DIRECTORY Pharmacy. Toll-Free , TTY 711

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1 2016 Pharmacy DIRECTORY This directory is a list of network pharmacies near you. This directory is for New Mexico. For more information, please call Customer Service at: Toll-Free , TTY a.m. to 8 p.m. local time, Monday through Friday Y0066_150908_ Last updated September 18, 2015

2 About this PHARMACY DIRECTORY This directory is a partial list of the plan s network pharmacies. It lists pharmacies in your area based on your State. Pharmacies are listed in alphabetical order. 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 may no longer be in our network, or there may be newer pharmacies in our network that are not listed. It is current as of the date printed on the cover of this directory. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website. For the most current list of our network pharmacies, please see the cover of this directory for information on how to call us. Network pharmacies A network pharmacy is a pharmacy where you get prescription drug benefits provided by your plan. 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. In most cases, your prescriptions are covered under the plan only if they are filled at one of our network pharmacies or through a mail service pharmacy. We have a large service area with many pharmacies where you may fill your prescription drugs. This directory lists network pharmacies in your area. For information about additional network pharmacies, please contact us using the information on the cover of this directory. You do not have to use the same network pharmacy every time you fill your prescription drugs. You may use any of our network pharmacies. In certain situations we may cover prescriptions filled at pharmacies outside of the network. Please see your plan s Evidence of Coverage for more information. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your plan s Evidence of Coverage and Drug List (Formulary). If you have questions about any of the above, including instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the cover of this directory for information on how to call us. Pharmacy Saver Pharmacy Saver is a cost savings prescription drug program available to our plan members. 1 The plan has worked with many of our network pharmacies to offer even lower prices on many common prescription drugs. To learn more about Pharmacy Saver or to see the full list of participating pharmacies, visit Pharmacies included in the Pharmacy Saver program are indicated by a pharmacy listings on the following pages. symbol in the

3 Mail service pharmacies A network mail service pharmacy is where members can get their prescription drugs delivered to their mailbox. You may go to any of the plan s network mail service pharmacies to get your covered prescription drugs. You can use one of the plan s mail service pharmacies in our network, OptumRx Mail Service Pharmacy. When you use home delivery from OptumRx, you can have 90-day supplies of your maintenance medication delivered right to your door. With the mail service pharmacy, you generally have lower out-of-pocket co-pays. You may save on a 90-day supply of many of your maintenance medications compared with what you would pay at a network retail pharmacy. 2 Members may also use other mail service pharmacies to fill prescriptions. You are not required to use OptumRx to obtain a 90-day supply of your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan s mail service pharmacy. Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills. OptumRx will contact you, by phone, to get your approval. At that time you may also tell OptumRx to automatically fill any future prescriptions they receive directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval your prescription will not be sent to you. Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx toll-free at , TTY , 24 hours, 7 days a week. New prescriptions should arrive within ten business days from the date the completed order is received by the mail service pharmacy. Completed refill orders should arrive in about seven business days. OptumRx will contact you if there will be an extended delay in the delivery of your medications. To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs or need to contact us, please call OptumRx toll-free at , TTY , 24 hours, 7 days a week. You can find more information about mail service pharmacies by calling OptumRx at the number listed in the Mail service pharmacies section of this directory. Mail service pharmacies are indicated by a pages. symbol in the pharmacy listings on the following 90-day supply from retail pharmacies You do not have to use a mail service pharmacy to get a 90-day supply of your prescription drugs.

4 Some of the retail pharmacies in the plan s network also offer 90-day supplies of prescription drugs. If you fill a 90-day supply at a retail pharmacy, you may pay more. Retail pharmacies in the network that fill 90-day supply of prescription drugs 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 may help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken together. Network pharmacies that use e-prescribing are indicated by an on the following pages. symbol in the pharmacy listings

5 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. Albertsons/Safeway & Affiliates ACME Albertsons Carrs Jewel Osco Market Street Pavilions Randalls Safeway Shaws Tom Thumb United Vons Duane Reade Food Lion Giant Giant Food Stores Hannaford H-E-B Hy-Vee Kroger & Affiliates Baker s City Market Dillons Fred Meyer Fry s Harris Teeter King Soopers Kroger QFC Ralphs Smith s Martins Publix Sam s Club Stop & Shop Target Thrifty White TTY Walmart Wegmans TTY users should call 711, unless a different phone number is listed. This list may change. For a list of other national pharmacy chains in the network or to check for a pharmacy not listed in this directory, call us at the number located on the cover of this directory.

6 Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Note: Pharmacies may have closed or moved locations since this directory was printed. Other pharmacies are available in our network. Bernalillo Abq Bestcare Pharmacy 2929 Coors Blvd NW Ste 110 Albuquerque, NM , TTY: 711 Albuquerque Indian Health Pharma 801 Vassar Drive NE Albuquerque, NM , TTY: 711 Albuquerque Pharmacy 500 Louisiana Blvd NE Albuquerque, NM , TTY: 711 Albuquerque Pharmacy 500 Louisana Blvd NE Ste A Albuquerque, NM , TTY: 711 Best Buy Drugs 1445 Wyoming Blvd NE Albuquerque, NM , TTY: 711 CVS Pharmacy 7847 Tramway Blvd NE Albuquerque, NM , TTY: 711 CVS Pharmacy 3821 Ellison Drive, NW Albuquerque, NM , TTY: 711 CVS Pharmacy 4340 San Mateo Blvd NE Albuquerque, NM , TTY: 711 CVS Pharmacy 7900 Central Ave SW Albuquerque, NM , TTY: 711 CVS Pharmacy 7105 Central Ave NE Albuquerque, NM , TTY: 711 CVS Pharmacy 4201 Montano Rd NW Albuquerque, NM , TTY: 711 CVS Pharmacy 1500 Tramway Blvd NE Albuquerque, NM , TTY: 711 CVS Pharmacy Unser Blvd NW Albuquerque, NM , TTY: 711

7 Cancer Center Pharmacy 1201 Camino De Salud NE Albuquerque, NM , TTY: 711 Duran Central Pharmacy 1815 Central Ave NW Albuquerque, NM , TTY: 711 Caremart Pharmacy 201 San Pedro Dr SE Unit C Albuquerque, NM , TTY: 711 Highland Pharmacy Inc 717 Encino Place NE Ste 1 Albuquerque, NM , TTY: 711 Central Pharmacy 7226 Central Ave SE Ste I Albuquerque, NM , TTY: 711 Isleta Health Center Pharmacy 1 Sagebrush St Isleta, NM , TTY: 711 Corrales Pharmacy 1010 Bridge Blvd SW Suite B Albuquerque, NM , TTY: 711 Costco Pharmacy 1420 Renaissance Blvd Albuquerque, NM , TTY: 711 Costco Pharmacy 500 Eubank Blvd SE Albuquerque, NM , TTY: 711 Costco Pharmacy 9955 Coors Bypass NW Albuquerque, NM , TTY: 711 Kmart Pharmacy 2100 Carlisle Ave NE Albuquerque, NM , TTY: 711 Menaul Compounding Phcy Menaul Blvd NE Albuquerque, NM , TTY: 711 Omnicare of Albuquerque 9019 Washington St NE Suite B1 Albuquerque, NM , TTY: 711 Pharmaca Integrative Pharmacy 8910 Holly Ave NE Albuquerque, NM , TTY: 711

8 Pharmacy Plus Albuquerque 338 Osuna Rd NW Albuquerque, NM , TTY: 711 Pharmerica 2720 Broadbent Pkwy NE Ste A Albuquerque, NM , TTY: 711 Phil's Pharmacy 5510 Lomas NE Albuquerque, NM , TTY: 711 Rx Innovations 7215 Washington St NE Albuquerque, NM , TTY: 711 Sams Pharmacy Coors Bypass NW Albuquerque, NM , TTY: 711 Sams Pharmacy 300 Eubank Blvd NE Albuquerque, NM , TTY: 711 Sams Pharmacy 1421 North Renaissance Blvd NE Albuquerque, NM , TTY: 711 Sams Regent Pharmacy 7120 Wyoming NE Ste 7B Albuquerque, NM , TTY: 711 Savon Drugs 2801 A Eubank Blvd Albuquerque, NM , TTY: 711 Savon Drugs 4950 Montgomery NE Albuquerque, NM , TTY: 711 Savon Drugs Coors Blvd NW Albuquerque, NM , TTY: 711 Savon Drugs 7101 Wyoming Blvd NE Albuquerque, NM , TTY: 711 Savon Drugs Academy Rd N E Albuquerque, NM , TTY: 711 Savon Pharmacy Lomas Blvd NE Albuquerque, NM , TTY: 711

9 Savon Pharmacy 6600 Central Ave SW Albuquerque, NM , TTY: Lomas NE Albuquerque, NM , TTY: 711 Savon Pharmacy 1625 Rio Bravo Blvd S W Albuquerque, NM , TTY: Tramway NE Albuquerque, NM , TTY: 711 Savon Pharmacy 8100 Ventura St NE Albuquerque, NM , TTY: Tramway SE Albuquerque, NM , TTY: 711 Savon Pharmacy 2910 Juan Tabo Blvd NE Albuquerque, NM , TTY: Academy Rd NE Albuquerque, NM , TTY: 711 Savon Pharmacy 6200 Coors Blvd NW Albuquerque, NM , TTY: Golf Course Rd Albuquerque, NM , TTY: th St NW Albuquerque, NM , TTY: Wyoming NE Suite A Albuquerque, NM , TTY: Arenal SW Albuquerque, NM , TTY: Coors Rd NW Albuquerque, NM , TTY: 711

10 3701 Constitution NE Albuquerque, NM , TTY: 711 Target Pharmacy 8510 Montgomery Blvd NE Albuquerque, NM , TTY: Louisiana NE Albuquerque, NM , TTY: 711 Target Pharmacy Lomas Blvd NE Albuquerque, NM , TTY: Eubank NE Albuquerque, NM , TTY: 711 Target Pharmacy 2120 Louisiana Blvd NE Albuquerque, NM , TTY: Mcmahon Blvd NW Albuquerque, NM , TTY: 711 The Medicine Chest 1123 Candelaria Rd NW Albuquerque, NM , TTY: 711 Sw Mesa Center For Family and Co 301 Unser Blvd NW Ste 106 Albuquerque, NM , TTY: 711 Target Pharmacy 9371 Coors Road NW Albuquerque, NM , TTY: 711 Target Pharmacy 6100 Paseo Del Norte NE Albuquerque, NM , TTY: 711 Unmh Pharmacy at South East Heig 8200 Central Ave SE Suite 106 Albuquerque, NM , TTY: 711 Victor's Regent Pharmacy 1643 Isleta Blvd SW Albuquerque, NM , TTY: 711 Vida Pharmacy LLC 8500 Jefferson Blvd NE Ste D Albuquerque, NM , TTY: 711

11 8000 Academy Road NE Albuquerque, NM , TTY: Golf Course Road NW Albuquerque, NM , TTY: San Mateo Blvd SE Albuquerque, NM , TTY: Sage Road SW Albuquerque, NM , TTY: Eubank Blvd NE Albuquerque, NM , TTY: Wyoming Blvd NE Albuquerque, NM , TTY: Carlisle Blvd NE Albuquerque, NM , TTY: Menaul Blvd NE Albuquerque, NM , TTY: Coors Bypassnw Albuquerque, NM , TTY: Cutler Ave NE Albuquerque, NM , TTY: Coors Bldv NW Albuquerque, NM , TTY: Montgomery Blvd NE Albuquerque, NM , TTY: Coors Blvd SW Albuquerque, NM , TTY: Menaul Blvd NE Albuquerque, NM , TTY: 711

12 2105 Central Ave NW Albuquerque, NM , TTY: Coors Blvd NW Albuquerque, NM , TTY: San Pedro Dr NE Albuquerque, NM , TTY: Centralse Albuquerque, NM , TTY: Montgomery Plaza Albuquerque, NM , TTY: Central Ave SE Albuquerque, NM , TTY: Montgomery Blvd NE Albuquerque, NM , TTY: th St NW Los Ranchos De Albuq, NM , TTY: th Street NW Albuquerque, NM , TTY: Lomas Blvd NE Albuquerque, NM , TTY: Coors Bypass Albuquerque, NM , TTY: Indian School Rd Albuquerque, NM , TTY: Coors Blvd NW Albuquerque, NM , TTY: Isleta Blvd, SW Albuquerque, NM , TTY: 711

13 6000 Coors Blvd NW Albuquerque, NM , TTY: Wyoming Blvd NE Albuquerque, NM , TTY: Harper Ave NE Albuquerque, NM , TTY: Paseo Del Norte NE Albuquerque, NM , TTY: Golf Course Rd NW Albuquerque, NM , TTY: Eubank Blvd NE Albuquerque, NM , TTY: Montgomery Blvd NE Albuquerque, NM , TTY: Central Ave NE Albuquerque, NM , TTY: th St NW Albuquerque, NM , TTY: Unser Blvd NW Albuquerque, NM , TTY: Unser Blvd SW Albuquerque, NM , TTY: Menaul Blvd NE Albuquerque, NM , TTY: Paradise Blvd NW Albuquerque, NM , TTY: Unser Blvd NW Albuquerque, NM , TTY: 711

14 8011 Ventura NE Albuquerque, NM , TTY: Gibson Blvd SW Albuquerque, NM , TTY: Cedar St SE Ste 102 Albuquerque, NM , TTY: Journal Center Blvd NE Albuquerque, NM , TTY: Juan Tabo NE Albuquerque, NM , TTY: Walter Street Suite 202 Albuquerque, NM , TTY: 711 Chaves Albertsons Market Pharmacy 1110 S Main St Roswell, NM , TTY: 711 Farmers Uptown Pharmacy 2800 N Main St Roswell, NM , TTY: 711 Kelley Pharmacy 111 W Hobbs St Roswell, NM , TTY: 711 Kmart Pharmacy 1705 S Main St Roswell, NM , TTY: 711 Lawrence Brothers 900 W 2nd St Roswell, NM , TTY: 711 Primm Drug 700 N Union Roswell, NM , TTY: 711 Zia Pharmacy 2820 Broadbent Pkwy NE Ste C Albuquerque, NM , TTY: 711 Sams Pharmacy 4400 North Main Street Roswell, NM , TTY: 711

15 4500 A North Main Roswell, NM , TTY: Roberts Drive Grants, NM , TTY: N Main St Roswell, NM , TTY: E Santa Fe Ave Grants, NM , TTY: S Main St Roswell, NM , TTY: 711 Cibola Acl Pharmacy 1 40 Exit 203 Acomita San Fidel, NM , TTY: 711 Colfax Medicine Shoppe Pharmacy 1275 A S Second St Raton, NM , TTY: 711 Mesa Pharmacy 1279 S 2nd St Raton, NM , TTY: 711 Parkhurst Pharmacy 1208 Bonita St Grants, NM , TTY: 711 Pine Hill Health Center Bia Rt 125 Pine Hill, NM , TTY: 711 Trust Pharmacy 1000 Roosevelt Grants, NM , TTY: 711 Curry Plains Regional Medical Center P 2401 W 21st St Clovis, NM , TTY: 711 Roden-Smith Pharmacy 601 E Llano Estacado Blvd Ste A Clovis, NM , TTY: 711

16 3728 N Prince Street Clovis, NM , TTY: 711 Kmart Pharmacy 1900 Bataan Memorial E Las Cruces, NM , TTY: E 21st Street Clovis, NM , TTY: 711 Ready Pharmacy 111 W Lisa Dr Chaparral, NM , TTY: 711 De Baca Addison Drug 127 E Sumner Ave Fort Sumner, NM , TTY: 711 Dona Ana Ben Archer Health Center Pharmac 1600 Thorpe Rd Las Cruces, NM , TTY: 711 Ben Archer Health Center Pharmac 1998 Motel Boulevard Building B Las Cruces, NM , TTY: 711 CVS Pharmacy 3011 N Main St Las Cruces, NM , TTY: 711 CVS Pharmacy 940 N Main St Las Cruces, NM , TTY: 711 Sams Pharmacy 2711 N. Telshor Blvd Las Cruces, NM , TTY: 711 Savon Pharmacy 2551 E Lohman Ave Las Cruces, NM , TTY: 711 Savon Pharmacy 1285 El Paseo Rd Las Cruces, NM , TTY: 711 Sonoma Pharmacy 4371 E Lohman Ave Las Cruces, NM , TTY: 711 United Drug 221 W Hall St Hatch, NM , TTY: 711

17 571 S Walton Blvd Las Cruces, NM , TTY: Northrise Dr Las Cruces, NM , TTY: South Valley Drive Las Cruces, NM , TTY: 711 Walmart Pharmacy 3331 Rinconada Blvd Las Cruces, NM , TTY: E Lohman Ave Las Cruces, NM , TTY: El Paseo Road Las Cruces, NM , TTY: N Main Las Cruces, NM , TTY: E Lohman Ave Las Cruces, NM , TTY: W Picacho Ave Las Cruces, NM , TTY: 711 Eddy Advanced Medication Management S 2402 W Pierce Ste 2B Carlsbad, NM , TTY: 711 Albertsons Market Pharmacy 808 N Canal St Carlsbad, NM , TTY: 711 Brown Drug 322 W Washington Ave Artesia, NM , TTY: 711 Kmart Pharmacy 2307 West Main Artesia, NM , TTY: 711 La Tienda Pharmacy 1301 S Canal Carlsbad, NM , TTY: 711

18 Lowells Pharmacy 612 N 13th St Ste A Artesia, NM , TTY: 711 Southwestern Medical Pharmacy 2402 W Pierce St 1A Carlsbad, NM , TTY: S Canal St Carlsbad, NM , TTY: North 26th Street Artesia, NM , TTY: W Pierce Carlsbad, NM , TTY: 711 Grant CVS Pharmacy 610 Silver Heights Blvd Silver City, NM , TTY: 711 Ft Bayard Medical Center 41 Fort Bayard Road Santa Clara, NM , TTY: 711 Savon Pharmacy 1956 Hwy 180 E Silver City, NM , TTY: Hwy 180 East Silver City, NM , TTY: Rosedale Rd Silver City, NM , TTY: 711 Guadalupe Route Pharmacy 117 Camino De Vida Ste 200 Santa Rosa, NM , TTY: 711 Lea Albertsons Market Pharmacy 2402 N Grimes Hobbs, NM , TTY: 711 CVS Pharmacy 715 W. Bender Blvd Hobbs, NM , TTY: 711 Michael's Prescription Corner 123 W Avenue A Lovington, NM , TTY: 711

19 Michael's Prescription Corner Eu 1024 Main Street Eunice, NM , TTY: 711 Sierra Blanca Pharmacy 1206 Mechem Dr Ruidoso, NM , TTY: 711 Michael's Prescription Corner No 2410 N Fowler St Ste A Hobbs, NM , TTY: W Hwy 70 Ruidoso Downs, NM , TTY: 711 Nowell Pharmacy, LLC 122 W Adams Lovington, NM , TTY: Sudderth Ruidoso, NM , TTY: Lovington Hwy Hobbs, NM , TTY: North Turner Hobbs, NM , TTY: W Joe Harvey Blvd Hobbs, NM , TTY: 711 Lincoln Lawrence Bros. Pharmacy 721 Mechem Dr Ruidoso, NM , TTY: 711 Los Alamos Nambe Drugs Los Alamos 111 Central Park Sq Los Alamos, NM , TTY: Sherwood Blvd White Rock, NM , TTY: Trinity Dr Ste 100 Los Alamos, NM , TTY: 711 Luna Kmart Pharmacy 1205 E Pine Deming, NM , TTY: 711

20 1021 East Pine Street Deming, NM , TTY: E Hwy 66 Gallup, NM , TTY: N Gold Ave Deming, NM , TTY: 711 Zuni Indian Hospital Pharmacy Route 301 North B St Zuni, NM , TTY: 711 Mckinley Crownpoint Health Care Pharmacy Hwy Jct 57 Rt 9 Crownpoint, NM , TTY: 711 Otero Albertsons Market Pharmacy th St Alamogordo, NM , TTY: 711 Gallup Indian Med Center Pharmac 516 East Nizhoni Blvd Gallup, NM , TTY: 711 Kmart Pharmacy 3201 N White Sand Blvd Alamogordo, NM , TTY: 711 Safeway Pharmacy 980 US Highway 491 Gallup, NM , TTY: 711 Lowes Marketplace Pharmacy 675 E 10th St Alamogordo, NM , TTY: 711 Tohatchi Health Center Pharmacy 07 Choosgai Tohatchi, NM , TTY: 711 Mescalero Indian Hospital Pharma 318 Abalonie Loop Mescalero, NM , TTY: West Maloney Ave Gallup, NM , TTY: S New York Ave Alamogordo, NM , TTY: 711

21 955 N White Sands Blvd Alamogordo, NM , TTY: N Riverside Dr Espanola, NM , TTY: 711 Quay Bobs Budget Pharmacy Inc 511 S 2nd St Tucumcari, NM , TTY: 711 Roosevelt Cjs Pill Box 109 W 4th St Portales, NM , TTY: 711 Wellborn Pharmacy 315 S 2nd Street Tucumcari, NM , TTY: 711 Village Pharmacy Inc 1719 S Ave D Portales, NM , TTY: 711 Rio Arriba CVS Pharmacy 1202 N Riverside Dr Espanola, NM , TTY: 711 Dulce IHS Pharmacy Stone Lake Rd Dulce, NM , TTY: East Spruce Street Portales, NM , TTY: 711 San Juan Dzilth Na O Dith Hle Health Cent 6 Rd 7586 Bloomfield, NM , TTY: 711 Santa Clara IHS Pharmacy Route 5 Espanola, NM , TTY: 711 Kare Drug Aztec 100 Llano St Aztec, NM , TTY: N Riverside Drive Espanola, NM , TTY: 711 Kare Pharmacy 100 A N Church St Bloomfield, NM , TTY: 711

22 Kmart Pharmacy 3000 East Main St Farmington, NM , TTY: 711 Target Pharmacy 4900 E Main St Farmington, NM , TTY: 711 Northern Navajo Med Ctr Pharmacy Hwy 491 North Shiprock, NM , TTY: East Main Farmington, NM , TTY: 711 Pinon Family Pharmacy 2300 B E 30th Suite 101 Farmington, NM , TTY: 711 Safeway Pharmacy 415 N Main St Aztec, NM , TTY: 711 Safeway Pharmacy 3540 E Main Street Farmington, NM , TTY: 711 Sams Pharmacy 4500 East Main Farmington, NM , TTY: West Main Street Farmington, NM , TTY: E 20th St Farmington, NM , TTY: E Main Farmington, NM , TTY: 711 San Miguel Del Norte Pharmacy and Home Medi 602 University Dr Las Vegas, NM , TTY: East 20th St Farmington, NM , TTY: 711 Plaza Drugs 178 Bridge St Las Vegas, NM , TTY: 711

23 2609 7th Street Las Vegas, NM , TTY: Mills Avenue Las Vegas, NM , TTY: 711 Sandoval CVS Pharmacy 1001 Nm 528 SE Rio Rancho, NM , TTY: 711 San Felipe Health Clinic Pharmac Cedar St 4 San Felipe Pueblo San Felipe, NM , TTY: 711 Santa Ana Health Clinic Pharmacy 02 C Dove Rd Bernalillo, NM , TTY: 711 Santo Domingo Pueblo Health Cent 85 West Highway 22 Santo Domingo, NM , TTY: 711 Cochiti IHS Pharmacy 255 Cochiti St Cochiti, NM , TTY: 711 Savon Drugs 4300 Ridgecrest Dr Rio Rancho, NM , TTY: 711 Jemez Health Center Pharmacy 110 Sheepsprings Rd Jemez Pueblo, NM , TTY: 711 Savon Pharmacy 3301 Southern Blvd SE Rio Rancho, NM , TTY: 711 Pharmacy Plus Bernalillo 407 W Hwy 550 Bernalillo, NM , TTY: 711 Savon Pharmacy 7800 Enchanted Hills Blvd NE Rio Rancho, NM , TTY: 711 Pueblo of Sandia Pharmacy 203 Sandia Day School Rd Bernalillo, NM , TTY: Rio Rancho Dr Rio Rancho, NM , TTY: 711

24 901 Unser Blvd Southeast Rio Rancho, NM , TTY: Northern Blvd NE Rio Rancho, NM , TTY: Nm Highway 528 Bernalillo, NM , TTY: Rio Rancho Blvd Rio Rancho, NM , TTY: Nm Hwy 528 SE Rio Rancho, NM , TTY: 711 Zia Indian Health Clinic Pharmac 155B Capital Square Dr Zia, NM , TTY: Southern Rio Rancho, NM , TTY: Southern Blvd SE Rio Rancho, NM , TTY: Enchanted Hills NE Rio Rancho, NM , TTY: E Hwy 550 Bernalillo, NM , TTY: 711 Santa Fe CVS Pharmacy 511 W Cordova Rd Santa Fe, NM , TTY: 711 CVS Pharmacy 195 Paseo De Peralta Santa Fe, NM , TTY: 711 CVS Pharmacy 2907 Cerrillos Rd Santa Fe, NM , TTY: 711 Del Norte Pharmacy and Home Medi 1691 Galisteo Santa Fe, NM , TTY: 711

25 Fairview Pharmacy 734 N Riverside Dr Ste A Espanola, NM , TTY: 711 Kmart Pharmacy 1712 St Michael S Dr Santa Fe, NM , TTY: 711 Nambe Drugs 70 Cities of Gold Rd Santa Fe, NM , TTY: 711 Pharmaca Integrative Pharmacy 530 W Cordova Rd Ste B Santa Fe, NM , TTY: 711 Sams Pharmacy 4201 Rodeo Road Santa Fe, NM , TTY: 711 Santa Fe Indian Hospital Pharmac 1700 Cerrillos Rd Santa Fe, NM , TTY: 711 Savon Pharmacy 3001 S St Francis Dr Santa Fe, NM , TTY: 711 Savon Pharmacy 3542 Zafarano Dr Santa Fe, NM , TTY: 711 Savon Pharmacy 600 N Guadalupe St Santa Fe, NM , TTY: Cerrillos Road Santa Fe, NM , TTY: 711 #2B Hwy 344 Edgewood, NM , TTY: Pacheco Santa Fe, NM , TTY: 711 Southwest Care Center 649 Harkle Rd Ste C Santa Fe, NM , TTY: Cerillos Rd Santa Fe, NM , TTY: 711

26 5701 Herrera Dr Santa Fe, NM , TTY: 711 Wiley Chemists Compounding Pharm 1676 Hospital Dr Santa Fe, NM , TTY: St Francis Dr Santa Fe, NM , TTY: Cerrillos Road Santa Fe, NM , TTY: W Zia Road Santa Fe, NM , TTY: Walker Rd Edgewood, NM , TTY: Airport Rd Santa Fe, NM , TTY: 711 Walmart Pharmacy 66 State Road 344 Edgewood, NM , TTY: 711 Sierra Davis-Fleck United Pharmacy 500 Broadway St Truth Or Consequence, NM , TTY: 711 New Mexico Veterans Center Pharm 992 S Broadway St Truth Or Conseq, NM , TTY: Hr Ashbaugh Dr Truth Or Consequence, NM , TTY: 711 Socorro Alamo Navajo Health Center Hwy 169 Mm29 Magdalena, NM , TTY: California Socorro, NM , TTY: North 6th Street Socorro, NM , TTY: 711

27 Taos Savon Pharmacy 710A Paseo Del Pueblo Sur Taos, NM , TTY: 711 Union City Drug 7 Main St Clayton, NM , TTY: Paseo Pueblo Sur Taos, NM , TTY: 711 Taos Picuris Health Center Pharm 1090 Goat Springs Rd Taos, NM , TTY: 711 Valencia Buckland Pharmacy 600 Dalies Ave Belen, NM , TTY: 711 Joes Pharmacy 3646 Hwy 47 Peralta, NM , TTY: Paseo Del Pueblo Sur Taos, NM , TTY: 711 Savon Pharmacy 2351 Main St SE Los Lunas, NM , TTY: Paseo Del Pueblo Sur Taos, NM , TTY: 711 Torrance May Hlth Mrt Pharmacy II 600 Central Moriarty, NM , TTY: 711 Share 'N Care Pharmacy 701 Dalies Ave Ste B Belen, NM , TTY: 711 Share N Care Pharmacy and Medica 701 Dalies Ave Belen, NM , TTY: 711 Mountainair Meds and More LLC 111 W Broadway Mountainair, NM , TTY: Main St Los Lunas, NM , TTY: 711

28 01 I 25 Interchange Belen, NM , TTY: N Main St Belen, NM , TTY: Main Street NW Los Lunas, NM , TTY: Main St Los Lunas, NM , TTY: Main St NE Los Lunas, NM , TTY: 711 Mail service pharmacies Our mail service pharmacies will ship your prescription drugs directly to your home. For more information, please see your Evidence of Coverage. Below are the mail service pharmacies in the plan s network. OptumRx Mail Service P.O. Box 2975 P.O. Box Mission, KS Phoenix, AZ Toll-free Toll-free TTY TTY Manifest Pharmacy, LLC 1018 South Batesville Road, Bldg 4-A Greer, SC Toll-free orders@manifestrx.com

29 Home infusion pharmacies near you The plan will cover home infusion therapy if: The plan has approved your prescription drug for home infusion therapy; and You get your prescription from an authorized prescriber. For more information, please see your Evidence of Coverage. Below are some of the home infusion network pharmacies in your area. Bernalillo Coram CVS/Specialty Infusion Ser 7400 Washington St NE Albuquerque, NM Sirona Infusion LLC 2420 Comanche Rd NE Suite A7 Albuquerque, NM Option Care 4374 Alexander Blvd NE Ste A C Albuquerque, NM Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. Below are some of the long-term care network pharmacies in your area. Bernalillo Albuquerque Pharmacy 500 Louisiana Blvd NE Albuquerque, NM Best Buy Drugs 1445 Wyoming Blvd NE Albuquerque, NM Omnicare of Albuquerque 9019 Washington St NE Suite B1 Albuquerque, NM Pharmerica 2720 Broadbent Pkwy NE Ste A Albuquerque, NM Rx Innovations 7215 Washington St NE Albuquerque, NM Vida Pharmacy LLC 8500 Jefferson Blvd NE Ste D Albuquerque, NM

30 Long-term care pharmacies near you (continued) Zia Pharmacy 2820 Broadbent Pkwy NE Ste C Albuquerque, NM Colfax Medicine Shoppe Pharmacy 1275 A S Second St Raton, NM Mesa Pharmacy 1279 S 2nd St Raton, NM Curry Roden-Smith Pharmacy 601 E Llano Estacado Blvd Ste A Clovis, NM Eddy Advanced Medication Management S 2402 W Pierce Ste 2B Carlsbad, NM Grant Ft Bayard Medical Center 41 Fort Bayard Road Santa Clara, NM Lea Nowell Pharmacy, LLC 122 W Adams Lovington, NM Roosevelt Cjs Pill Box 109 W 4th St Portales, NM Village Pharmacy Inc 1719 S Ave D Portales, NM San Juan Kare Drug Aztec 100 Llano St Aztec, NM San Miguel Del Norte Pharmacy and Home Medi 602 University Dr Las Vegas, NM Santa Fe Pharmaca Integrative Pharmacy 530 W Cordova Rd Ste B Santa Fe, NM

31 Long-term care pharmacies near you (continued) Sierra New Mexico Veterans Center Pharm 992 S Broadway St Truth Or Conseq, NM Union City Drug 7 Main St Clayton, NM Torrance May Hlth Mrt Pharmacy II 600 Central Moriarty, NM Valencia Share 'N Care Pharmacy 701 Dalies Ave Ste B Belen, NM Mountainair Meds and More LLC 111 W Broadway Mountainair, NM Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you Only Native Americans and Alaska Natives can use I/T/U pharmacies in the Plan s pharmacy network. Other people may be able to use these pharmacies under limited circumstances (for example, emergencies). For more information, please see your Evidence of Coverage. Below are some of the I/T/U network pharmacies in your area. Bernalillo Albuquerque Indian Health Pharma 801 Vassar Drive NE Albuquerque, NM Isleta Health Center Pharmacy 1 Sagebrush St Isleta, NM Sw Mesa Center For Family and Co 301 Unser Blvd NW Ste 106 Albuquerque, NM Cibola Acl Pharmacy 1 40 Exit 203 Acomita San Fidel, NM

32 Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Pine Hill Health Center Bia Rt 125 Pine Hill, NM Mckinley Crownpoint Health Care Pharmacy Hwy Jct 57 Rt 9 Crownpoint, NM Gallup Indian Med Center Pharmac 516 East Nizhoni Blvd Gallup, NM Tohatchi Health Center Pharmacy 07 Choosgai Tohatchi, NM Zuni Indian Hospital Pharmacy Route 301 North B St Zuni, NM Otero Mescalero Indian Hospital Pharma 318 Abalonie Loop Mescalero, NM Rio Arriba Dulce IHS Pharmacy Stone Lake Rd Dulce, NM Santa Clara IHS Pharmacy Route 5 Espanola, NM San Juan Dzilth Na O Dith Hle Health Cent 6 Rd 7586 Bloomfield, NM Northern Navajo Med Ctr Pharmacy Hwy 491 North Shiprock, NM Sandoval Cochiti IHS Pharmacy 255 Cochiti St Cochiti, NM Jemez Health Center Pharmacy 110 Sheepsprings Rd Jemez Pueblo, NM

33 Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Pueblo of Sandia Pharmacy 203 Sandia Day School Rd Bernalillo, NM Zia Indian Health Clinic Pharmac 155B Capital Square Dr Zia, NM San Felipe Health Clinic Pharmac Cedar St 4 San Felipe Pueblo San Felipe, NM Santa Fe Santa Fe Indian Hospital Pharmac 1700 Cerrillos Rd Santa Fe, NM Santa Ana Health Clinic Pharmacy 02 C Dove Rd Bernalillo, NM Santo Domingo Pueblo Health Cent 85 West Highway 22 Santo Domingo, NM Taos Taos Picuris Health Center Pharm 1090 Goat Springs Rd Taos, NM

34 This directory is a partial list of pharmacies available in the plan s pharmacy network. For more information, please call Customer Service at: Toll-Free , TTY a.m. to 8 p.m. local time, Monday through Friday 1 Other 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. 2 Your plan sponsor may provide coverage beyond 90 days. Please refer to the Evidence of Coverage for more information. This information is available for free in other languages. Please call Customer Service number listed above. Esta información está disponible sin costo en otros idiomas. Comuníquese con el Servicio al Cliente al número indicado arriba. Other pharmacies are available in our network. The pharmacy network may change at any time. You will receive notice when necessary. OptumRx is an affiliate of UnitedHealthcare Insurance Company. Beneficiaries must use network pharmacies to access their prescription drug benefit. Formulary, pharmacy network, premium and/or co-payments/coinsurance may change each year. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan s contract renewal with Medicare. UHEX16PD _000 NM Last updated September 18, 2015