pharmacy directory UnitedHealth Rx for Groups Virgin Islands

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1 UnitedHealth Rx for Groups pharmacy directory This directory provides a list of UnitedHealth Rx for Groups plan's network pharmacies by county for the territory of. All network pharmacies are not listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. The UnitedHealth Rx for Groups plan pharmacy network comprises more than 60,000 pharmacies nationwide, including retail, mail order, long-term care, home infusion and I/T/U (Indian Health Service / Tribal / Urban Indian) pharmacy services. The UnitedHealth Rx for Groups plan has contracts with all network pharmacies that are equal to or exceed Medicare requirements for pharmacy access in your area. To get current information about UnitedHealth Rx for Groups network pharmacies in your area, please call our Customer Care Associates at hours a day, 7 days a week. TTY users should call Para información en español, por favor llame al departamento de atención al cliente.

2 Introduction. We call the pharmacies on this list our "network pharmacies" because we have made arrangements with them to provide prescription drugs to plan members. A network pharmacy is a pharmacy where as a plan member; you obtain prescription drug benefits provided by the UnitedHealth Rx for Groups plan. In most cases, your prescriptions are covered under the UnitedHealth Rx for Groups plan only if they are filled at a network pharmacy or through our mail service pharmacies. You are not required to continue going to the same network 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. For a complete description of your prescription coverage, including how to fill your prescriptions, please review your Evidence of Coverage and UnitedHealth Rx for Groups Formulary. Please refer to the pharmacy listing on the following pages for network pharmacies in your area. UnitedHealth Rx for Groups mail service pharmacies. You can use one of the UnitedHealth Rx for Groups' plan network mail service pharmacies to fill prescriptions for what we call "maintenance drugs." These are drugs that you take on a regular basis for a chronic or long-term medical condition. When you order prescription drugs by mail, you will need to order a 90-day supply (extended supply) of the drug. You may get extra savings on your covered medications through Prescription Solutions Mail Service Pharmacy or one of our other network mail service pharmacies. Please refer to your Summary of Benefits for details. Generally, it takes mail service pharmacies seven to ten days to process your order and ship it to you. Please be aware of this turn-around time, and request refills early enough to leave time for your refills to be processed and sent out 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 mail service pharmacies and other network pharmacies in your area. UnitedHealth Rx for Groups Retail Pharmacies offering 90-day supplies of medications. You are not required to use mail order prescription drug services to obtain a 90-day supply of medications. You have the choice of using retail pharmacies in our network to fill your prescriptions. Some retail pharmacies in UnitedHealth Rx for Groups plan's network have agreed to offer a 90-day supply of medications, which will result in no out-of-pocket payment difference to you. In other words, you will only be responsible for three copays, coinsurance payments or out-of-pocket payments at the time of dispensing.¹ If you qualify for extra help, you may have lower or no copays/coinsurance. Please refer to the pharmacy listing in this directory for pharmacies in our network where you can fill a 90-day supply of medications in your area. Or call one of our Customer Care Associates at the number listed below for more information.

3 National pharmacy chains. The list below is a partial listing of national pharmacy chains that are in UnitedHealth Rx for Groups plan's network. All stores in these national network chain pharmacies are participating UnitedHealth Rx for Groups plan providers. For locations and phone numbers of stores in your area, call the numbers listed below or go to Ahold* Giant Food Giant Food Stores of Carlisle Stop & Shop CVS Pharmacy* Kmart* Kroger & Affiliates* Kroger Fred Meyer Smith's Food & Drug Fry's Pharmacy King Soopers Ralphs Dillons City Market QFC Pharmacy Food-4-Less Baker's Pharmacy Gerbes Hilander Pharmacy Pay-Less Pharmacy Owens Pharmacy Longs Drugs* SHOP-CVS ( ) TO-LONGS ( ) Medicine Shoppe Pharmacy * The Medicap Pharmacy Safeway & Affiliates* SAFEWAY Safeway Vons Randalls Tom Thumb Carr's Quality Center Genuardi's Pavilions Dominick's SUPERVALU & Affiliates* Osco Pharmacy Sav-on Pharmacy Cub Pharmacy Shoppers Pharmacy Shop n Save Pharmacy Farm Fresh Pharamacy Bigg's Pharmacy Target Pharmacy* Walgreens TTY (for the hearing impaired) Wal-Mart* WALMART ( ) Sam's Club *For the hearing impaired, please contact your state relay center at Rite Aid * RITEAID ( ) This list of network pharmacies may change. For the most current list of pharmacies, contact our Customer Care Associates. To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at , (TTY ), 24 hours a day, 7 days a week.

4 Mail service pharmacies. You can use mail service pharmacies for filling a 90-day supply of your maintenance drugs. Mail Service Pharmacies: Prescription Solutions Toll-Free Number: TTY: Walgreens Mail Service Toll-Free Number: TTY: To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at , (TTY ), 24 hours a day, 7 days a week.

5 Retail pharmacies. Retail pharmacies in bold print below have agreed to offer a 90-day supply of medications, which will result in no out-of-pocket payment difference to you. Retail network pharmacies by county: SAINT CROIX COUNTY CHRISTIANS PHARMACY 5A AND 5B STRAND STREET FREDERIKSTED, VI OCEANSIDE PHARMACY DRUG FARM PHARMACY 14 ESTATE PLESSEN 9000 LOCKHART GARDENS SHOPPING CENT FREDERIKSTED, VI ST THOMAS, VI DIAMOND PHARMACY 1CL 1CP EST DIAMOND CHRISTIANSTED, VI DOCTORS CHOICE PHARMACY 4C AND 4D ESTATE SION FARM ST CROIX, VI GOLDEN ROCK PHARMACY GOLDEN ROCK SHOPPING CRT ST CROIX, VI U SAVE PHARMACY LLC DRUG FARM PHARMACY 5128 FLAG DRIVE 9150 VI MEDICAL FOUNDATION BUILDING CHRISTIANSTED, VI ST THOMAS, VI SAINT JOHN COUNTY CHELSEA DRUG STORE HAVENSIGHT PHARMACY 5205 E ENIGHED 9004 HAVENSIGHT SHOPPING CENTER ST JOHN, VI ST THOMAS, VI SAINT THOMAS COUNTY CHELSEA DRUG STORE REDHOOK HEALTHY LIVING PHARMACY 6500 REDHOOK PLAZA ESTATE ROSS 1003 ST THOMAS, VI ST THOMAS, VI KMART PHARMACY REMAINDER MATRICULATE 1 CANE ES ST CROIX, VI DOCTORS CHOICE KMART PHARMACY MEDICAL ARTS COMPLEX 26 A TUTU PRK MALL CHARLOTTE AMA ST THOMAS, VI ST THOMAS, VI MEDICINE SHOPPE PHARMACY 4500 SUNNY ISLE CHRISTIANSTED, VI DOCTORS CHOICE PHARMACY TRADEWINDS PHARMACY WHEATLEY SHOPPING CENTER PARAGON MEDICAL BUILDING SUITE 101 ST THOMAS, VI ST THOMAS, VI To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at , (TTY ), 24 hours a day, 7 days a week.

6 Home infusion pharmacies. The UnitedHealth Rx for Groups plan will cover home infusion therapy if: n n n Your prescription drug is on UnitedHealth Rx for Groups plan's Formulary or you have a formulary exception; The UnitedHealth Rx for Groups plan has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. If you have questions about coverage for home infusion medications, or for more information on UnitedHealthRx for Groups network home infusion pharmacy services, call our Customer Care Associates. Home infusion network pharmacies by county: NONE AVAILABLE To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at , (TTY ), 24 hours a day, 7 days a week.

7 Long-term care pharmacies. In some cases, residents of a long-term care facility may access their prescription drugs through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information on UnitedHealth Rx for Groups plan's network of long-term care pharmacy services, call our Customer Care Associates. Long-term care network pharmacies by county: NONE AVAILABLE To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at , (TTY ), 24 hours a day, 7 days a week.

8 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) pharmacies. Only Native Americans and Alaska Natives have access to I/T/U pharmacies through UnitedHealth Rx for Groups plan's pharmacy network. Other people may access these pharmacies under limited circumstances (e.g., emergencies). For more information on UnitedHealth Rx for Groups plan I/T/U network pharmacy services, contact our Customer Care Associates. I/T/U network pharmacies by county: NONE AVAILABLE To find a pharmacy not listed in this directory or for more information on how to use our network pharmacies, call our Customer Care Associates at , (TTY ), 24 hours a day, 7 days a week.

9 ¹ If a retail pharmacy has not agreed to accept a contract to dispense an extended supply of Medications beyond 30 days per dispensing, you will be responsible for any differences in cost for the extended supply. You are not required to use the Mail Service Pharmacy to obtain a supply of your maintenance medications. You have the option of using one of the plan's mail service pharmacies or a retail extended day supply pharmacy in the network to obtain a supply of maintenance medications. If you choose a retail extended day supply pharmacy, you may see out-of-pocket payment differences when compared to using the mail service pharmacy. Please call Customer Care, 24 hours a day, 7 days a week for up-to-date information on which pharmacies are in the network. Your prescriptions should arrive in about seven to ten days from the date the completed order is received by the mail service pharmacy. If the mail service pharmacy needs to contact you or your prescribing physician to clarify information on your order or to request prescriptions from your physician, delivery may take longer. If you prefer rush delivery, medications can be shipped overnight for an additional charge. You should fill your prescriptions locally if you are out of your medications and cannot wait for your mail order prescription to arrive. Standard delivery is no charge to U.S. addresses, including US territories. For copay amounts, drug coverage information, or general plan questions, please call the Customer Care at , 24 hours a day, 7 days a week, TTY Note: If you are receiving Extra Help from Medicare, your copays may be lower or you may have no copay. Prescription Solutions, is an affiliate of United HealthCare Insurance Company and United HealthCare Insurance Company of New York. This Medicare Prescription Drug Plan (PDP) is insured by United HealthCare Insurance Company or United HealthCare Insurance Company of New York for New York residents (together called "UnitedHealthcare"). UnitedHealthcare contracts with the Federal government as a PDP sponsor. All decisions about prescription drugs are between you and your physician or other health care provider. NDPDP _XUHE000TR S5820S5805S5921S5917_PDP _000