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 1-888-550-5252, 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 www.wellcarepdp.com or call Customer Service at 1-888-550-5252, 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 1-888-816-5252. 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, 2013. WellCare is a Medicare-approved Part D sponsor. This information is available for free in other languages. Please contact our Customer Service number at 1-877-374-4056 for additional information. Esta información está disponible gratis en otros idiomas. Para información adicional, por favor comuníquese con Servicio al Cliente al 1-877-374-4056. S5967_NA015144_PDP_PHD_ENG_FINAL_33 CMS Approved 07252011 WellCare 2011 NA_05_11 NA33PHD37954E_0511
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 1-888-550-5252, 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 1-888-816-5252. Or, visit www.wellcarepdp.com. 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
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
CHAIN PHARMACIES A and P Pharmacy (866) 443-7374 Accredo Health Group (866) 591-9075 Acme Store (877) 932-7948 Aurora Pharmacy (888) 973-8999 Bakers Pharmacy (800) 362-2183 Bartell Drugs (877) 227-8355 Bashas (800) 755-7292 Bel Air (800) RALEYSS Bi Lo Pharmacy (800) 724-0205 Bi-Mart (541) 344-0681 Big Y (413) 784-0600 Biggs Pharmacy (513) 248-9300 Brookshire Brothers Pharmacy (936) 633-4774 Brookshires Pharmacy (903) 534-3000 Buehler Food Markets (888) BUEHLER Cash Wise Foods (877) 251-5505 City Market (877) 415-4647 Coram Healthcare (800) 423-1411 Costco (800) 607-6861 Critical Care Systems (603) 888-1500 1
CHAIN PHARMACIES CVS (800) 746-7287 Dillons (800) 362-2183 Discount Drug Mart (330) 725-2340 Dominicks Finer Foods (877) 723-3929 Duane Reade (212) 273-5700 Eaton Apothecary (508) 429-8506 Econofoods (952) 832-0534 Fagen Pharmacy (219) 987-6468 Farm Fresh Food & Pharmacy (800) 280-6726 Food City (276) 623-5100 Food Lion (800) 811-1748 Fred Meyer (888) 247-4439 Freds Pharmacy (800) 374-7417 Fruth Pharmacy (304) 675-1612 Genuardis (877) 723-3929 Giant Pharmacy (888) 469-4426 Haggen (360) 733-8720 Hannaford (800) 213-9040 Happy Harrys (800) 925-4733 Harmons (866) 427-6661 2
CHAIN PHARMACIES Harris Teeter (800) 432-6111 Homeland Pharmacy (405) 290-3000 Ingles (828) 669-2941 Kerr Drug (800) 494-3053 King Soopers (877) 415-4647 Kinney Drugs (800) 552-8663 Kmart (866) 562-7848 Kroger (866) 221-4141 Longs Drugs (800) 746-7287 Marc s Pharmacy (800) 347-2401 Marsh Supermarkets (800) 382-8798 Medicap Pharmacy (800) 325-1397 Medicine Shoppe (800) 325-1397 Meijer (877) 363-4537 Navarro Discount Pharmacy (888) 628-2770 No Frills Supermarkets (866) 987-6453 Osco (877) 932-7948 Pamida (402) 339-2400 Pathmark (866) 443-7374 Pick N Save Pharmacy (866) 742-6728 3
CHAIN PHARMACIES Price Chopper (800) 666-7667 Publix (800) 242-1227 Qvl Pharmacy (972) 788-2653 Raleys (800) RALEYSS Ralphs (888) 437-3496 Randalls (877) 723-3929 Rite Aid (800) 748-3243 Safeway (877) 723-3929 Sams Pharmacy (888) 746-7726 Save Mart Supermarkets (800) 692-5710 Savon (877) 932-7948 Schnucks (800) 264-4400 Shop N Save (314) 984-0900 Shopko (807) 917-333 Shoppers Pharmacy (800) 775-9888 Shoprite (800) 746-7748 Snyders Drug Stores (952) 935-5441 Stop & Shop (800) 767-7772 Super 1 Pharmacy (903) 534-3000 Super D Drugs (870) 535-2411 4
CHAIN PHARMACIES Super Fresh (866) 443-7374 Sweetbay (888) 218-3890 Target (800) 440-0680 Thrifty White Pharmacy (763) 513-4300 Tom Thumb (877) 723-3929 Tops Friendly Markets (800) 522-2522 United Pharmacy (888) 791-0220 USA Drug (870) 535-2411 Vons (877) 723-3929 Wal Mart (800) WALMART Waldbaums (866) 443-7374 Walgreens (800) 925-4733 Wegmans (800) WEGMANS Weis Pharmacy (570) 286-4571 Winn Dixie (866) 946-6349 Yokes Pharmacy (509) 921-2292 5
MAIL-ORDER PHARMACIES Ammed Homecare Pharmacy (615) 941-3800 Global Medical Direct (913) 422-1666 Liberty Direct Services Corp (800) 790-0330 Liberty Healthcare Pharmacy of Nevada (800) 491-3276 Liberty Medical (800) 491-3276 Liberty Medical (800) 467-8546 Liberty Medical of Ohio (800) 491-3276 Walgreens #2445 (407) 351-6151 Walgreens #3397 (480) 752-8200 Walgreens #5957 (503) 643-8511 Welldynerx (888) 479-2000 Welldynerx-Fl (888) 479-2000 WSP Mail Order Pharmacy (866) 458-9246 6
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 1-866-892-9006, 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 1-866-892-8194 or email us at wsp@wellcare.com WellCare Specialty Pharmacy 1-866-892-9006 TTY 1-866-507-6135 filler 7
RETAIL PHARMACIES HAWAII Hawaii County Hilo Kta Puainako Pharmacy 50 E Puainako St Hilo, HI 96720 (808) 959-8700 Mina Pharmacy 1251 Kilauea Ave Ste 190 C Hilo, HI 96720 (808) 935-3100 Shiigi Drug Company 333 Kilauea Ave Suite 109 Hilo, HI 96720 (808) 935-0001 Ululani Pharmacy 868 Ululani St Suite 107 Hilo, HI 96720 (808) 934-9400 Honokaa Hamakua Family Pharmacy 45 3551A Mamane St Suite 4 Honokaa, HI 96727 (808) 775-0496 Kailua Kona Kta Keauhou Pharmacy 78-6831 Alii Dr Ste 101 Kailua Kona, HI 96740 (808) 322-2511 Mina Pharmacy 75 5995 Kuakini Hwy Ste 513 Kailua Kona, HI 96740 (808) 329-1000 Kamuela Foodland Pharmacy #38 67 1185 Mamalahoa Hwy Kamuela, HI 96743 (808) 885-2075 Kta Kamuela Pharmacy 65-1158 Mamalahoa Kamuela, HI 96743 (808) 885-0033 Kapaau Kamehameha Pharmacy 54 3877 Akoni Pule Hwy Kapaau, HI 96755 (808) 889-6161 Kealakekua Oshima Drug 79 7400 Mamalahoa Hwy Kealakekua, HI 96750 (808) 322-3313 Pahoa Puna Pharmacy 15 2660 Keaau Pahoa RD Ste 205 Pahoa, HI 96778 (808) 965-0601 Honolulu County Aiea Aiea Medical Pharmacy 99 128 Aiea Heights Dr Suite 103 Aiea, HI 96701 (808) 840-5680 Pharmacare 98 1079 Moanalua RD Aiea, HI 96701 (808) 840-5660 Times Pharmacy 99 115 Aiea Heights Dr Aiea, HI 96701 (808) 483-3071 8
RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Ewa Beach Pharmacare No. 2 91 2139 Ft Weaver RD Suite 106 Ewa Beach, HI 96706 (808) 840-5630 Honolulu Careplus CVS Pharmacy 500 Ala Moana Blvd Bldg 1, Suite A Honolulu, HI 96813 (808) 254-2727 Chinatown Pharmacy 70 N Hotel St Honolulu, HI 96817 (808) 533-6288 Corner Pharmacy 1029 Kapahulu Ave Ste 303 Honolulu, HI 96816 (808) 218-7896 Don Quijote Drugs 801 Kaheka St Honolulu, HI 96814 (808) 973-6661 Good Health Pharmacy 1120 Maunakea St, #173 Honolulu, HI 96817 (808) 523-9882 Honnis 1520 Liliha St Ste 201 Honolulu, HI 96817 (808) 533-6990 Kuhio Pharmacy 2330 Kuhio Ave Honolulu, HI 96815 (808) 923-4466 Mankwan Wong, MD 1441 Kapiolani Blvd Ste 1002 Honolulu, HI 96814 (808) 942-8727 Medipharm Pharmacy 1188 Bishop Street Ste 802 Honolulu, HI 96813 (808) 523-7088 Medipharm Pharmacy 606 Coral St Honolulu, HI 96813 (808) 791-6077 Mina Pharmacy 1620 N School St Honolulu, HI 96817 (808) 853-2222 Mina Pharmacy 4510 Salt Lake Blvd B7 B Honolulu, HI 96818 (808) 488-7500 Mina Pharmacy # 11 1401 S Beretania St Ste 110 Honolulu, HI 96814 (808) 955-6800 Mina Pharmacy Main Office 1441 Kapiolani Blvd Ste 510 Honolulu, HI 96814 (808) 945-9366 Pharmacare 1319 Punahou St Honolulu, HI 96826 (808) 840-5670 9
RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Honolulu Cont Pharmacare 3375 Koapaka Ste G320 Honolulu, HI 96819 (808) 836-0223 Pharmacare 888 S King St Rotunda Suite 100 Honolulu, HI 96813 (808) 840-5640 Pharmacare No. 1 2228 Liliha St Suite 100 Honolulu, HI 96817 (808) 840-5620 Pharmacare No. 7 500 Ala Moana Blvd Tower 1- Suite 302 Honolulu, HI 96813 (808) 628-2874 Pharmacyone 1712 Liliha St Ste 101 Honolulu, HI 96817 (808) 548-2299 Plaza Pharmacy 321 N Kuakini St Honolulu, HI 96817 (808) 547-9440 Prince Kuhio Pharmacy II 1922 Kalakaua Avenue Honolulu, HI 96815 (808) 942-1922 Queens Pob 2 Pharmacy 1329 Lusitana St Suite 101 Honolulu, HI 96813 (808) 547-4560 Queens Pob I Pharmacy 1380 Lusitana St Honolulu, HI 96813 (808) 547-4745 Queens Pob III Pharmacy 550 S Beretania St Ste 102 Honolulu, HI 96813 (808) 545-8925 The Pillbox Pharmacy 1133 11th Ave Honolulu, HI 96816 (808) 737-1777 10 Times Pharmacy 1173 21st Ave Honolulu, HI 96816 (808) 733-2031 Times Pharmacy 1290 S Beretania St Honolulu, HI 96814 (808) 522-5071 Times Pharmacy 1425 Liliha St Honolulu, HI 96817 (808) 522-5078 Times Pharmacy 1772 S King St Honolulu, HI 96826 (808) 973-5851 Waikiki Health Center Pharmacy 277 Ohua Ave Honolulu, HI 96815 (808) 791-9309 Wellness Pharmacy 100 N Beretania St Suite 148 Honolulu, HI 96817 (808) 550-2833
RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Kailua Foodland Medicine Cabinet Phcy 108 Hekili St Kailua, HI 96734 (808) 261-7329 Koolau Pharmacy 642 Ulukahiki St Kailua, HI 96734 (808) 263-5060 Times Pharmacy 590 Kailua RD Kailua, HI 96734 (808) 266-2702 Kaneohe Castle Professional Ctr Phcy 46 001 Kamehameha Hwy Suite 108 Kaneohe, HI 96744 (808) 247-0047 Times Pharmacy 45 934 Kamehameha Hwy Kaneohe, HI 96744 (808) 233-4601 Times Pharmacy 47 388 Hui Iwa St Kaneohe, HI 96744 (808) 239-3204 Kapolei Mina Pharmacy 599 Farrington Hwy Ste 101 Kapolei, HI 96707 (808) 674-4477 Laie Foodland Pharmacy #32 55 510 Kamehameha Hwy Laie, HI 96762 (808) 293-9919 Mililani Times Mililani Pharmacy 95 390 Kuahealani Ave Mililani, HI 96789 (808) 625-8010 Pearl City Times Pharmacy 98 1264 Kaahumanu St Pearl City, HI 96782 (808) 483-3078 Wahiawa Wahiawa General Hospital Pharmacy 128 Lehua St Wahiawa, HI 96786 (808) 621-4222 Waianae Pharmacare No. 8 86-032 Farrington Hwy Ste 101 Waianae, HI 96792 (808) 628-2800 Waianae Drug 85-910 Farrington Hwy Suite 101 Waianae, HI 96792 (808) 696-6349 Waianae Professional Pharmacy 86 260 Farrington Hwy Waianae, HI 96792 (808) 696-1438 Waimanalo Waimanalo Pharmacy 41 1610 Kalanianaole Hwy Waimanalo, HI 96795 (808) 259-8488 11
RETAIL PHARMACIES HAWAII Cont Honolulu County Cont Waipahu 5 Minute Pharmacy 94-216 Farrington Hwy Ste # B1-102 Waipahu, HI 96797 (808) 677-5550 Don Quijote Drugs 94-144 Farrington Hwy Waipahu, HI 96797 (808) 678-6831 Leeward Oahu Pharmacy 94 837 Waipahu Street Waipahu, HI 96797 (808) 677-9611 Times Pharmacy 94 615 Kupuohi St Waipahu, HI 96797 (808) 677-5999 Times Pharmacy 94 766 Farrington Hwy Waipahu, HI 96797 (808) 677-1513 Waipahu Drug 94 748 A Hikimoe St Waipahu, HI 96797 (808) 677-0794 Kauai County Hanapepe Westside Pharmacy 1 3845 Kaumualii Hwy Hanapepe, HI 96716 (808) 335-5342 Kalaheo Papalina Pharmacy 4469 Papalina RD Ste 948 Kalaheo, HI 96741 (808) 332-9130 Kapaa Foodland Pharmacy #28 4 771 Kuhio Hwy Kapaa, HI 96746 (808) 821-6979 Koloa Southshore Pharmacy 5330 Koloa RD No 2 Koloa, HI 96756 (808) 742-7511 Lihue Hawaii Home Infusion Associate 4473 Pahee St Ste I Lihue, HI 96766 (808) 245-3787 Ho Ola Lahui Hawai I 4491 Rice St Ste 105A Lihue, HI 96766 (808) 240-0200 Lifeway Pharmacy Lihue 3 3295 Kuhio Hwy Suite 102 Lihue, HI 96766 (808) 245-2471 Lihue Pharmacy 4491 Kolopa St #a Lihue, HI 96766 (808) 246-9100 Lihue Professional Pharmacy 3-3420 Kuhio Hwy Ste 101 Lihue, HI 96766 (808) 245-3800 12
RETAIL PHARMACIES HAWAII Cont Kauai County Cont Princeville Foodland Pharmacy #30 5 4280 Kuhio Hwy Princeville, HI 96722 (808) 826-4228 Waimea Lifeway Pharmacy Wiamea 4643 A Waimea Canyon RD Waimea, HI 96796 (808) 338-0600 Menehune Pharmacy 1 9665 Kaumualii Hwy Waimea, HI 96796 (808) 338-0200 Maui County Haiku Haiku Pharmacy 810 Haiku RD Suite 127 Haiku, HI 96708 (808) 575-7522 Kahului Easy Clinic Lab & RX Shop 430 Kele St Ste 401 Kahului, HI 96732 (808) 873-6424 Maui Clinic Pharmacy 53 Puunene Ave Kahului, HI 96732 (808) 877-6222 Kaunakakai Molokai Drugs 28 Kamoi St Ste 100 Kaunakakai, HI 96748 (808) 553-5790 Kihei Rainbow Pharmacy 2349 S Kihei RD # 4 Kihei, HI 96753 (808) 879-9924 Lanai City Lanai Family Health Center 628 B 7th St Lanai City, HI 96763 (808) 565-6423 Makawao Makawao Town Pharmacy 1120 Makawao Ave Makawao, HI 96768 (808) 573-9966 Paia Paia Pharmacy 96 Hana Highway Paia, HI 96779 (808) 579-6466 Pukalani Foodland Pharmacy #24 55 Pukalani St Pukalani, HI 96768 (808) 572-8266 13
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 96819 (808) 836-0223 Kauai County Lihue Hawaii Home Infusion Associate 4473 Pahee St Ste I Lihue, HI 96766 (808) 245-3787 14
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 96720 (808) 935-3100 Pharmerica Hilo 688 Kinoole Street Unit 109 Hilo, HI 96720 (808) 969-1775 Kailua Kona Mina Pharmacy LTC 75 5995 Kuakini Hwy 513A Kailua Kona, HI 96740 (808) 329-1000 Kealakekua Kona Community Hospital Pharmacy 79 1019 Haukapila St Kealakekua, HI 96750 (808) 322-4470 Honolulu County Aiea Pharmacare LTC 99 128 Aiea Heights Dr Suite 104 Aiea, HI 96701 (808) 840-5690 Honolulu Mina Pharmacy LTC 4510 Salt Lake Blvd Suite B7 A Honolulu, HI 96818 (808) 488-7500 Pharmerica 3375 Koapaka St Ste H-435 Honolulu, HI 96819 (808) 832-8232 Kaneohe Pharmerica Kaneohe 45-710 Keaahala Road Kaneohe, HI 96744 (808) 236-8350 Times Pharmacy 47 388 Hui Iwa St Kaneohe, HI 96744 (808) 239-3204 Kauai County Lihue Pharmerica Kauai 2970 Kele St Ste 113A Lihue, HI 96766 (808) 245-8024 Maui County Wailuku Wailuku Professional Pharmacy 1900 Main Street Wailuku, HI 96793 (808) 249-2113 15
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 www.wellcarepdp.com or call Customer Service at 1-888-550-5252, 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 1-888-816-5252. 16
P.O. Box 31389 Tampa, FL 33631-3389 1-888-550-5252 TTY 1-888-816-5252 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 www.wellcarepdp.com. 37955