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Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053 Rite Aid #7093 903 Rucker Blvd. Enterprise AL 36330 334.393.4440 CCI Pharmacy 3601 CCI Dr. NW Huntsville AL 35805 256.327.5900 MCC Apothecary 4145 Carmichael Rd., Ste. A Montgomery AL 36106 334.273.2281 Avella of Deer Valley 23620 N. 20th Dr., Ste. 12 Phoenix AZ 85085 877.546.5779 CVS Procare #03129 1002 E. McDowell Rd. Phoenix AZ 85006 602.258.7051 CVS #08828 2090 E. Fry Blvd. Sierra Vista AZ 85635 520.458.1254 Avella of Tucson 4512 E. Camp Lowell Dr. Tucson AZ 85712 520.918.0044 Epic Care 4721 Dallas Ranch Rd. Antioch CA 94531 925.778.0679 Factor Support Network Pharmacy 900 Avenida Acaso, Ste. A Camarillo CA 93012 805.388.9336 Encino Pharmacy 17071 Ventura Blvd., Ste. 100 Encino CA 91316 818.788.5858 CCare San Diego 9850 Genesee Ave., Ste. 830 La Jolla CA 92037 858.552.1410 La Jolla Discount Pharmacy 9850 Genesee Ave., Ste. 160 La Jolla CA 92037 858.622.1800 UCSD Moores Cancer Center 3855 Health Sciences Dr. La Jolla CA 92093 858.822.6088 CVS #09871 1317 N. H St. Lompoc CA 93436 805.735.7424 Mission Road Pharmacy 1155 N. Mission Rd Los Angeles CA 90033 323.227.4646 Diplomat Specialty Pharmacy 1809 Excise Ave., Ste. 207 Ontario CA 91761 909.881.1728 Apria Pharmacy Network 2150 N. Trabajo Dr., Ste. A Oxnard CA 93030 805.278.6700 Avella of Sacramento 2288 Auburn Blvd., Ste. 102 Sacramento CA 95821 916.564.9888 UCDMC Pharmacy Services 2315 Stockton Blvd. Sacramento CA 95817 916.734.2455 Careplus CVS Pharmacy #02855 1010 University Ave. San Diego CA 92103 619.291.7377 Careplus CVS Pharmacy #02708 445 Castro St. San Francisco CA 94114 415.864.7030 Solano Hematology Oncology 100 Hospital Dr., Ste. 110 Vallejo CA 94589 707.551.3300 Tnh Pharmacy 2 15211 Vanowen St., Ste. 301 Van Nuys CA 91405 818.988.1288 Beverly Sinai Med Pharmacy 8737 Beverly Blvd. West Hollywood CA 90048 310.657.2881 Careplus CVS Pharmacy #02801 8607 Santa Monica Blvd. West Hollywood CA 90069 310.659.9810 Pharmacare Speciality Pharmacy 2101 N. Ursula St., Unit 35 Aurora CO 80045 303.388.7504 Uch Atrium Pharmacy 12605 E. 16th Ave, Rm. 1054 Aurora CO 80045 720.848.4083 University of Co Hosp Op Pharmacy 1635 Aurora Ct., Ste. F702 Aurora CO 80045 720.848.1020 Cystic Fibrosis Services 7472 S. Tucson Way, Ste. 1000 Centennial CO 80112 800.541.4959 Target Pharmacy #1501 3810 Bloomington St. Colorado Springs CO 80922 719.574.7493 Wal-Mart #3582 1575 Space Center Dr. Colorado Springs CO 80915 719.597.9481 List effective 07/28/2014

Participating Retail Specialty Pharmacies · Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

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Page 1: Participating Retail Specialty Pharmacies · Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

Participating Retail Specialty Pharmacies

PHARMACY ADDRESS CITY ST ZIP PHONE

CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

Rite Aid #7093 903 Rucker Blvd. Enterprise AL 36330 334.393.4440

CCI Pharmacy 3601 CCI Dr. NW Huntsville AL 35805 256.327.5900

MCC Apothecary 4145 Carmichael Rd., Ste. A Montgomery AL 36106 334.273.2281

Avella of Deer Valley 23620 N. 20th Dr., Ste. 12 Phoenix AZ 85085 877.546.5779

CVS Procare #03129 1002 E. McDowell Rd. Phoenix AZ 85006 602.258.7051

CVS #08828 2090 E. Fry Blvd. Sierra Vista AZ 85635 520.458.1254

Avella of Tucson 4512 E. Camp Lowell Dr. Tucson AZ 85712 520.918.0044

Epic Care 4721 Dallas Ranch Rd. Antioch CA 94531 925.778.0679

Factor Support Network Pharmacy 900 Avenida Acaso, Ste. A Camarillo CA 93012 805.388.9336

Encino Pharmacy 17071 Ventura Blvd., Ste. 100 Encino CA 91316 818.788.5858

CCare San Diego 9850 Genesee Ave., Ste. 830 La Jolla CA 92037 858.552.1410

La Jolla Discount Pharmacy 9850 Genesee Ave., Ste. 160 La Jolla CA 92037 858.622.1800

UCSD Moores Cancer Center 3855 Health Sciences Dr. La Jolla CA 92093 858.822.6088

CVS #09871 1317 N. H St. Lompoc CA 93436 805.735.7424

Mission Road Pharmacy 1155 N. Mission Rd Los Angeles CA 90033 323.227.4646Diplomat Specialty Pharmacy 1809 Excise Ave., Ste. 207 Ontario CA 91761 909.881.1728

Apria Pharmacy Network 2150 N. Trabajo Dr., Ste. A Oxnard CA 93030 805.278.6700

Avella of Sacramento 2288 Auburn Blvd., Ste. 102 Sacramento CA 95821 916.564.9888

UCDMC Pharmacy Services 2315 Stockton Blvd. Sacramento CA 95817 916.734.2455

Careplus CVS Pharmacy #02855 1010 University Ave. San Diego CA 92103 619.291.7377

Careplus CVS Pharmacy #02708 445 Castro St. San Francisco CA 94114 415.864.7030

Solano Hematology Oncology 100 Hospital Dr., Ste. 110 Vallejo CA 94589 707.551.3300

Tnh Pharmacy 2 15211 Vanowen St., Ste. 301 Van Nuys CA 91405 818.988.1288

Beverly Sinai Med Pharmacy 8737 Beverly Blvd. West Hollywood CA 90048 310.657.2881

Careplus CVS Pharmacy #02801 8607 Santa Monica Blvd. West Hollywood CA 90069 310.659.9810

Pharmacare Speciality Pharmacy 2101 N. Ursula St., Unit 35 Aurora CO 80045 303.388.7504

Uch Atrium Pharmacy 12605 E. 16th Ave, Rm. 1054 Aurora CO 80045 720.848.4083

University of Co Hosp Op Pharmacy 1635 Aurora Ct., Ste. F702 Aurora CO 80045 720.848.1020

Cystic Fibrosis Services 7472 S. Tucson Way, Ste. 1000 Centennial CO 80112 800.541.4959

Target Pharmacy #1501 3810 Bloomington St. Colorado Springs CO 80922 719.574.7493

Wal-Mart #3582 1575 Space Center Dr. Colorado Springs CO 80915 719.597.9481

List effective 07/28/2014

Page 2: Participating Retail Specialty Pharmacies · Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

Careplus CVS Pharmacy #02733 1601 17th St. NW Washington DC 20009 202.588.0186

CVS #04015 302 E. James Lee Blvd. Crestview FL 32539 850.682.1002

Publix #0801 2250 S. Ferdon Blvd. Crestview FL 32536 850.682.5635

Commcare Pharmacy Ftl 2817 E. Oakland Park Blvd. Fort Lauderdale FL 33306 954.332.6170

Diplomat Specialty Pharmacy 500 SE 15th St., Ste.102 Fort Lauderdale FL 33316 954.527.0440

Rx To Go 4371 Veronica S. Shoemaker Fort Myers FL 33916 239.275.5357

CVS #04155 3359 Gulf Breeze Pkwy. Gulf Breeze FL 32563 850.932.3581

Holly Hill Pharmacy 1702 Ridgewood Ave., Ste. C Holly Hill FL 32117 386.677.7377

CVS #03957 13170 Atlantic Blvd. Jacksonville FL 32225 904.221.0024

Florida Specialty Pharmacy 9143 Philips Hwy, Ste. 570 Jacksonville FL 32256 904.519.2720

Mayo Pharmacy 4500 San Pablo Rd. S Jacksonville FL 32224 904.953.2021

CVS #03003 71 Mary Esther Blvd. Mary Esther FL 32569 850.301.0677

CVS #04999 7975 N. Wickham Rd. Melbourne FL 32940 321.751.7534

CVS #04449 6501 Caroline St. Milton FL 32570 850.623.0133

CVS #05248 8422 Navarre Pkwy. Navarre FL 32566 850.936.1445

CVS #03229 414 Atlantic Blvd. Neptune Beach FL 32266 904.241.2461CVS #04612 4562 E. Highway 20 Niceville FL 32578 850.897.8550

CVS #05178 1100 John Sims Pkwy. Niceville FL 32578 850.678.1257CVS #03254 1952 Park Ave. Orange Park FL 32073 904.264.0202

Accredo Health Group 6272 Lee Vista Blvd., Ste. 100 Orlando FL 32822 888.773.7376

CVS Procare #02890 2600 N. Orange Ave. Orlando FL 32804 407.896.8917

Wal-Mart #5315 9600 Parksouth Ct., Ste. 120 Orlando FL 32837 877.453.4566

CVS #04500 302 N. Tyndall Pkwy. Panama City FL 32404 850.871.5525

Moffitt Cancer Ctr Clinic Pharmacy 12902 Usf Magnolia Dr. Tampa FL 33612 813.972.8484

Publix #3210 12902 USF Magnolia Dr. Tampa FL 33612 813.745.8484

Quality Specialty Pharmacy 5144 E. Busch Blvd. Tampa FL 33617 813.988.7600

Matrix Health 3300 Corporate Ave., Ste. 104 Weston FL 33331 877.337.3002

Northeast Georgia Cancer Care 3320 Old Jefferson Rd. Athens GA 30607 706.353.4344

Alliance Community Pharmacy 1529 Piedmont Ave. NE, Ste. C Atlanta GA 30324 404.461.9105

Atlanta Cancer Care 1718 Peachtree St., #496 Atlanta GA 30309 404.492.6187

CVS Procare #2686 560 Amsterdam Ave. NE, Ste. E Atlanta GA 30306 404.892.9131

Encompass Rx 500 Bishop St. NW, Ste. A3 Atlanta GA 30318 404.367.9111

Augusta Oncology Associates 820 Saint Sebastian Way Augusta GA 30901 706.821.2944

Pharmaceutical Specialties 150 Cleveland Rd., Ste. B Bogart GA 30622 706.369.9591

CVS #06956 114 E. General Screven Way Hinesville GA 31313 912.877.3002

The Pharmacy Center 308 Coliseum Dr., Ste. 150 Macon GA 31217 478.741.8599

PHARMACY ADDRESS CITY ST ZIP PHONE

Page 3: Participating Retail Specialty Pharmacies · Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

Northwest Georgia Oncology Ctr 340 Kennestone Hospital Blvd. Marietta GA 30060 770.281.5115

Premier Kids Care 221 Plaza Dr. Monroe GA 30655 888.892.9001

The Pharmacy Center 1100 Johnson Ferry Rd., NE Sandy Springs GA 30342 404.845.3201

Central Georgia Cancer Care 114 Sutherlin Dr., Ste. C2 Warner Robins GA 31088 478.287.6927

Careplus CVS Pharmacy #02915 500 Ala Moana Blvd. Honolulu HI 96813 808.254.2727

CVS Procare #02831 1926 W. Harrison St. Chicago IL 60612 312.850.4069

CVS #02713 753 W. Highway 50 O Fallon IL 62269 618.624.3561

Barcus Pharmacy 4708 W. 103rd St. Oak Lawn IL 60453 708.425.2400

Univ of KS Hosp Op Pharmacy 3901 Rainbow Blvd. Kansas City KS 66103 913.588.2361

CVS #05268 390 Limit St. Leavenworth KS 66048 913.651.2323

Shared Solutions Pharmacy 17775 W. 106th St., Ste. 101 Olathe KS 66061 866.930.4146

University of Louisville Hosp 530 S. Jackson St. Louisville KY 40202 502.562.3571

Wal-Mart #3362 14800 Fort Campbell Blvd. Oak Grove KY 42262 270.640.5848

Bayou State Pharmacy 1737d Sam Houston Jones Lake Charles LA 70611 337.217.0033

Reliant Healthcare 1004 N. 19th St. Monroe LA 71201 318.322.8326

Freedom Drug 12 Kent Way Byfield MA 01922 800.660.4283

Rite Aid #6800 704 Quince Orchard Rd. Gaithersburg MD 20878 301.990.6993

Briovarx of Maine 53 Darling Ave. South Portland ME 4106 800.850.9122

Diplomat Specialty Pharmacy G3320 Beecher Rd. Flint MI 48532 810.732.8720

Mayo Clinic Pharmacy 21 2nd St., SW Rochester MN 55902 507.284.2021

Foundation Care 4010 Wedgeway Ct. Earth City MO 63045 314.291.1122

Pharmacare Specialty #01438 32 N. Euclid Ave. Saint Louis MO 63108 314.454.1214

Wa Univ Cancer Center Pharmacy 4921 Parkview Pl., Fl. 7 Saint Louis MO 63110 314.747.8646

Wal-Mart #0021 185 St. Robert Blvd. Saint Robert MO 65584 573.336.4323

Transcript Pharmacy 2506 Lakeland Dr., Ste. 201 Flowood MS 39232 601.420.4041

Medical Center Plaza Pharmacy 1001 Blythe Blvd., Ste. 201 Charlotte NC 28203 704.355.6901

Pharmacare Specialty #02980 601 S. Kings Dr. Charlotte NC 28204 704.333.7435

CVS #04169 522 Owen Dr. Fayetteville NC 28304 910.484.7183

CVS #05504 100 Law Rd. Fayetteville NC 28311 910.822.3535

Rite Aid #11504 7860 Raeford Rd. Fayetteville NC 28314 910.826.3582

Southeastern Med Oncology Ctr 203 Cox Blvd. Goldsboro NC 27534 919.580.0000

CVS #07344 510 U.S. Highway 70 West Havelock NC 28532 252.447.8033

CVS #05594 2400 Gum Branch Rd. Jacksonville NC 28540 910.455.7799

Rite Aid #11536 377 Western Blvd. Jacksonville NC 28546 910.353.3424

Person Street Pharmacy 702 N. Person St. Raleigh NC 27604 919.832.6432

CVS #03085 1701 Galvin Rd. S Bellevue NE 68005 402.292.2685

PHARMACY ADDRESS CITY ST ZIP PHONE

Page 4: Participating Retail Specialty Pharmacies · Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

Southeast Nebraska Cancer Ctr 201 S. 68th Street Pl. Lincoln NE 68510 402.420.7000

Amber Pharmacy 10004 S. 152nd St., Ste. A Omaha NE 68138 888.370.1724

Nebraska Med Ctr Clinic Pharmacy 43rd and Emile Ave. Omaha NE 68198 402.559.5215

Metro Drugs 79 Hudson St., Ste. 302 Hoboken NJ 7030 201.253.1100

Prime Aid Pharmacy 3915 Bergenline Ave. Union City NJ 7087 201.864.0100

NM Oncology Hematology Cnsltnt 4901 Lang Ave. NE Albuquerque NM 87109 505.822.3911

Avella of Las Vegas II 701 Shadow Ln., Ste. 110 Las Vegas NV 89106 702.522.6483Acaria Health Pharmacy #12 5 Skyline Dr., Ste. 240 Hawthorne NY 10532 718.997.8200

Caremed 1981 Marcus Ave., Ste. 225 New Hyde Park NY 11042 516.355.2273

Ocean Breeze Pharmacy 1817 Hylan Blvd. Staten Island NY 10305 718.987.2525

Careplus CVS Pharmacy #02819 1309 NW 23rd Ave. Portland OR 97210 503.295.7941

Burman's Pharmacy 3400 Edgmont Ave. Brookhaven PA 19015 610.872.5418

CVS #02921 105 Mall Blvd. Monroeville PA 15146 800.498.5601

Pharmacare Spec Pharmacy #02553 1117 Walnut St. Philadelphia PA 19107 215.627.2143

Axium Healthcare De Pr 108 Carr 2, Ste. 302 Km 7.4 Guaynabo PR 00966 787.780.7200

Charleston Cancer Center 2910 Tricom St. Charleston SC 29406 843.572.9211

LCR Specialty Pharmacy 2860 Tricom St. Charleston SC 29406 615.312.9844

Rutledge Tower Pharmacy 135 Rutledge Ave. Charleston SC 29425 843.876.0259

CVS Procare #02923 3250 Harden St., Ext., Ste. 300 Columbia SC 29203 803.551.1030

S C Oncology Retail Pharmacy 166 Stoneridge Dr. Columbia SC 29210 803.461.3709

Medscripts Medical Pharmacy 1325 Miller Rd., Ste. K Greenville SC 29607 866.840.4067Longs Drugs of Lexington 1216 W. Main St. Lexington SC 29072 803.358.3030

CVS #03826 1500 Ribaut Rd. Port Royal SC 29935 843.524.5440

Medex Biocare Pharmacy 8024 Stage Hills Blvd. Bartlett TN 38133 800.962.6339

Kroger Pharmacy #24540 2100 Lowes Dr. Clarksville TN 37040 931.906.3181

Rite Aid #11868 1128 Fort Campbell Blvd. Clarksville TN 37042 931.905.0400

Wal-Mart #0673 3050 Wilma Rudolph Blvd. Clarksville TN 37040 931.552.0241

Wal-Mart #1075 1680 Fort Campbell Blvd. Clarksville TN 37042 931.552.0348

Benevere Pharmacy 1162 W. Poplar Ave. Collierville TN 38017 901.861.3000

Anovorx Group 100 N. Humphreys Blvd. Memphis TN 38120 901.494.4495

Park Pharmacy 250 25th Ave. N., Ste. 110 Nashville TN 37203 615.986.7650

Vanderbilt Outpatient Pharmacy 1161 21st Ave. S, Rm. 1815 Nashville TN 37232 615.343.6421

Entrust Rx 2001 Campbell Station Pkwy. Spring Hill TN 37174 615.656.8990

CVS #07271 4580 Buffalo Gap Rd. Abilene TX 79606 325.698.0651

Maxor Pharmacy Amarillo 216 S. Polk St. Amarillo TX 79101 806.324.5400

Avella of Austin 3016 Guadalupe St., Ste. A Austin TX 78705 512.368.2962

PHARMACY ADDRESS CITY ST ZIP PHONE

Page 5: Participating Retail Specialty Pharmacies · Participating Retail Specialty Pharmacies PHARMACY ADDRESS CITY ST ZIP PHONE CVS Procare #02909 1521 4th Ave. S Birmingham AL 35233 800.598.8053

Wal-Mart #0381 2720 E. Highway 190 Copperas Cove TX 76522 254.542.7697

ReCept Pharmacy #75 10412 Vista Del Sol Dr. El Paso TX 79925 915.533.0167

Pharmacare #02751 426 S. Henderson St. Fort Worth TX 76104 817.336.7281

Recept Pharmacy #1 800 8th Ave., Ste. 130 Fort Worth TX 76104 817.335.5712

Biocure 8700 Commerce Park Dr. Houston TX 77036 713.360.2100

Gulf Coast Pharmacy 6550 Mapleridge St., Ste. 222 Houston TX 77081 855.366.6110

Pharmacare #03159 6622 Fannin St. Houston TX 77030 713.383.0591

Statscript 7227 Fannin St., Ste. 103 Houston TX 77030 713.234.0045

The University of Texas MD 1515 Holcombe Blvd. Houston TX 77030 713.792.0261

H-E-B #581 2511 Trimmier Rd. Killeen TX 76541 254.634.2370

Scott and White Pharmacy-Killeen 2500 Cross Dr. Killeen TX 76543 254.953.7777

Wal-Mart #0407 1400 Lowes Blvd. Killeen TX 76542 254.526.4433

Cystic Fibrosis Services 119 Huizar Rear A San Antonio TX 78214 800.541.4959

Hill Country Pharmacy 4115 Medical Dr., Ste. 302 San Antonio TX 78229 855.433.2876

Pharmacare #02859 7950 Floyd Curl Dr. San Antonio TX 78229 210.616.0080

Acariahealth Pharmacy 2924 Telestar Ct. Falls Church VA 22042 866.920.1880

Hematology Oncology Associates 4501 Empire Ct. Fredericksburg VA 22408 540.371.0079

CVS #08938 1701 Independence Blvd. Virginia Beach VA 23455 757.460.2607

Island Drug #1145 230 SE Pioneer Way Oak Harbor WA 98277 360.675.6688

Rite Aid #5247 31645 State Route 20 Oak Harbor WA 98277 360.679.3522

Vista Oncology 141 Lilly Rd. NE Olympia WA 98506 360.413.8880

Fred Meyer Pharmacy #655 1900 SE Sedgwick Rd. Port Orchard WA 98366 360.874.7173

Pharmacare Spec Pharmacy #02926 1001 Madison St. Seattle WA 98104 206.381.1259Seattle Cancer Care Alliance 825 Eastlake Ave. E. Seattle WA 98109 206.288.1375

Medical Oncology Associates PS 6001 N. Mayfair St. Spokane WA 99208 509.462.2273

Northwest Medical Specialties 1624 S. I Street, Ste. 407 Tacoma WA 98405 253.428.8740

PHARMACY ADDRESS CITY ST ZIP PHONE

© 2014 Express Scripts Holding Company. All Rights Reserved. 14EME26540 OT45377I

This list is a representation of the multiple, high-quality, specialty pharmacy choices offered to TRICARE® beneficiaries based on the most recent claims utilization results. If you have a question as to whether a specialty pharmacy that does not appear on this list is in the network, please call 1.877.363.1303. “TRICARE” is a registered trademark of the TRICARE Management Activity. All Rights Reserved.