WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans. Pharmacy Directory

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1 WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans Directory This booklet provides a list of WellCare Signature (PDP) and Classic (PDP) network pharmacies. This directory is for Alaska. We also list pharmacies that are in our network but are outside Alaska. Please contact WellCare Signature (PDP) and Classic (PDP) at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern for additional information. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. To get current information about WellCare Signature (PDP) and Classic (PDP) network pharmacies in your area, please visit our website at or call Customer Service at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or co-payments/coinsurance may change on January 1, WellCare is a Medicare-approved Part D sponsor. This information is available for free in other languages. Please contact our Customer Service number at for additional information. Esta información está disponible gratis en otros idiomas. Para información adicional, por favor comuníquese con Servicio al Cliente al S5967_NA015144_PDP_PHD_ENG_FINAL_34 CMS Approved WellCare 2011 NA_05_11 NA34PHD37956E_0511

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3 Introduction This booklet provides a list of WellCare Signature and Classic network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and WellCare Signature or Classic formularies. If you have additional questions, please call Customer Service at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call Or, visit We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by WellCare. In most cases, your prescriptions are covered under WellCare Signature and Classic only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. Preferred pharmacies are pharmacies in our network in which our Plan has negotiated lower cost-sharing for its plan members for covered prescription drugs than at non-preferred pharmacies. However, you will still have access to lower drug prices at non-preferred pharmacies than at out-of-network pharmacies. You may go to either of these types of network pharmacies to receive your covered prescription drugs. Only WellCare Mail-Order is classified as a preferred pharmacy. As a member, you may use a non-preferred mail-order pharmacy, but the amount you pay may be higher than the amount you pay for a preferred mail-order pharmacy. WellCare does not classify pharmacies as preferred or non-preferred in the Chain, Retail, Home Infusion, Long-Term Care, or Indian Health Service/Tribal/Urban Indian Health Program pharmacy types. How to use this pharmacy directory Pharmacies in this directory are grouped by type of pharmacy and listed alphabetically, by state (if the region includes multiple states), county and city. Some pharmacies offer an extended supply of medications. Pharmacies that offer an extended supply of medications are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it has the quantity of medication you need. Some pharmacies are open 24 hours a day. Pharmacies that are open 24 hours a day are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it is open 24 hours a day. I

4 Some pharmacies offer. This means the pharmacy will accept electronic prescriptions directly from your physician s office. Pharmacies that offer are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it offers. Some mail-order pharmacies are designated as preferred pharmacies. Mail-order pharmacies that are classified as preferred pharmacies are identified by Preferred after the pharmacy s phone number. As a member, the amount you pay may be lower using a preferred mail-order pharmacy than a non-preferred mail-order pharmacy. II

5 CHAIN PHARMACIES A and P (866) Accredo Health Group (866) Acme Store (877) Aurora (888) Bakers (800) Bartell Drugs (877) Bashas (800) Bel Air (800) RALEYSS Bi Lo (800) Bi-Mart (541) Big Y (413) Biggs (513) Brookshire Brothers (936) Brookshires (903) Buehler Food Markets (888) BUEHLER Cash Wise Foods (877) City Market (877) Coram Healthcare (800) Costco (800) Critical Care Systems (603)

6 CHAIN PHARMACIES CVS (800) Dillons (800) Discount Drug Mart (330) Dominicks Finer Foods (877) Duane Reade (212) Eaton Apothecary (508) Econofoods (952) Fagen (219) Farm Fresh Food & (800) Food City (276) Food Lion (800) Fred Meyer (888) Freds (800) Fruth (304) Genuardis (877) Giant (888) Haggen (360) Hannaford (800) Happy Harrys (800) Harmons (866)

7 CHAIN PHARMACIES Harris Teeter (800) Homeland (405) Ingles (828) Kerr Drug (800) King Soopers (877) Kinney Drugs (800) Kmart (866) Kroger (866) Longs Drugs (800) Marc s (800) Marsh Supermarkets (800) Medicap (800) Medicine Shoppe (800) Meijer (877) Navarro Discount (888) No Frills Supermarkets (866) Osco (877) Pamida (402) Pathmark (866) Pick N Save (866)

8 CHAIN PHARMACIES Price Chopper (800) Publix (800) Qvl (972) Raleys (800) RALEYSS Ralphs (888) Randalls (877) Rite Aid (800) Safeway (877) Sams (888) Save Mart Supermarkets (800) Savon (877) Schnucks (800) Shop N Save (314) Shopko (807) Shoppers (800) Shoprite (800) Snyders Drug Stores (952) Stop & Shop (800) Super 1 (903) Super D Drugs (870)

9 CHAIN PHARMACIES Super Fresh (866) Sweetbay (888) Target (800) Thrifty White (763) Tom Thumb (877) Tops Friendly Markets (800) United (888) USA Drug (870) Vons (877) Wal Mart (800) WALMART Waldbaums (866) Walgreens (800) Wegmans (800) WEGMANS Weis (570) Winn Dixie (866) Yokes (509)

10 MAIL-ORDER PHARMACIES Ammed Homecare (615) Global Medical Direct (913) Liberty Direct Services Corp (800) Liberty Healthcare of Nevada (800) Liberty Medical (800) Liberty Medical (800) Liberty Medical of Ohio (800) Walgreens #2445 (407) Walgreens #3397 (480) Walgreens #5957 (503) Welldynerx (888) Welldynerx-Fl (888) WSP Mail Order (866)

11 SPECIALTY PHARMACY The WellCare Specialty fills certain limited distribution, injectable biotech, and/or biologic medications for members. To place your order, contact the WellCare Specialty Care Team at the number listed below. Your medication will be delivered to your home, your doctor s office, or to an alternate location of your choice. For more information, please contact us toll-free at , Monday-Thursday, 8 a.m. to 7 p.m. Eastern, and Friday, 8 a.m. to 6 p.m. Eastern. Or, send a fax to or us at wsp@wellcare.com WellCare Specialty TTY filler 7

12 RETAIL PHARMACIES ALASKA Anchorage County Anchorage Alaska Native Medical Center Phcy 4315 Diplomacy Dr Anchorage, AK (907) Anchorage Medset 4101 Arctic Blvd Ste B Anchorage, AK (907) Anchorage Neighborhood Hlth Ctr Phc 1217 E 10th Ave Anchorage, AK (907) Bernies 4100 Lake Otis Pkwy 200 Anchorage, AK (907) Geneva Woods Medset 501 W International Airport RD Suite 20 Anchorage, AK (907) Geneva Woods Services 3801 Lake Otis Pkwy Ste 160 Anchorage, AK (907) Geneva Woods Professional Infusion 3101 Penland Pkwy Ste J11 Anchorage, AK (907) Great Land Infusion 2421 E Tudor RD Ste 107 Anchorage, AK (907) Hillside Family Medicine 9220 Lake Otis Parkway Ste 9 Anchorage, AK (907) Lake Otis 4201 Lake Otis Pkwy Anchorage, AK (907) Pioneers Home Phcy 923 W 11th Ave Anchorage, AK (907) Providence Health Park 3841 Piper Street Ste 4230 Anchorage, AK (907) Providence Medical Arts 3300 Providence Dr Ste 101 Anchorage, AK (907) Eagle River Family Business Blvd 10 Eagle River, AK (907) Bethel County Bethel Yukon Kuskokwim Delta Reg Hosp 700 Chief Eddie Hoffman Hwy Bethel, AK (907)

13 RETAIL PHARMACIES ALASKA Cont Bristol Bay County Naknek Camai Community Health Center 2 School Road Naknek, AK (907) Dillingham County Dillingham Kanakanak Hospital 6000 Kanakanak RD Dillingham, AK (907) Fairbanks North Star County Fairbanks Chief Andrew Isaac Health Center th Ave Fairbanks, AK (907) Denali 1650 Cowles St Dept 41 C Fairbanks, AK (907) Fairbanks Memorial Hosp Phcy 1650 Cowles St Dept 41 A Fairbanks, AK (907) Prescription Center 1919 Lathrop St Suite 109 Fairbanks, AK (907) Professional 1001 Noble St Fairbanks, AK (907) Haines County Haines Searhc Haines Phcy 131 First Ave S Haines, AK (907) Juneau County Juneau Foodland Super Drug 631 Willoughby Ave Juneau, AK (907) Juneau Drug Company 202 Front St Juneau, AK (907) Juneau Urgent Care 8505 Old Dairy RD Juneau, AK (952) Ron s Apothecary Shoppe 9101 Mendenhall Mall Juneau, AK (907) Searhc Junea 3245 Hospital Dr Juneau, AK (907) Kenai Peninsula County Homer Eagle 90 Sterling Hwy Homer, AK (907) Ulmer Drug and Hardware 3858 Lake St Ste 5 Homer, AK (907)

14 RETAIL PHARMACIES ALASKA Cont Kenai Peninsula County Cont Kenai Three Bears Kenai Spur Hwy Kenai, AK (907) Soldotna Soldotna Professional 299 N Binkley St Soldotna, AK (907) Ketchikan Gateway County Ketchikan Island 3526 Tongass Ave Ketchikan, AK (907) Ketchikan Indian Corporation 2960 Tongass Ave Ketchikan, AK (907) Matanuska Susitna County Palmer Three Bears Alaska 8151 E Palmer Wasilla Hwy Palmer, AK (907) Wasilla Capstone Family Medicine 3223 E Palmer Wasilla Hwy Wasilla, AK (907) Geneva Woods Mat Su Medset 3674 E Country Field CR Wasilla, AK (907) Geneva Woods Mat Su 3674 E Country Field Circle Ste A Wasilla, AK (907) Mydoktors 950 E Bogard RD Ste 229 Wasilla, AK (907) Susitna Professional 1751 E Gardner Way Ste G Wasilla, AK (907) Nome County Nome Norton Sound Hlth Corp 306 W 5th Ave Nome, AK (907) North Slope County Barrow Samuel Simmonds Mem Hosp 1296 Agvik St Barrow, AK (907) Northwest Arctic County Kotzebue Maniilaq Health Center 5th St and Grizzley Kotzebue, AK (907)

15 RETAIL PHARMACIES ALASKA Cont Prince Wales Ketchikan County Craig Whale Tail 333 Cold Storage RD PO Box 709 Craig, AK (907) Sitka County Sitka Searhc Mt Edgecumbe 222 Tongass Dr Sitka, AK (907) Valdez Cordova County Glennallen Cross Road Mile 187 Glenn Hwy Glennallen, AK (907) Valdez Village of Valdez Meals and Pioneer Valdez, AK (907) Southeast Fairbanks County Delta Junction Family Medical Center 2360 Service St Delta Junction, AK (907) Tok Tok Clinic L L C Mile Tok Cutoff Tok, AK (907)

16 HOME INFUSION PHARMACIES WellCare will cover home infusion therapy if: Your prescription drug is on the WellCare formulary or you have a formulary exception; WellCare has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. ALASKA Anchorage County Anchorage Geneva Woods Professional Infusion 3101 Penland Pkwy Ste J11 Anchorage, AK (907) Great Land Infusion 2421 E Tudor RD Ste 107 Anchorage, AK (907) Kenai Peninsula County Soldotna Professional Home IV Phcy 182 S Birch St Soldotna, AK (907)

17 LONG-TERM CARE PHARMACIES Residents of a long-term care facility may access their prescription drugs covered under WellCare through the facility s long-term care pharmacy or another network long-term care pharmacy. ALASKA Anchorage County Anchorage Anchorage Medset 4101 Arctic Blvd Ste B Anchorage, AK (907) Frontier Medical 907 E Dowling RD Ste 23 Anchorage, AK (907) Matanuska Susitna County Wasilla Susitna Mediset Services 1751 E Gardner Way Ste F Wasilla, AK (907)

18 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 the WellCare pharmacy network. Those other than Native Americans and Alaska natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). There are currently no Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies available in this region. To get current information about WellCare Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies in your area, please visit our website at or call Customer Service at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call

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24 P.O. Box Tampa, FL TTY Hours of operation are Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. Or visit us anytime at