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2018 PHARMACY DIRECTORY Montana

MedicareBlueSM Rx (PDP)

This Pharmacy Directory was updated on 07/27/2017.

For more recent information or other questions, please contact MedicareBlue Rx at:

1-888-832-0075, or for TTY users, 711 8 a.m. to 8 p.m., daily, Central and Mountain Times

Or visit:

YourMedicareSolutions.com

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at YourMedicareSolutions.com.

You may also call Customer Service for updated provider information.

S5743_081717_FF05_MT CMS Accepted 8/17/17

http://YourMedicareSolutions.com


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INTRODUCTION This booklet provides a list of MedicareBlue Rx’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 MedicareBlue Rx’s Formulary.

When this Pharmacy Directory refers to “we,” “us,” or “our,” it means Blue Cross and Blue Shield. When it refers to “plan” or “our plan,” it means MedicareBlue Rx.

We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to plan members. In most cases, your prescriptions are covered under MedicareBlue Rx only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of July 27, 2017. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with “P” to distinguish them from other pharmacies in our network that offer standard cost sharing.

You can get prescription drugs shipped to your home through our network mail order delivery

program which is called CVS Caremark† Mail Order Pharmacy. For more information, please contact us or see the mail order section of this Pharmacy Directory. (†CVS Caremark Part D Services is an independent company providing pharmacy benefit management services.)

This directory is for Montana, which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our plan. For information on more pharmacies in our plan network not listed in this directory, contact us at the phone numbers on the front and back cover pages of this directory.

If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us.

MEDICAREBLUE RX’S NETWORK PHARMACIES Our list of network pharmacies is organized by type of pharmacy: Retail, Mail Order, Home Infusion, Long-Term Care and Indian Health Service. Certain letters appear after each pharmacy listing. These letters mean the following:

EP = pharmacy supports electronic prescribing

EDS = extended day supply available

LA = limited access (i.e., pharmacy not available to all members)

P = a pharmacy offering preferred cost sharing

Retail pharmacies by city – including chain pharmacies

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• LA Limited access (i.e., pharmacy not available to all members) • P Pharmacy offering preferred cost sharing • EP Pharmacy supports electronic prescribing • EDS Extended day supply available

Pharmacy Name Address Telephone TTY Type

ANACONDA

COMMUNITY HOSPITAL OF ANACONDA

615 MAIN ST, ANACONDA 59711-2936

(406) 563-8650 711 EP

CVS PHARMACY 1300 E PARK AVE, ANACONDA 59711-2764

(406) 563-5266 711 EDS P EP

STOKES PHARMACY ANACONDA

1525 W PARK AVENUE, ANACONDA 59711

(406) 563-8410 711 EDS P EP

THRIFTY DRUG STORE

201 E PARK AVE, ANACONDA 59711-2340

(406) 563-8441 711 EDS EP

ASHLAND

BIGHORN VALLEY PHARMACY - ASHLAND

501 MAIN STREET, ASHLAND 59003 (406) 784-2346 711 EDS EP

BAKER

BAKER REXALL DRUG COMPANY

103 S MAIN, BAKER 59313-0000 (406) 778-2214 711 EDS EP

BELGRADE

ALBERTSON'S PHARMACY

6999 JACKRABBIT LN, BELGRADE 59714-8961

(406) 388-0901 711 EDS P EP

LEE & DAD'S PHARMACY

205 W MADISON AVE, BELGRADE 59714-3906

(406) 388-4111 711 EDS P EP

BIG SANDY

BIG SANDY PHARMACY

158 JOHANNES AVE, BIG SANDY 59520

(406) 378-5588 711 EDS EP

BIG SKY

BOZEMAN DEACONESS PHCY AT BIG SKY

36 CENTER LANE STE 2, BIG SKY 59716

(406) 993-9390 711 EDS P EP

BIG TIMBER

COLE DRUG 136 MCLEOD, BIG TIMBER 59011 (406) 932-5316 711 EDS EP


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BIGFORK

BIGFORK DRUG INC 8111 MT HIGHWAY 35, BIGFORK 59911-3588

(406) 837-4370 711 EDS P EP

BILLINGS


2334 CENTRAL AVE, BILLINGS 59102-4665

(406) 656-6652 711 EDS P EP


3137 GRAND AVE, BILLINGS 59102-6570

(406) 652-8359 711 EDS P EP



(406) 245-4301 711 EDS P EP


611 N 27TH ST, BILLINGS 59101-1112 (406) 259-1441 711 EDS P EP


670 MAIN ST, BILLINGS 59105-3224 (406) 245-6979 711 EDS P EP

ALBERTSONS PHARMACY


(406) 248-5544 711 EDS P EP

ASPEN MEADOWS PHARMACY

3155 AVENUE C, BILLINGS 59102-8109

(406) 238-5977 711 EDS EP

BILLINGS CLINIC ATRIUM PHARMACY

2800 10TH AVE N, BILLINGS 59101-0703

(406) 238-2084 711 EDS P EP

BILLINGS HLTH & REHABILITATION


(406) 656-2992 711 EDS EP

COMMUNITY HEALTH CENTER PHARMA

123 S 27TH ST # E-1, BILLINGS 59101-4200

(406) 247-3330 711 EDS EP

COSTCO PHARMACY 2290 KING AVE W, BILLINGS 59102-7415

(406) 652-8556 711 EDS P EP

CTR FOR HEALTHY AGING PHCY

2223 MISSION WAY, BILLINGS 59102 (406) 655-5836 711 EDS

CVS PHARMACY 1311 GRAND AVE, BILLINGS 59102-3101

(406) 259-7034 711 EDS P EP

CVS PHARMACY 2402 GRAND AVE, BILLINGS 59102-2623

(406) 252-6334 711 EDS P EP

CVS PHARMACY 2601 CENTRAL AVE, BILLINGS 59102-6652

(406) 652-2263 711 EDS P EP

CVS PHARMACY 425 MAIN ST, BILLINGS 59105-3227 (406) 259-7861 711 EDS P EP

CVS PHARMACY 617 CENTRAL AVE, BILLINGS 59102-5814

(406) 256-4924 711 EDS P EP

CVS PHARMACY 823 N 27TH ST, BILLINGS 59101-1116 (406) 252-9000 711 EDS P EP


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BILLINGS

FIRST PHARMACY 1540 13TH ST W, BILLINGS 59102-3202

(406) 896-8325 711 EDS EP

JURO'S UNITED DRUG


(406) 259-2562 711 EDS EP

NCS HEALTHCARE OF MONTANA

2747 ENTERPRISE AVE STE 1, BILLINGS 59102-7412

(406) 247-3325 711 EDS P EP

OPTION CARE 404 N 31ST ST STE 401, BILLINGS 59101-1211

(800) 644-8203 711 EDS EP

PHARMACY 1 LTC 2900 12TH AVE N STE 110B, BILLINGS 59101-7506

(406) 245-6718 711 EDS EP

PHARMACY ONE 2900 12TH AVE N STE 110A, BILLINGS 59101-7506

(406) 245-6717 711 EDS P EP

PLANNED PARENTHOOD OF MONTANA

100 W WICKS LN, BILLINGS 59105-3540

(406) 869-5005 711 EDS

SAM'S CLUB PHARMACY

4420 KING AVE E, BILLINGS 59101-4913

(406) 256-0177 711 EDS P EP

SHOPKO PHARMACY 905 S 24TH ST W, BILLINGS 59102-7408

(406) 652-6715 711 EDS P EP

ST JOHN'S LUTHERAN MINISTRIES

3940 RIMROCK RD, BILLINGS 59102-0141

(406) 655-5827 711 EDS EP

ST. VINCENTS HEALTHCARE PHARMACY

1233 N 30TH ST, BILLINGS 59101-0127

(406) 237-8117 711 EDS P EP

WALGREENS 1330 GRAND AVE, BILLINGS 59102-3102

(406) 252-0096 711 EDS EP

WALGREENS 1602 MAIN ST, BILLINGS 59105-4038 (406) 245-0178 711 EDS EP

WALGREENS 3333 GRAND AVE, BILLINGS 59102-6565

(406) 652-1620 711 EDS EP

WALMART PHARMACY

1649 MAIN ST, BILLINGS 59105-4043 (406) 254-2947 711 EDS P EP

WALMART PHARMACY

2525 KING AVE W, BILLINGS 59102-6425

(406) 652-9688 711 EDS P EP

BOULDER

ELKHORN PHARMACY

215 N MAIN, BOULDER 59632-0026 (406) 225-3240 711 EDS P EP


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BOX ELDER

ROCKY BOY HEALTH CENTER

535 CLINIC RD E, BOX ELDER 59521-8826

(406) 395-4486 711

BOZEMAN


200 S 23RD AVE, BOZEMAN 59718-3965

(406) 587-8800 711 EDS P EP

COSTCO PHARMACY 2505 CATRON RD, BOZEMAN 59718-7993

(406) 585-7575 711 EDS P EP

CVS PHARMACY 115 NORTH 19TH AVE, BOZEMAN 59718

(406) 587-9252 711 EDS P EP

GENOA-QOL HEALTHCARE

699 FARMHOUSE LN STE P, BOZEMAN 59715-9402

(406) 404-6978 711 EDS EP

HIGHLAND PARK PHARMACY

925 HIGHLAND BLVD, BOZEMAN 59715-6900

(406) 585-1030 711 EDS P EP

OPTION CARE 682 S FERGUSON AVE STE 1, BOZEMAN 59718-6491

(406) 587-1050 711 EDS EP

PRICE RITE DRUG CENTER

910 N 7TH AVE, BOZEMAN 59715-2500

(406) 587-0608 711 EDS P EP

ROSAUERS PHARMACY

3255 TECHNOLOGY BLVD W, BOZEMAN 59718-6854

(406) 587-4005 711 EDS P EP

ROSAUERS PHARMACY

3255 TECHNOLOGY BLVD W, BOZEMAN 59718-6854

(406) 587-4005 711 EDS P EP

SAFEWAY PHARMACY

1735 W MAIN ST, BOZEMAN 59715 (406) 585-9155 711 EDS P EP

SMITH'S PHARMACY 1400 N 19TH AVE, BOZEMAN 59718-3647

(406) 586-3550 711 EDS P EP

STUDENT HEALTH SERVICE PHCY

MONTANA STATE UNIVERSITY, BOZEMAN 59717-0000

(406) 994-5498 711 EDS P EP

WALMART PHARMACY

1500 N 7TH AVE, BOZEMAN 59715-2557

(406) 585-8753 711 EDS P EP

WESTERN DRUG OF BOZEMAN

544 E MAIN ST, BOZEMAN 59715-3766

(406) 587-3145 711 EDS EP

BROADUS

BROADUS IGA PHARMACY

120 N PARK AVE, BROADUS 59317-9582

(406) 436-2270 711 EDS EP


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BUTTE

BUTTE COMMUNITY HEALTH CENTER PHARM

445 CENTENNIAL AVE, BUTTE 59701-2870

(406) 496-6029 711 EDS EP

CVS PHARMACY 1275 HARRISON AVE, BUTTE 59701-4807

(406) 723-9408 711 EDS P EP

DRISCOLL DRUG 327 S EXCELSIOR AVE, BUTTE 59701-1536

(406) 723-3308 711 EDS P EP

KMART PHARMACY 3300 HARRISON AVE, BUTTE 59701-3544

(406) 494-1075 711 EDS EP

MEDICAL ARTS PHARMACY

435 S CRYSTAL ST STE 230, BUTTE 59701-1506

(406) 723-2441 711 EDS P EP

OPTION CARE 800 W PLATINUM ST STE D, BUTTE 59701-2200

(866) 252-9342 711 EDS EP

SAFEWAY PHARMACY

2500 MASSACHUSETTS AVE, BUTTE 59701-6019

(406) 494-3754 711 EDS P EP

THREE BEARS PHARMACY

45 THREE BEARS DR, BUTTE 59701 (406) 494-4116 711 EDS EP

WALGREENS 2611 HARRISON AVE, BUTTE 59701-3759

(406) 782-5471 711 EDS EP

WALMART PHARMACY

3901 HARRISON AVE, BUTTE 59701-6802

(406) 494-1225 711 EDS P EP

CHESTER

CHESTER PHARMACY 30 MAIN STREET, CHESTER 59522 (406) 759-5050 711 EDS EP

REMEDIES PHARMACY & GIFT

500 EAST WASHINGTON AVE, CHESTER 59522

(406) 759-5225 711 EDS P EP

CHINOOK

CHINOOK PHARMACY 300 INDIANA ST, CHINOOK 59523-9715

(406) 357-3333 711 EDS EP

CHOTEAU

CHOTEAU DRUG INC 102 N MAIN AVE, CHOTEAU 59422-0000

(406) 466-2700 711 EDS P EP

CIRCLE

MCCONE COUNTY HEALTH CENTER

605 SULLIVAN AVE, CIRCLE 59215 (406) 485-3381 711 EDS


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CLYDE PARK

WESTERN DRUG TOO 508 MILES, CLYDE PARK 59018 (406) 686-4270 711 EDS

COLSTRIP

COLSTRIP FAMILY PHARMACY

6230 MAIN ST STE B101, COLSTRIP 59323-9520

(406) 213-7010 711 EDS EP

COLUMBIA FALLS

GOOD MEDICINE PHARMACY

2100 9TH ST W, COLUMBIA FALLS 59912-4416

(406) 892-9997 711 EDS P EP

SMITH'S PHARMACY 419 NUCLEUS AVE, COLUMBIA FALLS 59912-4007

(406) 892-8333 711 EDS P EP

COLUMBUS

STILLWATER FAMILY PHARMACY

133 N 5TH, COLUMBUS 59019-0000 (406) 322-5652 711 EDS EP

CONRAD

OLSON'S DRUG 5 4TH AVE SE, CONRAD 59425-2327 (406) 278-3261 711 EDS EP

VILLAGE DRUG 600 S MAIN ST STE 2, CONRAD 59425-2532

(406) 278-3267 711 EDS P EP

CORVALLIS

CORVALLIS DRUG STORE

1029 MAIN ST, CORVALLIS 59828-0000

(406) 961-3221 711 EDS EP

CULBERTSON

CULBERTSON PHARMACY

115 BROADWAY, CULBERTSON 59218

(406) 787-5313 711 EDS P EP

CUT BANK


501 W MAIN ST, CUT BANK 59427-2823

(406) 873-2055 711 EDS P EP

DEER LODGE

KEYSTONE DRUG 407 MAIN ST, DEER LODGE 59722-1058

(406) 846-2120 711 EDS P EP


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DEER LODGE

SAFEWAY PHARMACY

201 N MAIN ST, DEER LODGE 59722-1062

(406) 846-1414 711 EDS P EP

DILLON

SAFEWAY PHARMACY

570 N MONTANA ST, DILLON 59725-3315

(406) 683-6226 711 EDS P EP

SHOPKO PHARMACY 125 E GLENDALE ST, DILLON 59725-2505

(406) 683-2316 711 EDS P EP

VANS PHARMACY 110 SOUTHSIDE BLVD, DILLON 59725-3513

(406) 988-7121 711 EDS P EP

ENNIS

ENNIS PHARMACY 130 MAIN ST, ENNIS 59729-0000 (406) 682-4246 711 EDS P EP

EUREKA

EUREKA DRUG 546 US HIGHWAY 93 N, EUREKA 59917-9053

(406) 297-7748 711 EDS EP

FAIRFIELD

FAIRFIELD DRUG INC 407 CENTRAL AVE, FAIRFIELD 59436 (406) 467-2336 711 EDS P EP

FLORENCE

FLORENCE PHARMACY NORTH

5549 OLD HWY 93, FLORENCE 59833-6564

(406) 273-6565 711 EDS P EP

FORSYTH

YELLOWSTONE PHARMACY

1025 MAIN ST, FORSYTH 59327-0000 (406) 346-2134 711 EDS P EP

FORT BENTON

BENTON PHARMACY 1418 FRONT ST, FORT BENTON 59442-0000

(406) 622-5588 711 EDS EP

FRENCHTOWN

GRANITE PHARMACY FRENCHTOWN

16862 BECKWITH ST STE P, FRENCHTOWN 59834-9646

(406) 626-4113 711 EDS P EP


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GARDINER

GARDINER PHARMACY

208 PARK ST, GARDINER 59030 (406) 848-9430 711 EDS EP

GLASGOW

5TH AVENUE PHARMACY AND GIFT

621 3RD ST S, GLASGOW 59230 (406) 228-3693 711 EDS P EP

SHOPKO PHARMACY 804 US HIGHWAY 2 W, GLASGOW 59230-1600

(406) 228-8911 711 EDS P EP

WESTERN DRUG OF GLASGOW

537 2ND AVE S, GLASGOW 59230-2320

(406) 228-4308 711 EDS P EP

GLENDIVE


307 HARMON ST, GLENDIVE 59330-1510

(406) 365-5209 711 EDS P EP

F & G PHARMACY 107 N MERRILL AVE, GLENDIVE 59330-1632

(406) 377-5665 711 EDS EP

GABERT CLINIC PHARMACY

107 DILWORTH ST, GLENDIVE 59330-2053

(406) 345-7948 711 EDS EP

GREAT FALLS


1414 3RD ST NW, GREAT FALLS 59404-1928

(406) 761-8420 711 EDS P EP


2250 10TH AVE S, GREAT FALLS 59405-2809

(406) 727-9880 711 EDS P EP

ANDERSON FAMILY PHARMACY


(406) 761-8781 711 EDS P EP

BENEFIS AMBULATORY PHARMACY

500 15TH AVE S STE 2, GREAT FALLS 59405-4304

(406) 455-2170 711 EDS EP

BIG SKY MANAGED CARE

915 1ST AVE S STE 110, GREAT FALLS 59401-3705

(406) 315-1989 711 EDS EP

CLINIC PHARMACY 1400 29TH ST S, GREAT FALLS 59405-5353

(406) 771-3399 711 EDS EP

CVS PHARMACY 2001 10TH AVE S, GREAT FALLS 59405-2756

(406) 453-1318 711 EDS P EP

KMART PHARMACY 1000 3RD ST NW, GREAT FALLS 59404-4114

(406) 453-6107 711 EDS EP

PLAZA PHARMACY 2800 11TH AVE S, GREAT FALLS 59405-5263

(406) 727-0070 711 EDS EP


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GREAT FALLS

PUBLIC DRUG CO 324 CENTRAL AVE, GREAT FALLS 59401-3114

(406) 453-1497 711 EDS P EP

SAM'S CLUB PHARMACY

401 NORTHWEST BYP, GREAT FALLS 59404-4124

(406) 453-3466 711 EDS P EP

SHOPKO PHARMACY 301 NORTHWEST BYP, GREAT FALLS 59404-4125

(406) 727-9682 711 EDS P EP

SMITH'S PHARMACY 1601 MARKET PLACE DR, GREAT FALLS 59404-3481

(406) 771-0475 711 EDS P EP

SNYDER DRUG 2515 6TH AVE N, GREAT FALLS 59401-1909

(406) 452-6461 711 EDS P EP

SPECTRUMS HOME SOLUTIONS


(406) 727-1218 711 EDS

WALGREENS 1213 3RD ST NW, GREAT FALLS 59404-4116

(406) 761-0214 711 EDS EP

WALGREENS 2301 10TH AVE S, GREAT FALLS 59405-2967

(406) 727-1376 711 EDS EP

WALMART PHARMACY


(406) 770-6070 711 EDS P EP

WALMART PHARMACY

701 SMELTER AVE NE, GREAT FALLS 59404-1940

(406) 761-1456 711 EDS P EP

HAMILTON


1313 N 1ST ST, HAMILTON 59840-3104

(406) 363-7089 711 EDS P EP

BITTERROOT DRUG 211 W MAIN ST, HAMILTON 59840-2553

(406) 363-3611 711 EDS P EP

HEALTHCARE PROVIDERS

1900 N 1ST ST, HAMILTON 59840-3115

(406) 363-6203 711 EDS P EP

TIMBER RIDGE PHARMACY

1131 N 1ST ST, HAMILTON 59840-2150

(406) 363-9003 711 EDS P EP

WALGREENS 901 N 1ST ST, HAMILTON 59840-2137 (406) 375-2264 711 EDS EP

HARDIN

BIGHORN VALLEY PHARMACY

10 WEST 4TH ST SUITE B, HARDIN 59034

(406) 867-4141 711 EDS P EP

PHARMCARE OF HARDIN INC

901 N CENTER AVE, HARDIN 59034-1322

(406) 665-1602 711 EDS

SHOPKO PHARMACY 1001 N CENTER AVE, HARDIN 59034-1101

(406) 623-5147 711 EDS P EP


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HARLEM

MILK RIVER PHARMACY

42465 US HWY 2, HARLEM 59526 (406) 353-3535 711 EDS EP

HARLOWTON

REMEDIES PHARMACY AND HARDWARE

100 N CENTRAL AVENUE, HARLOWTON 59036

(406) 632-4532 711 EDS EP

HAVRE

BULLHOOK COMMUNITY HLTH CTR PHCY

521 4TH ST, HAVRE 59501-3649 (406) 395-6906 711 EDS P EP

HEALTH MART 730 1ST ST, HAVRE 59501-3702 (406) 265-1229 711 EDS P EP

KMART PHARMACY 3180 US HIGHWAY 2 W, HAVRE 59501-6000

(406) 265-1854 711 EDS EP

NORTHERN MONTANA HOSP PHARMACY

30 13TH ST, HAVRE 59501-5222 (406) 265-2211 711 EDS EP

NORTHERN MONTANA PHARMACY

20 13TH ST, HAVRE 59501-5222 (406) 262-1701 711 EDS P EP

WALMART PHARMACY

3510 US HIGHWAY 2 W, HAVRE 59501-6013

(406) 262-9174 711 EDS P EP

WESTERN DRUG PHARMACY

123 5TH AVE STE B, HAVRE 59501-3624

(406) 265-9601 711 EDS EP

HELENA

COSTCO PHARMACY 2195 E CUSTER AVE, HELENA 59602-1217

(406) 495-7049 711 EDS P EP

CVS PHARMACY 3095 N MONTANA AVE, HELENA 59601-0552

(406) 443-3331 711 EDS P EP

CVS PHARMACY 526 EUCLID AVE, HELENA 59601-2856

(406) 442-2196 711 EDS P EP

CVS PHARMACY 603 N MONTANA AVE, HELENA 59601-3885

(406) 442-9800 711 EDS P EP

GENEVA WOODS PHARMACY

2600 WINNE AVE STE A, HELENA 59601-4900

(406) 443-0505 711 EDS P EP


2600 WINNE AVE STE F, HELENA 59601-4900

(406) 443-2540 711 EDS EP


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HELENA

KMART PHARMACY 1700 CEDAR ST, HELENA 59601-1108 (406) 449-5587 711 EDS EP

OSCO PHARMACY 3151 N MONTANA AVE, HELENA 59602-7813

(406) 449-2295 711 EDS P EP

SAFEWAY PHARMACY

611 N MONTANA AVE, HELENA 59601-3827

(406) 443-4508 711 EDS P EP

SHOPKO PHARMACY 3101 N MONTANA AVE, HELENA 59602-7813

(406) 443-8823 711 EDS P EP

ST PETERS COMMUNITY PHARMACY

2475 E BROADWAY ST, HELENA 59601-4928

(406) 444-2350 711 EDS P EP

ST PETERS PHARMACY BROADWAY

2550 BROADWAY, HELENA 59601 (406) 444-2200 711 EDS EP

WALGREENS 1150 11TH AVE, HELENA 59601-3838 (406) 442-1265 711 EDS EP

WALMART PHARMACY

2750 PROSPECT AVE, HELENA 59601-9741

(406) 443-3455 711 EDS P EP

KALISPELL


900 W IDAHO ST, KALISPELL 59901-3844

(406) 257-7556 711 EDS P EP

BIG SKY IV CARE 20 FOUR MILE DR STE 3, KALISPELL 59901-2644

(406) 752-0440 711 EDS

COSTCO PHARMACY 2330 US HIGHWAY 93 N, KALISPELL 59901-2547

(406) 758-2528 711 EDS P EP

EVERGREEN PHARMACY

2141 US HIGHWAY 2 E STE 300, KALISPELL 59901-2889

(406) 257-2083 711 EDS EP

KALISPELL REGIONAL MED CENTER PHCY

310 SUNNYVIEW LN, KALISPELL 59901-3129

(406) 752-1761 711 EDS

KMART PHARMACY 2024 US HIGHWAY 2 E, KALISPELL 59901-2945

(406) 257-5454 711 EDS EP

MEDICAL ARTS PHARMACY

209 CONWAY DR, KALISPELL 59901-3111

(406) 752-2492 711 EDS P EP

ROSAUERS 2150 US HIGHWAY 93 S, KALISPELL 59901-5782

(406) 755-5099 711 EDS P EP

SHOPKO PHARMACY 1370 US HIGHWAY 2 E, KALISPELL 59901-3221

(406) 257-1274 711 EDS P EP

SMITH'S PHARMACY 195 3RD AVENUE NE, KALISPELL 59901

(406) 257-1397 711 EDS P EP


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KALISPELL

SYKES PHARMACY INC

202 2ND AVE W, KALISPELL 59901-4488

(406) 257-4806 711 EDS EP

THE CLINICAL PHARMACY


(406) 751-7600 711 EDS EP

WALGREENS 40 W IDAHO ST, KALISPELL 59901-3956

(406) 257-0714 711 EDS EP

WALMART PHARMACY

170 HUTTON RANCH RD, KALISPELL 59901-2107

(406) 756-7256 711 EDS P EP

LAKESIDE

REMEDIES LAKESIDE 206 STONER LOOP RD, LAKESIDE 59922

(406) 844-2103 711 EDS P EP

LAUREL

CVS PHARMACY 307 SE 4TH ST, LAUREL 59044-3324 (406) 628-8747 711 EDS P EP

WALMART PHARMACY

101 BERNHARDT RD, LAUREL 59044-8702

(406) 628-1762 711 EDS P EP

LEWISTOWN


117 W JANEAUX ST, LEWISTOWN 59457-3073

(406) 538-6674 711 EDS P EP

SEIDEN DRUG 310 WENDELL AVE STE 102, LEWISTOWN 59457-2267

(406) 535-1470 711 EDS P EP

SHOPKO PHARMACY 825 NE MAIN ST, LEWISTOWN 59457-2080

(406) 538-9262 711 EDS P EP

LIBBY

FRANK'S PHARMACY 1401 MINNESOTA AVE, LIBBY 59923-2309

(406) 293-3784 711 EDS P EP

NORTHWEST COMMUNITY HEALTH CNTR

320 E 2ND ST, LIBBY 59923-2010 (406) 283-6900 711 EDS P EP

LIVINGSTON


2120 PARK ST S, LIVINGSTON 59047-4127

(406) 222-1188 711 EDS P EP

KC WESTERN DRUG LONG TERM CARE PHCY

1313 W PARK ST STE B, LIVINGSTON 59047-2900

(406) 222-5120 711 EDS EP


14


LIVINGSTON

SHOPKO PHARMACY 100 WASHINGTON ST, LIVINGSTON 59047-4200

(406) 222-7082 711 EDS P EP

WESTERN DRUG PHARMACY

1313 W PARK STREET, LIVINGSTON 59047

(406) 222-7332 711 EDS P EP

LOLO

LOLO DRUG LLC 103 GLACIER DR, LOLO 59847-8700 (406) 273-2322 711 EDS P EP

MALTA

VALLEY DRUG COMPANY

131 SOUTH FIRST AVE E, MALTA 59538-0000

(406) 654-2632 711 EDS EP

MILES CITY


519 S HAYNES AVE, MILES CITY 59301-4768

(406) 232-4627 711 EDS P EP

BIG SKY PHARMACY 701 MAIN ST, MILES CITY 59301 (406) 234-1241 711 EDS P EP

WALMART PHARMACY

3205 STOWER ST, MILES CITY 59301-5785

(406) 232-7320 711 EDS P EP

MISSOULA

406 CLINIC PHARMACY

1315 WYOMING ST STE A, MISSOULA 59801-1725

(406) 544-8808 711 EDS EP

406 CLINIC PHARMACY

1315 WYOMING ST STE B, MISSOULA 59801-1725

(406) 544-8808 711 EDS EP


2205 OXFORD ST, MISSOULA 59801-7936

(406) 549-5127 711 EDS P EP


2230 N RESERVE ST, MISSOULA 59808-1396

(406) 728-1118 711 EDS P EP


3800 S RUSSELL ST, MISSOULA 59801-8554

(406) 549-7717 711 EDS P EP

BROADWAY PHARMACY

500 W BROADWAY ST, MISSOULA 59802-4008

(406) 327-1650 711 EDS P EP

COSTCO PHARMACY 3220 NORTHERN PACIFIC ST, MISSOULA 59808-1338

(406) 542-3807 711 EDS P EP

CVS PHARMACY 1914 BROOKS ST, MISSOULA 59801-6644

(406) 728-1380 711 EDS P EP

CVS PHARMACY 2420 N RESERVE ST, MISSOULA 59808-1317

(406) 728-9463 711 EDS P EP


15


MISSOULA

GRANITE PHARMACY MISSOULA

2230 27TH AVE W STE 2, MISSOULA 59804

(406) 926-2940 711 EDS P EP

GRANITE PHCY HEALTH SOLUTIONS

2230 27TH AVE STE 1, MISSOULA 59804-5130

(406) 926-2940 711 EDS EP

HEALTH SERVICE PHARMACY

634 EDDY AVE, MISSOULA 59801-2801

(406) 243-5171 711 EDS EP

MISSOULA FRESH MARKET

3801 S RESERVE ST, MISSOULA 59801

(406) 251-5415 711 EDS P EP

MISSOULA FRESH MARKET PHARMACY

800 W BROADWAY ST, MISSOULA 59802-3944

(406) 721-6009 711 EDS P EP

MISSOULA PHARMACY

1211 S RESERVE ST STE 102, MISSOULA 59801-3103

(406) 728-5650 711 EDS EP

OSCO PHARMACY 1003 E BROADWAY ST, MISSOULA 59802

(406) 549-6163 711 EDS P EP

PALMER'S DRUG 918 SW HIGGINS AVE, MISSOULA 59803-1425

(406) 549-4125 711 EDS P EP

PARTNERSHIP HEALTH CENTER

323 W ALDER ST, MISSOULA 59802-4123

(406) 258-4139 711 EDS EP

ROSAUERS PHARMACY

2350 S RESERVE ST, MISSOULA 59801-6447

(406) 721-5330 711 EDS P EP

SAVMOR DRUG I INC 1610 S 3RD ST W, MISSOULA 59801-9012

(406) 721-6017 711 EDS P EP

SHOPKO PHARMACY 2510 S RESERVE ST, MISSOULA 59801-7546

(406) 721-3789 711 EDS P EP

THE VILLAGE HEALTH CARE CENTER PHCY

2651 SOUTH AVE W, MISSOULA 59804-6405

(406) 728-9162 711 EDS EP

WALGREENS 2100 BROOKS ST, MISSOULA 59801-6649

(406) 728-2089 711 EDS EP

WALGREENS 2527 N RESERVE ST, MISSOULA 59808-1313

(406) 543-1163 711 EDS EP

WALMART PHARMACY

3555 MULLAN RD, MISSOULA 59808-5125

(406) 829-8532 711 EDS P EP

WALMART PHARMACY

4000 BROOKS ST, MISSOULA 59804-7347

(406) 251-6066 711 EDS P EP

PHILIPSBURG

GRANITE PHARMACY 106 N. MONTGOMERY ST, PHILIPSBURG 59858

(406) 859-3784 711 EDS P EP


16


PLAINS

PLAINS DRUG 214 RAILROAD ST, PLAINS 59859 (406) 826-3552 711 EDS P EP

PLENTYWOOD

PLENTYWOOD DRUG 119 N MAIN ST, PLENTYWOOD 59254-1817

(406) 765-1810 711 EDS EP

POLSON

HEALTHCARE PLUS PHARMACY LTC

1 7TH AVE E, POLSON 59860-3202 (406) 883-0565 711 EDS EP

PROVIDENCE LAKESHORE PHARMACY

50331A US HWY 93, POLSON 59860 (406) 883-0342 711 EDS P EP

PROVIDENCE ST JOSEPH PHARMACY

6 13TH AVE E, POLSON 59860-5315 (406) 883-8444 711 EDS P EP

SAFEWAY PHARMACY

146 S SHORE RTE, POLSON 59860-9651

(406) 883-3674 711 EDS P EP

WALGREENS 40770 MT HIGHWAY 35, POLSON 59860-7745

(406) 300-6042 711 EDS EP

WALMART PHARMACY

36318 MEMORY LANE, POLSON 59860

(406) 883-9221 711 EDS P EP

POPLAR

POPLAR PHARMACY 213 H ST EAST, POPLAR 59255 (406) 768-6147 711 EDS P EP

RED LODGE

RED LODGE DRUG CO INC

211 NORTH BROADWAY, RED LODGE 59068-1030

(406) 446-1017 711 EDS EP

RONAN

FAMILY HEALTH PHARMACY

63307 US HIGHWAY 93, RONAN 59864-2702

(406) 676-2111 711 EDS P EP

R & R HEALTH CARE SOLUTIONS

63802 US HIGHWAY 93 STE B, RONAN 59864-3414

(406) 676-5600 711 EDS P EP

ROUNDUP

SHOPKO PHARMACY 148 MAIN ST, ROUNDUP 59072-2830 (406) 323-1811 711 EDS P EP


17


SAINT IGNATIUS

MISSION DRUG PHARMACY

110 N MAIN ST, SAINT IGNATIUS 59865-9031

(406) 745-3000 711 EDS P EP

SCOBEY

SERVICE DRUG 119 MAIN ST, SCOBEY 59263 (406) 487-5911 711 EDS EP

SEELEY LAKE

SEELEY SWAN PHARMACY

3027 MT HIGHWAY 83 N STE J, SEELEY LAKE 59868

(406) 677-8989 711 EDS P EP

SHELBY

NORTHTOWN DRUG LLC

333 MAIN ST, SHELBY 59474-1967 (406) 434-5115 711 EDS EP

SHOPKO PHARMACY 1950 ROOSEVELT HWY, SHELBY 59474-1549

(406) 434-2377 711 EDS P EP

SHERIDAN

MACS CHC PHARMACY

117 N MAIN ST, SHERIDAN 59749-9516

(406) 842-7434 711 EDS EP

SIDNEY

CLINIC PHARMACY 214 14TH AVE SW, SIDNEY 59270-3521

(406) 488-6563 711 EDS P EP

SHOPKO PHARMACY 1159 S CENTRAL AVE, SIDNEY 59270-5219

(406) 482-6401 711 EDS P EP

WHITE DRUG 402 E MAIN ST, SIDNEY 59270-4633 (406) 482-1420 711 EDS P EP

STEVENSVILLE

FAMILY PHARMACY INC

3804 EASTSIDE HWY, STEVENSVILLE 59870

(406) 777-5002 711 EDS P EP

RIDGEWAY PHARMACY

39 STEVI CUTOFF RD, STEVENSVILLE 59870

(406) 777-4410 711 EDS P EP

VALLEY DRUG & VARIETY

301 MAIN ST, STEVENSVILLE 59870 (406) 777-5591 711 EDS P EP


18


SUPERIOR

MINERAL PHARMACY INC

207 RIVER ST, SUPERIOR 59872 (406) 822-4681 711 EDS EP

THOMPSON FALLS

DOUG'S DRUG 1221 MAIN STREET, THOMPSON FALLS 59873

(406) 827-4349 711 EDS P EP

THREE FORKS

RAILWAY DRUG 117 MAIN STE A, THREE FORKS 59752

(406) 759-5225 711 EDS P EP

TOWNSEND

TOWNSEND DRUG 308 BROADWAY, TOWNSEND 59644-2222

(406) 266-4379 711 EDS P EP

TROY

KOOTENAI DRUG 611 E. MISSOULA AVE, TROY 59935 (406) 295-4361 711 EDS EP

VICTOR

NORTH RIDGE PHARMACY

2824 HIGHWAY 93 N STE B, VICTOR 59875

(406) 642-9898 711 EDS EP

RIDGEWAY PHARMACY

2824 US HIGHWAY 93 N, VICTOR 59875-9505

(406) 642-6040 711 EDS EP

WARM SPRINGS

MONTANA STATE HOSPITAL

58 GARNET WAY, WARM SPRINGS 59756-9704

(406) 693-7178 711 EDS

WEST YELLOWSTONE

SILVERTIP PHARMACY

120 N CANYON ST STE F, WEST YELLOWSTONE 59758

(406) 646-7056 711 EDS P EP

WHITE SUIPHUR SPRING

CASTLE MOUNTAIN DRUG

25 E MAIN, WHITE SUIPHUR SPRING 59645

(406) 547-2316 711 EDS P EP


19


WHITEFISH

ALPINE APOTHECARY 6475 US HIGHWAY 93 S, WHITEFISH 59937-8282

(406) 862-7434 711 EDS P EP

NORTH VALLEY HOSPITAL OP PHCY

1600 HOSPITAL WAY, WHITEFISH 59937-7849

(406) 863-3510 711 EDS EP

SAFEWAY PHARMACY

6580 US HIGHWAY 93 S, WHITEFISH 59937-2959

(406) 862-2526 711 EDS P EP

WALGREENS 700 E 13TH ST, WHITEFISH 59937-2981

(406) 862-7391 711 EDS EP

WHITEFISH DISCOUNT PHARMACY

1111 BAKER AVE, WHITEFISH 59937 (406) 862-7070 711 EDS EP

WHITEHALL

WHITEHALL DRUG 203 W LEGION ST, WHITEHALL 59759-7743

(406) 287-3931 711 EDS P EP

WOLF POINT

NE MT HEALTH SERVICES WOLFPOINT

1115 4TH AVE N, WOLF POINT 59201-1829

(406) 653-6572 711 EDS P EP

20

Mail Order Pharmacy CVS Caremark Mail Service Pharmacy Customer Care: 1-866-412-5393 TTY/TDD: 711


You can get prescription drugs shipped to your home through our network mail order delivery program which is called CVS Caremark Mail Service Pharmacy.

If you have used mail order services with your current plan before, or if you opt in now, our pharmacy will automatically fill and ship new prescriptions received directly from your doctors or other prescribers. You may opt out of automatic deliveries of new prescriptions at any time by contacting us. If you never had mail order delivery and/or decide to stop automatic fills of new prescriptions, we will contact you each time we get a new prescription from a provider to see if you want the medication filled and shipped at that time. This will give you an opportunity to make sure that the correct drug (including strength, amount, and form) will be delivered, and, if necessary, allow you to cancel or delay the order before you are billed and it is shipped.

For refills of your mail order prescriptions, you have the option to sign up for an automatic refill program. Under this program, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto-refill program, please contact us 15 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. To opt out of the automatic refill program, please contact us by calling 1-866-412-5393. TTY users should call 711.

Typically, you should expect to receive your prescription drugs within 10 calendar days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at 1-866-412-5393. TTY users should call 711.

EDS P EP

21

Home Infusion Pharmacies Medicare Blue Rx (PDP) only covers the cost of prescription drugs obtained from home infusion pharmacies. We do not cover other costs associated with the home infusion pharmacy services, such as nursing services and home infusion medical supplies. Please call Customer Service at 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times, for more information about home infusion pharmacy services. TTY users should call 711.



BILLINGS

OPTION CARE 404 N 31ST ST STE 401, BILLINGS 59101-1211

(800) 644-8203 711 LA EDS EP

BOZEMAN

OPTION CARE 682 S FERGUSON AVE STE 1, BOZEMAN 59718-6491

(406) 587-1050 711 LA EDS EP

BUTTE

OPTION CARE 800 W PLATINUM ST STE D, BUTTE 59701-2200

(866) 252-9342 711 LA EDS EP

GREAT FALLS

SPECTRUMS HOME SOLUTIONS


(406) 727-1218 711 LA EDS

KALISPELL

BIG SKY IV CARE 20 FOUR MILE DR STE 3, KALISPELL 59901-2644

(406) 752-0440 711 LA EDS

MISSOULA

PARTNERS SOLUTIONS

2687 PALMER ST STE B, MISSOULA 59808-1710

(406) 728-8848 711 LA EDS EP

22

Long-Term Care Pharmacies

Residents of a long-term care facility may access their prescription drugs covered under Medicare Blue Rx (PDP) through the facility’s long-term care pharmacy or another network long-term care pharmacy. Long-term care pharmacies can only provide up to a one-month supply. Please call Customer Service at 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times, for long-term care pharmacies in other areas or for more information about long-term care pharmacy services. TTY users should call 711.



ANACONDA

COMMUNITY HOSPITAL OF ANACONDA

615 MAIN ST, ANACONDA 59711-2936

(406) 563-8650 711 LA EP

BIG SANDY

BIG SANDY PHARMACY

158 JOHANNES AVE, BIG SANDY 59520

(406) 378-5588 711 LA EP

BIGFORK

BIGFORK DRUG INC 8111 MT HIGHWAY 35, BIGFORK 59911-3588

(406) 837-4370 711 LA EP

BILLINGS

ASPEN MEADOWS PHARMACY

3155 AVENUE C, BILLINGS 59102-8109

(406) 238-5977 711 LA EP

BILLINGS HLTH & REHABILITATION


(406) 656-2992 711 LA EP

NCS HEALTHCARE OF MONTANA

2747 ENTERPRISE AVE STE 1, BILLINGS 59102-7412

(406) 247-3325 711 LA EP

PHARMACY 1 LTC 2900 12TH AVE N STE 110B, BILLINGS 59101-7506

(406) 245-6718 711 LA EP

ST JOHN'S LUTHERAN MINISTRIES

3940 RIMROCK RD, BILLINGS 59102-0141

(406) 655-5827 711 LA EP

BOZEMAN

GENOA-QOL HEALTHCARE

699 FARMHOUSE LN STE P, BOZEMAN 59715-9402

(406) 404-6978 711 LA EP

CHESTER

CHESTER PHARMACY 30 MAIN STREET, CHESTER 59522 (406) 759-5050 711 LA EP

23



CHINOOK

CHINOOK PHARMACY 300 INDIANA ST, CHINOOK 59523-9715

(406) 357-3333 711 LA EP

CIRCLE

MCCONE COUNTY HEALTH CENTER

605 SULLIVAN AVE, CIRCLE 59215 (406) 485-3381 711 LA

COLUMBIA FALLS

VA SATELLITE PHARMACY

400 VETERANS DRIVE, COLUMBIA FALLS 59912-5505

(406) 892-3256 711 LA

CONRAD

OLSON'S DRUG 5 4TH AVE SE, CONRAD 59425-2327 (406) 278-3261 711 LA EP

VILLAGE DRUG 600 S MAIN ST STE 2, CONRAD 59425-2532

(406) 278-3267 711 LA EP

DEER LODGE

KEYSTONE DRUG 407 MAIN ST, DEER LODGE 59722-1058

(406) 846-2120 711 LA EP

ENNIS

ENNIS PHARMACY 130 MAIN ST, ENNIS 59729-0000 (406) 682-4246 711 LA EP

FORSYTH

YELLOWSTONE PHARMACY

1025 MAIN ST, FORSYTH 59327-0000 (406) 346-2134 711 LA EP

FORT BENTON

BENTON PHARMACY 1418 FRONT ST, FORT BENTON 59442-0000

(406) 622-5588 711 LA EP

GLASGOW

5TH AVENUE PHARMACY AND GIFT

621 3RD ST S, GLASGOW 59230 (406) 228-3693 711 LA EP

WESTERN DRUG OF GLASGOW

537 2ND AVE S, GLASGOW 59230-2320

(406) 228-4308 711 LA EP

24



GLENDIVE

GLENDIVE MEDICAL CENTER

202 PROSPECT DR, GLENDIVE 59330-1943

(406) 345-3306 711 LA

GREAT FALLS

BENEFIS AMBULATORY PHARMACY

500 15TH AVE S STE 2, GREAT FALLS 59405-4304

(406) 455-2170 711 LA EP

BIG SKY MANAGED CARE

915 1ST AVE S STE 110, GREAT FALLS 59401-3705

(406) 315-1989 711 LA EP

HAMILTON

BITTERROOT DRUG 211 W MAIN ST, HAMILTON 59840-2553

(406) 363-3611 711 LA EP

HARDIN

PHARMCARE OF HARDIN INC

901 N CENTER AVE, HARDIN 59034-1322

(406) 665-1602 711 LA

HAVRE

NORTHERN MONTANA HOSP PHARMACY

30 13TH ST, HAVRE 59501-5222 (406) 265-2211 711 LA EP

HELENA


2600 WINNE AVE STE F, HELENA 59601-4900

(406) 443-2540 711 LA EP

KALISPELL

KALISPELL REGIONAL MED CENTER PHCY

310 SUNNYVIEW LN, KALISPELL 59901-3129

(406) 752-1761 711 LA

THE CLINICAL PHARMACY


(406) 751-7600 711 LA EP

LEWISTOWN

MONTANA MENTAL HEALTH NURSING CNTR

800 CASINO CREEK DR, LEWISTOWN 59457-3359

(406) 538-7451 711 LA

25



LIVINGSTON

KC WESTERN DRUG LONG TERM CARE PHCY

1313 W PARK ST STE B, LIVINGSTON 59047-2900

(406) 222-5120 711 LA EP

MALTA

VALLEY DRUG COMPANY

131 SOUTH FIRST AVE E, MALTA 59538-0000

(406) 654-2632 711 LA EP

MILES CITY

HOLY ROSARY HEALTHCARE PHARMACY

2600 WILSON ST, MILES CITY 59301-5094

(406) 233-2779 711 LA

MISSOULA

406 CLINIC PHARMACY

1315 WYOMING ST STE A, MISSOULA 59801-1725

(406) 544-8808 711 LA EP

GRANITE PHCY HEALTH SOLUTIONS

2230 27TH AVE STE 1, MISSOULA 59804-5130

(406) 926-2940 711 LA EP

THE VILLAGE HEALTH CARE CENTER PHCY

2651 SOUTH AVE W, MISSOULA 59804-6405

(406) 728-9162 711 LA EP

PLENTYWOOD

PLENTYWOOD DRUG 119 N MAIN ST, PLENTYWOOD 59254-1817

(406) 765-1810 711 LA EP

POLSON

HEALTHCARE PLUS PHARMACY LTC

1 7TH AVE E, POLSON 59860-3202 (406) 883-0565 711 LA EP

POPLAR

POPLAR PHARMACY 213 H ST EAST, POPLAR 59255 (406) 768-6147 711 LA EP

RONAN

FAMILY HEALTH PHARMACY

63307 US HIGHWAY 93, RONAN 59864-2702

(406) 676-2111 711 LA EP

R & R HEALTH CARE SOLUTIONS

63802 US HIGHWAY 93 STE B, RONAN 59864-3414

(406) 676-5600 711 LA EP

26



SCOBEY

SERVICE DRUG 119 MAIN ST, SCOBEY 59263 (406) 487-5911 711 LA EP

SHELBY

NORTHTOWN DRUG LLC

333 MAIN ST, SHELBY 59474-1967 (406) 434-5115 711 LA EP

SIDNEY

CLINIC PHARMACY 214 14TH AVE SW, SIDNEY 59270-3521

(406) 488-6563 711 LA EP

WHITE DRUG 402 E MAIN ST, SIDNEY 59270-4633 (406) 482-1420 711 LA EP

VICTOR

NORTH RIDGE PHARMACY

2824 HIGHWAY 93 N STE B, VICTOR 59875

(406) 642-9898 711 LA EP

RIDGEWAY PHARMACY

2824 US HIGHWAY 93 N, VICTOR 59875-9505

(406) 642-6040 711 LA EP

WARM SPRINGS

MONTANA STATE HOSPITAL

58 GARNET WAY, WARM SPRINGS 59756-9704

(406) 693-7178 711 LA

WHITE SUIPHUR SPRING

CASTLE MOUNTAIN DRUG

25 E MAIN, WHITE SUIPHUR SPRING 59645

(406) 547-2316 711 LA EP

27

Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies

Only Native Americans and Alaska Natives have access to Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies through Medicare Blue Rx (PDP)’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). Please call Customer Service at 1-888-832-0075, 8 a.m. to 8 p.m., daily, Central and Mountain times, for more information about I/T/U pharmacy services. TTY users should call 711.



BOX ELDER

ROCKY BOY HEALTH CENTER

535 CLINIC RD E, BOX ELDER 59521-8826

(406) 395-4486 711 LA EDS

BROWNING

BLACKFEET COMMUNITY HOSPITAL

760 HOSPITAL CIRCLE, BROWNING 59417

(406) 338-6103 711 LA EDS

CROW AGENCY

CROW INDIAN HOSPITAL PHARMACY

212 HWY & 1-90 INTERSECTION, CROW AGENCY 59022

(406) 638-3353 711 LA EDS EP

HARLEM

FT BELKNAP HEALTH CENTER PHCY

456 GROS VENTRE AVE, HARLEM 59526

(406) 353-3104 711 LA EDS EP

HAYS

HAYS INDIAN HEALTH CENTER PHARMACY

123 WHITE CROW ROAD, HAYS 59527

(406) 673-3777 711 LA EDS

HEART BUTTE

HEART BUTTE PHARMACY

81 DISNEY, HEART BUTTE 59448 (406) 338-2151 711 LA EDS

LAME DEER

LAME DEER HEALTH CENTER

100 CHEYENNE AVE., LAME DEER 59043

(406) 477-4448 711 LA EDS EP

28

Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies


LODGE GRASS

LODGE GRASS PHARMACY

HARDING AVE, LODGE GRASS 59050

(406) 639-2317 711 LA EDS EP

PABLO

CONFED SALISH/KOOTENAI TRIBES

308 MISSION DRIVE, PABLO 59855 (406) 745-3525 711 LA EDS EP

POPLAR

POPLAR PHARMACY 211 H ST, POPLAR 59255-9519 (406) 768-3491 711 LA EDS EP

PRYOR

PRYOR PHARMACY PRYOR GAP ROAD, PRYOR 59066 (406) 238-9874 711 LA EDS

WOLF POINT

WOLF POINT PHARMACY

550 6TH AVE. N., WOLF POINT 59201 (406) 653-1641 711 LA EDS EP

o o

o o

NOTICE OF RIGHTS NONDISCRIMINATION AND ACCESSIBILITY

MedicareBlueSM Rx (PDP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MedicareBlue Rx does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

MedicareBlue Rx:

Provides free aids and services to people with disabilities to communicate effectively with us, such as:

Qualified sign language interpreters Written information in other formats (large print, audio, accessible electronic formats, other formats)

Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages

If you need these services call customer service at 1-888-832-0075, daily, 8:00 a.m. to 8:00 p.m. Central and Mountain times (TTY: 711).

If you believe that MedicareBlue Rx has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in writing to:

MedicareBlue Rx Compliance Officer 3400 Yankee Drive, R337 Eagan, MN 55121

You can file a grievance by mail. If you need help filing a grievance, the MedicareBlue Rx Compliance Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, through one of the following methods:

Electronically through the Office of Civil Rights Complaint Portal

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

By Mail U.S. Department of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, DC 20201

By Phone 1–800–368–1019 800–537–7697 (TDD)

https://ocrportal.hhs.gov/ocr/portal/lobby.jsf

Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-832-0075 (TTY: 711). Hmong: LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-888-832-0075 (TTY: 711).

Amharic: ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-888-832-0075 (መስማት ለተሳናቸው: 711).

Arabic:

(رقم ھاتف الصم 888-238-5700-1ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم ).117والبكم:

Chinese: 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電1-888-832-0075（TTY：

711）。 Cushite (Oromo): XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-888-832-0075 (TTY: 711). French: ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-888-832-0075 (ATS : 711). German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-888-832-0075 (TTY: 711). Karen:

Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-888-832-0075 (TTY: 711)번으로 전화해 주십시오. Laotian: ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ ້ າພາສາ ລາວ, ການບໍ ລິ ການຊ່ວຍເຫຼື ອດ້ານພາສາ, ໂດຍບໍ່ ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-888-832-0075 (TTY: 711). Mon-Khmer, Cambodian: របយ័តន៖ េបើសិនជាអនកនិយាយ ភាសាែខមរ, េសវាជំនួយែផនកភាសា េដាយមិនគិតឈនួល គឺអាចមានសំរាប់បំេរីអនក។ ចូរ ទូរស័ពទ 1-888-832-0075 (TTY: 711)។ Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-888-832-0075 (телетайп: 711). Serbo-Croatian (Serbian): OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-888-832-0075 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711). Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-888-832-0075 (TTY: 711).

This Pharmacy Directory was updated on 07/27/2017.

For more recent information or other questions, please contact MedicareBlue Rx at:

1-888-832-0075, or for TTY users, 711 8 a.m. to 8 p.m., daily, Central and Mountain Times

Or visit:

YourMedicareSolutions.com

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at YourMedicareSolutions.com.

You may also call Customer Service for updated provider information.

MedicareBlue Rx is a Medicare-approved Part D sponsor. Enrollment in MedicareBlue Rx depends on contract renewal.

RAS1170R10 (9/17)



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