FirstCarolinaCare Insurance Company

Transcription

1 FirstCarolinaCare Insurance Company FirstMedicare Direct HMO Plus (HMO) FirstMedicare Direct HMO Standard (HMO) and FirstMedicare Direct PPO Plus (PPO) 2016 Pharmacy Directory This pharmacy directory was updated on 12/15/2015. For more recent information or other questions, please contact FirstMedicare Direct Member Services at 1 (844) or, for TT users, 711, 24 hours a day 7 days a week, or visit FirstCarolinaCare Insurance Company is a HMO and PPO health plan with a Medicare contract. Enrollment in a FirstMedicare Direct plan depends on contract renewal. 0094_16_111 CMS File and Use P age 1

2 Introduction This booklet provides a list of FirstMedicare Direct HMO Plus, FirstMedicare Direct HMO Standard and FirstMedicare Direct PPO Plus network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and FirstMedicare Direct HMO Plus, FirstMedicare Direct HMO Standard and FirstMedicare Direct PPO Plus formulary. When this pharmacy directory refers to we, us, or our, it means FirstCarolinaCare Insurance Company. When it refers to plan or our plan, it means FirstMedicare Direct HMO Plus, FirstMedicare Direct HMO Standard and FirstMedicare Direct PPO Plus. We call the pharmacies on this list 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 FirstMedicare Direct 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 nonnetwork pharmacies under certain circumstances as described in your Evidence of Coverage. 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 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 12/15/2015. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at ou may also call Member Services for updated provider information. ou can get prescription drugs shipped to your home through our network mail order delivery service which is called Postal Prescription Services. For more information, please contact us or see the mail order section of this pharmacy directory. This directory is for the North Carolina counties of Chatham, Hoke, Lee, Montgomery, Moore, Richmond and Scotland, which includes the area in which you 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 contact us at (844) or, for TT users, 711, 24 hours a day 7 days a week. We also list pharmacies that are in our network but are outside the North Carolina counties of Chatham, Hoke, Lee, Montgomery, Moore, Richmond and Scotland, the area in which you live. ou may also fill your prescriptions at these pharmacies. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the North Carolina counties of Chatham, Hoke, Lee, Montgomery, Moore, Richmond and Scotland or contact us at (844) or, for TT users, 711, 24 hours a day 7 days a week. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. 0094_16_111 CMS File and Use Page 2

3 RETAIL PHARMACIES, INCLUDING CHAIN PHARMACIES NATIONAL CHAIN PHARMACIES Pharmacy Chain Name WALGREENS DUANE READE RITE AID FRED'S TARGET CVS CARE PLUS/CVS WALMART KROGER RALPH'S FR'S FOOD AND DRUG FRED MEER SMITHS KMART PUBLIX SAFEWA VONS/PAVILLION CARRS/EAGLE COSTCO WINN DIXIE STOP AND SHOP ALBERTSONS JEWEL/OSCO SAVON CUB SHOPPER'S SHOP AND SAVE FARM FRESH GIANT EAGLE Toll Free/Central Phone Number TT/TDD Number Pharmacy Website Choice landing www2.caremark.com/careplus/ acy+microsite services _16_111 CMS File and Use Pharmacy Directory Page 3

4 RETAIL PHARMACIES (Within 7 County Service area) CHATHAM APEX CHAPEL HILL KROGER PHARMAC WALGREENS GOVERNORS PHARMAC 940 US 64 HIGHWA 6821 OLD JENKS RD GOVERNORS DR CHAPEL HILL, NC APEX, NC APEX, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es CHAPEL HILL HARRIS TEETER PHARMAC HARRIS TEETER PHARMAC WAL-MART PHARMAC W BARBEE CHAPEL RD 88 CHATHAM DOWNS US N CHAPEL HILL, NC CHAPEL HILL, NC CHAPEL HILL, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es MONCURE HAWOOD MONCURE HEALTH CENTER PHARMAC PITTSBORO PITTSBORO DISCOUNT DRUG WALGREENS 7228 PITTSBORO-MONCURE 628 EAST ST 321 EAST ST MONCURE, NC PITTSBORO, NC PITTSBORO, NC Choice 90 : es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es SILER CIT FOOD LION PHARMAC SILER CIT COMMUNIT HEALTH SILER CIT PHARMAC LLC CENTER PHARMAC 109 FOOD LION PLAZA 224 S 10TH AVENUE 202A E RALEIGH ST SILER CIT, NC SILER CIT, NC SILER CIT, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es WALGREENS #11353 WAL-MART PHARMAC E 11TH ST US HIGHWA 64 W SILER CIT, NC SILER CIT, NC Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es 0094_16_111 CMS File and Use Pharmacy Directory Page 4

5 HOKE RAEFORD BARBEE PHARMAC MARKET CVS PHARMAC HEALTH CARE CONNECTIONS 415 HARRIS AVENUE 230 COLE AVE 402 S MAIN ST STE 100 RAEFORD, NC RAEFORD, NC RAEFORD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es HOKE PHARMAC HOWELL DRUG COMPAN INC WAL-MART PHARMAC MEDICAL PAVILION DRIVE STE 1311 TEAL DRIVE 4545 FAETTEVILLE RD RAEFORD, NC RAEFORD, NC RAEFORD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: No E-Prescribe: es E-Prescribe: es RED SPRINGS CVS PHARMAC RED SPRINGS DRUG TOWNSENDS PHARMAC 903 EAST 4TH AVE 114 S MAIN ST 111 S MAIN ST RED SPRINGS, NC RED SPRINGS, NC RED SPRINGS, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es WAL-MART PHARMAC EAST 4TH AVE RED SPRINGS, NC Choice 90: es E-Prescribe: es LEE SANFORD CVS PHARMAC CVS PHARMAC FOOD LION PHARMAC 133 MARKETPLACE DR 1802 SOUTH HORNER BLVD 1655 BUFFALO LAKE ROAD SANFORD, NC SANFORD, NC SANFORD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es HEALTH INNOVATIONS PHARMAC K-MART PHARMAC MEDICINE PARK PHARMAC 814 SPRING LN 2515 HORNER BLVD 100 PARK AVE SANFORD, NC SANFORD, NC SANFORD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es 0094_16_111 CMS File and Use Pharmacy Directory Page 5

6 RITE AID PHARMAC RITE AID PHARMAC WALGREENS 1131 SPRING LANE 2045 SOUTH HORNER BLVD 1050 S HORNER BLVD SANFORD, NC SANFORD, NC SANFORD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es WALGREENS #12078 WALGREENS #7479 WAL-MART PHARMAC JEFFERSON DAVIS HW 1956 S HORNER BLVD 3310 NC HW 87 S SANFORD, NC SANFORD, NC SANFORD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es MONTGOMER BISCOE MT GILEAD BISCOE PHARMAC, INC. WAL-MART PHARMAC COCHRANE RIDENHOUR DRUG 2295 NC HIGHWA E 201 MONTGOMER CROSSING 116 S MAIN ST BISCOE, NC BISCOE, NC MT GILEAD, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es STAR TRO MONTGOMER DRUG INC CVS PHARMAC STANDARD DRUG 339 S MAIN ST 1022 ALBEMARLE RD 522 ALLEN STREET STE 102 STAR, NC TRO, NC TRO, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es WHITE STAR DISCOUNT PHARMAC 436 ALBEMARLE RD TRO, NC Choice 90: es E-Prescribe: es MOORE ABERDEEN ABERDEEN PRESCRIPTION SHOPPE CVS PHARMAC #10156 HARRIS TEETER PHARMAC 1389 N SANDHILLS BLVD 1550 N SANDHILLS BLVD US HW, UNIT 1804 ABERDEEN, NC ABERDEEN, NC ABERDEEN, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es 0094_16_111 CMS File and Use Pharmacy Directory Page 6

7 WALGREENS #7096 WAL-MART PHARMAC N SANDHILLS BLVD 250 TURNER ST ABERDEEN, NC ABERDEEN, NC Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es CARTHAGE FOOD LION PHARMAC HARRIS TEETER PHARMAC THE PRESCRIPTION SHOPPE OF CARTHAGE INC 7475 NC HIGHWA MILL CREEK ROAD 1016 MONROE ST CARTHAGE, NC CARTHAGE, NC CARTHAGE, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es WALGREENS WAL-MART PHARMAC MONROE ST 945 MONROE ST CARTHAGE, NC CARTHAGE, NC Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es PINEHURST CAROLINA BEHAVIORAL CARE PINEHURST MEDICAL CLINIC QUALIT CARE PHARMAC OF PHARMAC PHARMAC PINEHURST 289 OLMSTEAD BLVD SUITE 1 15 REGIONAL DR 2ND FLOOR LOBB65 PARKER LN PINEHURST, NC PINEHURST, NC PINEHURST, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es ROBBINS RITE AID PHARMAC TAR HEEL DRUG 244 CENTRAL PARK AVE 300 MIDDLETON ST PINEHURST, NC ROBBINS, NC Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es SOUTHERN PINES HEALTH INNOVATIONS MCCLAIN DRUG RITE AID PHARMAC 295 PINEHURST AVE BLDG SOUTH BENNETT ST US HIGHWA 1 SOUTHERN PINES, NC SOUTHERN PINES, NC SOUTHERN PINES, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: No E-Prescribe: No RITE AID PHARMAC TOWN CENTER PHARMAC 38 PINECREST PLAZA 610 SOUTH BENNETT STREET SOUTHERN PINES, NC SOUTHERN PINES, NC Choice 90: es Choice 90: es E-Prescribe: No E-Prescribe: es 0094_16_111 CMS File and Use Pharmacy Directory Page 7

8 VASS WEST END COOPERS PHARMAC QUALIT CARE PHARMAC 3353 US HW SEVEN LAKES DR VASS, NC WEST END, NC Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es WHISPERING PINES SEVEN LAKES PRESCRIPTION SHOPPE INC THE VILLAGE APOTHECAR INC 120 MCDOUGALL DR 7305 NC HIGHWA 22 WEST END, NC WHISPERING PINES, NC Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es RICHMOND ELLERBE HAMLET ELLERBE PHARMAC BIRMINGHAM DRUG CO INC MABRS DRUG STORE 274 SECOND STREET 27 MAIN STREET 41 W MAIN ST ELLERBE, NC HAMLET, NC HAMLET, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es ROCKINGHAM CVS PHARMAC FAMIL PHARMAC MEDICAL CENTER PHARMAC 1206 E BROAD AVE 2124 FAETTEVILLE RD STE E 805 S LONG DR ROCKINGHAM, NC ROCKINGHAM, NC ROCKINGHAM, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es MEDICAL PARK PHARMAC OF ROCKINGHAM RITE AID PHARMAC THE SANDHILLS PHARMAC 921 LONG DRIVE STE SOUTH LONG DRIVE 310 ONE HALF E WASHINGTON ST ROCKINGHAM, NC ROCKINGHAM, NC ROCKINGHAM, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: No 0094_16_111 CMS File and Use Pharmacy Directory Page 8

9 WALGREENS #11088 WAL-MART PHARMAC E BROAD AVE 720 E US HIGHWA 74 STE 1P ROCKINGHAM, NC ROCKINHAM, NC Choice 90: es Choice 90: es E-Prescribe: No E-Prescribe: No SCOTLAND LAURINBURG COMMUNIT DRUGS INC MEDICAL VILLAGE PHARMAC RITE AID PHARMAC 1028 ATKINSON ST 517 LAUCHWOOD DRIVE 101 PLAZA RD LAURINBURG, NC LAURINBURG, NC LAURINBURG, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es SCOTLAND DRUG COMPAN WALGREENS #15648 WAL-MART PHARMAC 140 S MAIN STREET 821 WESTWOOD WA 901 US HW 401 BPASS LAURINBURG, NC LAURINBURG, NC LAURINBURG, NC Choice 90: es Choice 90: es Choice 90: es E-Prescribe: es E-Prescribe: es E-Prescribe: es MAIL ORDER PHARMACIES POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND, OR Choice 90: No E-Prescribe: es ou can get prescription drugs shipped to your home through our network mail order delivery service. Typically, you should expect to receive your prescription drugs within 14 day 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 us at (844) or, for TT users, 711, 24 hours a day 7 days a week or contact Postal Prescription Services Pharmacy at (800) _16_111 CMS File and Use Pharmacy Directory Page 9

10 HOME INFUSION PHARMACIES Please contact FirstMedicareDirect at (844) or, for TT users, 711, 24 hours a day 7 days a week for information regarding your nearest home infusion pharmacy. Please see the section of this directory on Network Pharmacies Outside the North Carolina counties of Chatham, Hoke, Lee, Montgomery, Moore, Richmond and Scotland for a listing of network Home Infusion Pharmacies in North Carolina. ADVANCED HOME CARE INC BAPTIST HOSPITAL SPECIALT RX CAROLINA INFUSION CARE 4001 PIEDMONT PKW MEDICAL CENTER BLVD NORTH TOWER GROUND FLOOR S POINT BLVD STE H HIGH POINT, NC WINSTON SALEM, NC CHARLOTTE, NC Choice 90: es Choice 90: No Choice 90: No E-Prescribe: No E-Prescribe: es E-Prescribe: No CORAM CVS/SPECIALT CORAM CVS/SPECIALT CORAM CVS/SPECIALT INFUSION SERVICES INFUSION SERVICES INFUSION SERVICES 30 GARFIELD ST SUITE B 507 AIRPORT BLVD STE SOUTHERN PINE BLVD STE J ASHEVILLE, NC MORRISVILLE, NC CHARLOTTE, NC Choice 90: No Choice 90: No Choice 90: No E-Prescribe: No E-Prescribe: No E-Prescribe: No DUKE HOME INFUSION HOME SOLUTIONS 4321 MEDICAL PK DR STE ABBE PL 2201 CROWNPOINT EXECUTIVE DR STE C DURHAM, NC CHARLOTTE, NC CHARLOTTE, NC Choice 90: No Choice 90: No Choice 90: No E-Prescribe: No E-Prescribe: No E-Prescribe: No HOMECHOICE PARTNERS HOMECHOICE PARTNERS OPTION CARE 2300 ENGLERT DRIVE STE A 2700 BREEZEWOOD AVE 1015 AVIATION PKW STE 700 DURHAM, NC FAETTEVILLE, NC MORRISVILLE, NC Choice 90: No Choice 90: No Choice 90: No E-Prescribe: No E-Prescribe: No E-Prescribe: es OPTION CARE SPECTRUM INFUSION INC TRINIT INFUSION, INC. 131 RACINE DR STE 100B 3221 BLUE RIDGE RD STE WESTGATE CENTER DR SUITE 202 WILMINGTON, NC RALEIGH, NC WINSTON SALEM, NC Choice 90: No Choice 90: es Choice 90: No E-Prescribe: es E-Prescribe: No E-Prescribe: es UNC HOMECARE SPECIALISTS 4400 EMPEROR BLVD STE 100 DURHAM, NC Choice 90: No E-Prescribe: No HEALTH@HOME - CMC HOME INFUSION AND EQUIPMENT 0094_16_111 CMS File and Use Pharmacy Directory Page 10

11 LONG TERM CARE PHARMACIES Residents of a long-term care facility may access their prescription drugs covered under FirstMedicare Direct plans through the facility s long-term care pharmacy or another network long-term care pharmacy. HAWOOD MONCURE HLTH CTR PHARMAC HEALTH CARE CONNECTIONS MEDICAL VILLAGE PHARMAC 7228 PITTSBORO-MONCURE 402 S MAIN ST STE LAUCHWOOD DRIVE MONCURE, NC RAEFORD, NC LAURINBURG, NC Choice 90: No Choice 90: No Choice 90: No E-Prescribe: es E-Prescribe: es E-Prescribe: es SILER CIT COMMUNIT HEALTH TOWN CENTER PHARMAC CENTER PHARMAC 224 S 10TH AVE 610 SOUTH BENNETT STREET SILER CIT, NC SOUTHERN PINES, NC Choice 90: No Choice 90: No E-Prescribe: es E-Prescribe: es 0094_16_111 CMS File and Use Pharmacy Directory Page 11

12 This pharmacy directory was updated on 12/15/2015 For more recent information or other questions, please contact FirstMedicare Direct Member Services at 1-(844) or, for TT users, 711, 24 hours a day 7 days a week, or visit FirstCarolinaCare Insurance Company is a HMO and PPO health plan with a Medicare contract. Enrollment in FirstMedicare Direct HMO Plus, FirstMedicare Direct HMO Standard and FirstMedicare Direct PPO plus depends on contract renewal. This document is available in other formats including Braille and large print. Please call our customer service number at (TT/TDD only, call 711.) We are available for phone calls October 1- February 14, 7 days a week, 8:00 a.m. -8:00 p.m. Eastern and February 15- September 30, Monday, Tuesday, Wednesday, Thursday and Friday 8:00 a.m.- 8:00 p.m. Eastern. Calls to these numbers are free. 0094_16_111 CMS File and Use Page 12