2018 Pharmacy Directory
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2018 Pharmacy Directory This directory is for Los Angeles County, California. This pharmacy directory was updated on January 25, 2018. For more recent information or other questions, please contact PHP (HMO SNP) Pharmacy Customer Service at (888) 436-5018 or, for TTY users, 711, 24 hours a day, seven days a week, or visit www.php-ca.org/provider-find. CALIFORNIA Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.php-ca.org/provider-find. You may also call Pharmacy Customer Service for updated provider information. The formulary and pharmacy network may change at any time. You will receive notice when necessary. PHP is an HMO plan with a Medicare contract. Enrollment in PHP depends on contract renewal. H5852_1080 2018 012518 Discrimination Is Against the Law PHP (HMO SNP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. PHP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. PHP: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact Member Services. If you believe that PHP 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: Member Services, P.O. Box 46160, Los Angeles, CA 90046, (800) 263- 0067, TTY 711, Fax (888) 235-8552, email [email protected]. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, 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, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, 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, 1-800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-263-0067 (TTY: 711). 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 1-800-263-0067 (TTY:711) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-263-0067 (TTY: 711). PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-800-263-0067 (TTY: 711). 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1- 800-263-0067 (TTY: 711) 번으로 전화해 주십시오. ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-800-263- 0067 (TTY (հեռատիպ)՝ 711): توجه: اگر به زبان فارسی گفتگو می کنید، تسهیﻻت زبانی بصورت رایگان برای شما فراهم می باشد. با (TTY: 711) 0067-263-800-1 تماس بگیرید. ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-263-0067 (телетайп: 711). 注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-800-263- 0067(TTY: 711)まで、お電話にてご連絡ください。 ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-800-263-0067 )رقم هاتف الصم والبكم: 711(. ਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-800-ﹱ ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧ 263-0067 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ। ប្រយ័㿒ន៖ បរើសិនᾶ诒នកនិ架យ 徶羶ខ្មែរ, បស玶ជំនួយខ្ននក徶羶 បោយមិនគិ㿒⏒ន ួល គឺ讶ច掶នសំ殶រ់រំបរ ើ诒នក។ ចូរ ទូរស័寒ទ 1-800-263-0067 (TTY: 711)។ LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-263-0067 (TTY: 711). दी बोलते हℂ तो आपके ललए मुफ्त मᴂ भाषा सहायता सेवाएं उपलब्ध हℂ। 1-800-ﴂ 鵍यान दᴂ: यदद आप ह 263-0067 (TTY: 711) पर कॉल करᴂ। เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 1-800-263-0067 (TTY: 711) Table of Contents Introduction ..................................................................................................................................................... ii Retail Pharmacy ............................................................................................................................................. 1 Home Infusion Pharmacy ......................................................................................................................... 65 Long Term Care (LTC) Pharmacy ........................................................................................................... 66 Specialty / Compounding Pharmacy ................................................................................................... 69 - i - Introduction This booklet provides a list of PHP’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 PHP’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 PHP only if they are filled at a network pharmacy. 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 January 25, 2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages. This directory is for Los Angeles County, which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our plan. For information on more pharmaicies in our plan network not listed in this directory, 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. - ii - PHP Retail Pharmacy Network RETAIL PHARMACY ALHAMBRA PROFESSIONAL MED-CARE PHARMACY LOS ANGELES COUNTY PHARMACY 1048 S GARFIELD AVE STE 101 330 S GARFIELD AVE STE 104 ALHAMBRA, CA 91801 ACTON ALHAMBRA, CA 91801 TEL: (626) 281-7870 ZIP CODE: 93510 TEL: (626) 458-8909 ACTON VALE PHARMACY PAYLESS PHARMACY 3630 SMITH AVE STE A CHENG PHARMACY 1118 S GARFIELD AVE STE 101 ACTON, CA 93510 600 W MAIN ST STE 106 ALHAMBRA, CA 91801 TEL: (661) 269-9911 ALHAMBRA, CA 91801 TEL: (626) 457-8878 TEL: (626) 281-9222 CROWN VALLEY PHARMACY RITE AID PHARMACY 05611 3720 WEST SIERRA HIGHWAY COSLO PHARMACY 920 EAST VALLEY BOULEVARD UNIT G 150 S RAYMOND AVE ALHAMBRA, CA 91801 ACTON, CA 93510 ALHAMBRA, CA 91801 TEL: (626) 281-8422 TEL: (661) 269-9500 TEL: (626) 289-0018 RITE AID PHARMACY 05612 AGOURA HILLS CVS PHARMACY 69 EAST MAIN STREET ZIP CODE: 91301 816 E MAIN ST ALHAMBRA, CA 91801 CVS PHARMACY #09751 ALHAMBRA, CA 91801 TEL: (626) 300-8049 5623 KANAN RD TEL: (626) 293-5750 AGOURA HILLS, CA 91301 VALLEY SQUARE PHARMACY TEL: (818) 991-5522 CVS PHARMACY 1227 E VALLEY BLVD 1485 E VALLEY BLVD ALHAMBRA, CA 91801 KANAN PHARMACY AND ALHAMBRA, CA 91801 TEL: (626) 576-8622 MEDICAL SUPPLY TEL: (626) 289-5075 5847 KANAN RD WALGREENS AGOURA HILLS, CA 91301 CVS PHARMACY # 2551 W MAIN ST TEL: (818) 889-3070 2120 W MAIN ST ALHAMBRA, CA 91801 ALHAMBRA, CA 91801 TEL: (626) 281-1637 KRAMERS PHARMACY TEL: (626) 863-1200 29525 CANWOOD ST ZIP CODE: 91803 AGOURA HILLS, CA 91301 E AND J PHARMACY INC ABC PHARMACY TEL: (818) 706-8099 1234 S GARFIELD AVE STE 102 841 W VALLEY BLVD STE 101 ALHAMBRA, CA 91801 ALHAMBRA, CA 91803 RITE AID PHARMACY 05539 TEL: (626) 281-9913 TEL: (626) 457-8888 5747 KANAN ROAD AGOURA HILLS, CA 91301 MAIN PHARMACY ALPHA MEDICAL PHARMACY TEL: (818) 991-5258 103 N GARFIELD AVE #D 703 W VALLEY BLVD ALHAMBRA, CA 91801 ALHAMBRA, CA 91803 ALHAMBRA TEL: (626) 576-0890 TEL: (626) 289-1990 ZIP CODE: 91801 A 1 PHARMACY MAX PHARMACY COSTCO PHARMACY 935 S GARFIELD AVE 333 S GARFIELD AVE UNIT C 2207 W COMMONWEALTH ALHAMBRA, CA 91801 ALHAMBRA, CA 91801 ALHAMBRA, CA 91803 TEL: (626) 281-3633 TEL: (626) 281-1818 TEL: (626) 282-6954 - 1 - PHP Retail Pharmacy Network CVS PHARMACY VONS PHARMACY #3208 ARLETA 2532 W VALLEY BLVD 745 W NAOMI AVE ZIP CODE: 91331 ALHAMBRA, CA 91803 ARCADIA, CA 91006 AMY'S PHARMACY TEL: (626) 308-1001 TEL: (626) 446-9261 9720 WOODMAN AVE ARLETA, CA 91331 HUNG JEN PHARMACY WALGREENS TEL: (818) 686-0777 1336 W. VALLEY BLVD STE B 140 E LIVE OAK AVENUE ALHAMBRA, CA 91803 ARCADIA, CA 91006 CVS PHARMACY TEL: (626) 571-2928 TEL: (626) 447-9117 9089 WOODMAN ARLETA, CA 91331 SAVON PHARMACY #2543 WALGREENS TEL: (818) 892-3167 2400 W COMMONWEALTH AVE 253 E FOOTHILL BLVD ALHAMBRA, CA 91803 ARCADIA,