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Note: Optional Language and Guidance Is Provided in Bracketed and Italicized Text blueshieldca.com pharmacies Blue Shield 65 Plus (HMO), Blue Shield 65 Plus Choice Plan (HMO), and Blue Shield Trio Medicare (HMO) 2018 Pharmacy Directory This pharmacy directory was updated on 10/2017. For more recent information or other questions, please contact Blue Shield 65 Plus,SM, Blue Shield 65 Plus Choice Plan, and Blue Shield Trio Medicare Member Services at (800) 776-4466 or, for TTY users, 711, 8 a.m. to 8 p.m., seven days a week, from October 1 through February 14, and 8 a.m. to 8 p.m., weekdays, from February 15 through September 30, or visit blueshieldca.com/med_pharmacy. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at blueshieldca.com/med_pharmacy. You may also call Member Services for updated provider. H0504_17_194A NM 08042017 * accepts e-prescribing 1 Introduction This booklet provides a list of Blue Shield 65 Plus, Blue Shield 65 Plus Choice Plan and Blue Shield Trio Medicare (the Plan) network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and the Blue Shield 65 Plus, Blue Shield 65 Plus Choice Plan, or Blue Shield Trio Medicare 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 the Plan only if they are filled at a network pharmacy or through our mail service 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 October 1, 2017. 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 “P” 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 may still receive an extended supply of drugs at other network pharmacies; however, you may not receive the preferred cost-sharing. You can get prescription drugs shipped to your home through our network mail order delivery program which is called our “mail service pharmacy.” For more information, please contact us or see the mail service pharmacy section of this pharmacy directory. 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. * accepts e-prescribing 2 Retail Pharmacies, including Chain Pharmacies All Blue Shield 65 Plus, Blue Shield 65 Plus Choice Plan, and Blue Shield Trio Medicare Network Retail Pharmacies offer an extended day supply of medications. Chain Corporate phone # TTY # Albertsons/Osco/Savon*P 877-932-7948 711 Bel-Air* 800-925-9989 711 Costco* P 800-955-2292 711 CVS/Pharmacy* P 888-607-4287 711 Fred Meyer* 888-247-4439 711 Kmart* 866-562-7848 711 Nob Hill* 800-925-9989 711 Raley's* 800-925-9989 711 Ralphs* P 888-437-3496 711 Rite Aid Corporation* 800-748-3243 711 Safeway and Vons pharmacies* P 877-723-3929 711 Save Mart* 800-692-5710 711 Target*P (CVS Pharmacy at Target) 800-440-0680 711 Walgreens* 800-925-4733 711 Wal-Mart* P 800-925-6278 711 P indicates a pharmacy that offers preferred cost-sharing Mail Service Pharmacy CVS Caremark (866) 346-7200 TTY 711 You can get prescription drugs shipped to your home through our network mail order delivery program which is called our “mail service pharmacy.” For refills of your mail order prescriptions, please contact us 14 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. Typically, you should expect to receive your prescription drugs within 14 days from the time that the mail service pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at (800) 776-4466 or, for TTY users, 711. * accepts e-prescribing 3 Retail Pharmacies Medicine Shoppe* (559) 325-1324 195 W Shaw Ave #101 Fresno County Clovis 93612 Walgreens* (559) 297-0251 205 Shaw Ave Caruthers Pharmacy* Clovis 936123818 2436 W Tahoe Save Mart Pharmacy* (559) 325-1858 Caruthers 93609 850 Herndon Ave (559) 864-3177 Clovis 936120489 Walmart Pharmacy* (559) 322-0123 323 W Shaw Ave Costco Pharmacy* Clovis 936123604 380 W Ashlan Ave Save Mart Pharmacy* (559) 297-4391 Clovis 936125611 2179 Shaw Ave (559) 291-1084 Clovis 936118937 Walmart Pharmacy* (559) 298-1707 1185 Herndon Ave Cvs Pharmacy* Clovis 936120409 1107 N Willow Ave Save Mart Pharmacy* (559) 321-0284 Clovis 936114408 1157 N Willow Ave (559) 322-0340 Clovis 936114408 Walmart Pharmacy* (559) 297-0174 1830 Shaw Ave Cvs Pharmacy* Clovis 936114000 10 Shaw Ave Script Life Pharmacy* (559) 862-2837 Clovis 936123802 255 W Herndon Ave Ste 101 (559) 299-9511 Clovis 936120204 Rite Aid Pharmacy* (559) 324-1808 159 W Polk St Cvs Pharmacy* Coalinga 932102302 1405 Herndon Ave Scriptcare Rx And Medical (559) 935-3597 Clovis 936110504 Supplies* (559) 322-1574 159 W Shaw Ave Rx Care Pharmacy* Clovis 936123726 155 S 5th Suite A Cvs Pharmacy* (559) 298-0600 Coalinga 932109665 2133 Shaw Ave (559) 935-8833 Clovis 936118937 Vons Pharmacy* (559) 297-6730 1650 Herndon Ave Walgreens* Clovis 936110505 265 Forest St Cvs Pharmacy* (559) 297-6440 Coalinga 93210 900 Shaw Ave (559) 934-0461 Clovis 936123900 Vons Pharmacy* (559) 297-5697 3100 Fowler Ave West Side Drug Company* Clovis 936112100 1101 O St Cvs Pharmacy* (559) 294-6730 Firebaugh 936222224 695 W Herndon Ave (559) 659-2159 Clovis 936120104 Walgreens* (559) 321-0010 1790 Shaw Ave Cvs Pharmacy* Clovis 93611 111 E Merced St Cvs Pharmacy* (559) 299-5823 Fowler 936252312 1794 Ashlan Ave (559) 834-1606 Clovis 936115190 Walgreens* (559) 294-6603 1815 Herndon Ave Bk Pharmacy Corp* Clovis 936116109 540 E Herndon Ave #103 * accepts e-prescribing 4 Fresno 937202993 (559) 436-0471 (559) 438-2888 Cvs Pharmacy* 1302 Fulton Mall Cvs Pharmacy* Buker And Colson Medicine Fresno 937211608 3150 W Shaw Ave Chest* (559) 233-7311 Fresno 937113215 1300 N Fresno St Ste 200b (559) 276-8926 Fresno 937033845 Cvs Pharmacy* (559) 237-4171 3011 E Shields Ave Cvs Pharmacy* Fresno 937266752 7600 N Blackstone Ave Bullard Pharmacy* (559) 224-2965 Fresno 937204300 2026 W Bullard Ave (559) 490-0031 Fresno 937111210 Cvs Pharmacy* (559) 438-0111 1325 W Shields Ave Cvs Pharmacy* Fresno 937053341 6800 N Milburn Ave Cancer Care Associates* (559) 224-6963 Fresno 937222155 1791 E Fir Ave (559) 451-3486 Fresno 937203840 Cvs Pharmacy* (559) 326-1222 4077 W Clinton Ave Cvs Pharmacy* Fresno 937226883 5180 E Kings Canyon Rd Care Center Pharmacy* (559) 271-3177 Fresno 937273971 1570 E Herndon Ave (559) 255-9009 Fresno 937203303 Cvs Pharmacy* (559) 437-7370 728 W Shaw Ave Cvs Pharmacy* Fresno 937042301 4987 N Fresno St Care Rx Pharmacy* (559) 226-1485 Fresno 937260352 302 E Bullard Ave (559) 227-7137 Fresno 937105299 Cvs Pharmacy* (559) 261-9888 1113 E Champlain Dr Cvs Pharmacy* Fresno 937204223 5995 E Kings Canyon Rd Cedar Pharmacy & Med Supplies (559) 434-2158 Fresno 93727 Inc* (559) 252-1124 6767 N Cedar Ave Cvs Pharmacy* Fresno 937104402 3173 E Shields Ave Cvs Pharmacy* (559) 437-3700 Fresno 937266902 6655 N Riverside Drive (559) 222-6287 Fresno 93722 Chestnut Pharmacy* (559) 490-5568 7075 N Chestnut Ave Ste 104 Cvs Pharmacy* Fresno 937200356 5740 N Blackstone Ave Cvs Pharmacy* (559) 317-6720 Fresno 937105006 6720 N. Fresno St (559) 431-8650 Fresno 937103743 Costco Pharmacy* (559) 432-2729 7100 N Abby St Cvs Pharmacy* Fresno 937202920 6750 N Cedar Ave Elm Community Health Cntr* (559) 437-3642 Fresno 937104403 2740 S Elm Ave (559) 299-3115 Fresno 93706 Costco Pharmacy* (559) 457-5381 4500 W Shaw Ave Cvs Pharmacy* Fresno 937226200 7096 N West Ave Fresno Pharmacy* (559) 276-2595 Fresno 937110462 4917 E Kings Canyon Rd Ste 102 * accepts e-prescribing 5 Fresno 937273812 5638 E Kings Canyon Rd Sam's Club Pharmacy* (559) 255-8085 Fresno 937274627 7663 N Blackstone Ave (559) 458-0534 Fresno 937204306 Jeffrey K Shinoda Pharm D Inc* (559) 446-0196 6121 N Thesta St Ste 204 Rite Aid Pharmacy* Fresno 937105294 4224 E Shields Ave Save Mart Pharmacy* (559) 435-2425 Fresno 937267120 1107 E Champlain Dr (559) 229-6024 Fresno 937204223 Manor Drugs* (559) 433-0283 5795 N 1st St Rite Aid Pharmacy* Fresno 937106203 2047 W Shaw Ave Save Mart Pharmacy* (559) 431-4142 Fresno 937113404 659 E Nees Ave (559) 224-0920 Fresno 937202106 Modern Drug* (559) 446-0715 3044 Tulare St Rite Aid Pharmacy* Fresno 937211415 1101 Fresno St Save Mart Pharmacy* (559) 266-0701 Fresno 937063235 7075 N Marks Ave (559) 441-0998 Fresno 937110261 Mymed Pharmacy* (559) 439-1211 7141 N.
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