2016 Pharmacy Directory

Transcription

1 Medicare Coverage by Dean Health Plan 2016 Pharmacy Directory Assurance (HMO) Balance (HMO) Confidence (HMO-POS) This pharmacy directory was updated on 01/25/2016. For more recent information or other questions, please contact Dean Advantage Member Services at or for TTY users, 711, 8 a.m. 8 p.m., weekdays (year-round) and weekends (October 1 February 14), or visit deancare.com/medicare. H9096_2151_1510 CMS Accepted

2 Introduction This booklet provides a list of Dean Advantage 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 Dean Advantage 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 Dean Advantage 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 01/25/2016. 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 deancare.com/medicare. You may also call Dean Advantage Member Services at the numbers on the front and back covers for updated provider information. You can get prescription drugs shipped to your home through our network mail order delivery. For more information, please contact us or see the mail order section of this pharmacy directory. We also list pharmacies that are in our network but are outside our seven-county service area in which you live. You may also fill your prescriptions at these pharmacies. 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. Beneficiaries must use network pharmacies to access their prescription drug benefit. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. Dean Advantage is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Dean Advantage depends on contract renewal. This information is available in different formats. Please call Dean Advantage Member Services at the numbers on the front and back covers for more information. This directory is organized by: Retail Pharmacies Mail Order Pharmacies Long Term Care Pharmacies Indian Health Service/Tribal/Urban Indian Health Program (ITU) Pharmacies Network Pharmacies Outside the 7-county Service Area H5264_2065ex2_ Dean Health Plan, Inc.

3 Retail Pharmacies WI Adams Adams Shopko Pharmacy #2619* 220 W Lincoln St Adams, WI (608) Friendship Phillips Roche A Cri Pharmacy Inc* 402 West Lake St Friendship, WI (608) Columbia Columbus Shopko Pharmacy #2788* 200 Commerce Dr Columbus, WI (920) Walgreens #10396* 1500 W James St Columbus, WI (920) Lodi Mallatt's Pharmacy And Costumes #103* 801 N Main St Lodi, WI (608) Pardeeville Pardeeville Hometown Pharmacy* 135 North Main Street Pardeeville, WI (608) Portage Walgreens #7732* 2700 New Pinery Rd Portage, WI (608) Wal-mart Pharmacy * 2950 New Pinery Road Portage, WI (608) Wilz Drug And Home Health Care* 140 E Cook St Portage, WI (608) Randolph Randolph Hometown Pharmacy* 107 N High St Randolph, WI (920) Rio Rio Hometown Pharmacy* 208 Lincoln Ave Rio, WI (920) Wisconsin Dells Travelmart Pharmacy* 802 Broadway Wisconsin Dells, WI (608) Crawford Prairie Du Chien Hartig Drug Co* 101 S Marquette Rd Prairie Du Chien, WI (608) Prairie Pharmacy Gundersen Health System* 610 E Taylor St Prairie Du Chien, WI (608) Walgreens #10682* 109 N Marquette Rd Prairie Du Chien, WI (608) Wal-mart Pharmacy * Us Highway 18 Prairie Du Chien, WI (608) Soldiers Grove Solar Town Pharmacy Vmh* 104 Sunset Avenue Soldiers Grove, WI (608)

4 Dane Belleville Belleville Hometown Pharmacy* 1019 River St Belleville, WI (608) Cambridge Village Pharmacy* 109 W Main St #69 Cambridge, WI (608) Cottage Grove Cottage Grove Hometown Pharmacy* 429 W Cottage Grove Rd Cottage Grove, WI (608) CVS Pharmacy* 605 W Cottage Grove Rd Cottage Grove, WI (608) Cross Plains Cross Plains Pharmacy* 1910 Main St Cross Plains, WI (608) Walgreens #12603* 2575 Main St Cross Plains, WI (608) Deerfield Deerfield Hometown Pharmacy* 10 Liberty St Ste 106 Deerfield, WI (608) Deforest Deforest Hometown Pharmacy* 645 S Main St Deforest, WI (608) Walgreens #9740* 807 S Main St Deforest, WI (608) Fitchburg Fitchburg Hometown Pharmacy* 3000 Cahill Main Suite J114 Fitchburg, WI (608) Hy-vee Pharmacy (1184)* 2920 Fitchrona Road Fitchburg, WI (608) Target Pharmacy* 6321 Mckee Rd Fitchburg, WI (608) Walgreens #5087* 2931 S Fish Hatchery Rd Fitchburg, WI (608) Madison Amc Pharmacy* 600 Williamson St Madison, WI (800) Community Pharmacy* 341 State St Madison, WI (608) CVS Pharmacy* 6701 Mineral Point Rd Madison, WI (608) CVS Pharmacy* 2 South Bedford St Madison, WI (608) Dean Clinic Pharmacy* 1821 S Stoughton Rd Madison, WI (608) Dean Clinic Pharmacy* 700 S Park St Madison, WI (608) Dean Clinic Pharmacy* 752 N High Point Rd Madison, WI (608) Dean Clinic Pharmacy* 1313 Fish Hatchery Rd Madison, WI (608) Hoey Apothecary* 217 Cottage Grove Road Madison, WI (608)

5 Hy-vee Pharmacy #2 (1392)* 675 S. Whitney Way Madison, WI (608) Hy-vee Pharmacy (1391)* 3801 E Washington Ave Madison, WI (608) Mallatt's Pharmacy And Costume #101* 1255 Williamson St Madison, WI (608) Mallatt's Pharmacy And Costumes* 3506 Monroe Street Madison, WI (608) Meriter Outpatient Pharmacy 202 S. Park St Madison, WI (608) Neuhauser Pharmacy* 1875 Monroe St Madison, WI (608) Restore Health Pharmacy, Llc* 1289 Deming Way Madison, WI (800) Sams Pharmacy * 7050 Watts Rd Madison, WI (608) Shopko Pharmacy* 7401 Mineral Point Rd Madison, WI (608) Target Pharmacy* 750 Hilldale Way Madison, WI (608) Target Pharmacy* 201 Junction Road Madison, WI (608) Target Pharmacy* 4301 Lien Rd Madison, WI (608) S Park St Madison, WI (608) Highland Avenue Madison, WI (608) Eastpark Blvd Madison, WI (608) Junction Rd Madison, WI (608) E Washington Ave Madison, WI (608) S Park St Madison, WI (608) Mineral Point Rd Madison, WI (608) Dryden Dr Madison, WI (608) Highland Ave Madison, WI (608) University Ave Madison, WI (608) E Towne Blvd Madison, WI (608) Highland Ave Madison, WI (608)

6 UW Health Remote Dispensing Services* 2202 S Park St Madison, WI (608) Walgreens #10573* 5702 Raymond Rd Madison, WI (608) Walgreens #11858* 311 E Campus Mall Madison, WI (608) Walgreens #2848* 606 S Whitney Way Madison, WI (608) Walgreens #2879* 2121 S Park St Madison, WI (608) Walgreens #4155* 15 E Main St Madison, WI (608) Walgreens #4240* 3710 East Washington Av Madison, WI (608) Walgreens #4805* 4518 Cottage Grove Rd At Acewood Madison, WI (608) Walgreens #5233* 6601 Mckee Rd Madison, WI (608) Walgreens #7536* 8302 Old Sauk Rd Madison, WI (608) Walgreens* 3700 University Ave Madison, WI (608) Walgreens* 1725 Northport Dr Madison, WI (608) Walgreens* 7810 Mineral Point Rd Madison, WI (608) Walgreens* 2909 E Washington Ave Madison, WI (608) Walgreens* 108 Cottage Grove Road Madison, WI (608) Wal-mart Pharmacy * 7202 Watts Road Madison, WI (608) Wal-mart Pharmacy * 4198 Nakoosa Trail Madison, WI (608) Mcfarland Mcfarland Hometown Pharmacy* 4880 Larson Beach Rd Mcfarland, WI (608) The Medicine Shoppe* 5700 U S Highway 51 Mcfarland, WI (608) Walgreens #10554* 4611 Larson Beach Rd Mcfarland, WI (608) Middleton Community Pharmacy* 6333 University Ave Ste 103 Middleton, WI (608) Costco Pharmacy* 2150 Deming Way Middleton, WI (608) CVS Pharmacy* 6210 Century Ave Middleton, WI (608)

7 Walgreens #10555* 2010 Branch St Middleton, WI (608) Monona Medicine Shoppe* 4205 Monona Rd Monona, WI (608) Shopko Pharmacy* 2101 W Broadway Monona, WI (608) Walgreens #4830* 5300 Monona Drive Monona, WI (608) Wal-mart Pharmacy * 2151 Royal Ave Monona, WI (608) Mount Horeb Mount Horeb Pharmacy* 203 W Main St Mount Horeb, WI (608) Walgreens #11648* 1401 Hwy Mount Horeb, WI (608) Oregon Dean Clinic Pharmacy* 753 N Main Street Oregon, WI (608) Oregon Hometown Pharmacy* 815 North Main St Oregon, WI (608) Walgreens #9741* 704 N Main St Oregon, WI (608) Stoughton Mcglynn Pharmacy Inc* 100 E Main St Stoughton, WI (608) Walgreens #7519* 1705 Us Hwy 51 Stoughton, WI (608) Wal-mart Pharmacy * 1800 Us Highway 51 And 138 Stoughton, WI (608) Sun Prairie Costco Pharmacy #1121* 2850 Hoepker Rd Sun Prairie, WI (608) Dean Clinic Pharmacy* 10 Tower Drive Sun Prairie, WI (608) Oconnell Pharmacy Ltd* 302 S Grand Ave Sun Prairie, WI (608) Sun Prairie Hometown Pharmacy* 13 N Bird St Sun Prairie, WI (608) Target Pharmacy* 660 S Grand Ave Sun Prairie, WI (608) Walgreens #10925* 546 N Grand Ave Sun Prairie, WI (608) Walgreens* 275 Davison Drive Sun Prairie, WI (608) Wal-mart Pharmacy * 1905 Mc Coy Road Sun Prairie, WI (608) Verona Verona Hometown Pharmacy* 202 S Main St Verona, WI (608)

8 Walgreens #1159* 104 N Main St Verona, WI (608) Waunakee Mallatt's Pharmacy And Costumes #102* 233 S Century Ave Waunakee, WI (608) Walgreens #5669* 401 W Main St Waunakee, WI (608) Dodge Beaver Dam Bdch Pharmacy* 705 S University Ave Beaver Dam, WI (920) Beaver Dam Hometown Pharmacy* 709 N Spring St Beaver Dam, WI (920) Shopko Pharmacy* 822 Park Ave Beaver Dam, WI (920) Walgreens #11253* 607 Park Ave Beaver Dam, WI (920) Wal-mart Pharmacy * 120 Frances Lane Beaver Dam, WI (920) Brownsville Agnesian Prescription Center Brownsville* 900 Main Street Brownsville, WI (920) Horicon Marshland Pharmacy* 700 Washington Street Horicon, WI (920) Lomira Aurora Prescription Dispensing Center* 375 East Ave Lomira, WI (920) Mayville Agnesian Prescription Center Mayville* 360 S Mountin Dr Mayville, WI (920) Shopko Pharmacy* 505 Horicon St Mayville, WI (920) Waupun Walgreens #11649* 999 E Main St Waupun, WI (920) Grant Boscobel Boscobel Pharmacy Inc* 1028 Wisconsin Ave Boscobel, WI (608) Cuba City Cuba City Hometown Pharmacy* 122 N Main St Cuba City, WI (608) Fennimore Hartig Drug Co* 1120 Lincoln Ave Fennimore, WI (608) Lancaster Hartig Drug Co Inc* 139 W Maple St Lancaster, WI (608) Shopko Pharmacy #2626* 1625 Us 61 Lancaster, WI (608)

9 Platteville Hartig Drug Co* 180 W Pine St Platteville, WI (608) Kmart Pharmacy3970* 1425 E Highway 151 Platteville, WI (608) The Pharmacy At Southwest Health* 1450 East Side Road Platteville, WI (608) Walgreens #12498* 675 S Water St Platteville, WI (608) Wal-mart Pharmacy * 1800 Progressive Pkwy Platteville, WI (608) Green Brodhead Pinnow Pharmacy Inc* 1028 First Center Ave Brodhead, WI (608) Monroe Clinic Pharmacy* nd Ave Monroe, WI (608) Schultz Pharmacy* th Ave Monroe, WI (608) Shopko Pharmacy* 405 W 8th St Monroe, WI (608) Walgreens #11647* 717 8th Ave Monroe, WI (608) Wal-mart Pharmacy* 300 6th Ave W Monroe, WI (608) New Glarus New Glarus Pharmacy* 1101 Hwy 69 Ste 7 New Glarus, WI (608) Green Lake Berlin Field Pharmacy Llc* 135 W Huron St Berlin, WI (920) Wal-mart Pharmacy * W861 County Road F Berlin, WI (920) Green Lake Thedacare Pharmacy- Green Lake* 762 Commercial Ave Green Lake, WI (920) Markesan Agnesian Pharmacy Markesan* 730 N Margaret Street Markesan, WI (920) Princeton Bentley Drug* 528 Water St Princeton, WI (920) Jefferson Fort Atkinson Shopko Pharmacy* 1425 Janesville Ave Fort Atkinson, WI (920) Tuttles Pharmacy Inc* 102 S Main St Fort Atkinson, WI (920) Walgreens #1976* 300 N Main St Fort Atkinson, WI (920)

10 Jefferson The Drug Store And Mueller Drugs Inc* 132 S Main St Jefferson, WI (920) Wal-mart Pharmacy * 1520 S Main St Jefferson, WI (920) Lake Mills Shopko Pharmacy 612* 203 N Main St Lake Mills, WI (920) Walgreens #11176* 812 N Main St Lake Mills, WI (920) Waterloo Zimbric Pharmacy* 104 E Madison St Waterloo, WI (920) Watertown Shopko Pharmacy* 701 S Church St Watertown, WI (920) Walgreens #5136* 301 W Main St Watertown, WI (920) Wal-mart Pharmacy * 1901 Market Way Watertown, WI (920) Watertown Hometown Pharmacy* 204 E Main St Watertown, WI (920) Juneau Mauston Phillips Drug Store Inc* 123 E State St Mauston, WI (608) Walgreens #9008* 403 State Rd 82 East Mauston, WI (608) New Lisbon Raabes Pharmacy* 112 S Adams St New Lisbon, WI (608) Lafayette Darlington Hartig Drug Co* 327 Main St Darlington, WI (608) Marquette Montello Bentley Pharmacy* 25 W Montello St Montello, WI (608) Westfield Bentley Pharmacy* 206 S Main St Westfield, WI (608) Richland Richland Center Richland Family Prescription Center 301 E Second St Richland Center, WI (608) Thrifty White Pharmacy* 190 Richland Sq Richland Center, WI (608) Wal-mart Pharmacy * 2401 Us Hwy 14 E Richland Center, WI (608) Sauk Baraboo Corner Drug Clinic Pharmacy* 1700 Tuttle Street Baraboo, WI (608)

11 Corner Drug Store* 522 Oak St Baraboo, WI (608) Walgreens #7882* 603 W Pine St Baraboo, WI (608) Wal-mart Pharmacy * 920 Hwy 12 Baraboo, WI (608) Prairie Du Sac Ballweg Family Pharmacy* 1200 Prairie St Prairie Du Sac, WI (608) Eannelli Pharmacy* 405 Water St Prairie Du Sac, WI (608) Reedsburg Reedsburg Area Medical Center Community Pharmacy* 1900 N Dewey Ave Reedsburg, WI (608) Reedsburg Family Presc Center* 115 2nd St Reedsburg, WI (608) Walgreens #10237* 1100 Main St Reedsburg, WI (608) Sauk City Sauk City Pharmacy* 830 Water St Sauk City, WI (608) Walgreens #11277* 333 Phillips Blvd Sauk City, WI (608) Spring Green Spring Green Health Mart Pharmacy* 208 E Jefferson Street Spring Green, WI (608) Wisconsin Dells Walgreens #6885* 300 Highway 13 Wisconsin Dells, WI (608) Wal-mart Pharmacy * 130 Commerce Street Wisconsin Dells, WI (608) Vernon Hillsboro Peterson Pharmacy* 727 Water Ave Hillsboro, WI (608) Lafarge Vernon Memorial Pharmacy Lafarge* 206 N. Mill St. Lafarge, WI (608) Viroqua Vernon Memorial Pharmacy* 407 S Main St Viroqua, WI (608) Walgreens #10301* 517 N Main St Viroqua, WI (608) Wal-mart Pharmacy * 1133 North Main St Viroqua, WI (608) Westby Vernon Memorial Pharmacy Westby* 115 West State Street Westby, WI (608) Walworth Delavan Shopko Pharmacy* 1450 E Geneva St Delavan, WI (262) Walgreens #9210* 445 S Wright St Delavan, WI (262)

12 Wal-mart Pharmacy * 1819 East Geneva Street Delavan, WI (262) East Troy East Troy Hometown Pharmacy* 3284 Main St East Troy, WI (262) Elkhorn Aurora Prescription Dispensing Center* W3985 County Rd Nn Elkhorn, WI (262) Aurora Prescription Dispensing Center* 201 E Morrissey Dr Ste 100 Elkhorn, WI (262) Pharmacy Station* 3 E Geneva St Elkhorn, WI (262) Plaza Pharmacy 603 E Geneva St Elkhorn, WI (262) Walgreens #10714* 839 N Wisconsin St Elkhorn, WI (262) Lake Geneva Aurora Pharmacy 178 Lake Geneva* 146 E Geneva Sq Lake Geneva, WI (262) Mercy Walworth Pharmacy* N 2950 State Rd 67 Lake Geneva, WI (262) Target Pharmacy* 660 N Edwards Blvd Lake Geneva, WI (262) Walgreens #5600* 351 N Edwards Blvd Lake Geneva, WI (262) Wal-mart Pharmacy * 201 South Edwards Boulevard Lake Geneva, WI (262) Walworth Aurora Prescription Dispensing Center* 525 Kenosha St Walworth, WI (262) Mcculloughs Prescription And Gifts* 547 Kenosha St Walworth, WI (262) Whitewater Mcculloughs Prescription And Gifts* 1173 W Main St Whitewater, WI (262) Walgreens #12638* 1041 W Main St Whitewater, WI (262) Wal-mart Pharmacy * 1362 West Main Street Whitewater, WI (262)

13 Mail Order Pharmacy 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 14 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 14 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 (866) The TTY/TTD line is (800) and available 24/7 for your assistance. FL Polk Lakeland Welldynerx-fl 500 Eagles Landing Drive Lakeland, FL (888) Home Infusion CA Los Angeles Burbank Bioscrip Infusion Services 320 S Flower St Burbank, CA (818) CT Hartford Enfield Ahf 31 Moody Road Enfield, CT (860) IL Rock Island Silvis Option Health Ltd. 985 Avenue Of The Cities Silvis, IL (309) MI Oakland Madison Heights Active Infusion Dequindre Rd Madison Heights, MI (248) MN Hennepin Minneapolis Fairview Home Infusion Retail* 711b Kasota Avenue South East Minneapolis, MN (612) Ramsey Saint Paul Heartland Iv Care 1400 Energy Park Dr Ste 17 Saint Paul, MN (866) NE Douglas Omaha Affinity Biotech, Inc.* 1810 N 203rd St Omaha, NE (402) NJ Morris Morris Plains Bioscrip Infusion Services 102 The American Rd Morris Plains, NJ (800) NY Suffolk Holbrook Focus Rx 1361 Lincoln Ave Ste 9 Holbrook, NY (888) OH Franklin Columbus Bioscrip Pharmacy Services 2795 Charter St Columbus, OH (877) PA Delaware Garnet Valley Elwyn Specialty Care 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610)

14 Havertown Axelacare Health Solutions, Llc* 4h Raymond Dr Havertown, PA (484) TX Harris Houston Acariahealth Pharmacy #11* 1311 W Sam Houston Pkwy N # 130 Houston, TX (800) Lubbock Lubbock Ivsolutions Of Lubbock 3706-a 20th Street Lubbock, TX (806) WI Brown Green Bay Visiting Nurse Association Of Wisconsin Inc 931 Discovery Ave Green Bay, WI (920) Dane Middleton Chartwell Midwest Wisconsin 2241 Pinehurst Dr Middleton, WI (608) Milwaukee Milwaukee Visiting Nurse Association Of Wisconsin West National Ave Milwaukee, WI (414) South Milwaukee Affinity Biotech, Inc.* 1333 College Ave Ste J South Milwaukee, WI (866) Outagamie Appleton Thedacare At Home Infusion Pharmacy 1818 N Meade St Appleton, WI (920) Waukesha New Berlin Coram Cvs/specialty Infusion Services 5345 S Moorland Rd Ste 101 New Berlin, WI (262) Home Care Pharmacy 5665 South Westridge Drive New Berlin, WI (262) Long Term Care 'Residents of a long-term care facility may access their prescription drugs covered under AllyAlign Health through the facility s long-term care pharmacy or another network long-term care pharmacy. AL Madison Madison Caredirect Rx, Llc 112-a Celtic Drive Madison, AL (256) IA Dubuque Dubuque Hartig Pharmacy Services 7425 Chavenelle Rd Ste 300 Dubuque, IA (563) IL Cook Chicago Forum Extended Care Svc Inc Ii 4201 W Victoria St Chicago, IL (847) Skokie Care One Pharmacy Services Llc 3855 Oakton St Skokie, IL (847) IN

15 Hamilton Carmel Pharmakon Ltc Pharmacy 801 Congressional Blvd Carmel, IN (317) MN Hennepin Plymouth Thrifty White Drug # Nathan Ln N Ste 200a Plymouth, MN (763) Isanti Cambridge Merwin Ltc Pharmacy 124 Emerson St N Cambridge, MN (763) Ramsey New Brighton Merwin Long Term Care Pharmacy 1811 Old Highway 8 New Brighton, MN (651) St. Louis Duluth Thrifty White Pharmacy # N Central Ave Duluth, MN (218) ND Cass Fargo White Drug # th Street Nw Fargo, ND (701) White Drug # th Street Nw Fargo, ND (701) PA Delaware Garnet Valley Elwyn Specialty Care 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610) WI Ashland Ashland Huhn Rx Drug* 522 W Main St Ashland, WI (715) Barron Cumberland The Apothecary* 1470 Webb St Cumberland, WI (715) Bayfield Washburn Langford Pharmacy* 114 W Bayfield St Washburn, WI (715) Brown Green Bay Krider Pharmacy* 1119 W Mason St Green Bay, WI (920) Streus Pharmacy Ltc 528 N Monroe Ave Green Bay, WI (920) Buffalo Mondovi Mondovi Health Mart Pharmacy* 122 S Eau Claire St Mondovi, WI (715) Burnett Grantsburg Burnett Medical Center 257 W St George Ave Grantsburg, WI (715) Chippewa Chippewa Falls Ltc Rx 13 E Spruce St. Suite #102 Chippewa Falls, WI (715)

16 Omnicare Of Chippewa Falls 2815 County Highway I Ste B Chippewa Falls, WI (715) Columbia Lodi Mallatt's Pharmacy And Costumes #103* 801 N Main St Lodi, WI (608) Dane Deforest Hometown Long Term Care Pharmacy 643 S Main St Deforest, WI (608) Madison Cntrl Wis Pharmacy Center 317 Knutson Dr Madison, WI (608) Genoa Healthcare 625 West Washington Ave Madison, WI (608) Mallatt's Homecare Pharmacy 3250 Kingsley Way Madison, WI (608) Oakwood Pharmacy 6201 W Mineral Point Rd Madison, WI (608) Omnicare Of Madison 2818 Progress Rd Madison, WI (608) St Marys Care Center Pharmacy 3401 Maple Grove Dr Madison, WI (608) Willow Pharmacy 2702 International Lane Madison, WI (608) Sun Prairie O'connell Pharmacy Long Term Care 125 S. Thompson Rd. Sun Prairie, WI (608) Waunakee Mallatt's Pharmacy And Costumes #102* 233 S Century Ave Waunakee, WI (608) Eau Claire Eau Claire Healthdirect Institutional Pharmacy Services Inc 3184 London Rd Eau Claire, WI (715) Mayo Clinic Health System Pharmacy & Home Medicallong Term 1707 Westgate Rd Eau Claire, WI (715) Personifilrx 800 Wisconsin Street Mail Box 21 Eau Claire, WI (844) Fond du Lac Waupun Agnesian Pharmacy Waupun* 904 W Main St Waupun, WI (920) Grant Platteville Southwest Health Center 1400 East Side Rd Platteville, WI (608) Juneau Mauston Phillips Total Care Pharmacy 125 E State St Mauston, WI (608) New Lisbon Raabes Pharmacy* 112 S Adams St New Lisbon, WI (608)

17 Kenosha Kenosha Good Value Pharmacy Ltc th St Kenosha, WI (262) La Crosse La Crosse Medpak Pharmacy 505 King St Ste 154 La Crosse, WI (608) Omnicare Of Lacrosse 3235 Airport Rd La Crosse, WI (608) West Salem Community Health Pharmacy 880 Mill St N Ste 101 West Salem, WI (608) West Salem Pharmacy* 880 N. Mill St. West Salem, WI (608) Manitowoc Manitowoc Hfm Pharmacy* 3310 Calumet Ave Manitowoc, WI (920) Marathon Wausau North Central Health Care 1100 Lake View Dr Wausau, WI (715) Young's Long Term Care Pharmacy 555 S 72nd Ave Wausau, WI (715) Milwaukee Greenfield Surety Pro Pharmacy Llc 9200 W Layton Ave Greenfield, WI (414) Milwaukee Behavioral Health Pharmacy 9455 W Watertown Plank Rd Milwaukee, WI (414) Genoa Healthcare W Bluemound Rd Ste B Milwaukee, WI (414) Genoa Healthcare 229 E Wisconsin Ave Ste 601 Milwaukee, WI (414) Luther Manor Pharmacy 4545 N 92nd St Milwaukee, WI (414) Omnicare Of Milwaukee 5185 S Ninth St Milwaukee, WI (414) Pharmerica 9041 W Heather Ave Milwaukee, WI (800) Phoenix Pharmacy Inc 1748 N Farwell Ave Milwaukee, WI (414) Wcs Clinic Phcy 3734 W Wisconsin Ave Milwaukee, WI (414) Wauwatosa Assisted Living Pharmacy Service 1441 N Mayfair Rd Wauwatosa, WI (414) West Allis Prescriptions Plus W Greenfield Ave West Allis, WI (414) Whole Health Pharmacy 1040 S 70th St West Allis, WI (414)

18 Outagamie Appleton Healthdirect Institutional Pharmacy Services Inc 3701 E Evergreen Dr Appleton, WI (920) Greenville Omnicare Of Appleton N926 Tower View Drive Greenville, WI (920) New London Jernegan's Health Mart* 1301 Mill Street New London, WI (920) Price Park Falls North Central Iv 138 1/2 N 2nd Ave Park Falls, WI (715) Phillips Lakeview Pharmacy* 114 N Lake Ave Phillips, WI (715) Racine Racine Lakeview Ltc Pharmacy 517 Wisconsin Ave Racine, WI (262) Richland Richland Center Richland Family Prescription Center 301 E Second St Richland Center, WI (608) Rock Beloit Homecare Pharmacy* 1006 Woodward Ave Beloit, WI (608) Edgerton Rockmed Long Term Care Pharmacy Llc 607 E State Road 59 Edgerton, WI (608) Janesville Mercy Mall Pharmacy* 1010 N Washington St Janesville, WI (608) Sauk Reedsburg Reedsburg Area Medical Center Pharmacy 2000 N Dewey Avenue Reedsburg, WI (608) Reedsburg Family Presc Center* 115 2nd St Reedsburg, WI (608) Sauk City Maplewood Of Sauk Prairie 245 Sycamore St Sauk City, WI (608) Spring Green Spring Green Health Mart Pharmacy* 208 E Jefferson Street Spring Green, WI (608) Shawano Wittenberg Gwidt Pharmacy 203 E. Westgor Wittenberg, WI (715) Gwidt Pharmacy Inc* 203 E Westgore Avenue Wittenberg, WI (715) Sheboygan Sheboygan Glander Prescription Plus* 3529 Superior Ave Sheboygan, WI (920)

19 St. Croix Glenwood City Village Pharmacy Glenwood* 224 W. Oak St. Glenwood City, WI (715) Trempealeau Blair The Blair Pharmacy* 125 W Broadway St Blair, WI (608) Galesville Galesville Ltc Pharmacy S Main St Galesville, WI (608) Galesville Pharmacy* S Main St Galesville, WI (608) Walworth Whitewater Mccullough's Ltc Pharmacy 1173 W Main St Whitewater, WI (262) Washington Jackson Genoa, A Qol Healthcare Company, Llc W209n17321 Industrial Drive Jackson, WI (262) West Bend Cedar Lake Campus Pharmacy 5595 Hwy Z West Bend, WI (262) Waukesha Brookfield Healthdirect Institutional Pharmacy Services Inc 150 N. Patrick Blvrd, Ste 250 Brookfield, WI (262) Wheaton Franciscan Pharmacy* W Capitol Drive Brookfield, WI (414) Menomonee Falls Mallatt's Homecare Pharmacy #104 N85 W15882 Appleton Ave Menomonee Falls, WI (262) New Berlin Linden Grove Pharmacy W National Ave New Berlin, WI (262) Waukesha Genoa Healthcare 514 Riverview Ave Rm 238 Waukesha, WI (262) Waupaca King Wisconsin Veterans Home Phcy N 2665 County Rd Qq King, WI (715) Winnebago Neenah Morton Ltc 201 E Bell Street Neenah, WI (920) Oshkosh Lho Pharmacy Llc 225 N Eagle St Oshkosh, WI (920) I/T/U Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through AllyAlign Health s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). WI Ashland Ashland Bad River Pharmacy Nokomis Road Ashland, WI (715)

20 Bayfield Bayfield Red Cliff Comm Hlth Ctr Phy Aiken Rd Bayfield, WI (715) Brown Oneida Oneida Comm Hlth Ctr Phcy 525 Airport Drive Oneida, WI (920) Menominee Keshena Menominee Tribal Clinic Pharmacy 3275 Wolf River Rd Keshena, WI (715) Sawyer Hayward Lac Courte Oreilles Pharmacy W Trepania Rd Hayward, WI (715) Shawano Bowler Stockbridge Munsee Health And Wellnes W12802 Cty Rd Bowler, WI (715) Vilas Lac Du Flambeau Peter Christensen Health Center 129 Old Abe Rd Lac Du Flambeau, WI (715) Specialty Pharmacy MI Wayne Canton Walgreens Speciality Pharmacy Haggerty Circle S Canton, MI (888) Walgreens Specialty Pharmacy* Haggerty Circle S Canton, MI (734) OR Washington Beaverton Walgreens Specialty Pharmacy #12314* 9775 Sw Gemini Beaverton, OR (503) PA Allegheny Carnegie Walgreens Specialty Pharmacy #10997* 500 Noblestown Rd Ste 200 Carnegie, PA (412) Walgreens Specialty Pharmacy #10997* 500 Noblestown Rd Carnegie, PA (412) TX Collin Frisco Walgreens Specialty Pharmacy John W Elliott Dr Ste 100 Frisco, TX (214) Denton Frisco Walgreens Specialty Pharmacy* John Elliott Dr Frisco, TX (800)

21 Network pharmacies outside the 7-county service area We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. The chain pharmacies listed in this directory are considered network pharmacies anywhere in the U.S. If you are outside our service area and need to locate one of the chain pharmacies in our network please call: CVS Pharmacy: (401) (TTY: 711) Rite Aid: (717) (TTY: 711) Shopko: (920) (TTY: 711) Target: (612) (TTY: 711) Walmart: (479) (TTY: 711) To verify that a pharmacy outside of our service area is included in our network. please contact us at the phone number listed on the front or back cover of this directory.

22 Medicare Coverage by Dean Health Plan This pharmacy directory was updated on 01/25/2016. For more recent information or other questions, please contact Dean Advantage Member Services at or for TTY users, 711, 8 a.m. 8 p.m., weekdays (year-round) and weekends (October 1 February 14), or visit deancare.com/medicare. Dean Health Plan, Inc Deming Way Madison, WI Local: Toll-free: TTY: 711 deancare.com/medicare