DIRECTORY. UnitedHealthcare MedicareRx for Groups (PDP)

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1 2015 Pharmacy DIRECTORY UnitedHealthcare MedicareRx for Groups (PDP) This directory is a partial list of network pharmacies near you. This directory is for Hawaii. For more information, please call Customer Service at: Toll-Free , TTY a.m. to 8 p.m. local time, Monday through Friday Y0066_140805_ Last updated October 2014

2 About this PHARMACY DIRECTORY This directory is a partial list of the plan s network pharmacies. It lists pharmacies in your area based on your State. Pharmacies are listed in alphabetical order. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed may no longer be in our network, or there may be newer pharmacies in our network that are not listed. It is current as of the date printed on the front and back cover pages of this directory. For the most current list of our network pharmacies, please see the front and back cover pages of this directory for information on how to contact us. Network pharmacies A network pharmacy is a pharmacy where you get prescription drug benefits provided by your plan. We call the pharmacies in this directory our network pharmacies because we have made arrangements with them to provide prescription drugs to our plan members. In most cases, your prescriptions are covered under the plan only if they are filled at one of our network pharmacies or through a mail order service pharmacy. We have a large service area with many pharmacies where you may fill your prescription drugs. This directory lists network pharmacies in your area. For information about additional network pharmacies, please contact us using the information on the front and back cover pages. You do not have to use the same network pharmacy every time you fill a prescription drug. You may use any of our network pharmacies. In certain situations we may cover prescriptions filled at pharmacies outside of the network. Please see your Evidence of Coverage for more information. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your Evidence of Coverage and Drug List (Formulary). If you have questions about any of the above, please see the front and back cover pages of this directory for information on how to contact us. Pharmacy Saver Pharmacy Saver is a cost savings prescription drug program available to our plan members. The plan has worked with many of our network pharmacies to offer even lower prices on many common prescription drugs. 1 To learn more about Pharmacy Saver or to see the full list of participating pharmacies, visit Pharmacies included in the Pharmacy Saver program are indicated by a listings on the following pages. symbol in the pharmacy

3 Mail order service pharmacy A network mail service pharmacy is where members can get their prescription drugs delivered to their mailbox. You may go to any of the plan s network mail service pharmacies to get your covered prescription drugs. You can use one of the plan s mail service pharmacies in our network, OptumRx Mail Service Pharmacy. Members can get a 90-day supply 2 of some of their prescription drugs. Members may also use other mail service pharmacies to fill prescriptions. You are not required to use OptumRx to obtain a 90-day supply of your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan s Mail Service Pharmacy. Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills. OptumRx will contact you, by phone, to get your approval. At that time you may also tell OptumRx to fill any future prescriptions they receive directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval your prescription will not be sent to you. Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx at , TTY 711, 24 hours, 7 days a week. New prescriptions should arrive within ten business days from the date the completed order is received by the Mail Service Pharmacy. Completed refill orders should arrive in about seven business days. OptumRx will contact you if there will be an extended delay in the delivery of your medications. You can find more information about Mail Service Pharmacy by calling OptumRx at the number listed in the Mail service pharmacies section of this directory. Mail service pharmacies are indicated by a symbol in the pharmacy listings on the following pages.

4 90-day supplies from retail pharmacies You do not have to use a mail service pharmacy to get a 90-day supply of your prescription drugs. Some of the retail pharmacies in the plan s network also offer 90-day supplies of prescription drugs. If you fill a 90-day supply at a retail pharmacy, you may pay more. Retail pharmacies in the network that fill 90-day supplies of prescription drugs are indicated by a symbol in the pharmacy listings on the following pages. E-prescribing Some of our network pharmacies use electronic prescribing, or e-prescribing. The pharmacy receives your prescriptions electronically, directly from your doctor. Your prescription may be sent before you even leave your doctor s office. E-prescribing can be a safe and efficient way for network pharmacies to get your prescriptions. It may help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken together. Network pharmacies that use e-prescribing are indicated by an the following pages. symbol in the pharmacy listings on

5 National pharmacy chains Below are some of the national chains in the plan s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. Duane Reade Food Lion Giant Giant Food Stores Hannaford H-E-B Hy-Vee Kroger & Affiliates Baker s Pharmacy City Market Dillons Fred Meyer Fry s Pharmacy Gerbes JayCs King Soopers Kroger Pay Less Pharmacy QFC Pharmacy Ralphs Scotts Smith s Food & Drug Martins Publix Safeway & Affiliates Carrs Quality Center Pavilion's Randalls Safeway Tom Thumb Vons Sam s Club Stop & Shop Target Pharmacy Thrifty White TTY Walmart Wegmans TTY users should call 711, unless a different phone number is listed. This list may change. For a current list of national pharmacy chains or to check for a pharmacy not listed in this directory, call us at the number located on the front and back cover pages of this directory.

6 Below are some of the retail and chain pharmacies in your area. Note: Pharmacies may have closed or moved locations since this directory was printed. Other pharmacies are available in our network. Hawaii Costco Pharmacy Maiau St Kailua Kona, HI , TTY: 711 Foodland Pharmacy Mamalahoa Hwy Kamuela, HI , TTY: 711 Kta Kamuela Pharmacy Mamalahoa Hwy Kamuela, HI , TTY: 711 Kta Keauhou Pharmacy Alii Dr Ste 101 Kailua Kona, HI , TTY: 711 Foodland Pharmacy 2100 Kanoelehua Ave , TTY: 711 Kta Puainako Pharmacy 50 E Puainako St , TTY: 711 Kamehameha Pharmacy Akoni Pule Hwy Kapaau, HI , TTY: 711 Kmart Pharmacy Kamakaeha Avenue Kona, HI , TTY: 711 Kona Community Hospital Pharmacy Haukapila St Kealakekua, HI , TTY: Alii Dr Ste 300 Kailua Kona, HI , TTY: Ponahawai St Ste 213 Ste , TTY: Kahakai Blvd Pahoa, HI , TTY: 711

7 Kawaihae Rd. Kamuela, HI , TTY: 711 Malama Compounding Pharmacy Mamalahoa Hwy Kealakekua, HI , TTY: E Puainako St , TTY: Palani Rd Kailua-Kona, HI , TTY: Pikake St Pahala, HI , TTY: Puuhonu Place, # , TTY: Old Volcano Rd Keaau, HI , TTY: Kilauea Ave , TTY: 711 Mina Pharmacy 1251 Kilauea Ave Ste 190 C , TTY: 711 Mina Pharmacy Kuakini Hwy Ste 513 Kailua Kona, HI , TTY: 711 Oshima Drug Mamalahoa Hwy Kealakekua, HI , TTY: 711 Pharmerica Hilo 688 Kinoole Street Unit , TTY: 711 Puna Pharmacy Keaau Pahoa Rd Ste 205 Pahoa, HI , TTY: 711

8 Safeway 381 Makaala , TTY: 711 Wal-Mart Pharmacy Henry St Kailua Kona, HI , TTY: 711 Safeway Pharmacy Henry St Kailua Kona, HI , TTY: 711 Wal-Mart Pharmacy 325 Makaala St , TTY: 711 Shiigi Drug 333 Kilauea Ave Suite , TTY: 711 Target Pharmacy 391 E Makaala St , TTY: E Makaala St , TTY: 711 Honolulu Minute Pharmacy Kalihi 1824 Dillingham Blvd Ste B Honolulu, HI , TTY: 711 Target Pharmacy Makala Blvd Kailua Kona, HI , TTY: 711 Minute Pharmacy Long Term Care Farrington Hwy Ste B1-102 Waipahu, HI , TTY: 711 Ululani Pharmacy 868 Ululani St Suite , TTY: 711 Waikoloa Village Market Pharmacy Paniolo Ave Waikoloa, HI , TTY: 711 Minute Pharmacy, LLC Farrington Hwy Ste # B1-1 Waipahu, HI , TTY: 711 Aiea Medical Pharmacy Aiea Heights Dr Suite 103 Aiea, HI , TTY: 711

9 Careplus CVS Pharmacy 500 Ala Moana Blvd Bldg 1, Suite A Honolulu, HI , TTY: 711 Castle Professional Ctr Phcy Kamehameha Hwy Suite 108 Kaneohe, HI , TTY: 711 Chinatown Pharmacy 70 N Hotel St , TTY: 711 Costco Pharmacy 4589 Kapolei Parkway Kapolei, HI , TTY: 711 Costco Pharmacy 333 A Keohole Street Honolulu, HI , TTY: 711 Costco Pharmacy Ka Uka Blvd Waipahu, HI , TTY: 711 Costco Pharmacy 525 Ala Kawa Street Iwilei, HI , TTY: 711 Don Quijote Drugs 801 Kaheka St , TTY: 711 Don Quijote Drugs Farrington Hwy Waipahu, HI , TTY: 711 Foodland Medicine Cabinet Phcy 108 Hekili St Kailua, HI , TTY: 711 Foodland Pharmacy Kamehameha Hwy Laie, HI , TTY: 711 Foodland Pharmacy 4850 Kapolei Parkway Kapolei, HI , TTY: 711 Good Health Pharmacy, LLC 1120 Maunakea St, # , TTY: 711

10 Kapolei Professional Pharmacy 599 Farrington Hwy. Bldg #1, Unit 100 Kapolei, HI , TTY: 711 Kmart Pharmacy 500 Kamokila Blvd Kapolei, HI , TTY: 711 Kuhio Pharmacy 2330 Kuhio Ave Honolulu, HI , TTY: N School St , TTY: 711 Kmart Pharmacy 4561 Salt Lake Blvd Honolulu, HI , TTY: Moanalua Rd Spc 400 Aiea, HI , TTY: 711 Kmart Pharmacy Lumiaina Waipahu, HI , TTY: Waialae Ave Honolulu, HI , TTY: 711 Kmart Pharmacy 500 North Nimitz Hwy , TTY: Liliha St , TTY: 711 Koolau Pharmacy 642 Ulukahiki St Ste 101 Kailua, HI , TTY: Keahole St Honolulu, HI , TTY: Farrington Hwy Unit 300 Kapolei, HI , TTY: 711

11 1450 Ala Moana Blvd Ste # , TTY: Kamehameha Hwy Ste C Kaneohe, HI , TTY: Kuala St Pearl City, HI , TTY: California Ave Wahiawa, HI , TTY: Waialae Ave Honolulu, HI , TTY: Aulike St Ste # 104 Kailua, HI , TTY: Woodlawn Dr Honolulu, HI , TTY: Farrington Hwy # 6 Waipahu, HI , TTY: California Ave Ste 105 Ste 105 Wahiawa, HI , TTY: Bishop St Suite 105 Honolulu, HI , TTY: Kamehameha Hwy Hauula, HI , TTY: S King St Honolulu, HI , TTY: 711

12 45480 Kaneohe Bay Dr Kaneohe, HI , TTY: N King St #5 Honolulu, HI , TTY: Ainamakua Dr Mililani, HI , TTY: Fort Weaver Rd Ewa Beach, HI , TTY: Kamehameha Hwy #1 Haleiwa, HI , TTY: Bishop St Honolulu, HI , TTY: Ft. Weaver Rd Spc 106 Ewa Beach, HI , TTY: Kamehameha Hwy Pearl City, HI , TTY: Ala Lilikoi St Honolulu, HI , TTY: Kailua Rd Kailua, HI , TTY: S King St , TTY: D Meheula Pkwy Mililani Town, HI , TTY: A Meheula Pkwy Mililani Town, HI , TTY: Kaheka St , TTY: 711

13 1330 Pali Hwy Honolulu, HI , TTY: 711 Mina Pharmacy 1620 N School St , TTY: Farrington Hwy Waianae, HI , TTY: 711 Mina Pharmacy Kamehameha Hwy # 2E Aiea, HI , TTY: 711 Medical Center Pharmacy Aiea Heights Dr Suite 301 Aiea, HI , TTY: 711 Mina Pharmacy 599 Farrington Hwy Ste 101 Kapolei, HI , TTY: 711 Medipharm Pharmacy 875 Waimanu St Ste 600 Honolulu, HI , TTY: 711 Medipharm Pharmacy, LLC 1188 Bishop Street Ste 802 Honolulu, HI , TTY: 711 Mina Pharmacy 1029 Kapahulu Ave Suite 303 Honolulu, HI , TTY: 711 Mina Pharmacy 1401 S Beretania St Ste , TTY: 711 Mina Pharmacy 440 Kilani Ave Wahiawa, HI , TTY: 711 Mina Pharmacy Main office 1441 Kapiolani Blvd Ste , TTY: 711

14 Newtown Square Pharmacy Kaahumanu St Ste 320A Aiea, HI , TTY: 711 Pharmacare No Punahou St Honolulu, HI , TTY: 711 Open Door Rx 1130 N Nimitz Hwy Suite # A-153 A/B , TTY: 711 Pharmacare 3375 Koapaka Ste G320 Honolulu, HI , TTY: 711 Pharmacare LTC Aiea Heights Dr Suite 104 Aiea, HI , TTY: 711 Pharmacare No. 888 S King St Rotunda Suite 100 Honolulu, HI , TTY: 711 Pharmacare No Farrington Hwy Ste 101 Waianae, HI , TTY: 711 Pharmacare No Ft Weaver Rd Suite 106 Ewa Beach, HI , TTY: 711 Pharmacare No Moanalua Rd Aiea, HI , TTY: 711 Pharmacare No Liliha St Suite , TTY: 711 Pharmacyone 1712 Liliha St Ste , TTY: 711 Pharmerica 3375 Koapaka St Ste H-435 Honolulu, HI , TTY: 711 Pharmerica Kaneohe Keaahala Road Kaneohe, HI , TTY: 711 Plaza Pharmacy 321 N Kuakini St , TTY: 711

15 Prince Kuhio Pharmacy II 1922 Kalakaua Avenue Honolulu, HI , TTY: 711 Queens Pob Pharmacy 1329 Lusitana St Suite 101 Honolulu, HI , TTY: 711 Safeway 888 Kapahulu Ave Honolulu, HI , TTY: 711 Safeway Pharmacy 1234 S Beretania St , TTY: 711 Queens Pob I Pharmacy 1380 Lusitana St Honolulu, HI , TTY: 711 Safeway Pharmacy Keaunui Drive Ewa Beach, HI , TTY: 711 Queens Pob IIi Pharmacy 550 S Beretania St Ste 102 Honolulu, HI , TTY: 711 R. Weinstein 1010 S King St Suite , TTY: 711 Safeway 200 Hamakua Drive Kailua, HI , TTY: 711 Sams Pharmacy 1000 Kamehameha Hwy Suite 100 Pearl City, HI , TTY: 711 Sams Pharmacy 750 Keeaumoku St , TTY: 711 Target Pharmacy 4450 Kapolei Pkwy Ste 100 Kapolei, HI , TTY: 711 Target Pharmacy 4380 Lawehana St Honolulu, HI , TTY: 711

16 The Honolulu Pharmacy 1188 Bishop St Ste 2303 Honolulu, HI , TTY: Liliha St , TTY: Aiea Heights Dr Aiea, HI , TTY: Farrington Hwy Waipahu, HI , TTY: Kupuohi St Waipahu, HI , TTY: S Beretania St , TTY: Kaahumanu St Pearl City, HI , TTY: S King St Honolulu, HI , TTY: Hui Iwa St Kaneohe, HI , TTY: Kamehameha Hwy Kaneohe, HI , TTY: Kailua Rd Kailua, HI , TTY: st Ave Honolulu, HI , TTY: 711 Wahiawa General Hospital Pharmac 128 Lehua St Wahiawa, HI , TTY: 711 Waimanalo Pharmacy Inc Kalanianaole Hwy Waimanalo, HI , TTY: 711

17 Waipahu Drug A Hikimoe St Waipahu, HI , TTY: N School St , TTY: 711 Wal-Mart Pharmacy 1131 Kuala Street Pearl City, HI , TTY: 711 Wal-Mart Pharmacy Farrington Hwy Kapolei, HI , TTY: 711 Wal-Mart Pharmacy 700 Keeaumoku Street , TTY: 711 Wal-Mart Pharmacy 1032 Fort Street Mall Honolulu, HI , TTY: 711 Wal-Mart Pharmacy Kupuohi St Waipahu, HI , TTY: Kalanianaole Hwy Suite C119 Honolulu, HI , TTY: Keaunui Ewa, HI , TTY: Kamehameha Hwy Kaneohe, HI , TTY: S Beretania St , TTY: S Kamehameha Hwy Wahiawa, HI , TTY: Nuuanu Ave , TTY: 711

18 56 Oneawa St Kailua, HI , TTY: Farrington Hwy Ste B7b Waipahu, HI , TTY: 711 Kauai Costco Pharmacy 4300 Nuhou St Lihue, HI , TTY: 711 Foodland Pharmacy Kuhio Hwy Princeville, HI , TTY: Liliha St Ste , TTY: Makaloa Plaza , TTY: 711 Wellness Pharmacy Inc 100 N Beretania St Suite , TTY: 711 Foodland Pharmacy Kuhio Hwy Kapaa, HI , TTY: 711 Hawaii Home Infusion Associates 4490 Kolopa St, Suite B Ste B Lihue, HI , TTY: 711 Ho Ola Lahui Hawai I 4491 Rice St Ste 105A Lihue, HI , TTY: 711 Wellness Pharmacy Store 1120 Maunakea St Ste # , TTY: 711 Kapaa Pharmacy, LLC Kuhio Hwt Ste G Kapaa, HI , TTY: 711

19 Lifeway Pharmacy (Koloa) 5330 Koloa Rd Ste 2 Koloa, HI , TTY: Kaumualii Hwy Ste 1100 Lihue, HI , TTY: 711 Lifeway Pharmacy Lihue Kuhio Hwy Suite 102 Lihue, HI , TTY: 711 Lifeway Pharmacy Waimea 4643 A Waimea Canyon Rd Waimea, HI , TTY: Waialo Rd Eleele, HI , TTY: 711 Medical Ctr North Shore Phcy 2460 Oka St Suite 100 Kilauea, HI , TTY: 711 Lihue Pharmacy 4491-A Kolopa St Suite A Lihue, HI , TTY: 711 Lihue Professional Pharmacy B Kuhio Hwy Ste 101 Lihue, HI , TTY: Kuhio Hwy Ste 500 Kapaa, HI , TTY: 711 Pharmerica Kauai 2970 Kele St Ste 113A Lihue, HI , TTY: 711 Safeway Kuhio Hwy Kapaa, HI , TTY: 711 Wal-Mart Pharmacy Kuhio Hwy Lihue, HI , TTY: 711 Westside Pharmacy Kaumualii Hwy Hanapepe, HI , TTY: 711

20 Maui Costco Pharmacy 540 Haleakala Highway Kahului, HI , TTY: 711 Foodland Pharmacy 55 Pukalani St Pukalani, HI , TTY: 711 Kmart Pharmacy 424 Dairy Road Kahului, HI , TTY: S Kihei Rd Ste B Kihei, HI , TTY: Kehalani Village Dr Wailuku, HI , TTY: Kiopaa St Pukalani, HI , TTY: E Lipoa St Kihei, HI , TTY: E Kaahumanu Ave Kahului, HI , TTY: Main St #4 Wailuku, HI , TTY: Honoapiilani Hwy Lahaina, HI , TTY: 711 Makawao Town Pharmacy 1120 Makawao Ave Makawao, HI , TTY: 711 Mina Pharmacy 275 West Kaahumanu Ave Suite 1C0 Kahului, HI , TTY: 711 Molokai Drugs Inc 28 Kamoi St Ste 100 Kaunakakai, HI , TTY: 711

21 Napili Market Pharmacy 5095 Napilihau St Lahaina, HI , TTY: 711 Wal-Mart Pharmacy 101 Pakaula Street Kahului, HI , TTY: 711 Rainbow Pharmacy 2349 S Kihei Rd # 4 Kihei, HI , TTY: Keawe St Bldg D Lahaina, HI , TTY: 711 Safeway 277 Piikea Avenue Kihei, HI , TTY: Waiale Rd Wailuku, HI , TTY: 711 Safeway 170 E Kamehameha Ave Kahului, HI , TTY: 711 Safeway Pharmacy 58 Maui Lani Pkwy Ste 5000 Wailuku, HI , TTY: Lower Honoapiilani Rd Lahaina, HI , TTY: 711 Wailuku Professional Pharmacy 1900 Main Street Wailuku, HI , TTY: S Market St Suite 201 Wailuku, HI , TTY: E Kamehameha Ave Kahului, HI , TTY: Main St Ste 102 Wailuku, HI , TTY: 711

22 130 Prison St Lahaina, HI , TTY: 711 Mail service pharmacies Our mail service pharmacies will ship your prescription drugs directly to your home. For more information, please see your Evidence of Coverage. Below are the mail service pharmacies in the plan s network. OptumRx Mail Service P.O. Box 2975 P.O. Box , Orlando, FL Mission, KS P.O. Box 29061, Phoenix, AZ , TTY , TTY Home infusion pharmacies near you The plan will cover home infusion therapy if: The plan has approved your prescription drug for home infusion therapy; and You get your prescription from an authorized prescriber. For more information, please see your Evidence of Coverage. Below are some of the home infusion network pharmacies in your area. Honolulu Aiea Medical Pharmacy Aiea Heights Dr Suite 103 Aiea, HI , TTY: 711 Kauai Hawaii Home Infusion Associates 4490 Kolopa St, Suite B Ste B Lihue, HI , TTY: 711 Pharmacare 3375 Koapaka Ste G320 Honolulu, HI , TTY: 711

23 Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. Below are some of the long-term care network pharmacies in your area. Hawaii Kona Community Hospital Pharmacy Haukapila St Kealakekua, HI , TTY: 711 Pharmerica Hilo 688 Kinoole Street Unit , TTY: 711 Honolulu Minute Pharmacy Long Term Care Farrington Hwy Ste B1-102 Waipahu, HI , TTY: 711 Newtown Square Pharmacy Kaahumanu St Ste 320A Aiea, HI , TTY: 711 Pharmacare LTC Aiea Heights Dr Suite 104 Aiea, HI , TTY: 711 Pharmerica 3375 Koapaka St Ste H-435 Honolulu, HI , TTY: 711 Pharmerica Kaneohe Keaahala Road Kaneohe, HI , TTY: Hui Iwa St Kaneohe, HI , TTY: 711 Wahiawa General Hospital Pharmac 128 Lehua St Wahiawa, HI , TTY: 711 Kauai Pharmerica Kauai 2970 Kele St Ste 113A Lihue, HI , TTY: 711 Maui Wailuku Professional Pharmacy 1900 Main Street Wailuku, HI , TTY: 711

24 Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you Only Native Americans and Alaska Natives can use I/T/U pharmacies in the plan s pharmacy network. Other people may be able to use these pharmacies under limited circumstances (for example, emergencies). For more information, please see your Evidence of Coverage. Below are some of the I/T/U network pharmacies in your area. None available in your immediate area.

25 This directory is a partial list of pharmacies available in the plan s pharmacy network. For more information, please call Customer Service at: Toll-Free , TTY a.m. to 8 p.m. local time, Monday through Friday 1 Other pharmacies are available in our network. Members may use any pharmacy in the network, but may not receive Pharmacy Saver pricing. Pharmacies participating in the Pharmacy Saver program may not be available in all areas. 2 Your plan sponsor may provide coverage beyond 90 days. Please refer to the Evidence of Coverage for more information. This information is available for free in other languages. Please call our Customer Service number listed above. Esta información está disponible sin costo en otros idiomas. Comuníquese con el Servicio al Cliente al número indicado arriba. OptumRx is an affiliate of UnitedHealthcare Insurance Company. Beneficiaries must use network pharmacies to access their prescription drug benefit. Formulary, pharmacy network, premium and/or co-payments/coinsurance may change each year. NOTE: If you are receiving Extra Help from Medicare, your co-pays may be lower or you may have no co-pays. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan s contract renewal with Medicare. UHEX15MP _000 Last updated October 2014