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. 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_09PHARM F7048_01 This directory is for: MAINE, NEW HAMPSHIRE 2009 Pharmacy Directory United American Insurance Company UA Medicare Part D UA Medicare Part D Silver UA Medicare Group Part D
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Transcript
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. 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.
IntroductionTo 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_09PHARM F7048_01
This directory is for: MAINE, NEW HAMPSHIRE
2009 Pharmacy DirectoryUnited
American Insurance Company
UA Medicare Part D
UA Medicare Part D Silver
UA Medicare Group Part D
MAINE
Retail Pharmacies
�MAINE
121
ME
Retail Pharmacies
TTY/TDD users should call TRS Relay 711.† This pharmacy does not offer extended supplies of maintenance medications.
MAINE
ANDROSCOGGIN
Lewiston
Bedard Long Term Care Phcy5 Horton StLewiston,ME 04240(207) 786-0139
The Medicine Shoppe #0550373 Sabattus StLewiston,ME 04240(207) 783-3539
AROOSTOOK
Fort Kent
St John Valley Long Term Care182 Market St Ste 3Fort Kent,ME 04743(207) 834-2881
Madawaska
Madawaska Pharmacy LLC104 Main St Ste 101Madawaska,ME 04756(207) 728-7200
CUMBERLAND
Brunswick
Brunswick Medical Center Pharmac121 Medical Center DrBrunswick,ME 04011(207) 725-8100
Rite Aid #04160226 Parker Farm RdBuxton,ME 04093(207) 727-5139
Cornish
Community Pharmacy200 Maple St Unit 3Cornish,ME 04020(207) 625-8050
Rite Aid #04140151 Maple StCornish,ME 04020(207) 625-8494
East Waterboro
Shop N Save Food&Drg #221Hc 72 Box 2100East Waterboro,ME 04030(207) 247-8200
Kennebunk
NCS Healthcare Svcs of Me105 York St Ste 1Kennebunk,ME 04043(207) 985-8922
Rite Aid #0330937 Portland RdKennebunk,ME 04043(207) 985-7144
Kittery
Rite Aid #1030215 Shapleigh RdKittery,ME 03904(207) 439-3000
Old Orchd Bch
Rite Aid #0411215 Saco AveOld Orchd Bch,ME 04064(207) 934-1000
Saco
Community Pharmacy of Saco244 Main StSaco,ME 04072(207) 283-2792
Hannaford Food & Drug #138532 Main StSaco,ME 04072(207) 282-4131
Rite Aid #04141461 Main StSaco,ME 04072(207) 284-4363
Shaws/Osco Pharmacy #76264 Scammon St Ste 12Saco,ME 04072(207) 284-9955
Sanford
CVS #0523103 Main StSanford,ME 04073(207) 324-3110
Shaws/Osco Pharmacy #75601364 Main StSanford,ME 04073(207) 490-3562
Shop N Save #039082 Main StSanford,ME 04073(207) 324-3450
Wal*Mart 10-1954479 Main StSanford,ME 04073(207) 490-2069
Springvale
Rite Aid #04150464 Main StSpringvale,ME 04083(207) 324-1222
Wells
Rite Aid #049791036 Post RdWells,ME 04090(207) 646-6894
Shop N Save #0389RR 3Wells,ME 04090(207) 646-2622
York
Rite Aid #3307400 US Route 1York,ME 03909(207) 363-4312
Shop'n Save #384440 Route 1York,ME 03909(207) 363-5357
13MAINE
14 MAINE
Mail Order Pharmacies
1327
Mail-O
rder Pharmacies
Mail-Order Pharmacies
Liberty Medicalwww.LibertyMedical.com1-800-491-3276TTY/TDD users should call1-888-235-6230.
Medco By Mailwww.medco.comContact the Medco By Mail CustomerService department using the contactinformation on the front cover.TTY/TDD users should call 1-800-716-3231.
1�MAINE
Home Infusion PharmaciesThis plan will cover 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.
1� MAINE
1371
ME
Hom
e Infusion Pharmacies
TTY/TDD users should call TRS Relay 711.
MAINE
Bedard Pharmacy Inc61 College StLewiston,ME 04240(207) 786-0138
Critical Care Systems Inc10 Donald B Dean DrSouth Portland,ME 04106(207) 775-3600
Miller Drug Co210 State StBangor,ME 04401(207) 947-8369
Waltz Pharmacy Inc681 Bath RdWiscasset,ME 04578
1�MAINE
Long Term Care PharmaciesResidents 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.
1� MAINE
1485
ME
Long-Term Care Pharm
acies
TTY/TDD users should call TRS Relay 711.
MAINE
Bedard Long Term Care Phcy5 Horton StLewiston,ME 04240(207) 786-0139
Bedard Pharmacy Inc61 College StLewiston,ME 04240(207) 786-0138
Brunswick Medical Center Pharmac121 Medical Center DrBrunswick,ME 04011(207) 725-8100
Hebert Rx Pharmacy74 Main StVan Buren,ME 04785(207) 868-2242
St John Valley Long Term Care182 Market St Ste 3Fort Kent,ME 04743(207) 834-2881
St John Valley Pharmacy182 Market StFort Kent,ME 04743(207) 834-2880
Variety Drug78 Water StSkowhegan,ME 04976(207) 474-3393
Waltz Long Term Care Pharmacy605 Lewiston RdTopsham,ME 04086(207) 373-9077
1�MAINE
Indian Health Service/Tribal/ Urban Indian Health
Program (I/T/U) PharmaciesOnly 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 Alaskan 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.
20 MAINE
1583
ME
I/T/U Pharm
acies
TTY/TDD users should call TRS Relay 711.
MAINE
Indian Township Health Center401 Peter Dana Point RdPrinceton,ME 04668(207) 796-2321
Penobscot Nation Health Departme23 Wabanaki WayIndian Island,ME 04468(207) 817-7400
Pleasant Point Hth CtrRt 190Perry,ME 04667(207) 853-0644
21MAINE
NEW HAMPSHIRE
Retail Pharmacies
2�NEW HAMPSHIRE
171
NH
Retail Pharmacies
TTY/TDD users should call TRS Relay 711.† This pharmacy does not offer extended supplies of maintenance medications.
NEW HAMPSHIRE
CARROLL
Effingham
Lakeview Pharmacy244 High Watch RdEffingham,NH 03814(603) 539-8780
North Conway
Mwv Pharmacy†3073 White Mtn HwyNorth Conway,NH 03860(603) 356-0232
GRAFTON
Hanover
Dick's House Pharmacy†5 Rope Ferry RdHanover,NH 03755(603) 646-9456
Eastmans Pharmacy22 S Main StHanover,NH 03755(603) 643-4112
HILLSBOROUGH
Bedford
Critical Care System Inc†10 Commerce Park N Ste 4Bedford,NH 03110(603) 625-8880
Rite Aid #0129551 S Main StNewport,NH 03773(603) 863-5766
33NEW HAMPSHIRE
34 NEW HAMPSHIRE
Mail Order Pharmacies
1327
Mail-O
rder Pharmacies
Mail-Order Pharmacies
Liberty Medicalwww.LibertyMedical.com1-800-491-3276TTY/TDD users should call1-888-235-6230.
Medco By Mailwww.medco.comContact the Medco By Mail CustomerService department using the contactinformation on the front cover.TTY/TDD users should call 1-800-716-3231.
3�NEW HAMPSHIRE
Home Infusion PharmaciesThis plan will cover 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.
3� NEW HAMPSHIRE
1389
NH
Hom
e Infusion Pharmacies
TTY/TDD users should call TRS Relay 711.
NEW HAMPSHIRE
Critical Care System Inc10 Commerce Park N Ste 4Bedford,NH 03110(603) 625-8880
Dh Nashua West Pharmacy591 W Hollis StNashua,NH 03062
3�NEW HAMPSHIRE
Long Term Care PharmaciesResidents 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.