NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2018 Montana University System

Transcription

1 Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2018 Montana University System This pharmacy directory was updated on 8/18/2017. For more recent information or other questions, please contact Navitus MedicareRx (PDP) Customer Care at (for TTY users, please call 711) we are available 24 hours a day, 7 days a week, except Thanksgiving and Christmas Day, or visit the member portal at Customer Care also has free language interpreter services available for non-english speakers. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located at You may also call Customer Care for updated pharmacies. This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten by Dean Health Insurance, Inc., a Federally-Qualified Medicare Contracting Prescription Drug Plan. This Pharmacy Directory was updated on 8/18/2017. S9701_801_2018_MTU_DIR_V01

2 medicarerx (PDP) INTRODUCTION This booklet provides a list of Navitus MedicareRx (PDP) network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Navitus MedicareRx (PDP) s formulary. When this pharmacy directory refers to we, us, our, plan, or our plan, it means Navitus MedicareRx (PDP). We refer to the pharmacies on this list as 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 Navitus MedicareRx (PDP) 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. Not all network pharmacies may 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 8/18/2017. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

3 medicarerx (PDP) You can get prescription drugs shipped to your home through any contracted mail order pharmacy or one of our preferred network mail order delivery programs, Costco Mail Order, mirx Mail Order, and Ridgeway Mail Order. For more information, please contact us or see the mail order section of this pharmacy directory. Note: You need not be a member of Costco Warehouse/Club Stores to utilize Costco Mail Order services. This directory is for the pharmacies located in the state of Montana, which is the area in which most of our members 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, you can call Customer Care at (TTY 711) or search by zip code in the Member Portal at 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.

4 The Montana University System is required by federal law to provide the following information. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 711). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (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 (TTY: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 (TTY:711) まで お電話にてご連絡ください PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 711). ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : 711). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 711). 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: 711) 번으로전화해주십시오. ملحوظة: إذا كنت تتحدث اذكر اللغة فا ن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (رقم ھاتف الصم والبكم:.( 711 เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (TTY: 711). MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 711). УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (телетайп: 711). Wann du Deitsch (Pennsylvania German / Dutch) schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (TTY: 711). ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (TTY: 711).

5 Non-Discrimination Statement: The Montana University System complies with applicable Federal civil rights laws, state and local laws, rules, policies and executive orders and does not discriminate on the basis of race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, political or religious affiliation or ideas, culture, creed, social origin or condition, genetic information, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, military service or veteran status or marital status. The Montana University System does not exclude people or treat them differently because of race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, political or religious affiliation or ideas, culture, creed, social origin or condition, genetic information, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, military service or veteran status or marital status. The Montana University System provides 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, audio, accessible electronic formats, other formats). The Montana University System 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 the Customer Care Center at Filing a Grievance or Complaint: If you believe that the Montana University System has failed to provide these services or discriminated in another way on the basis of race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, political or religious affiliation or ideas, culture, creed, social origin or condition, genetic information, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, military service or veteran status or marital status you can file a grievance. If you need help filing a grievance, MUS Employee Benefits is available to help you. You can file a grievance in person or by mail, fax, or MUS Employee Benefits PO Box Helena, MT Phone: (877) Fax: (406) benefits@montana.edu 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 or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C ; (TDD)

6 Retail Pharmacies, including Chain Pharmacies MONTANA Beaverhead Dillon SAFEWAY PHARMACY # N Montana St Dillon, MT (406) SHOPKO PHARMACY # E Glendale St Dillon, MT (406) VANS PHARMACY 110 Southside Blvd Dillon, MT (406) Big Horn Hardin BIGHORN VALLEY PHARMACY 10 West 4th Street Hardin, MT (406) SHOPKO PHARMACY # N Center Ave Hardin, MT (406) Blaine Chinook CHINOOK PHARMACY 300 Indiana St Chinook, MT (406) Harlem MILK RIVER PHARMACY Us Hwy 2 Harlem, MT (406) Broadwater Townsend TOWNSEND DRUG 308 Broadway Townsend, MT (406) Carbon Red Lodge RED LODGE DRUG 211 North Broadway Red Lodge, MT (406) Cascade Great Falls ANDERSON FAMILY PHARMACY th Ave S Great Falls, MT (406) CLINIC PHARMACY th St S Great Falls, MT (406) CVS PHARMACY th Ave S Great Falls, MT (406) KMART PHARMACY rd Street Nw Great Falls, MT (406) OSCO PHARMACY # rd St Nw Great Falls, MT (406) OSCO PHARMACY # th Ave S Great Falls, MT (406) PLAZA UNITED PHARMACY th Ave S Great Falls, MT (406) PUBLIC DRUG CO 324 Central Ave Great Falls, MT (406) SAMS PHARMACY Northwest Byp Great Falls, MT (406) SHOPKO PHARMACY 301 Northwest Byp Great Falls, MT (406) SMITHS PHARMACY # Market Place Drive Great Falls, MT (406) SNYDER DRUGS th Ave No Great Falls, MT (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 1

7 WALGREENS # th Ave Great Falls, MT (406) WALGREENS # rd St Nw Great Falls, MT (406) Smelter Ave N.E. Great Falls, MT (406) th Ave S Great Falls, MT (406) Chouteau Big Sandy BIG SANDY PHARMACY 158 Johannes Ave Big Sandy, MT (406) Fort Benton BENTON PHARMACY 1418 Front St Fort Benton, MT (406) Custer Miles City BIG SKY PHARMACY 701 Main St Miles City, MT (406) OSCO PHARMACY # S Haynes Miles City, MT (406) Stower Street Miles City, MT (406) Daniels Scobey SERVICE DRUG INC 119 Main St Scobey, MT (406) Dawson Glendive F & G PHARMACY 107 N Merrill Ave Glendive, MT (406) GABERT CLINIC PHARMACY 107 Dilworth Glendive, MT (406) OSCO PHARMACY # N Harmon Glendive, MT (406) Deer Lodge Anaconda CVS PHARMACY 1300 E Park Ave Anaconda, MT (406) STOKES PHARMACY ANACONDA 1525 West Park Avenue Anaconda, MT (406) THRIFTY DRUG 201 E Park St Anaconda, MT (406) Fallon Baker BAKER REXALL DRUG 104 S Main Baker, MT (406) Fergus Lewistown OSCO PHARMACY # W Janeaux St Lewistown, MT (406) SEIDEN DRUG COMPANY INC 310 Wendell Ave Lewistown, MT (406) SHOPKO PHARMACY # Ne Main St Lewistown, MT (406) Flathead Bigfork BIGFORK DRUG 8111 Mt Highway 35 Ste 7 Bigfork, MT (406) Columbia Falls This pharmacy qualifies for dispensing up to a 90-day supply. Page 2

8 SMITHS PHARMACY # Nucleus Ave Columbia Falls, MT (406) Kalispell COSTCO PHARMACY 2330 Us Highway 93 N Kalispell, MT (406) KMART PHARMACY Us Hwy 2 E Kalispell, MT (406) MEDICAL ARTS PHARMACY 209 Conway Dr Kalispell, MT (406) OSCO PHARMACY # W Idaho Kalispell, MT (406) ROSAUERS PHARMACY 2150 Us Hwy 93 S Kalispell, MT (406) SHOPKO PHARMACY # Us Highway 2 E Kalispell, MT (406) SMITHS PHARMACY # rd Ave North East Kalispell, MT (406) SYKES PHARMACY 202 2nd Ave West Kalispell, MT (406) THE CLINICAL PHARMACY 200 Conway Drive Kalispell, MT (406) WALGREENS # W Idaho St Kalispell, MT (406) Hutton Ranch Rd Kalispell, MT (406) Lakeside REMEDIES LAKESIDE 206 Stoner Loop Lakeside, MT (406) Whitefish ALPINE APOTHECARY 6475 Hwy 93 S Whitefish, MT (406) SAFEWAY PHARMACY # Highway 93 South Whitefish, MT (406) WALGREENS # E 13th St Whitefish, MT (406) WHITEFISH DISCOUNT PHARMACY 1111 Baker Ave Whitefish, MT (406) Gallatin Belgrade LEE AND DADS PHARMACY DBA TOWN AND COUNTRY FOODS PHARMACY 205 W Madison Ave Belgrade, MT (406) OSCO PHARMACY # Jackrabbit Ln Belgrade, MT (406) Big Sky BOZEMAN HEALTH BIG SKY MEDICAL CENTER PHARMACY 334 Town Center Ave Big Sky, MT (406) Bozeman COSTCO PHARMACY 2505 Catron Street Bozeman, MT (406) CVS PHARMACY 115 North 19th Avenue Bozeman, MT (406) HIGHLAND PARK PHARMACY 925 Highland Blvd Bozeman, MT (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 3

9 MSU STUDENT HEALTH SERVICE PHARMACY Msu Student Health Service Rx Bozeman, MT (406) OSCO PHARMACY #6 200 S 23rd Bozeman, MT (406) PRICE RITE DRUG 910 N 7th Ave Bozeman, MT (406) ROSAUERS PHARMACY 3255 Technology Blvd Bozeman, MT (406) SAFEWAY PHARMACY # W Main St Bozeman, MT (406) SMITHS PHARMACY # N 19th Ave Bozeman, MT (406) North 7th Avenue Bozeman, MT (406) Three Forks RAILWAY DRUG 117 Main St. S A Three Forks, MT (406) West Yellowstone SILVERTIP PHARMACY 120 N Canyon St West Yellowstone, MT (406) Glacier Cut Bank OSCO PHARMACY # W Main Cut Bank, MT (406) Granite Philipsburg GRANITE PHARMACY 106 N. Montgomery St Philipsburg, MT (406) Hill Havre BULLHOOK COMMUNITY HEALTH CENTER PHARMACY 521 4th St Havre, MT (406) HEALTH MART 730 1st St Havre, MT (406) KMART PHARMACY Highway #2 West Havre, MT (406) NORTHERN MONTANA PHARMACY 20 W 13 St Havre, MT (406) Us Highway 2 W Havre, MT (406) WESTERN DRUG PHARMACY 123 5th Ave Havre, MT (406) Jefferson Boulder ELKHORN PHARMACY INC 215 N Main Boulder, MT (406) Whitehall WHITEHALL DRUG 203 W. Legion Ave. Whitehall, MT (406) Lake Polson PROVIDENCE LAKESHORE PHARMACY 50331a Us-93 Polson, MT (406) SAFEWAY PHARMACY # Mt Highway 35 Polson, MT (406) ST JOSEPH PHARMACY 6 13th Ave E Polson, MT (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 4

10 WALGREENS # Mt Highway 35 Polson, MT (406) Memory Ln Polson, MT (406) Ronan FAMILY HEALTH PHARMACY Us Hwy 935 Ronan, MT (406) R AND R HEALTH CARE SOLUTIONS Us Highway 93 Ronan, MT (406) St Ignatius MISSION DRUG 110 N Main St Ignatius, MT (406) Lewis And Clark Helena COSTCO PHARMACY 2195 E Custer Ave Helena, MT (406) CVS PHARMACY # N Montana Ave Helena, MT (406) CVS PHARMACY 526 Euclid Helena, MT (406) CVS PHARMACY 603 N Montana Helena, MT (406) GENEVA WOODS PHARMACY 2600 Winne Ave Helena, MT (406) KMART PHARMACY Cedar Street Helena, MT (406) OSCO PHARMACY # N Montana Helena, MT (406) SAFEWAY PHARMACY # N Montana Ave Helena, MT (406) SHOPKO PHARMACY # N Montana Ave Helena, MT (406) ST PETER COMMUNITY PHARMACY 2475 Broadway Helena, MT (406) ST PETERS PHARMACY- BROADWAY 2550 Broadway Helena, MT (406) WALGREENS # th Ave Helena, MT (406) Prospect Avenue Helena, MT (406) Liberty Chester CHESTER PHARMACY INC. 30 Main Street Chester, MT (406) REMEDIES PHARMACY & GIFT 500 East Washington Ave. Chester, MT (406) Lincoln Eureka EUREKA DRUG 546 Us Highway 93 N Eureka, MT (406) Libby GRANITE PHARMACY LIBBY 1401 Minnesota Ave Libby, MT (406) NORTHWEST COMMUNITY HEALTH CENTER 320 E 2nd St Libby, MT (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 5

11 ROSAUERS PHARMACY 703 W 9th St Libby, MT (406) Troy KOOTENAI DRUG 611 E Missoula Ave Troy, MT (406) Madison Ennis ENNIS HEALTHMART PHARMACY 124 Main St Ennis, MT (406) Sheridan MAC'S CHC PHARMACY 317 Madison St Sheridan, MT (406) Meagher White Sulphur Springs CASTLE MOUNTAIN DRUG 4271 Us Highway 12 E White Sulphur Springs, MT (406) Mineral Superior MINERAL PHARMACY INC 207 River St Superior, MT (406) Missoula Frenchtown GRANITE PHARMACY FRENCHTOWN Beckwith St Frenchtown, MT (406) Lolo LOLO DRUG LLC 103 Glacier Drive Lolo, MT (406) Missoula 406 CLINIC PHARMACY SUITE B 1315 Wyoming St Ste B Missoula, MT (406) BROADWAY PHARMACY 500 W Broadway Missoula, MT (406) COSTCO PHARMACY 3220 Northern Pacific Avenue Missoula, MT (406) CVS PHARMACY 2420 N Reserve St Missoula, MT (406) CVS PHARMACY 1902 Brooks St Missoula, MT (406) GRANITE PHARMACY MISSOULA th Ave Ste 2 Missoula, MT (406) MISSOULA FRESH MARKET PHARMACY # S Reserve Street Missoula, MT (406) MISSOULA FRESH MARKET PHARMACY # West Broadway St Missoula, MT (406) MISSOULA PHARMACY 1211 S Reserve St Missoula, MT (406) OSCO PHARMACY # Oxford St Missoula, MT (406) OSCO PHARMACY # E Broadway St Missoula, MT (406) OSCO PHARMACY # N Reserve St Missoula, MT (406) OSCO PHARMACY # Russell St Missoula, MT (406) PALMERS DRUG 918 Sw Higgins Ave Missoula, MT (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 6

12 PARTNERSHIP HEALTH CENTER PHARMACY 401 Railroad St W Missoula, MT (406) ROSAUERS PHARMACY 2350 Reserve St Missoula, MT (406) SAVMOR DRUG 1610 S 3rd St W Missoula, MT (406) SHOPKO PHARMACY # S Reserve St Missoula, MT (406) WALGREENS # N Reserve St Missoula, MT (406) WALGREENS # Brooks St Missoula, MT (406) Hwy 93 South Missoula, MT (406) Mullan Road Missoula, MT (406) Seeley Lake SEELEY SWAN PHARMACY 3027 Hwy 83 Seeley Lake, MT (406) Musselshell Roundup SHOPKO PHARMACY # Main St Roundup, MT (406) Park Clyde Park WESTERN DRUG, TOO 508 Miles Clyde Park, MT (406) Gardiner GARDINER PHARMACY 208 Park St Gardiner, MT (406) Livingston OSCO PHARMACY # Park St S Livingston, MT (406) SHOPKO PHARMACY # Washington St Livingston, MT (406) WESTERN DRUG OF LIVINGSTON 1313 W Park Street Livingston, MT (406) Phillips Malta VALLEY DRUG OF MALTA, INC. 131 S 1st Ave E Malta, MT (406) Pondera Conrad OLSON'S DRUG 5 4th Ave Se Conrad, MT (406) VILLAGE DRUG 600 S Main St Conrad, MT (406) Powder River Broadus BROADUS IGA PHARMACY 120 S Park Broadus, MT (406) Powell Deer Lodge KEYSTONE DRUG LLP 407 Main St Deer Lodge, MT (406) SAFEWAY PHARMACY # N Main St Deer Lodge, MT (406) Ravalli Corvallis This pharmacy qualifies for dispensing up to a 90-day supply. Page 7

13 CORVALLIS DRUG 1029 Main St Corvallis, MT (406) Florence FLORENCE PHARMACY 5549 Old Us Highway 93 Florence, MT (406) Hamilton BITTERROOT DRUG INC 211 W Main St Hamilton, MT (406) HEALTHCARE PROVIDERS 1900 N First St Hamilton, MT (406) OSCO PHARMACY # N First St Hamilton, MT (406) TIMBER RIDGE PHARMACY 1131 N 1st St Hamilton, MT (406) WALGREENS # N 1st Street Hamilton, MT (406) Stevensville FAMILY PHARMACY INC 3804 Eastside Hwy Stevensville, MT (406) RIDGEWAY PHARMACY 39 Stevensville Cutoff Rd W Stevensville, MT (406) VALLEY DRUG & VARIETY 301 Main St Stevensville, MT (406) Richland Sidney CLINIC PHARMACY th Ave Sw Sidney, MT (406) SHOPKO PHARMACY # S Central Ave Sidney, MT (406) WHITE DRUG # East Main Sidney, MT (406) Roosevelt Culbertson CULBERTSON PHARMACY INC 115 Broadway Culbertson, MT (406) Poplar POPLAR PHARMACY 213 H St East Poplar, MT (406) Wolf Point WOLF POINT PHARMACY th Ave North Wolf Point, MT (406) Rosebud Ashland BIGHORN VALLEY PHARMACY - ASHLAND 501 Main Street Ashland, MT (406) Colstrip COLSTRIP FAMILY PHARMACY 6230 Main St Ste B101 Colstrip, MT (406) Forsyth YELLOWSTONE PHARMACY 1025 Main St Forsyth, MT (406) Sanders Plains PLAINS DRUG 214 Railroad St Plains, MT (406) Thompson Falls DOUGS DRUG 1221 Main St Thompson Falls, MT (406) Sheridan Plentywood This pharmacy qualifies for dispensing up to a 90-day supply. Page 8

14 PLENTYWOOD DRUG INC 119 N Main St Plentywood, MT (406) Silver Bow Butte COMMUNITY HEALTH CENTER PHARMACY 1145 S Montana St Butte, MT (406) CVS PHARMACY 1275 Harrison St Butte, MT (406) DRISCOLL DRUG 327 S Excelsior Butte, MT (406) KMART PHARMACY Harrison Avenue Butte, MT (406) MEDICAL ARTS PHARMACY 435 S Crystal St Butte, MT (406) SAFEWAY PHARMACY # Massachusetts Ave Butte, MT (406) THREE BEARS PHARMACY 45 Three Bears Dr Butte, MT (406) WALGREENS # Harrison Ave Butte, MT (406) Harrison Avenue Butte, MT (406) Stillwater Columbus STILLWATER FAMILY PHARMACY 133 N 5th Columbus, MT (406) Sweet Grass Big Timber COLE DRUG 136 Mcleod Big Timber, MT (406) Teton Choteau CHOTEAU DRUG 102 Main Ave Choteau, MT (406) Fairfield FAIRFIELD DRUG INC 407 Central Ave Fairfield, MT (406) Toole Shelby NORTHTOWN DRUGS 333 Main St Shelby, MT (406) SHOPKO PHARMACY # Roosevelt Hwy Shelby, MT (406) Valley Glasgow 5TH AVENUE PHARMACY AND GIFT 621 3rd Street S Glasgow, MT (406) SHOPKO PHARMACY # Us Highway 2 W Glasgow, MT (406) WESTERN DRUG 537 2nd Ave S Glasgow, MT (406) Wheatland Harlowton REMEDIES PHARMACY 27 S Central Ave Harlowton, MT (406) Yellowstone Billings BILLINGS CLINIC ATRIUM PHARMACY th Ave N Billings, MT (406) COSTCO PHARMACY 2290 King Ave W (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 9

15 CVS PHARMACY 2601 Central Ave (406) CVS PHARMACY # Central Ave (406) CVS PHARMACY 2402 Grand Ave (406) CVS PHARMACY 1311 Grand Avenue (406) CVS PHARMACY 425 Main Street Billings, MT (406) CVS PHARMACY 823 North 27th Street Billings, MT (406) FIRST PHARMACY th St W (406) JUROS UNITED DRUGS 2043 Grand Ave (406) OSCO PHARMACY # Grand Ave (406) OSCO PHARMACY # Central (406) OSCO PHARMACY # Central Ave (406) OSCO PHARMACY # Main St Billings, MT (406) OSCO PHARMACY # N 27th St Billings, MT (406) OSCO PHARMACY # Grand Ave (406) PHARMACY th Ave N Suite 110a Billings, MT (406) RIVERSTONEHEALTH PHARMACY 123 S 27th St Billings, MT (406) SAMS PHARMACY King Ave E Billings, MT (406) SHOPKO PHARMACY # S 24th St W (406) ST VINCENTS HEALTHCARE 1233 N 30th St Billings, MT (406) WALGREENS # Main St Billings, MT (406) WALGREENS # Grand Ave (406) WALGREENS # Grand Ave (406) King Ave West (406) Main Street Billings, MT (406) Laurel CVS PHARMACY 307 Se 4th Laurel, MT (406) Bernhardt Rd Laurel, MT (406) This pharmacy qualifies for dispensing up to a 90-day supply. Page 10

16 Mail Order Pharmacy(ies) You can get prescription drugs shipped to your home through our network mail order delivery program. 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 order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact the pharmacy. CALIFORNIA Riverside Corona COSTCO PHARMACY 215 Deininger Circle Corona, CA (951) MONTANA Ravalli Victor RIDGEWAY PHARMACY LTD 2824 Hwy 93 N Victor, MT (406) Yellowstone Billings MIRX PHARMACY 993 S 24th St W Ste A (406) Home Infusion Pharmacies ALABAMA Mobile Mobile HPC 63 S Royal St Mobile, AL (800) ARIZONA Maricopa Scottsdale DIPLOMAT SPECIALTY INFUSION GROUP 9045 E Pima Center Pkwy Ste # 1 Scottsdale, AZ (480) CALIFORNIA Los Angeles Burbank BIOSCRIP INFUSION SERVICES 320 S Flower St Burbank, CA (800) Commerce ACARIAHEALTH PHARMACY # Garfield Ave Commerce, CA (323) Los Angeles BIOLOGICTX 1057 Gayley Ave Los Angeles, CA (800) Santa Fe Springs CRESCENT HEALTHCARE INC Telegraph Rd Santa Fe Springs, CA (562) Riverside Temecula NUFACTOR Winchester Rd Temecula, CA (800) San Diego Carlsbad DIPLOMAT SPECIALTY INFUSION GROUP 1819 Aston Ave Ste 102 Carlsbad, CA (760) COLORADO Arapahoe Centennial CORAM CVS/SPECIALTY INFUSION SERVICES E Arapahoe Rd Centennial, CO (303) Denver Denver US BIOSERVICES 501 W 44th Ave Unit A Denver, CO (800) FLORIDA Broward Pompano Beach PATIENT CARE AMERICA 3890 Park Central Blvd N. Pompano Beach, FL (866) This pharmacy qualifies for dispensing up to a 90-day supply. Page 11

17 ILLINOIS Cook Chicago PHARMASCRIPT INC N. Broadway Avenue Chicago, IL (773) Orland Park AMERICAN SERVICE AND PRODUCT th St Orland Park, IL (708) Dupage Lombard OPTION CARE 2050 S Finley Rd Ste 20 Lombard, IL (630) IOWA Polk Urbandale DIPLOMAT SPECIALTY INFUSION GROUP & Aurora Ave. Urbandale, IA (515) MICHIGAN Kalamazoo Kalamazoo OPTIMED SPECIALTY PHARMACY 6480 Technology Kalamazoo, MI (877) Oakland Troy HOMESCRIPTS 500 Kirts Blvd Ste 300 Troy, MI (248) MINNESOTA Dakota Eagan INFUSCIENCE INC 2915 Waters Road Eagan, MN (612) Mendota Heights CORAM CVS/SPECIALTY INFUSION SERVICES 2345 Waters Dr Mendota Heights, MN (651) MISSOURI Jackson Lees Summit HERITAGE BIOLOGICS, INC. 255 Nw Victoria Dr Lees Summit, MO (855) MONTANA Cascade Great Falls SPECTRUM HOME SOLUTIONS th Ave S Great Falls, MT (406) Gallatin Bozeman OPTION CARE 2304 N 7th Ave Ste H Bozeman, MT (406) Ravalli Hamilton HEALTHCARE PROVIDERS- LTC 1900 N 1st St Ste B Hamilton, MT (406) HEALTHCARE PROVIDERS 1900 N First St Hamilton, MT (406) Silver Bow Butte OPTION CARE 401 S Alabama St Ste 1 Butte, MT (406) Yellowstone Billings OPTION CARE 404 N 31st St Ste 401 Billings, MT (406) NEW YORK Suffolk Ronkonkoma FOCUS RX 2805 Veterans Memorial Hwy # Ronkonkoma, NY (888) OHIO Hamilton Cincinnati DIPLOMAT SPECIALTY INFUSION GROUP 7167 E Kemper Rd Cincinnati, OH (513) OREGON This pharmacy qualifies for dispensing up to a 90-day supply. Page 12

18 Multnomah Portland PROVIDENCE SPECIALTY PHARMACY SERVICES- INFUSION/SPP 6410 Ne Halsey Street Portland, OR (503) PENNSYLVANIA Delaware Boothwyn PENTEC HEALTH, INC 4 Creek Parkway Boothwyn, PA (800) US BIOSERVICES 109 Chelsea Parkway Boothwyn, PA (800) Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610) Sharon Hill HOMETECH ADVANCED THERAPIES, INC. 505 Elmwood Ave Sharon Hill, PA (484) TEXAS Bexar San Antonio AMERICAN MEDICAL DIRECT 1862 W Bitters Rd Ste 301 San Antonio, TX (210) Collin Frisco US BIOSERVICES 3200 Internet Blvd Frisco, TX (888) Dallas Irving Y MEDICAL ASSOCIATES, INC N Mac Arthur Blvd Irving, TX (972) Harris Houston ACARIAHEALTH PHARMACY # W Sam Houston Pkwy N # 130 Houston, TX (800) SPECIALTY THERAPEUTIC CARE 1311 W Sam Houston Pkwy N Ste 150 Houston, TX (866) Tarrant Ft Worth AMERICAN OUTCOMES MGMT LP 6310 Southwest Blvd Ste 204 Ft Worth, TX (800) UTAH Salt Lake Salt Lake City OPTION CARE 2233 S Presidents Dr Salt Lake City, UT (801) WASHINGTON Spokane Spokane Valley OPTION CARE 3310 N Pines Rd Spokane Valley, WA (509) Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under Navitus MedicareRx (PDP) through the facility s long -term care pharmacy or another network long-term care pharmacy. COLORADO Boulder Boulder CAREKINESIS, INC Spine Rd Ste 100 Boulder, CO (888) IDAHO Bonneville Ammon HEARTLAND PHARMACY 3250 E 17th St Ammon, ID (208) MONTANA Blaine Chinook CHINOOK PHARMACY 300 Indiana St Chinook, MT (406) Broadwater Townsend This pharmacy qualifies for dispensing up to a 90-day supply. Page 13

19 TOWNSEND DRUG 308 Broadway Townsend, MT (406) Cascade Great Falls BENEFIS AMBULATORY PHARMACY th Ave S Ste 2 Great Falls, MT (406) BIG SKY MANAGED CARE 915 1st Ave S Ste 110 Great Falls, MT (406) CLINIC PHARMACY th St S Great Falls, MT (406) PLAZA UNITED PHARMACY th Ave S Great Falls, MT (406) Chouteau Big Sandy BIG SANDY PHARMACY 158 Johannes Ave Big Sandy, MT (406) Fort Benton BENTON PHARMACY 1418 Front St Fort Benton, MT (406) Custer Miles City HOLY ROSARY HEALTH CENTER 2600 Wilson Miles City, MT (406) Daniels Scobey SERVICE DRUG INC 119 Main St Scobey, MT (406) Dawson Glendive GABERT CLINIC PHARMACY 107 Dilworth Glendive, MT (406) Deer Lodge Warm Springs MONTANA STATE HOSPITAL PHARMACY 58 Garnet Way Warm Springs, MT (406) Flathead Bigfork BIGFORK DRUG 8111 Mt Highway 35 Ste 7 Bigfork, MT (406) Columbia Falls MONTANA VETERANS HOME 400 Veterans Drive Columbia Falls, MT (406) Kalispell THE CLINICAL PHARMACY 200 Conway Drive Kalispell, MT (406) Whitefish WHITEFISH DISCOUNT PHARMACY 1111 Baker Ave Whitefish, MT (406) Gallatin Bozeman PRICE RITE DRUG 910 N 7th Ave Bozeman, MT (406) Granite Philipsburg GRANITE PHARMACY 106 N. Montgomery St Philipsburg, MT (406) Hill Havre NORTHERN MONTANA HOSPITAL PHARMACY 30 W 13th St Havre, MT (406) Lake Polson HEALTHCARE PLUS One 7th Ave E Polson, MT (406) Ronan This pharmacy qualifies for dispensing up to a 90-day supply. Page 14

20 FAMILY HEALTH PHARMACY Us Hwy 935 Ronan, MT (406) R AND R HEALTH CARE SOLUTIONS Us Highway 93 Ronan, MT (406) Lewis And Clark Helena GENEVA WOODS PHARMACY 2600 Winne Ave Helena, MT (406) Liberty Chester CHESTER PHARMACY INC. 30 Main Street Chester, MT (406) REMEDIES PHARMACY & GIFT 500 East Washington Ave. Chester, MT (406) Meagher White Sulphur Springs CASTLE MOUNTAIN DRUG 4271 Us Highway 12 E White Sulphur Springs, MT (406) Missoula Missoula 406 CLINIC PHARMACY 1315 Wyoming St Ste A Missoula, MT (406) GRANITE PHARMACY HEALTH SOLUTIONS th Ave Ste 1 Missoula, MT (406) Phillips Malta VALLEY DRUG OF MALTA, INC. 131 S 1st Ave E Malta, MT (406) Pondera Conrad VILLAGE DRUG 600 S Main St Conrad, MT (406) Powder River Broadus BROADUS IGA PHARMACY 120 S Park Broadus, MT (406) Powell Deer Lodge KEYSTONE DRUG LLP 407 Main St Deer Lodge, MT (406) Ravalli Hamilton BITTERROOT DRUG INC 211 W Main St Hamilton, MT (406) HEALTHCARE PROVIDERS- LTC 1900 N 1st St Ste B Hamilton, MT (406) TIMBER RIDGE PHARMACY 1131 N 1st St Hamilton, MT (406) Stevensville RIDGEWAY PHARMACY 39 Stevensville Cutoff Rd W Stevensville, MT (406) Victor NORTH RIDGE PHARMACY 2824 Hwy 93 N. Suite B Victor, MT (406) Richland Sidney CLINIC PHARMACY th Ave Sw Sidney, MT (406) WHITE DRUG # East Main Sidney, MT (406) Roosevelt Poplar This pharmacy qualifies for dispensing up to a 90-day supply. Page 15

21 POPLAR PHARMACY 213 H St East Poplar, MT (406) Wolf Point WOLF POINT PHARMACY th Ave North Wolf Point, MT (406) Rosebud Forsyth YELLOWSTONE PHARMACY 1025 Main St Forsyth, MT (406) Silver Bow Butte MEDICAL ARTS PHARMACY 435 S Crystal St Butte, MT (406) THREE BEARS PHARMACY 45 Three Bears Dr Butte, MT (406) Toole Shelby NORTHTOWN DRUGS 333 Main St Shelby, MT (406) Valley Glasgow 5TH AVENUE PHARMACY AND GIFT 621 3rd Street S Glasgow, MT (406) Wheatland Harlowton REMEDIES PHARMACY 27 S Central Ave Harlowton, MT (406) Yellowstone Billings BILLINGS CLINIC ASPEN MEADOWS 3155 Avenue C (406) BILLINGS HEALTH & REHABILITATION COMMUNITY 2115 Central Ave (406) OMNICARE OF BILLINGS 2747 Enterprise Ave (406) PHARMACY th Ave N Suite 110a Billings, MT (406) PHARMACY 1 LTC th Ave N Billings, MT (406) ST JOHNS PHARMACY 3940 Rimrock Rd (406) NEW JERSEY Burlington Moorestown CAREKINESIS INC 228 Strawbridge Dr Moorestown, NJ (888) NORTH DAKOTA Stark Dickinson THRIFTY WHITE PHARMACY # rd Ave W Dickinson, ND (701) OHIO Cuyahoga Valley View EXACT CARE PHARMACY 8333 Rockside Rd Valley View, OH (216) PENNSYLVANIA Butler Warrendale PHARMBLUE LLC 40 Pennwood Pl Ste 300 Warrendale, PA (724) RX BLUE STAR SOLUTIONS LLC 40 Pennwood Pl Ste 200 Warrendale, PA (412) Delaware This pharmacy qualifies for dispensing up to a 90-day supply. Page 16

22 Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610) TENNESSEE Putnam Cookeville PEGASUS EXPRESS PHARMACY 621 E 15th St Cookeville, TN (931) Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Navitus MedicareRx (PDP) s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). MONTANA Big Horn Crow Agency CROW INDIAN HOSPITAL PHARMACY 212 Hwy And I 90 Crow Agency, MT (406) Lodge Grass LODGE GRASS HEALTH CENTER PHARMACY Harding Ave Lodge Grass, MT (406) Pryor PRYOR HEALTH STATION PHARMACY Pryor Gap Rd Pryor, MT (406) Blaine Harlem FORT BELKNAP HEALTH CENTER PHARMACY 456 Gros Ventre Ave Harlem, MT (406) Hays HAYS HEALTH CENTER PHARMACY 123 White Crow Rd Hays, MT (406) Glacier Browning BLACKFEET COMMUNITY HEALTH HOSPITAL 760 Hospital Circle Browning, MT (406) Heart Butte HEART BUTTE PHARMACY 81 Disney Heart Butte, MT (406) Roosevelt Poplar POPLAR HEALTH CENTER PHARMACY 107 H St E Poplar, MT (406) Wolf Point WOLF POINT HEALTH CENTER PHARMACY 550 6th Ave N Wolf Point, MT (406) Rosebud Lame Deer LAME DEER HEALTH CENTER PHARMACY 420 N Cheyenne Avenue Lame Deer, MT (406) Specialty Pharmacy ARIZONA Maricopa Phoenix LUMICERA HEALTH SERVICES, LLC 5350 E High St Ste 200 Phoenix, AZ (855) WISCONSIN Dane Madison LUMICERA HEALTH SERVICES 2601 W Beltline Hwy Ste 302 Madison, WI (855) This pharmacy qualifies for dispensing up to a 90-day supply. Page 17

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24 Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Customer Care for updated pharmacies. For more information, please contact Navitus MedicareRx (PDP) Customer Care toll-free at (TTY users please call 711), or visit our website at Calls to these numbers are free. Members can reach Navitus Customer Care 24 hours a day, 7 days a week, except Thanksgiving and Christmas Day. Pharmacies can reach Navitus Customer Care 24 hours a day, 7 days a week. Share a Clear View NAVITUS MEDICARERX CUSTOMER CARE 24 HOURS A DAY, 7 DAYS A WEEK toll free 711 TTY This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten by Dean Health Insurance, Inc., a Federally-Qualified Medicare Contracting Prescription Drug Plan. This Pharmacy Directory was updated on 8/18/2017. S9701_801_2018_MTU_DIR_V01