東華智選 (HMO SNP) 計劃. CCHP Senior Select Program (HMO SNP) Plan Year Pharmacy Directory 藥房手冊

Transcription

1 Plan Year 2018 CCHP Senior Select Program (HMO SNP) 東華智選 (HMO SNP) 計劃 Pharmacy Directory 手冊 This pharmacy directory was updated on 09/2017. For more recent information or other questions, please contact Chinese Community Health Plan, at or, for TTY users, , seven days a week, 8:00 a.m. to 8:00 p.m., or visit www. cchphealthplan.com/medicare. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Member Services for updated information. 此網絡手冊在 2017 年 9 月更新 關於我們的網絡的最新訊息或有疑問, 請每週七天, 上午 8 時至晚上 8 時致電 聯絡華人保健計劃 ( 聽力殘障人士請電 TTY ) 或瀏覽網址 : 查閱網上手冊 手冊在一年之中會有轉變 您可在我們的網址 : 參閱更新的手冊亦可致電會員服務部得到最新資料 H0571_2018_09CH_005_FINAL_1 NM

2 CCHP Senior Select Program (HMO) 2018 Pharmacy Directory This pharmacy directory was updated on 09/2017. For more recent information or other questions, please contact Chinese Community Health Plan, at or, for TTY users, , seven days a week, 8:00 a.m. to 8:00 p.m., or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Member Services for updated information CCHP s pharmacy network offers limited access to pharmacies with preferred cost sharing in San Francisco County. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, please call or consult the online pharmacy directory at The pharmacy network may change at any time. You will receive notice when necessary. CCHP Senior Select Program is a HMO SNP plan with a Medicare contract. Enrollment in CCHP Senior Select Program (HMO SNP) depends on contract renewal. English: ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call (TTY: ). Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: ). H0571_2018_09CH_005_FINAL_1 1

3 東華智選 (HMO SNP) 計劃 2018 手冊 此網絡手冊在 2017 年 9 月更新 關於我們的網絡的最新訊息或有疑問, 請每週七天, 上午 8 時至晚上 8 時致電 聯絡華人保健計劃 ( 聽力殘障人士請電 TTY ) 或瀏覽網址 : 查閱網上手冊 手冊在一年之中會有轉變 您可在我們的網址 : 參閱更新的手冊亦可致電會員服務部得到最新資料 華人保健計劃在三藩市的網絡提供了有限的首選分擔費用 在我們的計劃資料中提及較低收費的首選分擔費用, 不一定是您正在使用的 關於我們的網絡的最新訊息, 包括首選分擔費用, 請致電 , 或瀏覽網址 : 查閱網上手冊 網絡可能隨時有轉變 必要時你會收到通知 東華智選 (HMO SNP) 計劃是一個與聯邦保健簽有合約的聯邦保健優惠 HMO 計劃及我們東華智選 (SNP) 與加醫療補助計劃 (Medicaid) 簽有合約 能否接收會員取決於這合約是否獲得續約 注意 : 如果您使用中文, 您可以免費獲得語言援助服務 請致電 (TTY: ) 2

4 Introduction This booklet provides a list of CCHP Senior Select Program (HMO SNP) 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 CCHP Senior Select Program (HMO SNP) s formulary. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under CCHP Senior Select Program (HMO SNP) only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 09/2017. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost-sharing. We have marked these pharmacies with +, to distinguish them from other pharmacies in our network that offer standard cost-sharing. You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory. This directory is for San Francisco county which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory, please contact us. If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us. 3

5 簡介 本節提供 CCHP 東華智選 (HMO SNP) 計劃的網絡名單 想索取您處 藥保障的完整描 述, 包括如何補充您的處 藥, 請審閲保障説明書及 CCHP 東華智選 (HMO SNP) 計劃的藥物表 本名錄內的稱為 網絡, 我們彼此簽有合約為本計劃的會員提供處 藥物 多數情況下, 在網絡內的或郵遞服務購買的處 藥物都受到東華智選 (HMO SNP) 計劃的保障 您是不需要 直使 同 間購買處 藥 您可以到任何 間網絡購買 某些情況下, 我們會批準去網絡外的購買處 藥, 詳情參閱保障說明書 本名錄不能記錄所有網絡內的 些可能已在此名錄印刷後被添加或刪除 本名錄是 2017 年 9 修定本 查詢東華智選 (HMO SNP) 計劃網絡內的最新資訊, 請與我們聯絡 我們的聯絡資料連同最近更新藥物表的 期會列在本冊的封 及封底 您可以在本冊所列的任何 間配購處 藥物, 但在收取 選費 分攤配藥, 費 會 其他便宜 選是帶有 + 的標記 請參閱保障簡要, 以了解 選費 分攤的資料 您可使 網絡內的郵寄服務將藥物寄到您的住處 如欲了解詳情, 請與我們聯絡或參閱本冊的郵寄服務部分 本名錄只列出在三藩市縣的網絡 但是我們覆蓋較 的服務範圍, 可能有更多網絡以 便閣下配購藥物 了解更多其他網絡資料, 請與我們聯絡 如果您對上述任何問題有任何疑問, 請參閱本名錄的第 及最後 封, 了解如何與我們聯繫 4

6 Retail Pharmacies, including Chain Pharmacies/ 市, 包括連鎖 San Francisco/ 三藩市縣 AHF * ALTO * CENTRAL DRUG STORE * CHARLIES DRUG * CHINESE HOSPITAL +* CLAY MEDICAL * COMMUNITY * TH ST 1400 TENNESSE ST, UNIT MISSION ST 1101 FILLMORE ST 845 JACKSON ST 929 CLAY ST 2462 MISSION ST COMMUNITY, A WALGREENS #15296 * 2262 MARKET ST COSTCO +* TH STREET FRANCISCO CA (415) FRANCISCO CA (800) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) CVS * (401) DANIELS * 943 GENEVA AVE FRANCISCO CA (415) FRANKLIN * 1508 FRANKLIN ST FRANCISCO CA (415) GOLDEN GATE * GOOD LIFE RX * GREEN HOUSE * JOES * LTC GEARY LUCKY * LUCKY * MISSION WELLNESS * PARNASSUS HEIGHTS * PHARMACA INTEGRATIVE * POST DIVISADERO MEDICAL * 1836 NORIEGA ST 731 LARKIN ST 1516 NORIEGA ST 5199 GEARY BLVD 5427 GEARY BLVD 1515 SLOAT BLVD 1750 FULTON ST 2424 MISSION ST 350 PARNASSUS AVE, STE COLE STREET 2299 POST ST, STE 109 FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415)

7 RELIABLE REXALL SUNSET * 801 IRVING ST FRANCISCO CA (415) SAFEWAY * Multiple locations (623) SCRIPTSITE * SFSU, STUDENT HEALTH * ST MARYS MEDICAL CENTER CLINIC * SUTTER PROFESSIONAL * THOUD CRANES * TORGSYN DISCOUNT * UCSF AMBULATORY CARE CENTER OUTPATIENT * VISITACION VALLEY * 870 MARKET ST, STE HOLLOWAY AVE, STUDENT HEALTH 2235 HAYES ST 2300 SUTTER ST, STE BUCHANAN ST, STE GEARY BLVD 505 PARNASSUS AVE, M LELAND AVE FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) FRANCISCO CA (415) WALGREENS * Multiple locations (217)

8 Mail Order Pharmacies/ 郵購 COSTCO +* COSTCO +* Website 網址 215 DEININGER CIRCLE CORONA CA (951) pharmacy.costco.com TH STREET SW SUITE 140 EVERETT WA (800) pharmacy.costco.com You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of your mail order prescriptions, please contact us 30 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs 7 to 10 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at or, for TTY users, 您可使 網絡內的郵寄服務將藥物寄到您的住處 要使 郵寄服務配購您的處 藥物, 請於您現有的藥物耗盡前的 30 天與我們聯絡, 以確保您的訂單準時寄到您的住處 通常, 您應該會在郵購收到訂購處 藥物訂單的 7 到 10 天後, 收到您的處 藥物 如 果你沒有這個時間內收到您的處 藥物, 請致電 聯絡我們, 聽 殘障 TTY Home Infusion Pharmacies/ 家中注射藥物 CCHP Senior Select Program (HMO SNP) will cover home infusion therapy if: Your prescription drug is on the CCHP Senior Select Program (HMO SNP) formulary or you have a formulary exception; CCHP Senior Select Program (HMO SNP) has approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber. CCHP Senior Select Program (HMO SNP) will coordinate authorization for the above services with home infusion companies that are a part of our network. At the time of the authorization, we will notify you of the company name and the telephone number. If you need additional information, please contact Member Services at or, for TTY users, , seven days a week, 8:00 a.m. to 8:00 p.m. 在下列情況, 東華耆英 (HMO) 計劃會提供家中注射治療: 您的處 藥列在東華耆英 (HMO) 計劃藥物表上或您的處 藥是屬於額外處理 ; 東華耆英 (HMO) 計劃批準的家中注射處 藥 7

9 您的藥物是由授權的 處 東華耆英 (HMO) 計劃會協助向網絡內的家中注射處 藥公司取得授權 授權時同 時間, 我們會通知您該公司的名稱和 如您需要更多資料, 請致電 與 會員服務中 聯絡 ( 聽 殘障 請電 TTY ), 每週 7 天, 上午 8 時 晚上 8 時 ACCESS I.V., LLC ACCESS IV 455 RESERVATION RD MARINA CA (831) NORTHGATE BLVD STE 130 SACRAMENTO CA (916) ACCESS IV HIDDENCREEK WAY STE C CERRITOS CA (562) ACCESS IV 170 PROFESSIONAL CENTER DR ROHNERT PARK CA (707) ACCREDO HEALTH GROUP INC 1831 COMMERCE ST CORONA CA (951) AHF 1300 N VERMONT LOS ANGELES CA (323) APEX INFUSION 3299 E HILL ST SIGNAL HILL CA (562) BIOLOGIC INFUSION 8851 WATSON ST CYPRESS CA (855) BIOLOGICTX 1057 GAYLEY AVE LOS ANGELES CA (800) BIOSCRIP INFUSION 199 TECHNOLOGY DRIVE IRVINE CA (855) BIOSCRIP INFUSION 320 S FLOWER ST BURBANK CA (800) BIOSCRIP INFUSION BROOKS HEALTH CARE CALIFORNIA SPECIALTY CDM DRUGS CORAM CVS/SPECIALTY INFUSION CORAM CVS/SPECIALTY INFUSION CORAM CVS/SPECIALTY 840 ROCHESTER RD UNIT A ONTARIO CA (909) N SIXTH ST., SUITE 169 FRESNO CA (559) HADLEY ST STE B WHITTIER CA (562) E COAST HWY STE 150 CORONA DEL MAR CA (949) CORPORATE PL HAYWARD CA (510) TECH CENTER DR SACRAMENTO CA (916) MEDIA CENTER DR LOS ANGELES CA (323)

10 INFUSION CORAM CVS/SPECIALTY INFUSION 3002 DOW AVE TUSTIN CA (714) CORAM CVS/SPECIALTY INFUSION CORAM CVS/SPECIALTY INFUSION CORAM CVS/SPECIALTY INFUSION CRESCENT HEALTHCARE INC 4355 E LOWELL ST C ONTARIO CA (909) EKWILL STREET GOLEAT CA (805) WORLD TRADE DR DIEGO CA (858) BARRINGTON CT HAYWARD CA (510) CRESCENT HEALTHCARE INC 2010 IOWA AVE RIVERSIDE CA (951) CRESCENT HEALTHCARE INC CRESCENT HEALTHCARE INC CRESCENT TELEGRAPH RD TELEGRAPH RD TA FE SPRINGS CA (562) TA FE SPRINGS CA (562) INNOVATION DR STE 100 DIEGO CA (858) HEALTHCARE INC DIGNITY HEALTH HOME INFUSION 124 S COLLEGE DR TA MARIA CA (805) DIPLOMAT SPECIALTY INFUSION GROUP GVHC PMQ MERCED 1819 ASTON AVE STE 102 CARLSBAD CA (760) W CHILDS AVE STE 101 MERCED CA (209) HOFFMAN HOME CARE INC 2225 E STREET BAKERSFIELD CA (661) HUMBOLDT HOME INFUSION PROGRAM INTEGRATED CARE SYSTEMS IV LEAGUE 2612 HARRISON AVENUE EUREKA CA (707) W PERSHING COURT VISALIA CA (559) BRISTOL PKWY CULVER CA (310) KABAFUSION CENTER COURT DRIVE CERRITOS CA (562) MEDICORX SPECIALTY 7039 VALJEAN AVE VAN NUYS CA (818) MID VALLEY HEALTH 2800 MITCHELL RD CERES CA (209) MT VIEW PHARMACEUTICALS MT VIEW AVE LOMA LINDA CA (909)

11 NUFACTOR WINCHESTER RD TEMECULA CA (800) OPTION CARE 9401 CHIVERS AVE SUN VALLEY CA (818) OPTION CARE OPTION CARE 5800 DISTRICT BLVD STE 200 BAKERSFIELD CA (661) MISSION RANCH BLVD. CHICO CA (530) OPTION CARE 5491 CARLSON DR SACRAMENTO CA (916) OPTION CARE 4867 COLT ST. VENTURA CA (805) GILLETTE OSO HOME CARE AVE IRVINE CA (949) OSO HOME CARE 1214 W BURBANK BLVD BURBANK CA (818) OWENS HEALTHCARE # COURT ST REDDING CA (530) PLAZA HOME CARE PREFERRED EXCELLENT CARE PREMIER INFUSION CARE PREMIER QUADRACARE INC QUALITY HOME INFUSION RIVER'S EDGE TA BARBARA SPECIALTY SCRIPT INFUSION, INC SHARP HOME INFUSION ST JOSEPH HEALTH SYSTEM HOMECARE SUPERCARE SUTTER INFUSION SERVICE SUTTER INFUSION UCSD HOME INFUSION 50 ALESDRO PL PASADENA CA (626) GARDEN GROVE BLVD GARDEN GROVE CA (714) NORMANDIE AVE TORRANCE CA (866) CLOVERLEAF DR BALDWIN PARK CA (626) S MERIDIAN AVE ALHAMBRA CA (626) W MAGNOLIA BLVD BURBANK CA (818) COOK ST STE 102 PALM DESERT CA (760) CARPINTERIA AVE SUITE B CARPINTERIA CA (805) CALLE LEE STE 163 LOS ALAMITOS CA (562) RUFFIN RD SO. DIEGO CA (858) W CENTER STREET PROMENADE ANAHEIM CA (714) VALLEY BLVD OF INDUSTRY CA (800) FERGUSON AVE SACRAMENTO CA (888) ATLANTIC AVE STE 102 ALAMEDA CA (510) RIDGEHAVEN CT STE A DIEGO CA (619)

12 US BIO 5100 E HUNTER AVE ANAHEIM CA (800) Long-Term Care Pharmacies / 長期護理 Residents of a long-term care facility may access their prescription drugs covered under CCHP Senior Select Program (HMO SNP) through the facility s long-term care pharmacy or another network long-term care pharmacy. If your facility s long-term care pharmacy is not part of our network or if you need additional information, please contact Member Services at or, for TTY users, , seven days a week, 8:00 a.m. to 8:00 p.m. 居住在 期護理院 可從網絡內的配取東華耆英 (HMO) 計劃保障的處 藥 如您的 期護理院並不是網絡內的或需要更多資料, 請致電 與會員服務中 聯絡 ( 聽 殘障 請電 TTY ), 每週 7 天, 上午 8 時 晚上 8 時 10TH AVENUE 2706 W MARTIN LUTHER KING BLVD LOS ANGELES CA (323) BEVERLY BLVD LOS ANGELES CA (213) AAA CARE 6729 VARIEL AVE CANOGA PARK CA (818) ACE 886 W FOOTHILL BLVD UPLAND CA (909) ADVANCE CARE 528 N BROADWAY ESCONDIDO CA (760) ALISAL LTC 323 N BORN RD STE A SALINAS CA (831) ALIXARX - CA HUB 4727 W SHAW AVE FRESNO CA (559) ALLCARE HOME HEALTH 331 MAIN ST SALINAS CA (831) ALLCARE 331 MAIN ST SALINAS CA (831) ALLWELL AND MEDICAL SUPPLIES LLC ALOHA DRUGS ALPHA DRUGS 5611 STOCKTON BLVD SACRAMENTO CA (916) W EL SEGUNDO BLVD HAWTHORNE CA (310) S MAGNOLIA AVE ANAHEIM CA (714)

13 ALPHASCRIPT AMC AMERICAN HOME 1160 INDUSTRIAL RD STE 17 CARLOS CA (800) W ALAMEDA AVE BURBANK CA (818) E FLORENCE AVENUE CUDAHY CA (323) AMERIPHARMA 132 S ANITA DR ORANGE CA (877) ANAHEIM MEDICAL PLAZA 184 E LIBERTY AVE ANAHEIM CA (714) ANCHOR DRUGS III 161 SOUTH SPRUCE AVE SOUTH FRANCISCO CA (650) ANDERSON BROS FLORIN SQUARE 2374 FLORIN RD SACRAMENTO CA (916) ANDERSON BROS. TOWN & COUNTRY 2900 FULTON AVE SACRAMENTO CA (916) ANGKOR 4555 N PERSHING AVE STOCKTON CA (209) ANSR MCCRAY ST HOLLISTER CA (831) AUSTIN DRUGS 6970 ARAGON CIR BUENA PARK CA (714) B & G INC 5101 HOLLYWOOD BLVD LOS ANGELES CA (323) BASCOM 105 N BASCOM AVE JOSE CA (408) BERKSHIRE 11 BERKSHIRE AVE REDWOOD CA (650) BEAR BEST VALLEY RD VICTORVILLE CA (760) W VALLEY BLVD GABRIEL CA (626) BIG 1 BIG 1 LA 656 N BROADWAY LOS ANGELES CA (213) BIOLOGICTX 1057 GAYLEY AVE LOS ANGELES CA (800) BJRX LTC, INC E MARCH LN # SUITEB270 STOCKTON CA (209) BK CORP 1129 W 4TH ST MADERA CA (559) BK CORP BK CORP BLOSSOM HILL 540 E HERNDON AVE FRESNO CA (559) E HERNDON AVE STE 101 FRESNO CA (559) BLOSSOM HILL RD STE 101 JOSE CA (408) W HOBSONWAY BLYTHE CA (760) BLYTHE DRUG BOIES MEDICAL CENTER 828 DELBON AVE TURLOCK CA (209)

14 BONITA FAMILY 250 W BONITA AVE POMONA CA (909) BOYLE HEIGHTS MEDICAL 1611 E CESAR CHAVEZ AVE LOS ANGELES CA (323) BUY WELL DRUGS 375 HUNTINGTON DR MARINO CA (626) CABRILLO 146 N BRENT STR VENTURA CA (805) CAL OAKS 55 E CALIFORNIA BLVD PASADENA CA (626) CALIFORNIA FAMILY 1600 S HILL ST STE B LOS ANGELES CA (213) CALIFORNIA E COLIMA RD ROWLAND HEIGHTS CA (909) CAPIT0L 2114 SENTER RD JOSE CA (408) CARE CARE PLUS INC CAREKINESIS 90 N ASHWOOD STE B VENTURA CA (805) VENTURA BLVD TARZANA CA (818) SOUTH 401 S CANAL ST FRANCISCO CA (415) CAREMAX COMMONWEALTH AVE BUENA PARK CA (714) CBC CONVALESCENT CARE 716 E MISSION BLVD STE B POMONA CA (909) CDVA VETERANS HOME OF CALIFORNIA WEST LOS ANGELES NIMITZ AVE STE D301 LOS ANGELES CA (424) CENTRAL DRUG STORE 4494 MISSION ST FRANCISCO CA (415) CHAPMAN MEDICAL OUTPATIENT 1071 N BATAVIA ST ORANGE CA (714) CHENG 600 W MAIN ST ALHAMBRA CA (626) CHINO HILLS PROFESSIONAL 2140 GRAND AVE CHINO HILLS CA (909) CHINO MEDICAL CHOICECARE INC. CITRUS CLAYWORTH HEALTHCARE 5365 WALNUT AVE STE D CHINO CA (909) SOUTH SPRUCE AVE. SUITE W SOUTH FRANCISCO CA (650) AMIGOS DR STE B REDLANDS CA (909) LAKE CHABOT RD CASTRO VALLEY CA (510)

15 CLINICA MSR OSCAR A ROMERO CLINICARE CLINISHARE CLONEY'S LONG TERM CARE CLONEY'S PRESCRIPTION 123 S ALVARADO STREET LOS ANGELES CA (213) RESEDA BLVD NORTHRIDGE CA (818) ROSCOE BLVD WEST HILLS CA (818) TH ST SUITE B EUREKA CA (707) HARRISON AVE EUREKA CA (707) CLONEY'S RED CROSS 525 5TH ST EUREKA CA (707) COFFEE PLAZA 2020 COFFEE RD MODESTO CA (209) COMMUNITY CARE TUSCOLA RD #102 APPLE VALLEY CA (760) CONCIERGE RX 9528 TOPANGA CANYON BLVD CHATSWORTH CA (818) CONSONUS CA NORTH LLC 2148 ICON WAY 100 VACAVILLE CA (866) COOVER 891 W 9TH STREET PEDRO CA (310) CORNER DRUG COMPANY INC 602 MAIN ST WOODLAND CA (530) CRESCENT DRUGS, INC. CRYSTAL MEDICAL CENTER 5915 BLACKWELDER ST CULVER CA (310) OLIVE HIGHWAY OROVILLE CA (530) TH STREET SUITE E VICTORVILLE CA (760) CURT'S CWD CLOSED GAS POINT DOOR DR COTTONWOOD CA (530) DANIELS 943 GENEVA AVE FRANCISCO CA (415) DANVILLE RAMON DAY STREET 905 RAMON VALLEY BLVD DANVILLE CA (925) IRONWOOD AVENUE MORENO VALLEY CA (951) DELANO REGIONAL MEDICAL CENTER 1401 GARCES HWY DELANO CA (661) DEL'S JERSEY BLVD RANCHO CUCAMONGA CA (909) DEL'S I TRADEMARK ST RANCHO CUCAMONGA CA (909) DEMI RX 2052 N LAKE AVE ALTADENA CA (626)

16 DESERT HOSPITAL OUTPATIENT DMK 1180 N INDIAN CANYON DRIVE PALM SPRINGS CA (760) LOS COCHES RD EL CAJON CA (619) LOS COCHES RD STE 5 EL CAJON CA (619) DMK DO RX 12 S 14TH ST JOSE CA (408) DR. IKE'S PHARMACARE 1111 N BRAND BLVD STE C GLENDALE CA (818) DRUG STOP 22 INC TA MONICA BLVD LOS ANGELES CA (323) DWAYNES FRIENDLY 644 W LINE ST BISHOP CA (760) EBAC OUTPATIENT 3100 SUMMIT ST OAKLAND CA (510) EL MONTE COMMUNITY ENCINO CARE II RAMONA BLVD EL MONTE CA (626) VENTURA BLVD STE 135 ENCINO CA (818) EVAN 809 W CESAR CHAVEZ AVE LOS ANGELES CA (213) EXPRESS 752 E ARROW HWY POMONA CA (909) FACTOR SUPPORT NETWORK INC FAMILY DRUG FAMILY 900 AVENIDA ACASO CAMARILLO CA (805) OLD SONOMA RD NAPA CA (707) ATLANTIC AVE LONG BEACH CA (562) FEDERAL DRUG CO 3327 ST TA BARBARA CA (805) FIRESIDE HWY 111 PALM DESERT CA (760) FIRST STREET MEDICAL PLAZA FISHERS BREA FLINTRIDGE FOBI COMPREHENSIVE # E 1ST STREET TA ANA CA (714) W CENTRAL AVE UNIT BREA CA (714) FOOTHILL LA CANADA BLVD FLINTRIDGE CA (818) ROSECRANS AVE STE P-2 PARAMOUNT CA (562) FOX DRUG OF TORRANCE 1327 EL PRADO TORRANCE CA (310) FOX DRUG STORE 1939 HIGH ST SELMA CA (559) FOX DRUG STORE INC ANTONIO DR FOWLER CA (559)

17 FOX DRUG STORE PARLIER FRUITVALE AVENUE GALLOWAY'S MEDICAL CENTER E MANNING AVE PARLIER CA (559) FRUITVALE AVE OAKLAND CA (510) NATIONAL AVENUE DIEGO CA (619) GALT 1000 C STREET GALT CA (209) GATEWAY CIRCLE GILBERT DRUGS GOLDEN COVE AND HOME HEALTHCARE 3133 NORTH BROADWAY LOS ANGELES CA (323) GARDEN GROVE BLVD GARDEN GROVE CA (714) PALOS VERDES DRIVE WEST RANCHO PALOS VERDES CA (310) GOLDEN ELITE INC 2048 PEPPER ST ALHAMBRA CA (626) GOLDEN GATE GOLDEN LIFE GOOD DRUGS 1525 E FRANCISCO BLVD RAFAEL CA (415) SEQUOIA AVE STE 5 SIMI VALLEY CA (805) E WASHINGTON BLVD PASADENA CA (626) GOOD LIFE RX 731 LARKIN ST FRANCISCO CA (415) GOOD SAMARITAN 629 W COVINA BLVD DIMAS CA (909) GRAND AVE 1400 S GRAND AVE LOS ANGELES CA (213) GREENS FORTUNA 906 MAIN ST FORTUNA CA (707) HACIENDA 3120 S HACIENDA BLVD HACIENDA HEIGHTS CA (626) HALF MOON BAY 40 STONE PINE RD HALF MOON BAY CA (650) HALLERS LTC HEALTHY LIVING HIGH STREET 4067 PERALTA BLVD FREMONT CA (510) LA PALMA AVE STE 114 YORBA LINDA CA (714) MACARTHUR BLVD OAKLAND CA (510) HINAS MERCY SOUTHWEST 500 OLD RIVER RD BAKERSFIELD CA (661) HOLLYWOOD PRESBYTERIAN MEDICAL CENTER HOME CARE-RX, INC N VERMONT AVE LOS ANGELES CA (323) HARBOR BLVD COSTA MESA CA (714)

18 HOMETOWN LTC 1450 W MCCOY LN STE B TA MARIA CA (805) HORIZONS, PC LOS GATOS BLVD STE 12 LOS GATOS CA (408) HORTON AND CONVERSE TA MONICA BLVD LOS ANGELES CA (310) HORTON AND CONVERSE WILSHIRE BLVD LOS ANGELES CA (310) HORTON AND CONVERSE 2001 TA MONICA BLVD TA MONICA CA (310) HORTON AND CONVERSE 8631 W 3RD ST LOS ANGELES CA (310) HORTON AND CONVERSE HOSPICARE HOSPICARE DIEGO HUNG JEN HYGEIA LTC I AND G INC ILAB JACKS DRUG STORE AND MEDICAL SUPPLIES JANA HEALTHCARE 9201 W SUNSET BLVD LOS ANGELES CA (323) SHERMAN WAY VAN NUYS CA (818) E OHIO AVE STE 101A ESCONDIDO CA (619) W. VALLEY BLVD ALHAMBRA CA (626) MONTEREY PASS RD. MONTEREY PARK CA (323) E COLORADO BLVD GLENDALE CA (818) GRAND CYPRESS AVE STE 604 PALMDALE CA (661) TUNSTEAD AVE ANSELMO CA (415) MELROSE AVE LOS ANGELES CA (323) JDX 1504 S BROADWAY TA MARIA CA (805) JERRYS DRUG 250B E ANTELOPE WOODLAKE CA (559) JOYCE EISENBURG KEEFER MEDICAL CENTER 7150 TAMPA AVE RESEDA CA (818) JUELLE & LIMA JURUPA VALLEY KIM 4566 E FLORENCE AVENUE CUDAHY CA (323) LIMONITE AVE STE F JURUPA VALLEY CA (951) GARDEN GROVE BLVD GARDEN GROVE CA (714)

19 KING'S KNOLLWOOD 1060 EAST FOOTHILL BOULEVARD UPLAND CA (909) FERNANDO MISSION BLVD GRANADA HILLS CA (818) S PIONEER BLVD ARTESIA CA (562) FOOTHILL BLVD LA CRESCENTA CA (818) W MAIN ST STE E-1 TA MARIA CA (805) KOAM LA CRESCENTA LA JOYA LAS PALMAS 555 E TACHEVAH DR STE 1W101 PALM SPRINGS CA (760) LATIMERS 7885 HWY 99E LOS MOLINOS CA (530) LEISURE WORLD LG LIFETIME VALUE 1661D GOLDEN RAIN RD SEAL BEACH CA (562) HOLLYWOOD BLVD LOS ANGELES CA (323) ALESDRO BLVD MORENO VALLEY CA (951) N HACIENDA BLVD LA PUENTE CA (626) LISA LITTLE TOKYO 402 E 2ND ST LOS ANGELES CA (213) LIVE OAK 9970 LIVE OAK BLVD LIVE OAK CA (530) LOCKEFORD DRUG E HWY 88 LOCKEFORD CA (209) LOMA LINDA HEALTH MOUNTAIN VIEW DR LOMA LINDA CA (909) LOMPOC VALLEY MEDICAL CENTER 1515 E OCEAN AVE LOMPOC CA (805) LOS COYOTES DRUG LOS OSOS REXALL DRUG STORE 3597 N LOS COYOTES DIAG. LONG BEACH CA (562) LOS OSOS VALLEY RD LOS OSOS CA (805) LOTUS 1135 S GABRIEL BLVD # 2 GABRIEL CA (626) LOYALTON 701 MAIN STREET LOYALTON CA (530) LTC GEARY 5427 GEARY BLVD FRANCISCO CA (415) LUKE'S YREKA DRUG 829 S MAIN ST YREKA CA (530) MADERA MEDICAL 402 S MADERA AVE MADERA CA (559) MAILAN HERITAGE BEACH BLVD #108 WESTMINSTER CA (714)

20 MAIN 103 N GARFIELD AVE #D ALHAMBRA CA (626) MAIN STREET INC 823 S MAIN ST STE 102 CORONA CA (951) MARCH LANE MEDICAL 89 W MARCH LANE STOCKTON CA (209) MARIN MEDICAL MARINA DEL REY MARKET LTC MASONIC HOME MAYERS MEMORIAL HOSPITAL DISTRICT 750 LAS GALLINAS AVE RAFAEL CA (415) S ADMIRALTY WAY MARINA DEL REY CA (310) RESEDA BLVD UNIT 2D NORTHRIDGE CA (818) MISSION BLVD UNION CA (510) HWY 299 E FALL RIVER MILLS CA (530) MEADOWMONT 2182 HWY 4 ARNOLD CA (209) MED CENTER 4950 BARRANCA PKY STE 102 IRVINE CA (949) MED EXPRESS 425 W RIDER ST PERRIS CA (951) MED-AID 3100 STOCKTON BLVD SACRAMENTO CA (916) MEDCARE LTC 1223 N EUCLID ST ANAHEIM CA (714) MEDICAL CENTER WHITE CROSS 4074 FAIRMOUNT AVENUE DIEGO CA (619) MEDICAL PLAZA 1700 N ROSE AVE OXNARD CA (805) MEDICAL PLAZA 353 CENTRAL AVE FILLMORE CA (805) MEDICINE CARE 1685 E MAIN ST EL CAJON CA (619) MEDICINE CARE II 1685 EAST MAIN ST EL CAJON CA (619) MEDICO TA MONICA BLVD LOS ANGELES CA (310) MEDICORX SPECIALTY 7039 VALJEAN AVE VAN NUYS CA (818) MEDPILOT INCORPORATED MED-PLUS LTC 9323 CHESAPEAKE DR STE C1 DIEGO CA (858) E ROWLAND ST COVINA CA (626) MEDRX OXNARD ST TARZANA CA (818) MERCY LTC AND SPECIALTY PIONEER BLVD. ARTESIA CA (562)

21 MERCY PLAZA 24TH ST 2336 EYE ST BAKERSFIELD CA (661) MESA CLINICAL MT MESA ROAD LAKE ISABELLA CA (760) MID VALLEY HEALTH 2800 MITCHELL RD CERES CA (209) MID VALLEY HEALTH LONG TERM CARE 602 SCENIC DR MODESTO CA (209) MIDTOWN PROFESSIONAL CORPORATION 2173 HARBOR BAY PARKWAY ALAMEDA CA (510) MING AND H DRUGS 1717 MING AVE BAKERSFIELD CA (661) MODEL DRUG 1506 DRAPER ST KINGSBURG CA (559) MODEL DRUG 911 OAK PARK BLVD PISMO BEACH CA (805) MODERN HEALTH MODERN HEALTH - SD MONTE VISTA MONTEBELLO MOTION PICTURE AND TELEVISION HSP PHY MT VIEW 110 E HUNTINGTON DR MONROVIA CA (626) EVENING CREEK DR SOUTH DIEGO CA (858) MONTE VISTA AVE MONTCLAIR CA (909) W WHITTIER BLVD MONTEBELLO CA (323) MULHOLLAND DR WOODLAND HILLS CA (818) MT VIEW AVE LOMA LINDA CA (909) PHARMACEUTICALS NEW LIFE 483 E ALMOND AVE MADERA CA (559) NEW OAKLAND - LAKE MERRITT 250 E 18TH ST OAKLAND CA (510) NEWMAN PIONEER DRUG INC 1261 MAIN ST NEWMAN CA (209) NEWPORT COAST NGUYEN HIENS NORTHEAST VALLEY HEALTH NORTHRIDGE CENTER OAKDALE OC 400 NEWPORT CENTER DRIVE NEWPORT BEACH CA (949) EL CAJON BLVD DIEGO CA (619) FERNANDO RD FERNANDO CA (818) ROSCO BLVD NORTHRIDGE CA (818) BALBOA BLVD STE 100 ENCINO CA (818) RANCHO VIEJO RD JUAN CAPISTRANO CA (949)

22 OLYMPIC BLVD OLYMPIC GERHART OMNICARE OF BAKERSFIELD OMNICARE OF CERRITOS 8950 W OLYMPIC BLVD BEVERLY HILLS CA (310) E OLYMPIC BLVD COMMERCE CA (323) STINE RD STE 700 BAKERSFIELD CA (661) A & A2 CERRITOS CORP DR CERRITOS CA (562) OMNICARE OF HAYWARD CABOT BLVD HAYWARD CA (510) OMNICARE OF NORTHERN CALIFORNIA 850 S GUILD LODI CA (209) OMNICARE OF REDDING OMNICARE OF SACRAMENTO OMNICARE OF DIEGO 5200 CHURN CREEK RD REDDING CA (530) BUSINESS DR STE D SACRAMENTO CA (916) OBERLIN DR STE 124 DIEGO CA (858) OMNICARE OF TA ROSA 879 SECOND ST TA ROSA CA (888) OMNICARE OF SOUTHERN CALIFORNIA 8220 REMMET AVE CANOGA PARK CA (818) OPTIMAL PHARMACEUTICAL MANAGEMENT OSO HOME CARE OSO HOME CARE OWENS #26 OWL HOMECARE OWL REXALL DRUG OWL SPECIALTY OWL WESTERN PACIFIC MEDICAL 6110 FAIR OAKS BLVD CARMICHAEL CA (916) GILLETTE AVE IRVINE CA (949) W BURBANK BLVD BURBANK CA (818) COURT STREET REDDDING CA (530) E GARVEY AVE BALDWIN PARK CA (626) W ARROW HWY GLENDORA CA (626) E ARROW HWY COVINA CA (626) W BERNARDINO RD COVINA CA (626) N PACIFIC AVE GLENDALE CA (818) PACIFIC PLAZA 2777 PACIFIC AVE LONG BEACH CA (562) PACIFIC WEST 4363 PACIFIC ST ROCKLIN CA (916) PALCO 113 MAIN ST STE D SCOTIA CA (707)

23 PARADISE DRUG & MEDICAL SUPPLY 6240 CLARK RD PARADISE CA (530) PARAGON COMPOUNDING, INC 1701 E EDINGER AVE STE B8 TA ANA CA (714) PARKE VISTA 3838 SHERMAN DR RIVERSIDE CA (951) PARKVIEW MEDICAL PLAZA 3975 JACKSON ST RIVERSIDE CA (951) PARKVIEW MEDICAL PLAZA LTC 3975 JACKSON ST RIVERSIDE CA (951) PARKVIEW AND HOME HEALTHCARE 8283 GROVE AVE RANCHO CUCAMONGA CA (909) PARTNER HEALTHCARE, INC S MYRTLE AVE MONROVIA CA (626) PATIENT CARE CLARK AVE HACIENDA HEIGHTS CA (626) PAYLESS III 3109 DEL MAR AVE ROSEMEAD CA (626) PEARSONS MEDICAL GROUP 1700 N WATERMAN AVE BERNARDINO CA (909) PERALTA OUTPATIENT 3300 WEBSTER ST. OAKLAND CA (510) ALTERNATIVES CALIFORNIA, LLC CARE CONCEPTS 2940 E LA PALMA AVE ANAHEIM CA (714) LORRAINE AVE STOCKTON CA (209) PHARMERICA KNOTT AVE CYPRESS CA (714) PHARMERICA 5574 EVERGLADES VENTURA CA (805) PHARMERICA 833 MARLBOROUGH AVE STE 100 RIVERSIDE CA (951) PHARMERICA PHARMERICA PHARMERICA PHARMERICA PHARMERICA PHILLIPS RANCH PICWOOD 873 RICARDO COURT LUIS OBISPO CA (805) ACTIVITY ROAD DIEGO CA (858) NORTH MARKET BLVD SACRAMENTO CA (916) ALVARADO NILES RD UNION CA (800) E ASHLAN AVE FRESNO CA (800) W TEMPLE AVE POMONA CA (909) WESTWOOD BLVD WEST LOS ANGELES CA (310)

24 PIONEER DRUG 397 5TH ST GUSTINE CA (209) PIONEER MARKET PLAZA 5034 COAKLEY CIRCLE MARIPOSA CA (209) W LOMITA BLVD TORRANCE CA (310) PMC 843 MALCOLM RD BURLINGAME CA (650) PORTER RANCH PRECISE COMPOUNDING PREMIER PREMIER PREMIER RINALDI STREET PORTER RANCH CA (818) WASHINGTON BLVD, CULVER CA (310) RAMON VALLEY BLVD RAMON CA (925) CLOVERLEAF DR BALDWIN PARK CA (626) CLOVERLEAF DR BALDWIN PARK CA (626) PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER PEDRO 1300 W 7TH ST PEDRO CA (310) QUALITY-CARE RAMONA REDWOOD LTC RELIANCE, INC. REZCARE RIDGECREST RIVERA RIVERS EDGE SPECIALTY RONCO DRUG RONS 727 W MARCOS BLVD MARCOS CA (760) N GARFIELD AVENUE MONTEREY PARK CA (626) CASTRO VALLEY BLVD STE 101 CASTRO VALLEY CA (510) E EDINGER AVE STE A6 TA ANA CA (714) CALLE FORTUNADA STE D DIEGO CA (619) MIGUEL DR WALNUT CREEK CA (925) TELEGRAPH RD PICO RIVERA CA (562) BEACH BLVD STE 105 BUENA PARK CA (714) VENTURA BLVD TARZANA CA (818) BARNES CANYON RD DIEGO CA (858) W HEMLOCK WAY TA ANA CA (714) S WESTERN AVE LOS ANGELES CA (323) ROSE ROSS MEDICAL RP HEALTHCARE 2456 W THIRD ST TA ROSA CA (707)

25 RX EXPRESS 711 E MARKET ST STOCKTON CA (209) RX PLUS 1425 E LINCOLN AVE ANAHEIM CA (714) SADDLEBACK MEDICAL ARTS PASEO DE VALENCIA LAGUNA HILLS CA (949) SAFE CARE 2125 WRIGHT AVE LA VERNE CA (909) SAINT JOHNS FAMILY JOAQUIN DRUG INC TA BARBARA SPECIALTY SAV-CO GENERIC DRUGS SCRIPT INFUSION, INC SCRIPTS RAMONA BLVD BALDWIN PARK CA (626) E HIGHWAY 140 PLANADA CA (209) CARPINTERIA AVE SUITE B CARPINTERIA CA (805) CAMPBELL AVE CAMPBELL CA (408) CALLE LEE STE 163 LOS ALAMITOS CA (562) SHERMAN WAY STE 209 NORTH HOLLYWOOD CA (818) SENIOR CARE 927 INDUSTRIAL WAY LODI CA (209) SENIOR CARE HOOVER ST GARDEN GROVE CA (714) SENIOR CARE 4950 FULTON DR FAIRFIELD CA (707) SENIOR CARE SVCS 8000 WHEATLAND AVENUE SUN VALLEY CA (818) SHARP CHULA VISTA MEDICAL CENTER SNF 751 MEDICAL CENTER COURT CHULA VISTA CA (619) SHARP CORONADO HOSPITAL 250 PROSPECT PLACE CORONADO CA (619) SIERRA 8661 BASELINE RD RANCHO CUCAMONGA CA (909) SKILLED NURSING SKILLED NURSING E JOHNSON DRIVE OF INDUSTRY CA (626) SCRIPPS LAKE DRIVE DIEGO CA (858) SKILLED NURSING 900 WESTERN AVE GLENDALE CA (818) SKILLED NURSING HAYWARD CABOT BLVD HAYWARD CA (510) SO LOW DRUG SORCI HEALTHCARE LOS ALAMITOS BLVD LOS ALAMITOS CA (562) LOS GATOS BLVD LOS GATOS CA (408)

26 SOTO DRUG COMPANY SOUTH BAY SOUTH VALLEY SOUTH WESTERN SPECIALIST MEDICAL ST JOHNS 2911 W BEVERLY BLVD LOS ANGELES CA (213) N PROSPECT AVE REDONDO BEACH CA (310) EIGLEBERRY ST GILROY CA (408) SOUTH WESTERN AVE LOS ANGELES CA (323) E BEACH AVE STE A INGLEWOOD CA (310) E FLORENCE AVE HUNTINGTON PARK CA (323) STANS DRUGS 3001 SAVIERS RD OXNARD CA (805) VANOWEN STAR ST VAN NUYS CA (818) STUDIO SUNNYSIDE SUPERIOR CARE VENTURA BLVD STUDIO CA (818) E KINGS CANYON RD FRESNO CA (559) PULSAR COURT CORONA CA (619) SUPERIOR CARE 161 E MAIN ST STE 104 EL CAJON CA (844) SUTTER INFUSION SERVICE 8318 FERGUSON AVE SACRAMENTO CA (888) SUTTER INFUSION 1105 ATLANTIC AVE STE 102 ALAMEDA CA (510) SUTTER 470 PLUMAS BLVD YUBA CA (530) SUTTER SOLUTIONS TAHOE FOREST TEDS DRUGS 470 PLUMAS BLVD STE 104 YUBA CA (530) DONNER PASS RD TRUCKEE CA (530) HESPERIAN BLVD HAYWARD CA (510) TEDS VILLAGE INC 29 W 25TH AVE MATEO CA (650) THANHS 633 N SPRING ST LOS ANGELES CA (213) THE MEDICINE SHOPPE 1477 SOUTH JACINTO AVE. JACINTO CA (951) THE MEDICINE SHOPPE PIONEER BLVD ARTESIA CA (562) THE MEDICINE SHOPPE 2173 PICKWICK DR CAMARILLO CA (805)

27 THE MEDICINE SHOPPE THE MEDICINE SHOPPE THE MEDICINE SHOPPE 2939 ALTA VIEW DR DIEGO CA (619) S SAVIERS RD OXNARD CA (805) MICHAEL DRIVE NEWBURY PARK CA (805) THE MEDICINE SHOPPE 960 E OJAI AVE OJAI CA (805) THE MEDICINE SHOPPE THE MEDICINE SHOPPE THE MEDICINE SHOPPE THE MEDICINE SHOPPE THE MEDICINE SHOPPE THOUD CRANES THU VENTURA BLVD TARZANA CA (818) B TELE RD VENTURA CA (805) STREET TA BARBARA CA (805) WEST SHAW AVE 101 CLOVIS CA (559) WEST LINCOLN SUITE K ANAHEIM CA (714) BUCHANAN ST FRANCISCO CA (415) STOCKTON BLVD STE B SACRAMENTO CA (916) TOTALCARE INC 3971 S WESTERN AVE LOS ANGELES CA (323) TRI CADILLAC CT MILPITAS CA (408) TRINITY CARE RX 8381 KATELLA AVE STE O STANTON CA (714) TROPICANA DRUGS 1167 S KING RD JOSE CA (408) TROPICANA DRUGS LONG TERM CARE 1169 S KING RD JOSE CA (408) TRUCARE 1875 CALIFORNIA AVE CORONA CA (951) TWAIN HARTE TIFFINI TWAIN HARTE CA (209) UC DAVIS CLINIC IN DAVIS ULTIMATE UNIPHARMA INC UNITED 2660 W COVELL BLVD DAVIS CA (530) VANOWEN ST STE 201 VAN NUYS CA (818) LOS ALAMITOS BLVD LOS ALAMITOS CA (562) TELEGRAPH AVE BERKELEY CA (510)

28 UNITED UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER 1129 S ROBERTSON BLVD LOS ANGELES CA (310) STOCKTON BLVD SACRAMENTO CA (916) VAIL RANCH TEMECULA PKWY TEMECULA CA (951) VALENCIA LYONS AVE NEWHALL CA (661) VALLEY 500 N GARDEN ST VISALIA CA (559) VALLEY PRESCRIPTION AND COMPOUNDING 330 E 13TH ST MERCED CA (209) VALLEY RX VALLEY SQUARE VALUE CARE VERDUGO CARE VERDUGO PLAZA VERDUGO PLAZA ALHAMBRA VETERANS HOME OF CA CHULA VISTA VETERANS HOME OF CALIFORNIA SERVICE VIBRANT CARE INC 5546 N ROSEMEAD BL TEMPLE CA (626) E VALLEY BLVD ALHAMBRA CA (626) N SHEPARD ST ANAHEIM CA (714) GLENOAKS BLVD SUN VALLEY CA (818) VERDUGO BLVD STE 110 GLENDALE CA (818) W VALLEY BLVD ALHAMBRA CA (626) E NAPLES COURT CHULA VISTA CA (619) CALIFORNIA DR YOUNTVILLE CA (707) MACARTHUR BLVD STE B OAKLAND CA (510) VM SOUTH ST CERRITOS CA (562) WARNER VICTORY WELCARE WELL CARE WEST DRUG WEST KNOLL 6325 TOPANGA CANYON BLVD WOODLAND HILLS CA (818) W MARCOS BLVD STE 140 MARCOS CA (760) /2 W GLENOAKS BLVD GLENDALE CA (818) WESTMINSTER AVE WESTMINSTER CA (714) TA MONICA BLVD WEST HOLLYWOOD CA (310) WEST BEACH BLVD HUNTINGTON BEACH CA (714) WEST VAL 5353 BALBOA BLVD ENCINO CA (818)

29 WESTSIDE AND GIFTS 1401 MISSION ST TA CRUZ CA (831) WHITE CROSS 1445 N SUNRISE WAY PALM SPRINGS CA (760) WHITTIER DRUGS 9209 S COLIMA RD WHITTER CA (562) WINTONS 1377 E HERNDON FRESNO CA (559) WOORI YORBA LINDA UNITED DRUGS YOUR DRUG STORE 266 S HARVARD BLVD STE 120 LOS ANGELES CA (213) E LA PALMA AVE ANAHEIM CA (714) HESPERIA RD VICTORVILLE CA (760) YOUR DRUG STORE MAIN ST HESPERIA CA (760) YOUR DRUG STORE 1850 N RIVERSIDE AVE STE 170 RIALTO CA (909) YOUR DRUG STORE 2303 NILES POINT BAKERSFIELD CA (661) Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through CCHP Senior Select Program (HMO SNP) s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). 印第安人健康服務 / 部落 / 印第安人健康衛生計劃 (I / T / U) 只有美國原住民和阿拉斯加原住民可以通過 CCHP 耆英計劃 (HMO) 的網絡得到印第安人健康醫療服務 / 部落 / 印第安人健康衛生計劃 (I / T / U) 的服務 其他人仕 ( 美國原住民和阿拉斯加原住民以外 ) 只可以在有限制的情況下 ( 如緊急情況 ) 才可使用這些 CHAPA-DE INDIAN HEALTH ATWOOD RD AUBURN CA (530) CHAPA-DE INDIAN HEALTH PROGRAM -GRASS VALLEY 1350 E MAIN ST GRASS VALLEY CA (530) FEATHER RIVER TRIBAL HEALTH TH AVE OROVILLE CA (530) FORT YUMA INDIAN HEALTH CENTER ONE INDIAN HILL ROAD WINTERHAVEN CA (760)

30 KIMAW MEDICAL CENTER 1200 AIRPORT RD HOOPA CA (530) LAKE COUNTY TRIBAL HEALTH 925 BEVINS CT LAKEPORT CA (707) LASSEN INDIAN HEALTH CENTER 795 JOAQUIN ST SUVILLE CA (530) MORONGO INDIAN CLINIC /2 POTRERO RD BANNING CA (951) NORTH LAKE MEDICAL #2 347 LAKEPORT BLVD LAKEPORT CA (707) REDDING RANCHERIA INDIAN HEALTH SVCS 1441 LIBERTY ST REDDING CA (530) MANUEL INDIAN CLINIC MOUNT VERNON AVE GRAND TERRACE CA (909) SHINGLE SPRINGS HEALTH AND WELLNESS CENTER 5168 HONPIE RD PLACERVILLE CA (530) SOBOBA INDIAN CLINIC 607 DONNA WAY JACINTO CA (951) SONOMA COUNTY INDIAN HEALTH PROJECT INCORPORATED 144 STONY POINT RD TA ROSA CA (707) SOUTHERN INDIAN HEALTH COUNCIL CHURCH RD CAMPO CA (619) SOUTHERN INDIAN HEALTH COUNCIL 4058 WILLOWS RD ALPINE CA (619) SYCUAN MEDICAL DENTAL 5442 DEHESA RD EL CAJON CA (619) TOIYABE INDIAN HEALTH INC 52 TU SU LANE BISHOP CA (760) TUOLUMNE ME-WUK INDIAN HEALTH CENTER CHERRY VALLEY BLVD TUOLUMNE CA (209) UNITED INDIAN HEALTH 1600 WEEOT WAY ARCATA CA (707) Specialty Pharmacies/ 特殊藥物 29

31 CHINESE HOSPITAL 845 JACKSON ST FRANCISCO CA (415) CHINESE HOSPITAL 386 GELLERT BLVD DALY CA (650) MEDIMPACT DIRECT TREENA ST DIEGO CA (877)

32 Discrimination is Against the Law Chinese Community Health Plan (CCHP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. CCHP does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Chinese Community Health Plan: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact CCHP Member Services. If you believe that CCHP has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with us in person, by phone, by mail, or by fax at: CCHP Member Services 445 Grant Ave, Suite 700, San Francisco, CA , TTY Fax You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue SW. Room 509F, HHH Building Washington, DC 20201, , (TDD) Complaint forms are available at 華人保健計劃 (CCHP 遵守適用的聯邦民權法律規定, 不因種族 膚色 民族血統 年齡 殘障或性別而歧視任何人 華人保健計劃 (CCHP) 不因種族 膚色 民族血統 年齡 殘障或性別而排斥任何人或以不同的方式對待他們 華人保健計劃 (CCHP): 向殘障人士免費提供各種援助和服務, 以幫助他們與我們進行有效溝通, 如 : o 合格的手語翻譯員 o 以其他格式提供的書面資訊 ( 大號字體 音訊 無障礙電子格式 其他格式 ) 向母語非英語的人員免費提供各種語言服務, 如 : o 合格的翻譯員 o 以其他語言書寫的資訊如果您需要此類服務, 請聯絡華人保健計劃 (CCHP) 如果您認為華人保健計劃 (CCHP) 未能提供此類服務或者因種族 膚色 民族血統 年齡 殘障或性別而透過其他方式歧視您, 您可以親自提交投訴, 或者以郵寄 傳真或電郵的方式向我們提交投訴 :

33 CCHP Member Services 445 Grant Ave, Suite 700, San Francisco, CA , 聽力殘障人仕 傳真 您還可以向 U.S. Department of Health and Human Services( 美國衛生及公共服務部 ) 的 Office for Civil Rights( 民權辦公室 ) 提交民權投訴, 透過 Office for Civil Rights Complaint Portal 以電子方式投訴 : 或者透過郵寄或的方式投訴 : U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C , (TDD)( 聾人用電信設備 ) 登入 可獲得投訴表格 Chinese Community Health Plan (CCHP) cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Chinese Community Health Plan no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo. Chinese Community Health Plan: Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes: o Intérpretes de lenguaje de señas capacitados. o Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles, otros formatos). Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los siguientes: o Intérpretes capacitados. o Información escrita en otros idiomas. Si necesita recibir estos servicios, comuníquese con CCHP Member Services. Si considera que CCHP no le proporcionó estos servicios o lo discriminó de otra manera por motivos de origen étnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: CCHP Member Services 445 Grant Ave, Suite 700, San Francisco, CA , TTY Fax También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C , (TDD) Puede obtener los formularios de reclamo en el sitio web

34 English: ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call (TTY: ). Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: ). Chinese: 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: ) Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: ). Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: ). Korean: 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: ) 번으로전화해주십시오. Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: ) Arabic: ملحوظة: إذا كنت تتحدث اذكر اللغة فا ن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (رقم ھاتف الصم والبكم: ). Hindi: ध य न द: यद आप हद ब लत ह त आपक लए म फ त म भ ष सह यत स व ए उपलब ध ह (TTY: ) पर क ल कर Japanese: 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます (TTY: ) まで おにてご連絡ください Armenian: ՈՒՇԱԴՐՈՒԹՅՈՒՆ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք (TTY (հեռատիպ) ): Punjabi: ਧਆਨ ਦਓ: ਜ ਤ ਸ ਪ ਜ ਬ ਬ ਲਦ ਹ, ਤ ਭ ਸ਼ ਵ ਚ ਸਹ ਇਤ ਸ ਵ ਤ ਹ ਡ ਲਈ ਮ ਫਤ ਉਪਲਬਧ ਹ (TTY: ) 'ਤ ਕ ਲ ਕਰ Cambodian: របយ ត ប ស ន អ កន យ ខ រ, ស ជ ន យ ផ ក យម នគ តឈ ល គ ច នស ប ប រ អ ក ច រ ទ រស ព (TTY: ) Hmong: LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. rau (TTY: ). Thai: เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (TTY: ). Persian (Farsi): Multi-language Interpreter Services توجھ: اگر بھ زبان فارسی گفتگو می کنید تسھیلات زبانی بصورت رایگان برای شما فراھم می باشد. با -1 (TTY: ( تماس بگیرید. Hu