Health Options Program

Transcription

1 Pennsylvania Public School Employees Retirement System (PSERS) Health Options Program VERMONT Pharmacy Directory FOR THE BASIC AND ENHANCED MEDICARE Rx OPTIONS For more information, please contact OptumRx Customer Service at (888) , 24 hours a day, seven days a week, or visit (TTY/TDD users should call (800) ) This Pharmacy Directory was updated on January 1, Introduction This booklet provides a list of the network pharmacies in for the Basic and Enhanced Medicare Rx Options (Employer PDP). To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and the Basic and Enhanced Medicare Rx Options Plans Abridged and Comprehensive Formularies. When this pharmacy directory refers to we, us, or our, it means the Pennsylvania Public School Employees Retirement System (PSERS). When it refers to plan or our plan, it means the Basic or Enhanced Medicare Rx Option. 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 the plan only if they are filled at a network pharmacy or through the 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 produced. 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 January 1, For the most current list, please contact us. Our contact information is above and on the back cover page. Pharmacy listings in this directory: Chains...2 Retail...3 Mail Order...6 Long-Term Care...6 To get current information about participating network pharmacies in your area, please visit the website at or contact OptumRx Customer Service at (888) , 24 hours a day, seven days a week. (TTY/TDD users should call (800) ) 1 CMS Contract Number: E3014

2 CHAIN PHARMACIES Acme Pharmacy Albertson s Baker s Pharmacy Brooks (800) Carrs Quality Centers City Market (877) Costco (800) CVS (800) SHOP-CVS Dillon Pharmacies Dominick s Food 4 Less Fred Meyer (888) Fry s Pharmacy (623) Genuardi s Gerbes Hilander Pharmacy (317) K-Mart Pharmacies (800) King Soopers (877) Kroger (800) Longs (800) Osco Drug Pavilions Pay Less Pharmacy Group (317) Quality Food Centers, Inc. (800) Ralphs Grocery Company (888) Randalls Pharmacies Rite Aid (800) Safeway Sam s Club (800) Sav-on Drugs Shaws/Osco Pharmacies Smith s Food & Drug (888) Target (800) Tom Thumb Vons Walgreens (800) Wal-Mart (800)

3 Barre > burlington Retail Pharmacies Barre 355 North Main Street, (802) South Barre Road, (802) Harrys Discount Pharmacy 921 US Rt 302 Berlin, (802) US Rt 302 Berlin, (802) Medicine Shoppe Pharmacy 20 S Main St, (802) Barton 90 Barton Pharmacy 16A Church St, (802) Bellows Falls 112 Rockingham Street, (802) Greater Falls Pharmacy 78 Atkinson St, (802) Bennington 194 North Street, (802) CVS Pharmacy 95 Bennington Square, (802) Familymeds Pharmacy 655 Main Street, (802) Northside Dr, (802) The Pharmacy Inc 205 North St, (802) Northside Drive, (802) Berlin 282 Berlin Mall Road Unit #1, (802) Berlin Corners 90 Shaws/Osco Pharmacy Paine Turnpike North, (802) Bethel Rural Route 1, (802) Bomoseen 90 Harbor Pharmacy Inc Corner Rt 30 & Rt 4 A, (802) Bradford 901 Lower Plain, (802) Brandon 1 Carver Street, (802) WM Browns Pharmacy Inc 10 Park St, (802) Brattleboro Price Chopper Plaza 499 Canal Stree, (802) Hotel Pharmacy Inc 20 Elliot St, (802) Putney Road Suite 6, (802) Walgreen Drug Store 467 Canal St, (802) Bristol 1 Prince Lane, (802) Burlington 158 Cherry Street, (802) Suite 5 North Avenue, (802) Fletcher Allen OP Pharmacy 111 Colchester Ave Mp3, (802) North Ave Suite 11, (802) Pine Street, (802) Lakeside Pharmacy Inc 242 Pearl St, (802) Shelburne Rd, (802) North Avenue, (802) Family Pharmacy Inc 1219 N Ave, (802) Key day drug supply available

4 CAMBRIDGE > NEWPORT Cambridge 155 S Main Street, (802) Colchester 1184 Prim Road Suite 2, (802) Costco Pharmacy 218 Lower Mountain View Drive, (802) Kinney Drugs Rt 2 A And 100, (802) Mountain View Dr, (802) Derby 4408 US Route 5, (802) Derby Line Browns Drug Store 40 Main, (802) Enosburg Falls 221 Main Street, (802) Enosburg Pharmacy 366 Main St, (802) Essex 21A Essex Way, (802) Essex Junction 75 Pearl Street, (802) Pearl Street, (802) Center Rd, (802) Susie Wilson Road, (802) Fair Haven 62 Washington Street, (802) Hardwick 82 Route 15 West, (802) Johnson 90 Johnson Pharmacy 117 Lower Main W, (802) Londenderry 90 Green Mountain Pharmacy Mountain Plaza Rt, 11/100, (802) Ludlow 213 Main Street Ludlow Shopping Pla, (802) Lyndonville 412 Broad Street, (802) Route 5 Memorial Drive, (802) Russells Drug Store 101 Depot St, (802) Manchester Whipple Pharmacy Inc Main St PO Box 990, (802) Manchester Center 4993 Main Street Suite A, (802) Equinox Terrace, (802) Middlebury 263 Court Street, (802) Court Street Unit 6, (802) Court Street, (802) Marble Works Pharmacy Inc 99 Maple St, (802) Milton 201 US Rt 7 South, (802) Centre Drive, (802) Montpelier 60 Main Street, (802) Main Street, (802) Morrisville Congress Street, (802) Route Fairground Plaza, (802) Morrisville Plaza, (802) Newport 59 Waterfront Plaza, (802) Shattuck Hill Rd, (802) Key day drug supply available

5 NORTHFIELD > WATERBURY Northfield 90 Northfield Pharmacy 14 Depot Sq, (802) Orleans Austins Drug Store 38 Main St, (802) Randolph 12 North Main Street, (802) Richford Richford Rexall Drug 2 Main St, (802) Rutland 90 Beauchamp And Orourke 62 Woodstock Ave, (802) West Street, (802) CVS Pharmacy Main St, (802) So Main Street, (802) Rutland Shopping Plz, (802) Rutland Pharmacy 75 Allen St, (802) Walgreen Drug Store 10 Woodstock Ave, (802) Rutland Plaza, (802) Wilcox Pharmacy 252 Stratton Rd, (802) Saint Albans 170 Swanton Rd, (802) Shelburne 30 Shelburne Shopping Park, (802) South Burlington 39 Hinesburg Road, (802) Dorset St, (802) Hannaford Dr, (802) Williston Rd, (802) Shelburne Rd, (802) South Hero 90 McGregors South Hero Pharmacy 332 Rte 2, (802) Springfield 2 Chester Road Suite 25, (802) Springfield Pharmacy Inc 264 River St, (802) St Albans 133 North Main Street Ste 30, (802) Swanton Rd, (802) Swanton Road, (802) St Johnsbury 502 Railroad Street, (802) Gauthiers Pharmacy Inc 415 Railroad St, (802) Memorial Drive, (802) Stowe Heritage Drugs 1878 Mountain Rd, (802) The Village Pharmacy At Stowe 394 Mountain Rd, (802) Swanton 90 Swanton Rexall Drugs 44 Merchants Row, (802) Townshend 90 Messenger Valley Pharmacy 170 Grafton Rd PO Box 216, (802) Vergennes 115B Monkton Rd, (802) Marble Works Pharmacy 187 Main St, (802) Waitsfield The Drug Store Inc PO Box 391, (802) WaTERBURY 820 Waterbury Stowe Rd, (802) Key day drug supply available

6 WATERBURY > SPECIALTY LISTINGS Vincents Pharmacy Waterbury Sq, (802) Wells River 90 Wells River Pharmacy 41 Main Street North, (802) West Rutland 294 Main Street, (802) White River Jct Corner Drug Store 213 Maple St, (802) Williston 108 Cornerstone Drive, (802) Marshall Ave, (802) Blair Park Rd Suite 195, (802) Boxwood St, (802) Harvest Lane, (802) Wilmington 1 East Main Street, (802) Windsor 52 Main Street, (802) McGregors Medicine On Time Pharmacy 321 Main St, (802) Woodstock 90 Shire Apothecary 13 Elm St, (802) Woodstock Pharmacy 19 Central St, (802) Mail Order Pharmacy optumrx Customer Service (888) TTY/TDD users: (800) Long-Term Care In some cases, residents of a long-term care facility may access their prescription drugs through their long-term care pharmacy. bennington Southwestern Medical Center 100 Hospital Dr, (802) Mendon Geri Care 17 Mendon View Dr, (802) Milton Granite Pharmacy Inc 576 Ballard Pharmacy Ste 2, (802) rutland Wilcox LTC Pharmacy 252 Stratton Rd, (802) south BURLINGTON NCS Healthcare Of VT 16 Gregory Dr Ste 3, (802) WILLISTION 600 Blair Park Rd Suite 195, (802) WINOOSKI 90 McGregors Medicine On Time Pharmacy 321 Main St, (802) For more information, please contact OptumRx Customer Service at (888) , 24 hours a day, seven days a week, or visit (TTY/TDD users should call (800) ) This Pharmacy Directory was updated on January 1, North Carolina Winooski 321 Main Street, (802) Key day drug supply available Effective as of 1/1/2014