Regence MedAdvantage + Rx Classic (PPO) and Regence MedAdvantage + Rx Enhanced (PPO) 2016 Pharmacy Directory



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Regence MedAdvantage + Rx Classic (PPO) and Regence MedAdvantage + Rx Enhanced (PPO) 2016 Pharmacy Directory This pharmacy directory was updated on. For more recent information or other questions, please contact Regence BlueShield of Idaho Member Services, at 1-800-541-8981 or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit regence.com/medicare. Regence BlueShield of Idaho is an Independent Licensee of the Blue Cross and Blue Shield Association. Y0062_2016PharmacyDirectory_Accepted

Table of Contents Introduction... 1 Retail Pharmacies, including Chain Pharmacies...2 Mail Order Pharmacies...15 Long-Term Care Pharmacies...16 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies... 17 Specialty Pharmacies... 18 Pharmacy Index...20 MA_Rx

Introduction This booklet provides a list of Regence MedAdvantage + Rx Classic and Regence MedAdvantage + Rx Enhanced network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Regence MedAdvantage + Rx Classic and Regence MedAdvantage + Rx Enhanced formulary. When this pharmacy directory refers to we, us, or our, it means Regence BlueShield of Idaho. When it refers to plans or our plans, it means Regence MedAdvantage + Rx Classic and Regence MedAdvantage + Rx Enhanced. 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 Regence 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. 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 regence.com/medicare. You may also call Member Services for updated provider information. You can get prescription drugs shipped to your home through our network mail order delivery service. For more information, please contact us or see the mail order section of this pharmacy directory. 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. 1

NATIONAL CHAIN PHARMACIES Retail Pharmacies, including Chain Pharmacies AMERICAN FALLS MEDICAP PHARMACIES INC NATIONAL 1-800-325-1397 CHAIN PHARMACIES MEDICINE SHOPPE ABS LLC SO CAL AND IMW INTERNATIONAL INC 1-877 932-7948 1-800-407-8055 ACCREDO HEALTH GROUP OMNICARE INC NCS INC HEALTHCARE LLC 1-901-381-7170 1-410-347-9281 AMERITA INC OPTION CARE ENTERPRISES 1-214-879-0202 INC 1-800-925-4733 BIMART CORPORATION 1-800-207-0230 PACMED CLINICS 1-888 348 6255 CITY MARKET INC 1-800-576-4377 PHARMACA INTEGRATIVE COMPLETE CLAIMS 1-303-867-3136 PROCESSING INC 1-310-943-4180 PHARMERICA 1-866-209-2178 CORAM LLC 1-800-423-1411 PHOENIX AREA IHS 1-928-338-3504 COSTCO PHARMACIES 1-800-774-2678 PILL BOX DRUGS INC 1-541-259-2900 CVS PHARMACY INC 1-800-746-7287 PORTLAND AREA IHS 1-888-948-1415 FRED MEYER INC 1-800-576-4377 PROCARE PHARMACY LLC 1-800-746-7287 GENOA A QOL HEALTHCARE COMPANY LLC QUALITY FOOD CENTERS INC 1-800-663-4829 1-800-576-4377 HAGGEN FOODS 1-855-595-8515 RITE AID CORPORATION 1-800-748-3243 HARMONS CITY INC 1-801-957-8456 SAFEWAY INC 1-877-723-3929 HI SCHOOL 1-360-693-5879 SAV MOR DRUG STORES 1-800-554-8188 IHC HEALTH SERVICES INC 1-801-442-3903 SHOPKO STORES OPERATING CO LLC K MART 1-800-653-5993 1-866-562-7848 SMITHS FOOD AND DRUG LONGS DRUG STORES CENTER INC CALIFORNIA LLC 1-800-576-4377 1-800-865-6647 TARGET PHARMACIES 1-800-800-8800 THE BARTELL DRUG COMPANY 1-877-227-8355 UNIVERSITY OF UTAH PHARMACIES 1-801-587-6325 WALGREENS DRUG STORE 1-877-250-5823 WALMART STORES INC 1-800-925-6278 YAKIMA VALLEY FARM WORKERS CLINIC 1-509-865-6175 ABERDEEN WALLACE DRUG 44 S MAIN ABERDEEN, 83210 (208) 397-4540 AMERICAN FALLS ROCKLAND 524 TYHEE AVE AMERICAN FALLS, 83211 (208) 226-2411 MA_Rx 2

AMMON Retail Pharmacies, including Chain Pharmacies BOISE (CONTINUED) AMMON BROULIMS 2730 E SUNNYSIDE RD AMMON, 83406 (208) 522-3257 TETON PHARMACY IN AMMON 3160 E 17TH ST STE 164 AMMON, 83406 (208) 529-1795 ARCO BENGAL PHARMACY LOST RIVERS 551 HIGHLAND DR ARCO, 83213 (208) 527-8201 ASHTON ASHTON COMMUNITY 23 SOUTH 8TH STREET ASHTON, 83420 (208) 652-3932 BLACKFOOT BINGHAM MEMORIAL HOSPITAL PHCY 98 POPLAR ST BLACKFOOT, 83221 (208) 785-3866 24 HOUR SERVICE MEDICAL PLAZA PHARMACY 98 POPLAR ST BLACKFOOT, 83221 (208) 782-2990 PHARMACY SHOP 69 N PINE ST BLACKFOOT, 83221 (208) 785-3510 PHARMACY SHOP EXPRESS 1441 PARKWAY DR BLACKFOOT, 83221 (208) 684-7011 RIDLEYS PHARMACY #7153 1295 PARKWAY BLVD BLACKFOOT, 83221 (208) 785-1311 STATE HOSPITAL SOUTH 700 E ALICE ST BLACKFOOT, 83221 (208) 785-8432 BOISE FAMILY MEDICINE HEALTH CENTER 6094 W EMERALD ST BOISE, 83704 (208) 514-2512 LADD FAMILY 1109 S BROADWAY BOISE, 83706 (208) 947-0877 LEMPS APOTHECARY 222 N 2ND ST BOISE, 83702 (208) 342-5691 3

BOISE Retail Pharmacies, including Chain Pharmacies BONNERS FERRY (CONTINUED) BOISE (CONTINUED) MEDNOW PHARMACY AT ST ALPHONSUS 999 N CURTIS RD BOISE, 83706 (208) 367-2167 MEDSYNC 801 S VISTA AVE BOISE, 83705 (208) 364-7777 PAULS 10565 LAKE HAZEL RD BOISE, 83709 (208) 319-0882 GROUP 6052 W STATE ST BOISE, 83703 (208) 344-7799 GROUP - DOWNTOWN 300 W MYRTLE ST BOISE, 83702 (208) 472-9082 GROUP BROADWAY 1907 S BROADWAY AVE BOISE, 83706 (208) 345-1222 GROUP OVERLAND 8971 W OVERLAND ROAD BOISE, 83709 (208) 378-4288 GROUP PEDIATRICS 6348 EMERALD BOISE, 83704 (208) 377-4400 GROUP- STATE STREET 6052 W STATE ST BOISE, 83703 (208) 344-7799 GROUP WEST BOISE 11197 W FAIRVIEW AVE BOISE, 83713 (208) 378-8011 ST LUKES REG MED CTR OUTPATIENT 190 E BANNOCK ST BOISE, 83712 (208) 381-7282 BONNERS FERRY MEDICINE MAN BONNERS FERRY 6452 MAIN ST BONNERS FERRY, 83805 (208) 267-4021 WELL LIFE BOUNDARY 6603 MAIN ST BONNERS FERRY, 83805 (208) 267-4004 MA_Rx 4

BUHL Retail Pharmacies, including Chain Pharmacies COEUR DALENE (CONTINUED) BUHL BUHL DRUG 419 BROADWAY AVE S BUHL, 83316 (208) 543-5353 RIDLEYS PHARMACY #8446 705 E US HWY 30 BUHL, 83316 (208) 543-9944 BURLEY FHS BURLEY 1309 BENNETT AVE BURLEY, 83318 (208) 650-7854 KWIK-MEDS 256 OVERLAND AVE BURLEY, 83318 (208) 878-6337 STOKES PHARMACY, INC 1310 POMERELLE AVE BURLEY, 83318 (208) 878-7455 CALDWELL MEDICAL CLINIC PHARMACY 315 E ELM ST CALDWELL, 83605 (208) 459-1503 PAULS 425 N 10TH AVE CALDWELL, 83605 (208) 454-1111 GROUP CALDWELL 4815 CLEVELAND BLVD CALDWELL, 83605 (208) 455-3545 CASCADE WHEELER'S 104 N MAIN CASCADE, 83611 (208) 382-4204 CHALLIS BENGAL PHARMACY AT CHALLIS 609 CLINIC RD CHALLIS, 83226 (208) 879-4600 COEUR D ALENE INTERLAKE 700 IRONWOOD DR COEUR D ALENE, 83814 (208) 664-6664 MEDICINE MAN NORTH 305 W KATHLEEN AVE COEUR D ALENE, 83815 (208) 765-2268 MEDICINE MAN PHARMACY INC 1114 W IRONWOOD DR COEUR D ALENE, 83814 (208) 666-2502 COEUR DALENE KOOTENAI CLINICS CANCER SERVICE 700 IRONWOOD DR COEUR DALENE, 83814 (208) 625-5670 5

COTTONWOOD Retail Pharmacies, including Chain Pharmacies HAYDEN (CONTINUED) COTTONWOOD ARNZEN DRUG 429 MAIN ST COTTONWOOD, 83522 (208) 962-3401 DRIGGS BROULIMS 240 S MAIN ST DRIGGS, 83422 (208) 354-0057 CORNER DRUG 10 SOUTH MAIN DRIGGS, 83422 (208) 354-2334 EAGLE CUSTOMEDICA 149 W STATE ST STE 101 EAGLE, 83616 (208) 939-8008 MEDNOW EAGLE PHARMACY 323 E RIVERSIDE DR EAGLE, 83616 (208) 938-2136 GROUP EAGLE 435 S EAGLE RD EAGLE, 83616 (208) 939-8200 FRUITLAND THE PRESCRIPTION PAD 1118 NW 16TH ST # 150B FRUITLAND, 83619 (208) 452-7075 GOODING GOODING 414 MAIN ST GOODING, 83330 (208) 934-4000 RIDLEYS PHARMACY #8445 1427 MAIN ST GOODING, 83330 (208) 934-4709 GRACE LONDON DRUG 6 S MAIN ST GRACE, 83241 (208) 425-3766 GRANGEVILLE IRWIN DRUG INC 146 W MAIN ST GRANGEVILLE, 83530 (208) 983-1090 HAILEY LUKE'S FAMILY 101 S MAIN ST HAILEY, 83333 (208) 788-4970 THE DRUG STORE 91 E CROY HAILEY, 83333 (208) 788-9714 HAYDEN MEDICINE MAN HAYDEN 240 W HAYDEN HAYDEN, 83835 (208) 772-3311 MA_Rx 6

HAYDEN Retail Pharmacies, including Chain Pharmacies KAMIAH (CONTINUED) HAYDEN (CONTINUED) MEDICINE MAN PRAIRIE 8093 CORNERSTONE DR HAYDEN, 83835 (208) 762-9355 HOMEDALE HOMEDALE DRUG 5 N MAIN HOMEDALE, 83628 (208) 337-3898 PAULS 20 E WYOMING HOMEDALE, 83628 (208) 337-4888 FALLS HYWAY DRUG 120 NORTHGATE MILE FALLS, 83401 (208) 522-8357 MIKES 180 S HOLMES AVE FALLS, 83401 (208) 525-8700 PRESCRIPTION CENTER INC 2252 CORONADO ST FALLS, 83404 (208) 523-3360 TETON CANCER INSTITUTE 1957 E 17TH ST FALLS, 83404 (208) 523-1100 TETON 2470 JAFER CT FALLS, 83404 (208) 529-3636 TETON PHARMACY ON BROADWAY 1855 W BROADWAY ST FALLS, 83402 (208) 529-3638 JEROME JEROME DRUG 111 PIONEER CT STE 2 JEROME, 83338 (208) 324-2440 R AND R 133 WEST A JEROME, 83338 (208) 324-3784 RIDLEYS PHARMACY #8443 1016 S LINCOLN JEROME, 83338 (208) 324-2411 KAMIAH ARNZENS KAMIAH DRUG 318 MAIN ST KAMIAH, 83536 (208) 935-2301 7

KELLOGG Retail Pharmacies, including Chain Pharmacies LEWISTON (CONTINUED) KELLOGG KOHAL PHARMACY 2 740 MCKINLEY AVE KELLOGG, 83837 (208) 786-9303 SUNNYSIDE DRUG 131 W CAMERON AVE KELLOGG, 83837 (208) 784-6221 KENDRICK RED CROSS PHARMACY INC 509 E MAIN ST KENDRICK, 83537 (208) 289-5941 KETCHUM CHATEAU DRUG 451 4TH ST KETCHUM, 83340 (208) 726-2596 VALLEY APOTHECARY 201 N WASHINGTON AVE KETCHUM, 83340 (208) 726-2679 KIMBERLY RIDLEYS PHARMACY #8464 210 MAIN ST S KIMBERLY, 83341 (208) 423-4248 KUNA CUSTOM RX 173 W 4TH ST KUNA, 83634 (208) 922-4400 PAULS 700 E AVALON KUNA, 83634 (208) 922-9836 RIDLEY'S PHARMACY #8448 1403 N MERIDIAN RD KUNA, 83634 (208) 922-9566 LEWISTON CHAS LEWIS & CLARK 338 6TH ST STE 101 LEWISTON, 83501 (208) 848-8290 HELLS CANYON 523 THAIN RD LEWISTON, 83501 (208) 743-5515 ROSAUERS 332 THAIN RD LEWISTON, 83501 (208) 743-6511 ST JOSEPHS RMC OUTPATIENT 415 6TH ST LEWISTON, 83501 (208) 799-5617 THE OWL 720 16TH AVE LEWISTON, 83501 (208) 743-5528 MA_Rx 8

MALAD CITY Retail Pharmacies, including Chain Pharmacies MONTPELIER (CONTINUED) MALAD CITY ALLEN DRUG AND VARIETY 4 N MAIN ST MALAD CITY, 83252 (208) 766-2241 MCCALL MCCALL DRUG 1001 N 2ND ST MCCALL, 83638 (208) 634-2433 MERIDIAN UROLOGIC INSTITUTE 2855 E MAGIC VIEW DR MERIDIAN, 83642 (208) 639-4900 MERIDIAN PAIN CENTER 3875 E OVERLAND RD MERIDIAN, 83642 (208) 955-7246 PORTICO 3355 E LOUISE DR MERIDIAN, 83642 (208) 288-4341 GROUP CROSSROADS 3115 E FLORENCE MERIDIAN, 83642 (208) 895-8670 GROUP MERIDIAN 1130 E FAIRVIEW AVENUE MERIDIAN, 83642 (208) 888-9393 GROUP S. MERIDIAN 1623 SOUTH WELLS AVENUE MERIDIAN, 83642 (208) 489-1450 ROSAUERS PHARMACY #41 2986 N EAGLE RD MERIDIAN, 83646 (208) 287-9218 SPINE AND PHYSICAL MEDICINE 2690 S EAGLE RD STE 150 MERIDIAN, 83642 (208) 401-1000 ST LUKES MERIDIAN MEDICAL CTR PHCY 520 S EAGLE RD MERIDIAN, 83642 (208) 706-5255 MIDDLETON RIDLEYS PHARMACY #8442 430 E MAIN ST MIDDLETON, 83644 (208) 585-2900 MONTPELIER BEAR LAKE DRUG L.L.C. 836 WASHINGTON ST MONTPELIER, 83254 (208) 847-1421 BEAR LAKE MEMORIAL HOSPITAL 164 S 5TH ST MONTPELIER, 83254 (208) 847-4437 BROULIMS 130 S 4TH STREET MONTPELIER, 83254 (208) 847-0806 9

MOSCOW Retail Pharmacies, including Chain Pharmacies NAMPA (CONTINUED) MOSCOW HODGINS DRUG STORE INC 307 S MAIN ST MOSCOW, 83843 (208) 882-5536 LATAH HEALTH 719 S MAIN ST MOSCOW, 83843 (208) 848-8300 MARKETIME DRUG 209 E 3RD ST MOSCOW, 83843 (208) 882-7541 ROSAUERS 411 N MAIN ST MOSCOW, 83843 (208) 882-0900 STUDENT HEALTH SERVICES 231 ASH STREET MOSCOW, 83844 (208) 885-6535 MOUNTAIN HOME SAV MOR DRUG 490 N 2ND EAST MOUNTAIN HOME, 83647 (208) 587-3346 NAMPA MED NOW ER 1512 12TH AVE RD NAMPA, 83686 (208) 463-5355 MEDNOW MERCY NORTH 4400 E FLAMINGO AVE NAMPA, 83687 (208) 288-4660 PAULS 407 12TH AVE RD NAMPA, 83686 (208) 467-3913 GROUP NAMPA 700 CALDWELL BLVD NAMPA, 83651 (208) 466-6567 GROUP SOUTH NAMPA 1115 12TH AVE RD NAMPA, 83686 (208) 498-1080 REDDISH 215 E HAWAII AVE NAMPA, 83686 (208) 466-7823 TERRY REILLY HEALTH SERVICES 223 16TH AVE N NAMPA, 83687 (208) 318-1376 VIC'S FAMILY 1603-A 12TH AVE RD NAMPA, 83686 (208) 465-7000 MA_Rx 10

NAMPA Retail Pharmacies, including Chain Pharmacies POST FALLS (CONTINUED) NAMPA (CONTINUED) VIC'S FAMILY PHARMACY INC. 118 S MIDLAND BLVD NAMPA, 83686 (208) 442-1000 OSBURN OSBURN DRUG 805 MULLAN AVE OSBURN, 83849 (208) 556-1139 PINEHURST KOHAL PHARMACY AND MEDICAL SUPPLY 504 N DIVISION PINEHURST, 83850 (208) 682-3920 POCATELLO BENGAL 990 SOUTH 8TH AVE POCATELLO, 83209 (208) 282-3407 ED SNELLS PHARMACY SHOP 1015 E YOUNG ST POCATELLO, 83201 (208) 232-0049 MAAG PRESCRIPTION AND MEDICAL SUPPLY 333 W CENTER ST POCATELLO, 83204 (208) 233-2063 RIDLEYS PHARMACY #7152 911 N MAIN ST POCATELLO, 83204 (208) 478-8510 RIDLEY'S PHARMACY #7156 1000 POCATELLO CREEK RD POCATELLO, 83201 (208) 233-4051 SHAVER PHCY AND CTR 235 S 4TH AVE POCATELLO, 83201 (208) 233-3341 POST FALLS MEDICINE MAN SW PHCY 805 E POLSTON AVE POST FALLS, 83854 (208) 777-7732 MEDICINE MAN WEST 802 E MEDICAL CT POST FALLS, 83854 (208) 773-3566 RIVER CITY 1501 E SELTICE WAY POST FALLS, 83854 (208) 773-0799 WELL LIFE POST FALLS 565 N VEST ST POST FALLS, 83854 (208) 773-2499 11

POTLATCH Retail Pharmacies, including Chain Pharmacies RUPERT (CONTINUED) POTLATCH NORTHWEST PHARMACY SERVICES 525 PINE ST POTLATCH, 83855 (208) 875-1212 PRESTON FRANKLIN COUNTY MED CTR PHCY 44 N FIRST E PRESTON, 83263 (208) 852-4129 LARRYS FAMILY HM 217 SOUTH STATE PRESTON, 83263 (208) 852-0163 PRESTON DRUG INC 39 N 1ST E PRESTON, 83263 (208) 852-1563 PRIEST RIVER WHITE CROSS 5453 HIGHWAY 2 PRIEST RIVER, 83856 (208) 448-1633 RATHDRUM MEDICINE MAN RATHDRUM 15837 N WESTWOOD DR RATHDRUM, 83858 (208) 687-5717 RATHDRUM DRUG 16376 N HIGHWAY 41 RATHDRUM, 83858 (208) 687-0731 REXBURG BROULIMS 124 W MAIN ST REXBURG, 83440 (208) 356-5416 BYU- STUDENT HEALTH CENTER 179 STUDENT HLTH CNTR REXBURG, 83460 (208) 496-9342 MADISON MEMORIAL HOSPITAL 450 E MAIN ST REXBURG, 83440 (952) 653-2568 24 HOUR SERVICE RIGBY BROULIMS 150 N STATE ST RIGBY, 83442 (208) 745-0267 DRUG 139 E MAIN ST RIGBY, 83442 (208) 745-6831 RUPERT MINIDOKA MEMORIAL HOSPITAL 1224 8TH STREET RUPERT, 83350 (208) 436-0481 MA_Rx 12

RUPERT Retail Pharmacies, including Chain Pharmacies TWIN FALLS (CONTINUED) RUPERT (CONTINUED) RIDLEYS PHARMACY #8447 310 ONEIDA ST RUPERT, 83350 (208) 436-1200 SAINT ANTHONY FALLS DRUG AND HARDWARE 23 N BRIDGE ST SAINT ANTHONY, 83445 (208) 624-3202 SALMON SAVEWAY MARKET 1200 SHOUP ST SALMON, 83467 (208) 756-1940 SANDPOINT MEDICINE MAN SANDPOINT 624 LARCH ST SANDPOINT, 83864 (208) 597-7466 SANDPOINT SUPER DRUG 604 N 5TH AVE SANDPOINT, 83864 (208) 263-1408 WHITE CROSS 1319 HIGHWAY 2 STE A SANDPOINT, 83864 (208) 263-9080 SHELLEY BROULIMS 570 S STATE ST SHELLEY, 83274 (208) 357-0473 SODA SPRINGS BROULIMS 89 WEST 2ND ST SOUTH SODA SPRINGS, 83276 (208) 547-3300 EASTMAN DRUG STORE 116 S MAIN ST SODA SPRINGS, 83276 (208) 547-3585 SPIRIT LAKE WHITE CROSS PHARMACY - SPIRIT LAKE 31964 N 5TH AVE SPIRIT LAKE, 83869 (208) 623-8485 ST MARIES JACKS PHARMACY INC 103 E COLLEGE AVE ST MARIES, 83861 (208) 245-4578 STAR STAR 9732 W STATE ST STAR, 83669 (208) 286-0906 TWIN FALLS DICKS 526K SHOUP AVE W TWIN FALLS, 83301 (208) 734-7373 13

TWIN FALLS Retail Pharmacies, including Chain Pharmacies WASHINGTON CLARKSTON (CONTINUED) TWIN FALLS (CONTINUED) FHS TWIN FALLS PHARMACY 388 MARTIN ST TWIN FALLS, 83301 (208) 732-1645 KJS 615 FILER AVE TWIN FALLS, 83301 (208) 733-9242 KURTS 1203 FILER AVE E TWIN FALLS, 83301 (208) 734-8177 MEDICAL OFFICE PHARMACY 476 CHENEY DR W TWIN FALLS, 83301 (208) 734-3007 ORCHARD DRUG 995 WASHINGTON ST SOUTH TWIN FALLS, 83301 (208) 736-7060 SAV MOR DRUG 139 MAIN AVE W TWIN FALLS, 83301 (208) 733-8323 WEISER RIDLEYS PHARMACY #8444 652 E FIRST ST WEISER, 83672 (208) 549-0172 WENDELL WENDELL 280 S ST WENDELL, 83355 (208) 536-5761 WASHINGTON CLARKSTON CLARKSTON HEIGHTS 2119 5TH AVE CLARKSTON, 99403 (509) 758-3376 OWL TRI-STATE 1275 HIGHLAND AVE CLARKSTON, 99403 (509) 758-5533 WASEM 800 6TH ST CLARKSTON, 99403 (509) 758-2565 MA_Rx 14

ARIZONA TEMPE Mail Order Pharmacies OREGON PORTLAND You can get prescription drugs shipped to your home through our network mail order delivery service. To refill your mail order prescriptions, please contact us 14 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs within 14 days 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 1-800-541-8981 or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit regence.com/medicare. ARIZONA TEMPE WALGREENS #3397 8350 S RIVER PKWY TEMPE, 85284 (480) 752-5200 24 HOUR SERVICE FLORIDA MIRAMAR OPTUM HOME 9994 PREMIER PKWY MIRAMAR, 33025 (800) 881-1966 ORLANDO WALGREENS #2445 8337 SOUTH PARK CIR ORLANDO, 32819 (407) 351-6151 24 HOUR SERVICE OHIO AVON LAKE OPTUM HOME 33381 WALKER RD AVON LAKE, 44012 (800) 233-3872 OREGON PORTLAND POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND, 97202 (503) 797-2100 15 MA_Rx

AMMON Long-Term Care Pharmacies SODA SPRINGS Residents of a long-term care facility may access their prescription drugs covered under Regence through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Member Services. Phone numbers and hours are listed on the front and back of this book. AMMON HEARTLAND 3250 E 17TH ST AMMON, 83406 (208) 552-7677 BOISE HEARTLAND LTC PHARMACY 8455 W EMERALD ST BOISE, 83704 (208) 323-0067 MOUNTAIN CARE PHARMACY 286 N MAPLE GROVE RD BOISE, 83704 (208) 287-4667 CHUBBUCK CROSS 4990 VALENTY RD CHUBBUCK, 83202 (208) 403-0084 LEWISTON STATE VETERANS HOME 821 21ST AVE LEWISTON, 83501 (208) 799-3422 24 HOUR SERVICE OWL CONTRACTED PRESCRIPTION SERVICE 720 16TH AVE LEWISTON, 83501 (208) 746-6755 MERIDIAN GENEVA WOODS 3355 E LOUISE DR STE 150 MERIDIAN, 83642 (208) 908-6172 MEDICAP 2790 W CHERRY LN STE 150 MERIDIAN, 83642 (208) 287-3733 MOUNTAIN HOME ST LUKES ELMORE 895 N 6TH E MOUNTAIN HOME, 83647 (208) 587-8401 POCATELLO STATE VETERANS HOME POCATELLO 1957 ALVIN RICKEN DR POCATELLO, 83201 (208) 236-6340 KEYMED INC 1465 BANNOCK HWY POCATELLO, 83204 (208) 233-2444 SODA SPRINGS CARIBOU MEMORIAL HOSPITAL 300 SOUTH 3RD WEST SODA SPRINGS, 83276 (208) 547-3341 MA_Rx 16

LAPWAI Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies PLUMMER Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Regence's pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information please contact Member Services. Phone numbers and hours are listed on the front and back of this book. LAPWAI NORTHERN INDIAN HEALTH 111 BEAVER GRADE RD LAPWAI, 83540 (208) 843-2271 PLUMMER BENEWAH MEDICAL CENTER PHCY 1115 B ST PLUMMER, 83851 (208) 686-1007 17 MA_Rx

ALABAMA BIRMINGHAM Specialty Pharmacies TENNESSEE FRANKLIN ALABAMA LOUISIANA MISSISSIPPI BIRMINGHAM BRIOVARX, LLC 1100 LEE BRANCH LN BIRMINGHAM, 35242 (205) 995-8388 GEORGIA CORNELIA BRIOVARX OF GEORGIA, LLC 166 COMMERCE PKWY CORNELIA, 30531 (706) 776-1955 BOISE LIFES DOORS HCS PHARMACY 420 S ORCHARD BOISE, 83705 (208) 947-0967 INDIANA JEFFERSONVILLE BRIOVARX OF INDIANA, LLC 1050 PATROL RD JEFFERSONVILLE, 47130 (812) 256-8600 KANSAS LENEXA BRIOVARX, LLC 11142 RENNER BLVD LENEXA, 66219 (913) 307-2640 LAKE CHARLES BRIOVARX OF LOUISIANA 1737A SAM HOUSTON JONES PKWY LAKE CHARLES, 70611 (337) 217-0095 MAINE S PORTLAND BRIOVARX OF MAINE, INC. 53 DARLING AVE S PORTLAND, 04106 (207) 874-6991 MASSACHUSETTS AVON BRIOVARX OF MASSACHUSETTS, LLC 145 BODWELL ST UNIT A AVON, 02322 (508) 427-0507 MICHIGAN CANTON WALGREENS SPECIALTY 41460 HAGGERTY CIRCLE S CANTON, 48188 (734) 477-9800 24 HOUR SERVICE COLUMBUS BRIOVARX, LLC 2102 5TH ST NORTH COLUMBUS, 39705 (662) 240-8900 NEVADA LAS VEGAS BRIOVARX OF NEVADA, LLC 8350 BRIOVA DRIVE LAS VEGAS, 89113 (702) 634-5501 OREGON BEAVERTON WALGREENS SPECIALTY PHARMACY #12314 9775 SW GEMINI BEAVERTON, 97008 (503) 643-8511 PENNSYLVANIA CARNEGIE WALGREENS SPECIALTY PHARMACY #10997 500 NOBLESTOWN RD CARNEGIE, 15106 (412) 325-6500 TENNESSEE FRANKLIN BRIOVARX, LLC 1897 GEN GEORGE PATTON DRIVE FRANKLIN, 37067 (615) 791-8679 MA_Rx 18

TEXAS FRISCO Specialty Pharmacies TEXAS LUBBOCK TEXAS FRISCO WALGREENS SPECIALTY 10530 JOHN ELLIOTT DR FRISCO, 75033 (800) 424-9002 LUBBOCK BRIOVARX, LLC 6310 GENOA AVE LUBBOCK, 79424 (806) 687-9957 19 MA_Rx

Pharmacy Index ABS LLC SO CAL AND IMW STATE VETERANS HOME A ABS LLC SO CAL AND IMW...2 ACCREDO HEALTH GROUP INC...2 ALLEN DRUG AND VARIETY...9 AMERITA INC...2 ARNZEN DRUG...6 ARNZENS KAMIAH DRUG...7 ASHTON COMMUNITY PHARMACY...3 B BEAR LAKE DRUG L.L.C....9 BEAR LAKE MEMORIAL HOSPITAL PHARMACY...9 BENEWAH MEDICAL CENTER PHCY...17 BENGAL PHARMACY... 11 BENGAL PHARMACY AT CHALLIS...5 BENGAL PHARMACY LOST RIVERS...3 BIMART CORPORATION...2 BINGHAM MEMORIAL HOSPITAL PHCY...3 BRIOVARX OF GEORGIA, LLC...18 BRIOVARX OF INDIANA, LLC...18 BRIOVARX OF LOUISIANA...18 BRIOVARX OF MAINE, INC....18 BRIOVARX OF MASSACHUSETTS, LLC...18 BRIOVARX OF NEVADA, LLC...18 BRIOVARX, LLC...18, 19 BROULIMS PHARMACY...3, 6, 9, 12, 13 BUHL DRUG...5 BYU- STUDENT HEALTH CENTER PHARMACY...12 C CARIBOU MEMORIAL HOSPITAL PHARMACY...16 CHAS LEWIS & CLARK PHARMACY...8 CHATEAU DRUG...8 CITY MARKET INC...2 CLARKSTON HEIGHTS PHARMACY...14 COMPLETE CLAIMS PROCESSING INC...2 CORAM LLC...2 CORNER DRUG...6 COSTCO PHARMACIES...2 CROSS PHARMACY...16 CUSTOM RX PHARMACY...8 CUSTOMEDICA PHARMACY...6 CVS PHARMACY INC...2 D DICKS PHARMACY...13 E EASTMAN DRUG STORE...13 ED SNELLS PHARMACY SHOP...11 F FALLS DRUG AND HARDWARE...13 FAMILY MEDICINE HEALTH CENTER PHARMACY...3 FHS BURLEY PHARMACY...5 FHS TWIN FALLS PHARMACY...14 FRANKLIN COUNTY MED CTR PHCY...12 FRED MEYER INC...2 G GENEVA WOODS PHARMACY...16 GENOA A QOL HEALTHCARE COMPANY LLC...2 GOODING PHARMACY...6 H HAGGEN FOODS PHARMACY...2 HARMONS CITY INC...2 HEARTLAND LTC PHARMACY...16 HEARTLAND PHARMACY...16 HELLS CANYON PHARMACY...8 HI SCHOOL PHARMACY...2 HODGINS DRUG STORE INC...10 HOMEDALE DRUG...7 HYWAY DRUG...7 I DRUG...12 STATE VETERANS HOME...16 MA_Rx 20

Pharmacy Index STATE VETERANS HOME OWL CONTRACTED PRESCRIPTION SERVICE STATE VETERANS HOME POCATELLO...16 UROLOGIC INSTITUTE PHARMACY...9 IHC HEALTH SERVICES INC...2 INTERLAKE PHARMACY...5 IRWIN DRUG INC...6 J JACKS PHARMACY INC...13 JEROME DRUG...7 K K MART PHARMACY...2 KEYMED INC...16 KJS PHARMACY...14 KOHAL PHARMACY 2...8 KOHAL PHARMACY AND MEDICAL SUPPLY... 11 KOOTENAI CLINICS CANCER SERVICE...5 KURTS PHARMACY...14 KWIK-MEDS...5 L LADD FAMILY PHARMACY...3 LARRYS FAMILY HM PHARMACY...12 LATAH HEALTH PHARMACY...10 LEMPS APOTHECARY...3 LIFES DOORS HCS PHARMACY...18 LONDON DRUG...6 LONGS DRUG STORES CALIFORNIA LLC...2 LUKE'S FAMILY PHARMACY...6 M MAAG PRESCRIPTION AND MEDICAL SUPPLY... 11 MADISON MEMORIAL HOSPITAL...12 MARKETIME DRUG...10 MCCALL DRUG...9 MED NOW ER PHARMACY...10 MEDICAL CLINIC PHARMACY...5 MEDICAL OFFICE PHARMACY...14 MEDICAL PLAZA PHARMACY...3 MEDICAP PHARMACIES INC...2 MEDICAP PHARMACY...16 MEDICINE MAN BONNERS FERRY PHARMACY...4 MEDICINE MAN HAYDEN PHARMACY...6 MEDICINE MAN NORTH PHARMACY...5 MEDICINE MAN PHARMACY INC...5 MEDICINE MAN PRAIRIE PHARMACY...7 MEDICINE MAN RATHDRUM PHARMACY...12 MEDICINE MAN SANDPOINT...13 MEDICINE MAN SW PHCY...11 MEDICINE MAN WEST PHARMACY...11 MEDICINE SHOPPE INTERNATIONAL INC...2 MEDNOW EAGLE PHARMACY...6 MEDNOW MERCY NORTH PHARMACY...10 MEDNOW PHARMACY AT ST ALPHONSUS...4 MEDSYNC PHARMACY...4 MERIDIAN PAIN CENTER...9 MIKES PHARMACY...7 MINIDOKA MEMORIAL HOSPITAL PHARMACY...12 MOUNTAIN CARE PHARMACY...16 N NORTHERN INDIAN HEALTH...17 NORTHWEST PHARMACY SERVICES...12 O OMNICARE INC NCS HEALTHCARE LLC...2 OPTION CARE ENTERPRISES INC...2 OPTUM HOME...15 ORCHARD DRUG...14 OSBURN DRUG...11 OWL CONTRACTED PRESCRIPTION SERVICE...16 21 MA_Rx

Pharmacy Index OWL TRI-STATE PHARMACY SPINE AND PHYSICAL MEDICINE OWL TRI-STATE PHARMACY...14 P PACMED CLINICS...2 PAULS PHARMACY...4, 5, 7, 8, 10 PHARMACA INTEGRATIVE PHARMACY...2 PHARMACY SHOP...3 PHARMACY SHOP EXPRESS...3 PHARMERICA...2 PHOENIX AREA IHS...2 PILL BOX DRUGS INC...2 PORTICO PHARMACY...9 PORTLAND AREA IHS...2 POSTAL PRESCRIPTION SERVICES...15 PRESCRIPTION CENTER INC...7 PRESTON DRUG INC...12 GROUP...4 GROUP - DOWNTOWN...4 GROUP BROADWAY...4 GROUP CALDWELL...5 GROUP CROSSROADS...9 GROUP EAGLE...6 GROUP MERIDIAN...9 GROUP NAMPA...10 GROUP OVERLAND...4 GROUP PEDIATRICS...4 GROUP S. MERIDIAN...9 GROUP SOUTH NAMPA...10 GROUP- STATE STREET...4 GROUP WEST BOISE...4 PROCARE PHARMACY LLC...2 Q QUALITY FOOD CENTERS INC...2 R R AND R PHARMACY...7 RATHDRUM DRUG...12 RED CROSS PHARMACY INC...8 REDDISH PHARMACY...10 RIDLEYS PHARMACY #7152...11 RIDLEYS PHARMACY #7153...3 RIDLEY'S PHARMACY #7156...11 RIDLEYS PHARMACY #8442...9 RIDLEYS PHARMACY #8443...7 RIDLEYS PHARMACY #8444...14 RIDLEYS PHARMACY #8445...6 RIDLEYS PHARMACY #8446...5 RIDLEYS PHARMACY #8447...13 RIDLEY'S PHARMACY #8448...8 RIDLEYS PHARMACY #8464...8 RITE AID CORPORATION...2 RIVER CITY PHARMACY...11 ROCKLAND PHARMACY...2 ROSAUERS PHARMACY...8, 10 ROSAUERS PHARMACY #41...9 S SAFEWAY INC...2 SANDPOINT SUPER DRUG...13 SAV MOR DRUG...10, 14 SAV MOR DRUG STORES...2 SAVEWAY MARKET PHARMACY...13 SHAVER PHCY AND CTR...11 SHOPKO STORES OPERATING CO LLC...2 SMITHS FOOD AND DRUG CENTER INC...2 SPINE AND PHYSICAL MEDICINE...9 MA_Rx 22

Pharmacy Index ST JOSEPHS RMC OUTPATIENT PHARMACY YAKIMA VALLEY FARM WORKERS CLINIC ST JOSEPHS RMC OUTPATIENT PHARMACY...8 ST LUKES ELMORE PHARMACY...16 ST LUKES MERIDIAN MEDICAL CTR PHCY...9 ST LUKES REG MED CTR OUTPATIENT PHARMACY...4 STAR PHARMACY...13 STATE HOSPITAL SOUTH PHARMACY...3 STOKES PHARMACY, INC...5 STUDENT HEALTH SERVICES...10 SUNNYSIDE DRUG...8 T TARGET PHARMACIES...2 TERRY REILLY HEALTH SERVICES...10 TETON CANCER INSTITUTE...7 TETON PHARMACY...7 TETON PHARMACY IN AMMON...3 TETON PHARMACY ON BROADWAY...7 THE BARTELL DRUG COMPANY...2 THE DRUG STORE...6 THE OWL PHARMACY...8 THE PRESCRIPTION PAD...6 U UNIVERSITY OF UTAH PHARMACIES...2 V VALLEY APOTHECARY...8 VIC'S FAMILY PHARMACY...10 VIC'S FAMILY PHARMACY INC....11 W WALGREENS #2445...15 WALGREENS #3397...15 WALGREENS DRUG STORE...2 WALGREENS SPECIALTY PHARMACY...18, 19 WALGREENS SPECIALTY PHARMACY #10997...18 WALGREENS SPECIALTY PHARMACY #12314...18 WALLACE DRUG...2 WALMART STORES INC...2 WASEM PHARMACY...14 WELL LIFE BOUNDARY PHARMACY...4 WELL LIFE POST FALLS PHARMACY...11 WENDELL PHARMACY...14 WHEELER'S PHARMACY...5 WHITE CROSS PHARMACY...12, 13 WHITE CROSS PHARMACY - SPIRIT LAKE...13 Y YAKIMA VALLEY FARM WORKERS CLINIC...2 23 MA_Rx

This pharmacy directory was updated on. For more recent information or other questions, please contact Regence BlueShield of Idaho Member Services, at 1-800-541-8981 or, for TTY users, 711, from 8 a.m. to 8 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8 a.m. to 8 p.m., seven days a week) or visit regence.com/medicare. Regence BlueShield of Idaho is a Medicare Advantage Plan with a Medicare contract. Enrollment in Regence BlueShield of Idaho depends on contract renewal.