UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D

Transcription

1 2010 PHAR DIRECTORY UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D This directory is for Region 31: Idaho, Utah This booklet provides a list 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. We also list pharmacies that are in our network but outside Region 31. To get current information about network pharmacies in your area, or if you need further information, contact Customer Service at the number listed on the back of your Part D member ID card. Introduction To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and your plan Formulary. If you have additional questions, please call Customer Service at the number listed on the back of your Part D member ID card. 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 your Medicare Prescription Drug Plan. In most cases, your prescriptions are covered under your Plan 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. S5755_10PHARM F7564_31

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3 IDAHO Retail Pharmacies

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5 ADA ID BOISE FLOTO UNITED DRUGS # N MILWAUKEE ST # 100 BOISE, ID (208) INNOVATIVE CARE PHAR W EMERALD ST BOISE, ID (208) LADD FAMILY PHAR 1109 BROADWAY AVE BOISE, ID (208) MEDNOW PHAR 999 N CURTIS RD STE 102 BOISE, ID (208) PAUL'S PHAR # LAKE HAZEL RD BOISE, ID (208) ST LUKE'S REGIONAL MED CTR O/P P 190 E BANNOCK ST BOISE, ID (208) EAGLE CUSTOMEDICA PHAR- 700 E STATE ST EAGLE, ID (208) MED NOW PHAR 323 E RIVERSIDE DR # 120 EAGLE, ID (208) KUNA PAUL'S PHAR # E AVALON ST KUNA, ID (208) VIC'S FAMILY PHAR 190 W 3RD ST KUNA, ID (208) MERIDIAN PORTICO PHAR 3355 E LOUISE DRIVE MERIDIAN, ID (208) ST LUKE'S MERIDIAN 520 S EAGLE RD STE 1000 MERIDIAN, ID (208) STAR STAR PHAR 9732 W STATE ST STAR, ID (208) BANNOCK POCATELLO BOB'S PHAR 500 S 11TH AVE POCATELLO, ID (208) ED SNELL'S PHAR SHOP 1015 E YOUNG ST POCATELLO, ID (208) MAAG PRESC & MED SUP- PLY 333 W CENTER ST POCATELLO, ID (208) SHAVER PHAR & COMPOUNDING CT 235 S 4TH AVE POCATELLO, ID (208) UPREHS PHAR 120 S RAILROAD AVE POCATELLO, ID (208) BEAR LAKE MONTPELIER BEAR LAKE DRUG 836 WASHINGTON ST MONTPELIER, ID (208) OLSONS MODERN DRUG 762 WASHINGTON ST MONTPELIER, ID (208) BENEWAH SAINT MARIES JACK'S PHAR INC 103 E COLLEGE AVE SAINT MARIES, ID (208) BINGHAM ABERDEEN WALLACE PHAR 44 S MAIN ST ABERDEEN, ID (208) BLACKFOOT MEDICAL PLAZA PHAR- 98 POPLAR ST BLACKFOOT, ID (208) PHAR SHOP 69 N PINE ST BLACKFOOT, ID (208) SHELLEY BROULIM'S PHAR 570 S STATE ST SHELLEY, ID (208) BLAINE KARENS FAMILY PHAR- 21 E MAPLE ST HAILEY, ID (208) THE DRUGSTORE 91 E CROY ST HAILEY, ID (208) KETCHUM CHATEAU DRUG GIACOBBI SQUARE/LEAD- VILLE KETCHUM, ID (208) BONNER PONDERAY WELL LIFE SAND CREEK PHAR HIGHWAY 95 STE 3 PONDERAY, ID (208) PRIEST RIVER WHITE CROSS PHAR 1222 ALBENI HWY PRIEST RIVER, ID (208) SANDPOINT SANDPOINT SUPER DRUG 604 N 5TH AVE SANDPOINT, ID (208) WHITE CROSS PHAR 1205 HIGHWAY 2 STREET 102 SANDPOINT, ID (208) BONNEVILLE IDAHO FALLS B & B DRUGS 2425 CHANNING WAY IDAHO FALLS, ID (208) ID Retail Pharmacies HAILEY TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 3

6 Retail Pharmacies ID HYWAY DRUG 120 NORTHGATE MILE IDAHO FALLS, ID (208) MIKE'S PHAR 180 S HOLMES AVE IDAHO FALLS, ID (208) PRESCRIPTION CENTER INC 2252 CORONADO ST IDAHO FALLS, ID (208) BOUNDARY BONNERS FERRY BOUNDARY PHAR 6519 MAIN ST STE 303 BONNERS FERRY, ID (208) BUTTE ARCO LOST RIVER DRUG 210 W GRAND AVE ARCO, ID (208) CANYON CALDWELL MEDICAL CLINIC PHAR- 315 E ELM ST STE 150 CALDWELL, ID (208) PAUL'S PHAR #5 425 N 10TH AVE CALDWELL, ID (208) PENNY WISE DRUG STORE 802 CLEVELAND BLVD CALDWELL, ID (208) NAMPA JOHN'S MEDIC PHAR TH AVE N NAMPA, ID (208) MEDNOW PHAR # TH AVE RD NAMPA, ID (208) MEDNOW PHAR # E FLAMINGO AVE NAMPA, ID (208) PAUL'S PHAR # TH AVE RD NAMPA, ID (208) REDDISH PHAR 215 E HAWAII AVE STE 100 NAMPA, ID (208) VIC'S FAMILY PHAR TH AVE RD STE A NAMPA, ID (208) CARIBOU GRACE LONDON DRUG 6 S MAIN GRACE, ID (208) SODA SPRINGS EASTMAN DRUG 116 S MAIN ST SODA SPRINGS, ID (208) MAUGHAN PHAR 89 W 2ND S SODA SPRINGS, ID (208) CASSIA BURLEY KWIK MEDS 256 OVERLAND AVE BURLEY, ID (208) CLEARWATER OROFINO GLENWOOD PHAR INC 1105 MICHIGAN AVE OROFINO, ID (208) NORTHWEST VALUE DRUG HIGHWAY 12 OROFINO, ID (208) ELMORE MOUNTAIN HOME SAV-MOR DRUG 490 N 2ND E MOUNTAIN HOME, ID (208) FRANKLIN PRESTON LARRY'S FAMILY PHCY INC 217 S STATE ST PRESTON, ID (208) PRESTON DRUG 39 N 1ST E PRESTON, ID (208) FREMONT ASHTON ASHTON COMMUNITY PHAR 23 SOUTH 8TH STREET SUITE #2 ASHTON, ID (208) SAINT ANTHONY FALLS UNITED DRUG 23 N BRIDGE ST SAINT ANTHONY, ID (208) GEM EMMETT TYLER'S GEM PHAR 540 N MOFFATT AVE EMMETT, ID (208) GOODING GOODING KENDRICK PHAR 414 MAIN ST GOODING, ID (208) WENDELL WENDELL PHAR 280 S IDAHO ST WENDELL, ID (208) IDAHO COTTONWOOD ARNZEN SUPER DRUG 429 MAIN STREET COTTONWOOD, ID (208) GRANGEVILLE ASKERS UNITED # W MAIN ST GRANGEVILLE, ID (208) IRWIN DRUG INC 146 W MAIN ST GRANGEVILLE, ID (208) JEFFERSON RIGBY BROULIM'S PHAR 150 N STATE ST RIGBY, ID (208) IDAHO DRUG 139 E MAIN ST RIGBY, ID (208) JEROME TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 4

7 JEROME R & R PHAR 133 W AVENUE A JEROME, ID (208) KOOTENAI COEUR D ALENE INTERLAKE PHAR 700 W IRONWOOD DR COEUR D ALENE, ID (208) MEDICINE MAN # W IRONWOOD DR COEUR D ALENE, ID (208) MEDICINE MAN NORTH 305 W KATHLEEN AVE COEUR D ALENE, ID (208) HAYDEN MEDICINE MAN HAYDEN 204 W HAYDEN AVE HAYDEN, ID (208) MEDICINE MAN PRAIRIE PHCY 8093 CORNER STONE DR HAYDEN, ID (208) POST FALLS MEDICINE MAN SOUTH- WEST 805 E POLSTON AVE POST FALLS, ID (208) MEDICINE MAN WEST PHAR, LLC 802 E MEDICAL CT POST FALLS, ID (208) WELL LIFE POST FALLS PHAR 1501 E SELTICE WAY POST FALLS, ID (208) RATHDRUM MEDICINE MAN WEST N WESTWOOD DR RATHDRUM, ID (208) RATHDRUM DRUG N HWY 41 RATHDRUM, ID (208) LATAH KENDRICK RED CROSS PHAR INC 509 W MAIN ST KENDRICK, ID (208) MOSCOW HODGINS DRUG STORE INC 307 S MAIN ST MOSCOW, ID (208) MARKETIME DRUGS 209 E 3RD ST MOSCOW, ID (208) UNIVERSITY OF IDAHO 831 ASH ST MOSCOW, ID (208) POTLATCH NORTHWEST PHAR 525 PINE ST POTLATCH, ID (208) LEMHI SALMON RIGBY'S PHAR 1200 SHOUP ST SALMON, ID (208) LEWIS KAMIAH ARNZEN'S KAMIAH DRUG 318 MAIN ST KAMIAH, ID (208) MADISON REXBURG BROULIM'S PHAR 124 W MAIN ST REXBURG, ID (208) BYU-IDAHO STUDENT HEALTH 179 SHC REXBURG, ID (208) THE MEDICINE SHOPPE # S 2ND W REXBURG, ID (208) NEZ PERCE LEWISTON ORCHARDS PHAR 523 THAIN RD LEWISTON, ID (208) OWL SOUTHWAY DRUGS TH AVE LEWISTON, ID (208) OWL VALLEY MEDICAL PHCY TH ST LEWISTON, ID (208) ONEIDA MALAD CITY ALLEN UNITED DRUGS # N MAIN ST MALAD CITY, ID (208) OWYHEE HOMEDALE HOMEDALE DRUG 5 N MAIN ST HOMEDALE, ID (208) PAUL'S PHAR #1 20 E WYOMING AVE HOMEDALE, ID (208) PAYETTE FRUITLAND MEDNOW PHAR 1118 NW 16TH ST STE B FRUITLAND, ID (208) POWER AMERICAN FALLS ROCKLAND PHAR 524 TYHEE AVE AMERICAN FALLS, ID (208) SHOSHONE KELLOGG KOHAL PHAR # MCKINLEY AVE KELLOGG, ID (208) SUNNYSIDE DRUG 131 W CAMERON AVE # 540 KELLOGG, ID (208) OSBURN OSBURN DRUG 805 MULLAN AVENUE OSBURN, ID (208) PINEHURST GARY'S PHAR 111 FAIRWAY SHOPPING CTR PINEHURST, ID (208) ID Retail Pharmacies TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 5

8 Retail Pharmacies ID KOHAL PHAR & MED CTR 504 N DIVISION PINEHURST, ID (208) TETON DRIGGS BROULIM'S PHAR 240 S MAIN ST DRIGGS, ID (208) CORNER DRUG 10 S MAIN ST DRIGGS, ID (208) TWIN FALLS BUHL SAV-MOR DRUG 1109 MAIN ST BUHL, ID (208) TWIN FALLS DICKS PHAR 526 SHOUP AVE W STE K TWIN FALLS, ID (208) THE MEDICINE SHOPPE # FILER AVE TWIN FALLS, ID (208) VALLEY CASCADE WHEELERS PHAR 104 N MAIN CASCADE, ID (208) MCCALL MCCALL DRUG 1001 N 2ND ST MCCALL, ID (208) WASHINGTON WEISER PARK-VU 604 E 3RD ST WEISER, ID (208) KURT'S PHAR 1203 FILER AVE E TWIN FALLS, ID (208) MEDICAL OFFICE PHAR- 630 ADDISON AVE W STE 120 TWIN FALLS, ID (208) ORCHARD DRUG 995 WASHINGTON ST S TWIN FALLS, ID (208) SAV-MOR DRUG 139 MAIN AVE W TWIN FALLS, ID (208) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 6

9 IDAHO Chain Pharmacies

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11 ADA ID BOISE # W STATE ST BOISE, ID (208) # BROADWAY AVE BOISE, ID (208) # N COLE RD BOISE, ID (208) # W STATE ST BOISE, ID (208) # OVERLAND RD BOISE, ID (208) # USTICK RD BOISE, ID (208) # OVERLAND RD BOISE, ID (208) # E PARKCENTER BLVD BOISE, ID (208) # N EAGLE RD BOISE, ID (208) # FEDERAL WAY BOISE, ID (208) # W STATE ST BOISE, ID (208) # VISTA AVE BOISE, ID (208) COSTCO PHAR # S COLE RD BOISE, ID (208) FRED MEYER # S FEDERAL WAY BOISE, ID (208) FRED MEYER # W FRANKLIN RD BOISE, ID (208) FRED MEYER IB OVERLAND RD BOISE, ID (208) FRED MEYER IG 5425 CHINDEN BLVD BOISE, ID (208) K MART # FAIRVIEW AVE BOISE, ID (208) RITE AID # W STATE ST BOISE, ID (208) RITE AID # W STATE ST BOISE, ID (208) RITE AID # FAIRVIEW AVE BOISE, ID (208) RITE AID # FAIRVIEW AVE BOISE, ID (208) RITE AID # W OVERLAND RD BOISE, ID (208) RITE AID # VISTA AVE BOISE, ID (208) RITE AID # E BOISE AVE BOISE, ID (208) SHOPKO PHAR # FAIRVIEW AVE BOISE, ID (208) SHOPKO PHAR # BROADWAY AVE BOISE, ID (208) WAL*MART # OVERLAND RD BOISE, ID (208) WALGREENS # GLENWOOD ST BOISE, ID (208) WALGREENS # W FAIRVIEW AVE BOISE, ID (208) WALGREENS # USTICK RD BOISE, ID (208) WALGREENS # OVERLAND RD BOISE, ID (208) WALGREENS # W OVERLAND RD BOISE, ID (208) WALGREENS # APPLE ST BOISE, ID (208) WALGREENS # S FEDERAL WAY BOISE, ID (208) EAGLE # S EAGLE RD EAGLE, ID (208) WALGREENS # E CHINDEN BLVD EAGLE, ID (208) GARDEN CITY WAL*MART PHCY # W STATE ST GARDEN CITY, ID (208) WALGREENS # W CARLTON BAY DR GARDEN CITY, ID (208) MERIDIAN ID Chain Pharmacies TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 9

12 Chain Pharmacies ID # E FAIRVIEW AVE MERIDIAN, ID (208) # W CHERRY LN MERIDIAN, ID (208) FRED MEYER MI 1850 E FAIRVIEW AVE MERIDIAN, ID (208) MEDICAP PHAR # WEST CHERRY LANE MERIDIAN, ID (208) RITE AID # E 1ST ST MERIDIAN, ID (208) SHOPKO PHAR # E FAIRVIEW AVE MERIDIAN, ID (208) WAL*MART PHCY # E FAIRVIEW AVE MERIDIAN, ID (208) WALGREENS # E FAIRVIEW AVE MERIDIAN, ID (208) WALGREENS # W CHERRY LN MERIDIAN, ID (208) WALGREENS # N MERIDIAN RD MERIDIAN, ID (208) WALGREENS # N EAGLE RD MERIDIAN, ID (208) WALGREENS # N LINDER RD MERIDIAN, ID (208) BANNOCK CHUBBUCK SHOPK0 PHAR # YELLOWSTONE AVE CHUBBUCK, ID (208) SMITHS PHAR # YELLOWSTONE AVE CHUBBUCK, ID (208) WAL*MART # YELLOWSTONE AVE CHUBBUCK, ID (208) WALGREENS # YELLOWSTONE AVE CHUBBUCK, ID (208) POCATELLO # E BENTON ST POCATELLO, ID (208) COSTCO PHAR # W QUINN RD POCATELLO, ID (208) FRED MEYER # YELLOWSTONE AVE POCATELLO, ID (208) K MART # POLE LINE RD POCATELLO, ID (208) RIDLEY'S # N MAIN ST POCATELLO, ID (208) WALGREENS # YELLOWSTONE AVE POCATELLO, ID (208) BINGHAM BLACKFOOT # PARKWAY DR BLACKFOOT, ID (208) RIDLEY'S # S SPRUCE ST BLACKFOOT, ID (208) WAL*MART # JENSEN GROVE DR BLACKFOOT, ID (208) WALGREENS # W BRIDGE ST BLACKFOOT, ID (208) BLAINE HAILEY # S MAIN ST HAILEY, ID (208) BONNER SANDPOINT SAFEWAY PHAR # N 5TH AVE SANDPOINT, ID (208) WAL*MART # HIGHWAY 95 N SANDPOINT, ID (208) YOKE'S PHAR # HIGHWAY 95 N SANDPOINT, ID (208) BONNEVILLE AMMON # S 2500 E AMMON, ID (208) WALGREENS # E 17TH ST AMMON, ID (208) IDAHO FALLS # E 17TH ST IDAHO FALLS, ID (208) FRED MEYER # N YELLOWSTONE HWY IDAHO FALLS, ID (208) K MART # E 17TH ST IDAHO FALLS, ID (208) SAMS PHAR # E 17TH ST IDAHO FALLS, ID (208) SHOPKO PHAR # E 17TH ST IDAHO FALLS, ID (208) SMITHS PHAR # S WOODRUFF AVE IDAHO FALLS, ID (208) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 10

13 WAL*MART # E 17TH ST IDAHO FALLS, ID (208) WAL*MART PHCY # S UTAH AVE IDAHO FALLS, ID (208) WALGREENS # E 17TH ST IDAHO FALLS, ID (208) WALGREENS # ST ST IDAHO FALLS, ID (208) WALGREENS # W BROADWAY ST IDAHO FALLS, ID (208) BOUNDARY BONNERS FERRY SAFEWAY PHAR # ST ST BONNERS FERRY, ID (208) CANYON CALDWELL # CLEVELAND BLVD CALDWELL, ID (208) # BLAINE ST CALDWELL, ID (208) RITE AID # CLEVELAND BLVD CALDWELL, ID (208) WAL*MART PHCY # CLEVELAND BLVD CALDWELL, ID (208) WALGREENS # CLEVELAND BLVD CALDWELL, ID (208) WALGREENS # TH AVE CALDWELL, ID (208) MIDDLETON RIDLEY'S FOOD & DRUG # E MAIN ST MIDDLETON, ID (208) NAMPA # TH AVE S NAMPA, ID (208) # TH AVE RD NAMPA, ID (208) COSTCO PHAR # N MARKETPLACE BLVD NAMPA, ID (208) FRED MEYER NI 50 2ND ST S NAMPA, ID (208) K MART # CALDWELL BLVD NAMPA, ID (208) SHOPKO PHAR # CALDWELL BLVD NAMPA, ID (208) TARGET #T N MARKETPLACE BLVD NAMPA, ID (208) WAL*MART PHCY # TH AVE RD NAMPA, ID (208) WAL*MART PHCY # EAST FRANKLIN RD NAMPA, ID (208) WAL*MART PHCY # E FRANKLIN RD NAMPA, ID (208) WALGREENS # TH AVE S NAMPA, ID (208) WALGREENS # TH AVE RD NAMPA, ID (208) WALGREENS # CALDWELL BLVD NAMPA, ID (208) PARMA MEDICAP PHAR # E GROVE AVE PARMA, ID (208) CASSIA BURLEY SMITHS PHAR # E MAIN ST BURLEY, ID (208) WAL*MART # RIVERVIEW DR BURLEY, ID (208) WALGREENS # E MAIN ST BURLEY, ID (208) ELMORE MOUNTAIN HOME # N MAIN ST MOUNTAIN HOME, ID (208) WAL*MART PHCY # AMERICAN LEGION BLVD MOUNTAIN HOME, ID (208) GEM EMMETT # HIGHWAY 16 EMMETT, ID (208) GOODING GOODING RIDLEY'S FOOD & DRUG # MAIN ST GOODING, ID (208) JEROME JEROME RIDLEY'S FOOD & DRUG # S LINCOLN AVE JEROME, ID (208) WAL*MART PHCY # S LINCOLN AVE JEROME, ID (208) KOOTENAI ID Chain Pharmacies TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 11

14 Chain Pharmacies ID COEUR D ALENE COSTCO PHAR # E NEIDER AVE COEUR D ALENE, ID (208) FRED MEYER CI 560 W KATHLEEN AVE COEUR D ALENE, ID (208) K MART #7207 WEST 201 NEIDER ROAD COEUR D ALENE, ID (208) RITE AID # W IRONWOOD DR COEUR D ALENE, ID (208) SAFEWAY PHAR # N 4TH ST COEUR D ALENE, ID (208) SAFEWAY PHAR # W NEIDER AVE COEUR D ALENE, ID (208) SHOPKO PHAR # W IRONWOOD DR COEUR D ALENE, ID (208) WALGREENS # E APPLEWAY AVE COEUR D ALENE, ID (208) HAYDEN # W PRAIRIE AVE HAYDEN, ID (208) RITE AID # W PRAIRIE SHOPPING CTR HAYDEN, ID (208) POST FALLS WAL*MART PHCY # E MULLAN AVE POST FALLS, ID (208) WALGREENS # E SELTICE WAY POST FALLS, ID (208) LATAH MOSCOW RITE AID # W PULLMAN RD MOSCOW, ID (208) ROSAUERS # N MAIN ST MOSCOW, ID (208) SAFEWAY PHAR # S BLAINE ST MOSCOW, ID (208) WAL*MART # W PULLMAN RD MOSCOW, ID (208) WALGREENS # N MAIN ST MOSCOW, ID (208) MADISON REXBURG K MART # VALLEY RIVER DR REXBURG, ID (208) SAV-ON PHAR # N 2ND E REXBURG, ID (208) WAL*MART # N 2ND E REXBURG, ID (208) WALGREENS # E MAIN ST REXBURG, ID (208) MINIDOKA RUPERT RIDLEY'S FOOD & DRUG # ONEIDA ST RUPERT, ID (208) NEZ PERCE LEWISTON # ST ST LEWISTON, ID (208) K MART # ST ST LEWISTON, ID (208) RITE AID # TH AVE LEWISTON, ID (208) ROSAUERS # THAIN RD LEWISTON, ID (208) SAFEWAY PHAR # NEZ PERCE DR LEWISTON, ID (208) SHOPKO PHAR # THAIN GRADE LEWISTON, ID (208) WAL*MART # THAIN GRADE LEWISTON, ID (208) WALGREENS # NEZ PERCE DR LEWISTON, ID (208) PAYETTE PAYETTE # N 8TH ST PAYETTE, ID (208) SHOSHONE SMELTERVILLE WAL*MART PHCY # COMMERCE DR SMELTERVILLE, ID (208) TWIN FALLS BUHL RIDLEY'S # E US HWY 30 BUHL, ID (208) KIMBERLY RIDLEY'S # MAIN ST SOUTH KIMBERLY, ID (208) TWIN FALLS COSTCO # POLELINE RD TWIN FALLS, ID (208) FRED MEYER-TWIN FALLS 705 BLUE LAKES BLVD TWIN FALLS, ID (208) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 12

15 K MART # ADDISON AVE E TWIN FALLS, ID (208) SHOPKO PHAR # POLELINE RD E TWIN FALLS, ID (208) SMITHS PHAR # ADDISON AVE E TWIN FALLS, ID (208) TARGET #T BLUE LAKES BLVD N TWIN FALLS, ID (208) ID Chain Pharmacies WAL*MART PHCY # CHENEY DR W TWIN FALLS, ID (208) WALGREENS # BLUE LAKES BLVD N TWIN FALLS, ID (208) VALLEY MCCALL RITE AID # DEINHARD LN MCCALL, ID (208) WASHINGTON WEISER BI-MART PHAR # E 6TH ST WEISER, ID (208) RIDLEY'S FOOD & DRUG # E 1ST ST WEISER, ID (208) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 13

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17 IDAHO Mail-Order Pharmacies

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19 The Medco Pharmacy TTY/TDD users should call Liberty Medical TTY/TDD users should call ID Mail-Order Pharmacies 17

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21 IDAHO Home Infusion Pharmacies

22 Home Infusion Pharmacies This plan will cover your home infusion therapy if: Your prescription drug is on the plan s formulary or you have a formulary exception. The plan has approved your prescription drug for home infusion therapy. Your prescription is written by an authorized prescriber. Home infusion pharmacies specialize in the preparation of medications that are administered intravenously or by injection. To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. 20

23 ID ACCREDO HEALTH GROUP INC 3000 ERICSON DR STE 100 WARRENDALE, PA (724) ACCREDO THERAPEUTICS INC 1831 COMMERCE ST STE 104 CORONA, CA (951) ACCREDO THERAPEUTICS INC 3488 S MAIN ST SALT LAKE CITY, UT (801) ACCREDO THERAPEUTICS INC TH AVE S KENT, WA (253) BIOPARTNERS IN CARE INC STRANG LINE RD LENEXA, KS (913) CORAM ALTERNATE SITE SVCS 2345 WATERS DR MENDOTA HTS, MN (651) CORAM HEALTHCARE CORP OF UT 1149 W 2240 S STE A SALT LAKE CITY, UT (801) CORAM HEMOPHILIA SERVICES 7400 WASHINGTON ST NE ALBUQUERQUE, NM (505) CORAM HEMOPHILIA SERVICES 6 SPRING MILL DR MALVERN, PA (610) CRITICAL CARE SYSTEMS INC W EXPLORER DR STE 126 BOISE, ID (208) TETON CLINICAL PHAR VALENCIA DR IDAHO FALLS, ID (208) ID Home Infusion Pharmacies CORAM ALTEMATE SITE SERVICES INC W EXECUTIVE DR BOISE, ID (208) CRITICAL CARE SYSTEMS INC 5401 LONGLEY LN RENO, NV (775) CORAM ALTEMATE SITE SVCS INC 7358 SW DURHAM RD PORTLAND, OR (503) DICKS PHAR 526 SHOUP AVE W STE K TWIN FALLS, ID (208) CORAM ALTEMATE SITE SVCS INC TH AVE SE STE 100 BELLEVUE, WA (425) MEDNOW INFUSION LLC 800 S INDUSTRY WAY STE 240 MERIDIAN, ID (208) TTY/TDD users should call TRS Relay

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25 IDAHO Long-Term Care Pharmacies

26 Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under the plan through the facility s long-term care pharmacy or another network long-term care pharmacy. A long-term care pharmacy provides medications to residents of long-term care facilities (such as nursing homes and residential care facilities, mental health facilities, hospices, and long-term care or skilled nursing care beds in hospitals). To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. 24

27 ID ARNZEN'S KAMIAH DRUG 318 MAIN ST KAMIAH, ID (208) BEARLAKE MEMORIAL HOSPITAL 164 S 5TH ST MONTPELIER, ID (208) BINGHAM MEMORIAL HOSPITAL PHARMA 98 POPLAR ST BLACKFOOT, ID (208) BOUNDARY COMMUNITY HOSPITAL PHAR 6640 KANIKSU ST BONNERS FERRY, ID (000) CARIBOU MEMORIAL HOS- PITAL PHARMA 300 SOUTH 3RD WEST SODA SPRINGS, ID (208) ELMORE MEMORIAL CEN- TER HOSP PHCY 895 N 6TH E MOUNTAIN HOME, ID (208) EVERGREEN PHARMACEU- TICAL 350 E 3RD AVE SPOKANE, WA (509) FLOTO PHAR 3320 N MILWAUKEE ST BOISE, ID (208) FRANKLIN COUNTY MEDI- CAL CENTER 44 N 1ST E PRESTON, ID (208) GARY'S PHAR 111 FAIRWAY SHOPPING CTR PINEHURST, ID (208) HOME LIVING SERVICES 106 S COLE RD BOISE, ID (208) HOME LIVING SERVICES INC 436 E BONNEVILLE ST POCATELLO, ID (208) IDAHO STATE SCHOOL & HOSPITAL PH TH AVE N NAMPA, ID (208) INNOVATIVE CARE PHAR- LS 9196 W EMERALD ST STE 100 BOISE, ID (208) INTERLAKE PHAR 700 W IRONWOOD DR COEUR D ALENE, ID (208) KEYMED INC 231 S ARTHUR AVE POCATELLO, ID (208) KINDRED PHAR SERVICES 2054 S SILVERSTONE WAY MERIDIAN, ID (208) KOHAL PHAR # MCKINLEY AVE KELLOGG, ID (208) MAAG PRESC & MED SUP- PLY 333 W CENTER ST POCATELLO, ID (208) MARKETIME DRUGS 209 E 3RD ST MOSCOW, ID (208) MEDICAP PHAR # WEST CHERRY LANE MERIDIAN, ID (208) MEDICAP PHAR # E GROVE AVE PARMA, ID (208) MEDICINE MAN SOUTH- WEST 805 E POLSTON AVE POST FALLS, ID (208) MEDICINE MAN WEST PHAR, LLC 802 E MEDICAL CT POST FALLS, ID (208) MINIDOKA MEMORIAL HOSPITAL TH ST RUPERT, ID (208) NCS HEALTHCARE OF WA INC 3305 MAIN ST STE 205 VANCOUVER, WA (360) OMNICARE PHARMACIES 7643 PONDEROSA RD PERRYSBURG, OH (419) ORCHARDS PHAR 523 THAIN RD LEWISTON, ID (208) OSBURN DRUG 805 MULLAN AVENUE OSBURN, ID (208) OWL CONTRACTED PRE- SCRIPTION SVC 312 SAINT JOHNS WAY LEWISTON, ID (208) PHARMEASE LLC 1790 SABIN DR AMMON, ID (208) PHARMERICA # E 75TH ST STE 322 INDIANAPOLIS, IN (317) PHARMERICA # N PINES RD STE 4&5 SPOKANE, WA (509) PORTICO PHAR 3355 E LOUISE DRIVE MERIDIAN, ID (208) R & R PHAR 133 W AVENUE A JEROME, ID (208) ROCKLAND PHAR 524 TYHEE AVE AMERICAN FALLS, ID (208) SAV-MOR DRUG 1109 MAIN ST BUHL, ID (208) SAV-MOR DRUG 490 N 2ND E MOUNTAIN HOME, ID (208) SHOPKO PHAR # E 17TH ST IDAHO FALLS, ID (208) ID Long-Term Care Pharmacies TTY/TDD users should call TRS Relay

28 Long-Term Care Pharmacies ID STAR PHAR 9732 W STATE ST STAR, ID (208) STATE HOSPITAL NORTH PHAR 300 HOSPITAL DR OROFINO, ID (208) STATE HOSPTIAL SOUTH PHAR 700 E ALICE BLACKFOOT, ID (208) SUNSCRIPT PHAR E CORPORATE DR MERIDIAN, ID (208) SUPERIOR CARE PHAR ALEXANDER ST SALT LAKE CITY, UT (801) TETON CLINICAL PHAR VALENCIA DR IDAHO FALLS, ID (208) THE MEDICINE SHOPPE # S 2ND W REXBURG, ID (208) TTY/TDD users should call TRS Relay

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

30 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 the plan s pharmacy network. Those other than Native Americans and Alaska Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). To find out more, please visit our website or call our Customer Service department using the information provided on the front cover of this directory. 28

31 ID BENEWAH MEDICAL CENTER 1115 B ST PLUMMER, ID (208) NI MII PUU HEALTH 210 BEAVER GRADE RD LAPWAI, ID (208) NOT TSOO GAH NEE IN- DIAN HLTH CTR MISSION RD FORT HALL, ID (208) ID Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) TTY/TDD users should call TRS Relay

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33 UTAH Retail Pharmacies

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35 BEAVER UT BEAVER BEAVER DRUG & GIFTS 98 N MAIN ST BEAVER, UT (435) BOX ELDER BRIGHAM CITY BRIGHAM COMMUNITY PHCY 1017 MEDICAL DR BRIGHAM CITY, UT (435) KENT'S 260 N MAIN ST BRIGHAM CITY, UT (435) TREMONTON KENTS THRIFTWAY 300 E MAIN ST TREMONTON, UT (435) TREMONTON COMMUNITY PHCY 44 E MAIN ST TREMONTON, UT (435) CACHE HYRUM REEDS PHAR 790 E MAIN ST HYRUM, UT (435) LOGAN CACHE VALLE COMMU- NITY HLTH CTR P 1400 N 550 E STE K LOGAN, UT (435) IHC HLTH CNTR PHCY LO- GAN 1350 N 500 E LOGAN, UT (435) LEE'S MARKETPLACE PHCY #2 555 E 1400 N LOGAN, UT (435) LOGAN CLONIC PHAR- 412 N 200 E LOGAN, UT (436) SPENCES NORTH PHAR- 550 E 1400 N LOGAN, UT (435) UT STATE UNIV STUDENT HLTH & WEL 850 E 1200 NORTH LOGAN, UT (435) NORTH LOGAN CACHE VALLEY PHAR N 400 E STE E NORTH LOGAN, UT (435) PROVIDENCE MACEYS PHAR #8 50 N HIGHWAY 165 PROVIDENCE, UT (435) SOUTH VALLEY PHAR- INC 1652 S HIGHWAY 165 PROVIDENCE, UT (435) SMITHFIELD LARRY'S SMITHFIELD PHCY INC 502 S MAIN ST SMITHFIELD, UT (435) LEE'S MARKETPLACE PHCY #1 850 S MAIN ST SMITHFIELD, UT (435) CARBON EAST CARBON CARBON MEDICAL SER- VICE PHCY 305 CENTER ST EAST CARBON, UT (435) PRICE CASTLEVIEW HOSPITAL PHCY 300 N HOSPITAL DR PRICE, UT (435) DAVIS BOUNTIFUL DICKS FAMILY PHAR 2280 ORCHARD DR BOUNTIFUL, UT (801) IHC HEALTH CENTER PHCY 390 N MAIN ST BOUNTIFUL, UT (801) MOUNTAIN VIEW PHAR- 425 MEDICAL DR BOUNTIFUL, UT (801) MOUNTAINWEST APOTH- ECARY 1551 RENAISSANCE TOWNE DR #104 BOUNTIFUL, UT (801) THE MEDICINE SHOPPE # E 500 S BOUNTIFUL, UT (801) WINEGAR'S UNITED DRUG 3341 ORCHARD DR BOUNTIFUL, UT (801) CENTERVILLE DICKS PHAR #1 350 E PAGES LN CENTERVILLE, UT (801) CLEARFIELD MACEY'S PHAR #8 580 S STATE ST CLEARFIELD, UT (801) VALU UNITED DRUGS # W 300 N CLEARFIELD, UT (801) KAYSVILLE BOWMAN'S PHAR 326 N MAIN ST KAYSVILLE, UT (801) LAYTON DAN'S PHAR #6 88 S FAIRFIELD RD LAYTON, UT (801) DAVIS PHAR 1492 W ANTELOPE DR #150 LAYTON, UT (801) IHC HEALTH CENTER LAY- TON 2075 N 1200 W LAYTON, UT (801) NORTH VIEW PHAR 2121 ROBINS DR LAYTON, UT (801) PROFESSIONAL PLAZA PHAR INC 2065 N 1700 W LAYTON, UT (801) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. All members may not be able to use this pharmacy. Please consult the pharmacy directly if you are unsure if it is available to you. 33 UT Retail Pharmacies

36 Retail Pharmacies UT WEE CARE PHAR 1580 W ANTELOPE DR STE130 LAYTON, UT (801) N SALT LAKE ORCHARD UNITED # S 130 E N SALT LAKE, UT (801) SYRACUSE ISLAND VIEW PHAR 2038 W 1900 S SYRACUSE, UT (801) DUCHESNE ROOSEVELT BASIN FAMILY PHAR 245 W HIGHWAY 40 ROOSEVELT, UT (435) DAVIS IGA SPR CTR UNITED 750 E 200 N ROOSEVELT, UT (435) UINTAH BASIN MEDICAL 250 W 300 N # 75-2 ROOSEVELT, UT (435) EMERY CASTLE DALE BOYDS FAMILY PHAR- 25 WEST MAIN CASTLE DALE, UT (435) GARFIELD PANGUITCH PANGUITCH DRUG INC 95 E CENTER ST PANGUITCH, UT (435) MOAB WALKER DRUG 290 S MAIN ST MOAB, UT (435) IRON CEDAR CITY BULLOCHS UNITED DRUGS 91 N MAIN ST CEDAR CITY, UT (435) LIN'S PHAR #1 150 N MAIN ST CEDAR CITY, UT (435) TOWNSHIP PHAR 108 W 1325 N CEDAR CITY, UT (435) PAROWAN PAROWAN DRUG & GIFT 20 N MAIN ST PAROWAN, UT (435) JUAB NEPHI CENTRAL VALLEY COM- MUNITY PHARMAC 152 W 1500 N NEPHI, UT (435) NEPHI PROFFESSIONAL 965 N MAIN ST NEPHI, UT (435) KANE HILDALE LSJ FAMILY DRUG 1280 W UTAH AVE HILDALE, UT (435) KANAB KANAB UNITED DRUGS # W CENTER ST KANAB, UT (435) ZION PHAR 14 E CENTER ST KANAB, UT (435) MILLARD DELTA DELTA DRUG AND GIFT LLC 111 E MAIN ST # 220 DELTA, UT (435) SERVICE DRUG COMPANY 215 W MAIN ST DELTA, UT (435) FILLMORE BAKER DRUG COMPANY 40 N MAIN ST FILLMORE, UT (435) MORGAN MORGAN MORGAN DRUG 109 N COMMERCIAL ST MORGAN, UT (801) MORGAN JUBILEE PHAR- 275 E. 300 N. MORGAN, UT (801) RICH GARDEN CITY BEAR LAKE COMMUNITY HEALTH CTR P 325 W LOGAN HWY GARDEN CITY, UT (435) KEARNS APOTHECARY PHAR 4188 W 5415 S KEARNS, UT (801) MAGNA M AND M PRESC SERVICE 3441 S 8400 W MAGNA, UT (801) MURRAY COTTONWOOD APOTH- ECARY 5770 S 250 E STE 145 MURRAY, UT (801) GIBSONS PHAR 240 E 6400 S MURRAY, UT (801) IMC COMMUNITY PHAR S COTTONWOOD DR MURRAY, UT (801) MOUNTAIN CARE PHAR S 500 W STE G MURRAY, UT (801) RIVERTON PETERSONS PHAR S 1777 W RIVERTON, UT (801) SALT LAKE CITY BROADWAY PHAR 242 E BROADWAY SALT LAKE CITY, UT (801) COMMUNITY PHAR 1220 E 3900 S # I-H SALT LAKE CITY, UT (801) GRAND SALT LAKE TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 34

37 DAN'S PHAR # E 3300 S SALT LAKE CITY, UT (801) DAN'S PHAR # WASATCH BLVD SALT LAKE CITY, UT (801) DAN'S PHAR # E 7000 S SALT LAKE CITY, UT (801) DAN'S PHAR # FOOTHILL BLVD SALT LAKE CITY, UT (801) DAVIS FOOD AND DRUG # S 2700 W SALT LAKE CITY, UT (801) DIABETES SPECIALTY 3793 S STATE ST SALT LAKE CITY, UT (801) HYLAND PHAR 1295 MILLER AVR STE 6 SALT LAKE CITY, UT (801) IHC HEALTH CENTER PHCY 333 S 900 E SALT LAKE CITY, UT (801) IHC HEALTHCARE CENTER PHAR 2000 S 900 E SALT LAKE CITY, UT (801) JOLLEY'S CORNER PHAR E 1300 S SALT LAKE CITY, UT (801) JOLLEY'S CORNER PHCY # S 1100 E SALT LAKE CITY, UT (801) LDS HOSPITAL PHAR 8TH AVENUE C STREET SALT LAKE CITY, UT (801) MEDICAL CENTER PHAR E SOUTH TEMPLE SALT LAKE CITY, UT (801) MEDICAL MALL PHAR W 4700 S SALT LAKE CITY, UT (801) MEDICAL PLAZA PHAR- 508 E SOUTH TEMPLE STE 124 SALT LAKE CITY, UT (801) MEDIPHARM 1260 VINE ST STE 5 SALT LAKE CITY, UT (801) MILLCREEK PHAR 1260 VINE ST SALT LAKE CITY, UT (801) PALLIATIVE CARE PHAR W 3500 S STE C SALT LAKE CITY, UT (801) PIONEER VALLEY PHAR PIONEER PKWY SALT LAKE CITY, UT (801) REAMS #4 PHAR 2783 S STATE ST SALT LAKE CITY, UT (801) SOUTHEAST PHAR 2670 S 2000 E SALT LAKE CITY, UT (801) THE APOTHECARY SHOPPE 82 S 1100 EAST STE 104 SALT LAKE CITY, UT (801) THE MEDICINE CENTER 2036 E 6200 S SALT LAKE CITY, UT (801) UNIVERSITY PHAR 1320 E 200 S SALT LAKE CITY, UT (801) VALLEY PHAR INC 1819 W 3500 S STE 1G SALT LAKE CITY, UT (801) SALT LAKE CTY PRIMARY CHILDREN'S OUTPATIENT PH 100 N MEDICAL DR SALT LAKE CTY, UT (801) SANDY ALTA VIEW HOSPITAL PHCY 9660 S 1300 E SANDY, UT (801) APOTHECARY SHOP OF SANDY INC 880 E 9400 S STE 118 SANDY, UT (801) IHC HEALTH CENTER PHCY 9500 S 1300 E SANDY, UT (801) JOLLEY'S SANDY PHAR S 1300 E STE 100 SANDY, UT (801) MACEY'S PHAR # S 1300 E SANDY, UT (801) WEST JORDAN FAMILY PLAZA PHAR W 9000 S STE 150 WEST JORDAN, UT (801) JOLLEY'S PHAR RED- WOOD 8806 S REDWOOD RD # 102 WEST JORDAN, UT (801) MACEY'S PHAR # S 3200 W WEST JORDAN, UT (801) WEST VALLEY GRANGER PROFESSIONAL PHAR LL 3725 W 4100 S WEST VALLEY, UT (801) SAN JUAN BLANDING SAN JUAN PHAR 65 S MAIN ST BLANDING, UT (435) MONTEZUMA CREEK MONTEZUMA CREEK CHC PHCY E HIGHWAY 262 MONTEZUMA CREEK, UT (435) MONTICELLO UT Retail Pharmacies TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 35

38 Retail Pharmacies UT SAN JUAN PHAR MONTICELLO 140 S MAIN ST MONTICELLO, UT (435) SANPETE EPHRAIM ANDERSON DRUGS 1 N MAIN ST EPHRAIM, UT (435) KENT'S PHAR 475 S MAIN ST EPHRAIM, UT (435) GUNNISON JENSEN DRUG & FLORAL INC 77 S MAIN ST GUNNISON, UT (435) SUPER DRUG & HERBAL STORE 520 S HWY 89 GUNNISON, UT (435) MANTI IHC MANTI PHAR 159 N MAIN ST MANTI, UT (435) MOUNT PLEASANT PLEASANT CREEK FAMILY PHAR 1050 S MEDICAL DR STE B MOUNT PLEASANT, UT (435) TERREL'S THRIFTWAY PHAR 1050 S STATE ST MOUNT PLEASANT, UT (435) MT PLEASANT SKYLINE UNITED DRUGS 1 W MAIN ST MT PLEASANT, UT (435) SEVIER RICHFIELD LIN'S PHAR #4 670 N MAIN ST RICHFIELD, UT (843) SALINA INTERMOUNTAIN N SEVI- ER PHCY 530 N 250 W SALINA, UT (435) SUMMIT KAMAS HI-MOUNTAIN DRUG 40 N MAIN ST KAMAS, UT (435) KAMAS FOODTOWN PHAR- 145 W 200 S BOX 560 KAMAS, UT (435) PARK CITY DAN'S PHAR # SNOW CREEK DR PARK CITY, UT (435) TOOELE GRANTSVILLE WILLIAMS FAMILY DRUG LLC 124 W MAIN ST GRANTSVILLE, UT (435) TOOELE BIRCH FAMILY PHAR 758 N MAIN ST TOOELE, UT (435) MACEY'S PHAR #5 972 N MAIN ST TOOELE, UT (435) UINTAH VERNAL DAVIS IGA SPR CENTER 575 W MAIN ST VERNAL, UT (435) UTAH AMERICAN FORK IHC AMERICAN FORK PHAR 1159 E 200 N # 125 AMERICAN FORK, UT (801) TAYLOR DRUG 76 N 1100 E AMERICAN FORK, UT (801) HIGHLAND KOHLERS UNITED # W N HIGHLAND, UT (801) LEHI CECIL'S PHAR 300 E MAIN ST LEHI, UT (801) DRY CREEK PHAR 3300 N RUNNING CREEK WAY #100 LEHI, UT (801) OREM ALLEN'S #2 SUPER SAVER 1950 N STATE ST OREM, UT (801) IHC HLTH CTR PHCY-OREM 505 W 400 N OREM, UT (801) INTERMOUNTAIN N OREM PHCY 1975 N STATE ST OREM, UT (801) MACEY'S PHAR #1 880 N STATE ST OREM, UT (801) SALMON RX 450 W 800 N OREM, UT (801) PAYSON MOUNTAIN VIEW FAMILY 1172 E 100 NORTHSTE 1 PAYSON, UT (801) MOUNTAIN VIEW HOSPI- TAL 1000 E 100 N PAYSON, UT (801) PAYSON MARKET PHAR- 586 N MAIN ST PAYSON, UT (801) PLEASANT GROVE MACEY'S PHAR #6 931 W STATE RD PLEASANT GROVE, UT (801) SMITH REXALL DRUGS 10 S MAIN ST PLEASANT GROVE, UT (801) PROVO ALLENS #1 SUPER SAVER 655 E 300 S PROVO, UT (801) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 36

39 BYU STUDENT HEALTH CENTER PHARMA 1750 N WYMOUNT TER- RACE DR PROVO, UT (801) CENTRAL UTAH PHAR N 500 W PROVO, UT (801) EDGEMONT HEALTHMART PHAR 3661 N CANYON RD PROVO, UT (801) MACEY'S PHAR # N STATE ST PROVO, UT (801) ROCK CANYON PHAR N CANYON RD PROVO, UT (801) TIMPVIEW PHAR 1034 N 300 W STE 201 PROVO, UT (801) SALEM SALEM HILLS PHAR INC 795 N SR 198 SALEM, UT (801) SANTAQUIN SANTAQUIN PHAR 27 W MAIN ST SANTAQUIN, UT (801) SARATOGA SPRINGS KIRKPATRICK DRUG 270 E STATE RD # 73 SARATOGA SPRINGS, UT (801) SPANISH FORK MACEY'S PHAR #7 188 E 1000 N SPANISH FORK, UT (801) STONE PHAR 159 N MAIN ST SPANISH FORK, UT (801) SPRINGVILLE ALLENS #4 SUPER SAVER 340 S MAIN ST SPRINGVILLE, UT (801) ART CITY PHAR 405 S MAIN ST SPRINGVILLE, UT (801) S O S DRUG CO 214 S MAIN ST SPRINGVILLE, UT (801) WASATCH HEBER CITY DAY'S MARKET PHAR- 890 S MAIN ST HEBER CITY, UT (435) WASHINGTON HURRICANE HURRICANE FAMILY PHAR 25 N 2000 W HURRICANE, UT (435) LIN'S PHAR # W STATE ST HURRICANE, UT (435) ZION DRUG INC 72 S 700 W HURRICANE, UT (435) LA VERKIN MARKET PHAR 495 N STATE ST LA VERKIN, UT (435) SAINT GEORGE IHC HEALTH CENTER 577 S RIVER RD SAINT GEORGE, UT (435) IHC WATSON DIXIE PHAR E 480 S STE 1200 SAINT GEORGE, UT (435) LIN'S PHAR # W SUNSET BLVD SAINT GEORGE, UT (435) PROFESSIONAL PARK PHCY 736 S 900 E STE 102 SAINT GEORGE, UT (435) ST GEORGE DISCOUNT PHAR 145 N 450 WEST ST SAINT GEORGE, UT (435) STAPLEY PHAR 102 E CITY CENTER ST SAINT GEORGE, UT (435) WAYNE BICKNELL W C H C PHAR 128 S 300 WEST BICKNELL, UT (435) WEBER EDEN VALLEY PHAR 2555 N WOLF CREEK DR EDEN, UT (801) OGDEN 12TH STREET PHAR TH ST OGDEN, UT (801) CANYON VIEW HEALTH MART 1159 E 12TH ST OGDEN, UT (801) IHC HEALTH CENTER PHCY 975 CHAMBERS AVE OGDEN, UT (801) IHC HEALTH CTR PHAR N WASHINGTON BLVD OGDEN, UT (801) KWIK STOP DRUG TH ST OGDEN, UT (801) LEE'S MARKETPLACE PHAR 2645 N WASHINGTON BLVD OGDEN, UT (801) LTD PHAR 4401 HARRISON BLVD OGDEN, UT (801) MIDTOWN CHC PHAR ADAMS AVE OGDEN, UT (801) OGDEN CLINIC PHAR 4560 HARRISON BLVD OGDEN, UT (801) STOP & SHOP PHAR 1130 WASHINGTON BLVD OGDEN, UT (801) UT Retail Pharmacies TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 37

40 Retail Pharmacies UT TERRACE PHAR INC 425 E 5350 S OGDEN, UT (801) THE MEDICINE SHOPPE # MONROE BLVD OGDEN, UT (801) WANGSGARD PHAR 120 S WASHINGTON BLVD OGDEN, UT (801) WASATCH PHAR CARE 4387 HARRISON BLVD STE D7 OGDEN, UT (801) WEBER HUMAN SERVICES PHCY TH ST OGDEN, UT (801) PLEASANT VIEW MOUNTAIN VIEW HEALTH MART 1100 W 2700 N PLEASANT VIEW, UT (801) ROY HEREFORDSHIRE HEALTH 1915 W 5950 S ROY, UT (801) KENTS FOODS PHAR 3535 W ROY, UT (801) ROY WINEGARS UNITED # W 4800 S ROY, UT (801) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 38

41 UTAH Chain Pharmacies

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43 BOX ELDER UT BRIGHAM CITY SHOPKO PHAR # S MAIN ST BRIGHAM CITY, UT (435) SMITHS PHAR # S MAIN ST BRIGHAM CITY, UT (801) PERRY WAL*MART PHCY # S COMMERCE WAY PERRY, UT (435) CACHE LOGAN # E 400 N LOGAN, UT (435) K MART # E 1800 N LOGAN, UT (435) SAM'S PHAR # CACHE VALLEY BLVD LOGAN, UT (435) SHOPKO PHAR # N MAIN ST LOGAN, UT (435) SMITHS PHAR # E 442 N LOGAN, UT (801) SMITHS PHAR N MAIN ST LOGAN, UT (435) WAL*MART # N MAIN ST LOGAN, UT (435) WAL*MART PHCY # S 100 W LOGAN, UT (435) CARBON PRICE # W PRICE RIVER DR PRICE, UT (435) K MART # W PRICE RIVER DR PRICE, UT (435) SMITHS PHAR # E MAIN ST PRICE, UT (801) WAL*MART PHCY # S HIGHWAY 55 PRICE, UT (435) DAVIS BOUNTIFUL # S 200 W BOUNTIFUL, UT (801) K MART # W 2600 S BOUNTIFUL, UT (801) RITE AID # S MAIN ST BOUNTIFUL, UT (801) SHOPKO PHAR # S 500 W BOUNTIFUL, UT (801) SMITHS PHAR # S MAIN ST BOUNTIFUL, UT (801) SMITHS PHAR S 200 W BOUNTIFUL, UT (801) WALGREENS # WEST & 500 SOUTH BOUNTIFUL, UT (801) CENTERVILLE # W PARRISH LN CENTERVILLE, UT (801) TARGET #T N MARKET PLACE DR CENTERVILLE, UT (801) UNIVERSITY OF UT CTR PHCY 26 S MAIN ST CENTERVILLE, UT (801) WAL*MART PHCY # W PARRISH LN CENTERVILLE, UT (801) CLEARFIELD # W 1800 N CLEARFIELD, UT (801) CLINTON WAL*MART PHCY # NORTH 2000 WEST CLINTON, UT (801) WALGREENS # W 1800 N CLINTON, UT (801) FARMINGTON SMITHS PHAR # N HIGHWAY 89 FARMINGTON, UT (801) KAYSVILLE # W 200 N KAYSVILLE, UT (801) WALGREENS # N MAINT ST KAYSVILLE, UT (801) LAYTON # N FAIRFIELD RD LAYTON, UT (801) K MART # N MAIN ST LAYTON, UT (801) RITE AID # N FAIRFIELD RD LAYTON, UT (801) SAMS PHAR # W HILLFIELD RD LAYTON, UT (801) SHOPKO PHAR # N MAIN ST LAYTON, UT (801) SMITHS PHAR # E GENTILE ST LAYTON, UT (801) UT Chain Pharmacies TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 41

44 Chain Pharmacies UT TARGET #T W 2000 N LAYTON, UT (801) WAL*MART PHCY # INDUSTRIAL PARK DR LAYTON, UT (801) WAL*MART PHCY # E HIGHWAY 193 LAYTON, UT (801) WALGREENS # W 1700 S ANTELOPE DR LAYTON, UT (801) SUNSET SMITHS PHAR # N MAIN ST SUNSET, UT (801) SYRACUSE SMITHS PHAR # W 1700 S SYRACUSE, UT (801) WAL*MART PHCY # WEST 1700 SOUTH SYRACUSE, UT (801) WALGREENS # W 1700 S SYRACUSE, UT (801) W BOUNTIFUL COSTCO PHAR # WEST 100 NORTH W BOUNTIFUL, UT (801) GRAND MOAB CITY MARKET # S MAIN ST MOAB, UT (435) IRON CEDAR CITY # S MAIN ST CEDAR CITY, UT (801) SMITHS PHAR # S MAIN ST CEDAR CITY, UT (801) WAL*MART PHCY # S PROVIDENCE CTR DR CEDAR CITY, UT (435) WALGREENS # W CROSS HOLLOW DR CEDAR CITY, UT (435) SALT LAKE COTTONWOOD HEIGHTS WALGREENS # FORT UNION BLVD COTTONWOOD HEIGHTS, UT (801) DRAPER # S STATE ST DRAPER, UT (801) HARMONS PHAR # E S DRAPER, UT (801) HARMONS PHAR # E S DRAPER, UT (801) K MART # DRAPER PKWY DRAPER, UT (801) RITE AID # DRAPER PKWY DRAPER, UT (801) SMITHS PHAR # E S DRAPER, UT (801) WAL*MART PHCY # DRAPER PKWY DRAPER, UT (801) WALGREENS # DRAPER PKWY DRAPER, UT (801) HERRIMAN SMITH'S PHAR # W S HERRIMAN, UT (801) WALGREENS # W S HERRIMAN, UT (801) HOLLADAY RITE AID # HOLLADAY BLVD HOLLADAY, UT (801) KEARNS HARMONS PHAR # W 6200 S KEARNS, UT (801) K MART # W 5400 S KEARNS, UT (801) MAGNA SMITHS PHAR # W 3500 S MAGNA, UT (801) MIDVALE # S 1300 E MIDVALE, UT (801) HARMONS EAST PHAR- # S 700 E MIDVALE, UT (801) SMITHS PHAR # FORT UNION BLVD MIDVALE, UT (801) UNIVERSITY OF UTAH GREENWOOD 7495 S STATE ST MIDVALE, UT (801) WAL*MART # UNION PARK AVE MIDVALE, UT (801) WALGREENS # S STATE ST MIDVALE, UT (801) MURRAY COSTCO PHAR # INTERMOUNTAIN DR MURRAY, UT (801) SAMS PHAR # S STATE ST MURRAY, UT (801) SHOPKO PHAR # S STATE ST MURRAY, UT (801) TTY/TDD users should call TRS Relay 711. This pharmacy does not offer extended supplies of maintenance medications. 42