Blue Cross Medicare Advantage (PPO) SM. Pharmacy Directory

Blue Cross Medicare Advantage (PPO) SM Pharmacy Directory For more information, please contact Blue Cross Medicare Advantage SM Customer Service, at 1-877-774-8592 or, for TTY/TDD users, 711, 8 a.m.- 8 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit mybluemapd.com. This Pharmacy Directory was updated on 01/01/2014. H0107_BEN_TMP_MAPHAR14 Accepted 10012013 350113.0114

Blue Cross Medicare Advantage Pharmacy Directory Introduction This booklet provides a list of Blue Cross Medicare 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 Blue Cross Medicare Advantage s formulary. When this pharmacy directory refers to we, us, or our, it means Blue Cross and Blue Shield of Montana. When it refers to plan or our plan, it means Blue Cross Medicare Advantage. 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 Blue Cross Medicare 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 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 January 2014. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can go to all the pharmacies on this list, but your costs may be less at certain pharmacies in this list, which we have marked with PR. We call these pharmacies preferred pharmacies, and they may offer lower costsharing than other pharmacies. You will still have access to lower drug prices at non-preferred pharmacies than out-of-network pharmacies. You may go to either of these types of pharmacies to receive your covered prescription drugs. This directory is for Montana. 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 Blue Cross Medicare Advantage. This information is available for free in other languages. Please call our Customer Service number at 1-877-774-8592 (TTY/TDD users should call 711). We are open between 8 a.m. and 8 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays. Esta información está disponible en otros idiomas de forma gratuita. Comuníquese a nuestro número de Servicio al cliente al 1-877-774-8592 (los usuarios de TTY/TDD deben llamar al 711). Nuestro horario es de 8 a.m. a 8 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).

KEY R = Retail. We have a nationwide network of pharmacies where you can get covered prescription drugs as a member of our plan. PR = Preferred Retail. Preferred network of pharmacies agreeing to fill 31-day and up to 90-day prescriptions at a preferred rate. EXT = Extended Supply. Extended supply pharmacies offer extended (90-day) supplies. LT = Long-term care pharmacies are pharmacies that service long-term care nursing facilities. Residents of a long-term care facility may access their prescription drugs covered under Blue Cross Medicare Advantage through the facility s long-term care pharmacy or another network long-term care pharmacy. For more information contact customer service at 1-877-774-8592. H = Home Infusion. Pharmacies that provide infused (IV) medicine in your home per doctor s order. For more information contact customer service at 1-877-774-8592. IN = Indian Health Service/Tribal/Urban 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 Blue Cross Medicare 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). For more information contact customer service at 1-877-774-8592. The key is also listed at the bottom of each Pharmacy Directory page for your reference.

BEAVERHEAD DILLON DILLON CROW AGENCY CROW AGENCY HARDIN HARDIN LODGE GRASS LODGE GRASS PRYOR PRYOR CHINOOK CHINOOK HARLEM HARLEM MONTANA PHARMACY LISTING MAIL ORDER PrimeMail...(888) 277-5475 (TTY Users 711), 24 hours a day, seven days a week. Or visit www.myprimemail.com BEAVERHEAD Safeway...(406) 683-6226 570 N Montana St 59725 Shopko Pharmacy...(406) 683-2316 125 E Glendale St 59725, LT Vans Pharmacy...(406) 988-7121 110 Southside Blvd 59725 BIG HORN BIG HORN Crow Indian Hospital Pharmacy...(406) 638-3353 212 Hwy and I-90 59022 Pharmcare Pharmacy...(406) 665-1602 901 N Center Ave 59034 Lodge Grass Health Center Pharmacy...(406) 639-2317 Harding Ave 59050 Pryor Health Station Pharmacy...(406) 259-8238 Pryor Gap Rd 59066 BLAINE BLAINE Chinook Pharmacy...(406) 357-3333 300 Indiana St 59523 Fort Belknap Health Center Pharmacy...(406) 353-3104 456 Gros Ventre Ave 59526 CASCADE Milk River Pharmacy...(406) 353-3535 42465 US Hwy 2 59526 HAYS HAYS Hays Health Center Pharmacy...(406) 673-3777 123 White Crow Rd 59527 BROADWATER BROADWATER TOWNSEND TOWNSEND Townsend Drug...(406) 266-4379 308 Broadway St 59644, PR CARBON CARBON RED LODGE RED LODGE Red Lodge Drug...(406) 446-1017 211 N Broadway Ave 59068, PR CASCADE CASCADE GREAT FALLS GREAT FALLS AFP RX...(406) 761-8781 1417 9th St S Ste 101A 59405 Anderson Family...(406) 761-8781 1417 9th St S Ste 101 59405, LT Clinic Pharmacy...(406) 771-3399 1400 29th St S 59405 CVS Pharmacy...(406) 453-1318 2001 10th Ave S 59405 Kmart Pharmacy...(406) 453-6107 1000 3rd St NW 59404 Osco Pharmacy...(406) 761-8420 1414 3rd St NW 59404 Osco Pharmacy...(406) 727-9880 2250 10th Ave S 59405 Pharmerica...(406) 452-3713 625 Central Ave W Ste 105 59404 Pharmacy Type: LT Plaza United Pharmacy...(406) 727-0070 2800 11th Ave S 59405 Public Drug Co...(406) 453-1497 324 Central Ave 59401, LT 1

CASCADE CASCADE MONTANA PHARMACY LISTING FLATHEAD CASCADE (cont.) Sam s Club Pharmacy...(406) 453-3466 401 Northwest Byp 59404 Shopko Pharmacy...(406) 727-9682 301 Northwest Byp 59404, LT Smiths Pharmacy...(406) 771-0475 1601 Market Pl Dr 59404 Snyder Drugs...(406) 452-6461 2515 6th Ave N 59401 Spectrum Pharmacy...(406) 455-2170 500 15th Ave S Ste 2 59405, H Spectrums Home Solutions...(406) 727-1218 2509 7th Ave S 59405 Pharmacy Type: H Walgreens...(406) 761-0214 1213 3rd St NW 59404 Walgreens...(406) 727-1376 2301 10th Ave S 59405 Walmart Pharmacy...(406) 761-1456 701 Smelter Ave NE 59404 CHOUTEAU CHOUTEAU BIG SANDY BIG SANDY Big Sandy Pharmacy...(406) 622-5769 158 Johannes Ave 59520, LT FORT BENTON FORT BENTON Benton Pharmacy...(406) 622-5588 1418 Front St 59442 DEER LODGE DEER LODGE ANACONDA ANACONDA Community Hosp Anaconda Pharmacy...(406) 563-8414 401 Pennsylvania 59711 CVS Pharmacy...(406) 563-5266 1300 E Park Ave 59711 Safeway...(406) 563-8410 1525 W Park Ave 59711 Thrifty Drug...(406) 563-8441 201 E Park Ave 59711 WARM SPRINGS WARM SPRINGS Montana State Hospital Pharmacy...(406) 693-7178 58 Garnet Way 59756, LT FERGUS FERGUS LEWISTOWN LEWISTOWN Central Montana Med...(406) 535-6250 408 Wendell Ave 59457 Pharmacy Type: LT Mt Mental Health Ctr...(406) 538-7451 800 Casino Creek Dr 59457 Osco Pharmacy...(406) 538-6674 117 W Janeaux St 59457 Seiden Drug Company Inc...(406) 535-1470 310 Wendell Ave Ste 102 59457 Shopko Pharmacy...(406) 538-9262 825 NE Main St 59457, LT FLATHEAD BIGFORK BIGFORK COLUMBIA FALLS COLUMBIA FALLS KALISPEL KALISPEL KALISPELL KALISPELL FLATHEAD Bigfork Drug...(406) 837-4370 8111 Mt Hwy 35 59911, PR, LT Good Medicine Pharmacy...(406) 892-9997 2100 9th St W 59912 Montana Veterans Home...(406) 892-3256 400 Veterans Dr 59912 Smiths Pharmacy...(406) 892-9088 419 Nucleus Ave 59912 Smiths Pharmacy...(406) 257-1397 195 3rd Ave NE 59901 Big Sky IV Care...(406) 752-0440 20 Four Mile Dr Ste 3 59901 Pharmacy Type: H 2

FLATHEAD FLATHEAD MONTANA PHARMACY LISTING GALLATIN Walgreens...(406) 756-4800 700 E 13th St 59937 Whitefish Discount Pharmacy...(406) 862-7070 1111 Baker Ave 59937, LT FLATHEAD (cont.) Costco Pharmacy...(406) 758-2528 2330 US Hwy 93 N 59901 Evergreen Pharmacy...(406) 257-2083 2141 US Hwy 2 E Ste 300 59901 Glacier Ridge Pharmacy...(406) 755-7979 55 1st Ave East N 59901 Kalispell Regional...(406) 752-1761 310 Sunnyview Ln 59901 Pharmacy Type: LT Kmart Pharmacy...(406) 257-5452 2024 US Hwy 2 E 59901 Medical Arts Pharmacy...(406) 752-2492 209 Conway Dr 59901 Osco Pharmacy...(406) 257-7556 900 W Idaho St 59901 Rosauers Pharmacy...(406) 755-5088 2150 US Hwy 93 S 59901 Shopko Pharmacy...(406) 257-1274 1370 US Hwy 2 E 59901, LT Sykes Pharmacy...(406) 257-4806 202 2nd Ave W 59901, LT The Clinical Pharmacy...(406) 751-7600 200 Conway Dr 59901, LT, H Walgreens...(406) 257-0334 40 W Idaho St 59901 Walmart Pharmacy...(406) 756-7256 170 Hutton Ranch Rd 59901 LAKESIDE LAKESIDE Remedies Lakeside...(406) 844-2103 7100 US Hwy 93 S Unit A 59922 WHITEFISH WHITEFISH Alpine Ridge Pharmacy...(406) 862-7434 6475 US Hwy 93 S 59937 Safeway...(406) 862-2526 6580 US Hwy 93 S 59937 GALLATIN BELGRADE BELGRADE BIG SKY BIG SKY BOZEMAN BOZEMAN GALLATIN Lee & Dads Pharmacy...(406) 388-4111 205 W Madison Ave 59714 Osco Pharmacy...(406) 388-1696 6999 Jackrabbit Ln 59714 Bozeman Deaconess Pharmacy...(406) 993-9390 36 Center Ln Ste 2 59716, PR Costco Pharmacy...(406) 585-7575 2505 Catron St 59718 CVS Pharmacy...(406) 587-9252 115 N 19th Ave 59718 Highland Park Pharmacy...(406) 585-1030 925 Highland Blvd Ste 2000 59715 Kmart Pharmacy...(406) 587-8570 1126 N 7th Ave 59715 Medical Arts Pharmacy...(406) 587-4597 300 N Willson Ave No 1002 59715 MSU Student Health Service...(406) 994-5498 MSU Student Health Service RX 7th and Grant 59715 Osco Pharmacy...(406) 587-8800 200 S 23rd Ave 59718 Price Rite Drug...(406) 587-0608 910 N 7th Ave 59715, LT Rosauers Pharmacy...(406) 587-4005 3255 Technology Blvd W 59718 Safeway...(406) 585-9155 1735 W Main St 59715 3

GALLATIN GALLATIN MONTANA PHARMACY LISTING LAKE GALLATIN (cont.) Smiths Pharmacy...(406) 586-3550 1400 N 19th Ave 59718 Walgreens Infusion Services...(406) 587-1050 2304 N 7th Ave Ste H 59715 Pharmacy Type: H Walmart Pharmacy...(406) 585-8753 1500 N 7th Ave 59715 THREE FORKS THREE FORKS Railway Drug...(406) 285-3883 117 Main St Ste A 59752, PR, LT WEST YELLOWSTONE WEST YELLOWSTONE Silvertip Pharmacy...(406) 646-7056 120 N Canyon St Ste F 59758, PR GLACIER GLACIER BROWNING BROWNING Blackfeet Community Health Hospital Pharmacy...(406) 338-6101 760 Hospital Circle 59417 CUT BANK CUT BANK Drugmart Pharmacy...(406) 873-5631 601 W Main St Northern Villag 59427 Osco Pharmacy...(406) 873-2055 501 W Main St 59427 HEART BUTTE HEART BUTTE Heart Butte Pharmacy...(406) 338-2151 81 Disney St 59448 GRANITE GRANITE PHILIPSBURG PHILIPSBURG Granite Cnty Med Hosp Pharmacy...(406) 859-3271 310 Sansome St 59858 Granite Pharmacy...(406) 859-3784 106 N Montgomery St 59858, LT HILL BOULDER BOULDER WHITEHALL WHITEHALL POLSON POLSON HILL BOX ELDER BOX ELDER Rocky Boy Health Board...(406) 395-4486 RR 1 59521 HAVRE HAVRE Health Mart...(406) 265-1229 730 1st St 59501 Kmart Pharmacy...(406) 265-1854 3180 US Hwy 2 W 59501 Northern Montana Hospital...(406) 262-1223 30 13th St 59501 Pharmacy Type: LT Northern Montana Pharmacy...(406) 262-1701 20 13th St W 59501 Walmart Pharmacy...(406) 262-9174 3510 US Hwy 2 W 59501 Western Drug Pharmacy...(406) 265-9601 123 5th Ave Ste B 59501 JEFFERSON JEFFERSON Elkhorn Pharmacy Inc...(406) 225-3240 215 N Main 59632, PR Whitehall Drug...(406) 287-3931 203 W Legion St 59759 LAKE LAKE Healthcare Plus...(406) 883-3838 50331 US Hwy 93 Ste A 59860 Healthcare Plus...(406) 883-0565 1 7th Ave E Ste C 59860 Safeway...(406) 883-3674 146 S Shore Rte 59860 St Joseph Pharmacy...(406) 883-8444 6 13th Ave E 59860 4

LAKE LAKE MONTANA PHARMACY LISTING MADISON LAKE (cont.) St Peter Community Pharmacy...(406) 444-2350 2475 E Broadway St 59601 Walmart Pharmacy...(406) 883-9221 36318 Memory Ln 59860 St Peters Pharmacy-Broadway...(406) 444-2200 2550 E Broadway St 59601 RONAN RONAN Family Health Pharmacy...(406) 676-2111 Walgreens...(406) 442-1265 63307 US Hwy 935 59864 1150 11th Ave 59601 R & R Health Care Solutions...(406) 676-5600 Walmart Pharmacy...(406) 443-3455 63802 US Hwy 93 Ste B 2750 Prospect Ave 59864 59601, LT LIBERTY SAINT IGNATIUS SAINT IGNATIUS CS & K Tribes-Flathead Reserv...(406) 745-3525 308 Mission Dr 59865 Mission Drug...(406) 745-3000 110 N Main St 59865 LEWIS AND CLARK LEWIS AND CLARK HELENA HELENA Bergum Drug...(406) 443-0506 2600 Winne Ave 59601 Costco Pharmacy...(406) 495-7049 2195 E Custer Ave 59602 CVS Pharmacy...(406) 442-2196 526 Euclid Ave 59601 CVS Pharmacy...(406) 442-9800 603 N Montana Ave 59601 CVS Pharmacy...(406) 443-3331 3095 N Montana Ave 59601 Kmart Pharmacy...(406) 449-5587 1700 Cedar St 59601 Osco Pharmacy...(406) 449-2295 3151 N Montana Ave 59602 Safeway...(406) 443-4508 611 N Montana Ave 59601 Shopko Pharmacy...(406) 443-8823 3101 N Montana Ave 59602, LT South Hills Pharmacy Inc...(406) 443-2540 2600 Winne Ave 59601 CHESTER CHESTER LINCOLN EUREKA EUREKA LIBBY LIBBY TROY TROY ENNIS ENNIS SHERIDAN SHERIDAN LIBERTY Chester Pharmacy Inc...(406) 759-5050 30 Main St 59522, LT Remedies Pharmacy & Gift...(406) 759-5225 500 East Washington Ave 59522, PR, LT LINCOLN Eureka Drug...(406) 297-7748 998 US Hwy 93 N 59917, PR, LT Granite Pharmacy Libby...(406) 293-3784 1401 Minnesota Ave 59923 Rosauers Pharmacy...(406) 293-7702 703 W 9th St 59923 Kootenai Drug...(406) 295-4361 611 E Missoula Ave 59935, PR MADISON MADISON Ennis Healthmart Pharmacy...(406) 682-4246 124 Main St 59729 Mac s CHC Pharmacy...(406) 842-5624 317 Madison St 59749, LT 5

MEAGHER MEAGHER MONTANA PHARMACY LISTING MISSOULA WHITE SULPHUR SPRINGS WHITE SULPHUR SPRINGS SUPERIOR SUPERIOR FRENCHTOWN FRENCHTOWN LOLO LOLO MISSOULA MISSOULA MEAGHER Castle Mountain Drug...(406) 547-2316 25 E Main St 59645, LT MINERAL MINERAL Mineral Pharmacy Inc...(406) 822-4681 207 River St 59872 MISSOULA MISSOULA Granite Pharmacy Frenchtown...(406) 626-4113 16862 Beckwith St 59834, LT Lolo Drug LLC...(406) 273-2322 103 Glacier Dr 59847 Broadway Pharmacy...(406) 327-1650 500 W Broadway St 59802 Community RX...(406) 327-4680 2835 Fort Missoula Rd 59804 Costco Pharmacy...(406) 542-3807 3220 Northern Pacific St 59808 CVS Pharmacy...(406) 728-1380 1914 Brooks St 59801 Granite Pharmacy Health Solutio...(406) 926-2940 2230 27th Ave Ste 1 59804 Granite Pharmacy Missoula...(406) 926-2940 2230 27th Ave Ste 2 59804, PR Health Service Pharmacy University of Montana...(406) 243-5171 634 Eddy Ave 59812 Missoula Pharmacy...(406) 728-5650 1211 S Reserve St Ste 102 59801 Osco Pharmacy...(406) 549-5127 2205 Oxford St 59801 Osco Pharmacy...(406) 728-1118 2230 N Reserve St 59808 Osco Pharmacy...(406) 549-7717 3800 S Russell St 59801 Osco Pharmacy...(406) 549-6163 1003 E Broadway St 59802 Palmers Drug...(406) 549-4125 918 SW Higgins Ave 59803 Partners Solutions...(406) 728-8848 2687 Palmer St Ste B 59808 Pharmacy Type: H Partnership Health Center Pharmacy..(406) 258-4139 401 Railroad St W 59802 Rosauers Pharmacy...(406) 721-5330 2350 S Reserve St 59801 Safeway...(406) 721-6009 800 W Broadway St 59802 Safeway...(406) 251-5415 3801 S Reserve St 59801 Savmor...(406) 721-6017 1610 S 3rd St W Ste 100 59801 Shopko Pharmacy...(406) 721-3789 2510 S Reserve St 59801, LT Target Pharmacy...(406) 543-4000 2420 N Reserve St 59808 Village Health Care Center...(406) 728-9162 2651 South Ave W 59804 Walgreens...(406) 543-1016 2527 N Reserve St 59808 Walgreens...(406) 728-2089 2100 Brooks St 59801 Walmart Pharmacy...(406) 251-6066 4000 Brooks St 59804 6

MISSOULA MISSOULA MONTANA PHARMACY LISTING RAVALLI MISSOULA (cont.) Walmart Pharmacy...(406) 829-8532 3555 Mullan Rd 59808 SEELEY LAKE SEELEY LAKE Seeley Swan Pharmacy...(406) 677-8989 3027 Hwy 83 N Lazy Pine Mall 59868 MUSSELSHELL MUSSELSHELL ROUNDUP ROUNDUP Shopko Pharmacy...(406) 323-1811 148 Main St 59072, LT PARK PARK CLYDE PARK CLYDE PARK Western Drug Too...(406) 686-4270 508 Miles 59018, PR GARDINER GARDINER Gardiner Pharmacy...(406) 848-9430 208 Park St 59030 LIVINGSTON LIVINGSTON Kc Western Drug Long Term Care...(406) 222-7332 1313 W Park St Ste B 59047 Osco Pharmacy...(406) 222-1188 2120 Park St S 59047 Shopko Pharmacy...(406) 222-7082 100 Washington St 59047, LT Western Drug of Livingston...(406) 222-7332 1313 W Park St 59047 PONDERA PONDERA CONRAD CONRAD Olsons Drug...(406) 278-3261 5 4th Ave SE 59425, LT Village Drug...(406) 278-3267 608 S Main St Ste 2 59425 POWELL DEER LODGE DEER LODGE RAVALLI CORVALLIS CORVALLIS FLORENCE FLORENCE HAMILTON HAMILTON STEVENSVILLE STEVENSVILLE POWELL Keystone Drug LLP...(406) 846-2120 407 Main St 59722 Safeway...(406) 846-1414 201 N Main St 59722 RAVALLI Corvallis Drug...(406) 961-3221 1029 Main St 59828, LT Florence Pharmacy...(406) 273-7979 5549 Old US Hwy 93 59833 Bitterroot Drug Inc...(406) 363-3611 211 W Main St 59840, LT, H Hamilton Pharmacy...(406) 363-2300 135 W Main St 59840 Healthcare Providers...(406) 363-6203 1900 N 1st St 59840 Kmart Pharmacy...(406) 363-4367 1235 N 1st St 59840 Osco Pharmacy...(406) 363-7089 1313 N 1st St 59840 Timber Ridge Pharmacy...(406) 363-9003 1131 N 1st St 59840, LT, H Walgreens...(406) 375-2264 901 N 1st St 59840 Family Pharmacy Inc...(406) 777-5002 3804 Eastside Hwy 59870 Ridgeway Pharmacy...(406) 777-4410 39 Stevensville Cutoff Rd 59870, LT 7

RAVALLI RAVALLI MONTANA PHARMACY LISTING YELLOWSTONE RAVALLI (cont.) Valley Drug...(406) 777-5591 301 Main St 59870 VICTOR VICTOR North Ridge Healthcare...(406) 642-9898 2824 US Hwy 93 N Ste B 59875 Ridgeway Pharmacy Ltd...(406) 642-6040 2824 US Hwy 93 N 59875 SANDERS SANDERS PLAINS PLAINS Plains Drug...(406) 826-3552 214 Railroad St 59859, PR THOMPSON FA THOMPSON FA Dougs Drug...(406) 827-4349 1221 Main St 59873 SILVER BOW SILVER BOW BUTTE BUTTE Community Health Center Pharmacy...(406) 496-6026 1145 S Montana St 59701 CVS Pharmacy...(406) 723-9408 1275 Harrison Ave 59701 Driscoll Drug...(406) 723-3308 327 S Excelsior Ave 59701 Kmart Pharmacy...(406) 494-1075 3300 Harrison Ave 59701 Medical Arts Pharmacy...(406) 723-2441 435 S Crystal St Ste 230 59701 Safeway...(406) 494-3754 2500 Massachusetts Ave 59701 Three Bears Pharmacy...(406) 494-4116 45 Three Bears Dr 59701, LT Walgreens...(406) 782-5471 2611 Harrison Ave 59701 Walgreens Infusion Services...(406) 782-3221 800 W Platinum St Ste D 59701 Pharmacy Type: H Walmart Pharmacy...(406) 494-1225 3901 Harrison Ave 59701 STILLWATER STILLWATER COLUMBUS COLUMBUS Columbus Health Mart...(406) 322-5652 133 N 5th 59019, PR SWEET GRASS SWEET GRASS BIG TIMBER BIG TIMBER Cole Drug...(406) 932-5316 136 McLeod St 59011, PR TETON TETON CHOTEAU CHOTEAU Choteau Drug...(406) 466-2700 102 Main Ave N 59422, PR, LT FAIRFIELD FAIRFIELD Fairfield Drug Inc...(406) 467-2336 407 Central Ave 59436, PR TOOLE TOOLE SHELBY SHELBY Northtown Drugs...(406) 434-5115 333 Main St 59474, LT Shopko Pharmacy...(406) 434-2377 1950 W Roosevelt Hwy 59474, LT TREASURE FORSYTH FORSYTH HARLOWTON HARLOWTON BILLINGS BILLINGS TREASURE Yellowstone Pharmacy...(406) 356-2134 1025 Main St 59327, PR, LT WHEATLAND WHEATLAND Remedies Pharmacy & Hardware...(406) 632-4532 100 N Central Ave 59036, PR, LT YELLOWSTONE YELLOWSTONE Billings Clinic Atrium Pharmacy...(406) 238-2084 2800 10th Ave N 59101 8

YELLOWSTONE YELLOWSTONE MONTANA PHARMACY LISTING YELLOWSTONE YELLOWSTONE (cont.) Osco Pharmacy...(406) 656-6652 2334 Central Ave 59102 Billings Health & Rehab Commu...(406) 656-2992 2115 Central Ave 59102 Osco Pharmacy...(406) 652-8359 3137 Grand Ave 59102 Costco Pharmacy...(406) 652-8556 2290 King Ave W 59102 Pharmacy 1...(406) 245-6717 2900 12th Ave N 59101 Ctr For Healthy Aging Pharmacy...(406) 655-5836 3940 Rimrock Rd 59102 Pharmacy 1 LTC...(406) 245-6718 2900 12th Ave N Ste 110B 59101 CVS Pharmacy...(406) 252-6334 2402 Grand Ave 59102 Riverstone Health Pharmacy...(406) 247-3330 123 S 27th St Ste E 59101 CVS Pharmacy...(406) 259-7034 1311 Grand Ave 59102 Sam s Club Pharmacy...(406) 256-0177 4420 King Ave E 59101 CVS Pharmacy...(406) 259-7861 425 Main St 59105 Shopko Pharmacy...(406) 652-6715 905 S 24th St W 59102 CVS Pharmacy...(406) 252-9000, LT 823 N 27th St 59101 St Johns Pharmacy...(406) 655-5827 3940 Rimrock Rd 59102 CVS Pharmacy...(406) 256-4924 617 Central Ave 59102 St Vincents Hosp Pharmacy...(406) 237-8100 1233 N 30th St 59101 Deaconess Billings Clinic...(406) 238-5977 3155 Ave C 59102 Target Pharmacy...(406) 652-2263, LT 2601 Central Ave 59102 First Pharmacy...(406) 896-8325 1540 13th St W 59102 Valley Health Care Center...(406) 651-1417 1807 24th St W 59102 Juros United Drugs...(406) 259-2562 2043 Grand Ave 59102 Walgreens...(406) 245-0178 1602 Main St 59105 Kmart Pharmacy...(406) 656-0913 2424 Central Ave 59102 Walgreens...(406) 652-1620 3333 Grand Ave 59102 Omnicare of Billings...(406) 896-3399 2747 Enterprise Ave Ste 1 59102 Walgreens...(406) 252-0096, H 1330 Grand Ave 59102 Osco Pharmacy...(406) 248-5544 1212 Grand Ave 59102 Walgreens Infusion Services...(406) 255-7463 404 N 31st St Ste 401 59101 Osco Pharmacy...(406) 259-1441 Pharmacy Type: H 611 N 27th St 59101 Walmart Pharmacy...(406) 652-9688 2525 King Ave W 59102 Osco Pharmacy...(406) 245-4301 511 Central Ave 59102 Osco Pharmacy...(406) 245-6979 670 Main St 59105 9

YELLOWSTONE YELLOWSTONE MONTANA PHARMACY LISTING YELLOWSTONE YELLOWSTONE (cont.) Walmart Pharmacy...(406) 254-2947 1649 Main St 59105 LAUREL LAUREL CVS Pharmacy...(406) 628-8746 307 SE 4th St 59044 Genes Pharmacy...(406) 628-7217 111 E Main St 59044 Walmart Pharmacy...(406) 628-1762 101 Bernhardt Rd 59044 10

For more information, please contact Blue Cross Medicare Advantage Customer Service, at 1-877-774-8592 or, for TTY/TDD users, 711, 8 a.m.-8 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit mybluemapd.com. This Pharmacy Directory was updated on 01/01/2014. PrimeMail is offered by Prime Therapeutics. Prime Therapeutics is a separate company from Blue Cross and Blue Shield of Montana and provides pharmacy benefit management services for Blue Cross Medicare Advantage. PPO plans are provided by Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an independent licensee of the Blue Cross and Blue Shield Association. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC s plans depends on contract renewal.