Blue Cross Medicare Advantage Classic (PPO) SM Blue Cross Medicare Advantage Optimum (PPO) SM Blue Cross Medicare Advantage Choice Plus (PPO) SM Blue Cross Medicare Advantage Flex (PPO) SM 2022 Pharmacy Directory This pharmacy directory was updated on 02/2022. For more recent information or other questions, please contact Blue Cross Medicare Advantage SM Customer Service at 1-877-774-8592 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluemt.com/mapd/pharmacies. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluemt.com/mapd/pharmacies. You may also call Customer Service at 1-877-774-8592 (TTY/ TDD users should call TTY/TDD number) for updated information. Y0096_MTMAPDPHARMDIR22_C 350113.0222
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Blue Cross Medicare Advantage Classic (PPO)SM
Blue Cross Medicare Advantage Optimum (PPO)SM
Blue Cross Medicare Advantage Choice Plus (PPO)SM
Blue Cross Medicare Advantage Flex (PPO)SM
2022 Pharmacy Directory
This pharmacy directory was updated on 02/2022. For more recent information or other questions, please contact Blue Cross Medicare AdvantageSM Customer Service at 1-877-774-8592 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluemt.com/mapd/pharmacies.
Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluemt.com/mapd/pharmacies. You may also call Customer Service at 1-877-774-8592 (TTY/TDD users should call TTY/TDD number) for updated information.
Y0096_MTMAPDPHARMDIR22_C 350113.0222
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Blue Cross Medicare Advantage
Pharmacy DirectoryIntroduction
This booklet provides a list of Blue Cross Medicare Advantage’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 Blue Cross Medicare Advantage’s formulary.
When this pharmacy directory refers to “we”, “us”, or “our”, it means Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC). When it refers to “plan” or “our plan,” it means Blue Cross Medicare Advantage.
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 Blue Cross Medicare Advantage 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 02/2022. For the most current list, please contact us. Our contact information appears on the front and back cover pages.
You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with “SAVE” to distinguish them from other pharmacies in our network that offer standard cost sharing.
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.
This directory is for the state of Montana which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory, please contact Blue Cross Medicare Advantage Customer Service at 1-877-774-8592 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluemt.com/mapd/pharmacies.
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 Blue Cross Medicare Advantage.
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Pharmacy Type Retail
Long-Term Care
Home Infusion
Extended Supply
Preferred Network
Preferred Extended
Supply Network
Total Number of Pharmacies
64,000 Pharmacies
4,600 Pharmacies
500 Pharmacies
60,000 Pharmacies
27,000 Pharmacies
27,000 Pharmacies
Pharmacies are listed alphabetically by county and city and by type of pharmacy. The types of pharmacies in this directory appear in this order:
• Mail Order Pharmacies• Chain Pharmacies• Retail Pharmacies, including Chain Pharmacies• Long-Term Care Pharmacies• Home Infusion Pharmacies• Specialty Pharmacies
Under each listing we also show additional pharmacy features. These features are identified on each page with the following key:
SAVE = Preferred cost sharing. Drugs from these pharmacies may cost less than other pharmacies in our network.
90 = 90-day supply. These are retail pharmacies that offer an extended (90-day) supply of medications.
24HR = Pharmacy is open 24-hours.
eRX = Pharmacy accepts electronic prescriptions from prescribers.
Mail Order Pharmacy
You can get prescription drugs shipped to your home through our network mail order delivery program.
For refills of your mail order prescriptions, please contact us 10 to 20 days before you think the drugs youhave 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 10 business days from the timethat the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time,please contact the numbers below (TTY users: 711) 24 hours a day, seven days a week, or visit the pharmacywebsite.
Below are chain pharmacies in our network. For locations and phone numbers of stores near you, call thenumbers below (TTY users: 711) or visit the pharmacy website.
WHITEHALL DRUG.............................(406) 287-3931411 E. LEGION AVE. • 59759SAVE, eRX
WOLF POINT
WOLF POINT PHARMACY................. (406) 653-65721115 4TH AVE NORTH • 59201SAVE, 90, eRX
Blue Cross Medicare Advantage’s Network Pharmacies
Montana Pharmacy Listing
Long Term Care Pharmacies
For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.
For more information, please see your Evidence of Coverage.
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ANDERSON SPECIALTYPHARMACY.........................................(406) 216-31022828 10TH AVE S • GREAT FALLS • 59405
BENEFIS AMBULATORYPHARMACY.........................................(406) 455-2170500 15TH AVE S STE 2 • GREAT FALLS • 59405
BENTON PHARMACY........................ (406) 622-55881418 FRONT ST • FORT BENTON • 59442
BIG SANDY PHARMACY....................(406) 378-5588158 JOHANNES AVE • BIG SANDY • 59520
BIG SKY MANAGED CARE HELENA (406) 502-1800900 JACKSON ST STE A • GREAT FALLS • 59601
BIG SKY MANAGED CARE................(406) 315-1989900 13TH AVE S • GREAT FALLS • 59405
PHARMACY 1 AT THE MHC.............. (406) 601-33921245 N 29TH STREET SUITE 100 • BILLINGS •59101
PHARMERICA..................................... (406) 770-4420625 CENTRAL AVE WEST • SUITE 105 • GREATFALLS • 59405
PINTLER PHARMACY........................ (406) 563-0433203 E PARK AVE • ANACONDA • 59711
PLAZA UNITED PHARMACY............. (406) 727-00702800 11TH AVE S • GREAT FALLS • 59405
Blue Cross Medicare Advantage’s Network Pharmacies
Montana Pharmacy Listing
Long Term Care Pharmacies
For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.
For more information, please see your Evidence of Coverage.
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R & R HEALTH CARE SOLUTIONS... (406) 676-560063802 US HIGHWAY 93 • STE B • RONAN • 59864
ST JOHNS PHARMACY......................(406) 655-58273940 RIMROCK RD • BILLINGS • 59102
THE CLINICAL PHARMACY...............(406) 751-7600200 CONWAY DRIVE • KALISPELL • 59901
THREE BEARS PHARMACY.............. (406) 494-411645 THREE BEARS DR • BUTTE • 59701
TIMBER RIDGE PHARMACY............. (406) 363-90031131 N 1ST ST • HAMILTON • 59840
VALLEY DRUG OF MALTA, INC........ (406) 654-2632131 S 1ST AVE E • MALTA • 59538
VILLAGE DRUG.................................. (406) 278-3267600 S MAIN ST • SUITE 2 • CONRAD • 59425
WESTERN DRUG LONG TERMCARE................................................... (406) 222-73321313 W PARK STREET SUITE B • STE B •LIVINGSTON • 59047
WHITE DRUG #25............................... (406) 482-1420402 EAST MAIN • SIDNEY • 59270
YELLOWSTONE PHARMACY............ (406) 346-21341025 MAIN ST • FORSYTH • 59327
406 CLINIC PHARMACY.....................(406) 541-40601315 WYOMING ST STE A • MISSOULA • 59801
5TH AVENUE PHARMACY ANDGIFT..................................................... (406) 228-3693621 3RD ST S • GLASGOW • 59230
Blue Cross Medicare Advantage’s Network PharmaciesMontana Pharmacy Listing
Home Infusion Pharmacies
For TTY users, please dial 711.For more information, please see your Evidence of Coverage.
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BIG SKY IV CARE...............................(406) 752-0440560 CASCADE LOOP STE #1 • STE 1 • KALISPELL• 59901
OPTION CARE.................................... (406) 587-10502304 N 7TH AVE STE H • BOZEMAN • 59715
THE CLINICAL PHARMACY...............(406) 751-7600200 CONWAY DRIVE • KALISPELL • 59901
Blue Cross Medicare Advantage’s Network Pharmacies
Montana Pharmacy Listing
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies
For TTY users, please dial 711.
Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian HealthProgram (I/T/U) Pharmacies through our plan's pharmacy network. Those other than Native Americans andAlaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies).
For more information, please see your Evidence of Coverage.
SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy
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CSKT POLSON HEALTH CENTERPHARMACY.........................................(406) 745-35255 4TH AVE EAST • POLSON • 5986090, eRX
CSKT SAINT IGNATIUS HEALTH CENTERPHARMACY.........................................(406) 745-352535401 MISSION DRIVE • SAINT IGNATIUS • 5986590, eRX
Montana Pharmacy Listing
Specialty Pharmacies
The pharmacies listed below deliver specialty medications to your door. There are other pharmacies in theprevious section of this document in our network that may also be able to provide specialty medications.
AllianceRx Walgreens Prime(800) 533-7606TTY: 711
www.alliancerxwp.com
Hours of operation: 7 a.m. to 7 p.m. Central Time, Monday through Friday, and 8 a.m. to 8 p.m. Eastern Time,Monday through Friday.
Accredo Specialty Pharmacy(833) 721-1619TTY: 711
www.accredo.com
Hours of operation: 7 a.m. to 7 p.m. Central Time, Monday through Friday, and 8 a.m. to 8 p.m. Eastern Time,Monday through Friday.
SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy
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A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
Blue Cross and Blue Shield of Montana complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Cross and Blue Shield of Montana does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Blue Cross and Blue Shield of Montana:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as:
○ Qualified sign language interpreters
○Written information in other formats (large print, audio, accessible electronic formats, other formats)
• Provides free language services to people whose primary language is not English, such as:
○ Qualified interpreters
○ Information written in other languages
If you need these services, contact Civil Rights Coordinator
If you believe that Blue Cross and Blue Shield of Montana 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 file a grievance with: Civil Rights Coordinator, Office of Civil Rights Coordinator, 300 E. Randolph St., 35th floor, Chicago, Illinois 60601, 1-855-664-7270, TTY/TDD: 1-855-661-6965, Fax: 1-855-661-6960, [email protected]. You can filea grievance in person or by mail, fax, or email. If you need help filing a grievance, Civil Rights Coordinator isavailable 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 https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, 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. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877-774-8592 (TTY: 711).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia linguística. Llame al 1-877-774-8592 (TTY: 711).
ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfugung. Rufnummer: 1-877-774-8592 (TTY: 711).
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-774-8592 (TTY: 711).
ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-877-774-8592 (ATS : 711).
ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-877-774-8592 (телетайп: 711).
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-774-8592 (TTY: 711) 번으로 전화해 주십시오.
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-877-774-8592)رقم هاتف الصم والبكم : 711(
MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring 1-877-774-8592 (TTY: 711).
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-877-774-8592 (TTY: 711).
УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-877-774-8592 (телетайп: 711).
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 1-877-774-8592 (TTY: 711).
ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-877-774-8592 (TTY: 711).
Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluemt.com/mapd/pharmacies. You may also call Customer Service at 1-877-774-8592 (TTY/TDD users should call TTY/TDD number) for updated information.
Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.
Prime Therapeutics LLC has an ownership interest in AllianceRx Walgreens Prime, a central specialty pharmacy and home delivery pharmacy. Prime Therapeutics LLC provides pharmacy benefit management services for Blue Cross and Blue Shield of Montana and is owned by 18 Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those plans.
HMO and PPO plans provided by Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), an Independent Licensee of the Blue Cross and Blue Shield Association. HMO plans available for employer/union groups only. HCSC is a Medicare Advantage organization with a Medicare contract. Enrollment in HCSC’s plans depends on contract renewal.
This pharmacy directory was updated on 02/2022. For more recent information or other questions, please contact Blue Cross Medicare Advantage Customer Service at 1-877-774-8592 or, for TTY users, 711. We are open 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluemt.com/mapd/pharmacies.