2016 Pharmacy Directory

Transcription

1 Kaiser Permanente 2016 Pharmacy Directory This pharmacy directory was updated on 08/2016. For more recent information or other questions, please contact Kaiser Permanente Member Services at or, for TTY users, 711, seven days a week, 8 a.m. to 8 p.m., or visit kp.org/seniormedrx. INTRODUCTION This booklet provides a list of our plan s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Kaiser Permanente s formulary. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under our plan only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 08/08/2016. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at kp.org/seniormedrx. You may also call Member Services for updated provider information. You can get prescription drugs shipped to your home through our network mail order delivery service. For more information, please contact us or see the mail order section of this pharmacy directory. Y0043_N014538_SoCo_v5

2 We also list pharmacies that are in our network but are outside Southern Colorado, the 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 Southern Colorado area or contact Kaiser Permanente Member Services at or, for TTY users, 711, seven days a week, 8 a.m. to 8 p.m., or visit kp.org/seniormedrx. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us.

3 Kaiser Permanente s Network Pharmacies Our pharmacy directory is organized by the type of pharmacy (retail, including chain pharmacies, mail order, home infusion, longterm care, network pharmacies outside the geographic area, specialty pharmacies, and transplant network pharmacies outside the geographic area). Our pharmacies are then listed alphabetically by facility name. Retail Pharmacies, including Chain Pharmacies SOUTHERN COLORADO AREA A Village 3277 West Carefree Circle Colorado Springs, CO (719) Albertsons Grocery Warehouse 1545 South Prairie Pueblo, CO (719) Blende Drug Inc.* 1910 Santa Fe Drive Pueblo, CO (719) Broadway 101 Colorado Avenue Pueblo, CO (719) City Employee 30 South Nevada Avenue, Room L04 Colorado Springs, CO (719) City Market Phone Number: TTY/TDD: Relay Colorado, or 711 Costco 5885 Barnes Road Colorado Springs, CO (719) Costco 5050 North Nevada Avenue Colorado Springs, CO (719) Eastside Express 8540 Scarborough Drive, Suite 150 (719) Exempla Lutheran Medical Center 8300 West 38th Avenue Wheat Ridge, CO (303) Fox Drug Store* 1100 East Main Street Florence, CO (719) IDGP Pharmacy University of Colorado Hospital 1635 Aurora Court Room 7284, MS-F702 Aurora, CO (720) Ivywild Pharmacy Inc.* 1640 South Nevada Avenue Colorado Springs, CO (719) *Members may obtain an extended supply of certain medications at these pharmacies in our network. Kaiser Permanente 2016 Pharmacy Directory 1

4 J B 915 West Northern Avenue Pueblo, CO (719) Jeffs Valley Healthmart 4493 Bent Brothers Boulevard Colorado City, CO (719) Kaiser Permanente Briargate 4105 Briargate Parkway, Suite 125 Colorado Springs, CO (719) Kaiser Permanente Parkside 215 South Parkside Drive Colorado Springs, CO (719) Kaiser Permanente Pueblo North 3670 Parker Boulevard, Suite 200 Pueblo, CO (719) King Soopers Phone Number: TTY/TDD: Relay Colorado, or 711 Kmart 3020 North Nevada Street (719) Kmart 3415 North Elizabeth Street Pueblo, CO (719) Kohlers Apothecary* 4020 Palmer Park Boulevard Colorado Springs, CO (719) Medical Arts 1925 East Orman Avenue, Suite 102 Pueblo, CO (719) Medicine Shoppe* 3159 West Colorado Avenue Colorado Springs, CO (719) Medicine Shoppe* 2431 North Union Boulevard Colorado Springs, CO (719) Medicine Shoppe* 2306 North Wahsatch Avenue (719) Medicine Shoppe* 1625 Medical Center Point, Suite 140 (719) Mesa East US Highway 50 Pueblo, CO (719) Penrose Professional 2222 North Nevada Avenue (719) Prescription Shop* 1728 South Prairie Avenue Pueblo, CO (719) Professional Pharmacy LLC* 155 Printers Parkway, Suite 120 Colorado Springs, CO (719) *Members may obtain an extended supply of certain medications at these pharmacies in our network. 2 Kaiser Permanente 2016 Pharmacy Directory

5 Safeway Phone Number: TTY/TDD: Relay Colorado, or 711 Sams Phone Number: TTY/TDD: Relay Colorado, or 711 Savon 1601 Highway 50 West Pueblo, CO (719) Savon 8750 North Union Boulevard Colorado Springs, CO (719) Savon 7055 Austin Bluffs Parkway Colorado Springs, CO (719) Savon 455 East Cheyenne Mountain Boulevard Colorado Springs, CO (719) Target 3810 Bloomington Street Colorado Springs, CO (719) Target 9670 Prominent Point Colorado Springs, CO (719) Target 5240 North Academy Boulevard Colorado Springs, CO (719) The Pharmacy at Parkview 400 West 16th Street Pueblo, CO (719) UC Health Springs Pharmacy 1400 East Boulder Street Colorado Springs, CO (719) University of Colorado Hospital OP Pavilion 1635 Aurora Court Room 1012, MS-F702 Aurora, CO (720) University of Colorado Hospital Atrium East 16th Avenue Room 1054, MS-A027 Aurora, CO (720) University of Colorado Lowry Pharmacy 8111 East Lowry Boulevard Suite 110, MS-B01 Denver, CO (720) University of Colorado Hospital Pharmacy East 16th Avenue Aurora, CO (720) Wal-Mart Phone Number: (1-800-WALMART) TTY/TDD: Relay Colorado, or 711 Walgreens Phone Number: (1-800-WALGREENS) TTY/TDD: Relay Colorado, or 711 *Members may obtain an extended supply of certain medications at these pharmacies in our network. Kaiser Permanente 2016 Pharmacy Directory 3

6 Mail Order Pharmacy Kaiser Permanente Mail Order Pharmacy (TTY 711) kp.org/refill You can get prescription drugs shipped to your home through our network mail order delivery service. To refill your mail order prescriptions, please contact us 10 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 10 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 and TTY number/trs Relay number 711 or the number listed on the prescription label. Home Infusion Pharmacies If you need more information, please contact Member Services. Amerita Inc South Revere Parkway, Suite 200 Centennial, CO (800) Apria Healthcare 7910 Shaffer Parkway, Suite 100 Littleton, CO (888) Coram Alternate Site Services East Arapahoe Road, Suite A1 Centennial, CO (800) Kaiser Permanente - Home Infusion Pharmacy E. Centretech Parkway Aurora, CO (303) Kohler Professional Pharmacy 1007 Elkton Drive (719) Orsini Pharmaceutical Services Inc Nicholas Boulevard Elk GroveVillage, IL (847) Kaiser Permanente 2016 Pharmacy Directory

7 Preferred Homecare 6900 West Jefferson Avenue, Suite 125 Lakewood, CO (303) US Bioservices 501 West 44th Avenue Unit A Denver, CO (800) Walgreens Infusion Services 345 Inverness Drive South, Suite 140, Building A Englewood, CO (303) Long-Term Care 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. If you need more information, please contact Member Services. Advanced Pharmacy Services 4605 Quebec Street, Suite B-11 Denver, CO (303) Centre Pharmacy 915 Centre Avenue, Suite 4 Fort Collins, CO (970) Clearspring Pharmacy 7720 South Broadway, Suite 100 Littleton, CO (303) Clearspring Pharmacy 206 West County Line Road Highlands Ranch, CO (303) Clearspring Pharmacy 201 University Boulevard, Suite 105 Denver, CO (303) Colorado State Veteran Nursing Home Pharmacy 903 Moore Drive Florence, CO (719) Good Day Pharmacy 497 Denver Avenue Loveland, CO (970) Frontier Pharmacy 8941 Harlan Street Westminister, CO (303) Heartland Pharmacy Denver 8599 Prairie Trail Drive, Suite A300 Englewood, CO (208) Kohler Professional Pharmacy 1007 Elkton Drive (719) Omnicare of Golden West 6th Avenue, Suite 300 Golden, CO (303) Omnicare Pharmacy th Ave, Suite 1000 Kirkland, WA (425) Kaiser Permanente 2016 Pharmacy Directory 5

8 Omnicare of Pueblo 4602 Elizabeth Street, Suite 190 Pueblo, CO (719) PDC Pharmacy Colorado, Inc Nautilus Court S., Suite 101 Boulder, CO (303) Pharmerica Pharmacy 557 Burbank Street, Suite Q Broomfield, CO (303) Pharmerica Pharmacy 7808 Cherry Creek South Drive, Suite 205 Denver, CO (303) Pioneer Pharmacy LLC 1115 Elkton Drive, Suite 203 (303) Pioneer Pharmacy LLC 3895 Upham Street, Suite 60 Wheat Ridge, CO (303) QOL Meds 1250 North Wilson Avenue Loveland, CO (970) Terrascripts East Yale Avenue, Unit B Aurora, CO (303) Network Pharmacies Outside the Southern Colorado Area We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Biologics Inc. 120 Weston Oaks Court Cary, NC (800) Dohmen Life Science Services, LLC Chesterfield Airport Road Chesterfield, MO (636) Exempla Good Samaritan Medical Center 200 Exempla Circle Lafayette, CO (303) Exempla Lutheran Medical Center 8300 West 38th Avenue Wheat Ridge, CO (303) Fairview Riverside Pharmacy th Avenue South Minneapolis, MN (612) Fairview Specialty Services Pharmacy 711 Kasota Avenue Southeast Minneapolis, MN (612) Fairview University Discharge Pharmacy 500 Harvard Street Southeast Minneapolis, MN (612) *Members may obtain an extended supply of certain medications at these pharmacies in our network. 6 Kaiser Permanente 2016 Pharmacy Directory

9 Falk Pharmacy th Avenue, Room 211 Pittsburgh, PA (412) Kaiser Permanente - Arapahoe 5555 East Arapahoe Road Centennial, CO (303) Kaiser Permanente - Aurora Centrepoint East Exposition Avenue Aurora, CO (303) Kaiser Permanente - Baseline 580 Mohawk Drive Boulder, CO (303) Kaiser Permanente - Briargate 4105 Briargate Parkway, Suite 125 Colorado Springs, CO (719) Kaiser Permanente - Brighton 859 Fourth Avenue Brighton, CO (303) Kaiser Permanente - Castle Rock* 4318 Trail Boss Drive Castle Rock, CO (303) Kaiser Permanente - East Denver East Alameda Avenue Denver, CO (303) Kaiser Permanente - Englewood 2955 South Broadway Englewood, CO (303) Kaiser Permanente - Evergreen 2942 Evergreen Parkway Evergreen, CO (720) Kaiser Permanente Fort Collins* 2950 East Harmony Road Fort Collins, CO (970) Kaiser Permanente - Franklin 2045 Franklin Street Denver, CO (303) Kaiser Permanente Greeley* th Avenue Greely, CO (970) Kaiser Permanente - Hidden Lake 7701 Sheridan Boulevard Westminster, CO (303) Kaiser Permanente - Highlands Ranch 9285 Hepburn Street Highlands Ranch, CO (720) Kaiser Permanente - Ken Caryl 7600 Shaffer Parkway Littleton, CO (720) *Members may obtain an extended supply of certain medications at these pharmacies in our network. Kaiser Permanente 2016 Pharmacy Directory 7

10 Kaiser Permanente - Lakewood 8383 West Alameda Avenue Lakewood, CO (303) Kaiser Permanente - Lakewood Second Floor 8383 West Alameda Ave 2nd Floor Lakewood, CO (303) Kaiser Permanente - Lone Tree Outpatient Park Meadow Drive Lone Tree, CO (303) Kaiser Permanente - Lone Tree Surgery Park Meadow Drive Lone Tree, CO (303) Kaiser Permanente - Longmont 2345 Bent Way Longmont, CO (303) Kaiser Permanente Loveland Pharmancy* 4901 Thompson Parkway Loveland, CO (970) Kaiser Permanente - Parker South Parkglenn Way Parker, CO (720) Kaiser Permanente - Rock Creek 280 Exempla Circle Lafayette, CO (720) Kaiser Permanente - Skyline 1375 East 20th Avenue Denver, CO (303) Kaiser Permanente - Smoky Hill East Quincy Avenue Aurora, CO (303) Kaiser Permanente - Southwest 5257 South Wadsworth Boulevard Littleton, CO (303) Kaiser Permanente - Westminster Huron Street Westminster, CO (303) Kaiser Permanente - Wheat Ridge 4803 Ward Road Wheat Ridge, CO (303) Kirklin Clinic Pharmacy th Avenue South Birmingham, AL (205) *Members may obtain an extended supply of certain medications at these pharmacies in our network. 8 Kaiser Permanente 2016 Pharmacy Directory

11 Mayo Clinic Pharmacy 21 Second Street Southwest Rochester, MN (507) Mayo Clinic Pharmacy nd Street Southwest Rochester, MN (507) Mayo Hospital Outpatient Pharmacy 5777 East Mayo Boulevard Phoenix, AZ (480) Mayo Outpatient Pharmacy - Jacksonville 4500 San Pablo Road Jacksonville, FL (904) Mayo Pharmacy - Scottsdale East Shea Boulevard Scottsdale, AZ (480) MMS Solutions Phamacy 202 Cumberland Bend Nashville, TN (866) Ochsner Pharmacy & Wellness 1514 Jefferson Highway New Orleans, LA (504) Saint Joseph Hospital Outpatient Pharmacy 1835 Franklin Street Denver, CO (303) Seattle Cancer Care Alliance Pharmacy 825 Eastlake Avenue East, Suite G5900 Seattle, WA (206) Sky Ridge Pharmacy Ridge Gate Parkway, Suite 117A Lone Tree, CO (303) The Methodist Prescription Center 1801 North Senate Boulevard Indianapolis, IN (317) The Nebraska Medical Center Clinic Pharmacy Nebraska Medical Center Omaha, NE (402) UAB Specialty Pharmacy th Street South, 4th Floor Birmingham, AL (205) University Retail Pharmacy 550 North University Blvd., UH 1451 Indianapolis, IN (317) Walgreens Beach Boulevard Jacksonville, FL (904) Walgreens* 4327 Jefferson Highway Jefferson, LA (504) *Members may obtain an extended supply of certain medications at these pharmacies in our network. Kaiser Permanente 2016 Pharmacy Directory 9

12 Specialty Pharmacies Some drugs that require special handling and dispensing (e.g., high-cost specialty medications that are usually self-injected and used to treat complex or rare conditions) can only be obtained at certain specialty pharmacies listed below. Accredo Health Group Inc Commerce Street, Suite 104 Corona, CA (951) Accredo Health Group Inc Ericsson Drive, Suite 100 Warrendale, PA (724) Accredo Health Group Inc West Perimeter Road Indianapolis, IN (800) Accredo Health Group Inc Century Center Parkway, Suite 109 Memphis, TN (901) Accredo Health Group Inc Lee Vista Boulevard, Suite 100 Orlando, FL (407) Accredo Health Group Inc. 361 Inverness Drive South, Suite F Englewood, CO (303) Diplomat Specialty Pharmacy 1809 Excise Avenue, Suite Ontario, CA (909) Diplomat Specialty Pharmacy 4100 South Saginaw Street, Suite D Flint, MI (909) Express Scripts Specialty Distribution Services 8931 Springdale Avenue, Suite A Saint Louis, MO (866) Foundation Care LLC 4010 Wedgeway Court Earth City, MO (314) Anovorx Group Pharmacy 1710 N. Shelby Oaks Drive, Suite 2 Memphis, TN (901) Community Healhcare Services Redlands Boulevard, Suite D Loma Linda, CA (909) CVS Caremark Specialty Pharmacy 105 Mall Boulevard Monroeville, PA (800) Curascript Pharmacy Inc. 2 Boulder Circle, Suite 1 New Castle, DE (302) Kaiser Permanente 2016 Pharmacy Directory

13 Kaiser Permanente Specialty Drug Pharmacy 395 Hickey Boulevard, 2nd Floor Daly City, CA (650) Rx Crossroads, LLC Ormsby Park Place #500 Louisville, KY (502) Walgreens Specialty Pharmacy Haggerty Circle South Canton, MI (888) Walgreens Specialty Pharmacy 9775 Southwest Gemini Drive, Suite 1 Beaverton, OR (503) Walgreens Specialty Pharmacy 500 Noblesown Road, Suite 200 Carnegie, PA (412) Walgreens Specialty Pharmacy John W. Elliott Drive, Suite 100 Frisco, TX (800) Transplant Network Pharmacies outside the Southern Colorado Area We have network pharmacies outside of the service area where you can get your Medicarecovered transplant drugs and certain Part D medications as a member of our plan. Biologics Inc. 120 Weston Oaks Court Cary, NC (800) Cycstic Fibrosis Services John W. Elliot Drive, Suite 200 Frisco, TX (800) Fairview Riverside Pharmacy th Avenue South Minneapolis, MN (612) Fairview Specialty Services Pharmacy 711 Kasota Avenue Southeast Minneapolis, MN (612) Fairview University Discharge Pharmacy 500 Harvard Street Southeast Minneapolis, MN (612) Falk Pharmacy th Avenue, Room 211 Pittsburg, PA (412) Kirklin Clinic Pharmacy th Avenue South Birmingham, AL (205) Kaiser Permanente 2016 Pharmacy Directory 11

14 Mayo Clinic Pharmacy 21 Second Street Southwest Rochester, MN (507) Mayo Clinic Pharmacy nd Street Southwest Rochester, MN (507) Mayo Hospital Outpatient Pharmacy 5777 East Mayo Boulevard Phoenix, AZ (480) Mayo Outpatient Pharmacy - Jacksonville 4500 San Pablo Road Jacksonville, FL (904) UAB Specialty Pharmacy th Street South, 4th Floor Birmingham, AL (205) University Retail Pharmacy 550 North University Boulevard, UH 1451 Indianapolis, IN (317) Walgreens Beach Boulevard Jacksonville, FL (904) Walgreens 4327 Jefferson Highway Jefferson, LA (504) Mayo Pharmacy - Scottsdale East Shea Boulevard Scottsdale, AZ (480) Methodist Prescription Center 1801 North Senate Boulevard, Room 105 Indianapolis, IN (317) The Nebraska Medical Center Clinic Pharmacy Nebraska Medical Center Omaha, NE (402) Ochsner Pharmacy & Wellness 1514 Jefferson Highway New Orleans, LA (504) Seattle Cancer Care Alliance Pharmacy 825 Eastlake Avenue East, Suite G5900 Seattle, WA (206) Kaiser Permanente 2016 Pharmacy Directory

15 This pharmacy directory was updated on 07/2016. For more recent information or other questions, please contact Kaiser Permanente Member Services at or, for TTY users, 711, seven days a week, 8 a.m. to 8 p.m., or visit kp.org/seniormedrx. Beneficiaries generally must use network pharmacies to access their prescription drug benefit. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal. Kaiser Foundation Health Plan of Colorado E. Dakota Ave. Denver, CO kp.org/seniormedrx Please recycle SOCO 08/2016