Pharmacy Directory. WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans

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1 WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans Pharmacy Directory This booklet provides a list of WellCare Signature (PDP) and Classic (PDP) network pharmacies. This directory is for Hawaii. We also list pharmacies that are in our network but are outside Hawaii. Please contact WellCare Signature (PDP) and Classic (PDP) at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern for additional information. 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. To get current information about WellCare Signature (PDP) and Classic (PDP) network pharmacies in your area, please visit our website at or call Customer Service at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or co-payments/coinsurance may change on January 1, WellCare is a Medicare-approved Part D sponsor. This information is available for free in other languages. Please contact our Customer Service number at for additional information. Esta información está disponible gratis en otros idiomas. Para información adicional, por favor comuníquese con Servicio al Cliente al S5967_NA015144_PDP_PHD_ENG_FINAL_33 CMS Approved WellCare 2011 NA_05_11 NA33PHD37954E_0511

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3 Introduction This booklet provides a list of WellCare Signature and Classic network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and WellCare Signature or Classic formularies. If you have additional questions, please call Customer Service at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call Or, visit We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by WellCare. In most cases, your prescriptions are covered under WellCare Signature and Classic only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. Preferred pharmacies are pharmacies in our network in which our Plan has negotiated lower cost-sharing for its plan members for covered prescription drugs than at non-preferred pharmacies. However, you will still have access to lower drug prices at non-preferred pharmacies than at out-of-network pharmacies. You may go to either of these types of network pharmacies to receive your covered prescription drugs. Only WellCare Mail-Order Pharmacy is classified as a preferred pharmacy. As a member, you may use a non-preferred mail-order pharmacy, but the amount you pay may be higher than the amount you pay for a preferred mail-order pharmacy. WellCare does not classify pharmacies as preferred or non-preferred in the Chain, Retail, Home Infusion, Long-Term Care, or Indian Health Service/Tribal/Urban Indian Health Program pharmacy types. How to use this pharmacy directory Pharmacies in this directory are grouped by type of pharmacy and listed alphabetically, by state (if the region includes multiple states), county and city. Some pharmacies offer an extended supply of medications. Pharmacies that offer an extended supply of medications are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it has the quantity of medication you need. Some pharmacies are open 24 hours a day. Pharmacies that are open 24 hours a day are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it is open 24 hours a day. I

4 Some pharmacies offer. This means the pharmacy will accept electronic prescriptions directly from your physician s office. Pharmacies that offer are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it offers. Some mail-order pharmacies are designated as preferred pharmacies. Mail-order pharmacies that are classified as preferred pharmacies are identified by Preferred Pharmacy after the pharmacy s phone number. As a member, the amount you pay may be lower using a preferred mail-order pharmacy than a non-preferred mail-order pharmacy. II

5 CHAIN PHARMACIES A and P Pharmacy (866) Accredo Health Group (866) Acme Store (877) Aurora Pharmacy (888) Bakers Pharmacy (800) Bartell Drugs (877) Bashas (800) Bel Air (800) RALEYSS Bi Lo Pharmacy (800) Bi-Mart (541) Big Y (413) Biggs Pharmacy (513) Brookshire Brothers Pharmacy (936) Brookshires Pharmacy (903) Buehler Food Markets (888) BUEHLER Cash Wise Foods (877) City Market (877) Coram Healthcare (800) Costco (800) Critical Care Systems (603)

6 CHAIN PHARMACIES CVS (800) Dillons (800) Discount Drug Mart (330) Dominicks Finer Foods (877) Duane Reade (212) Eaton Apothecary (508) Econofoods (952) Fagen Pharmacy (219) Farm Fresh Food & Pharmacy (800) Food City (276) Food Lion (800) Fred Meyer (888) Freds Pharmacy (800) Fruth Pharmacy (304) Genuardis (877) Giant Pharmacy (888) Haggen (360) Hannaford (800) Happy Harrys (800) Harmons (866)

7 CHAIN PHARMACIES Harris Teeter (800) Homeland Pharmacy (405) Ingles (828) Kerr Drug (800) King Soopers (877) Kinney Drugs (800) Kmart (866) Kroger (866) Longs Drugs (800) Marc s Pharmacy (800) Marsh Supermarkets (800) Medicap Pharmacy (800) Medicine Shoppe (800) Meijer (877) Navarro Discount Pharmacy (888) No Frills Supermarkets (866) Osco (877) Pamida (402) Pathmark (866) Pick N Save Pharmacy (866)

8 CHAIN PHARMACIES Price Chopper (800) Publix (800) Qvl Pharmacy (972) Raleys (800) RALEYSS Ralphs (888) Randalls (877) Rite Aid (800) Safeway (877) Sams Pharmacy (888) Save Mart Supermarkets (800) Savon (877) Schnucks (800) Shop N Save (314) Shopko (807) Shoppers Pharmacy (800) Shoprite (800) Snyders Drug Stores (952) Stop & Shop (800) Super 1 Pharmacy (903) Super D Drugs (870)

9 CHAIN PHARMACIES Super Fresh (866) Sweetbay (888) Target (800) Thrifty White Pharmacy (763) Tom Thumb (877) Tops Friendly Markets (800) United Pharmacy (888) USA Drug (870) Vons (877) Wal Mart (800) WALMART Waldbaums (866) Walgreens (800) Wegmans (800) WEGMANS Weis Pharmacy (570) Winn Dixie (866) Yokes Pharmacy (509)

10 MAIL-ORDER PHARMACIES Ammed Homecare Pharmacy (615) Global Medical Direct (913) Liberty Direct Services Corp (800) Liberty Healthcare Pharmacy of Nevada (800) Liberty Medical (800) Liberty Medical (800) Liberty Medical of Ohio (800) Walgreens #2445 (407) Walgreens #3397 (480) Walgreens #5957 (503) Welldynerx (888) Welldynerx-Fl (888) WSP Mail Order Pharmacy (866)

11 SPECIALTY PHARMACY The WellCare Specialty Pharmacy fills certain limited distribution, injectable biotech, and/or biologic medications for members. To place your order, contact the WellCare Specialty Pharmacy Care Team at the number listed below. Your medication will be delivered to your home, your doctor s office, or to an alternate location of your choice. For more information, please contact us toll-free at , Monday-Thursday, 8 a.m. to 7 p.m. Eastern, and Friday, 8 a.m. to 6 p.m. Eastern. Or, send a fax to or us at wsp@wellcare.com WellCare Specialty Pharmacy TTY filler 7

12 RETAIL PHARMACIES HAWAII Hawaii County Hilo Kta Puainako Pharmacy 50 E Puainako St Hilo, HI (808) Mina Pharmacy 1251 Kilauea Ave Ste 190 C Hilo, HI (808) Shiigi Drug Company 333 Kilauea Ave Suite 109 Hilo, HI (808) Ululani Pharmacy 868 Ululani St Suite 107 Hilo, HI (808) Honokaa Hamakua Family Pharmacy A Mamane St Suite 4 Honokaa, HI (808) Kailua Kona Kta Keauhou Pharmacy Alii Dr Ste 101 Kailua Kona, HI (808) Mina Pharmacy Kuakini Hwy Ste 513 Kailua Kona, HI (808) Kamuela Foodland Pharmacy # Mamalahoa Hwy Kamuela, HI (808) Kta Kamuela Pharmacy Mamalahoa Kamuela, HI (808) Kapaau Kamehameha Pharmacy Akoni Pule Hwy Kapaau, HI (808) Kealakekua Oshima Drug Mamalahoa Hwy Kealakekua, HI (808) Pahoa Puna Pharmacy Keaau Pahoa RD Ste 205 Pahoa, HI (808) Honolulu County Aiea Aiea Medical Pharmacy Aiea Heights Dr Suite 103 Aiea, HI (808) Pharmacare Moanalua RD Aiea, HI (808) Times Pharmacy Aiea Heights Dr Aiea, HI (808)

13 RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Ewa Beach Pharmacare No Ft Weaver RD Suite 106 Ewa Beach, HI (808) Honolulu Careplus CVS Pharmacy 500 Ala Moana Blvd Bldg 1, Suite A Honolulu, HI (808) Chinatown Pharmacy 70 N Hotel St Honolulu, HI (808) Corner Pharmacy 1029 Kapahulu Ave Ste 303 Honolulu, HI (808) Don Quijote Drugs 801 Kaheka St Honolulu, HI (808) Good Health Pharmacy 1120 Maunakea St, #173 Honolulu, HI (808) Honnis 1520 Liliha St Ste 201 Honolulu, HI (808) Kuhio Pharmacy 2330 Kuhio Ave Honolulu, HI (808) Mankwan Wong, MD 1441 Kapiolani Blvd Ste 1002 Honolulu, HI (808) Medipharm Pharmacy 1188 Bishop Street Ste 802 Honolulu, HI (808) Medipharm Pharmacy 606 Coral St Honolulu, HI (808) Mina Pharmacy 1620 N School St Honolulu, HI (808) Mina Pharmacy 4510 Salt Lake Blvd B7 B Honolulu, HI (808) Mina Pharmacy # S Beretania St Ste 110 Honolulu, HI (808) Mina Pharmacy Main Office 1441 Kapiolani Blvd Ste 510 Honolulu, HI (808) Pharmacare 1319 Punahou St Honolulu, HI (808)

14 RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Honolulu Cont Pharmacare 3375 Koapaka Ste G320 Honolulu, HI (808) Pharmacare 888 S King St Rotunda Suite 100 Honolulu, HI (808) Pharmacare No Liliha St Suite 100 Honolulu, HI (808) Pharmacare No Ala Moana Blvd Tower 1- Suite 302 Honolulu, HI (808) Pharmacyone 1712 Liliha St Ste 101 Honolulu, HI (808) Plaza Pharmacy 321 N Kuakini St Honolulu, HI (808) Prince Kuhio Pharmacy II 1922 Kalakaua Avenue Honolulu, HI (808) Queens Pob 2 Pharmacy 1329 Lusitana St Suite 101 Honolulu, HI (808) Queens Pob I Pharmacy 1380 Lusitana St Honolulu, HI (808) Queens Pob III Pharmacy 550 S Beretania St Ste 102 Honolulu, HI (808) The Pillbox Pharmacy th Ave Honolulu, HI (808) Times Pharmacy st Ave Honolulu, HI (808) Times Pharmacy 1290 S Beretania St Honolulu, HI (808) Times Pharmacy 1425 Liliha St Honolulu, HI (808) Times Pharmacy 1772 S King St Honolulu, HI (808) Waikiki Health Center Pharmacy 277 Ohua Ave Honolulu, HI (808) Wellness Pharmacy 100 N Beretania St Suite 148 Honolulu, HI (808)

15 RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Kailua Foodland Medicine Cabinet Phcy 108 Hekili St Kailua, HI (808) Koolau Pharmacy 642 Ulukahiki St Kailua, HI (808) Times Pharmacy 590 Kailua RD Kailua, HI (808) Kaneohe Castle Professional Ctr Phcy Kamehameha Hwy Suite 108 Kaneohe, HI (808) Times Pharmacy Kamehameha Hwy Kaneohe, HI (808) Times Pharmacy Hui Iwa St Kaneohe, HI (808) Kapolei Mina Pharmacy 599 Farrington Hwy Ste 101 Kapolei, HI (808) Laie Foodland Pharmacy # Kamehameha Hwy Laie, HI (808) Mililani Times Mililani Pharmacy Kuahealani Ave Mililani, HI (808) Pearl City Times Pharmacy Kaahumanu St Pearl City, HI (808) Wahiawa Wahiawa General Hospital Pharmacy 128 Lehua St Wahiawa, HI (808) Waianae Pharmacare No Farrington Hwy Ste 101 Waianae, HI (808) Waianae Drug Farrington Hwy Suite 101 Waianae, HI (808) Waianae Professional Pharmacy Farrington Hwy Waianae, HI (808) Waimanalo Waimanalo Pharmacy Kalanianaole Hwy Waimanalo, HI (808)

16 RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Waipahu 5 Minute Pharmacy Farrington Hwy Ste # B1-102 Waipahu, HI (808) Don Quijote Drugs Farrington Hwy Waipahu, HI (808) Leeward Oahu Pharmacy Waipahu Street Waipahu, HI (808) Times Pharmacy Kupuohi St Waipahu, HI (808) Times Pharmacy Farrington Hwy Waipahu, HI (808) Waipahu Drug A Hikimoe St Waipahu, HI (808) Kauai County Hanapepe Westside Pharmacy Kaumualii Hwy Hanapepe, HI (808) Kalaheo Papalina Pharmacy 4469 Papalina RD Ste 948 Kalaheo, HI (808) Kapaa Foodland Pharmacy # Kuhio Hwy Kapaa, HI (808) Koloa Southshore Pharmacy 5330 Koloa RD No 2 Koloa, HI (808) Lihue Hawaii Home Infusion Associate 4473 Pahee St Ste I Lihue, HI (808) Ho Ola Lahui Hawai I 4491 Rice St Ste 105A Lihue, HI (808) Lifeway Pharmacy Lihue Kuhio Hwy Suite 102 Lihue, HI (808) Lihue Pharmacy 4491 Kolopa St #a Lihue, HI (808) Lihue Professional Pharmacy Kuhio Hwy Ste 101 Lihue, HI (808)

17 RETAIL PHARMACIES HAWAII Cont Kauai County Cont Princeville Foodland Pharmacy # Kuhio Hwy Princeville, HI (808) Waimea Lifeway Pharmacy Wiamea 4643 A Waimea Canyon RD Waimea, HI (808) Menehune Pharmacy Kaumualii Hwy Waimea, HI (808) Maui County Haiku Haiku Pharmacy 810 Haiku RD Suite 127 Haiku, HI (808) Kahului Easy Clinic Lab & RX Shop 430 Kele St Ste 401 Kahului, HI (808) Maui Clinic Pharmacy 53 Puunene Ave Kahului, HI (808) Kaunakakai Molokai Drugs 28 Kamoi St Ste 100 Kaunakakai, HI (808) Kihei Rainbow Pharmacy 2349 S Kihei RD # 4 Kihei, HI (808) Lanai City Lanai Family Health Center 628 B 7th St Lanai City, HI (808) Makawao Makawao Town Pharmacy 1120 Makawao Ave Makawao, HI (808) Paia Paia Pharmacy 96 Hana Highway Paia, HI (808) Pukalani Foodland Pharmacy #24 55 Pukalani St Pukalani, HI (808)

18 HOME INFUSION PHARMACIES WellCare will cover home infusion therapy if: Your prescription drug is on the WellCare formulary or you have a formulary exception; WellCare has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. HAWAII Honolulu County Honolulu Pharmacare 3375 Koapaka Ste G320 Honolulu, HI (808) Kauai County Lihue Hawaii Home Infusion Associate 4473 Pahee St Ste I Lihue, HI (808)

19 LONG-TERM CARE PHARMACIES Residents of a long-term care facility may access their prescription drugs covered under WellCare through the facility s long-term care pharmacy or another network long-term care pharmacy. HAWAII Hawaii County Hilo Mina Pharmacy LTC 1251 Kilauea Ave 190C 1 Hilo, HI (808) Pharmerica Hilo 688 Kinoole Street Unit 109 Hilo, HI (808) Kailua Kona Mina Pharmacy LTC Kuakini Hwy 513A Kailua Kona, HI (808) Kealakekua Kona Community Hospital Pharmacy Haukapila St Kealakekua, HI (808) Honolulu County Aiea Pharmacare LTC Aiea Heights Dr Suite 104 Aiea, HI (808) Honolulu Mina Pharmacy LTC 4510 Salt Lake Blvd Suite B7 A Honolulu, HI (808) Pharmerica 3375 Koapaka St Ste H-435 Honolulu, HI (808) Kaneohe Pharmerica Kaneohe Keaahala Road Kaneohe, HI (808) Times Pharmacy Hui Iwa St Kaneohe, HI (808) Kauai County Lihue Pharmerica Kauai 2970 Kele St Ste 113A Lihue, HI (808) Maui County Wailuku Wailuku Professional Pharmacy 1900 Main Street Wailuku, HI (808)

20 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 the WellCare pharmacy network. Those other than Native Americans and Alaska natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). There are currently no Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies available in this region. To get current information about WellCare Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies in your area, please visit our website at or call Customer Service at , Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call

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24 P.O. Box Tampa, FL TTY Hours of operation are Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. Or visit us anytime at