Medicare Part D 2017 Washington Pharmacy Directory
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Health Net Medicare Part D 2017 Washington Pharmacy Directory Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option 3 (PPO) This pharmacy directory was updated on 09/01/2016. For more recent information or other questions, please contact Health Net at 1-888-445-8913 or, for TTY users, 711, 8:00 a.m. to 8:00 p.m., seven days a week (automated telephone service is used on some weekends and holidays), or visit www.healthnet.com/medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.healthnet.com/medicare. You may also call Member Services for updated provider information. Y0020_2017_0013_NM (06282016, 06292016) Table of Conten Table of Contents ts Introduction..........................................................................5 Retail Pharmacies, including Chain Pharmacies................15 Mail Order Pharmacy..........................................................79 Specialty Pharmacies.........................................................83 Home Infusion Pharmacies................................................87 Long-Term Care Pharmacies.............................................91 Indian Health Service/Tribal/Urban Indian Health ..............99 Program (I/T/U) Pharmacies Introdu ction Introduction This booklet provides a list of our plan’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 Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option 3 (PPO)’s formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Health Net. When it refers to “plan” or “our plan,” it means Health Net Jade (HMO SNP), Health Net Ruby (HMO), Health Net Violet Option 1 (PPO), Health Net Violet Option 2 (PPO), and Health Net Violet Option 3 (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 09/01/2016. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost-sharing. We have marked these pharmacies with a $ to distinguish them from other pharmacies in our network that offer standard cost-sharing. You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory. www.healthnet.com / 5 This directory is for Washington 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 pharmacies in our plan network not listed in this directory 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. The directory is sorted by type of pharmacy and location. Pharmacy types include Retail, Mail Order, Specialty, Home Infusion, Long-Term Care, and Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies. To find a pharmacy near you, locate the section for the type of pharmacy you need. This is not a complete list of our network pharmacies. You can go to any pharmacy in our nationwide network of more than 67,000 pharmacies. To find a pharmacy outside of your state, please visit www.healthnet.com/ medicare or contact us. Our contact information appears on the front and back cover pages. 6 / www.healthnet.com Notice of Non-Discrimination: Health Net complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Health Net does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Health Net: • P rovides free aids and services to people with disabilities to communicate effectively with us, such as qualified sign language interpreters and written information in other formats (large print, accessible electronic formats, other formats). • Provides free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. If you need these services, contact Health Net’s Customer Contact Center at: Arizona: 1-800-977-7522 (TTY: 711), 8:00 a.m. to 8:00 p.m., Mountain time, seven days a week. California: 1-800-275-4737 (TTY: 711), 8:00 a.m. to 8:00 p.m., Pacific time, seven days a week. Oregon: 1-888-445-8913 (TTY: 711), 8:00 a.m. to 8:00 p.m., Pacific time, seven days a week. If you believe that Health Net 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 by calling the number above and telling them you need help filing a grievance; Health Net’s Customer Contact Center 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, (TDD: 1-800–537–7697). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html www.healthnet.com / 7 8 / www.healthnet.com www.healthnet.com / 9 10 / www.healthnet.com www.healthnet.com / 11 12 / www.healthnet.com Retail Pharmacies, including Chain Pharmacies Retail Pharmacies www.healthnet.com / 13 Retail Retail Pharmacies, including Chain Pharmacies Adams Clarkston Kennewick Costco Pharmacy Albertson's Pharmacy $ Othello 301 5th St 5204 W Clearwater Ave Clarkston, WA 99403 Kennewick, WA 99336 Othello Family Clinic (509) 758-8897 (509) 582-9545 Pharmacy 140 E Main St Owl Tri-State Pharmacy Costco Pharmacy Othello, WA 99344 1275 Highland Ave 8505 W Gage Blvd (509) 488-5256 Clarkston, WA 99403 Kennewick, WA 99336 (509) 758-5533 (509) 737-8877 Walmart Pharmacy $ 1860 E Main St Walgreens CVS Pharmacy $ Othello, WA 99344 425 Bridge St 1160 N Columbia Center Blvd (509) 488-9324 Clarkston, WA 99403 Kennewick, WA 99336 (509) 552-8091 (509) 737-1700 Ritzville Walmart Pharmacy $ Fred Meyer Pharmacy $ Ritzville Drug Company 306 5th St 2811 W 10th Ave 209 W Main Ave Clarkston, WA 99403 Kennewick, WA 99336 Ritzville, WA 99169 (509) 758-6660 (509) 735-8733 (509) 659-0250 Wasem's Drug $ Medical Mall Pharmacy Asotin 800 6th St 521 N Young St Clarkston, WA 99403 Kennewick, WA 99336 Clarkston (509) 758-2565 (509) 585-5250 Albertson's Pharmacy $ Benton Option Care 400 Bridge St 7325 W Deschutes Ave Clarkston, WA 99403 Kennewick, WA 99336 (509) 758-7475 Benton City (509) 783-2273 Logar Pharmacy $ Bi-Mart Pharmacy Reliance Pharmacy $ 515 9th St Ste A 511 3rd St 133 N Ely St Ste C1 Benton City, WA 99320 Clarkston, WA 99403 Kennewick, WA 99336 (509) 588-8600 (509) 758-8230 (509) 545-0596 Clarkston Heights Pharmacy Rite Aid Pharmacy 2119 5th Ave 101 N Ely St Clarkston, WA 99403 Kennewick, WA 99336 (509) 758-3376 (509) 783-1438 $ Offers preferred cost-sharing www.healthnet.com / 15 Retail Pharmacies, including Chain Pharmacies Kennewick Prosser Richland Rite Aid Pharmacy Elfers Lyon Rexall Pharmacy Reliant Rx 845 Columbia Ctr $ 767 Williams Blvd Kennewick, WA 99336 613 6th St Richland, WA 99354 (509) 783-3413 Prosser, WA 99350 (509) 735-4268 (509) 786-3200 Safeway Pharmacy $ Rite Aid Pharmacy 2825 W Kennewick Ave Shopko Pharmacy $ 1329 Lee Blvd Kennewick, WA 99336 471 Wine Country Rd Richland, WA 99352 (509) 783-2622 Prosser, WA 99350 (509) 946-4684 (509) 786-0205 Shopko Pharmacy $ Rite Aid Pharmacy 867 N Columbia Center Blvd Richland 1549 George Washington Way Kennewick, WA 99336 Richland, WA 99354 (509) 736-0505 Albertson's Pharmacy $ (509) 946-3542 140 Gage Blvd Richland, WA 99352 Walgreens (509) 627-5133 Rx Pharmacy $ 4000 W 27th Ave 800 Swift Blvd Ste 140 Kennewick, WA 99337 Richland, WA 99352 (509) 582-7781 Albertson's Pharmacy $ (509) 713-7444 1320 Lee Blvd Richland, WA 99352 Walgreens (509) 946-0656 Safeway Pharmacy $ 2800 W Clearwater Ave 1803 George Washington Way Kennewick, WA 99336 Richland, WA 99354 (509) 783-5412 CVS Pharmacy $ (509)