2013 Pharmacy Directory UnitedHealthcare® MedicareRx for Groups (PDP) Inside • National pharmacy chains • Retail pharmacies • Mail service pharmacies • Specialty pharmacies This directory is a partial list of pharmacies. Please contact Customer Service at 1-888-556-6648, TTY 711 8 a.m. – 8 p.m. local time, Monday – Friday Y0066_120726_143236 Client Alts Internal & External Team Project Details Color Color Proofs Dimensions Date: 9/26/12 DMS Number: NDXUHEN000_PD3400070 K | PMS 301 PC Required No Flat: 8.5” x 11” Creative Prod. Mgr: Kathy Depot #: SPRJ8074 Pulled No Software: InDesign CS4 Baca Name: Pharmacy Directory Group Arkansas Client Approved No Notes .5” margins top & bottom Job Number: UMR120268 Stage: FINAL Reading Level: 7 .75” margins right & left File Name: NDXUHEN000_PD3400070_AR_FINAL2 FINAL Release for Printer Arkansas About this pharmacy directory This directory is a partial list of the plan’s network pharmacies. It lists pharmacies in your state and national pharmacy chains that are in our network. Pharmacies are listed in alphabetical order. All network pharmacies may not be listed in this directory. It is current as of the print date on the last page. Pharmacies may have been added or removed from the directory after it was created. For complete, up-to-date information about the plan’s network pharmacies in your area, or to check for a pharmacy not listed in this directory, please contact Customer Service. Network pharmacies We call the pharmacies in this directory our network pharmacies because we have made arrangements with them to provide prescription drugs to our plan members. A network pharmacy is a pharmacy where you get the prescription drug benefits provided by your plan. In most cases, your prescriptions are covered under the plan only if they are filled at a network pharmacy or through the plan’s mail order pharmacy service. You do not have to go to the same network pharmacy to fill each of your prescriptions. You may go to any of our network pharmacies. We may cover prescriptions filled at non-network pharmacies in certain situations as described in your Evidence of Coverage. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your Evidence of Coverage and Formulary (Drug List). Pharmacy Saver™ The plan has negotiated with some of our network pharmacies to get even lower costs on hundreds of prescription drugs for our members.1 These include drugs to treat high cholesterol, high blood pressure, diabetes and much more. Prices may be as low as $2.2 All you have to do is show your member ID card at participating pharmacies. To learn more about Pharmacy Saver or to see the full list of participating pharmacies, visit www.UnitedPharmacySaver.com. Pharmacies included in the Pharmacy Saver program are indicated by a symbol in the pharmacy listings on the following pages. Mail service pharmacies You can use one of the plan’s network mail service pharmacies to fill prescriptions to receive a 90-day supply of your prescription drugs. Generally, it takes mail service pharmacies seven days to process your order and ship it to you. Please be aware of this turnaround time, and request refills early enough to leave time for your refills to be processed and sent to you. You should fill your prescription at a local network pharmacy if you are out of your medication and cannot wait for your mail service prescription to arrive. Please refer to the pharmacy listing on the following pages for our other network pharmacies in your area. The cost-shares for mail order drugs are listed in the Evidence of Coverage. 90-day supplies from retail pharmacies You do not have to use mail service to get a 90-day supply of your medication. Some of the retail pharmacies in the plan’s network also offer 90-day supplies of medications. If you fill a 90-day supply at a retail pharmacy, you may pay more.3 If you qualify for extra help, you may have lower or no copays or coinsurance when filling a 90-day supply. Retail pharmacies in the network that fill 90-day supplies of medications are indicated by a symbol in the pharmacy listings on the following pages. E-prescribing Some of our network pharmacies use electronic prescribing, or e-prescribing. The pharmacy receives your prescriptions electronically, directly from your doctor. Your prescription may be sent before you even leave your doctor’s office. E-prescribing can be a safe and efficient way for network pharmacies to get your prescriptions. It can help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken with the prescribed drugs. Network pharmacies that use e-prescribing are indicated by an symbol in the pharmacy listings on the following pages. 1Other pharmacies are available in our network. Members may use any pharmacy in the network, but may not receive Pharmacy Saver pricing. Pharmacies participating in the Pharmacy Saver program may not be available in all areas. 2Drugs and prices may vary between pharmacies and are subject to change during the plan year. Quantities may be limited by retailer based on their dispensing policy or by the plan based on Quantity Limit requirements; if prescription is in excess of a limit, copay amounts may be higher. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. If you are getting extra help from Medicare, your costs could be lower. 3If a retail pharmacy has not agreed to accept a contract to dispense an extended supply of medications beyond 30 days per dispensing (30-day supply), you will be responsible for any differences in cost for the extended supply. National pharmacy chains Below are some of the national chains in the plan’s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. TTY users should call 711, unless a different phone number is listed below. CVS 1-800-746-7287 Medicine Shoppe Pharmacy CVS Pharmacy 1-800-297-0227 Longs Medicap Pharmacy Duane Reade 1-866-375-6925 Medicine Shoppe Pharmacy Food Lion 1-800-210-9569 Publix 1-800-782-5497 Giant 1-888-469-4426 Rite Aid 1-800-748-3243 TTY 1-800-821-1833 Giant Food Stores 1-888-814-4268 Safeway & Affiliates 1-800-723-3929 Good Neighbor Pharmacy 1-888-880-1388 Carrs|Safeway Dominick’s Hannaford 1-800-213-9040 Pavilions Harveys 1-866-652-6090 Randalls Safeway H-E-B 1-800-432-3113 TomThumb Health Mart Pharmacy 1-800-824-1763 Vons Hy-Vee 1-515-267-2800 SUPERVALU & Affiliates 1-877-932-7948 Kroger & Affiliates 1-800-576-4377 Bigg’s Pharmacy Baker’s Pharmacy Cub Pharmacy City Market Farm Fresh Pharmacy Dillons Osco Pharmacy Fred Meyer Sav-on Pharmacy Fry’s Pharmacy Shaw’s Pharmacy Gerbes Shop ’n Save Pharmacy JayCs Shoppers Pharmacy King Soopers Stop & Shop 1-800-767-7772 Kroger Sweetbay 1-888-218-3890 Pay Less Pharmacy QFC Pharmacy Target Pharmacy 1-800-440-0680 Ralphs Walgreens 1-800-925-4733 Scotts TTY 1-877-924-7889 Smith’s Food & Drug Wal-Mart 1-800-925-6278 Martins 1-888-562-7846 Wegmans 1-800-934-6267 This list may change. For a current list of national pharmacy chains in our network, contact Customer Service. To check for a pharmacy not listed in this directory, please call Customer Service. = 90-day supplies = e-prescribing = Pharmacy Saver retail pharmacies near you Below are some of the network retail pharmacies in your state. Note: Pharmacies may have closed or moved locations since this directory was created. Allcare Specialty Pharmacy Professional Pharmacy 1523 S Bowman Road 1515 N Medical Drive Ste G Po Box 86 Little Rock, AR 72211 Stuttgart, AR 72160 501-217-8880 870-673-1741 N Tommys Rexall Drug Company Genoa Healthcare 220 Court Square 125 Dons Way Ste 268 Dewitt, AR 72042 Hot Springs, AR 71913 870-946-4221 253-218-0830 Wal-Mart Pharmacy E 406 E 22nd Street Stuttgart, AR 72160 Rothrock Drug Company 870-673-1834 700 N 6th St N Blytheville, AR 72315 870-763-4451 Ashley N E Bakers Pharmacy Arkansas 300 Main St Crossett, AR 71635 Buerkle Drug Company 870-364-5155 202 S Main St N Stuttgart, AR 72160 870-673-3784 Brookshires Pharmacy N 1600 Florida Attention Pharmacy Dept Coker Hampton Drug Co Crossett, AR 71635 218 S Main St 870-364-8220 Stuttgart, AR 72160 N 870-673-2691 N Footes Super Drug Inc 109 E Adams St Deans Pharmacy Hamburg, AR 71646 1640 S Whitehead Dr 870-853-5275 Dewitt, AR 72042 N 870-946-2381 N Freds Pharmacy 1164 Highway 133 North Deans Pharmacy North Crossett, AR 71635 102 E 22nd St 870-364-9345 Stuttgart, AR 72160 N 870-672-4790 N = 90-day supplies = e-prescribing = Pharmacy Saver retail pharmacies near you (continued) Gammels Clinic Pharmacy Medicap Pharmacy 909 Unity Rd 103 Dyer St Crossett, AR 71635 Mountain Home, AR 72653 870-364-5100 870-425-1538 N N La Grone Drug Medicine Shoppe 201 N Main St 116 Highway 201 North Hamburg, AR 71646 Mountain Home, AR 72653 870-853-8666 870-424-4010 Wal-Mart Pharmacy N 910 Unity Road Mitchells Park Street Pharmacy Crossett, AR 71635 704 Park St 870-364-7205 Calico Rock, AR 72519 N 870-297-8107 Baxter N Allcare Pharmacy - Ponder Health Wal-Mart Pharmacy 400 S College St 65 Wal-Mart Drive Mountain Home, AR 72653 Mountain Home, AR 72653 870-425-5145 870-492-7733 N E N Freds Pharmacy Walgreens 1042 Highland Circle 350 Hwy 62 E Mountain Home, AR 72653 Mountain Home, AR 72653 870-425-5494 870-424-3812 N N E Genuine Care Pharmacy Benton 7337 Hwy 62 W Allcare Pharmacy Gassville, AR 72635 216 S 13th St 870-435-5757 Rogers, AR 72758 N 479-621-0400