Pharmacy Directory Montana

MedicareBlue SM Rx (PDP) Pharmacy Directory Montana 2014 For more information, please contact MedicareBlue Rx (PDP) Customer Service at 1-888-832-0075 or, for TTY users, 711, 8 a.m. to 8 p.m. daily, Central and Mountain Times, or visit www.yourmedicaresolutions.com. This Pharmacy Directory was updated on June 11, 2013. MedicareBlue Rx (PDP) is a Medicare-approved Part D sponsor. Enrollment in MedicareBlue Rx depends on contract renewal. S5743_090313_B01_MT CMS Accepted 09/08/2013 S5743_090313_GB10_MT Internal Approval 09/03/2013

Introduction This booklet provides a list of MedicareBlue Rx s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and MedicareBlue Rx s formulary. When this pharmacy directory refers to we, us or our, it means Blue Cross and Blue Shield. When it refers to plan or our plan, it means MedicareBlue Rx. 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 MedicareBlue Rx 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. 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 June 11, 2013. For the most current list, please contact us. Our contact information appears on the front and back cover pages. This directory is for Montana. 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. MedicareBlue Rx s network pharmacies Pharmacies are listed alphabetically by city. Under each pharmacy we list the Pharmacy Type so you know what type of service each pharmacy offers. The key is as follows: R = Retail. We have a nationwide network of pharmacies where you can get covered prescription drugs as a member of our plan. EXT = Extended supply pharmacies are retail pharmacies that provide extended (90-day) supplies at mail order rates for Tier 1, Tier 2 and Tier 3 prescription drugs. LT = Long-Term Care Pharmacies. These pharmacies service long-term care facilities. Residents of a longterm care facility may access their prescription drugs covered under MedicareBlue Rx through the facility s long-term care pharmacy or another network long-term care pharmacy. H = Home Infusion. Pharmacies that provide infused (IV) medicine in your home per doctor s order. IN = Indian Health Service/Tribal/Urban Indian Health Program (I/T/U). Only Native Americans and Alaska Natives have access to Indian Health Service/ Tribal/Urban Indian Health Program Pharmacies through MedicareBlue Rx s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (for example, emergencies). The key is also listed at the bottom of each Pharmacy Directory page for your reference. Our mail order pharmacies are listed at the end of the directory. Network pharmacies outside the service area We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. To locate these pharmacies, please contact us. Our contact information appears on the front and back cover pages.

ANACONDA MONTANA PHARMACY LISTING BILLINGS ANACONDA ANACONDA Community Hosp Anaconda Pharmacy...(406) 563-8414 401 Pennsylvania 59711 CVS Pharmacy...(406) 563-5266 1300 E Park Ave 59711 Safeway...(406) 563-8410 1525 W Park Ave 59711 Thrifty Drug...(406) 563-8441 201 E Park Ave 59711 ASHLAND ASHLAND Riverstone Pharmacy - Ashland...(406) 784-2349 501 Main St 59003 BAKER BAKER Baker Rexall Drug...(406) 778-2214 103 S Main St 59313 BELGRADE BELGRADE Lee & Dads Pharmacy...(406) 388-4111 205 W Madison Ave 59714 Osco Pharmacy...(406) 388-1696 6999 Jackrabbit Ln 59714 BIG SANDY BIG SANDY Big Sandy Pharmacy...(406) 622-5769 158 Johannes Ave 59520, LT BIG SKY BIG SKY Bozeman Deaconess Pharmacy...(406) 993-9390 36 Center Ln Ste 2 59716 BIG TIMBER BIG TIMBER Cole Drug...(406) 932-5316 136 McLeod St 59011 BIGFORK BIGFORK Bigfork Drug...(406) 837-4370 8111 Mt Hwy 35 59911, LT BILLINGS BILLINGS Billings Clinic Atrium Pharmacy...(406) 238-2084 2800 10th Ave N 59101 Billings Health & Rehab Community...(406) 656-2992 2115 Central Ave 59102 Costco Pharmacy...(406) 652-8556 2290 King Ave W 59102 Ctr For Healthy Aging Pharmacy...(406) 655-5836 3940 Rimrock Rd 59102 CVS Pharmacy...(406) 252-6334 2402 Grand Ave 59102 CVS Pharmacy...(406) 259-7034 1311 Grand Ave 59102 CVS Pharmacy...(406) 259-7861 425 Main St 59105 CVS Pharmacy...(406) 252-9000 823 N 27th St 59101 CVS Pharmacy...(406) 256-4924 617 Central Ave 59102 Deaconess Billings Clinic...(406) 238-5977 3155 Ave C 59102, LT First Pharmacy...(406) 896-8325 1540 13th St W 59102 Juros United Drugs...(406) 259-2562 2043 Grand Ave 59102 Kmart Pharmacy...(406) 656-0913 2424 Central Ave 59102 Omnicare of Billings...(406) 896-3399 2747 Enterprise Ave Ste 1 59102, H Osco Pharmacy...(406) 248-5544 1212 Grand Ave 59102 Osco Pharmacy...(406) 259-1441 611 N 27th St 59101 Osco Pharmacy...(406) 245-4301 511 Central Ave 59102 Osco Pharmacy...(406) 245-6979 670 Main St 59105 1

BILLINGS MONTANA PHARMACY LISTING BOZEMAN BILLINGS BILLINGS (cont.) Osco Pharmacy...(406) 656-6652 2334 Central Ave 59102 Osco Pharmacy...(406) 652-8359 3137 Grand Ave 59102 Pharmacy 1...(406) 245-6717 2900 12th Ave N 59101 Pharmacy 1 LTC...(406) 245-6718 2900 12th Ave N Ste 110B 59101 Riverstone Health Pharmacy...(406) 247-3330 123 S 27th St Ste E 59101 Sam s Club Pharmacy...(406) 256-0177 4420 King Ave E 59101 Shopko Pharmacy...(406) 652-6715 905 S 24th St W 59102, LT St Johns Pharmacy...(406) 655-5827 3940 Rimrock Rd 59102 St Vincents Hosp Pharmacy...(406) 237-7000 1233 N 30th St 59101 Target Pharmacy...(406) 652-2263 2601 Central Ave 59102 Valley Health Care Center...(406) 651-1417 1807 24th St W 59102 Walgreens...(406) 245-0178 1602 Main St 59105 Walgreens...(406) 652-1620 3333 Grand Ave 59102 Walgreens...(406) 252-0096 1330 Grand Ave 59102 Walgreens Infusion Services...(406) 255-7463 404 N 31st St Ste 401 59101 Pharmacy Type: H Walmart Pharmacy...(406) 652-9688 2525 King Ave W 59102 Walmart Pharmacy...(406) 254-2947 1649 Main St 59105 BOULDER BOULDER Elkhorn Pharmacy Inc...(406) 225-3240 215 N Main 59632 BOX ELDER BOX ELDER Rocky Boy Health Board...(406) 395-4486 RR 1 59521 BOZEMAN BOZEMAN Costco Pharmacy...(406) 585-7575 2505 Catron St 59718 CVS Pharmacy...(406) 587-9252 115 N 19th Ave 59718 Highland Park Pharmacy...(406) 585-1030 925 Highland Blvd Ste 2000 59715 Kmart Pharmacy...(406) 587-8570 1126 N 7th Ave 59715 Medical Arts Pharmacy...(406) 587-4597 300 N Willson Ave No 1002 59715 MSU Student Health Service...(406) 994-5498 MSU Student Health Service RX 7th Ave and Grant 59715 Osco Pharmacy...(406) 587-8800 200 S 23rd Ave 59718 Price Rite Drug...(406) 587-0608 910 N 7th Ave 59715, LT Rosauers Pharmacy...(406) 587-4005 3255 Technology Blvd W 59718 Safeway...(406) 585-9155 1735 W Main St 59715 Smiths Pharmacy...(406) 586-3550 1400 N 19th Ave 59718 Walgreens Infusion Services...(406) 587-1050 2304 N 7th Ave Ste H 59715 Pharmacy Type: H Walmart Pharmacy...(406) 585-8753 1500 N 7th Ave 59715 2

BROADUS MONTANA PHARMACY LISTING CULBERTSON BROADUS BROADUS Broadus IGA Pharmacy...(406) 436-2270 120 S Park 59317 BROWNING BROWNING Blackfeet Community Health Hospital...(406) 338-6101 760 Hospital Circle 59417 BUTTE BUTTE Community Health Center Pharmacy...(406) 496-6026 1145 S Montana St 59701 CVS Pharmacy...(406) 723-9408 1275 Harrison Ave 59701 Driscoll Drug...(406) 723-3308 327 S Excelsior Ave 59701 Kmart Pharmacy...(406) 494-1075 3300 Harrison Ave 59701 Medical Arts Pharmacy...(406) 723-2441 435 S Crystal St Ste 230 59701 Safeway...(406) 494-3754 2500 Massachusetts Ave 59701 Three Bears Pharmacy...(406) 494-4116 45 Three Bears Dr 59701, LT Walgreens...(406) 782-5471 2611 Harrison Ave 59701 Walgreens Infusion Services...(406) 782-3221 800 W Platinum St Ste D 59701 Pharmacy Type: H Walmart Pharmacy...(406) 494-1225 3901 Harrison Ave 59701 CHESTER CHESTER Chester Pharmacy Inc...(406) 759-5050 30 Main St 59522, LT Remedies Pharmacy & Gift...(406) 759-5225 500 East Washington Ave 59522, LT CHINOOK CHINOOK Chinook Pharmacy...(406) 357-3333 300 Indiana St 59523 CHOTEAU CHOTEAU Choteau Drug...(406) 466-2700 102 Main Ave N 59422, LT CIRCLE CIRCLE McCone Countyhealth Center...(406) 485-3381 605 Sullivan Ave 59215 Pharmacy Type: LT CLYDE PARK CLYDE PARK Western Drug Too...(406) 686-4270 508 Miles 59018 COLUMBIA FALLS COLUMBIA FALLS Good Medicine Pharmacy...(406) 892-9997 2100 9th St W 59912 Montana Veterans Home...(406) 892-3256 400 Veterans Dr 59912 Pamida Pharmacy...(406) 892-2860 900 1st Ave W 59912, LT Smiths Pharmacy...(406) 892-9088 419 Nucleus Ave 59912 COLUMBUS COLUMBUS Columbus Health Mart...(406) 322-5652 133 N 5th 59019 CONRAD CONRAD Olsons Drug...(406) 278-3261 5 4th Ave SE 59425, LT Village Drug...(406) 278-3267 608 S Main St Ste 2 59425 CORVALLIS CORVALLIS Corvallis Drug...(406) 961-3221 1029 Main St 59828 CROW AGENCY CROW AGENCY Crow Indian Hospital Pharmacy...(406) 638-3353 212 Hwy and I-90 59022 CULBERTSON CULBERTSON Culbertson Pharmacy Inc...(406) 787-5313 115 Broadway 59218 3

CUT BANK MONTANA PHARMACY LISTING GREAT FALLS CUT BANK CUT BANK Drugmart Pharmacy...(406) 873-5631 601 W Main St Northern Village Mall 59427 Osco Pharmacy...(406) 873-2055 501 W Main St 59427 DEER LODGE DEER LODGE Keystone Drug LLP...(406) 846-2120 407 Main St 59722 Safeway...(406) 846-1414 201 N Main St 59722 DILLON DILLON Safeway...(406) 683-6226 570 N Montana St 59725 Shopko Pharmacy...(406) 683-2316 125 E Glendale St 59725, LT Vans Pharmacy...(406) 988-7121 110 Southside Blvd 59725 ENNIS ENNIS Ennis Healthmart Pharmacy...(406) 682-4246 124 Main St 59729 EUREKA EUREKA Eureka Drug...(406) 297-7748 33 Kaylin Dr 59917, LT Pamida Pharmacy...(406) 297-3496 998 US Hwy 93 North 59917, LT FAIRFIELD FAIRFIELD Fairfield Drug Inc...(406) 467-2336 407 Central Ave 59436 FAIRVIEW FAIRVIEW Mondak Pharmacy...(406) 742-5222 304 S Ellery 59221 FLORENCE FLORENCE Florence Pharmacy...(406) 273-7979 5549 Old US Hwy 93 59833 FORSYTH FORSYTH Yellowstone Pharmacy...(406) 356-2134 1025 Main St 59327, LT FORT BENTON FORT BENTON Benton Pharmacy...(406) 622-5588 1418 Front St 59442 FRENCHTOWN FRENCHTOWN Granite Pharmacy Frenchtown...(406) 626-4113 16862 Beckwith St 59834, LT GARDINER GARDINER Gardiner Pharmacy...(406) 848-9430 208 Park St 59030 GLASGOW GLASGOW Fifth Ave Pharmacy & Gift...(406) 228-3693 621 3rd St S 59230 Shopko Pharmacy...(406) 228-8911 804 US Hwy 2 W 59230, LT Western Drug...(406) 228-4308 537 2nd Ave S 59230, LT GLENDIVE GLENDIVE F & G Pharmacy...(406) 377-5665 107 N Merrill Ave 59330 Gabert Clinic Pharmacy...(406) 465-7948 107 Dilworth St 59330 Glendive Medical Center...(406) 345-3306 202 Prospect Dr 59330 Pharmacy Type: LT Osco Pharmacy...(406) 365-5209 307 Harmon St 59330 GREAT FALLS GREAT FALLS Afp RX...(406) 761-8781 1417 9th St S Ste 101A 59405 Anderson Family...(406) 761-8781 1417 9th St S Ste 101 59405, LT Apothecary Drug Store...(406) 454-2399 20 3rd St N 59401 4

GREAT FALLS MONTANA PHARMACY LISTING HAVRE GREAT FALLS GREAT FALLS (cont.) Clinic Pharmacy...(406) 771-3399 1400 29th St S 59405 CVS Pharmacy...(406) 453-1318 2001 10th Ave S 59405 Kmart Pharmacy...(406) 453-6107 1000 3rd St NW 59404 Osco Pharmacy...(406) 761-8420 1414 3rd St NW 59404 Osco Pharmacy...(406) 727-9880 2250 10th Ave S 59405 Pharmerica...(406) 452-3713 625 Central Ave W Ste 105 59404 Pharmacy Type: LT Plaza United Pharmacy...(406) 727-0070 2800 11th Ave S 59405 Public Drug Co...(406) 453-1497 324 Central Ave 59401, LT Sam s Club Pharmacy...(406) 453-3466 401 Northwest Byp 59404 Shopko Pharmacy...(406) 727-9682 301 Northwest Byp 59404, LT Smiths Pharmacy...(406) 771-0475 1601 Market Pl Dr 59404 Snyder Drugs...(406) 452-6461 2515 6th Ave N 59401 Spectrum Pharmacy...(406) 455-2170 500 15th Ave S Ste 2 59405, H Spectrums Home Solutions...(406) 727-1218 2509 7th Ave S 59405 Pharmacy Type: H Walgreens...(406) 761-0214 1213 3rd St NW 59404 Walgreens...(406) 727-1376 2301 10th Ave S 59405 Walmart Pharmacy...(406) 761-1456 701 Smelter Ave NE 59404 HAMILTON HAMILTON Bitterroot Drug Inc...(406) 363-3611 211 W Main St 59840, LT, H Hamilton Pharmacy...(406) 363-2300 135 W Main St 59840 Healthcare Providers...(406) 363-6203 1900 N 1st St 59840 Osco Pharmacy...(406) 363-7089 1313 N 1st St 59840 Timber Ridge Pharmacy...(406) 363-9003 1131 N 1st St 59840, LT, H Walgreens...(406) 375-2264 901 N 1st St 59840 HARDIN HARDIN Pharmcare of Hardin Inc...(406) 665-1602 901 N Center Ave 59034 HARLEM HARLEM Fort Belknap Health Center Pharmacy...(406) 353-3104 456 Gros Ventre Ave 59526 Milk River Pharmacy...(406) 353-3535 42465 US Hwy 2 59526 HARLOWTON HARLOWTON Remedies Pharmacy & Hardware...(406) 632-4532 100 N Central Ave 59036, LT HAVRE HAVRE Health Mart...(406) 265-1229 730 1st St 59501 Kmart Pharmacy...(406) 265-1854 3180 US Hwy 2 W 59501 Northern Montana Hospital Pharmacy...(406) 262-1223 30 13th St 59501 Pharmacy Type: LT Northern Montana Pharmacy...(406) 262-1701 20 13th St W 59501 Walmart Pharmacy...(406) 262-9174 3510 US Hwy 2 W 59501 5

HAVRE MONTANA PHARMACY LISTING LAKESIDE HAVRE HAVRE (cont.) Western Drug Pharmacy...(406) 265-9601 123 5th Ave Ste B 59501 HAYS HAYS Hays Health Center Pharmacy...(406) 673-3777 123 White Crow Rd 59527 HEART BUTTE HEART BUTTE Heart Butte Pharmacy...(406) 338-2151 81 Disney St 59417 HELENA HELENA Bergum Drug...(406) 443-0506 2600 Winne Ave 59601, LT Costco Pharmacy...(406) 495-7049 2195 E Custer Ave 59602 CVS Pharmacy...(406) 442-2196 526 Euclid Ave 59601 CVS Pharmacy...(406) 442-9800 603 N Montana Ave 59601 CVS Pharmacy...(406) 443-3331 3095 N Montana Ave 59601 Kmart Pharmacy...(406) 449-5587 1700 Cedar St 59601 Osco Pharmacy...(406) 449-2295 3151 N Montana Ave 59602 Safeway...(406) 443-4508 611 N Montana Ave 59601 Shopko Pharmacy...(406) 443-8823 3101 N Montana Ave 59602, LT South Hills Pharmacy Inc...(406) 443-2540 2600 Winne Ave 59601 St Peter Community Pharmacy...(406) 444-2350 2475 E Broadway St 59601 St Peters Pharmacy-Broadway...(406) 444-2200 2550 E Broadway St 59601 Walgreens...(406) 442-1265 1150 11th Ave 59601 Walmart Pharmacy...(406) 443-3455 2750 Prospect Ave 59601 KALISPELL KALISPELL Big Sky IV Care...(406) 752-0440 20 Four Mile Dr Ste 3 59901 Pharmacy Type: H Costco Pharmacy...(406) 758-2528 2330 US Hwy 93 N 59901 Evergreen Pharmacy...(406) 257-2083 2141 US Hwy 2 E Ste 300 59901 Glacier Ridge Pharmacy...(406) 755-7979 55 1st Ave East N 59901 Kalispell Regionalmedical Center Pharmacy...(406) 752-1761 310 Sunnyview Ln 59901 Pharmacy Type: LT Kmart Pharmacy...(406) 257-5452 2024 US Hwy 2 E 59901 Medical Arts Pharmacy...(406) 752-2492 209 Conway Dr 59901 Osco Pharmacy...(406) 257-7556 900 W Idaho St 59901 Rosauers Pharmacy...(406) 755-5088 2150 US Hwy 93 S 59901 Shopko Pharmacy...(406) 257-1274 1370 US Hwy 2 E 59901, LT Smiths Pharmacy...(406) 257-1397 195 3rd Ave NE 59901 Sykes Pharmacy...(406) 257-4806 202 2nd Ave W 59901, LT The Clinical Pharmacy...(406) 751-7600 200 Conway Dr 59901, LT, H Walgreens...(406) 257-0334 40 W Idaho St 59901 Walmart Pharmacy...(406) 756-7256 170 Hutton Ranch Rd 59901 LAKESIDE LAKESIDE Remedies Lakeside...(406) 844-2103 7100 US Hwy 93 S Unit A 59922 6

LAME DEER MONTANA PHARMACY LISTING MISSOULA LAME DEER LAME DEER Lame Deer Health Center Pharmacy...(406) 477-4448 100 Cheyenne Ave 59043 LAUREL LAUREL CVS Pharmacy...(406) 628-8746 307 SE 4th St 59044 Genes Pharmacy...(406) 628-7217 111 E Main St 59044 Walmart Pharmacy...(406) 628-1762 101 Bernhardt Rd 59044 LEWISTOWN LEWISTOWN Central Montana Medical Center...(406) 535-6250 408 Wendell Ave 59457 Pharmacy Type: LT Mt Mental Health Ctr...(406) 538-7451 800 Casino Creek Dr 59457 Osco Pharmacy...(406) 538-6674 117 W Janeaux St 59457 Seiden Drug Company Inc...(406) 535-1470 310 Wendell Ave Ste 102 59457 Shopko Pharmacy...(406) 538-9262 825 NE Main St 59457, LT LIBBY LIBBY Granite Pharmacy Libby...(406) 293-3784 1401 Minnesota Ave 59923 Rosauers Pharmacy...(406) 293-7702 703 W 9th St 59923 LIVINGSTON LIVINGSTON Kc Western Drug Long Term Care...(406) 222-7332 1313 W Park St Ste B 59047 Osco Pharmacy...(406) 222-1188 2120 Park St S 59047 Shopko Pharmacy...(406) 222-7082 100 Washington St 59047, LT Western Drug of Livingston...(406) 222-7332 1313 W Park St 59047 LODGE GRASS LODGE GRASS Lodge Grass Health Center Pharmacy...(406) 639-2317 Harding Ave 59050 LOLO LOLO Lolo Drug LLC...(406) 273-2322 103 Glacier Dr 59847 MALTA MALTA Valley Drug Company of Malta...(406) 654-2632 131 S 1st Ave E 59538, LT MILES CITY MILES CITY Big Sky Pharmacy...(406) 234-1241 701 Main St 59301 Holy Rosary Health Center...(406) 232-2540 2600 Wilson St 59301 Pharmacy Type: LT Osco Pharmacy...(406) 232-4627 519 S Haynes Ave 59301 Walmart Pharmacy...(406) 232-7320 3205 Stower St 59301 MISSOULA MISSOULA Black Bear Naturopathic Clinic PC...(406) 542-2147 2204 Dixon Ave 59801 Broadway Pharmacy...(406) 327-1650 500 W Broadway St 59802 Community RX...(406) 327-4680 2835 Fort Missoula Rd 59804 Costco Pharmacy...(406) 542-3807 3220 Northern Pacific St 59808 CVS Pharmacy...(406) 728-1380 1914 Brooks St 59801 Health Service Pharmacy Univ of Mt...(406) 243-5171 634 Eddy Ave 59812 Missoula Pharmacy...(406) 728-5650 1211 S Reserve St Ste 102 59801 Osco Pharmacy...(406) 549-5127 2205 Oxford St 59801 7

MISSOULA MONTANA PHARMACY LISTING RED LODGE MISSOULA MISSOULA (cont.) Osco Pharmacy...(406) 728-1118 2230 N Reserve St 59808 Osco Pharmacy...(406) 549-7717 3800 S Russell St 59801 Osco Pharmacy...(406) 549-6163 1003 E Broadway St 59802 Palmers Drug...(406) 549-4125 918 SW Higgins Ave 59803 Partners Solutions...(406) 728-8848 2687 Palmer St Ste B 59808 Pharmacy Type: H Partnership Health Center Pharmacy..(406) 258-4139 323 W Alder St 59802 Rosauers Pharmacy...(406) 721-5330 2350 S Reserve St 59801 Safeway...(406) 721-6009 800 W Broadway St 59802 Safeway...(406) 251-5415 3801 S Reserve St 59801 Savmor...(406) 721-6017 1610 S 3rd St W Ste 100 59801 Shopko Pharmacy...(406) 721-3789 2510 S Reserve St 59801, LT Target Pharmacy...(406) 543-4000 2420 N Reserve St 59808 Village Health Care Center...(406) 728-9162 2651 South Ave W 59804 Walgreens...(406) 543-1016 2527 N Reserve St 59808 Walgreens...(406) 728-2089 2100 Brooks St 59801 Walmart Pharmacy...(406) 251-6066 4000 Brooks St 59804 Walmart Pharmacy...(406) 829-8532 3555 Mullan Rd 59808 PHILIPSBURG PHILIPSBURG Granite Cnty Med Hosp Pharmacy...(406) 859-3271 310 Sansome St 59858 Granite Pharmacy...(406) 859-3784 106 N Montgomery St 59858, LT PLAINS PLAINS Plains Drug...(406) 826-3552 214 Railroad St 59859 PLENTYWOOD PLENTYWOOD Plentywood Drug Inc...(406) 765-1810 119 N Main St 59254 POLSON POLSON Healthcare Plus...(406) 883-3838 50331 US Hwy 93 Ste A 59860 Healthcare Plus...(406) 883-0565 1 7th Ave E Ste C 59860 Safeway...(406) 883-3674 146 S Shore Rte 59860 St Joseph Pharmacy...(406) 883-8444 6 13th Ave E PO Box 1010 59860 Walmart Pharmacy...(406) 883-9221 170 Heritage Ln 59860 POPLAR POPLAR Poplar Health Center Pharmacy...(406) 768-3491 107 H St E 59255 Poplar Pharmacy...(406) 768-6147 213 H St 59255, LT PRYOR PRYOR Pryor Health Station Pharmacy...(406) 259-8238 Pryor Gap Rd 59066 RED LODGE RED LODGE Red Lodge Drug...(406) 446-1017 211 N Broadway Ave 59068 8

RONAN MONTANA PHARMACY LISTING WEST YELLOWSTONE RONAN RONAN Family Health Pharmacy...(406) 676-2111 63307 US Hwy 935 59864 R & R Health Care Solutions...(406) 676-5600 63802 US Hwy 93 Ste B 59864, LT ROUNDUP ROUNDUP Shopko Pharmacy...(406) 323-1811 148 Main St 59072, LT SAINT IGNATIUS SAINT IGNATIUS CS & K Tribes-Flathead Reservatn...(406) 745-3525 308 Mission Dr 59865 Mission Drug...(406) 745-3000 110 N Main St 59865 SCOBEY SCOBEY Service Drug Inc...(406) 487-5911 119 Main St 59263, LT SEELEY LAKE SEELEY LAKE Seeley Swan Pharmacy...(406) 677-8989 3027 Hwy 83 N Lazy Pine Mall Ste J 59868 SHELBY SHELBY Northtown Drugs...(406) 434-5115 333 Main St 59474, LT Shopko Pharmacy...(406) 434-2377 1950 W Roosevelt Hwy 59474, LT SHERIDAN SHERIDAN Mac s CHC Pharmacy...(406) 842-5624 317 Madison St 59749, LT SIDNEY SIDNEY Clinic Pharmacy...(406) 488-6563 214 14th Ave SW 59270 Shopko Pharmacy...(406) 482-6401 1153 S Central Ave 59270, LT White Drug...(406) 482-1420 402 E Main St 59270, LT STEVENSVILLE STEVENSVILLE Family Pharmacy Inc...(406) 777-5002 3804 Eastside Hwy 59870 Ridgeway Pharmacy...(406) 777-4410 39 Stevensville Cutoff Rd 59870 Valley Drug...(406) 777-5591 301 Main St 59870 SUPERIOR SUPERIOR Mineral Pharmacy Inc...(406) 822-4681 207 River St 59872 THOMPSON FALLS THOMPSON FALLS Dougs Drug...(406) 827-4349 1221 Main St 59873 THREE FORKS THREE FORKS Railway Drug...(406) 285-3883 117 Main St Ste A 59752, LT TOWNSEND TOWNSEND Townsend Drug...(406) 266-4379 308 Broadway St 59644 TROY TROY Kootenai Drug...(406) 295-4361 611 E Missoula Ave 59935 VICTOR VICTOR North Ridge Healthcare...(406) 642-9898 2824 US Hwy 93 N Ste B 59875 Ridgeway Pharmacy Ltd...(406) 642-6040 2824 US Hwy 93 N 59875 WARM SPRINGS WARM SPRINGS Montana State Hospital Pharmacy...(406) 693-7178 58 Garnet Way 59756, LT WEST YELLOWSTONE WEST YELLOWSTONE Silvertip Pharmacy...(406) 646-7056 120 N Canyon St Ste F 59758 9

WHITE SULPHUR SPRINGS MONTANA PHARMACY LISTING WOLF POINT WHITE SULPHUR SPRINGS WHITE SULPHUR SPRINGS Castle Mountain Drug...(406) 547-2316 25 E Main St 59645 WHITEFISH WHITEFISH Alpine Ridge Pharmacy...(406) 862-7434 6475 US Hwy 93 S 59937 Safeway...(406) 862-2526 6580 US Hwy 93 S 59937 Walgreens...(406) 756-4800 700 E 13th St 59937 Whitefish Discount Pharmacy...(406) 862-7070 1111 Baker Ave 59937, LT WHITEHALL WHITEHALL Whitehall Drug...(406) 287-3931 203 W Legion St 59759 WOLF POINT WOLF POINT Wolf Point Health Center Pharmacy...(406) 653-1641 550 6th Ave N 59201 Wolf Point Ide Pharmacy...(406) 653-6572 1115 4th Ave N 59201, LT 10

MAIL-ORDER PHARMACIES The pharmacies listed below are mail-order pharmacies that deliver maintenance medications to your door. They can be contacted at the numbers listed for each. PrimeMail Walgreens (800) 693-3820 (866) 673-8826 TTY: 711, 24 hours a day, seven days a week TTY: (800) 573-1833 Web site: www.myprimemail.com Web site: www.walgreensmail.com 11

For more information, please contact MedicareBlue Rx (PDP) Customer Service at 1-888-832-0075 or, for TTY users, 711, 8 a.m. to 8 p.m., daily, Central and Mountain Times, or visit www.yourmedicaresolutions.com. This Pharmacy Directory was updated on June 11, 2013. Coverage is available to residents of the service area or members of an employer or union group and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota* and Blue Cross Blue Shield of Wyoming.* *Independent licensees of the Blue Cross and Blue Shield Association RAS1170R06 (08/13)