2013 PHARMACY DIRECTORY VIVA MEDICARE Plus Rx (HMO) VIVA MEDICARE Plus Rx Premier (HMO) VIVA MEDICARE Plus Rx Extra Value (HMO SNP) 2013 PHARMACY DIRECTORY A Product of VIVA HEALTH A Member of the Health System VIVA HEALTH is a Medicare Advantage organization with a Medicare contract www.vivamedicaremember.com 1222 14th Avenue South (HMO) Birmingham, Alabama 35205 Premier (HMO) Extra Value (HMO SNP) (HMO) Premier (HMO) Extra Value (HMO SNP) H0154_mcdoc1139A CMS Accepted 08/27/2012 H0154_mcdoc1139APremier (HMO) CMS Accepted 08/27/2012 (HMO) Extra Value (HMO) Premier (HMO) Extra Value (HMO SNP) 2013 Pharmacy Directory This booklet provides a list of VIVA MEDICARE Plus network pharmacies. We also list pharmacies that are in our network but are outside our service area. Please contact VIVA MEDICARE Plus at 1-800-633-1542, Monday through Friday from 8:00 am to 8:00 pm (from October 1st – February 14th, Monday – Sunday, 8 a.m. – 8 p.m.) for additional information. 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. To get current information about VIVA MEDICARE Plus network pharmacies in your area, please visit our website at www. vivamedicaremember.com or call our Member Services at 1-800-633-1542, Monday through Friday from 8:00 am to 8:00 pm (from October 1st – February 14th, Monday – Sunday, 8 a.m. – 8 p.m.). TTY/TDD Users should call the Alabama Relay Service at 1-800-548-2546. Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or copayments/ coinsurance may change on January 1, 2014. VIVA HEALTH is a Medicare Advantage organization with a Medicare contract. Please call 1-800-633-1542, Monday through Friday from 8:00 am to 8:00 pm (From October 1st – February 14th, Monday – Sunday, 8 a.m. – 8 p.m.) to receive this document in an alternate format. TTY/TDD Users should call the Alabama Relay Service at 1-800-548-2546. H0154_mcdoc1139A CMS Accepted 08/27/2012 Introduction You may go to either of these types of network This booklet provides a list of VIVA MEDICARE pharmacies to receive your covered prescription Plus network pharmacies. To get a complete drugs. VIVA MEDICARE Plus also has a limited description of your prescription coverage, pharmacy network. This network consists of including how to fill your prescriptions, please pharmacies that can provide a long-term review the Evidence of Coverage and VIVA (90-day) supply of drugs on our Drug List. MEDICARE Plus’ formulary. If you have additional The pharmacies in this network are indicated questions, please call our Member Services with an asterisk “*”. at 1-800-633-1542, Monday through Friday Contents from 8:00am to 8:00pm (From October 1st – Pharmacies are listed by county and then in alpha- February 14th, Monday – Sunday, 8 a.m. – 8 betical order in the following sections: p.m). TTY/TDD Users should call the Alabama Retail Pharmacies Relay Service at 1-800-548-2546. Or, visit www. (including chain pharmacies) .......................page 3 vivamedicaremember.com. Mail-Order Pharmacy ....................................................page 48 We call the pharmacies on this list our Home Infusion “network pharmacies” because we have made Pharmacies .................................................page 49 arrangements with them to provide prescription Long-Term Care drugs to Plan members. In most cases, your Pharmacies .................................................page 52 prescriptions are covered under VIVA MEDICARE Plus only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. Preferred pharmacies are network pharmacies with which our Plan has negotiated even lower cost-sharing for its plan members for covered prescription drugs than at other network pharmacies. However, you will still have access to lower drug prices at these other network pharmacies than at out-of-network pharmacies. 2 H0154_mcdoc1139A CMS Accepted 08/27/2012 RETAIL PHARMACIES: Retail Pharmacy Name Address City State Zip Telephone AUTAUGA COUNTY Adams Drugs - Prattville* 103 S Memorial Dr Prattville AL 36067 (334) 358-5353 Autauga Pharmacy* 209 S Washington St Autaugaville AL 36003 (334) 358-1774 CVS Pharmacy* 708 E Main St Prattville AL 36067 (334) 365-0661 CVS Pharmacy* 1840 E Main St Prattville AL 36066 (334) 365-7606 Foster Drug Of Alabama Inc* 115 N Memorial Dr Prattville AL 36067 (334) 365-3327 Prattville Mkt Pl-1880 E Kmart Pharmacy* Main Prattville AL 36066 (334) 365-9480 Publix Pharmacy* 2451 Cobbs Ford Rd Prattville AL 36066 (334) 285-0623 Rite Aid Pharmacy* 606 S Memorial Dr Prattville AL 36067 (334) 365-1600 Target Pharmacy* 2754 Legends Parkway Prattville AL 36066 (334) 290-6001 The Medicine Shoppe* 959 E Main St Ste A Prattville AL 36066 (334) 358-1630 Uni-Care Pharmacy* 842 Peachtree St Prattville AL 36066 (334) 365-6502 Wal-Mart Pharmacy* 1922 E Main St Prattville AL 36066 (334) 365-7774 Walgreens* 703 S Memorial Dr Prattville AL 36067 (334) 361-2261 Winn-Dixie Pharmacy* 701 E Main St Prattville AL 36067 (334) 361-9950 BALDWIN COUNTY Bell’s Hometown Pharmacy* 619 Mcmeans Ave Bay Minette AL 36507 (251) 202-9444 Compound Care Plus* 30245 County Road 49 Loxley AL 36551 (251) 980-2273 CPT Inc* 1048 Stanton Rd Ste B Daphne AL 36526 (251) 626-2820 CVS Pharmacy* 208 Mcmeans Ave Bay Minette AL 36507 (251) 937-3933 CVS Pharmacy* 51 S Greeno Rd Fairhope AL 36532 (251) 928-3125 CVS Pharmacy* 27040 US Highway 98 Daphne AL 36526 (251) 621-9096 CVS Pharmacy* 1300 S Mckenzie St Foley AL 36535 (251) 943-6614 CVS Pharmacy* 25761 Perdido Beach Blvd Orange Beach AL 36561 (251) 974-1590 Elberta Pharmacy* 24980 State St Elberta AL 36530 (251) 986-8115 Fairhope Pharmacy* 398 Fairhope Ave Fairhope AL 36532 (251) 928-8822 Gulf Shores Family Pharmacy* 251 Clubhouse Dr Gulf Shores AL 36542 (251) 968-3784 3645 Gulf Shores Pkwy Island Drug* Ste 107 Gulf Shores AL 36542 (251) 967-1100 Lee Drug Store Inc* 18530 Florida St Robertsdale AL 36567 (251) 947-7378 Lillian Pharmacy* 12831 6th St Lillian AL 36549 (251) 962-3777 Loxley Pharmacy* 2140 E Relham Dr Loxley AL 36551 (251) 964-5332 Magnolia Springs Magnolia Pharmacy* 14975 Hwy 98 Springs AL 36555 (251) 965-6273 H0154_mcdoc1139A CMS Accepted 08/27/2012 3 Retail Pharmacy Name Address City State Zip Telephone BALDWIN COUNTY CTD. Medi-Stat Rx* 350 Cypress Bend Blvd Gulf Shores AL 36542 (251) 243-0467 Medicap Pharmacy* PO Box 7234 Spanish Fort AL 36577 (251) 625-1311 North Baldwin Family Pharmacy* 2012 Hand Ave Bay Minette AL 36507 (251) 937-9623 Pharmacy Service Pharmacy* 101 Villa Dr # A Daphne AL 36526 (251) 621-0433 Pharmerica* 9052 Independence Ave Daphne AL 36526 (251) 625-6270 25771 Perdido Beach Publix Pharmacy* Blvd Orange Beach AL 36561 (251) 980-1445 22530 US Highway 98 Publix Pharmacy* Ste 100 Fairhope AL 36532 (251) 929-7359 160 Cotton Creek Dr Ste Publix Pharmacy* 100 Gulf Shores AL 36542 (251) 948-2781 27955 US Highway 98 Publix Pharmacy* Ste H Daphne AL 36526 (251) 626-1349 10179 Eastern Shore Publix Pharmacy* Drive Spanish Fort Al 36527 (251) 621-9771 14965 Highway 59 Ste QRC Pharmacy* 101 Foley AL 36535 (251) 947-5593 Rite Aid Pharmacy* 6530 Highway 31 Spanish Fort AL 36527 (251) 626-0015 Rite Aid Pharmacy* 101 S Greeno Rd Fairhope AL 36532 (251) 990-7172 Rite Aid Pharmacy* PO Box 2437 Gulf Shores AL 36547 (251) 968-6119 25241 Perdido Beach Rite Aid Pharmacy* Blvd Orange Beach AL 36561 (251) 981-7019 Rite Aid Pharmacy* 1255 S Mckenzie St Foley AL 36535 (251) 971-1017 Rite Aid Pharmacy* 21951 Highway 59 Ste A Robertsdale AL 36567 (251) 947-5777 7101 US Highway 90 Ste Rx Advantage Inc* 300 Daphne AL 36526 (251) 625-6100 Sams Pharmacy* 29683 Frederick Blvd Daphne AL 36526 (251) 626-6670 Stacey Drug Store* 121 W Laurel Ave Foley AL 36535 (251) 943-7191 Starling Pharmacy* 22550 Highway 59 Robertsdale AL 36567 (251) 947-7108 Target Pharmacy* 1698 US Highway 98 Daphne AL 36526 (334) 626-5739 Target Pharmacy* 3820 Gulf Shores Pkwy Gulf Shores AL 36542 (251) 967-7002 Walgreens* 698 S Mckenzie St Foley AL 36535 (251) 971-6258 Walgreens* 3025 US Highway 98 Daphne AL 36526 (251) 621-7266 Walgreens* 2 S Greeno Rd Fairhope AL 36532 (251) 928-6558 Walgreens* 1421 Gulf Shores Pkwy Gulf Shores AL 36542 (251) 968-5946 Walgreens* 30957 Mill Lane Daphne AL 36527 (251) 625-4654 Wal-Mart Pharmacy* 27520 US Highway 98 Daphne AL 36526 (251) 626-5863 4 H0154_mcdoc1139A CMS Accepted 08/27/2012 Retail Pharmacy Name Address City State Zip Telephone Wal-Mart Pharmacy* 2200 S Mckenzie St Foley AL 36535 (251) 943-3320 Wal-Mart Pharmacy* 701 Mcmeans Ave Bay Minette AL 36507 (251) 937-5553 Wal-Mart Pharmacy* 170 Fort Morgan Rd Gulf Shores AL 36542 (251) 968-5910 Wal-Mart Pharmacy* 10040 County Road 48 Fairhope AL 36532 (251) 990-9907 25241 Perdido Beach Wal-Mart Pharmacy* Blvd Orange Beach AL 36561 (251) 974-1824 Winn-Dixie Pharmacy* 1235 S Mckenzie St Foley AL 36535 (334) 943-4722 Winn-Dixie Pharmacy* 710 Mcmeans Ave Bay Minette AL 36507 (334) 937-1101 Winn-Dixie Pharmacy* 25405 Perido Blvd Orange Beach AL 36561 (334) 981-1796 Winn-Dixie Pharmacy* 187 Baldwin Sq Fairhope AL 36532 (334) 990-5779 Winn-Dixie Pharmacy* 3075 US Highway 98 Daphne AL 36526 (334) 621-0167 Wright Drugs Inc.* 101 W Laurel