The EMD Serono Secured Distribution Program (SDP)
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1 The EMD Serono Secured Distribution Program (SDP) EMD Serono s Answer to the Secure Distribution and Fulfillment of Serostim [somatropin (rdna origin) for injection] SDP Overview: 1. A contracted network of pharmacies EMD Serono contracts with a limited network of pharmacies only these pharmacies can dispense Serostim [somatropin (rdna origin) for injection]. Contracted pharmacies offer expertise with specialty patient populations. Additionally, many offer courier service and patient education programs. 2. Tracking of each Serostim box EMD Serono tracks the unique identifier on each box of Serostim At any point in the fulfillment process, EMD Serono can locate each box of Serostim 3. Patient support Contracted pharmacies can work with the AXIS Center to support patients through the Serostim [somatropin (rdna origin) for injection] reimbursement process. The AXIS Center provides: Insurance benefits verification and prior authorization assistance (For information, call ) Patient Assistance Program (PAP) enrollment so that income-eligible patients can receive Serostim free-of-charge (For information, call ) Information on contracted pharmacies that dispense Serostim (For information, call ) SDP Results Since the launch of SDP in 2002, EMD Serono has: Identified counterfeit product and stopped it from reaching patients Interrupted product diversion at the pharmacy level Prevented duplicate payments Provided information to regulatory agencies on investigations of counterfeiting and diversion 2016 EMD Serono, Inc. US-SER a All rights reserved.
2 List of Pharmacies Participating in the EMD Serono Secured Distribution Program (alphabetized by state) Updated as of 09/26/2017 Pharmacy Address City State Zip Telephone CAREPLUS TH AVENUE SOUTH BIRMINGHAM AL WALGREENS 2731 M. L. KING JR. BLVD. TUSCALOOSA AL (205) CITY 1801 SOUTH BROADWAY STREET LITTLE ROCK AR STANLEY 2413 WEST BEEBE-CAPPS EXPY SEARCY AR COMPOUNDING CENTER AVELLA 9777 NORTH 91ST STREET SUITE C-102 SCOTTSDALE AZ AVELLA OF DEER VALLEY N 20TH DRIVE PHOENIX AZ AVELLA OF PHOENIX III 1101 N. CENTRAL AVE STE 102 PHOENIX AZ (602) AVELLA OF DEER VALLEY N 19 TH AVE PHOENIX AZ (877) STORE #38 AVELLA OF TUCSON I 4512 EAST CAMP LOWELL DR TUSCON AZ PHCY 1002 EAST MCDOWELL ROAD PHOENIX AZ #3129 ESI MAIL 7909 S HARDY TEMPE AZ SERVICES WALGREENS W. MEEKER, #101 SUN CITY AZ (623) LIFERX VENTURA BOULEVARD TARZANA CA ACARIA HEALTH PHCY # GARFIELD AVE COMMERCE CA / AIDS HEALTH 99 NORTH LA CIENEGA BLVD. SUITE 200 BEVERLY HILLS CA S HAMILTON AVE GARDENA CA TH AVE STE 150 SAN DIEGO CA (619) TH ST SAN FRANCISCO CA (415) ALTAMED WHITTIER BLVD LOS ANGELES CA AVELLA OF SACREMENTO 2288 AUBURN BLVD #102 SACRAMENTO CA BEVERLY HILLS MEDICAL 150 N. ROBERTSON BLVD. SUITE 104 BEVERLY HILLS CA PLAZA PHCY BORREGO RAMON RD STE D-105 CATHEDRAL CITY CA CAPITOL DRUGS 8578 SANTA MONICA BLVD. WEST CA CARE HLTH INC/PIONEER WARNER AVE. FOUNTAIN CA PHCY VALLEY CAREMARK THERAPEUTIC 1127 BRYAN MAWR AVENUE, SUITE A&B REDLANDS CA SER 445 CASTRO STREET SAN FRANCISCO CA # SANTA MONICA BLVD. WEST CA #2801 CAREPLUS 8635 WEST 3RD STREET LOS ANGELES CA CVS/ #2793 CIENEGA 7360 SANTA MONICA BLVD, STE 101 WEST CA
3 8490 SANTA MONICA BLVD STE 1 WEST CA WALGREENS WALGREENS 2262 MARKET ST SAN FRANCISCO CA / VAN NUYS BLVD STE 104 SHERMAN OAKS CA WALGREENS CVS CAREPLUS UNIVERSITY AVENUE SAN DIEGO CA DISCOUNT MEDICAL 2716 GRIFFITH PARK BLVD. LOS ANGELES CA EDDIE'S 8408 BEVERLY BLVD LOS ANGELES CA (310) HILLCREST 120 UNIVERSITY AVE SAN DIEGO CA KAISER SPECIALTY 395 HICKEY BLVD. 2ND FLOOR, ROOM DALY CITY CA W244 KAISER PERMANENTE 4131 GEARY BLVD, 1 ST FLOOR, ROOM 112 SAN FRANCISCO CA (650) NATIONAL SPECIALTY KROGER SPECIALTY 6240 WILSHIRE BLVD. LOS ANGELES CA CA 2 KROGER SPECIALTY 7373 LINCOLN WAY GARDEN GROVE CA (800) LAGUNA DRUG 239 BROADWAY ST LAGUNA BEACH CA MCCARTHY DRUG 2601 LINCOLN BLVD. SANTA MONICA CA MEN S HEALTH 9201 W SUNSET BLVD #812 WEST CA (310) MISSION PLAZA CROWN VALLEY PARKWAY #185 MISSION VIEJO CA (949) MISSION WELLNESS 2424 MISSION STREET SAN FRANCISCO CA (415) OLYMPIA PLAZA 5901 W OLYMPIC BLVD, STE 103 LOS ANGELES CA OPTUMRX INC 2858 LOKER AVE EAST, STE 100 CARLSBAD CA PREMIER #4 410 CLOVERLEAF DR BALDWIN PARK CA (626) UCSD MEDICAL OFFICES 4168 FRONT STREET, ROOM SAN DIEGO CA SOUTH WALGREENS # S. SUNRISE WAY SUITE # PALM SPRINGS CA WALGREENS # PARNASSUS AVE, I LEVEL, MU-145 SAN FRANCISCO CA (415) WALGREENS # SUNRISE WAY PALM SPRINGS CA WALGREENS CASTRO ST SAN FRANCISCO CA WALGREENS UNIVERSITY AVENUE SAN DIEGO CA WALGREENS SPECIALTY TH ST SAN FRANCISCO CA YASMINS 99 N. LA CIENEGA BLVD. #104 BEVERLY HILLS CA AVELLA 1245 E COLFAX AVE STE 102 DENVER CO (303) PHCY 2101 N URSULA ST UNIT 35 AURORA CO (866) WALGREENS 4545 E. 9TH AVE DENVER CO (303) CIRCLE CARE CENTER 618 WEST AVENUE NORWALK CT 6850 (203) CIRCLE CARE CENTER 618 WEST AVENUE NORWALK CT 6850 (203) PHS WALGREENS 55 PARK ST NEW HAVEN CT 6511 (203) AHF 2141 K STREET NW, STE 606 WASHINGTON DC DC PHCY 2733 WALGREENS GRUBBS OF DC, INC TH STREET, N.W. WASHINGTON DC TH ST. NW WASHINGTON DC E CAPITOL ST. NE WASHINGTON DC
4 ACCREDO HEALTH 2 BOULDEN CIRCLE STE 1 NEWCASTLE DE (302) ACARIA HEALTH 6923 LEE VISTA BLVD, STE 200 ORLANDO FL INC x1070 ACCREDO HEALTH 6272 LEE VISTA BLVD, SUITE 100 ORLANDO FL AIDS HEALTH 3135 SR 580, STE 1 SAFETY HARBOR FL NW 170TH ST, STE 208 NORTH MIAMI FL BEACH 6405 N FEDERAL HWY, STE 205 FT LAUDERDALE FL AVELLA 100 TECHNOLOGY PARK STE 155 LAKE MARY FL (407) CAREMARK 7930 WOODLAWN CENTER BLVD SUITE 500 TAMPA FL PHCY 2600 NORTH ORANGE AVENUE ORLANDO FL CAREPLUS 656 NE 125TH STREET NORTH MIAMI FL CVS/ # 2752 CATAMARAN HOME 9994 PREMIER PKWY MIRAMAR FL DELIVERY OF FLORIDA COMMCARE 855 SW 78TH AVE SUITE 100 PLANTATION FL N ORANGE AVE, STE 101B & 200B ORLANDO FL WALGREENS ST AVE N ST PETERSBURG FL WALGREENS 1201 NE 26TH ST SUITE 110 WILTON MANORS FL WALGREENS DIPLOMAT SPECIALTY 500 SE 15TH STREET SUITE 120 FT LAUDERDALE FL PHCY EXACTUS 4110 GEORGE RD, STE 100 TAMPA FL HUMANA INC MARKS WAY MIRAMAR FL (800) MAIL-MEDS CLINICAL 2692 OAK RIDGE COURT FT MYERS FL (800) MAGELLAN RX 6870 SHADOWRIDGE DR SUITE 111 ORLANDO FL (866) LLC PRIME THERAPEUTICS 2354 COMMERCE PARK DRIVE SUITE 100 ORLANDO FL (877) SPECIALTY PRX INC 3601 NE FEDERAL HWY ST 125 MIAMI FL (305) PUBLIX SPECIALTY 7616 SOUTHLAND BLVD STE 112 ORLANDO FL (877) SKYEMED 1332 N FEDERAL HWY POMPANO FL BEACH SMP 6050 S DIXIE HWY SOUTH MIAMI FL (786) SOLUTIONS ALLIANCE COMMUNITY 1529 PIEDMONT AVE NE STE C ATLANTA GA (404) AMSTERDAM AVE, SUITE E ATLANTA GA PIEDMONT RD BLD A STE A ATLANTA GA WALGREENS WALGREENS 340 BOULEVARD NE, STE 143 ATLANTA GA YOUR 2140 PEACHTREE ROAD, SUITE 232 ATLANTA GA SOLUTION CAREPLUS 1 WATERFRONT PLAZA, 500 ALA MOANA HONOLULU HI CVS/ #2915 BOULEVARD, BUILDING 1 SUITE 1-A WALGREENS 615 PIIKOI ST STE 105 HONOLULU HI (808) C & M WALGREENS 4339 DI PAOLO CENTER GLENVIEW IL
5 CAREMARK-MT 800 BIERMANN COURT, SUITE B MT PROSPECT IL PROSPECT CAREPLUS 1926 W HARRISON ST. CHICAGO IL W BELMONT CHICAGO IL WALGREENS DIPLOMAT SPECIALTY 1370 BUSCH PARKWAY BUFFALO GROVE IL WALGREENS E HURON ST, STE CHICAGO IL WALGREENS SPECIALTY 4025 N SHERIDAN RD CHICAGO IL WALGREENS SPECIALTY 2835 N SCHEFFIELD AVE STE 505 CHICAGO IL #09399 ACCREDO HEALTH 2825 W. PERIMETER ROAD, SUITE 116 INDIANAPOLIS IN BRIOVARX OF INDIANA 1050 PARTOL RD JEFFERSONVILLE IN (855) LLC WALGREENS SPECIALTY 335 Massachusetts Ave INDIANAPOLIS IN (317) CAREMARK RENNAR BLVD LENEXA KS RXC 4500 PROGRESS BLVD LOUISVILLE KY (502) AVITA DRUGS 5551 CORPORATE BLVD, STE 102 BATON ROUGE LA AVITA DRUGS 2601 TULANE AVE SUITE 445 NEW ORLEANS LA BAYOU STATE 1737-D SAM HOUSTON JONES PKWY LAKE CHARLES LA RELIANT HEALTHCARE 1004 N. 19TH ST MONROE LA (318) WALGREENS 1415 TULANE AVE STE 2 NEW ORLEANS LA ACARIA HEALTH 260 FORDHAM RD STE E WILMINGTON MA 1887 (800) KNEELAND STREET BOSTON MA STANHOPE ST BOSTON MA WALGREENS CVS CAREMARK 25 BIRCH ST., BLDG B; SUITE 100 MILFORD MA PHARMACARE 2971 SPEC 350 LONGWOOD AVENUE, SUITE B BOSTON MA PHCY WALGREENS 429 BROOKLINE AVE BOSTON MA 2215 (866) NORTH HOWARD STREET BALTIMORE MD WALGREENS BRIOVARX OF MAINE 53 DARLING AVENUE S PORTLAND ME CAREMARK 1307-H ALLEN DRIVE TROY MI DIPLOMAT SPECIALTY 4100 S SAGINAW ST FLINT MI HOMESCRIPTS 500 KIRTS BLVD STE 300 TROY MI (888) WALGREENS SPECIALTY HAGGERTY CIR SOUTH CANTON MI # LYNDALE AVE SOUTH SUITE A MINNEAPOLIS MN (612) WALGREENS AVELLA OF ST. LOUIS 450 N NEW BALLAS RD SUITE 256 NORTH ST LOUIS MO (314) WING PHCY 32 N EUCLID AVE ST LOUIS MO A N EUCLID ST LOUIS MO WALGREENS EXPRESS SCRIPTS 4600 N. HANLEY ST LOUIS MO (314) SCHNUCKS # PAGE SERVICE DR SUITE 101B ST LOUIS MO (314)
6 WALGREENS # HAMPTON AVE ST. LOUIS MO WALGREENS # BROADWAY KANSAS CITY MO (816) CAREMARK WORLD TRADE BLVD., SUITE 110 RALEIGH NC CAREPLUS 601 SOUTH KINGS DRIVE SUITE Q CHARLOTTE NC WALGREENS 2816 Erwin Ave Ste 105 DURHAM NC (919) WALGREENS STORE S 77TH ST OMAHA NE (402) CAREMARK 180 PASSAIC AVENUE FAIRFIELD NJ CCN 268 MARTIN LUTHER KING BLVD NEWARK NJ 7102 (862) GENERATION 85 FULTON ST BOONTON NJ 7005 (973) GROUP METRO DRUGS 79 HUDSON ST HOBOKEN NJ NEWPORT 165 ERIE ST JERSEY CITY NJ AVELLA OF LAS VEGAS II 701 SHADOW LANE, SUITE 110 LAS VEGAS NV BRIOVARX OF NEVADA 8350 BRIOVA DR LAS VEGAS NV (866) LLC 901 S RANCHO DRIVE STE 20 LAS VEGAS NV WALGREENS 45 MELVILLE PARK ROAD MELVILLE NY ARROW 883 NINTH AVE NEW YORK NY BOCA 904 PROSPECT AVE NEW YORK NY EIGHTH AVENUE NEW YORK NY WHITE PLAINS RD BRONX NY WALGREENS 205 8TH AVE NEW YORK NY (212) WALGREENS KINGS DRUG AND 492 CLARKSON AVE BROOKLYN NY SURGICAL KINGS PARK SLOPE 357 FLATBUSH AVE BROOKLYN NY KINGS THIRD AVE 1619 THIRD AVE NEW YORK NY LGDK LLC 752 SAINT NICHOLAS AVE NEW YORK NY METRO DRUGS 931 LEXINGTON AVE NEW YORK NY PHARMACARE NINTH AVENUE NEW YORK CITY NY SPECIALTY RUBIN CHEMISTS 828 NOSTRAND AVENUE BROOKLYN NY SBP 312 WEST 14TH STREET NEW YORK NY THE AT 259 MONROE AVE ROCHESTER NY (585) TRILLIUM HEALTH UNIVERSITY CHEMISTS 74 UNIVERSITY PLACE NEW YORK NY WALGREENS # W 29TH STREET NEW YORK NY (212) AVELLA OF COLUMBUS 4830 KNIGHTSBRIDGE BLVD, SUITE C COLUMBUS OH HUMANA 9843 WINDISCH DRIVE WEST CHESTER OH
7 WALGREENS 410 W. 10TH AVENUE, #111 COLUMBUS OH CAREPLUS 1309 NW 23RD ST. PORTLAND OR CVS/ #2819 WALGREENS SPECIALTY 9775 SW GEMINI BEAVERTON OR WALNUT STREET PHILADELPHIA PA # LOCUST ST PHILADELPHIA PA WALGREENS COORDINATED CARE 340 N 12TH ST SUITE 110 PHILADELPHIA PA (844) NETWORK COORDINATED CARE 300 PENN CENTER BLVD STE 405 PITTSBURG PA NETWORK CVS CAREMARK # MALL BLVD. MONROEVILLE PA CVS CAREMARK ORD 105 MALL BLVD. MONROEVILLE PA GLENDALE PRESCRIPTION 7601 CASTOR AVE PHILADELPHIA PA CENTER WALGREENS SPECIALTY 807 LOCUST STREET PHILADELPHIA PA WALGREENS SPECIALTY 130 ENTERPRISE DR PITTSBURGH PA (888) CVS CAREMARK AVENIDA JESUS T. PINERO SUITE B SAN JUAN PR WALGREENS # INFANTERIA SHOPPING CENTER SUITE SAN JUAN PR PHCY 2 DUDLEY STREET SUITE 170 PROVIDENCE RI CAREPLUS 3250 HARDEN STREET EXTENSION, SUITE COLUMBIA SC SHANE'S 202 ISLAND DRIVE STE 2 FORT PIERRE SD (605) TELL DRUG/CIGNA 4901 NORTH 4TH AVENUE SIOUX FALLS SD ACCREDO HEALTH 1620 CENTURY CENTER PKWY #109 MEMPHIS TN CAREMARK CTS DS 8370 WOLF LAKE DRIVE, SUITE 107 BARLETT TN UNION AV MEMPHIS TN WALGREENS PHARMACARE SPECIALTY TH AVENUE NORTH NASHVILLE TN ACARIA HEALTH PHCY # W. SAM HOUSTON PKWY N, STE 130 HOUSTON TX (800) AHF 400 N BEACH ST STE 102 FT WORTH TX AVITA DRUGS LLC 219 SUNSET AVE STE 118A DALLAS TX SOUTH HENDERSON STREET FT. WORTH TX GREENBRIAR STE 235 HOUSTON TX WALGREENS 3826 CEDAR SPRINGS DALLAS TX WALGREENS CVS/CAREPLUS FLOYD CURL DRIVE (#106) SAN ANTONIO TX MAXOR PHARMACIES 216 S. POLK AMARILLO TX NORTH TEXAS 3409 WORTH ST. SUITE 710 DALLAS TX INFECTIOUS DISEASE RC 5633 S STAPLES STE 700A CORPUS CHRISTI TX RX PARTNERS 7302 LOUIS PASTEUR DRIVE, SUITE 105 SAN ANTONIO TX SOUTHSIDE INFUSION 7700 MAIN STREET, SUITE 210 HOUSTON TX
8 SOUTHSIDE RD ST STE F GALVESTON TX TAS SPECIALTY 3016 GUADALUPE STREET SUITE A AUSTIN TX WALGREENS 7333 BARLITE STE. 150 SAN ANTONIO TX WALGREENS DRUG CALIFORNIA ST. SUITE 100 HOUSTON TX WALGREENS SPECIALTY JOHN W ELLIOTT DR STE 100 FRISCO TX ACARIA HEALTH 2924 TELESTAR COURT FALLS CHURCH VA (703) AHF 901 BOREN AVE STE 800 SEATTLE WA (206) th AVE SEATTLE WA WALGREENS # N PLANKINTON AV #100 MILWAUKEE WI WALGREENS ASTORIA 818 E GRAYSON ST SAN ANTONIO TX SOUTHSIDE MAIN ST, STE 260 HOUSTON TX SOUTHSIDE 8 23 RD ST, STE. F GALVESTON TX RC 5633 S STAPLES STE 700A CORPUS CHRISTI TX Phone: AXIS (2947) Fax:
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