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2016 Pharmacy Directory (P1) NEW YORK

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2016 Pharmacy Directory (P1) NEW YORK Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Aetna Medicare SelectSM Plan (HMO) Aetna Medicare ValueSM Plan (HMO) Aetna Medicare Connect Plus (PPO) Aetna Medicare PremierSM Plan (PPO) Aetna Medicare StandardSM Plan (PPO) Aetna Medicare ValueSM Plan (PPO) Aetna MedicareSM Plan (HMO) Aetna MedicareSM Plan (PPO) 2016 Pharmacy Directory (P1) NEW YORK This Pharmacy Directory was updated on 6/29/2015. For more recent information or other questions, please contact us, Aetna Medicare, at 1-800-282-5366 or for TTY users, 711, 8 a.m. to 8 p.m., seven days a week, or visit http://www.aetnamedicare.com/findpharmacy2016. ᮏ⸩ᡣྡ㗴ᕬ⥂᪊ᖺ᭶᪥᭦᪂ࠋ ዴ㟂᭦ከ᭱᪂㈨イᡈ᭷඼௚␲ၥ㸪ㄳ᪊ẗ㐌ኳ㸪ẗኳୖ༗㯶⮳ୗ༗㯶᧕ᡴ 1-800-282-5366 㸦TTY ౑⏝⪅ㄳ᧕ᡴ711 㸧⫃⤡ᡃ಼㸪$HWQD0HGLFDUH㸹ᡈℚも http://www.aetnamedicare.com/findpharmacy2016ࠋ Y0001_1080_5387_FINAL_92 Accepted 7/2015 88.01.039-CH (6/15) NEW YORK_RX P1 Introduction This booklet provides a list of Aetna Medicare Plans network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Aetna Medicare formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Aetna Medicare. When it refers to “plan” or “our plan,” it means Aetna Medicare SelectSM Plan (HMO), Aetna Medicare ValueSM Plan (HMO), Aetna MedicareSM Plan (HMO), Aetna Medicare Connect Plus (PPO), Aetna Medicare PremierSM Plan (PPO), Aetna Medicare StandardSM Plan (PPO), Aetna Medicare ValueSM Plan (PPO) and Aetna MedicareSM Plan (PPO). 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 our plan 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 6/29/2015. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Our network has changed more than usual for 2016. An updated Pharmacy Directory is located on our website at http://www.aetnamedicare.com/findpharmacy2016. We strongly suggest that you review our current Pharmacy Directory to see if your pharmacy is still in our network. You may also call Member Services for updated provider information. You can go to all the pharmacies on this list, but your costs for some drugs may be lower at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with a Preferred Pharmacy to distinguish them from other pharmacies in our network that offer standard cost sharing. Cost sharing information can be found in the Summary of Benefits. You can get prescription drugs shipped to your home through our network mail order delivery service which is called Aetna Rx Home Delivery®. For more information, please contact us or see the mail order section of this pharmacy directory. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. To find a network pharmacy near your home, look under the pharmacy section of your choice (for example, “Home Infusion Pharmacies”). The state, county and city are listed alphabetically in each plan pharmacy section. Network pharmacies that support electronic prescribing are indicated with . I 前言 本手冊提供Aetna Medicare Plans網絡藥房的名單。如欲了解處方藥承保範圍的完整說明（包括如 何拿單配藥），請檢視保險理賠說明書以及Aetna Medicare處方集。 本份藥房名錄中的「我們」、「我們的」即意指Aetna Medicare。當提及「計劃」或「我們的計劃 」時，即意指 Aetna Medicare SelectSM Plan (HMO)、Aetna Medicare ValueSM Plan (HMO)、 Aetna MedicareSM Plan (HMO)、Aetna Medicare Connect Plus (PPO)、Aetna Medicare PremierSM Plan (PPO)、 Aetna Medicare StandardSM Plan (PPO)、Aetna Medicare ValueSM Plan (PPO)、 Aetna MedicareSM Plan (PPO)。 我們之所以稱本名錄中的藥房為我們的「網絡藥房」是因為我們已經安排讓這些藥房對計劃會員提 供處方藥。在多數的情況下，您的處方藥只有在網絡藥房配藥或透過我們郵購藥房服務時才可獲得 我們計劃承保。您在一家藥房配藥後無須繼續在同一家藥房配藥，您可換到我們網絡藥房中其他任 何的藥房。您的保險理賠說明書中將說明在什麼情況下我們接受非網絡藥房的處方藥配藥。 本名錄並沒有囊括所有的網絡藥房。藥房於名錄印行後仍然會在名單中有增減的情形。因此列名於 此的藥房可能已不再在我們的網絡中，或可能有尚未列名於此的新藥房已經在我們的網絡中。本名 單的截止日期為2015年6月29日。我們的聯絡資訊詳列於封面和封底的頁面上。 我們2016年的網絡有許多的變更。我們的網站中有更新的藥房名錄（網址 http://www.aetnamedicare.com/findpharmacy2016）。我們極力建議您查詢我們最新的藥房名錄 以瞭解您的藥房是否仍然在我們的網絡中。您也可致電會員服務（Member Services）查詢最新的 服務提供商資訊。 您可以在本名單中的所有藥房配藥，但是在本名單中提供首選費用分攤的藥房的某些藥物費用可能 較低。我們已經將這些藥房標示為首選藥房（ Preferred Pharmacy）以別於我們網絡中其他提供 標準費用分攤的藥房。福利摘要（Summary of Benefits）中可查詢到費用分攤的資訊。 您可以藉由我們的網絡郵購遞送服務讓處方藥配送到您的家中。這項服務稱為Aetna Rx Home Delivery®。如欲瞭解更多詳情，請聯絡我們，或請參閱本藥房名錄中關於郵購章節的部分。 如果您對於上述任何部分有疑問（包括您被迫在非網絡藥房配藥時如何申報費用的說明）請參閱本 名錄的封面和封底頁面中我們的聯絡資訊。 要尋找您住家附近的網絡藥房，請在您所選擇的藥房部分（例如，「家用輸液藥房」）下查閱。每 個計劃藥房章節部分中的州、縣、市皆以字母順序列出。支援電子處方的網絡藥房以 表示。 Y0001_1080_5387ch_FINAL_92 Accepted 7/2015 III Retail Pharmacies, including Chain Pharmacies NEW YORK PRICE CHOPPER PHARMACY✪ TTY 711 is available for all ..........................................................(518) 456-0742 pharmacies listed. 1706 Western Ave, Albany, NY 12203 PRICE CHOPPER PHARMACY✪ Retail Pharmacies, including Chain Pharmacies - If an alternate TTY number is ..........................................................(518) 456-9360 available it will be listed with the 1892 Central Ave, Albany, NY 12205 pharmacy. PRICE CHOPPER PHARMACY✪ ..........................................................(518) 915-7900 475 Albany Shaker Rd, Albany, NY 12211 NEW YORK RITE AID PHARMACY ..................(518) 458-8691 1225 Western Ave, Albany, NY 12203 RITE AID PHARMACY ..................(518) 434-6024 ALBANY 17 N Pearl St # 21, Albany, NY 12207 Albany RITE AID PHARMACY ..................(518) 456-5112 2025 Western Ave, Albany, NY 12203 D ADVANCED CARE PHARMACY RITE AID PHARMACY ..................(518) 465-6008 ...........................................................(518) 218-1772 310 S Pearl St, Albany, NY 12202 25 Walker Way Ste 3a, Albany, NY 12205 RITE AID PHARMACY ..................(518) 462-4233 ✪ D CARE RX PHARMACY .......(518) 512-4545 444 Broadway # A, Albany, NY 12204 265 Osborne Rd, Albany, NY 12211 RITE AID PHARMACY ..................(518) 458-1205 CVS PHARMACY ...........................(518) 489-8516 463 Albany Shaker Rd, Albany, NY 12211 1026 Madison Ave, Albany, NY 12208 RITE AID PHARMACY ..................(518) 453-0021 CVS PHARMACY ...........................(518) 459-0795 581 Central Ave, Albany, NY 12206 1170 Western Ave, Albany, NY 12203 RITE AID PHARMACY ..................(518) 438-3535 CVS PHARMACY ...........................(518) 482-8759 911 Central Ave, Albany, NY 12206 1475 Western Ave, Albany, NY 12203 SHOPRITE PHARMACY ...............(518) 713-4192 零售藥房，包括連鎖藥房 CVS PHARMACY ...........................(518) 463-1362 1730 Central Ave, Albany, NY 12205 153 Central Ave, Albany, NY 12206 SHOPRITE PHARMACY ...............(518) 292-1250 CVS PHARMACY ...........................(518) 434-0677 709 Central Ave, Albany, NY 12206 16 New Scotland Ave, Albany, NY 12208 ST PETER’S HOSPITAL O/P PHARMA co CVS PHARMACY .......................(518) 869-0657 ...........................................................(518) 525-1266 2040 Western Ave, Albany, NY 12203 315 S Manning Blvd, Albany, NY 12208 CVS PHARMACY ...........................(518) 463-2986 TOWN TOTAL HEALTH✪ D .....(518) 257-7294 415 Delaware Ave # 419, Albany, NY 12209 350 Northern Blvd, Loudon Plz, Albany, NY CVS PHARMACY ...........................(518) 482-4996 12204 613 New Scotland Ave, Albany, NY 12208 WALGREENS✪co ........................(518)456-1356 CVS PHARMACY ...........................(518) 459-4550 1850 Central Ave, Albany, NY 12205 885 Central Ave, Albany, NY 12206 WALGREENS✪ ............................(518)426-2976 HANNAFORD FOOD & DRUG D 41 Holland Ave., Albany, NY 12202 ...........................................................(518) 438-2152 WALMART PHARMACY✪ .......(518) 869-4697 900 Central Ave, Albany, NY 12206 141 Washington Avenue Ext, Albany, NY 12205 HOUSE CALLS PHARMACY✪ ..........................................................(518) 427-0102 Altamont 920 Lark Dr, Albany, NY 12207 HANNAFORD FOOD & DRUG... (518) 355-5977 NY ONCOLOGY HEMA PATIENT PRESCP 5239 Western Tpke, Altamont, NY 12009 CTR✪ D ....................................(518)489-0044 400 Patroon Creek Blvd Ste 1, Albany, NY Cohoes 12206 CVS PHARMACY ...........................(518) 235-7251 485 Columbia St, Cohoes, NY 12047 ✪ Preferred Pharmacy Electronic Prescribing co Open 24 hours Provides an extended day supply of medications D Provides home delivery. Charges or limitations may apply. Please call pharmacy for details. 1 NEW YORK Retail Pharmacies, including Chain Pharmacies HANNAFORD FOOD & DRUG ...(518) 782-1754 TTY 711 579 Troy Schenectady Rd, Latham, NY 12110 所有列出的藥房都提供 。 PRICE CHOPPER PHARMACY✪ 如果有備用的TTY號碼，該號碼 ..........................................................(518) 782-0227 873 New Loudon Rd, Latham, NY 12110 將與藥房列在一起。 RITE AID PHARMACY ..................(518)
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