Health New England Medicare Advantage Plan Pharmacy Directory

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Health New England Medicare Advantage Plan Pharmacy Directory This booklet provides a list of Health New England (HNE) Medicare Advantage Plan network pharmacies. 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 the HNE Medicare Advantage Plan network pharmacies in your area, please visit our Website at www.hne.com, and click on "HNE Medicare Advantage," or call Member Services at 1-413-787-0010 or 1-877-443-3314 from 8:00 a.m. to 8:00 p.m. seven days a week. (TTY/TDD Users should call 1-800-439-2370.) For questions related to your prescription drug coverage, call 1-800-546-5677, 24 hours a day, seven days a week. (TTY/TDD Users should call 1-866-706-4757.) H858_2009_029 CMS Approved 10/1/2008 1

Introduction This booklet provides a list of the HNE Medicare Advantage Plan network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and the HNE Medicare Advantage Plan formulary. If you have additional questions, please call Member Services at 1-413-787-0010 or 1-877-443-3314 from 8:00 a.m. to 8:00 p.m. seven days a week. (TTY/TDD Users should call 1-800-439-2370.) For questions related to your prescription drug coverage, call 1-800-546-5677, 24 hours a day, seven days a week. (TTY/TDD Users should call 1-866-706-4757.) Or, visit www.hne.com, and click on "HNE 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. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by the HNE Medicare Advantage Plan. In most cases, your prescriptions are covered under the HNE Medicare Advantage Plan 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/Member Handbook. 2

Retail Pharmacies STATE: MA COUNTY: FRANKLIN CITY: Greenfield ZIP: 01301 Big Y Pharmacy #63 237 Mohawk Trl Rt 2 Greenfield, MA 01301 413-774-3858 CVS Pharmacy #1094 137 Federal St Greenfield, MA 01301 413-774-7201 Rite Aid Pharmacy #10074 154 Main St Greenfield, MA 01301 413-774-2201 #45 89 French King Hwy Ste Greenfield, MA 01301 413-774-6006 Walgreens Pharmacy #7704 5 Pierce St Greenfield, MA 01301 413-773-3801 CITY: Orange ZIP: 01364 Wal-Mart Pharmacy #2329 555 E Main St Orange, MA 01364 978-544-6405 CITY: Shelburne Falls ZIP: 01370 Baker Pharmacy PO Box 188 Shelburne Falls, MA 01370 413-625-6324 CITY: South Deerfield ZIP: 01373 Deerfield Pharmacy 45 N Main St South Deerfield, MA 01373 413-665-8143 CITY: Turners Falls ZIP: 01376 Rite Aid Pharmacy #10076 240 Avenue A Turners Falls, MA 01376 413-863-3107 COUNTY: HAMPDEN CITY: Agawam ZIP: 01001 CVS Pharmacy #2476 163 Silver St Agawam, MA 01001 413-789-3339 CVS Pharmacy #859 301 Springfield St Agawam, MA 01001 413-786-4100 Rite Aid Pharmacy #10050 17 Springfield St Agawam, MA 01001 413-786-6060 Walgreens Pharmacy #4358 60 Springfield St Agawam, MA 01001 413-786-1126 CITY: Chicopee ZIP: 01013 CVS Pharmacy #843 187 Exchange St Chicopee, MA 01013 413-594-8156 Rite Aid Pharmacy #10052 735 Meadow St Chicopee, MA 01013 413-592-4696 3

ZIP: 01020 CVS Pharmacy #2339 1176 Granby Rd Chicopee, MA 01020 413-532-0991 CVS Pharmacy #693 1616 Memorial Dr Chicopee, MA 01020 413-532-3299 Louis & Clark Drug #165 1481 Memorial Dr Chicopee, MA 01020 413-534-5677 #36 672 Memorial Dr Chicopee, MA 01020 413-593-3999 Wal-Mart Pharmacy #10-5278 591 Memorial Dr Chicopee, MA 01020 413-593-6503 Walgreens #7063 591 James St Chicopee, MA 01020 413-193-1860 Walgreens Pharmacy #11688 1193 Granby Rd Chicopee, MA 01020 413-533-0210 CITY: East Longmeadow ZIP: 01028 Big Y Pharmacy #14 441 N Main St East Longmeadow, MA 01028 413-525-6346 CVS Pharmacy #769 217 N Main St East Longmeadow, MA 01028 413-525-4510 #61 470 N Main St East Longmeadow, MA 01028 413-525-6929 Walgreens Pharmacy #7703 31 Maple St East Longmeadow, MA 01028 413-526-9664 CITY: East Springfield ZIP: 01104 Louis & Clark Drug #5 490 Page Blvd East Springfield, MA 01104 413-781-2996 CITY: Feeding Hills ZIP: 01030 #782 1282 Springfield St Feeding Hills, MA 01030 413-789-2226 CITY: Holyoke 4

ZIP: 01040 Arrow Pharmacy & Nutrition Center #24 260 Westfield St 413-536-5506 CVS Pharmacy #2071 400 Beech St 413-536-1432 CVS Pharmacy #373 2213 Northampton St 413-532-3216 Holyoke Health Center Pharmacy 230 Maple St 413-533-7323 Kmart Pharmacy #3433 2203 Northampton St 413-538-6908 Rite Aid Pharmacy #10054 1504 Northampton St 413-533-7983 #009 28 Lincoln St 413-536-5483 #30 2265 Northampton St 413-536-9101 Walgreens Pharmacy #4967 1588 Northampton St 413-493-3901 CITY: Longmeadow ZIP: 01106 CVS Pharmacy #517 720 Bliss Rd Longmeadow Shops Longmeadow, MA 01106 413-567-8961 CVS Pharmacy #950 410 Longmeadow St Longmeadow, MA 01106 413-567-2033 CITY: Ludlow ZIP: 01056 Big Y Pharmacy #19 425 Center St Ludlow, MA 01056 413-583-7910 CVS Pharmacy #315 451 Center St Ludlow, MA 01056 413-589-9559 Walgreens Pharmacy #2699 54 East St Ludlow, MA 01056 413-547-8128 CITY: Monson ZIP: 01057 Rite Aid Pharmacy #10055 117 Main St Monson, MA 01057 413-267-4021 CITY: Palmer ZIP: 01069 Big Y Pharmacy #20 1180 Thorndike St Rt 32 Palmer, MA 01069 413-283-4827 CVS Pharmacy #969 1001 Thorndike St Palmer, MA 01069 413-283-2545 CITY: Southwick ZIP: 01077 Big Y Pharmacy #8 195 College Hwy Southwick, MA 01077 413-569-9174 Rite Aid Pharmacy #10105 PO Box 118 Southwick, MA 01077 413-569-1251 CITY: Springfield 5

ZIP: 01104 CVS Pharmacy #488 1056 Saint James Ave Springfield, MA 01104 413-737-6346 Louis & Clark Drug #791 299 Carew St Springfield, MA 01104 413-731-0152 Rite Aid Pharmacy #10051 1331 Liberty St Springfield, MA 01104 413-739-5669 #80 1277 Liberty St Springfield, MA 01104 413-732-7040 Walgreens Pharmacy #10127 625 Carew St Springfield, MA 01104 413-205-1495 Walgreens Pharmacy #2268 50 Saint James Blvd Springfield, MA 01104 413-733-3002 ZIP: 01105 CVS Pharmacy #4471 600 State St Springfield, MA 01105 413-736-0351 ZIP: 01107 Louis & Clark Drug 300 Birnie Ave Ste 102 Springfield, MA 01107 413-736-5649 Louis & Clark Drug #6 2 Medical Center Dr Springfield, MA 01107 413-794-3455 ZIP: 01108 CVS 24 Hour Pharmacy #1130 621 Belmont Ave Springfield, MA 01108 413-732-2998 Walgreens 24 Hour Pharmacy #3736 501 Sumner Ave Springfield, MA 01108 413-746-1563 ZIP: 01109 Apothecary Shop 687a State St Springfield, MA 01109 413-734-2080 Louis & Clark Drug #268 471 Breckwood Blvd Springfield, MA 01109 413-783-1209 Walgreens Pharmacy #3625 707 State St Springfield, MA 01109 413-731-6410 ZIP: 01115 CVS Pharmacy #1026 1500 Main St Springfield, MA 01115 413-827-7143 ZIP: 01118 Rite Aid Pharmacy #10062 126 Island Pond Rd Springfield, MA 01118 413-737-6294 ZIP: 01119 CVS Pharmacy #1291 770 Boston Rd Springfield, MA 01119 413-783-0125 Wal-Mart Pharmacy #1967 1105 Boston Rd Springfield, MA 01119 413-782-6897 ZIP: 01128 Big Y Pharmacy #66 300 Cooley St Springfield, MA 01128 413-783-0105 Rite Aid Pharmacy #10063 425 Cooley St Springfield, MA 01128 413-783-4451 ZIP: 01129 #16 1530 Boston Rd Springfield, MA 01129 413-543-5428 Walgreens Pharmacy #05445 1440 Boston Rd Springfield, MA 01129 Walgreens Pharmacy #2311 1919 Wilbraham Rd Springfield, MA 01129 413-783-2535 6

CITY: West Springfield ZIP: 01089 Costco Pharmacy #302 119 Daggett Dr West Springfield, MA 01089 413-747-5524 CVS Pharmacy #1972 152 Elm St West Springfield, MA 01089 413-827-0732 CVS Pharmacy #993 239b Memorial Ave West Springfield, MA 01089 413-733-5146 Rite Aid Pharmacy #10061 99 Westfield St West Springfield, MA 01089 413-737-6523 #94 935 Riverdale St West Springfield, MA 01089 413-733-8511 CITY: Westfield ZIP: 01085 Arrow Prescription Center 427 N Elm St 413-568-8911 Big Y Pharmacy #68 475 E Main St 413-562-4141 CVS Pharmacy #1234 208 Elm St 413-568-4149 CVS Pharmacy #838 427 E Main St Ste 429 425-429 E. Main Street 413-562-5181 Rite Aid Pharmacy #10060 7 E Silver St 413-568-5116 #72 57 Main St 413-568-9660 Wal-Mart Pharmacy #2174 141 Springfield Rd 413-572-0800 Walgreens Pharmacy #2710 78 Main St 413-568-1929 CITY: Wilbraham ZIP: 01095 Big Y Pharmacy #86 2035 Boston Rd Wilbraham, MA 01095 413-543-9912 CVS Pharmacy #2566 1985 Boston Rd Wilbraham, MA 01095 413-543-8256 Louis & Clark #3 459 Main St Wilbraham, MA 01095 413-596-6121 Louis & Clark #370 2689 Boston Rd Wilbraham, MA 01095 413-596-6121 COUNTY: HAMPSHIRE CITY: Amherst ZIP: 01002 CVS Pharmacy #1095 165 University Dr Amherst, MA 01002 413-256-0421 CVS Pharmacy #818 76 N Pleasant St Amherst, MA 01002 413-253-9307 Familymeds Pharmacy #825 31 Hall Dr Amherst, MA 01002 413-256-1428 Walgreens Pharmacy #11601 31 Hall Dr Amherst, MA 01002 413-256-1428 CITY: Belchertown 7

ZIP: 01007 CVS Pharmacy #1230 Crystal Springs Plz 151 N Main St Belchertown, MA 01007 413-323-4795 #435 40 George Hannum St Belchertown, MA 01007 413-323-9096 CITY: Easthampton ZIP: 01027 CVS Pharmacy #2025 Rte 10 118 Northampton St Easthampton, MA 01027 413-527-1562 Rite Aid Pharmacy #10053 34 Union St Easthampton, MA 01027 413-527-7410 CITY: Florence ZIP: 01062 Walgreens Pharmacy #11602 70 Main St Florence, MA 01062 413-586-1190 CITY: Granby ZIP: 01033 Center Pharmacy 242 State St Granby, MA 01033 413-467-7022 CITY: Hadley ZIP: 01035 #95 440 Russell St Hadley, MA 01035 413-256-4167 Wal-Mart Pharmacy #2683 337 Russell St Hadley, MA 01035 413-586-4265 CITY: Northampton ZIP: 01060 Big Y Pharmacy #7 Rte 5 136 N King St Northampton, MA 01060 413-586-5145 CVS Pharmacy #1893 90 Main St Northampton, MA 01060 413-584-2580 CVS Pharmacy #447 366 King St Northampton, MA 01060 413-586-8315 #787 228 King St Northampton, MA 01060 413-584-9700 Wal-Mart Pharmacy #10-2901 180 N King St Northampton, MA 01060 413-587-9555 CITY: South Hadley ZIP: 01075 Big Y Pharmacy #50 44 Willimansett St South Hadley, MA 01075 413-538-6178 Big Y Pharmacy #67 501 Newton St South Hadley, MA 01075 413-534-1766 CITY: Southampton ZIP: 01073 Rite Aid Pharmacy #10058 10 College Hwy Ste 4 Southampton, MA 01073 413-527-0777 CITY: Ware ZIP: 01082 CVS Pharmacy #1111 104 West St Ware, MA 01082 413-967-5997 Rite Aid Pharmacy #10059 139 West St Ware, MA 01082 413-967-5371 Wal-Mart Pharmacy #2386 352 Palmer Rd Ware, MA 01082 413-967-0044 Walgreens #10128 171 West St Ware, MA 01082 413-277-9749 CITY: Williamsburg 8

ZIP: 01096 Williamsburg Pharmacy PO Box 397 50 Main St Williamsburg, MA 01096 413-268-3387 Mail Order Pharmacy WellDyneRX 1-888-479-2000 (Toll Free) 1-800-900-6570 (TTY/TDD) 9

Home Infusion Pharmacies Are home infusion pharmacies part of the HNE Medicare Advantage Plan's pharmacy network? The HNE Medicare Advantage Plan will cover home infusion therapy if: l Your prescription drug is on the HNE Medicare Advantage Plan's formulary or you have a formulary exception; l The HNE Medicare Advantage Plan has approved your prescription drug for home infusion therapy; and l Your prescription is written by an authorized prescriber. For more information about your prescription drug coverage, call 1-800-546-5677, 24 hours a day, seven days a week. (TTY/TDD Users should call 1-866-706-4757.) STATE: MA COUNTY: BERKSHIRE CITY: North Adams ZIP: 01247 Nassifs Professional Pharmacy PO Box 778 North Adams, MA 01247 413-663-3711 CITY: Williamstown ZIP: 01267 Harts Pharmacists 40 Spring St Williamstown, MA 01267 413-458-5757 COUNTY: ESSEX CITY: Byfield ZIP: 01922 Byfield Drug Inc 12 Kent Way Ste 102e Byfield, MA 01922 888-419-9993 Curascript Infusion Pharmacy - Byfield 12 Kent Way Ste F Byfield, MA 01922 CITY: Haverhill ZIP: 01832 The Whittier Pharmacist Inc 25-35 Railroad Sq Ste 304 Haverhill, MA 01832 978-373-8900 COUNTY: MIDDLESEX CITY: Malden ZIP: 02148 Elmwood Pharmacy 299 Pleasant St Malden, MA 02148 781-322-2117 CITY: Marlborough ZIP: 01752 Accredo Health Group 261 Cedar Hill St Bld C Marlborough, MA 01752 508-460-9813 CITY: West Newton ZIP: 02465 Americas Compounding Center 950 Watertown St Ste 3 West Newton, MA 02465 617-527-1563 COUNTY: NORFOLK CITY: Norwood 10

ZIP: 02062 Apria Healthcare - Indianapolis 575 University Ave Norwood, MA 02062 800-678-3442 11

Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under the HNE Medicare Advantage Plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information about your prescription drug coverage, call 1-800-546-5677, 24 hours a day, seven days a week. (TTY/TDD Users should call 1-866-706-4759.) STATE: MA COUNTY: BERKSHIRE CITY: North Adams ZIP: 01247 Nassifs Professional Pharmacy PO Box 778 North Adams, MA 01247 413-663-3711 CITY: Williamstown ZIP: 01267 Harts Pharmacists 40 Spring St Williamstown, MA 01267 413-458-5757 COUNTY: BRISTOL CITY: N Dartmouth ZIP: 02747 Pharmahealth LTC Inc 360 Faunce Corner Rd N Dartmouth, MA 02747 508-998-8000 COUNTY: ESSEX CITY: Beverly ZIP: 01915 Medicine Shoppe #500 409 Cabot St Beverly, MA 01915 978-927-9075 CITY: Haverhill ZIP: 01832 The Whittier Pharmacist Inc 25-35 Railroad Sq Ste 304 Haverhill, MA 01832 978-373-8900 COUNTY: HAMPDEN CITY: Holyoke ZIP: 01040 Arrow Pharmacy & Nutrition Center #24 260 Westfield St 413-536-5506 CITY: West Springfield ZIP: 01089 Mcclelland Health 85 Interstate Dr West Springfield, MA 01089 413-733-8600 CITY: Westfield ZIP: 01085 Arrow Prescription Center 427 N Elm St 413-568-8911 COUNTY: HAMPSHIRE CITY: Amherst ZIP: 01002 Familymeds Pharmacy #825 31 Hall Dr Amherst, MA 01002 413-256-1428 CITY: Granby ZIP: 01033 Center Pharmacy 242 State St Granby, MA 01033 413-467-7022 COUNTY: MIDDLESEX CITY: Malden ZIP: 02148 Elmwood Pharmacy 299 Pleasant St Malden, MA 02148 781-322-2117 CITY: Wakefield 12

ZIP: 01880 North Shore Pharmacy Services 360 Audubon Rd Wakefield, MA 01880 781-213-3900 CITY: Waltham ZIP: 02451 Village Pharmacy West 40 2nd Ave Ste 110 Waltham, MA 02451 781-890-8998 CITY: West Newton ZIP: 02465 Americas Compounding Center 950 Watertown St Ste 3 West Newton, MA 02465 617-527-1563 COUNTY: NORFOLK CITY: Wellesley ZIP: 02482 Andrews Pharmacy 324 Weston Rd Wellesley, MA 02482 781-235-1001 CITY: Westwood ZIP: 02090 Kindred Pharmacy Svc 390 University Ave Westwood, MA 02090 800-344-3338 COUNTY: PLYMOUTH CITY: Plymouth ZIP: 02360 Apothecare Of Plymouth Inc 121-3 Camelot Dr Plymouth, MA 02360 508-732-9700 CITY: Whitman ZIP: 02382 Apothecare Of South Shore Inc 7 Marble St, 1st Floor P.O. Box 429 Whitman, MA 02382 781-447-7171 COUNTY: SUFFOLK CITY: Allston ZIP: 02134 Pelham Community Pharmacy 280 Lincoln St Allston, MA 02134 617-739-2266 COUNTY: WORCESTER CITY: West Boylston ZIP: 01583 Omnicare Of Massachusetts 127 E Hartwell St West Boylston, MA 01583 508-835-9090 CITY: Worcester ZIP: 01610 Familymeds Pharmacy #90 945 Main St Worcester, MA 01610 508-756-6422 13

Network Pharmacies outside the HNE Medicare Advantage Plan Area We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Please call 1-800-546-5677, 24 hours a day, seven days a week (TTY/TDD Users should call 1-866-706-4759), for more information about your prescription drug coverage. 14