575) MECHEM DR 88345, WALGREENS # (575) SUDDERTH SAVE,, RUIDOSO DOWNS WALMART PHARMACY (575) W HWY SAN FELIPE SAN FELIPE HEALTH CLINIC PHARMACY...(505) CEDAR ST SAN FELIPE PUEBLO SAN FIDEL ACL PHARMACY... (505) EXIT 203 ACOMITA SANTA CLARA FORT BAYARD MEDICAL CENTER PHARMACY...(575) FORT BAYARD RD SANTA FE # (505) N GUADALUPE ST SAVE,, # (505) ZAFARANO DR SAVE,, # (505) S ST FRANCIS DR SAVE,, CHRISTUS ST. VINCENT OUTPATIENT PHARMACY...(505) SAINT MICHAELS DR STE SAVE, = -day supply = Electronic prescribing 16

20 SANTO DOMINGO CVS PHARMACY... (505) W CORDOVA RD 87505, CVS PHARMACY... (505) PASEO DE PERALTA 87501, CVS PHARMACY # (505) CERRILLOS RD DEL NORTE PHARMACY AND HOME MEDICAL OF SANTA FE... (505) GALISTEO 87501, DEL NORTE PHARMACY OF ELDORADO... (505) CALIENTE RD UNIT A2 A , NAMBE DRUGS... (505) OLD SANTA FE TRL PHARMACA INTEGRATIVE PHARMACY...(505) W CORDOVA RD STE B SAMS PHARMACY (505) RODEO ROAD SANTA FE COMMUNITY GUIDANCE CENTER...(505) RODEO PARK DR WEST SANTA FE INDIAN HOSPITAL PHARMACY...(505) CERRILLOS RD SMITHS PHARMACY # (505) CERRILLOS ROAD SAVE,, SMITHS PHARMACY # (505) PACHECO SAVE,, SOUTHWEST CARE CENTER...(505) HARKLE RD STE C SAVE,, TEEN HEALTH CENTER - CAPITAL HIGH SCHOOL... (505) PASEO DEL SOL TEEN HEALTH CENTER -SANTA FE HIGH SCHOOL... (505) YUCCA ST WALGREENS... (505) AIRPORT RD SAVE, WALGREENS #20... (505) ST FRANCIS DR SAVE,, WALGREENS # (505) CERRILLOS ROAD SAVE,, 24HR, WALGREENS # (505) W ZIA ROAD SAVE,, WALMART PHARMACY (505) CERILLOS RD WALMART PHARMACY (505) HERRERA DR SANTA ROSA ROUTE 66 PHARMACY... (575) CAMINO DE VIDA STE , SANTO DOMINGO SANTO DOMINGO PUEBLO HEALTH CENTER...(505) WEST HIGHWAY = -day supply = Electronic prescribing 17

21 SHIPROCK Blue Cross Medicare Advantage s Network Pharmacies SHIPROCK NORTHERN NAVAJO MEDICAL CENTER PHARMACY...(505) HWY 491 NORTH SILVER CITY CVS PHARMACY # (575) SILVER HEIGHTS BLVD GENOA, A QOL HEALTHCARE COMPANY, LLC...(575) NORTH POPE STREET, STE P SAVON PHARMACY # (575) HWY 180 E SAVE,, WALGREENS # (575) ROSEDALE RD SAVE, WALMART PHARMACY (575) HWY 180 EAST SOCORRO KELLY'S PHARMACY...(575) N CALIFORNIA ST SAVE, SOCORRO COMMUNITY HEALTH CNTR...(575) ENTERPRISE WALMART PHARMACY (575) NORTH 6TH STREET SPRINGER BESTCARE PHARMACY SPRINGER LLC...(575) MAXWELL AVE #B MESA PHARMACY... (575) COLBERT AVE 87747, TAOS # (575) A PASEO DEL PUEBLO SUR SAVE,, GENOA, A QOL HEALTHCARE COMPANY, LLC...(575) PASEO DEL CANON W STE P SMITHS PHARMACY # (575) PASEO PUEBLO SUR SAVE,, TAOS PICURIS HEALTH CENTER PHARMACY...(575) GOAT SPRINGS RD WALGREENS # (575) PASEO DEL PUEBLO SUR SAVE, WALMART PHARMACY (575) PASEO DEL PUEBLO SUR THOREAU WESTERN NM MEDICAL GROUP THOREAU...(505) E. NAVARRE TOHATCHI TOHATCHI HEALTH CENTER PHARMACY...(505) CHOOSGAI TORREON TORREON NAVAJO CLINIC... (505) STATE HWY = -day supply = Electronic prescribing 18

22 ZUNI TRUTH OR CONSEQ NEW MEXICO VETERANS CENTER PHARMACY...(575) S BROADWAY ST 871 TRUTH OR CONSEQUENCE DAVIS-FLECK UNITED PHARMACY. (575) N BROADWAY ST 871, WALMART PHARMACY (575) HR ASHBAUGH DR 871 TUCUMCARI BOBS BUDGET PHARMACY INC... (575) S 2ND ST QUAY COUNTY FAMILY HEALTH CENTER...(575) E MAIN ST WELLBORN PHARMACY...(575) S 2ND STREET SAVE, TULAROSA TULAROSA MEDICAL CENTER... (575) CENTRAL AVE WHITE ROCK SMITHS PHARMACY # (505) SHERWOOD BLVD SAVE,, ZIA ZIA INDIAN HEALTH CLINIC PHARMACY...(505) B CAPITAL SQUARE DR ZUNI ZUNI INDIAN HOSPITAL PHARMACY...(505) ROUTE 301 NORTH B ST = -day supply = Electronic prescribing 19

23 Long Term Care Pharmacies Blue Cross Medicare Advantage s Network Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. ADVANCED MEDICATION MANAGEMENT SYSTEMS... (575) W PIERCE STE 2B CARLSBAD ALBUQUERQUE PHARMACY...(505) LOUISIANA BLVD NE ALBUQUERQUE BEST BUY DRUGS... (505) WYOMING BLVD. NE ALBUQUERQUE CITY DRUG...(575) MAIN ST CLAYTON DEL NORTE LONG TERM CARE PHARMACY...(505) UNIVERSITY AVE LAS VEGAS GENOA, A QOL HEALTHCARE COMPANY, LLC...(253) JEFFERSON ST NE STE 301 ALBUQUERQUE GENOA, A QOL HEALTHCARE COMPANY, LLC...(575) EAST DEMOSS STREET, STE P LORDSBURG GENOA, A QOL HEALTHCARE COMPANY, LLC...(575) NORTH POPE STREET, STE P SILVER CITY GENOA, A QOL HEALTHCARE COMPANY, LLC...(575) PASEO DEL CANON W STE P1 TAOS NEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS...(505) HOT SPRINGS BLVD LAS VEGAS NEWSCRIPTS PHARMACY...(505) TH ST NW STE G LOS RANCHOS NOWELL PHARMACY LLC... (575) W ADAMS LOVINGTON OMNICARE OF ALBUQUERQUE...(505) WASHINGTON ST NE SUITE B1 ALBUQUERQUE PHARMERICA... (505) BROADBENT PKWY NE STE A ALBUQUERQUE RX INNOVATIONS... (505) WASHINGTON ST NE ALBUQUERQUE SHARE 'N CARE PHARMACY... (505) DALIES AVE STE B BELEN THE MEDICINE SHOPPE PHARMACY...(575) A S SECOND ST RATON VIDA PHARMACY LLC... (505) JEFFERSON ST NE STE D STE D ALBUQUERQUE ZIA PHARMACY...(505) BROADBENT PKWY NE STE C ALBUQUERQUE

24 Home Infusion Pharmacies Blue Cross Medicare Advantage s Network Pharmacies For more information, please see your Evidence of Coverage. BRIOVARX INFUSION SERVICES 308, LLC...(505) COMANCHE RD NE SUITE A5 ALBUQUERQUE CORAM CVS/SPECIALTY INFUSION SERVICES... (505) WASHINGTON ST NE ALBUQUERQUE HIT SPECIALISTS... (505) GOLF COURSE NW ALBUQUERQUE OPTION CARE... (505) ALEXANDER BLVD NE STE A C ALBUQUERQUE

25 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through our plan's pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information, please see your Evidence of Coverage. ACL PHARMACY... (505) EXIT 203 ACOMITA SAN FIDEL ALAMO NAVAJO HEALTH CENTER. (575) HWY 169 MM29 MAGDALENA ALBUQUERQUE INDIAN HEALTH PHARMACY...(505) VASSAR DRIVE NE ALBUQUERQUE COCHITI IHS PHARMACY...(505) COCHITI ST COCHITI CROWNPOINT HEALTH CARE PHARMACY...(505) HWY JCT 57 RT 9 CROWNPOINT DULCE IHS PHARMACY... (505) STONE LAKE RD DULCE DZILTH NA O DITH HLE HEALTH CENTER...(505) RD 7586 BLOOMFIELD GALLUP INDIAN MED CENTER PHARMACY...(505) EAST NIZHONI BLVD GALLUP ISLETA HEALTH CENTER PHARMACY...(505) SAGEBRUSH ST ISLETA JEMEZ HEALTH CENTER PHARMACY...(575) SHEEPSPRINGS RD JEMEZ PUEBLO MESCALERO INDIAN HOSPITAL PHARMACY...(575) ABALONIE LOOP MESCALERO NORTHERN NAVAJO MEDICAL CENTER PHARMACY...(505) HWY 491 NORTH SHIPROCK PINE HILL HEALTH CENTER...(505) BIA RT 125 PINE HILL PUEBLO OF SANDIA PHARMACY... (505) SANDIA DAY SCHOOL RD BERNALILLO SAN FELIPE HEALTH CLINIC PHARMACY...(505) CEDAR ST SAN FELIPE PUEBLO SAN FELIPE SANTA ANA HEALTH CLINIC PHARMACY...(505) C DOVE RD BERNALILLO SANTA CLARA IHS PHARMACY...(505) ROUTE 5 ESPANOLA SANTA FE INDIAN HOSPITAL PHARMACY...(505) CERRILLOS RD SANTA FE = -day supply = Electronic prescribing 22

26 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through our plan's pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information, please see your Evidence of Coverage. SANTO DOMINGO PUEBLO HEALTH CENTER...(505) WEST HIGHWAY 22 SANTO DOMINGO TAOS PICURIS HEALTH CENTER PHARMACY...(575) GOAT SPRINGS RD TAOS TOHATCHI HEALTH CENTER PHARMACY...(505) CHOOSGAI TOHATCHI ZIA INDIAN HEALTH CLINIC PHARMACY...(505) B CAPITAL SQUARE DR ZIA ZUNI INDIAN HOSPITAL PHARMACY...(505) ROUTE 301 NORTH B ST ZUNI = -day supply = Electronic prescribing 23

27 Blue Cross and Blue Shield of New Mexico complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Cross and Blue Shield of New Mexico does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Blue Cross and Blue Shield of New Mexico: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, contact Civil Rights Coordinator If you believe that Blue Cross and Blue Shield of New Mexico 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 with: Civil Rights Coordinator, Office of Civil Rights Coordinator, 300 E. Randolph St., 35th floor, Chicago, Illinois 60601, , TTY/TDD: , Fax: , Civilrightscoordinator@hcsc.net. You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, Civil Rights Coordinator 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, D.C , (TDD) Complaint forms are available at A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Y0096_MRK_NM_NDNOTICE17 Accepted

28 ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (TTY: 711). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). Díí baa akó nínízin: Díí saad bee yáníłti go Diné Bizaad, saad bee áká ánída áwo dę ę, t áá jiik eh, éí ná hólǫ, kojį hódíílnih (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 711). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: 711). 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: 711) ملحوظ: إذا كنت تتحدث اللغة العربية فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل رقم (رقم هاتف الصم والبكم: ( 711 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. (TTY: 711) 번으로전화해주십시오 PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 711). 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます (TTY: 711) まで お電話にてご連絡ください ATTENTION : Si vous parlez français, des services d aide linguistique vous sont proposés gratuitement. Appelez le (ATS: 711). ATTENZIONE: In caso la lingua parlata sia l italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (TTY: 711). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 711). ध य न द : दद आप ह द ब लत त आपक ललए म फत म भय षय स य तय स वय ए उपलब ध (TTY: 711) पर क ल कर توجه: اگر به زبان فارسی گفتگو می کنيد تسهيالت زبانی به صورت رايگان برای شما فراهم می باشد. با تماس بگيريد. 711) (TTY: เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (TTY: 711)

29 This Pharmacy Directory was updated on 12/2017. The pharmacy network may change at any time. You will receive notice when necessary. For more recent information or other questions, please contact Blue Cross Medicare Advantage SM Customer Service, at or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voic ) will be used on weekends and holidays, or visit getbluenm.com/mapd/pharmacies. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluenm.com/mapd/pharmacies. You may also call Customer Service for updated provider information. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits and/or co-payments/co-insurance may change on January 1 of each year. The pharmacy network may change at any time. You will receive notice when necessary. Prime Therapeutics LLC, a separate company, provides pharmacy benefit management services for Blue Cross and Blue Shield of New Mexico. Blue Cross, Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Prime Therapeutics has contracted with Walgreens, a company independent from Prime Therapeutics and Blue Cross and Blue Shield of New Mexico, to provide mail pharmacy services through the Prim by Walgreens Mail Service; changing to AllianceRx Walgreens Prime in HMO, HMO-POS, and PPO plans are provided by Blue Cross and Blue Shield of New Mexico, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC s plans depends on contract renewal.