DIRECTORY Pharmacy. Toll-Free , TTY 711

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1 2016 Pharmacy DIRECTORY This directory is a list of network pharmacies near you. This directory is for Rhode Island. For more information, please call Customer Service at: Toll-Free , TTY a.m. to 8 p.m. local time, Monday through Friday Y0066_150908_ Last updated September 18, 2015

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 our plan members. 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 Mail Service Pharmacy. When you use home delivery from OptumRx, you can have 90-day supplies of your maintenance medication delivered right to your door. With the mail service pharmacy, you generally have lower out-of-pocket co-pays. You may save on a 90-day supply of many of your maintenance medications compared with what you would pay at a network retail pharmacy. 2 Members may also use other mail service pharmacies to fill prescriptions. 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. 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. 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 , 24 hours, 7 days a week. 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 , 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 pages. symbol in the pharmacy listings on the following 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.

4 Some of the retail pharmacies in the plan s network also offer 90-day supplies 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. 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 National pharmacy chains Below are some of the national chains in the plan s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. Albertsons/Safeway & Affiliates ACME Albertsons Carrs Jewel Osco Market Street Pavilions Randalls Safeway Shaws Tom Thumb United Vons 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 Sam s Club Stop & Shop Target Thrifty White TTY Walmart Wegmans TTY users should call 711, unless a different phone number is listed. This list may change. For a list of other national 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.

6 Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Note: Pharmacies may have closed or moved locations since this directory was printed. Other pharmacies are available in our network. Bristol 615 Metacom Ave Rte 136 Warren, RI , TTY: County Rd Barrington, RI , TTY: Metacom Ave Bristol, RI , TTY: State St Bristol, RI , TTY: 711 Delekta Pharmacy Inc 496 Main St Warren, RI , TTY: Metacom Avenue Bristol, RI , TTY: Willet Avenue East Providence, RI , TTY: County Road Barrington, RI , TTY: Metacom Ave Bristol, RI , TTY: 711 Kent Apothecare Compounding Solutions 3303 South County Trail E. Greenwich, RI , TTY: 711 Genoa Healthcare 2 Old County Rd Barrington, RI , TTY: Main St East Greenwich, RI , TTY: 711

7 1125 Main St West Warwick, RI , TTY: New London Tpk East Greenwich, RI , TTY: Tiogue Ave Coventry, RI , TTY: S County Trl East Greenwich, RI , TTY: Warwick Ave Warwick Ave Sc Warwick, RI , TTY: Buttonwoods Ave , TTY: Post Rd , TTY: 711 Genoa Healthcare 75 Lambert Lind Hwy Ste , TTY: Warwick Ave Meadowbrook Plz Warwick, RI , TTY: 711 Horizon Pharmacy 2756 Post Rd Ste , TTY: Providence St West Warwick, RI , TTY: Main St West Warwick, RI , TTY: 711 Omnicare of Rhode Island 30 Centre of New England Blvd Coventry, RI , TTY: 711 Pharmerica 83 Vermont Avenue Ste 2 Warwick, RI , TTY: 711

8 Phusion Pharmacy 17 Coventry Shoppers Park Coventry, RI , TTY: 711 Sam's Pharmacy 25 Pace Blvd , TTY: Bald Hill Road , TTY: Warwick Ave Warwick, RI , TTY: Warwick Avenue Warwick, RI , TTY: Quaker Lane , TTY: Tiogue Avenue Coventry, RI , TTY: Tiogue Avenue Coventry, RI , TTY: Warwick Avenue Warwick, RI , TTY: 711 Suburban Pharmacy 242 Pawtuxet Ave Warwick, RI , TTY: West Shore Road Warwick, RI , TTY: 711 Target Pharmacy 1245 Bald Hill Rd Warwick, RI , TTY: Main Street West Warwick, RI , TTY: 711 Target Pharmacy 400 Bald Hill Rd, Ste 200 Ste , TTY: 711

9 Wal-Mart Pharmacy 650 Centre of New England Blvd Coventry, RI , TTY: Cowesett Ave West Warwick, RI , TTY: 711 Wal-Mart Pharmacy 840 Post Road Warwick, RI , TTY: Tiogue Ave. Coventry, RI , TTY: 711 Wal-Mart Pharmacy 650 Bald Hill Road , TTY: Division St East Greenwich, RI , TTY: Warwick Ave Warwick, RI , TTY: Post Rd , TTY: Warwick Ave Warwick, RI , TTY: 711 Newport Bakers Pharmacy 53 Narragansett Ave Jamestown, RI , TTY: Bellevue Ave Newport, RI , TTY: East Main Rd Middletown, RI , TTY: Main Rd Tiverton, RI , TTY: Tpk At E Main Rd Rte 138 Portsmouth, RI , TTY: 711

10 287 Broadway Newport, RI , TTY: E Main Rd Middletown, RI , TTY: East Main Road Middletown, RI , TTY: East Main Road Portsmouth, RI , TTY: East Main Road Portsmouth, RI , TTY: Main Road Tiverton, RI , TTY: West Main Road Middletown, RI , TTY: 711 Wal-Mart Pharmacy 199 Connell Highway Newport, RI , TTY: 711 Providence Atwood Prescription Center Inc 1524 Atwood Ave Johnston, RI , TTY: 711 Blackstone Health Mart Pharmacy 465 Lonsdale Ave Ste B Pawtucket, RI , TTY: Cass Ave Woonsocket, RI , TTY: Mendon Rd Cumberland, RI , TTY: Willett Ave East Providence, RI , TTY: Reservoir Ave Cranston, RI , TTY: 711

11 583 Taunton Ave East Providence, RI , TTY: Smithfield Ave Pawtucket, RI , TTY: Newport Ave Pawtucket, RI , TTY: Broad St Cumberland, RI , TTY: Eddie Dowling Hwy N Smithfield, RI , TTY: Hope St Providence, RI , TTY: Mineral Spring Ave N. Providence, RI , TTY: Admiral St Providence, RI , TTY: Putnam Pike Apple Valley Mal Apple Valley Mall Greenville, RI , TTY: Pontiac Ave , TTY: Hartford Ave Johnston, RI , TTY: Webster Ave Providence, RI , TTY: High St Pascoag, RI , TTY: Angell St Providence, RI , TTY: 711

12 1068 Putnam Pike Chepachet, RI , TTY: Oakland Ave , TTY: Atwood Ave , TTY: Clinton St Woonsocket, RI , TTY: East Ave Pawtucket, RI , TTY: Broad St Central Falls, RI , TTY: Diamond Hill Rd Cumberland, RI , TTY: Warren Ave East Providence, RI , TTY: Manton Ave Providence, RI , TTY: Broad St S. Providence, RI , TTY: Providence Pl Providence Place Mall #1010 Providence, RI , TTY: Newport Ave Rumford, RI , TTY: Plainfield Pike Johnston, RI , TTY: Broad St Cranston, RI , TTY: 711

13 26 Putnam Pike Johnston, RI , TTY: 711 Genoa Healthcare 55 John A Cummings Way Woonsocket, RI , TTY: 711 Care Plus CVS/Pharmacy 2 Dudley St Ste 170 Providence, RI , TTY: 711 Howell Smith Druggist 749 Central Ave Pawtucket, RI , TTY: 711 Chapel Pharmacy Inc 2081 Diamond Hill Rd Cumberland, RI , TTY: 711 Infusion Resource LLC 2 Heming Way Drive East Providence, RI , TTY: 711 East Side Presc Center Inc 632 Hope St Providence, RI , TTY: 711 Jb Pharmacy 1017 Smith St Providence, RI , TTY: 711 Eleanor Slater Hospital Phcy 2090 Wallum Lake Rd Pascoag, RI , TTY: 711 Eleanor Slater Pharmacy 111 Howard Ave , TTY: 711 Genoa Healthcare 530 N Main St Ste 6 Providence, RI , TTY: 711 Lifespan Pharmacy 593 Eddy St Davol Building Providence, RI , TTY: 711 Lifespan Pharmacy 164 Summit Ave Providence, RI , TTY: 711 Osco Pharmacy 15 Smithfield Rd Admiral Plz North Providence, RI , TTY: 711

14 Phreds Drug Inc 1300 Oaklawn Ave , TTY: Putnam Pike Smithfield, RI , TTY: 711 QOL Meds 101 Bacon St Pawtucket, RI , TTY: Mineral Spring Avenue North Providence, RI , TTY: Atwood Avenue , TTY: Newport Avenue East Providence, RI , TTY: East Avenue Pawtucket, RI , TTY: Warren Avenue East Providence, RI , TTY: Mendon Road Cumberland, RI , TTY: Pontiac Avenue Cranston, RI , TTY: Dyer Avenue , TTY: Atwood Avenue Johnston, RI , TTY: Power Road Pawtucket, RI , TTY: Mineral Spring Avenue Pawtucket, RI , TTY: 711

15 200 Academy Avenue Providence, RI , TTY: Branch Avenue Providence, RI , TTY: Victory Highway Slatersville, RI , TTY: Smith Street North Providence, RI , TTY: Broad Street Providence, RI , TTY: Cranston Street , TTY: Social Street Woonsocket, RI , TTY: 711 Simpsons Pharmacy Inc 10 Newport Ave Pawtucket, RI , TTY: Village Plaza Way North Scituate, RI , TTY: Commerce Way Johnston, RI , TTY: Pitman Street Providence, RI , TTY: Smithfield Road N Smithfield, RI , TTY: Broad Street Central Falls, RI , TTY: Putnam Pike Greenville, RI , TTY: 711

16 70 Mendon Road Cumberland, RI , TTY: Pawtucket Ave E Providence, RI , TTY: Atwood Avenue , TTY: 711 Target Pharmacy 371 Putnam Pike Ste A250 Smithfield, RI , TTY: Mineral Spring Avenue N Providence, RI , TTY: 711 Target Pharmacy 620 George Washington Hwy Lincoln, RI , TTY: Manton Avenue Providence, RI , TTY: 711 Wal-Mart Pharmacy 1776 Plainfield Pike Cranston, RI , TTY: George Washington Hwy Lincoln, RI , TTY: 711 Wal-Mart Pharmacy 7 Dowling Village Blvd N Smithfield, RI , TTY: Garfield Avenue , TTY: 711 Wal-Mart Pharmacy 51 Silver Spring Street Providence, RI , TTY: Cottage Street Pawtucket, RI , TTY: Cottage St Pawtucket, RI , TTY: 711

17 295 Academy Ave Providence, RI , TTY: Mineral Spring Ave North Providence, RI , TTY: Park Ave Cranston, RI , TTY: Plainfield St Johnston, RI , TTY: Broad Street Cranston, RI , TTY: Broad St Pawtucket, RI , TTY: Cumberland St Woonsocket, RI , TTY: Oaklawn Ave , TTY: Putnam Pike Johnston, RI , TTY: N Main St Providence, RI , TTY: Admiral Street Providence, RI , TTY: Atwells Ave Providence, RI , TTY: Elmwood Ave Providence, RI , TTY: Warren Ave East Providence, RI , TTY: 711

18 1 Pocasset Ave Providence, RI , TTY: Atwood Ave Johnston, RI , TTY: Prairie Ave Providence, RI , TTY: Eddie Dowling Hwy North Smithfield, RI , TTY: 711 We Care Rx 678 Park Ave Unit 2 Cranston, RI , TTY: 711 White Cross Pharmacy 1057 Mineral Spring Ave North Providence, RI , TTY: 711 White Cross Pharmacy 1057 Mineral Spring Ave North Providence, RI , TTY: 711 Washington Bayview Pharmacy Inc 3045 Towerhill Rd Unit 3 Saunderstown, RI , TTY: Post Rd North Kingstown, RI , TTY: Granite St Westerly, RI , TTY: Main St Wakefield, RI , TTY: Main St Wyoming, RI , TTY: Boston NEck Road Narragansett, RI , TTY: Franklin St Westerly, RI , TTY: 711

19 3986 Old Post Rd Charlestown, RI , TTY: Granite Street Westerly, RI , TTY: 711 Electric Boat Pharmacy 100 Romano Vineyard Way North Kingstown, RI , TTY: Boston NEck Road Narragansett, RI , TTY: 711 Mcquade Market Place Pharmacy 106 Main St Westerly, RI , TTY: Brown Street North Kingstown, RI , TTY: 711 QOL Meds 55 Cherry Lane Wakefield, RI , TTY: Post Road North Kingstown, RI , TTY: Post Road North Kingstown, RI , TTY: Kingstown Road Wakefield, RI , TTY: Kingstown Road Richmond, RI , TTY: Woodruff Avenue Narragansett, RI , TTY: 711 Seaside Pharmacy of Westerly 224 Post Rd Westerly, RI , TTY: Point Judith Road Narragansett, RI , TTY: 711

20 Wakefield Prescription Center 580 Kingstown Rd Wakefield, RI , TTY: 711 Wal-Mart Pharmacy 1031 Ten Rod Road North Kingstown, RI , TTY: 711 Wal-Mart Pharmacy 258 Post Road Westerly, RI , TTY: 711 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 P.O. Box Mission, KS Phoenix, AZ Toll-free Toll-free TTY 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.

21 Home infusion pharmacies near you (continued) Kent New England Home Infusion Inc 3303 South County Trail E. Greenwich, RI Providence Carepoint Partners 15 Hazel St Pawtucket, RI Infusion Resource LLC 2 Heming Way Drive East Providence, RI Option Care 66 Amaral St East Providence, RI Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s long-term 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. Bristol Delekta Pharmacy Inc 496 Main St Warren, RI Genoa Healthcare 2 Old County Rd Barrington, RI Kent Genoa Healthcare 75 Lambert Lind Hwy Ste Horizon Pharmacy 2756 Post Rd Ste Omnicare of Rhode Island 30 Centre of New England Blvd Coventry, RI Pharmerica 83 Vermont Avenue Ste 2 Warwick, RI

22 Long-term care pharmacies near you (continued) Phusion Pharmacy 17 Coventry Shoppers Park Coventry, RI Genoa Healthcare 55 John A Cummings Way Woonsocket, RI Providence Atwood Prescription Center Inc 1524 Atwood Ave Johnston, RI Eleanor Slater Hospital Phcy 2090 Wallum Lake Rd Pascoag, RI Eleanor Slater Pharmacy 111 Howard Ave Genoa Healthcare 530 N Main St Ste 6 Providence, RI QOL Meds 101 Bacon St Pawtucket, RI White Cross Pharmacy 1057 Mineral Spring Ave North Providence, RI White Cross Pharmacy 1057 Mineral Spring Ave North Providence, RI Washington QOL Meds 55 Cherry Lane Wakefield, RI 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. None available in your local area

23 This directory is a partial list of pharmacies available in the plan s pharmacy network. For more information, please call Customer Service at: Toll-Free , TTY a.m. to 8 p.m. local time, Monday through 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. Other pharmacies are available in our network. The pharmacy network may change at any time. You will receive notice when necessary. 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/coinsurance 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. UHEX16PD _000 RI Last updated September 18, 2015