DIRECTORY Pharmacy. Toll-Free , TTY 711

Similar documents
Catamaran/OptumRx Pharmacy Network New Mexico November 2015

SMALL LOAN COMPANY LICENSE

[NEW MEXICO] Alamogordo: Alamogordo High School Fair 9/8/14; 9:00-10:30 AM Alamogordo High School 103 Cuba Ave Alamogordo, NM,

NEW MEXICO DISTRICT ATTORNEYS DIRECTORY

(A moving document Current as of June 23, 2008) Towns with local transit system (not part of regional system) Regional transit systems

New Mexico Regulations & Licensing Department Financial Institutions Division Small Loan Licensee Directory as of December 23, 2014

SECTION IV CLASSIFICATION AND ALIGNMENT

DRIVER S LICENSE RESTORATION

NM BOARD OF NURSING DIVERSION PROGRAM TREATMENT PROGRAMS REFERRAL LIST

Appendix B Network Maps and Diagrams

Municipal District in San Juan County, Mexico

pharmacy directory UnitedHealth Rx for Groups Virgin Islands

CAP or the Client Assistance Program

NEW MEXICO ACADEMIC LIBRARIES July 9, 2007

Career and Technical Student Organizations

Sun Monday Tuesday Wednesday Thursday Friday Sat 2 CYFD LC

NEW MEXICO TRAFFIC CRASH INFORMATION

NEW MEXICO TRAFFIC CRASH INFORMATION

New Mexico State University QUICK FACTS All About Discovery! Office of Institutional Analysis oia.nmsu.edu

NM Housing Services Directory

Medicaid School-Based Services Reimbursement Rates Effective 8/1/15

About. Toll-Free (800) (866)

Eighth Annual Statistical Report on DWI Court Dispositions In New Mexico. Supreme Court of New Mexico Administrative Office of the Courts

FirstCarolinaCare Insurance Company

Practical Nurse One Year/ Associate Degree Two Years: Career Ladder Programs

Public Comment Period Summary Report Four Corners Power Plant and Navajo Mine Energy Project. EXHIBIT H Notification Flier Distribution Database

Tenth Annual Statistical Report on DWI Court Dispositions in New Mexico. Supreme Court of New Mexico Administrative Office of the Courts

NEW MEXICO. ECE Training Institutions - alphabetized by city

health guide Get well. Stay well. Here s how! resources for the uninsured NEW MEXICO

Updated on Substance Abuse Treatment Centers in New Mexico

New Mexico Moving it forward.

FirstCarolinaCare Insurance Company

CIGNA S RETAIL PHARMACY DIRECTORY FOR 90-DAY PRESCRIPTIONS

Approx: Drive time to next location Gallup HS 45 min (36.7mi via NM 602 N) Approx: Drive time to next location n/a last session of the day.

opulation and housing ElEmEnt

2014 Summary of Benefits

Capital Outlay Requests

Civil Legal Service Providers

2014 GENERAL ELECTION VOTER GUIDE

BEFORE THE NEW MEXICO PUBLIC REGULATION COMMISSION

2010 An n u a l Re p o r t

66 AUTO SALES 340 WYOMING NE ALBUQUERQUE /1/2013 3/31/2014 Great American Insurance Co Ashton Bonding Agency

Getting from Good to Great in Home Visiting: Scaling Up

NEW MEXICO STATE PLAN FOR AGING & LONG-TERM SERVICES. Partners in Lifelong Independence & Healthy Aging

Location Name Address City Zip SAN FELIPE PUEBLO TRAVEL 25 Hagen Rd Algodones AL'S MINI MART 10 Rio Communities Blvd Belen BURGER KING/ M

NEW MEXICO STATE PLAN FOR AGING & LONG TERM SERVICES. Partners in Lifelong Independence & Healthy Aging

NM Immunization Coalition

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

REPRESENTING YOURSELF BASIC INFORMATION

Rio Grande Foundation Liberty, Opportunity, Prosperity New Mexico

Transportation. McKinley County Map of Roads. Trucking. Federal Express RAC Transport United Parcel Service Yellow Freight Line

NMHIC HIE Overview NMHIMA Annual Meeting April 12, Craig Hewitt, Chief Information Officer

Right of Way Easement Procedures

ANNUAL NOTICE OF CHANGES FOR 2016

NEW MEXICO PROBLEM-SOLVING COURTS: DISTRICT, METROPOLITAN, AND MAGISTRATE

ANNUAL NOTICE OF CHANGES FOR 2016

pharmacy Directory for 90-day prescriptions

SUMMARY OF BENEFITS. Plan 80 - PGB S5755_16SBL_FDH

ANNUAL NOTICE OF CHANGES FOR 2016

ANNUAL NOTICE OF CHANGES FOR 2016

SALES OF UTILITIES ON INDIAN TERRITORY

Housing Counseling Agencies COLORADO

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

IMPLICATIONS OF A GROWING POPULATION AND CHANGING DEMOGRAPHICS IN NEW MEXICO

LEGISLATIVE EDUCATION STUDY COMMITTEE BILL ANALYSIS. Bill Number: HB 82 52nd Legislature, 1st Session, 2015

SUN COUNTRY FACILITY DIRECTORY Update 04/01/2011

New Mexico Health Information Collaborative NMHIC: New Mexico s Health Information Exchange (HIE) Network and Telehealth.

2015 Regence Medicare Prescription Drug Plans (PDP)

What's New for 2014?

Providence Health Plans

January Sun Mon Tue Wed Thu Fri Sat OPEN TESTING ARFF BURNS SOCORRO (JAN. 21)

2014 Prescription Drug Schedule Humana Medicare Employer Plan

The New Mexico Plan to Promote Healthier Weight

FEEL BETTER ABOUT YOUR CHOICES

State Resource Guide New Mexico

LFC HEARING BRIEF SUMMARY

The Economic Benefits of International Education to the United States: A Statistical Analysis

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

NMNEC ANNUAL REPORT FY 2012

City of Arlington Open Enrollment Meeting. November, 2015

WHEN NEW MEXICO PLAYS, NEW MEXICO WINS! NEW MEXICO LOTTERY FISCAL YEAR 2007 n ANNUAL REPORT

Gender Specific Restorative Justice Graduated Sanctions Mentoring. Delinquency Prevention. Alternatives to Detention. Risk/Needs Assessment

New Mexico School Locator

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

NEW MEXICO DISTRICT ATTORNEYS VICTIMS ADVOCATE DIRECTORY

JULY 2015 PROGRAM GUIDE

Annual Notice of Changes for 2015

Annual Notice of Changes for 2015

Mapping the Landscape of Nursing in New Mexico, Part 2

Annual Notice of Changes for 2014

FREQUENTLY ASKED QUESTIONS REGARDING CHANGE TO MEDICARE ADVANTAGE PLAN

Intro: We are Girl Scouts Chapter 3: All About Girl Scouts Quick Start Guide Chapter 4: Safety-Wise... 51

Overall Letter Grade A Montoya Elementary EL C A Shiwi Elementary EL C Abiquiu Elementary EL A Academy at Larragoite HS D Academy Del Sol Alternative

The Economic Contributions of Fishing, Hunting, and Trapping in New Mexico in 2013: A statewide and county-level analysis

New Mexico 2014 State of the Workforce Report A Report Highlighting New Mexico s Current and Future Workforce

NEW MEXICO MORTGAGE FINANCE AUTHORITY TH Street SW Albuquerque, New Mexico Phone: (505) Fax: (505)

Descale-It Products Company ***RETAIL OUTLETS***

Aetna Medicare has Solutions to Help You Save on Prescriptions

NEW MEXICO STATEWIDE RESOURCES For emergencies, please call 911

Transcription:

2016 Pharmacy DIRECTORY This directory is a list of network pharmacies near you. This directory is for New Mexico. For more information, please call Customer Service at: Toll-Free 1-888-556-6648, TTY 711 8 a.m. to 8 p.m. local time, Monday through Friday Y0066_150908_140732 Last updated September 18, 2015

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

Mail service pharmacies A network mail service pharmacy is where members can get their prescription drugs delivered to their mailbox. You may go to any of the plan s network mail service pharmacies to get your covered prescription drugs. You can use one of the plan s mail service pharmacies in our network, OptumRx Mail Service Pharmacy. When you use home delivery from OptumRx, you can have 90-day supplies of your maintenance medication delivered right to your door. With the mail service pharmacy, you generally have lower out-of-pocket co-pays. You may save on a 90-day supply of many of your maintenance medications compared with what you would pay at a network retail pharmacy. 2 Members may also use other mail service pharmacies to fill prescriptions. You are not required to use OptumRx to obtain a 90-day supply of your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan s mail service pharmacy. Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills. OptumRx will contact you, by phone, to get your approval. At that time you may also tell OptumRx to automatically fill any future prescriptions they receive directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval your prescription will not be sent to you. Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx toll-free at 1-888-279-1828, TTY 1-866-394-7218, 24 hours, 7 days a week. New prescriptions should arrive within ten business days from the date the completed order is received by the mail service pharmacy. Completed refill orders should arrive in about seven business days. OptumRx will contact you if there will be an extended delay in the delivery of your medications. To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs or need to contact us, please call OptumRx toll-free at 1-888-279-1828, TTY 1-866-394-7218, 24 hours, 7 days a week. You can find more information about mail service pharmacies by calling OptumRx at the number listed in the Mail service pharmacies section of this directory. Mail service pharmacies are indicated by a pages. symbol in the pharmacy listings on the following 90-day supply from retail pharmacies You do not have to use a mail service pharmacy to get a 90-day supply of your prescription drugs.

Some of the retail pharmacies in the plan s network also offer 90-day supplies of prescription drugs. If you fill a 90-day supply at a retail pharmacy, you may pay more. Retail pharmacies in the network that fill 90-day supply of prescription drugs are indicated by a symbol in the pharmacy listings on the following pages. E-prescribing Some of our network pharmacies use electronic prescribing, or e-prescribing. The pharmacy receives your prescriptions electronically, directly from your doctor. Your prescription may be sent before you even leave your doctor s office. E-prescribing can be a safe and efficient way for network pharmacies to get your prescriptions. It may help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken together. Network pharmacies that use e-prescribing are indicated by an on the following pages. symbol in the pharmacy listings

National pharmacy chains Below are some of the national chains in the plan s pharmacy network. For locations and phone numbers of stores in your area, call the numbers shown below. Albertsons/Safeway & Affiliates ACME Albertsons Carrs Jewel Osco Market Street Pavilions Randalls Safeway Shaws Tom Thumb United Vons 1-800-723-3929 Duane Reade 1-866-375-6925 Food Lion 1-800-210-9569 Giant 1-888-469-4426 Giant Food Stores 1-888-814-4268 Hannaford 1-800-213-9040 H-E-B 1-800-432-3113 Hy-Vee 1-515-267-2800 Kroger & Affiliates Baker s City Market Dillons Fred Meyer Fry s Harris Teeter King Soopers Kroger QFC Ralphs Smith s 1-800-576-4377 Martins 1-888-562-7846 Publix 1-800-782-5497 Sam s Club 1-888-746-7726 Stop & Shop 1-800-767-7772 Target 1-800-440-0680 Thrifty White 1-888-558-9941 1-877-250-5823 TTY 1-877-924-7889 Walmart 1-800-925-6278 Wegmans 1-800-934-6267 TTY users should call 711, unless a different phone number is listed. This list may change. For a list of other national pharmacy chains in the network or to check for a pharmacy not listed in this directory, call us at the number located on the cover of this directory.

Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Note: Pharmacies may have closed or moved locations since this directory was printed. Other pharmacies are available in our network. Bernalillo Abq Bestcare Pharmacy 2929 Coors Blvd NW Ste 110 Albuquerque, NM 87120 505-836-0600, TTY: 711 Albuquerque Indian Health Pharma 801 Vassar Drive NE Albuquerque, NM 87106 505-248-7640, TTY: 711 Albuquerque Pharmacy 500 Louisiana Blvd NE Albuquerque, NM 87108 505-262-5728, TTY: 711 Albuquerque Pharmacy 500 Louisana Blvd NE Ste A Albuquerque, NM 87108 505-262-5739, TTY: 711 Best Buy Drugs 1445 Wyoming Blvd NE Albuquerque, NM 87112 505-299-4496, TTY: 711 CVS Pharmacy 7847 Tramway Blvd NE Albuquerque, NM 87122 505-821-9385, TTY: 711 CVS Pharmacy 3821 Ellison Drive, NW Albuquerque, NM 87114 505-899-9001, TTY: 711 CVS Pharmacy 4340 San Mateo Blvd NE Albuquerque, NM 87110 505-884-0417, TTY: 711 CVS Pharmacy 7900 Central Ave SW Albuquerque, NM 87121 505-833-7598, TTY: 711 CVS Pharmacy 7105 Central Ave NE Albuquerque, NM 87108 505-265-9027, TTY: 711 CVS Pharmacy 4201 Montano Rd NW Albuquerque, NM 87120 505-922-6323, TTY: 711 CVS Pharmacy 1500 Tramway Blvd NE Albuquerque, NM 87112 505-296-4803, TTY: 711 CVS Pharmacy 10700 Unser Blvd NW Albuquerque, NM 87114 505-792-1992, TTY: 711

Cancer Center Pharmacy 1201 Camino De Salud NE Albuquerque, NM 87102 505-272-1700, TTY: 711 Duran Central Pharmacy 1815 Central Ave NW Albuquerque, NM 87104 505-247-4141, TTY: 711 Caremart Pharmacy 201 San Pedro Dr SE Unit C Albuquerque, NM 87108 505-268-2411, TTY: 711 Highland Pharmacy Inc 717 Encino Place NE Ste 1 Albuquerque, NM 87102 505-243-3777, TTY: 711 Central Pharmacy 7226 Central Ave SE Ste I Albuquerque, NM 87108 505-508-4272, TTY: 711 Isleta Health Center Pharmacy 1 Sagebrush St Isleta, NM 87022 505-869-4474, TTY: 711 Corrales Pharmacy 1010 Bridge Blvd SW Suite B Albuquerque, NM 87105 505-897-3784, TTY: 711 Costco Pharmacy 1420 Renaissance Blvd Albuquerque, NM 87107 505-342-7148, TTY: 711 Costco Pharmacy 500 Eubank Blvd SE Albuquerque, NM 87123 505-332-6602, TTY: 711 Costco Pharmacy 9955 Coors Bypass NW Albuquerque, NM 87114 505-922-7409, TTY: 711 Kmart Pharmacy 2100 Carlisle Ave NE Albuquerque, NM 87110 505-265-3549, TTY: 711 Menaul Compounding Phcy 11417 Menaul Blvd NE Albuquerque, NM 87112 505-291-1600, TTY: 711 Omnicare of Albuquerque 9019 Washington St NE Suite B1 Albuquerque, NM 87113 505-344-9759, TTY: 711 Pharmaca Integrative Pharmacy 8910 Holly Ave NE Albuquerque, NM 87122 505-796-0387, TTY: 711

Pharmacy Plus Albuquerque 338 Osuna Rd NW Albuquerque, NM 87107 505-345-3568, TTY: 711 Pharmerica 2720 Broadbent Pkwy NE Ste A Albuquerque, NM 87107 505-343-1113, TTY: 711 Phil's Pharmacy 5510 Lomas NE Albuquerque, NM 87110 505-265-6868, TTY: 711 Rx Innovations 7215 Washington St NE Albuquerque, NM 87109 505-881-4601, TTY: 711 Sams Pharmacy 10600 Coors Bypass NW Albuquerque, NM 87114 505-922-0847, TTY: 711 Sams Pharmacy 300 Eubank Blvd NE Albuquerque, NM 87123 505-291-0998, TTY: 711 Sams Pharmacy 1421 North Renaissance Blvd NE Albuquerque, NM 87107 505-344-9129, TTY: 711 Sams Regent Pharmacy 7120 Wyoming NE Ste 7B Albuquerque, NM 87109 505-346-0533, TTY: 711 Savon Drugs 2801 A Eubank Blvd Albuquerque, NM 87112 505-294-1597, TTY: 711 Savon Drugs 4950 Montgomery NE Albuquerque, NM 87109 505-883-8703, TTY: 711 Savon Drugs 10131 Coors Blvd NW Albuquerque, NM 87114 505-897-3961, TTY: 711 Savon Drugs 7101 Wyoming Blvd NE Albuquerque, NM 87109 505-821-1275, TTY: 711 Savon Drugs 12201 Academy Rd N E Albuquerque, NM 87111 505-275-9733, TTY: 711 Savon Pharmacy 11825 Lomas Blvd NE Albuquerque, NM 87112 505-293-9156, TTY: 711

Savon Pharmacy 6600 Central Ave SW Albuquerque, NM 87121 505-831-4641, TTY: 711 6001 Lomas NE Albuquerque, NM 87110 505-266-7433, TTY: 711 Savon Pharmacy 1625 Rio Bravo Blvd S W Albuquerque, NM 87105 505-877-2240, TTY: 711 4700 Tramway NE Albuquerque, NM 87111 505-292-5888, TTY: 711 Savon Pharmacy 8100 Ventura St NE Albuquerque, NM 87122 505-822-8484, TTY: 711 200 Tramway SE Albuquerque, NM 87123 505-296-9751, TTY: 711 Savon Pharmacy 2910 Juan Tabo Blvd NE Albuquerque, NM 87112 505-299-8600, TTY: 711 8040 Academy Rd NE Albuquerque, NM 87111 505-823-4480, TTY: 711 Savon Pharmacy 6200 Coors Blvd NW Albuquerque, NM 87120 505-898-5970, TTY: 711 8301 Golf Course Rd Albuquerque, NM 87120 505-897-1321, TTY: 711 6125 4th St NW Albuquerque, NM 87107 505-344-3509, TTY: 711 8100 Wyoming NE Suite A Albuquerque, NM 87109 505-857-9783, TTY: 711 1601 Arenal SW Albuquerque, NM 87105 505-877-4542, TTY: 711 111 Coors Rd NW Albuquerque, NM 87121 505-836-5322, TTY: 711

3701 Constitution NE Albuquerque, NM 87110 505-256-9443, TTY: 711 Target Pharmacy 8510 Montgomery Blvd NE Albuquerque, NM 87111 505-348-0066, TTY: 711 4016 Louisiana NE Albuquerque, NM 87110 505-884-0307, TTY: 711 Target Pharmacy 11120 Lomas Blvd NE Albuquerque, NM 87112 505-292-9110, TTY: 711 5850 Eubank NE Albuquerque, NM 87111 505-299-7621, TTY: 711 Target Pharmacy 2120 Louisiana Blvd NE Albuquerque, NM 87110 505-200-3235, TTY: 711 4800 Mcmahon Blvd NW Albuquerque, NM 87114 505-922-4303, TTY: 711 The Medicine Chest 1123 Candelaria Rd NW Albuquerque, NM 87107 505-344-2335, TTY: 711 Sw Mesa Center For Family and Co 301 Unser Blvd NW Ste 106 Albuquerque, NM 87121 505-925-4451, TTY: 711 Target Pharmacy 9371 Coors Road NW Albuquerque, NM 87114 505-899-7731, TTY: 711 Target Pharmacy 6100 Paseo Del Norte NE Albuquerque, NM 87113 505-346-0136, TTY: 711 Unmh Pharmacy at South East Heig 8200 Central Ave SE Suite 106 Albuquerque, NM 87108 505-272-4563, TTY: 711 Victor's Regent Pharmacy 1643 Isleta Blvd SW Albuquerque, NM 87105 505-877-1620, TTY: 711 Vida Pharmacy LLC 8500 Jefferson Blvd NE Ste D Albuquerque, NM 87113 505-856-1660, TTY: 711

8000 Academy Road NE Albuquerque, NM 87111 505-821-6008, TTY: 711 8511 Golf Course Road NW Albuquerque, NM 87114 505-792-3683, TTY: 711 301 San Mateo Blvd SE Albuquerque, NM 87108 505-262-1915, TTY: 711 9600 Sage Road SW Albuquerque, NM 87121 505-831-4023, TTY: 711 400 Eubank Blvd NE Albuquerque, NM 87123 505-292-8035, TTY: 711 2266 Wyoming Blvd NE Albuquerque, NM 87112 505-323-2885, TTY: 711 2701 Carlisle Blvd NE Albuquerque, NM 87110 505-881-8496, TTY: 711 11001 Menaul Blvd NE Albuquerque, NM 87112 505-200-3440, TTY: 711 10224 Coors Bypassnw Albuquerque, NM 87114 505-897-6935, TTY: 711 4700 Cutler Ave NE Albuquerque, NM 87110 505-346-1661, TTY: 711 2550 Coors Bldv NW Albuquerque, NM 87120 505-352-1880, TTY: 711 11018 Montgomery Blvd NE Albuquerque, NM 87111 505-600-4188, TTY: 711 3500 Coors Blvd SW Albuquerque, NM 87105 505-877-8987, TTY: 711 9700 Menaul Blvd NE Albuquerque, NM 87112 505-299-9541, TTY: 711

2105 Central Ave NW Albuquerque, NM 87104 505-242-2713, TTY: 711 3400 Coors Blvd NW Albuquerque, NM 87120 505-836-4111, TTY: 711 2625 San Pedro Dr NE Albuquerque, NM 87110 505-883-5760, TTY: 711 2950 Centralse Albuquerque, NM 87106 505-262-1745, TTY: 711 5001 Montgomery Plaza Albuquerque, NM 87109 505-881-5210, TTY: 711 10300 Central Ave SE Albuquerque, NM 87123 505-292-0917, TTY: 711 11200 Montgomery Blvd NE Albuquerque, NM 87111 505-298-7477, TTY: 711 6605 4th St NW Los Ranchos De Albuq, NM 87107 505-345-9059, TTY: 711 2031 12th Street NW Albuquerque, NM 87102 505-247-2353, TTY: 711 3501 Lomas Blvd NE Albuquerque, NM 87106 505-255-8908, TTY: 711 10236 Coors Bypass Albuquerque, NM 87114 505-898-1730, TTY: 711 13000 Indian School Rd Albuquerque, NM 87112 505-298-0413, TTY: 711 101 Coors Blvd NW Albuquerque, NM 87121 505-831-3147, TTY: 711 3401 Isleta Blvd, SW 87105 Albuquerque, NM 87105 505-877-3130, TTY: 711

6000 Coors Blvd NW Albuquerque, NM 87120 505-899-0989, TTY: 711 1900 Wyoming Blvd NE Albuquerque, NM 87112 505-217-1241, TTY: 711 8011 Harper Ave NE Albuquerque, NM 87109 505-858-3134, TTY: 711 6250 Paseo Del Norte NE Albuquerque, NM 87113 505-217-2392, TTY: 711 9500 Golf Course Rd NW Albuquerque, NM 87114 505-897-7733, TTY: 711 5850 Eubank Blvd NE Albuquerque, NM 87111 505-217-2818, TTY: 711 8400 Montgomery Blvd NE Albuquerque, NM 87111 505-559-9134, TTY: 711 5201 Central Ave NE Albuquerque, NM 87108 505-217-9907, TTY: 711 4700 4th St NW Albuquerque, NM 87107 505-344-1390, TTY: 711 2200 Unser Blvd NW Albuquerque, NM 87120 505-217-9940, TTY: 711 1201 Unser Blvd SW Albuquerque, NM 87121 505-831-5094, TTY: 711 3632 Menaul Blvd NE Albuquerque, NM 87110 505-217-2551, TTY: 711 6565 Paradise Blvd NW Albuquerque, NM 87114 505-217-0983, TTY: 711 10800 Unser Blvd NW Albuquerque, NM 87114 505-205-1849, TTY: 711

8011 Ventura NE Albuquerque, NM 87122 505-217-2860, TTY: 711 9601 Gibson Blvd SW Albuquerque, NM 87121 505-359-6000, TTY: 711 201 Cedar St SE Ste 102 Albuquerque, NM 87106 505-243-6195, TTY: 711 5150 Journal Center Blvd NE Albuquerque, NM 87109 505-600-4010, TTY: 711 2121 Juan Tabo NE Albuquerque, NM 87112 505-600-4007, TTY: 711 500 Walter Street Suite 202 Albuquerque, NM 87102 505-600-4005, TTY: 711 Chaves Albertsons Market Pharmacy 1110 S Main St Roswell, NM 88203 575-622-7039, TTY: 711 Farmers Uptown Pharmacy 2800 N Main St Roswell, NM 88201 575-623-0830, TTY: 711 Kelley Pharmacy 111 W Hobbs St Roswell, NM 88203 505-622-6000, TTY: 711 Kmart Pharmacy 1705 S Main St Roswell, NM 88203 575-623-9001, TTY: 711 Lawrence Brothers 900 W 2nd St Roswell, NM 88201 575-622-1984, TTY: 711 Primm Drug 700 N Union Roswell, NM 88201 575-622-6571, TTY: 711 Zia Pharmacy 2820 Broadbent Pkwy NE Ste C Albuquerque, NM 87107 505-639-5857, TTY: 711 Sams Pharmacy 4400 North Main Street Roswell, NM 88201 575-627-9866, TTY: 711

4500 A North Main Roswell, NM 88201 575-622-3812, TTY: 711 1000 Roberts Drive Grants, NM 87020 505-285-3378, TTY: 711 1835 N Main St Roswell, NM 88201 575-624-0423, TTY: 711 1509 E Santa Fe Ave Grants, NM 87020 505-658-3107, TTY: 711 1200 S Main St Roswell, NM 88203 575-624-1439, TTY: 711 Cibola Acl Pharmacy 1 40 Exit 203 Acomita San Fidel, NM 87049 505-552-5393, TTY: 711 Colfax Medicine Shoppe Pharmacy 1275 A S Second St Raton, NM 87740 575-445-0075, TTY: 711 Mesa Pharmacy 1279 S 2nd St Raton, NM 87740 575-245-6372, TTY: 711 Parkhurst Pharmacy 1208 Bonita St Grants, NM 87020 505-287-4641, TTY: 711 Pine Hill Health Center Bia Rt 125 Pine Hill, NM 87357 505-775-3271, TTY: 711 Trust Pharmacy 1000 Roosevelt Grants, NM 87020 505-287-3913, TTY: 711 Curry Plains Regional Medical Center P 2401 W 21st St Clovis, NM 88101 575-769-7680, TTY: 711 Roden-Smith Pharmacy 601 E Llano Estacado Blvd Ste A Clovis, NM 88101 575-762-3848, TTY: 711

3728 N Prince Street Clovis, NM 88101 575-769-2389, TTY: 711 Kmart Pharmacy 1900 Bataan Memorial E Las Cruces, NM 88011 575-522-8603, TTY: 711 700 E 21st Street Clovis, NM 88101 575-762-3851, TTY: 711 Ready Pharmacy 111 W Lisa Dr Chaparral, NM 88081 575-824-8211, TTY: 711 De Baca Addison Drug 127 E Sumner Ave Fort Sumner, NM 88119 505-355-2211, TTY: 711 Dona Ana Ben Archer Health Center Pharmac 1600 Thorpe Rd Las Cruces, NM 88012 575-382-6812, TTY: 711 Ben Archer Health Center Pharmac 1998 Motel Boulevard Building B Las Cruces, NM 88007 575-528-7160, TTY: 711 CVS Pharmacy 3011 N Main St Las Cruces, NM 88001 575-647-8878, TTY: 711 CVS Pharmacy 940 N Main St Las Cruces, NM 88001 575-524-5900, TTY: 711 Sams Pharmacy 2711 N. Telshor Blvd Las Cruces, NM 88011 575-521-7890, TTY: 711 Savon Pharmacy 2551 E Lohman Ave Las Cruces, NM 88011 575-521-9841, TTY: 711 Savon Pharmacy 1285 El Paseo Rd Las Cruces, NM 88001 575-541-1264, TTY: 711 Sonoma Pharmacy 4371 E Lohman Ave Las Cruces, NM 88011 575-532-8900, TTY: 711 United Drug 221 W Hall St Hatch, NM 87937 575-267-4943, TTY: 711

571 S Walton Blvd Las Cruces, NM 88001 575-524-3501, TTY: 711 3490 Northrise Dr Las Cruces, NM 88012 575-382-9100, TTY: 711 1550 South Valley Drive Las Cruces, NM 88005 575-523-6844, TTY: 711 Walmart Pharmacy 3331 Rinconada Blvd Las Cruces, NM 88011 575-680-3779, TTY: 711 2300 E Lohman Ave Las Cruces, NM 88001 575-647-2506, TTY: 711 1256 El Paseo Road Las Cruces, NM 88001 575-525-8713, TTY: 711 3100 N Main Las Cruces, NM 88001 575-525-0298, TTY: 711 3990 E Lohman Ave Las Cruces, NM 88011 575-522-1457, TTY: 711 2700 W Picacho Ave Las Cruces, NM 88007 575-523-0833, TTY: 711 Eddy Advanced Medication Management S 2402 W Pierce Ste 2B Carlsbad, NM 88220 575-885-2979, TTY: 711 Albertsons Market Pharmacy 808 N Canal St Carlsbad, NM 88220 575-885-2165, TTY: 711 Brown Drug 322 W Washington Ave Artesia, NM 88210 575-746-3591, TTY: 711 Kmart Pharmacy 2307 West Main Artesia, NM 88210 575-746-2791, TTY: 711 La Tienda Pharmacy 1301 S Canal Carlsbad, NM 88220 575-628-0637, TTY: 711

Lowells Pharmacy 612 N 13th St Ste A Artesia, NM 88210 575-746-6681, TTY: 711 Southwestern Medical Pharmacy 2402 W Pierce St 1A Carlsbad, NM 88220 575-887-6611, TTY: 711 2401 S Canal St Carlsbad, NM 88220 575-885-1029, TTY: 711 604 North 26th Street Artesia, NM 88210 575-746-6137, TTY: 711 1401 W Pierce Carlsbad, NM 88220 575-887-0572, TTY: 711 Grant CVS Pharmacy 610 Silver Heights Blvd Silver City, NM 88061 575-388-1614, TTY: 711 Ft Bayard Medical Center 41 Fort Bayard Road Santa Clara, NM 88026 575-537-8745, TTY: 711 Savon Pharmacy 1956 Hwy 180 E Silver City, NM 88062 575-388-0133, TTY: 711 2501 Hwy 180 East Silver City, NM 88061 575-388-3113, TTY: 711 100 Rosedale Rd Silver City, NM 88061 575-534-0053, TTY: 711 Guadalupe Route Pharmacy 117 Camino De Vida Ste 200 Santa Rosa, NM 88435 575-472-5666, TTY: 711 Lea Albertsons Market Pharmacy 2402 N Grimes Hobbs, NM 88240 575-392-4503, TTY: 711 CVS Pharmacy 715 W. Bender Blvd Hobbs, NM 88240 575-397-4855, TTY: 711 Michael's Prescription Corner 123 W Avenue A Lovington, NM 88260 575-396-2311, TTY: 711

Michael's Prescription Corner Eu 1024 Main Street Eunice, NM 88231 575-394-2311, TTY: 711 Sierra Blanca Pharmacy 1206 Mechem Dr Ruidoso, NM 88345 575-258-2456, TTY: 711 Michael's Prescription Corner No 2410 N Fowler St Ste A Hobbs, NM 88240 575-392-2311, TTY: 711 1800 W Hwy 70 Ruidoso Downs, NM 88346 575-378-5400, TTY: 711 Nowell Pharmacy, LLC 122 W Adams Lovington, NM 88260 575-396-4242, TTY: 711 138 Sudderth Ruidoso, NM 88345 575-257-1566, TTY: 711 3800 Lovington Hwy Hobbs, NM 88240 575-492-0310, TTY: 711 1401 North Turner Hobbs, NM 88240 575-393-2767, TTY: 711 801 W Joe Harvey Blvd Hobbs, NM 88240 575-392-0053, TTY: 711 Lincoln Lawrence Bros. Pharmacy 721 Mechem Dr Ruidoso, NM 88345 575-630-8020, TTY: 711 Los Alamos Nambe Drugs Los Alamos 111 Central Park Sq Los Alamos, NM 87544 505-661-9560, TTY: 711 31 Sherwood Blvd White Rock, NM 87544 505-672-9457, TTY: 711 751 Trinity Dr Ste 100 Los Alamos, NM 87544 505-662-4778, TTY: 711 Luna Kmart Pharmacy 1205 E Pine Deming, NM 88030 575-544-9008, TTY: 711

1021 East Pine Street Deming, NM 88030 575-546-6746, TTY: 711 1870 E Hwy 66 Gallup, NM 87301 505-722-9499, TTY: 711 122 N Gold Ave Deming, NM 88030 575-546-2731, TTY: 711 Zuni Indian Hospital Pharmacy Route 301 North B St Zuni, NM 87327 505-782-7521, TTY: 711 Mckinley Crownpoint Health Care Pharmacy Hwy Jct 57 Rt 9 Crownpoint, NM 87313 505-786-6344, TTY: 711 Otero Albertsons Market Pharmacy 1300 10th St Alamogordo, NM 88310 575-488-1214, TTY: 711 Gallup Indian Med Center Pharmac 516 East Nizhoni Blvd Gallup, NM 87301 505-722-1185, TTY: 711 Kmart Pharmacy 3201 N White Sand Blvd Alamogordo, NM 88310 575-434-1324, TTY: 711 Safeway Pharmacy 980 US Highway 491 Gallup, NM 87301 505-722-9977, TTY: 711 Lowes Marketplace Pharmacy 675 E 10th St Alamogordo, NM 88310 575-434-4130, TTY: 711 Tohatchi Health Center Pharmacy 07 Choosgai Tohatchi, NM 87325 505-733-8218, TTY: 711 Mescalero Indian Hospital Pharma 318 Abalonie Loop Mescalero, NM 88340 575-464-3844, TTY: 711 1650 West Maloney Ave Gallup, NM 87301 505-722-3823, TTY: 711 233 S New York Ave Alamogordo, NM 88310 575-434-5345, TTY: 711

955 N White Sands Blvd Alamogordo, NM 88310 575-434-4116, TTY: 711 1115 N Riverside Dr Espanola, NM 87532 505-753-7005, TTY: 711 Quay Bobs Budget Pharmacy Inc 511 S 2nd St Tucumcari, NM 88401 575-461-1200, TTY: 711 Roosevelt Cjs Pill Box 109 W 4th St Portales, NM 88130 575-356-4422, TTY: 711 Wellborn Pharmacy 315 S 2nd Street Tucumcari, NM 88401 575-461-2784, TTY: 711 Village Pharmacy Inc 1719 S Ave D Portales, NM 88130 575-356-8555, TTY: 711 Rio Arriba CVS Pharmacy 1202 N Riverside Dr Espanola, NM 87532 505-367-3594, TTY: 711 Dulce IHS Pharmacy 12000 Stone Lake Rd Dulce, NM 87528 505-759-3291, TTY: 711 1604 East Spruce Street Portales, NM 88130 575-359-3435, TTY: 711 San Juan Dzilth Na O Dith Hle Health Cent 6 Rd 7586 Bloomfield, NM 87413 505-632-1801, TTY: 711 Santa Clara IHS Pharmacy Route 5 Espanola, NM 87532 505-753-9421, TTY: 711 Kare Drug Aztec 100 Llano St Aztec, NM 87410 505-334-6411, TTY: 711 1610 N Riverside Drive Espanola, NM 87532 505-747-0427, TTY: 711 Kare Pharmacy 100 A N Church St Bloomfield, NM 87413 505-632-3324, TTY: 711

Kmart Pharmacy 3000 East Main St Farmington, NM 87402 505-327-0236, TTY: 711 Target Pharmacy 4900 E Main St Farmington, NM 87402 505-327-3555, TTY: 711 Northern Navajo Med Ctr Pharmacy Hwy 491 North Shiprock, NM 87420 505-368-7252, TTY: 711 4600 East Main Farmington, NM 87402 505-326-1197, TTY: 711 Pinon Family Pharmacy 2300 B E 30th Suite 101 Farmington, NM 87401 505-325-8933, TTY: 711 Safeway Pharmacy 415 N Main St Aztec, NM 87410 505-334-6261, TTY: 711 Safeway Pharmacy 3540 E Main Street Farmington, NM 87401 505-564-3086, TTY: 711 Sams Pharmacy 4500 East Main Farmington, NM 87402 505-326-5384, TTY: 711 1400 West Main Street Farmington, NM 87401 505-327-2262, TTY: 711 701 E 20th St Farmington, NM 87401 505-326-3342, TTY: 711 4221 E Main Farmington, NM 87402 505-325-1749, TTY: 711 San Miguel Del Norte Pharmacy and Home Medi 602 University Dr Las Vegas, NM 87701 505-425-6241, TTY: 711 600 East 20th St Farmington, NM 87401 505-325-1774, TTY: 711 Plaza Drugs 178 Bridge St Las Vegas, NM 87701 505-425-5221, TTY: 711

2609 7th Street Las Vegas, NM 87701 505-425-5269, TTY: 711 620 Mills Avenue Las Vegas, NM 87701 505-425-3317, TTY: 711 Sandoval CVS Pharmacy 1001 Nm 528 SE Rio Rancho, NM 87124 505-896-2078, TTY: 711 San Felipe Health Clinic Pharmac Cedar St 4 San Felipe Pueblo San Felipe, NM 87001 505-867-2739, TTY: 711 Santa Ana Health Clinic Pharmacy 02 C Dove Rd Bernalillo, NM 87004 505-867-2497, TTY: 711 Santo Domingo Pueblo Health Cent 85 West Highway 22 Santo Domingo, NM 87052 505-465-3073, TTY: 711 Cochiti IHS Pharmacy 255 Cochiti St Cochiti, NM 87072 505-465-2587, TTY: 711 Savon Drugs 4300 Ridgecrest Dr Rio Rancho, NM 87124 505-892-2262, TTY: 711 Jemez Health Center Pharmacy 110 Sheepsprings Rd Jemez Pueblo, NM 87024 575-834-7413, TTY: 711 Savon Pharmacy 3301 Southern Blvd SE Rio Rancho, NM 87124 505-891-0895, TTY: 711 Pharmacy Plus Bernalillo 407 W Hwy 550 Bernalillo, NM 87004 505-867-2336, TTY: 711 Savon Pharmacy 7800 Enchanted Hills Blvd NE Rio Rancho, NM 87144 505-771-8411, TTY: 711 Pueblo of Sandia Pharmacy 203 Sandia Day School Rd Bernalillo, NM 87004 505-867-4696, TTY: 711 1000 Rio Rancho Dr Rio Rancho, NM 87124 505-892-1866, TTY: 711

901 Unser Blvd Southeast Rio Rancho, NM 87124 505-962-9239, TTY: 711 2101 Northern Blvd NE Rio Rancho, NM 87144 505-217-3980, TTY: 711 460 Nm Highway 528 Bernalillo, NM 87004 505-771-4877, TTY: 711 1721 Rio Rancho Blvd Rio Rancho, NM 87124 505-600-4012, TTY: 711 1115 Nm Hwy 528 SE Rio Rancho, NM 87124 505-600-4053, TTY: 711 Zia Indian Health Clinic Pharmac 155B Capital Square Dr Zia, NM 87053 505-867-5258, TTY: 711 1941 Southern Rio Rancho, NM 87124 505-891-8186, TTY: 711 4051 Southern Blvd SE Rio Rancho, NM 87124 505-892-6690, TTY: 711 7850 Enchanted Hills NE Rio Rancho, NM 87124 505-771-2777, TTY: 711 100 E Hwy 550 Bernalillo, NM 87004 505-867-6071, TTY: 711 Santa Fe CVS Pharmacy 511 W Cordova Rd Santa Fe, NM 87505 505-983-5546, TTY: 711 CVS Pharmacy 195 Paseo De Peralta Santa Fe, NM 87501 505-982-8787, TTY: 711 CVS Pharmacy 2907 Cerrillos Rd Santa Fe, NM 87507 505-471-4660, TTY: 711 Del Norte Pharmacy and Home Medi 1691 Galisteo Santa Fe, NM 87501 505-988-9797, TTY: 711

Fairview Pharmacy 734 N Riverside Dr Ste A Espanola, NM 87532 505-753-2209, TTY: 711 Kmart Pharmacy 1712 St Michael S Dr Santa Fe, NM 87501 505-471-7823, TTY: 711 Nambe Drugs 70 Cities of Gold Rd Santa Fe, NM 87506 505-455-2256, TTY: 711 Pharmaca Integrative Pharmacy 530 W Cordova Rd Ste B Santa Fe, NM 87505 505-820-7467, TTY: 711 Sams Pharmacy 4201 Rodeo Road Santa Fe, NM 87505 505-471-0152, TTY: 711 Santa Fe Indian Hospital Pharmac 1700 Cerrillos Rd Santa Fe, NM 87505 505-946-9389, TTY: 711 Savon Pharmacy 3001 S St Francis Dr Santa Fe, NM 87501 505-992-8638, TTY: 711 Savon Pharmacy 3542 Zafarano Dr Santa Fe, NM 87507 505-471-2914, TTY: 711 Savon Pharmacy 600 N Guadalupe St Santa Fe, NM 87501 505-982-4806, TTY: 711 2308 Cerrillos Road Santa Fe, NM 87501 505-471-7874, TTY: 711 #2B Hwy 344 Edgewood, NM 87015 505-286-9040, TTY: 711 2110 Pacheco Santa Fe, NM 87501 505-473-5563, TTY: 711 Southwest Care Center 649 Harkle Rd Ste C Santa Fe, NM 87505 505-989-8154, TTY: 711 3251 Cerillos Rd Santa Fe, NM 87505 505-473-4261, TTY: 711

5701 Herrera Dr Santa Fe, NM 87507 505-424-9166, TTY: 711 Wiley Chemists Compounding Pharm 1676 Hospital Dr Santa Fe, NM 87505 505-983-7169, TTY: 711 1096 St Francis Dr Santa Fe, NM 87501 505-982-9811, TTY: 711 3298 Cerrillos Road Santa Fe, NM 87505 505-474-3507, TTY: 711 525 W Zia Road Santa Fe, NM 87505 505-820-2196, TTY: 711 5 Walker Rd Edgewood, NM 87015 505-281-0950, TTY: 711 5721 Airport Rd Santa Fe, NM 87507 505-216-1492, TTY: 711 Walmart Pharmacy 66 State Road 344 Edgewood, NM 87015 505-286-3053, TTY: 711 Sierra Davis-Fleck United Pharmacy 500 Broadway St Truth Or Consequence, NM 87901 575-894-1079, TTY: 711 New Mexico Veterans Center Pharm 992 S Broadway St Truth Or Conseq, NM 87901 575-894-4231, TTY: 711 2001 Hr Ashbaugh Dr Truth Or Consequence, NM 87901 575-894-0343, TTY: 711 Socorro Alamo Navajo Health Center Hwy 169 Mm29 Magdalena, NM 87825 575-854-2626, TTY: 711 901 California Socorro, NM 87801 575-835-9495, TTY: 711 700 North 6th Street Socorro, NM 87801 575-838-1426, TTY: 711

Taos Savon Pharmacy 710A Paseo Del Pueblo Sur Taos, NM 87571 575-758-1203, TTY: 711 Union City Drug 7 Main St Clayton, NM 88415 575-374-9121, TTY: 711 224 Paseo Pueblo Sur Taos, NM 87571 575-758-4823, TTY: 711 Taos Picuris Health Center Pharm 1090 Goat Springs Rd Taos, NM 87571 505-758-4224, TTY: 711 Valencia Buckland Pharmacy 600 Dalies Ave Belen, NM 87002 505-864-7434, TTY: 711 Joes Pharmacy 3646 Hwy 47 Peralta, NM 87042 505-869-3646, TTY: 711 926 Paseo Del Pueblo Sur Taos, NM 87571 575-758-2743, TTY: 711 Savon Pharmacy 2351 Main St SE Los Lunas, NM 87031 505-865-2089, TTY: 711 811 Paseo Del Pueblo Sur Taos, NM 87571 575-758-1704, TTY: 711 Torrance May Hlth Mrt Pharmacy II 600 Central Moriarty, NM 87035 505-832-9988, TTY: 711 Share 'N Care Pharmacy 701 Dalies Ave Ste B Belen, NM 87002 505-864-7471, TTY: 711 Share N Care Pharmacy and Medica 701 Dalies Ave Belen, NM 87002 505-864-7471, TTY: 711 Mountainair Meds and More LLC 111 W Broadway Mountainair, NM 87036 505-847-0242, TTY: 711 2580 Main St Los Lunas, NM 87031 505-865-3310, TTY: 711

01 I 25 Interchange Belen, NM 87002 505-864-0270, TTY: 711 315 N Main St Belen, NM 87002 505-861-1762, TTY: 711 2250 Main Street NW Los Lunas, NM 87031 505-565-4622, TTY: 711 1861 Main St Los Lunas, NM 87031 505-865-2933, TTY: 711 2500 Main St NE Los Lunas, NM 87031 505-865-7551, TTY: 711 Mail service pharmacies Our mail service pharmacies will ship your prescription drugs directly to your home. For more information, please see your Evidence of Coverage. Below are the mail service pharmacies in the plan s network. OptumRx Mail Service P.O. Box 2975 P.O. Box 29061 Mission, KS 66201 Phoenix, AZ 85038 Toll-free 1-888-279-1828 Toll-free 1-800-489-2197 TTY 1-866-394-7218 TTY 1-888-492-2968 www.optumrx.com www..com/mailservice Manifest Pharmacy, LLC 1018 South Batesville Road, Bldg 4-A Greer, SC 29650 Toll-free 1-888-614-0119 orders@manifestrx.com

Home infusion pharmacies near you The plan will cover home infusion therapy if: The plan has approved your prescription drug for home infusion therapy; and You get your prescription from an authorized prescriber. For more information, please see your Evidence of Coverage. Below are some of the home infusion network pharmacies in your area. Bernalillo Coram CVS/Specialty Infusion Ser 7400 Washington St NE Albuquerque, NM 87109 505-798-3500 Sirona Infusion LLC 2420 Comanche Rd NE Suite A7 Albuquerque, NM 87107 505-830-1800 Option Care 4374 Alexander Blvd NE Ste A C Albuquerque, NM 87107 505-888-4325 Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility s long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. Below are some of the long-term care network pharmacies in your area. Bernalillo Albuquerque Pharmacy 500 Louisiana Blvd NE Albuquerque, NM 87108 505-262-5728 Best Buy Drugs 1445 Wyoming Blvd NE Albuquerque, NM 87112 505-299-4496 Omnicare of Albuquerque 9019 Washington St NE Suite B1 Albuquerque, NM 87113 505-344-9759 Pharmerica 2720 Broadbent Pkwy NE Ste A Albuquerque, NM 87107 505-343-1113 Rx Innovations 7215 Washington St NE Albuquerque, NM 87109 505-881-4601 Vida Pharmacy LLC 8500 Jefferson Blvd NE Ste D Albuquerque, NM 87113 505-856-1660

Long-term care pharmacies near you (continued) Zia Pharmacy 2820 Broadbent Pkwy NE Ste C Albuquerque, NM 87107 505-639-5857 Colfax Medicine Shoppe Pharmacy 1275 A S Second St Raton, NM 87740 575-445-0075 Mesa Pharmacy 1279 S 2nd St Raton, NM 87740 575-245-6372 Curry Roden-Smith Pharmacy 601 E Llano Estacado Blvd Ste A Clovis, NM 88101 575-762-3848 Eddy Advanced Medication Management S 2402 W Pierce Ste 2B Carlsbad, NM 88220 575-885-2979 Grant Ft Bayard Medical Center 41 Fort Bayard Road Santa Clara, NM 88026 575-537-8745 Lea Nowell Pharmacy, LLC 122 W Adams Lovington, NM 88260 575-396-4242 Roosevelt Cjs Pill Box 109 W 4th St Portales, NM 88130 575-356-4422 Village Pharmacy Inc 1719 S Ave D Portales, NM 88130 575-356-8555 San Juan Kare Drug Aztec 100 Llano St Aztec, NM 87410 505-334-6411 San Miguel Del Norte Pharmacy and Home Medi 602 University Dr Las Vegas, NM 87701 505-425-6241 Santa Fe Pharmaca Integrative Pharmacy 530 W Cordova Rd Ste B Santa Fe, NM 87505 505-820-7467

Long-term care pharmacies near you (continued) Sierra New Mexico Veterans Center Pharm 992 S Broadway St Truth Or Conseq, NM 87901 575-894-4231 Union City Drug 7 Main St Clayton, NM 88415 575-374-9121 Torrance May Hlth Mrt Pharmacy II 600 Central Moriarty, NM 87035 505-832-9988 Valencia Share 'N Care Pharmacy 701 Dalies Ave Ste B Belen, NM 87002 505-864-7471 Mountainair Meds and More LLC 111 W Broadway Mountainair, NM 87036 505-847-0242 Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you Only Native Americans and Alaska Natives can use I/T/U pharmacies in the Plan s pharmacy network. Other people may be able to use these pharmacies under limited circumstances (for example, emergencies). For more information, please see your Evidence of Coverage. Below are some of the I/T/U network pharmacies in your area. Bernalillo Albuquerque Indian Health Pharma 801 Vassar Drive NE Albuquerque, NM 87106 505-248-7640 Isleta Health Center Pharmacy 1 Sagebrush St Isleta, NM 87022 505-869-4474 Sw Mesa Center For Family and Co 301 Unser Blvd NW Ste 106 Albuquerque, NM 87121 505-925-4451 Cibola Acl Pharmacy 1 40 Exit 203 Acomita San Fidel, NM 87049 505-552-5393

Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Pine Hill Health Center Bia Rt 125 Pine Hill, NM 87357 505-775-3271 Mckinley Crownpoint Health Care Pharmacy Hwy Jct 57 Rt 9 Crownpoint, NM 87313 505-786-6344 Gallup Indian Med Center Pharmac 516 East Nizhoni Blvd Gallup, NM 87301 505-722-1185 Tohatchi Health Center Pharmacy 07 Choosgai Tohatchi, NM 87325 505-733-8218 Zuni Indian Hospital Pharmacy Route 301 North B St Zuni, NM 87327 505-782-7521 Otero Mescalero Indian Hospital Pharma 318 Abalonie Loop Mescalero, NM 88340 575-464-3844 Rio Arriba Dulce IHS Pharmacy 12000 Stone Lake Rd Dulce, NM 87528 505-759-3291 Santa Clara IHS Pharmacy Route 5 Espanola, NM 87532 505-753-9421 San Juan Dzilth Na O Dith Hle Health Cent 6 Rd 7586 Bloomfield, NM 87413 505-632-1801 Northern Navajo Med Ctr Pharmacy Hwy 491 North Shiprock, NM 87420 505-368-7252 Sandoval Cochiti IHS Pharmacy 255 Cochiti St Cochiti, NM 87072 505-465-2587 Jemez Health Center Pharmacy 110 Sheepsprings Rd Jemez Pueblo, NM 87024 575-834-7413

Indian health service/tribal/urban Indian health program (I/T/U) pharmacies near you (continued) Pueblo of Sandia Pharmacy 203 Sandia Day School Rd Bernalillo, NM 87004 505-867-4696 Zia Indian Health Clinic Pharmac 155B Capital Square Dr Zia, NM 87053 505-867-5258 San Felipe Health Clinic Pharmac Cedar St 4 San Felipe Pueblo San Felipe, NM 87001 505-867-2739 Santa Fe Santa Fe Indian Hospital Pharmac 1700 Cerrillos Rd Santa Fe, NM 87505 505-946-9389 Santa Ana Health Clinic Pharmacy 02 C Dove Rd Bernalillo, NM 87004 505-867-2497 Santo Domingo Pueblo Health Cent 85 West Highway 22 Santo Domingo, NM 87052 505-465-3073 Taos Taos Picuris Health Center Pharm 1090 Goat Springs Rd Taos, NM 87571 505-758-4224

This directory is a partial list of pharmacies available in the plan s pharmacy network. For more information, please call Customer Service at: Toll-Free 1-888-556-6648, TTY 711 8 a.m. to 8 p.m. local time, Monday through Friday 1 Other pharmacies are available in our network. Members may use any pharmacy in the network, but may not receive Pharmacy Saver pricing. Pharmacies participating in the Pharmacy Saver program may not be available in all areas. 2 Your plan sponsor may provide coverage beyond 90 days. Please refer to the Evidence of Coverage for more information. This information is available for free in other languages. Please call Customer Service number listed above. Esta información está disponible sin costo en otros idiomas. Comuníquese con el Servicio al Cliente al número indicado arriba. Other pharmacies are available in our network. The pharmacy network may change at any time. You will receive notice when necessary. OptumRx is an affiliate of UnitedHealthcare Insurance Company. Beneficiaries must use network pharmacies to access their prescription drug benefit. Formulary, pharmacy network, premium and/or co-payments/coinsurance may change each year. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan s contract renewal with Medicare. UHEX16PD3724700_000 NM Last updated September 18, 2015