DIRECTORY Pharmacy. Toll-Free , TTY 711

Transcription

1 2017 Pharmacy DIRECTORY This directory is a list of network pharmacies near you. This directory is for Alaska. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on our website. For more information, please call Customer Service at: Toll-Free , TTY a.m. - 8 p.m. local time, Monday - Friday Y0066_160817_111646_NM Last updated January 6, 2017

2 About this PHARMACY DIRECTORY This directory is a partial list of the plan s network pharmacies. It lists pharmacies in your area based on your State. Pharmacies are listed in alphabetical order. 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 may no longer be in our network, or there may be newer pharmacies in our network that are not listed. It is current as of the date printed on the cover of this directory. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website. For the most current list of our network pharmacies, please see the cover of this directory for information on how to call us. Network pharmacies A network pharmacy is a pharmacy where you get prescription drug benefits provided by your plan. We call the pharmacies in this directory our network pharmacies because we have made arrangements with them to provide prescription drugs to our plan members. In most cases, your prescriptions are covered under the plan only if they are filled at one of our network pharmacies or through a mail service pharmacy. We have a large service area with many pharmacies where you may fill your prescription drugs. This directory lists network pharmacies in your area. For information about additional network pharmacies, please contact us using the information on the cover of this directory. You do not have to use the same network pharmacy every time you fill your prescription drugs. You may use any of our network pharmacies. In certain situations, we may cover prescriptions filled at pharmacies outside of the network. Please see your plan s Evidence of Coverage for more information. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your plan s Evidence of Coverage and Drug List (Formulary). If you have questions about any of the above, including instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the cover of this directory for information on how to call us. Pharmacy Saver Pharmacy Saver is a cost savings prescription drug program available to you as a plan member. 1 The plan has worked with many of our network pharmacies to offer even lower prices on many common prescription drugs. To learn more about Pharmacy Saver or to see the full list of participating pharmacies, visit Pharmacies included in the Pharmacy Saver program are indicated by a pharmacy listings on the following pages. symbol in the

3 Mail service pharmacies A network mail service pharmacy is where members can get their prescription drugs delivered to their mailbox. You may go to any of the plan s network mail service pharmacies to get your covered prescription drugs. You can use one of the plan s mail service pharmacies in our network, OptumRx home delivery. You are not required to use OptumRx to obtain a 90-day supply of your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan s mail service pharmacy. 2 Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills. OptumRx will contact you, by phone, to get your approval. At that time you may also tell OptumRx to automatically fill any future prescriptions they receive directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval your prescription will not be sent to you. New prescriptions should arrive within ten business days from the date the completed order is received by the mail service pharmacy. Completed refill orders should arrive in about seven business days. OptumRx will contact you if there will be an extended delay in the delivery of your medications. To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs or need to contact us, please call OptumRx toll-free at , TTY 711, 24 hours, 7 days a week. Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx toll-free at , TTY 711, 24 hours, 7 days a week. You can find more information about mail service pharmacies by calling OptumRx at the number listed in the Mail service pharmacies section of this directory. Mail service pharmacies are indicated by a symbol in the pharmacy listings on the following pages. 90-day supply from retail pharmacies You do not have to use a mail service pharmacy to get a 90-day supply of your prescription drugs. Some of the retail pharmacies in the plan s network also offer 90-day supply of prescription drugs. If you fill a 90-day supply at a retail pharmacy, you may pay more. Retail pharmacies in the network that fill 90-day supply of prescription drugs are indicated by a symbol in the pharmacy listings on the following pages.

4 E-prescribing Some of our network pharmacies use electronic prescribing, or e-prescribing. The pharmacy receives your prescriptions electronically, directly from your doctor. Your prescription may be sent before you even leave your doctor s office. E-prescribing can be a safe and efficient way for network pharmacies to get your prescriptions. It may help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken together. Network pharmacies that use e-prescribing are indicated by an on the following pages. symbol in the pharmacy listings

5 Pharmacy retail chains Below are some of the retail chains in the plan s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. Albertsons & Affiliates ACME Albertsons Amigo Carrs Haggens Jewel-Osco Market Street Pavilions Randalls Safeway Shaws Tom Thumb United Vons CVS Duane Reade Food Lion Giant Giant Food Stores Hannaford H-E-B Hy-Vee Kroger & Affiliates Baker s City Market Dillons Fred Meyer Fry s Harris Teeter King Soopers Kroger QFC Ralphs Smith s Martins Publix Rite Aid Sam s Club Stop & Shop Thrifty White TTY Walmart Wegmans Kmart This list may change. For a list of other retail pharmacy chains in the network or to check for a pharmacy not listed in this directory, call us at the number located on the cover of this directory. TTY users should call 711, unless a different phone number is listed.

6 Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Other pharmacies are available in our network. Note: Pharmacies may have closed or moved locations since this directory was printed. Alaska Island Community Services 333 Church St Wrangell, AK , TTY: 711 Anchorage Medset Pharmacy 4101 Arctic Blvd Ste B Anchorage, AK , TTY: 711 Alicia Roberts Medical Center Ph 7300A Klawock Hollis Hwy Klawock, AK , TTY: 711 Anchorage Native Primary Care Ce 4320 Diplomacy Dr , TTY: 711 Annette Island Service Unit 563 Brendible St Metlakatla, AK , TTY: 711 Anhc Pharmacy 4951 Business Park Blvd Suite 10 Anchorage, AK , TTY: 711 Whale Tail Pharmacy 333 Cold Storage Rd PO Box 709 Craig, AK , TTY: 711 Anchorage Alaska Native Medical Center Med 1W Diplomacy Drive , TTY: 711 Alaska Native Medical Center Pha 4315 Diplomacy Dr , TTY: 711 Anthc Internal Medicine Pharmacy 3900 Ambassador Dr Ste , TTY: 711 Bernie's Pharmacy 4100 Lake Otis Pkwy , TTY: 711 CVS Pharmacy 1200 N Muldoon Rd Ste F Anchorage, AK , TTY: 711

7 Retail pharmacies, including chain pharmacies near you (continued) CVS Pharmacy 150 W 100th Ave Anchorage, AK , TTY: E Huffman Rd Anchorage, AK , TTY: Gambell Street Anchorage, AK , TTY: East Northern Lights Boul Anchorage, AK , TTY: W Northern Lights Blvd Anchorage, AK , TTY: Debarr Rd Ste 8 Anchorage, AK , TTY: Abbott Road Anchorage, AK , TTY: Penland Pkwy , TTY: Debarr Rd Anchorage, AK , TTY: 711 Costco Pharmacy 330 W Dimond Blvd Anchorage, AK , TTY: Business Boulevard Eagle River, AK , TTY: 711 Costco Pharmacy 4125 Debarr Road , TTY: W Dimond Blvd Anchorage, AK , TTY: 711 Family Pharmacy Business Blvd 10 Eagle River, AK , TTY: 711

8 Retail pharmacies, including chain pharmacies near you (continued) 1000 E Northern Lights Blvd , TTY: 711 Geneva Woods Specialty Pharmacy 501 W Intl Airport Rd Ste 5B Anchorage, AK , TTY: West Dimond Blvd Dimond, AK , TTY: 711 Genoa, A QOL Healthcare Company, 4020 Folker St Ste , TTY: Debarr Rd Anchorage, AK , TTY: Abbott Road Anchorage, AK , TTY: Old Glenn Hwy Eagle River, AK , TTY: 711 Geneva Woods Medset Pharmacy 501 W International Airport Rd Suite 20 Anchorage, AK , TTY: 711 Geneva Woods Professional Infusi 501 W Intl Airport Rd Ste 4 Anchorage, AK , TTY: 711 Great Land Infusion Pharmacy Inc 2421 E Tudor Rd Ste 107 Anchorage, AK , TTY: 711 Ivy Home Infusions, LLC 2841 De Barr Rd Ste , TTY: 711 Medset Pharmacy, LLC 4101 Arctic Blvd Ste 107 Anchorage, AK , TTY: 711 Providence Medical Arts Pharmacy 3300 Providence Dr Ste , TTY: 711

9 Retail pharmacies, including chain pharmacies near you (continued) Sam's Pharmacy 1074 Muldoon Rd Anchorage, AK , TTY: W Northern Lights Blvd Anchorage, AK , TTY: 711 Sams Pharmacy 8801 Old Seward Hwy Anchorage, AK , TTY: Old Glenn Hwy Eagle River, AK , TTY: 711 Scf Rasu Pharmacy 4160 Tudor Centre Dr Rm , TTY: W Dimond Blvd Anchorage, AK , TTY: Debarr Rd Anchorage, AK , TTY: Brandon St Anchorage, AK , TTY: E Northern Lights Blvd Anchorage, AK , TTY: E 88th Ave Anchorage, AK , TTY: Lake Otis Pkwy , TTY: 711 Walmart Pharmacy 8900 Old Seward Hwy Anchorage, AK , TTY: 711 Walmart Pharmacy 3101 A Street Anchorage, AK , TTY: 711 Walmart Pharmacy Eagle River Road Eagle River, AK , TTY: 711

10 Retail pharmacies, including chain pharmacies near you (continued) Walmart Pharmacy 7405 Debarr Rd Anchorage, AK , TTY: Old Steese Highway , TTY: 711 Bethel Yukon Kuskokwim Delta Regional H 700 Chief Eddie Hoffman Hwy Bethel, AK , TTY: 711 Medical Center Pharmacy 1867 Airport Way Ste , TTY: 711 Dillingham Kanakanak Hospital 6000 Kanakanak Rd Dillingham, AK , TTY: 711 Fairbanks North Star Chief andrew Isaac Health Center 1717 West Cowles Street , TTY: 711 Denali Pharmacy 1650 Cowles St Dept 41 C , TTY: Airport Way Fairbanks, AK , TTY: 711 North Pole Prescription Laborato 167 S Santa Claus Ln North Pole, AK , TTY: 711 Prescription Center 1919 Lathrop St Suite , TTY: 711 Professional Pharmacy 1001 Noble St , TTY: North Santa Claus Lane North Pole, AK , TTY: College Road , TTY: 711

11 Retail pharmacies, including chain pharmacies near you (continued) 3627 Airport Way , TTY: 711 Foodland Pharmacy 615 W Willoughby Ave Juneau, AK , TTY: 711 Sams Pharmacy 48 College Road , TTY: Old Glacier Hwy Juneau, AK , TTY: Sportsman Way Fairbanks, AK , TTY: 711 Juneau Drug Company 202 Front St Juneau, AK , TTY: Old Steese Hwy , TTY: 711 Ron's Apothecary Shoppe 9101 Mendenhall Mall Juneau, AK , TTY: 711 Walmart Pharmacy 537 Johansen Expressway , TTY: Vintage Blvd Juneau, AK , TTY: 711 Haines Searhc Haines Medical Clinic Pha 131 First Ave S Haines, AK , TTY: 711 Juneau Costco Pharmacy 5225 Commercial Blvd Juneau, AK , TTY: 711 Searhc Medical Center 1200 Salmon Creek Ln Juneau, AK , TTY: 711 Kenai Peninsula Sterling Hwy Ste 400 Soldatna, AK , TTY: 711

12 Retail pharmacies, including chain pharmacies near you (continued) North Star Health Clinic Pharmac 201 3rd Ave Ste 201 Seward, AK , TTY: 711 Peninsula Community Pharmacy 230 E Marydales Avenue, Suite 10 Soldotna, AK , TTY: 711 Professional Home Iv Pharmacy 182 S Birch St Soldotna, AK , TTY: Kenai Spur Highway Kenai, AK , TTY: 711 Mile Seward Highway Seward, AK , TTY: Sterling Hwy Homer, AK , TTY: Sterling Highway Soldotna, AK , TTY: 711 Scotts Family Pharmacy Health An 4014 Lake St Ste 101 Homer, AK , TTY: 711 Soldotna Professional Pharmacy 299 N Binkley St Soldotna, AK , TTY: 711 Three Bears Pharmacy Kenai Spur Hwy Kenai, AK , TTY: 711 Ulmer's Drug & Hardware 3858 Lake Street Ste 5 Homer, AK , TTY: Sterling Hwy Soldotna, AK , TTY: 711 Walmart Pharmacy Kenai Spur Hwy Kenai, AK , TTY: 711 Ketchikan Gateway 2417 Tongass Avenue Ketchikan, AK , TTY: 711

13 Retail pharmacies, including chain pharmacies near you (continued) Island Pharmacy 3526 Tongass Ave Ketchikan, AK , TTY: East Parks Highway 300 Wasilla, AK , TTY: 711 Ketchikan Indian Corporation 2960 Tongass Ave Ketchikan, AK , TTY: W Evergreen Ave Palmer, AK , TTY: 711 Walmart Pharmacy 4230 Don King Road Ketchikan, AK , TTY: E Parks Hwy , TTY: 711 Kodiak Island Kana Pharmacy 3449 E Rezanof Dr Kodiak, AK , TTY: Mill Bay Rd Kodiak, AK , TTY: South Cobb St Palmer, AK , TTY: 711 Geneva Woods Mat-Su Medset Pharm 3674 E Country Field Cr Suite B , TTY: 711 Walmart Pharmacy 2911 Mill Bay Road Kodiak, AK , TTY: 711 Geneva Woods Mat-Su Pharmacy 3674 E Country Field Circle Ste A , TTY: 711 Matanuska-Susitna CVS Pharmacy 1801 E Parks Hwy , TTY: 711

14 Retail pharmacies, including chain pharmacies near you (continued) Geneva Woods Pharmacy 950 E Bogard Rd Ste , TTY: 711 Nome Norton Sound Health Corporation 1000 Greg Kruschek Ave Nome, AK , TTY: 711 Our Doctor's Pharmacy 3190 E Meridian Park Loop Ste , TTY: 711 Three Bears Alaska Inc 8151 E Palmer Wasilla Hwy Palmer, AK , TTY: 711 Three Bears Pharmacy 3950 S Knik Goose Bay Rd Wasilla, AK , TTY: 711 Valley Native Primary Care Cente 1001 S Knik Goose Bay Rd , TTY: E George Parks Hwy , TTY: 711 Walmart Pharmacy 1350 S Seward Meridian Pkwy , TTY: 711 North Slope Samuel Simmonds Mem Hosp Pharmac 1296 Agvik St Barrow, AK , TTY: 711 Northwest Arctic Maniilaq Health Center Pharmacy 5th St And Grizzley Kotzebue, AK , TTY: 711 Sitka Searhc Mt Edgecumbe Pharmacy 222 Tongass Dr Sitka, AK , TTY: 711 Valdez-Cordova Cross Road Pharmacy Mile 187 Glenn Hwy Glennallen, AK , TTY: E Pioneer Dr Valdez, AK , TTY: 711

15 Mail service pharmacies Our mail service pharmacies will ship your prescription drugs directly to your home. For more information, please see your Evidence of Coverage. Below are the mail service pharmacies in the plan s network. OptumRx Mail Service P.O. Box 2975, Mission, KS P.O. Box 29061, Phoenix, AZ Toll-free Toll-free TTY 711 TTY Manifest Pharmacy, LLC 1018 South Batesville Road, Bldg 4-A Greer, SC Toll-free orders@manifestrx.com Home infusion pharmacies near you The plan will cover home infusion therapy if: The plan has approved your prescription drug for home infusion therapy; and You get your prescription from an authorized prescriber. For more information, please see your Evidence of Coverage. Below are some of the home infusion network pharmacies in your area. Anchorage Geneva Woods Professional Infusi 501 W Intl Airport Rd Ste 4 Anchorage, AK Kenai Peninsula Professional Home Iv Pharmacy 182 S Birch St Soldotna, AK Ivy Home Infusions, LLC 2841 De Barr Rd Ste

16 Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s longterm care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. Below are some of the long-term care network pharmacies in your area. Anchorage Geneva Woods Medset Pharmacy 501 W International Airport Rd Suite 20 Anchorage, AK Genoa, A QOL Healthcare Company, 4020 Folker St Ste Medset Pharmacy, LLC 4101 Arctic Blvd Ste 107 Anchorage, AK Pioneers Home Pharmacy 923 W 11th Ave Anchorage, AK Providence Apothecary 920 Compassion Cir Anchorage, AK Juneau Juneau Drug Company 202 Front St Juneau, AK Kenai Peninsula Soldotna Professional Pharmacy 299 N Binkley St Soldotna, AK Matanuska-Susitna Geneva Woods Mat-Su Medset Pharm 3674 E Country Field Cr Suite B Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you Only Native Americans and Alaska Natives can use I/T/U pharmacies in the plan s pharmacy network. Other people may be able to use these pharmacies under limited circumstances (for example, emergencies). For more information, please see your Evidence of Coverage. Below are some of the I/T/U network pharmacies in your area.

17 Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Alicia Roberts Medical Center Ph 7300A Klawock Hollis Hwy Klawock, AK Annette Island Service Unit 563 Brendible St Metlakatla, AK Anchorage Alaska Native Medical Center Med 1W Diplomacy Drive Scf Rasu Pharmacy 4160 Tudor Centre Dr Rm Bethel Yukon Kuskokwim Delta Regional H 700 Chief Eddie Hoffman Hwy Bethel, AK Dillingham Kanakanak Hospital 6000 Kanakanak Rd Dillingham, AK Alaska Native Medical Center Pha 4315 Diplomacy Dr Anchorage Native Primary Care Ce 4320 Diplomacy Dr Anthc Internal Medicine Pharmacy 3900 Ambassador Dr Ste Haines Searhc Haines Medical Clinic Pha 131 First Ave S Haines, AK Juneau Searhc Medical Center 1200 Salmon Creek Ln Juneau, AK

18 Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Kenai Peninsula North Star Health Clinic Pharmac 201 3rd Ave Ste 201 Seward, AK Ketchikan Gateway Ketchikan Indian Corporation 2960 Tongass Ave Ketchikan, AK Kodiak Island Kana Pharmacy 3449 E Rezanof Dr Kodiak, AK Matanuska-Susitna Valley Native Primary Care Cente 1001 S Knik Goose Bay Rd Nome Norton Sound Health Corporation 1000 Greg Kruschek Ave Nome, AK North Slope Samuel Simmonds Mem Hosp Pharmac 1296 Agvik St Barrow, AK Northwest Arctic Maniilaq Health Center Pharmacy 5th St And Grizzley Kotzebue, AK Sitka Searhc Mt Edgecumbe Pharmacy 222 Tongass Dr Sitka, AK

19 This directory is a partial list of pharmacies available in the plan s pharmacy network. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on our website. For more information, please call Customer Service at: Toll-Free , TTY a.m. - 8 p.m. local time, Monday - Friday 1 Other pharmacies are available in our network. Members may use any pharmacy in the network, but may not receive Pharmacy Saver pricing. Pharmacies participating in the Pharmacy Saver program may not be available in all areas. 2 Your plan sponsor may provide coverage beyond 90 days. Please refer to the Evidence of Coverage for more information. This information is available for free in other languages. Please call Customer Service number listed above. Esta información está disponible sin costo en otros idiomas. Comuníquese con el Servicio al Cliente al número indicado arriba. The pharmacy network may change at any time. You will receive notice when necessary. You are not required to use OptumRx home delivery for a 90-day supply of your maintenance medication. If you have not used OptumRx home delivery, you must approve the first prescription order sent directly from your doctor to OptumRx before it can be filled. New prescriptions from OptumRx should arrive within ten business days from the date the completed order is received, and refill orders should arrive in about seven business days. Contact OptumRx anytime at , TTY 711. OptumRx is an affiliate of UnitedHealthcare Insurance Company. Beneficiaries must use network pharmacies to access their prescription drug benefit. Formulary, pharmacy network, premium and/or co-payments/co-insurance may change each year. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan s contract renewal with Medicare. UHEX17MP _002 AK Last updated January 6, 2017