PrimeTime Health Plan 2019 Pharmacy Directory

Transcription

1 PrimeTime Health Plan 2019 Pharmacy Directory This pharmacy directory was updated on 11/02/2018. For more recent information or other questions, please contact PrimeTime Health Plan at or, for TTY users, , Monday through Friday 8 a.m. to 8 p.m. (October 1 March 31, we are available 7 days a week, 8 a.m. to 8 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 provider information. H3664_PharmacyDirectory2_C Pg. 1

2 Introduction This booklet provides a list of PrimeTime Health Plan 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 PrimeTime Health Plan 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 PrimeTime Health Plan 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 November 2, For the most current list, please contact us. Our contact information appears on the front and back cover pages. 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. 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 PrimeTime Health Plan. Pg. 2

3 TABLE OF CONTENTS RETAIL PHARMACIES... 4 CARROLL... 4 COLUMBIANA... 4 HARRISON... 5 HOLMES... 5 JEFFERSON... 5 MAHONING... 6 MEDINA... 8 PORTAGE STARK SUMMIT TRUMBULL TUSCARAWAS WAYNE HOME INFUSION PHARMACIES LONG-TERM CARE PHARMACIES MAIL ORDER PHARMACIES The pharmacies are divided into four groups: Retail Pharmacies, Home Infusion Pharmacies, Long Term Care Pharmacies, and Mail Order Pharmacies. The retail pharmacies are listed by county and include extended day pharmacies which are noted under the pharmacy name. This means that you may get up to a 90-day supply of medication according to your plan design. Pg. 3

4 Retail Pharmacies CARROLL 1145 ALLIANCE RD NW MINERVA OH, (330) TH ST NW CARROLLTON OH, (330) MEDICINE CENTER 251 EAST ST MINERVA OH, (330) E LINCOLNWAY MINERVA OH, (330) W MAIN ST CARROLLTON OH, (330) SHRIVERS 501 W MAIN ST CARROLLTON OH, (740) COLUMBIANA BUCKEYE STATE ROUTE 170 STE 1 EAST LIVERPOOL OH, (330) FAMILY DRUGS 120 N VINE ST COLUMBIANA OH, (330) FRED'S FAMILY 1136 E STATE ST SALEM OH, (330) STATE ROUTE 170 STE 1 EAST LIVERPOOL OH, (330) E STATE ST SALEM OH, (330) BRADSHAW AVE EAST LIVERPOOL OH, (330) HERCHE BLOOR 104 E 5TH ST EAST LIVERPOOL OH, (330) J H LEASE DRUG COMPANY 229 N ELLSWORTH AVE SALEM OH, (330) KMART STATE ROUTE 170 EAST LIVERPOOL OH, (330) E STATE ST SALEM OH, (330) MARTY'S FAMILY DISCOUNT DRUG 2249 LISBON ST EAST LIVERPOOL OH, (330) BRADSHAW AVE EAST LIVERPOOL OH, (330) VILLAGE PLZ COLUMBIANA OH, (330) E STATE ST SALEM OH, (330) STATE ROUTE 45 LISBON OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 4

5 25 W MAIN ST EAST PALESTINE OH, (330) RD ST WELLSVILLE OH, (330) THE HOMETOWN 1108 VILLAGE PLZ COLUMBIANA OH, (330) DRESDEN AVE STE A EAST LIVERPOOL OH, (330) E STATE ST SALEM OH, (330) E STATE ST SALEM OH, (330) HARRISON CUSTER 241 S MAIN ST CADIZ OH, (740) NEIMAYER 112 W MAIN ST SCIO OH, (740) LINCOLN AVE CADIZ OH, (740) HOLMES PREMIER 4925 WEST MAIN STREET BERLIN OH, (330) RITZMAN 2105 GLEN DR MILLERSBURG OH, (330) RITZMAN 4900 OAK ST BERLIN OH, (330) S WASHINGTON ST MILLERSBURG OH, (330) JEFFERSON A AND B SUNSET 4201 SUNSET BLVD STEUBENVILLE OH, (740) BUKMIR'S 908 3RD ST BRILLIANT OH, (740) SUNSET BLVD STEUBENVILLE OH, (740) DIAMOND 503 CADIZ RD WINTERSVILLE OH, (740) DILLONVALE 74 MAIN ST DILLONVALE OH, (740) KROGER 858 MAIN ST STEUBENVILLE OH, (740) KROGER 264 S HOLLYWOOD BLVD STEUBENVILLE OH, (740) MINGO 116 MCLISTER AVE MINGO JUNCTION OH, (740) REISBECK'S 100 MAIN ST WINTERSVILLE OH, (740) SUNSET BLVD STEUBENVILLE OH, (740) This list is subject to change. For an up-to-date listing please visit Pg. 5

6 1820 FRANKLIN ST TORONTO OH, (740) PUBLIC RD YORKVILLE OH, (740) WITH RX 4402 SUNSET BLVD STEUBENVILLE OH, (740) WITH RX 400 PUBLIC RD YORKVILLE OH, (740) WITH RX 1820 FRANKLIN ST TORONTO OH, (740) ROSS PARK 1 ROSS PARK BLVD STEUBENVILLE OH, (740) ROSS PARK 4100 JOHNSON RD STE 105 STEUBENVILLE OH, (740) TORONTO APOTHECARY 1361 FRANKLIN ST TORONTO OH, (740) VALUE LEADER 200 LURAY DR STE B WINTERSVILLE OH, (740) MALL DR STEUBENVILLE OH, (740) SUNSET BLVD STEUBENVILLE OH, (740) MAHONING ACCUDOSE 685 BOARDMAN CANFIELD RD BOARDMAN OH, (888) BLOOD AND CANCER CENTER 3695 BOARDMAN CANFIELD RD CANFIELD OH, (330) BROWNS DRUGS 5106 SOUTHERN BLVD YOUNGSTOWN OH, (330) CAMPBELL TH ST CAMPBELL OH, (330) CORNERSBURG FMLY DISCOUNT DRUG 3307 CANFIELD RD YOUNGSTOWN OH, (330) MARKET ST BOARDMAN OH, (330) YOUNGSTOWN POLAND RD STRUTHERS OH, (330) MAHONING AVE YOUNGSTOWN OH, (330) PARK AVE YOUNGSTOWN OH, (330) E MAIN ST CANFIELD OH, (330) BOARDMAN POLAND RD BOARDMAN OH, (330) BOARDMAN CANFIELD RD YOUNGSTOWN OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 6

7 4700 BELMONT AVE YOUNGSTOWN OH, (330) MAHONING AVE YOUNGSTOWN OH, (330) CENTER RD POLAND OH, (330) DORAL DR YOUNGSTOWN OH, (330) E MAIN ST CANFIELD OH, (330) GROMOLL DRUG STORE 227 N 15TH ST SEBRING OH, (330) LINCOLN KNOLLS 819 MCCARTNEY RD YOUNGSTOWN OH, (330) MD COMPOUNDING 721 BOARDMAN CANFIELD RD STE 2 YOUNGSTOWN OH, (330) MEDICINE SHOPPE 4405 MAHONING AVE YOUNGSTOWN OH, (330) MERCY HEALTH BOARDMAN OP PHCY 8401 MARKET ST BOARDMAN OH, (330) NEW MIDDLETOWN VILLAGE PHCY MAIN ST NEW MIDDLETOWN OH, (330) CARE 11 E MAIN ST CANFIELD OH, (330) PRESCRIPTION CENTER 9798 N LIMA RD POLAND OH, (330) RC COMPOUNDING SERVICES 3030 CENTER RD POLAND OH, (330) BELMONT AVE YOUNGSTOWN OH, (330) E MIDLOTHIAN BLVD YOUNGSTOWN OH, (330) CANFIELD RD YOUNGSTOWN OH, (330) MARKET ST YOUNGSTOWN OH, (330) MAHONING AVE YOUNGSTOWN OH, (330) BOARDMAN CANFIELD RD YOUNGSTOWN OH, (330) MCCARTNEY RD YOUNGSTOWN OH, (330) YOUNGSTOWN POLAND RD YOUNGSTOWN OH, (330) MAHONING AVE YOUNGSTOWN OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 7

8 SAM'S CLUB 6361 SOUTH AVE BOARDMAN OH, (330) SEHC AMBULATORY 1044 BELMONT AVE YOUNGSTOWN OH, (330) THE HOMETOWN 3623 S MERIDIAN RD STE 2 YOUNGSTOWN OH, (330) THE HOMETOWN 655 CREED ST STRUTHERS OH, (330) THE HOMETOWN 1135 W WESTERN RESERVE RD POLAND OH, (330) THE MEDICINE PLACE 6615 CLINGAN RD STE B POLAND OH, (330) MAHONING AVE AUSTINTOWN OH, (330) DORAL DR POLAND OH, (330) GOLDIE RD YOUNGSTOWN OH, (330) MARKET ST BOARDMAN OH, (330) BELMONT AVE YOUNGSTOWN OH, (330) MAHONING AVE AUSTINTOWN OH, (330) E MIDLOTHIAN BLVD YOUNGSTOWN OH, (330) W MCKINLEY WAY POLAND OH, (330) TIPPECANOE RD YOUNGSTOWN OH, (330) MCCARTNEY RD YOUNGSTOWN OH, (330) N MERIDIAN RD YOUNGSTOWN OH, (330) WEXLERS LAKE MILTON MAHONING AVE LAKE MILTON OH, (330) MEDINA CLEVELAND CLINIC MEDINA AMBLTY 1000 E WASHINGTON ST MEDINA OH, (330) PEARL RD BRUNSWICK OH, (330) S ELMWOOD AVE MEDINA OH, (330) W 130TH ST HINCKLEY OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 8

9 116 AINSWORTH ST LODI OH, (330) HIGH ST WADSWORTH OH, (330) N COURT ST MEDINA OH, (330) WILLIAMS RESERVE BLVD WADSWORTH OH, (330) PEARL RD BRUNSWICK OH, (330) HARDING ST MEDINA OH, (330) HIGH ST WADSWORTH OH, (330) WOOSTER ST LODI OH, (330) CENTER RD BRUNSWICK OH, (330) WOOSTER PIKE MEDINA OH, (330) GENTRY HEALTH SERVICES 1090 ENTERPRISE DR MEDINA OH, (844) CENTER RD BRUNSWICK OH, (330) N COURT ST MEDINA OH, (330) AMBASSADOR DR WADSWORTH OH, (330) KWIK-FILL 5779 WOOSTER PIKE STE A MEDINA OH, (234) N COURT ST MEDINA OH, (330) CENTER RD BRUNSWICK OH, (330) MEDINA HEALTH CENTER 4018 MEDINA RD STE C MEDINA OH, (330) N COURT ST MEDINA OH, (330) HIGH ST WADSWORTH OH, (330) CENTER RD BRUNSWICK OH, (330) RITZMAN 120 HIGH ST WADSWORTH OH, (330) RITZMAN 275 FOREST MEADOWS DR MEDINA OH, (330) RITZMAN 3626 MEDINA RD MEDINA OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 9

10 RITZMAN 255 CENTER ST SEVILLE OH, (330) PEARL RD MEDINA OH, (330) SMOKERISE DR WADSWORTH OH, (330) PEARL RD BRUNSWICK OH, (330) N COURT ST MEDINA OH, (330) PORTAGE ACME 1709 E MAIN ST KENT OH, (330) AXESSPOINTE - KENT 143 GOUGLER AVE KENT OH, (330) E MAIN ST RAVENNA OH, (330) S WATER ST KENT OH, (330) STATE ROUTE 43 STREETSBORO OH, (330) W GARFIELD RD AURORA OH, (330) N CLEVELAND AVE MOGADORE OH, (330) STATE ROUTE 303 STREETSBORO OH, (330) N MARKET PLACE DR AURORA OH, (330) E MAIN ST KENT OH, (330) GARRETTSVILLE FAMILY 8295 WINDHAM ST GARRETTSVILLE OH, (330) STATE ROUTE 44 ROOTSTOWN OH, (330) E MAIN ST RAVENNA OH, (330) STATE ROUTE 303 STREETSBORO OH, (330) MANTUA MAIN ST MANTUA OH, (330) AURORA COMMONS CIR AURORA OH, (330) E MAIN ST RAVENNA OH, (330) NORTH ST GARRETTSVILLE OH, (330) RITZMAN NEOMED 4211 STATE ROUTE 44 UNIT 7 ROOTSTOWN OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 10

11 SPEIDELS MEDICAL ARTS 6693 N CHESTNUT ST STE 130 RAVENNA OH, (330) STATE ROUTE 14 STREETSBORO OH, (330) STATE ROUTE 59 RAVENNA OH, (330) MARKET PLACE DR AURORA OH, (330) TALLMADGE RD KENT OH, (330) S WATER ST KENT OH, (330) STATE ROUTE 43 STREETSBORO OH, (330) W GARFIELD RD AURORA OH, (330) E MAIN ST RAVENNA OH, (330) WINDHAM 9650 E CENTER ST WINDHAM OH, (330) STARK ACME 1474 N MAIN ST NORTH CANTON OH, (330) ACME 2905 WHIPPLE AVE NW CANTON OH, (330) AULTMAN RX TH ST SW CANTON OH, (330) BREWSTER FAMILY 360 WABASH AVE N BREWSTER OH, (330) CANTON HEALTH CENTER 2663 CLEVELAND AVE NW CANTON OH, (330) W MAPLE ST HARTVILLE OH, (330) FULTON DR NW CANTON OH, (330) LINCOLN WAY E MASSILLON OH, (330) N MAIN ST NORTH CANTON OH, (330) TUSCARAWAS ST W CANTON OH, (330) DRESSLER RD NW NORTH CANTON OH, (330) LINCOLN WAY E MASSILLON OH, (330) DARTMOUTH 2801 W TUSCARAWAS ST CANTON OH, (330) DAVIES DRUG 6046 WHIPPLE AVE NW CANTON OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 11

12 DAVIES 2915 TUSCARAWAS ST W CANTON OH, (330) HILLS AND DALES RD NW CANTON OH, (330) N MAIN ST NORTH CANTON OH, (330) PORTAGE ST NW NORTH CANTON OH, (330) EASTON ST NE STE A CANTON OH, (330) EASTERDAY 1696 S ARCH AVE ALLIANCE OH, (330) FULTON DRUGS TH ST NW CANTON OH, (330) STRIP AVE NW NORTH CANTON OH, (330) CROMER AVE NW CANTON OH, (330) E MAPLE ST NORTH CANTON OH, (330) W MAPLE ST HARTVILLE OH, (330) RAFF RD SW CANTON OH, (330) W STATE ST ALLIANCE OH, (330) LINCOLN WAY E MASSILLON OH, (330) W MAIN ST LOUISVILLE OH, (330) HERITAGE SQUARE 977 CHERRY ST E CANAL FULTON OH, (330) BELDEN VILLAGE ST NW CANTON OH, (330) CROMER AVE NW CANTON OH, (330) TUSCARAWAS ST W CANTON OH, (330) W STATE ST ALLIANCE OH, (330) AMHERST RD NE MASSILLON OH, (330) W MAPLE ST HARTVILLE OH, (330) N MAIN ST NORTH CANTON OH, (330) MEDICAP 2012 LINCOLN WAY W MASSILLON OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 12

13 MEDICINE CENTER 2526 TUSCARAWAS ST W CANTON OH, (330) MEDICINE CENTER 700 W MAIN ST LOUISVILLE OH, (330) MEDTIME TH ST NW CANTON OH, (234) MERCY PROFESSIONAL 1330 MERCY DR NW STE 117 CANTON OH, (330) NORTH CANTON MED FOUNDATION TH ST SW CANTON OH, (330) CLEVELAND AVE NW CANTON OH, (330) LINCOLN WAY W MASSILLON OH, (330) MAHONING RD NE CANTON OH, (330) E STATE ST ALLIANCE OH, (330) EASTON ST NE CANTON OH, (330) MARKET AVE N CANTON OH, (330) MARKET AVE N CANTON OH, (330) TUSCARAWAS ST W CANTON OH, (330) LINCOLN WAY E MASSILLON OH, (330) LOCUST ST S CANAL FULTON OH, (330) CLEVELAND AVE NW NORTH CANTON OH, (330) W STATE ST ALLIANCE OH, (330) W MAIN ST LOUISVILLE OH, (330) CLEVELAND AVE S CANTON OH, (330) WALES RD NE MASSILLON OH, (330) WHIPPLE AVE NW CANTON OH, (330) WAYNESBURG RD NW WAYNESBURG OH, (330) FULTON DR NW STE 47 CANTON OH, (330) TH ST NE CANTON OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 13

14 RITZMAN 7138 FULTON DR NW CANTON OH, (330) SAM'S CLUB 4790 PORTAGE ST NW NORTH CANTON OH, (330) SCRIPTSHOP 4254 ERIE AVE SW NAVARRE OH, (330) THE LIBERTY 4875 HIGBEE AVE NW CANTON OH, (330) THORNCHERRY 1607 AMHERST RD NE MASSILLON OH, (330) VALLEY VIEW STATE ROUTE 800 NE STE D MAGNOLIA OH, (330) MEGA ST NW NORTH CANTON OH, (330) W STATE ST ALLIANCE OH, (330) MASSILLON MARKETPLACE DR SW MASSILLON OH, (330) ATLANTIC BLVD NE CANTON OH, (330) TUSCARAWAS ST W CANTON OH, (330) S MAIN ST NORTH CANTON OH, (330) TUSCARAWAS ST W CANTON OH, (330) CLEVELAND AVE NW CANTON OH, (330) FULTON DR NW CANTON OH, (330) WALES RD NE MASSILLON OH, (330) S UNION AVE ALLIANCE OH, (330) MARKET AVE N CANTON OH, (330) FRANK AVE NW NORTH CANTON OH, (330) LINCOLN WAY W MASSILLON OH, (330) SUMMIT ACME 2147 EAST AVE AKRON OH, (330) ACME 2420 WEDGEWOOD DR STE 1B AKRON OH, (330) ACME 2226 STATE RD CUYAHOGA FALLS OH, (330) ACME 116 W STREETSBORO ST HUDSON OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 14

15 ACME 4445 KENT RD STOW OH, (330) ACME 3979 MEDINA RD AKRON OH, (330) ACME 3235 MANCHESTER RD UNIT A AKRON OH, (330) ACME 1835 W MARKET ST AKRON OH, (330) ACME 3200 GREENWICH RD RM 7 NORTON OH, (330) ACME 600 SOUTH AVE TALLMADGE OH, (330) ACME 2630 BAILEY RD CUYAHOGA FALLS OH, (330) ACME 3875 MASSILLON RD UNIONTOWN OH, (330) AGMC ACC 1 AKRON GENERAL AVE AKRON OH, (330) AKRON HEALTH CENTER 444 W EXCHANGE ST AKRON OH, (330) AKRON HEALTH MART 879 E EXCHANGE ST AKRON OH, (330) AXESSPOINTE 1400 S ARLINGTON ST UNIT 38 AKRON OH, (330) CLEV CLINIC TWINSBURG AMB PHCY 8701 DARROW RD TWINSBURG OH, (330) COLONIAL 1915 N CLEVELAND BATH OH, (330) COMPOUNDING PHCY OF GREEN 4016 MASSILLON RD STE B UNIONTOWN OH, (330) COPE 941 W NIMISILA RD NEW FRANKLIN OH, (330) COSTCO 6720 BASS PRO RD BOSTON HEIGHTS OH, (330) E CUYAHOGA FALLS AVE AKRON OH, (330) W MARKET ST AKRON OH, (330) S CLEVELAND MASSILLON RD NORTON OH, (330) KENT RD STOW OH, (330) ROBINSON AVE BARBERTON OH, (330) STATE RD CUYAHOGA FALLS OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 15

16 1225 CANTON RD AKRON OH, (330) OLDE 8 RD NORTHFIELD OH, (330) EASTWOOD AVE AKRON OH, (330) NORTHFIELD RD NORTHFIELD OH, (330) DARROW RD HUDSON OH, (330) E MARKET ST AKRON OH, (330) DARROW RD TWINSBURG OH, (330) PORTAGE TRAIL EXT AKRON OH, (330) BRITTAIN RD AKRON OH, (330) S CLEVELAND MASSILLON RD COPLEY OH, (330) GRAHAM RD CUYAHOGA FALLS OH, (330) DARROW RD TWINSBURG OH, (330) MASSILON RD GREEN OH, (330) KENT RD STOW OH, (330) HOWE AVE CUYAHOGA FALLS OH, (330) W MARKET ST FAIRLAWN OH, (330) GOLDEN LINK BLVD NORTHFIELD OH, (330) ARLINGTON RDG AKRON OH, (330) FISHCREEK RD STOW OH, (330) PORTAGE TRL CUYAHOGA FALLS OH, (330) CANTON RD AKRON OH, (330) DARROW RD HUDSON OH, (330) GLENWOOD BLVD STE 294 TWINSBURG OH, (330) S MEDINA LINE RD COPLEY OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 16

17 484 E WATERLOO RD AKRON OH, (330) GRAHAM RD CUYAHOGA FALLS OH, (330) KENT RD STOW OH, (330) W MARKET ST FAIRLAWN OH, (330) CORPORATE WOODS PKWY UNIONTOWN OH, (330) TH ST SE BARBERTON OH, (330) E WATERLOO RD AKRON OH, (330) WEST AVE TALLMADGE OH, (330) NORTON RD STOW OH, (330) DARROW RD TWINSBURG OH, (330) E AURORA RD NORTHFIELD OH, (330) HOWE AVE CUYAHOGA FALLS OH, (330) W MARKET ST UNIT Q FAIRLAWN OH, (330) KLEIN'S 2015 STATE RD STE A CUYAHOGA FALLS OH, (330) KLEIN'S 150 CROSS ST STE 100 AKRON OH, (330) MAC 1 PARK WEST BLVD STE 140 AKRON OH, (330) HOWE AVE CUYAHOGA FALLS OH, (330) W MARKET ST FAIRLAWN OH, (330) E WATERLOO RD AKRON OH, (330) DARROW RD STOW OH, (330) E WATERLOO RD AKRON OH, (330) W AURORA RD SAGAMORE HILLS OH, (330) MEDICINE SHOPPE 3300 GREENWICH RD UNIT 14 NORTON OH, (330) NEW CHOICE RD ST CUYAHOGA FALLS OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 17

18 45 EAST AVE TALLMADGE OH, (330) CANTON RD AKRON OH, (330) W MARKET ST FAIRLAWN OH, (330) E WATERLOO RD AKRON OH, (330) KENMORE BLVD AKRON OH, (330) S MAIN ST AKRON OH, (330) WOOSTER RD W BARBERTON OH, (330) BAILEY RD CUYAHOGA FALLS OH, (330) CLEVELAND AVE NW UNIONTOWN OH, (330) RITZMAN MED-DOSE SERVICES 2743 GILCHRIST RD STE 100 AKRON OH, (330) RITZMAN 1323 COPLEY RD AKRON OH, (330) RITZMAN 390 ROBINSON AVE STE A BARBERTON OH, (330) RITZMAN 95 ARCH ST STE G15 AKRON OH, (330) RITZMAN 4047 S CLEVELAND MASSILLON RD NORTON OH, (330) RITZMAN 1790 GRAYBILL RD STE 150 UNIONTOWN OH, (330) RXPEDITE 1549 BOETTLER RD STE B UNIONTOWN OH, (844) SAM'S CLUB 1189 BUCHHOLZER BLVD CUYAHOGA FALLS OH, (330) SAM'S CLUB 3750 W MARKET ST UNIT J FAIRLAWN OH, (330) SAND RUN 40 SAND RUN RD AKRON OH, (330) THE OAK CLINIC 3838 MASSILLON RD STE 365 UNIONTOWN OH, (234) TWINSBURG HEALTH MART RAVENNA RD TWINSBURG OH, (330) W MARKET ST UNIT I AKRON OH, (330) S ARLINGTON RD AKRON OH, (330) MACEDONIA COMMONS BLVD MACEDONIA OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 18

19 3520 HUDSON DR STOW OH, (330) W MARKET ST AKRON OH, (330) COPLEY RD AKRON OH, (330) S ARLINGTON ST AKRON OH, (330) W MARKET ST AKRON OH, (330) STATE RD CUYAHOGA FALLS OH, (330) CANTON RD AKRON OH, (330) GRAHAM RD STOW OH, (330) WOOSTER RD N BARBERTON OH, (330) DARROW RD TWINSBURG OH, (330) BRITTAIN RD AKRON OH, (330) E AURORA RD MACEDONIA OH, (330) W MARKET ST FAIRLAWN OH, (330) E WATERLOO RD AKRON OH, (330) HOWE AVE CUYAHOGA FALLS OH, (330) S MAIN ST STE 108 AKRON OH, (330) TRUMBULL ANTHONY'S FAMILY 8600 E MARKET ST STE 9 WARREN OH, (330) BRINE HOMETOWN 906 N STATE ST GIRARD OH, (330) CHAMPION DISCOUNT 4299 MAHONING AVE NW WARREN OH, (234) PARKMAN RD NW WARREN OH, (330) YOUNGSTOWN HUBBARD RD HUBBARD OH, (330) E MARKET ST WARREN OH, (330) YOUNGSTOWN WARREN RD NILES OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 19

20 5555 YOUNGSTOWN WARREN RD NILES OH, (330) FRANKLIN HEALTHMART 1732 YOUNGSTOWN RD SE WARREN OH, (330) E MARKET ST WARREN OH, (330) MAHONING AVE NW WARREN OH, (330) VIENNA AVE NILES OH, (330) ELM RD NE WARREN OH, (330) SHARON-WARREN RD BROOKFIELD OH, (330) MAIN DISCOUNT DRUG 8507 MAIN ST KINSMAN OH, (330) NEWTON FALLS 37 RIDGE RD NEWTON FALLS OH, (330) QUALITY COMPOUNDING 7160 WARREN SHARON RD BROOKFIELD OH, (330) W LIBERTY ST HUBBARD OH, (330) ELM RD NE WARREN OH, (330) PARKMAN RD NW WARREN OH, (330) MAHONING AVE NW WARREN OH, (330) S HIGH ST CORTLAND OH, (330) W BROAD ST NEWTON FALLS OH, (330) E MARKET ST WARREN OH, (330) N STATE ST GIRARD OH, (330) YOUNGSTOWN RD SE WARREN OH, (330) SAM'S CLUB 1040 NILES CORTLAND RD SE WARREN OH, (330) THE HOMETOWN 7160 WARREN SHARON RD BROOKFIELD OH, (330) TMMG 2600 ELM RD NE CORTLAND OH, (330) TROUTMAN DRUG 501 ROBBINS AVE NILES OH, (330) MILLENNIUM BLVD CORTLAND OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 20

21 804 W MARKET ST WARREN OH, (330) YOUNGSTOWN RD NILES OH, (330) ELM RD NE WARREN OH, (330) S MAIN ST HUBBARD OH, (330) YOUNGSTOWN WARREN RD NILES OH, (330) S MECCA ST CORTLAND OH, (330) TUSCARAWAS 300 OXFORD ST DOVER OH, (330) GRANT ST DENNISON OH, (740) ND ST NW NEW PHILADELPHIA OH, (330) N WOOSTER AVE DOVER OH, (330) DUSINI DRUGS 315 E HIGH AVE NEW PHILADELPHIA OH, (330) STATE ROUTE 212 NE BOLIVAR OH, (330) UNION AVE STE 243 DOVER OH, (330) MAKO'S 240 E 3RD ST UHRICHSVILLE OH, (740) MEDI-WISE 245 W STATE ST NEWCOMERSTOWN OH, (740) MEDICINE CENTER 551 W HIGH AVE NEW PHILADELPHIA OH, (330) W HIGH AVE NEW PHILADELPHIA OH, (330) N WATER ST UHRICHSVILLE OH, (740) RITZMAN 126 N BROADWAY ST SUGARCREEK OH, (330) RITZMAN 3000 N WOOSTER AVE DOVER OH, (330) SWISS VILLAGE 309 S BROADWAY ST SUGARCREEK OH, (330) BLUEBELL DR SW NEW PHILADELPHIA OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 21

22 WAYNE 2284 BACK ORRVILLE RD WOOSTER OH, (330) N PORTAGE ST DOYLESTOWN OH, (330) N MAIN ST ORRVILLE OH, (330) BEALL AVE WOOSTER OH, (330) MAIN STREET PHCY AND WELLNES 120 N MAIN ST ORRVILLE OH, (330) N MAIN ST RITTMAN OH, (330) CLEVELAND RD WOOSTER OH, (330) S MAIN ST ORRVILLE OH, (330) RITZMAN 1114 W HIGH ST ORRVILLE OH, (330) RITZMAN 3540 BURBANK RD WOOSTER OH, (330) RITZMAN 234 N MAIN ST RITTMAN OH, (330) RITZMAN 119 N MARKET ST SHREVE OH, (330) RITZMAN 235 W LIBERTY ST WOOSTER OH, (330) BURBANK RD WOOSTER OH, (330) WEYRAUCH'S 4959 KIDRON RD KIDRON OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 22

23 Home Infusion Pharmacies BUTLER COMMUNITY MERCY HOMECARE 9963 CINCINNATI DAYTON RD WEST CHESTER OH, (513) CORAM SPECIALTY INFUSION SVCS 4305 MUHLHAUSER RD STE 1 FAIRFIELD OH, (513) CLERMONT INFUSION SERVICES 50 W TECHNE CENTER DR STE J MILFORD OH, (800) COSHOCTON ABBOTT INFUSION CARE 720 S 2ND ST COSHOCTON OH, (740) CRAWFORD CARING SOLUTIONS 220 E BUCYRUS ST CRESTLINE OH, (419) CUYAHOGA CLINICAL SPECIALTIES 6955 TREELINE DR STE A BRECKSVILLE OH, (440) CORAM SPECIALTY INFUSION SVCS 6565 DAVIS INDUSTRIAL PKWY STE AA SOLON OH, (440) SOUTHWEST GENERAL HEALTH CTR BAGLEY RD CLEVELAND OH, (440) UNIVERSITY HOSPITALS HOME CARE 4510 RICHMOND RD WARRENSVILLE HTS OH, (216) FRANKLIN CLINICAL SPECIALTIES 7654 CROSSWOODS DR COLUMBUS OH, (440) CORAM SPECIALTY INFUSION SVCS 4060 BUSINESS PARK DR COLUMBUS OH, (614) SBH MEDICAL LTD 655 DEARBORN PARK LN WORTHINGTON OH, (614) SOLEO HEALTH 6185 SHAMROCK CT STE A DUBLIN OH, (614) HAMILTON AMERIMED INFUSION 9961 CINCINNATI DAYTON RD CINCINNATI OH, (513) CINCINNATI CHILDREN'S HOMECARE 660 LINCOLN AVE CINCINNATI OH, (513) INFUSION PARTNERS 4623 WESLEY AVE STE H CINCINNATI OH, (513) LUCAS INFUSION PARTNERS 3315 CENTENNIAL RD STE AA SYLVANIA OH, (419) PROMEDICA HOME INFUSION PHCY 4345 SECOR RD STE B TOLEDO OH, (419) TOLEDO IV CARE 4060 TECHNOLOGY DR MAUMEE OH, (419) MAHONING INFUSION PARTNERS 4137 BOARDMAN CANFIELD RD STE 106 CANFIELD OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 23

24 MAHONING VALLEY INFUSIONCARE 4891 BELMONT AVE YOUNGSTOWN OH, (330) MONTGOMERY VITAL CARE OF DAYTON 1746 THOMAS PAINE PKWY CENTERVILLE OH, (866) MUSKINGUM NORTHSIDE HOME INFUSION 21 N MAYSVILLE AVE ZANESVILLE OH, (740) SUMMIT SUMMA'S HOME INFUSION 2743 GILCHRIST RD STE 200 AKRON OH, (330) TRUMBULL HOWLAND INFUSION CENTER 8600 E MARKET ST WARREN OH, (330) VAN WERT P AND R MEDICAL CONNECTION DEFIANCE TRL VAN WERT OH, (800) This list is subject to change. For an up-to-date listing please visit Pg. 24

25 Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under PrimeTime Health Plan through the facility s long-term care pharmacy or another network longterm care pharmacy. ALLEN 799 S MAIN ST LIMA OH, (419) BUTLER COMPLETE SOLUTIONS 9874 WINDISCH RD WEST CHESTER OH, (513) S VERITY PKWY MIDDLETOWN OH, (513) LIFELINE INSTITUTIONAL PHCY 3699 SYMMES RD STE 1 HAMILTON OH, (513) CLERMONT FITZGERALD'S LTC 307 W MAIN ST WILLIAMSBURG OH, (513) COLUMBIANA MEDICAL EXPRESS SVCS 104 E 5TH ST STE 2 EAST LIVERPOOL OH, (330) CUYAHOGA EXACT CARE 8333 ROCKSIDE RD CLEVELAND OH, (216) MENORAH PARK CTR SENIOR LIVING CEDAR RD BEACHWOOD OH, (216) OHLIGER DRUG LTC CENTER RIDGE RD WESTLAKE OH, (440) SPECIALTY GROUP - LTC 6910 TREELINE DR STE F BRECKSVILLE OH, (440) REMEDI SENIORCARE BLUESTONE BLVD EUCLID OH, (866) SAINT AUGUSTINE SERVICES 7801 DETROIT AVE CLEVELAND OH, (216) SIGNATURE HEALTH CHAGRIN BLVD BEACHWOOD OH, (216) SKILLED CARE PHCY CLEVELAND 9299 MARKET PL BROADVIEW HEIGHTS OH, (855) FAIRFIELD HERITAGE 3675 DOLSON CT CARROLL OH, (740) FRANKLIN APOTHECARE 131 N HIGH ST COLUMBUS OH, (614) CDI LONG TERM CARE 11 W DUNCAN ST COLUMBUS OH, (614) CHOICE 4014 VENTURE CT COLUMBUS OH, (614) N HIGH ST COLUMBUS OH, (614) INSPIRE RX 2787 CHARTER ST COLUMBUS OH, (614) This list is subject to change. For an up-to-date listing please visit Pg. 25

26 OMNICARE OF CENTRAL OHIO 2305 W BROOK DR COLUMBUS OH, (800) PHARMERICA 720 LAKEVIEW PLAZA BLVD WORTHINGTON OH, (614) PHARMSCRIPT OF OH 1685 WESTBELT DR COLUMBUS OH, (908) FULTON ALL-CARE 151 E AIRPORT HWY STE B SWANTON OH, (419) GREENE HOMETOWN 3899 INDIAN RIPPLE RD BEAVERCREEK OH, (937) IHS LTC 104 N DETROIT ST XENIA OH, (937) HAMILTON 1501 MADISON RD FL 3 WALNUT HILLS OH, (513) MAXWELL AVE CINCINNATI OH, (513) JEFFERSON STEUBENVILLE HEALTHCARE 141 BRADY CIR W STEUBENVILLE OH, (740) LAKE 9220 MENTOR AVE MENTOR OH, (440) SENIOR SERVICES MELINZ PKWY UNIT J EASTLAKE OH, (440) LICKING 1445 W MAIN ST NEWARK OH, (740) LUCAS 5151 MONROE ST STE 200 TOLEDO OH, (419) HEARTLAND HEALTHCARE SERVICES 4755 SOUTH AVE TOLEDO OH, (419) MADISON PLAIN CITY DRUGGIST - LTC 480 S JEFFERSON AVE PLAIN CITY OH, (614) MAHONING ALLEN'S PHARMASERV 520 GYPSY LN YOUNGSTOWN OH, (330) BELMONT AVE YOUNGSTOWN OH, (330) WICK AVE YOUNGSTOWN OH, (330) MEDI-RX 6401 OLDE STONE XING POLAND OH, (330) MARION MARION PRESCRIPTION INSTL RX 542 E CENTER ST MARION OH, (740) MEDINA OMNICARE 1360 REIMER RD WADSWORTH OH, (330) MERCER KAUP 102 N WAYNE ST FORT RECOVERY OH, (419) MIAMI REMEDI SENIORCARE 962 S DORSET RD TROY OH, (800) This list is subject to change. For an up-to-date listing please visit Pg. 26

27 MONTGOMERY BEEBER PHARMACIES 600 UNION BLVD ENGLEWOOD OH, (937) CENTERVILLE LTC 9353 DAYTON LEBANON PIKE CENTERVILLE OH, (937) CLARK'S RX LONG TERM CARE 922 SENATE DR CENTERVILLE OH, (937) COLLABORATIVE SERVICE 4301 LYONS RD MIAMISBURG OH, (937) KETTERING BLVD MORAINE OH, (937) GERMANTOWN ST DAYTON OH, (937) MUSKINGUM COLER LONG TERM CARE 1811 CHANDLERSVILLE RD ZANESVILLE OH, (740) NORTHSIDE PHCY NURSING HOME 19 N MAYSVILLE AVE ZANESVILLE OH, (740) NOBLE BRADEN MED SERVICES MARIETTA RD CALDWELL OH, (740) PORTAGE 5982 RHODES RD KENT OH, (330) PUTNAM OKULEY'S 102 S MAIN ST CONTINENTAL OH, (419) SOLUTIONS 112 E MAIN ST STE B PANDORA OH, (419) ROSS 4449 STATE ROUTE 159 CHILLICOTHE OH, (704) HENDERSON LTC 186 W MAIN ST CHILLICOTHE OH, (740) SENECA INSTITUTIONAL CARE 1815 W COUNTY ROAD 54 TIFFIN OH, (419) STARK ABSOLUTE 339 E MAPLE ST STE 100 NORTH CANTON OH, (800) FINNEY'S INSTITUTIONAL 5930 MAYFAIR RD NORTH CANTON OH, (800) K C INSTITUTIONAL 360 WABASH AVE N STE B BREWSTER OH, (330) MEDICINE CENTER INSTITUTIONAL 700 W MAIN ST STE A LOUISVILLE OH, (330) SUMMIT 340 S BROADWAY ST AKRON OH, (330) PHARMERICA 1750 HIGHLAND RD TWINSBURG OH, (800) ZELLMED SOLUTIONS 3509 EMBASSY PKWY AKRON OH, (330) TRUMBULL 1977 NILES RD SE WARREN OH, (330) This list is subject to change. For an up-to-date listing please visit Pg. 27

28 IPS 3709 YOUNGSTOWN RD SE WARREN OH, (330) TUSCARAWAS MEDI-WISE LTC 130 1/2 W HIGH AVE NEW PHILADELPHIA OH, (330) WAYNE 2285 BENDEN DR WOOSTER OH, (330) WOOD 800 COMMERCE DR STE 115 PERRYSBURG OH, (419) N PROSPECT ST BOWLING GREEN OH, (419) OMNICARE 7643 PONDEROSA RD PERRYSBURG OH, (419) This list is subject to change. For an up-to-date listing please visit Pg. 28

29 Mail Order Pharmacies EXPRESS SCRIPTS, INC. (ESI) TTY You can get prescription drugs shipped to your home through our network mail order delivery program which is called Express Scripts Mail Order Pharmacy. For refills of your mail order prescriptions, please contact us at least 14 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 within 14 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 This list is subject to change. For an up-to-date listing please visit Pg. 29

30 This pharmacy directory was updated on 11/02/2018. For more recent information or other questions, please contact PrimeTime Health Plan at or, for TTY users, , Monday through Friday 8 a.m. to 8 p.m. (October 1 March 31, we are available 7 days a week, 8 a.m. to 8 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 provider information. PrimeTime Health Plan is an HMO-POS plan with a Medicare contract. Enrollment in PrimeTime Health Plan depends on contract renewal.

31 Multi-language Interpreter Services English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call (TTY ). Español (Spanish): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY ). 繁體中文 (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 ). Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY ). (Arabic): العربية ملحوظة: إذا كنت تتحدث اذكر اللغة فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم (رقم هاتف الصم والبكم: ). Wann du [Deitsch (Pennsylvania German / Dutch)]: schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (TTY: ). Русский (Russian): ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: ). Français (French): ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : ). Tiếng Việt (Vietnamese): CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: ). Oroomiffa (Chushite-Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (TTY: ). H3664_MLND18_C Pg. 31

32 한국어 (Korean): 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: ) 번으로전화해주십시오. Italiano (Italian): ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero (TTY: ). 日本語 (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 お電話にてご連絡ください Nederlands (Dutch): AANDACHT: Als u nederlands spreekt, kunt u gratis gebruikmaken van de taalkundige diensten. Bel (TTY: ). Українська (Ukrainian): УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером (телетайп: ). Română (Romanian): ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la (TTY: ). H3664_MLND18_C Pg. 32

33 Non-discrimination Notice PrimeTime Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. PrimeTime Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. PrimeTime Health Plan provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). PrimeTime Health Plan provides free language services to people whose primary language is not English, such as: Qualified interpreters and information written in other languages. If you need these services, or if you believe that PrimeTime Health Plan 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 contact or file a grievance with the: PrimeTime Health Plan Civil Rights Coordinator, th St. S.W. Canton, OH 44710, , CivilRightsCoordinator@aultcare.com. You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, our Civil Rights staff is available to help you. 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, D.C , (TDD). Complaint forms are available at H3664_MLND18_C Pg. 33

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