2015 PARTICIPATING PHARMACY DIRECTORY
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1 Pennsylvania Public School Employees Retirement System (PSERS) Health Options Program 2015 PARTICIPATING DIRECTORY For The Basic And Enhanced Medicare Rx Options HAWAII This pharmacy directory was updated on January 1, For more recent information or other questions, please contact OptumRx at , 24 hours a day, 7 days a week. TTY users should call You can also visit
2 INTRODUCTION This booklet provides a list of the network pharmacies in Hawaii for the Basic and Enhanced Medicare Rx Options. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and the formulary for the Basic and Enhanced Medicare Rx Options. 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 the Basic or Enhanced Medicare Rx Option 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 created. 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 January 1, For the most current list, please contact us. Our contact information appears on the front and back cover pages. How to Use this Directory This directory lists pharmacies by type: Mail Order... 1 Retail... 1 Retail & Home Infusion... 9 Retail & Long-Term Care... 9 Home Infusion... 9 Within each type, pharmacies are listed alphabetically by city. For More Information This directory is for Hawaii. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. Contact information for pharmacies in our plan network not listed in this directory is available online at If you have questions about any of the above, please see the front and back cover pages of this directory for information on how to contact OptumRx. You can get prescription drugs shipped to your home through the OptumRx mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory.
3 MAIL ORDER OPTUMRx CUSTOMER SERVICE (888) TTY/TDD: (800) RETAIL PHARMACIES * LONGS DRUGS MOANALUA AIEA (808) RD SPC 400 * MEDICAL CENTER AIEA HEIGHTS AIEA (808) DR * MINA KAMEHAMEHA # 2E AIEA (808) PHARMACARE NO MOANALUA RD AIEA (808) * TIMES AIEA HEIGHTS AIEA (808) DR * LONGS DRUGS 4469 WAIALO RD ELEELE (808) * WALGREENS KEAUNUI EWA (808) * LONGS DRUGS FORT WEAVER EWA BEACH (808) RD * LONGS DRUGS # FT. WEAVER RD EWA BEACH (808) SPC 106 PHARMACARE NO FT WEAVER RD EWA BEACH (808) * SAFEWAY KEAUNUI DR EWA BEACH (808) * LONGS DRUGS # KAMEHAMEHA HALEIWA (808) #1 * WESTSIDE KAUMUALII HANAPEPE (808) * LONGS DRUGS # KAMEHAMEHA HAUULA (808) * FOODLAND 2100 KANOELEHUA HILO (808) AVE KTA PUAINAKO 50 E PUAINAKO ST HILO (808) * LONGS DRUGS 555 KILAUEA AVE HILO (808) * LONGS DRUGS 111 E PUAINAKO ST HILO (808) * LONGS DRUGS 82 PUUHONU PL, #103 HILO (808) * LONGS DRUGS 670 PONAHAWAI ST STE 213 HILO (808) * OPEN 24 HOURS 1
4 * MINA 1251 KILAUEA AVE HILO (808) * SAFEWAY 381 MAKAALA HILO (808) * SHIIGI DRUG 333 KILAUEA AVE HILO (808) * TARGET 391 E MAKAALA ST HILO (808) ULULANI 868 ULULANI ST HILO (808) * WALGREENS 301 E MAKAALA ST HILO (808) * WAL-MART MAKAALA ST HILO (808) * 5 MINUTE KALIHI 1824 DILLINGHAM BLVD STE B HONOLULU (808) * CAREPLUS CVS 500 ALA MOANA BLVD HONOLULU (808) * CHINATOWN 70 N HOTEL ST HONOLULU (808) * COSTCO 333 A KEOHOLE ST HONOLULU (808) DON QUIJOTE DRUGS 801 KAHEKA ST HONOLULU (808) * GOOD HEALTH, 1120 MAUNAKEA ST, HONOLULU (808) LLC #173 * KMART NORTH NIMITZ HONOLULU (808) * KMART SALT LAKE BLVD HONOLULU (808) * KUHIO 2330 KUHIO AVE HONOLULU (808) * LONGS DRUGS 1330 PALI HONOLULU (808) * LONGS DRUGS 1088 BISHOP ST HONOLULU (808) * LONGS DRUGS 4211 WAIALAE AVE HONOLULU (808) * LONGS DRUGS 1620 N SCHOOL ST HONOLULU (808) * LONGS DRUGS 1450 ALA MOANA HONOLULU (808) BLVD STE #2004 * LONGS DRUGS 2750 WOODLAWN DR HONOLULU (808) * LONGS DRUGS 3221 WAIALAE AVE HONOLULU (808) * LONGS DRUGS 377 KEAHOLE ST HONOLULU (808) * LONGS DRUGS 2470 S KING ST HONOLULU (808) * LONGS DRUGS 848 ALA LILIKOI ST HONOLULU (808) * LONGS DRUGS 2070 N KING ST #5 HONOLULU (808) * LONGS DRUGS 966 KAHEKA ST HONOLULU (808) * LONGS DRUGS 1748 LILIHA ST HONOLULU (808) * LONGS DRUGS # S KING ST HONOLULU (808) * LONGS DRUGS # BISHOP ST HONOLULU (808) MEDIPHARM 875 WAIMANU ST HONOLULU (808) MEDIPHARM, LLC 1188 BISHOP ST STE 802 HONOLULU (808) * OPEN 24 HOURS 2
5 * MINA 1620 N SCHOOL ST HONOLULU (808) * MINA 1029 KAPAHULU AVE HONOLULU (808) * MINA # S BERETANIA ST STE 110 HONOLULU (808) * MINA MAIN OFFICE 1441 KAPIOLANI BLVD HONOLULU (808) * OPEN DOOR RX 1130 N NIMITZ HONOLULU (808) PHARMACARE NO LILIHA ST HONOLULU (808) PHARMACARE NO S KING ST HONOLULU (808) PHARMACARE NO PUNAHOU ST HONOLULU (808) * ONE 1712 LILIHA ST STE 101 HONOLULU (808) PLAZA 321 N KUAKINI ST HONOLULU (808) PRINCE KUHIO II 1922 KALAKAUA AVE HONOLULU (808) * QUEENS POB LUSITANA ST HONOLULU (808) * QUEENS POB I 1380 LUSITANA ST HONOLULU (808) * QUEENS POB III 550 S BERETANIA ST HONOLULU (808) * R. WEINSTEIN 1010 S KING ST SUITE HONOLULU (808) * SAFEWAY 888 KAPAHULU AVE HONOLULU (808) * SAFEWAY # S BERETANIA ST HONOLULU (808) * SAMS KEEAUMOKU ST HONOLULU (808) * TARGET 4380 LAWEHANA ST HONOLULU (808) THE HONOLULU 1188 BISHOP ST STE 2303 HONOLULU (808) * TIMES 1425 LILIHA ST HONOLULU (808) * TIMES 1290 S BERETANIA ST HONOLULU (808) * TIMES ST AVE HONOLULU (808) * TIMES 1772 S KING ST HONOLULU (808) * WALGREENS 1613 NUUANU AVE HONOLULU (808) * WALGREENS 7192 KALANIANAOLE HONOLULU (808) * WALGREENS 1121 S BERETANIA ST HONOLULU (808) * WALGREENS 116 S HOTEL ST HONOLULU (808) * WALGREENS # N SCHOOL ST. HONOLULU (808) * WALGREENS # MAKALOA PLAZA HONOLULU (808) * OPEN 24 HOURS 3
6 * WALGREENS # LILIHA ST HONOLULU (808) * WAL-MART FORT ST MALL HONOLULU (808) * WAL-MART KEEAUMOKU ST HONOLULU (808) * WELLNESS INC 100 N BERETANIA ST HONOLULU (808) * WELLNESS 1120 MAUNAKEA ST HONOLULU (808) STORE #2 STE # 102 * COSTCO 525 ALA KAWA ST IWILEI (808) * COSTCO 540 HALEAKALA KAHULUI (808) * KMART DAIRY RD KAHULUI (808) * LONGS DRUGS 70 E KAAHUMANU KAHULUI (808) AVE * MINA # WEST KAHULUI (808) KAAHUMANU AVE SUITE 1C01AB * SAFEWAY 170 E KAMEHAMEHA KAHULUI (808) AVE * WALGREENS # E KAMEHAMEHA KAHULUI (808) AVE * WAL-MART PAKAULA ST KAHULUI (808) * FOODLAND MEDICINE 108 HEKILI ST KAILUA (808) CABINET PHCY * KOOLAU 642 ULUKAHIKI ST KAILUA (808) * LONGS DRUGS 609 KAILUA RD KAILUA (808) * LONGS DRUGS 30 AULIKE ST STE # 104 KAILUA (808) * SAFEWAY 200 HAMAKUA DR KAILUA (808) * TIMES 590 KAILUA RD KAILUA (808) * WALGREENS # ONEAWA ST KAILUA (808) * COSTCO MAIAU ST KAILUA KONA (808) KTA KEAUHOU ALII DR KAILUA KONA (808) * LONGS DRUGS ALII DR KAILUA KONA (808) * MINA KUAKINI KAILUA KONA (808) * SAFEWAY # HENRY ST KAILUA KONA (808) * OPEN 24 HOURS 4
7 * TARGET MAKALA BLVD KAILUA KONA (808) * WAL-MART HENRY ST KAILUA KONA (808) * LONGS DRUGS PALANI RD KAILUA-KONA (808) * FOODLAND # MAMALAHOA KAMUELA (808) KTA KAMUELA MAMALAHOA KAMUELA (808) * LONGS DRUGS KAWAIHAE RD. KAMUELA (808) * CASTLE PROFESSIONAL CTR KAMEHAMEHA PHCY * LONGS DRUGS KAMEHAMEHA STE C KANEOHE (808) KANEOHE (808) * LONGS DRUGS KANEOHE BAY KANEOHE (808) DR * TIMES KAMEHAMEHA KANEOHE (808) * WALGREENS # KAMEHAMEHA KANEOHE (808) * FOODLAND # KUHIO KAPAA (808) * KAPAA, LLC KUHIO HWT KAPAA (808) * LONGS DRUGS KUHIO STE KAPAA (808) * SAFEWAY KUHIO KAPAA (808) * KAMEHAMEHA AKONI PULE KAPAAU (808) * COSTCO 4589 KAPOLEI PKWY KAPOLEI (808) * FOODLAND 4850 KAPOLEI PKWY KAPOLEI (808) KAPOLEI PROFESSIONAL 599 FARRINGTON KAPOLEI (808) * KMART KAMOKILA BLVD KAPOLEI (808) * LONGS DRUGS 590 FARRINGTON KAPOLEI (808) UNIT 300 * MINA 599 FARRINGTON KAPOLEI (808) * OPEN 24 HOURS 5
8 * TARGET 4450 KAPOLEI PKWY KAPOLEI (808) STE 100 * WAL-MART FARRINGTON KAPOLEI (808) MOLOKAI DRUGS INC 28 KAMOI ST KAUNAKAKAI (808) * LONGS DRUGS OLD VOLCANO KEAAU (808) RD * MALAMA COMPOUNDING MAMALAHOA KEALAKEKUA (808) * OSHIMA DRUG MAMALAHOA KEALAKEKUA (808) * LONGS DRUGS 1215 S KIHEI RD STE B KIHEI (808) * LONGS DRUGS 41 E LIPOA ST KIHEI (808) * RAINBOW 2349 S KIHEI RD # 4 KIHEI (808) * SAFEWAY 277 PIIKEA AVE KIHEI (808) MEDICAL CTR NORTH SHORE 2460 OKA ST KILAUEA (808) PHCY * LIFEWAY 5330 KOLOA RD STE 2 KOLOA (808) (KOLOA) * KMART KAMAKAEHA KONA (808) AVE * LONGS DRUGS 1221 HONOAPIILANI LAHAINA (808) * NAPILI MARKET 5095 NAPILIHAU ST LAHAINA (808) * TIMES 3350 LOWER HONOAPIILANI RD LAHAINA (808) * WALGREENS # KEAWE ST BLDG D LAHAINA (808) * WALGREENS # PRISON ST LAHAINA (808) * FOODLAND # KAMEHAMEHA LAIE (808) * COSTCO 4300 NUHOU ST LIHUE (808) HO OLA LAHUI HAWAI I 4491 RICE ST LIHUE (808) * LIFEWAY LIHUE KUHIO LIHUE (808) * LIHUE 4491-A KOLOPA ST LIHUE (808) * LIHUE PROFESSIONAL B KUHIO LIHUE (808) * OPEN 24 HOURS 6
9 * LONGS DRUGS KAUMUALII LIHUE (808) STE 1100 * WAL-MART KUHIO LIHUE (808) WILCOX MEMORIAL KUHIO LIHUE (808) HOSPITAL OUTPATIENT MAKAWAO TOWN 1120 MAKAWAO AVE MAKAWAO (808) * LONGS DRUGS # AINAMAKUA MILILANI (808) DR * LONGS DRUGS 94780A MEHEULA MILILANI TOWN (808) PKWY * LONGS DRUGS D MEHEULA MILILANI TOWN (808) PKWY * LONGS DRUGS PIKAKE ST PAHALA (808) * LONGS DRUGS # KAHAKAI BLVD PAHOA (808) * PUNA KEAAU PAHOA PAHOA (808) RD * LONGS DRUGS 850 KAMEHAMEHA PEARL CITY (808) * LONGS DRUGS 1130 KUALA ST PEARL CITY (808) * SAMS KAMEHAMEHA PEARL CITY (808) SUITE 100 * TIMES KAAHUMANU PEARL CITY (808) ST * WAL-MART KUALA ST PEARL CITY (808) * FOODLAND # KUHIO PRINCEVILLE (808) * FOODLAND #24 55 PUKALANI ST PUKALANI (808) * LONGS DRUGS 55 KIOPAA ST PUKALANI (808) * LONGS DRUGS 925 CALIFORNIA AVE WAHIAWA (808) * LONGS DRUGS 302 CALIFORNIA AVE WAHIAWA (808) STE 105 * MINA # KILANI AVE WAHIAWA (808) * WALGREENS 135 S KAMEHAMEHA WAHIAWA (808) * LONGS DRUGS FARRINGTON WAIANAE (808) * OPEN 24 HOURS 7
10 PHARMACARE NO. 8 WAIKOLOA VILLAGE MARKET WAILEA FARRINGTON WAIANAE (808) STE PANIOLO AVE WAIKOLOA (808) WAILEA GATEWAY PL STE A103 WAILEA (808) * LONGS DRUGS 1900 MAIN ST #4 WAILUKU (808) * LONGS DRUGS # KEHALANI WAILUKU (808) VILLAGE DR * SAFEWAY # MAUI LANI PKWY WAILUKU (808) STE 5000 * WALGREENS 700 WAIALE RD WAILUKU (808) * WALGREENS # MAIN ST WAILUKU (808) * WALGREENS # S MARKET ST WAILUKU (808) * WAIMANALO INC KALANIANAOLE WAIMANALO (808) * LIFEWAY 4643 A WAIMEA WAIMEA (808) WAIMEA CANYON RD * 5 MINUTE, LLC FARRINGTON WAIPAHU (808) STE # B1-102 * COSTCO KA UKA BLVD WAIPAHU (808) DON QUIJOTE DRUGS FARRINGTON WAIPAHU (808) * KMART LUMIAINA WAIPAHU (808) * LONGS DRUGS FARRINGTON WAIPAHU (808) # 6 * TIMES FARRINGTON WAIPAHU (808) * TIMES KUPUOHI ST WAIPAHU (808) * WAIPAHU DRUG A HIKIMOE ST WAIPAHU (808) * WALGREENS FARRINGTON WAIPAHU (808) * WALGREENS # FARRINGTON WAIPAHU (808) * WAL-MART KUPUOHI ST WAIPAHU (808) * OPEN 24 HOURS 8
11 RETAIL & HOME INFUSION PHARMACIES AIEA MEDICAL AIEA HEIGHTS AIEA (808) DR PHARMACARE 3375 KOAPAKA HONOLULU (808) HAWAII HOME INFUSION ASSOCIATES 4490 KOLOPA ST, SUITE B LIHUE (808) RETAIL & LONG-TERM CARE PHARMACIES NEWTOWN SQUARE KAAHUMANU ST STE 320A AIEA (808) PHARMACARE LTC AIEA HEIGHTS AIEA (808) DR PHARMERICA HILO 688 KINOOLE ST HILO (808) PHARMERICA 3375 KOAPAKA ST HONOLULU (808) PHARMERICA KANEOHE KEAAHALA RD KANEOHE (808) * TIMES HUI IWA ST KANEOHE (808) * KONA COMMUNITY HAUKAPILA ST KEALAKEKUA (808) HOSPITAL PHARMERICA KAUAI 2970 KELE ST STE 113A LIHUE (808) WAHIAWA GENERAL HOSPITAL WAILUKU PROFESSIONAL 5 MINUTE LONG TERM CARE HOME INFUSION WALGREENS INFUSION SERVICES 128 LEHUA ST WAHIAWA (808) MAIN ST WAILUKU (808) FARRINGTON STE B1-102B 1121 S BERETANIA ST STE 102 WAIPAHU (808) HONOLULU (808) * OPEN 24 HOURS 9
12 This pharmacy directory was updated on January 1, For more recent information or other questions, please contact OptumRx at , 24 hours a day, 7 days a week. TTY users should call You can also visit EFFECTIVE JANUARY 1, 2015
Pharmacy Address City ST Zip Code Phone 24 County
Malama Pharmacy South 82-6066 Mamalahoa Hwy Ste 14 Captain Cook HI 967048204 8083246888 N Hawaii Longs Drug Store 555 Kilauea Ave Hilo HI 967203011 8089359075 Y Hawaii ShIIgi Drug Co., Inc. 333 Kilauea
Pharmacy Name Address City State Zip Phone No Hours24 County Longs Drug Store 1330 Pali Hwy Honolulu Hi Y Honolulu Longs Drug
Pharmacy Name Address City State Zip Phone No Hours24 County Longs Drug Store 1330 Pali Hwy Honolulu Hi 968132230 8085365542 Y Honolulu Longs Drug Store 555 Kilauea Ave Hilo Hi 967203011 8089359075 Y Hawaii
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