2020 Pharmacy Directory

2020 Part D Model Pharmacy Directory

KeyCare Advantage (HMO I-SNP)

This pharmacy directory was updated on 2/17/2020. For more recent information or other questions, please contact KeyCare Advantage (HMO I-SNP) Member Services at (844) 206-1205 or, for TTY users, 711, Hours of Operation: 8a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through March 31 and Monday to Friday (except holidays) from April 1 through September 30, or visit KeyCareAdvantage.com.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at KeyCareAdvantage.com. You may also call Member Services for updated provider.

May 2019 1 H6959_2020PharmDirec_C 2020 Part D Model Pharmacy Directory Introduction This booklet provides a list of KeyCare Advantage (HMO I-SNP)’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 KeyCare Advantage NP)(HMO I-S ’s 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 KeyCare Advantage (HMO I-SNP) 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 meansp the harmacies 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 2/17/2020. 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.

May 2019 2 H6959_2020PharmDirec_C Retail Pharmacies, COSTCO PHARMACY #208 * CVS PHARMACY #07656 * including Chain Pharmacies 9919 Pulaski Hwy 3915 Hollins Ferry Rd Baltimore, MD 21220 Baltimore, MD 21227 MARYLAND (410) 780-4159 (410) 242-1441 Baltimore Arbutus CVS PHARMACY #02045 * CVS PHARMACY #48271 * WALGREENS #18015 * 9305 Harford Rd 711 Maiden Choice Ln 4733 Westland Boulevard Baltimore, MD 21234 Baltimore, MD 21228 Arbutus, MD 21227 (410) 668-8501 (410) 737-8820 (410) 247-2614 CVS PHARMACY #02160 * DRUG CITY PHARMACY * WALMART PHARMACY 9519 Philadelphia Rd 2805 North Point Road 10-3720 * Baltimore, MD 21237 Baltimore, MD 21222 3601 Washington Blvd (410) 238-1071 (410) 284-2424 Arbutus, MD 21227 (410) 737-7712 CVS PHARMACY #02455 * DUNDALK PHARMACY * 2 Compass Rd 40 South Dundalk Avenue Balitmore Baltimore, MD 21220 Baltimore, MD 21222 WOODMOOR PHARMACY * (410) 238-3522 (410) 282-8388 7027 Liberty Road Balitmore, MD 21207 CVS PHARMACY #04079 * FREEDOM DRUGS * (410) 448-4200 5603 Baltimore National Pike 7568 North Point Rd Baltimore, MD 21228 Baltimore, MD 21219 Baltimore (410) 744-1422 (410) 477-5130 AUSTIN PHARMACY * 6729 York Road CVS PHARMACY #04212 * FULLER MEDICAL CENTER Baltimore, MD 21212 9613 Harford Rd PHARMACY * (410) 377-5300 Baltimore, MD 21234 6918 Ridge Rd (410) 665-9514 Baltimore, MD 21237 BALTIMORE HIGHLANDS (410) 574-1440 PHARMACY * CVS PHARMACY #04302 * 4109 Annapolis Road 8302 Liberty Rd GIANT PHARMACY * Baltimore, MD 21227 Baltimore, MD 21244 3602 Milford Mill Road (410) 636-1035 (410) 655-9890 Baltimore, MD 21244 (410) 922-2400 CAREMAX PHARMACY * CVS PHARMACY #04429 * 5411 Old Frederick Rd Ste 12 7845 Wise Ave GIANT PHARMACY * Baltimore, MD 21229 Baltimore, MD 21222 4622 Wilkens Avenue (443) 251-2718 (410) 285-1401 Baltimore, MD 21229 (410) 247-5802 CATONSVILLE PHARMACY CVS PHARMACY #04602 * LLC * 900 Edmondson Ave GIANT PHARMACY * 6350 Frederick Rd Baltimore, MD 21228 622325 Baltimore National Pike Baltimore, MD 21228 (410) 719-6688 Baltimore, MD 21228 (410) 744-5959 (410) 788-6220

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 1 GIANT PHARMACY * MEDSTAR PHARMACY STORE RITE AID PHARMACY 02214 * 6340 York Road # 12 * 2855 Smith Avenue Baltimore, MD 21212 9000 Franklin Sq Dr Baltimore, MD 21209 (410) 377-4400 Baltimore, MD 21237 (410) 484-3200 (443) 777-7400 GIANT PHARMACY * RUXTON PHARMACY * 792030 Belair Road MERRITT STAR PHARMACY * 7621 Bellona Avenue Baltimore, MD 21236 1576 Merritt Blvd Ste 12 Baltimore, MD 21204 (410) 882-6220 Baltimore, MD 21222 (410) 823-1453 (410) 284-7979 GIANT PHARMACY * SAMS PHARMACY 10-6650 * 7944 Honeygo Boulevard NORTHERN PHARMACY AT 6410 Petrie Way Baltimore, MD 21236 OVERLEA * Baltimore, MD 21237 (410) 931-7533 7618 Belair Rd (410) 686-7649 Baltimore, MD 21236 GIANT PHARMACY * (410) 661-1655 UNIVERISTY OF MARYLAND 8100 Loch Raven Boulevard REHABILITATION AND Baltimore, MD 21286 PROFESSIONAL PHARMACY * ORTHOPAEDIC INST * (410) 821-6611 9106 Philadelphia Rd 2200 Kernan Dr Baltimore, MD 21237 Baltimore, MD 21207 GIANT PHARMACY * (410) 687-8113 (410) 448-6337 8665 Philadelphia Road Baltimore, MD 21237 RITE AID PHARMACY 00374 * WALGREENS #10076 * (410) 574-4766 5624 Baltimore National Park 2560 Quarry Lake Dr Baltimore, MD 21228 Baltimore, MD 21209 HARFORD ROAD (410) 719-7608 (410) 486-4966 PHARMACY * 9501 Harford Rd RITE AID PHARMACY 00383 * WALGREENS #16186 * Baltimore, MD 21234 4339 Ebenezer Road 6565 N Charles St (410) 882-4012 Baltimore, MD 21236 Baltimore, MD 21204 (410) 529-6171 (410) 296-2037 JOPPA ROAD PHARMACY * 1907a E Joppa Rd RITE AID PHARMACY 02210 * WALGREENS #17300 * Baltimore, MD 21234 1400 Sulphur Spring Road 29 Shipping Pl # 31 (410) 665-5050 Baltimore, MD 21227 Baltimore, MD 21222 (410) 737-9221 (410) 282-0020 KAYES AID PHARMACY * 6913 Belair Road RITE AID PHARMACY 02212 * WALGREENS #17587 * Baltimore, MD 21206 6402 Golden Ring Road 6838 Loch Raven Boulevard (410) 665-5192 Baltimore, MD 21237 Baltimore, MD 21286 (410) 866-2500 (410) 825-8900 LIFEWAY PHARMACY * 1107 North Point Blvd Ste 225 Baltimore, MD 21224 (443) 530-3731

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 2 WALGREENS #19086 * WALMART PHARMACY WALGREENS #12790 * 7535 Holabird Avenue 10-3481 * 6323 Baltimore National Pike Baltimore, MD 21222 112 Carroll Island Road Catonsville, MD 21228 (410) 282-4020 Baltimore, MD 21220 (410) 744-0306 (410) 335-1135 WALGREENS #19115 * WALGREENS #18082 * 140 Back River Neck Rd WALMART PHARMACY 6401 Frederick Road Baltimore, MD 21221 10-3489 * Catonsville, MD 21228 (410) 238-0511 6420 Petrie Way (410) 719-7005 Baltimore, MD 21237 WALGREENS #19149 * (410) 687-6832 WALGREENS #7574 * 6 Carroll Island Road 5657 Baltimore National Pike Baltimore, MD 21220 WEIS PHARMACY * Catonsville, MD 21228 (410) 335-2323 4126 Joppa Rd (410) 788-1207 Baltimore, MD 21236 WALGREENS #19374 * (410) 529-3045 WALMART PHARMACY 6622 Security Blvd # 24 10-2248 * Baltimore, MD 21207 WYE OAK PHARMACY * 6205 Baltimore National Pike (410) 944-6611 1935 Lansdowne Rd Catonsville, MD 21228 Baltimore, MD 21227 (410) 719-0042 WALGREENS #5331 * (410) 536-0555 8050 Liberty Road Cockeysville Baltimore, MD 21244 Catonsville AUSTIN PHARMACY & (410) 496-2117 AME PHARMACY, LLC * MEDICAL SUPPLIES * 731 Frederick Rd 10757 York Rd WALGREENS #5587 * Catonsville, MD 21228 Cockeysville, MD 21030 9621 Belair Rd (410) 719-2020 (410) 773-0300 Baltimore, MD 21236 (410) 529-2864 NATURECARE PHARMACY * CVS PHARMACY #16612 * 6483 Baltimore National Pike 9901 York Rd WALGREENS #5686 * Catonsville, MD 21228 Cockeysville, MD 21030 401 Compass Rd E (410) 869-9833 (410) 683-6517 Baltimore, MD 21220 (410) 780-4770 REHYA PHARMACY * GIANT PHARMACY * 405 Frederick Road Suite 1 11399 York Road WALGREENS #6320 * Catonsville, MD 21228 Cockeysville, MD 21030 2204 N Rolling Rd (410) 869-0099 (410) 785-1065 Baltimore, MD 21244 (410) 265-8593 SAMS PHARMACY 10-6651 * WALGREENS #15130 * 5702 Baltimore National Pike 10410 York Rd WALGREENS #6779 * Catonsville, MD 21228 Cockeysville, MD 21030 9616 Harford Rd (410) 744-3154 (410) 628-8390 Baltimore, MD 21234 (410) 663-7957

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 3 WALMART PHARMACY RIVERVIEW PHARMACY & WALGREENS #12847 * 10-2577 * SURGICALS LLC * 1801 York Rd 1 Frankel Way 408-410 Eastern Blvd Lutherville, MD 21093 Cockeysville, MD 21030 Essex, MD 21221 (443) 470-4050 (410) 628-6168 (443) 231-5177 Middle River Dundalk WALGREENS #2446 * CVS PHARMACY #17086 * DRUGS CURE PHARMACY & 6 S Marilyn Ave 1330 Martin Blvd SURGICALS * Essex, MD 21221 Middle River, MD 21220 209 Wise Ave (410) 918-0790 (410) 406-9082 Dundalk, MD 21222 (443) 219-6831 Hunt Valley Nottingham WEGMANS FOOD MARKETS, CVS PHARMACY #04274 * GIANT PHARMACY * INC. * 4140 E Joppa Rd 1400 Merritt Boulevard 122 Shawan Rd Nottingham, MD 21236 Dundalk, MD 21222 Hunt Valley, MD 21030 (410) 529-0450 (410) 631-1280 (410) 773-3945 CVS PHARMACY #16390 * MINGOCARE PHARMACY * Lutherville 5230 Campbell Blvd 7444 Holabird Ave Ste 2 GIANT PHARMACY * Nottingham, MD 21236 Dundalk, MD 21222 2145 York Road (410) 933-9680 (443) 410-4444 Lutherville, MD 21093 (410) 252-4217 GIANT PHARMACY * WALMART PHARMACY 8905 Belair Rd 10-2435 * HARVARD DISCOUNT Nottingham, MD 21236 2399 N Point Blvd PHARMACY * (410) 256-9870 Dundalk, MD 21222 1813 A York Rd (410) 284-0126 Lutherville, MD 21093 WALGREENS #13840 * (410) 560-6906 8650 Belair Rd Essex Nottingham, MD 21236 CVS PHARMACY #02865 * JOHNS HOPKINS OUTPATIENT (410) 256-1437 500 Eastern Blvd PHARMACY AT GREEN Essex, MD 21221 SPRING STATION * WALMART PHARMACY (410) 238-2607 10755 Falls Rd 10-2045 * Lutherville, MD 21093 8118 Perry Hills Road ESSEX (410) 583-2600 Nottingham, MD 21236 PHARMACY&SURGICALS * (410) 882-9943 1550 Country Ridge Ln LUTHERVILLE PHARMACY * Essex, MD 21221 1776 York Rd WEIS PHARMACY #206 * (410) 686-0373 Lutherville, MD 21093 7927 Belair Rd Ste S (410) 252-5247 Nottingham, MD 21236 (410) 661-0062

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 4 WHITE MARSH PHARMACY * RITE AID PHARMACY 03871 * SHOPRITE OF PERRING 4924 Campbell Blvd 9300 Lakeside Boulevard PARKWAY PHARMACY #567 * Nottingham, MD 21236 Owings Mills, MD 21117 2401 Cleanleigh Dr (443) 384-2500 (410) 363-8066 Parkville, MD 21234 (410) 668-0980 Owings Mill WALMART PHARMACY SAFEWAY PHARMACY #1657 * 10-2290 * Perry Hall 10335 Reisterstown Rd 9750 Reistertown Road A CVS PHARMACY #06858 * Owings Mill, MD 21117 Owings Mills, MD 21117 9820 Belair Road (410) 998-3823 (443) 394-0987 Perry Hall, MD 21128 (410) 529-1460 Owings Mills WEGMANS FOOD MARKETS, CHOICE PHARMACY * INC. * SAFEWAY PHARMACY #1758 * 10309 Grand Central Ave Ste 10100 Reisterstown Rd 9645 Belair Rd 110 Owings Mills, MD 21117 Perry Hall, MD 21128 Owings Mills, MD 21117 (443) 471-2345 (410) 256-6423 (410) 505-9500 Parkton WEIS PHARMACY * CHOICE PHARMACY * HEREFORD PHARMACY AND 9400 Scott Moore Way 9151 Reisterstown Rd GIFT SHOP * Perry Hall, MD 21128 Owings Mills, MD 21117 216 Mt Carmel Road (410) 529-3980 (410) 363-8222 Parkton, MD 21120 (410) 329-6209 Phoenix COSTCO PHARMACY #1326 * KLEIN'S SHOPRITE 10270 Mill Run Cir MT CARMEL PHARMACY * PHARMACY #563 * Owings Mills, MD 21117 111 Mount Carmel Rd 14330 Jarrettsville Pike (443) 501-7053 Parkton, MD 21120 Phoenix, MD 21131 (410) 343-0110 (410) 666-1700 CVS PHARMACY # 10892 * 10201 Reisterstown Rd Parkville PAPER MILL PHARMACY AND Owings Mills, MD 21117 CVS PHARMACY #48273 * GIFT SHOP * (410) 581-4922 8800 Walther Blvd 3320 Paper Mill Road Parkville, MD 21234 Phoenix, MD 21131 CVS PHARMACY #16430 * (410) 882-3238 (410) 667-4600 11200 Reisterstown Rd Owings Mills, MD 21117 PARKVILLE PHARMACY * WALGREENS #19043 * (410) 654-9877 8118 Harford Rd 3463 Sweet Air Road Parkville, MD 21234 Phoenix, MD 21131 GIANT PHARMACY * (443) 290-4867 (410) 666-8220 10210 Mill Run Circle Owings Mills, MD 21117 SAFEWAY PHARMACY #1880 * Pikesville (410) 413-2965 8858 Waltham Woods Rd BETTER CARE PHARMACY * Parkville, MD 21234 1777 Reisterstown Rd (410) 882-8825 Pikesville, MD 21208 (410) 484-0422

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 5 CVS PHARMACY #16870 * Randallstown NATURECARE PHARMACY * 1737 Reisterstown Rd CHASE BREXTON - 40 Main Street Pikesville, MD 21208 RANDALLSTOWN * Reisterstown, MD 21136 (410) 486-4190 3510 Brenbrook Dr (410) 833-9844 Randallstown, MD 21133 GIANT PHARMACY * (443) 837-2050 WALGREENS #16196 * 3757 Old Court Rd 750 Main St Pikesville, MD 21208 OUR LIBERTY PHARMACY * Reisterstown, MD 21136 (410) 602-7661 8511 Liberty Rd Ste Ca (410) 526-2960 Randallstown, MD 21133 HEALTH RITE PHARMACY & (443) 657-7122 WALGREENS #19129 * MEDICAL SUPPLY * 11917 Reisterstown Rd #19 1116 Reisterstown Rd RITE AID PHARMACY 00390 * Reisterstown, MD 21136 Pikesville, MD 21208 8634 Liberty Road (410) 833-0183 (410) 653-6061 Randallstown, MD 21133 (410) 655-2159 WEIS PHARMACY #295 * RITE AID PHARMACY 04686 * 10 Village Center Road 101 Reisterstown Road THE LIFEBRIDGE PHARMACY Reisterstown, MD 21136 Pikesville, MD 21208 AT NORTHWEST HOSPITAL * (410) 933-0027 (410) 486-8600 5401 Old Court Rd Randallstown, MD 21133 Rosedale SINU RX PHARMACY * (410) 701-4455 MEDSTAR PHARMACY 211 Reisterstown Road (STORE # 2) * Pikesville, MD 21208 WALGREENS #6265 * 9103 Franklin Square Dr (410) 486-7458 9110 Liberty Road Rosedale, MD 21237 Randallstown, MD 21133 (443) 777-6201 WALGREENS #12560 * (410) 496-8146 1510 Reisterstown Rd WALGREENS #6396 * Pikesville, MD 21208 WALMART PHARMACY 8606 Philadelphia Rd (410) 484-0196 10-3804 * Rosedale, MD 21237 8730 Liberty Rd (410) 238-7705 WALGREENS #16192 * Randallstown, MD 21133 1838 Greene Tree Rd (443) 576-3155 Timonium Pikesville, MD 21208 LYKOS PHARMACY * (410) 486-8106 Reisterstown 2101 York Road At Timoni CVS PHARMACY #04030 * Timonium, MD 21093 WELLCARE PHARMACY * 11623 Reisterstown Rd (410) 252-4225 4000 Old Court Rd Ste 101 Reisterstown, MD 21136 Pikesville, MD 21208 (410) 526-3509 SAMS PHARMACY 10-6239 * (410) 484-2105 15 Texas Station Ct GIANT PHARMACY * Timonium, MD 21093 11604 Reistertown Rd (410) 628-7264 Reisterstown, MD 21136 (410) 526-1661

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 6 SHOPRITE PHARMACY OF OSLER MEDICAL WEIS PHARMACY * TIMONIUM * PHARMACY * 7005 Security Blvd 37 W Aylesbury Ave 7600 Osler Dr Windsor Mill, MD 21244 Timonium, MD 21093 Towson, MD 21204 (410) 298-4759 (410) 308-8702 (410) 821-0110 Baltimore City WALGREENS #17836 * SAFEWAY PHARMACY #2979 * Baltimore 12224 Tullamore Road 1017 York Rd ABH PHARMACY AND Timonium, MD 21093 Towson, MD 21204 MEDICAL SUPPLIES INC * (410) 683-0031 (410) 296-4491 219 Collins Avenue Baltimore, MD 21229 WALGREENS #19212 * ST JOSEPH MEDICAL (410) 644-4002 23 West Timonium Road CENTER PHARMACY * Timonium, MD 21093 7505 Osler Dr Ste 102 ABSOLUTECARE OF (410) 252-5691 Towson, MD 21204 BALTIMORE PHARMACY, (443) 279-1998 LLC * Towson 1040 Park Avenue CVS PHARMACY #02216 * TOWSON PHARMACY * Baltimore, MD 21201 1001 York Rd 32 West Rd (443) 738-0240 Towson, MD 21204 Towson, MD 21204 (410) 823-3900 (410) 823-1818 ALPHA PHARMACY * 3061 Frederick Ave Ste C CVS PHARMACY #04129 * WALGREENS #13606 * Baltimore, MD 21223 1000 Taylor Ave 939 York Rd (443) 453-9383 Towson, MD 21286 Towson, MD 21204 (410) 828-0708 (410) 823-8790 BALTIMORE MEDICAL SYSTEM INC PHARMACY * CVS PHARMACY #11042 * WALMART PHARMACY 2323 Orleans St 401 York Rd 10-5344 * Baltimore, MD 21224 Towson, MD 21204 1238 Putty Hill Ave Ste 5 (443) 703-3687 (410) 339-4699 Towson, MD 21286 (410) 494-4619 BALTIMORE MEDICAL CVS PHARMACY #16506 * SYSTEM INC PHARMACY * 1238 Putty Hill Ave WEIS PHARMACY * 3120 Erdman Ave Towson, MD 21286 1238 Putty Hill Ave Baltimore, MD 21213 (410) 823-4543 Towson, MD 21286 (443) 703-3683 (410) 339-5703 DULANEY VALLEY HEALTH BALTIMORE MEDICAL MART PHARMACY * Windsor Mill SYSTEM INC PHARMACY * 716 Dulaney Valley Rd ROLLING ROAD PHARMACY * 3700 Fleet St. Towson, MD 21204 7001 Johnnycake Rd Ste 100 Baltimore, MD 21224 (410) 296-4900 Windsor Mill, MD 21244 (443) 703-3680 (410) 788-8149

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 7 BALTIMORE MEDICAL CAREMAX PHARMACY 2 * CONNET PHARMACY, LLC * SYSTEMS, INC. PHARMACY 1251 W Pratt St Ste D 510 S Broadway AT ST. AGNES * Baltimore, MD 21223 Baltimore, MD 21231 900 S Caton Ave (667) 930-3175 (410) 522-0009 Baltimore, MD 21229 (443) 703-3185 CENTRAL AVENUE CVS PHARMACY #00540 * PHARMACY * 400 E Pratt St BAYVIEW PHARMACY * 1235 E Monument St Baltimore, MD 21202 6510 Odonnell St Baltimore, MD 21202 (410) 685-4843 Baltimore, MD 21224 (410) 276-3530 (410) 633-5050 CVS PHARMACY #02034 * CHARLESMEAD PHARMACY * 5200 York Rd BELAIR PHARMACY * 6242 Bellona Ave Baltimore, MD 21212 5309 Belair Rd Baltimore, MD 21212 (410) 433-7711 Baltimore, MD 21206 (410) 435-0210 (410) 601-3136 CVS PHARMACY #02066 * CHASE BREXTON * 4625 Falls Rd BELVEDERE PHARMACY * 1111 N Charles St Baltimore, MD 21209 5845 York Rd Baltimore, MD 21201 (410) 662-1670 Baltimore, MD 21212 (410) 837-2050 (410) 323-1515 CVS PHARMACY #02334 * CITICARE PHARMACY * 2504 N Charles St BELVEDERE PHARMACY 3403 Greenmount Ave Baltimore, MD 21218 LLC * Baltimore, MD 21218 (410) 662-7584 3716 And One Half W Belverede (410) 261-5551 Ave CVS PHARMACY #02522 * Baltimore, MD 21215 COMFORT PHARMACY INC. * 3300 Belair Rd (410) 367-5628 3240 Belair Road Baltimore, MD 21213 Baltimore, MD 21213 (410) 522-3843 CAMPUS PHARMACY * (410) 342-0616 200 West Cold Spring Lane CVS PHARMACY #03366 * Baltimore, MD 21210 COMMUNITY, A WALGREENS 6910 Harford Rd (410) 433-9434 PHARMACY #15308 * Baltimore, MD 21234 6 North Howard Street (410) 426-4701 CARE ONE PHARMACY * Baltimore, MD 21201 2277 Reisterstown Rd (410) 951-5940 CVS PHARMACY #03974 * Baltimore, MD 21217 5407 17 Harford Rd (410) 523-7500 COMMUNITY, A WALGREENS Baltimore, MD 21214 PHARMACY #21166 * (410) 426-9855 CARE RXPHARMACY * 1114 Cathedral St Ste 3 2300 Garrison Blvd Ste 200 Baltimore, MD 21201 CVS PHARMACY #03976 * Baltimore, MD 21216 (410) 454-9859 2509 2523 Pennsylvania Ave (410) 233-7000 Baltimore, MD 21217 (410) 225-2091

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 8 CVS PHARMACY #04107 * CVS PHARMACY #17663 * FRANKLIN CARE 6828 Reisterstown Rd 3559 Boston St PHARMACY * Baltimore, MD 21215 Baltimore, MD 21224 520n N Franklintown Rd (410) 764-3445 (410) 246-8515 Baltimore, MD 21223 (410) 342-0617 CVS PHARMACY #04411 * EASTERN AVENUE 5501 Park Heights Ave PHARMACY AND MEDICAL GIANT PHARMACY * Baltimore, MD 21215 EQUIPMENT LLC * 4624 Edmonson Avenue (410) 367-7802 5901 Eastern Ave Ste D Baltimore, MD 21229 Baltimore, MD 21224 (410) 362-1375 CVS PHARMACY #04438 * (410) 929-8455 6635 37 Belair Rd GIANT PHARMACY * Baltimore, MD 21206 EDMONDSON PHARMACY * 5150 Sinclair Lane (410) 254-9755 4556 Edmondson Ave Baltimore, MD 21206 Baltimore, MD 21229 (410) 485-2772 CVS PHARMACY #05381 * (410) 566-5565 1000 S Charles St GIANT PHARMACY * Baltimore, MD 21230 ERDMAN AVENUE 601 East 33rd Street (410) 752-9087 PHARMACY * Baltimore, MD 21218 3109 Erdman Ave (410) 649-4181 CVS PHARMACY #05764 * Baltimore, MD 21213 2560 West Franklin St (667) 309-3425 GIANT PHARMACY * Baltimore, MD 21223 6620 Reisterstown Road (410) 362-8203 EUTAW PHARMACY * Baltimore, MD 21215 622 N Eutaw St Unit A (410) 649-8181 CVS PHARMACY #07952 * Baltimore, MD 21201 630 Exeter St (410) 225-3904 GOVANS PROFESSIONAL Baltimore, MD 21202 PHARMACY * (410) 962-6520 EXTRA CARE PHARMACY * 5109 York Rd 883 N Howard St Baltimore, MD 21212 CVS PHARMACY #10123 * Baltimore, MD 21201 (410) 532-9796 101 N Wolfe St (410) 332-4666 Baltimore, MD 21231 GWYNN OAK PHARMACY * (443) 602-7628 FEMKOL PHARMACY * 4909 Liberty Heights Avenue 526 St Paul Place Baltimore, MD 21207 CVS PHARMACY #10565 * Baltimore, MD 21202 (443) 426-1601 3200 St. Paul St. (410) 617-8641 Baltimore, MD 21218 HARRIS TEETER PHARMACY (410) 243-1025 FIBUS DRUG STORE INC * #376 * 2101 Garrison Blvd 1801 Whetstone Way CVS PHARMACY #10751 * Baltimore, MD 21216 Baltimore, MD 21230 934 N Charles St (410) 947-1800 (410) 528-1244 Baltimore, MD 21201 (410) 685-2187

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 9 HARRIS TEETER PHARMACY JOHNS HOPKINS HOSPITAL JOHNS HOPKINS OUTPATIENT #392 * DISCHARGE PHARMACY * PHARMACY MONUMENT 3779 Boston Street 600 N. Wolfe St, Carnegie STREET * Baltimore, MD 21224 Building, 2nd Fl., Room 224 1810 E Monument Street (410) 522-0804 Baltimore, MD 21287 Baltimore, MD 21205 (443) 287-1744 (410) 502-5735 HEALTHGATES PHARMACY & MEDICAL SUPPLY * JOHNS HOPKINS OP KEYSTONE PHARMACY INC * 9 S Highland Ave PHARMACY AT BARTLETT 1358 W North Avenue Baltimore, MD 21224 PRACTICE * Baltimore, MD 21217 (443) 708-3302 1717 E Monument Street (410) 669-1900 Baltimore, MD 21287 HIGHLANDTOWN PHARMACY (410) 614-5611 LIBERTY PHARMACY LLC * INC * 108 N Eutaw St. 3911 Eastern Ave JOHNS HOPKINS OUTPATIENT Baltimore, MD 21201 Baltimore, MD 21224 PHARMACY AT BAYVIEW (443) 948-5400 (667) 212-3621 ANNEX * 4940 Eastern Ave LIFE CARE PHARMACY LLC * HOWARD PHARMACY * Baltimore, MD 21224 5429 Reisterstown Rd 405 N Paca St (410) 550-5180 Baltimore, MD 21215 Baltimore, MD 21201 (443) 869-6787 (443) 961-3578 JOHNS HOPKINS OUTPATIENT PHARMACY AT HOLABIRD * MEDSTAR PHARMACY JAMES PHARMACY * 5901 Holabird Ave # A-2 (STORE # 3) * 1119 Light Street Baltimore, MD 21224 5601 Loch Raven Blvd Baltimore, MD 21230 (410) 288-8000 Baltimore, MD 21239 (410) 752-5810 (443) 444-4760 JOHNS HOPKINS OUTPATIENT JOHN HOPKINS OP PHARMACY AT THE MEDSTAR PHARMACY PHARMACY AT BAYVIEW * ARCADE * (STORE # 4) * 4940 Eastern Ave 1800 Orleans Street Zayed- 201 E University Parkway Baltimore, MD 21224 Bloomberg Building Baltimore, MD 21218 (410) 550-0961 Baltimore, MD 21287 (410) 554-2557 (443) 287-9200 JOHN HOPKINS OP MEDSTAR PHARMACY STORE PHARMACY AT JHOC * JOHNS HOPKINS OUTPATIENT # 6 * 601 N Caroline St PHARMACY AT VIRAGH * 3001 S Hanover St Baltimore, MD 21287 201 N. Broadway Baltimore, MD 21225 (410) 955-3733 Baltimore, MD 21287 (410) 350-3878 (410) 502-4774 JOHN HOPKINS OP MIDAS RX PHARMACY * PHARMACY AT WEINBERG * 700 Washington Blvd 401 N Broadway Baltimore, MD 21230 Baltimore, MD 21231 (410) 727-4400 (410) 955-5747

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 10 MIDTOWN DISCOUNT PARK AVENUE PHARMACY * RITE AID PHARMACY 00349 * PHARMACY * 1535 Park Avenue 4380 Park Heights Avenue 2014 Maryland Ave Baltimore, MD 21217 Baltimore, MD 21215 Baltimore, MD 21218 (410) 225-0800 (410) 664-8644 (410) 528-6010 PARK LANE PHARMACY INC * RITE AID PHARMACY 00356 * MIMIKAY PHARMACY * 4259 Park Heights Ave 3804 Liberty Heights Avenue 1027 W 36th St Baltimore, MD 21215 Baltimore, MD 21215 Baltimore, MD 21211 (410) 466-8001 (410) 367-5151 (410) 469-9206 PEOPLE'S CARE PHARMACY * RITE AID PHARMACY 00362 * MT VERNON PHARMACY * 2405 E Monument St 4600 West Northern Parkway 900 Cathedral St Baltimore, MD 21205 Baltimore, MD 21215 Baltimore, MD 21201 (410) 276-4092 (410) 358-9777 (410) 539-8030 PHARMACYSOLUTIONS * RITE AID PHARMACY 01324 * MT. VERNON PHARMACY AT 643 N Carey St 3425 Clifton Avenue FALLSWAY * Baltimore, MD 21217 Baltimore, MD 21216 421 Fallsway (410) 728-6337 (410) 945-8507 Baltimore, MD 21202 (410) 962-1100 PREMIER CARE PHARMACY * RITE AID PHARMACY 02204 * 3539 Dolfield Ave 2801 Foster Avenue NORTHERN PHARMACY AND Baltimore, MD 21215 Baltimore, MD 21224 MED EQUIPMENT * (410) 466-0322 (410) 732-0523 6701 Harford Road Baltimore, MD 21234 PRIME CARE PHARMACY * RITE AID PHARMACY 04250 * (410) 254-2055 5500 Sinclair Lane 1000 East Eager Street Baltimore, MD 21206 Baltimore, MD 21202 NUWORLD PHARMACY LLC * (443) 453-9963 (410) 502-8414 1800 N Charles St Baltimore, MD 21201 PROHEALTH PHARMACY * RITE AID PHARMACY 04295 * (410) 659-5000 4532 Erdman Ave 250 West Chase Street Baltimore, MD 21213 Baltimore, MD 21202 OLD TOWNE PHARMACY * (410) 488-5091 (410) 752-4473 576 Old Town Mall Baltimore, MD 21202 REFUA PHARMACY AND RITE AID PHARMACY 11213 * (410) 276-3383 MEDICAL SUPPLY * 6300 York Road 6404 Reisterstown Rd Baltimore, MD 21212 ORCHARD PHARMACY * Baltimore, MD 21215 (410) 323-0838 3350 Wilkens Avenue (410) 585-0055 Baltimore, MD 21229 SAFEWAY PHARMACY #1481 * (410) 646-0547 RITE AID #336 * 2610 Boston St 3133 Greenmount Avenue Baltimore, MD 21224 Baltimore, MD 21218 (410) 675-3802 (410) 467-1412

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 11 SAFEWAY PHARMACY #1482 * TOTAL HEALTH CARE TRUE CARE PHARMACY * 2401 N Charles St PHARMACY * 5950 Belair Rd Baltimore, MD 21218 1501 W Saratoga St Baltimore, MD 21206 (410) 261-6112 Baltimore, MD 21223 (410) 254-0100 (410) 735-5392 SAFEWAY PHARMACY #1513 * VOSHELLS PHARMACY 1 * 4401 Harford Rd TOTAL HEALTH CARE 3455 Wilkens Avenue Baltimore, MD 21214 PHARMACY * Baltimore, MD 21229 (410) 319-8620 1515 W North Ave (410) 644-8400 Baltimore, MD 21217 SHOPRITE PHARMACY * (410) 735-5378 WALGREENS #15284 * 4601 Liberty Heights Ave 900 N Washington St Baltimore, MD 21207 TOTAL HEALTH CARE Baltimore, MD 21205 (410) 367-1850 PHARMACY * (410) 522-5639 2400 Kirk Avenue SOUTH BALTIMORE Baltimore, MD 21218 WALGREENS #16188 * PHARMACY * (410) 735-5397 2000 W Baltimore St 631 Cherry Hill Rd Baltimore, MD 21223 Baltimore, MD 21225 TOTAL HEALTH CARE (410) 362-3310 (410) 355-8500 PHARMACY * 2401 Liberty Heights Ave WALGREENS #16190 * SUNRISE PHARMACY * Baltimore, MD 21215 301 St Paul Place 1900 E Northern Pkwy (410) 735-5382 Baltimore, MD 21202 Baltimore, MD 21239 (410) 625-2618 (410) 433-8150 TOTAL HEALTH CARE PHARMACY 6 * WALGREENS #17205 * THE LIFEBRIDGE PHARMACY 1111 Washington Blvd 1030 West 41st Street AT SINAI HOSPITAL * Baltimore, MD 21230 Baltimore, MD 21211 2401 W Belvedere Ave (410) 735-5401 (410) 235-0002 Baltimore, MD 21215 (410) 601-7100 TRINITY CARE PHARMACY WALGREENS #17522 * LLC * 238 Mcmechen Street THE PHARMACIA AT MT. 2222 Harford Rd Baltimore, MD 21217 WASHINGTON MILL * Baltimore, MD 21218 (410) 523-4704 1340 Smith Ave Ste A (410) 366-0054 Baltimore, MD 21209 WALGREENS #17609 * (443) 388-8710 TRUCARE PHARMACY AND 300 Martin Luther King Jr MEDICAL EQUIPMENT * Boulevard TOTAL HEALTH CARE 2124 E Monument St Baltimore, MD 21201 PHARMACY * Baltimore, MD 21205 (410) 539-2532 1501 Division Street (410) 617-8742 Baltimore, MD 21217 WALGREENS #17889 * (410) 735-5390 3935 Erdman Ave # 37 Baltimore, MD 21213 (410) 342-2606

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 12 WALGREENS #18155 * WALGREENS #5623 * Brooklyn 4214 Frankford Avenue 3801 Liberty Heights Ave PEOPLE'S CARE PHARMACY * Baltimore, MD 21206 Baltimore, MD 21215 401 E Patapsco Ave (410) 488-3500 (410) 367-8100 Brooklyn, MD 21225 (410) 355-1934 WALGREENS #18308 * WALGREENS #5638 * 2700 Remington Avenue 4025 W Northern Pkwy Home Infusion Pharmacies Baltimore, MD 21211 Baltimore, MD 21215 (410) 235-2128 (410) 764-9570 ALABAMA WALGREENS #18337 * WALGREENS #6366 * Mobile 3700 Falls Road 2310 W Patapsco Ave Mobile Baltimore, MD 21211 Baltimore, MD 21230 HPC SPECIALTY PHARMACY * (410) 467-7004 (410) 646-2059 3100 Cottage Hill Rd Ste 200 Mobile, AL 36606 WALGREENS #19401 * WALGREENS #7573 * (800) 757-9192 711 West 40th Street 6301 York Road Baltimore, MD 21211 Baltimore, MD 21212 (410) 467-3343 (443) 524-4535 CALIFORNIA Los Angeles WALGREENS #19577 * WALGREENS#16191 * Canoga Park 903 East Fort Avenue 2411 W Belvedere Ave BIOLOGICTX Baltimore, MD 21230 Baltimore, MD 21215 7959 Deering Ave (410) 962-5546 (410) 542-0125 Canoga Park, CA 91304 (800) 404-1963 WALGREENS #19924 * WAVERLY PROFESSIONAL 7651 Harford Rd PHARMACY * Riverside Baltimore, MD 21234 453 E 28th St Temecula (410) 444-4700 Baltimore, MD 21218 NUFACTOR (410) 467-4471 44900 Winchester Rd WALGREENS #5408 * Temecula, CA 92590 1300 E North Ave WELLCARE PHARMACY * (800) 323-6832 Baltimore, MD 21213 2203 N Charles St (410) 889-1359 Baltimore, MD 21218 (410) 662-6000 FLORIDA WALGREENS #5409 * Broward 4020 Eastern Ave WESTSIDE PHARMACY AND Pompano Beach Baltimore, MD 21224 WELLNESS CENTER * PATIENT CARE AMERICA (410) 534-8656 2021 West Pratt Street 3890 Park Central Blvd N. Baltimore, MD 21223 Pompano Beach, FL 33064 WALGREENS #5410 * (410) 566-1360 (866) 348-0441 19 E Fayette St Baltimore, MD 21202 (410) 625-1817

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 13 Howard Oakland ILLINOIS Columbia Troy Cook CORAM CVS/SPECIALTY HOMESCRIPTS Orland Park INFUSION SERVICES 500 Kirts Blvd Ste 300 AMERICAN SERVICE AND 7150 Columbia Gateway Dr Troy, MI 48084 PRODUCT Columbia, MD 21046 (248) 824-6300 16612 107th St (410) 720-6501 Orland Park, IL 60467 (708) 671-1200 OPTION CARE MINNESOTA 9140 Guilford Rd Ste K Dakota Columbia, MD 21046 Mendota Heights IOWA (410) 309-9601 CORAM CVS/SPECIALTY Polk INFUSION SERVICES Urbandale Prince Georges 2345 Waters Dr DIPLOMAT SPECIALTY Beltsville Mendota Heights, MN 55120 INFUSION GROUP DIPLOMAT SPECIALTY (651) 452-5600 10607 & 10611 Aurora Ave. INFUSION GROUP Urbandale, IA 50322 5901 Ammendale Rd Ste E (515) 727-7937 Beltsville, MD 20705 MISSOURI (410) 290-7088 Jackson Lees Summit LOUISIANA HERITAGE BIOLOGICS, INC. Ascension MASSACHUSETTS 255 Nw Victoria Dr Prairieville Middlesex Lees Summit, MO 64086 TWC COMPOUNDING Woburn (855) 937-7273 SPECIALIST LLC * DIPLOMAT SPECIALTY 17733 Old Jefferson Hwy INFUSION GROUP Prairieville, LA 70769 20 Commerce Way Ste 2 NEW JERSEY (225) 677-8200 Woburn, MA 01801 Middlesex (781) 287-1500 Edison KABAFUSION NJ MARYLAND 160 Raritan Center Parkway Anne Arundel MICHIGAN Edison, NJ 08837 Linthicum Heights Kalamazoo (800) 383-8393 US BIOSERVICES Kalamazoo 514 Progress Dr OPTIMED SPECIALTY Monmouth Linthicum Heights, MD 21090 PHARMACY Howell (877) 674-9700 6480 Technology PARKWAY PHARMACY LP * Kalamazoo, MI 49009 3502 Us Highway 9 (877) 385-0535 Howell, NJ 07731 (866) 355-7797

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 14 Passaic Guilford Delaware Totowa Greensboro Boothwyn BIOLOGICTX LLC DIPLOMAT SPECIALTY PENTEC HEALTH, INC 40d Commerce Way INFUSION GROUP 4 Creek Parkway Totowa, NJ 07512 311 Pomona Drive Boothwyn, PA 19061 (877) 567-8087 Greensboro, NC 27407 (800) 223-4376 (336) 218-5086 Wayne Garnet Valley BASIC HOME INFUSION Wake ELWYN SPECIALTY CARE 1401 Valley Road Raleigh 3070 Mccann Farm Dr Ste 101 Wayne, NJ 07470 DIPLOMAT SPECIALTY Garnet Valley, PA 19060 (888) 822-7428 INFUSION GROUP (610) 545-6040 140 Northway Court Raleigh, NC 27615 Sharon Hill NEW YORK (888) 571-3100 HOMETECH ADVANCED New York THERAPIES, INC. * New York 505 Elmwood Ave AMERICAN OUTCOMES OHIO Sharon Hill, PA 19079 MANAGEMENT LP Hamilton (484) 494-3121 36 West 37th St Cincinnati New York, NY 10018 DIPLOMAT SPECIALTY Philadelphia (800) 746-9089 INFUSION GROUP Philadelphia 7167 E Kemper Rd JEFFERSON SPECIALTY Westchester Cincinnati, OH 45249 PHARMACY Hawthorne (513) 792-7080 919 Walnut St SUPERIOR BIOLOGICS Philadelphia, PA 19107 200 Saw Mill River Rd (215) 955-8154 Hawthorne, NY 10532 PENNSYLVANIA (914) 747-1150 Adams Mcsherrystown TENNESSEE CHOICE CRITICAL CARE INC Shelby NORTH CAROLINA 10 South Sixth St Memphis Forsyth Mcsherrystown, PA 17344 HEMOPHILIA PREFERRED Kernersville (717) 630-2773 CARE OF MEMPHIS INC * NUFACTOR 6423 Shelby View Dr Ste 104 1601 Old Greensboro Rd Chester Memphis, TN 38134 Kernersville, NC 27284 Malvern (800) 757-9192 (844) 871-4773 CORAM CVS/SPECIALTY INFUSION SERVICES 6 Spring Mill Dr Malvern, PA 19355 (610) 296-4446

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 15 Tarrant LOUISIANA TEXAS Ft Worth East Baton Rouge Bowie AMERICAN OUTCOMES MGMT Baton Rouge Wake Village LP AVITA PHARMACY CSI PHARMACY 6310 Southwest Blvd Ste 204 5551 Corporate Blvd 811 N Kings Hwy Ft Worth, TX 76109 Baton Rouge, LA 70808 Wake Village, TX 75501 (800) 746-9089 (225) 924-1930 (844) 680-2944 Long-Term Care MARYLAND Denton Pharmacies Allegany Carrollton Cumberland US BIOSERVICES Residents of a long-term PHARMACARE 5025 Plano Parkway care facility may access their INSTITUTIONAL SERVICES Carrollton, TX 75010 prescription drugs covered 3 Commerce Dr (888) 518-7246 under KeyCare Advantage Cumberland, MD 21502 through the facility’s long-term (301) 777-1773 Harris care pharmacy or another Houston network long-term care Anne Arundel ACARIAHEALTH PHARMACY pharmacy. Glen Burnie #11 ARUNDEL PHARMACY * 1311 W Sam Houston Pkwy N # ILLINOIS 7571 Ritchie Highway 130 Macon Glen Burnie, MD 21061 Houston, TX 77043 Forsyth (410) 761-3443 (800) 511-5144 EXTENDED LIVING PHARMACY LLC THE MEDICINE SHOPPE SPECIALTY THERAPEUTIC 338 W Marion Ave PHARMACY * CARE, LP Forsyth, IL 62535 103 B 2 North Crain Highway 1311 W Sam Houston Pkwy N (217) 875-7147 Glen Burnie, MD 21061 Ste 150 (410) 760-2290 Houston, TX 77043 INDIANA (866) 506-2626 Marion THE MEDICINE SHOPPE Indianapolis PHARMACY Lubbock PHARMERICA 103 Crain Hwy N Ste B2 Lubbock 6330 E 75th St Glen Burnie, MD 21061 IV SOLUTIONS OF LUBBOCK Indianapolis, IN 46250 (410) 760-2290 6101 43rd Street (317) 595-6270 Lubbock, TX 79407 Pasadena (800) 658-6046 KENTUCKY PASADENA PHARMACY * Graves 2932 Mountain Road Mayfield Pasadena, MD 21122 DUNCAN SPECIALTY (410) 255-6000 PHARMACY 317 W. Broadway Mayfield, KY 42066 (270) 247-3725

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 16 Baltimore Baltimore City Westminster Baltimore Baltimore ANCHOR PHARMACY 101 FULLER MEDICAL CENTER CARE ONE LTC/SPECIALTY 291 Stoner Ave Suite 206 PHARMACY * PHARMACY Westminster, MD 21157 6918 Ridge Rd 2279-2281 Reisterstown Road (410) 848-1618 Baltimore, MD 21237 Baltimore, MD 21217 (410) 574-1440 (410) 523-1145 Cecil Elkton NORTHERN SPECIAL CARE CITICARE PHARMACY * NORTHSIDE PHARMACY PHARMACY 3403 Greenmount Ave LONG TERM CARE 7816 Harford Rd Baltimore, MD 21218 707 N Bridge St Baltimore, MD 21234 (410) 261-5551 Elkton, MD 21921 (410) 951-1636 (443) 207-8048 JAMES PHARMACY * REMEDI SENIORCARE 1119 Light Street Frederick 9006 Yellow Brick Road Baltimore, MD 21230 Frederick Baltimore, MD 21237 (410) 752-5810 WHITESELL LONG TERM (443) 927-8400 CARE PHARMACY PARK AVENUE PHARMACY * 228 W Patrick St Essex 1535 Park Avenue Frederick, MD 21701 ESSEX Baltimore, MD 21217 (240) 877-7575 PHARMACY&SURGICALS * (410) 225-0800 1550 Country Ridge Ln WHITESELL PHARMACY * Essex, MD 21221 PROSPER PHARMACY 236 N Market Street (410) 686-0373 2245 Eastern Ave Frederick, MD 21701 Baltimore, MD 21231 (301) 662-4848 Pikesville (410) 874-5115 WELLCARE PHARMACY * Harford 4000 Old Court Rd Ste 101 Calvert Fallston Pikesville, MD 21208 Prince Frederick FALLSTON PHARMACY * (410) 484-2105 GENOA HEALTHCARE, LLC 2112 Belair Rd 975 Solomons Island Rd N Ste Fallston, MD 21047 Randallstown 1a (410) 879-9000 OLD COURT LONG TERM Prince Frederick, MD 20678 CARE PHARMACY INC (443) 486-7173 Howard 8607 Liberty Road #1 Annapolis Junction Randallstown, MD 21133 Carroll OMNICARE OF ANNAPOLIS (410) 655-2586 Finksburg JUNCTION FINKSBURG PHARMACY 9036 Junction Dr Rosedale 2027 Suffolk Rd Ste 4 Annapolis Junction, MD 20701 PROFESSIONAL PHARMACY Finksburg, MD 21048 (301) 725-0100 9106 Philadelphia Rd Ste 100 (410) 526-1055 Rosedale, MD 21237 (410) 687-8113

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 17 Columbia THE MEDICINE SHOPPE Washington HOWARD PHARMACY * PHARMACY * Smithsburg 8900 Columbia 100 Pkwy Ste H 12838 New Hampshire Ave SMITHSBURG PHARMACY * Columbia, MD 21045 Silver Spring, MD 20904 22030 Jefferson Blvd (410) 740-1600 (301) 622-0744 Smithsburg, MD 21783 (301) 824-1111 MILLENNIUM PHARMACY THE MEDICINE SHOPPE SYSTEM LLC PHARMACY #1802 * Williamsport 7100 Columbia Gateway Dr 10313 Georgia Avenue POTOMAC PHARMATECH Columbia, MD 21046 Silver Spring, MD 20902 16107 A Elliott Parkway (724) 940-2490 (301) 681-5878 Williamsport, MD 21795 (301) 223-6616 PHARMSCRIPT OF MD LLC Prince Georges 7085 Samuel Morse Dr Ste 110 Bladensburg Wicomico Columbia, MD 21046 PADEK HEALTHCARE Salisbury (908) 389-1818 PHARMACY INC * DELMARVA PHARMACY * 5403a Annapolis Road 1615 Tree Sap Court Laurel Bladensburg, MD 20710 Salisbury, MD 21804 GLOBAL HEALTH (301) 277-7107 (410) 677-0561 PHARMACY 7500 Montpelier Road Laurel LOWER SHORE PHARMACY Laurel, MD 20723 LAUREL PHARMACY * 505 E Main St (240) 786-6045 7350 Van Dusen Rd Salisbury, MD 21804 Laurel, MD 20707 (410) 341-3470 Montgomery (301) 604-8500 Rockville OMNICARE OF SALISBURY ALLIED PHARMACEUTICAL Queen Annes 119 W Naylor Mill Rd SVCS INC Centreville Salisbury, MD 21801 1201 Seven Locks Rd EDWARDS PHARMACY * (410) 860-2620 Rockville, MD 20854 102 S Commerce Street (301) 309-0999 Centreville, MD 21617 Worcester (410) 758-1715 Berlin FOERS LONG TERM CARE COASTAL DRUG PHARMACY St. Marys 11307 Manklin Creek Rd 1300 Piccard Dr Ste Ll-16 Charlotte Hall Berlin, MD 21811 Rockville, MD 20850 CHARLOTTE HALL (410) 629-0089 (301) 216-1190 PHARMACY 29449 Charlotte Hall Rd MASSACHUSETTS Silver Spring Charlotte Hall, MD 20622 Plymouth THE MEDICINE SHOPPE (240) 577-7035 Taunton 12838 New Hampshire Ave PHARMERICA Silver Spring, MD 20904 350 Myles Standish Blvd Ste 104 (301) 622-0744 Taunton, MA 02780 (508) 427-5000

* This pharmacy qualifies for dispensing up to a 90-day supply.

You can go to any of the pharmacies in our network. This directory is current as of 02/17/2020. Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 18 NEW JERSEY Miami Chester Burlington Troy West Chester Moorestown REMEDI SENIORCARE GRANE SUPPLY BAYADA PHARMACY 962 S Dorset Rd 550 E Union St Ste B 101 Executive Dr Ste 10 Troy, OH 45373 West Chester, PA 19382 Moorestown, NJ 08057 (937) 573-3600 (855) 515-2640 (856) 380-1828 PENNSYLVANIA SOURCE ONE PHARMACY CAREKINESIS INC Adams SERVICES LLC 228 Strawbridge Dr Mcsherrystown 1140 Mcdermott Dr Ste 104 Moorestown, NJ 08057 CHOICE CRITICAL CARE INC West Chester, PA 19380 (888) 974-2763 10 South Sixth St (610) 696-3100 Mcsherrystown, PA 17344 Somerset (717) 630-2773 Delaware Somerset Garnet Valley PHARMSCRIPT Allegheny ELWYN SPECIALTY CARE 150 Pierce St Bridgeville 3070 Mccann Farm Dr Ste 101 Somerset, NJ 08873 ALIXARX - PA HUB Garnet Valley, PA 19060 (908) 389-1818 1041 Washington Pike Ste 100 (610) 545-6040 Bridgeville, PA 15017 NORTH CAROLINA (412) 319-4900 Sharon Hill Vance ENCLARA PHARMACIA, INC. Henderson Pittsburgh 512 Elmwood Ave MAST LONG TERM CARE GRANE SUPPLY Sharon Hill, PA 19079 1910 Ross Mill Rd 105 Gamma Dr Ste 100 (732) 996-1187 Henderson, NC 27537 Pittsburgh, PA 15238 (252) 492-6344 (412) 449-0680 Montgomery Norristown NORTH DAKOTA Butler PDC PHARMACY Cass Warrendale 2550 Eisenhower Ave Fargo PHARMBLUE LLC * Norristown, PA 19403 WHITE DRUG #61 40 Pennwood Pl Ste 300 (484) 690-0160 706 38th Street Nw Warrendale, PA 15086 Fargo, ND 58102 (724) 779-4720 SYNERGY PHARMACY (701) 893-9050 SERVICES RX BLUE STAR SOLUTIONS 2500 Blvd Of The General OHIO LLC * Norristown, PA 19403 Cuyahoga 40 Pennwood Pl Ste 200 (610) 539-5093 Valley View Warrendale, PA 15086 EXACT CARE PHARMACY (412) 294-1985 Westmoreland 8333 Rockside Rd North Huntingdon Valley View, OH 44125 ACCUSERV PHARMACY (216) 369-2200 8731 State Route 30 Ste 1 North Huntingdon, PA 15642 (866) 213-9821

* This pharmacy qualifies for dispensing up to a 90-day supply.

Shelby Memphis ENCLARA PHARMACIA, INC. 2525 Horizon Lake Dr Ste 101 Memphis, TN 38133 (877) 882-7822

VIRGINIA Loudoun Leesburg EXPRESS CARE PHARMACY 26 Fairfax St Se Ste C Leesburg, VA 20175 (855) 766-6500

Specialty Pharmacy

WISCONSIN Dane Madison LUMICERA HEALTH SERVICES LLC 310 Integrity Dr Madison, WI 53717 (855) 847-3553

ARIZONA Maricopa Phoenix LUMICERA HEALTH SERVICES, LLC 5350 E High St Ste 200 Phoenix, AZ 85054 (855) 847-3553

* This pharmacy qualifies for dispensing up to a 90-day supply.

May 2019 3 H6959_2020PharmDirec_C Non-Discrimination Notice

KeyCare Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. KeyCare Advantage does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

KeyCare Advantage:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

• Qualified sign language interpreters • Written information in other formats (e.g., large print, audio, accessible electronic formats, Braille, other formats)

Provides free language services to people whose primary language is not English, such as:

• Qualified interpreters • Information written in other languages

If you need these services, contact KeyCare Advantage’s Member Services at the contact information below.

If you believe that KeyCare Advantage has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: KeyCare Advantage, P.O. Box 6510, Glen Allen, VA 23058- 6510; 1-844-317-9095 (TTY 711); fax: 1-800-335-0270; email: [email protected].

You can file a grievance in person or by mail, fax, or e-mail. If you need help filing a grievance, the KeyCare Advantage Member Services is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services at the Office for Civil Rights Complaint Portal, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building Washington, DC 20201, 1-800-368-1019 TTY/TDD: 1-800-537-7637 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

DATA CONTAINED IN THIS DOCUMENT IS CONSIDERED CONFIDENTIAL AND PROPRIETARY INFORMATION AND ITS DUPLICATION USE OR DISCLOSURE IS PROHIBITED WITHOUT PRIOR APPROVAL OF KEYCARE ADVANTAGE © 2019 KeyCare Advantage Multi-Language Interpreter Services

Amharic ይነበብ፦ አማርኛ የሚናገሩ ከሆነ፣ ከክፍያ ነጻ የቋንቋ ረዳትይቀርብልዎታል። በስልክ ቁጥር 1-844-206-1205 (TTY:711) ይደውሉ።

Arabic ملحوظة: إذا كنت تتحدث اذكر اللغة،فإن خدمات المساعدةاللغوية تتوافر لك بالمجان. اتصل برقم 1205-206-844-1 )رقم هاتف الصم والبكم: 711(.

Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-844-206-1205（TTY： 711）。

French ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-844-206-1205 (ATS : 711).

Gujarati જો તમે [ગુજરાતી] બોલો છો, તો ભાષા સહાય સેવાઓ તમારા માટે મફતઉપલ닍 ધ છે. ને કૉલ કરો 1-844- 206-1205 (ટી.ટી.વાય: 711).

Haitian Creole ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-206-1205 (TTY: 711).

Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-844-206-1205 (TTY:711) 번으로 전화해 주십시오.

Kru (Bassa) Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ [Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀] jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 1-844-206-1205 (TTY:711)

Ibo GEE NTỊ: Ọ bụrụ na ị na-ekwu okwu [tinye asụsụ], ọrụ enyemaka asụsụ, n'efu, dịrị gị. Kpọọ 1-844- 206-1205 (TTY:711).

Yoruba FETISILẸ: Ti o ba nsọ [ede yoruba], eto iranlọwọ ede, wa ni ọfẹ fun ọ. Pe 1-844-206-1205 (TTY:711).

Persian (Farsi) ﺗﻮﺟﮫ: اﮔﺮ ﺑﮫ زﺑﺎن ]ﻓﺎرﺳﯽ[ ﺻﺤﺒﺖ ﻣﯽﮐﻨﯿﺪ، ﺧﺪﻣﺎت ﮐﻤﮏھﺎی زﺑﺎﻧﯽ راﯾﮕﺎن ﺑﺮای ﺷﻤﺎ ﻣﻮﺟﻮد اﺳﺖ. ﺟﮭﺖ دﺳﺘﺮﺳﯽ ﺑﮫ اﯾﻦ ﺧﺪﻣﺎت، ﺑﺎ (TTY:711) 1205-206-844 ﺷﻤﺎره ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ. 1

H6959_2020MLIMD_C Portuguese ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-844-206-1205 (TTY:711).

Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-844-206-1205 (телетайп: 711).

Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-206-1205 (TTY:711).

Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-206-1205 (TTY:711).

Urdu ﺧﺒﺮدار: اﮔﺮ آپ اردو ﺑﻮﻟﺘﮯ ﮨﯿﮟ، ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ ﻣﯿﮟ دﺳﺘﯿﺎب ﮨﯿﮟ ۔ ﮐﺎل ﮐﺮﯾﮟ 1-844-206-1205 (TTY:711).

Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-206-1205(TTY:711).

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