Regence BlueAdvantage HMO 2017 Pharmacy Directory

Size: px
Start display at page:

Download "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...15 Home Infusion Pharmacies...16 Long-Term Care Pharmacies...17 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies...19 Specialty Pharmacies...20 Pharmacy Index...22 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 July 11, 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 NATIONAL CHAIN PHARMACIES ACCREDO HEALTH GROUP INC ALBERTONS/SAVON PHARMACIES AMERITA INC BIMART CORPORATION CITY MARKET INC COMPLETE CLAIMS PROCESSING INC CORAM LLC COSTCO PHARMACIES CVS PHARMACY IN TARGET CVS PHARMACY INC FRED MEYER INC GENOA A QOL HEALTHCARE COMPANY LLC HARMONS CITY INC HI SCHOOL IHC HEALTH SERVICES INC K MART LONGS DRUG STORES CALIFORNIA LLC MEDICAP PHARMACIES INC MEDICINE SHOPPE OMNICARE INC NCS HEALTHCARE LLC OPTION CARE ENTERPRISES INC PACMED CLINICS PHARMACA INTEGRATIVE PHARMERICA PHOENIX AREA IHS PILL BOX DRUGS INC PORTLAND AREA IHS PROCARE PHARMACY LLC QUALITY FOOD CENTERS INC RITE AID CORPORATION SAFEWAY INC SAV MOR DRUG STORES SHOPKO STORES OPERATING CO LLC SMITHS FOOD AND DRUG CENTER INC 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, GEARY STREET CLINIC 1700 SE GEARY ST ALBANY, MA_Rx 2

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

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

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

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

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

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

11 PORTLAND Retail Pharmacies, including Chain Pharmacies PORTLAND (CONTINUED) PORTLAND (CONTINUED) APOTHECARY EMANUEL 501 N GRAHAM ST PORTLAND, BOWMANS HILLSDALE 6256 SW CAPITOL HWY PORTLAND, BROOKLYN PHARMACY INC 3131 SE MILWAUKIE AVENUE PORTLAND, CENTRAL CITY CONCERN 727 W BURNSIDE ST PORTLAND, CENTRAL DRUGS 538 SW 4TH AVE PORTLAND, COLUMBIA 8122 SE TIBBETTS STREET PORTLAND, COMMUNITY SW CAPITAL HIGHWAY PORTLAND, FAIRLEYS 7206 NE SANDY BLVD PORTLAND, GOLDEN DAWN CLINIC 2448 SE 89TH AVE STE 1 PORTLAND, HEALTHSCRIPTS OF AMERICA - PORTLAND, LLC SW PARK WAY PORTLAND, LLOYD CENTER 438 EAST BURNSIDE ST PORTLAND, MEDICAL OFFICE BUILDING PHCY 9155 SW BARNES RD PORTLAND, MIDCOUNTY CLINIC SE DIVISION ST PORTLAND, MULTNOMAH COUNTY - ROCKWOOD HEALTH CLINIC 2020 SE 182ND AVE PORTLAND, N PORTLAND CLINIC 9000 N LOMBARD ST PORTLAND, 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 BLVD PORTLAND, OHSU GABRIEL PARK 4411 SW VERMONT AVE NORTHWEST UROLOGY LLC PORTLAND, NW PETTYGROVE ST PORTLAND, OHSU CASEY EYE INSTITUTE OHSU OUTPATIENT PHCY 3181 SW SAM JACKSON PARK 3375 SW TERWILLIGER BLVD RD PORTLAND, PORTLAND, OHSU CENTER FOR HEALTH AND HEALING OHSU RICHMOND CLINIC 3303 SW BOND AVE PORTLAND, SE DIVISION PORTLAND, PAULSENS 4246 NE SANDY BLVD PORTLAND, PORTLAND PROFESSIONAL NE GLISAN ST PORTLAND, PROVIDENCE PLAZA 5050 NE HOYT PORTLAND, SOUTHEAST HEALTH CLINIC 3653 SE 34TH AVE PORTLAND, STROHECKERS 2855 SW PATTON RD PORTLAND, MA_Rx 10

13 PORTLAND Retail Pharmacies, including Chain Pharmacies SALEM (CONTINUED) PORTLAND (CONTINUED) WESTSIDE CLINIC PHARMACY 426 SW STARK PORTLAND, PRINEVILLE CLINIC 198 NE COMBS FLAT RD PRINEVILLE, REDMOND COMMUNITY PHARMACY REDMOND 1253 N. CANAL BLVD. REDMOND, REEDSPORT LOWER UMPQUA HOSPITAL 600 RANCH RD REEDSPORT, REEDSPORT PHARMACY INC 1409 HWY 101 REEDSPORT, ROSEBURG HARVARD AVENUE DRUGS AND HEALTH MART 1175 W HARVARD AVE ROSEBURG, HOMETOWN DRUGS 1813 W HARVARD AVE STE 210 ROSEBURG, NW 1350 NORTHEAST STEPHENS ROSEBURG, SALEM CALHOUN 990 COMMERCIAL ST SE SALEM, HEMATOLOGY ONCOLOGY OF SALEM, LLP 875 OAK ST SE STE 4030 SALEM, MEDICINE SHOPPE 1890 CAPITOL STREET NE SALEM, OAK TREE 2940 COMMERCIAL ST SE SALEM, PHYSICIANS BUILDING 1234 COMMERICAL ST SE SALEM, QUISENBERRY PHARMACIES 150 LIBERTY ST SE SALEM, SALEM HOSPITAL 890 OAK ST SE SALEM, 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, WILLAMETTE UROLOGY PC TH ST SE SALEM, SEASIDE PROVIDENCE SEASIDE 725 S WAHANNA RD SEASIDE, SHADY COVE SHADY COVE HWY 62 SHADY COVE, SILETZ SILETZ COMMUNITY HEALTH CLINIC 107 SE SWAN ST SILETZ, SPRINGFIELD UROLOGY INSTITUTE, PC 2400 HARTMAN LANE SPRINGFIELD, SACRED HEART - RIVERBEND 3333 RIVERBEND DR SPRINGFIELD, HOUR SERVICE STAYTON STAYTON 102 MARTIN DR STAYTON, SUNRIVER SUNRIVER VENTURE LN SUNRIVER, SUTHERLIN SUTHERLIN DRUG 113 CENTRAL AVE E SUTHERLIN, SWEET HOME ECONOMY DRUGS 621 MAIN ST SWEET HOME, TILLAMOOK TILLAMOOK 915 MAIN AVE TILLAMOOK, TOLEDO MIKES 722 W HIGHWAY 20 TOLEDO, MA_Rx 12

15 TUALATIN Retail Pharmacies, including Chain Pharmacies WASHINGTON VANCOUVER (CONTINUED) TUALATIN MERIDIAN PARK MEDICAL CENTER COMMUNITY SW 65TH AVE TUALATIN, TUALATIN SW MARTINAZZI AVE TUALATIN, WELLPARTNER SW 115TH AVE STE 100 TUALATIN, WELLPARTNER SW 115TH AVE STE 100 TUALATIN, UMATILLA CARLSONS UMATILLA 821 6TH ST UMATILLA, UNION UNION DRUG COMPANY 105 N MAIN UNION, VALE MALHEUR DRUG 198 A ST W VALE, WELCHES WILLIAMS PHARMACY LLC E HIGHWAY 26 WELCHES, WHEELER RINEHART PHARMACY, LLC 278 ROWE ST WHEELER, WHITE CITY CASCADE 7591A CRATER LAKE HWY WHITE CITY, WINSTON VALLEY DRUGS 157 NW DOUGLAS BLVD WINSTON, WOODBURN WOODBURN HEALTH CENTER 1475 MOUNT HOOD AVE WOODBURN, WASHINGTON VANCOUVER APOTHECARY AT SALMON CREEK 2121 NE 139TH ST VANCOUVER, 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, PHSW PHARMACY AT MEDICAL CENTER 420 NE MOTHER JOSEPH PL VANCOUVER, THE VANCOUVER CLINIC 700 NE 87TH AVE VANCOUVER, THE VANCOUVER CLINIC PHARMACY COLUMBIA TECHNOLOGY CENTER 501 SE 172ND AVE STE 120 VANCOUVER, VANCOUVER CLINIC PHARMACY SALMON CREEK 2525 NE 139TH ST VANCOUVER, 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, HOUR SERVICE FLORIDA MIRAMAR OPTUM HOME 9994 PREMIER PKWY MIRAMAR, ORLANDO WALGREENS # SOUTH PARK CIR ORLANDO, HOUR SERVICE OHIO AVON LAKE OPTUM HOME WALKER RD AVON LAKE, PORTLAND POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND, 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, HOUR SERVICE EUGENE HOME PARENTERAL CARE 1000 S BERTELSEN NUMBER 5 EUGENE, HOUR SERVICE SACRED HEART HOME INFUSION 677 E. 12TH AVE EUGENE, PORTLAND PROVIDENCE SPECIALTY PHARMACY SERVICES- INFUSION/SPP 6410 NE HALSEY STREET PORTLAND, 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, EUGENE BHS 1455 WESTEC DR EUGENE, MANAGED HEALTHCARE 1750 WILLOW CREEK CIR EUGENE, GRANTS PASS TRINITY VALLEY PHARMACY LLC 2001 FOOTHILL BLVD F3 GRANTS PASS, GRESHAM GENOA HEALTHCARE 400 NE 7TH ST GRESHAM, LA GRANDE RED CROSS INSTITUTIONAL 206 DEPOT ST LA GRANDE, MILWAUKIE CONSONUS PHARMACY SERVICES LLC 4560 SE INTERNATIONAL WAY MILWAUKIE, OLSON LONG TERM CARE SE MCLOUGHLIN BLVD MILWAUKIE, ONTARIO PHS LONG TERM CARE 1085 N ST ONTARIO, CITY GENOA HEALTHCARE 998 LIBRARY CT RM 4 CITY, PORTLAND FAIRLEYS HEALTHCARE 7206 NE SANDY BLVD PORTLAND, LUKE-DORF NE SANDY BLVD PORTLAND, MA_Rx

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

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, GRAND RONDE GRAND RONDE HEALTH AND WELLNESS 9605 GRAND RONDE RD GRAND RONDE, PENDLETON YELLOWHAWK TRIBAL HEALTH CLINIC PHCY CONFEDERATED WAY PENDLETON, PORTLAND NARA INDIAN HEALTH CLINIC 15 N MORRIS PORTLAND, MA_Rx

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

23 TEXAS FRISCO Specialty Pharmacies WEST VIRGINIA DUNBAR TEXAS FRISCO WALGREENS SPECIALTY JOHN ELLIOTT DR FRISCO, LUBBOCK BRIOVARX, LLC 6310 GENOA AVE LUBBOCK, WEST VIRGINIA DUNBAR BRIOVARX, LLC 206 ROXALANA BUSINESS PARK DUNBAR, MA_Rx

24 Pharmacy A ACCREDO HEALTH GROUP INC...2 ALBERTONS/SAVON PHARMACIES...2 AMERITA INC...2 APEX PHARMACY...8 APOTHECARY AT GOOD SAMARITAN...8 APOTHECARY AT SALMON CREEK...13 APOTHECARY EMANUEL...9 ASANTE PHARMACY...7 ASANTE RRMC PHARMACY...7 ASANTE THREE RIVERS PHARMACY...5 ASHLAND DRUG...3 AXELACARE...16 B BAKER CITY PHARMACY...3 BANKS PHARMACY...3 BEAVERTON PHARMACY...3 BEND MEMORIAL CLINIC...3 BHS PHARMACY...17 BIMART CORPORATION...2 BLACK OAK PHARMACY...7 BOWMANS HILLSDALE PHARMACY...9 BRIOVARX OF GEORGIA, LLC...20 BRIOVARX OF INDIANA, LLC...20 BRIOVARX OF LOUISIANA...20 BRIOVARX OF MAINE, INC BRIOVARX OF MASSACHUSETTS, LLC...20 BRIOVARX OF NEVADA, LLC...20 BRIOVARX, LLC...20, 21 BROADWAY APOTHECARY...4 BROOKLYN PHARMACY INC...9 BROWNSVILLE PHARMACY...4 C CALHOUN PHARMACY CARLSONS UMATILLA PHARMACY...13 CASCADE CUSTOM PHARMACY...3 CASCADE PHARMACY...13 CCP RX...7 CENTER PHARMACY...8 CENTRAL CITY CONCERN PHARMACY...9 CENTRAL DRUGS...9 CHRISTIAN'S DOWNTOWN PHARMACY...7 CITY MARKET INC...2 CLINIC PHARMACY...11 COLUMBIA MEMORIAL HOSPITAL OUTPATIENT PHARMACY...3 COLUMBIA PHARMACY...9 COMMUNITY PHARMACY...9 COMMUNITY PHARMACY...3 COMMUNITY PHARMACY REDMOND...11 COMPLETE CLAIMS PROCESSING INC...2 CONSONUS PHARMACY SERVICES LLC...17 CORAM LLC...2 CORNER DRUG...5 CORVALLIS CLINIC PHARMACY...4 COSTCO PHARMACIES...2 COTTAGE GROVE COMMUNITY HOSPITAL...4 CVS PHARMACY IN TARGET...2 CVS PHARMACY INC...2 D DAVES PRESCRIPTION SHOP...4 DRUG MART PHARMACY...7 E EAST COUNTY CLINIC PHARMACY...5 ECONOMY DRUGS...12 ELM STREET PHARMACY...2 F FAIRLEYS HEALTHCARE...17 FAIRLEYS PHARMACY...9 MA_Rx 22

25 Pharmacy Index FRED MEYER INC NARA INDIAN HEALTH CLINIC FRED MEYER INC...2 G GEARY STREET CLINIC PHARMACY...2 GENEVA WOODS PHARMACY...18 GENOA A QOL HEALTHCARE COMPANY LLC...2 GENOA HEALTHCARE...17, 18 GOLD HILL PHARMACY...5 GOLDEN DAWN CLINIC...9 GOOD SHEPHERD BOARDMAN PHARMACY...4 GOOD SHEPHERD CLINIC PHARMACY...6 GORDON'S PHARMACY AND GIFTS...4 GRAND RONDE HEALTH AND WELLNESS PHARMACY...19 GRANDE RONDE HOSPITAL PHARMACY...6 GRANTS PASS PHARMACY, INC....5 H HARMONS CITY INC...2 HARRISBURG PHARMACY...6 HARVARD AVENUE DRUGS AND HEALTH MART PHARMACY HEALTH SERVICES PHARMACY...4 HEALTHSCRIPTS OF AMERICA - PORTLAND, LLC...9 HEMATOLOGY ONCOLOGY OF SALEM, LLP HERMISTON DRUG AND GIFT...6 HI SCHOOL PHARMACY...2 HILLSBORO PHARMACY...6 HIRONS DRUG #1...5 HIRONS DRUG #2...5 HOME PARENTERAL CARE...16 HOMETOWN DRUGS... 7, 11 HOWARDS DRUGS...7 I IHC HEALTH SERVICES INC...2 INTEL HEALTH FOR LIFE CENTER...6 ISSE PHARMACY SERVICES...17 K K MART PHARMACY...2 KLAMATH TRIBAL HEALTH PHARMACY...19 L LEGACY MOUNT HOOD MEDICAL CENTER PHARMACY...5 LENS DRUG...6 LIFES DOORS HCS PHARMACY...20 LLOYD CENTER PHARMACY...9 LONE PINE DRUG...7 LONGS DRUG STORES CALIFORNIA LLC...2 LOWER UMPQUA HOSPITAL PHARMACY...11 LUKE-DORF PHARMACY...17 M MAC PRESCRIPTION SHOP...7 MAC PRESCRIPTION SHOP AT PMC...7 MALHEUR DRUG...13 MALHEUR DRUG INC...8 MANAGED HEALTHCARE PHARMACY...17 MCCANNS PHARMACY...6 MEDICAL OFFICE BUILDING PHCY...9 MEDICAP PHARMACIES INC...2 MEDICINE SHOPPE...2, 11 MERIDIAN PARK MEDICAL CENTER COMMUNITY PHARMACY...13 MIDCOUNTY CLINIC PHARMACY...9 MIKES PHARMACY...12 MILL CITY PHARMACY...8 MULTNOMAH COUNTY - ROCKWOOD HEALTH CLINIC PHARMACY...9 MURRAY DRUG INC...6 MURRAYS CONDON PHARMACY...4 N N PORTLAND CLINIC PHARMACY...9 NARA INDIAN HEALTH CLINIC MA_Rx

26 Pharmacy Index NORCHEM L L C DBA ROSE PHY RXMEDLAB PHARMACY NORCHEM L L C DBA ROSE PHY...3 NORTHEAST CLINIC PHARMACY...10 NORTHWEST UROLOGY LLC...10 NW PHARMACY O OAK TREE PHARMACY OHSU CASEY EYE INSTITUTE PHARMACY...10 OHSU CENTER FOR HEALTH AND HEALING PHARMACY...10 OHSU DOERNBECHER CHILDRENS HOSPITAL PHARMACY...10 OHSU GABRIEL PARK PHARMACY...10 OHSU KNIGHT CANCER INSTITUTE- BEAVERTON HEMATOLOGY ONCOLOGY O...3 OHSU MAIL ORDER PHARMACY...3 OHSU OUTPATIENT PHCY...10 OHSU RICHMOND CLINIC PHARMACY...10 OLIVE BRANCH PHARMACY...4 OLSON LONG TERM CARE PHARMACY...17 OMNICARE INC NCS HEALTHCARE LLC...2 OPTION CARE ENTERPRISES INC...2 OPTUM HOME...15 STATE HOSPITAL PHARMACY...18 UROLOGY INSTITUTE, PC...12 OSU STUDENT HLTH CTR PHCY...4 P PACIFIC NW SPECIALTY PHARMACY...14 PACMED CLINICS...2 PARAMOUNT DRUG...3 PARSONS CANBY PHARMACY...4 PAULSENS PHARMACY...10 PHARMACA INTEGRATIVE PHARMACY...2 PHARMERICA...2 PHILOMATH FAMILY PHARMACY...8 PHOENIX AREA IHS...2 PHOENIX PHARMACY...8 PHS LONG TERM CARE PHARMACY...17 PHSW PHARMACY AT MEDICAL CENTER...14 PHYSICIANS BUILDING PHARMACY...11 PILL BOX DRUGS INC...2 PORTLAND AREA IHS...2 PORTLAND PROFESSIONAL PHARMACY...10 POSTAL PHARMACY,INC...8 POSTAL PRESCRIPTION SERVICES...15 PROCARE PHARMACY LLC...2 PROGRESS HEALTH SERVICES...18 PROPAC PHARMACY...18 PROVIDENCE PLAZA PHARMACY...10 PROVIDENCE SEASIDE PHARMACY...12 PROVIDENCE SPECIALTY PHARMACY SERVICES - LTC...18 PROVIDENCE SPECIALTY PHARMACY SERVICES-INFUSION/ SPP...16 PROVIDENCE TANASBOURNE PHARMACY...6 Q QUALITY FOOD CENTERS INC...2 QUISENBERRY PHARMACIES...11 R RED CROSS DRUG STORE...6 RED CROSS INSTITUTIONAL PHARMACY...17 REEDSPORT PHARMACY INC...11 RINEHART PHARMACY, LLC...13 RITE AID CORPORATION...2 RIVER ROAD HEALTHMART PHARMACY...5 ROGUE COMMUNITY HEALTH PHARMACY...7 ROGUE VALLEY MANOR PHARMACY...8 RXMEDLAB PHARMACY...5 MA_Rx 24

27 Pharmacy Index SACRED HEART - RIVERBEND WILLIAMS PHARMACY LLC S SACRED HEART - RIVERBEND...12 SACRED HEART HOME INFUSION...16 SACRED HEART MEDICAL CENTER - UNIV DISTRICT...5 SAFEWAY INC...2 SALEM HOSPITAL SALEM HOSPITAL COM RETAIL PHARMACY...12 SAMARITAN LEBANON 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 CENTER PHARMACY...5 SKY LAKES OUTPATIENT PHARMACY...6 SMITHS FOOD AND DRUG CENTER INC...2 SOUTHEAST HEALTH CLINIC PHARMACY...10 STAYTON PHARMACY...12 STROHECKERS PHARMACY...10 SUBLIMITY PHARMACY...18 SUNNYSIDE PHARMACY...4 SUNRIVER PHARMACY...12 SUTHERLIN DRUG...12 SYNERGY RX...5 T THE BARTELL DRUG COMPANY...2 THE MERRILL CLINIC LLC...8 THE VANCOUVER CLINIC PHARMACY...14 THE VANCOUVER CLINIC PHARMACY COLUMBIA TECHNOLOGY CENTER...14 TILLAMOOK PHARMACY...12 TRINITY VALLEY PHARMACY LLC...17 TRINITY VALLEY PHARMACY LLC RETAIL...5 TUALATIN PHARMACY...13 U UNION DRUG COMPANY...13 UNIVERSITY OF UTAH PHARMACIES...2 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 W WALGREENS # WALGREENS # WALGREENS DRUG STORE...2 WALGREENS SPECIALTY PHARMACY...20, 21 WALGREENS SPECIALTY PHARMACY # WALGREENS SPECIALTY PHARMACY # WALMART STORES INC...2 WATERFALL COMMUNITY PHARMACY...8 WELLNESS PHARMACY...8 WELLPARTNER...13 WELLPARTNER PHARMACY...13 WEST MAIN PHARMACY...8 WESTSIDE CLINIC PHARMACY...11 WESTSIDE PHARMACY...3 WILLAMETTE UROLOGY PC...12 WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER...5 WILLIAMS PHARMACY LLC MA_Rx

28 Pharmacy Index WOODBURN HEALTH CENTER PHARMACY ZOOMCARE PHARMACY WOODBURN HEALTH CENTER PHARMACY...13 YELLOWHAWK TRIBAL HEALTH CLINIC PHCY...19 Y Z YAKIMA VALLEY FARM WORKERS ZOOMCARE PHARMACY...6 CLINIC...2 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@regence.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: Panjabi: (TTY: 711) ', (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: เร ยน: ถาค ณพด ภาษาไทยค ณสามารถใชบ ร การช วยเหล อทางภาษาไดฟ ร โทร (TTY: 711). Laotian: ໂປດຊາບ: ຖາວ າ ທ ານເວ າພາສາ ລາວ, ການບລການຊ ວຍເຫ ອດ ານພາສາ, ໂດຍ ບເສ ຽຄາ, ແ ມ ນ ມ ພ ອມໃຫ ທ ານ. ໂທຣ (TTY: 711). Cushite/Oromo: XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (TTY: 711). Persian (Farsi): توجھ: اگر بھ زبان فارسی گفتگو می کنید تسھیلات زبانی بصورت رایگان برای شما فراھم می باشد. با (711 (TTY: تماس بگیرید. Arabic: ملحوظة: إذا كنت تتحدث اذكر اللغة فا ن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (رقم ھاتف الصم والبكم: 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. August_2017Pharmacy Directory

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

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

More information

2018 PHARMACY DIRECTORY

2018 PHARMACY DIRECTORY Samaritan Employer Group Health Plans 2018 DIRECTORY Samaritan Health Plans 2300 NW Walnut Blvd Corvallis, Oregon This Pharmacy Directory was updated on 07/01/2018. For more recent information or other

More information

Regence BlueAdvantage HMO 2017 Pharmacy Directory

Regence BlueAdvantage HMO 2017 Pharmacy Directory 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

More information

Kadlec Regional Medical Center 0118 KMC-002B

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

More information

2019 PHARMACY DIRECTORY

2019 PHARMACY DIRECTORY Samaritan Advantage Health Plan (HMO) 2019 DIRECTORY Samaritan Advantage Health Plan is an HMO with a Medicare contract. Enrollment in Samaritan Advantage Health Plan depends on contract renewal. This

More information

2018 Pharmacy Directory

2018 Pharmacy Directory Kaiser Permanente 2018 Pharmacy Directory This pharmacy directory was updated on 09/2017. For more recent information or other questions, please contact Kaiser Permanente Member Services at 1-877-221-8221

More information

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

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

More information

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

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

More information

ATRIO HEALTH PLANS 2018 PHARMACY DIRECTORY

ATRIO HEALTH PLANS 2018 PHARMACY DIRECTORY ATRIO HEALTH PLANS 2018 DIRECTY This Pharmacy Directory was updated on 09/06/2018. For more recent information or other questions, please contact ATRIO Health Plans Customer Service at 1-877-672-8620 or,

More information

2019 Formulary Monthly Notice of Change

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

More information

ATRIO HEALTH PLANS 2019 PHARMACY DIRECTORY

ATRIO HEALTH PLANS 2019 PHARMACY DIRECTORY ATRIO HEALTH PLANS 2019 DIRECTY This Pharmacy Directory was updated on 02/06/2019. For more recent information or other questions, please contact ATRIO Health Plans Customer Service at 1-877-672-8620 or,

More information

Member Matters Newsletter

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

More information

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

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

More information

Medicare Part D 2017 Oregon Pharmacy Directory

Medicare Part D 2017 Oregon Pharmacy Directory Health Net Medicare Part D 2017 Oregon Pharmacy Directory Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option

More information

Notice of Denial of Medical Coverage

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

More information

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

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

More information

Caremark Pharmacy Network - Oregon Caremark has a nationwide network. A list of pharmacies in other states is available upon request.

Caremark Pharmacy Network - Oregon Caremark has a nationwide network. A list of pharmacies in other states is available upon request. Caremark Pharmacy Network - Oregon Caremark has a nationwide network. A list of pharmacies in other states is available upon request. Bi-mart Pharmacy 2272 SANTIAM HWY SE ALBANY Linn OR (541) 926-4491

More information

Small group quote request (for groups with 1 to 50 employees)

Small group quote request (for groups with 1 to 50 employees) A BETTER WAY TO TAKE CARE OF BUSINESS SMALL GROUP WASHINGTON Small group quote request (for groups with 1 to 50 employees) Requested effective date: First of (month) Send quote to: Producer Company contact

More information

Small group quote request

Small group quote request Small Business Group Small group quote request (for groups with 1 50 employees) Requested effective date: First of (month) Send quote to: Producer Company contact person via: Email Fax Mail 1. PLEASE TELL

More information

Getting to the BOTTOM OF BACK PAIN

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

More information

Summary of Benefits. January 1, 2017 December 31, 2017

Summary of Benefits. January 1, 2017 December 31, 2017 Summary of Benefits January 1, 2017 December 31, 2017 This is a summary of drug services covered by Regence Medicare Script Basic (PDP) or Regence Medicare Script Enhanced (PDP). S5916_PDP_UT_2017_SB V2

More information

Your Feelings Matter WITH TYPE 2 DIABETES

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

More information

Medicare Part D 2014 Oregon Pharmacy Directory

Medicare Part D 2014 Oregon Pharmacy Directory Health Net Medicare Part D 2014 Oregon Pharmacy Directory For more information, please contact Health Net Member Services, at 1-888-445-8913 or, for TTY users, 1-800-929-9955, 8:00 a.m. to 8:00 p.m., seven

More information

Affordable Care Act Section 1557 Nondiscrimination Policy for Kentucky

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

More information

2018 Dental Plans. for Groups. Policy Form Numbers: (08-17) (11-09) (09-12) (01-18) Form No.

2018 Dental Plans. for Groups. Policy Form Numbers: (08-17) (11-09) (09-12) (01-18) Form No. 2018 Dental Plans for Groups Form No. 15-022 (09-17) Policy Form Numbers: 3-229 (08-17) 3-140 (11-09) 3-202 (09-12) 18-084 (01-18) B BLUE CROSS OF IDAHO HEALTH INSURANCE PLANS / DENTAL FOR GROUPS Dental

More information

2018 Pharmacy Directory

2018 Pharmacy Directory 2018 Pharmacy Directory For Oregon counties: Clackamas, Clatsop, Columbia, Jackson, Josephine, Multnomah, Tillamook, Washington and Yamhill H5859_1080_PH_2018 CMS ACCEPTED 2018 CAREOREGON ADVANTAGE PHARMACY

More information

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

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

More information

2017 Pharmacy Directory

2017 Pharmacy Directory 2017 Pharmacy Directory For Oregon counties: Clackamas, Clatsop, Columbia, Jackson, Josephine, Multnomah, Tillamook, Washington and Yamhill H5859_1080_PH_2017_NM MULTI-LANGUAGE INTERPRETER SERVICES Spanish:

More information

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

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

More information

Take Charge of YOUR COPD

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

More information

Northwest Laborers Network Pharmacy Listing-OREGON Effective 10/1/2011

Northwest Laborers Network Pharmacy Listing-OREGON Effective 10/1/2011 Northwest Laborers Network Pharmacy Listing-OREGON Effective 10/1/2011 Pharmacy Name Address Address2 City St Zip Phone Fax ALBANY FAMILY AND SPECIALTY MEDICINE 1705 WAVERLY DR SE ALBANY OR 97322 541 967-8221

More information

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

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

More information

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

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

More information

Healthy Moves. A better flu season for you

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

More information

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

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

More information

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

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

More information

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

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

More information

GCHJUV2EN Member Registration Guide

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

More information

Living with DIABETES

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

More information

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about.

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about. HDS BASIC DENTAL PLAN Summary of Dental Benefits Effective January 1, 2019 ADULTS (& CHILDREN AGE 19 THROUGH 25) PLAN MAXIMUM $1,000 per person, per calendar year. The most HDS will pay for each person

More information

2019 Pharmacy Directory

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

More information

APPOINTMENT OF REPRESENTATIVE

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

More information

Request for Redetermination of Medicare Prescription Drug Denial

Request for Redetermination of Medicare Prescription Drug Denial Request for Redetermination of Medicare Prescription Drug Denial Because we, Health Net Medicare Programs, denied your request for coverage of (or payment for) a prescription drug, you have the right to

More information

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

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

More information

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about.

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about. HDS DELUXE DENTAL PLAN Summary of Dental Benefits Effective January 1, 2019 ADULTS AGE 19 & OLDER PLAN MAXIMUM $1,000 per person, per calendar year. The most HDS will pay for each person for all covered

More information

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

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

More information

Kaiser Permanente 2018 Sample Fee List *

Kaiser Permanente 2018 Sample Fee List * Kaiser Permanente 2018 Sample Fee List * What s a Sample Fee List? NORTHWEST Knowing how much you can expect to pay for care and services can help give you peace of mind. As a deductible plan member, you

More information

UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D

UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D 2010 PHAR DIRECTORY UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D This directory is for Region 30: Oregon, Washington This booklet provides a list of network pharmacies. All network

More information

Umpqua Health Alliance 1813 W Harvard Avenue, Suite 206 Roseburg, OR 97471

Umpqua Health Alliance 1813 W Harvard Avenue, Suite 206 Roseburg, OR 97471 PHARMACY DIRECTORY This directory provides a list of Umpqua Health Alliance (UHA) pharmacies. This directory is current as of February 19, 2018. Some pharmacies may have been added or removed after this

More information

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

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

More information

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

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

More information

Health TALK. Mammograms save lives. Plan to quit.

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

More information

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about.

Total Health Plus supplemental benefits designed for members in need of extra care. We re giving you more to smile about. HDS INDIVIDUAL DENTAL PLAN FOR CHILDREN Summary of Dental Benefits Effective January 1, 2019 CHILDREN BENEFIT ENDS AT AGE 26 MAXIMUM OUT OF POCKET (MOOP) $350 per child or $700 for 2 or more children,

More information

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

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

More information

Kaiser Permanente 2018 Sample Fee List *

Kaiser Permanente 2018 Sample Fee List * Kaiser Permanente 2018 Sample Fee List * COLORADO What s a Sample Fee List? Knowing how much you can expect to pay for care and services can help give you peace of mind. As a deductible plan member, you

More information

Pharmacy Directory. Health Alliance Medicare Guide HMO

Pharmacy Directory. Health Alliance Medicare Guide HMO Health Alliance Medicare Guide HMO Pharmacy Directory For more information about Health Alliance Medicare Guide HMO network pharmacies in your area, please visit our website at HealthAllianceMedicare.org

More information

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

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

More information

Appendix A to Part 92 Notice Informing Individuals About Nondiscrimination and

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

More information

YOUR DENTAL HEALTH IS OUR CAUSE DENTAL CHOICE (PPO) kp.org/dental/nw

YOUR DENTAL HEALTH IS OUR CAUSE DENTAL CHOICE (PPO) kp.org/dental/nw YOUR DENTAL HEALTH IS OUR CAUSE DENTAL CHOICE (PPO) kp.org/dental/nw 258275553_DENT_08-18 All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 500 NE Multnomah St., Suite

More information

HealthyFocus Spring 2017

HealthyFocus Spring 2017 HealthyFocus Spring 2017 Thanks for Your Feedback. We re Listening! Every year, the Oregon Health Authority (OHA) puts out a survey called the Consumer Assessment of Healthcare Providers and System, or

More information

Regence makes it easy

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

More information

2018 Pharmacy Directory

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

More information

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

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

More information

You can get this document in another language, large print, or another way that s best for you. Call (800) , TTY (800)

You can get this document in another language, large print, or another way that s best for you. Call (800) , TTY (800) Primary Care Provider (PCP) Change Form Usted puede recibir este documento en otro idioma, impreso en letra más grande o de cualquier otra manera que sea mejor para usted. Llame al número gratuito (800)

More information

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

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

More information

2018 Formulary Annual Notice of Change

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

More information

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

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

More information

Coverage for: Individual and Eligible Family

Coverage for: Individual and Eligible Family Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 07/01/2018 06/30/2019 Regence BlueCross BlueShield of Oregon: Expressions SM Coverage for: Individual

More information

Luana i ke ola maika i

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

More information

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

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

More information

Delta Dental benefit summary

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

More information

2018 Annual Notice of Changes

2018 Annual Notice of Changes 2018 Annual Notice of Changes AETNA BETTER HEALTH OF OHIO a MyCare Ohio plan (Medicare-Medicaid Plan) Aetna Better Health of Ohio, a MyCare Ohio plan (Medicare-Medicaid Plan), is a health plan that contracts

More information

Kaiser Permanente 2018 Pharmacy Directory

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

More information

Health Options Program

Health Options Program Pennsylvania Public School Employees Retirement System (PSERS) Health Options Program district OF ColuMbia Directory FOR THE BASIC AND ENHANCED MEDICARE Rx OPTIONS For more information, please contact

More information

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

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

More information

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

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

More information

AgeRight Advantage Health Plan (HMO SNP) 2018 Pharmacy Directory

AgeRight Advantage Health Plan (HMO SNP) 2018 Pharmacy Directory AgeRight Advantage Health Plan (HMO SNP) 2018 Pharmacy Directory This pharmacy directory was updated on 04/24/2018. For more recent information or other questions, please contact us, AgeRight Advantage

More information

2018 PDP Summary of Benefits

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

More information

HealthyFocus. Fall Winter Is Coming. At Home. In this issue:

HealthyFocus. Fall Winter Is Coming. At Home. In this issue: HealthyFocus Fall 2017 Winter Is Coming If you re a glass-half-full person, winter may make you think of pumpkin pie spice, fall leaves, football, special meals, and twinkling lights. But as the glass-half-empty

More information

COMPOUNDED PRESCRIPTION DRUG PRODUCTS

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

More information

Regence MedAdvantage + Rx Classic (PPO) and Regence MedAdvantage + Rx Enhanced (PPO) 2017 Pharmacy Directory

Regence MedAdvantage + Rx Classic (PPO) and Regence MedAdvantage + Rx Enhanced (PPO) 2017 Pharmacy Directory Regence MedAdvantage + Rx Classic (PPO) and Regence MedAdvantage + Rx Enhanced (PPO) 2017 Pharmacy Directory This pharmacy directory was updated on. For more recent information or other questions, please

More information

Advantage Plus. Get dental, hearing aid, and additional vision benefits. Enroll now for Kaiser Permanente Senior Advantage (HMO) Georgia

Advantage Plus. Get dental, hearing aid, and additional vision benefits. Enroll now for Kaiser Permanente Senior Advantage (HMO) Georgia Advantage Plus Get dental, hearing aid, and additional vision benefits Kaiser Permanente Senior Advantage (HMO) Georgia Enroll now for 2019 H1170_018_18_M Be healthy. Be vibrant. Now you have the option

More information

HEALTHSHARE of OREGON -MULTNOMAH MENTAL HEALTH PROVIDERS June Adult Outpatient Services. Children's Outpatient Services

HEALTHSHARE of OREGON -MULTNOMAH MENTAL HEALTH PROVIDERS June Adult Outpatient Services. Children's Outpatient Services HEALTHSHARE of OREGON -MULTNOMAH MENTAL HEALTH PROVIDERS June 2014 Department of County Human, Mental Health and Addiction Division 421 S.W. Oak St, Suite 520, Portland, Oregon 97204, Phone (503) 988-5464,

More information

Great care. provided here. See inside for medical and dental locations NORTHWEST

Great care. provided here. See inside for medical and dental locations NORTHWEST Great care provided here NORTHWEST See inside for medical and dental locations All plans offered and underwritten by Kaiser Foundation Health Plan of the Northwest. 00 NE Multnomah St., Suite 100, Portland,

More information

Our dental plan for individuals age 65 and over

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

More information

CCCN Patient Questionnaire

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

More information

2015 PARTICIPATING PHARMACY DIRECTORY

2015 PARTICIPATING PHARMACY DIRECTORY Pennsylvania Public School Employees Retirement System (PSERS) Health Options Program 2015 PARTICIPATING DIRECTORY For The Basic And Enhanced Medicare Rx Options This pharmacy directory was updated on

More information

The FitnessCoach Program

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

More information

Regence Medicare Script Basic (PDP) and Regence Medicare Script Enhanced (PDP) 2017 Pharmacy Directory

Regence Medicare Script Basic (PDP) and Regence Medicare Script Enhanced (PDP) 2017 Pharmacy Directory Regence Medicare Script Basic (PDP) and Regence Medicare Script Enhanced (PDP) 2017 Pharmacy Directory This pharmacy directory was updated on. For more recent information or other questions, please contact

More information

Notice of Appeal Resolution

Notice of Appeal Resolution Notice of Appeal Resolution DATE Beneficiary s Name Address City, State Zip Treating Provider s Name Address City, State Zip RE: Service Requested You or Name of requesting provider or authorized representative,

More information

Indemnity PPO Medical Plan Preventive Care Guidelines

Indemnity PPO Medical Plan Preventive Care Guidelines Southern California Drug Benefit Fund Indemnity PPO Medical Plan Preventive Care Guidelines - 2018 The Indemnity PPO Medical Plan pays 100% of the cost of coverage for many routine preventive care services

More information

SENSIPAR 1 (CINACALCET) UTILIZATION MANAGEMENT CRITERIA

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

More information

2019 Pharmacy Directory

2019 Pharmacy Directory FLORIDA 2019 Pharmacy Directory This directory is for Duval County, Florida. This pharmacy directory was updated on January 16, 2019. For more recent information or other questions, please contact PHP

More information

TruHearing. Supplemental Benefit Directory. RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal.

TruHearing. Supplemental Benefit Directory. RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. TruHearing Supplemental Benefit Directory RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. H0602_MC_DIR_MC42_12012018_NM DEC 2018 Notice of Nondiscrimination Rocky

More information

Say hello to Go365 by Humana for Medicare members

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

More information

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

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

More information