Pharmacy Directory. Health Alliance Medicare Guide HMO

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Health Alliance Medicare Guide HMO Pharmacy Directory For more information about Health Alliance Medicare Guide HMO network pharmacies in your area, please visit our website at HealthAllianceMedicare.org or call Health Alliance Medicare Services at 1-877-917-8550, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711 or 1-800-833-7352 (Nebraska Relay). The pharmacy directory was updated on 9/1/2013. Benefi ciaries must use network pharmacies to access their prescription drug benefi t. Benefi ts, formulary, pharmacy network, premium and/or coinsurance may change on January 1 of each year. Health Alliance Medicare is an HMO health plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal. med-nehmopharmd-0713 H1737_14_10146 Accepted Last Updated 9/1/2013

Introduction This booklet provides a list of Health Alliance Medicare Guide HMO network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Health Alliance Medicare Part D Guide HMO 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 Health Alliance Medicare only if they are filled at a network pharmacy or through our mailorder 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 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 mean 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 9/1/2013. 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. We have listed these in the directory under Preferred Pharmacies. We call these pharmacies preferred pharmacies, and they may offer lower cost-sharing than other pharmacies. We also list pharmacies that are in our network but are outside the Guide HMO service area. 1

PREFERRED PHARMACIES DOUGLAS OMAHA ALEGENT HEALTH AT HOME MEDICAL EQUIPMENT/INFUSION PHARMACY 5428 F ST OMAHA, NE 68117 (402) 898-8470 ALEGENT HEALTH LAKESIDE PHARMACY* 16909 LAKESIDE HILLS CT OMAHA, NE 68130 (402) 758-5006 ALEGENT HEALTH PHARMACY FLORENCE* 8613 N 30TH ST OMAHA, NE 68112 (402) 451-2125 ALEGENT HEALTH PHARMACY-132ND AND CENTER* 13315 W CENTER RD OMAHA, NE 68144-3449 (402) 717-9410 SAMS PHARMACY* 13130 L STREET (402) 334-3496 WAL-MART PHARMACY 10-3153 6710 S 167TH ST OMAHA, NE 68135 (402) 609-5710 WAL-MART PHARMACY 10-3172 5051 L ST OMAHA, NE 68117-1328 (402) 734-8271 WAL-MART PHARMACY* 12850 L STREET (402) 697-1742 13105 BIRCH DR OMAHA, NE 68164-5222 (402) 686-2058 1606 SOUTH 72ND STREET OMAHA, NE 68124 (402) 393-9560 16960 WEST MAPLE ROAD OMAHA, NE 68116 (402) 289-9276 18201 WRIGHT ST. OMAHA, NE 68130 (402) 330-3650 6304 NORTH 99TH STREET OMAHA, NE 68122 (402) 492-9349 POTTAWATTAMIE COUNCIL BLUFFS SAMS PHARMACY* 3221 MANAWA CENTRE DR COUNCIL BLUFFS, IA 51501-7672 (712) 366-7032 WAL-MART PHARMACY* 3201 MANAWA DR COUNCIL BLUFFS, IA 51503 (712) 366-1315 SARPY BELLEVUE ALEGENT HEALTH BELLEVUE HEALTH CLINIC* 3308 SAMSON WAY BELLEVUE, NE 68123 (402) 291-5076 WAL-MART PHARMACY* 10504 SOUTH 15TH STREET BELLEVUE, NE 68123 (402) 292-0463 2109 TOWNE CENTER DR BELLEVUE, NE 68123 (402) 686-2043 2 *Extended (90-day) supply of maintenance medications available.

PREFERRED PHARMACIES SARPY (continued) GRETNA WAL-MART PHARMACY* 11350 WICKERSHAM BLVD GRETNA, NE 68028 (402) 881-3687 LAVISTA ALEGENT HEALTH PHARMACY - LAVISTA* 8248 S. 96TH STREET LAVISTA, NE 68128 (402) 717-9510 PAPILLION ALEGENT HEALTH PAPILLION PHARMACY* 11109 S 84TH ST PAPILLION, NE 68046 (402) 827-4200 WAL-MART PHARMACY* 8525 S. 71ST ST. PLAZA PAPILLION, NE 68133 (402) 597-8982 *Extended (90-day) supply of maintenance medications available. 3

RETAIL PHARMACIES DOUGLAS BENNINGTON HEALTH MART PHARMACY* 15817 C W HADAN DR BENNINGTON, NE 68007-2017 (402) 932-5556 ELKHORN U SAVE PHARMACY* 940 N 204TH AVENUE ELKHORN, NE 68022 (402) 289-2576 OMAHA ACCREDO HEALTH GROUP INC 11329 P ST (402) 597-2330 AFFINITY BIOTECH 1810 N 203RD ST OMAHA, NE 68022-2885 (402) 289-0189 BAKERS PHARMACY* 12025 W CENTER RD OMAHA, NE 68144 (402) 333-6500 13250 W MAPLE RD OMAHA, NE 68164 (402) 965-8339 17370 LAKESIDE HILLS PLAZA OMAHA, NE 68130 (402) 333-5351 4405 N 72ND ST OMAHA, NE 68134 (402) 571-3122 505 N 155TH PLAZA OMAHA, NE 68154 (402) 964-0888 5555 N 90TH ST OMAHA, NE 68134 (402) 573-0947 7312 N 30TH ST OMAHA, NE 68112 (402) 451-3980 888 SADDLECREEK RD OMAHA, NE 68106 (402) 556-5600 BERGAN MERCY OUTPATIENT PHARMACY* 7710 MERCY RD OMAHA, NE 68124 (402) 398-6781 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA 11111 MILL VALLEY RD OMAHA, NE 68154-3933 (402) 330-5482 COSTCO PHARMACY* 12300 W DODGE RD OMAHA, NE 68154 (402) 952-3249 CREIGHTON UNIVERSITY MED CTR CLINIC PHARMACY* 601 N 30TH ST OMAHA, NE 68131-2137 (402) 449-4560 CVS PHARMACY # 03478* 2609 S 132ND ST OMAHA, NE 68144-2595 (402) 334-6933 CVS PHARMACY # 05714* 4840 DODGE ST OMAHA, NE 68132-3111 (402) 558-2000 CVS PHARMACY # 06733* 1919 N 90TH ST OMAHA, NE 68114-1316 (402) 391-2072 CVS PHARMACY #* 14303 U ST -2666 (402) 895-0181 4 *Extended (90-day) supply of maintenance medications available.

RETAIL PHARMACIES DOUGLAS (continued) OMAHA (continued) CVS PHARMACY #04929* 10770 FORT ST OMAHA, NE 68134-1230 (402) 493-3257 CVS PHARMACY #05863* 14460 W MAPLE RD OMAHA, NE 68116-5163 (402) 493-0443 CVS PHARMACY# 05634* 8315 W CENTER RD OMAHA, NE 68124-3111 (402) 393-2557 DARTMED PHARMACY 16707 Q STREET OMAHA, NE 68135 (402) 505-3420 DEPOT DRUG* 1400 DOUGLAS ST OMAHA, NE 68179 (402) 544-3740 DIABETES SUPPLY CENTER OF THE MIDLANDS* 2910 S 84TH ST OMAHA, NE 68124 (402) 399-8444 EDS REXALL* 2701 S 10TH ST OMAHA, NE 68108-1697 (402) 342-1731 ELMWOOD PHARMACY* 808 SO 52ND OMAHA, NE 68106 (402) 551-5200 ESSENTIAL PHARMACY COMPOUNDING* 620 N 114TH ST OMAHA, NE 68154 (402) 408-0012 FRED LEROY HEALTH AND WELLNESS CENTER 2602 J ST OMAHA, NE 68107-1643 (402) 734-5275 GERIMED INC* 7915 N 30TH ST OMAHA, NE 68112-2444 (402) 827-6080 HY VEE DRUGSTORE* 8404 N 30TH STREET OMAHA, NE 68112 (402) 451-8842 HY VEE PHARMACY 1* 5150 CENTER OMAHA, NE 68106 (402) 553-4143 HY VEE PHARMACY 10* 3410 NORTH 156TH STREET OMAHA, NE 68116 (402) 445-6109 HY VEE PHARMACY 2* 14591 STONY BROOK BLVD. (402) 697-0928 HY VEE PHARMACY 3* 8809 W CENTER ROAD OMAHA, NE 68124 (402) 384-9085 HY VEE PHARMACY 4* 10808 FORT STREET OMAHA, NE 68164 (402) 493-2323 HY VEE PHARMACY 5* 7910 CASS STREET OMAHA, NE 68114 (402) 384-8767 HY VEE PHARMACY 6* 9707 Q STREET OMAHA, NE 68127 (402) 339-3054 *Extended (90-day) supply of maintenance medications available. 5

RETAIL PHARMACIES DOUGLAS (continued) OMAHA (continued) HY VEE PHARMACY 7 LTC 3505 L STREET OMAHA, NE 68107 (402) 731-9971 HY VEE PHARMACY 7* 3505 L STREET OMAHA, NE 68107 (402) 731-9971 HY VEE PHARMACY 8* 747 NORTH 132ND STREET OMAHA, NE 68154 (402) 493-3110 HY VEE PHARMACY 9* 17810 WELCH PLAZA OMAHA, NE 68135 (402) 891-0600 HY-VEE DRUGSTORE LTC (7062)* 8404 N. 30TH OMAHA, NE 68112 (402) 451-8842 HY-VEE PHARMACY #11 (1478)* 1000 SOUTH 178TH STREET OMAHA, NE 68118 (402) 334-4922 IMMANUEL MEDICAL CENTER RETAIL PHARMACY* 6901 N 72ND ST OMAHA, NE 68122 (402) 572-2300 KMART PHARMACY4130* 5000 L STREET OMAHA, NE 68117 (402) 733-6935 KMART PHARMACY7493* 5808 S 144TH STREET (402) 895-7220 KMART PHARMACY7579* 13450 MAPLE ROAD OMAHA, NE 68164 (402) 492-2605 KOHLLS PHARMACY* 12739 Q ST (402) 895-3101 2923 LEAVENWORTH ST OMAHA, NE 68105 (402) 342-6547 3427 S 84TH ST OMAHA, NE 68124 (402) 393-1404 5000 DODGE ST OMAHA, NE 68132 (402) 553-8900 622 N 114TH ST OMAHA, NE 68154 (402) 408-0012 KOHLLS RXMPSS* 5110 L STREET OMAHA, NE 68117 (402) 733-2000 KUBAT PHARMACY* 2401 N ST OMAHA, NE 68107 (402) 731-4333 4924 CENTER ST OMAHA, NE 68106-3296 (402) 558-8888 MEDICINE MAN PHARMACY 715 N 132ND ST OMAHA, NE 68154-4000 (402) 496-9757 MIDWEST SURGICAL HOSPTIAL PHARMACY 7915 FARNAM DR OMAHA, NE 68114-4504 (402) 399-1975 6 *Extended (90-day) supply of maintenance medications available.

RETAIL PHARMACIES DOUGLAS (continued) OMAHA (continued) NO FRILLS PHARMACY* 1221 SOUTH 203RD STREET OMAHA, NE 68130 (402) 896-1450 ONEWORLD PHARMACY* 4920 S 30TH ST OMAHA, NE 68107 (402) 502-5832 PHARMACY EXPRESS* 349 N 78TH STREET OMAHA, NE 68114-3640 (402) 932-8709 PHARMERICA 6528 S 118TH ST (888) 895-7133 QUANTUM MED PHARMACY 3744 S 132ND ST OMAHA, NE 68144 (402) 339-4036 RXSOLUTIONS 11722 STONEGATE CIRCLE OMAHA, NE 68164 (402) 502-6511 SEIG PHARMACY* 6655 SORENSEN PKWY OMAHA, NE 68152 (402) 829-3282 SHOPKO PHARMACY* 14445 W CENTER RD OMAHA, NE 68144-5401 (402) 333-6930 3020 S 84TH ST OMAHA, NE 68124-3215 (402) 391-6299 5646 N 90TH ST OMAHA, NE 68134-1808 (402) 572-1662 STEIER PHARMACY* 6828 N 72ND ST OMAHA, NE 68122 (402) 572-3553 SUPER SAVER PHARMACY* 5710 S 144TH ST (402) 895-5644 TARGET PHARMACY* 12500 K PLAZA -2207 (402) 201-2660 16959 EVANS PLAZA OMAHA, NE 68116 (402) 970-1001 17810 WEST CENTER OMAHA, NE 68130 (402) 697-4876 4001 NORTH 132ND ST OMAHA, NE 68164 (402) 431-9161 6636 N 73RD PLAZA OMAHA, NE 68122 (402) 573-2221 7200 DODGE ST OMAHA, NE 68114 (402) 390-8881 THE NEBRASKA MED CENTER CLINIC PHCY* 989200 NEBRASKA MEDICAL CTR OMAHA, NE 68198-9200 (402) 559-5215 U SAVE PHARMACY MAPLE* 2728 N 108TH ST OMAHA, NE 68164 (402) 493-3952 U-SAVE PHARMACY* 5011 S 108TH ST (402) 933-3311 *Extended (90-day) supply of maintenance medications available. 7

RETAIL PHARMACIES DOUGLAS (continued) OMAHA (continued) WALGREENS #10437* 5225 N 90TH ST OMAHA, NE 68134 (910) 325-0038 WALGREENS #11203* 17909 BURKE ST OMAHA, NE 68118 (402) 289-0808 WALGREENS #11204* 20201 MANDERSON ST OMAHA, NE 68022 (402) 289-0520 WALGREENS #11205* 6005 N 72ND ST OMAHA, NE 68134-2300 (402) 201-2729 WALGREENS #13137* 13510 Q ST (402) 895-1619 WALGREENS #15237* 2929 N 60TH ST OMAHA, NE 68106-2929 (402) 556-7265 WALGREENS #2472* 18040 R PLAZA OMAHA, NE 68135 (402) 408-2339 WALGREENS #3186* 3701 NORTH 132ND ST OMAHA, NE 68164 (402) 431-0651 WALGREENS #3202* 7202 NORTH 30TH ST OMAHA, NE 68112 (402) 457-5612 WALGREENS #3621* 9001 BLONDO STREET OMAHA, NE 68114 (402) 393-8019 WALGREENS #4443* 9001 W CENTER RD OMAHA, NE 68124 (402) 393-8429 WALGREENS #4772* 3005 LAKE ST OMAHA, NE 68110 (402) 451-7120 WALGREENS #4974* 5038 CENTER ST OMAHA, NE 68106 (402) 551-6040 WALGREENS #5059* 10725 FORT ST OMAHA, NE 68134 (402) 496-4355 WALGREENS #5143* 7151 CASS ST OMAHA, NE 68132 (402) 558-8511 WALGREENS #5190* 2323 L STREET OMAHA, NE 68107-1847 (402) 738-8051 WALGREENS #5360* 5062 S 155TH ST (402) 861-6999 WALGREENS #5741* 3001 DODGE ST OMAHA, NE 68131 (402) 342-4445 WALGREENS #5966* 2605 S 171ST ST OMAHA, NE 68130 (402) 697-0316 WALGREENS #6802* 15525 SPAULDING PLAZA OMAHA, NE 68116 (402) 408-1075 8 *Extended (90-day) supply of maintenance medications available.

RETAIL PHARMACIES DOUGLAS (continued) OMAHA (continued) WALGREENS #6936* 4310 AMES AVE OMAHA, NE 68111 (402) 453-3400 WALGREENS #6962* 3121 S 24TH ST OMAHA, NE 68108 (402) 345-5041 WALGREENS #7272* 13155 W CENTER RD OMAHA, NE 68144 (402) 334-9094 WALGREENS #7563* 8989 W DODGE RD OMAHA, NE 68114 (402) 393-7799 WALGREENS #7693* 225 N SADDLE CREEK RD OMAHA, NE 68131 (402) 551-1544 WALGREENS INFUSION SERVICES* 10924 JOHN GALT BLVD (402) 331-0980 VALLEY VALLEY LONG TERM CARE PHARMACY 123 1/2 E GARDINER ST VALLEY, NE 68064 (402) 359-2284 VALLEY PHARMACY* 123 E GARDINER ST VALLEY, NE 68064-0630 (402) 359-2284 POTTAWATTAMIE AVOCA CARLEY DRUG* 102 N ELM ST AVOCA, IA 51521 (712) 343-6777 COUNCIL BLUFFS CVS PHARMACY* 545 W. WASHINGTON ST COUNCIL BLUFFS, IA 51503-0771 (712) 352-4152 HY VEE DRUGSTORE* 757 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 328-3277 HY VEE PHARMACY 1* 2323 W. BROADWAY COUNCIL BLUFFS, IA 51501 (712) 322-3111 HY VEE PHARMACY 2* 1745 MADISON AVENUE COUNCIL BLUFFS, IA 51501 (712) 322-9222 KMART PHARMACY3097* 2803 EAST KANESVILLE BLVD COUNCIL BLUFFS, IA 51503 (712) 325-0987 MEDICAP PHARMACY* 2201 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 325-8676 OARD-ROSS DRUG INC 701 16TH AVE COUNCIL BLUFFS, IA 51501-6396 (712) 322-2501 SHOPKO PHARMACY* 3271 MARKETPLACE DR COUNCIL BLUFFS, IA 51501 (712) 366-0377 *Extended (90-day) supply of maintenance medications available. 9

RETAIL PHARMACIES POTTAWATTAMIE (continued) COUNCIL BLUFFS (continued) SUPER SAVER PHARMACY #12* 1141 N BROADWAY COUNCIL BLUFFS, IA 51503 (712) 322-9019 TARGET PHARMACY* 3804 METRO DR COUNCIL BLUFFS, IA 51501 (712) 309-3381 UNION PHARMACY* 235 W BROADWAY COUNCIL BLUFFS, IA 51503 (712) 328-3344 WALGREENS #3700* 535 E BROADWAY COUNCIL BLUFFS, IA 51503 (712) 329-0901 WALGREENS #4405* 2508 W BROADWAY COUNCIL BLUFFS, IA 51501 (712) 328-2314 WALGREENS #5306* 301 W BENNETT AVE COUNCIL BLUFFS, IA 51503 (712) 325-0600 MINDEN LEHAN PHARMACY* 317 MAIN ST MINDEN, IA 51553 (712) 483-2884 OAKLAND OAKLAND PHARMACY* 601 PIONEER AVE. OAKLAND, IA 51560 (712) 482-3015 SARPY BELLEVUE BAKERS PHARMACY* 3614 TWIN CREEK DR BELLEVUE, NE 68123 (402) 292-3580 801 GALVIN RD BELLEVUE, NE 68005 (402) 292-0331 CVS PHARMACY #* 1701 GALVIN RD S BELLEVUE, NE 68005-3810 (402) 292-2685 NEBRASKA MED CTR BELLEVUE PHARMACY* 2510 BELLEVUE MEDICAL CENTER DR STE 100 BELLEVUE, NE 68123 (402) 595-1156 SHOPKO PHARMACY* 601 GALVIN RD S BELLEVUE, NE 68005-2249 (402) 293-1845 TARGET PHARMACY* 3808 TWIN CREEK DRIVE BELLEVUE, NE 68123 (402) 291-6779 WALGREENS #3694* 1802 GALVIN RD S BELLEVUE, NE 68005 (402) 291-8404 WALGREENS #5540* 6905 S 36TH ST BELLEVUE, NE 68147 (402) 734-7517 YOUR HOMETOWN PHARMACY* 2227 THURSTON CIR BELLEVUE, NE 68005-2157 (402) 991-7283 10 *Extended (90-day) supply of maintenance medications available.

RETAIL PHARMACIES SARPY (continued) GRETNA COMMUNITY PHARMACY SERVICES* 21689 NORTHSTAR DR GRETNA, NE 68028 (402) 289-0431 MCKINNEYS PHARMACY* 215 ENTERPRISE DR GRETNA, NE 68028-0688 (402) 332-5167 U SAVE PHARMACY GRETNA* 611 N HIGHWAY 6 GRETNA, NE 68028-4491 (402) 332-5990 LA VISTA CVS PHARMACY# 02741* 6901 S 84TH ST LA VISTA, NE 68128-2127 (402) 339-1090 WALGREENS #4754* 8380 HARRISON ST LA VISTA, NE 68128 (402) 592-7970 OMAHA AMBER PHARMACY* 10004 S 152ND ST OMAHA, NE 68138 (402) 896-5000 HY-VEE PHARMACY SOLUTIONS* 10004 S 152ND STREET OMAHA, NE 68138 (402) 861-4938 MEDWELL RX 13831 CHALCO VALLEY PKWY STE 101 OMAHA, NE 68138-6145 (402) 592-5244 U SAVE PHARMACY* 16869 AUDREY ST OMAHA, NE 68136 (402) 934-2744 PAPILLION HY VEE PHARMACY* 111650 S 73RD ST PAPILLION, NE 68046 (402) 597-5056 KOHLLS PHARMACY* 1413 S WASHINGTON PAPILLION, NE 68046 (402) 331-8632 TARGET PHARMACY* 718 NORTH WASHINGTON PAPILLION, NE 68046 (402) 597-9499 WALGREENS #11355* 9512 S 71ST PLAZA PAPILLION, NE 68133 (402) 408-1086 WALGREENS #11356* 11343 S 96TH ST PAPILLION, NE 68046-4280 (402) 408-0761 SPRINGFIELD SPRINGFIELD DRUG* 205 MAIN ST SPRINGFIELD, NE 68059-0130 (402) 253-2000 *Extended (90-day) supply of maintenance medications available. 11

HOME INFUSION PHARMACIES For more information about network home infusion pharmacies in your area, please visit our website at HealthAllianceMedicare.org or call Health Alliance Medicare Services at 1-877-917-8550, Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 1-800-833-7352. DOUGLAS OMAHA ACCREDO HEALTH GROUP INC 11329 P ST (402) 597-2330 AFFINITY BIOTECH* 1810 N 203RD ST OMAHA, NE 68022-2885 (402) 289-0189 ALEGENT HEALTH AT HOME MEDICAL EQUIPMENT/INFUSION PHARMACY 5428 F ST OMAHA, NE 68117 (402) 898-8470 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA 11111 MILL VALLEY RD OMAHA, NE 68154-3933 (402) 330-5482 IMMANUEL MEDICAL CENTER RETAIL PHARMACY* 6901 N 72ND ST OMAHA, NE 68122 (402) 572-2300 PHARMACY EXPRESS* 349 N 78TH STREET OMAHA, NE 68114-3640 (402) 932-8709 WALGREENS INFUSION SERVICES* 10924 JOHN GALT BLVD (402) 331-0980 12

LONG-TERM CARE Residents of a long-term care facility may access their prescription drugs covered under Health Alliance Medicare Guide HMO through the facility's long-term care pharmacy or another network long-term care pharmacy. DOUGLAS BENNINGTON HEALTH MART PHARMACY* 15817 C W HADAN DR BENNINGTON, NE 68007-2017 (402) 932-5556 OMAHA EDS REXALL* 2701 S 10TH ST OMAHA, NE 68108-1697 (402) 342-1731 ELMWOOD PHARMACY* 808 SO 52ND OMAHA, NE 68106 (402) 551-5200 GERIMED INC* 7915 N 30TH ST OMAHA, NE 68112-2444 (402) 827-6080 HY VEE PHARMACY 7 LTC 3505 L STREET OMAHA, NE 68107 (402) 731-9971 HY-VEE DRUGSTORE LTC (7062)* 8404 N. 30TH OMAHA, NE 68112 (402) 451-8842 HY-VEE PHARMACY #11 (1478)* 1000 SOUTH 178TH STREET OMAHA, NE 68118 (402) 334-4922 IMMANUEL MEDICAL CENTER RETAIL PHARMACY* 6901 N 72ND ST OMAHA, NE 68122 (402) 572-2300 KOHLLS PHARMACY* 12739 Q ST (402) 895-3101 2923 LEAVENWORTH ST OMAHA, NE 68105 (402) 342-6547 3427 S 84TH ST OMAHA, NE 68124 (402) 393-1404 5000 DODGE ST OMAHA, NE 68132 (402) 553-8900 622 N 114TH ST OMAHA, NE 68154 (402) 408-0012 KOHLLS RXMPSS* 5110 L STREET OMAHA, NE 68117 (402) 733-2000 PHARMERICA 6528 S 118TH ST (888) 895-7133 QUANTUM MED PHARMACY 3744 S 132ND ST OMAHA, NE 68144 (402) 339-4036 VALLEY VALLEY LONG TERM CARE PHARMACY 123 1/2 E GARDINER ST VALLEY, NE 68064 (402) 359-2284 13

LONG-TERM CARE POTTAWATTAMIE AVOCA CARLEY DRUG* 102 N ELM ST AVOCA, IA 51521 (712) 343-6777 COUNCIL BLUFFS UNION PHARMACY* 235 W BROADWAY COUNCIL BLUFFS, IA 51503 (712) 328-3344 OMAHA MEDWELL RX 13831 CHALCO VALLEY PKWY STE 101 OMAHA, NE 68138-6145 (402) 592-5244 PAPILLION KOHLLS PHARMACY* 1413 S WASHINGTON PAPILLION, NE 68046 (402) 331-8632 OAKLAND OAKLAND PHARMACY* 601 PIONEER AVE. OAKLAND, IA 51560 (712) 482-3015 SARPY BELLEVUE YOUR HOMETOWN PHARMACY* 2227 THURSTON CIR BELLEVUE, NE 68005-2157 (402) 991-7283 GRETNA COMMUNITY PHARMACY SERVICES* 21689 NORTHSTAR DR GRETNA, NE 68028 (402) 289-0431 U SAVE PHARMACY GRETNA* 611 N HIGHWAY 6 GRETNA, NE 68028-4491 (402) 332-5990 LA VISTA OMNICARE OF NEBRASKA* 10004 S 152ND ST LA VISTA, NE 68128-5512 (402) 896-3636 14

NETWORK PHARMACIES OUTSIDE ILLINOIS CVS PHARMACY 1-800-SHOP-CVS 1-800-746-7287 KMART PHARMACY 1-866-KMART-4U 1-866-562-7848 KROGER PHARMACY 1-866-221-4141 MEIJER PHARMACY 1-877-E-MEIJER 1-877-363-4537 PAMIDA PHARMACY 1-402-339-2400 SAM'S PHARMACY 1-888-746-7726 TARGET PHARMACY 1-877-RX-TARGET 1-877-798-2743 WALGREENS DRUG STORE 1-800-WALGREENS 1-800-925-4733 WAL-MART PHARMACY 1-800-WAL-MART 1-800-925-6278 15

INDEX A ACCREDO HEALTH GROUP INC...4, 12 AFFINITY BIOTECH...4 AFFINITY BIOTECH*...12 ALEGENT HEALTH AT HOME MEDICAL EQUIPMENT/ INFUSION PHARMACY...12 ALEGENT HEALTH AT HOME MEDICAL EQUIPMENT/ INFUSION PHARMACY...2 ALEGENT HEALTH BELLEVUE HEALTH CLINIC*...2 ALEGENT HEALTH LAKESIDE PHARMACY*...2 ALEGENT HEALTH PAPILLION PHARMACY*...3 ALEGENT HEALTH PHARMACY - LAVISTA*...3 ALEGENT HEALTH PHARMACY FLORENCE*...2 ALEGENT HEALTH PHARMACY-132ND AND CENTER*...2 AMBER PHARMACY*... 11 B BAKERS PHARMACY*...4, 10 BERGAN MERCY OUTPATIENT PHARMACY*...4 C CARLEY DRUG*...14 CARLEY DRUG*...9 COMMUNITY PHARMACY SERVICES*... 11, 14 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA...12 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA...4 COSTCO PHARMACY*...4 CREIGHTON UNIVERSITY MED CTR CLINIC PHARMACY*...4 CVS PHARMACY...15 CVS PHARMACY # 03478*...4 CVS PHARMACY # 05714*...4 CVS PHARMACY # 06733*...4 CVS PHARMACY #*...4, 10 CVS PHARMACY #04929*...5 CVS PHARMACY #05863*...5 CVS PHARMACY# 02741*... 11 CVS PHARMACY# 05634*...5 CVS PHARMACY*...9 D DARTMED PHARMACY...5 DEPOT DRUG*...5 DIABETES SUPPLY CENTER OF THE MIDLANDS*...5 E EDS REXALL*...13 EDS REXALL*...5 ELMWOOD PHARMACY*...13 ELMWOOD PHARMACY*...5 ESSENTIAL PHARMACY COMPOUNDING*...5 16 *Extended (90-day) supply of maintenance medications available.

INDEX F FRED LEROY HEALTH AND WELLNESS CENTER...5 G GERIMED INC*...5, 13 H HEALTH MART PHARMACY*...13 HEALTH MART PHARMACY*...4 HY VEE DRUGSTORE*...5, 9 HY VEE PHARMACY 1*...5, 9 HY VEE PHARMACY 10*...5 HY VEE PHARMACY 2*...5, 9 HY VEE PHARMACY 3*...5 HY VEE PHARMACY 4*...5 HY VEE PHARMACY 5*...5 HY VEE PHARMACY 6*...5 HY VEE PHARMACY 7 LTC...13 HY VEE PHARMACY 7 LTC...6 HY VEE PHARMACY 7*...6 HY VEE PHARMACY 8*...6 HY VEE PHARMACY 9*...6 HY VEE PHARMACY*... 11 HY-VEE DRUGSTORE LTC (7062)*...13 HY-VEE DRUGSTORE LTC (7062)*...6 HY-VEE PHARMACY #11 (1478)*...13 HY-VEE PHARMACY #11 (1478)*...6 HY-VEE PHARMACY SOLUTIONS*... 11 I IMMANUEL MEDICAL CENTER RETAIL PHARMACY*...12, 13 IMMANUEL MEDICAL CENTER RETAIL PHARMACY*...6 K KMART PHARMACY...15 KMART PHARMACY3097*...9 KMART PHARMACY4130*...6 KMART PHARMACY7493*...6 KMART PHARMACY7579*...6 KOHLLS PHARMACY*...13, 14 KOHLLS PHARMACY*... 6, 11 KOHLLS RXMPSS*...13 KOHLLS RXMPSS*...6 KROGER PHARMACY...15 KUBAT PHARMACY*...6 L LEHAN PHARMACY*...10 M MCKINNEYS PHARMACY*... 11 MEDICAP PHARMACY*...9 MEDICINE MAN PHARMACY...6 MEDWELL RX... 11, 14 MEIJER PHARMACY...15 MIDWEST SURGICAL HOSPTIAL PHARMACY...6 *Extended (90-day) supply of maintenance medications available. 17

INDEX N NEBRASKA MED CTR BELLEVUE PHARMACY*...10 NO FRILLS PHARMACY*...7 O OAKLAND PHARMACY*...14 OAKLAND PHARMACY*...10 OARD-ROSS DRUG INC...9 OMNICARE OF NEBRASKA*...14 ONEWORLD PHARMACY*...7 P PAMIDA PHARMACY...15 PHARMACY EXPRESS*...12 PHARMACY EXPRESS*...7 PHARMERICA...13 PHARMERICA...7 Q QUANTUM MED PHARMACY...13 QUANTUM MED PHARMACY...7 R RXSOLUTIONS...7 S SAM'S PHARMACY...15 SAMS PHARMACY*...2 SEIG PHARMACY*...7 SHOPKO PHARMACY*...7, 9, 10 SPRINGFIELD DRUG*... 11 STEIER PHARMACY*...7 SUPER SAVER PHARMACY #12*...10 SUPER SAVER PHARMACY*...7 T TARGET PHARMACY...15 TARGET PHARMACY*... 7, 10, 11 THE NEBRASKA MED CENTER CLINIC PHCY*...7 U U SAVE PHARMACY GRETNA*...14 U SAVE PHARMACY GRETNA*... 11 U SAVE PHARMACY MAPLE*...7 U SAVE PHARMACY*... 4, 11 UNION PHARMACY*...14 UNION PHARMACY*...10 U-SAVE PHARMACY*...7 V VALLEY LONG TERM CARE PHARMACY...13 VALLEY LONG TERM CARE PHARMACY...9 VALLEY PHARMACY*...9 W WALGREENS #10437*...8 WALGREENS #11203*...8 WALGREENS #11204*...8 WALGREENS #11205*...8 WALGREENS #11355*... 11 18 *Extended (90-day) supply of maintenance medications available.

INDEX WALGREENS #11356*... 11 WALGREENS #13137*...8 WALGREENS #15237*...8 WALGREENS #2472*...8 WALGREENS #3186*...8 WALGREENS #3202*...8 WALGREENS #3621*...8 WALGREENS #3694*...10 WALGREENS #3700*...10 WALGREENS #4405*...10 WALGREENS #4443*...8 WALGREENS #4754*... 11 WALGREENS #4772*...8 WALGREENS #4974*...8 WALGREENS #5059*...8 WALGREENS #5143*...8 WALGREENS #5190*...8 WALGREENS #5306*...10 WALGREENS #5360*...8 WALGREENS #5540*...10 WALGREENS #5741*...8 WALGREENS #5966*...8 WALGREENS #6802*...8 WALGREENS #6936*...9 WALGREENS #6962*...9 WALGREENS #7272*...9 WALGREENS #7563*...9 WALGREENS #7693*...9 WALGREENS DRUG STORE...15 WALGREENS INFUSION SERVICES*...12 WALGREENS INFUSION SERVICES*...9 WAL-MART PHARMACY...15 WAL-MART PHARMACY 10-3153...2 WAL-MART PHARMACY 10-3172...2 WAL-MART PHARMACY*...2, 3 Y YOUR HOMETOWN PHARMACY*...10, 14 *Extended (90-day) supply of maintenance medications available. 19

1-877-917-8550 TTY/TDD 711 or 1-800-833-7352 HealthAllianceMedicare.org