+ All Categories
Home > Documents > NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS...

NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS...

Date post: 29-Mar-2020
Category:
Upload: others
View: 5 times
Download: 0 times
Share this document with a friend
24
Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan) This pharmacy directory was updated on 09/12/2016. For more recent information or other questions, please contact Navitus MedicareRx (PDP) Customer Care at 1-866-270-3877 (for TTY users, please call 711) we are available 24 hours a day, 7 days a week, except on Thanksgiving and Christmas Day, or visit the member portal at https://medicarerx.navitus.com. Customer Care also has free language interpreter services available for non-English speakers. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located at https://medicarerx.navitus.com. You may also call Customer Care for an updated provider list. S9701_801_2017_SOM_DIR_V01 This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten by Dean Health Insurance, Inc., a Federally-Qualified Medicare Contracting Prescription Drug Plan. This Pharmacy Directory was updated on 09/12/2016.
Transcript
Page 1: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Share a Clear View

NAVITUS MEDICARERX (PDP)PHARMACY DIRECTORY 2017

State of Montana Group Benefit Plan (State Plan)

This pharmacy directory was updated on 09/12/2016. For more recent information or other questions, please contact Navitus MedicareRx (PDP) Customer Care at 1-866-270-3877 (for TTY users, please call 711) we are available 24 hours a day, 7 days a week, except on Thanksgiving and Christmas Day, or visit the member portal at https://medicarerx.navitus.com. Customer Care also has free language interpreter services available for non-English speakers.Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located at https://medicarerx.navitus.com. You may also call Customer Care for an updated provider list.

S9701_801_2017_SOM_DIR_V01

This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten byDean Health Insurance, Inc., a Federally-Qualified Medicare Contracting Prescription Drug Plan.

This Pharmacy Directory was updated on 09/12/2016.

Page 2: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

m e d i c a r e R x(PDP)

INTRODUCTIONThis booklet provides a list of Navitus MedicareRx (PDP) network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Navitus MedicareRx (PDP)’s formulary.

When this pharmacy directory refers to “we,” “us”, “our,” “plan,” or “our plan,” it means Navitus MedicareRx (PDP).

We refer to the pharmacies on this list as 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 Navitus MedicareRx (PDP) 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.

Not all network pharmacies may 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 September 12, 2016. 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 any contracted mail order pharmacy or one of our preferred network mail order delivery programs, Costco Mail Order, miRx Mail Order and Ridgeway Mail Order. For more information, please contact us or see the mail order section of this pharmacy directory. Note: You need not be a member of Costco Warehouse/Club Stores to utilize Costco Mail Order services.

This directory is for the pharmacies located in the state of Montana, which is the area in which most of our members 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, you can call Customer Care at 1-866-270-3877 (TTY 711) or search by zip code in the Member Portal at https://medicarerx.navitus.com.

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 us.

Page 3: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

m e d i c a r e R x(PDP)

Language Assistance – General Taglines

The State of Montana is required by federal law to provide the following information.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1- 866-270-3877 (TTY: 711).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-866-270-3877 (TTY: 711).

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1-866-270-3877(TTY:711)。

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。1-866-270-3877(TTY:711)まで、お電話にてご連絡ください。

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-866-270-3877 (TTY: 711).

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-866-270-3877 (ATS : 711).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-866-270- 3877 (телетайп: 711).

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를

무료로 이용하실 수 있습니다. 1-866-270-3877 (TTY:

711)번으로 전화해 주십시오.

Page 4: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

m e d i c a r e R x(PDP)

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم7783-072-668-1 )رقم ھاتف الصم والبكم:117 (.

เรียน: ถ้ าคุณพูดภาษาไทยคุณสามารถใช้ บริการช่วยเหลือทางภาษาได้ ฟรี โทร1-866-270-

3877 (TTY: 711).

MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring 1-866- 270-3877 (TTY: 711).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-866-270-3877 (TTY: 711).

УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-866-270-3877 (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 1-866-270-3877 (TTY: 711).

ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-866-270-3877 (TTY: 711).

Page 5: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

m e d i c a r e R x(PDP)

Non-Discrimination Statement: State of Montana complies with applicable Federal civil rights laws, state and local laws, rules, policies and executive orders and does not discriminate on the basis of race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, political or religious affiliation or ideas, culture, creed, social origin or condition, genetic information, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, military service or veteran status or marital status. State of Montana does not exclude people or treat them differently because of race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, political or religious affiliation or ideas, culture, creed, social origin or condition, genetic information, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, military service or veteran status or marital status. State of Montana 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). State of Montana 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, contact the Customer Care Center at 866-270-3877. If you believe that State of Montana has failed to provide these services or discriminated in another way on the basis of race, color, sex, pregnancy, childbirth or medical conditions related to pregnancy or childbirth, political or religious affiliation or ideas, culture, creed, social origin or condition, genetic information, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, military service or veteran status or marital status you can file a grievance. If you need help filing a grievance, John Pavao, State Diversity Coordinator, is available to help you. You can file a grievance in person or by mail, fax, or email:

Page 6: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

m e d i c a r e R x(PDP)

John PavaoState Diversity Program CoordinatorDepartment of AdministrationState Human Resources Division125 N. RobertsP.O. Box 200127Helena, MT 59620Phone: (406) 444-3984Email: [email protected]

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)

Page 7: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Retail Pharmacies,including ChainPharmacies

MONTANA

Beaverhead

Dillon

Dillon, MT 59725

(406) 683-6226

570 N Montana St

SAFEWAY PHARMACY#1581 *

Dillon, MT 59725

(406) 683-2316

125 E Glendale St

SHOPKO PHARMACY #2529*

Dillon, MT 59725

(406) 988-7121

110 Southside Blvd

VANS PHARMACY *

Big Horn

Hardin

Hardin, MT 59034

(406) 665-4103

10 West 4th Street

BIGHORN VALLEYPHARMACY *

Hardin, MT 59034

(406) 665-1602

901 N Center Ave

PHARMCARE OF HARDININC *

Blaine

Chinook

Chinook, MT 59523

(406) 357-3333

300 Indiana St

CHINOOK PHARMACY *

Harlem

Harlem, MT 59526

(406) 353-3535

42465 Us Hwy 2

MILK RIVER PHARMACY *

Broadwater

Townsend

Townsend, MT 59644

(406) 266-4379

308 Broadway

TOWNSEND DRUG *

Carbon

Red Lodge

Red Lodge, MT 59068

(406) 446-1017

211 North Broadway

RED LODGE DRUG *

Cascade

Great Falls

Great Falls, MT 59405

(406) 761-8781

2828 10th Ave S

ANDERSON FAMILYPHARMACY *

Great Falls, MT 59405

(406) 771-3399

1400 29th St S

CLINIC PHARMACY *

Great Falls, MT 59405

(406) 453-1318

2001 10th Ave S

CVS PHARMACY *

Great Falls, MT 59404

(406) 453-6107

1000 3rd Street Nw

KMART PHARMACY3094 *

Great Falls, MT 59404

(406) 761-8420

1414 3rd St Nw

OSCO PHARMACY #35 *

Great Falls, MT 59405

(406) 727-9880

2250 10th Ave S

OSCO PHARMACY #37 *

Great Falls, MT 59405

(406) 727-0070

2800 11th Ave S

PLAZA UNITED PHARMACY *

Great Falls, MT 59401

(406) 453-1497

324 Central Ave

PUBLIC DRUG CO *

Great Falls, MT 59404

(406) 727-9682

301 Northwest Byp

SHOPKO PHARMACY *

Great Falls, MT 59404

(406) 771-0475

1601 Market Place Drive

SMITHS PHARMACY #166 *

Great Falls, MT 59401

(406) 452-6461

2515 6th Ave No

SNYDER DRUGS *

Great Falls, MT 59404

(406) 761-1456

701 Smelter Ave N.E.

WAL-MART PHARMACY 10-2455 *

Great Falls, MT 59405

(406) 727-1376

2301 10th Ave

WALGREENS #10083 *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 1

Page 8: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Great Falls, MT 59404

(406) 761-0214

1213 3rd St Nw

WALGREENS #10859 *

Chouteau

Big Sandy

Big Sandy, MT 59520

(406) 378-5588

158 Johannes Ave

BIG SANDY PHARMACY *

Fort Benton

Fort Benton, MT 59442

(406) 622-5588

1418 Front St

BENTON PHARMACY *

Custer

Miles City

Miles City, MT 59301

(406) 234-1241

701 Main St

BIG SKY PHARMACY *

Miles City, MT 59301

(406) 232-4627

519 S Haynes

OSCO PHARMACY #39 *

Miles City, MT 59301

(406) 232-7320

3205 Stower Street

WAL-MART PHARMACY 10-2608 *

Daniels

Scobey

Scobey, MT 59263

(406) 487-5911

119 Main St

SERVICE DRUG INC *

Dawson

Glendive

Glendive, MT 59330

(406) 377-5665

107 N Merrill Ave

F & G PHARMACY *

Glendive, MT 59330

(406) 345-7948

107 Dilworth

GABERT CLINIC PHARMACY*

Glendive, MT 59330

(406) 365-9642

1515 W Bell St

KMART PHARMACY #9306 *

Glendive, MT 59330

(406) 365-5209

307 N Harmon

OSCO PHARMACY #4023 *

Deer Lodge

Anaconda

Anaconda, MT 59711

(406) 563-5266

1300 E Park Ave

CVS PHARMACY *

Anaconda, MT 59711

(406) 563-8410

1525 West Park Avenue

STOKES PHARMACYANACONDA *

Anaconda, MT 59711

(406) 563-8441

201 E Park St

THRIFTY DRUG *

Fallon

Baker

Baker, MT 59313

(406) 778-2214

104 S Main

BAKER REXALL DRUG *

Fergus

Lewistown

Lewistown, MT 59457

(406) 538-6674

117 W Janeaux St

OSCO PHARMACY #19 *

Lewistown, MT 59457

(406) 535-1470

310 Wendell Ave

SEIDEN DRUG COMPANYINC *

Lewistown, MT 59457

(406) 538-9262

825 Ne Main St

SHOPKO PHARMACY #2773*

Flathead

Bigfork

Bigfork, MT 59911

(406) 837-4370

8111 Mt Highway 35

BIGFORK DRUG *

Columbia Falls

Columbia Falls, MT 59912

(406) 892-9997

2100 9th St W

GOOD MEDICINEPHARMACY *

Columbia Falls, MT 59912

(406) 892-9088

419 Nucleus Ave

SMITHS PHARMACY #168 *

Kalispell

Kalispell, MT 59901

(406) 758-2528

2330 Us Highway 93 N

COSTCO PHARMACY *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 2

Page 9: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Kalispell, MT 59901

(406) 257-2083

2141 Hwy 2 East

EVERGREEN PHARMACY *

Kalispell, MT 59901

(406) 257-5452

2024 Us Hwy 2 E

KMART PHARMACY7030 *

Kalispell, MT 59901

(406) 752-2492

209 Conway Dr

MEDICAL ARTS PHARMACY*

Kalispell, MT 59901

(406) 257-7556

900 W Idaho

OSCO PHARMACY #18 *

Kalispell, MT 59901

(406) 755-5088

2150 Us Hwy 93 S

ROSAUERS PHARMACY *

Kalispell, MT 59901

(406) 257-1274

1370 Us Highway 2 E

SHOPKO PHARMACY #2128*

Kalispell, MT 59901

(406) 257-1397

195 3rd Ave North East

SMITHS PHARMACY #172 *

Kalispell, MT 59901

(406) 257-4806

202 2nd Ave West

SYKES PHARMACY *

Kalispell, MT 59901

(406) 756-7256

170 Hutton Ranch Rd

WAL-MART PHARMACY 10-2259 *

Kalispell, MT 59901

(406) 257-0714

40 W Idaho St

WALGREENS #9242 *

Kallispell

Kallispell, MT 59901

(406) 751-7600

200 Conway Drive

THE CLINICAL PHARMACY *

Lakeside

Lakeside, MT 59922

(406) 844-2103

206 Stoner Loop

REMEDIES LAKESIDE *

Whitefish

Whitefish, MT 59937

(406) 862-7434

6475 Hwy 93 S

ALPINE APOTHECARY *

Whitefish, MT 59937

(406) 862-2526

6580 Highway 93 South

SAFEWAY PHARMACY#2106 *

Whitefish, MT 59937

(406) 862-7391

700 E 13th St

WALGREENS #12347 *

Whitefish, MT 59937

(406) 862-7070

1111 Baker Ave

WHITEFISH DISCOUNTPHARMACY *

Gallatin

Belgrade

Belgrade, MT 59714

(406) 388-4111

205 W Madison Ave

LEE AND DADS PHARMACY*

Belgrade, MT 59714

(406) 388-1696

6999 Jackrabbit Ln

OSCO PHARMACY #0009 *

Big Sky

Big Sky, MT 59716

(406) 993-9390

334 Town Center Ave

BOZEMAN HEALTH BIG SKYMEDICAL CENTERPHARMACY *

Bozeman

Bozeman, MT 59718

(406) 585-7575

2505 Catron Street

COSTCO PHARMACY *

Bozeman, MT 59718

(406) 587-9252

115 North 19th Avenue

CVS PHARMACY *

Bozeman, MT 59715

(406) 414-1030

925 Highland Blvd

HIGHLAND PARKPHARMACY *

Bozeman, MT 59715

(406) 994-5498

Msu Student Health Service Rx

MSU STUDENT HEALTHSERVICE PHARMACY *

Bozeman, MT 59718

(406) 587-8800

200 S 23rd

OSCO PHARMACY #6 *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 3

Page 10: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Bozeman, MT 59715

(406) 587-0608

910 N 7th Ave

PRICE RITE DRUG *

Bozeman, MT 59718

(406) 587-4005

3255 Technology Blvd

ROSAUERS PHARMACY *

Bozeman, MT 59715

(406) 585-9155

1735 W Main St

SAFEWAY PHARMACY#2999 *

Bozeman, MT 59715

(406) 586-3550

1400 N 19th Ave

SMITHS PHARMACY #170 *

Bozeman, MT 59715

(406) 585-8753

1500 North 7th Avenue

WAL-MART PHARMACY 10-2084 *

Three Forks

Three Forks, MT 59752

(406) 285-3883

117 Main St. S A

RAILWAY DRUG *

West Yellowstone

West Yellowstone, MT 59758

(406) 646-7056

120 N Canyon St

SILVERTIP PHARMACY *

Glacier

Cut Bank

Cut Bank, MT 59427

(406) 873-2055

501 W Main

OSCO PHARMACY #33 *

Granite

Philipsburg

Philipsburg, MT 59858

(406) 859-3784

106 N. Montgomery St

GRANITE PHARMACY *

Hill

Havre

Havre, MT 59501

(406) 395-6906

521 4th St

BULLHOOK COMMUNITYHEALTH CENTERPHARMACY *

Havre, MT 59501

(406) 265-1229

730 1st St

HEALTH MART *

Havre, MT 59501

(406) 265-1854

3180 Highway 2 West

KMART PHARMACY4814 *

Havre, MT 59501

(406) 262-1701

20 W 13 St

NORTHERN MONTANAPHARMACY *

Havre, MT 59501

(406) 262-9174

3510 Us Highway 2 W

WAL-MART PHARMACY 10-4247 *

Havre, MT 59501

(406) 265-9601

123 5th Ave

WESTERN DRUGPHARMACY *

Jefferson

Boulder

Boulder, MT 59632

(406) 225-3240

215 N Main

ELKHORN PHARMACY INC *

Whitehall

Whitehall, MT 59759

(406) 287-3931

203 W. Legion Ave.

WHITEHALL DRUG *

Lake

Polson

Polson, MT 59860

(406) 883-0565

1 7th Ave East #D

HEALTHCARE PLUS *

Polson, MT 59860

(406) 883-0342

50331a Us-93

PROVIDENCE LAKESHOREPHARMACY *

Polson, MT 59860

(406) 883-3674

40774 Mt Highway 35

SAFEWAY PHARMACY#1646 *

Polson, MT 59860

(406) 883-8444

6 13th Ave E

ST JOSEPH PHARMACY *

Polson, MT 59860

(406) 883-9221

36318 Memory Ln

WAL-MART PHARMACY 10-2607 *

Polson, MT 59860

(406) 300-6042

40770 Mt Highway 35

WALGREENS *

Ronan

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 4

Page 11: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Ronan, MT 59864

(406) 676-2111

63307 Us Hwy 935

FAMILY HEALTHPHARMACY *

Ronan, MT 59864

(406) 676-5600

63802 Us Highway 93

R AND R HEALTH CARESOLUTIONS *

St Ignatius

St Ignatius, MT 59865

(406) 745-3000

110 N Main

MISSION DRUG *

Lewis And Clark

Helena

Helena, MT 59602

(406) 495-7049

2195 E Custer Ave

COSTCO PHARMACY *

Helena, MT 59601

(406) 443-3331

3095 N Montana Ave

CVS PHARMACY #04278 *

Helena, MT 59601

(406) 442-2196

526 Euclid

CVS PHARMACY *

Helena, MT 59601

(406) 442-9800

603 N Montana

CVS PHARMACY *

Helena, MT 59601

(406) 443-0506

2600 Winne Ave

GENEVA WOODSPHARMACY *

Helena, MT 59601

(406) 449-5587

1700 Cedar Street

KMART PHARMACY7029 *

Helena, MT 59601

(406) 449-2295

3151 N Montana

OSCO PHARMACY #4008 *

Helena, MT 59602

(406) 443-4508

611 N Montana Ave

SAFEWAY PHARMACY#1486 *

Helena, MT 59602

(406) 443-8823

3101 N Montana Ave

SHOPKO PHARMACY #2112*

Helena, MT 59601

(406) 444-2350

2475 Broadway

ST PETER COMMUNITYPHARMACY *

Helena, MT 59601

(406) 444-2200

2550 Broadway

ST PETERS PHARMACY-BROADWAY *

Helena, MT 59601

(406) 442-1265

1150 11th Ave

WALGREENS #10084 *

Helena, MT 59601

(406) 443-3455

2750 Prospect Avenue

WALMART PHARMACY 10-1872 *

Liberty

Chester

Chester, MT 59522

(406) 759-5050

30 Main Street

CHESTER PHARMACY INC. *

Chester, MT 59522

(406) 759-5225

500 East Washington Ave.

REMEDIES PHARMACY &GIFT *

Lincoln

Eureka

Eureka, MT 59917

(406) 297-7748

546 Us Highway 93 N

EUREKA DRUG *

Libby

Libby, MT 59923

(406) 293-3784

1401 Minnesota Ave

GRANITE PHARMACY LIBBY*

Libby, MT 59923

(406) 293-3958

906 Montana Ave

LIBBY DRUG PC *

Libby, MT 59923

(406) 283-6979

320 E 2nd St

NORTHWEST COMMUNITYHEALTH CENTER *

Libby, MT 59923

(406) 293-7702

703 W 9th St

ROSAUERS PHARMACY *

Troy

Troy, MT 59935

(406) 295-4361

611 E Missoula Ave

KOOTENAI DRUG *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 5

Page 12: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Madison

Ennis

Ennis, MT 59729

(406) 682-4246

124 Main St

ENNIS HEALTHMARTPHARMACY *

Sheridan

Sheridan, MT 59749

(406) 842-5624

317 Madison St

MAC'S CHC PHARMACY *

Meagher

White Sulphur Springs

White Sulphur Springs, MT59645

(406) 547-2316

4271 Us Highway 12 E

CASTLE MOUNTAIN DRUG *

Mineral

Superior

Superior, MT 59872

(406) 822-4681

207 River St

MINERAL PHARMACY INC *

Missoula

Frenchtown

Frenchtown, MT 59834

(406) 626-4113

16862 Beckwith St

GRANITE PHARMACYFRENCHTOWN *

Lolo

Lolo, MT 59847

(406) 273-2322

103 Glacier Drive

LOLO DRUG LLC *

Missoula

Missoula, MT 59802

(406) 327-1650

500 W Broadway

BROADWAY PHARMACY *

Missoula, MT 59808

(406) 542-3807

3220 Northern Pacific Avenue

COSTCO PHARMACY *

Missoula, MT 59808

(406) 543-4000

2420 N Reserve St

CVS PHARMACY *

Missoula, MT 59801

(406) 728-1380

1902 Brooks St

CVS PHARMACY *

Missoula, MT 59804

(406) 926-2940

2230 27th Ave Ste 2

GRANITE PHARMACYMISSOULA *

Missoula, MT 59801

(406) 243-5171

634 Eddy Ave

HEALTH SERVICEPHARMACY UNI OF MT *

Missoula, MT 59801

(406) 251-5415

3801 S Reserve Street

MISSOULA FRESH MARKETPHARMACY #1-3416 *

Missoula, MT 59802

(406) 721-6009

800 West Broadway St

MISSOULA FRESH MARKETPHARMACY #1-3417 *

Missoula, MT 59801

(406) 728-5650

1211 S Reserve St

MISSOULA PHARMACY *

Missoula, MT 59801

(406) 549-5127

2205 Oxford St

OSCO PHARMACY #20 *

Missoula, MT 59802

(406) 549-6163

1003 E Broadway St

OSCO PHARMACY #24 *

Missoula, MT 59808

(406) 728-1118

2230 N Reserve St

OSCO PHARMACY #43 *

Missoula, MT 59801

(406) 549-7717

3800 Russell St

OSCO PHARMACY #1010 *

Missoula, MT 59803

(406) 549-4125

918 Sw Higgins Ave

PALMERS DRUG *

Missoula, MT 59802

(406) 258-4139

401 Railroad St W

PARTNERSHIP HEALTHCENTER PHARMACY *

Missoula, MT 59801

(406) 541-6121

1120 Kensington Ave Ste E

PINNACLE COMPOUNDING *

Missoula, MT 59801

(406) 721-5330

2350 Reserve St

ROSAUERS PHARMACY *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 6

Page 13: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Missoula, MT 59801

(406) 721-6017

1610 S 3rd St W

SAVMOR DRUG *

Missoula, MT 59801

(406) 721-3789

2510 S Reserve St

SHOPKO PHARMACY #2075*

Missoula, MT 59804

(406) 251-6066

4000 Hwy 93 South

WAL-MART PHARMACY 10-2147 *

Missoula, MT 59808

(406) 829-8532

3555 Mullan Road

WAL-MART PHARMACY 10-3259 *

Missoula, MT 59808

(406) 543-1163

2527 N Reserve St

WALGREENS #9351 *

Missoula, MT 59801

(406) 728-2089

2100 Brooks St

WALGREENS #10726 *

Seeley Lake

Seeley Lake, MT 59868

(406) 677-8989

3027 Hwy 83

SEELEY SWAN PHARMACY *

Musselshell

Roundup

Roundup, MT 59072

(406) 323-1811

148 Main St

SHOPKO PHARMACY #2528*

Park

Clyde Park

Clyde Park, MT 59018

(406) 686-4270

508 Miles

WESTERN DRUG, TOO *

Livingston

Livingston, MT 59047

(406) 222-1188

2120 Park St S

OSCO PHARMACY #42 *

Livingston, MT 59047

(406) 222-7082

100 Washington St

SHOPKO PHARMACY #2774*

Livingston, MT 59047

(406) 222-7332

1313 W Park Street

WESTERN DRUG OFLIVINGSTON *

Phillips

Malta

Malta, MT 59538

(406) 654-2632

131 S 1st Ave E

VALLEY DRUG COMPANY *

Pondera

Conrad

Conrad, MT 59425

(406) 278-3261

5 4th Ave Se

OLSON'S DRUG *

Conrad, MT 59425

(406) 278-3267

600 S Main St

VILLAGE DRUG *

Powder River

Broadus

Broadus, MT 59317

(406) 436-2270

120 S Park

BROADUS IGA PHARMACY *

Powell

Deer Lodge

Deer Lodge, MT 59722

(406) 846-2120

407 Main St

KEYSTONE DRUG LLP *

Deer Lodge, MT 59722

(406) 846-1414

201 N Main St

SAFEWAY PHARMACY#1158 *

Ravalli

Corvallis

Corvallis, MT 59828

(406) 961-3221

1029 Main St

CORVALLIS DRUG *

Florence

Florence, MT 59833

(406) 273-7979

5549 Old Us Highway 93

FLORENCE PHARMACY *

Hamilton

Hamilton, MT 59840

(406) 363-3611

211 Main St

BITTERROOT DRUG INC *

Hamilton, MT 59840

(406) 363-6203

1900 N First St

HEALTHCARE PROVIDERS *

Hamilton, MT 59840

(406) 363-4367

1235 N First St

KMART PHARMACY # 9808 *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 7

Page 14: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Hamilton, MT 59840

(406) 363-7089

1313 N First St

OSCO PHARMACY #4040 *

Hamilton, MT 59840

(406) 363-9003

1131 N 1st St

TIMBER RIDGE PHARMACY *

Hamilton, MT 59840

(406) 375-2264

901 N 1st Street

WALGREENS #11891 *

Stevensville

Stevensville, MT 59870

(406) 777-5002

3804 Eastside Hwy

FAMILY PHARMACY INC *

Stevensville, MT 59870

(406) 777-4410

39 Stevensville Cutoff Rd W

RIDGEWAY PHARMACY *

Stevensville, MT 59870

(406) 777-5591

301 Main St

VALLEY DRUG & VARIETY *

Richland

Sidney

Sidney, MT 59270

(406) 488-6563

214 14th Ave Sw

CLINIC PHARMACY *

Sidney, MT 59270

(406) 482-6401

1159 S Central Ave

SHOPKO PHARMACY #2769*

Sidney, MT 59270

(406) 482-1420

402 East Main

WHITE DRUG #25 *

Roosevelt

Culbertson

Culbertson, MT 59218

(406) 787-5313

115 Broadway

CULBERTSON PHARMACYINC *

Poplar

Poplar, MT 59255

(406) 768-6147

213 H St East

POPLAR PHARMACY *

Wolf Point

Wolf Point, MT 59201

(406) 653-6572

1115 4th Ave North

WOLF POINT PHARMACY *

Rosebud

Colstrip

Colstrip, MT 59323

(406) 213-7010

6230 Main St Ste B101

COLSTRIP FAMILYPHARMACY *

Forsyth

Forsyth, MT 59327

(406) 356-2134

1025 Main St

YELLOWSTONE PHARMACY*

Sanders

Plains

Plains, MT 59859

(406) 826-3552

214 Railroad St

PLAINS DRUG *

Thompson Falls

Thompson Falls, MT 59873

(406) 827-4349

1221 Main St

DOUGS DRUG *

Silver Bow

Butte

Butte, MT 59701

(406) 496-6026

1145 S Montana St

COMMUNITY HEALTHCENTER PHARMACY *

Butte, MT 59701

(406) 723-9408

1275 Harrison St

CVS PHARMACY *

Butte, MT 59701

(406) 723-3308

327 S Excelsior

DRISCOLL DRUG *

Butte, MT 59701

(406) 494-1075

3300 Harrison Avenue

KMART PHARMACY3749 *

Butte, MT 59701

(406) 723-2441

435 S Crystal St

MEDICAL ARTS PHARMACY*

Butte, MT 59701

(406) 494-3754

2500 Massachusetts Ave

SAFEWAY PHARMACY#3279 *

Butte, MT 59701

(406) 494-4116

45 Three Bears Dr

THREE BEARS PHARMACY *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 8

Page 15: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Butte, MT 59701

(406) 494-1225

3901 Harrison Avenue

WAL-MART PHARMACY 10-1901 *

Butte, MT 59701

(406) 782-5471

2611 Harrison Ave

WALGREENS *

Stillwater

Columbus

Columbus, MT 59019

(406) 322-5652

133 N 5th

STILLWATER FAMILYPHARMACY *

Sweet Grass

Big Timber

Big Timber, MT 59011

(406) 932-5316

136 Mcleod

COLE DRUG *

Teton

Choteau

Choteau, MT 59422

(406) 466-2700

102 Main Ave

CHOTEAU DRUG *

Fairfield

Fairfield, MT 59436

(406) 467-2336

407 Central Ave

FAIRFIELD DRUG INC *

Toole

Shelby

Shelby, MT 59474

(406) 434-5115

333 Main St

NORTHTOWN DRUGS *

Shelby, MT 59474

(406) 434-2377

1950 Roosevelt Hwy

SHOPKO PHARMACY #2766*

Valley

Glasgow

Glasgow, MT 59230

(406) 228-3693

621 3rd Street S

FIFTH AVE PHARMACY ANDGIFT *

Glasgow, MT 59230

(406) 228-8911

804 Us Highway 2 W

SHOPKO PHARMACY #2768*

Glasgow, MT 59230

(406) 228-4308

537 2nd Ave S

WESTERN DRUG *

Wheatland

Harlowton

Harlowton, MT 59036

(406) 632-4532

27 S Central Ave

REMEDIES *

Yellowstone

Billings

Billings, MT 59101

(406) 238-2084

2800 10th Ave N

BILLINGS CLINIC ATRIUMPHARMACY *

Billings, MT 59102

(406) 655-5836

3940 Rimrock Rd

CENTER FOR HEALTHYAGING PHARMACY *

Billings, MT 59102

(406) 652-8556

2290 King Ave W

COSTCO PHARMACY *

Billings, MT 59102

(406) 652-2263

2601 Central Ave

CVS PHARMACY *

Billings, MT 59102

(406) 256-4924

617 Central Ave

CVS PHARMACY # 08944 *

Billings, MT 59102

(406) 252-6334

2402 Grand Ave

CVS PHARMACY *

Billings, MT 59102

(406) 259-7034

1311 Grand Avenue

CVS PHARMACY *

Billings, MT 59105

(406) 259-7861

425 Main Street

CVS PHARMACY *

Billings, MT 59101

(406) 252-9000

823 North 27th Street

CVS PHARMACY *

Billings, MT 59102

(406) 896-8325

1540 13th St W

FIRST PHARMACY *

Billings, MT 59102

(406) 259-2562

2043 Grand Ave

JUROS UNITED DRUGS *

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 9

Page 16: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Billings, MT 59102

(406) 248-5544

1212 Grand Ave

OSCO PHARMACY #38 *

Billings, MT 59102

(406) 245-4301

511 Central

OSCO PHARMACY #47 *

Billings, MT 59102

(406) 656-6652

2334 Central Ave

OSCO PHARMACY #630 *

Billings, MT 59105

(406) 245-6979

670 Main St

OSCO PHARMACY #1227 *

Billings, MT 59101

(406) 259-1441

611 N 27th St

OSCO PHARMACY #4025 *

Billings, MT 59102

(406) 652-8359

3137 Grand Ave

OSCO PHARMACY #4041 *

Billings, MT 59101

(406) 245-6717

2900 12th Ave N Suite 110a

PHARMACY 1 *

Billings, MT 59101

(406) 247-3330

123 S 27th St

RIVERSTONEHEALTHPHARMACY *

Billings, MT 59102

(406) 652-6715

905 S 24th St W

SHOPKO PHARMACY #2106*

Billings, MT 59101

(406) 237-8117

1233 N 30th St

ST VINCENTS HEALTHCARE*

Billings, MT 59102

(406) 652-9688

2525 King Ave West

WAL-MART PHARMACY 10-1956 *

Billings, MT 59105

(406) 254-2947

1649 Main Street

WAL-MART PHARMACY 10-2923 *

Billings, MT 59105

(406) 245-0178

1602 Main St

WALGREENS #10652 *

Billings, MT 59102

(406) 652-1620

3333 Grand Ave

WALGREENS #11503 *

Billings, MT 59102

(406) 252-0096

1330 Grand Ave

WALGREENS #12155 *

Laurel

Laurel, MT 59044

(406) 628-8746

307 Se 4th

CVS PHARMACY *

Laurel, MT 59044

(406) 628-1762

101 Bernhardt Rd

WALMART PHARMACY 10-4412 *

Mail Order Pharmacy(ies)

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 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 the pharmacy.

MONTANA

Ravalli

Victor

Victor, MT 59875

(406) 642-6040

2824 Hwy 93 N

RIDGEWAY PHARMACY LTD

Yellowstone

Billings

Billings, MT 59102

(406) 869-6551

993 S 24th St W Ste A

MIRX PHARMACY

WASHINGTON

Snohomish

Everett

Everett, WA 98204

(800) 607-6861

802 134th Street Sw Suite 140

COSTCO PHARMACY

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 10

Page 17: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Home Infusion Pharmacies

ALABAMA

Mobile

Mobile

Mobile, AL 36602

(800) 757-9192

63 S Royal St

HPC

ALASKA

Anchorage

Anchorage

Anchorage, AK 99518

(907) 334-8535

501 W Intl Airport Rd Ste 4

GENEVA WOODSPROFESSIONAL INFUSIONPHARMACY

ARIZONA

Maricopa

Scottsdale

Scottsdale, AZ 85258

(480) 745-3200

9045 E Pima Center Pkwy Ste# 1

BIORX LLC

CALIFORNIA

Los Angeles

Burbank

Burbank, CA 91502

(818) 830-5335

320 S Flower St

BIOSCRIP INFUSIONSERVICES

Commerce

Commerce, CA 90040

(323) 262-9403

3302 Garfield Ave

ACARIAHEALTH PHARMACY#13 *

Riverside

Temecula

Temecula, CA 92591

(800) 323-6832

41093 County Center Dr Ste B

NUFACTOR

San Diego

Carlsbad

Carlsbad, CA 92008

(760) 707-1486

1819 Aston Ave Ste 102

BIORX

FLORIDA

Seminole

Altamonte Springs

Altamonte Springs, FL 32701

(888) 292-0744

376 Northlake Blvd

BIOPLUS SPECIALTYPHARMACY SERVICES, INC *

IOWA

Polk

Urbandale

Urbandale, IA 50322

(515) 727-7937

10607 & 10611 Aurora Ave.

BIORX

MISSOURI

Cape Girardeau

Cape Girardeau

Cape Girardeau, MO 63703

(573) 339-1999

61 Doctors Park

AUREUS PHARMACY

MONTANA

Cascade

Great Falls

Great Falls, MT 59405

(406) 727-1218

2509 7th Ave S

SPECTRUMS HOMESOLUTIONS

Lake

Polson

Polson, MT 59860

(406) 883-0565

1 7th Ave East #D

HEALTHCARE PLUS *

Ravalli

Hamilton

Hamilton, MT 59840

(406) 363-6203

1900 N 1st St Ste B

HEALTHCARE PROVIDERS-LTC

NEBRASKA

Douglas

Omaha

Omaha, NE 68022

(402) 289-0189

1810 N 203rd St

AFFINITY BIOTECH, INC. *

NEW YORK

Suffolk

Ronkonkoma

Ronkonkoma, NY 11779

(888) 464-8987

2805 Veterans Memorial Hwy #19-22

FOCUS RX

OHIO

Hamilton

Cincinnati

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 11

Page 18: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Cincinnati, OH 45249

(513) 792-7080

7167 E Kemper Rd

DIPLOMAT SPECIALTYINFUSION GROUP

PENNSYLVANIA

Delaware

Boothwyn

Boothwyn, PA 19061

(800) 223-4376

4 Creek Parkway

PENTEC HEALTH, INC

Havertown

Havertown, PA 19083

(484) 450-0140

4h Raymond Dr

AXELACARE HEALTHSOLUTIONS, LLC *

Sharon Hill

Sharon Hill, PA 19079

(484) 494-3121

505 Elmwood Ave

HOMETECH ADVANCEDTHERAPIES, INC. *

TEXAS

Harris

Houston

Houston, TX 77043

(800) 511-5144

1311 W Sam Houston Pkwy N# 130

ACARIAHEALTH PHARMACY#11 *

Houston, TX 77043

(866) 506-2626

1311 W Sam Houston Pkwy NSte 150

SPECIALTY THERAPEUTICCARE *

Tarrant

Ft Worth

Ft Worth, TX 76109

(800) 746-9089

6310 Southwest Blvd Ste 204

AMERICAN OUTCOMESMGMT LP

Long-Term CarePharmacies

Residents of a long-term carefacility may access theirprescription drugs coveredunder Navitus MedicareRx(PDP) through the facility’s long-term care pharmacy or anothernetwork long-term carepharmacy.

MONTANA

Blaine

Chinook

Chinook, MT 59523

(406) 357-3333

300 Indiana St

CHINOOK PHARMACY *

Broadwater

Townsend

Townsend, MT 59644

(406) 266-4379

308 Broadway

TOWNSEND DRUG *

Cascade

Great Falls

Great Falls, MT 59405

(406) 761-8781

2828 10th Ave S

ANDERSON FAMILYPHARMACY *

Great Falls, MT 59401

(406) 315-1989

915 1st Ave S Ste 110

BIG SKY MANAGED CARE

Great Falls, MT 59405

(406) 452-3713

625 Central Ave West

PHARMERICA

Great Falls, MT 59405

(406) 727-0070

2800 11th Ave S

PLAZA UNITED PHARMACY *

Greatfalls

Greatfalls, MT 59405

(406) 455-2170

500 15th Ave S Ste 2

BENEFIS AMBULATORYPHARMACY

Chouteau

Big Sandy

Big Sandy, MT 59520

(406) 378-5588

158 Johannes Ave

BIG SANDY PHARMACY *

Fort Benton

Fort Benton, MT 59442

(406) 622-5588

1418 Front St

BENTON PHARMACY *

Daniels

Scobey

Scobey, MT 59263

(406) 487-5911

119 Main St

SERVICE DRUG INC *

Dawson

Glendive

Glendive, MT 59330

(406) 345-7948

107 Dilworth

GABERT CLINIC PHARMACY*

Deer Lodge

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 12

Page 19: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Warm Springs

Warm Springs, MT 59756

(406) 693-7178

58 Garnet Way

MONTANA STATE HOSPITALPHARMACY

Flathead

Bigfork

Bigfork, MT 59911

(406) 837-4370

8111 Mt Highway 35

BIGFORK DRUG *

Kalispell

Kalispell, MT 59901

(406) 257-4806

202 2nd Ave West

SYKES PHARMACY *

Kallispell

Kallispell, MT 59901

(406) 751-7600

200 Conway Drive

THE CLINICAL PHARMACY *

Lakeside

Lakeside, MT 59922

(406) 844-2103

206 Stoner Loop

REMEDIES LAKESIDE *

Whitefish

Whitefish, MT 59937

(406) 862-7070

1111 Baker Ave

WHITEFISH DISCOUNTPHARMACY *

Gallatin

Bozeman

Bozeman, MT 59715

(406) 587-0608

910 N 7th Ave

PRICE RITE DRUG *

Three Forks

Three Forks, MT 59752

(406) 285-3883

117 Main St. S A

RAILWAY DRUG *

Granite

Philipsburg

Philipsburg, MT 59858

(406) 859-3784

106 N. Montgomery St

GRANITE PHARMACY *

Lake

Polson

Polson, MT 59860

(406) 883-0565

One 7th Ave E

HEALTHCARE PLUS

Ronan

Ronan, MT 59864

(406) 676-2111

63307 Us Hwy 935

FAMILY HEALTHPHARMACY *

Ronan, MT 59864

(406) 676-5600

63802 Us Highway 93

R AND R HEALTH CARESOLUTIONS *

Lewis And Clark

Helena

Helena, MT 59601

(406) 443-2540

2600 Winne Ave

GENEVA WOODSPHARMACY

Liberty

Chester

Chester, MT 59522

(406) 759-5050

30 Main Street

CHESTER PHARMACY INC. *

Chester, MT 59522

(406) 759-5225

500 East Washington Ave.

REMEDIES PHARMACY &GIFT *

Madison

Ennis

Ennis, MT 59729

(406) 682-4246

124 Main St

ENNIS HEALTHMARTPHARMACY *

Sheridan

Sheridan, MT 59749

(406) 842-5624

317 Madison St

MAC'S CHC PHARMACY *

Meagher

White Sulphur Springs

White Sulphur Springs, MT59645

(406) 547-2316

4271 Us Highway 12 E

CASTLE MOUNTAIN DRUG *

Missoula

Missoula

Missoula, MT 59804

(406) 926-2940

2230 27th Ave Ste 1

GRANITE PHARMACYHEALTH SOLUTIONS

Missoula, MT 59801

(406) 721-3789

2510 S Reserve St

SHOPKO PHARMACY #2075*

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 13

Page 20: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Park

Livingston

Livingston, MT 59047

(406) 222-7332

1313 W Park Street

KC WESTERN DRUG LONGTERM CARE

Phillips

Malta

Malta, MT 59538

(406) 654-2632

131 S 1st Ave E

VALLEY DRUG COMPANY *

Pondera

Conrad

Conrad, MT 59425

(406) 278-3261

5 4th Ave Se

OLSON'S DRUG *

Conrad, MT 59425

(406) 278-3267

600 S Main St

VILLAGE DRUG *

Powder River

Broadus

Broadus, MT 59317

(406) 436-2270

120 S Park

BROADUS IGA PHARMACY *

Powell

Deer Lodge

Deer Lodge, MT 59722

(406) 846-2120

407 Main St

KEYSTONE DRUG LLP *

Ravalli

Corvallis

Corvallis, MT 59828

(406) 961-3221

1029 Main St

CORVALLIS DRUG *

Hamilton

Hamilton, MT 59840

(406) 363-3611

211 Main St

BITTERROOT DRUG INC *

Hamilton, MT 59840

(406) 363-6203

1900 N 1st St Ste B

HEALTHCARE PROVIDERS-LTC

Victor

Victor, MT 59840

(406) 642-9898

2824 Hwy 93 N.

NORTH RIDGEHEALTHCARE

Richland

Sidney

Sidney, MT 59270

(406) 482-1420

402 East Main

WHITE DRUG #25 *

Roosevelt

Poplar

Poplar, MT 59255

(406) 768-6147

213 H St East

POPLAR PHARMACY *

Wolf Point

Wolf Point, MT 59201

(406) 653-6572

1115 4th Ave North

WOLF POINT PHARMACY *

Rosebud

Forsyth

Forsyth, MT 59327

(406) 356-2134

1025 Main St

YELLOWSTONE PHARMACY*

Sheridan

Plentywood

Plentywood, MT 59254

(406) 765-1810

119 N Main St

PLENTYWOOD DRUG INC

Silver Bow

Butte

Butte, MT 59701

(406) 723-2441

435 S Crystal St

MEDICAL ARTS PHARMACY*

Butte, MT 59701

(406) 494-4116

45 Three Bears Dr

THREE BEARS PHARMACY *

Toole

Shelby

Shelby, MT 59474

(406) 434-5115

333 Main St

NORTHTOWN DRUGS *

Valley

Glasgow

Glasgow, MT 59230

(406) 228-4308

537 2nd Ave S

WESTERN DRUG *

Wheatland

Harlowton

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 14

Page 21: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Harlowton, MT 59036

(406) 632-4532

27 S Central Ave

REMEDIES *

Yellowstone

Billings

Billings, MT 59102

(406) 869-6551

993 S 24th St W Ste A

MIRX PHARMACY

Billings, MT 59102

(406) 896-3380

2747 Enterprise Ave

OMNICARE OF BILLINGS

Billings, MT 59101

(406) 245-6717

2900 12th Ave N Suite 110a

PHARMACY 1 *

Billings, MT 59101

(406) 245-6718

2900 12th Ave N

PHARMACY 1 LTC

Billings, MT 59102

(406) 655-5827

3940 Rimrock Rd

ST JOHNS PHARMACY

Indian HealthService/Tribal/UrbanIndian Health Program(I/T/U) Pharmacies

Only Native Americans andAlaska Natives have access toIndian Health Service / Tribal /Urban Indian Health Program(I/T/U) Pharmacies throughNavitus MedicareRx (PDP)pharmacy network. Thoseother than Native Americansand Alaskan Natives may beable to access thesepharmacies under limitedcircumstances (e.g.,emergencies).

MONTANA

Big Horn

Crow Agency

Crow Agency, MT 59022

(406) 638-3353

212 Hwy And I 90

CROW INDIAN HOSPITALPHARMACY

Lodge Grass

Lodge Grass, MT 59050

(406) 639-2317

Harding Ave

LODGE GRASS HEALTHCENTER PHARMACY

Pryor

Pryor, MT 59066

(406) 259-8238

Pryor Gap Rd

PRYOR HEALTH STATIONPHARMACY

Blaine

Harlem

Harlem, MT 59526

(406) 353-3104

456 Gros Ventre Ave

FORT BELKNAP HEALTHCENTER PHARMACY

Hays

Hays, MT 59527

(406) 673-3777

123 White Crow Rd

HAYS HEALTH CENTERPHARMACY

Glacier

Browning

Browning, MT 59417

(406) 338-6101

760 Hospital Circle

BLACKFEET COMMUNITYHEALTH HOSPITAL

Heart Butte

Heart Butte, MT 59417

(406) 338-2151

81 Disney

HEART BUTTE PHARMACY

Roosevelt

Poplar

Poplar, MT 59255

(406) 768-3491

107 H St E

POPLAR HEALTH CENTERPHARMACY

Wolf Point

Wolf Point, MT 59201

(406) 653-1641

550 6th Ave N

WOLF POINT HEALTHCENTER PHARMACY

Rosebud

Lame Deer

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 15

Page 22: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

Lame Deer, MT 59043

(406) 477-4448

420 N Cheyenne Avenue

LAME DEER HEALTHCENTER PHARMACY

Specialty Pharmacy

WISCONSIN

Dane

Madison

Madison, WI 53713

(855) 847-3553

2601 W Beltline Hwy Ste 302

LUMICERA HEALTHSERVICES

* This pharmacy qualifies for dispensing up to a 90-day supply.

This directory is current as of 09/12/2016 . Due to possible changes after this date, inclusion of a pharmacy in thisdirectory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee thatthe pharmacy is open or is at the same location as listed in the directory.

Page 16

Page 23: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

This page left intentionally blank.

Page 24: NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 · 2016-10-13 · Share a Clear View NAVITUS MEDICARERX (PDP) PHARMACY DIRECTORY 2017 State of Montana Group Benefit Plan (State Plan)

NAVITUS MEDICARERX CUSTOMER CARE| 24 HOURS A DAY, 7 DAYS A WEEK866.270.3877 toll free | 711 TTY

https://medicarerx.navitus.com

Share a Clear View

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at https://medicarerx.navitus.com. You may also call Customer Care for an updated provider list.

For more information, please contact Navitus MedicareRx (PDP) Customer Care toll-free at 1-866-270-3877 (TTY users please call 711), or visit our website at https://medicarerx.navitus.com.

Calls to these numbers are free. Members can reach Navitus Customer Care 24 hours a day, 7 days a week, except Thanksgiving and Christmas. Pharmacies can reach Navitus Customer Care 24 hours a day, 7 days a week.

This plan, Navitus MedicareRx (PDP), is offered by Navitus Health Solutions and underwritten byDean Health Insurance, Inc., a Federally-Qualified Medicare

Contracting Prescription Drug Plan.

This Pharmacy Directory was updated on 09/12/2016.

S9701_801_2017_SOM_DIR_V01


Recommended