First Health Part D Value Plus (PDP)

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Y0022_PDP_2013_1080_1413_FINAL approved 7/2012 PPls-Rg21 Last Update: 08/2012 DIR-13-PLS-R21 First Health Part D Premier Plus (PDP) Pharmacy Directory This booklet provides a list of First Health Part D Premier Plus’s network pharmacies. This directory is for Louisiana. We also list pharmacies that are in our network but are outside Louisiana. Please contact First Health Part D Premier Plus at 1-866-823-5177, 24 hours a day, 7 days a week, for additional information. 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 First Health Part D Premier Plus’s network pharmacies in your area, please visit our Web site at www.PharmacyLocator.coventry-medicare.com or call our Customer Service at 1-866-823-5177, 24 hours a day, 7 days a week. (TTY/TDD Users should call 711 for Telecommunications Relay Services.) Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2014. A Medicare-approved Part D Sponsor. This document is available in different formats and languages, including Spanish and Braille. Please call 1-866-823-5177 (TTY/TDD users only: 711 Telecommunications Relay Services), 24 hours a day, 7 days a week if you need plan information in another format. Este documento está disponible en diversos formatos e idiomas, incluyendo español y Braille. Por favor número 1-866-823-5177 (Usuarios de TTY/TDD solamente: 711 telecomunicaciones retransmiten servicio), 24 horas al día, 7 días a la semana si usted necesita la información del plan en otro formato.

Transcript of First Health Part D Value Plus (PDP)

Page 1: First Health Part D Value Plus (PDP)

Y0022_PDP_2013_1080_1413_FINAL approved 7/2012 PPls-Rg21 Last Update: 08/2012 DIR-13-PLS-R21

First Health Part D Premier Plus (PDP)

Pharmacy Directory This booklet provides a list of First Health Part D Premier Plus’s network pharmacies. This directory is for Louisiana. We also list pharmacies that are in our network but are outside Louisiana. Please contact First Health Part D Premier Plus at 1-866-823-5177, 24 hours a day, 7 days a week, for additional information. 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 First Health Part D Premier Plus’s network pharmacies in your area, please visit our Web site at www.PharmacyLocator.coventry-medicare.com or call our Customer Service at 1-866-823-5177, 24 hours a day, 7 days a week. (TTY/TDD Users should call 711 for Telecommunications Relay Services.)

Beneficiaries must use network pharmacies to access their prescription drug benefit. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2014.

A Medicare-approved Part D Sponsor.

This document is available in different formats and languages, including Spanish and Braille. Please call 1-866-823-5177 (TTY/TDD users only: 711 Telecommunications Relay Services), 24 hours a day, 7 days a week if you need plan information in another format.

Este documento está disponible en diversos formatos e idiomas, incluyendo español y Braille. Por favor número 1-866-823-5177 (Usuarios de TTY/TDD solamente: 711 telecomunicaciones retransmiten servicio), 24 horas al día, 7 días a la semana si usted necesita la información del plan en otro formato.

Page 2: First Health Part D Value Plus (PDP)

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Introduction This booklet provides a list of First Health Part D Premier Plus’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 First Health Part D Premier Plus’s formulary. If you have additional questions, please call our Customer Service at 1-866-823-5177, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 for Telecommunications Relay Services. Or, visit www.FirstHealthPartD.com.

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 First Health Part D Premier Plus. In most cases, your prescriptions are covered under First Health Part D Premier Plus 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.

First Health Part D Premier Plus’s Network Pharmacies To choose a pharmacy to meet your needs, first select the type of pharmacy, found at the top of each page, then look for the state, county, city and pharmacy name. This directory of network pharmacies is divided into sections by pharmacy type. The pharmacy types are: • Chain Pharmacies • Retail Pharmacies • Mail Order Pharmacies • Home Infusion Pharmacies • Long Term Care Pharmacies • Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) All pharmacies listed in this directory are available to all enrolled Members.

Page 3: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 3

This section provides a list of First Health Part D Premier Plus’s network Chain Pharmacies. Due to the large volume of locations, we have provided the centralized customer service telephone number for each chain pharmacy. You should call the chain’s centralized telephone number for a location near you. 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. Please contact Customer Service at the telephone numbers listed on page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com. Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach a pharmacy by dialing 711. A&P Us* 1-866-443-7374 TTY/TDD: 711

ACME Pharmacy 1* 1-877-932-7948 TTY/TDD: 711

Aurora Pharmacy Inc* 1-888-973-8999 TTY/TDD: 711

Bartell Drug Company* 1-877-227-8355 TTY/TDD: 711

Bel Air Pharmacy* 1-800-925-9989 TTY/TDD: 711

Bi-Lo , LLC* 1-800-862-9293 TTY/TDD: 711

Big Y Pharmacy* 1-800-828-2688 TTY/TDD: 711

Caremark Pharmacy Services* 1-800-552-8159 TTY/TDD: 711

Carle Rx Express - purchased by Walgreens* 1-800-925-4733 TTY/TDD: 711

City Market Pharmacy* 1-800-576-4377 TTY/TDD: 711

Copps Food Center Pharmacy* 1-800-600-4983 TTY/TDD: 711

Costco Wholesale, Inc* 1-800-955-2292 TTY/TDD: 711

Cub Pharmacy* 1-877-932-7948 TTY/TDD: 711

CVS Pharmacies* 1-800-865-6647 TTY/TDD: 711

CVS Procare Pharmacy* 1-800-746-7287 TTY/TDD: 711

Doc's Drugs Ltd* 1-866-366-5827 TTY/TDD: 711

Drug Warehouse * 1-866-366-5827 TTY/TDD: 711

Duluth Clinic Pharmacies* 1-866-366-5827 TTY/TDD: 711

Fairview Pharmacy Services LLC* 1-866-823-8686 TTY/TDD: 711

Family Fare, LLC* 1-989-463-0411 TTY/TDD: 711

Family Pharmacy* 1-888-245-0070 TTY/TDD: 711

Farm Fresh* 1-877-932-7948 TTY/TDD: 711

Food Lion Pharmacy* 1-800-210-9569 TTY/TDD: 711

Fred Meyer Pharmacy* 1-888-247-4439 TTY/TDD: 711

Fred's Express* 1-800-374-7417 TTY/TDD: 711

Fry's Food and Drug - purchased by Kroger's* 1-800-576-4377 TTY/TDD: 711

Giant Eagle Pharmacy* 1-800-553-2324 TTY/TDD: 711

Giant Food Stores, LLC* 1-888-814-4268 TTY/TDD: 711

Hannaford* 1-800-213-9040 TTY/TDD: 711

Happy Harry's - now part of Walgreens* 1-800-925-4733 TTY/TDD: 711

Harps Food Stores Inc* 1-877-772-8193 TTY/TDD: 711

Harris Teeter Inc* 1-800-432-6111 TTY/TDD: 711

Harvey's Pharmacy* 1-866-652-6090 TTY/TDD: 711

HEB Pharmacy * 1-800-432-3113 TTY/TDD: 711

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First Health Part D Premier Plus’s Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

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Henry Ford Health System Pharmacy* 1-800-436-7936 TTY/TDD: 711

Ingles Markets* 1-800-635-5066 TTY/TDD: 711

J H Harvey Co LLC* 1-866-652-6090 TTY/TDD: 711

K-VA-T Food Stores Inc* 1-800-826-8451 TTY/TDD: 711

Kash N' Karry Food Stores* 1-800-210-9569 TTY/TDD: 711

Kerr Drug Inc* 1-800-494-3053 TTY/TDD: 711

Kinney Drugs, Inc* 1-800-552-8663 TTY/TDD: 711

Kmart* 1-866-562-7848 TTY/TDD: 711

Kroger Central* 1-800-576-4377 TTY/TDD: 711

Kroger East* 1-800-576-4377 TTY/TDD: 711

Kroger West* 1-800-576-4377 TTY/TDD: 711

Longs Drug Store* 1-800-865-6647 TTY/TDD: 711

Lucky Pharmacy* 1-800-692-5710 TTY/TDD: 711

Martin's Super Markets Inc* 1-800-910-7079 TTY/TDD: 711

May's Drug Stores, Inc* 1-866-366-5827 TTY/TDD: 711

Med-X Drug* 1-866-366-5827 TTY/TDD: 711

Meijer Pharmacy Receivables* 1-866-366-5827 TTY/TDD: 711

Pavillions Pharmacy* 1-877-723-3929 TTY/TDD: 711

Pick n Save* 1-866-279-6269 TTY/TDD: 711

Price Chopper Pharmacy* 1-800-666-7667 TTY/TDD: 711

Publix Pharmacies* 1-800-242-1227 TTY/TDD: 711

QFC Pharmacy1* 1-800-576-4377 TTY/TDD: 711

QOL MEDS * 1-800-663-4829 TTY/TDD: 711

Quick Chek Corporation* 1-800-242-1227 TTY/TDD: 711

Rainbow Pharmacy* 1-800-600-4983 TTY/TDD: 711

Raley's* 1-800-925-9989 TTY/TDD: 711

Ralphs* 1-888-437-3496 TTY/TDD: 711

Randalls Pharmacy * 1-877-723-3929 TTY/TDD: 711

Rite Aid Corporation* 1-800-748-3243 TTY/TDD: 711

Rite Aid/Brooks/Maxi Drug* 1-800-748-3243 TTY/TDD: 711

Rite Aid/Eckerd* 1-800-748-3243 TTY/TDD: 711

Safeway, Inc* 1-877-723-3929 TTY/TDD: 711

Sams Pharmacy * 1-888-746-7726 TTY/TDD: 711

Save Mart * 1-800-692-5710 TTY/TDD: 711

SaVon Drugs* 1-877-932-7948 TTY/TDD: 711

Schnucks Markets Inc* 1-800- 692-5710 TTY/TDD: 711

Scott & White Health Plan Pharmacy* 1-800-321-7947 TTY/TDD: 711

Sedell Inc* 1-508-747-1230 TTY/TDD: 711

Shop 'n Save* 1-877-932-7948 TTY/TDD: 711

Shop Rite * 1-800-746-7748 TTY/TDD: 711

Shopko Pharmacies* 1-800-653-5993 TTY/TDD: 711

Shoppers* 1-877-932-7948 TTY/TDD: 711

Smiths Pharmacy * 1-800-576-4377 TTY/TDD: 711

Southern Family Markets LLC* 1-800-653-5993 TTY/TDD: 711

Stater Bros, Super RX Pharmacy* 1-888-992-9977 TTY/TDD: 711

Stop & Shop Pharmacy* 1-888-469-4426 TTY/TDD: 711

Super D Drugs * 1-866-366-5827 TTY/TDD: 711

Super D Express Rx* 1-866-366-5827 TTY/TDD: 711

Super Fresh Pharmacy* 1-866-443-7374 TTY/TDD: 711

Supervalu Pharmacies, Inc* 1-888-469-4426 TTY/TDD: 711

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First Health Part D Premier Plus’s Chain Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 5

Sweetbay Supermarkets* 1-888-218-3890 TTY/TDD: 711

Target* 1-800-440-0680 TTY/TDD: 711

Thrifty White Stores* 1-800-642-3275 TTY/TDD: 711

Tom Thumb Pharmacy* 1-877-723-3929 TTY/TDD: 711

Top Food and Drug* 1-877-867-3850 TTY/TDD: 711

Tops Markets LLC* 1-800-713-0924 TTY/TDD: 711

University Of Utah Pharmacies* 1-866-365-4695 TTY/TDD: 711

USA Drug* 1-866-366-5827 TTY/TDD: 711

USA Drug and Beauty Market* 1-866-366-5827 TTY/TDD: 711

USA Drug Express* 1-866-366-5827 TTY/TDD: 711

VG's Pharmacy's* 1-800-343-4422 TTY/TDD: 711

Village Supermarkets (Shop Rite)* 1-800-746-7748 TTY/TDD: 711

Von's Pharmacy * 1-877-723-3929 TTY/TDD: 711

Wal-Mart* 1-800-925-6278 TTY/TDD: 711

Waldbaums* 1-866-443-7374 TTY/TDD: 711

Walgreens* 1-800-925-4733 TTY/TDD: 711

Wegmans Food Markets, Inc* 1-800-934-6267 TTY/TDD: 711

Weis Markets, Inc * 1-866-999-9347 TTY/TDD: 711

Winn-Dixie* 1-866-946-6349 TTY/TDD: 711

Page 6: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

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This section provides a list of First Health Part D Premier Plus’s Retail 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. Please contact Customer Service at the telephone numbers listed on page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com. Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach a pharmacy by dialing 711.

CHURCH POINT PHARMACY* 300 N MAIN ST CHURCH POINT, LA, 70525 (337) 684-5475

COMMUNITY PHARMACY* 731 S MAIN ST STE B CHURCH POINT, LA, 70525 (337) 684-1911

THRIFTY WAY PHARMACY* 209 S MAIN ST CHURCH POINT, LA, 70525 (337) 684-5401

BIERS PHARMACY* 410 N PARKERSON AVE CROWLEY, LA, 70526 (337) 783-3023

CARMICHAE CASHWAY PHARMACY 1002 N PARKERSON AVE CROWLEY, LA, 70526 (337) 783-7200

GREMILLIONS DRUG STORE* 401 N PARKERSON AVE CROWLEY, LA, 70526 (337) 783-5755

THE MEDICINE SHOPPE* 704 N PARKERSON AVE CROWLEY, LA, 70526 (337) 783-9084

MILLER'S FAMILY PHARMACY* 119 S 5TH ST STE B IOTA, LA, 70543 (337) 779-2214

MECHE'S FAMILY DRUGS* 913 THE BLVD RAYNE, LA, 70578 (337) 334-3399

MOUTON PHARMACY INC* 301 S ADAMS AVE RAYNE, LA, 70578 (337) 334-2117

RAYNE PHARMACY* 713 CURTIS DR RAYNE, LA, 70578 (337) 334-5105

CAPPEL DRUGSTORE* 904 4TH AVE KINDER, LA, 70648 (337) 738-2531

COUSHATTA FAMILY PHARMACY* 121 TURKEY LANE KINDER, LA, 70648 (337) 738-7445

OAKDALE DRUG COMPANY* 149 HOSPITAL DR OAKDALE, LA, 71463 (318) 335-1360

PHIL'S PHARMACY* 805 W SEVENTH AVE OBERLIN, LA, 70655 (337) 639-4367

DUTCHTOWN PHARMACY LLC 13011 HIGHWAY 73 GEISMAR, LA, 70734 (225) 677-5070

BERTRAND'S PHARMACY 2001 S BURNSIDE AVE GONZALES, LA, 70737 (225) 644-5641

LA PHARMACIE LLC* 209 S AIRLINE HWY GONZALES, LA, 70737 (225) 644-7424

LANDRY'S PHARMACY INC* 416 N BURNSIDE AVE GONZALES, LA, 70737 (225) 647-3583

MEDICAP PHARMACY* 822 N BURNSIDE AVE GONZALES, LA, 70737 (225) 644-1661

RALPHS'S PHARMACY* 15013B HIGHWAY 44 GONZALES, LA, 70737 (225) 622-0445

THE MEDICINE SHOPPE #1054* 1817 S BURNSIDE AVE GONZALES, LA, 70737 (225) 647-3030

GONZALES

GEISMAR ASCENSION COUNTY

OBERLIN

OAKDALE

KINDER ALLEN COUNTY

RAYNE

IOTA

CROWLEY

CHURCH POINT ACADIA COUNTY

LOUISIANA

Page 7: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 7

GALVEZ PHARMACY* 40017-2 HIGHWAY 42 STE D PRAIRIEVILLE, LA, 70769 (225) 622-4817

THE WELLNESS CORNER* 17733 JEFFERSON HWY PRAIRIEVILLE, LA, 70769 (225) 677-8200

ST AMANT PHARMACY* 12502 HIGHWAY 431 SAINT AMANT, LA, 70774 (225) 644-7288

ASSUMPTION PHARMACY LLC* 120 WASHINGTON ST NAPOLEONVILLE, LA, 70390 (985) 369-6375

PAINCOURTVILLE PHARMACY INC* 112 HIGHWAY 403 PAINCOURTVILLE, LA, 70391 (985) 369-3578

RICHARDS PHARMACY INC* 3610 HIGHWAY 70 S PIERRE PART, LA, 70339 (985) 252-6661

BUNKIE PHARMACY INC* 206 SW MAIN ST BUNKIE, LA, 71322 (318) 346-6343

CITY DRUG STORE* 1010 SHIRLEY RD BUNKIE, LA, 71322 (318) 346-6307

NEW PARRINO DRUGS* 208 SW MAIN ST BUNKIE, LA, 71322 (318) 346-7204

COTTONPORT CORNER DRUG LLC* 206 CHOUPIQUE LN COTTONPORT, LA, 71327 (318) 876-3665

PORETS THRIFTY WAY PHCY* 186 COTTONPORT AVE COTTONPORT, LA, 71327 (318) 876-2104

MANSURA DRUG STORE* 2043 LEGLISE ST MANSURA, LA, 71350 (318) 964-2104

DONS PHARMASAVE* 134 LA RUE MEDECINE ST MARKSVILLE, LA, 71351 (318) 253-8747

C & R DRUGS* 10663 HIGHWAY 1 MOREAUVILLE, LA, 71355 (318) 985-2104

SCALLAN'S PHARMACY* 115 HIGHWAY 1181 PLAUCHEVILLE, LA, 71362 (318) 922-3134

DAVIS DRUG* 116 JJJ LN SIMMESPORT, LA, 71369 (318) 941-2296

BROOKSHIRE BROTHERS PHARMACY 1103 W 1ST ST DERIDDER, LA, 70634 (337) 463-2258

IDEAL HEALTH MART PHARMACY INC* 610 N PINE ST DERIDDER, LA, 70634 (337) 463-7210

THRIFTYWAY #2* 601 S PINE ST DERIDDER, LA, 70634 (337) 463-7442

CHRIS COLE PHARMACY* 1887 1ST ST ARCADIA, LA, 71001 (318) 263-2916

NEW ARCADIA DRUGS* 1982 N RAILROAD AVE ARCADIA, LA, 71001 (318) 263-2919

BROOKSHIRE* 6280 HIGHWAY 3 BENTON, LA, 71006 (318) 965-3669

BROOKSHIRE* 4918 BARKSDALE BLVD BOSSIER CITY, LA, 71112 (318) 549-2107

DAVID RAINES COMMUNITY HLTH CTR* 1514 DOCTORS DR BOSSIER CITY, LA, 71111 (318) 841-6047

SUPER 1* 1870 AIRLINE DR BOSSIER CITY, LA, 71112 (318) 746-8401

BROOKSHIRE* 1125 HIGHWAY 80 HAUGHTON, LA, 71037 (318) 949-8476

HAUGHTON

BOSSIER CITY

BENTON BOSSIER COUNTY

ARCADIA BIENVILLE COUNTY

DERIDDER BEAUREGARD COUNTY

SIMMESPORT

PLAUCHEVILLE

MOREAUVILLE

MARKSVILLE

MANSURA

COTTONPORT

BUNKIE AVOYELLES COUNTY

PIERRE PART

PAINCOURTVILLE

NAPOLEONVILLE ASSUMPTION COUNTY

SAINT AMANT

PRAIRIEVILLE

Page 8: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

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KELLY PHARMACY INC 302 E PALMETTO / PO BOX 188 PLAIN DEALING, LA, 71064 (318) 326-4229

WALKER BROS DRUG* 200 EAST PALMETTO PLAIN DEALING, LA, 71064 (318) 326-4759

BOUDREAUX SPECIALTY PHARMACY 2551 GREENWOOD RD STE 110 SHREVEPORT, LA, 71103 (318) 631-2005

BROOKSHIRE* 388 BERT KOUNS LOOP SHREVEPORT, LA, 71106 (318) 687-7558

BROOKSHIRE* 3000 N MARKET ST SHREVEPORT, LA, 71107 (318) 424-3251

BROOKSHIRE* 510 KINGS HWY SHREVEPORT, LA, 71104 (318) 424-0896

BROOKSHIRE* 9250 MANSFIELD RD SHREVEPORT, LA, 71118 (318) 686-6311

BROOKSHIRE* 5828 LINE AVE SHREVEPORT, LA, 71106 (318) 869-0669

BROOKSHIRE* 3620 PINES RD SHREVEPORT, LA, 71119 (318) 631-9804

CHRISTUS SCHUMPERT APOTHECARY* 1 SAINT MARY PL SHREVEPORT, LA, 71101 (318) 681-7500

DAVID RAINES COMMUNITY HLTH CTR* 1625 DAVID RAINES RD SHREVEPORT, LA, 71107 (318) 227-3355

DRUG EMPORIUM #210* 5819 E KINGS HWY SHREVEPORT, LA, 71105 (318) 861-7898

HIGHLAND CLINIC PHARMACY 1455 E BERT KOUNS INDUSTRIAL LOOP SHREVEPORT, LA, 71105 (318) 798-4612

MEDIC PHARMACY #11* 1849 LINE AVE SHREVEPORT, LA, 71101 (318) 221-0691

MEDIC SPECIALITY PHARMACY* 745 OLIVE ST STE 201 SHREVEPORT, LA, 71104 (318) 212-0614

MITCHELLS DRUG* 3102 LINWOOD AVE SHREVEPORT, LA, 71103 (318) 635-8159

NORTHEAST LOUISIANA PHARMACY LLC 8860 QUIMPER PL STE 100 SHREVEPORT, LA, 71105 (318) 797-9517

OUTREACH PHARMACY LTD* 4140 HOLLYWOOD AVE STE B SHREVEPORT, LA, 71109 (318) 632-0325

PMO PHARMACY MANAGEMENT SHREVEPORT* 2255 WOODWARD AVE SHREVEPORT, LA, 71103 (318) 429-0161

QVL PHARMACY #201 1303 LINE AVE STE 300 SHREVEPORT, LA, 71101 (318) 222-2405

SPECIALISTS PHARMACY* 1500 LINE AVE STE 104B SHREVEPORT, LA, 71101 (318) 213-3350

SUPER 1* 2640 WAGGONER AVE SHREVEPORT, LA, 71108 (318) 631-2065

SUPER 1* 745 SHREVEPORT BARKSDALE HWY SHREVEPORT, LA, 71105 (318) 861-3985

WELLNECESSITIES PHARMACY* 8835 LINE AVE STE 500 SHREVEPORT, LA, 71106 (318) 861-7541

COUNTRY DRUG* 202 SOUTH AVE STE A VIVIAN, LA, 71082 (318) 375-3784

NORTH CADDO DRUG* 144 W LOUISIANA AVE VIVIAN, LA, 71082 (318) 375-2573

BROOKSHIRE BROTHERS PHARMACY 300 W 4TH ST DEQUINCY, LA, 70633 (337) 786-5863

DEQUINCY CALCASIEU COUNTY

VIVIAN

SHREVEPORT CADDO COUNTY

PLAIN DEALING

Page 9: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 9

NICHOLS PHARMACY 915 E FOURTH ST DEQUINCY, LA, 70633 (337) 786-4004

PERKINS PHARMACY* 129 N PINE ST DEQUINCY, LA, 70633 (337) 786-6111

GUIDRY'S PHARMACY* 204 S THOMSON AVE IOWA, LA, 70647 (337) 582-3131

MILLER'S HEALTH MART* 214 THOMPSON AVENUE IOWA, LA, 70647 (337) 582-3585

CHILDRENS PHARMACY INC* 2903 1ST AVE LAKE CHARLES, LA, 70601 (337) 474-5492

GORDON'S DRUG STORE* 2716 LAKE ST LAKE CHARLES, LA, 70601 (337) 477-6773

LAKESHORE MEDIC PHARMACY* 2001 ENTERPRISE BLVD LAKE CHARLES, LA, 70601 (337) 436-4388

LANINGHAMS THRIFTY WAY* 1505 W MCNEESE ST LAKE CHARLES, LA, 70605 (337) 477-7733

MEDICAL PLAZA PHARMACY* 1717 OAK PARK BLVD STE 110 LAKE CHARLES, LA, 70601 (337) 494-2990

ONCOLOGY HEMATOLOGY INSTITUTE SW* 780 E BAYOU PINES DR LAKE CHARLES, LA, 70601 (337) 312-8234

PRESCRIPTION SPECIALTIES LLC* 4070 NELSON RD STE 200 LAKE CHARLES, LA, 70605 (337) 562-7979

SWLA CTR FOR HEALTH SERVICES PHARMACY* 2000 OPELOUSAS ST LAKE CHARLES, LA, 70601 (337) 493-5144

THE DRUG STORE LLC* 857 SAM HOUSTON JONES PKWY LAKE CHARLES, LA, 70611 (337) 855-1990

W.O. MOSS REGIONAL HOSP O/P PHCY 1000 WALTERS ST LAKE CHARLES, LA, 70607 (337) 475-8273

BROOKSHIRE BROTHERS PHARMACY 1612 RUTH ST SULPHUR, LA, 70663 (337) 527-0033

PARAGON DRUG STORE* 210 W NAPOLEON ST STE G SULPHUR, LA, 70663 (337) 527-6622

SCHLAMP FAMILY MEDICAL* 921 1ST AVE SULPHUR, LA, 70663 (337) 527-6385

LANE'S PHARMACY* 1301 HORRIDGE ST VINTON, LA, 70668 (337) 589-3011

MOREAUS DRUGS* 1312 HORRIDGE ST VINTON, LA, 70668 (337) 589-7431

CARAWAY PHARMACY* 820 MCKINLEY ST WESTLAKE, LA, 70669 (337) 433-4690

HEALTH WISE PHARMACY* 916 SAMPSON ST STE A WESTLAKE, LA, 70669 (337) 439-7067

J & K DRUG* 7190 HIGHWAY 165 COLUMBIA, LA, 71418 (318) 649-0825

MEDI THRIFT DRUG INC* 302 BUSHLEY ST HARRISONBURG, LA, 71340 (318) 744-5351

BROOKS DRUGS* 104 MOUND ST JONESVILLE, LA, 71343 (318) 339-7913

MORGAN'S VALU-RITE PHCY* 1806 FOURTH ST JONESVILLE, LA, 71343 (318) 339-8532

ISLAND PHARMACY* 311 CHISUM ST SICILY ISLAND, LA, 71368 (318) 389-5807

SICILY ISLAND

JONESVILLE

HARRISONBURG CATAHOULA COUNTY

COLUMBIA CALDWELL COUNTY

WESTLAKE

VINTON

SULPHUR

LAKE CHARLES

IOWA

Page 10: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

10

KILLGORES PHARMACY 1909 MAIN ST HAYNESVILLE, LA, 71038 (318) 624-1122

TED'S PHARMACY, LLC* 1866 MAIN ST HAYNESVILLE, LA, 71038 (318) 624-1053

BROOKSHIRE* 817 W MAIN ST HOMER, LA, 71040 (318) 927-3537

CLAIBORNE PHARMACY* 820 W MAIN ST HOMER, LA, 71040 (318) 927-3523

COLVINS PHARMACY* 114 SERIO BLVD FERRIDAY, LA, 71334 (318) 757-4114

VAUGHANS CITY DRUG CO* 109 EE WALLACE BLVD FERRIDAY, LA, 71334 (318) 757-4811

REEVES DRUG STORE* 307 CARTER ST VIDALIA, LA, 71373 (318) 336-5112

HEADRICK'S DRUG STORE 204 MAIN ST LOGANSPORT, LA, 71049 (318) 697-4381

BROOKSHIRE* 1117 POLK ST MANSFIELD, LA, 71052 (318) 871-2976

MANSFIELD DRUG CO INC* 132 JEFFERSON ST MANSFIELD, LA, 71052 (318) 872-1933

VALENTINE PHARMACY* 116 JEFFERSON ST MANSFIELD, LA, 71052 (318) 872-5300

AFFORDABLE PHARMACY LLC* 1718 N FOSTER DR STE B BATON ROUGE, LA, 70806 (225) 771-8137

AVITA DRUGS 411 COLONIAL DR BATON ROUGE, LA, 70806 (225) 924-1930

BATON ROUGE SPECIALTY* 141 OCEAN DR BATON ROUGE, LA, 70806 (225) 929-9912

BOCAGE PHARMACY CENTRE* 7150 JEFFERSON HWY STE 680 BATON ROUGE, LA, 70806 (225) 364-2848

BOLTON HEALTH MART* 2958 PERKINS RD BATON ROUGE, LA, 70808 (225) 343-4869

BORDELONS SUPER SAVE* 6920 PLANK RD BATON ROUGE, LA, 70811 (225) 356-0654

BRENT'S PHARMACY* 243 N ACADIAN THRUWAY STE 1 BATON ROUGE, LA, 70806 (225) 332-0511

CENTRAL DRUG STORE* 13565 HOOPER RD BATON ROUGE, LA, 70818 (225) 262-6200

DERMATOLOGY CLINIC* 5326 ODONOVAN DR BATON ROUGE, LA, 70808 (225) 769-7546

EXPRESS PHARMACY* 3328 N FOSTER DR BATON ROUGE, LA, 70805 (225) 302-5762

HEMATOLOGY ONCOLOGY CLINIC* 8595 PICARDY AVE STE 400 BATON ROUGE, LA, 70809 (225) 761-3916

LAKE AFTER HOURS PERKINS* 12525 PERKINS RD BATON ROUGE, LA, 70810 (225) 819-8857

LAKE PRIMARY CARE PHYSICIANS* 7777 HENNESSY BLVD STE 101 BATON ROUGE, LA, 70808 (225) 765-4400

LG PHARMACY* 9936A FLORIDA BLVD BATON ROUGE, LA, 70815 (225) 927-9972

LOUISIANA HEMATOLOGY ONCOLOGY ASSOC 4950 ESSEN LN BATON ROUGE, LA, 70809 (225) 767-1311

MAGNOLIA DRUGS AND DELIVERY* 10782 N HARRELLS FERRY RD BATON ROUGE, LA, 70816 (225) 926-7955

BATON ROUGE

EAST BATON ROUG COUNTY

MANSFIELD

LOGANSPORT DE SOTO COUNTY

VIDALIA

FERRIDAY CONCORDIA COUNTY

HOMER

HAYNESVILLE CLAIBORNE COUNTY

Page 11: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 11

MARCI FABREMD* 13702 COURSEY BLVD BATON ROUGE, LA, 70817 (225) 755-1400

MCGEE'S PHARMACY* 7731 PERKINS RD STE 135 BATON ROUGE, LA, 70810 (225) 766-2121

MEDICAL PLAZA PHARMACY* 7777 HENNESSY BLVD STE 114 BATON ROUGE, LA, 70808 (225) 765-8951

MESSINA'S PHARMACY* 15046 MARKET ST BATON ROUGE, LA, 70817 (225) 753-2700

N&T PHARMACY* 1124 MARQUE ANN DR STE B BATON ROUGE, LA, 70815 (225) 272-0007

OPEN DOOR PHARMACY LLC* 12087 OLD HAMMOND HWY STE E BATON ROUGE, LA, 70816 (225) 454-6619

PAUL'S PHARMACY BATON ROUGE* 5355 GOVERNMENT ST BATON ROUGE, LA, 70806 (225) 234-7335

PRESCRIPTIONS PLUS & GIFTS LLC* 8080 BLUEBONNET BLVD STE 2000 BATON ROUGE, LA, 70810 (225) 408-6650

RALPH'S PHARMACY #2* 6576 JONES CREEK RD BATON ROUGE, LA, 70817 (225) 214-0133

ROBYN E TYLER MD APMC* 7777 HENNESSY BLVD STE 102 BATON ROUGE, LA, 70808 (225) 214-4300

SHENANDOAH MEDICAL ASSC* 13828 COURSEY BLVD BATON ROUGE, LA, 70817 (225) 752-4530

THE MEDICINE SHOPPE #1329* 5241 HIGHLAND RD BATON ROUGE, LA, 70808 (225) 769-2585

QVL PHARMACY #222 5454 BLUEBONNET BLVD STE H EAST BATON ROUGE PARRISH, LA, 70809 (225) 767-6329

DRY'S HEALTHMART PHARMACY* 4344 CHURCH ST ZACHARY, LA, 70791 (225) 654-1175

MEDICAL PHARMACY* 6400 MAIN ST ZACHARY, LA, 70791 (225) 654-6883

MEDICAL PHARMACY WEST* 2250 CHURCH ST ZACHARY, LA, 70791 (225) 658-8101

PREVALENCE HEALTH* 5323 MACHOST RD ZACHARY, LA, 70791 (225) 658-0608

CHAPMAN DRUG INC* 407 LAKE ST LK PROVIDENCE, LA, 71254 (318) 559-2245

M & S DRUGS* 303 N HOOD ST LK PROVIDENCE, LA, 71254 (318) 559-2433

MINSKY DRUG STORE* 405 LAKE ST LK PROVIDENCE, LA, 71254 (318) 559-2400

CURRY PHARMACY* 10463 PLANK RD CLINTON, LA, 70722 (225) 683-8188

MCDONALD PHARMACY* 1701 CHARTER ST JACKSON, LA, 70748 (225) 634-2470

BASILE FAMILY PHARMACY LLC* 2932 STAGG AVE STE B BASILE, LA, 70515 (337) 432-5560

THRIFTY WAY PHARMACY #8* 3131 STAGG AVE BASILE, LA, 70515 (337) 432-6642

DES HOTELS DRUG CO* 900 6TH ST MAMOU, LA, 70554 (337) 468-5402

LAHAYE'S THRIFTY WAY* 704 POINCIANA AVE MAMOU, LA, 70554 (337) 468-7111

POINCIANA PHARMACY LLC* 1508 CAJUN DR STE A MAMOU, LA, 70554 (337) 468-5001

MAMOU

BASILE EVANGELINE COUNTY

JACKSON

CLINTON

EAST FELICIANA COUNTY

LK PROVIDENCE

EAST CARROLL COUNTY

ZACHARY

EAST BATON ROUGE PARRISH

Page 12: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

12

REEDS PHARMACY* 1009 6TH ST MAMOU, LA, 70554 (337) 468-5207

FUSELIERS PHARMACY* 10600 VETERANS MEMORIAL PINE PRAIRIE, LA, 70576 (337) 599-2147

PINE PRAIRIE PHARMACY* 10711 VETERANS MEMORIAL H PINE PRAIRIE, LA, 70576 (337) 599-2050

BLAKE'S FAMILY PHARMACY* 512 GEN MC ARTHUR DR VILLE PLATTE, LA, 70586 (337) 363-6252

BLAKE'S SOUTHSIDE PHARMACY* 808 S CHATAIGNIER ST VILLE PLATTE, LA, 70586 (337) 363-7497

EASTINS PHARMACY* 1535 W MAIN ST STE 2 VILLE PLATTE, LA, 70586 (337) 363-5070

EVANGELINE DRUG STORE* 10 W MAIN ST VILLE PLATTE, LA, 70586 (337) 363-3456

MEDICINE CHEST PHCY INC* 409 E LINCOLN RD VILLE PLATTE, LA, 70586 (337) 363-8065

THRIFTY WAY PHARMACY* 1011 W LINCOLN RD VILLE PLATTE, LA, 70586 (337) 363-6685

VILLE PLATTE CLINIC PHCY* 505 JACK MILLER RD VILLE PLATTE, LA, 70586 (337) 363-0941

GILBERT DRUGS* 7584 GILBERT ST GILBERT, LA, 71336 (318) 435-5702

ADAMS BROTHERS PHARMACY* 1513 EIGHTH ST WINNSBORO, LA, 71295 (318) 435-9489

K & S DRUGS INC* 802 ADAMS ST WINNSBORO, LA, 71295 (318) 435-7858

WINNSBORO DRUG STORE* 1213 COMMON ST WINNSBORO, LA, 71295 (318) 435-4311

GRANT FAMILY PHARMACY 19479 HWY 16 BENTLEY, LA, 71407 (318) 899-5066

DIXIE PHARMACY INC* 615 8TH ST COLFAX, LA, 71417 (318) 627-5428

MONTGOMERY PHARMACY LLC 1101 CADDO ST MONTGOMERY, LA, 71454 (318) 646-6877

CASHWAY PHARMACY* 1801 MAIN ST JEANERETTE, LA, 70544 (337) 276-4101

CITY PHARMACY & MED* 1411 MAIN ST JEANERETTE, LA, 70544 (337) 276-4249

LARROQUE PHARMACY* 1305 MAIN ST JEANERETTE, LA, 70544 (337) 276-5001

LELEUX'S PHARMACY* 100 N MAIN ST LOREAUVILLE, LA, 70552 (337) 229-4968

LYDIA PHARMACY* 3917 DARNALL RD LYDIA, LA, 70569 (337) 369-6156

ACKALS IBERIA PHCY INC* 1620 S HOPKINS ST NEW IBERIA, LA, 70560 (337) 364-7272

BROUSSARDS PHARMACY* 600 W SAINT PETER ST NEW IBERIA, LA, 70560 (337) 364-2381

DELAUNES PHARMACY & HOME MEDICAL* PO BOX 10089 NEW IBERIA, LA, 70562 (337) 364-7671

IBERIA COMPREHENSIVE CHC PHARMACY* 806 JEFFERSON TER NEW IBERIA, LA, 70560 (337) 376-6868

L & M PHARMACY* 1033 ANDRE ST NEW IBERIA, LA, 70563 (337) 365-1411

SOILEAU'S PHARMACY* 805 CENTER ST NEW IBERIA, LA, 70560 (337) 365-6721

NEW IBERIA

LYDIA

LOREAUVILLE

JEANERETTE IBERIA COUNTY

MONTGOMERY

COLFAX

BENTLEY GRANT COUNTY

WINNSBORO

GILBERT FRANKLIN COUNTY

VILLE PLATTE

PINE PRAIRIE

Page 13: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 13

SUPER 1* 939 S LEWIS ST NEW IBERIA, LA, 70560 (337) 364-1368

THRIFTY WAY PHARMACY* 805 CENTER ST NEW IBERIA, LA, 70560 (337) 364-0464

DOC-YOUR-DOSE PHARMACY* 17275 HIGHWAY 77 GROSSE TETE, LA, 70740 (225) 648-2329

ELLIOTT PHARMACY* 77395 LANDRY DR MARINGOUIN, LA, 70757 (225) 625-2353

BARKERS PHARMACY 23460 EDEN ST PLAQUEMINE, LA, 70764 (225) 687-3546

GOUDEAU'S HEALTHMART PHCY* 57930 LABAUVE AVE PLAQUEMINE, LA, 70764 (225) 687-4349

ELLIOTT PHARMACY #0002* 6150 HIGHWAY 74 SAINT GABRIEL, LA, 70776 (225) 642-9000

VIALLON DRUG INC* 32555 BOWIE ST WHITE CASTLE, LA, 70788 (225) 545-2402

FAMILY PHARMACY* 500 ALEXANDER ST JONESBORO, LA, 71251 (318) 259-7334

MITCHELL'S PHARMACY INC* 202 E MAIN ST JONESBORO, LA, 71251 (318) 259-7466

CARR DRUGS #2* 17A WESTSIDE SHOPPING CTR GRETNA, LA, 70053 (504) 366-1200

OLD GRETNA PHARMACY* 500 LAFAYETTE ST GRETNA, LA, 70053 (504) 252-9686

PRESCRIPTION PAD PHARMACY* 120 MEADOWCREST ST STE 150 GRETNA, LA, 70056 (504) 393-7733

THOMAS J PHARMACY* 401 WESTBANK EXPY STE 101 GRETNA, LA, 70053 (504) 267-3029

WESTBANK URGENT CARE* 148 WALL BLVD GRETNA, LA, 70056 (504) 393-2273

ASPEN PHARMACY* 5745 PLAUCHE CT HARAHAN, LA, 70123 (504) 734-0333

AVITA DRUGS LLC 6226 JEFFERSON HWY STE G HARAHAN, LA, 70123 (504) 737-4007

MANHATTAN DISCOUNT DRUG* 851 MANHATTAN BLVD STE B HARVEY, LA, 70058 (504) 252-9749

TLC RX* 2731 MANHATTAN BLVD STE B17 HARVEY, LA, 70058 (504) 355-4191

WESTBANK PHARMACY* 3709 WESTBANK EXPY STE 1C HARVEY, LA, 70058 (504) 340-0777

JACK'S DISCOUNT PHARMACY* 4400 JEFFERSON HWY JEFFERSON, LA, 70121 (504) 252-4717

ALL SAINTS PHARMACY* 2124 38TH ST KENNER, LA, 70065 (504) 443-1294

KENNER DISCOUNT PHARMACY* 3108 LOYOLA DR KENNER, LA, 70065 (504) 464-4421

TEWELDES LAFITTE DRUGS HIGHWAY 45 LAFITTE, LA, 70067 (504) 689-4122

CARR DRUGS #4* 1111 MEDICAL CENTER BLVD MARRERO, LA, 70072 (504) 349-6185

DAVE'S PHARMACY INC* 1220 BARATARIA BLVD MARRERO, LA, 70072 (504) 340-7516

DEKLE DRUGS* 4621 WICHERS DR MARRERO, LA, 70072 (504) 340-5221

FOLSE PHARMACY* 4000 4TH ST MARRERO, LA, 70072 (504) 341-2711

HEALTH FIRST PHARMACY* 7521 WESTBANK EXPY STE I MARRERO, LA, 70072 (504) 252-4571

MARRERO

LAFITTE

KENNER

JEFFERSON

HARVEY

HARAHAN

GRETNA JEFFERSON COUNTY

JONESBORO JACKSON COUNTY

WHITE CASTLE

SAINT GABRIEL

PLAQUEMINE

MARINGOUIN

GROSSE TETE IBERVILLE COUNTY

Page 14: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

14

MAJORIA DRUGS #5* 2564 BARATARIA BLVD MARRERO, LA, 70072 (504) 340-3592

CHATEAU DRUGS 3544 W ESPLANADE AVE S METAIRIE, LA, 70002 (504) 889-2300

FAST ACCESS SPECIALTY THERAPEUTICS* 3131 N 1-10 SERVICE RD E #202 METAIRIE, LA, 70002 (877) 327-8881

MAJORIA #0003* 1805 METAIRIE AVE METAIRIE, LA, 70005 (504) 835-6467

NOLA DISCOUNT PHARMACY* 4305 CLEARVIEW PKWY STE B METAIRIE, LA, 70006 (504) 888-9411

PATIO DRUGS 5208 VETERANS BLVD METAIRIE, LA, 70006 (504) 889-7070

PATIO DRUGS PHARMACY 5208 VETERNS MEML BLVD METAIRIE, LA, 70006 (504) 456-7808

QVL PHARMACY 224* 3501 SEVERN AVE STE 3A METAIRIE, LA, 70002 (504) 889-8487

C&G PHARMACY* 9311 JEFFERSON HWY NEW ORLEANS, LA, 70123 (504) 738-2277

OCHSNER PHARMACY* 1514 JEFFERSON HWY NEW ORLEANS, LA, 70121 (504) 842-3205

MAJORIA #0006* 888 TERRY PKWY TERRYTOWN, LA, 70056 (504) 392-1551

MAYEAUX'S FAMILY PHARMACY* 911 MAIN ST ELTON, LA, 70532 (337) 584-2256

CASSIDY'S PHARMACY* 710 N MAIN ST JENNINGS, LA, 70546 (337) 824-1648

FAMILY DRUG STORE OF JENNINGS, INC* 1710 JOHNSON ST JENNINGS, LA, 70546 (337) 824-2800

HEALTH MART PHARMACY OF JENNINGS* 1322 ELTON RD STE A JENNINGS, LA, 70546 (337) 616-9500

STEWARTS DRUG STORE 403 W PLAQUEMINE ST JENNINGS, LA, 70546 (337) 824-2311

THE MEDICINE SHOPPE #1113* 802 N LAKE ARTHUR AVE JENNINGS, LA, 70546 (337) 824-0413

HEALTH MART PHARMACY OF LAKE ARTHUR* 500 N HIGHWAY 26 LAKE ARTHUR, LA, 70549 (337) 774-6622

THRIFTY WAY PHARMACY* 202 ARTHUR AVE LAKE ARTHUR, LA, 70549 (337) 774-2246

OSBORNS CRESCENT DRUG* 110 W SOUTH ST WELSH, LA, 70591 (337) 734-3374

THRIFTY WAY PHCY OF WELSH* 514 E RUSSELL AVE WELSH, LA, 70591 (337) 734-4488

HONEYCUTT DRUG STORE* 2835 E OAK ST JENA, LA, 71342 (318) 992-4574

JENA PHARMACY* 2951 E OAK ST JENA, LA, 71342 (318) 992-5565

TRIANGLE PHARMACY LLC* 3148 WEST OAK ST JENA, LA, 71342 (318) 992-4447

R & K DRUGS 2832 FRONT ST OLLA, LA, 71465 (318) 495-5155

URANIA DRUG STORE* 2164 E HARDNTER DR URANIA, LA, 71480 (318) 495-5407

TOWNE PHARMACY* 103 E MAIN ST BROUSSARD, LA, 70518 (337) 839-8880

GUILBEAU'S PHARMACY* 208 E SAINT PETER ST CARENCRO, LA, 70520 (337) 896-3241

CARENCRO

BROUSSARD LAFAYETTE COUNTY

URANIA

OLLA

JENA LA SALLE COUNTY

WELSH

LAKE ARTHUR

JENNINGS

ELTON

JEFFERSON DAVIS COUNTY

TERRYTOWN

NEW ORLEANS

METAIRIE

Page 15: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 15

MELANCON PHARMACY INC* 730 VETERANS DR CARENCRO, LA, 70520 (337) 896-8434

SUPER ONE PHAMACY #629* 3916 N EVANGELINE THRUWAY CARENCRO, LA, 70520 (337) 886-3660

MECHE'S FAMILY DRUGS* 9021 CAMERON ST DUSON, LA, 70529 (337) 334-9979

ACADIANA PRESCRIPTION SHOP#1* 454 HEYMANN BLVD LAFAYETTE, LA, 70503 (337) 233-4017

APC PHARMACEUTICALS* 1103 KALISTE SALOOM RD STE 304 LAFAYETTE, LA, 70508 (337) 988-4824

CARMICHAELS PHARMACY LTC 1472 S COLLEGE RD STE 102A LAFAYETTE, LA, 70503 (337) 234-4656

DRUG EMPORIUM #220* 505 BERTRAND DR LAFAYETTE, LA, 70506 (337) 261-0337

FALCON PHARMACY LLC* 1103 KALISTE SALOOM RD STE 103 LAFAYETTE, LA, 70508 (337) 210-1248

HEALTH MART PHARMACY OF LAFAYETT* 600 JOHNSON ST LAFAYETTE, LA, 70501 (337) 235-3523

JEFFERSON DRUG STORE* 620 JEFFERSON BLVD LAFAYETTE, LA, 70501 (337) 234-1428

KEN'S THRIFTY WAY PHCY & HOME MEDICAL* 333 HEYMANN BLVD LAFAYETTE, LA, 70503 (337) 266-4621

LEMAIRE'S PHARMACY* 2039 JOHNSTON ST LAFAYETTE, LA, 70503 (337) 233-4782

NORTHSIDE PHARMACY* 2930 MOSS ST STE A LAFAYETTE, LA, 70501 (337) 232-2666

PROFESSIONAL ARTS PHARMACY* 620 GUILBEAU RD STE A LAFAYETTE, LA, 70506 (337) 991-0101

SUPER 1* 3747 AMBASSADOR CAFFERY PKWY LAFAYETTE, LA, 70503 (337) 988-1940

SUPER 1* 215 W WILLOW ST LAFAYETTE, LA, 70501 (337) 572-9053

TECHE DRUGS INC* 509 JEFFERSON ST LAFAYETTE, LA, 70501 (337) 235-4578

THRIFTY WAY PHARMACY* 1419 MOSS ST LAFAYETTE, LA, 70501 (337) 234-5228

CASHWAY PHARMACY OF SCOTT* 5900 CAMERON ST SCOTT, LA, 70583 (337) 233-3382

SCOTT PHARMACY INC* 1000 SAINT MARY ST SCOTT, LA, 70583 (337) 235-5216

ACKAL'S COMMUNITY PHARMACY* 814 FORTUNE RD STE 109 YOUNGSVILLE, LA, 70592 (337) 857-5082

CASHWAY PHARMACY OF YOUNGSVILLE* 810 S SAINT BLAISE LN STE A YOUNGSVILLE, LA, 70592 (337) 856-8577

FARMERS DRUGS* 601 LAFAYETTE ST YOUNGSVILLE, LA, 70592 (337) 856-5761

WALTER BIRDSALL PHARM INC* 118 W 111TH ST CUT OFF, LA, 70345 (985) 632-5003

CLINIC DG OF GOLDEN MDW* 110 S BAYOU DR GOLDEN MEADOW, LA, 70357 (985) 475-7777

WILLOW BARK PHARMACY* 2138 BAYOU BLUE RD HOUMA, LA, 70364 (985) 262-4686

B & J PITRE PHARMACY INC* 13087 W MAIN ST LAROSE, LA, 70373 (985) 693-7496

LAROSE

HOUMA

GOLDEN MEADOW

CUT OFF LAFOURCHE COUNTY

YOUNGSVILLE

SCOTT LAFAYETTE

DUSON

Page 16: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

16

ROBICHAUX'S PHARMACY* 616 CRESCENT AVE LOCKPORT, LA, 70374 (985) 532-9140

ROUSES PHARMACY #24* 1428 CRESCENT AVE LOCKPORT, LA, 70374 (985) 532-2545

RACELAND'S PHARMACY EXPRESS* 4634 LA HWY 1 STE B RACELAND, LA, 70394 (985) 537-3303

D & M PHARMACY* 1772 CANAL BLVD THIBODAUX, LA, 70301 (985) 447-3746

SOUTHLAND DRUGS #2* 1117 AUDUBON AVE THIBODAUX, LA, 70301 (985) 447-5852

AMY'S PRESCRIPTION SHOPPE PHARMACY* 104 W LINE AVE RUSTON, LA, 71270 (318) 255-7363

CLINIC PHARMACY 604 BELUE LN RUSTON, LA, 71270 (318) 251-6385

GREEN CLINIC PHARMACY* 1200 S FARMERVILLE ST RUSTON, LA, 71270 (318) 251-6337

SUPER 1* 1500 N TRENTON ST RUSTON, LA, 71270 (318) 254-8256

WALTZ & BRAZZEL PHCY INC* 200 N TRENTON ST RUSTON, LA, 71270 (318) 255-0458

ALBANY DRUGS 19089 FLORIDA BLVD ALBANY, LA, 70711 (225) 567-7772

JOHN'S PHARMACY* 29644 S MONTPELIER RD STE A ALBANY, LA, 70711 (225) 567-1921

BERNARD'S FAMILY PHCY LLC* 34876 LA HIGHWAY 1019 DENHAM SPRINGS, LA, 70706 (225) 667-4286

JAMES DRUG STORE INC* 257 FLORIDA AVE SE DENHAM SPRINGS, LA, 70726 (225) 665-5186

NORTHSIDE FAMILY PHARMACY* 850 COCKERHAM RD DENHAM SPRINGS, LA, 70726 (225) 664-9520

THRIFT TOWN DRUGS INC* 29680 S FROST RD LIVINGSTON, LA, 70754 (225) 686-7241

CHRIS' PHARMACY AND GIFTS LLC* 18525 HIGHWAY 22 MAUREPAS, LA, 70449 (225) 698-6000

VILLAGE PHARMACY LLC* 18590 LA HIGHWAY 16 PORT VINCENT, LA, 70726 (225) 698-0800

HOMETOWN PHARMACY LLC* 27118 HIGHWAY 42 SPRINGFIELD, LA, 70462 (225) 294-6021

THE SPRINGFIELD DG STORE* 31696 HIGHWAY 22 SPRINGFIELD, LA, 70462 (225) 294-5046

LIVE OAK PHCY INC* 34730 HWY 16 WATSON, LA, 70786 (225) 664-7125

BEENE'S HEALTH MART DRUG* 402 E DARROW ST TALLULAH, LA, 71282 (318) 574-1351

CITY PHARMACY OF TALLUALH INC* 1009 JOHNSON ST TALLULAH, LA, 71282 (318) 574-1655

S & B DRUGS* 501 N CHESTNUT ST TALLULAH, LA, 71282 (318) 574-6363

LEE'S CITY DRUG 123 W MADISON AVE BASTROP, LA, 71220 (318) 281-1344

PEARCE PHARMACY 604 S WASHINGTON ST BASTROP, LA, 71220 (318) 281-1537

SPECIALTY PHCY SVC'S INC 1821 N WASHINGTON ST BASTROP, LA, 71220 (318) 281-6660

SUPER 1* 2211 E MADISON AVE BASTROP, LA, 71220 (318) 281-3284

BASTROP MOREHOUSE COUNTY

TALLULAH MADISON COUNTY

WATSON

SPRINGFIELD

PORT VINCENT

MAUREPAS

LIVINGSTON

DENHAM SPRINGS

ALBANY LIVINGSTON COUNTY

RUSTON LINCOLN COUNTY

THIBODAUX

RACELAND

LOCKPORT

Page 17: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 17

WHIT'S PHARMACY 107 E MADISON AVE BASTROP, LA, 71220 (318) 281-2305

BRODIE PHARMACY INC* 204 DAVENPORT AVENUE MER ROUGE, LA, 71261 (318) 647-5754

VILLAGE PHCY INC 308 DAVENPORT AVE MER ROUGE, LA, 71261 (318) 647-5786

BROOKSHIRE* 5696 HIGHWAY 1 BYP NATCHITOCHES, LA, 71457 (318) 214-0048

CADE'S PHARMACY LLC 415 BIENVILLE ST STE 7 NATCHITOCHES, LA, 71457 (318) 354-0501

CAUSEY'S PHARMACY 407 BIENVILLE ST NATCHITOCHES, LA, 71457 (318) 352-3141

GARDINER'S PHARMACY* 1053 PARKWAY DR NATCHITOCHES, LA, 71457 (318) 352-4582

M & M PHARMACY LLC 311 DIXIE PLZ NATCHITOCHES, LA, 71457 (318) 354-1554

NATCHITOCHES MEDICAL SPECIALISTS* 1029 KEYSER AVE STE M1 NATCHITOCHES, LA, 71457 (318) 238-7301

AVITA DRUGS 2601 TULANE AVE STE 445 NEW ORLEANS, LA, 70119 (504) 822-8013

BROAD AVENUE PHARMACY* 1400 N BROAD ST NEW ORLEANS, LA, 70119 (504) 309-4388

CARR DRUGS* 3500 HOLIDAY DR NEW ORLEANS, LA, 70114 (504) 367-5724

CASTELLON PHARMACY* 8232 OAK ST NEW ORLEANS, LA, 70118 (504) 866-3784

CLAIBORNE DISCOUNT PHARMACY LLC* 1537 N CLAIBORNE AVE NEW ORLEANS, LA, 70116 (504) 942-7800

DE BLANC DRUG STORE* 3111 GRAND RTE SAINT JOHN ST NEW ORLEANS, LA, 70119 (504) 949-8346

GENERAL MEYER PHARMACY* 3201 GENERAL MEYER AVE STE A NEW ORLEANS, LA, 70114 (504) 872-9882

H & W DRUG STORE* 8454 MORRISON RD NEW ORLEANS, LA, 70127 (504) 244-3784

HAIYEN PHARMACY* 4601 ALCEE FORTIER BLVD NEW ORLEANS, LA, 70129 (504) 324-6424

HS REMEDIES PHARMACY* 3600 GENERAL MEYER AVE STE C NEW ORLEANS, LA, 70114 (504) 324-6270

KEN'S PHARMACY 4626 ALCEE FORTIER BLVD STE C NEW ORLEANS, LA, 70129 (504) 254-8989

LAKEFRONT PHARMACY 6510 SPANISH FORT BLVD NEW ORLEANS, LA, 70124 (504) 283-2926

MD CLAIBORNE & ASSOCIATES LLC* 1477 LOUISIANA AVE STE 100 NEW ORLEANS, LA, 70115 (504) 895-4339

MED-PRO PHARMACY 3601 SAINT CLAUDE AVE NEW ORLEANS, LA, 70117 (504) 322-2200

ST CLAUDE PHARMACY* 3916 SAINT CLAUDE AVE NEW ORLEANS, LA, 70117 (504) 942-5795

THE BLESSED PLACE PHCY* 1501 NEWTON ST STE A NEW ORLEANS, LA, 70114 (504) 364-0900

TIEN PHARMACY* 4623 ALCEE FORTIER BLVD NEW ORLEANS, LA, 70129 (504) 254-9034

NEW ORLEANS ORLEANS COUNTY

NATCHITOCHES

NATCHITOCHES COUNTY

MER ROUGE

Page 18: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

18

UPTOWN DELIVERY PHARMACY* 741 NASHVILLE AVE NEW ORLEANS, LA, 70115 (504) 897-0141

PRICE RIGHT APOTHECARY PLUS 3059 HIGHWAY 80 W CALHOUN, LA, 71225 (318) 644-0041

ARON'S PHARMACY* 1209 N 18TH ST MONROE, LA, 71201 (318) 323-2242

BROOKSHIRE* 4070 STERLINGTON RD MONROE, LA, 71203 (318) 343-3390

BROOKSHIRE* 7920 DESIARD ST MONROE, LA, 71203 (318) 343-1284

COMMUNITY HEALTH PHARMACY* 920 OLIVER RD STE 100 MONROE, LA, 71201 (318) 327-6290

HIDEAWAY PHARMACY* 504 FINKS HIDEAWAY RD STE 3 MONROE, LA, 71203 (318) 343-4777

MEL'S PHARMACY OF MONROE LLC* 1734 S 9TH ST MONROE, LA, 71202 (318) 387-6725

MONROE CLINIC DRUGS* 1470 GARRETT RD STE A MONROE, LA, 71202 (318) 330-9393

MONROE MEDICAL CLINIC PHY* 100 S 2ND ST MONROE, LA, 71201 (318) 322-0319

OUACHITA PHARMACY 1215 ORANGE ST MONROE, LA, 71202 (318) 388-2669

S+S #0002* 2951 RENWICK ST MONROE, LA, 71201 (318) 387-9608

SPATS DRUG INC 1700 LOUISVILLE AVE MONROE, LA, 71201 (318) 323-0371

SUPER 1* 2810 LOUISVILLE AVE MONROE, LA, 71201 (318) 323-8698

THE MEDICINE SHOPPE #1167* 1510 S 2ND ST MONROE, LA, 71202 (318) 323-2883

THOMPSON'S FAMILY PHCY 2056 HIGHWAY 139 MONROE, LA, 71203 (318) 343-7532

MEDIC PHARMACY* 601 HIGHWAY 2 STERLINGTON, LA, 71280 (318) 665-4414

STERLINGTON VILLAGE PHARMACY* 10374 HIGHWAY 165 N STE C STERLINGTON, LA, 71280 (318) 812-2305

BROOKSHIRE* 3426 CYPRESS ST STE 16 WEST MONROE, LA, 71291 (318) 396-0069

COMMUNITY PHARMACY* 707 COLEMAN AVE STE 200 WEST MONROE, LA, 71292 (318) 398-2100

DRENNAN'S PHARMACY LLC* 2601 N 7TH ST STE 500 WEST MONROE, LA, 71291 (318) 397-9979

HARDIN'S COMPOUNDING PHARMACY* 100 WESTLAND PL STE C WEST MONROE, LA, 71291 (318) 388-5592

MASON'S PHARMACY* 2403 ARKANSAS RD WEST MONROE, LA, 71291 (318) 396-1812

MR DISCOUNT DRUGS* 115 SMITH ST WEST MONROE, LA, 71292 (318) 387-9677

PROFESSIONAL PHARMACY* 101 PROFESSIONAL DR WEST MONROE, LA, 71291 (318) 387-8933

SUPER 1* 2907 CYPRESS ST WEST MONROE, LA, 71291 (318) 325-3142

TRI CARE HOME MEDICAL* 707 COLEMAN AVE WEST MONROE, LA, 71292 (318) 387-0664

PLAQUEMINES PHARMACY* 8443 HIGHWAY 23 BELLE CHASSE, LA, 70037 (504) 393-1648

RUSSOS PHCY* 7902 HIGHWAY 23 BELLE CHASSE, LA, 70037 (504) 394-4444

BELLE CHASSE

PLAQUEMINES COUNTY

WEST MONROE

STERLINGTON

MONROE

CALHOUN OUACHITA COUNTY

Page 19: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 19

LIVONIA THRIF-T-WAY PHCY 3066 LA HIGHWAY 78 LIVONIA, LA, 70755 (225) 637-2356

ELLIOTT PHARMACY #3* 169 E MAIN ST NEW ROADS, LA, 70760 (225) 638-7186

POINTE COUPEE PHARMACY* 222 HOSPITAL RD NEW ROADS, LA, 70760 (225) 638-6321

RAYMONDS FAMILY PHARMACY* 303 E MAIN ST NEW ROADS, LA, 70760 (225) 638-7550

JOHN NATHAN RHODES MD* 37 CALVERT DR ALEXANDRIA, LA, 71303 (318) 443-9634

KIRBYS FAMILY PHARMACY* 1305 WINDSOR PL ALEXANDRIA, LA, 71303 (318) 445-2575

RAY'S APOTHECARY PHARMACY* 3311 PRESCOTT RD STE 110 ALEXANDRIA, LA, 71301 (318) 445-5697

RED RIVER PHARMACY* 211 4TH ST ALEXANDRIA, LA, 71301 (318) 769-3083

RENIEK P WEBB MD APMC* 221 WINDERMERE BLVD ALEXANDRIA, LA, 71303 (318) 443-9773

SENTRY DRUGS OF LA INC* 1002 3RD ST ALEXANDRIA, LA, 71301 (318) 442-4476

SUPER 1* 604 MACARTHUR DR ALEXANDRIA, LA, 71303 (318) 442-5710

THE PILL BOX* 4740 JACKSON STREET EXT ALEXANDRIA, LA, 71303 (318) 448-2445

THE PILL BOX 002* 3203 3RD ST ALEXANDRIA, LA, 71302 (318) 787-2788

RAY'S HEALTHMART PHARMACY* 5822 MONROE HWY BALL, LA, 71405 (318) 640-1174

BOONE'S PHARMACY* 513 ULSTER AVE BOYCE, LA, 71409 (318) 793-2400

PEARSON #0007 1806 WATER ST LECOMPTE, LA, 71346 (318) 776-5649

CENLA PPSI OF PROFESS 610 MAIN ST PINEVILLE, LA, 71360 (318) 442-3282

CROSSROADS PHARMACY* 3592 HIGHWAY 28 E PINEVILLE, LA, 71360 (318) 443-3100

CROSSROADS-HOLLOWAY PHARMACY* 12805 HIGHWAY 28 E STE A PINEVILLE, LA, 71360 (318) 466-3113

FRIENDS & FAMILY PHARMACY* 2971 HIGHWAY 28 E PINEVILLE, LA, 71360 (318) 787-2817

SUPER 1* 2951 COTTINGHAM EXPY PINEVILLE, LA, 71360 (318) 640-0145

VANMOL FAMILY PHARMACY* 9374 HIGHWAY 165 S WOODWORTH, LA, 71485 (318) 443-7073

MABILE'S CORNER PHARMACY* 100 GULF ST COUSHATTA, LA, 71019 (318) 932-5727

RED RIVER DRUGS* 1603 RINGGOLD AVE COUSHATTA, LA, 71019 (318) 932-5771

DELHI HEALTH MART* 414 BROADWAY ST DELHI, LA, 71232 (318) 878-5104

E W THOMSON DRUG CO INC* 213 DEPOT ST DELHI, LA, 71232 (318) 878-2261

PHILIP'S FAMILY PHARMACY INC* 203 DEPOT ST DELHI, LA, 71232 (318) 878-3671

SINGLEY'S PHARMACY* 727 BROADWAY ST DELHI, LA, 71232 (318) 878-9752

CLINIC PHARMACY OF MANGHAM* 252 HIGHWAY 132 MANGHAM, LA, 71259 (318) 248-3338

MANGHAM RX* 104 LOUISIANA ST MANGHAM, LA, 71259 (318) 248-2345

MANGHAM

DELHI RICHLAND COUNTY

COUSHATTA RED RIVER COUNTY

WOODWORTH

PINEVILLE

LECOMPTE

BOYCE

BALL

ALEXANDRIA RAPIDES COUNTY

NEW ROADS

LIVONIA

POINTE COUPEE COUNTY

Page 20: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

20

RAYVILLE FAMILY PHARMACY LLC* 1821 LOUISA ST RAYVILLE, LA, 71269 (318) 728-2430

TOMS EXPRESS DRUG 403 SPENCER ST RAYVILLE, LA, 71269 (318) 728-3353

YANCEY'S HEALTH MART PHARMACY* 103 CHRISTIAN DR RAYVILLE, LA, 71269 (318) 728-4195

BROOKSHIRE BROTHERS PHARMACY 223 ELIZABETH ST MANY, LA, 71449 (318) 256-1148

MANY PROFESSIONAL PHCY 220 HIGHLAND DR MANY, LA, 71449 (318) 256-3426

MEDICAL CENTER PHARMACY 395 S CAPITOL ST MANY, LA, 71449 (318) 256-5658

HENDERSON PHARMACY* 1169 N MAIN ST ZWOLLE, LA, 71486 (318) 645-6116

C AND C DRUGS* 7540 W JUDGE PEREZ DR ARABI, LA, 70032 (504) 279-0446

MUMFREYS PHARMACY* 1021 W JUDGE PEREZ DR CHALMETTE, LA, 70043 (504) 279-6312

BRADLEYS PHARMACY* 8115 E SAINT BERNARD HWY SAINT BERNARD, LA, 70085 (504) 682-5236

MAJORIA SAV-MORE DRUG 13413 HIGHWAY 90 BOUTTE, LA, 70039 (985) 785-2145

DESTREHAN DISCOUNT PHARMACY* 3001 ORMOND BLVD STE A DESTREHAN, LA, 70047 (985) 764-1182

THRIFTY VILLAGE DRUGS* 737 PAUL MAILLARD RD LULING, LA, 70070 (985) 785-6213

CURRY PHARMACY* 6216 HWY 10 GREENSBURG, LA, 70441 (225) 222-6125

GEM DRUGS GRAMERCY INC* 1635 HIGHWAY 3125 GRAMERCY, LA, 70052 (225) 869-3651

TOMPKINS PHARMACY* 2064 W MAIN ST LUTCHER, LA, 70071 (225) 869-3535

WEST ST JAMES PHARMACY 21430 HIGHWAY 20 VACHERIE, LA, 70090 (225) 265-2191

STOUTE'S THRIFTY WAY* 412 OLIVE ST ARNAUDVILLE, LA, 70512 (337) 754-7481

BELLARD'S FAMILY PHCY INC* 621 W MAPLE AVE EUNICE, LA, 70535 (337) 546-6386

MAPLE AVENUE PHARMACY INC* 1200 W MAPLE AVE EUNICE, LA, 70535 (337) 457-5216

PICOUS DRUG STORE INC 260 N 2ND ST EUNICE, LA, 70535 (337) 457-2218

MELVILLE PHARMACY & GIFT SHOPPE* 320 CHURCH STREET MELVILLE, LA, 71353 (337) 623-9992

ACADIANA PHARMACY 507 N MARKET ST OPELOUSAS, LA, 70570 (337) 942-1400

AL'S THRIFTY WAY PHARMACY INC* 1406 W LANDRY ST OPELOUSAS, LA, 70570 (337) 942-2653

OPELOUSAS

MELVILLE

EUNICE

ARNAUDVILLE

SAINT LANDRY COUNTY

VACHERIE

LUTCHER

GRAMERCY SAINT JAMES COUNTY

GREENSBURG

SAINT HELENA COUNTY

LULING

DESTREHAN

BOUTTE

SAINT CHARLES COUNTY

SAINT BERNARD

CHALMETTE

ARABI

SAINT BERNARD COUNTY

ZWOLLE

MANY SABINE COUNTY

RAYVILLE

Page 21: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 21

CARL'S THRIFTY WAY* 2961 S UNION ST OPELOUSAS, LA, 70570 (337) 948-7900

GLENN'S FAMILY PHARMACY* 1615 N MAIN ST OPELOUSAS, LA, 70570 (337) 948-9827

KEN'S THRIFTY WAY PHCY* 517 E PRUDHOMME LN OPELOUSAS, LA, 70570 (337) 942-7551

MILLER DRUGS* 209 N MARKET ST OPELOUSAS, LA, 70570 (337) 942-2631

PLAZA PHARMACY* 1200 HOSPITAL DR STE 1 OPELOUSAS, LA, 70570 (337) 948-6507

SHUTE'S GOOD NEIGHBOR PHARMACY* 205 N MAIN ST OPELOUSAS, LA, 70570 (337) 942-2611

ST LANDRY PHARMACY LLC 2315 JAKE DR OPELOUSAS, LA, 70570 (337) 678-1055

SUPER 1* 2418 S UNION ST OPELOUSAS, LA, 70570 (337) 942-3674

THE MEDICINE SHOPPE #1198* 1717 S UNION ST STE 2 OPELOUSAS, LA, 70570 (337) 948-7703

THRIFT CLINIC PHARMACY ON UNION* 825 N UNION ST OPELOUSAS, LA, 70570 (337) 948-4441

JAGNEAUX'S THRIFTY WAY* 17695 HIGHWAY 190 PORT BARRE, LA, 70577 (337) 585-2382

BRINKHAUS THRIFTY WAY PHY* 988 NAPOLEON AVE SUNSET, LA, 70584 (337) 662-5236

SUNSET PHARMACY* 907 NAPOLEON AVE SUNSET, LA, 70584 (337) 662-5298

OUR LADY OF GUADALUPE PHARMACY LLC* 904 HIGHWAY 363 WASHINGTON, LA, 70589 (337) 826-9810

WASHINGTON THRIFTY WAY* 310 NORTH MAIN WASHINGTON, LA, 70589 (337) 826-3677

HEBERT'S PHARMACY* 1101 GRAND POINTE AVE BREAUX BRIDGE, LA, 70517 (337) 332-5186

HOLLIER'S FAMILY PHARMACY* 1456 E BRIDGE ST BREAUX BRIDGE, LA, 70517 (337) 332-5010

MECHE'S FAMILY DRUGS 1017 CECILIA BRIDGE HWY BREAUX BRIDGE, LA, 70517 (337) 667-6271

SIMONS PHARMACY* 117 N MAIN ST BREAUX BRIDGE, LA, 70517 (337) 332-2345

BOYER'S THRIFT PHARMACY INC* 1423 HENDERSON HWY HENDERSON, LA, 70517 (337) 228-2064

MILLS' CASHWAY PHARMACY* 1027 MARTIN ST PARKS, LA, 70582 (337) 845-5199

HOSPITAL DRUG STORE* 410 N MAIN ST SAINT MARTINVILLE, LA, 70582 (337) 394-4007

THRIFTY WAY PHCY OF ST MARTINVILLE* 1620 S MAIN ST SAINT MARTINVILLE, LA, 70582 (337) 394-9772

ROBICHAUX'S PHARMACY INC* 201 E BRIDGE ST ST MARTINVLLE, LA, 70582 (337) 394-8087

ST MARTIN PHARMACY* 1117 N MAIN ST ST MARTINVLLE, LA, 70582 (337) 394-7100

BALDWIN DRUGS* 702 MAIN ST BALDWIN, LA, 70514 (327) 923-4682

CASHWAY PHARMACY* 1419 HOSPITAL AVE FRANKLIN, LA, 70538 (337) 828-0950

FOURNET'S PHARMACY* 1524 HOSPITAL AVE FRANKLIN, LA, 70538 (337) 828-3392

FRANKLIN

BALDWIN SAINT MARY COUNTY

ST MARTINVLLE

SAINT MARTINVILLE

PARKS

HENDERSON

BREAUX BRIDGE SAINT MARTIN COUNTY

WASHINGTON

SUNSET

PORT BARRE

Page 22: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

22

TECHE ACTION CLINIC PHARMACY* 1115 WEBER ST FRANKLIN, LA, 70538 (337) 828-2550

MC STANDARD DRUG DBA STANDARD DR* 1120 8TH ST MORGAN CITY, LA, 70380 (985) 384-1467

PRESCRIPTION CENTER* 832 MARGUERITE ST MORGAN CITY, LA, 70380 (985) 385-1864

ST MARY PHARMACY* 1124 7TH ST MORGAN CITY, LA, 70380 (985) 384-1234

THE CLINIC PHARMACY* 1234 DAVID DR MORGAN CITY, LA, 70380 (985) 384-7940

THE MEDICINE SHOPPE #1193* 926 7TH ST MORGAN CITY, LA, 70380 (985) 384-3071

THE MEDICINE SHOPPE #1194* 1275 BELLEVIEW ST MORGAN CITY, LA, 70380 (985) 395-2694

BRASWELL DRUGS* 1107 S TYLER ST COVINGTON, LA, 70433 (985) 892-0818

MEDIC SHOP PHARMACY* 1000 BUSINESS 190 COVINGTON, LA, 70433 (985) 875-7515

NORTHLAKE PHARMACY* 7047 HIGHWAY 190 EAST SERVICE RD COVINGTON, LA, 70433 (985) 327-0594

FOLSOM PHARMACY* 82150 HIGHWAY 25 FOLSOM, LA, 70437 (985) 796-3062

MADISONVILLE DRUGS INC* 211 COVINGTON ST MADISONVILLE, LA, 70447 (985) 951-8240

THE MEDICINE CABINET* 207 SAINT JOHN ST MADISONVILLE, LA, 70447 (985) 206-9425

C & C DRUGS INC* 2803 HIGHWAY 59 MANDEVILLE, LA, 70471 (985) 626-0234

EVANS DRUG MART* 64288 HIGHWAY 41 PEARL RIVER, LA, 70452 (985) 863-3100

FAMILY DRUG MART #2* 61461 HIGHWAY 1090 PEARL RIVER, LA, 70452 (985) 863-3737

CHARLES ALLEN PRESTON MD* 985 ROBERT BLVD STE 101 SLIDELL, LA, 70458 (985) 690-8300

F & M SPECIALTY PHCY INC* 118 VILLAGE ST STE D SLIDELL, LA, 70458 (985) 781-6798

FAMILY DRUG MART* 140 GAUSE BLVD SLIDELL, LA, 70458 (504) 641-7557

NORTHSHORE DISCOUNT PHARMACY* 680 ROBERT BLVD SLIDELL, LA, 70458 (985) 641-5585

SLIDELL PHARMACY* 1201 ROBERT BLVD SLIDELL, LA, 70458 (985) 641-2660

THE MEDICINE SHOPPE PHCY #0025* 999 ROBERT BLVD SLIDELL, LA, 70458 (985) 643-7894

TRINITY SPECIALTY PHARMACY* 2800 E GAUSE BLVD STE F SLIDELL, LA, 70461 (985) 641-4252

THE MEDICINE SHOPPE #1030* 932 CARROLLWOOD DR LA PLACE, LA, 70068 (985) 652-1245

GEM DRUGS* 139 CENTRAL AVE RESERVE, LA, 70084 (985) 536-3957

DRIVE-IN DRUG STORE 228 S 1ST ST AMITE, LA, 70422 (985) 748-8307

THRIFT-TOWN HEALTHMART PHARMACY* 512 N 2ND ST AMITE, LA, 70422 (985) 748-8191

A-1 DISCOUNT PHARMACY* 1322 W THOMAS ST HAMMOND, LA, 70401 (985) 345-5044

CENTRAL REXALL DRUGS INC* 125 E THOMAS ST HAMMOND, LA, 70401 (985) 345-5120

HAMMOND

AMITE TANGIPAHOA COUNTY

RESERVE

LA PLACE

ST JOHN THE BAP COUNTY

SLIDELL

PEARL RIVER

MANDEVILLE

MADISONVILLE

FOLSOM

COVINGTON

SAINT TAMMANY COUNTY

MORGAN CITY

Page 23: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 23

CHANNELL DRUGS* 1812 W THOMAS ST HAMMOND, LA, 70401 (985) 345-4767

DON CHAUCER PHARMACY INC* 15794 MEDICAL ARTS DR HAMMOND, LA, 70403 (985) 345-7979

MANNINOS FAMILY PHARMACY* 113 W CHARLES ST HAMMOND, LA, 70401 (985) 542-8466

PAUL'S PHARMACY* 18150 HIGHWAY 190 E HAMMOND, LA, 70401 (985) 345-7122

PETES FAMILY PHARMACY LLC 1812 W THOMAS ST HAMMOND, LA, 70401 (985) 507-7707

SCOTTS PHARMACY* 42242 VETERANS AVE HAMMOND, LA, 70403 (985) 542-7229

CANNONS DISCOUNT PHARMACY LLC* 13351 E ALESSI RD INDEPENDENCE, LA, 70443 (985) 878-5555

PAUL'S PHARMACY* 345 N RAILROAD AVE INDEPENDENCE, LA, 70443 (985) 878-4401

BROWN MORRIS PHARMACY* 717 AVENUE G KENTWOOD, LA, 70444 (985) 229-6210

SCHILLING DRUG COMPANY* 210 AVENUE G KENTWOOD, LA, 70444 (985) 229-2501

PAUL'S PHARMACY LORANGER* 54033 HIGHWAY 1062 LORANGER, LA, 70446 (985) 878-6622

FLOYD'S FAMILY PHARMACY* 1625 HIGHWAY 51 STE K PONCHATOULA, LA, 70454 (985) 386-2232

MEDI THRIFT PHARMACY* 240 W PINE ST PONCHATOULA, LA, 70454 (985) 386-8543

PONCHATOULA FAMILY PHARMACY* 19008 HIGHWAY 22 PONCHATOULA, LA, 70454 (985) 386-6556

ROBERT PHARMACY* 44354 HIGHWAY 445 STE B ROBERT, LA, 70455 (985) 340-4194

BRITT PHARMACY 102 N MAIN ST NEWELLTON, LA, 71357 (318) 467-5225

WOLFES PHARMACY INC 5458 HIGHWAY 56 CHAUVIN, LA, 70344 (985) 594-5821

LLOYD'S REMEDIES* 3696 W MAIN ST GRAY, LA, 70359 (985) 872-4547

BROADMOOR DRUG CENTER INC* 6096 W PARK AVE HOUMA, LA, 70364 (985) 876-2584

HAYDEL'S DRUG STORE 300 CHURCH ST HOUMA, LA, 70360 (985) 872-5201

HAYDEL'S DRUG STORE INC 4752 HIGHWAY 311 STE 100 HOUMA, LA, 70360 (985) 879-2440

HAYDELS DRUG STORE #2 831 GRAND CAILLOU RD HOUMA, LA, 70363 (985) 853-1242

HOUMA FAMILY DRUGS 606 LIBERTY ST STE A HOUMA, LA, 70360 (985) 872-2552

HOUMA HEALTH CLINIC* 827 BAYOU GARDENS BLVD HOUMA, LA, 70364 (985) 853-2343

HOUMA URGENT CARE PHCY* 131 CORPORATE DR HOUMA, LA, 70360 (985) 580-9996

TECHE ACTION CLINIC PHARMACY* 809 W TUNNEL BLVD HOUMA, LA, 70360 (985) 851-1717

THE BERNICE PHARMACY 419 MAIN STREET BERNICE, LA, 71222 (318) 285-9521

BROOKSHIRE* 1018 STERLINGTON HWY FARMERVILLE, LA, 71241 (318) 368-2218

FARMERVILLE

BERNICE UNION COUNTY

HOUMA

GRAY

CHAUVIN TERREBONNE COUNTY

NEWELLTON TENSAS COUNTY

ROBERT

PONCHATOULA

LORANGER

KENTWOOD

INDEPENDENCE

Page 24: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

24

FARMERVILLE DRUG* 300 E WATER ST FARMERVILLE, LA, 71241 (318) 368-9711

NORTHSIDE PHARMACY 201 E FRANKLIN ST FARMERVILLE, LA, 71241 (318) 368-8340

MATTES PHARMACY INC* 314 MAIN ST MARION, LA, 71260 (318) 292-4570

CASHWAY PHCY OF ABBEVILLE* 2509 CHARITY ST ABBEVILLE, LA, 70510 (337) 893-2131

THRIFTY WAY PHARMACY* 2640 NORTH DR ABBEVILLE, LA, 70510 (337) 893-6304

DELCAMBRE PHARMACY* 510 W HIGHWAY 14 DELCAMBRE, LA, 70528 (337) 685-6851

CASHWAY PHARMACY* 112 E EDWARD ST ERATH, LA, 70533 (337) 937-8333

SAV INS DRUGS* 101 E LASTIE ST ERATH, LA, 70533 (337) 937-5861

HEALTH MART PHARMACY OF GUEYDAN* 200 MAIN ST GUEYDAN, LA, 70542 (337) 536-9600

THIBODEAUXS PHCY* 104 MAIN ST GUEYDAN, LA, 70542 (337) 536-9236

HEALTH MART PHARMACY* 818 N CUSHING AVE KAPLAN, LA, 70548 (337) 643-8883

THRIFTY WAY PHARMACY* 100 N CUSHING AVE KAPLAN, LA, 70548 (337) 643-6440

LANDRY'S PHARMACY* 106 MILTON RD MAURICE, LA, 70555 (337) 898-1015

DONS HEALTHMART DRUG* 100 E FERTITTA BLVD LEESVILLE, LA, 71446 (337) 239-4249

PHOENIX REXALL DRUGS INC* 101 N 3RD ST LEESVILLE, LA, 71446 (337) 239-3421

THRIFTY WAY PHARMACY* 1019 W FERTITTA BLVD LEESVILLE, LA, 71446 (337) 239-3474

ROSEPINE FAMILY PHARMACY, INC 18507 CENTRAL AVENUE ROSEPINE, LA, 70659 (337) 462-0177

SUMRALL'S PHARMACY LLC* 30304 HIGHWAY 21 ANGIE, LA, 70426 (985) 986-4433

C & F PHARMACY INC* 424 AUSTIN ST BOGALUSA, LA, 70427 (985) 732-2501

CITY DRUG STORE* 330 AUSTIN ST BOGALUSA, LA, 70427 (985) 732-2562

CP'S DRUG STORE LLC* 426 AVENUE B BOGALUSA, LA, 70427 (985) 732-0444

NIELSEN'S PHARMACY* 1619 S COLUMBIA ST BOGALUSA, LA, 70427 (985) 732-5752

ROCKYS MED SHOPPE* 133 CUMBERLAND ST BOGALUSA, LA, 70427 (985) 732-5874

CREEL'S FAMILY PHARMACY* 26496 HIGHWAY 62 FRANKLINTON, LA, 70438 (985) 848-5555

IDEAL PHCY OF FRANKLINTON 808 RIVERSIDE DR FRANKLINTON, LA, 70438 (985) 839-4668

R & E DRUG DBA FORSHAG'S DRUG ST* 1919 MAIN ST FRANKLINTON, LA, 70438 (985) 839-4486

RAWLS PHARMACY LLC* 36009 HIGHWAY 38 MOUNT HERMON, LA, 70450 (985) 877-4700

LOYES PHARMACY INC 814 HOMER RD MINDEN, LA, 71055 (318) 377-3559

MINDEN WEBSTER COUNTY

MOUNT HERMON

FRANKLINTON

BOGALUSA

ANGIE WASHINGTON COUNTY

ROSEPINE

LEESVILLE VERNON COUNTY

MAURICE

KAPLAN

GUEYDAN

ERATH

DELCAMBRE

ABBEVILLE VERMILION COUNTY

MARION

Page 25: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Retail Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply. 25

REAGAN'S RX COMPOUNDING PHARMACY* 1118 HOMER RD MINDEN, LA, 71055 (318) 382-7948

MALL PHARMACY* 531 S MAIN ST SPRINGHILL, LA, 71075 (318) 539-3622

MOM & POP'S FAMILY PHARMACY LLC* 233 S MAIN ST SPRINGHILL, LA, 71075 (318) 539-6337

THE CORNER DRUG STORE* 27 REYNOLDS ST SPRINGHILL, LA, 71075 (318) 539-3199

DANIEL PHARMACY* 710 E MAIN ST BRUSLY, LA, 70719 (225) 749-2020

NOAH'S PHARMACY* 400 W SAINT FRANCIS ST STE A4 BRUSLY, LA, 70719 (225) 892-7456

BOURG'S DRUG STORE* 484 LOUISIANA AVE PORT ALLEN, LA, 70767 (225) 344-1077

STEVENS PHARMACY* 1000 COURT ST STE A PORT ALLEN, LA, 70767 (225) 336-4456

GORDON SMITHS PHARMACY* 212 W MAIN ST OAK GROVE, LA, 71263 (318) 428-3212

THE MEDICINE SHOPPE #1136* 411 E MAIN ST OAK GROVE, LA, 71263 (318) 428-4205

WEST CARROLL O/P PHARMACY* 706 ROSS ST OAK GROVE, LA, 71263 (318) 428-6156

ELLIOTT PHARMACY #4* 7189 U S HIGHWAY 61 SAINT FRANCISVILLE, LA, 70775 (225) 635-3878

COURT HOUSE PHARMACY 104 S JONES ST WINNFIELD, LA, 71483 (318) 628-3303

FLURRY'S CASH PHARMACY* 101 E MAIN ST WINNFIELD, LA, 71483 (318) 628-5800

THE MEDICINE SHOPPE #1010* 419 W COURT ST WINNFIELD, LA, 71483 (318) 628-2136

WINNFIELD WINN COUNTY

SAINT FRANCISVILLE

WEST FELICIANA COUNTY

OAK GROVE

WEST CARROLL COUNTY

PORT ALLEN

BRUSLY

WEST BATON ROUG COUNTY

SPRINGHILL

Page 26: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Mail Order Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. * Provides an extended day (90-day) supply.

26

If you take prescription medication on an ongoing basis, our mail-order service is a convenient and cost-effective way to purchase and receive your medications. We encourage you to use our mail order services for those medications where the drug and dosage are not going to change. If you have a newly prescribed drug, it would be best for you to obtain a 30-day supply at your local pharmacy and use the mail order pharmacy after your doctor has told you that your medication is producing the desired therapeutic results and will not change. 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. Please contact Customer Service at the telephone numbers listed on page 2 for any questions and to confirm whether a pharmacy is still in the network. You may also use our searchable pharmacy directory at www.PharmacyLocator.coventry-medicare.com. Telecommunications Relay Services (TRS) is available for persons with a hearing or speech disability to reach a pharmacy by dialing 711.

MEDCO HEALTH OF INDIANA 4750 E 450 S WHITESTOWN, IN, 46075 (317) 768-7000

MEDCO HEALTH WILLINGBORO 1 MILLENIUM DR WILLINGBORO, NJ, 08046 (609) 880-2000

LIBERTY MAIL SERVICE NV 6225 ANNIE OAKLEY DR # 100 LAS VEGAS, NV, 89120 (800) 391-4276

MEDCO HEALTH LAS VEGAS 6225 ANNIE OAKLEY DR LAS VEGAS, NV, 89120 (702) 436-8800

LIBERTY MEDICAL SUPPLY OF OH 255 PHILLIPI RD # 100 COLUMBUS, OH, 43228 (614) 308-3146

MEDCO HEALTH COLUMBUS N 255 PHILLIPI RD COLUMBUS, OH, 43228 (614) 272-1985

COLUMBUS OHIO

LAS VEGAS NEVADA

WILLINGBORO NEW JERSEY

WHITESTOWN INDIANA

Page 27: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Home Infusion Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 27

First Health Part D Premier Plus will cover home infusion therapy if: Your prescription drug is on our formulary or you have a formulary exception; We have approved your prescription drug for home infusion therapy; and Your prescription is written by an authorized prescriber

For more information on home infusion pharmacy services, please call Customer Service at 1-866-823-5177, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit www.PharmacyLocator.coventry-medicare.com.

BIOPARTNERS IN CARE INC 11411 STRANG LINE RD LENEXA, KS, 66215 (913) 451-2919

CAREPOINT PARTNERS 4859 SHED RD STE 300 BOSSIER CITY, LA, 71111 (318) 747-5080

WELLCARE PHARMACY & HOME 4160 AIRLINE DR BOSSIER CITY, LA, 71111 (318) 212-9990

BAYOU STATE PHARMACY LLC 1737D SAM HOUSTON JONES PKWY LAKE CHARLES, LA, 70611 (337) 217-0033

CAREPOINT PARTNERS 5225 ODONOVAN DR STE 101 BATON ROUGE, LA, 70808 (225) 761-8700

INFUSION PARTNERS 4992 BLUEBONNET BLVD STE A BATON ROUGE, LA, 70809 (225) 291-8805

SOILEAU'S VITAL CARE 7612 PICARDY AVE STE B BATON ROUGE, LA, 70808 (225) 766-7453

IV SERVICES PHARMACY 1581 CAROL SUE AVE STE E GRETNA, LA, 70056 (504) 394-9037

CAREPOINT PARTNERS 4621 W NAPOLEON AVE STE 200 METAIRIE, LA, 70001 (504) 780-8899

ACCREDO HEALTH GROUP INC 520 ELMWOOD PARK BLVD STE 145 NEW ORLEANS, LA, 70123 (504) 731-6113

INFUSION PARTNERS 524 ELMWOOD PK BLVD #110 NEW ORLEANS, LA, 70123 (504) 818-0002

GARDINER'S PHARMACY 1053 PARKWAY DR NATCHITOCHES, LA, 71457 (318) 352-4582

RELIANT HEALTHCARE 1004 N 19TH ST MONROE, LA, 71201 (318) 322-8326

CORAM SPECIALTY INFUSION SERVICE 115 JAMES DR W STE 100 ST ROSE, LA, 70087 (504) 466-5932

C & C DRUGS INC 2803 HIGHWAY 59 MANDEVILLE, LA, 70471 (985) 626-0234

MANNINOS FAMILY PHARMACY 113 W CHARLES ST HAMMOND, LA, 70401 (985) 542-8466

HAMMOND TANGIPAHOA COUNTY

MANDEVILLE

SAINT TAMMANY COUNTY

ST ROSE

SAINT CHARLES COUNTY

MONROE OUACHITA COUNTY

NATCHITOCHES

NATCHITOCHES COUNTY

NEW ORLEANS

METAIRIE

GRETNA JEFFERSON COUNTY

BATON ROUGE

EAST BATON ROUG COUNTY

LAKE CHARLES CALCASIEU COUNTY

BOSSIER CITY BOSSIER COUNTY

LOUISIANA

LENEXA JOHNSON COUNTY

KANSAS

Page 28: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Home Infusion Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

28

TOTAL PHARMACY SERVICES INC 7806 PARK AVE HOUMA, LA, 70364 (985) 851-2080

ACCREDO HEALTH GROUP INC 3000 ERICSSON DR STE 100 WARRENDALE, PA, 15086 (724) 772-6000

ACCREDO THERAPEUTICS INC 9307 KIRBY DR HOUSTON, TX, 77054 (713) 791-1552

CRITICAL CARE SYSTEMS INC. 900 S LOOP W STE 170 HOUSTON, TX, 77054 (713) 440-0200

INFINITY INFUSION CARE LTD 3600 S GESSNER RD STE 100 HOUSTON, TX, 77063 (888) 329-5379

HOUSTON HARRIS COUNTY

TEXAS

WARRENDALE ALLEGHENY COUNTY

PENNSYLVANIA

HOUMA TERREBONNE COUNTY

Page 29: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Long-Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 29

Residents of a long-term care facility may access their prescription drugs covered under First Health Part D Premier Plus through the facility’s long-term care pharmacy or another network long-term care pharmacy. For more information on long-term care pharmacies, please call Customer Service at 1-866-823-5177, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit www.PharmacyLocator.coventry-medicare.com.

CHURCH POINT PHARMACY 300 N MAIN ST CHURCH POINT, LA, 70525 (337) 684-5475

COMMUNITY PHARMACY 731 S MAIN ST STE B CHURCH POINT, LA, 70525 (337) 684-1911

CARMICHAEL'S LTC OF CROWLEY 1004 N PARKERSON AVE CROWLEY, LA, 70526 (337) 783-7263

MILLER'S FAMILY PHARMACY 119 S 5TH ST STE B IOTA, LA, 70543 (337) 779-2214

MECHE'S FAMILY DRUGS 913 THE BLVD RAYNE, LA, 70578 (337) 334-3399

RAYNE PHARMACY 713 CURTIS DR RAYNE, LA, 70578 (337) 334-5105

OAKDALE DRUG COMPANY 149 HOSPITAL DR OAKDALE, LA, 71463 (318) 335-1360

GULFCOAST PHARMACEUTICAL SPECIAL 1039 E HIGHWAY 30 GONZALES, LA, 70737 (225) 644-4853

PAINCOURTVILLE PHARMACY INC 112 HIGHWAY 403 PAINCOURTVILLE, LA, 70391 (985) 369-3578

BUNKIE PHARMACY INC 206 SW MAIN ST BUNKIE, LA, 71322 (318) 346-6343

THRIFTYWAY #2 601 S PINE ST DERIDDER, LA, 70634 (337) 463-7442

CHRIS COLE PHARMACY 1887 1ST ST ARCADIA, LA, 71001 (318) 263-2916

KELLY PHARMACY INC 302 E PALMETTO / PO BOX 188 PLAIN DEALING, LA, 71064 (318) 326-4229

WALKER BROS DRUG 200 EAST PALMETTO PLAIN DEALING, LA, 71064 (318) 326-4759

HEALTHCARE PHARMACY LLC 8720 QUIMPER PL STE 300 SHREVEPORT, LA, 71105 (318) 671-9603

NORTHEAST LOUISIANA PHARMACY LLC 8860 QUIMPER PL STE 100 SHREVEPORT, LA, 71105 (318) 797-9517

STERLING HEALTH CARE 2535 BERT KOUNS LOOP STE 211 SHREVEPORT, LA, 71118 (318) 683-5104

PARTNERS PHARMACY LLC 203 E MILLER AVE STE EF IOWA, LA, 70647 (877) 284-0255

CARMICHAEL'S IHP PHARMACY 1725 W SALE RD LAKE CHARLES, LA, 70605 (337) 474-7000

LANINGHAMS THRIFTY WAY 1505 W MCNEESE ST LAKE CHARLES, LA, 70605 (337) 477-7733

LAKE CHARLES

IOWA CALCASIEU COUNTY

SHREVEPORT CADDO COUNTY

PLAIN DEALING BOSSIER COUNTY

ARCADIA BIENVILLE COUNTY

DERIDDER BEAUREGARD COUNTY

BUNKIE AVOYELLES COUNTY

PAINCOURTVILLE ASSUMPTION COUNTY

GONZALES ASCENSION COUNTY

OAKDALE ALLEN COUNTY

RAYNE

IOTA

CROWLEY

CHURCH POINT ACADIA COUNTY

LOUISIANA

Page 30: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Long-Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

30

INSTITUTIONAL PHARMACY SOLUTIONS 5360 W CREOLE HWY CAMERON, LA, 70631 (337) 542-4011

MORGAN'S VALU-RITE PHCY 1806 FOURTH ST JONESVILLE, LA, 71343 (318) 339-8532

ISLAND PHARMACY 311 CHISUM ST SICILY ISLAND, LA, 71368 (318) 389-5807

KILLGORES PHARMACY 1909 MAIN ST HAYNESVILLE, LA, 71038 (318) 624-1122

TED'S PHARMACY, LLC 1866 MAIN ST HAYNESVILLE, LA, 71038 (318) 624-1053

CLAIBORNE PHARMACY 820 W MAIN ST HOMER, LA, 71040 (318) 927-3523

MANSFIELD DRUG CO INC 132 JEFFERSON ST MANSFIELD, LA, 71052 (318) 872-1933

AFFORDABLE PHARMACY LLC 1718 N FOSTER DR STE B BATON ROUGE, LA, 70806 (225) 771-8137

AVITA DRUGS 411 COLONIAL DR BATON ROUGE, LA, 70806 (225) 924-1930

MEDICAL PLAZA PHARMACY 7777 HENNESSY BLVD STE 114 BATON ROUGE, LA, 70808 (225) 765-8951

NATIONAL INFUSION SERVICE'S 5344 BRITTANY DR BATON ROUGE, LA, 70808 (225) 766-7828

QOL MEDS 4615 GOVERNMENT ST BATON ROUGE, LA, 70806 (225) 362-5342

MEDICAL PHARMACY 6400 MAIN ST ZACHARY, LA, 70791 (225) 654-6883

CURRY PHARMACY 10463 PLANK RD CLINTON, LA, 70722 (225) 683-8188

POINCIANA PHARMACY LLC 1508 CAJUN DR STE A MAMOU, LA, 70554 (337) 468-5001

REEDS PHARMACY 1009 6TH ST MAMOU, LA, 70554 (337) 468-5207

SAVOY DRUG STORE INC 1415 7TH ST STE C MAMOU, LA, 70554 (337) 468-3666

FUSELIERS PHARMACY 10600 VETERANS MEMORIAL PINE PRAIRIE, LA, 70576 (337) 599-2147

PINE PRAIRIE PHARMACY 10711 VETERANS MEMORIAL H PINE PRAIRIE, LA, 70576 (337) 599-2050

K & S DRUGS INC 802 ADAMS ST WINNSBORO, LA, 71295 (318) 435-7858

LYDIA PHARMACY 3917 DARNALL RD LYDIA, LA, 70569 (337) 369-6156

SOILEAU'S PHARMACY 805 CENTER ST NEW IBERIA, LA, 70560 (337) 365-6721

GOUDEAU'S HEALTHMART PHCY 57930 LABAUVE AVE PLAQUEMINE, LA, 70764 (225) 687-4349

PHARMACEUTICALS INC 32553 BOWIE ST WHITE CASTLE, LA, 70788 (225) 545-2277

FAMILY PHARMACY 500 ALEXANDER ST JONESBORO, LA, 71251 (318) 259-7334

JONESBORO JACKSON COUNTY

WHITE CASTLE

PLAQUEMINE IBERVILLE COUNTY

NEW IBERIA

LYDIA IBERIA COUNTY

WINNSBORO FRANKLIN COUNTY

PINE PRAIRIE

MAMOU EVANGELINE COUNTY

CLINTON

EAST FELICIANA COUNTY

ZACHARY

BATON ROUGE

EAST BATON ROUG COUNTY

MANSFIELD DE SOTO COUNTY

HOMER

HAYNESVILLE CLAIBORNE COUNTY

SICILY ISLAND

JONESVILLE CATAHOULA COUNTY

CAMERON CAMERON COUNTY

Page 31: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Long-Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 31

MITCHELL'S PHARMACY INC 202 E MAIN ST JONESBORO, LA, 71251 (318) 259-7466

PHARMERICA #7016 520 ELMWOOD PARK BLVD STE 140 ELMWOOD, LA, 70123 (800) 248-4073

AVITA DRUGS LLC 6226 JEFFERSON HWY STE G HARAHAN, LA, 70123 (504) 737-4007

ALPHA PHARMACEUTICAL CO 3813 JEFFERSON HWY JEFFERSON, LA, 70121 (504) 832-0614

MAJORIA DRUGS #5 2564 BARATARIA BLVD MARRERO, LA, 70072 (504) 340-3592

ST MARGARET'S PHARMACY SERVICES 4000 4TH ST STE B MARRERO, LA, 70072 (504) 341-9411

PATIO DRUGS HOMECARE PHCY 5208 VETERANS BLVD STE B METAIRIE, LA, 70006 (504) 889-9654

CAMPO'S MEDICAL PHARMACY INC 660 DISTRIBUTORS ROW STE A NEW ORLEANS, LA, 70123 (504) 455-5778

CASSIDY'S PHARMACY 710 N MAIN ST JENNINGS, LA, 70546 (337) 824-1648

HONEYCUTT DRUG STORE 2835 E OAK ST JENA, LA, 71342 (318) 992-4574

JENA PHARMACY 2951 E OAK ST JENA, LA, 71342 (318) 992-5565

GUILBEAU'S PHARMACY 208 E SAINT PETER ST CARENCRO, LA, 70520 (337) 896-3241

MELANCON PHARMACY SERVICES 730 VETERANS DR STE A CARENCRO, LA, 70520 (337) 896-8434

MECHE'S FAMILY DRUGS 9021 CAMERON ST DUSON, LA, 70529 (337) 334-9979

ACADIANA PRESCRIPTION SHOP#1 454 HEYMANN BLVD LAFAYETTE, LA, 70503 (337) 233-4017

HEALTH MART PHARMACY OF LAFAYETTE 600 JOHNSON ST LAFAYETTE, LA, 70501 (337) 235-3523

LOUISIANA INSTITUTIONAL PHCY LLC 522 W PINHOOK RD LAFAYETTE, LA, 70503 (337) 265-2445

INSTITUTIONAL PHARMACIES OF LA 106 ABIGAYLE ROW SCOTT, LA, 70583 (337) 268-4023

THE COMPOUNDING PHARMACY OF SCOTT 5900 CAMERON ST STE 100A SCOTT, LA, 70583 (337) 233-2003

TIGER PHARMACY 109A PARK WEST DR STE 1 SCOTT, LA, 70583 (337) 704-0114

SAVOIE'S PHARMACY 4912 HIGHWAY 1 RACELAND, LA, 70394 (985) 532-5943

AMY'S PRESCRIPTION SHOPPE PHARMACY 104 W LINE AVE RUSTON, LA, 71270 (318) 255-7363

STERLING PHARMACY 205 E REYNOLDS DR STE C RUSTON, LA, 71270 (318) 513-1688

LTC DISPENSARY 257 FLORIDA AVE SE STE B DENHAM SPRINGS, LA, 70726 (225) 665-8606

BEENE'S HEALTH MART DRUG 402 E DARROW ST TALLULAH, LA, 71282 (318) 574-1351

S & B DRUGS 501 N CHESTNUT ST TALLULAH, LA, 71282 (318) 574-6363

TALLULAH MADISON COUNTY

DENHAM SPRINGS LIVINGSTON COUNTY

RUSTON LINCOLN COUNTY

RACELAND LAFOURCHE COUNTY

SCOTT

LAFAYETTE

DUSON

CARENCRO LAFAYETTE COUNTY

JENA LA SALLE COUNTY

JENNINGS

JEFFERSON DAVIS COUNTY

NEW ORLEANS

METAIRIE

MARRERO

JEFFERSON

HARAHAN

ELMWOOD JEFFERSON COUNTY

Page 32: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Long-Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

32

LEE'S CITY DRUG 123 W MADISON AVE BASTROP, LA, 71220 (318) 281-1344

PEARCE PHARMACY 604 S WASHINGTON ST BASTROP, LA, 71220 (318) 281-1537

SPECIALTY PHCY SVC'S INC 1821 N WASHINGTON ST BASTROP, LA, 71220 (318) 281-6660

BRODIE PHARMACY INC 204 DAVENPORT AVENUE MER ROUGE, LA, 71261 (318) 647-5754

VILLAGE PHCY INC 308 DAVENPORT AVE MER ROUGE, LA, 71261 (318) 647-5786

CAUSEY'S PHARMACY 407 BIENVILLE ST NATCHITOCHES, LA, 71457 (318) 352-3141

CAUSEYS LTC PHARMACY LLC 405 BIENVILLE ST NATCHITOCHES, LA, 71457 (318) 357-7665

M & M PHARMACY LLC 311 DIXIE PLZ NATCHITOCHES, LA, 71457 (318) 354-1554

AVITA DRUGS 2601 TULANE AVE STE 445 NEW ORLEANS, LA, 70119 (504) 822-8013

ST BERNARD DRUGS #1 LLC 10200 CHEF MENTEUR HWY #C NEW ORLEANS, LA, 70127 (504) 242-1100

ST BERNARD DRUGS #3 10200 CHEF MENTEUR HWY NEW ORLEANS, LA, 70127 (504) 242-1100

HEALTHCARE WAREHOUSE 209 EXPO CIR STE B WEST MONROE, LA, 71292 (318) 651-0320

LEGENDS PHARMACY 222 BELL LN STE 5A WEST MONROE, LA, 71291 (318) 998-3018

LEGENDS PHARMACY 222 BELL LN STE 5B WEST MONROE, LA, 71291 (318) 998-3029

MASON'S PHARMACY 2403 ARKANSAS RD WEST MONROE, LA, 71291 (318) 396-1812

ELLIOTT PHARMACY #3 169 E MAIN ST NEW ROADS, LA, 70760 (225) 638-7186

POINTE COUPEE PHARMACY 222 HOSPITAL RD NEW ROADS, LA, 70760 (225) 638-6321

FUSION CARE PHARMACY 180 WINDERMERE BLVD ALEXANDRIA, LA, 71303 (318) 445-8770

IV PLUS ALEXANDRIA 3108 JACKSON ST ALEXANDRIA, LA, 71301 (318) 442-1122

MAGNOLIA PHARMACY SERVICES 26 HEYMAN LN ALEXANDRIA, LA, 71303 (318) 443-5810

PEARSON SPECIALTY PHARMACY 2804 N BOLTON AVE ALEXANDRIA, LA, 71303 (318) 448-7366

CROSSROADS-HOLLOWAY PHARMACY 12805 HIGHWAY 28 E STE A PINEVILLE, LA, 71360 (318) 466-3113

VANMOL FAMILY PHARMACY 9374 HIGHWAY 165 S WOODWORTH, LA, 71485 (318) 443-7073

DELHI HEALTH MART 414 BROADWAY ST DELHI, LA, 71232 (318) 878-5104

MEDICAL CENTER PHARMACY 395 S CAPITOL ST MANY, LA, 71449 (318) 256-5658

DESTREHAN DISCOUNT PHARMACY 3001 ORMOND BLVD STE A DESTREHAN, LA, 70047 (985) 764-1182

PHARMACY ALTERNATIVES LLC 125 MALLARD ST STE C SAINT ROSE, LA, 70087 (504) 712-7858

SAINT ROSE

DESTREHAN

SAINT CHARLES COUNTY

MANY SABINE COUNTY

DELHI RICHLAND COUNTY

WOODWORTH

PINEVILLE

ALEXANDRIA RAPIDES COUNTY

NEW ROADS

POINTE COUPEE COUNTY

WEST MONROE OUACHITA COUNTY

NEW ORLEANS ORLEANS COUNTY

NATCHITOCHES

NATCHITOCHES COUNTY

MER ROUGE

BASTROP MOREHOUSE COUNTY

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First Health Part D Premier Plus’s Long-Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 33

GEM DRUGS GRAMERCY INC 1635 HIGHWAY 3125 GRAMERCY, LA, 70052 (225) 869-3651

HARDYS DRUG STORE 123 FUSELIER RD ARNAUDVILLE, LA, 70512 (337) 754-5231

MAPLE AVENUE PHARMACY INC 1200 W MAPLE AVE EUNICE, LA, 70535 (337) 457-5216

PICOUS DRUG STORE INC 260 N 2ND ST EUNICE, LA, 70535 (337) 457-2218

KEN'S THRIFTY WAY PHCY 517 E PRUDHOMME LN OPELOUSAS, LA, 70570 (337) 942-7551

HOLLIER'S FAMILY PHARMACY 1456 E BRIDGE ST BREAUX BRIDGE, LA, 70517 (337) 332-5010

SIMONS PHARMACY 117 N MAIN ST BREAUX BRIDGE, LA, 70517 (337) 332-2345

MILLS' CASHWAY PHARMACY 1027 MARTIN ST PARKS, LA, 70582 (337) 845-5199

HOSPITAL DRUG STORE 410 N MAIN ST SAINT MARTINVILLE, LA, 70582 (337) 394-4007

FOURNET'S PHARMACY 1524 HOSPITAL AVE FRANKLIN, LA, 70538 (337) 828-3392

MC STANDARD DRUG 1120 8TH ST MORGAN CITY, LA, 70380 (985) 384-1467

THE MEDICINE SHOPPE #1194 1275 BELLEVIEW ST MORGAN CITY, LA, 70380 (985) 395-2694

THE MEDICINE CABINET 207 SAINT JOHN ST MADISONVILLE, LA, 70447 (985) 206-9425

PONTCHARTRAIN PHCY LLC 2045 HIGHWAY 59 MANDEVILLE, LA, 70448 (985) 626-9726

THE MEDICINE SHOPPE PHCY #0025 999 ROBERT BLVD SLIDELL, LA, 70458 (985) 643-7894

THE MEDICINE SHOPPE #1030 932 CARROLLWOOD DR LA PLACE, LA, 70068 (985) 652-1245

GEM DRUGS 139 CENTRAL AVE RESERVE, LA, 70084 (985) 536-3957

CENTRAL REXALL DRUGS INC 125 E THOMAS ST HAMMOND, LA, 70401 (985) 345-5120

MANNINOS FAMILY PHARMACY 113 W CHARLES ST HAMMOND, LA, 70401 (985) 542-8466

BROADMOOR DRUG CENTER INC 6096 W PARK AVE HOUMA, LA, 70364 (985) 876-2584

HAYDEL'S DRUG STORE 300 CHURCH ST HOUMA, LA, 70360 (985) 872-5201

PEOPLES DRUG STORE 7869 MAIN ST HOUMA, LA, 70360 (985) 873-8526

THE BERNICE PHARMACY 419 MAIN STREET BERNICE, LA, 71222 (318) 285-9521

FARMERVILLE DRUG 300 E WATER ST FARMERVILLE, LA, 71241 (318) 368-9711

MATTES PHARMACY INC 314 MAIN ST MARION, LA, 71260 (318) 292-4570

MARION

FARMERVILLE

BERNICE UNION COUNTY

HOUMA TERREBONNE COUNTY

HAMMOND TANGIPAHOA COUNTY

RESERVE

LA PLACE

ST JOHN THE BAP COUNTY

SLIDELL

MANDEVILLE

MADISONVILLE

SAINT TAMMANY COUNTY

MORGAN CITY

FRANKLIN SAINT MARY COUNTY

SAINT MARTINVILLE

PARKS

BREAUX BRIDGE SAINT MARTIN COUNTY

OPELOUSAS

EUNICE

ARNAUDVILLE

SAINT LANDRY COUNTY

GRAMERCY SAINT JAMES COUNTY

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First Health Part D Premier Plus’s Long-Term Care Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

34

THRIFTY WAY PHARMACY 2640 NORTH DR ABBEVILLE, LA, 70510 (337) 893-6304

SAV INS DRUGS 101 E LASTIE ST ERATH, LA, 70533 (337) 937-5861

HEALTH MART PHARMACY OF GUEYDAN 200 MAIN ST GUEYDAN, LA, 70542 (337) 536-9600

HEALTH MART PHARMACY LTC 818 N CUSHING AVE STE A KAPLAN, LA, 70548 (337) 643-8883

LANDRY'S PHARMACY 106 MILTON RD MAURICE, LA, 70555 (337) 898-1015

PHOENIX REXALL DRUGS INC 101 N 3RD ST LEESVILLE, LA, 71446 (337) 239-3421

ROSEPINE FAMILY PHARMACY, INC 18507 CENTRAL AVENUE ROSEPINE, LA, 70659 (337) 462-0177

RX REMEDIES 1723 MAIN ST FRANKLINTON, LA, 70438 (985) 839-4384

LOYES PHARMACY INC 814 HOMER RD MINDEN, LA, 71055 (318) 377-3559

THE MEDICINE SHOPPE #1136 411 E MAIN ST OAK GROVE, LA, 71263 (318) 428-4205

PHARMACY SERVICES OF WINNFIELD 100 W MAIN ST WINNFIELD, LA, 71483 (318) 628-3575

WINNFIELD WINN COUNTY

OAK GROVE

WEST CARROLL COUNTY

MINDEN WEBSTER COUNTY

FRANKLINTON WASHINGTON COUNTY

ROSEPINE

LEESVILLE VERNON COUNTY

MAURICE

KAPLAN

GUEYDAN

ERATH

ABBEVILLE VERMILION COUNTY

Page 35: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)

Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 35

Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies through First Health Part D Premier Plus’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information on I/T/U pharmacies, please call Customer Service at 1-866-823-5177, 24 hours a day, 7 days a week. TTY/TDD Users should call 711 Telecommunications Relay Services. Or, visit www.PharmacyLocator.coventry-medicare.com.

WILMA P MANKILLER HLTH CTR RR 6 BOX 840 STILWELL, OK, 74960 (918) 696-8800

CHOCTAW NATION HEALTHCARE CLINIC 1201 W LIBERTY RD ATOKA, OK, 74525 (580) 889-1981

WATONGA IHS PHARMACY RR 1 BOX 34A WATONGA, OK, 73772 (580) 623-4991

CNHS DURANT CLINIC 1600 N WASHINGTON AVE DURANT, OK, 74701 (580) 920-2100

ANADARKO IHS PHARMACY PO BOX 828 ANADARKO, OK, 73005 (405) 247-2458

CARNEGIE INDIAN HEALTH CLINIC US HIGHWAY 0 WEST CARNEGIE, OK, 73015 (580) 654-1100

EL RENO INDIAN HEALTH CENTER 1631A E HIGHWAY 66 EL RENO, OK, 73036 (405) 262-7631

CNHS ARDMORE CLINIC 2510 CHICKASAW BLVD ARDMORE, OK, 73401 (580) 226-8181

CHEROKEE NATION 100 S BLISS AVE TAHLEQUAH, OK, 74464 (918) 458-3105

CHOCTAW NATION HEALTH CLINIC 410 N ELM HUGO, OK, 74743 (580) 326-7561

ABSENTEE SHAWNEE TRIBAL 15702 E HIGHWAY #9 NORMAN, OK, 73026 (405) 292-9530

LAWTON IHS PHARMACY 1515 NE LAWRIE TATUM RD LAWTON, OK, 73507 (580) 353-0350

SAPULPA INDIAN HLTH CNTR 1125 E CLEVELAND AVE SAPULPA, OK, 74066 (918) 224-9310

CLINTON INDIAN HOSPITAL PHCY RR 1 BOX 3060 CLINTON, OK, 73601 (580) 323-2884

JAY COMMUNITY CLINIC 1015 W WASHBOURNE ST JAY, OK, 74346 (918) 253-4271

CHOCTAW NATION HEALTH CLINIC PHARMACY 2204 E MAIN ST STIGLER, OK, 74462 (918) 967-9200

STIGLER HASKELL COUNTY

JAY DELAWARE COUNTY

CLINTON CUSTER COUNTY

SAPULPA CREEK COUNTY

LAWTON COMANCHE COUNTY

NORMAN CLEVELAND COUNTY

HUGO CHOCTAW COUNTY

TAHLEQUAH CHEROKEE COUNTY

ARDMORE CARTER COUNTY

EL RENO CANADIAN COUNTY

CARNEGIE

ANADARKO CADDO COUNTY

DURANT BRYAN COUNTY

WATONGA BLAINE COUNTY

ATOKA ATOKA COUNTY

STILWELL ADAIR COUNTY

OKLAHOMA

Page 36: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)

Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location.

36

TISHOMINGO INDIAN CLINIC 815 E 6TH ST TISHOMINGO, OK, 73460 (580) 371-2362

KANZA PHARMACY 3151 E RIVER RD NEWKIRK, OK, 74647 (580) 362-2449

WHITE HEALTH EAGLE HEALTH CENTER 200 WHITE EAGLE DR PONCA CITY, OK, 74601 (580) 765-2501

RUBIN WHITE HEALTH CLINIC PHCY 109 KERR AVE POTEAU, OK, 74953 (918) 649-1100

CHOCTAW NATION HEALTHCARE CTR PHARMACY 1 CHOCTAW WAY TALIHINA, OK, 74571 (918) 567-7000

BLACK HAWK HEALTH CENTER 356110 E 930 RD STROUD, OK, 74079 (918) 968-9531

AMO SALINA HEALTH CTR 900 N OWEN WALTERS BLVD SALINA, OK, 74365 (918) 434-8500

CHOCTAW NATION HEALTH CLINIC PHARMACY 902 LINCOLN RD IDABEL, OK, 74745 (580) 286-2600

EUFAULA INDIAN HLTH CNTR 800 W FORREST AVE EUFAULA, OK, 74432 (918) 689-2547

MUSKOGEE HEALTH CENTER 1805 N YORK ST MUSKOGEE, OK, 74403 (918) 687-0201

CHEROKEE NATION PRIMARY HLTH 202 E GALER AVE NOWATA, OK, 74048 (918) 273-0192

USPHS OKEMAH COMMUNITY 309 N 14TH ST OKEMAH, OK, 74859 (918) 623-0555

OKC INDIAN CLINIC PHCY 4913 W RENO AVE OKLAHOMA CITY, OK, 73127 (405) 948-4900

OKMULGEE INDIAN HLTH CNTR 1313 E 20TH ST OKMULGEE, OK, 74447 (918) 782-2700

PAWHUSKA IHS PHARMACY 715 GRANDVIEW AVE PAWHUSKA, OK, 74056 (918) 287-4491

NORTHEASTERN TRIBAL HLTH SYSTEM 2301 S EIGHT TRIBES TRL MIAMI, OK, 74354 (918) 675-2021

PAWNEE IHS PHARMACY 1201 HERITAGE CIR PAWNEE, OK, 74058 (918) 762-2517

PERKINS FAMILY CLINIC 501 E HIGHWAY 33 PERKINS, OK, 74059 (405) 547-2473

CHOCTAW NATION HEALTH CLINIC 903 E MONROE AVE MCALESTER, OK, 74501 (918) 423-8440

CHICKASAW NATION FAMILY 1921 STONECIPHER DR ADA, OK, 74820 (580) 436-6260

CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER DR ADA, OK, 74820 (580) 421-4570

CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER DR ADA, OK, 74820 (580) 421-4569

ADA PONTOTOC COUNTY

MCALESTER PITTSBURG COUNTY

PERKINS PAYNE COUNTY

PAWNEE PAWNEE COUNTY

MIAMI OTTAWA COUNTY

PAWHUSKA OSAGE COUNTY

OKMULGEE OKMULGEE COUNTY

OKLAHOMA CITY OKLAHOMA COUNTY

OKEMAH OKFUSKEE COUNTY

NOWATA NOWATA COUNTY

MUSKOGEE MUSKOGEE COUNTY

EUFAULA MCINTOSH COUNTY

IDABEL MCCURTAIN COUNTY

SALINA MAYES COUNTY

STROUD LINCOLN COUNTY

TALIHINA

POTEAU LE FLORE COUNTY

PONCA CITY

NEWKIRK KAY COUNTY

TISHOMINGO JOHNSTON COUNTY

Page 37: First Health Part D Value Plus (PDP)

First Health Part D Premier Plus’s Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)

Pharmacies

This directory is current as of 08/2012. A pharmacy’s listing in the directory does not guarantee the pharmacy is still in the network, is open or is still in the same location. 37

CHICKASAW NATION PURCELL HEALTH 1001 N COUNTRY CLUB RD ADA, OK, 74820 (405) 527-4700

KICKAPOO TRIBAL HEALTH CENTER PHARMACY 407 N HWY 102 MCCLOUD, OK, 74851 (405) 964-2081

ABSENTEE SHAWNEE#1 PHARMACY 2029 GORDON COOPER DR SHAWNEE, OK, 74801 (405) 878-5859

CITIZEN POTAWATOMI NATION PHCY 2307 GORDON COOPER DR SHAWNEE, OK, 74801 (405) 273-5236

CITIZEN POTAWATOMI NATION W CLINIC 781 GRAND CASINO BLVD SHAWNEE, OK, 74804 (405) 964-5770

CLAREMORE IHS PHARMACY 101 S MOORE AVE CLAREMORE, OK, 74017 (918) 342-6581

WEWOKA INDIAN HLTH CENTER PHARMACY INTERSECTION HWY 56 & 27 WEWEOKA, OK, 74884 (405) 257-6281

REDBIRD SMITH HLTH CENTER 301 J T STITES BLVD SALLISAW, OK, 74955 (918) 775-9159

TULSA INDIAN HLTH CARE RESOURCE 550 S PEORIA AVE TULSA, OK, 74120 (918) 382-1267

KOWETA INDIAN HEALTH FACILITY 31870 EAST HIGHWAY 51 COWETA, OK, 74429 (918) 279-3406

COWETA WAGONER COUNTY

TULSA TULSA COUNTY

SALLISAW SEQUOYAH COUNTY

WEWEOKA SEMINOLE COUNTY

CLAREMORE ROGERS COUNTY

SHAWNEE

MCCLOUD

POTTAWATOMIE COUNTY