2019 Pharmacy Directory

Size: px
Start display at page:

Download "2019 Pharmacy Directory"

Transcription

1 FLORIDA 2019 Pharmacy Directory This directory is for Duval County, Florida. This pharmacy directory was updated on January 16, For more recent information or other questions, please contact PHP (HMO SNP) Pharmacy Customer Service at (866) or, for TTY users, 711, 24 hours a day, seven days a week, or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Pharmacy Customer Service for updated provider information. The formulary and pharmacy network may change at any time. You will receive notice when necessary. PHP is an HMO plan with a Medicare contract. Enrollment in PHP depends on contract renewal. H3132_ Duval _C

2 Discrimination Is Against the Law PHP (HMO SNP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. PHP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. PHP: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o 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: o Qualified interpreters o Information written in other languages If you need these services, contact Member Services. If you believe that PHP 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: Member Services, P.O. Box 46160, Los Angeles, CA 90046, (888) , TTY 711, Fax (888) , You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, Member Services 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, DC , (TDD) Complaint forms are available at

3 ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele (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). ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para (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) ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : 711). PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 711). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 711). ملحوظة: إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (رقم ھاتف الصم والبكم: 711). ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (TTY: 711). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: 711). 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: 711) 번으로전화해주십시오. UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer (TTY: 711). ચન : જ તમ જર ત બ લત હ, ત ન: ક ભ ષ સહ ય સ વ ઓ તમ ર મ ટ ઉપલ ધ છ. ફ ન કર (TTY: 711). เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (TTY: 711).

4 Table of Contents Introduction... ii Retail Pharmacy... 1 Home Infusion Therapy Pharmacy... 8 Long Term Care Pharmacy... 9 Compounding Pharmacy Specialty Pharmacy i -

5 Introduction This booklet provides a list of PHP 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 PHP 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 PHP only if they are filled at a network pharmacy. 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 January 16, For the most current list, please contact us. Our contact information appears on the front and back cover pages. This directory is for Duval County, 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 pharmaicies in our plan network not listed in this directory, please contact us. Our contact information appears on the front and back cover pages. 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 us. - ii -

6 PHP Retail Pharmacy Network RETAIL PHARMACY DUVAL COUNTY ATLANTIC BEACH ZIP CODE: WALGREENS 2405 MAYPORT RD ATLANTIC BEACH, FL TEL: (904) EAST JACKSONVILLE ZIP CODE: COSTCO PHARMACY 4901 GATE PKWY EAST JACKSONVILLE, FL TEL: (904) JACKSONVILLE ZIP CODE: HARVEYS SUPERMARKET # MARKET ST JACKSONVILLE, FL TEL: (904) JACKSONVILLE ZIP CODE: OWENS PHARMACY 834 LOMAX ST JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # RIVERSIDE AVE JACKSONVILLE, FL TEL: (904) SETON PHARMACY 1 SHIRCLIFF WAY STE 1734 JACKSONVILLE, FL TEL: (904) ZIP CODE: CAREMAX PHARMACY 2789 PARK ST TEL: (904) CVS PHARMACY # NORMANDY BLVD TEL: (904) DUVAL PHARMACY NORMANDY BLVD STE 5 TEL: (904) LANE AVE PHARMACY 1233 LANE AVE SOUTH STE 9 TEL: (904) WALGREENS 7221 NORMANDY BLVD TEL: (904) WALGREENS # PARK ST TEL: (904) WALGREENS # CASSAT AVE TEL: (904) NORMANDY BLVD TEL: (904) NORMANDY BLVD TEL: (904) ZIP CODE: PREMIER PHARMACY 150 E 8TH ST JACKSONVILLE, FL TEL: (904) WALGREENS # N MAIN ST JACKSONVILLE, FL TEL: (904) ZIP CODE: CAN COMMUNITY HEALTH PHARMACY OF JACKSON 4615 PHILIPS HWY STE 3 TEL: (904) E- LYNK PHARMACY 5800 BEACH BLVD STE 105 TEL: (904) PUBLIX PHARMACY # ATLANTIC BLVD. TEL: (904) PUBLIX PHARMACY # CHILDRENS WAY TEL: (904) ROBERTS' SOUTH BANK PHARMACY, INC ATLANTIC BLVD. TEL: (904) WALGREENS # PRUDENTIAL DR TEL: (904) WALGREENS # PALM AVE STE 210 TEL: (407) PHILLIPS HWY TEL: (904)

7 PHP Retail Pharmacy Network ZIP CODE: ALL PEOPLES PHARMACY 4750 SOUTEL DR STE 7 JACKSONVILLE, FL TEL: (904) HARVEYS SUPERMARKET 201 W 48TH ST JACKSONVILLE, FL TEL: (904) JAX PHARMACY 9323 LEM TURNER RD JACKSONVILLE, FL TEL: (904) PANAMA PHARMACY 7307 MAIN ST JACKSONVILLE, FL TEL: (904) RITE-MART PHARMACY 5312 N PEARL ST JACKSONVILLE, FL TEL: (904) WALGREENS # LEM TURNER RD JACKSONVILLE, FL TEL: (904) WALGREENS # NORWOOD AVE JACKSONVILLE, FL TEL: (904) ZIP CODE: EDGEWOOD PHARMACY 5966 MONCRIEF RD STE 1 JACKSONVILLE, FL TEL: (904) HARVEYS SUPERMARKET 5250 MONCRIEF RD W JACKSONVILLE, FL TEL: (904) HARVEYS SUPERMARKET # W EDGEWOOD AVE JACKSONVILLE, FL TEL: (904) WALGREENS # N DAVIS ST JACKONSVILLE, FL TEL: (904) ZIP CODE: CARTERS ORTEGA PHARMACY INC 2923 CORINTHIAN AVE TEL: (904) CVS PHARMACY # SAN JUAN AVE TEL: (904) LAKE PHARMACY 5875 SAN JUAN AVE STE C TEL: (904) PUBLIX PHARMACY # RD ST STE 24 TEL: (904) PUBLIX PHARMACY # ROOSEVELT BLVE STE E 1 TEL: (904) RICKER PHARMACY RD ST STE 5 TEL: (904) WALGREENS # BLANDING BLVD TEL: (904) WALGREENS # RD ST TEL: (904) RD ST TEL: (904) WILSON BLVD TEL: (904) BLANDING BLVD TEL: (904) ZIP CODE: ARLINGTON PHARMACY 936 ARLINGTON RD.NORTH JACKSONVILLE, FL TEL: (904) CITIZEN PHARMACY 1545 UNIVERSITY BLVD N JACKSONVILLE, FL TEL: (844) CVS PHARMACY # ATLANTIC BLVD JACKSONVILLE, FL TEL: (904) CVS PHARMACY # ATLANTIC BLVD JACKSONVILLE, FL TEL: (904) PRESTON PHARMACY 6022 ATLANTIC BLVD JACKSONVILLE, FL TEL: (904)

8 PHP Retail Pharmacy Network TOWN AND COUNTRY PHARMACY LLC 939 UNIVERSITY BLVD N JACKSONVILLE, FL TEL: (904) WALGREENS # UNIVERSITY BLVD N JACKSONVILLE, FL TEL: (904) HUTCHINSON PARK DR JACKSONVILLE, FL TEL: (904) ZIP CODE: CVS PHARMACY # SOUTHSIDE BLVD TEL: (904) CVS PHARMACY # UNIVERSITY BLVD WEST TEL: (904) HALLIDAYS AND KOIVISTOS PHARMACY 4133 UNIVERSITY BLVD S STE 1 TEL: (904) HARVEYS SUPERMARKET # UNIVERSITY BLVD W TEL: (904) PRIME PHARMACY 3604 UNIVERSITY BLVD.S STE 102 TEL: (904) PUBLIX PHARMACY # DEERWOOD LAKE PKWY TEL: (904) SETON PHARMACY 4205 BELFORT RD STE #1003 TEL: (904) THE APOTHECARY AT MEMORIAL 3627 UNIVERSITY BLVD SOUTH STE 120 TEL: (904) WALGREENS # BEACH BLVD TEL: (904) BEACH BLVD TEL: (904) ZIP CODE: CVS PHARMACY # ST AUGUSTINE RD JACKSONVILLE, FL TEL: (904) JAXX PHARMACY 6055 SAINT AUGUSTINE RD JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # UNIVERSITY BLVD WEST JACKSONVILLE, FL TEL: (904) QUALITY SPECIALTY PHARMACY OF JACKSONVIL 6680 POWERS AVE UNIT 110 JACKSONVILLE, FL TEL: (904) WALGREENS # UNIVERSITY BLVD WEST JACKSONVILLE, FL TEL: (904) W UNIVERSITY BLVD JACKSONVILLE, FL TEL: (904) OLD KINGS RD SOUTH JACKSONVILLE, FL TEL: (904) ZIP CODE: CVS PHARMACY # DUNN AVE TEL: (904) CVS PHARMACY # DUVAL STATION RD TEL: (904) DUVAL PHARMACY 2386 DUNN AVE STE 117 TEL: (904) PUBLIX PHARMACY # DUVAL STATION RD STE 4 TEL: (904) SAMS PHARMACY BUSCH DR TEL: (904) WALGREENS # DUNN AVE STE 2 TEL: (904)

9 PHP Retail Pharmacy Network WALGREENS # N MAIN ST TEL: (904) WALGREENS # DUNN AVE TEL: (904) WALGREENS # LEM TURNER RD TEL: (904) LEM TURNER RD TEL: (904) CITY SQUARE DR TEL: (904) ZIP CODE: WALGREENS # SOUTEL DR JACKSONVILLE, FL TEL: (904) ZIP CODE: MARIETTA PHARMACY 8299 W BEAVER ST STE 5 JACKSONVILLE, FL TEL: (904) ZIP CODE: CVS PHARMACY # FOURAKER RD JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # NORMANDY BLVD JACKSONVILLE, FL TEL: (904) WALGREENS 8018 NORMANDY BLVD JACKSONVILLE, FL TEL: (904) NORMANDY BLVD JACKSONVILLE, FL TEL: (904) CHAFFEE RD S JACKSONVILLE, FL TEL: (904) ZIP CODE: CVS PHARMACY # CROSSHILL BLVD JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # ARGYLE FOREST BLVD JACKSONVILLE, FL TEL: (904) WALGREENS 9700 ARGYLE FOREST BLVD JACKSONVILLE, FL TEL: (904) ZIP CODE: PUBLIX PHARMACY # SAN JOSE BLVD JACKSONVILLE, FL TEL: (904) WALGREENS # OLDFIELD CROSSING DR JACKSONVILLE, FL TEL: (904) WALGREENS # SAN JOSE BLVD JACKSONVILLE, FL TEL: (904) SAN JOSE BLVD JACKSONVILLE, FL TEL: (904) SAN JOSE BLVD JACKSONVILLE, FL TEL: (904) ZIP CODE: CVS PHARMACY # BEACH BLVD JACKSONVILLE, FL TEL: (904) MAYO PHARMACY 4500 SAN PABLO RD JACKSONVILLE, FL TEL: (904) MEDTOWN PHARMACY BEACH BLVD STE 3 JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # HODGES BLVD JACKSONVILLE, FL TEL: (904) SMART PHARMACY 3740 SAINT JOHNS BLUFF RD S STE 19 JACKSONVILLE, FL TEL: (904) SP SAINT JOHNS BLUFF RD S STE 19 JACKSONVILLE, FL TEL: (904) WALGREENS # HODGES BLVD JACKSONVILLE, FL TEL: (904)

10 PHP Retail Pharmacy Network SAN PABLO RD S JACKSONVILLE, FL TEL: (904) ZIP CODE: CVS PHARMACY # MONUMENT RD TEL: (904) CVS PHARMACY # ATLANTIC BLVD TEL: (904) CVS PHARMACY # MONUMENT RD TEL: (904) MONUMENT PHARMACY MONUMENT RD TEL: (904) PUBLIX PHARMACY # ATLANTIC BLVD TEL: (904) PUBLIX PHARMACY # MERRILL RD TEL: (904) PUBLIX PHARMACY # MONUMENT RD TEL: (904) WALGREENS # MCCORMICK RD TEL: (904) WALGREENS # ATLANTIC TEL: (904) WALGREENS # ATLANTIC BLVD TEL: (904) ATLANTIC BLVD TEL: (904) ATLANTIC BLVD TEL: (904) ZIP CODE: WALGREENS # YELLOW BLUFF RD JACKSONVILLE, FL TEL: (904) ZIP CODE: ALL WELL PHARMACY 5452 BLANDING BLVD TEL: (904) COSTCO PHARMACY# PARRAMORE RD TEL: (425) CVS PHARMACY # BLANDING BLVD TEL: (904) CVS PHARMACY # BLANDING BLVD TEL: (904) CVS PHARMACY # ROOSEVELT BLVD TEL: (904) MEDSMART PHARMACY 7855 ARGYLE FOREST BLVD STE 801 TEL: (904) PUBLIX PHARMACY # ARGYLE FOREST BLVD TEL: (904) SAMS PHARMACY 6373 YOUNGERMAN CIRCLE TEL: (904) WALGREENS # TOWNSEND RD TEL: (904) COLLINS RD TEL: (904) ARGYLE FOREST BLVD TEL: (904) ROOSEVELT BLVD TEL: (904) ZIP CODE: CVS PHARMACY # BEACH BLVD JACKSONVILLE, FL TEL: (904)

11 PHP Retail Pharmacy Network CVS PHARMACY # TOWN CENTER PKWY JACKSONVILLE, FL TEL: (904) CVS PHARMACY # RIVER CITY DR JACKSONVILLE, FL TEL: (904) ON TRACK RX, LLC 2683 ST. JOHNS BLUFF RD STE 127 JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # BEACH BLVD STE 12 JACKSONVILLE, FL TEL: (904) PUBLIX PHARMACY # TOWN CENTER PKWY STE 100 JACKSONVILLE, FL TEL: (904) SAMS PHARMACY BEACH BLVD JACKSONVILLE, FL TEL: (904) WALGREENS # BEACH BLVD JACKSONVILLE, FL TEL: (904) ZIP CODE: PUBLIX PHARMACY # BEACH BLVD STE 6 JACKSONVILLE, FL TEL: (904) SMART PHARMACY BEACH BLVD STE 1 JACKSONVILLE, FL TEL: (904) WALGREENS # BEACH BLVD JACKSONVILLE, FL TEL: (904) ZIP CODE: OSTEENS PHARMACY 757 N EDGEWOOD AVE JACKSONVILLE, FL TEL: (904) PATHSTONE HEALTH SERVICES 5244 EDGEWOOD COURT STE 2 JACKSONVILLE, FL TEL: (866) ZIP CODE: CVS PHARMACY # BAY MEADOWS DR TEL: (904) CVS PHARMACY # BAYMEADOWS RD TEL: (904) CVS PHARMACY # SOUTHSIDE BLVD TEL: (904) FLORIDA SPECIALTY PHARMACY 7015 A C SKINNER PKWY STE 2 TEL: (904) OSSI'S APOTHECARY 9852 BAYMEADOWS RD TEL: (904) PUBLIX PHARMACY # BAYMEADOWS RD TEL: (904) WALGREENS # SOUTHSIDE BLVD TEL: (904) WALGREENS # BAYMEADOWS RD TEL: (904) BAYMEADOWS RD TEL: (904) BAYMEADOWS RD UNIT 12 TEL: (904) ZIP CODE: CVS PHARMACY # OLD SAINT AUGUSTINE RD TEL: (904) CVS PHARMACY # SAN JOSE BLVD TEL: (904) CVS PHARMACY # SAN JOSE BLVD TEL: (904) PUBLIX PHARMACY # OLD ST AUGUSTINE RD TEL: (904) PUBLIX PHARMACY # SAN JOSE BLVD STE 36 TEL: (904)

12 PHP Retail Pharmacy Network RXPERT #3 LLC 4239 SUNBEAM RD STE 1 TEL: (904) CVS PHARMACY # ROGERO RD TEL: (904) CVS PHARMACY # MARSH LANDING PKWY JACKSONVILLE BEACH, FL TEL: (904) WALGREENS # SAN JOSE BLVD TEL: (904) CVS PHARMACY # MERRILL RD TEL: (904) PUBLIX PHARMACY # MARSH LANDING PKWY JACKSONVILLE BEACH, FL TEL: (904) OLD SAINT AUGUSTINE RD TEL: (904) WELCOME PHARMACY CO SAN JOSE BLVD TEL: (904) ZIP CODE: PUBLIX PHARMACY # ST AUGUSTINE RD JACKSONVILLE, FL TEL: (904) WALGREENS # ST AUGUSTINE RD JACKSONVILLE, FL TEL: (904) SHOPS LANE JACKSONVILLE, FL TEL: (904) ZIP CODE: BENZER PHARMACY 6132 MERRILL RD STE 12 TEL: (904) CURE PHARMACY 7001 MERRILL RD STE 13 TEL: (904) PHARMACY PLUS, INC MERRILL RD STE 210 TEL: (904) PUBLIX PHARMACY # MERRILL RD TEL: (904) WALGREENS # MERRILL RD TEL: (904) WALGREENS # FORT CAROLINE RD TEL: (904) MERRILL RD STE 9 TEL: (904) JACKSONVILLE BEACH ZIP CODE: BEACH BLVD JACKSONVILLE BEACH, FL TEL: (904) ZIP CODE: CVS PHARMACY # S 3RD ST JACKSONVILLE BEACH, FL TEL: (904) WALGREENS # NORTH 3RD ST JACKSONVILLE BEACH, FL TEL: (904) NEPTUNE BEACH ZIP CODE: CVS PHARMACY # ATLANTIC BLVD NEPTUNE BEACH, FL TEL: (904) PUBLIX PHARMACY # ATLANTIC BLVD NEPTUNE BEACH, FL TEL: (904) WALGREENS # ATLANTIC BLVD NEPTUNE BEACH, FL TEL: (904) ATLANTIC BLVD NEPTUNE BEACH, FL TEL: (904)

13 PHP Home Infusion Pharmacy HOME INFUSION THERAPY PHARMACY DUVAL COUNTY JACKSONVILLE ZIP CODE: BAPTIST INFUSION THERAPY 3563 PHILIPS HWY STE 202 TEL: (904) BIOSCRIP INFUSION SERVICES 3986 BOULEVARD CENTER DR STE 1 TEL: (904) ZIP CODE: BRIOVARX INFUSION SERVICES 202 INC 9655 FLORIDA MINING BLVD WEST STE 411 TEL: (904) ZIP CODE: CORAM CVS/SPECIALTY INFUSION SERVICES 9143 PHILLIPS HWY STE 300 TEL: (904)

14 PHP Long-Term Care Pharmacy Network Residents of a long-term care facility may access their prescription drugs covered under PHP through the facility s long-term care pharmacy or another network long-term care pharmacy. LONG TERM CARE PHARMACY DUVAL COUNTY JACKSONVILLE ZIP CODE: GUARDIAN PHARMACY OF JACKSONVILLE 8001 BELFORT PKWY STE 160 TEL: (904) OMNICARE OF JACKSONVILLE 9143 PHILIPS HWY STE 533 TEL: (904) PHARMERICA 7970 BAY BERRY RD STE 4 TEL: (904) ZIP CODE: RIVER GARDEN HEBREW HOME OLD ST AUGUSTINE RD JACKSONVILLE, FL TEL: (904)

15 PHP Specialty / Compounding Pharmacy COMPOUNDING PHARMACY DUVAL COUNTY JACKSONVILLE BEACH ZIP CODE: NORTH BEACHES PHARMACY INC 730 BEACH BLVD STE 104 JACKSONVILLE BEACH, FL TEL: (904) SPECIALTY PHARMACY DUVAL COUNTY JACKSONVILLE ZIP CODE: AHF PHARMACY 2 SHIRCLIFF WAY STE 900 JACKSONVILLE, FL TEL: (904)

16 This pharmacy directory was updated on January 16, For more recent information or other questions, please contact PHP (HMO SNP) Pharmacy Customer Service at (866) or, for TTY users, 711, 24 hours a day, seven days a week, or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Pharmacy Customer Service for updated provider information.

Notice of Denial of Medical Coverage

Notice of Denial of Medical Coverage Important: This notice explains your right to appeal our decision. Read this notice carefully. If you need help, you can call one of the numbers listed on the last page under Get help & more information.

More information

2019 Formulary Monthly Notice of Change

2019 Formulary Monthly Notice of Change Updated: 03/01/2019 2019 Formulary Monthly Notice of Change Medicare Advantage Employer Group Plans (EGWP) This is a listing of the changes that have occurred to the 2019 MAPD formulary. For a complete

More information

2017 Pharmacy Directory

2017 Pharmacy Directory 2017 Pharmacy Directory This directory is for Duval County, Florida. This pharmacy directory was updated on June 16, 2017. For more recent information or other questions, please contact PHP (HMO SNP) Pharmacy

More information

macy or other /provider-find. renewal. call711.

macy or other /provider-find. renewal. call711. 2016 Pharm macy Directory This directory is for Duval County, Florida. This pharmacy directory was updated on October 6,, 2015. Forr more recent information or other questions, please contact PHP (HMO

More information

Preventive Health Care Guide Adults. Save and share with your doctor! Primary Care Office Visits. Screening Schedule. Immunization Schedule

Preventive Health Care Guide Adults. Save and share with your doctor! Primary Care Office Visits. Screening Schedule. Immunization Schedule Preventive Health Care Guide 2016 2017 At any stage of life, it s important to make your health a priority. That means making healthy lifestyle choices and seeing your doctor regularly. The charts on the

More information

APPOINTMENT OF REPRESENTATIVE

APPOINTMENT OF REPRESENTATIVE PO Box 31368 Tampa, FL 33631-3368 APPOINTMENT OF REPRESENTATIVE Name: Member number: Reference/Case number: PART 1 --- APPOINTMENT OF REPRESENTATIVE (to be filled out by member) I allow (Name of person

More information

2019 Summary of Benefits Medicare Prescription Drug Plans. BlueMedicare Value Rx (PDP) S

2019 Summary of Benefits Medicare Prescription Drug Plans. BlueMedicare Value Rx (PDP) S 2019 Summary of Benefits Medicare Prescription Drug Plans BlueMedicare Value Rx (PDP) S5904-006 January 1, 2019 December 31, 2019 The plan s service area includes: State of Florida 1 Y0011_92839_M 0818

More information

2018 Formulary Annual Notice of Change

2018 Formulary Annual Notice of Change Updated: October 1, 2017 2018 Formulary Annual Notice of Change Medicare Advantage Plans (MAPD) This is a listing of the changes that have occurred to the 2018 MAPD formulary. For a complete list, please

More information

Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and

Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and Accessibility Requirements and Nondiscrimination Statement: Discrimination is Against the Law Radiologic Associates, PC complies

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE LIVE HEALTHY ENJOY REWARDS GCHJMJXEN 0916 Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Summary of Benefits. Humana Walmart Rx Plan (PDP) State of North Carolina. Our service area includes the following state(s): North Carolina.

Summary of Benefits. Humana Walmart Rx Plan (PDP) State of North Carolina. Our service area includes the following state(s): North Carolina. SBOSB026 2018 Summary of Benefits Humana Walmart Rx Plan (PDP) State of North Carolina Our service area includes the following state(s): North Carolina. Other pharmacies are available in our network. GNHH4HIEN_18

More information

Dental Blue 65. Outline of Coverage. Dental Blue 65 Preventive Dental Blue 65 Basic Dental Blue 65 Premier Effective January 1, 2017

Dental Blue 65. Outline of Coverage. Dental Blue 65 Preventive Dental Blue 65 Basic Dental Blue 65 Premier Effective January 1, 2017 Dental Blue 65 Outline of Coverage Policy Number: DENT SR (1 1 2012) Read your subscriber certificate carefully. This disclosure statement is a very brief summary of your dental plan. The plan itself sets

More information

Community Care Family Care Partnership Program (HMO SNP) (Community Care) 2019 Pharmacy Directory

Community Care Family Care Partnership Program (HMO SNP) (Community Care) 2019 Pharmacy Directory Community Care Family Care Partnership Program (HMO SNP) (Community Care) 2019 Pharmacy Directory This pharmacy directory is updated monthly For more recent information or other questions, please contact

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE LIVE HEALTHY ENJOY REWARDS GCHJMJXEN 0916 Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

SELECTIONS. Welcome to the UPMC MyHealth Selections program

SELECTIONS. Welcome to the UPMC MyHealth Selections program SELECTIONS Welcome to the UPMC MyHealth Selections program Congratulations on taking this step toward a healthier lifestyle! By taking part in the UPMC MyHealth Selections program you are showing that

More information

2019 Over-the-Counter Drugs and Vitamins - Puerto Rico*

2019 Over-the-Counter Drugs and Vitamins - Puerto Rico* 209 Over-the-Counter Drugs and Vitamins - Puerto Rico* Federal Employees Health Benefits Program Effective January, 209 OVER-THE COUNTER COVERAGE FOR PUERTO RICO CATEGORY PRODUCT LIMIT Allegra-D 2 Hour

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE GCHJMJXEN 0916 LIVE HEALTHY ENJOY REWARDS Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Getting to the BOTTOM OF BACK PAIN

Getting to the BOTTOM OF BACK PAIN Getting to the BOTTOM OF BACK PAIN What You Should Know About Low Back Pain Do I Need an X-ray? According to the American College of Physicians, most people with low back pain feel better after a month

More information

Your Feelings Matter WITH TYPE 2 DIABETES

Your Feelings Matter WITH TYPE 2 DIABETES Your Feelings Matter WITH TYPE 2 DIABETES A new diagnosis of type 2 diabetes may trigger a range of emotions from minor stress to major depression. Recognizing and addressing emotional reactions can play

More information

Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC

Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC Sore Throat or Strep? ALWAYS GET A STREP TEST BEFORE TAKING AN ANTIBIOTIC What is Strep? Strep or strep throat is also known as Streptococcal Pharyngitis. Pharyngitis is a type of sore throat and is a

More information

Take Charge of YOUR COPD

Take Charge of YOUR COPD Take Charge of YOUR COPD You are the Key Did you know that Chronic Obstructive Pulmonary Disease (COPD) Flare-Ups cause your COPD to progress faster and shorten your life? The key is managing your COPD

More information

Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK?

Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK? Life After a Heart Attack WHAT ARE MY CHANCES OF HAVING ANOTHER HEART ATTACK? A previous heart attack increases your risk of having a second one. However, you can make changes to prevent a second heart

More information

Kadlec Regional Medical Center 0118 KMC-002B

Kadlec Regional Medical Center 0118 KMC-002B Kadlec Regional Medical Center 0118 KMC-002B Washington ASO KMC-002B Kadlec HSA 10/25/50/3000 1500d Kadlec Regional Medical Center 0118 KMC-002B Washington ASO KMC-002B Kadlec HSA 10/25/50/3000 1500d n

More information

GCHJUV2EN Member Registration Guide

GCHJUV2EN Member Registration Guide GCHJUV2EN 0417 Member Registration Guide Go365 Trilogy Member Registration Instructions Two Ways to Register for Go365 1. Go365.com 2. Go365 App (available in the Apple and Google Play Stores) Select the

More information

Living with DIABETES

Living with DIABETES Living with DIABETES Mark Your Calendar Regular tests and screenings can ensure you re on the right track with your Diabetes. You should complete the following screenings at least once or twice a year:

More information

There are 2 kinds of appeals with Blue Cross of Idaho Care Plus

There are 2 kinds of appeals with Blue Cross of Idaho Care Plus You have the right to appeal our decision You have the right to ask Blue Cross of Idaho Care Plus to review our decision by asking us for an appeal. If you lose the Medicaid services appeal with Blue Cross

More information

Description of Benefits and Copayments. AvMed Medicare. Broward / Miami-Dade Counties

Description of Benefits and Copayments. AvMed Medicare. Broward / Miami-Dade Counties Description of Benefits and Copayments AvMed Medicare Broward / Miami-Dade Counties Delta Dental DeltaCare USA 2017 Section 1 Introduction How to use the DeltaCare USA Plan - Choice of Contract Dentist

More information

COMPOUNDED PRESCRIPTION DRUG PRODUCTS

COMPOUNDED PRESCRIPTION DRUG PRODUCTS COMPOUNDED PRESCRIPTION DRUG PRODUCTS UTILIZATION MANAGEMENT CRITERIA COVERAGE AUTHORIZATION CRITERIA Compounded drug products whose total prescription ingredient cost is $200 or more are covered only

More information

TRANSITION OF CARE APPLICATION

TRANSITION OF CARE APPLICATION Dear Member: Thank you for enrolling in MedStar Medicare Choice. You may currently be receiving services from healthcare providers that are not part of the MedStar Medicare Choice Provider Network. An

More information

Health TALK. Mammograms save lives. Plan to quit.

Health TALK. Mammograms save lives. Plan to quit. Health TALK FALL 2018 Plan to quit. Every November, the Great American Smokeout asks everyone to quit smoking. You can quit for just that one day. Or it could be the fi rst day of a permanent, healthy

More information

Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused or expired prescription drugs.

Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused or expired prescription drugs. 1 GRAB-AND-GO EMPLOYEE EDUCATION CAMPAIGN HOW-TO GUIDE National Prescription Drug Take-Back Day Expand your employees health care literacy by educating them about safe and simple ways to dispose of unused

More information

Complete. Pennsylvania. How your plan works. Calendar year deductible This is the amount you will pay out-of-pocket for services in a calendar year

Complete. Pennsylvania. How your plan works. Calendar year deductible This is the amount you will pay out-of-pocket for services in a calendar year Complete Individual Dental Pennsylvania About your plan Good health starts with a healthy mouth. Regular dental exams and cleanings can lower the risk of gum disease, which is linked to heart disease,

More information

Optional Supplemental Benefits Gold Benefits Enrollment Form

Optional Supplemental Benefits Gold Benefits Enrollment Form Optional Supplemental Benefits Gold Benefits Enrollment Form Health Net Medicare Advantage Plans Health Net offers optional supplemental benefits Gold Benefits for an additional monthly premium to our

More information

Member Registration Guide GCHJUV2EN 0117

Member Registration Guide GCHJUV2EN 0117 Member Registration Guide GCHJUV2EN 0117 This guide covers Go365 registration based on two member types. Reference the applicable slides based on member type: 1. Humana Medical Members (members who have

More information

2018 PDP Summary of Benefits

2018 PDP Summary of Benefits 2018 PDP Summary of Benefits Contracts S5540-002, S5540-004 January 1, 2018 December 31, 2018, SM Marks of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield of North Carolina is an

More information

Regence makes it easy

Regence makes it easy Regence makes it easy Regence BlueShield is changing the way people experience health care by removing friction from the system and making it easier to navigate. When you have Regence as your health plan,

More information

Our dental plan for individuals age 65 and over

Our dental plan for individuals age 65 and over 2017 Dental plan information Our dental plan for individuals age 65 and over bcbsnc.com/dentalblueseniors What you get 1 + Affordable premiums with easy ways to pay + No wait for preventive services (which

More information

IN THIS ISSUE MEMBER NEWSLETTER AUGUST Dear Amida Care Members,

IN THIS ISSUE MEMBER NEWSLETTER AUGUST Dear Amida Care Members, MEMBER NEWSLETTER AUGUST 2017 Dear Amida Care Members, With this new, shortened member newsletter format, we are reaching out to you with clear, simple messages that cut right to the chase. Whether we

More information

Luana i ke ola maika i

Luana i ke ola maika i OCTOBER 2018 Luana i ke ola maika i Enjoying good health Tips for a lifetime of good health and well-being are here. IN THIS ISSUE: Open Enrollment: Stick With HMSA We re More than What You d Expect We

More information

Kaiser Permanente 2018 Pharmacy Directory

Kaiser Permanente 2018 Pharmacy Directory Kaiser Permanente 2018 Pharmacy Directory This pharmacy directory was updated on 08/2017. For more recent information or other questions, please contact Kaiser Permanente Member Services at 1-800-232-4404

More information

Personal Dental Coverage with Optional VisionBlueSM. Affordable Dental Plans for Individuals of All Ages

Personal Dental Coverage with Optional VisionBlueSM. Affordable Dental Plans for Individuals of All Ages Personal Dental Coverage with Optional VisionBlueSM Affordable Dental Plans for Individuals of All Ages When it comes to maintaining a healthy body, a good place to start is a healthy mouth. BlueCross

More information

SENSIPAR 1 (CINACALCET) UTILIZATION MANAGEMENT CRITERIA

SENSIPAR 1 (CINACALCET) UTILIZATION MANAGEMENT CRITERIA SENSIPAR 1 (CINACALCET) UTILIZATION MANAGEMENT CRITERIA DRUG CLASS: Calcium-Sensing Receptor Agonist BRAND (generic) NAMES: Sensipar (cinacalcet) 30 mg, 60 mg, 90 mg strength tablets FDA-APPROVED INDICATIONS

More information

Affordable Care Act Section 1557 Nondiscrimination Policy for Kentucky

Affordable Care Act Section 1557 Nondiscrimination Policy for Kentucky 1. Nondiscrimination Notice and Accessibility Requirements. ENT & Allergy Specialists will take reasonable steps to ensure that persons with Limited English Proficiency (LEP) have meaningful access and

More information

Federal DentalBlue. Standard and Basic Options

Federal DentalBlue. Standard and Basic Options Federal DentalBlue Standard and Basic Options Effective January 1, 2018 Federal DentalBlue Standard Option 2018 Deductible Maximum Benefit Diagnostic and Preventive Basic Restorative Services Endodontics,

More information

Delta Dental benefit summary

Delta Dental benefit summary Delta Dental benefit summary To find a, visit deltadentalin.com/finda and use the search tool in the blue box for Medicare Advantage PPO and Medicare Advantage Premier Providers. You may also call customer

More information

A healthy smile just got easier with our dental benefit!

A healthy smile just got easier with our dental benefit! A healthy smile just got easier with our dental benefit! 2018 TX MMP ACCESS How do I access the benefit? A ENEFIT As a member of the Molina Dual Options STAR+PLUS MMP, you get the added benefit of supplemental

More information

Page 1. Utilization Management Policy Name: Topical Tretinoin Products Restricted Product(s): Unrestricted/Suggested Alternative(s):

Page 1. Utilization Management Policy Name: Topical Tretinoin Products Restricted Product(s): Unrestricted/Suggested Alternative(s): Utilization Management Policy Name: Topical Tretinoin Products Restricted Product(s): All topical tretinoin containing products require medical necessity review Atralin (tretinoin) Altreno (tretinoin)

More information

Healthy Moves. A better flu season for you

Healthy Moves. A better flu season for you Fall/Winter 2017 Healthy Moves A better flu season for you Adults 65 years of age and older are a higher risk for getting and developing serious risks from the flu. Some of the risks are bronchitis, sinus

More information

The benefit of knowing

The benefit of knowing The benefit of knowing Genetic testing for familial hypercholesterolemia (FH) A patient support guide 2 Does high cholesterol run in your family? In some families, high cholesterol is caused by familial

More information

Doxazosin Dutasteride Finasteride Tamsulosin Viagra (sildenafil) benefit limitations apply

Doxazosin Dutasteride Finasteride Tamsulosin Viagra (sildenafil) benefit limitations apply Utilization Management Policy Name: Cialis Restricted Product(s): Cialis (tadalafil) Tadalafil (Cialis) (for BPH) Unrestricted Suggested Alternative(s): Doxazosin Dutasteride Finasteride Tamsulosin Viagra

More information

Member Matters Newsletter

Member Matters Newsletter Member Matters Newsletter 2017 Winter Issue IN THIS ISSUE 2 A New Year with Premier HealthOne 2 Is it Time to See Your Doctor? 3 Chicken & White Bean Soup 4-5 Preventive Health Checklist 6-7 Recognizing

More information

ENHANCED FORMULARY for Medicare Plus Group Members

ENHANCED FORMULARY for Medicare Plus Group Members ENHANCED FORMULARY for Medicare Plus Group Members H2150_EG_17_38 Kaiser Permanente 2018 Medicare Plus enhanced formulary for group members DRUG NAME DRUG TIER REQUIRE MENTS/ LIMITS ANTICHOLINERGICS ANTIMUSCARINICS/ANTISPASMODICS

More information

BUPROPION/NALTREXONE (Contrave 1 ) LORCASERIN (Belviq 1, Belviq XR 1 ) PHENTERMINE/TOPIRAMATE ER (Qsymia 1 )

BUPROPION/NALTREXONE (Contrave 1 ) LORCASERIN (Belviq 1, Belviq XR 1 ) PHENTERMINE/TOPIRAMATE ER (Qsymia 1 ) BUPROPION/NALTREXONE (Contrave 1 ) LORCASERIN (Belviq 1, Belviq XR 1 ) PHENTERMINE/TOPIRAMATE ER (Qsymia 1 ) UTILIZATION MANAGEMENT CRITERIA DRUG CLASS: Obesity BRAND (generic) NAMES: Belviq (lorcaserin)

More information

UTILIZATION MANAGEMENT CRITERIA

UTILIZATION MANAGEMENT CRITERIA Proprotein Convertase Subtilisin Kexin Type 9 (PCSK9) Inhibitors UTILIZATION MANAGEMENT CRITERIA DRUG CLASS: PCSK9 Inhibitor BR (generic) NAMES: Praluent 1 (alirocumab) 75 mg/ml; 150 mg/ml Repatha 1 (evolocumab)

More information

Josette E. Spotts, MD, FACS W. Warm Springs Road, Suite 105 Henderson, NV Tel: Fax:

Josette E. Spotts, MD, FACS W. Warm Springs Road, Suite 105 Henderson, NV Tel: Fax: Josette E. Spotts, MD, FACS 1485 W. Warm Springs Road, Suite 105 Henderson, NV 89014 Tel: 702.990.6360 Fax: 702.990.6363 Patient Name: Date: Age: Referred by: Reason for visit: Patient Name: Medical History

More information

Say hello to Go365 by Humana for Medicare members

Say hello to Go365 by Humana for Medicare members Say hello to by Humana for Medicare members is the wellness program personalized just for you, and rewards you for making healthier choices. You are already enrolled! Follow these easy steps to get started:

More information

CONTACT PERSON PRESCRIBER PHONE PRESCRIBER FAX. PRESCRIBER ADDRESS CITY STATE ZIP Formulary Drug? Yes No

CONTACT PERSON PRESCRIBER PHONE PRESCRIBER FAX. PRESCRIBER ADDRESS CITY STATE ZIP Formulary Drug? Yes No ORAL DRUGS FOR PULMONARY ARTERIAL HYPERTENSION (PAH) BOSENTAN (Tracleer ), AMBRISENTAN (Letairis ), SILDENAFIL (Revatio ), TADALAFIL (Adcirca ), RIOCIGUAT (Adempas ), MACITENTAN (Opsumit ), TREPROSTINIL

More information

GET REWARDED. by connecting your fitness device to Go365 COMPATIBLE FITNESS DEVICES GCHJHTFEN 0718

GET REWARDED. by connecting your fitness device to Go365 COMPATIBLE FITNESS DEVICES GCHJHTFEN 0718 COMPATIBLE FITNESS DEVICES GET REWARDED by connecting your fitness device to Go365 GCHJHTFEN 0718 EARN POINTS USING DEVICES FROM THESE MANUFACTURERS Points awarded for verified workouts available on Go365.com

More information

Healthy Moves. Top Five Tips for Aging Better. Summer 2017

Healthy Moves. Top Five Tips for Aging Better. Summer 2017 Summer 2017 Healthy Moves Top Five Tips for Aging Better Aging is a natural process. Although, you cannot stop the clock, you can make the process smoother. Here are five tips to help you age better: 1.

More information

2019 Pharmacy Directory

2019 Pharmacy Directory 2019 Pharmacy Directory This Pharmacy Directory was updated on 02/01/2019 This directory is for: Denver County Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory

More information

CheckUp. Today. Free Diabetes Education Class. Sign Up. Fall More Diabetes Tips

CheckUp. Today. Free Diabetes Education Class. Sign Up. Fall More Diabetes Tips CheckUp Fall 2018 Sign Up Today Protect your good health by attending the free Healthy Living with Diabetes class. Here are the upcoming class dates in Madison: September 26 November 1, 2018 5 7:30 pm

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0916 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE GCHJMJXEN 0916 LIVE HEALTHY ENJOY REWARDS Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Get $150 back! WELL-BEING. Start your well-being journey today! Complete 120 workouts at an approved fitness center ACHIEVE

Get $150 back! WELL-BEING. Start your well-being journey today! Complete 120 workouts at an approved fitness center ACHIEVE ACHIEVE WELL-BEING Get $150 back! Complete 120 workouts at an approved fitness center Looking for motivation to exercise? The Healthy LifestylesSM fitness program will reimburse you $150 for working out

More information

Preventive Care Guide

Preventive Care Guide Preventive Care Guide Kern Family Health Care wants you to get good health care. These preventive care guidelines help you stay healthy by preventing diseases or by finding them early on. Preventive care

More information

ASO core offerings. Self-funded groups, sized 51 99

ASO core offerings. Self-funded groups, sized 51 99 ASO core offerings Self-funded groups, sized 51 99 2 Regence ASO core offerings Under an ASO self-funded arrangement, you define the ideal balance between control and risk. With Regence ASO, you can rely

More information

Pediatric Benefits. Affordable Care Act Plans. Dental Coverage Vision Coverage

Pediatric Benefits. Affordable Care Act Plans. Dental Coverage Vision Coverage Pediatric Benefits Affordable Care Act Plans Dental Coverage Vision Coverage Pediatric Coverage The Affordable Care Act requires vision and dental coverage for children (dependents) 18 years and younger.

More information

SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO)

SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO) 2017 SUMMARY OF BENEFITS HEALTHTEAM ADVANTAGE PLAN I (PPO) HEALTHTEAM ADVANTAGE PLAN II (PPO) HealthTeam Advantage, a product of Care N Care Insurance Company of North Carolina, Inc., is a Medicare Advantage

More information

Healthy. Now. vaccines? Is your child up to date on. page 4. Keep blood pressure in check with this healthy low-sodium recipe.

Healthy. Now. vaccines? Is your child up to date on. page 4. Keep blood pressure in check with this healthy low-sodium recipe. Healthy SPRING 2017 Now www.amerihealthcaritasia.com Is your child up to date on vaccines? page 4 Keep blood pressure in check with this healthy low-sodium recipe. See page 6 Tips for caregivers 2 Kids

More information

BETTER HEALTH STRONGER COMMUNITIES

BETTER HEALTH STRONGER COMMUNITIES BETTER HEALTH STRONGER COMMUNITIES 1 VIRTUA 2016 COMMUNITY BENEFIT REPORT OUR MISSION: Virtua helps you be well, get well and stay well. As a non-profit healthcare system, Virtua brings life-changing resources

More information

Family and Self Health History for Genetic Counseling. Your Personal Health History

Family and Self Health History for Genetic Counseling. Your Personal Health History Family and Self Health History for Genetic Counseling Your Personal Health History NAME: DATE OF BIRTH: 1. Your weight: (pounds) Your height: feet inches 2. Have you ever had cancer? YES NO If YES, please

More information

One mission: you Dental Plans. for Groups. Policy Form Numbers: (11-09) (11-09) (09-12) (01-15) Form No.

One mission: you Dental Plans. for Groups. Policy Form Numbers: (11-09) (11-09) (09-12) (01-15) Form No. One mission: you 2017 Dental Plans for Groups Form No. 15-022 (10-16) Policy Form Numbers: 3-229 (11-09) 3-141 (11-09) 3-202 (09-12) 18-083 (01-15) B BLUE CROSS OF IDAHO HEALTH INSURANCE PLANS / DENTAL

More information

Healthy Kids Dental Handbook

Healthy Kids Dental Handbook Healthy Kids Dental Handbook Healthy Kids Dental (HKD) is a partnership between the Michigan Department of Health and Human Services and Delta Dental of Michigan for Medicaid-eligible children. This handbook

More information

Warfarin. (Coumadin, Jantoven ) Taking your medication safely

Warfarin. (Coumadin, Jantoven ) Taking your medication safely Warfarin (Coumadin, Jantoven ) Taking your medication safely Welcome This booklet is designed to provide you with important information about warfarin to help you take this medication safely and effectively.

More information

TRIPTAN RESTRICTED ACCESS; QUANTITY LIMIT EXCEPTION CERTIFICATION FAX REQUEST FORM

TRIPTAN RESTRICTED ACCESS; QUANTITY LIMIT EXCEPTION CERTIFICATION FAX REQUEST FORM TRIPTAN RESTRICTED ACCESS; QUANTITY LIMIT EXCEPTION CERTIFICATION FAX REQUEST FORM INCOMPLETE FORMS MAY DELAY PROCESSING ALL NC PROVIDERS MUST PROVIDE THEIR 5 DIGIT Blue Cross NC PROVIDER ID# BELOW PRESCRIBER

More information

The FitnessCoach Program

The FitnessCoach Program The FitnessCoach Program Learn how to improve your health and use our tools to do it. THE RIGHT FIT FOR YOU This program gives you: No-cost memberships* at local participating fitness centers or YMCAs

More information

ASO core offerings. Self-funded groups, sized 100+

ASO core offerings. Self-funded groups, sized 100+ ASO core offerings Self-funded groups, sized 100+ 2 Regence ASO core offerings Under an ASO self-funded arrangement, you define the ideal balance between control and risk. With Regence ASO, you can rely

More information

ATYPICAL ANTIPSYCHOTICS

ATYPICAL ANTIPSYCHOTICS ATYPICAL ANTIPSYCHOTICS UTILIZATION MANAGEMENT CRITERIA DRUG CLASSES: Second Generation (Atypical) Antipsychotics BRAND (generic) NAMES: Restricted Access Agents: Abilify Discmelt (aripiprazole), Fanapt

More information

Notice of Receipt of Appeal/Grievance Macomb County Community Mental Health (MCCMH)

Notice of Receipt of Appeal/Grievance Macomb County Community Mental Health (MCCMH) Notice of Receipt of Appeal/Grievance Macomb County Community Mental Health (MCCMH) Important: Read this notice carefully. If you need help, you can call one of the numbers listed on the next page under

More information

2018 Pharmacy Directory

2018 Pharmacy Directory 2018 Pharmacy Directory This Pharmacy Directory was updated on 08/01/2018 For more information, please contact Denver Health Medical Plan, Inc. Member Services at 1-877-956-2111. TTY users call 711. Our

More information

MORE FROM LIFE ALL YOU NEED IS LOVE. GET THE MOST FROM YOUR CIGNA PLAN Reminders, tips and terms to know

MORE FROM LIFE ALL YOU NEED IS LOVE. GET THE MOST FROM YOUR CIGNA PLAN Reminders, tips and terms to know A magazine from Cigna Medicare Services Spring 2018 MORE FROM LIFE GET THE MOST FROM YOUR CIGNA PLAN Reminders, tips and terms to know page 4 ALL YOU NEED IS LOVE How pets can help us heal page 12 WHAT

More information

Humana Dental State of Florida Employees

Humana Dental State of Florida Employees Humana Dental State of Florida Employees Plans to choose from Select 15 Prepaid Schedule B Indemnity FLHHB32HH 0717 Two plans to choose from Humana is pleased to offer you two dental plans to choose from

More information

Solutions Fitness Program

Solutions Fitness Program Healthy LifestylesSM Solutions Fitness Program With Independence Blue Cross Fitness Program you can get up to $150 back You don t have to enroll in the Healthy Lifestyles Solutions Fitness Program to become

More information

Luana i ke ola maika i

Luana i ke ola maika i SEPTEMBER 2017 / VOLUME 14 / ISSUE 2 Luana i ke ola maika i Enjoying good health IN THIS ISSUE Mahalo, HMSA Members! Plus 3 Steps to a Better You Tell us What You Think Fun Family Fall Recipes HMSA QUEST

More information

FRM016178CO00 (10/17)

FRM016178CO00 (10/17) Y0020_18_2827FORM_3836_CHI Accepted 07302017 FRM016178CO00 (10/17) Health Net complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin,

More information

ATTENTION- DEFICIT HYPERACTIVITY DISORDER (ADHD) PRIOR REVIEW/CERTIFICATION FAXBACK FORM

ATTENTION- DEFICIT HYPERACTIVITY DISORDER (ADHD) PRIOR REVIEW/CERTIFICATION FAXBACK FORM ATTENTION- DEFICIT HYPERACTIVITY DISORDER (ADHD) PRIOR REVIEW/CERTIFICATION FAXBACK FORM INCOMPLETE FORMS MAY DELAY PROCESSING ALL NC PROVIDERS MUST PROVIDE THEIR 5-DIGIT Blue Cross NC PROVIDER ID# BELOW

More information

Appeals & Grievances Department REQUEST FOR RECONSIDERATION (APPEAL) Part C MEMBER NAME: HNET Member ID Number:

Appeals & Grievances Department REQUEST FOR RECONSIDERATION (APPEAL) Part C MEMBER NAME: HNET Member ID Number: Health Net Medicare Programs P.O. Box 10344 Van Nuys, CA 91410-0344 Phone: 1-800-431-9007 TTY: 711 Fax: 1-877-713-6189 Health Net Medicare Programs Appeals & Grievances Department REQUEST FOR RECONSIDERATION

More information

Notice of Appeal Approval Macomb County Community Mental Health (MCCMH)

Notice of Appeal Approval Macomb County Community Mental Health (MCCMH) Notice of Appeal Approval Macomb County Community Mental Health (MCCMH) Important: This notice explains the results of your appeal. Read this notice carefully. If you need help, you can call one of the

More information

CCCN Patient Questionnaire

CCCN Patient Questionnaire CCCN Patient Questionnaire Date: Patient Name: Age: Referred by: Primary Care Physician: Please provide names and phone numbers of your physicians (primary care, medical oncologist, surgeon, etc.): Reason

More information

NOTICE OF ADVERSE BENEFIT DETERMINATION Macomb County Community Mental Health (MCCMH)

NOTICE OF ADVERSE BENEFIT DETERMINATION Macomb County Community Mental Health (MCCMH) NOTICE OF ADVERSE BENEFIT DETERMINATION Macomb County Community Mental Health (MCCMH) Important: This notice explains your internal appeal rights. Read this notice carefully. If you need help with this

More information

Notice of Grievance Resolution Macomb County Community Mental Health (MCCMH)

Notice of Grievance Resolution Macomb County Community Mental Health (MCCMH) Notice of Grievance Resolution Macomb County Community Mental Health (MCCMH) Important: Read this notice carefully. If you need help, you can call one of the numbers listed on the next page under Get help

More information

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0417

Ready. Set. CAPTURE LIFE REWARDS. Earn plenty of Points. GET ACTIVE ENJOY LIVE HEALTHY REWARDS GCHJMJXEN 0417 Ready. Set. CAPTURE LIFE REWARDS Earn plenty of Points. GET ACTIVE GCHJMJXEN 0417 LIVE HEALTHY ENJOY REWARDS Say hello to Go365. It s your personalized wellness and rewards program. Getting healthier is

More information

Health Net Transition of Care Form. Welcome to Health Net! To be completed by agent: New member medical care checklist. Agent name M M D D Y Y Y Y

Health Net Transition of Care Form. Welcome to Health Net! To be completed by agent: New member medical care checklist. Agent name M M D D Y Y Y Y Health Net Transition of Care Form To be completed by agent: Agent name Health plan name Health plan start date New member medical care checklist Welcome to Health Net! As a new Health Net member, we want

More information

ENJOY DR. TARA M. BRYANT THE ALL ABOUT YOU ISSUE! A Message from NEED HELP WITH HEARING AID COSTS? How to have your prescriptions

ENJOY DR. TARA M. BRYANT THE ALL ABOUT YOU ISSUE! A Message from NEED HELP WITH HEARING AID COSTS? How to have your prescriptions ENJOY THE ALL ABOUT YOU ISSUE! NEED HELP WITH HEARING AID COSTS? PAGE 7 How to have your prescriptions DELIVERED TO YOUR HOME! e f Li A Message from DR. TARA M. BRYANT PAGE 2 PAGE 6 The benefit information

More information

Healthy. Now Men: Take Care of Your Health

Healthy. Now   Men: Take Care of Your Health Healthy SPRING 2018 Now www.amerihealthcaritasdc.com Men: Take Care of Your Health Here s a fact you may not know: Men are dying, on average, almost five years earlier than women. 1 This is largely because

More information

a newsletter for Viva Medicare members

a newsletter for Viva Medicare members a newsletter for Viva Medicare members Thank you for being a Viva Medicare member! Look inside for great information about how you can enjoy life to the fullest! This information is not a complete description

More information