icare Family Care Partnership (HMO SNP) Pharmacy Directory For more information, please contact us, icare Family Care Partnership Customer Service, at 1-800-777-4376 or, for TTY users, 1-800-947-3529, 8:00 am to 8:00 pm, 7 days-a-week, or visit www.icare-wi.org. This Pharmacy Directory was updated on October 15, 2014. icare Family Care Partnership is a Coordinated Care plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in the icare Family Care Partnership depends on contract renewal. This information is available for free in a different format, including large print and Braille. Please call Customer Service at the number listed above if you need plan information in another format or language. H2237_ IC1107 CMS Accepted 361
Introduction This booklet provides a list of icare Family Care Partnership 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 icare Family Care Partnership s formulary. When this pharmacy directory refers to we, us, or our, it means Independent Care Health Plan. When it refers to plan or our plan, it means icare Family Care Partnership. 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 icare Family Care Partnership 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 October 15, 2014. For the most current list, please contact us. Our contact information appears on the front and back cover pages. 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 us. icare Family Care Partnership s Network Pharmacies The network pharmacies in this directory are divided into three categories: Home Infusion Pharmacies Retail Pharmacies Long-Term Care Pharmacies: Residents of a long-term care facility may access their prescription drugs covered under icare Family Care Partnership through the facility s long-term care pharmacy or another network long-term care pharmacy. Mail Order Pharmacy You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program. Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill program, please contact us 7-10 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill program, please contact us by phone at 1-800-777-4376 or, for TTY users, 1-800-947-3529, TRS Relay number. Typically, you should expect to receive your prescription drugs from 3 to 5 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at 1-800-777-4376, TTY 1-800-947-3529, TRS Relay number, or US Med at 1-877-840-8217. Each pharmacy is listed by category in alphabetical order by city and pharmacy name. 362
For more information, please contact us, icare Family Care Partnership Customer Service, at 1-800-777-4376 or, for TTY users, 1-800-947-3529, 8:00 am to 8:00 pm, 7 days-a-week, or visit www.icare-wi.org. This Pharmacy Directory was updated on October 15, 2014. 363
HOME INFUSION PHARMACIES Milwaukee County VISITING NURSE ASSOCIATION OF WISCONSIN WALGREENS INFUSION AND RESPIRATORY SERVICES+ Waukesha County CORAM CVS/SPECIALTY INFUSION SERVICES 11333 WEST NATIONAL AVE (414) 328-4503 1435 N 113TH ST (414) 908-2525 5345 S MOORLAND RD STE 101 5665 SOUTH WESTRIDGE DRIVE STE 100 (262) 207-1590 (262) 786-9870 Kenosha County GOOD VALUE PHARMACY LTC+ Milwaukee County 9916 75TH ST STE 203 (262) 925-0201 YE OLDE PHARMACY+ SURETY PRO PHARMACY LLC+ 5320 N PORT WASHINGTON RD 9200 W LAYTON AVE GLENDALE (414) 963-0812 (414) 433-0188 BEHAVIORAL HEALTH PHARMACY+ FAMILY PHARMACY+ 9455 W WATERTOWN PLANK RD 3512 N OAKLAND AVE (414) 257-7179 (414) 332-9300 GENOA HEALTHCARE+ 10424 W BLUEMOUND RD STE B 229 E WISCONSIN AVE STE 601 REMOTE DISPENSING SITE 210 W CAPITOL DR 4545 N 92ND ST 5185 S NINTH ST 9041 W HEATHER AVE 1845 N FARWELL AVE STE 200 3734 W WISCONSIN AVE (414) 244-9844 (414) 892-7880 (414) 964-7425 (414) 464-3880 (414) 486-3100 (800) 477-7221 (414) 225-4478 (414) 344-6111 1441 N MAYFAIR RD STE 202 10233 W AVE 1040 S 70TH ST (414) 433-1700 (414) 727-5750 (414) 476-8602 517 WISCONSIN AVE (262) 632-8215 1701 SHARP RD WATERFORD (262) 534-8597 (414) 874-6200 HOME CARE MEDICAL INC LONG-TERM CARE PHARMACIES GENOA HEALTHCARE+ HCHM PHARMACY+ LUTHER MANOR PHARMACY+ OMNICARE OF + PHARMERICA+ PHOENIX PHARMACY INC+ WCS CLINIC PHCY+ ASSISTED LIVING PHARMACY SERVICE+ PRESCRIPTIONS PLUS TLS COMMUNITY PHARMACY+ Racine County LAKEVIEW LTC PHARMACY+ LAKEVIEW SPECIALTY HOSPITAL & REHAB Waukesha County PHARMACY+ 13950 W CAPITOL DRIVE LTC PHARMACY+ N85 W15882 APPLETON AVE 364 (262) 437-0031
LINDEN GROVE PHARMACY 13700 W NATIONAL AVE PRESCRIPTION CENTER PHARMACY+ 888 THACKERAY TRL STE 101 FHHP SUSSEX+ N65W24838 MAIN ST ALLIANCE PHARMACY SERVICES 407 PILOT CT STE 200 (262) 797-4610 SUSSEX (262) 567-7267 (262) 820-0200 (262) 513-3333 MAIL ORDER PHARMACY US MED INC*+ 1480 NW 79TH AVE (877) 840-8217 RETAIL PHARMACIES Kenosha County AURORA PRESCRIPTION DISPENSING CENTER*+ GOOD VALUE GOOD VALUE PHARMACY LARSENMAYER*+ GOOD VALUE PHARMACY LTC*+ GOOD VALUE PHARMACY MEDCARE WEST*+ KMART SHOPKO WALGREENS* 10400 75TH ST (262) 948-7040 7540 22ND AVENUE 2207 80TH STREET 3726 NORTH 22ND 3710 57TH AVE 3207 80TH ST STE 100 (262) 605-3674 (262) 658-3731 (262) 654-6545 (262) 652-1474 (262) 697-5744 3535 30TH AVE STE 103 9916 75TH ST STE 203 (262) 658-8124 (262) 925-0201 9916 75TH ST STE 103 4100 52ND ST 1901 63RD STREET 2811 18TH ST 5710 75TH STREET 5300 52ND ST 7525 SHERIDAN RD 3820 52ND STREET 3805 80TH STREET 7535 N GREEN BAY RD 5 SIXTH 1810 30TH AVE 3500 BRUMBACK BLVD (262) 925-0201 (262) 658-0902 (262) 653-1202 (262) 551-0367 (262) 697-5424 (262) 658-8137 (262) 652-2396 (262) 652-9662 (262) 694-0730 (262) 697-8683 (262) 654-8674 (262) 551-8812 (262) 652-1458 9777 76TH ST PLEASANT PRAIRIE (262) 842-1171 SAMS Milwaukee County WAL-MART PHARMACY* 7520 118TH AVE 25401 75TH ST 3300 BRUMBACK BLVD PLEASANT PRAIRIE SALEM SOMERS (262) 857-9195 (262) 843-8500 (262) 654-6854 9200 N GREENBAY ROAD 6020 W BROWN DEER RD 6300 W BROWN DEER RD BROWN DEER BROWN DEER BROWN DEER (414) 354-7213 (414) 365-3608 (414) 410-2551 365
3201 E LAYTON AVE CUDAHAY (414) 481-8200 AURORA ST LUKE'S SOUTH SHORE*+ KMART 5900 S LAKE DR 5740 S PACKARD AVE 6077 S PACKARD AVENUE 5851 S PACKARD AV 6241 S PACKARD AVE 8661 N PORT WASHINGTON CUDAHY CUDAHY CUDAHY CUDAHY CUDAHY FOX POINT (414) 489-4600 (414) 483-5667 (414) 769-0510 (414) 744-6058 (414) 762-9714 (414) 540-6836 SAMS 8615 N PORT WASHINGTON RD 9200 W LOOMIS RD 5220 WEST RAWSON AVE 7201 S 76TH STREET 6705 SOUTH 27TH ST 7800 S LOVERS LANE RD 7130 S 76TH STREET 9909 W LOOMIS RD 9527 S 27TH ST 6701 SOUTH 27TH STREET FOX POINT (414) 352-0500 (414) 529-9275 (414) 423-5257 (414) 427-8692 (414) 304-1255 (414) 448-4001 (414) 425-0411 (414) 427-7182 (414) 304-0599 (414) 761-9571 (414) 325-4740 GLENDALE (414) 540-1194 MEDPOINT PICK N SAVE*+ 10101 S 27TH ST ROOM 1005 6969 N PORT WASHINGTON RD SUITE B120 2501 W. SILVER SPRINGS RD SUITE 5 1735 W SILVERSPRINGS DR 5400 N PORT WASHINGTON GLENDALE GLENDALE GLENDALE (414) 461-6005 (414) 247-8581 (414) 967-0387 YE OLDE MEDPOINT SURETY PRO PHARMACY LLC*+ PICK N SAVE*+ 13TH STREET PHARMACY LLC*+ AMC 5320 N PORT WASHINGTON RD 6210 W LOOMIS 5301 S. 76TH ST 5233 S 27TH ST 4279 S 76TH ST 9200 W LAYTON AVE 4777 SOUTH 27TH STREET 4405 W LAYTON AVENUE 4688 S 108TH ST 4296 S 76TH ST 10600 W LAYTON AVE 5800 S 108TH ST 5860 S 108TH ST 1320 W BURNHAM ST 820 N PLANKINTON AVE GLENDALE GREENDALE GREENDALE HALES CORNERS HALES CORNERS (414) 963-0812 (414) 423-0986 (414) 978-9016 (414) 461-6005 (414) 541-3836 (414) 433-0188 (414) 282-0634 (414) 281-5467 (414) 427-1195 (414) 321-7600 (414) 529-4699 (414) 525-0763 (414) 529-3220 (414) 383-4111 (414) 223-6820 AURORA PHARMACY* 366
ASLMC ASLMC ASMC ASMC AURORA PHARMACY+ (414) 649-6738 (414) 649-6930 (414) 219-7963 (414) 219-3100 (414) 385-0244 (414) 219-7003 (414) 421-8401 (414) 385-7850 (414) 463-5600 (414) 541-2400 (414) 224-1555 3003 W GOOD HOPE RD STE 1129 AURORA PRESCRIPTION DISPENSING CENTER*+ 1055 N MAYFAIR RD STE 100 AURORA PRESCRIPTION DISPENSING CENTER*+ 180 W GRANGE AVE (414) 540-9236 BEHAVIORAL HEALTH PHARMACY+ COMMUNITY, A WALGREENS PHARMACY #15322+ FAMILY FROEDTERT EAST FROEDTERT EYE INSTITUTE PHARMACY* FROEDTERT HOSPITAL CANCER CENTER FROEDTERT WEST GENOA HEALTHCARE+ GENOA HEALTHCARE+ HAYAT 2801 W KK RIVER PARKWAY 2900 W OKLAHOMA AVE 1020 N 12TH ST 945 N 12TH ST 3355 W FOREST HOME AVE 950 N 12TH ST STE 125 6901 W EDGERTON AVE 2906 S 20TH ST 8428 W SILVER SPRINGS DR 2700 S 60TH ST 1575 N RIVERCENTER DR (414) 479-2500 (414) 744-4302 9455 W WATERTOWN PLANK RD (414) 257-7179 826 N PLANKINTON AVE STE 100 1316 W FOREST HOME AVE 1650 FARWELL 2607 N DOWNER AVE 3030 W VILLARD AVE 3860 S 27TH STREET 5929 WEST LISBON AVE 6330 NORTH 76TH ST 7550 W PERKINS PLACE 3512 N OAKLAND AVE 9200 W WISCONSIN AVE SUITE 100E (414) 278-7828 (414) 672-4554 (414) 277-5054 (414) 906-0942 (414) 536-3378 (414) 282-7557 (414) 442-9233 (414) 760-0347 (414) 466-4875 (414) 332-9300 (414) 805-6501 925 N 87TH ST (414) 955-3360 9200 W WISCONSIN AVE STE 200C 9200 W WISCONSIN AVE SUITE 200 W (414) 805-0977 10424 W BLUEMOUND RD STE B 229 E WISCONSIN AVE STE 601 REMOTE DISPENSING SITE 3727 W WISCONSIN AVE 367 (414) 805-5117 (414) 244-9844 (414) 892-7880 (414) 931-0000
HAYAT HAYAT HAYAT HAYAT PHARMACY* 1919 W NORTH AVE 8500 W CAPITOL DR 5928 W. VLIET ST. 5434 W CAPITOL DR (414) 374-0000 (414) 463-1111 (414) 454-0000 (414) 817-1111 HAYEKS SHOREWOOD 4001 N DOWNER AVE HCHM 210 W CAPITOL DR (414) 332-8870 (414) 964-7425 ISAAC COGGS HERITAGE HLTH CTR*+ LUTHER MANOR METRO MARKET MLK HERTIAGE CLINIC*+ OMNI PHARMACY* PHARMERICA*+ PHOENIX PHARMACY INC*+ PICK N SAVE*+ PICK N SAVE*+ SAMS SETON TOSA UNION SERV U VISITING NURSE ASSOCIATION OF WISCONSIN* WALGREENS* 8200 W SILVER SPRING 4545 N 92ND ST 1123 N VAN BUREN ST 2555 N MLK DRIVE 1134 W NORTH AVE 9041 W HEATHER AVE 1845 N FARWELL AVE STE 200 2355 N 35TH ST 1100 E GARFIELD 10202 W SILVER SPRING DR 1818 W NATIONAL AVE 250 W HOLT AVE 3701 S 27TH STREET 7401 W GOOD HOPE RD 8120 W BROWN DEER RD 7701 WEST CALUMET ROAD 2323 N LAKE DR 2950 SOUTH CHASE AVE 8501 WEST BROWN DEER RD 9235 W CAPITAL DR 709 W OKLAHOMA AVE (414) 760-3922 (414) 464-3880 (414) 347-9219 (414) 267-3702 (414) 431-6377 (800) 477-7221 (414) 225-4478 (414) 447-8117 (414) 374-8769 (414) 461-1428 (414) 672-8815 (414) 769-8990 (414) 281-3622 (414) 760-3273 (414) 357-6704 (414) 371-1580 (414) 291-1303 (414) 483-1190 (414) 355-3401 (414) 462-1700 (414) 481-8170 11333 WEST NATIONAL AVE 2830 N OAKLAND AVE 1433 W BURNHAM ST 275 W WISCONSIN AVE 2303 N MLKING DR 4520 WEST NORTH 1101 W MITCHELL 3109 KINNICKINNIC 1400 E BRADY 370 E CAPITOL DR 2727 W NORTH AVENUE 6292 SOUTH 27TH ST 5115 W CAPITOL DR (414) 328-4503 (414) 332-1901 (414) 672-3017 (414) 273-5420 (414) 263-1067 (414) 447-6630 (414) 383-6790 (414) 482-3135 (414) 272-7770 (414) 964-9831 (414) 933-9119 (414) 761-0909 (414) 444-2010 368
WCS CLINIC PHCY*+ WILKES VILLAGE WISCONSIN HEALTH FUND 4808 HOPKINS 7171 N TEUTONIA AVE 9100 WEST BELOIT 620 W OKLAHOMA AVE 8488 W BROWN DEER RD 3522 WEST WISCONSIN 5201 N 91ST ST 3333 S 27TH 9040 W GOOD HOPE RD 7600 W CAPITOL 2222 W CAPITOL 6707 W HAMPTON AVE 4730 S 27TH ST 6030 W OKLAHOMA ST 3701 S HOWELL AVE 1600 W WISCONSIN 6442 N 76TH ST 2410 W FOREST HOME AVE 2625 W NATIONAL AVE 401 EAST CAPITAL DRIVE 3355 SOUTH 27TH ST 10330 W SILVER SPRING DR 5825 WEST HOPE AVENUE 7025 W MAIN ST 3734 W WISCONSIN AVE (414) 462-4601 (414) 351-2530 (414) 328-1171 (414) 744-1151 (414) 355-9400 (414) 342-0151 (414) 527-2013 (414) 671-5061 (414) 358-1496 (414) 464-4600 (414) 871-1940 (414) 536-1053 (414) 817-8686 (414) 327-0550 (414) 482-1230 (414) 344-1834 (414) 353-4740 (414) 383-2738 (414) 383-4021 (414) 967-9360 (414) 383-1522 (414) 355-1838 (414) 445-3959 (414) 203-0683 (414) 344-6111 201 N MAYFAIR RD (414) 259-7440 2500 W LAYTON AVE STE 150 (414) 281-7500 3237 S 16TH ST ROOM 121 (414) 647-5300 5000 W CHAMBERS ST RM 1801 9000 W BURLEIGH ST (414) 447-2585 (414) 442-4400 6118 W BLUEMOUND RD 6462 S 27TH ST 8770 S HOWELL AVE 2320 W RYAN ROAD 8989 S HOWELL AVE 9449 S HOWELL AVE OAK CREEK OAK CREEK OAK CREEK OAK CREEK OAK CREEK (414) 771-5606 (414) 761-1550 (414) 762-6770 (414) 761-1692 (414) 216-0002 (414) 764-9293 THOMPSONS SERV U 1421 E CAPITOL DR SHOREWOOD (414) 962-9665 369
WALGREENS* 3970 N OAKLAND AVE 4035 N OAKLAND AVE (217) 709-2326 (414) 961-2001 222 N CHICAGO AVE 2000 E LAYTON AVE 4698 S WHITNALL AVE 220 EAST SUNSET DR SHOREWOOD SHOREWOOD SOUTH SOUTH SOUTH ST FRANCIS ST FRANCIS 2414 10TH AVE 2985 S CHICAGO AVE ASSISTED LIVING PHARMACY SERVICE*+ FROEDTERT HEALTH PLANK ROAD PHARMACY* KMART SKYWALK SWAN SERV U WALGREENS INFUSION AND RESPIRATORY SERVICES+ KMART PICK N SAVE*+ PRESCRIPTIONS PLUS* SAMS TLS COMMUNITY 1441 N MAYFAIR RD STE 202 1220 DEWEY AVE 7520 W BLUE MOUND RD (414) 433-1700 (414) 454-6796 (414) 771-9146 1155 N MAYFAIR ROAD 3201 N MAYFAIR ROAD 1717 N MAYFAIR RD 6950 W STATE STREET 9000 W WISCONSIN AVE 9130 W NORTH AVE 3900 N 124TH ST 6600 W STATE ST 2275 N MAYFAIR RD 10800 W CAPITOL 2656 AVENUE (414) 955-3990 (414) 475-1610 (414) 778-1884 (414) 475-1932 (414) 266-1893 (414) 258-9550 (414) 847-1101 (414) 476-5156 (414) 774-4823 (414) 466-1215 (414) 453-9610 1435 N 113TH ST 3850 N 124TH ST 2424 S 90TH ST 7220 W NATIONAL AVE 7552 W OKLAHOMA AVE 9220 W 6900 WEST AVE 11111 W 2625 S 108TH ST 6760 W NATIONAL AVE 10233 W AVE 1540 SOUTH 108TH STREET 2600 SOUTH 108TH STREET 1040 S 70TH ST 60TH AND (414) 908-2525 (414) 203-4367 (414) 546-9722 (414) 771-1350 (414) 321-8236 (414) 456-9119 (414) 476-0785 (414) 778-0262 (414) 328-4051 (414) 476-5111 (414) 727-5750 (414) 453-5039 (414) 545-0385 (414) 476-8602 (414) 258-1652 370 (414) 762-2610 (414) 762-9650 (414) 501-1122 (414) 483-3800 (414) 769-0660 (262) 574-0405
2677 S 108TH STREET 8333 W AVE 10725 W AVE (414) 545-9030 (414) 443-0380 (414) 258-8154 1501 MILLER PARK WAY WEST (414) 203-0107 4140 W AVE 240 E HAMPTON WEST WHITEFISH BAY (414) 978-2007 (414) 962-7071 DAN FITZGERALD PHARMACY INC*+ Racine County THE PHARMACY STATION*+ 424 E SILVER SPRING DR WHITEFISH BAY (414) 332-8380 250 MCHENRY ST 210 S PINE ST 1008 AVE 300 S PINE STREET 680 AVE 1901 AVENUE BURLINGTON BURLINGTON BURLINGTON BURLINGTON BURLINGTON BURLINGTON (262) 767-6004 (262) 763-7177 (262) 767-1446 (262) 763-8877 (262) 767-0697 (262) 767-1902 2820 S GREEN BAY RD MOUNT PLEASANT (262) 554-1116 KMART KMART LAKEVIEW LTC 5625 WASHINGTON AVE 8348 WASHINGTON AVE 3900 ERIE ST SUITE SUITE 100 1122 WEST BLVD 2211 S GREEN BAY ROAD 5141 DOUGLAS AVE 517 WISCONSIN AVE MOUNT PLEASANT (262) 886-2729 (262) 884-4030 (262) 639-1611 (262) 637-5603 (262) 638-0868 (262) 639-8947 (262) 632-8215 LAKEVIEW PHCY OF INC*+ NUTRITIONAL DESIGNS AND PHARMACY LLC*+ SHOPKO 516 MONUMENT SQ (262) 632-0520 5220 WASHINGTON AVE STE 101 2210 RAPIDS DR 4801 WASHINGTON AVE 4810 WASHINGTON AVE 819 N MEMORIAL 6125 DURAND AVE 5005 DOUGLAS AVE 3825 DURAND AVE 1920 DOUGLAS AVE 4901 SPRING ST (262) 632-6500 (262) 633-0543 (262) 637-8444 (262) 635-0180 (262) 637-3900 (262) 554-1283 (262) 639-9240 (262) 554-8687 (262) 633-4857 (262) 886-9635 1244 WISCONSIN AVE (262) 687-2150 371
AURORA PRESCRIPTION DISPENSING CENTER*+ LAKEVIEW SPECIALTY HOSPITAL & REHAB* THE PHARMACY STATION*+ Waukesha County JEROME DRUGS BIG BEND* AURORA PRESCRIPTION DISPENSING CENTER+ METRO MARKET AURORA SPECIALTY AURORA PRESCRIPTION DISPENSING CENTER*+ 3807 SPRING ST (262) 631-8430 3811 SPRING ST 3049 SOUTH OAKES ROAD 4310 67TH DR STURTEVANT UNION GROVE (262) 687-1600 (262) 598-8528 (262) 878-1171 818 FORREST LANE SUITE 101 WATERFORD (262) 514-8050 1701 SHARP RD 601 N ST 900 E MAIN ST WATERFORD WATERFORD WATERFORD (262) 534-8597 (262) 534-9222 (262) 514-4290 W230S8715 CLARK ST BIG BEND (262) 662-5622 17280 W NORTH AVE SUITE 103 13175 W BLUEMOUND RD NUMBER 1 (262) 786-8080 (262) 782-8125 16985 W BLUEMOUND RD STE 100 17165 BLUEMOUND RD. 17630 W BLUEMOUND RD 12735 W CAPITOL DR 17295 W CAPITOL DRIVE 15170 W AVE 12725 W BLUEMOUND RD 2205 N CALHOUN 15650 W AVE 15738 CAPITOL DRIVE (262) 641-7665 (262) 797-9074 (262) 784-2490 (262) 783-7302 (262) 373-1080 (262) 782-2787 (262) 395-1626 (262) 782-3132 (262) 786-3606 (262) 781-6920 13950 W CAPITOL DRIVE 19333 W NORTH AVENUE SUITE 390 (414) 874-6200 (262) 780-4430 12601 W HAMPTON AVE STE 100 2553 SUN VALLEY DR 2901 GOLF RD 2863 HERITAGE DRIVE 15350 W BLUEMOUND 109 E CAPITAL DR BUTLER DELAFIELD DELAFIELD DELAFIELD ELM GROVE HARTLAND (262) 781-0148 (262) 646-3637 (262) 646-9092 (262) 646-3535 (262) 789-6816 (262) 367-3141 600 WALNUT RIDGE DR 423 MERTON AVE HARTLAND HARTLAND (262) 369-7080 (262) 367-4625 372
CARECENTER PHARMACY LLC*+ N84 W16 889 AVE STE 1408 W 165 N 5595 CREEKWOOD CROSSING COMMUNITY MEMORIAL HOSPITAL OUTPATIENT W180 N8085 TOWN HALL RD N83 W15550 APPLETON AVE LTC N85 W15882 APPLETON AVE FROEDTERT HEALTH CLINIC W180N8000 TOWN HALL RD N95 W18351 COUNTY LINE RD N95 WEST17707 SHADY LN N83 W15701 APPLETON AV N56 W15501 SILVER SPRING DR N88W15559 MAIN ST MILLER PHARMACY INC*+ AURORA PRESCRIPTION DISPENSING CENTER+ N77W14435 APPLETON AVE 801 N ROCHESTER ST 1010 N ROCHESTER STREET 212 N ROCHESTER ST 250 EAST WOLF RUN S68W15500 JANESVILLE RD STE 100 S 75 W 17301 JANESVILLE ROAD PO BOX 26 S 70 W 15775 JANESVILLE RD S79 W 18885 JANESVILLE RD W159S6530 MOORLAND ROAD 14555 W NATIONAL AVE SUITE 100 JEROME DRUGS MUSKEGO* CORAM CVS/SPECIALTY INFUSION SERVICES HOME CARE MEDICAL INC* 5345 S MOORLAND RD STE 101 5665 SOUTH WESTRIDGE DRIVE STE 100 373 MENOMORRE MUKWONAGO MUKWONAGO MUKWONAGO MUKWONAGO (262) 251-8500 (262) 703-3386 (262) 257-3073 (262) 253-5056 (262) 437-0031 (262) 532-3050 (262) 253-4705 (262) 415-0005 (262) 251-9400 (262) 703-4439 (262) 509-5708 (262) 255-8673 (262) 363-4001 (262) 363-1680 (262) 363-3562 (262) 363-8366 MUSKEGO (414) 422-4257 MUSKEGO MUSKEGO MUSKEGO MUSKEGO (262) 679-1800 (414) 422-1359 (262) 679-5843 (414) 209-0324 (262) 827-9062 (262) 207-1590 (262) 786-9870
IV COMPOUND CENTER OF WISCONSIN LLC* LINDEN GROVE PHARMACY* PHARMACY INC.*+ PICK N SAVE*+ PRN RX*+ 5478 S WESTRIDGE DR 13700 W NATIONAL AVE 14105 W AVE 13995 W NATIONAL AVE 15445 W NATIONAL AVE 5478 S WESTRIDGE DR STE B (262) 641-2850 (262) 797-4610 (262) 782-0460 (262) 827-0201 (262) 938-0133 (262) 784-9600 THRIFTY WHITE PHARMACY+ 4798 SOUTH MOORLAND ROAD 2720 S 163RD ST 3855 S MOORLAND RD (262) 207-0021 (262) 780-1910 (262) 784-4990 KMART 15333 WEST NATIONAL AVENUE 1284 SUMMIT AVE STE 100 1450 SUMMIT AVENUE 1300 PABST FARMS CIRCLE (262) 796-2734 (262) 569-8204 (262) 567-9254 (262) 200-7000 PRESCRIPTION CENTER PROHEALTH CARE TOBINS 888 THACKERAY TRL STE 101 791 SUMMIT AVE 1260 A BROWN STREET 1021 SUMMIT AVENUE (262) 567-7267 (262) 569-0284 (262) 567-6651 (262) 567-9171 COSTCO AURORA PHARMACY+ FHHP SUSSEX*+ SHOPKO ALLIANCE PHARMACY SERVICES* AURORA PRESCRIPTION DISPENSING CENTER*+ MEDICAL CENTER MORELAND PLAZA 36903 E WISCONSIN AVENUE 443 PEWAUKEE ROAD 2135 SILVERNAIL RD 2160 SILVERNAIL RD 1441 CAPITOL DR 411 PEWAUKEE ROAD 36500 AURORA DR STE 100 N65W24838 MAIN ST N66W25201 CTH V V N65 W 25055 MAIN ST 405 N WALES RD 320 W SUMMIT AVE 407 PILOT CT STE 200 LAKE PEWAUKEE PEWAUKEE PEWAUKEE PEWAUKEE PEWAUKEE SUMMIT SUSSEX SUSSEX SUSSEX WALES WALES W231 N1440 CORPORATE CT 1130 W. SUNSET DR 1111 DELAFIELD ST SUITE 109 827 W MORELAND BLVD 1220 W SUNSET DR 1535 E MORELAND BLVD (262) 896-6040 (262) 446-5169 (262) 544-5303 (262) 542-4488 (262) 446-6924 (262) 896-6767 374 (262) 567-7938 (262) 956-6701 (262) 513-9221 (262) 547-6343 (262) 695-3079 (262) 695-2878 (262) 434-7700 (262) 820-0200 (262) 820-2611 (262) 820-0591 (262) 968-9570 (262) 968-6900 (262) 513-3333
PROHEALTH CARE PHARMACYSTONERIDGE*+ SAMS VALUCARE N14W23900 STONE RIDGE DR 600 NORTH SPRINGDALE ROAD 1250 W SUNSET DR 2401 KOSSOW ROAD 501 S GRAND AVE 21325 E MORELAND BLVD 221 EAST SUNSET DRIVE 601 MEADOWBROOK RD 230 MADISON ST 2700 GRANDVIEW BLVD 2000 S WEST AVE S14W22605 CORAL DRIVE 725 AMERICAN AVE 375 (262) 574-7869 (262) 798-1580 (262) 832-1273 (262) 784-8417 (262) 544-6622 (262) 798-0140 (262) 542-3030 (262) 549-1848 (262) 542-9933 (262) 542-1778 (262) 521-9204 (262) 225-6318 (262) 928-2297
1555 N. RiverCenter Drive, Suite 206 Milwaukee, WI 53212 1-800-777-4376 TTY: 1-800-947-3529 Fax: 414-231-1092 www.icare-wi.org 2015 Independent Care Health Plan