ATRIO HEALTH PLANS 2018 PHARMACY DIRECTORY

Transcription

1 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 or, for TTY users, , Daily 8 a.m. 8 p.m., 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 Customer Service for updated provider information. ATRIO Health Plans has PPO and HMO D-SNP plans with a Medicare Contract. Enrollment in ATRIO Health Plans depends on contract renewal. The Pharmacy Directory may change at any time. You will receive notice when necessary. Y0084_PHARM_PHD_2018 CMS ed

2 2018 Pharmacy Directory Introduction This booklet provides a list of ATRIO Health Plan 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 ATRIO Health Plan 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 ATRIO Health Plans 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 the September 06, 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. This directory is for Douglas, Josephine, Jackson, Klamath, Marion and Polk counties in Oregon, which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory please contact ATRIO Health Plans Customer Service at 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.

3 ATRIO Health Plan s Network Pharmacies Table of Contents Retail Pharmacies (by pharmacy name), including Chain Pharmacies... 4 Retail Pharmacies (by city), including Chain Pharmacies Mail Order Pharmacy Home Infusion Pharmacies Long Term Care Pharmacies Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies Network Pharmacies outside Douglas, Josephine, Jackson, Klamath, Marion and Polk Counties... 29

4 Retail Pharmacies, including Chain Pharmacies Alphabetized by Name *Pharmacies that provide an can dispense up to a 90-day supply. Like Mail Order, if you receive a 90-day (3 months) supply; you only pay a copay equaling a 60-day (2 months) supply. Some retail pharmacies do not offer an extended supply of medication. In this case, you will be responsible for the difference in price. Pharmacy Name ASANTE Y Y (541) ASANTE RRMC ASANTE THREE RIVERS 2900 E BARNETT RD STE 1 MEDFD N Y (541) E BARNETT RD MEDFD Y Y (541) SW RAMSEY AVE ASHLAND DRUG Y Y (541) NTH SECOND STREET ASHLAND BI-MART #608 Y Y (541) ASHLAND ST ASHLAND BI-MART #609 Y Y (541) NW GARDEN VALLEY BLVD BI-MART #610 Y Y (541) REDWOOD BI-MART #611 Y Y (541) WASHBURN WAY KLAMATH FALLS BI-MART #613 Y Y (541) W MAIN ST MEDFD BI-MART #616 Y Y (541) BIDDLE RD MEDFD BI-MART #624 Y Y (503) RIVER ROAD N KEIZER BI-MART #633 Y Y (503) LANCASTER DRIVE NE

5 BI-MART #643 Y Y (503) MT HOOD AVE WOODBURN BI-MART #646 Y Y (503) PACIFIC AVE S MONMOUTH BI-MART #647 Y Y (503) SHAFF RD STAYTON BI-MART #652 Y Y (541) E CENTRAL AVE SUTHERLIN BI-MART #676 Y Y (541) BLACK OAK Y Y (541) CASCADE Y Y (541) CAVES Y Y (541) CHEMAWA INDIAN HEALTH CENTER N Y (503) NW DOUGLAS BLVD 2924 SISKIYOU BLVD STE A CRATER LAKE 333 S REDWOOD 3750 CHEMAWA RD NE WINSTON MEDFD WHITE CITY CAVE JUNCTION COSTCO Y Y (541) HAMRICK RD CENTRAL POINT COSTCO Y Y (503) COSTCO Y Y (541) HAWTHNE AVE 4141 NE STEPHENS ST CVS #16154 Y Y (503) CENTER ST NE CVS #16159 Y Y (541) CVS #17195 Y Y (503) CRATER LAKE 6450 KEIZER STATION BLVD NE MEDFD KEIZER

6 DALLAS PILL BOX Y Y (503) SE MILLER AVE DALLAS FRED MEYER Y Y (541) CENTER DRIVE MEDFD FRED MEYER Y Y (541) CRATER LAKE FRED MEYER Y Y (541) SHASTA WAY MEDFD KLAMATH FALLS FRED MEYER Y Y (503) BROADWAY NE FRED MEYER Y Y (503) COMMERCIAL ST SE FRED MEYER Y Y (503) MARKET NE FRED MEYER #126 FRED MEYER #281 Y Y (541) Y Y (541) PKWY 929 NW GARDEN VALLEY BLVD GOLD HILL Y Y (541) ND AVE GOLD HILL GDON'S AND GIFTS, INC., INC. HARVARD AVENUE DRUGS AND HEALTH MART Y Y (541) MAIN ST CANYONVILLE N Y (541) SW 6TH ST Y Y (541) SW 6TH ST Y Y (541) W HARVARD AVE

7 HI SCHOOL Y Y (503) MONMOUTH AVE INDEPENDENCE HI SCHOOL Y Y (503) MCCLAINE ST SILVERTON HOMETOWN DRUGS Y Y (541) LONE PINE DRUG Y Y (541) LOWER UMPQUA HOSPITAL 1813 W HARVARD AVE STE LONE PINE RD # 2 MEDFD Y Y (541) RANCH RD REEDSPT MEDICAP Y Y (541) N PACIFIC HIGHWAY TALENT MT ANGEL DRUG Y Y (503) N MAIN ST MT ANGEL NTHWEST COMPOUNDING Y Y (541) OAK TREE Y Y (503) OMNICARE OF MEDFD Y Y (541) EGON STATE HOSPITAL PHARMBLUE EGON LLC PHYSICIANS BUILDING QUISENBERRY PHARMACIES QUISENBERRY PHARMACIES, LLC 1350 NTHEAST STEPHENS STE COMMERCIAL ST SE 259 E BARNETT RD STE L MEDFD N Y (503) CENTER ST NE Y Y (800) Y Y (503) S HOLLY ST SUITE COMMERICAL ST SE MEDFD Y Y (503) LIBERTY ST SE N Y (503) LIBERTY ST SE

8 REEDSPT Y Y (541) REEDSPT RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID RITE AID Y Y (503) N Y (503) N Y (503) N Y (503) N Y (503) N Y (503) N Y (541) N Y (541) N Y (541) Y Y (541) N Y (541) N Y (541) MCCLAIONE STREET 681 LANCASTER DRIVE NTHEAST 435 LIBERTY STREET NTHEAST 4500 COMMERCIAL STREET SOUTHEAST 5452 RIVER ROAD NTH 178 WEST ELLENDALE AVENUE 1430 NTHWEST GARDEN VALLEY ROAD VALLEY MALL 444 STEPHENS STREET SOUTHEAST 981 MEDFD CENTER 2341 ASHLAND STREET TOLMAN CREEK PLAZA 915 NTHEAST D STREET GRANTS PASS SHOPPING CENTER 1642 WILLIAMS HIGHWAY WILLIAMS HIGHWAY PLAZA SILVERTON KEIZER DALLAS MEDFD ASHLAND

9 RITE AID RITE AID ROGUE COMMUNITY HEALTH ROGUE COMMUNITY HEALTH WHITE CITY ROGUE RIVER ROGUE VALLEY MAN SAFEWAY #0290 SAFEWAY #0412 SAFEWAY #0429 SAFEWAY #0525 SAFEWAY #1516 SAFEWAY #1527 SAFEWAY #1629 SAFEWAY #1643 SAFEWAY #1666 N Y (541) SOUTH SIXTH STREET KLAMATH FALLS Y Y (541) N MAIN ST PHOENIX Y Y (541) MYRTLE ST MEDFD Y Y (541) DIVISION RD WHITE CITY Y Y (541) E MAIN ROGUE RIVER Y Y (541) MIRA MAR AVE MEDFD Y Y (541) EAST 7TH ST Y Y (503) Y Y (503) Y Y (541) Y Y (503) EDGEWATER NW 3380 LANCASTER DR NE 1003 MEDFD SHOPPING CTR 4990 NTH RIVER ROAD MEDFD KEIZER Y Y (503) N FIRST STREET STAYTON Y Y (503) Y Y (541) Y Y (541) CENTER STREET 3169 CRATER LAKE HIGHWAY 1539 NE STEPHENS ST MEDFD

10 SAFEWAY #1935 SAFEWAY #1976 SAFEWAY #4404 SAFEWAY #4904 HEALTH RETAIL Y Y (503) Y Y (503) Y Y (503) COMMERCIAL STREET SE 1550 NTH PACIFIC 138 W ELLENDALE AVENUE WOODBURN DALLAS Y Y (541) S MAIN ST MYRTLE CREEK Y Y (503) OAK ST SE SAV-ON #0577 Y Y (541) S 6TH ST KLAMATH FALLS SAV-ON #3508 Y Y (541) N PHOENIX RD MEDFD SAV-ON #3541 Y Y (541) ALLEN CREEK ROAD SAV-ON #3593 Y Y (541) ROSS LN MEDFD SAV-ON #3595 Y Y (541) PLAZA BLVD MEDFD SAVON #515 Y Y (541) NW STEWART PKWY SHADY COVE Y Y (541) SHADY COVE SHOPKO Y Y (503) SILVERTON HEALTH WOODBURN HEALTH Y Y (971) LANCASTER DR SE 1475 MOUNT HOOD AVE WOODBURN SILVERTON PILL BOX Y Y (503) N FIRST ST SILVERTON

11 SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SKY LAKES OUTPATIENT N Y (541) N Y (541) Y Y (541) Y Y (541) Y Y (541) REDWOOD 1701 NW HAWTHNE AVE REDWOOD 1701 NW HAWTHNE AVE 2865 DAGGETT AVENUE CAVE JUNCTION CAVE JUNCTION KLAMATH FALLS STAYTON Y Y (503) MARTIN DR STE A STAYTON SUTHERLIN DRUG Y Y (541) CENTRAL AVE E SUTHERLIN TRINITY VALLEY LLC TRINITY VALLEY LLC RETAIL Y Y (541) N Y (541) VALLEY DRUGS Y Y (541) WALGREENS #11632 Y Y (503) WALGREENS #12068 Y Y (541) WALGREENS #12095 Y Y (503) NE FOOTHILL BLVD F FOOTHILL BLVD BLDG F3 157 NW DOUGLAS BLVD 2150 FAIRGROUNDS RD NE 1377 NE STEPHENS ST 1000 N EVERGREEN RD WINSTON WOODBURN WALGREENS #12596 Y Y (541) W MAIN ST MEDFD WALGREENS #13819 Y Y (541) NW GARDEN VALLEY BLVD

12 WALGREENS #15974 Y Y (541) N FRONT ST CENTRAL POINT WALGREENS #4229 Y Y (503) LANCASTER DR NE WALGREENS #4230 Y Y (503) RIVER RD KEIZER WALGREENS #4257 Y Y (503) COMMERCIAL ST SE WALGREENS #7373 Y Y (541) UNION AVE WALGREENS #9287 Y Y (503) LANCASTER DR SE WALGREENS #9328 Y Y (541) E BARNETT RD MEDFD WALGREENS #9650 Y Y (503) WALLACE RD NW WALGREENS# Y Y (503) LIBERTY RD S WAL-MART WALMART WALMART WALMART WALMART WALMART WALMART Y Y (541) Y Y (503) Y Y (503) WASHBURN WAY 3025 LANCASTER DRIVE NE 3002 STACY ALLISON WAY KLAMATH FALLS WOODBURN Y Y (541) N.E. TERRY LANE Y Y (503) COMMERCIAL ST SE Y Y (541) CENTER DR MEDFD Y Y (503) NE KINGS VALLEY DALLAS

13 WALMART WALMART WALMART WALMART WELLNESS COMPOUNDING Y Y (541) Y Y (503) NW STEWART PARKWAY 1940 TURNER ROAD SE Y Y (541) HANNON ROAD EAGLE POINT Y Y (541) Y Y (541) CRATER LAKE 522 CRATER LAKE AVE MEDFD MEDFD WEST MAIN DRUG Y Y (541) WEST MAIN ST MEDFD Retail Pharmacies, including Chain Pharmacies Alphabetized by City *Pharmacies that provide an can dispense up to a 90-day supply. Like Mail Order, if you receive a 90-day (3 months) supply; you only pay a copay equaling a 60-day (2 months) supply. Some retail pharmacies do not offer an extended supply of medication. In this case, you will be responsible for the difference in price Pharmacy Name RITE AID Y Y (541) ASHLAND DRUG Y Y (541) ASHLAND STREET TOLMAN CREEK PLAZA 53 NTH SECOND STREET ASHLAND ASHLAND

14 BI-MART #608 Y Y (541) ASHLAND ST ASHLAND GDON'S AND GIFTS Y Y (541) MAIN ST CANYONVILLE CAVES Y Y (541) S REDWOOD SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER Y Y (541) N Y (541) REDWOOD REDWOOD CAVE JUNCTION CAVE JUNCTION CAVE JUNCTION WALGREENS #15974 Y Y (541) N FRONT ST CENTRAL POINT COSTCO Y Y (541) HAMRICK RD CENTRAL POINT SAFEWAY #4404 WALMART RITE AID Y Y (503) Y Y (503) N Y (503) W ELLENDALE AVENUE 321 NE KINGS VALLEY 178 WEST ELLENDALE AVENUE DALLAS DALLAS DALLAS DALLAS PILL BOX Y Y (503) SE MILLER AVE DALLAS WALMART Y Y (541) HANNON ROAD EAGLE POINT GOLD HILL Y Y (541) ND AVE GOLD HILL WALGREENS #7373 Y Y (541) UNION AVE, INC., INC. N Y (541) SW 6TH ST Y Y (541) SW 6TH ST

15 FRED MEYER #126 SAFEWAY #0290 WALMART TRINITY VALLEY LLC RETAIL TRINITY VALLEY LLC RITE AID RITE AID Y Y (541) PKWY Y Y (541) EAST 7TH ST Y Y (541) N.E. TERRY LANE N Y (541) Y Y (541) N Y (541) N Y (541) SAV-ON #3541 Y Y (541) SISKIYOU COMMUNITY HEALTH CENTER ASANTE THREE RIVERS N Y (541) FOOTHILL BLVD BLDG F NE FOOTHILL BLVD F WILLIAMS HIGHWAY WILLIAMS HIGHWAY PLAZA 915 NTHEAST D STREET GRANTS PASS SHOPPING CENTER 1690 ALLEN CREEK ROAD 1701 NW HAWTHNE AVE Y Y (541) SW RAMSEY AVE BI-MART #610 Y Y (541) REDWOOD SISKIYOU COMMUNITY HEALTH CENTER Y Y (541) NW HAWTHNE AVE HI SCHOOL Y Y (503) MONMOUTH AVE INDEPENDENCE WALGREENS #4230 Y Y (503) RIVER RD KEIZER

16 SAFEWAY #1516 RITE AID Y Y (503) N Y (503) CVS #17195 Y Y (503) NTH RIVER ROAD 5452 RIVER ROAD NTH 6450 KEIZER STATION BLVD NE KEIZER KEIZER KEIZER BI-MART #624 Y Y (503) RIVER ROAD N KEIZER FRED MEYER Y Y (541) SHASTA WAY WAL-MART RITE AID Y Y (541) N Y (541) WASHBURN WAY 2521 SOUTH SIXTH STREET SAV-ON #0577 Y Y (541) S 6TH ST SKY LAKES OUTPATIENT Y Y (541) BI-MART #611 Y Y (541) DAGGETT AVENUE 1920 WASHBURN WAY KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS WALGREENS #12596 Y Y (541) W MAIN ST MEDFD WALGREENS #9328 Y Y (541) E BARNETT RD MEDFD BLACK OAK Y Y (541) SISKIYOU BLVD STE 102 MEDFD FRED MEYER Y Y (541) CENTER DRIVE MEDFD FRED MEYER Y Y (541) SAFEWAY #0525 Y Y (541) CRATER LAKE 1003 MEDFD SHOPPING CTR MEDFD MEDFD

17 WALMART Y Y (541) CENTER DR MEDFD ASANTE Y Y (541) SAFEWAY #1643 Y Y (541) OMNICARE OF MEDFD Y Y (541) RITE AID N Y (541) E BARNETT RD STE CRATER LAKE HIGHWAY 259 E BARNETT RD STE L 981 MEDFD CENTER MEDFD MEDFD MEDFD MEDFD SAV-ON #3508 Y Y (541) N PHOENIX RD MEDFD SAV-ON #3593 Y Y (541) ROSS LN MEDFD SAV-ON #3595 Y Y (541) PLAZA BLVD MEDFD CVS #16159 Y Y (541) ROGUE COMMUNITY HEALTH WALMART PHARMBLUE EGON LLC 2000 CRATER LAKE MEDFD Y Y (541) MYRTLE ST MEDFD Y Y (541) Y Y (800) CRATER LAKE 140 S HOLLY ST SUITE 1131 MEDFD MEDFD WEST MAIN DRUG Y Y (541) WEST MAIN ST MEDFD BI-MART #613 Y Y (541) W MAIN ST MEDFD BI-MART #616 Y Y (541) BIDDLE RD MEDFD ASANTE RRMC N Y (541) E BARNETT RD MEDFD

18 ROGUE VALLEY MAN Y Y (541) MIRA MAR AVE MEDFD LONE PINE DRUG Y Y (541) WELLNESS COMPOUNDING Y Y (541) LONE PINE RD # CRATER LAKE AVE MEDFD MEDFD BI-MART #646 Y Y (503) PACIFIC AVE S MONMOUTH MT ANGEL DRUG Y Y (503) N MAIN ST MT ANGEL SAFEWAY #4904 RITE AID Y Y (541) S MAIN ST MYRTLE CREEK Y Y (541) N MAIN ST PHOENIX REEDSPT Y Y (541) REEDSPT LOWER UMPQUA HOSPITAL ROGUE RIVER Y Y (541) RANCH RD REEDSPT Y Y (541) E MAIN ROGUE RIVER WALGREENS #12068 Y Y (541) WALGREENS #13819 Y Y (541) FRED MEYER #281 SAFEWAY #1666 WALMART Y Y (541) Y Y (541) Y Y (541) NE STEPHENS ST 1236 NW GARDEN VALLEY BLVD 929 NW GARDEN VALLEY BLVD 1539 NE STEPHENS ST 2125 NW STEWART PARKWAY

19 COSTCO Y Y (541) RITE AID RITE AID NTHWEST COMPOUNDING N Y (541) N Y (541) Y Y (541) SAVON #515 Y Y (541) HARVARD AVENUE DRUGS AND HEALTH MART Y Y (541) BI-MART #609 Y Y (541) HOMETOWN DRUGS Y Y (541) SHOPKO Y Y (503) WALGREENS #11632 Y Y (503) WALGREENS #4229 Y Y (503) WALGREENS #4257 Y Y (503) WALGREENS #9287 Y Y (503) NE STEPHENS ST 1430 NTHWEST GARDEN VALLEY ROAD VALLEY MALL 444 STEPHENS STREET SOUTHEAST 1350 NTHEAST STEPHENS STE NW STEWART PKWY 1175 W HARVARD AVE 1381 NW GARDEN VALLEY BLVD 1813 W HARVARD AVE STE LANCASTER DR SE 2150 FAIRGROUNDS RD NE 1992 LANCASTER DR NE 4380 COMMERCIAL ST SE 124 LANCASTER DR SE WALGREENS #9650 Y Y (503) WALLACE RD NW

20 WALGREENS# Y Y (503) LIBERTY RD S PHYSICIANS BUILDING CHEMAWA INDIAN HEALTH CENTER Y Y (503) N Y (503) COMMERICAL ST SE 3750 CHEMAWA RD NE FRED MEYER Y Y (503) BROADWAY NE FRED MEYER Y Y (503) COMMERCIAL ST SE FRED MEYER Y Y (503) MARKET NE SAFEWAY #0412 Y Y (503) COSTCO Y Y (503) WALMART WALMART SAFEWAY #0429 SAFEWAY #1629 WALMART RITE AID RITE AID Y Y (503) Y Y (503) Y Y (503) EDGEWATER NW 1010 HAWTHNE AVE 3025 LANCASTER DRIVE NE 5250 COMMERCIAL ST SE 3380 LANCASTER DR NE Y Y (503) CENTER STREET Y Y (503) N Y (503) N Y (503) TURNER ROAD SE 681 LANCASTER DRIVE NTHEAST 435 LIBERTY STREET NTHEAST

21 RITE AID EGON STATE HOSPITAL QUISENBERRY PHARMACIES QUISENBERRY PHARMACIES, LLC N Y (503) COMMERCIAL STREET SOUTHEAST N Y (503) CENTER ST NE Y Y (503) LIBERTY ST SE N Y (503) LIBERTY ST SE CVS #16154 Y Y (503) CENTER ST NE OAK TREE Y Y (503) BI-MART #633 Y Y (503) HEALTH RETAIL SAFEWAY # COMMERCIAL ST SE 2155 LANCASTER DRIVE NE Y Y (503) OAK ST SE Y Y (503) COMMERCIAL STREET SE SHADY COVE Y Y (541) SHADY COVE RITE AID Y Y (503) MCCLAIONE STREET SILVERTON SILVERTON PILL BOX Y Y (503) N FIRST ST SILVERTON HI SCHOOL Y Y (503) MCCLAINE ST SILVERTON SAFEWAY #1527 Y Y (503) N FIRST STREET STAYTON STAYTON Y Y (503) MARTIN DR STE A STAYTON BI-MART #647 Y Y (503) SHAFF RD STAYTON

22 SUTHERLIN DRUG Y Y (541) CENTRAL AVE E SUTHERLIN BI-MART #652 Y Y (541) E CENTRAL AVE SUTHERLIN MEDICAP Y Y (541) ROGUE COMMUNITY HEALTH WHITE CITY 205 N PACIFIC HIGHWAY TALENT Y Y (541) DIVISION RD WHITE CITY CASCADE Y Y (541) VALLEY DRUGS Y Y (541) BI-MART #676 Y Y (541) WALGREENS #12095 Y Y (503) SAFEWAY #1976 WALMART Y Y (503) Y Y (503) A CRATER LAKE 157 NW DOUGLAS BLVD 391 NW DOUGLAS BLVD 1000 N EVERGREEN RD 1550 NTH PACIFIC 3002 STACY ALLISON WAY WHITE CITY WINSTON WINSTON WOODBURN WOODBURN WOODBURN BI-MART #643 Y Y (503) MT HOOD AVE WOODBURN SILVERTON HEALTH WOODBURN HEALTH Y Y (971) MOUNT HOOD AVE WOODBURN

23 Mail Order Pharmacy You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of 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, Pharmacy Name POSTAL PRESCRIPTION SERVICES Please register with PPS by mail using an order form or by calling (800) Toll Free. Obtain new prescriptions written for up to a 90-day supply and mail to PPS with the order form. You can order refills online at Mon-Fri 6a.m.-6p.m. PST Saturdays 6a.m.-2p.m. PST Y N (503) (800) SE 26TH AVE PO BOX 2718 PTLAND Home Infusion Pharmacies This is NOT a complete Network Home Infusion Pharmacy Listing. ATRIO Health Plans has Network pharmacies throughout the United States. ATRIO Health Plans will cover home infusion therapy if: Your prescription drug is on ATRIO Health Plans Formulary; ATRIO has approved your prescription drug for home infusion therapy; Your prescription is written by a doctor; and You get your home infusion services from an ATRIO Network pharmacy. 23

24 If you have questions about our Home Infusion or Pharmacy Network, please contact ATRIO Health Plans at , Daily 8 a.m. - 8 p.m. TTY users should call Or, visit our website at for further assistance. Pharmacy Name BRIOVARX INFUSION SERVICES 404, LLC CAM CVS/SPECIALTY INFUSION SERVICES Y N (541) Y N (503) NE WILLIAMSON CT STE B 7358 SW DURHAM RD BEND PTLAND HOME PARENTERAL CARE N N (541) S BERTELSEN RD #4 EUGENE MURRAY'S BOARDMAN N N (541) SW KINKADE RD BOARDMAN OHSU HOME INFUSION Y N (503) SW NIMBUS AVE BEAVERTON OPTION CARE AT LEGACY HEALTH OPTION CARE AT LEGACY HEALTH Y N (541) Y N (503) NE DOCTS DR STE 10 SUITE SW 72ND AVE BEND PTLAND PROVIDENCE SPECIALTY SERVICES- INFUSION/SPP Y N (503) NE HALSEY STREET SUITE 400 PTLAND

25 Long Term Care Pharmacies This is NOT a complete Network Long Term Care Pharmacy Listing. ATRIO Health Plans has Network pharmacies throughout the United States. Residents of a long-term care facility may access their prescription drugs covered under ATRIO Health Plans through the facility s long-term care pharmacy or another network long-term care pharmacy. If you have questions about our Long Term Care or Pharmacy Network, please contact ATRIO Health Plans at , Daily 8 a.m. - 8 p.m. TTY users should call ). Or, visit our website at for further assistance. Pharmacy Y N (503) ASANTE Y N (541) BRIOVARX INFUSION SERVICES 404, LLC COLUMBIA MEMIAL HOSPITAL OUTPATIENT CONSONUS SERVICES EGON CUTTER'S HI- SCHOOL #1167 Y N (541) Y N (503) Y N (971) SE POWELL BLVD STE J 2900 E BARNETT RD STE NE WILLIAMSON CT STE B 2120 EXCHANGE ST STE SE INTERNATIONAL WAY STE 101 PTLAND MEDFD BEND ASTIA MILWAUKIE Y N (503) ROBBINS ST MOLALLA FAIRLEYS HEALTHCARE Y N (503) NE SANDY BLVD PTLAND FLENCE Y N (541) FLENCE GATEWAY MEDICAL GENEVA WOODS #48546 Y N (503) Y N (503) NE 99TH AVE SE MCLOUGHLIN PTLAND MILWAUKIE

26 BLVD, INC., INC. N N (541) SW 6TH ST Y N (541) SW 6TH ST HI SCHOOL Y N (503) HI SCHOOL Y N (503) HI SCHOOL Y N (503) HI SCHOOL Y N (503) HI SCHOOL Y N (503) S BROADWAY SW CHINOOK PLZ 5639 NE HOOD ST 1357 MONMOUTH AVE 406 MCCLAINE ST GRANTS PASS GRANTS PASS ESTACADA SCAPPOOSE WEST LINN INDEPENDE NCE SILVERTON HIRONS DRUG #1 Y N (541) E 18TH AVE EUGENE LENS DRUG Y N (541) E MAIN ST JOHN DAY LUKE-DF Y N (503) NE SANDY BLVD PTLAND MALHEUR DRUG Y N (541) A ST W VALE MANAGED HEALTHCARE Y N (541) MEDICAP Y N (541) WILLOW CREEK CIR 1333 CLAY STREET SE EUGENE ALBANY MT ANGEL DRUG Y N (503) N MAIN ST MT ANGEL

27 MURRAY'S BOARDMAN N N (541) SW KINKADE RD BOARDMAN OAK TREE Y N (503) OMNICARE OF MEDFD Y N (541) OMNICARE OF PTLAND Y N (503) EGON STATE HOSPITAL N N (503) PHARMBLUE EGON LLC Y N (800) PILL BOX HEALTH CENTER PROPAC PAYLESS PROVIDENCE SPECIALTY SERVICES - LTC QUISENBERRY PHARMACIES, LLC RED CROSS INSTITUTIONAL RICKS HI SCHOOL Y N (541) COMMERCIAL ST SE 259 E BARNETT RD STE L NE GLENN WIDING DR 2600 CENTER ST NE 140 S HOLLY ST SUITE NW KINGS BLVD MEDFD PTLAND MEDFD CVALLIS Y N (503) CHAD DR EUGENE Y N (503) N N (503) NE HALSEY STREET 150 LIBERTY ST SE PTLAND Y N (541) DEPOT ST LA GRANDE Y N (503) WEST COLUMBIA RIVER ROGUE RIVER Y N (541) E MAIN ROGUE VALLEY MAN Y N (541) MIRA MAR AVE CLATSKANIE ROGUE RIVER MEDFD SHERIDAN Y N (503) E MAIN ST SHERIDAN

28 SILVERTON PILL BOX Y N (503) N FIRST ST SILVERTON SISTERS DRUG AND GIFT Y N (541) TRINITY VALLEY LLC Y N (541) VALLEY DRUGS Y N (541) WEST MAIN DRUG Y N (541) N ARROWLEAF TRL 2001 NE FOOTHILL BLVD F3 157 NW DOUGLAS BLVD 2355 WEST MAIN ST SISTERS GRANTS PASS WINSTON MEDFD Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies This is NOT a complete Network (I/T/U) Pharmacy Listing. ATRIO Health Plans has Network pharmacies throughout the United States. Only Native Americans and Alaskan Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through ATRIO s pharmacy Network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). If you have questions about ATRIO s I/T/U or Pharmacy Network, please contact ATRIO Health Plans at , Daily 8 a.m. - 8 p.m. TTY users should call ). Or, visit our website at for further assistance. Pharmacy Name CHEMAWA INDIAN HEALTH CENTER WARM SPRINGS HEALTH AND WELL CENTER N N (503) N N (541) CHEMAWA RD NE 1270 KOT NUM RD WARM SPRINGS

29 Network Pharmacies outside Douglas, Josephine, Jackson, Klamath, Marion and Polk Counties We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. For listings of network pharmacies outside of the service area, please contact ATRIO Health Plans at , Daily 8 a.m. - 8 p.m. TTY users should call This Pharmacy Directory was updated on 09/06/2018. For more recent information or other questions, please contact ATRIO Health Plans Customer Service at or, for TTY users, , Daily 8 a.m. 8 p.m., 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 Customer Service for updated provider information. 29