Regence BlueAdvantage HMO 2017 Pharmacy Directory

Transcription

1 Regence BlueAdvantage HMO 2017 Pharmacy Directory This pharmacy directory was updated on. For more recent information or other questions, please contact Regence BlueCross BlueShield of Oregon Customer Service at or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit regence.com/medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at regence.com/medicare.you may also call Customer Services for updated providers. Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association. H6237_2017PharmacyDirectory_NM

2 Table of Contents Introduction... 1 Retail Pharmacies, including Chain Pharmacies... 2 Mail Order Pharmacies Home Infusion Pharmacies Long-Term Care Pharmacies Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Specialty Pharmacies Pharmacy Index MA_Rx

3 Introduction This booklet provides a list of Regence BlueAdvantage HMO 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 Regence BlueAdvantage HMO s formulary. When this pharmacy directory refers to we, us, or our, it means Regence BlueCross BlueShield of Oregon. When it refers to plan or our plan, it means Regence BlueAdvantage HMO. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under our plan only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory. 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. 1

4 NATIONAL CHAIN PHARMACIES Retail Pharmacies, including Chain Pharmacies ALBANY MEDICAP PHARMACIES INC NATIONAL CHAIN PHARMACIES MEDICINE SHOPPE ABS LLC SO CAL AND IMW INTERNATIONAL INC ACCREDO HEALTH GROUP OMNICARE INC NCS INC HEALTHCARE LLC AMERITA INC OPTION CARE ENTERPRISES INC BIMART CORPORATION PACMED CLINICS CITY MARKET INC PHARMACA INTEGRATIVE COMPLETE CLAIMS PROCESSING INC PHARMERICA CORAM LLC PHOENIX AREA IHS COSTCO PHARMACIES PILL BOX DRUGS INC CVS PHARMACY INC PORTLAND AREA IHS FRED MEYER INC PROCARE PHARMACY LLC GENOA A QOL HEALTHCARE COMPANY LLC QUALITY FOOD CENTERS INC HAGGEN FOODS RITE AID CORPORATION HARMONS CITY INC SAFEWAY INC HI SCHOOL SAV MOR DRUG STORES IHC HEALTH SERVICES INC SHOPKO STORES OPERATING CO LLC K MART SMITHS FOOD AND DRUG LONGS DRUG STORES CENTER INC CALIFORNIA LLC TARGET PHARMACIES THE BARTELL DRUG COMPANY UNIVERSITY OF UTAH PHARMACIES WALGREENS DRUG STORE WALMART STORES INC YAKIMA VALLEY FARM WORKERS CLINIC ALBANY ELM STREET TH AVE SW ALBANY, (541) GEARY STREET CLINIC 1700 SE GEARY ST ALBANY, (541) MA_Rx 2

5 ASHLAND Retail Pharmacies, including Chain Pharmacies BEND (CONTINUED) ASHLAND ASHLAND DRUG 53 NORTH SECOND STREET ASHLAND, (541) ASTORIA COLUMBIA MEMORIAL HOSPITAL OUTPATIENT 2120 EXCHANGE ST ASTORIA, (503) PARAMOUNT DRUG 1319 COMMERCIAL ST ASTORIA, (503) BAKER CITY BAKER CITY 1920 RESORT STREET BAKER CITY, (541) BANKS BANKS NW MAIN ST STE 102 BANKS, (503) BEAVERTON BEAVERTON SW CANYON RD BEAVERTON, (503) OHSU KNIGHT CANCER INSTITUTE-BEAVERTON HEMATOLOGY ONCOLOGY O SW GREYSTONE CT BEAVERTON, (971) OHSU MAIL ORDER 9315 SW NIMBUS AVE BEAVERTON, (503) VG BEAVERTON 2935 SW CEDAR HILLS BLVD BEAVERTON, (503) BEND BEND MEMORIAL CLINIC 1501 NE MEDICAL CENTER DR BEND, (541) CASCADE CUSTOM AMBER MEADOW DR STE 170 BEND, (541) COMMUNITY 2500 NE NEFF RD BEND, (541) NORCHEM L L C DBA ROSE PHY 1247 NE MEDICAL CENTER DR BEND, (541) WESTSIDE 359 SW CENTURY DR BEND, (541) MA_Rx

6 BOARDMAN Retail Pharmacies, including Chain Pharmacies EUGENE (CONTINUED) BOARDMAN GOOD SHEPHERD BOARDMAN 220 S MAIN BOARDMAN, (541) BROWNSVILLE BROWNSVILLE 411 N MAIN BROWNSVILLE, (541) CANBY DAVES PRESCRIPTION SHOP 911 SW 4TH AVE CANBY, (503) PARSONS CANBY PHARMACY 294 NW 2ND AVE CANBY, (503) CANYONVILLE GORDON'S PHARMACY AND GIFTS 314 MAIN ST CANYONVILLE, (541) CLACKAMAS SUNNYSIDE SE SUNNYSIDE RD STE 100A CLACKAMAS, (503) CONDON MURRAYS CONDON 225 SOUTH MAIN CONDON, (541) CORNELIUS VIRGINIA GARCIA MEM HLTH CTR PHCY 1151 N ADAIR ST CORNELIUS, (503) CORVALLIS CORVALLIS CLINIC 3680 NW SAMARITAN DR CORVALLIS, (541) HEALTH SERVICES 530 NW 27TH ST CORVALLIS, (541) OSU STUDENT HLTH CTR PHCY PLAGEMAN BUILDING ROOM 109 CORVALLIS, (541) SAMARITAN PHARMACY SERVICES 3521 NW SAMARITAN DR STE 202 CORVALLIS, (541) COTTAGE GROVE COTTAGE GROVE COMMUNITY HOSPITAL 1515 VILLAGE DR COTTAGE GROVE, (952) ENTERPRISE OLIVE BRANCH 306 W NORTH ST ENTERPRISE, (541) EUGENE BROADWAY APOTHECARY 1515 OAK ST EUGENE, (541) MA_Rx 4

7 EUGENE Retail Pharmacies, including Chain Pharmacies GRESHAM (CONTINUED) EUGENE (CONTINUED) HIRONS DRUG #1 185 E 18TH AVE EUGENE, (541) HIRONS DRUG # FRANKLIN BLVD EUGENE, (541) RIVER ROAD HEALTHMART 884 RIVER ROAD EUGENE, (541) SACRED HEART MEDICAL CENTER - UNIV DISTRICT 1255 HILYARD ST EUGENE, (952) HOUR SERVICE SYNERGY RX 55 COBURG RD EUGENE, (541) WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER 520 COUNTRY CLUB RD EUGENE, (541) GOLD BEACH CORNER DRUG ELLENSBURG AVE GOLD BEACH, (541) GOLD HILL GOLD HILL 808 2ND AVE GOLD HILL, (541) GRANTS PASS ASANTE THREE RIVERS 500 SW RAMSEY AVE GRANTS PASS, (541) GRANTS PASS PHARMACY, INC. 414 SW 6TH ST GRANTS PASS, (541) RXMEDLAB 162 NE BEACON DR GRANTS PASS, (541) SISKIYOU COMMUNITY HEALTH CENTER PHARMACY 1701 NW HAWTHORNE AVE GRANTS PASS, (541) TRINITY VALLEY PHARMACY LLC RETAIL 2001 FOOTHILL BLVD GRANTS PASS, (541) GRESHAM EAST COUNTY CLINIC 600 NE 8TH ST SUITE 300 GRESHAM, (503) LEGACY MOUNT HOOD MEDICAL CENTER SE STARK ST GRESHAM, (503) MA_Rx

8 HARRISBURG Retail Pharmacies, including Chain Pharmacies LA GRANDE (CONTINUED) HARRISBURG HARRISBURG 230 N 3RD ST HARRISBURG, (541) HEPPNER MURRAY DRUG INC 217 N MAIN ST HEPPNER, (541) HERMISTON GOOD SHEPHERD CLINIC 610 NW 11TH ST HERMISTON, (541) HERMISTON DRUG AND GIFT 114 MAIN ST HERMISTON, (541) HILLSBORO HILLSBORO 243 E MAIN HILLSBORO, (503) INTEL HEALTH FOR LIFE CENTER 2111 NE 25TH AVE HILLSBORO, (503) PROVIDENCE TANASBOURNE NW CORNELL RD STE 102 HILLSBORO, (503) VG HILLSBORO 226 SE 8TH AVE HILLSBORO, (503) ZOOMCARE NW TANASBOURNE DR STE 210 HILLSBORO, (503) JOHN DAY LENS DRUG 120 E MAIN ST JOHN DAY, (541) KING CITY MCCANNS SW 116TH AVE KING CITY, (503) KLAMATH FALLS SKY LAKES OUTPATIENT 2865 DAGGETT AVENUE KLAMATH FALLS, (541) LA GRANDE GRANDE RONDE HOSPITAL 900 SUNSET DR LA GRANDE, (541) RED CROSS DRUG STORE 1123 ADAMS AVE LA GRANDE, (541) MA_Rx 6

9 LA PINE Retail Pharmacies, including Chain Pharmacies MEDFORD (CONTINUED) LA PINE DRUG MART HUNTINGTON RD LA PINE, (541) LAKE OSWEGO CCP RX 6025 SW JEAN RD LAKE OSWEGO, (503) LAKEVIEW HOWARDS DRUGS 101 NORTH F STREET LAKEVIEW, (541) LEBANON SAMARITAN LEBANON COMMUNITY 35 MULLINS DR LEBANON, (541) MADRAS HOMETOWN DRUGS 65 NE OAK ST STE 100 MADRAS, (541) MCMINNVILLE MAC PRESCRIPTION SHOP 225 NE 3RD STREET MCMINNVILLE, (503) MAC PRESCRIPTION SHOP AT PMC 2435 NE CUMULUS AVE STE C MCMINNVILLE, (503) VG MCMINNVILLE 115 NE MAY LN MCMINNVILLE, (503) MEDFORD ASANTE 2900 E BARNETT RD MEDFORD, (541) ASANTE RRMC 2825 E BARNETT RD MEDFORD, (541) HOUR SERVICE BLACK OAK 2924 SISKIYOU BLVD MEDFORD, (541) CHRISTIAN'S DOWNTOWN 333 N RIVERSIDE AVE MEDFORD, (541) LONE PINE DRUG 3528 LONE PINE RD # 2 MEDFORD, (541) ROGUE COMMUNITY HEALTH 11 MYRTLE ST MEDFORD, (541) MA_Rx

10 MEDFORD Retail Pharmacies, including Chain Pharmacies PORTLAND (CONTINUED) MEDFORD (CONTINUED) ROGUE VALLEY MANOR 1250 MIRA MAR AVE MEDFORD, (541) WELLNESS 1150 CRATER LAKE AVENUE MEDFORD, (541) WEST MAIN 2355 WEST MAIN ST MEDFORD, (541) MERRILL THE MERRILL CLINIC LLC 125 N LINCOLN ST MERRILL, (541) MILL CITY MILL CITY 218 SW BROADWAY MILL CITY, (503) MYRTLE POINT SEMPERTS DRUG 735 SPRUCE ST MYRTLE POINT, (541) NEWBERG CENTER 502 VILLA RD NEWBERG, (503) NORTH BEND WATERFALL COMMUNITY 1890 WAITE ST STE 1 NORTH BEND, (541) NYSSA MALHEUR DRUG INC 424 MAIN ST NYSSA, (541) OAKRIDGE POSTAL PHARMACY,INC HWY 58 OAKRIDGE, (541) PHILOMATH PHILOMATH FAMILY 1640 MAIN ST PHILOMATH, (541) PHOENIX PHOENIX 404 N MAIN ST PHOENIX, (541) SE POWELL BLVD STE J PORTLAND, (503) APEX 1215 NW 23RD AVE PORTLAND, (503) APOTHECARY AT GOOD SAMARITAN 1040 NW 22ND AVENUE PORTLAND, (503) MA_Rx 8

11 PORTLAND Retail Pharmacies, including Chain Pharmacies PORTLAND (CONTINUED) PORTLAND (CONTINUED) APOTHECARY EMANUEL 501 N GRAHAM ST PORTLAND, (503) BOWMANS HILLSDALE 6256 SW CAPITOL HWY PORTLAND, (503) BROOKLYN PHARMACY INC 3131 SE MILWAUKIE AVENUE PORTLAND, (503) CENTRAL CITY CONCERN 727 W BURNSIDE ST PORTLAND, (503) CENTRAL DRUGS 538 SW 4TH AVE PORTLAND, (503) COLUMBIA 8122 SE TIBBETTS STREET PORTLAND, (503) COMMUNITY SW CAPITAL HIGHWAY PORTLAND, (503) FAIRLEYS 7206 NE SANDY BLVD PORTLAND, (503) GOLDEN DAWN CLINIC 2448 SE 89TH AVE STE 1 PORTLAND, (503) HEALTHSCRIPTS OF AMERICA - PORTLAND, LLC SW PARK WAY PORTLAND, (971) LLOYD CENTER 438 EAST BURNSIDE ST PORTLAND, (503) MEDICAL OFFICE BUILDING PHCY 9155 SW BARNES RD PORTLAND, (503) MIDCOUNTY CLINIC SE DIVISION ST PORTLAND, (503) MULTNOMAH COUNTY - ROCKWOOD HEALTH CLINIC 2020 SE 182ND AVE PORTLAND, (503) N PORTLAND CLINIC 9000 N LOMBARD ST PORTLAND, (503) MA_Rx

12 PORTLAND Retail Pharmacies, including Chain Pharmacies PORTLAND OHSU DOERNBECHER (CONTINUED) CHILDRENS HOSPITAL PORTLAND (CONTINUED) 3181 SW SAM JACKSON PARK NORTHEAST CLINIC ROAD PORTLAND, NE MARTIN L KING JR (503) BLVD PORTLAND, (503) OHSU GABRIEL PARK 4411 SW VERMONT AVE NORTHWEST UROLOGY LLC PORTLAND, NW PETTYGROVE ST (503) PORTLAND, (503) OHSU CASEY EYE INSTITUTE OHSU OUTPATIENT PHCY 3181 SW SAM JACKSON PARK 3375 SW TERWILLIGER BLVD RD PORTLAND, PORTLAND, (503) (503) OHSU CENTER FOR HEALTH AND HEALING OHSU RICHMOND CLINIC 3303 SW BOND AVE PORTLAND, SE DIVISION (503) PORTLAND, (503) PAULSENS 4246 NE SANDY BLVD PORTLAND, (503) PORTLAND PROFESSIONAL NE GLISAN ST PORTLAND, (971) PROVIDENCE PLAZA 5050 NE HOYT PORTLAND, (503) SOUTHEAST HEALTH CLINIC 3653 SE 34TH AVE PORTLAND, (503) STROHECKERS 2855 SW PATTON RD PORTLAND, (503) MA_Rx 10

13 PORTLAND Retail Pharmacies, including Chain Pharmacies SALEM (CONTINUED) PORTLAND (CONTINUED) WESTSIDE CLINIC PHARMACY 426 SW STARK PORTLAND, (503) PRINEVILLE CLINIC 198 NE COMBS FLAT RD PRINEVILLE, (541) REDMOND COMMUNITY PHARMACY REDMOND 1253 N CANAL BLVD REDMOND, (541) REEDSPORT LOWER UMPQUA HOSPITAL 600 RANCH RD REEDSPORT, (541) REEDSPORT PHARMACY INC 1409 HWY 101 REEDSPORT, (541) ROSEBURG HARVARD AVENUE DRUGS AND HEALTH MART 1175 W HARVARD AVE ROSEBURG, (541) HOMETOWN DRUGS 1813 W HARVARD AVE STE 210 ROSEBURG, (541) NW 1350 NORTHEAST STEPHENS ROSEBURG, (541) SALEM CALHOUN 990 COMMERCIAL ST SE SALEM, (503) HEMATOLOGY ONCOLOGY OF SALEM, LLP 875 OAK ST SE STE 4030 SALEM, (503) MEDICINE SHOPPE 1890 CAPITOL STREET NE SALEM, (503) OAK TREE 2940 COMMERCIAL ST SE SALEM, (503) PHYSICIANS BUILDING 1234 COMMERICAL ST SE SALEM, (503) QUISENBERRY PHARMACIES 150 LIBERTY ST SE SALEM, (503) SALEM HOSPITAL 890 OAK ST SE SALEM, (952) HOUR SERVICE 11 MA_Rx

14 SALEM Retail Pharmacies, including Chain Pharmacies TOLEDO (CONTINUED) SALEM (CONTINUED) SALEM HOSPITAL COM RETAIL 890 OAK ST SE SALEM, (503) WILLAMETTE UROLOGY PC TH ST SE SALEM, (503) SEASIDE PROVIDENCE SEASIDE 725 S WAHANNA RD SEASIDE, (503) SHADY COVE SHADY COVE HWY 62 SHADY COVE, (541) SILETZ SILETZ COMMUNITY HEALTH CLINIC 107 SE SWAN ST SILETZ, (541) SPRINGFIELD UROLOGY INSTITUTE, PC 2400 HARTMAN LANE SPRINGFIELD, (541) SACRED HEART - RIVERBEND 3333 RIVERBEND DR SPRINGFIELD, (952) HOUR SERVICE STAYTON STAYTON 102 MARTIN DR STAYTON, (503) SUNRIVER SUNRIVER VENTURE LN SUNRIVER, (541) SUTHERLIN SUTHERLIN DRUG 113 CENTRAL AVE E SUTHERLIN, (541) SWEET HOME ECONOMY DRUGS 621 MAIN ST SWEET HOME, (541) TILLAMOOK TILLAMOOK 915 MAIN AVE TILLAMOOK, (503) TOLEDO MIKES 722 W HIGHWAY 20 TOLEDO, (541) MA_Rx 12

15 TUALATIN Retail Pharmacies, including Chain Pharmacies WASHINGTON VANCOUVER (CONTINUED) TUALATIN MERIDIAN PARK MEDICAL CENTER COMMUNITY SW 65TH AVE TUALATIN, (503) TUALATIN SW MARTINAZZI AVE TUALATIN, (503) WELLPARTNER SW 115TH AVE STE 100 TUALATIN, (503) WELLPARTNER SW 115TH AVE STE 100 TUALATIN, (503) UMATILLA CARLSONS UMATILLA 821 6TH ST UMATILLA, (541) UNION UNION DRUG COMPANY 105 N MAIN UNION, (541) VALE MALHEUR DRUG 198 A ST W VALE, (541) WELCHES WILLIAMS PHARMACY LLC E HIGHWAY 26 WELCHES, (503) WHEELER RINEHART PHARMACY, LLC 278 ROWE ST WHEELER, (503) WHITE CITY CASCADE 7591A CRATER LAKE HWY WHITE CITY, (541) WINSTON VALLEY DRUGS 157 NW DOUGLAS BLVD WINSTON, (541) WOODBURN WOODBURN HEALTH CENTER 1475 MOUNT HOOD AVE WOODBURN, (971) WASHINGTON VANCOUVER APOTHECARY AT SALMON CREEK 2121 NE 139TH ST VANCOUVER, (360) MA_Rx

16 WASHINGTON VANCOUVER Retail Pharmacies, including Chain Pharmacies WASHINGTON VANCOUVER WASHINGTON (CONTINUED) VANCOUVER (CONTINUED) PACIFIC NW SPECIALTY 3801 MAIN ST STE A VANCOUVER, (360) PHSW PHARMACY AT MEDICAL CENTER 420 NE MOTHER JOSEPH PL VANCOUVER, (360) THE VANCOUVER CLINIC 700 NE 87TH AVE VANCOUVER, (360) THE VANCOUVER CLINIC PHARMACY COLUMBIA TECHNOLOGY CENTER 501 SE 172ND AVE STE 120 VANCOUVER, (360) VANCOUVER CLINIC PHARMACY SALMON CREEK 2525 NE 139TH ST VANCOUVER, (360) MA_Rx 14

17 ARIZONA TEMPE Mail Order Pharmacies PORTLAND You can get prescription drugs shipped to your home through our network mail order delivery program. 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 or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit regence.com/medicare. ARIZONA TEMPE WALGREENS # S RIVER PKWY TEMPE, (480) HOUR SERVICE FLORIDA MIRAMAR OPTUM HOME 9994 PREMIER PKWY MIRAMAR, (800) ORLANDO WALGREENS # SOUTH PARK CIR ORLANDO, (407) HOUR SERVICE OHIO AVON LAKE OPTUM HOME WALKER RD AVON LAKE, (800) PORTLAND POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND, (503) MA_Rx

18 BEND Home Infusion Pharmacies PORTLAND For more information, call Customer Services. Phone numbers and hours are listed on the front and back of this book. BEND AXELACARE 2065 NE WILLIAMSON CT BEND, (541) HOUR SERVICE EUGENE HOME PARENTERAL CARE 1000 S BERTELSEN NUMBER 5 EUGENE, (541) HOUR SERVICE SACRED HEART HOME INFUSION 677 E 12TH AVE EUGENE, (541) PORTLAND PROVIDENCE SPECIALTY PHARMACY SERVICES- INFUSION/SPP 6410 NE HALSEY STREET PORTLAND, (503) MA_Rx 16

19 CLACKAMAS Long-Term Care Pharmacies PORTLAND Residents of a long-term care facility may access their prescription drugs covered under Regence through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Customer Services. Phone numbers and hours are listed on the front and back of this book. CLACKAMAS ISSE PHARMACY SERVICES SE 114TH AVE CLACKAMAS, (503) EUGENE BHS 1455 WESTEC DR EUGENE, (541) MANAGED HEALTHCARE 1750 WILLOW CREEK CIR EUGENE, (541) GRANTS PASS TRINITY VALLEY PHARMACY LLC 2001 FOOTHILL BLVD F3 GRANTS PASS, (541) GRESHAM GENOA HEALTHCARE 400 NE 7TH ST GRESHAM, (503) LA GRANDE RED CROSS INSTITUTIONAL 206 DEPOT ST LA GRANDE, (541) MILWAUKIE CONSONUS PHARMACY SERVICES LLC 4560 SE INTERNATIONAL WAY MILWAUKIE, (971) OLSON LONG TERM CARE SE MCLOUGHLIN BLVD MILWAUKIE, (503) ONTARIO PHS LONG TERM CARE 1085 N ST ONTARIO, (541) CITY GENOA HEALTHCARE 998 LIBRARY CT RM 4 CITY, (503) PORTLAND FAIRLEYS HEALTHCARE 7206 NE SANDY BLVD PORTLAND, (503) LUKE-DORF NE SANDY BLVD PORTLAND, (503) MA_Rx

20 PORTLAND Long-Term Care Pharmacies WASHINGTON VANCOUVER (CONTINUED) PORTLAND (CONTINUED) PROVIDENCE SPECIALTY PHARMACY SERVICES - LTC 6410 NE HALSEY STREET PORTLAND, (503) SALEM GENOA HEALTHCARE 750 FRONT ST NE SALEM, (503) STATE HOSPITAL 2600 CENTER ST NE SALEM, (503) STAYTON SUBLIMITY 102 MARTIN DR STAYTON, (503) WILSONVILLE PROGRESS HEALTH SERVICES 9150 SW PIONEER COURT WILSONVILLE, (503) WASHINGTON VANCOUVER GENEVA WOODS 6600 NE 112TH COURT VANCOUVER, (360) PROPAC NE 95TH ST VANCOUVER, (360)

21 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies CHILOQUIN PORTLAND Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Regence's pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). CHILOQUIN KLAMATH TRIBAL HEALTH 330 CHILOQUIN BLVD CHILOQUIN, (541) GRAND RONDE GRAND RONDE HEALTH AND WELLNESS 9605 GRAND RONDE RD GRAND RONDE, (503) PENDLETON YELLOWHAWK TRIBAL HEALTH CLINIC PHCY CONFEDERATED WAY PENDLETON, (541) PORTLAND NARA INDIAN HEALTH CLINIC 15 N MORRIS PORTLAND, (503) MA_Rx

22 ALABAMA BIRMINGHAM Specialty Pharmacies TENNESSEE FRANKLIN ALABAMA BIRMINGHAM BRIOVARX, LLC 1100 LEE BRANCH LN BIRMINGHAM, (205) GEORGIA CORNELIA BRIOVARX OF GEORGIA, LLC 166 COMMERCE PKWY CORNELIA, (706) IDAHO BOISE LIFES DOORS HCS PHARMACY 420 S ORCHARD BOISE, (208) INDIANA JEFFERSONVILLE BRIOVARX OF INDIANA, LLC 1050 PATROL RD JEFFERSONVILLE, (812) KANSAS LENEXA BRIOVARX, LLC RENNER BLVD LENEXA, (913) LOUISIANA LAKE CHARLES BRIOVARX OF LOUISIANA 1737A SAM HOUSTON JONES PKWY LAKE CHARLES, (337) MAINE S PORTLAND BRIOVARX OF MAINE, INC. 53 DARLING AVE S PORTLAND, (207) MASSACHUSETTS AVON BRIOVARX OF MASSACHUSETTS, LLC 145 BODWELL ST UNIT A AVON, (508) MICHIGAN CANTON WALGREENS SPECIALTY HAGGERTY CIRCLE S CANTON, (734) HOUR SERVICE MISSISSIPPI COLUMBUS BRIOVARX, LLC TH ST NORTH COLUMBUS, (662) NEVADA LAS VEGAS BRIOVARX OF NEVADA, LLC 8350 BRIOVA DRIVE LAS VEGAS, (702) BEAVERTON WALGREENS SPECIALTY PHARMACY # SW GEMINI BEAVERTON, (503) PENNSYLVANIA CARNEGIE WALGREENS SPECIALTY PHARMACY # NOBLESTOWN RD CARNEGIE, (412) TENNESSEE FRANKLIN BRIOVARX, LLC 1897 GEN GEORGE PATTON DRIVE FRANKLIN, (615) MA_Rx 20

23 TEXAS FRISCO Specialty Pharmacies TEXAS LUBBOCK TEXAS FRISCO WALGREENS SPECIALTY JOHN ELLIOTT DR FRISCO, (800) LUBBOCK BRIOVARX, LLC 6310 GENOA AVE LUBBOCK, (806) MA_Rx

24 Pharmacy FRED MEYER CASCADE CUSTOM PHARMACY... 3 CASCADE 8 CCP RX...7 A CENTER PHARMACY...8 ABS LLC SO CAL AND IMW...2 CENTRAL CITY CONCERN ACCREDO HEALTH GROUP INC... 2 PHARMACY... 9 AMERITA INC...2 CENTRAL DRUGS... 9 APEX PHARMACY...8 CHRISTIAN'S DOWNTOWN APOTHECARY AT GOOD PHARMACY... 7 SAMARITAN...8 CITY MARKET INC... 2 APOTHECARY AT SALMON CREEK...13 CLINIC PHARMACY APOTHECARY EMANUEL... 9 COLUMBIA MEMORIAL HOSPITAL ASANTE PHARMACY... 7 OUTPATIENT PHARMACY... 3 ASANTE RRMC PHARMACY...7 COLUMBIA PHARMACY... 9 ASANTE THREE RIVERS PHARMACY... 5 COMMUNITY PHARMACY... 9 ASHLAND DRUG... 3 COMMUNITY PHARMACY... 3 AXELACARE COMMUNITY PHARMACY B REDMOND BAKER CITY PHARMACY... 3 COMPLETE CLAIMS PROCESSING BANKS PHARMACY...3 INC...2 BEAVERTON PHARMACY...3 CONSONUS PHARMACY SERVICES BEND MEMORIAL CLINIC...3 LLC BHS PHARMACY BIMART CORPORATION...2 BLACK OAK PHARMACY...7 BOWMANS HILLSDALE PHARMACY... 9 BRIOVARX OF GEORGIA, LLC BRIOVARX OF INDIANA, LLC BRIOVARX OF LOUISIANA...20 BRIOVARX OF MAINE, INC BRIOVARX OF MASSACHUSETTS, LLC...20 C CALHOUN PHARMACY CARLSONS UMATILLA PHARMACY CORAM LLC...2 CORNER DRUG...5 CORVALLIS CLINIC PHARMACY...4 COSTCO PHARMACIES...2 COTTAGE GROVE COMMUNITY HOSPITAL...4 CVS PHARMACY INC...2 D DAVES PRESCRIPTION SHOP...4 DRUG MART PHARMACY...7 BRIOVARX OF NEVADA, LLC BRIOVARX, LLC... 20, 21 E BROADWAY APOTHECARY... 4 EAST COUNTY CLINIC PHARMACY...5 BROOKLYN PHARMACY INC... 9 ECONOMY DRUGS BROWNSVILLE PHARMACY... 4 ELM STREET PHARMACY... 2 F FAIRLEYS HEALTHCARE FAIRLEYS PHARMACY... 9 FRED MEYER INC... 2 MA_Rx 22

25 Pharmacy Index GEARY STREET CLINIC PHARMACY MURRAYS CONDON PHARMACY ISSE PHARMACY SERVICES G GEARY STREET CLINIC PHARMACY... 2 K GENEVA WOODS PHARMACY...18 K MART PHARMACY... 2 GENOA A QOL HEALTHCARE KLAMATH TRIBAL HEALTH COMPANY LLC...2 PHARMACY GENOA HEALTHCARE... 17, 18 L GOLD HILL PHARMACY...5 GOLDEN DAWN CLINIC...9 LEGACY MOUNT HOOD MEDICAL CENTER PHARMACY...5 GOOD SHEPHERD BOARDMAN PHARMACY...4 LENS DRUG... 6 GOOD SHEPHERD CLINIC LIFES DOORS HCS PHARMACY...20 PHARMACY...6 LLOYD CENTER PHARMACY... 9 GORDON'S PHARMACY AND GIFTS... 4 LONE PINE DRUG... 7 GRAND RONDE HEALTH AND LONGS DRUG STORES CALIFORNIA WELLNESS PHARMACY LLC... 2 GRANDE RONDE HOSPITAL LOWER UMPQUA HOSPITAL PHARMACY...6 PHARMACY GRANTS PASS PHARMACY, INC....5 LUKE-DORF PHARMACY...17 H M HAGGEN FOODS PHARMACY...2 MAC PRESCRIPTION SHOP...7 HARMONS CITY INC...2 MAC PRESCRIPTION SHOP AT PMC...7 HARRISBURG PHARMACY... 6 MALHEUR DRUG...13 HARVARD AVENUE DRUGS AND MALHEUR DRUG INC... 8 HEALTH MART PHARMACY MANAGED HEALTHCARE HEALTH SERVICES PHARMACY... 4 PHARMACY HEALTHSCRIPTS OF AMERICA - MCCANNS PHARMACY...6 PORTLAND, LLC...9 MEDICAL OFFICE BUILDING PHCY... 9 HEMATOLOGY ONCOLOGY OF MEDICAP PHARMACIES INC...2 SALEM, LLP MEDICINE SHOPPE...11 HERMISTON DRUG AND GIFT...6 MEDICINE SHOPPE INTERNATIONAL HI SCHOOL PHARMACY...2 INC...2 HILLSBORO PHARMACY...6 MERIDIAN PARK MEDICAL CENTER HIRONS DRUG #1...5 COMMUNITY PHARMACY HIRONS DRUG #2...5 MIDCOUNTY CLINIC PHARMACY...9 HOME PARENTERAL CARE MIKES PHARMACY HOMETOWN DRUGS... 7, 11 MILL CITY PHARMACY... 8 HOWARDS DRUGS... 7 MULTNOMAH COUNTY - ROCKWOOD HEALTH CLINIC I PHARMACY... 9 IHC HEALTH SERVICES INC...2 MURRAY DRUG INC... 6 INTEL HEALTH FOR LIFE CENTER... 6 MURRAYS CONDON PHARMACY MA_Rx

26 Pharmacy Index N PORTLAND CLINIC PHARMACY RIVER ROAD HEALTHMART PHARMACY N PHARMACA INTEGRATIVE PHARMACY... 2 N PORTLAND CLINIC PHARMACY...9 PHARMERICA...2 NARA INDIAN HEALTH CLINIC...19 PHILOMATH FAMILY PHARMACY...8 NORCHEM L L C DBA ROSE PHY...3 PHOENIX AREA IHS... 2 NORTHEAST CLINIC PHARMACY...10 PHOENIX PHARMACY...8 NORTHWEST UROLOGY LLC...10 PHS LONG TERM CARE PHARMACY NW PHARMACY PHSW PHARMACY AT MEDICAL O CENTER OAK TREE PHARMACY PHYSICIANS BUILDING PHARMACY...11 OHSU CASEY EYE INSTITUTE PILL BOX DRUGS INC...2 PHARMACY...10 PORTLAND AREA IHS...2 OHSU CENTER FOR HEALTH AND PORTLAND PROFESSIONAL HEALING PHARMACY PHARMACY OHSU DOERNBECHER CHILDRENS POSTAL PHARMACY,INC...8 HOSPITAL PHARMACY...10 POSTAL PRESCRIPTION SERVICES OHSU GABRIEL PARK PHARMACY PROCARE PHARMACY LLC...2 OHSU KNIGHT CANCER INSTITUTE- PROGRESS HEALTH SERVICES...18 BEAVERTON HEMATOLOGY PROPAC PHARMACY...18 ONCOLOGY O... 3 PROVIDENCE PLAZA PHARMACY OHSU MAIL ORDER PHARMACY...3 PROVIDENCE SEASIDE PHARMACY...12 OHSU OUTPATIENT PHCY PROVIDENCE SPECIALTY OHSU RICHMOND CLINIC PHARMACY SERVICES - LTC...18 PHARMACY...10 PROVIDENCE SPECIALTY OLIVE BRANCH PHARMACY...4 PHARMACY SERVICES-INFUSION/ OLSON LONG TERM CARE SPP PHARMACY...17 PROVIDENCE TANASBOURNE OMNICARE INC NCS HEALTHCARE PHARMACY... 6 LLC...2 Q OPTION CARE ENTERPRISES INC...2 QUALITY FOOD CENTERS INC... 2 OPTUM HOME...15 QUISENBERRY PHARMACIES STATE HOSPITAL PHARMACY...18 R UROLOGY INSTITUTE, PC RED CROSS DRUG STORE...6 OSU STUDENT HLTH CTR PHCY... 4 RED CROSS INSTITUTIONAL P PHARMACY REEDSPORT PHARMACY INC...11 PACIFIC NW SPECIALTY PHARMACY...14 RINEHART PHARMACY, LLC PACMED CLINICS...2 RITE AID CORPORATION...2 PARAMOUNT DRUG...3 RIVER ROAD HEALTHMART PARSONS CANBY PHARMACY...4 PHARMACY... 5 PAULSENS PHARMACY...10 MA_Rx 24

27 Pharmacy Index ROGUE COMMUNITY HEALTH PHARMACY WELLPARTNER PHARMACY ROGUE COMMUNITY HEALTH PHARMACY...7 ROGUE VALLEY MANOR PHARMACY...8 RXMEDLAB PHARMACY...5 S SACRED HEART - RIVERBEND...12 SACRED HEART HOME INFUSION SACRED HEART MEDICAL CENTER - TRINITY VALLEY PHARMACY LLC UNIV DISTRICT... 5 RETAIL... 5 SAFEWAY INC...2 TUALATIN PHARMACY SALEM HOSPITAL SALEM HOSPITAL COM RETAIL U PHARMACY...12 UNION DRUG COMPANY SAMARITAN LEBANON UNIVERSITY OF UTAH PHARMACIES... 2 COMMUNITY PHARMACY...7 SAMARITAN PHARMACY SERVICES...4 SAV MOR DRUG STORES... 2 SEMPERTS DRUG... 8 SHADY COVE PHARMACY...12 SHOPKO STORES OPERATING CO LLC...2 SILETZ COMMUNITY HEALTH CLINIC PHARMACY...12 SISKIYOU COMMUNITY HEALTH THE BARTELL DRUG COMPANY...2 THE MERRILL CLINIC LLC...8 THE VANCOUVER CLINIC PHARMACY THE VANCOUVER CLINIC PHARMACY COLUMBIA TECHNOLOGY CENTER...14 TILLAMOOK PHARMACY...12 TRINITY VALLEY PHARMACY LLC...17 V VALLEY DRUGS...13 VANCOUVER CLINIC PHARMACY SALMON CREEK...14 VG BEAVERTON PHARMACY... 3 VG HILLSBORO PHARMACY... 6 VG MCMINNVILLE PHARMACY... 7 VIRGINIA GARCIA MEM HLTH CTR PHCY... 4 CENTER PHARMACY... 5 W SKY LAKES OUTPATIENT WALGREENS # PHARMACY... 6 WALGREENS # SMITHS FOOD AND DRUG CENTER WALGREENS DRUG STORE...2 INC...2 WALGREENS SPECIALTY SOUTHEAST HEALTH CLINIC PHARMACY... 20, 21 PHARMACY WALGREENS SPECIALTY STAYTON PHARMACY PHARMACY # STROHECKERS PHARMACY WALGREENS SPECIALTY SUBLIMITY PHARMACY PHARMACY # SUNNYSIDE PHARMACY...4 WALMART STORES INC...2 SUNRIVER PHARMACY...12 WATERFALL COMMUNITY SUTHERLIN DRUG PHARMACY... 8 SYNERGY RX... 5 WELLNESS T PHARMACY... 8 TARGET PHARMACIES... 2 WELLPARTNER WELLPARTNER PHARMACY MA_Rx

28 Pharmacy Index WEST MAIN PHARMACY ZOOMCARE PHARMACY WEST MAIN PHARMACY...8 WESTSIDE CLINIC PHARMACY WESTSIDE PHARMACY... 3 WILLAMETTE UROLOGY PC WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER... 5 WILLIAMS PHARMACY LLC...13 WOODBURN HEALTH CENTER PHARMACY...13 Y YAKIMA VALLEY FARM WORKERS CLINIC...2 YELLOWHAWK TRIBAL HEALTH CLINIC PHCY...19 Z ZOOMCARE PHARMACY...6 MA_Rx 26

29 DISCRIMINATION IS AGAINST THE LAW Regence complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Regence does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Regence: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters 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: Qualified interpreters Information written in other languages If you need these services, contact our Customer Service at If you believe that Regence 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 our Appeals and Grievance department by writing us at PO Box 1827 MS: B32AG, Medford, OR 97501, by calling us at , (TTY: 711), by sending a fax to , or by ing us at MedicareAppeals@cambiahealth.com.You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, our Appeals and Grievance department 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 20201, , (TDD). Complaint forms are available at HELP IN OTHER LANGUAGES The translations on the following pages help people who do not read English know who to call for help. Including these translations is a federal requirement for all health plans sold on the state or federal marketplaces.

30 Multi-Language Interpreter Services Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). Chinese: 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) Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 711). Korean: 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: 711) 번으로전화해주십시오. Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 711). Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 711). French: ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : 711). Japanese: 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます (TTY:711) まで お電話にてご連絡ください Navajo: D77 baa ak0 n7n7zin: D77 saad bee y1n7[ti go Diné Bizaad, saad bee 1k1 1n7da 1wo d66, t 11 jiik eh, 47 n1 h0l=, koj8 h0d77lnih (TTY: 711.) Tongan: FAKATOKANGA I: Kapau oku ke Lea-Fakatonga, ko e kau tokoni fakatonu lea oku nau fai atu ha tokoni ta etotongi, pea teke lava o ma u ia. Telefoni mai (TTY: 711). Serbo-Croation: OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711). Cambodian: របយត ន បសនជ អកនយ យ ន ភ ស ខរ, ម សវ ជនយ ផកភ ស ន ដ យមនគតឈល ន គអ ចម នសរ បប រអក ន ចរ ទរសព ទ (TTY: 711) Panjabi: (TTY: 711) ' German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: 711).

31 Amharic: ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ (መስማት ለተሳናቸው: 711). Ukrainian: УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (телетайп: 711). Nepali: : ( : 711) Romanian: ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la (TTY: 711). Sudan (Fulfulde): MAANDO: To a waawi [Adamawa], e woodi ballooji-ma to ekkitaaki wolde caahu. Noddu (TTY: 711). Thai: เรยน: ถาคณพดภาษาไทยคณสามารถใชบรการชวยเหลอทางภาษาไดฟร โทร (TTY: 711). Laotian: ໂປດຊາບ: ຖາວາ ທານເວາພາສາ ລາວ, ການບລການຊວຍເຫອດານພາສາ, ໂດຍບເສຽ ຄາ, ແມນມພອມໃຫທານ. ໂທຣ (TTY: 711). Cushite/Oromo: XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (TTY: 711). Persian (Farsi): توجه:اگربهزبانفارسی گفتگو میباشد.با میک ين د تسھيالتزبانیبصورت بگ يريد. رياگانبرایشمافراھم Arabic: 711) (TTY: تماس ملحوظة: إذاكنتتحدثاذكارللغة فإن خدما اتلمساعدة اللغوية تتوافرلكبالمجانا.تصلبرقم (رقم ھات افلصموالبكم: ). 711

32 This pharmacy directory was updated on. For more recent information or other questions, please contact Regence BlueCross BlueShield of Oregon Customer Service, at or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit regence.com/medicare. Regence BlueCross BlueShield of Oregon is a Medicare Advantage Plan with a Medicare contract. Enrollment in Regence BlueCross BlueShield of Oregon depends on contract renewal. AEP_2017Pharmacy Directory