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2017 Pharmacy DIRECTORY This directory is a list of network pharmacies near you. This directory is for Alaska. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on our website. For more information, please call Customer Service at: Toll-Free 1-888-556-6648, TTY 711 8 a.m. - 8 p.m. local time, Monday - Friday Y0066_160817_111646_NM Last updated January 6, 2017

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 cover of this directory. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website. For the most current list of our network pharmacies, please see the cover of this directory for information on how to call 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 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 cover of this directory. You do not have to use the same network pharmacy every time you fill your prescription drugs. 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 plan s Evidence of Coverage for more information. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your plan s Evidence of Coverage and Drug List (Formulary). If you have questions about any of the above, including instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the cover of this directory for information on how to call us. Pharmacy Saver Pharmacy Saver is a cost savings prescription drug program available to you as a plan member. 1 The plan has worked with many of our network pharmacies to offer even lower prices on many common prescription drugs. To learn more about Pharmacy Saver or to see the full list of participating pharmacies, visit www.unitedpharmacysaver.com. Pharmacies included in the Pharmacy Saver program are indicated by a pharmacy listings on the following pages. symbol in the

Mail service pharmacies 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 home delivery. 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. 2 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 automatically 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. 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. To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs or need to contact us, please call OptumRx toll-free at 1-888-279-1828, TTY 711, 24 hours, 7 days a week. 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 toll-free at 1-888-279-1828, TTY 711, 24 hours, 7 days a week. You can find more information about mail service pharmacies 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. 90-day supply 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 supply 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 supply 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 on the following pages. symbol in the pharmacy listings

Pharmacy retail chains Below are some of the retail chains in the plan s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. Albertsons & Affiliates ACME Albertsons Amigo Carrs Haggens Jewel-Osco Market Street Pavilions Randalls Safeway Shaws Tom Thumb United Vons 1-800-723-3929 CVS 1-800-746-7287 Duane Reade 1-866-375-6925 Food Lion 1-800-210-9569 Giant 1-888-469-4426 Giant Food Stores 1-888-814-4268 Hannaford 1-800-213-9040 H-E-B 1-800-432-3113 Hy-Vee 1-515-267-2800 Kroger & Affiliates Baker s City Market Dillons Fred Meyer Fry s Harris Teeter King Soopers Kroger QFC Ralphs Smith s 1-800-576-4377 Martins 1-888-562-7846 Publix 1-800-782-5497 Rite Aid 1-800-748-3242 Sam s Club 1-888-746-7726 Stop & Shop 1-800-767-7772 Thrifty White 1-888-558-9941 1-877-250-5823 TTY 1-877-924-7889 Walmart 1-800-925-6278 Wegmans 1-800-934-6267 Kmart 1-866-562-7848 This list may change. For a list of other retail pharmacy chains in the network or to check for a pharmacy not listed in this directory, call us at the number located on the cover of this directory. TTY users should call 711, unless a different phone number is listed.

Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Other pharmacies are available in our network. Note: Pharmacies may have closed or moved locations since this directory was printed. Alaska Island Community Services 333 Church St Wrangell, AK 99929 907-874-5005, TTY: 711 Anchorage Medset Pharmacy 4101 Arctic Blvd Ste B Anchorage, AK 99503 907-770-6081, TTY: 711 Alicia Roberts Medical Center Ph 7300A Klawock Hollis Hwy Klawock, AK 99925 907-755-4800, TTY: 711 Anchorage Native Primary Care Ce 4320 Diplomacy Dr 907-729-8867, TTY: 711 Annette Island Service Unit 563 Brendible St Metlakatla, AK 99926 907-886-4748, TTY: 711 Anhc Pharmacy 4951 Business Park Blvd Suite 10 Anchorage, AK 99503 907-743-7203, TTY: 711 Whale Tail Pharmacy 333 Cold Storage Rd PO Box 709 Craig, AK 99921 907-826-5750, TTY: 711 Anchorage Alaska Native Medical Center Med 1W326 4315 Diplomacy Drive 907-729-2199, TTY: 711 Alaska Native Medical Center Pha 4315 Diplomacy Dr 907-729-2107, TTY: 711 Anthc Internal Medicine Pharmacy 3900 Ambassador Dr Ste 311 907-729-2112, TTY: 711 Bernie's Pharmacy 4100 Lake Otis Pkwy 200 907-562-2138, TTY: 711 CVS Pharmacy 1200 N Muldoon Rd Ste F Anchorage, AK 99504 907-269-2101, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) CVS Pharmacy 150 W 100th Ave Anchorage, AK 99515 907-267-7501, TTY: 711 1501 E Huffman Rd Anchorage, AK 99511 907-339-1360, TTY: 711 1340 Gambell Street Anchorage, AK 99501 907-339-0260, TTY: 711 7731 East Northern Lights Boul Anchorage, AK 99504 907-339-1760, TTY: 711 1650 W Northern Lights Blvd Anchorage, AK 99517 907-339-0560, TTY: 711 5600 Debarr Rd Ste 8 Anchorage, AK 99504 800-730-2627, TTY: 711 1725 Abbott Road Anchorage, AK 99507 907-339-2860, TTY: 711 3101 Penland Pkwy 907-339-5260, TTY: 711 5600 Debarr Rd Anchorage, AK 99504 907-339-0960, TTY: 711 Costco Pharmacy 330 W Dimond Blvd Anchorage, AK 99515 907-267-7116, TTY: 711 11431 Business Boulevard Eagle River, AK 99577 907-726-0760, TTY: 711 Costco Pharmacy 4125 Debarr Road 907-269-9503, TTY: 711 4000 W Dimond Blvd Anchorage, AK 99515 907-339-1260, TTY: 711 Family Pharmacy 11432 Business Blvd 10 Eagle River, AK 99577 907-694-7007, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) 1000 E Northern Lights Blvd 907-264-9633, TTY: 711 Geneva Woods Specialty Pharmacy 501 W Intl Airport Rd Ste 5B Anchorage, AK 99518 907-334-8535, TTY: 711 2000 West Dimond Blvd Dimond, AK 99515 907-267-6733, TTY: 711 Genoa, A QOL Healthcare Company, 4020 Folker St Ste 5 907-891-7079, TTY: 711 7701 Debarr Rd Anchorage, AK 99504 907-269-1733, TTY: 711 2300 Abbott Road Anchorage, AK 99507 907-365-2033, TTY: 711 13401 Old Glenn Hwy Eagle River, AK 99577 907-689-4033, TTY: 711 Geneva Woods Medset Pharmacy 501 W International Airport Rd Suite 20 Anchorage, AK 99518 907-562-2414, TTY: 711 Geneva Woods Professional Infusi 501 W Intl Airport Rd Ste 4 Anchorage, AK 99518 907-334-8535, TTY: 711 Great Land Infusion Pharmacy Inc 2421 E Tudor Rd Ste 107 Anchorage, AK 99507 907-561-2421, TTY: 711 Ivy Home Infusions, LLC 2841 De Barr Rd Ste 20 907-279-2425, TTY: 711 Medset Pharmacy, LLC 4101 Arctic Blvd Ste 107 Anchorage, AK 99503 907-770-6081, TTY: 711 Providence Medical Arts Pharmacy 3300 Providence Dr Ste 101 907-212-5090, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) Sam's Pharmacy 1074 Muldoon Rd Anchorage, AK 99504 907-677-7050, TTY: 711 1470 W Northern Lights Blvd Anchorage, AK 99503 907-770-2503, TTY: 711 Sams Pharmacy 8801 Old Seward Hwy Anchorage, AK 99515 907-644-0880, TTY: 711 12051 Old Glenn Hwy Eagle River, AK 99577 907-696-4000, TTY: 711 Scf Rasu Pharmacy 4160 Tudor Centre Dr Rm 103 907-729-4160, TTY: 711 2197 W Dimond Blvd Anchorage, AK 99515 907-339-9600, TTY: 711 7600 Debarr Rd Anchorage, AK 99502 907-771-9920, TTY: 711 12405 Brandon St Anchorage, AK 99515 907-646-4023, TTY: 711 725 E Northern Lights Blvd Anchorage, AK 99503 907-644-8400, TTY: 711 2550 E 88th Ave Anchorage, AK 99507 907-349-9292, TTY: 711 4353 Lake Otis Pkwy 907-561-2005, TTY: 711 Walmart Pharmacy 8900 Old Seward Hwy Anchorage, AK 99515 907-344-7300, TTY: 711 Walmart Pharmacy 3101 A Street Anchorage, AK 99503 907-563-6600, TTY: 711 Walmart Pharmacy 18600 Eagle River Road Eagle River, AK 99577 907-694-9786, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) Walmart Pharmacy 7405 Debarr Rd Anchorage, AK 99504 907-339-9037, TTY: 711 930 Old Steese Highway 907-459-4233, TTY: 711 Bethel Yukon Kuskokwim Delta Regional H 700 Chief Eddie Hoffman Hwy Bethel, AK 99559 907-543-6000, TTY: 711 Medical Center Pharmacy 1867 Airport Way Ste 105 907-452-2328, TTY: 711 Dillingham Kanakanak Hospital 6000 Kanakanak Rd Dillingham, AK 99576 907-842-9235, TTY: 711 Fairbanks North Star Chief andrew Isaac Health Center 1717 West Cowles Street 907-459-3807, TTY: 711 Denali Pharmacy 1650 Cowles St Dept 41 C 907-458-5615, TTY: 711 3755 Airport Way Fairbanks, AK 99709 907-474-1433, TTY: 711 North Pole Prescription Laborato 167 S Santa Claus Ln North Pole, AK 99705 907-488-8555, TTY: 711 Prescription Center 1919 Lathrop St Suite 109 907-452-1514, TTY: 711 Professional Pharmacy 1001 Noble St 907-452-2556, TTY: 711 301 North Santa Claus Lane North Pole, AK 99705 907-490-2760, TTY: 711 30 College Road 907-374-4160, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) 3627 Airport Way 907-374-4060, TTY: 711 Foodland Pharmacy 615 W Willoughby Ave Juneau, AK 99801 907-796-2280, TTY: 711 Sams Pharmacy 48 College Road 907-451-4813, TTY: 711 8181 Old Glacier Hwy Juneau, AK 99801 907-789-0860, TTY: 711 1350 Sportsman Way Fairbanks, AK 99709 907-456-5360, TTY: 711 Juneau Drug Company 202 Front St Juneau, AK 99801 907-586-1233, TTY: 711 530 Old Steese Hwy 907-457-9301, TTY: 711 Ron's Apothecary Shoppe 9101 Mendenhall Mall Juneau, AK 99801 907-789-0458, TTY: 711 Walmart Pharmacy 537 Johansen Expressway 907-451-9906, TTY: 711 3033 Vintage Blvd Juneau, AK 99801 907-523-2060, TTY: 711 Haines Searhc Haines Medical Clinic Pha 131 First Ave S Haines, AK 99827 907-766-6300, TTY: 711 Juneau Costco Pharmacy 5225 Commercial Blvd Juneau, AK 99801 907-780-2261, TTY: 711 Searhc Medical Center 1200 Salmon Creek Ln Juneau, AK 99801 907-463-4040, TTY: 711 Kenai Peninsula 43843 Sterling Hwy Ste 400 Soldatna, AK 99669 907-260-2233, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) North Star Health Clinic Pharmac 201 3rd Ave Ste 201 Seward, AK 99664 907-224-4907, TTY: 711 Peninsula Community Pharmacy 230 E Marydales Avenue, Suite 10 Soldotna, AK 99669 800-800-4178, TTY: 711 Professional Home Iv Pharmacy 182 S Birch St Soldotna, AK 99669 907-262-8737, TTY: 711 10576 Kenai Spur Highway Kenai, AK 99611 907-283-6360, TTY: 711 Mile 1.5 1907 Seward Highway Seward, AK 99664 907-224-6960, TTY: 711 90 Sterling Hwy Homer, AK 99603 907-226-1060, TTY: 711 44428 Sterling Highway Soldotna, AK 99669 907-714-5460, TTY: 711 Scotts Family Pharmacy Health An 4014 Lake St Ste 101 Homer, AK 99603 907-226-2580, TTY: 711 Soldotna Professional Pharmacy 299 N Binkley St Soldotna, AK 99669 907-262-3800, TTY: 711 Three Bears Pharmacy 10575 Kenai Spur Hwy Kenai, AK 99611 907-335-2061, TTY: 711 Ulmer's Drug & Hardware 3858 Lake Street Ste 5 Homer, AK 99603 907-235-7760, TTY: 711 44001 Sterling Hwy Soldotna, AK 99669 907-260-6372, TTY: 711 Walmart Pharmacy 10096 Kenai Spur Hwy Kenai, AK 99611 907-395-0871, TTY: 711 Ketchikan Gateway 2417 Tongass Avenue Ketchikan, AK 99901 907-228-1960, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) Island Pharmacy 3526 Tongass Ave Ketchikan, AK 99901 907-225-6186, TTY: 711 595 East Parks Highway 300 Wasilla, AK 99687 907-352-1160, TTY: 711 Ketchikan Indian Corporation 2960 Tongass Ave Ketchikan, AK 99901 907-225-0320, TTY: 711 664 W Evergreen Ave Palmer, AK 99645 907-761-1460, TTY: 711 Walmart Pharmacy 4230 Don King Road Ketchikan, AK 99901 907-247-2183, TTY: 711 1501 E Parks Hwy 907-352-5033, TTY: 711 Kodiak Island Kana Pharmacy 3449 E Rezanof Dr Kodiak, AK 99615 907-486-9860, TTY: 711 2685 Mill Bay Rd Kodiak, AK 99615 907-481-1560, TTY: 711 650 South Cobb St Palmer, AK 99645 907-761-4233, TTY: 711 Geneva Woods Mat-Su Medset Pharm 3674 E Country Field Cr Suite B 907-376-8200, TTY: 711 Walmart Pharmacy 2911 Mill Bay Road Kodiak, AK 99615 907-481-1675, TTY: 711 Geneva Woods Mat-Su Pharmacy 3674 E Country Field Circle Ste A 907-376-8200, TTY: 711 Matanuska-Susitna CVS Pharmacy 1801 E Parks Hwy 907-631-7201, TTY: 711

Retail pharmacies, including chain pharmacies near you (continued) Geneva Woods Pharmacy 950 E Bogard Rd Ste 229 907-352-2870, TTY: 711 Nome Norton Sound Health Corporation 1000 Greg Kruschek Ave Nome, AK 99762 907-443-3311, TTY: 711 Our Doctor's Pharmacy 3190 E Meridian Park Loop Ste 11 907-376-5700, TTY: 711 Three Bears Alaska Inc 8151 E Palmer Wasilla Hwy Palmer, AK 99645 907-746-3891, TTY: 711 Three Bears Pharmacy 3950 S Knik Goose Bay Rd Wasilla, AK 99623 907-357-4311, TTY: 711 Valley Native Primary Care Cente 1001 S Knik Goose Bay Rd 907-631-7660, TTY: 711 1721 E George Parks Hwy 907-631-0300, TTY: 711 Walmart Pharmacy 1350 S Seward Meridian Pkwy 907-376-9783, TTY: 711 North Slope Samuel Simmonds Mem Hosp Pharmac 1296 Agvik St Barrow, AK 99723 907-852-9277, TTY: 711 Northwest Arctic Maniilaq Health Center Pharmacy 5th St And Grizzley Kotzebue, AK 99752 907-442-7182, TTY: 711 Sitka Searhc Mt Edgecumbe Pharmacy 222 Tongass Dr Sitka, AK 99835 907-966-2411, TTY: 711 Valdez-Cordova Cross Road Pharmacy Mile 187 Glenn Hwy Glennallen, AK 99588 907-822-3336, TTY: 711 109 E Pioneer Dr Valdez, AK 99686 907-835-3737, 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, Mission, KS 66201 P.O. Box 29061, Phoenix, AZ 85038 Toll-free 1-888-279-1828 Toll-free 1-800-489-2197 TTY 711 TTY 1-888-492-2968 www.optumrx.com www..com/mailservice Manifest Pharmacy, LLC 1018 South Batesville Road, Bldg 4-A Greer, SC 29650 Toll-free 1-888-614-0119 orders@manifestrx.com 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. Anchorage Geneva Woods Professional Infusi 501 W Intl Airport Rd Ste 4 Anchorage, AK 99518 907-334-8535 Kenai Peninsula Professional Home Iv Pharmacy 182 S Birch St Soldotna, AK 99669 907-262-8737 Ivy Home Infusions, LLC 2841 De Barr Rd Ste 20 907-279-2425

Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s longterm 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. Anchorage Geneva Woods Medset Pharmacy 501 W International Airport Rd Suite 20 Anchorage, AK 99518 907-562-2414 Genoa, A QOL Healthcare Company, 4020 Folker St Ste 5 907-891-7079 Medset Pharmacy, LLC 4101 Arctic Blvd Ste 107 Anchorage, AK 99503 907-770-6081 Pioneers Home Pharmacy 923 W 11th Ave Anchorage, AK 99501 907-343-7294 Providence Apothecary 920 Compassion Cir Anchorage, AK 99504 907-212-9251 Juneau Juneau Drug Company 202 Front St Juneau, AK 99801 907-586-1233 Kenai Peninsula Soldotna Professional Pharmacy 299 N Binkley St Soldotna, AK 99669 907-262-3800 Matanuska-Susitna Geneva Woods Mat-Su Medset Pharm 3674 E Country Field Cr Suite B 907-376-8200 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.

Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Alicia Roberts Medical Center Ph 7300A Klawock Hollis Hwy Klawock, AK 99925 907-755-4800 Annette Island Service Unit 563 Brendible St Metlakatla, AK 99926 907-886-4748 Anchorage Alaska Native Medical Center Med 1W326 4315 Diplomacy Drive 907-729-2199 Scf Rasu Pharmacy 4160 Tudor Centre Dr Rm 103 907-729-4160 Bethel Yukon Kuskokwim Delta Regional H 700 Chief Eddie Hoffman Hwy Bethel, AK 99559 907-543-6000 Dillingham Kanakanak Hospital 6000 Kanakanak Rd Dillingham, AK 99576 907-842-9235 Alaska Native Medical Center Pha 4315 Diplomacy Dr 907-729-2107 Anchorage Native Primary Care Ce 4320 Diplomacy Dr 907-729-8867 Anthc Internal Medicine Pharmacy 3900 Ambassador Dr Ste 311 907-729-2112 Haines Searhc Haines Medical Clinic Pha 131 First Ave S Haines, AK 99827 907-766-6300 Juneau Searhc Medical Center 1200 Salmon Creek Ln Juneau, AK 99801 907-463-4040

Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Kenai Peninsula North Star Health Clinic Pharmac 201 3rd Ave Ste 201 Seward, AK 99664 907-224-4907 Ketchikan Gateway Ketchikan Indian Corporation 2960 Tongass Ave Ketchikan, AK 99901 907-225-0320 Kodiak Island Kana Pharmacy 3449 E Rezanof Dr Kodiak, AK 99615 907-486-9860 Matanuska-Susitna Valley Native Primary Care Cente 1001 S Knik Goose Bay Rd 907-631-7660 Nome Norton Sound Health Corporation 1000 Greg Kruschek Ave Nome, AK 99762 907-443-3311 North Slope Samuel Simmonds Mem Hosp Pharmac 1296 Agvik St Barrow, AK 99723 907-852-9277 Northwest Arctic Maniilaq Health Center Pharmacy 5th St And Grizzley Kotzebue, AK 99752 907-442-7182 Sitka Searhc Mt Edgecumbe Pharmacy 222 Tongass Dr Sitka, AK 99835 907-966-2411

This directory is a partial list of pharmacies available in the plan s pharmacy network. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on our website. For more information, please call Customer Service at: Toll-Free 1-888-556-6648, TTY 711 8 a.m. - 8 p.m. local time, Monday - 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 Customer Service number listed above. Esta información está disponible sin costo en otros idiomas. Comuníquese con el Servicio al Cliente al número indicado arriba. The pharmacy network may change at any time. You will receive notice when necessary. You are not required to use OptumRx home delivery for a 90-day supply of your maintenance medication. If you have not used OptumRx home delivery, you must approve the first prescription order sent directly from your doctor to OptumRx before it can be filled. New prescriptions from OptumRx should arrive within ten business days from the date the completed order is received, and refill orders should arrive in about seven business days. Contact OptumRx anytime at 1-888-279-1828, TTY 711. 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/co-insurance may change each year. 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. UHEX17MP3836631_002 AK Last updated January 6, 2017