WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans. Pharmacy Directory



Similar documents
CIGNA S RETAIL PHARMACY DIRECTORY FOR 90-DAY PRESCRIPTIONS

pharmacy Directory for 90-day prescriptions

PHARMACY DIRECTORY. Participating pharmacies in the United States, the U.S. Virgin Islands, Puerto Rico and Guam

pharmacy Directory Participating pharmacies in the United States, the U.S. Virgin Islands, Puerto Rico and Guam

APPENDIX SEXUAL ASSAULT SUPPORT SERVICES

pharmacy directory UnitedHealth Rx for Groups Virgin Islands

*N Pleasant View -Genesis 239 Pleasant St. Concord NH N Birchwood Nursing Home Chester Rd. Derry NH

EXPRESS SCRIPTS PHARMACY DIRECTORY

Low-Cost Dental Clinics

Douglas Beck, BS Physical Activity Coordinator Physical Activity, Nutrition & Healthy Weight Program Maine CDC

NH Department of Health & Human Services (DHHS) Office of Finance Concord, NH STATE OF NEW HAMPSHIRE NH DHHS RELEASE OF POLICY

Bureau of Elderly and Adult Services. Release of Updated Appendix A, Nursing Facility Rates. BEAS Staff; Appendix A Recipients; DCS Supervisors

New Hampshire Satellite 50/ New Hampshire Cable. Cable Provider

Office of Human Resources

FirstCarolinaCare Insurance Company

MAINE TEACHERS WITH ADVANCED DEGREES BY SCHOOL ADMINISTRATIVE UNIT ( ) PRELIMINARY ANALYSIS. David L. Silvernail James E.

FirstCarolinaCare Insurance Company

Secretary of State Bureau of Motor Vehicles. Driver/Rider Education Program Driver Ed Schools by County

Aetna Medicare has Solutions to Help You Save on Prescriptions

LIHTC Properties. Housing Management Resources, Inc. Concord, NH Dover, NH

MEMBER GUIDE AMERICARD

2014 Summary of Benefits

FAIRPOINT CENTRAL OFFICE SPACE AVAILABILITY SUMMARY

Maine Approved Private Schools School Name School Type Location County SAUName All Saints Catholic School Private Sectarian Bangor Penobscot All

Company Profile: Affiliate Profiles:

2015 Regence Medicare Prescription Drug Plans (PDP)

2012 Summary of Benefits

On behalf of the A.I.M. Mutual Insurance Companies, I welcome you as a policyholder.

Dental Clinics & Services for Maine Residents

Medicare Supplement Insurance (premium comparison chart)

State of Maine JUDICIAL BRANCH A GUIDE TO SMALL CLAIMS PROCEEDINGS IN THE MAINE DISTRICT COURT

WELLCARE MEDICARE PRESCRIPTION DRUG PLAN INDIVIDUAL ENROLLMENT FORM

2014 Prescription Drug Schedule Humana Medicare Employer Plan

How To Get Around Town Without A Car

Computer Applications Software Engineers in New Hampshire

How To Become A Medical Assistant In New Hampshire

Company Profile: Subsidiary Profiles:

SUMMARY OF BENEFITS. Plan 80 - PGB S5755_16SBL_FDH

Small Group Health Insurance Renewals by Geographic Area

POLIDATA REGION MAPS NEW HAMPSHIRE

FY14 PRIVATE SCHOOL SERVICE OBLIGATION DOCUMENTATION

Crotched Mountain Rehabilitation Center 1 Verney Drive

The Economic Impact of Hospital Systems in New Hampshire July 2015

Report to the Joint Standing Committee on Education and Cultural Affairs

LOS ANGELES UNIFIED SCHOOL DISTRICT POLICY BULLETIN

Producing Electricity From A Renewable Resource. Granite State Hydropower Association

Public Safety Answering Point (PSAP) Reconfiguration Plan

Multi-state claims services

New Hampshire walk-in centers, urgent care centers and retail health clinics

Blue Shield Medicare Basic Plan (PDP) Blue Shield Medicare Enhanced Plan (PDP)

Summary of Benefits. Prime (HMO-POS) and Value (HMO) January 1, 2015 December 31, 2015 G ENERATIONS A DVANTAGE (TTY: 711)

Maine Department of Public Safety Maine Criminal Justice Academy

Providence Health Plans

Maine Alcohol & Other Drug Abuse Treatment Services

Class of 2014 Post Graduate Survey Results Employment and Further Education. Accounting

Sedgwick Claims Kit Pennsylvania

NOTICE OF CONTRACT EXTENSION/REVISION

A Consumer Guide to Home Care Services and Consumer Rights

MAINE. Rental Housing Guide. September 2015

Annual Notice of Changes for 2014

PARTICIPATING D ANGELO RESTAURANTS

January 1, 2016 December 31, Summary of Benefits. First Health Part D Value Plus (PDP) S S

Below is a list of access numbers based on city and state. Please locate the dialup access number that is nearest to your location.

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016

HMO/PPODIRECTORY MAINE. Health Insurance Coverage Status and Type of Coverage by Age. All Persons Under 18 years Under 65 years 65 years and over

2013 SUMMARY OF BENEFITS

Important information about our provider directory

MPA DRAMA BULLETIN (Updated )

2014 USNH Employee Health Plan Options

Summary of Benefits. (PDP), Blue MedicareRx Plus SM. (PDP) and Blue MedicareRx Premier SM

2013 SUMMARY OF BENEFITS

ANNUAL NOTICE OF CHANGES FOR 2016

American Income Partners is not insurance.

Auto Attendant User Guide

Health First Health Plans 2014 Medicare Advantage Plans

IMPORTANT NOTICE: Your Medicare plan won t be offered in 2016.

ANNUAL REPORT. Asa (4 years), Portland. Promoting Early Childhood Literacy for All Maine Children

A Study of Ground Ambulance Transport Commercial Claims Data

2016 Group Retiree Medicare Plans

ANNUAL NOTICE OF CHANGES FOR 2016

SGEC Webinar Handouts 6/12/2013

PDP. Ask. Learn. Understand your Medicare. With a little help from HAP. hap.org/medicare. (800) or TTY/TDD (800)

Tobacco Treatment Services Guide ANDROSCOGGIN

Annual Notice of Changes for 2015

XFINITY HOME SECURITY

21 Maine Banks Form Maine Anti-Phishing Coalition and Launch Public Education and Awareness Campaign

Sedgwick Claims Kit South Carolina

Resource Guide for Alcohol and Drug Prevention and Treatment Services. NH Department of Health and Human Services

D R A F T. SchID Status Nonprofit OrgName OrgPhysCity

CLASS OF 2013 POST GRADUATE SURVEY RESULTS Employment and Further Education

Aetna Medicare Rx (PDP) Offered by Aetna Life Insurance Company

Summary of Benefits. Blue Shield of California Medicare Rx Plan (PDP)

FEEL BETTER ABOUT YOUR CHOICES

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015

Annual Notice of Changes for 2014 (This 2014 Annual Notice of Changes is effective October 1, 2013 December 31, 2014.)

Regence Medicare Advantage PPO Plans. Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association

Annual Notice of Changes for 2015

MPA CHEERLEADING BULLETIN (WINTER) (updated )

Transcription:

WellCare Signature (PDP) and Classic (PDP) Prescription Drug Plans Pharmacy Directory This booklet provides a list of WellCare Signature (PDP) and Classic (PDP) network pharmacies. This directory is for Maine and New Hampshire. We also list pharmacies that are in our network but are outside Maine and New Hampshire. Please contact WellCare Signature (PDP) and Classic (PDP) at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern for additional information. 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. To get current information about WellCare Signature (PDP) and Classic (PDP) network pharmacies in your area, please visit our website at www.wellcarepdp.com or call Customer Service at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call 1-888-816-5252. Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or co-payments/coinsurance may change on January 1, 2013. WellCare is a Medicare-approved Part D sponsor. This information is available for free in other languages. Please contact our Customer Service number at 1-877-374-4056 for additional information. Esta información está disponible gratis en otros idiomas. Para información adicional, por favor comuníquese con Servicio al Cliente al 1-877-374-4056. S5967_NA015144_PDP_PHD_ENG_FINAL_01 CMS Approved 07252011 WellCare 2011 NA_05_11 NA01PHD37853E_0511

Introduction This booklet provides a list of WellCare Signature and Classic network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and WellCare Signature or Classic formularies. If you have additional questions, please call Customer Service at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call 1-888-816-5252. Or, visit www.wellcarepdp.com. 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 beneficiaries obtain prescription drug benefits provided by WellCare. In most cases, your prescriptions are covered under WellCare Signature and Classic only if they are filled at a network pharmacy or through our mail-order pharmacy service. Once you go to one, you are not required to continue going to the same 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. Preferred pharmacies are pharmacies in our network in which our Plan has negotiated lower cost-sharing for its plan members for covered prescription drugs than at non-preferred pharmacies. However, you will still have access to lower drug prices at non-preferred pharmacies than at out-of-network pharmacies. You may go to either of these types of network pharmacies to receive your covered prescription drugs. Only WellCare Mail-Order Pharmacy is classified as a preferred pharmacy. As a member, you may use a non-preferred mail-order pharmacy, but the amount you pay may be higher than the amount you pay for a preferred mail-order pharmacy. WellCare does not classify pharmacies as preferred or non-preferred in the Chain, Retail, Home Infusion, Long-Term Care, or Indian Health Service/Tribal/Urban Indian Health Program pharmacy types. How to use this pharmacy directory Pharmacies in this directory are grouped by type of pharmacy and listed alphabetically, by state (if the region includes multiple states), county and city. Some pharmacies offer an extended supply of medications. Pharmacies that offer an extended supply of medications are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it has the quantity of medication you need. Some pharmacies are open 24 hours a day. Pharmacies that are open 24 hours a day are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it is open 24 hours a day. I

Some pharmacies offer. This means the pharmacy will accept electronic prescriptions directly from your physician s office. Pharmacies that offer are identified by after the pharmacy s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it offers. Some mail-order pharmacies are designated as preferred pharmacies. Mail-order pharmacies that are classified as preferred pharmacies are identified by Preferred Pharmacy after the pharmacy s phone number. As a member, the amount you pay may be lower using a preferred mail-order pharmacy than a non-preferred mail-order pharmacy. II

CHAIN PHARMACIES A and P Pharmacy (866) 443-7374 Accredo Health Group (866) 591-9075 Acme Store (877) 932-7948 Aurora Pharmacy (888) 973-8999 Bakers Pharmacy (800) 362-2183 Bartell Drugs (877) 227-8355 Bashas (800) 755-7292 Bel Air (800) RALEYSS Bi Lo Pharmacy (800) 724-0205 Bi-Mart (541) 344-0681 Big Y (413) 784-0600 Biggs Pharmacy (513) 248-9300 Brookshire Brothers Pharmacy (936) 633-4774 Brookshires Pharmacy (903) 534-3000 Buehler Food Markets (888) BUEHLER Cash Wise Foods (877) 251-5505 City Market (877) 415-4647 Coram Healthcare (800) 423-1411 Costco (800) 607-6861 Critical Care Systems (603) 888-1500 1

CHAIN PHARMACIES CVS (800) 746-7287 Dillons (800) 362-2183 Discount Drug Mart (330) 725-2340 Dominicks Finer Foods (877) 723-3929 Duane Reade (212) 273-5700 Eaton Apothecary (508) 429-8506 Econofoods (952) 832-0534 Fagen Pharmacy (219) 987-6468 Farm Fresh Food & Pharmacy (800) 280-6726 Food City (276) 623-5100 Food Lion (800) 811-1748 Fred Meyer (888) 247-4439 Freds Pharmacy (800) 374-7417 Fruth Pharmacy (304) 675-1612 Genuardis (877) 723-3929 Giant Pharmacy (888) 469-4426 Haggen (360) 733-8720 Hannaford (800) 213-9040 Happy Harrys (800) 925-4733 Harmons (866) 427-6661 2

CHAIN PHARMACIES Harris Teeter (800) 432-6111 Homeland Pharmacy (405) 290-3000 Ingles (828) 669-2941 Kerr Drug (800) 494-3053 King Soopers (877) 415-4647 Kinney Drugs (800) 552-8663 Kmart (866) 562-7848 Kroger (866) 221-4141 Longs Drugs (800) 746-7287 Marc s Pharmacy (800) 347-2401 Marsh Supermarkets (800) 382-8798 Medicap Pharmacy (800) 325-1397 Medicine Shoppe (800) 325-1397 Meijer (877) 363-4537 Navarro Discount Pharmacy (888) 628-2770 No Frills Supermarkets (866) 987-6453 Osco (877) 932-7948 Pamida (402) 339-2400 Pathmark (866) 443-7374 Pick N Save Pharmacy (866) 742-6728 3

CHAIN PHARMACIES Price Chopper (800) 666-7667 Publix (800) 242-1227 Qvl Pharmacy (972) 788-2653 Raleys (800) RALEYSS Ralphs (888) 437-3496 Randalls (877) 723-3929 Rite Aid (800) 748-3243 Safeway (877) 723-3929 Sams Pharmacy (888) 746-7726 Save Mart Supermarkets (800) 692-5710 Savon (877) 932-7948 Schnucks (800) 264-4400 Shop N Save (314) 984-0900 Shopko (807) 917-333 Shoppers Pharmacy (800) 775-9888 Shoprite (800) 746-7748 Snyders Drug Stores (952) 935-5441 Stop & Shop (800) 767-7772 Super 1 Pharmacy (903) 534-3000 Super D Drugs (870) 535-2411 4

CHAIN PHARMACIES Super Fresh (866) 443-7374 Sweetbay (888) 218-3890 Target (800) 440-0680 Thrifty White Pharmacy (763) 513-4300 Tom Thumb (877) 723-3929 Tops Friendly Markets (800) 522-2522 United Pharmacy (888) 791-0220 USA Drug (870) 535-2411 Vons (877) 723-3929 Wal Mart (800) WALMART Waldbaums (866) 443-7374 Walgreens (800) 925-4733 Wegmans (800) WEGMANS Weis Pharmacy (570) 286-4571 Winn Dixie (866) 946-6349 Yokes Pharmacy (509) 921-2292 5

MAIL-ORDER PHARMACIES Ammed Homecare Pharmacy (615) 941-3800 Global Medical Direct (913) 422-1666 Liberty Direct Services Corp (800) 790-0330 Liberty Healthcare Pharmacy of Nevada (800) 491-3276 Liberty Medical (800) 491-3276 Liberty Medical (800) 467-8546 Liberty Medical of Ohio (800) 491-3276 Walgreens #2445 (407) 351-6151 Walgreens #3397 (480) 752-8200 Walgreens #5957 (503) 643-8511 Welldynerx (888) 479-2000 Welldynerx-Fl (888) 479-2000 WSP Mail Order Pharmacy (866) 458-9246 6

SPECIALTY PHARMACY The WellCare Specialty Pharmacy fills certain limited distribution, injectable biotech, and/or biologic medications for members. To place your order, contact the WellCare Specialty Pharmacy Care Team at the number listed below. Your medication will be delivered to your home, your doctor s office, or to an alternate location of your choice. For more information, please contact us toll-free at 1-866-892-9006, Monday-Thursday, 8 a.m. to 7 p.m. Eastern, and Friday, 8 a.m. to 6 p.m. Eastern. Or, send a fax to 1-866-892-8194 or email us at wsp@wellcare.com WellCare Specialty Pharmacy 1-866-892-9006 TTY 1-866-507-6135 filler 7

RETAIL PHARMACIES MAINE Androscoggin County Auburn 600 Center St Auburn, ME 04210 (207) 783-8951 Greene Greene Village Pharmacy 19B Patten Road Greene, ME 04236 (207) 946-2425 Lewiston Bedard Pharmacy 61 College St Lewiston, ME 04240 (207) 786-0138 27 East Ave Lewiston, ME 04240 (207) 784-6666 Aroostook County Caribou Paradis Shop N Save 114 High St Pb Box 230 Caribou, ME 04736 (207) 498-3545 Ft Fairfield I Care Pharmacy 227 Main St Ft Fairfield, ME 04742 (888) 422-7319 Ft Kent Paradis Shop N Save 62 West Main St Suite 101 Ft Kent, ME 04743 (207) 834-4204 St John Valley Pharmacy 182 Market St Ste 2 Ft Kent, ME 04743 (207) 834-2880 Houlton Paradis Shop N Save 33 Ludlow RD Houlton, ME 04730 (207) 532-2500 Madawaska Madawaska Pharmacy 104 Main St Madawaska, ME 04756 (207) 728-7200 Mars Hill Mars Hill Pharmacy 106 Main St Mars Hill, ME 04758 (207) 425-4431 Presque Isle City Drug Store 172 Academy St Presque Isle, ME 04769 (207) 764-4424 8

RETAIL PHARMACIES MAINE Cont Aroostook County Cont Presque Isle Cont Presque Isle Pharmacy 797 Main St Presque Isle, ME 04769 (207) 760-9100 Van Buren Hebert Rexall Pharmacy 74 Main St Van Buren, ME 04785 (207) 868-2242 Cumberland County Brunswick 147 Bath RD Brunswick, ME 04011 (207) 721-0900 Freeport 200 Lower Main St Freeport, ME 04032 (207) 865-0205 Gorham Community Pharmacy-Gorham 365 Main St Gorham, ME 04038 (207) 839-7892 Portland Apothecary By Design Specialty and Retail 84 Marginal Way Suite 100 Portland, ME 04101 (207) 774-5220 91 Auburn St Northgate Shopping Ctr Portland, ME 04103 (207) 797-0536 Portland Pharmacy I 331 Veranda St Portland, ME 04103 (207) 791-3756 S Portland Ascend Specialty RX 53 Darling Ave S Portland, ME 04106 (207) 874-6991 Scarborough 417 Payne RD Scarborough, ME 04074 (207) 510-3005 Westbrook 31 Main St Westbrook, ME 04092 (207) 857-9298 Franklin County Jay Spruce Mountain Pharmacy 3 Tweedie Street Jay, ME 04239 (207) 897-9080 9

RETAIL PHARMACIES MAINE Cont Hancock County Bar Harbor West End Drug Company 105 Main St Bar Harbor, ME 04609 (207) 288-3318 Blue Hill Community Pharmacy-Blue Hill 15 South St Blue Hill, ME 04614 (207) 374-3707 Bucksport Community Pharmacy-Bucksport 75 Main St Bucksport, ME 04416 (207) 469-7030 Ellsworth 175 High St Ellsworth, ME 04605 (207) 669-3005 Southwest Harbor Carroll Drug Store 3 Village Green Way PO Box 1306 Southwest Harbor, ME 04679 (207) 244-5588 Stonington V and S Pharmacy 3 Burnt Cove RD Stonington, ME 04681 (207) 367-5107 Kennebec County Albion Central Maine Pharmacy 18 China Road Albion, ME 04910 (207) 437-7777 Augusta Kennebec Pharmacy and Home Care 43 Leighton RD Augusta, ME 04330 (207) 626-2726 10 Mvh Pharmacy 5 Community Dr Ste 3 Augusta, ME 04330 (207) 622-0075 150 Western Ave Augusta, ME 04330 (207) 626-0364 Oakland Oakland Pharmacy 54 Main Street Oakland, ME 04963 (207) 465-4440 Randolph Community Pharmacy-Randolph 268 Water St Randolph, ME 04346 (207) 588-2482 Waterville 251 Kennedy Memorial Dr Waterville, ME 04901 (207) 680-3001

RETAIL PHARMACIES MAINE Cont Kennebec County Cont Winslow Winslow Pharmacy 20 Garland RD Winslow, ME 04901 (207) 872-7979 Knox County Rockland Jensen s Pharmacy 91 Camden St Ste 105 Rockland, ME 04841 (207) 593-7922 235 Camden St Rockland, ME 04841 (207) 594-8070 Rockport Kennebec Phcy and Home Care 839 Commercial St Rockport, ME 04856 (207) 594-0888 Penobscot Bay Med Center Phcy 6 Glen Cove Dr Rockport, ME 04856 (207) 596-8585 Lincoln County Damariscotta Waltz Pharmacy 167 Main St Damariscotta, ME 04543 (207) 563-3128 Waldoboro Waltz Pharmacy 5 Friendship St Waldoboro, ME 04572 (207) 832-5511 Penobscot County Bangor Miller Drug Riverside 431 State St Bangor, ME 04401 (207) 973-8888 Miller Drug State Street 210 State St Bangor, ME 04401 (207) 947-8369 Miller Drug Westgate 915 Union St Ste 7 Bangor, ME 04401 (207) 973-6788 353 Main St Bangor, ME 04401 (207) 945-6550 Penobscot Community Health Center 1012 Union St Ste 1 Bangor, ME 04401 (207) 992-4100 Brewer Brewer Medical Center Pharmacy 735 Wilson St Brewer, ME 04412 (207) 992-4100 11

RETAIL PHARMACIES MAINE Cont Penobscot County Cont Brewer Cont Miller Drug Whiting Hill 33 Whiting Hill RD Ste 4 Brewer, ME 04412 (207) 973-9444 Corinth Community Pharmacy-Corinth 689 Main St Corinth, ME 04427 (207) 285-7289 Dexter Community Pharmacy-Dexter 37 Church St Dexter, ME 04930 (207) 924-6259 E Millinocket Davis Pharmacy 59 Main St E Millinocket, ME 04430 (207) 746-3721 Indian Island Penobscot Nation Hlth Departmnt 23 Wabanaki Way Indian Island, ME 04468 (207) 817-7400 Newport Community Pharmacy-Newport 44 Moosehead Trail Newport, ME 04953 (207) 368-5230 Old Town Helen Hunt Health Center Pharmacy 242 Brunswick St Old Town, ME 04468 (207) 945-5247 Orono Orono Pharmacy 16 Mill St Orono, ME 04473 (207) 866-3800 12 Patten Patten Drug Company 20 Main St Patten, ME 04765 (207) 528-2244 Piscataquis County Dover Foxcroft 1073 W Main St Suite 9 Dover Foxcroft, ME 04426 (207) 564-2857 Sagadahoc County Bath Wilsons Drug Store 114 Front St Bath, ME 04530 (207) 442-8786 Somerset County Bingham E W Moore and Son Pharmacy 337 Main St Bingham, ME 04920 (207) 672-3312

RETAIL PHARMACIES MAINE Cont Somerset County Cont Fairfield Fairfield Pharmacy 66 Western Ave Fairfield, ME 04937 (207) 453-4411 Madison Taylor s Drug Store 2 Old Point Ave Madison, ME 04950 (207) 696-3935 Pittsfield Community Pharmacy-Pittsfield 101 Somerset Plz Pittsfield, ME 04967 (207) 621-0698 Skowhegan Variety Drug 78 Water St Skowhegan, ME 04976 (207) 474-3393 Waldo County Unity Unity Pharmacy 33 Plaza Dr Unity, ME 04988 (207) 948-3950 Washington County Calais Treworgy Pharmacy 333 Main St Calais, ME 04619 (207) 454-3100 Marshfield Machias Friendly Pharmacy 8 Old Country RD Marshfield, ME 04654 (207) 255-6400 Milbridge Milbridge Pharmacy 11 Main Street Milbridge, ME 04658 (207) 546-2304 Perry Pleasant Point Health Center Pharmacy 11 Back Road Perry, ME 04667 (207) 853-2389 Princeton Indian Township Health Center 401 Peter Dana Point RD. Princeton, ME 04668 (207) 796-2322 York County Berwick York Hosp Berwick Phcy 4 Dana Dr Berwick, ME 03901 (207) 698-6740 Biddeford 510 Alfred RD Biddeford, ME 04005 (207) 286-9315 13

RETAIL PHARMACIES MAINE Cont York County Cont Biddeford Cont Southern Maine Medical Center 1 Medical Center Dr Biddeford, ME 04005 (207) 283-7233 Cornish Community Pharmacy-Cornish 200 Maple St Unit 3 Cornish, ME 04020 (207) 625-8050 East Waterboro Good For All Pharmacy 10 Goodall Dr Ste 800 East Waterboro, ME 04030 (207) 247-4000 Kennebunk Kennebunk Good For All Pharmacy 7 Shape Drive Kennebunk, ME 04043 (207) 985-9400 Kennebunk Village Pharmacy 18 Blue Wave Professional Center Kennebunk, ME 04043 (207) 985-1755 Kennebunkport Colonial Pharmacy 40 Dock Square Kennebunkport, ME 04046 (207) 967-4442 Saco Community Pharmacy-Saco 244 Main St Saco, ME 04072 (207) 283-2792 4 Scammon St Suite 12 Saco, ME 04072 (207) 284-9955 Sanford June St Pharmacy 25A June St Sanford, ME 04073 (207) 490-7947 14 1364 Main St Sanford, ME 04073 (207) 490-3562 South Berwick South Berwick Pharmacy 289 Main St South Berwick, ME 03908 (207) 384-2772 York York Hospital Apothecary 15 Hospital Dr York, ME 03909 (207) 351-2150 NEW HAMPSHIRE Belknap County Gilford 1400 Lakeshore Dr Gilford, NH 03249 (603) 524-5240

RETAIL PHARMACIES NEW HAMPSHIRE Cont Belknap County Cont Laconia The Pharmacy Center 724 N Main St Laconia, NH 03246 (603) 524-5064 Tilton 75 Laconia RD Tilton, NH 03276 (603) 286-7305 Carroll County Center Conway 1150 Eastman RD Center Conway, NH 03813 (603) 356-5888 Wolfeboro Falls Care Pharmacy 36 Center St Wolfeboro Falls, NH 03896 (603) 515-1213 Cheshire County Keene The Apothecary 35 Main St Keene, NH 03431 (603) 357-0200 Grafton County Enfield Family Pharmacy Prof Assoc 505 US Route 4 Enfield, NH 03748 (603) 632-5720 Hanover Dick Halls House Phcy 5 Rope Ferry Road Hanover, NH 03755 (603) 650-9456 Eastmans Pharmacy 22 S Main St Hanover, NH 03755 (603) 643-4112 Lebanon Dartmouth Hitchcock Phcy 1 Medical Center Dr Lebanon, NH 03756 (603) 653-3788 Littleton 625 Meadow St Littleton, NH 03561 (603) 444-6673 Plymouth Oliver Drug 103 Boulder Point Dr Plymouth, NH 03264 (603) 536-1086 Hillsborough County Goffstown Howes Pharmacy 39 Main Street Goffstown, NH 03045 (603) 497-4771 15

RETAIL PHARMACIES NEW HAMPSHIRE Cont Hillsborough County Cont Gofftown 553 Mast RD Gofftown, NH 03045 (603) 668-6761 Hillsborough 276 W Main St Hillsborough, NH 03244 (603) 464-4133 Hollis Hollis Pharmacy 6 Ash St Hollis, NH 03049 (603) 465-7100 Manchester Kens Pharmacy 36 Elm St Manchester, NH 03101 (603) 623-2813 375 S Willow St Manchester, NH 03103 (603) 627-2564 Merrimack 570 Daniel Webster Hwy Merrimack, NH 03054 (603) 424-4519 7 Continental Blvd Merrimack, NH 03054 (603) 429-0759 Nashua 300 Main St Nashua, NH 03060 (603) 579-5445 Rices Pharmacy 59 Main St Nashua, NH 03064 (603) 882-5153 St Joseph Healthcare Retail Phcy 172 Kinsley St Nashua, NH 03060 (603) 595-3090 Wingates Pharmacy 129 Main St Nashua, NH 03060 (603) 882-9733 Merrimack County Allenstown Pharmacy Express 68 School St Allenstown, NH 03275 (603) 485-4000 16

RETAIL PHARMACIES NEW HAMPSHIRE Cont Merrimack County Cont Concord Modern Pharmacy 5 Clinton St Concord, NH 03301 (603) 224-3715 246 Loudon RD Concord, NH 03301 (603) 228-2279 The Medicine Store 74 S Main St Concord, NH 03301 (603) 225-2747 The Prescription Center 125 N Main St Concord, NH 03301 (603) 224-9591 The Prescription Center 246 Pleasant St Ste 100 Concord, NH 03301 (603) 226-4848 Contoocook Colonial Village 54 Park Ave Plaza Contoocook, NH 03229 (603) 746-4600 Epsom Care Pharmacy of Epsom 1912 Dover Epson Traffic Circle Epsom, NH 03234 (603) 736-9308 Henniker Henniker Pharmacy Proctor Square Henniker, NH 03242 (603) 428-3456 New London Colonial Pharmacy 247 Newport RD New London, NH 03257 (603) 526-2233 Penacook Fisherville Pharmacy 219 Fisherville RD Penacook, NH 03303 (603) 565-0210 Penacook Pharmacy 305 Village St Penacook, NH 03303 (603) 753-6391 Warner Warner Pharmacy 11 E. Main St Warner, NH 03278 (603) 456-3556 Rockingham County Derry 55 Crystal Ave Derry, NH 03038 (603) 437-9654 17

RETAIL PHARMACIES NEW HAMPSHIRE Cont Rockingham County Cont Londonderry Rt 102 Old Orchard View Dr Londonderry, NH 03053 (603) 437-6933 Portsmouth Martins Point Portsmouth Pharmacy 161 Corporate Dr Portsmouth, NH 03801 (800) 222-5154 Salem Azar A Korbey MD 22 Main Street Salem, NH 03079 (603) 893-7905 Stratham 100 Shaws Ln Stratham, NH 03885 (603) 773-5992 Windham 43 Indian Rock RD Windham, NH 03087 (603) 437-3481 Strafford County Dover Care Pharmacy of Dover 118 Central Ave Dover, NH 03820 (603) 742-3995 Rochester Care Pharmacy of Rochester 161 S Main St Rochester, NH 03867 (603) 332-6200 Somersworth Care Pharmacy 8 Somersworth Plz Somersworth, NH 03878 (603) 692-3227 Sullivan County Claremont Bannon Pharmacy 109 Pleasant St Claremont, NH 03743 (603) 542-7722 Newport Sugar River Pharmacy 46 John Stark Hwy Sugar River Plaza Newport, NH 03773 (603) 863-4111 Z Pharmacy 239 Sunapee St. Newport, NH 03773 (603) 865-1800 18

HOME INFUSION PHARMACIES WellCare will cover home infusion therapy if: Your prescription drug is on the WellCare formulary or you have a formulary exception; WellCare has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. MAINE Cumberland County Portland New England Life Care 108 A Industrial Way Portland, ME 04103 (800) 439-7969 S Portland Critical Care Systems 10 Donald B Dean Dr S Portland, ME 04106 (207) 775-3600 Yarmouth Apria Healthcare 14 Yarmouth Junction Yarmouth, ME 04096 (207) 846-8543 NEW HAMPSHIRE Hillsborough County Bedford Critical Care Systems 10 Commerce Park North 4 Bedford, NH 03110 (603) 625-8880 Merrimack County Concord New England Life Care 41 C Terrill Park Dr Concord, NH 03301 (800) 338-8022 Kennebec County Augusta Kennebec Pharmacy and Home Care 43 Leighton RD Augusta, ME 04330 (207) 626-2726 19

LONG-TERM CARE PHARMACIES Residents of a long-term care facility may access their prescription drugs covered under WellCare through the facility s long-term care pharmacy or another network long-term care pharmacy. MAINE Androscoggin County Lewiston Bedard Long Term Care Pharmacy 5 Horton St Lewiston, ME 04240 (207) 786-0139 Medicine Shoppe Pharmacy 373 Sabattus St Lewiston, ME 04240 (207) 783-3539 Aroostook County Ft Kent St John Valley LTC 182 Market St Ste 3 Ft Kent, ME 04743 (207) 834-2880 Mars Hill Mars Hill Pharmacy 106 Main St Mars Hill, ME 04758 (207) 425-4431 Presque Isle City Drug Store 172 Academy St Presque Isle, ME 04769 (207) 764-4424 Van Buren Hebert Rexall Pharmacy 74 Main St Van Buren, ME 04785 (207) 868-2242 Cumberland County Portland Pharmerica 97 McAlister Farm Road Portland, ME 04103 (207) 775-0631 Westbrook Omnicare of Maine 39 Eisenhower Dr Westbrook, ME 04092 (207) 854-6400 Kennebec County Augusta Mvh Pharmacy 5 Community Dr Ste 3 Augusta, ME 04330 (207) 622-0075 Penobscot County Bangor Miller Drug LTC 208 State St Bangor, ME 04401 (207) 992-4458 Piscataquis County Greenville Harris Drug 10 Pritham Ave Greenville, ME 04441 (207) 695-2921 Sagadahoc County Topsham Waltz Long Term Care Pharmacy 605 Lewiston RD Topsham, ME 04086 (207) 373-9077 NEW HAMPSHIRE Carroll County Effingham Lakeview Pharmacy 244 Highwatch RD Effingham, NH 03882 (603) 539-8780 20

LONG-TERM CARE PHARMACIES NEW HAMPSHIRE Cont Grafton County Lebanon Alice Peck Day Mem Hosp Phcy 125 Mascoma St Lebanon, NH 03766 (603) 448-3121 Merrimack County Concord Northeast Pharmacy Services 125 North Main St Concord, NH 03301 (603) 226-8686 Pharmerica 38 Locke Road Unit 3 Concord, NH 03301 (603) 223-0380 Rockingham County Derry QOL Meds 10 Tsienneto RD Derry, NH 03038 (603) 965-0255 Londonderry Omnicare of New Hampshire 23 South Perimeter RD Londonderry, NH 03053 (603) 625-6406 21

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 the WellCare pharmacy network. Those other than Native Americans and Alaska natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). There are currently no Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies available in this region. To get current information about WellCare Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies in your area, please visit our website at www.wellcarepdp.com or call Customer Service at 1-888-550-5252, Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. TTY users should call 1-888-816-5252. 22

P.O. Box 31389 Tampa, FL 33631-3389 1-888-550-5252 TTY 1-888-816-5252 Hours of operation are Monday Sunday, 8 a.m. to 2 a.m. Eastern. Between 2/15/12 and 10/14/12, representatives are available Monday Friday, 8 a.m. to 2 a.m. Eastern. Or visit us anytime at www.wellcarepdp.com. 37853