2016 Pharmacy DIRECTORY This directory is a list of network pharmacies near you. This directory is for Wyoming. For more information, please call Customer Service at: Toll-Free 1-888-556-6648, TTY 711 8 a.m. to 8 p.m. local time, Monday through Friday Y0066_150908_140732 Last updated September 18, 2015
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 our plan members. 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 Mail Service Pharmacy. When you use home delivery from OptumRx, you can have 90-day supplies of your maintenance medication delivered right to your door. With the mail service pharmacy, you generally have lower out-of-pocket co-pays. You may save on a 90-day supply of many of your maintenance medications compared with what you would pay at a network retail pharmacy. 2 Members may also use other mail service pharmacies to fill prescriptions. 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. 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. 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 1-866-394-7218, 24 hours, 7 days a week. 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 1-866-394-7218, 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 pages. symbol in the pharmacy listings on the following 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 supplies 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
National pharmacy chains Below are some of the national chains in the plan s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. Albertsons/Safeway & Affiliates ACME Albertsons Carrs Jewel Osco Market Street Pavilions Randalls Safeway Shaws Tom Thumb United Vons 1-800-723-3929 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 Sam s Club 1-888-746-7726 Stop & Shop 1-800-767-7772 Target 1-800-440-0680 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 TTY users should call 711, unless a different phone number is listed. This list may change. For a list of other national 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.
Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Note: Pharmacies may have closed or moved locations since this directory was printed. Other pharmacies are available in our network. Albany Kmart Pharmacy 750 North 3rd Street Laramie, WY 82070 307-742-4995, TTY: 711 Quality Iv Care 3131 Grand Ave Ste B Laramie, WY 82070 307-742-5048, TTY: 711 Ridley's Pharmacy 3112 E Grand Ave Laramie, WY 82070 307-745-7246, TTY: 711 Safeway Pharmacy 554 North 3rd Street Laramie, WY 82070 307-745-4224, TTY: 711 4308 E Grand Ave Laramie, WY 82070 307-745-6112, TTY: 711 4005 Grand Ave Laramie, WY 82070 307-745-1557, TTY: 711 Big Horn Basin Pharmacy 405 W C St Basin, WY 82410 307-568-3636, TTY: 711 Lovell Drug Company 164 E Main St Lovell, WY 82431 307-548-7231, TTY: 711 @ 925 N 6th St Greybull, WY 82426 307-765-4601, TTY: 711 Campbell Coal Coalition Family Pharmacy 430 Medical Arts Court Gillette, WY 82716 307-686-3835, TTY: 711 Kmart Pharmacy 2150 South Douglas Hwy Gillette, WY 82718 307-682-3212, TTY: 711 Medical Hill Pharmacy 407 Medical Arts Court Ste A Gillette, WY 82716 307-685-2899, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Medicap Pharmacy 501 East Lakeway Road Suite A Gillette, WY 82718 307-685-6985, TTY: 711 Osco Pharmacy 2610 S Douglas Hwy Gillette, WY 82718 307-687-2996, TTY: 711 Smiths Pharmacy 906 Camel Drive Gillette, WY 82716 307-682-1217, TTY: 711 Valley Pharmacy 101 Constitution Ave. Saratoga, WY 82331 307-326-5129, TTY: 711 2390 E Cedar St Rawlins, WY 82301 307-417-3058, TTY: 711 Converse Clinic Pharmacy 925 West Birch Glenrock, WY 82637 307-436-7116, TTY: 711 2300 South Douglas Hwy Gillette, WY 82718 307-686-5166, TTY: 711 Safeway Pharmacy 1900 E Richards St Douglas, WY 82633 307-358-1706, TTY: 711 2000 S Douglas Hwy Gillette, WY 82718 307-682-4517, TTY: 711 Shatto's Frontier Drug 1202 E Richards Douglas, WY 82633 307-358-5077, TTY: 711 Carbon City Market Pharmacy 602 Higley Blvd Rawlins, WY 82301 307-324-3084, TTY: 711 2100 E Cedar St Rawlins, WY 82301 307-324-5276, TTY: 711 1950 E Richards St Douglas, WY 82633 307-358-3386, TTY: 711 Crook Vilas Pharmacy 224 Main Street Sundance, WY 82729 307-283-3883, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Fremont Arapahoe Health Center Pharmacy 14 Great Plains Rd Arapahoe, WY 82510 307-856-9281, TTY: 711 Fort Washakie Hlth Ctr Pharmacy Blackcoal Dr Bldg 29 Fort Washakie, WY 82514 307-335-5982, TTY: 711 Kmart Pharmacy 1960 N Federal Blvd Riverton, WY 82501 307-856-2261, TTY: 711 Palace Pharmacy 634 Main St Lander, WY 82520 307-332-2270, TTY: 711 Smiths Pharmacy 1200 West Main St Riverton, WY 82501 307-856-4934, TTY: 711 1733 North Federal Riverton, WY 82501 307-856-3269, TTY: 711 845 N Federal Blvd Riverton, WY 82501 307-857-6023, TTY: 711 Goshen Community Drug 900 W Valley Rd Torrington, WY 82240 307-532-3060, TTY: 711 Safeway Pharmacy 708 N Federal Blvd Riverton, WY 82501 307-857-6833, TTY: 711 1100 E Valley Rd Torrington, WY 82240 307-532-1011, TTY: 711 Safeway Pharmacy 1165 Main St Lander, WY 82520 307-332-3939, TTY: 711 Vandel Drug 2041 Main St Torrington, WY 82240 307-532-2530, TTY: 711 1255 West Main Street Lander, WY 82520 307-332-5712, TTY: 711 Hot Springs 140 US Highway 20 S Thermopolis, WY 82443 307-864-3777, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Vicklund Pharmacy 610 S 6th St Thermopolis, WY 82443 307-864-2369, TTY: 711 Johnson Buffalo Prescription Shop 431 Fort St Buffalo, WY 82834 307-684-7003, TTY: 711 Hoys Hospital Pharmacy 2301 House Avenue Ste 101 307-637-7920, TTY: 711 King Soopers Pharmacy 3702 Dell Range Blvd 307-638-0192, TTY: 711 Johnson County Memorial Hospital 497 W Lott St Buffalo, WY 82834 307-684-5521, TTY: 711 129 Harmony St Buffalo, WY 82834 307-684-4540, TTY: 711 Laramie Genoa Healthcare 2526 SEymour Ave 307-778-3818, TTY: 711 Kmart Pharmacy 1840 Dell Range Blvd Cheyenne, WY 82009 307-635-9108, TTY: 711 Medicap Pharmacy 1947 Bluegrass Circle Cheyenne, WY 82009 307-635-3712, TTY: 711 North Star Pharmacy and Infusion 7124 Commons Drive Suite B Cheyenne, WY 82009 307-637-4300, TTY: 711 Healthworks 2508 E Fox Farm Rd Ste 1B Cheyenne, WY 82007 307-637-7000, TTY: 711 Osco Pharmacy 5800 N Yellowstone Rd Cheyenne, WY 82009 307-637-8361, TTY: 711 Hoys Drug 1115 E Pershing Blvd 307-634-1818, TTY: 711 Osco Pharmacy 3355 E Pershing Blvd 307-635-1155, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Safeway Pharmacy 400 Cole Center 307-778-8589, TTY: 711 Walmart Pharmacy 580 Livingston Ave Cheyenne, WY 82007 307-823-6812, TTY: 711 Safeway Pharmacy 700 S Greeley Hwy Cheyenne, WY 82007 307-635-4087, TTY: 711 Sam's Club Pharmacy 1948 Dell Range Blvd Cheyenne, WY 82009 307-637-3771, TTY: 711 Town and Country Pharmacy 514 S Greeley Hwy Cheyenne, WY 82007 307-634-6662, TTY: 711 2032 Dell Range Blvd Cheyenne, WY 82009 307-634-7433, TTY: 711 2302 E Lincolnway 307-635-7977, TTY: 711 1501 Dell Range Blvd Cheyenne, WY 82009 307-635-5854, TTY: 711 Lincoln Broulims Pharmacy 141 N. Washington St Afton, WY 83110 307-885-5055, TTY: 711 Our Valley Pharmacy 118 Peterson Pkwy Thayne, WY 83127 307-883-6337, TTY: 711 Ridley's Pharmacy 620 Pine Ave Kemmerer, WY 83101 307-877-4209, TTY: 711 679 S Washington Street Afton, WY 83110 307-885-9804, TTY: 711 Natrona Emissary Pharmacy and Infusion S 2546 E Second St 100 Casper, WY 82609 307-472-0597, TTY: 711 Family Pharmacy 1522 E A St Casper, WY 82601 307-265-4446, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Kmart Pharmacy 4000 East 2nd St Casper, WY 82609 307-265-1331, TTY: 711 4400 East 2nd Street Casper, WY 82609 307-237-0994, TTY: 711 Osco Pharmacy 1076 Cy Ave Casper, WY 82604 307-266-0156, TTY: 711 4255 Cy Avenue Casper, WY 82604 307-232-9605, TTY: 711 Osco Pharmacy 2625 E 2nd St Casper, WY 82609 307-234-7159, TTY: 711 190 SE Wyoming Blvd Casper, WY 82609 307-234-9184, TTY: 711 Ridley's Pharmacy 1375 Cy Ave Casper, WY 82604 307-234-7949, TTY: 711 1071 Cy Ave Casper, WY 82601 307-234-9379, TTY: 711 Ridley's Pharmacy 300 SE Wyoming Blvd Casper, WY 82609 307-577-7062, TTY: 711 Sam's Club Pharmacy 4600 E 2nd St Casper, WY 82609 307-472-0124, TTY: 711 Smiths Pharmacy 2405 C Y Ave Casper, WY 82604 307-266-6250, TTY: 711 Niobrara Rawhide Drug Company 232 S Main Lusk, WY 82225 307-334-3132, TTY: 711 Park Coe Pharmacy 424 Yellowstone Avenue Suite 130 Cody, WY 82414 307-578-2900, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Medical Center Pharmacy 698 Yellowstone Ave Cody, WY 82414 307-527-6221, TTY: 711 Osco Pharmacy 1825 17th St Cody, WY 82414 307-527-7426, TTY: 711 Powell Drug Inc 140 N Bent St Powell, WY 82435 307-754-2031, TTY: 711 1005 W Coulter Ave Powell, WY 82435 307-754-2755, TTY: 711 321 Yellowstone Avenue Cody, WY 82414 307-527-5746, TTY: 711 1585 Sheridan Ave Cody, WY 82414 307-587-2017, TTY: 711 West Park Hospital 707 Sheridan Ave Cody, WY 82414 307-578-2492, TTY: 711 Platte Register Cliff Pharmacy 437 W Whalen St Guernsey, WY 82214 307-836-9270, TTY: 711 1701 16th St Wheatland, WY 82201 307-322-2030, TTY: 711 South Street Pharmacy 1456 South St Wheatland, WY 82201 307-322-2486, TTY: 711 Sheridan Hospital Pharmacy Inc 1 S Main St Sheridan, WY 82801 307-672-2426, TTY: 711 Hospital Pharmacy West 1333 West 5th Street Suite 107 Sheridan, WY 82801 307-673-3188, TTY: 711 Kmart Pharmacy 2571 N Business 90 Sheridan, WY 82801 307-672-1810, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Osco Pharmacy 1865 Coffeen Ave Sheridan, WY 82801 307-672-8908, TTY: 711 Ridley's Pharmacy 169 Coffeen Street Sheridan, WY 82801 307-000-0000, TTY: 711 1695 Coffeen Ave Sheridan, WY 82801 307-674-7417, TTY: 711 1766 Coffeen Ave Sheridan, WY 82801 307-674-1936, TTY: 711 Sublette Altitude Drug 709 W Pine Street Pinedale, WY 82941 307-367-2278, TTY: 711 Frontier Pharmacy 501 Nichols St Big Piney, WY 83113 307-276-3499, TTY: 711 Ridleys Pharmacy 341 East Pine St Pinedale, WY 82941 307-367-4451, TTY: 711 Sweetwater Kmart Pharmacy 2450 Foothill Blvd Rock Springs, WY 82901 307-362-7990, TTY: 711 Plaza Pharmacy 1411 Dewar Dr Rock Springs, WY 82901 307-362-1007, TTY: 711 Rock Springs Iv Center 400 2nd St Ste A1 Rock Springs, WY 82901 307-382-3544, TTY: 711 Savon Pharmacy 1323 Dewar Dr Rock Springs, WY 82901 307-362-9734, TTY: 711 1105 Bridger Dr Green River, WY 82935 307-875-5244, TTY: 711 Smiths Pharmacy 905 Bridger Dr Green River, WY 82935 307-875-7841, TTY: 711 Smiths Pharmacy 2531 Foothill Blvd Rock Springs, WY 82902 307-362-1841, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) 201 Gateway Blvd Rock Springs, WY 82901 307-362-1967, TTY: 711 1080 Hwy 414 Mountain View, WY 82939 307-782-7922, TTY: 711 70 Gateway Blvd Rock Springs, WY 82901 307-382-2536, TTY: 711 Smiths Pharmacy 70 Yellow Creek Rd Evanston, WY 82930 307-789-0535, TTY: 711 Teton Kmart Pharmacy 510 South Highway 89 Jackson, WY 83001 307-739-1164, TTY: 711 Savon Pharmacy 105 Buffalo Way Jackson, WY 83001 307-733-9223, TTY: 711 125 North 2nd Street Evanston, WY 82930 307-789-0020, TTY: 711 Washakie Ricker Pharmacy Inc 1801 Big Horn Ave Worland, WY 82401 307-347-2281, TTY: 711 Smiths Pharmacy 1425 South Highway 89 Jackson, WY 83002 307-733-8746, TTY: 711 100 S 20th St Worland, WY 82401 307-347-2851, TTY: 711 Stone Drug 830 W Broadway Jackson, WY 83001 307-733-9768, TTY: 711 Uinta City Drug 131 10th St Evanston, WY 82930 307-789-4000, TTY: 711 Weston 205 Boyd Ave Newcastle, WY 82701 307-746-2741, TTY: 711 Weston County Health Services 1124 Washington Blvd Newcastle, WY 82701 307-746-4491, TTY: 711
Retail pharmacies, including chain pharmacies near you (continued) Weston County Pharmacy 727A Washington Blvd Newcastle, WY 82701 307-746-2425, 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 P.O. Box 29061 Mission, KS 66201 Phoenix, AZ 85038 Toll-free 1-888-279-1828 Toll-free 1-800-489-2197 TTY 1-866-394-7218 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.
Home infusion pharmacies near you (continued) Albany Quality Iv Care 3131 Grand Ave Ste B Laramie, WY 82070 307-742-5048 Sweetwater Rock Springs Iv Center 400 2nd St Ste A1 Rock Springs, WY 82901 307-382-3544 Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s long-term 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. Big Horn Basin Pharmacy 405 W C St Basin, WY 82410 307-568-3636 Campbell Medical Hill Pharmacy 407 Medical Arts Court Ste A Gillette, WY 82716 307-685-2899 Converse Shatto's Frontier Drug 1202 E Richards Douglas, WY 82633 307-358-5077 Goshen Community Drug 900 W Valley Rd Torrington, WY 82240 307-532-3060 Vandel Drug 2041 Main St Torrington, WY 82240 307-532-2530 Johnson Buffalo Prescription Shop 431 Fort St Buffalo, WY 82834 307-684-7003 Johnson County Memorial Hospital 497 W Lott St Buffalo, WY 82834 307-684-5521
Long-term care pharmacies near you (continued) Laramie Genoa Healthcare 2526 SEymour Ave 307-778-3818 Park Powell Drug Inc 140 N Bent St Powell, WY 82435 307-754-2031 Hoys Drug 1115 E Pershing Blvd 307-634-1818 West Park Hospital 707 Sheridan Ave Cody, WY 82414 307-578-2492 Hoys Hospital Pharmacy 2301 House Avenue Ste 101 307-637-7920 Sheridan Hospital Pharmacy Inc 1 S Main St Sheridan, WY 82801 307-672-2426 Medicap Pharmacy 1947 Bluegrass Circle Cheyenne, WY 82009 307-635-3712 Natrona Emissary Pharmacy and Infusion S 2546 E Second St 100 Casper, WY 82609 307-472-0597 Niobrara Rawhide Drug Company 232 S Main Lusk, WY 82225 307-334-3132 Hospital Pharmacy West 1333 West 5th Street Suite 107 Sheridan, WY 82801 307-673-3188 Sublette Ridleys Pharmacy 341 East Pine St Pinedale, WY 82941 307-367-4451 Teton Stone Drug 830 W Broadway Jackson, WY 83001 307-733-9768
Long-term care pharmacies near you (continued) Washakie Ricker Pharmacy Inc 1801 Big Horn Ave Worland, WY 82401 307-347-2281 Weston Weston County Health Services 1124 Washington Blvd Newcastle, WY 82701 307-746-4491 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. Fremont Arapahoe Health Center Pharmacy 14 Great Plains Rd Arapahoe, WY 82510 307-856-9281 Fort Washakie Hlth Ctr Pharmacy Blackcoal Dr Bldg 29 Fort Washakie, WY 82514 307-335-5982
This directory is a partial list of pharmacies available in the plan s pharmacy network. For more information, please call Customer Service at: Toll-Free 1-888-556-6648, TTY 711 8 a.m. to 8 p.m. local time, Monday through 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. Other pharmacies are available in our network. The pharmacy network may change at any time. You will receive notice when necessary. 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/coinsurance 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. UHEX16PD3724700_000 WY Last updated September 18, 2015