AgeRight Advantage Health Plan (HMO SNP) 2018 Pharmacy Directory

Transcription

1 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 Member Services, at or, for TTY users, 711, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30, or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Member Services for updated provider information. H1372_2018_pharmdir_isnp

2 Introduction This booklet provides a list of AgeRight Advantage s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and AgeRight Advantage s formulary. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under AgeRight Advantage only if they are filled at a network pharmacy [or through our mail order pharmacy service]. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at nonnetwork 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 04/24/2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages. 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 AgeRight Advantage.

3 This pharmacy directory was updated on 04/24/2018. For more recent information or other questions, please contact us, AgeRight Advantage Member Services, at or, for TTY users 711, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30, or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Member Services for updated provider information. AgeRight Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. AgeRight Advantage cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. AgeRight Advantage tuân thủ luật dân quyền hiện hành của Liên bang và không phân biệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính. English: ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call (TTY: 711). ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 711). The Pharmacy Directory may change at any time. You will receive notice when necessary.

4 Retail Pharmacies, including Chain Pharmacies OREGON Clackamas Boring # Se Hwy 212 Boring, OR (503) Canby DAVES PRESCRIPTION SHOP 911 Sw 4th Ave Canby, OR (503) FRED MEYER PHARMACY 1401 Se First Canby, OR (503) RITE AID PHARMACY Se First Avenue Canby, OR (503) WALGREENS # Sw 1st Ave Canby, OR (503) Clackamas COSTCO PHARMACY Se 84th Avenue Clackamas, OR (503) CVS PHARMACY 9000 Se Sunnyside Rd Clackamas, OR (503) FRED MEYER PHARMACY Se 82nd Drive Clackamas, OR (503) RITE AID PHARMACY Se Sunnyside Road Clackamas, OR (503) Damascus BI-MART PHARMACY # Se Highway 212 Damascus, OR (503) Estacada HI SCHOOL PHARMACY 207 S Broadway Estacada, OR (503) Gladstone # nd Dr Gladstone, OR (503) WALGREENS # Mcloughlin Blvd Gladstone, OR (503) Happy Valley FRED MEYER PHARMACY # Se Sunnyside Rd Happy Valley, OR (971) WALGREENS # Se Sunnyside Rd Happy Valley, OR (503) Southeast 82nd Ave Happy Valley, OR (503) Lake Oswego RITE AID PHARMACY B Avenue Lake Oswego, OR (503) RITE AID PHARMACY Boones Ferry Road Lake Oswego, OR (503) # A Ave Lake Oswego, OR (503) # Lower Boones Ferry Rd Lake Oswego, OR (503) SAV-ON PHARMACY # Boones Ferry Road Lake Oswego, OR (503) WALGREENS # Lower Boones Ferry Rd Lake Oswego, OR (971) Milwaukie This pharmacy qualifies for dispensing up to a 90-day supply. Page 1

5 FRED MEYER PHARMACY Se Mcloughlin Blvd Milwaukie, OR (503) RITE AID PHARMACY S.E. Oak Street Milwaukie, OR (503) # Se King Road Milwaukie, OR (503) # Se Webster Rd Milwaukie, OR (503) WALGREENS # Se Mcloughlin Blvd Milwaukie, OR (503) WALGREENS Se Oak St Milwaukie, OR (971) Se Mcloughlin Blvd Milwaukie, OR (503) Molalla BI-MART PHARMACY # West Main Street Molalla, OR (503) CUTTER'S HI- SCHOOL PHARMACY # Robbins St Molalla, OR (503) # W Main St Molalla, OR (503) Oregon City BI-MART PHARMACY # Mollala Ave Oregon City, OR (503) FRED MEYER PHARMACY 1839 Molalla Avenue Oregon City, OR (503) RITE AID PHARMACY Mcloughlin Blvd Oregon City, OR (503) # Colton Place Oregon City, OR (503) SAV-ON PHARMACY # S Beavercreek Rd Oregon City, OR (503) WALGREENS # Molalla Ave Oregon City, OR (503) Portland FRED MEYER PHARMACY 8955 Se 82nd Avenue Portland, OR (503) WALGREENS # Se 82nd Ave Portland, OR (503) Sandy BI-MART PHARMACY # Highway 26 Sandy, OR (503) FRED MEYER PHARMACY nd Ave Sandy, OR (503) # Hwy 26 Sandy, OR (503) WALGREENS # Proctor Blvd Sandy, OR (503) Tualatin MERIDIAN PARK MEDICAL CENTER COMMUNITY PHARMACY Sw 65th Ave Tualatin, OR (503) West Linn HI SCHOOL PHARMACY 5639 Ne Hood St West Linn, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 2

6 # Salamo Road West Linn, OR (503) Willamette Dr West Linn, OR (503) Wilsonville FRED MEYER PHARMACY Sw Boones Ferry Rd Wilsonville, OR (503) RITE AID PHARMACY Sw Wilsonville Road Wilsonville, OR (503) WALGREENS # Sw Wilsonville Rd Wilsonville, OR (503) Klamath Klamath Falls BI-MART PHARMACY # Washburn Way Klamath Falls, OR (541) FRED MEYER PHARMACY 2655 Shasta Way Klamath Falls, OR (541) RITE AID PHARMACY South Sixth Street Klamath Falls, OR (541) SAV-ON PHARMACY # S 6th St Klamath Falls, OR (541) SKY LAKES OUTPATIENT PHARMACY 2865 Daggett Avenue Klamath Falls, OR (541) WAL-MART PHARMACY Washburn Way Klamath Falls, OR (541) Lane Cottage Grove BI-MART PHARMACY # Gateway Blvd Cottage Grove, OR (541) # E Main St Cottage Grove, OR (541) WALGREENS # E Main St Cottage Grove, OR (541) Row River Rd Cottage Grove, OR (541) Creswell BI-MART PHARMACY # Melton Road Creswell, OR (541) CRESWELL HEALTH MART PHARMACY 175 E Oregon Ave Creswell, OR (541) Eugene BI-MART PHARMACY # River Rd Eugene, OR (541) BI-MART PHARMACY # W 18th Ave Eugene, OR (541) BI-MART PHARMACY # Willakenzie Road Eugene, OR (541) BI-MART PHARMACY # Royal Ave Eugene, OR (541) COSTCO PHARMACY 2828 Chad Avenue Eugene, OR (541) CVS PHARMACY 4575 W 11th Ave Eugene, OR (541) FRED MEYER PHARMACY 60 Division Avenue Eugene, OR (541) FRED MEYER PHARMACY 3333 West 11th Avenue Eugene, OR (541) This pharmacy qualifies for dispensing up to a 90-day supply. Page 3

7 HIRONS DRUG #1 185 E 18th Ave Eugene, OR (541) HIRONS DRUG # Franklin Blvd Eugene, OR (541) RITE AID PHARMACY Coburg Road Eugene, OR (541) RITE AID PHARMACY Echo Hollow Road Eugene, OR (541) RITE AID PHARMACY W 29th Avenue Eugene, OR (541) RIVER ROAD HEALTHMART PHARMACY 884 River Road Eugene, OR (541) # Coburg Rd Eugene, OR (541) # East 18th Street Eugene, OR (541) # E 40th Ave Eugene, OR (541) SAV-ON PHARMACY # Coburg Rd Eugene, OR (541) SAV-ON PHARMACY # W 18th Ave Eugene, OR (541) SAV-ON PHARMACY # Hilyard Street Eugene, OR (541) SAVON PHARMACY # Royal Ave Eugene, OR (541) SAVON PHARMACY # Division Ave Eugene, OR (541) SHOPKO PHARMACY 2815 Chad Dr Eugene, OR (541) UNIVERSITY OF OREGON HEALTH CENTER PHARMACY 1590 E 13th Ave Eugene, OR (541) WALGREENS # Coburg Rd Eugene, OR (541) WALGREENS # River Rd Eugene, OR (541) Green Acres Road Eugene, OR (541) West 11th Avenue Eugene, OR (541) Florence BI-MART PHARMACY # Hwy 101 Florence, OR (541) FLORENCE PHARMACY 2935 Hwy 101 Florence, OR (541) FRED MEYER PHARMACY 4701 Highway 101 Florence, OR (541) RITE AID PHARMACY Hwy 101 Florence, OR (541) This pharmacy qualifies for dispensing up to a 90-day supply. Page 4

8 # Highway 101 Florence, OR (541) Junction City BI-MART PHARMACY # East 6th Ave Junction City, OR (541) # Ivy St Junction City, OR (541) Oakridge POSTAL PHARMACY,INC Hwy 58 Oakridge, OR (541) Springfield BI-MART PHARMACY # Mohawk Blvd Springfield, OR (541) BI-MART PHARMACY # Main St Springfield, OR (541) CVS PHARMACY 2750 Gateway St Springfield, OR (541) FRED MEYER PHARMACY 650 Q Street Springfield, OR (541) PEACEHEALTH EMPLOYEE PHARMACY 3333 Riverbend Dr Springfield, OR (541) RITE AID PHARMACY Marcola Road Springfield, OR (541) # Pioneer Pkwy E Springfield, OR (541) SAV-ON PHARMACY # Marcola Rd Springfield, OR (541) SAV-ON PHARMACY # Main St Springfield, OR (541) WALGREENS # Main St Springfield, OR (541) WALGREENS # Mohawk Blvd Springfield, OR (541) WALGREENS # W Q St Springfield, OR (541) Olympic Street Springfield, OR (541) Gateway St Springfield, OR (541) Veneta BI-MART PHARMACY # Jeans Rd Veneta, OR (541) HI-SCHOOL PHARMACY # Highway 126 Veneta, OR (541) Marion Keizer BI-MART PHARMACY # River Road N Keizer, OR (503) CVS PHARMACY 6450 Keizer Station Blvd Ne Keizer, OR (503) RITE AID PHARMACY River Road North Keizer, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 5

9 # North River Road Keizer, OR (503) WALGREENS # River Rd Keizer, OR (503) Mt Angel MT ANGEL DRUG 105 N Main St Mt Angel, OR (503) Salem BI-MART PHARMACY # Lancaster Drive Ne Salem, OR (503) COSTCO PHARMACY 1010 Hawthorne Ave Salem, OR (503) CVS PHARMACY 3790 Center St Ne Salem, OR (503) FRED MEYER PHARMACY 2855 Broadway Ne Salem, OR (503) FRED MEYER PHARMACY 3450 Commercial St Se Salem, OR (503) FRED MEYER PHARMACY 3740 Market Ne Salem, OR (503) OAK TREE PHARMACY 2940 Commercial St Se Salem, OR (503) PHYSICIANS BUILDING PHARMACY 1234 Commerical St Se Salem, OR (503) QUISENBERRY PHARMACIES 150 Liberty St Se Salem, OR (503) RITE AID PHARMACY Lancaster Drive Northeast Salem, OR (503) RITE AID PHARMACY Liberty Street Northeast Salem, OR (503) RITE AID PHARMACY Commercial Street Southeast Salem, OR (503) # Lancaster Dr Ne Salem, OR (503) # Center Street Salem, OR (503) # Commercial Street Se Salem, OR (503) SALEM HEALTH RETAIL PHARMACY 890 Oak St Se Salem, OR (503) SHOPKO PHARMACY 1230 Lancaster Dr Se Salem, OR (503) WALGREENS # Lancaster Dr Ne Salem, OR (503) WALGREENS # Commercial St Se Salem, OR (503) WALGREENS # Lancaster Dr Se Salem, OR (503) WALGREENS # Fairgrounds Rd Ne Salem, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 6

10 WALGREENS# Liberty Rd S Salem, OR (503) Lancaster Drive Ne Salem, OR (503) Commercial St Se Salem, OR (503) Turner Road Se Salem, OR (503) Silverton HI SCHOOL PHARMACY 406 Mcclaine St Silverton, OR (503) RITE AID PHARMACY Mcclaione Street Silverton, OR (503) SILVERTON PILL BOX 302 N First St Silverton, OR (503) Stayton BI-MART PHARMACY # Shaff Rd Stayton, OR (503) # N First Street Stayton, OR (503) STAYTON PHARMACY 102 Martin Dr Stayton, OR (503) Woodburn BI-MART PHARMACY # Mt Hood Ave Woodburn, OR (503) # North Pacific Hwy Woodburn, OR (503) WALGREENS # N Evergreen Rd Woodburn, OR (503) Stacy Allison Way Woodburn, OR (503) Multnomah Fairview CVS PHARMACY Ne Halsey St Fairview, OR (503) Gresham BI-MART PHARMACY # Ne Hogan Dr Gresham, OR (503) FRED MEYER PHARMACY 2497 Se Burnside Road Gresham, OR (503) LEGACY MOUNT HOOD MEDICAL CENTER PHARMACY Se Stark St Gresham, OR (503) RITE AID PHARMACY N.E. Division Street Gresham, OR (503) # Ne Division St Gresham, OR (503) # Sw Highland Drive Gresham, OR (503) WALGREENS # W Powell Blvd Gresham, OR (503) WALGREENS # Ne Burnside Road Gresham, OR (503) WALGREENS # Se 223rd Ave Gresham, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 7

11 E Powell Blvd Gresham, OR (503) W Powell Blvd Gresham, OR (503) Se Powell Blvd Ste J Portland, OR (503) APOTHECARY AT GOOD SAMARITAN 1040 Nw 22nd Avenue Portland, OR (503) APOTHECARY EMANUEL 501 N Graham St Portland, OR (503) BI-MART PHARMACY # Se Powell Blvd Portland, OR (503) BI-MART PHARMACY # Ne Halsey Street Portland, OR (503) BI-MART PHARMACY # Se Woodstock Blvd Portland, OR (503) CENTRAL CITY CONCERN PHARMACY 727 W Burnside St Portland, OR (503) COLUMBIA PHARMACY 8122 Se Tibbetts Street Portland, OR (503) COMMUNITY, A WALGREENS PHARMACY # Nw 23rd Ave Portland, OR (503) COSTCO PHARMACY 4849 Ne 138th Portland, OR (503) CVS PHARMACY 939 Sw Morrison St Portland, OR (503) CVS PHARMACY 1555 N Tomahawk Island Dr Portland, OR (503) CVS PHARMACY 9401 Ne Cascades Pkwy Portland, OR (971) CVS PHARMACY 9800 Se Washington St Portland, OR (503) CVS PHARMACY # Sw 4th Ave Portland, OR (503) FAIRLEYS PHARMACY 7206 Ne Sandy Blvd Portland, OR (503) FRED MEYER PHARMACY 5253 Se 82nd Avenue Portland, OR (503) FRED MEYER PHARMACY 100 Nw 20th Place Portland, OR (503) FRED MEYER PHARMACY 6615 Ne Glisan Street Portland, OR (503) FRED MEYER PHARMACY 7404 N Interstate Portland, OR (503) FRED MEYER PHARMACY 7555 Sw Barbur Blvd Portland, OR (503) FRED MEYER PHARMACY Se Division Portland, OR (503) FRED MEYER PHARMACY 3805 Se Hawthorne Blvd Portland, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 8

12 FRED MEYER PHARMACY 6850 N Lombard Portland, OR (503) FRED MEYER PHARMACY 1111 Ne 102nd Portland, OR (503) FRED MEYER PHARMACY 3030 Ne Weidler Street Portland, OR (503) OHSU CASEY EYE INSTITUTE PHARMACY 3375 Sw Terwilliger Blvd Portland, OR (503) OHSU CENTER FOR HEALTH AND HEALING PHARMACY 3303 Sw Bond Ave Portland, OR (503) OHSU DOERNBECHER CHILDRENS HOSPITAL PHARMACY 3181 Sw Sam Jackson Park Road Portland, OR (503) OHSU GABRIEL PARK PHARMACY 4411 Sw Vermont Ave Portland, OR (503) OHSU OUTPATIENT PHARMACY 3181 Sw Sam Jackson Park Rd Portland, OR (503) OHSU RICHMOND CLINIC PHARMACY 3930 Se Division Portland, OR (503) PAULSEN'S PHARMACY 4246 Ne Sandy Blvd Portland, OR (503) PHARMACA INTEGRATIVE PHARMACY 13 Nw 23rd Place Portland, OR (503) PORTLAND PROFESSIONAL PHARMACY Ne Glisan St Portland, OR (503) PROVIDENCE PLAZA PHARMACY 5050 Ne Hoyt Portland, OR (503) QFC PHARMACY # E Burnside Portland, OR (503) RITE AID PHARMACY Sw Alder Street Portland, OR (503) RITE AID PHARMACY Ne 41st Avenue Portland, OR (503) RITE AID PHARMACY Se Cesar East Chavez Blvd Portland, OR (503) RITE AID PHARMACY Ne Cully Boulevard Portland, OR (503) RITE AID PHARMACY Southwest Beaverton Hillsdale Portland, OR (503) RITE AID PHARMACY Ne 181st Avenue Portland, OR (503) RITE AID PHARMACY Se Division Street Portland, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 9

13 RITE AID PHARMACY Se Division Street Portland, OR (503) RITE AID PHARMACY North Denver Avenue Portland, OR (503) RITE AID PHARMACY Nw 10th Avenue Portland, OR (503) RITE AID PHARMACY st Street And Overton Street Portland, OR (717) # Se 122nd Ave Portland, OR (503) # Ne Martin Luther King Blvd Portland, OR (503) # N Jantzen Avenue Portland, OR (503) # Ne Sandy Blvd Portland, OR (503) # Ne 122nd Ave Portland, OR (503) # Se Woodstock Blvd Portland, OR (503) # Ne Broadway Portland, OR (503) # Se Powell Blvd Portland, OR (503) # N Ivanhoe Dr Portland, OR (503) # Sw Jefferson St Portland, OR (503) # Nw Lovejoy St Portland, OR (503) # Se Hawthorne Blvd Portland, OR (503) # Sw Barbur Blvd Portland, OR (503) SAV-ON PHARMACY # Ne 181st Ave Portland, OR (503) SAV-ON PHARMACY # Ne Prescott Portland, OR (503) SAVON PHARMACY # Sw Beaverton Hillsdale Hwy Portland, OR (503) SYNERGY RX Se Main St Portland, OR (541) WALGREENS # Se 39th Ave Portland, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 10

14 WALGREENS # Ne 82nd Avenue Portland, OR (503) WALGREENS # Se Holgate Blvd Portland, OR (503) WALGREENS # nd Se Portland, OR (503) WALGREENS # W Burnside Portland, OR (503) WALGREENS # Se Powell Blvd Portland, OR (503) WALGREENS # N Lombard St Portland, OR (503) WALGREENS # Ne Martin Lthr King Blvd Portland, OR (503) WALGREENS # Ne Grand Ave Portland, OR (503) WALGREENS # Ne Glisan St Portland, OR (503) WALGREENS # Ne 33rd Ave Portland, OR (971) WALGREENS # Sw Capitol Hwy Portland, OR (503) WALGREENS # Ne Sandy Blvd Portland, OR (503) WALGREENS # Ne Glisan St Portland, OR (503) Southeast 82nd Avenue Portland, OR (503) N Hayden Meadows Dr Portland, OR (503) Troutdale # Sw Cherry Park Road Troutdale, OR (503) SAVON PHARMACY Se Stark Troutdale, OR (503) WALGREENS # Se Stark St Troutdale, OR (503) Wood Village N E Sandy Blvd Wood Village, OR (503) Woodvillage FRED MEYER PHARMACY Ne Parklane Woodvillage, OR (503) Washington Aloha COSTCO PHARMACY Sw Jenkins Aloha, OR (503) RITE AID PHARMACY Sw Farmington Road Aloha, OR (503) WALGREENS # Sw Tualatin Valley Hwy Aloha, OR (503) Banks BANKS PHARMACY Nw Main St Ste 102 Banks, OR (503) Beaverton This pharmacy qualifies for dispensing up to a 90-day supply. Page 11

15 BEAVERTON PHARMACY Sw Canyon Rd Beaverton, OR (503) BI-MART PHARMACY # Sw 185th Ave Beaverton, OR (503) CVS PHARMACY Sw Beaverton Hillsdale Hwy Beaverton, OR (503) CVS PHARMACY Nw Evergreen Pkwy Beaverton, OR (503) FRED MEYER PHARMACY Sw Beaverton Hillsdale Hwy Beaverton, OR (503) FRED MEYER PHARMACY Sw Walker Road Beaverton, OR (503) OHSU KNIGHT CANCER INSTITUTE-BEAVERTON HEMATOLOGY ONCOLOGY Sw Greystone Ct Beaverton, OR (971) OHSU MAIL ORDER PHARMACY 9315 Sw Nimbus Ave Beaverton, OR (503) RITE AID PHARMACY Sw Tualatin Valley Highway Beaverton, OR (503) RITE AID PHARMACY Sw Walker Road Beaverton, OR (503) RITE AID PHARMACY Sw Allen Boulevard Beaverton, OR (503) # Sw Murray Blvd Beaverton, OR (503) # Sw Teal Blvd Beaverton, OR (503) VG BEAVERTON PHARMACY 2935 Sw Cedar Hills Blvd Beaverton, OR (503) WALGREENS # Sw Murray Scholls Dr Ste 201 Beaverton, OR (503) WALGREENS # Sw Farmington Rd Beaverton, OR (503) Sw Murray Blvd Beaverton, OR (503) Nw Cornell Rd Beaverton, OR (503) Cornelius FRED MEYER PHARMACY 2200 Baseline Road Cornelius, OR (503) WALGREENS # N 20th Ave Cornelius, OR (503) N. Adair St. Cornelius, OR (503) Forest Grove BI-MART PHARMACY # Pacific Ave Forest Grove, OR (503) # Pacific Ave Forest Grove, OR (503) Hillsboro This pharmacy qualifies for dispensing up to a 90-day supply. Page 12

16 BI-MART PHARMACY # Se Tualatin Valley Hwy Hillsboro, OR (503) COSTCO PHARMACY 1255 Ne 48th Ave Hillsboro, OR (503) CVS PHARMACY 2295 Se Tualatin Valley Hwy Hillsboro, OR (503) FRED MEYER PHARMACY 6495 Se Tualatin Valley Hwy Hillsboro, OR (503) FRED MEYER PHARMACY Nw Imbrie Drive Hillsboro, OR (503) HILLSBORO PHARMACY 243 E Main Hillsboro, OR (503) PROVIDENCE TANASBOURNE PHARMACY Nw Cornell Rd Ste 102 Hillsboro, OR (503) RITE AID PHARMACY Southeast Tualatin Valley Highway Hillsboro, OR (503) RITE AID PHARMACY Northwest 185th Avenue Hillsboro, OR (503) # Se Tv Highway Hillsboro, OR (503) SAV-ON PHARMACY # W Baseline Hillsboro, OR (503) SAV-ON PHARMACY # Ne 25th Ave Hillsboro, OR (503) THE MEDICINE SHOPPE PHARMACY 333 Se 7th Avenue Hillsboro, OR (503) VG HILLSBORO PHARMACY 226 Se 8th Ave Hillsboro, OR (503) WALGREENS # Ne Cornell Rd Hillsboro, OR (503) WALGREENS # Se Tualatin Valley Hwy Hillsboro, OR (503) WALGREENS # Se Baseline St Hillsboro, OR (503) Ne Shaleen St Hillsboro, OR (503) King City MCCANNS KING CITY PHARMACY Sw 116th Ave King City, OR (503) Portland FRED MEYER PHARMACY 7700 Sw Beaverton Hillsdale Portland, OR (503) MEDICAL OFFICE BUILDING PHARMACY 9155 Sw Barnes Rd Portland, OR (503) PHARMACA INTEGRATIVE PHARMACY 240 Nw Lost Springs Ter Ste 36 Portland, OR (503) QFC PHARMACY 7525 Sw Barnes Rd Portland, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 13

17 RITE AID PHARMACY Sw Barnes Rd Portland, OR (503) # Sw Pacific Hwy Portland, OR (503) # Nw Cornell Road Portland, OR (503) WALGREENS # Nw Bethany Blvd Portland, OR (503) WALGREENS # Sw Beaverton Hillsdale Hwy Portland, OR (503) WALGREENS # Nw Cornell Rd Portland, OR (503) Sherwood CVS PHARMACY Sw Baler Way Sherwood, OR (503) # Sw Roy Rogers Road Sherwood, OR (503) WALGREENS # Sw Pacific Hwy Sherwood, OR (503) Sw Langer Farms Pkwy Sherwood, OR (503) Tigard BI-MART PHARMACY # Sw Pacific Hwy Number 70 Tigard, OR (503) COSTCO PHARMACY 7855 Sw Dartmouth Street Tigard, OR (503) CVS PHARMACY 9009 Sw Hall Blvd Tigard, OR (503) FRED MEYER PHARMACY Sw Pacific Hwy Tigard, OR (503) RITE AID PHARMACY Sw Scholls Ferry Road Tigard, OR (503) RITE AID PHARMACY Sw Main Street Tigard, OR (503) RITE AID PHARMACY Sw Pacific Hwy E Tigard, OR (503) SAV-ON PHARMACY # Sw Barrows Rd Tigard, OR (503) WALGREENS # Sw Pacific Hwy Tigard, OR (503) Sw Dartmouth St Tigard, OR (503) Tualatin FRED MEYER PHARMACY Sw Martinazzi Avenue Tualatin, OR (503) Wilsonville COSTCO PHARMACY Heather Place Wilsonville, OR (503) CVS PHARMACY Sw Heather Pl Wilsonville, OR (503) Yamhill Mcminnville BI-MART PHARMACY # S Baker Street Mcminnville, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 14

18 RITE AID PHARMACY Ne Highway 99w Mcminnville, OR (503) # N Hwy 99 W Mcminnville, OR (503) SAV-ON PHARMACY # Sw Keck Dr Mcminnville, OR (503) VG MCMINNVILLE PHARMACY 115 Ne May Ln Mcminnville, OR (503) WALGREENS # Sw Baker St Mcminnville, OR (503) North 99 W Mcminnville, OR (503) Newberg BI-MART PHARMACY # Haworth Ave Newberg, OR (503) CENTER PHARMACY 502 Villa Rd Newberg, OR (503) FRED MEYER PHARMACY 3300 Portland Blvd Suite 100 Newberg, OR (503) RITE AID PHARMACY North Springbrook Road Newberg, OR (503) # N Springbrook Road Newberg, OR (503) WALGREENS # Portland Rd Newberg, OR (503) Sheridan SHERIDAN PHARMACY 103 E Main St Sheridan, OR (503) Home Infusion Pharmacies ALABAMA Mobile Mobile HPC 63 S Royal St Mobile, AL (800) ARIZONA Maricopa Scottsdale DIPLOMAT SPECIALTY INFUSION GROUP 9045 E Pima Center Pkwy Scottsdale, AZ (480) CALIFORNIA Los Angeles Cerritos KABAFUSION, LLC Center Court Drive Cerritos, CA (877) Commerce ACARIAHEALTH PHARMACY # Garfield Ave Commerce, CA (323) Santa Fe Springs CRESCENT HEALTHCARE INC Telegraph Rd Santa Fe Springs, CA (562) Orange Irvine BIOSCRIP INFUSION SERVICES 199 Technology Drive Irvine, CA (855) Riverside Temecula NUFACTOR Winchester Rd Temecula, CA (800) San Diego Carlsbad This pharmacy qualifies for dispensing up to a 90-day supply. Page 15

19 DIPLOMAT PHARMACY, INC Aston Ave Ste 102 Carlsbad, CA (760) COLORADO Denver Denver US BIOSERVICES 501 W 44th Ave Unit A Denver, CO (800) FLORIDA Broward Pompano Beach PATIENT CARE AMERICA 3890 Park Central Blvd N. Pompano Beach, FL (866) IDAHO Ada Boise CORAM CVS/SPECIALTY INFUSION SERVICES W Executive Dr Boise, ID (208) Meridian OPTION CARE 800 S. Industry Way Meridian, ID (208) ILLINOIS Dupage Lombard OPTION CARE 2050 S Finley Rd Ste 20 Lombard, IL (630) IOWA Polk Urbandale DIPLOMAT SPECIALTY INFUSION GROUP & Aurora Ave. Urbandale, IA (515) MICHIGAN Kalamazoo Kalamazoo OPTIMED SPECIALTY PHARMACY 6480 Technology Kalamazoo, MI (877) Oakland Troy HOMESCRIPTS 500 Kirts Blvd Ste 300 Troy, MI (248) MINNESOTA Dakota Mendota Heights CORAM CVS/SPECIALTY INFUSION SERVICES 2345 Waters Dr Mendota Heights, MN (651) NEW JERSEY Passaic Totowa BIOLOGICTX LLC 40d Commerce Way Totowa, NJ (877) Wayne BASIC HOME INFUSION 1401 Valley Road Wayne, NJ (888) NORTH CAROLINA Forsyth Kernersville NUFACTOR 1601 Old Greensboro Rd Kernersville, NC (844) OREGON Deschutes Bend OPTION CARE AT LEGACY HEALTH 2275 Ne Doctors Dr Ste 10 Bend, OR (541) Lane Eugene SACRED HEART HOME INFUSION 677 E. 12th Ave Eugene, OR (458) Multnomah Portland PROVIDENCE SPECIALTY PHARMACY SERVICES- INFUSION/SPP 6410 Ne Halsey Street Portland, OR (503) Washington Portland This pharmacy qualifies for dispensing up to a 90-day supply. Page 16

20 CORAM CVS/SPECIALTY INFUSION SERVICES 7358 Sw Durham Rd Portland, OR (503) OPTION CARE AT LEGACY HEALTH Sw 72nd Ave Portland, OR (503) PENNSYLVANIA Delaware Boothwyn PENTEC HEALTH, INC 4 Creek Parkway Boothwyn, PA (800) Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610) Sharon Hill HOMETECH ADVANCED THERAPIES, INC. 505 Elmwood Ave Sharon Hill, PA (484) TEXAS Collin Frisco US BIOSERVICES 3200 Internet Blvd Frisco, TX (888) Dallas Irving Y MEDICAL ASSOCIATES, INC N Mac Arthur Blvd Irving, TX (972) Harris Houston ACARIAHEALTH PHARMACY # W Sam Houston Pkwy N # 130 Houston, TX (800) SPECIALTY THERAPEUTIC CARE 1311 W Sam Houston Pkwy N Ste 150 Houston, TX (866) Lubbock Lubbock IV SOLUTIONS OF LUBBOCK 3706-A 20th Street Lubbock, TX (806) Tarrant Ft Worth AMERICAN OUTCOMES MGMT LP 6310 Southwest Blvd Ste 204 Ft Worth, TX (800) WASHINGTON King Redmond CORAM CVS/SPECIALTY INFUSION SERVICES Ne 87th St Ste 101 Redmond, WA (800) Spokane Spokane Valley CORAM CVS/SPECIALTY INFUSION SERVICES 5511 E 3rd Ave Spokane Valley, WA (509) Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under AgeRight Advantage through the facility s long-term care pharmacy or another network long-term care pharmacy. ARIZONA Maricopa Phoenix PHARMERICA 8826 N 23rd Ave Ste C-2 Phoenix, AZ (602) IDAHO Ada Boise HEARTLAND LTC PHARMACY 8455 W Emerald St Boise, ID (208) INDIANA Marion Indianapolis This pharmacy qualifies for dispensing up to a 90-day supply. Page 17

21 PHARMERICA 6330 E 75th St Indianapolis, IN (317) NEVADA Carson City Carson City DAHL'S PHARMACY OF CARSON 1851 N Carson St Carson City, NV (775) DAHL'S SPECIALTY PHARMACY OF CARSON 1851 N Carson St Ste C Carson City, NV (775) OHIO Cuyahoga Valley View EXACT CARE PHARMACY 8333 Rockside Rd Valley View, OH (216) OREGON Clackamas Clackamas ISSE PHARMACY SERVICES Se 114th Ave Ste 101 Clackamas, OR (503) Milwaukie CONSONUS PHARMACY SERVICES OREGON 4560 Se International Way Milwaukie, OR (877) GENEVA WOODS PHARMACY Se Mcloughlin Blvd Milwaukie, OR (503) Oregon City GENOA HEALTHCARE 998 Library Ct Rm 4 Oregon City, OR (503) GENOA HEALTHCARE 110 Beavercreek Road Oregon City, OR (971) Deschutes Bend GENOA HEALTHCARE 1128 Nw Harriman St, Suite 161 Bend, OR (541) Grant John Day LENS DRUG 120 E Main St John Day, OR (541) Jackson Medford ASANTE PHARMACY 2900 E Barnett Rd Medford, OR (541) OMNICARE OF MEDFORD 259 E Barnett Rd Medford, OR (541) PHARMBLUE OREGON LLC 140 S Holly St Medford, OR (800) Lane Eugene BHS PHARMACY 1455 Westec Dr Eugene, OR (541) MANAGED HEALTHCARE PHARMACY 1750 Willow Creek Cir Eugene, OR (541) Malheur Ontario GENOA HEALTHCARE 702 Sunset Drive, Suite P1 Ontario, OR (541) Vale MALHEUR DRUG 198 A St W Vale, OR (541) Marion Mt Angel MT ANGEL DRUG 105 N Main St Mt Angel, OR (503) Salem GENOA HEALTHCARE 3180 Ne Center Street, Ste 3360 Salem, OR (503) This pharmacy qualifies for dispensing up to a 90-day supply. Page 18

22 OAK TREE PHARMACY 2940 Commercial St Se Salem, OR (503) Silverton HI SCHOOL PHARMACY 406 Mcclaine St Silverton, OR (503) Multnomah Gresham GENOA HEALTHCARE 400 Ne 7th St Gresham, OR (503) Se Powell Blvd Ste J Portland, OR (503) GATEWAY MEDICAL PHARMACY 1125 Ne 99th Ave Portland, OR (503) OMNICARE OF PORTLAND Ne Glenn Widing Dr Portland, OR (503) PENNSYLVANIA Butler Warrendale PHARMBLUE LLC 40 Pennwood Pl Ste 300 Warrendale, PA (724) Delaware Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610) TENNESSEE Putnam Cookeville PEGASUS EXPRESS PHARMACY 621 E 15th St Cookeville, TN (931) UTAH Salt Lake Midvale SPECIALIZED PHARMACY SERVICES 7351 Union Park Ave Midvale, UT (801) VIRGINIA Richmond City Richmond WESTWOOD PHARMACY CLINICAL SERVICES 5823 Patterson Ave Richmond, VA (804) WASHINGTON Clark Vancouver PAYLESS DRUG Se 34th St Bldg 2 Vancouver, WA (800) Spokane Spokane PHARMERICA N 2114 Pines Rd Spokane, WA (509) Spokane Valley GENEVA WOODS PHARMACY 3808 N Sullivan Rd Spokane Valley, WA (509) Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through AgeRight Advantage s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). OREGON Jefferson Warm Springs WARM SPRINGS HEALTH AND WELL CENTER PHARMACY 1270 Kot Num Rd Warm Springs, OR (541) Marion Salem This pharmacy qualifies for dispensing up to a 90-day supply. Page 19

23 CHEMAWA INDIAN HEALTH CENTER PHARMACY 3750 Chemawa Rd Ne Salem, OR (503) Umatilla Pendleton YELLOWHAWK TRIBAL HEALTH CLINIC PHARMACY Confederated Way Pendleton, OR (541) Specialty Pharmacy ARIZONA Maricopa Phoenix LUMICERA HEALTH SERVICES, LLC 5350 E High St Ste 200 Phoenix, AZ (855) WISCONSIN Dane Madison LUMICERA HEALTH SERVICES 2601 W Beltline Hwy Ste 302 Madison, WI (855) This pharmacy qualifies for dispensing up to a 90-day supply. Page 20

24 English: ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call TTY: 711. Multi-Language Interpreter Services Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 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. 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) Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 711). Korean: 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수 있습니다 TTY: 711 번으로전화해주십시오. Ukrainian: УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (телетайп: 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 Arabic: ملحوظة: إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم )رقم هاتف الصم والبكم 711 (. Romanian: ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la (TTY: 711). Mon-Khmer, Cambodian: ប រយ ត ន បរ ស នជ អ នកន យ យ ភ ស ខ ម រ, បសវ ជ ន យខ នកភ ស ប យម នគ ត ឈ ន ល គ អ ចម នស រ រ រ បរ អ នក ច រ ទ រស ព ទ (TTY: 711)

25 Cushite (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa TTY: 711. German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: TTY: 711. Persian (Farsi): توجه: اگر به زبان فارسی گفتگو می کنید تسهیالت زبانی بصورت فراهم می باشد. با TTY: تماس بگیرید. رایگان برای شما French: ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : 711). Thai: เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร TTY: 711.