32
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 NA01PHD37853E_0511 ©WellCare 2011 NA_05_11

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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 NA01PHD37853E_0511©WellCare 2011 NA_05_11

IntroductionThis 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 directoryPharmacies 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 “Extended Medication Supply” 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 “24-Hour Pharmacy” 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 e-Prescribing. This means the pharmacy will accept electronic prescriptions directly from your physician’s office. Pharmacies that offer e-Prescribing are identified by “e-Prescribing” after the pharmacy’s phone number. Prior to filling your prescription, please call the pharmacy directly to confirm it offers e-Prescribing.

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

1

CHAIN PHARMACIES A and P Pharmacy

(866) 443-7374TTY Dial 711Extended Medication

Supplye-Prescribing

Accredo Health Group(866) 591-9075TTY Dial 711Extended Medication

Supplye-Prescribing

Acme Store(877) 932-7948TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Aurora Pharmacy(888) 973-8999TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Bakers Pharmacy(800) 362-2183TTY Dial 711Extended Medication

Supplye-Prescribing

Bartell Drugs(877) 227-8355TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Bashas(800) 755-7292TTY Dial 711Extended Medication

Supplye-Prescribing

Bel Air(800) RALEYSSTTY Dial 711Extended Medication

Supplye-Prescribing

Bi Lo Pharmacy(800) 724-0205TTY Dial 711Extended Medication

Supplye-Prescribing

Bi-Mart(541) 344-0681TTY Dial 711Extended Medication

Supplye-Prescribing

Big Y(413) 784-0600TTY Dial 711Extended Medication

Supply

Biggs Pharmacy(513) 248-9300TTY Dial 711Extended Medication

Supplye-Prescribing

Brookshire Brothers Pharmacy

(936) 633-4774TTY Dial 711Extended Medication

Supplye-Prescribing

Brookshires Pharmacy(903) 534-3000TTY Dial 711Extended Medication

Supplye-Prescribing

Buehler Food Markets(888) BUEHLERTTY Dial 711Extended Medication

Supplye-Prescribing

Cash Wise Foods(877) 251-5505TTY Dial 711Extended Medication

Supplye-Prescribing

City Market(877) 415-4647TTY Dial 711Extended Medication

Supplye-Prescribing

Coram Healthcare(800) 423-1411TTY Dial 711

Costco(800) 607-6861TTY Dial 711Extended Medication

Supplye-Prescribing

Critical Care Systems(603) 888-1500TTY Dial 711Extended Medication

Supply

2

CHAIN PHARMACIESCVS

(800) 746-7287TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Dillons(800) 362-2183TTY Dial 711Extended Medication

Supplye-Prescribing

Discount Drug Mart(330) 725-2340TTY Dial 711Extended Medication

Supplye-Prescribing

Dominicks Finer Foods(877) 723-3929TTY Dial 711Extended Medication

Supplye-Prescribing

Duane Reade(212) 273-5700TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Eaton Apothecary(508) 429-8506TTY Dial 711Extended Medication

Supplye-Prescribing

Econofoods(952) 832-0534TTY Dial 711Extended Medication

Supplye-Prescribing

Fagen Pharmacy(219) 987-6468TTY Dial 711Extended Medication

Supplye-Prescribing

Farm Fresh Food & Pharmacy

(800) 280-6726TTY Dial 711e-Prescribing

Food City(276) 623-5100TTY Dial 711Extended Medication

Supplye-Prescribing

Food Lion(800) 811-1748TTY Dial 711Extended Medication

Supplye-Prescribing

Fred Meyer(888) 247-4439TTY Dial 711Extended Medication

Supplye-Prescribing

Freds Pharmacy(800) 374-7417TTY Dial 711Extended Medication

Supplye-Prescribing

Fruth Pharmacy(304) 675-1612TTY Dial 711Extended Medication

Supplye-Prescribing

Genuardis(877) 723-3929TTY Dial 711Extended Medication

Supplye-Prescribing

Giant Pharmacy(888) 469-4426TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Haggen(360) 733-8720TTY Dial 711e-Prescribing

Hannaford(800) 213-9040TTY Dial 711Extended Medication

Supplye-Prescribing

Happy Harrys(800) 925-4733TTY Dial 711Extended Medication

Supplye-Prescribing

Harmons(866) 427-6661TTY Dial 711Extended Medication

Supplye-Prescribing

3

CHAIN PHARMACIESHarris Teeter

(800) 432-6111TTY Dial 711Extended Medication

Supplye-Prescribing

Homeland Pharmacy(405) 290-3000TTY Dial 711Extended Medication

Supplye-Prescribing

Ingles(828) 669-2941TTY Dial 711e-Prescribing

Kerr Drug(800) 494-3053TTY Dial 711Extended Medication

Supplye-Prescribing

King Soopers(877) 415-4647TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Kinney Drugs(800) 552-8663TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Kmart(866) 562-7848TTY Dial 711Extended Medication

Supplye-Prescribing

Kroger(866) 221-4141TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Longs Drugs(800) 746-7287TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Marc’s Pharmacy(800) 347-2401TTY Dial 711Extended Medication

Supply24-Hour Pharmacy

Marsh Supermarkets(800) 382-8798TTY Dial 711Extended Medication

Supplye-Prescribing

Medicap Pharmacy(800) 325-1397TTY Dial 711Extended Medication

Supplye-Prescribing

Medicine Shoppe(800) 325-1397TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Meijer(877) 363-4537TTY Dial 711Extended Medication

Supplye-Prescribing

Navarro Discount Pharmacy(888) 628-2770TTY Dial 711Extended Medication

Supplye-Prescribing

No Frills Supermarkets(866) 987-6453TTY Dial 711Extended Medication

Supplye-Prescribing

Osco(877) 932-7948TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Pamida(402) 339-2400TTY Dial 711Extended Medication

Supplye-Prescribing

Pathmark(866) 443-7374TTY Dial 711Extended Medication

Supplye-Prescribing

Pick N Save Pharmacy(866) 742-6728TTY Dial 711Extended Medication

Supplye-Prescribing

4

CHAIN PHARMACIESPrice Chopper

(800) 666-7667TTY Dial 711Extended Medication

Supplye-Prescribing

Publix(800) 242-1227TTY Dial 711Extended Medication

Supplye-Prescribing

Qvl Pharmacy(972) 788-2653TTY Dial 711Extended Medication

Supplye-Prescribing

Raleys(800) RALEYSSTTY Dial 711Extended Medication

Supplye-Prescribing

Ralphs(888) 437-3496TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Randalls(877) 723-3929TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Rite Aid(800) 748-3243TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Safeway(877) 723-3929TTY Dial 711Extended Medication

Supplye-Prescribing

Sams Pharmacy(888) 746-7726TTY Dial 711Extended Medication

Supplye-Prescribing

Save Mart Supermarkets(800) 692-5710TTY Dial 711Extended Medication

Supplye-Prescribing

Savon(877) 932-7948TTY Dial 711Extended Medication

Supplye-Prescribing

Schnucks(800) 264-4400TTY Dial 711Extended Medication

Supplye-Prescribing

Shop N Save(314) 984-0900TTY Dial 711Extended Medication

Supplye-Prescribing

Shopko(807) 917-333TTY Dial 711Extended Medication

Supplye-Prescribing

Shoppers Pharmacy(800) 775-9888TTY Dial 711Extended Medication

Supplye-Prescribing

Shoprite(800) 746-7748TTY Dial 711Extended Medication

Supplye-Prescribing

Snyders Drug Stores(952) 935-5441TTY Dial 711Extended Medication

Supplye-Prescribing

Stop & Shop(800) 767-7772TTY Dial 711Extended Medication

Supplye-Prescribing

Super 1 Pharmacy(903) 534-3000TTY Dial 711Extended Medication

Supplye-Prescribing

Super D Drugs(870) 535-2411TTY Dial 711Extended Medication

Supplye-Prescribing

5

CHAIN PHARMACIESSuper Fresh

(866) 443-7374TTY Dial 711Extended Medication

Supplye-Prescribing

Sweetbay(888) 218-3890TTY Dial 711Extended Medication

Supplye-Prescribing

Target(800) 440-0680TTY Dial 711Extended Medication

Supplye-Prescribing

Thrifty White Pharmacy(763) 513-4300TTY Dial 711Extended Medication

Supplye-Prescribing

Tom Thumb(877) 723-3929TTY Dial 711Extended Medication

Supplye-Prescribing

Tops Friendly Markets(800) 522-2522TTY Dial 711Extended Medication

Supply24-Hour Pharmacy

United Pharmacy(888) 791-0220TTY Dial 711Extended Medication

Supplye-Prescribing

USA Drug(870) 535-2411TTY Dial 711Extended Medication

Supplye-Prescribing

Vons(877) 723-3929TTY Dial 711Extended Medication

Supplye-Prescribing

Wal Mart(800) WALMARTTTY Dial 711Extended Medication

Supplye-Prescribing

Waldbaums(866) 443-7374TTY Dial 711Extended Medication

Supplye-Prescribing

Walgreens(800) 925-4733TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Wegmans(800) WEGMANSTTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Weis Pharmacy(570) 286-4571TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Winn Dixie(866) 946-6349TTY Dial 711Extended Medication

Supplye-Prescribing

Yokes Pharmacy(509) 921-2292TTY Dial 711Extended Medication

Supplye-Prescribing

6

MAIL-ORDER PHARMACIES Ammed Homecare Pharmacy

(615) 941-3800TTY Dial 711Extended Medication

Supply

Global Medical Direct(913) 422-1666TTY Dial 711Extended Medication

Supply

Liberty Direct Services Corp(800) 790-0330TTY Dial 711Extended Medication

Supply

Liberty Healthcare Pharmacy of Nevada

(800) 491-3276TTY Dial 711Extended Medication

Supply

Liberty Medical Supply(800) 491-3276TTY Dial 711Extended Medication

Supply

Liberty Medical Supply(800) 467-8546TTY Dial 711Extended Medication

Supplye-Prescribing

Liberty Medical Supply of Ohio

(800) 491-3276TTY Dial 711Extended Medication

Supply

Walgreens #2445(407) 351-6151TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Walgreens #3397(480) 752-8200TTY Dial 711Extended Medication

Supply24-Hour Pharmacye-Prescribing

Walgreens #5957(503) 643-8511TTY Dial 711Extended Medication

Supply

Welldynerx(888) 479-2000TTY Dial 711Extended Medication

Supplye-Prescribing

Welldynerx-Fl(888) 479-2000TTY Dial 711Extended Medication

Supplye-Prescribing

WSP Mail Order Pharmacy(866) 458-9246TTY Dial 711Extended Medication

Supplye-Prescribing

7

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 [email protected]

WellCare Specialty Pharmacy1-866-892-9006TTY 1-866-507-6135e-Prescribing

SPECIALTY PHARMACY

filler

8

RETAIL PHARMACIES

Auburn

Osco Pharmacy600 Center StAuburn, ME 04210(207) 783-8951TTY Dial 711Extended Medication

Supplye-Prescribing

Greene

Greene Village Pharmacy19B Patten RoadGreene, ME 04236(207) 946-2425TTY Dial 711Extended Medication

Supplye-Prescribing

Lewiston

Bedard Pharmacy61 College StLewiston, ME 04240(207) 786-0138TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy27 East AveLewiston, ME 04240(207) 784-6666TTY Dial 711Extended Medication

Supplye-Prescribing

Caribou

Paradis Shop N Save114 High St Pb Box 230Caribou, ME 04736(207) 498-3545TTY Dial 711Extended Medication

Supplye-Prescribing

Ft Fairfield

I Care Pharmacy227 Main StFt Fairfield, ME 04742(888) 422-7319TTY Dial 711Extended Medication

Supplye-Prescribing

Ft Kent

Paradis Shop N Save62 West Main St Suite 101Ft Kent, ME 04743(207) 834-4204TTY Dial 711Extended Medication

Supplye-Prescribing

St John Valley Pharmacy182 Market St Ste 2Ft Kent, ME 04743(207) 834-2880TTY Dial 711Extended Medication

Supplye-Prescribing

Houlton

Paradis Shop N Save33 Ludlow RDHoulton, ME 04730(207) 532-2500TTY Dial 711Extended Medication

Supplye-Prescribing

Madawaska

Madawaska Pharmacy104 Main StMadawaska, ME 04756(207) 728-7200TTY Dial 711Extended Medication

Supplye-Prescribing

Mars Hill

Mars Hill Pharmacy106 Main StMars Hill, ME 04758(207) 425-4431TTY Dial 711Extended Medication

Supplye-Prescribing

Presque Isle

City Drug Store172 Academy StPresque Isle, ME 04769(207) 764-4424TTY Dial 711Extended Medication

Supplye-Prescribing

MAINEAndroscoggin County

Aroostook County

9

RETAIL PHARMACIES

Presque Isle Cont

Presque Isle Pharmacy797 Main StPresque Isle, ME 04769(207) 760-9100TTY Dial 711Extended Medication

Supplye-Prescribing

Van Buren

Hebert Rexall Pharmacy74 Main StVan Buren, ME 04785(207) 868-2242TTY Dial 711Extended Medication

Supplye-Prescribing

Brunswick

Osco Pharmacy147 Bath RDBrunswick, ME 04011(207) 721-0900TTY Dial 711Extended Medication

Supplye-Prescribing

Freeport

Osco Pharmacy200 Lower Main StFreeport, ME 04032(207) 865-0205TTY Dial 711Extended Medication

Supplye-Prescribing

Gorham

Community Pharmacy-Gorham

365 Main StGorham, ME 04038(207) 839-7892TTY Dial 711Extended Medication

Supplye-Prescribing

Portland

Apothecary By Design Specialty and Retail

84 Marginal Way Suite 100Portland, ME 04101(207) 774-5220TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy91 Auburn St Northgate

Shopping CtrPortland, ME 04103(207) 797-0536TTY Dial 711Extended Medication

Supplye-Prescribing

Portland Pharmacy I331 Veranda StPortland, ME 04103(207) 791-3756TTY Dial 711

S Portland

Ascend Specialty RX53 Darling AveS Portland, ME 04106(207) 874-6991TTY Dial 711Extended Medication

Supply

Scarborough

Osco Pharmacy417 Payne RDScarborough, ME 04074(207) 510-3005TTY Dial 711Extended Medication

Supplye-Prescribing

Westbrook

Osco Pharmacy31 Main StWestbrook, ME 04092(207) 857-9298TTY Dial 711Extended Medication

Supplye-Prescribing

Jay

Spruce Mountain Pharmacy3 Tweedie StreetJay, ME 04239(207) 897-9080TTY Dial 711Extended Medication

Supplye-Prescribing

MAINE ContAroostook County Cont

Cumberland County

Franklin County

10

RETAIL PHARMACIES

Bar Harbor

West End Drug Company105 Main StBar Harbor, ME 04609(207) 288-3318TTY Dial 711Extended Medication

Supplye-Prescribing

Blue Hill

Community Pharmacy-Blue Hill

15 South StBlue Hill, ME 04614(207) 374-3707TTY Dial 711Extended Medication

Supplye-Prescribing

Bucksport

Community Pharmacy-Bucksport

75 Main StBucksport, ME 04416(207) 469-7030TTY Dial 711Extended Medication

Supplye-Prescribing

Ellsworth

Osco Pharmacy175 High StEllsworth, ME 04605(207) 669-3005TTY Dial 711Extended Medication

Supplye-Prescribing

Southwest Harbor

Carroll Drug Store3 Village Green Way PO Box

1306Southwest Harbor, ME

04679(207) 244-5588TTY Dial 711Extended Medication

Supplye-Prescribing

Stonington

V and S Pharmacy3 Burnt Cove RDStonington, ME 04681(207) 367-5107TTY Dial 711Extended Medication

Supplye-Prescribing

Albion

Central Maine Pharmacy18 China RoadAlbion, ME 04910(207) 437-7777TTY Dial 711Extended Medication

Supplye-Prescribing

Augusta

Kennebec Pharmacy and Home Care

43 Leighton RDAugusta, ME 04330(207) 626-2726TTY Dial 711

Mvh Pharmacy5 Community Dr Ste 3Augusta, ME 04330(207) 622-0075TTY Dial 711

Osco Pharmacy150 Western AveAugusta, ME 04330(207) 626-0364TTY Dial 711Extended Medication

Supplye-Prescribing

Oakland

Oakland Pharmacy54 Main StreetOakland, ME 04963(207) 465-4440TTY Dial 711Extended Medication

Supplye-Prescribing

Randolph

Community Pharmacy-Randolph

268 Water StRandolph, ME 04346(207) 588-2482TTY Dial 711Extended Medication

Supplye-Prescribing

Waterville

Osco Pharmacy251 Kennedy Memorial DrWaterville, ME 04901(207) 680-3001TTY Dial 711Extended Medication

Supplye-Prescribing

MAINE ContHancock County

Kennebec County

11

RETAIL PHARMACIES

Winslow

Winslow Pharmacy20 Garland RDWinslow, ME 04901(207) 872-7979TTY Dial 711Extended Medication

Supplye-Prescribing

Rockland

Jensen’s Pharmacy91 Camden St Ste 105Rockland, ME 04841(207) 593-7922TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy235 Camden StRockland, ME 04841(207) 594-8070TTY Dial 711Extended Medication

Supplye-Prescribing

Rockport

Kennebec Phcy and Home Care

839 Commercial StRockport, ME 04856(207) 594-0888TTY Dial 711Extended Medication

Supplye-Prescribing

Penobscot Bay Med Center Phcy

6 Glen Cove DrRockport, ME 04856(207) 596-8585TTY Dial 711Extended Medication

Supplye-Prescribing

Damariscotta

Waltz Pharmacy167 Main StDamariscotta, ME 04543(207) 563-3128TTY Dial 711Extended Medication

Supplye-Prescribing

Waldoboro

Waltz Pharmacy5 Friendship StWaldoboro, ME 04572(207) 832-5511TTY Dial 711Extended Medication

Supplye-Prescribing

Bangor

Miller Drug Riverside431 State StBangor, ME 04401(207) 973-8888TTY Dial 711Extended Medication

Supplye-Prescribing

Miller Drug State Street210 State StBangor, ME 04401(207) 947-8369TTY Dial 711Extended Medication

Supplye-Prescribing

Miller Drug Westgate915 Union St Ste 7Bangor, ME 04401(207) 973-6788TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy353 Main StBangor, ME 04401(207) 945-6550TTY Dial 711Extended Medication

Supplye-Prescribing

Penobscot Community Health Center

1012 Union St Ste 1Bangor, ME 04401(207) 992-4100TTY Dial 711e-Prescribing

Brewer

Brewer Medical Center Pharmacy

735 Wilson StBrewer, ME 04412(207) 992-4100TTY Dial 711e-Prescribing

MAINE ContKennebec County Cont

Knox County

Lincoln County

Penobscot County

12

RETAIL PHARMACIES

Brewer Cont

Miller Drug Whiting Hill33 Whiting Hill RD Ste 4Brewer, ME 04412(207) 973-9444TTY Dial 711Extended Medication

Supplye-Prescribing

Corinth

Community Pharmacy-Corinth

689 Main StCorinth, ME 04427(207) 285-7289TTY Dial 711Extended Medication

Supplye-Prescribing

Dexter

Community Pharmacy-Dexter

37 Church StDexter, ME 04930(207) 924-6259TTY Dial 711Extended Medication

Supplye-Prescribing

E Millinocket

Davis Pharmacy59 Main StE Millinocket, ME 04430(207) 746-3721TTY Dial 711Extended Medication

Supplye-Prescribing

Indian Island

Penobscot Nation Hlth Departmnt

23 Wabanaki WayIndian Island, ME 04468(207) 817-7400TTY Dial 711e-Prescribing

Newport

Community Pharmacy-Newport

44 Moosehead TrailNewport, ME 04953(207) 368-5230TTY Dial 711Extended Medication

Supplye-Prescribing

Old Town

Helen Hunt Health Center Pharmacy

242 Brunswick StOld Town, ME 04468(207) 945-5247TTY Dial 711Extended Medication

Supplye-Prescribing

Orono

Orono Pharmacy16 Mill StOrono, ME 04473(207) 866-3800TTY Dial 711Extended Medication

Supply

Patten

Patten Drug Company20 Main StPatten, ME 04765(207) 528-2244TTY Dial 711Extended Medication

Supplye-Prescribing

Dover Foxcroft

Osco Pharmacy1073 W Main St Suite 9Dover Foxcroft, ME 04426(207) 564-2857TTY Dial 711Extended Medication

Supplye-Prescribing

Bath

Wilsons Drug Store114 Front StBath, ME 04530(207) 442-8786TTY Dial 711Extended Medication

Supplye-Prescribing

Bingham

E W Moore and Son Pharmacy

337 Main StBingham, ME 04920(207) 672-3312TTY Dial 711Extended Medication

Supplye-Prescribing

MAINE ContPenobscot County Cont

Piscataquis County

Sagadahoc County

Somerset County

13

RETAIL PHARMACIES

Fairfield

Fairfield Pharmacy66 Western AveFairfield, ME 04937(207) 453-4411TTY Dial 711Extended Medication

Supplye-Prescribing

Madison

Taylor’s Drug Store2 Old Point AveMadison, ME 04950(207) 696-3935TTY Dial 711Extended Medication

Supplye-Prescribing

Pittsfield

Community Pharmacy-Pittsfield

101 Somerset PlzPittsfield, ME 04967(207) 621-0698TTY Dial 711Extended Medication

Supplye-Prescribing

Skowhegan

Variety Drug78 Water StSkowhegan, ME 04976(207) 474-3393TTY Dial 711Extended Medication

Supplye-Prescribing

Unity

Unity Pharmacy33 Plaza DrUnity, ME 04988(207) 948-3950TTY Dial 711Extended Medication

Supplye-Prescribing

Calais

Treworgy Pharmacy333 Main StCalais, ME 04619(207) 454-3100TTY Dial 711Extended Medication

Supplye-Prescribing

Marshfield

Machias Friendly Pharmacy8 Old Country RDMarshfield, ME 04654(207) 255-6400TTY Dial 711Extended Medication

Supplye-Prescribing

Milbridge

Milbridge Pharmacy11 Main StreetMilbridge, ME 04658(207) 546-2304TTY Dial 711

Perry

Pleasant Point Health Center Pharmacy

11 Back RoadPerry, ME 04667(207) 853-2389TTY Dial 711Extended Medication

Supply

Princeton

Indian Township Health Center

401 Peter Dana Point RD.Princeton, ME 04668(207) 796-2322TTY Dial 711Extended Medication

Supplye-Prescribing

Berwick

York Hosp Berwick Phcy4 Dana DrBerwick, ME 03901(207) 698-6740TTY Dial 711Extended Medication

Supplye-Prescribing

Biddeford

Osco Pharmacy510 Alfred RDBiddeford, ME 04005(207) 286-9315TTY Dial 711Extended Medication

Supplye-Prescribing

MAINE ContSomerset County Cont

Waldo County

Washington County

York County

14

RETAIL PHARMACIES

Biddeford Cont

Southern Maine Medical Center

1 Medical Center DrBiddeford, ME 04005(207) 283-7233TTY Dial 711e-Prescribing

Cornish

Community Pharmacy-Cornish

200 Maple St Unit 3Cornish, ME 04020(207) 625-8050TTY Dial 711Extended Medication

Supplye-Prescribing

East Waterboro

Good For All Pharmacy10 Goodall Dr Ste 800East Waterboro, ME 04030(207) 247-4000TTY Dial 711Extended Medication

Supplye-Prescribing

Kennebunk

Kennebunk Good For All Pharmacy

7 Shape DriveKennebunk, ME 04043(207) 985-9400TTY Dial 711Extended Medication

Supplye-Prescribing

Kennebunk Village Pharmacy

18 Blue Wave Professional Center

Kennebunk, ME 04043(207) 985-1755TTY Dial 711e-Prescribing

Kennebunkport

Colonial Pharmacy40 Dock SquareKennebunkport, ME 04046(207) 967-4442TTY Dial 711e-Prescribing

Saco

Community Pharmacy-Saco244 Main StSaco, ME 04072(207) 283-2792TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy4 Scammon St Suite 12Saco, ME 04072(207) 284-9955TTY Dial 711Extended Medication

Supplye-Prescribing

Sanford

June St Pharmacy25A June StSanford, ME 04073(207) 490-7947TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy1364 Main StSanford, ME 04073(207) 490-3562TTY Dial 711Extended Medication

Supplye-Prescribing

South Berwick

South Berwick Pharmacy289 Main StSouth Berwick, ME 03908(207) 384-2772TTY Dial 711

York

York Hospital Apothecary15 Hospital DrYork, ME 03909(207) 351-2150TTY Dial 711Extended Medication

Supplye-Prescribing

Gilford

Osco Pharmacy1400 Lakeshore DrGilford, NH 03249(603) 524-5240TTY Dial 711Extended Medication

Supplye-Prescribing

MAINE ContYork County Cont

NEW HAMPSHIREBelknap County

15

RETAIL PHARMACIES

Laconia

The Pharmacy Center724 N Main StLaconia, NH 03246(603) 524-5064TTY Dial 711e-Prescribing

Tilton

Osco Pharmacy75 Laconia RDTilton, NH 03276(603) 286-7305TTY Dial 711Extended Medication

Supplye-Prescribing

Center Conway

Osco Pharmacy1150 Eastman RDCenter Conway, NH 03813(603) 356-5888TTY Dial 711Extended Medication

Supplye-Prescribing

Wolfeboro Falls

Care Pharmacy36 Center StWolfeboro Falls, NH 03896(603) 515-1213TTY Dial 711Extended Medication

Supplye-Prescribing

Keene

The Apothecary35 Main StKeene, NH 03431(603) 357-0200TTY Dial 711

Enfield

Family Pharmacy Prof Assoc505 US Route 4Enfield, NH 03748(603) 632-5720TTY Dial 711Extended Medication

Supplye-Prescribing

Hanover

Dick Halls House Phcy5 Rope Ferry RoadHanover, NH 03755(603) 650-9456TTY Dial 711

Eastmans Pharmacy22 S Main StHanover, NH 03755(603) 643-4112TTY Dial 711Extended Medication

Supplye-Prescribing

Lebanon

Dartmouth Hitchcock Phcy1 Medical Center DrLebanon, NH 03756(603) 653-3788TTY Dial 711Extended Medication

Supplye-Prescribing

Littleton

Osco Pharmacy625 Meadow StLittleton, NH 03561(603) 444-6673TTY Dial 711Extended Medication

Supplye-Prescribing

Plymouth

Oliver Drug103 Boulder Point DrPlymouth, NH 03264(603) 536-1086TTY Dial 711Extended Medication

Supplye-Prescribing

Goffstown

Howes Pharmacy39 Main StreetGoffstown, NH 03045(603) 497-4771TTY Dial 711Extended Medication

Supplye-Prescribing

NEW HAMPSHIRE ContBelknap County Cont

Carroll County

Cheshire County

Grafton County

Hillsborough County

16

RETAIL PHARMACIES

Gofftown

Osco Pharmacy553 Mast RDGofftown, NH 03045(603) 668-6761TTY Dial 711Extended Medication

Supplye-Prescribing

Hillsborough

Osco Pharmacy276 W Main StHillsborough, NH 03244(603) 464-4133TTY Dial 711Extended Medication

Supplye-Prescribing

Hollis

Hollis Pharmacy6 Ash StHollis, NH 03049(603) 465-7100TTY Dial 711Extended Medication

Supply

Manchester

Kens Pharmacy36 Elm StManchester, NH 03101(603) 623-2813TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy375 S Willow StManchester, NH 03103(603) 627-2564TTY Dial 711Extended Medication

Supplye-Prescribing

Merrimack

Osco Pharmacy570 Daniel Webster HwyMerrimack, NH 03054(603) 424-4519TTY Dial 711Extended Medication

Supplye-Prescribing

Osco Pharmacy7 Continental BlvdMerrimack, NH 03054(603) 429-0759TTY Dial 711Extended Medication

Supplye-Prescribing

Nashua

Osco Pharmacy300 Main StNashua, NH 03060(603) 579-5445TTY Dial 711Extended Medication

Supplye-Prescribing

Rices Pharmacy59 Main StNashua, NH 03064(603) 882-5153TTY Dial 711Extended Medication

Supplye-Prescribing

St Joseph Healthcare Retail Phcy

172 Kinsley StNashua, NH 03060(603) 595-3090TTY Dial 711Extended Medication

Supply

Wingates Pharmacy129 Main StNashua, NH 03060(603) 882-9733TTY Dial 711Extended Medication

Supplye-Prescribing

Allenstown

Pharmacy Express68 School StAllenstown, NH 03275(603) 485-4000TTY Dial 711Extended Medication

Supplye-Prescribing

NEW HAMPSHIRE ContHillsborough County Cont

Merrimack County

17

RETAIL PHARMACIES

Concord

Modern Pharmacy5 Clinton StConcord, NH 03301(603) 224-3715TTY Dial 711Extended Medication

Supply

Osco Pharmacy246 Loudon RDConcord, NH 03301(603) 228-2279TTY Dial 711Extended Medication

Supplye-Prescribing

The Medicine Store74 S Main StConcord, NH 03301(603) 225-2747TTY Dial 711

The Prescription Center125 N Main StConcord, NH 03301(603) 224-9591TTY Dial 711e-Prescribing

The Prescription Center246 Pleasant St Ste 100Concord, NH 03301(603) 226-4848TTY Dial 711e-Prescribing

Contoocook

Colonial Village54 Park Ave PlazaContoocook, NH 03229(603) 746-4600TTY Dial 711e-Prescribing

Epsom

Care Pharmacy of Epsom1912 Dover Epson Traffic

CircleEpsom, NH 03234(603) 736-9308TTY Dial 711Extended Medication

Supplye-Prescribing

Henniker

Henniker PharmacyProctor SquareHenniker, NH 03242(603) 428-3456TTY Dial 711Extended Medication

Supplye-Prescribing

New London

Colonial Pharmacy247 Newport RDNew London, NH 03257(603) 526-2233TTY Dial 711Extended Medication

Supply

Penacook

Fisherville Pharmacy219 Fisherville RDPenacook, NH 03303(603) 565-0210TTY Dial 711Extended Medication

Supplye-Prescribing

Penacook Pharmacy305 Village StPenacook, NH 03303(603) 753-6391TTY Dial 711Extended Medication

Supplye-Prescribing

Warner

Warner Pharmacy11 E. Main StWarner, NH 03278(603) 456-3556TTY Dial 711Extended Medication

Supplye-Prescribing

Derry

Osco Pharmacy55 Crystal AveDerry, NH 03038(603) 437-9654TTY Dial 711Extended Medication

Supplye-Prescribing

NEW HAMPSHIRE ContMerrimack County Cont

Rockingham County

18

RETAIL PHARMACIES

Londonderry

Osco PharmacyRt 102 Old Orchard View DrLondonderry, NH 03053(603) 437-6933TTY Dial 711Extended Medication

Supplye-Prescribing

Portsmouth

Martins Point Portsmouth Pharmacy

161 Corporate DrPortsmouth, NH 03801(800) 222-5154TTY Dial 711

Salem

Azar A Korbey MD22 Main StreetSalem, NH 03079(603) 893-7905TTY Dial 711

Stratham

Osco Pharmacy100 Shaws LnStratham, NH 03885(603) 773-5992TTY Dial 711Extended Medication

Supplye-Prescribing

Windham

Osco Pharmacy43 Indian Rock RDWindham, NH 03087(603) 437-3481TTY Dial 711Extended Medication

Supplye-Prescribing

Dover

Care Pharmacy of Dover118 Central AveDover, NH 03820(603) 742-3995TTY Dial 711Extended Medication

Supplye-Prescribing

Rochester

Care Pharmacy of Rochester

161 S Main StRochester, NH 03867(603) 332-6200TTY Dial 711Extended Medication

Supplye-Prescribing

Somersworth

Care Pharmacy8 Somersworth PlzSomersworth, NH 03878(603) 692-3227TTY Dial 711Extended Medication

Supply

Claremont

Bannon Pharmacy109 Pleasant StClaremont, NH 03743(603) 542-7722TTY Dial 711Extended Medication

Supplye-Prescribing

Newport

Sugar River Pharmacy46 John Stark Hwy Sugar

River PlazaNewport, NH 03773(603) 863-4111TTY Dial 711Extended Medication

Supplye-Prescribing

Z Pharmacy239 Sunapee St.Newport, NH 03773(603) 865-1800TTY Dial 711Extended Medication

Supplye-Prescribing

NEW HAMPSHIRE ContRockingham County Cont

Strafford County

Sullivan County

19

HOME INFUSION PHARMACIESWellCare 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.

Portland

New England Life Care108 A Industrial WayPortland, ME 04103(800) 439-7969TTY Dial 711

S Portland

Critical Care Systems10 Donald B Dean DrS Portland, ME 04106(207) 775-3600TTY Dial 711

Yarmouth

Apria Healthcare14 Yarmouth JunctionYarmouth, ME 04096(207) 846-8543TTY Dial 711

Augusta

Kennebec Pharmacy and Home Care

43 Leighton RDAugusta, ME 04330(207) 626-2726TTY Dial 711

Bedford

Critical Care Systems10 Commerce Park North 4Bedford, NH 03110(603) 625-8880TTY Dial 711

Concord

New England Life Care41 C Terrill Park DrConcord, NH 03301(800) 338-8022TTY Dial 711

MAINECumberland County

Kennebec County

NEW HAMPSHIREHillsborough County

Merrimack County

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.

20

LONG-TERM CARE PHARMACIES

Lewiston

Bedard Long Term Care Pharmacy

5 Horton StLewiston, ME 04240(207) 786-0139TTY Dial 711e-Prescribing

Medicine Shoppe Pharmacy373 Sabattus StLewiston, ME 04240(207) 783-3539TTY Dial 711e-Prescribing

Ft Kent

St John Valley LTC182 Market St Ste 3Ft Kent, ME 04743(207) 834-2880TTY Dial 711e-Prescribing

Mars Hill

Mars Hill Pharmacy106 Main StMars Hill, ME 04758(207) 425-4431TTY Dial 711e-Prescribing

Presque Isle

City Drug Store172 Academy StPresque Isle, ME 04769(207) 764-4424TTY Dial 711e-Prescribing

Van Buren

Hebert Rexall Pharmacy74 Main StVan Buren, ME 04785(207) 868-2242TTY Dial 711e-Prescribing

Portland

Pharmerica97 McAlister Farm RoadPortland, ME 04103(207) 775-0631TTY Dial 711

Westbrook

Omnicare of Maine39 Eisenhower DrWestbrook, ME 04092(207) 854-6400TTY Dial 711

Augusta

Mvh Pharmacy5 Community Dr Ste 3Augusta, ME 04330(207) 622-0075TTY Dial 711

Bangor

Miller Drug LTC208 State StBangor, ME 04401(207) 992-4458TTY Dial 711e-Prescribing

Greenville

Harris Drug10 Pritham AveGreenville, ME 04441(207) 695-2921TTY Dial 711e-Prescribing

Topsham

Waltz Long Term Care Pharmacy

605 Lewiston RDTopsham, ME 04086(207) 373-9077TTY Dial 711

Effingham

Lakeview Pharmacy244 Highwatch RDEffingham, NH 03882(603) 539-8780TTY Dial 711

MAINEAndroscoggin County

Aroostook County

Cumberland County

Kennebec County

Penobscot County

Piscataquis County

Sagadahoc County

NEW HAMPSHIRECarroll County

21

LONG-TERM CARE PHARMACIES

Lebanon

Alice Peck Day Mem Hosp Phcy

125 Mascoma StLebanon, NH 03766(603) 448-3121TTY Dial 711

Concord

Northeast Pharmacy Services

125 North Main StConcord, NH 03301(603) 226-8686TTY Dial 711e-Prescribing

Pharmerica38 Locke Road Unit 3Concord, NH 03301(603) 223-0380TTY Dial 711

Derry

QOL Meds10 Tsienneto RDDerry, NH 03038(603) 965-0255TTY Dial 711e-Prescribing

Londonderry

Omnicare of New Hampshire

23 South Perimeter RDLondonderry, NH 03053(603) 625-6406TTY Dial 711

NEW HAMPSHIRE ContGrafton County

Merrimack County

Rockingham County

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

INDIAN HEALTH SERVICE/TRIBAL/URBAN INDIAN HEALTH PROGRAM(I/T/U) PHARMACIES

P.O. Box 31389 | Tampa, FL 33631-33891-888-550-5252 | 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.

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