21
Y0022_PDP_2013_1080_1413_FINAL approved 7/2012 VP-Rg29 Last Update: 08/2012 DIR-13-VAL-R29 First Health Part D Value Plus (PDP) Pharmacy Directory This booklet provides a list of First Health Part D Value Plus’s network pharmacies. This directory is for Nevada. We also list pharmacies that are in our network but are outside Nevada. Please contact First Health Part D Value Plus at 1-866-865-0662, 24 hours a day, 7 days a week, 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 First Health Part D Value Plus’s network pharmacies in your area, please visit our Web site at www.PharmacyLocator.coventry-medicare.com or call our Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. (TTY/TDD Users should call 711 for Telecommunications Relay Services.) Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2014. A Medicare-approved Part D Sponsor This document is available in different formats and languages, including Spanish and Braille. Please call 1-866-865-0662 (TTY/TDD users only: 711 Telecommunications Relay Services), 24 hours a day, 7 days a week if you need plan information in another format. Este documento está disponible en diversos formatos e idiomas, incluyendo español y Braille. Por favor número 1-866-865-0662 (Usuarios de TTY/TDD solamente: 711 telecomunicaciones retransmiten servicio), 24 horas al día, 7 días a la semana si usted necesita la información del plan en otro formato.

Guide to the MYP Personal Project - - H-SPHERE

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Guide to the MYP Personal Project -   - H-SPHERE

Y0022_PDP_2013_1080_1413_FINAL approved 7/2012 VP-Rg29 Last Update: 08/2012 DIR-13-VAL-R29

First Health Part D Value Plus (PDP)

Pharmacy Directory This booklet provides a list of First Health Part D Value Plus’s network pharmacies. This directory is for Nevada. We also list pharmacies that are in our network but are outside Nevada. Please contact First Health Part D Value Plus at 1-866-865-0662, 24 hours a day, 7 days a week, 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 First Health Part D Value Plus’s network pharmacies in your area, please visit our Web site at www.PharmacyLocator.coventry-medicare.com or call our Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. (TTY/TDD Users should call 711 for Telecommunications Relay Services.) Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2014. A Medicare-approved Part D Sponsor This document is available in different formats and languages, including Spanish and Braille. Please call 1-866-865-0662 (TTY/TDD users only: 711 Telecommunications Relay Services), 24 hours a day, 7 days a week if you need plan information in another format. Este documento está disponible en diversos formatos e idiomas, incluyendo español y Braille. Por favor número 1-866-865-0662 (Usuarios de TTY/TDD solamente: 711 telecomunicaciones retransmiten servicio), 24 horas al día, 7 días a la semana si usted necesita la información del plan en otro formato.

Page 2: Guide to the MYP Personal Project -   - H-SPHERE

2

Introduction This booklet provides a list of First Health Part D Value Plus’s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and First Health Part D Value Plus’s formulary. If you have additional questions, please call our Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 for Telecommunications Relay Services. Or, visit www.FirstHealthPartD.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 First Health Part D Value Plus. In most cases, your prescriptions are covered under First Health Part D Value Plus only if they are filled at a network pharmacy. 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 network pharmacies with 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.

First Health Part D Value Plus’s Network Pharmacies To choose a pharmacy to meet your needs, first select the type of pharmacy, found at the top of each page, then look for the state, county, city and pharmacy name. This directory of network pharmacies is divided into sections by pharmacy type. The pharmacy types are: • Preferred Retail and Chain Pharmacies • Non-Preferred Chain Pharmacies • Non-Preferred Retail Pharmacies • Home Infusion Pharmacies • Long Term Care Pharmacies • Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) All pharmacies listed in this directory are available to all enrolled Members.

Page 3: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 3

This section provides a list of First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies. Preferred Retail and Chain Pharmacies are pharmacies in our network where the plan has negotiated lower cost sharing for members for covered drugs than at non-preferred pharmacies. However, you will usually have lower drug prices at non-preferred pharmacies than at out-of-network pharmacies. 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. Please contact Customer Service at the telephone numbers listed on page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com. Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach a pharmacy by dialing 711.

SMITHS PHARMACY #356* 599 E WILLIAM ST CARSON CITY, NV, 89701 (775) 885-9928

WAL-MART PHARMACY #10-3408* 3200 MARKET ST CARSON CITY, NV, 89706 (775) 883-6535

WALGREENS #4788* 1465 E WILLIAM ST CARSON CITY, NV, 89701 (775) 841-2790

WAL-MART PHARMACY #10-2453* 2333 RENO HWY FALLON, NV, 89406 (775) 428-1710

WALGREENS #9581* 2020 RENO HWY FALLON, NV, 89406 (775) 428-6409

K MART PHARMACY #3857* 732 S RACETRACK RD HENDERSON, NV, 89015 (702) 565-7446

K MART PHARMACY #9819* 10405 S EASTERN AVE HENDERSON, NV, 89052 (702) 407-9011

SMITHS PHARMACY #346* 10616 S EASTERN AVE HENDERSON, NV, 89052 (702) 614-8674

SMITHS PHARMACY #348* 1000 N GREEN VALLEY PKWY HENDERSON, NV, 89074 (702) 260-0065

SMITHS PHARMACY #350* 4600 E SUNSET RD HENDERSON, NV, 89014 (702) 451-0468

SMITHS PHARMACY #366* 55 S VALLE VERDE DR HENDERSON, NV, 89012 (702) 837-6117

SMITHS PHARMACY #381* 830 S BOULDER HWY HENDERSON, NV, 89015 (702) 565-6466

TARGET #T-0680* 605 N STEPHANIE ST HENDERSON, NV, 89014 (702) 451-0034

TARGET #T-2404* 350 W LAKE MEAD PKWY HENDERSON, NV, 89015 (702) 216-1901

TARGET #T-2568* 695 S GREEN VALLEY PKWY HENDERSON, NV, 89052 (702) 216-7101

WAL-MART PHARMACY #10-2050* 300 E LAKE MEAD PKWY HENDERSON, NV, 89015 (702) 564-5776

WAL-MART PHARMACY #10-2838* 540 MARKS ST HENDERSON, NV, 89014 (702) 547-4904

HENDERSON CLARK COUNTY

FALLON CHURCHILL COUNTY

CARSON CITY CARSON CITY COUNTY

NEVADA

Page 4: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

4

WAL-MART PHARMACY #10-3354* 1401 AMERICAN PACIFIC DR HENDERSON, NV, 89074 (702) 564-2960

WALGREENS #11444* 611 MALL RING CIR HENDERSON, NV, 89014 (702) 433-0144

WALGREENS #3871* 1701 N GREEN VALLEY PKWY HENDERSON, NV, 89074 (702) 897-5884

WALGREENS #5369* 1500 S BOULDER HWY HENDERSON, NV, 89015 (702) 567-5454

WALGREENS #5862* 401 N ARROYO GRANDE BLVD HENDERSON, NV, 89014 (702) 436-7106

WALGREENS #6424* 1360 W HORIZON RIDGE PKWY HENDERSON, NV, 89012 (702) 568-9459

WALGREENS #6545* 11001 S EASTERN AVE HENDERSON, NV, 89052 (702) 948-8355

WALGREENS #6615* 601 S GREEN VALLEY PKWY HENDERSON, NV, 89052 (702) 896-2956

WALGREENS #7032* 2451 HAMPTON RD HENDERSON, NV, 89052 (702) 614-8292

WALGREENS #7164* 101 E LAKE MEAD PKWY HENDERSON, NV, 89015 (702) 566-9706

K MART PHARMACY #3592* 5051 E BONANZA RD LAS VEGAS, NV, 89110 (702) 459-1003

K MART PHARMACY #3680* 3760 E SUNSET RD LAS VEGAS, NV, 89120 (702) 458-4004

K MART PHARMACY #3719* 4500 N RANCHO DR LAS VEGAS, NV, 89130 (702) 658-5981

K MART PHARMACY #4369* 2975 E SAHARA AVE LAS VEGAS, NV, 89104 (702) 457-8325

K MART PHARMACY #9389* 7501 W WASHINGTON AVE LAS VEGAS, NV, 89128 (702) 255-1421

SAM'S CLUB PHARMACY # 4983* 7100 ARROYO CROSSING PKWY LAS VEGAS, NV, 89113 (702) 260-9003

SAM'S CLUB PHARMACY # 6257* 8080 W TROPICAL PKWY LAS VEGAS, NV, 89149 (702) 515-7214

SAM'S CLUB PHARMACY # 6261* 1910 E SERENE AVE LAS VEGAS, NV, 89123 (702) 614-3387

SAM'S CLUB PHARMACY # 6382* 7175 SPRING MOUNTAIN RD LAS VEGAS, NV, 89117 (702) 247-1129

SAM'S CLUB PHARMACY # 8177* 5101 S PECOS RD LAS VEGAS, NV, 89120 (702) 456-6171

SMITHS PHARMACY #311* 8050 S RAINBOW BLVD LAS VEGAS, NV, 89139 (702) 294-7202

SMITHS PHARMACY #332* 7130 N DURANGO DR LAS VEGAS, NV, 89149 (702) 647-2799

SMITHS PHARMACY #347* 9851 W CHARLESTON BLVD LAS VEGAS, NV, 89117 (702) 946-1204

SMITHS PHARMACY #349* 10100 W TROPICANA AVE LAS VEGAS, NV, 89147 (702) 220-7911

SMITHS PHARMACY #351* 6130 W TROPICANA AVE LAS VEGAS, NV, 89103 (702) 871-6550

SMITHS PHARMACY #354* 3850 E FLAMINGO RD LAS VEGAS, NV, 89121 (702) 451-5536

SMITHS PHARMACY #355* 450 N NELLIS BLVD LAS VEGAS, NV, 89110 (702) 452-0224

SMITHS PHARMACY #358* 2540 S MARYLAND PKWY LAS VEGAS, NV, 89109 (702) 791-0517

LAS VEGAS

Page 5: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 5

SMITHS PHARMACY #363* 4015 S BUFFALO DR LAS VEGAS, NV, 89147 (702) 876-3215

SMITHS PHARMACY #364* 10600 SOUTHERN HIGHLANDS PKWY LAS VEGAS, NV, 89141 (702) 254-0823

SMITHS PHARMACY #365* 6150 W FLAMINGO RD LAS VEGAS, NV, 89103 (702) 876-8753

SMITHS PHARMACY #370* 3160 N RAINBOW BLVD LAS VEGAS, NV, 89108 (702) 658-3870

SMITHS PHARMACY #371* 8555 W SAHARA AVE LAS VEGAS, NV, 89117 (702) 341-8181

SMITHS PHARMACY #372* 1421 N JONES BLVD LAS VEGAS, NV, 89108 (702) 631-6745

SMITHS PHARMACY #376* 2385 E WINDMILL LN LAS VEGAS, NV, 89123 (702) 837-0821

SMITHS PHARMACY #377* 850 S RANCHO DR LAS VEGAS, NV, 89106 (702) 878-7414

SMITHS PHARMACY #383* 4440 N RANCHO DR LAS VEGAS, NV, 89130 (702) 645-6200

SMITHS PHARMACY #385* 2211 N RAMPART BLVD LAS VEGAS, NV, 89128 (702) 256-1984

SMITHS PHARMACY #394* 9750 S MARYLAND PKWY LAS VEGAS, NV, 89183 (702) 617-1074

SMITHS PHARMACY #396* 9350 W FLAMINGO RD LAS VEGAS, NV, 89147 (702) 240-7055

SMITHS PHARMACY #399* 4840 W DESERT INN RD LAS VEGAS, NV, 89102 (702) 248-1854

TARGET #T-0263* 278 S DECATUR BLVD LAS VEGAS, NV, 89107 (702) 878-0400

TARGET #T-0265* 4001 S MARYLAND PKWY LAS VEGAS, NV, 89119 (702) 732-1840

TARGET #T-0826* 3210 N TENAYA WAY LAS VEGAS, NV, 89129 (702) 396-7840

TARGET #T-0850* 3550 S RAINBOW BLVD LAS VEGAS, NV, 89103 (702) 252-4600

TARGET #T-1171* 9725 S EASTERN AVE LAS VEGAS, NV, 89183 (702) 914-9715

TARGET #T-1207* 8750 W CHARLESTON BLVD LAS VEGAS, NV, 89117 (702) 933-2315

TARGET #T-1462* 6480 SKY POINTE DR LAS VEGAS, NV, 89131 (702) 656-4791

TARGET #T-1524* 4155 S GRAND CANYON DR LAS VEGAS, NV, 89147 (702) 251-1450

TARGET #T-2164* 4100 BLUE DIAMOND RD LAS VEGAS, NV, 89139 (702) 266-8050

TARGET #T-2569* 6371 N DECATUR BLVD LAS VEGAS, NV, 89130 (702) 515-8541

WAL-MART PHARMACY #10-1559* 201 N NELLIS BLVD LAS VEGAS, NV, 89110 (702) 452-8118

WAL-MART PHARMACY #10-1560* 6005 S EASTERN AVE LAS VEGAS, NV, 89119 (702) 451-0774

WAL-MART PHARMACY #10-1584* 3615 S RAINBOW BLVD LAS VEGAS, NV, 89103 (702) 367-6113

WAL-MART PHARMACY #10-1838* 3041 N RAINBOW BLVD LAS VEGAS, NV, 89108 (702) 656-7331

WAL-MART PHARMACY #10-2593* 2310 E SERENE AVE LAS VEGAS, NV, 89123 (702) 270-7837

WAL-MART PHARMACY #10-2837* 4350 N NELLIS BLVD LAS VEGAS, NV, 89115 (702) 643-2023

WAL-MART PHARMACY #10-2884* 8060 W TROPICAL PKWY LAS VEGAS, NV, 89149 (702) 839-3625

WAL-MART PHARMACY #10-3350* 5198 BOULDER HWY LAS VEGAS, NV, 89122 (702) 434-1915

WAL-MART PHARMACY #10-3351* 6464 N DECATUR BLVD LAS VEGAS, NV, 89131 (702) 515-7181

WAL-MART PHARMACY #10-3355* 1400 S LAMB BLVD LAS VEGAS, NV, 89104 (702) 431-5004

Page 6: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

6

WAL-MART PHARMACY #10-3356* 7445 S EASTERN AVE LAS VEGAS, NV, 89123 (702) 407-5513

WAL-MART PHARMACY #10-3473* 4505 W CHARLESTON BLVD LAS VEGAS, NV, 89102 (702) 258-5075

WAL-MART PHARMACY #10-3655* 10440 W CHEYENNE AVE LAS VEGAS, NV, 89129 (702) 233-6085

WAL-MART PHARMACY #10-3788* 6310 W CHARLESTON BLVD LAS VEGAS, NV, 89146 (702) 870-7271

WAL-MART PHARMACY #10-4356* 7200 ARROYO CROSSING PKWY LAS VEGAS, NV, 89113 (702) 270-2523

WAL-MART PHARMACY #10-4557* 3075 E TROPICANA AVE LAS VEGAS, NV, 89121 (702) 433-4267

WAL-MART PHARMACY #10-5070* 5200 S FORT APACHE RD LAS VEGAS, NV, 89148 (702) 367-1003

WAL-MART PHARMACY #10-5258* 5850 W CRAIG RD LAS VEGAS, NV, 89130 (702) 395-1240

WAL-MART PHARMACY #10-5259* 6151 W LAKE MEAD BLVD LAS VEGAS, NV, 89108 (702) 631-2040

WAL-MART PHARMACY #10-5269* 490 E SILVERADO RANCH BLVD LAS VEGAS, NV, 89183 (702) 263-4270

WAL-MART PHARMACY #10-5423* 6570 E LAKE MEAD BLVD LAS VEGAS, NV, 89156 (702) 437-2554

WALGREENS #04855* 6001 W CHEYENNE AVE LAS VEGAS, NV, 89108 (702) 889-8274

WALGREENS #05619* 3030 LAS VEGAS BLVD S LAS VEGAS, NV, 89109 (702) 889-8274

WALGREENS #10215* 8595 W WARM SPRINGS RD LAS VEGAS, NV, 89113 (702) 262-6456

WALGREENS #10782* 5610 CENTENNIAL CENTER BLVD LAS VEGAS, NV, 89149 (702) 395-3282

WALGREENS #10783* 6495 N DECATUR BLVD LAS VEGAS, NV, 89131 (702) 395-4230

WALGREENS #10862* 2421 E BONANZA RD LAS VEGAS, NV, 89101 (702) 366-1556

WALGREENS #11206* 8582 BLUE DIAMOND RD LAS VEGAS, NV, 89178 (702) 260-0135

WALGREENS #11668* 6390 BOULDER HWY LAS VEGAS, NV, 89122 (702) 435-6263

WALGREENS #11766* 4930 BLUE DIAMOND RD LAS VEGAS, NV, 89139 (702) 260-9695

WALGREENS #11899* 6485 S FORT APACHE RD LAS VEGAS, NV, 89148 (702) 262-1247

WALGREENS #12539* 6825 N DURANGO DR LAS VEGAS, NV, 89149 (702) 260-8242

WALGREENS #12641* 9300 W SAHARA AVE LAS VEGAS, NV, 89117 (702) 228-2480

WALGREENS #13900* 3717 LAS VEGAS BLVD S STE 100 LAS VEGAS, NV, 89109 (702) 262-0635

WALGREENS #15035* 3150 N TENAYA WAY STE 170 LAS VEGAS, NV, 89128 (702) 256-2059

WALGREENS #2598* 7685 S RAINBOW BLVD LAS VEGAS, NV, 89139 (702) 614-3094

WALGREENS #3841* 6101 W LAKE MEAD BLVD LAS VEGAS, NV, 89108 (702) 648-2732

WALGREENS #3842* 2389 E WINDMILL LN LAS VEGAS, NV, 89123 (702) 837-9531

WALGREENS #3843* 2995 E FLAMINGO RD LAS VEGAS, NV, 89121 (702) 737-6164

WALGREENS #3844* 5011 E SAHARA AVE LAS VEGAS, NV, 89142 (702) 432-5633

WALGREENS #3872* 8633 W CHARLESTON BLVD LAS VEGAS, NV, 89117 (702) 383-9660

WALGREENS #3873* 6865 W TROPICANA AVE LAS VEGAS, NV, 89103 (702) 871-1623

WALGREENS #3915* 6401 W CHARLESTON BLVD LAS VEGAS, NV, 89146 (702) 259-7002

Page 7: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 7

WALGREENS #3922* 7599 W LAKE MEAD BLVD LAS VEGAS, NV, 89128 (702) 363-4622

WALGREENS #4086* 4470 E BONANZA RD LAS VEGAS, NV, 89110 (702) 531-8006

WALGREENS #4106* 1101 LAS VEGAS BLVD S LAS VEGAS, NV, 89104 (702) 471-6844

WALGREENS #4137* 9415 W DESERT INN RD LAS VEGAS, NV, 89117 (702) 233-8935

WALGREENS #4197* 8500 W CHEYENNE AVE LAS VEGAS, NV, 89129 (702) 655-7258

WALGREENS #4242* 9420 W LAKE MEAD BLVD LAS VEGAS, NV, 89134 (702) 363-5247

WALGREENS #4433* 4895 BOULDER HWY LAS VEGAS, NV, 89121 (702) 898-5264

WALGREENS #4579* 2400 E TROPICANA AVE LAS VEGAS, NV, 89121 (702) 435-6289

WALGREENS #4755* 3480 S JONES BLVD LAS VEGAS, NV, 89146 (702) 871-1405

WALGREENS #4763* 3765 LAS VEGAS BLVD S LAS VEGAS, NV, 89109 (702) 739-9645

WALGREENS #4790* 5082 E LAKE MEAD BLVD LAS VEGAS, NV, 89115 (702) 531-3028

WALGREENS #4856* 3400 BOULDER HWY LAS VEGAS, NV, 89121 (702) 432-6940

WALGREENS #5013* 2882 S MARYLAND PKWY LAS VEGAS, NV, 89109 (702) 866-6213

WALGREENS #5014* 7845 W FLAMINGO RD LAS VEGAS, NV, 89147 (702) 871-1905

WALGREENS #5015* 9305 S EASTERN AVE LAS VEGAS, NV, 89123 (702) 914-9797

WALGREENS #5154* 4905 W TROPICANA AVE LAS VEGAS, NV, 89103 (702) 889-0922

WALGREENS #5311* 1180 E FLAMINGO RD LAS VEGAS, NV, 89119 (702) 836-9119

WALGREENS #5479* 385 E SILVERADO RANCH BLVD LAS VEGAS, NV, 89183 (702) 617-7895

WALGREENS #5570* 6650 E LAKE MEAD BLVD LAS VEGAS, NV, 89156 (702) 438-2744

WALGREENS #6167* 3025 LAS VEGAS BLVD S LAS VEGAS, NV, 89109 (702) 836-0820

WALGREENS #6227* 451 S DECATUR BLVD LAS VEGAS, NV, 89107 (702) 870-1626

WALGREENS #6310* 6820 W ANN RD LAS VEGAS, NV, 89130 (702) 645-4106

WALGREENS #6311* 3808 E TROPICANA AVE LAS VEGAS, NV, 89121 (702) 547-0830

WALGREENS #6425* 900 N RANCHO DR LAS VEGAS, NV, 89106 (702) 646-4651

WALGREENS #7282* 4835 S DURANGO DR LAS VEGAS, NV, 89147 (702) 876-0534

WALGREENS #7450* 4875 S FORT APACHE RD LAS VEGAS, NV, 89147 (702) 873-5165

WALGREENS #7499* 495 FREMONT ST LAS VEGAS, NV, 89101 (702) 385-1284

WALGREENS #7841* 10510 SOUTHERN HIGHLANDS PKWY LAS VEGAS, NV, 89141 (702) 260-1992

WALGREENS #7842* 3339 LAS VEGAS BLVD S LAS VEGAS, NV, 89109 (702) 369-8166

WALGREENS #7864* 7755 N DURANGO DR LAS VEGAS, NV, 89131 (702) 396-4728

SMITHS PHARMACY #342* 350 N SANDHILL BLVD MESQUITE, NV, 89027 (702) 346-8656

WAL-MART PHARMACY #10-3847* 1120 W PIONEER BLVD MESQUITE, NV, 89027 (702) 346-0408

WALGREENS #12646* 329 N SANDHILL BLVD MESQUITE, NV, 89027 (702) 346-1416

TARGET #T-1243* 2189 W CRAIG RD N LAS VEGAS, NV, 89032 (702) 648-1153

N LAS VEGAS

MESQUITE

Page 8: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

8

K MART PHARMACY #3095* 2671 LAS VEGAS BLVD N NORTH LAS VEGAS, NV, 89030 (702) 649-3529

SAM'S CLUB PHARMACY # 4974* 2650 E CRAIG RD NORTH LAS VEGAS, NV, 89030 (702) 399-2240

SMITHS PHARMACY #334* 2255 E CENTENNIAL PKWY NORTH LAS VEGAS, NV, 89081 (702) 633-6222

SMITHS PHARMACY #338* 6855 ALIANTE PKWY NORTH LAS VEGAS, NV, 89084 (702) 642-6062

SMITHS PHARMACY #345* 5564 CAMINO AL NORTE NORTH LAS VEGAS, NV, 89031 (702) 399-3186

SMITHS PHARMACY #361* 4700 W ANN RD NORTH LAS VEGAS, NV, 89031 (702) 395-7510

TARGET #T-2497* 7090 N 5TH ST NORTH LAS VEGAS, NV, 89084 (702) 216-4502

WAL-MART PHARMACY #10-2592* 1807 W CRAIG RD NORTH LAS VEGAS, NV, 89032 (702) 633-6532

WAL-MART PHARMACY #10-3728* 3950 W LAKE MEAD BLVD NORTH LAS VEGAS, NV, 89032 (702) 631-6806

WAL-MART PHARMACY #10-4339* 5940 LOSEE RD NORTH LAS VEGAS, NV, 89081 (702) 639-9002

WAL-MART PHARMACY #10-5306* 5545 SIMMONS ST NORTH LAS VEGAS, NV, 89031 (702) 646-2650

WALGREENS #10190* 565 E CENTENNIAL PKWY NORTH LAS VEGAS, NV, 89081 (702) 399-3405

WALGREENS #2590* 6435 ALIANTE PKWY NORTH LAS VEGAS, NV, 89084 (702) 657-6508

WALGREENS #3845* 2280 LAS VEGAS BLVD N NORTH LAS VEGAS, NV, 89030 (702) 649-1415

WALGREENS #4854* 4771 W CRAIG RD NORTH LAS VEGAS, NV, 89032 (702) 656-1221

WALGREENS #5814* 1445 W CRAIG RD NORTH LAS VEGAS, NV, 89032 (702) 649-3113

WAL-MART PHARMACY #10-1648* 3770 US HIGHWAY 395 S CARSON CITY, NV, 89705 (775) 267-2461

SMITHS PHARMACY #389* 1341 US HIGHWAY 395 N GARDNERVILLE, NV, 89410 (775) 782-0160

WALGREENS #9864* 1342 US HIGHWAY 395 N GARDNERVILLE, NV, 89410 (775) 782-0537

K MART PHARMACY #3894* 2450 MOUNTAIN CITY HWY ELKO, NV, 89801 (775) 738-9422

SMITHS PHARMACY #388* 1740 MOUNTAIN CITY HWY ELKO, NV, 89801 (775) 777-1337

WAL-MART PHARMACY #10-2402* 2944 MOUNTAIN CITY HWY ELKO, NV, 89801 (775) 778-6783

SMITHS PHARMACY #390* 1855 WEST WENDOVER BLVD WENDOVER, NV, 89883 (775) 664-3197

WAL-MART PHARMACY #10-2617* 3010 POTATO RD WINNEMUCCA, NV, 89445 (775) 625-3888

WINNEMUCCA HUMBOLDT COUNTY

WENDOVER

ELKO ELKO COUNTY

GARDNERVILLE

CARSON CITY DOUGLAS COUNTY

NORTH LAS VEGAS

Page 9: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Preferred Retail and Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 9

SMITHS PHARMACY #392* 2200 US HIGHWAY 50 E DAYTON, NV, 89403 (775) 246-0920

WAL-MART PHARMACY #10-4370* 1550 NEWLANDS DR E FERNLEY, NV, 89408 (775) 575-4832

WALGREENS #12488* 1280 US HIGHWAY 95A N FERNLEY, NV, 89408 (775) 835-6427

SMITHS PHARMACY #341* 601 S HIGHWAY 160 PAHRUMP, NV, 89048 (775) 727-2404

WAL-MART PHARMACY #10-5101* 300 S HIGHWAY 160 PAHRUMP, NV, 89048 (775) 537-1412

WALGREENS #5646* 770 S NEVADA # 160 PAHRUMP, NV, 89048 (775) 751-8399

SAM'S CLUB PHARMACY # 4768* 4835 KIETZKE LN RENO, NV, 89509 (775) 829-7922

SMITHS PHARMACY #344* 175 LEMMON DR RENO, NV, 89506 (775) 971-3320

SMITHS PHARMACY #378* 750 S MEADOWS PKWY RENO, NV, 89521 (775) 851-8060

TARGET #T-1363* 6845 SIERRA CENTER PKWY RENO, NV, 89511 (775) 853-8916

WAL-MART PHARMACY #10-2106* 2425 E 2ND ST RENO, NV, 89502 (775) 359-8777

WAL-MART PHARMACY #10-2189* 4855 KIETZKE LN RENO, NV, 89509 (775) 829-1995

WAL-MART PHARMACY #10-3254* 5260 W 7TH ST RENO, NV, 89523 (775) 624-2080

WAL-MART PHARMACY #10-3277* 155 DAMONTE RANCH PKWY RENO, NV, 89521 (775) 853-6406

WALGREENS #11226* 305 LEMMON DR RENO, NV, 89506 (775) 677-8095

WALGREENS #11446* 6450 S VIRGINIA ST RENO, NV, 89511 (775) 852-6816

WALGREENS #2658* 10370 N MCCARRAN BLVD RENO, NV, 89503 (775) 746-4809

WALGREENS #2662* 12645 S VIRGINIA ST RENO, NV, 89511 (775) 853-9887

WALGREENS #4789* 3495 S VIRGINIA ST RENO, NV, 89502 (775) 824-0802

WALGREENS #5295* 750 N VIRGINIA ST RENO, NV, 89501 (775) 337-8703

SMITHS PHARMACY #357* 1255 BARING BLVD SPARKS, NV, 89434 (775) 359-6900

TARGET #T-2472* 1550 E LINCOLN WAY SPARKS, NV, 89434 (775) 332-1004

WAL-MART PHARMACY #10-3729* 5065 PYRAMID LAKE RD SPARKS, NV, 89436 (775) 425-9331

WALGREENS #11227* 2299 ODDIE BLVD SPARKS, NV, 89431 (775) 358-4721

WALGREENS #12540* 9705 PYRAMID WAY SPARKS, NV, 89441 (775) 425-9400

WALGREENS #2474* 3000 VISTA BLVD SPARKS, NV, 89436 (775) 359-7044

WALGREENS #9902* 292 LOS ALTOS PKWY SPARKS, NV, 89436 (775) 354-0104

WAL*MART PHCY #10-4239* 250 VISTA KNOLL PKWY STEAD, NV, 89506 (775) 677-4602

STEAD

SPARKS

RENO WASHOE COUNTY

PAHRUMP NYE COUNTY

FERNLEY

DAYTON LYON COUNTY

Page 10: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

10

This section provides a list of First Health Part D Value Plus’s Non-Preferred Chain Pharmacies. These Non-Preferred Chain pharmacies provide covered drugs to members at higher cost-sharing levels than apply at a Preferred Retail or Preferred Chain Pharmacy. Due to the large volume of locations, we have provided the centralized customer service telephone number for each chain pharmacy. You should call the chain’s centralized telephone number for a location near you. 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. Please contact Customer Service at the telephone numbers listed on page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com. Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach a pharmacy by dialing 711.

A&P Us* 1-866-443-7374 TTY/TDD: 711

ACME Pharmacy 1* 1-877-932-7948 TTY/TDD: 711

Aurora Pharmacy Inc* 1-888-973-8999 TTY/TDD: 711

Bartell Drug Company* 1-877-227-8355 TTY/TDD: 711

Bel Air Pharmacy* 1-800-925-9989 TTY/TDD: 711

Bi-Lo , LLC* 1-800-862-9293 TTY/TDD: 711

Big Y Pharmacy* 1-800-828-2688 TTY/TDD: 711

Caremark Pharmacy Services* 1-800-552-8159 TTY/TDD: 711

City Market Pharmacy* 1-800-576-4377 TTY/TDD: 711

Copps Food Center Pharmacy* 1-800-600-4983 TTY/TDD: 711

Costco Wholesale, Inc* 1-800-955-2292 TTY/TDD: 711

Cub Pharmacy* 1-877-932-7948 TTY/TDD: 711

CVS Pharmacies* 1-800-865-6647 TTY/TDD: 711

CVS Procare Pharmacy* 1-800-746-7287 TTY/TDD: 711

Doc's Drugs Ltd* 1-866-366-5827 TTY/TDD: 711

Drug Warehouse * 1-866-366-5827 TTY/TDD: 711

Duluth Clinic Pharmacies* 1-866-366-5827 TTY/TDD: 711

Fairview Pharmacy Services LLC* 1-866-823-8686 TTY/TDD: 711

Family Fare, LLC* 1-989-463-0411 TTY/TDD: 711

Family Pharmacy* 1-888-245-0070 TTY/TDD: 711

Farm Fresh* 1-877-932-7948 TTY/TDD: 711

Food Lion Pharmacy* 1-800-210-9569 TTY/TDD: 711

Fred's Express* 1-800-374-7417 TTY/TDD: 711

Giant Eagle Pharmacy* 1-800-553-2324 TTY/TDD: 711

Giant Food Stores, LLC* 1-888-814-4268 TTY/TDD: 711

Hannaford* 1-800-213-9040 TTY/TDD: 711

Harps Food Stores Inc* 1-877-772-8193 TTY/TDD: 711

Harris Teeter Inc* 1-800-432-6111 TTY/TDD: 711

Harvey's Pharmacy* 1-866-652-6090 TTY/TDD: 711

HEB Pharmacy * 1-800-432-3113 TTY/TDD: 711

Henry Ford Health System Pharmacy* 1-800-436-7936 TTY/TDD: 711

Ingles Markets* 1-800-635-5066 TTY/TDD: 711

Page 11: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 11

J H Harvey Co LLC* 1-866-652-6090 TTY/TDD: 711

K-VA-T Food Stores Inc* 1-800-826-8451 TTY/TDD: 711

Kash N' Karry Food Stores* 1-800-210-9569 TTY/TDD: 711

Kerr Drug Inc* 1-800-494-3053 TTY/TDD: 711

Kinney Drugs, Inc* 1-800-552-8663 TTY/TDD: 711

Longs Drug Store* 1-800-865-6647 TTY/TDD: 711

Lucky Pharmacy* 1-800-692-5710 TTY/TDD: 711

Martin's Super Markets Inc* 1-800-910-7079 TTY/TDD: 711

May's Drug Stores, Inc* 1-866-366-5827 TTY/TDD: 711

Med-X Drug* 1-866-366-5827 TTY/TDD: 711

Meijer Pharmacy Receivables* 1-866-366-5827 TTY/TDD: 711

Pavillions Pharmacy* 1-877-723-3929 TTY/TDD: 711

Pick n Save* 1-866-279-6269 TTY/TDD: 711

Price Chopper Pharmacy* 1-800-666-7667 TTY/TDD: 711

Publix Pharmacies* 1-800-242-1227 TTY/TDD: 711

QOL MEDS * 1-800-663-4829 TTY/TDD: 711

Quick Chek Corporation* 1-800-242-1227 TTY/TDD: 711

Rainbow Pharmacy* 1-800-600-4983 TTY/TDD: 711

Raley's* 1-800-925-9989 TTY/TDD: 711

Randalls Pharmacy * 1-877-723-3929 TTY/TDD: 711

Rite Aid Corporation* 1-800-748-3243 TTY/TDD: 711

Rite Aid/Brooks/Maxi Drug* 1-800-748-3243 TTY/TDD: 711

Rite Aid/Eckerd* 1-800-748-3243 TTY/TDD: 711

Safeway, Inc* 1-877-723-3929 TTY/TDD: 711

Save Mart * 1-800-692-5710 TTY/TDD: 711

SaVon Drugs* 1-877-932-7948 TTY/TDD: 711

Schnucks Markets Inc* 1-800- 692-5710 TTY/TDD: 711

Sedell Inc* 1-508-747-1230 TTY/TDD: 711

Shop 'n Save* 1-877-932-7948 TTY/TDD: 711

Shop Rite * 1-800-746-7748 TTY/TDD: 711

Shopko Pharmacies* 1-800-653-5993 TTY/TDD: 711

Shoppers* 1-877-932-7948 TTY/TDD: 711

Southern Family Markets LLC* 1-800-653-5993 TTY/TDD: 711

Stop & Shop Pharmacy* 1-888-469-4426 TTY/TDD: 711

Super D Drugs * 1-866-366-5827 TTY/TDD: 711

Super D Express Rx* 1-866-366-5827 TTY/TDD: 711

Super Fresh Pharmacy* 1-866-443-7374 TTY/TDD: 711

Supervalu Pharmacies, Inc* 1-888-469-4426 TTY/TDD: 711

Sweetbay Supermarkets* 1-888-218-3890 TTY/TDD: 711

Thrifty White Stores* 1-800-642-3275 TTY/TDD: 711

Tom Thumb Pharmacy* 1-877-723-3929 TTY/TDD: 711

Top Food and Drug* 1-877-867-3850 TTY/TDD: 711

Tops Markets LLC* 1-800-713-0924 TTY/TDD: 711

University Of Utah Pharmacies* 1-866-365-4695 TTY/TDD: 711

USA Drug* 1-866-366-5827 TTY/TDD: 711

USA Drug and Beauty Market* 1-866-366-5827 TTY/TDD: 711

USA Drug Express* 1-866-366-5827 TTY/TDD: 711

VG's Pharmacy's* 1-800-343-4422 TTY/TDD: 711

Village Supermarkets (Shop Rite)* 1-800-746-7748 TTY/TDD: 711

Page 12: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

12

Von's Pharmacy * 1-877-723-3929 TTY/TDD: 711

Waldbaums* 1-866-443-7374 TTY/TDD: 711

Wegmans Food Markets, Inc* 1-800-934-6267 TTY/TDD: 711

Weis Markets, Inc * 1-866-999-9347 TTY/TDD: 711

Winn-Dixie* 1-866-946-6349 TTY/TDD: 711

Page 13: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 13

This section provides a list of the First Health Part D Value Plus’s Non-Preferred Retail Pharmacies. These Non-Preferred Retail Pharmacies provide covered drugs to members at higher cost-sharing levels than apply at a Preferred Retail or Preferred Chain Pharmacy. 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. Please contact Customer Service at the telephone numbers listed on page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com. Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach a pharmacy by dialing 711.

COMMUNITY HEALTH PHARMACY* 3325 RESEARCH WAY CARSON CITY, NV, 89706 (775) 887-7049

MEDCARE PHARMACY* 1851 N CARSON ST CARSON CITY, NV, 89701 (775) 885-8881

MIKE'S PHARMACY* 1007 N CURRY ST CARSON CITY, NV, 89703 (775) 841-1400

SCOLARI'S PHARMACY #0005* 2100 US HIGHWAY 50 E CARSON CITY, NV, 89701 (775) 883-0745

THE MEDICINE SHOPPE #1413* 1870 W WILLIAMS AVE FALLON, NV, 89406 (775) 423-3194

BOULDER CITY HOSPITAL PHARMACY* 901 ADAMS BLVD BOULDER CITY, NV, 89005 (702) 294-5708

CEDAR PHARMACY #2* 8955 S PECOS RD STE 1B HENDERSON, NV, 89074 (702) 436-0016

EVERGREEN'S DRUGS* 10001 S EASTERN AVE STE 105 HENDERSON, NV, 89052 (702) 269-1354

GENESIS MEDICAL GROUP 100 N GREEN VALLEY PKWY HENDERSON, NV, 89074 (702) 436-7700

LAS VEGAS CANCER CENTER* 2904 W HORIZON RIDGE PKWY STE 200 HENDERSON, NV, 89052 (702) 385-4452

NEVADA DRUG COMPOUNDING PHARMACY* 3041 W HORIZON RIDGE PKWY HENDERSON, NV, 89052 (702) 293-6900

STUART M FELDMAN DPM APC 8955 S PECOS RD STE 2B HENDERSON, NV, 89074 (702) 407-2548

WELLCARE PHARMACY III LLC* 80 N PECOS RD STE I HENDERSON, NV, 89074 (702) 576-9540

A PHARMACY* 2820 W CHARLESTON BLVD STE A-8 LAS VEGAS, NV, 89102 (702) 646-1100

ABC PHARMACY* 3050 E BONANZA RD STE 140 LAS VEGAS, NV, 89101 (702) 541-8000

ACCREDO THERAPEUTICS INC* 505 E CAPOVILLA AVE STE 103 LAS VEGAS, NV, 89119 (702) 895-8990

ACE PHARMACY* 6085 S FORT APACHE RD STE 160 LAS VEGAS, NV, 89148 (702) 675-3050

LAS VEGAS

HENDERSON

BOULDER CITY CLARK COUNTY

FALLON CHURCHILL COUNTY

CARSON CITY CARSON CITY COUNTY

NEVADA

Page 14: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

14

ADVANCE CARE RX PHARMACY 1 LLC* 7512 WESTCLIFF DR LAS VEGAS, NV, 89145 (702) 331-6796

ADVANCED SPINE & PAIN CENTER* 801 S RANCHO DR STE A3 LAS VEGAS, NV, 89106 (702) 386-0909

ADVANCES CARE RX PHARMACY* 840 E TWAIN AVE STE 137 LAS VEGAS, NV, 89169 (702) 597-1758

ALL IN ONE PHARMACY* 2080 E FLAMINGO RD STE 310 LAS VEGAS, NV, 89119 (702) 697-6501

AMY TSENG MD LTD* 2870 S JONES BLVD STE 1 LAS VEGAS, NV, 89146 (702) 870-7111

ANAZAOHEALTH CORPORATION* 6630 W ARBY AVE STE 102 LAS VEGAS, NV, 89118 (800) 995-4363

APOTHECARY SHOP OF LAS VEGAS II* 701 SHADOW LN STE 110 LAS VEGAS, NV, 89106 (702) 382-4176

ASCEND SPECIALTY RX* 6330 S SANDHILL RD STE 12 LAS VEGAS, NV, 89120 (702) 635-3258

BHS PHARMACY* 2870 S MARYLAND PKWY LAS VEGAS, NV, 89109 (702) 290-4613

BIOMED PHARMACEUTICALS* 4020 W ALI BABA LN STE D LAS VEGAS, NV, 89118 (702) 272-1206

BIOSCRIP PHARMACY #31* 901 S RANCHO DR STE 20 LAS VEGAS, NV, 89106 (702) 471-7828

CAMPUS PHARMACY III 4000 E CHARLESTON BLVD LAS VEGAS, NV, 89104 (702) 968-4038

CARE N HOME PHARMACY LLC* 3050 E DESERT INN RD STE 124 LAS VEGAS, NV, 89121 (702) 697-2105

CHARLES H TADLOCK MD LTD* 6725 S EASTERN AVE STE 6 LAS VEGAS, NV, 89119 (702) 474-0200

DISCOUNT PHARMACY LLC* 4089 STRING MOUNTAIN ROAD LAS VEGAS, NV, 89102 (702) 876-2273

DOLCRX PHARMACY* 801 S RANCHO DR STE A4 LAS VEGAS, NV, 89106 (702) 436-5279

DR JONATHAN BERNSTEIN* 3121 S MARYLAND PKWY STE 300 LAS VEGAS, NV, 89109 (702) 732-1493

ERIC M WOLFSON* 3150 N TENAYA WAY STE 400 LAS VEGAS, NV, 89128 (702) 363-9900

ERIC M WOLFSON DO* 6803 W TROPICANA AVE STE 100 LAS VEGAS, NV, 89103 (702) 452-2525

FAMILY CARE PHARMACY* 5625 S RAINBOW BLVD STE F LAS VEGAS, NV, 89118 (702) 457-2100

HEART AND VASCULAR CENTER 7455 W WASHINGTON AVE STE 3000 LAS VEGAS, NV, 89128 (702) 240-6482

HUNTRIDGE PHARMACY* 1144 E CHARLESTON BLVD LAS VEGAS, NV, 89104 (702) 382-7373

INTERVENTIONAL PAIN MEDICINE* 5741 S FORT APACHE RD LAS VEGAS, NV, 89148 (702) 434-7246

JOHN S THALGOTT MD* 600 S RANCHO DR STE 107 LAS VEGAS, NV, 89106 (702) 878-8370

KEN'S PHARMACY* 2202 W CHARLESTON BLVD STE 13 LAS VEGAS, NV, 89102 (702) 384-3784

KIM'S BETTER HEALTH PHARMACY* 6850 SPRING MOUNTAIN RD STE U3 LAS VEGAS, NV, 89146 (702) 686-4653

LARRY YEE MD* 653 N TOWN CENTER DR STE 604 LAS VEGAS, NV, 89144 (702) 240-5456

LIBERTY MAIL SERVICE NV* 6225 ANNIE OAKLEY DR # 100 LAS VEGAS, NV, 89120 (800) 391-4276

Page 15: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 15

LIFEFIRST PHARMACY* 3233 W CHARLESTON BLVD STE 204 LAS VEGAS, NV, 89102 (702) 646-5433

METRO DRUGS* 6338 W SAHARA AVE LAS VEGAS, NV, 89146 (702) 227-7249

MLK PHARMACY INC* 1100 N MARTIN LUTHER KING BLVD LAS VEGAS, NV, 89106 (702) 272-0400

NEVADA CANCER CENTERS* 2851 N TENAYA WAY STE 101 LAS VEGAS, NV, 89128 (702) 735-7154

NEVADA CANCER CENTERS 1950 E DESERT INN RD STE A LAS VEGAS, NV, 89169 (702) 735-7154

NEVADA CANCER CENTERS* 8285 W ARBY AVE STE 100B LAS VEGAS, NV, 89113 (702) 735-7154

NEVADA HEART & VASCULAR CENTER 1820 E DESERT INN RD STE A LAS VEGAS, NV, 89169 (702) 240-6842

NEVADA HEART AND VASCULAR CTR 500 E WINDMILL LN STE 140 LAS VEGAS, NV, 89123 (702) 240-6482

PARTELL SPECIALTY PHARMACY* 8751 W CHARLESTON BLVD STE 120 LAS VEGAS, NV, 89117 (702) 685-3800

PARTELL SPECIALTY PHARMACY* 5835 S EASTERN AVE STE 101 LAS VEGAS, NV, 89119 (702) 791-3800

PRECISION SPECIALTY PHARMACY* 2775 S JONES BLVD STE 100A LAS VEGAS, NV, 89146 (702) 405-9500

PROCARE PHARMACY LLC* 6870 S RAINBOW BLVD STE 106 LAS VEGAS, NV, 89118 (702) 207-0644

ROBERT VANCE DO* 3150 N TENAYA WAY STE 540 LAS VEGAS, NV, 89128 (702) 256-0121

RX DISCOUNT PHARMACY* 4079 SPRING MOUNTAIN RD LAS VEGAS, NV, 89102 (702) 876-2273

RYAN'S PHARMACY INC* 150 E HARMON AVE LAS VEGAS, NV, 89109 (702) 650-0445

SANTOS INTERVENTIONAL PAIN MEDICINE* 6850 N DURANGO DR STE 312 LAS VEGAS, NV, 89149 (702) 434-7246

SPRING VALLEY PHARMACY* 2725 S JONES BLVD STE 101 LAS VEGAS, NV, 89146 (702) 248-4119

STEVEN V KOZMARY MD 2851 EL CAMINO AVE LAS VEGAS, NV, 89102 (702) 380-3210

SUN DRUGS INC* 2410 E BONANZA RD LAS VEGAS, NV, 89101 (702) 382-1166

SUNRISE MEDICAL PHARMACY* 3006 S MARYLAND PKWY STE 101 LAS VEGAS, NV, 89109 (702) 732-2334

SURGICAL WEIGHT CONTROL CENTER* 3802 MEADOWS LN LAS VEGAS, NV, 89107 (702) 313-8446

TENG C ONG MD 5300 SPRING MOUNTAIN RD STE 112 LAS VEGAS, NV, 89146 (702) 362-6373

THE APOTHECARY SHOP OF LAS VEGAS* 10050 BANBURRY CROSS DR STE 110 LAS VEGAS, NV, 89144 (702) 562-2294

THOMAS DERMATOLOGY INC* 9097 W POST RD STE 100 LAS VEGAS, NV, 89148 (702) 430-5333

TRUE CARE PHARMACY* 3525 S FORT APACHE RD STE 165 LAS VEGAS, NV, 89147 (702) 233-2010

UMC LIED AMBULATORY CLINIC PHCY* 1542 PINTO LN LAS VEGAS, NV, 89106 (702) 383-2677

UMC OUTPATIENT PHARMACY* 1800 W CHARLESTON BLVD LAS VEGAS, NV, 89102 (702) 383-2041

UNIQUE CARE PHARMACY* 4571 W FLAMINGO RD LAS VEGAS, NV, 89103 (702) 522-9777

Page 16: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

16

VALLEY HOSPITAL MED CTR* 620 SHADOW LN LAS VEGAS, NV, 89106 (952) 653-2568

WELCOME PHARMACY* 5115 SPRING MOUNTAIN RD STE 111 LAS VEGAS, NV, 89146 (702) 253-9818

WELLCARE PHARMACY - DECATUR* 542 S DECATUR BLVD LAS VEGAS, NV, 89107 (702) 258-0235

WELLCARE PHARMACY II LLC* 3890 S MARYLAND PKWY # F LAS VEGAS, NV, 89119 (702) 431-3832

WHITE CROSS #0002* 1700 LAS VEGAS BLVD S LAS VEGAS, NV, 89104 (702) 382-1733

LIN'S PHARMACY #5* 350 S MOAPPA VALLEY BLVD OVERTON, NV, 89040 (702) 397-2308

SCOLARIS #123* 1329 US HIGHWAY 395 N GARDNERVILLE, NV, 89410 (775) 782-5530

THE PILL BOX* 568 SPRING VALLEY CT SPRING CREEK, NV, 89815 (775) 778-3784

OLSEN'S CORNER DRUG STORE* 147 S BRIDGE ST WINNEMUCCA, NV, 89445 (775) 625-2777

MILLS PHARMACY 990 BROYLES RANCH RD BATTLE MOUNTAIN, NV, 89820 (775) 635-2323

MEADOW VALLEY PHARMACY* 800 N SPRING ST CALIENTE, NV, 89008 (775) 726-3771

BOB TUCKER'S UNITED #0609* 805 E MAIN ST FERNLEY, NV, 89408 (775) 575-4435

SCOLARIS #127* 1400 US HIGHWAY 95A N FERNLEY, NV, 89408 (775) 575-5065

REX UNITED DRUGS #0611* 24 N MAIN ST YERINGTON, NV, 89447 (775) 463-2345

SCOLARIS #125* 176 W GOLDFIELD AVE YERINGTON, NV, 89447 (775) 463-1933

FAMILY PHARMACY* 1360 E HIGHWAY 372 STE 15 PAHRUMP, NV, 89048 (775) 751-1144

SCOLARIS #115* HWY 95 & AIRFORCE RD TONAPAH, NV, 89049 (775) 482-6711

LOVELOCK PHARMACY* 325 11 ST #2 LOVELOCK, NV, 89419 (775) 273-1700

VILLAGE PHARMACY* 898 TANAGER ST INCLINE VLG, NV, 89451 (775) 831-1133

ARLINGTON CLINICAL PHCY #2 6630 S MCCARRAN BLVD STE A1 RENO, NV, 89509 (775) 828-8200

CAMPUS PHARMACY UNR-MAIL STOP#197 RENO, NV, 89557 (775) 784-6799

DON'S PHARMACY* 501 RALSTON ST RENO, NV, 89503 (775) 329-2000

HALE'S 50 KIRMAN PHCY* 901 E 2ND ST STE 102 RENO, NV, 89502 (775) 322-2171

NEVADA PAIN & SPINE SPECIALISTS* 605 SIERRA ROSE DR STE 4 RENO, NV, 89511 (775) 689-5410

NORTHERN NEVADA HOPES* 580 W 5TH ST STE 12A RENO, NV, 89503 (775) 348-1306

SAK-N-SAVE #103* 2375 ODDIE BLVD RENO, NV, 89512 (775) 358-4337

SCOLARIS #119* 200 LEMMON VALLEY RD RENO, NV, 89506 (775) 972-7900

RENO

INCLINE VLG WASHOE COUNTY

LOVELOCK PERSHING COUNTY

TONAPAH

PAHRUMP NYE COUNTY

YERINGTON

FERNLEY LYON COUNTY

CALIENTE LINCOLN COUNTY

BATTLE MOUNTAIN LANDER COUNTY

WINNEMUCCA HUMBOLDT COUNTY

SPRING CREEK ELKO COUNTY

GARDNERVILLE DOUGLAS COUNTY

OVERTON

Page 17: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Non-Preferred Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 17

SCOLARIS #120* 8165 S VIRGINIA ST RENO, NV, 89511 (775) 851-7772

SCOLARIS #124* 4788 CAUGHLIN PKWY RENO, NV, 89519 (775) 828-2377

SCOLARIS #128* 6255 SHARLANDS AVE RENO, NV, 89523 (775) 746-7311

SIERRA HEALTH MART-SOUTH* 8040 S VIRGINIA ST STE 3 RENO, NV, 89511 (775) 853-3500

SCOLARIS #101* 950 HOLMAN WAY SPARKS, NV, 89431 (775) 358-1515

SCOLARIS #126* 1300 DISC DR SPARKS, NV, 89436 (775) 626-5005

ECONOMY PHARMACY* 696 AULTMAN ST ELY, NV, 89301 (775) 289-4929

RIDLEY'S CLINIC PHARMACY* 6 STEPTOE CIR ELY, NV, 89301 (775) 289-3420

RIDLEY'S PHARMACY #1154* 1689 GREAT BASIN BLVD ELY, NV, 89301 (775) 289-2671

ELY WHITE PINE COUNTY

SPARKS

Page 18: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Home Infusion Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

18

First Health Part D Value Plus will cover home infusion therapy if: Your prescription drug is on First Health Part D Value Plus’s formulary or you have a formulary

exception; First Health Part D Value Plus has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber

For more information on home infusion pharmacy services, please call Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit www.PharmacyLocator.coventry-medicare.com.

WALGREENS HOME CARE 5064 S 40TH ST # A PHOENIX, AZ, 85040 (602) 426-1490

CRITICAL CARE SYSTEMS INC 1326 W WINTON AVE HAYWARD, CA, 94545 (510) 670-1384

ACCREDO THERAPEUTICS INC 1831 COMMERCE ST STE 104 CORONA, CA, 92880 (951) 737-2355

CORAM SPECIALTY INFUSION SERVICE 12310 WORLD TRADE DR STE 100 SAN DIEGO, CA, 92128 (858) 974-6606

BIOPARTNERS IN CARE INC 11411 STRANG LINE RD LENEXA, KS, 66215 (913) 451-2919

CORAM SPECIALTY INFUSION SERVICE 2345 WATERS DR MENDOTA HEIGHTS, MN, 55120 (651) 452-5600

BIOSCRIP INFUSION SERVICES LLC 102 THE AMERICAN RD MORRIS PLAINS, NJ, 07950 (800) 552-3462

CORAM SPECIALTY INFUSION SERVICE 7400 WASHINGTON ST NE ALBUQUERQUE, NM, 87109 (505) 798-3500

CORAM SPECIALTY INFUSION SERVICE 1951 RAMROD AVE STE 110 HENDERSON, NV, 89014 (702) 453-4546

ACCREDO THERAPEUTICS INC 505 E CAPOVILLA AVE STE 103 LAS VEGAS, NV, 89119 (702) 895-8990

APRIA PHARMACY-LAS VEGAS 3955 W MESA VISTA AVE STE 1 LAS VEGAS, NV, 89118 (800) 743-4872

CRITICAL CARE SYSTEMS INC 505 E CAPOVILLA AVE STE 103 LAS VEGAS, NV, 89119 (702) 992-4007

OPTION CARE NEVADA LLC 3900 W CHARLESTON BLVD STE Y LAS VEGAS, NV, 89102 (702) 258-0011

PREFERRED HOMECARE 871 GRIER DR # C-B2 LAS VEGAS, NV, 89119 (702) 951-6900

WALGREENS #15312 901 S RANCHO DR STE 20 LAS VEGAS, NV, 89106 (702) 471-7828

WALGREENS INFUSION SERVICES 3900 W CHARLESTON BLVD STE 170 LAS VEGAS, NV, 89102 (702) 258-0011

LAS VEGAS

HENDERSON CLARK COUNTY

NEVADA

ALBUQUERQUE BERNALILLO COUNTY

NEW MEXICO

MORRIS PLAINS MORRIS COUNTY

NEW JERSEY

MENDOTA HEIGHTS DAKOTA COUNTY

MINNESOTA

LENEXA JOHNSON COUNTY

KANSAS

SAN DIEGO SAN DIEGO COUNTY

CORONA RIVERSIDE COUNTY

HAYWARD ALAMEDA COUNTY

CALIFORNIA

PHOENIX MARICOPA COUNTY

ARIZONA

Page 19: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Home Infusion Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 19

CRITICAL CARE SYSTEMS INC 5401 LONGLEY LN RENO, NV, 89511 (775) 829-2100

WALGREENS INFUSION SERVICES 6630 S MCCARRAN BLVD STE B14 RENO, NV, 89509 (775) 828-8200

ACCREDO HEALTH GROUP INC 3000 ERICSSON DR STE 100 WARRENDALE, PA, 15086 (724) 772-6000

ACCREDO THERAPEUTICS INC 3488 S MAIN ST SALT LAKE CITY, UT, 84115 (801) 832-0222

CORAM SPECIALTY INFUSION SERVICE 1149 W 2240 S STE A SALT LAKE CITY, UT, 84119 (801) 973-9797

CRITICAL CARE SYSTEMS INC 2233 PRESIDENTS DR SALT LAKE CITY, UT, 84120 (801) 978-9600

SALT LAKE CITY SALT LAKE COUNTY

UTAH

WARRENDALE ALLEGHENY COUNTY

PENNSYLVANIA

RENO WASHOE COUNTY

Page 20: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Long Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

20

Residents of a long-term care facility may access their prescription drugs covered under First Health Part D Value Plus through the facility’s long-term care pharmacy or another network long-term care pharmacy. For more information on long-term care pharmacies, please call Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit www.PharmacyLocator.coventry-medicare.com.

MEDCARE PHARMACY 1851 N CARSON ST CARSON CITY, NV, 89701 (775) 885-8881

BOULDER CITY HOSPITAL PHARMACY 901 ADAMS BLVD BOULDER CITY, NV, 89005 (702) 294-5708

DRUG PLUS PHARMACY 2451 W HORIZON RIDGE PKWY #110 HENDERSON, NV, 89052 (702) 834-8152

RESOURCE PHARMACEUTICAL 5 CACTUS GARDEN DR BLDG B HENDERSON, NV, 89014 (702) 456-4229

SPECTRUM PHARMACY SERVICES LLC 15 CACTUS GARDEN DR HENDERSON, NV, 89014 (702) 853-2200

ADVANCE CARE RX PHARMACY 1 LLC 7512 WESTCLIFF DR LAS VEGAS, NV, 89145 (702) 331-6796

ASSIST CARE PHARMACY INC 4865 W NEVSO DR LAS VEGAS, NV, 89103 (702) 889-8007

KINDRED PHARMACY SERVICES 2450 FIRE MESA ST STE 180 LAS VEGAS, NV, 89128 (702) 871-1920

ONEPOINT PATIENT CARE 444 E WARM SPRINGS RD STE 112 LAS VEGAS, NV, 89119 (702) 876-1616

THC OF NEVADA 5321 CAMERON ST LAS VEGAS, NV, 89118 (702) 796-1016

HUMBOLDT GENERAL HOSPITAL 118 E HASKELL ST WINNEMUCCA, NV, 89445 (775) 625-8525

FLYING DIAMOND PHARMACY LLC 7350 W 4TH ST RENO, NV, 89523 (775) 787-1144

PHARMERICA PHARMACY 5450 RIGGINS CT STE 4 RENO, NV, 89502 (775) 827-1777

RESOURCE PHARMACEUTICAL SERVICES 445 W HOLCOMB LN RENO, NV, 89511 (775) 852-1940

SPECTRUM PHARMACY SERVICES LLC 4690 LONGLEY LN # A-39 RENO, NV, 89502 (775) 825-6117

RENO WASHOE COUNTY

WINNEMUCCA HUMBOLDT COUNTY

LAS VEGAS

HENDERSON

BOULDER CITY CLARK COUNTY

CARSON CITY CARSON CITY COUNTY

NEVADA

Page 21: Guide to the MYP Personal Project -   - H-SPHERE

First Health Part D Value Plus’s Indian Health Services / Tribal / Urban Indian Health Program (I/T/U)

Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 21

Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through First Health Part D Value Plus’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information on I/T/U pharmacies, please call Customer Service at 1-866-865-0662, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit www.PharmacyLocator.coventry-medicare.com.

FALLON PAIUTE-SHOSHONE HLTH CTR 1001 RIO VISTA DR FALLON, NV, 89406 (775) 423-3634

LAS VEGAS PAIUTE TRIBE 1257 PAIUTE CIR LAS VEGAS, NV, 89106 (702) 382-0784

WASHOE TRIBE HEALTH CLINIC PHARMACY 1559 WATASHEAMU RD GARDNERVILLE, NV, 89460 (775) 265-4215

SOUTHERN BANDS HLTH CLINIC PHARMACY 515 SHOSHONE CIR ELKO, NV, 89801 (775) 738-2252

OWYHEE COMMUNITY HEALTH FACILITY NV ST RTE 225 OWYHEE, NV, 89832 (775) 757-2403

YERINGTON PAIUTE TRIBAL PHARMACY 171 CAMPBELL LN YERINGTON, NV, 89447 (775) 463-3335

PYRAMID LAKE TRIBAL HEALTH CLINIC 705 HIGHWAY 446 NIXON, NV, 89424 (775) 574-1018

RENO SPARKS TRIBAL HEALTH CENTER 34 RESERVATION RD RENO, NV, 89502 (775) 329-5162

DUCKWATER HEALTH CLINIC 502 DUCKWATER FALLS RD DUCKWATER, NV, 89314 (775) 863-0222

NEWE MEDICAL CLINIC 400 B NEWE VW ELY, NV, 89301 (775) 289-4133

ELY

DUCKWATER WHITE PINE COUNTY

RENO

NIXON WASHOE COUNTY

YERINGTON LYON COUNTY

OWYHEE

ELKO ELKO COUNTY

GARDNERVILLE DOUGLAS COUNTY

LAS VEGAS CLARK COUNTY

FALLON CHURCHILL COUNTY

NEVADA