ambetter pharmacies in the 90-day extended network · 2020-07-02 · bloomington sam's club...

39
© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com 1-877-687-1182 (TTY/TDD 1-800-743-3333) Ambetter Pharmacies in the 90-Day Extended Network The Ambetter 90-Day Extended Network of Pharmacies includes pharmacies that are contracted to provide eligible members an extended 90-day supply of most commonly prescribed maintenance medications. Having a 90-day supply of maintenance medications can make it easier for our members to keep their medications on hand and take them as prescribed. Ambetter members can use the list below to find pharmacies that participate in the Ambetter 90-Day Extended Network What is the Ambetter 90-Day Extended pharmacy network? What is a “maintenance medication”? Maintenance medications are drugs that are used to treat chronic conditions, such as, high blood pressure, diabetes, heart disease, and asthma. Please note, not all medications are maintenance, and not all medications are covered for a 90-day supply. Please consult the Ambetter 90-Day Supply Maintenance Drug List on our website to determine if a drug is included. Keep in mind that just because a drug is included on the list, does not mean that it is covered through your specific insurance plan. Please refer to your benefit materials to ensure your prescription is covered.

Upload: others

Post on 18-Jul-2020

0 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

Ambetter Pharmacies in the 90-Day Extended Network

The Ambetter 90-Day Extended Network of Pharmacies includes pharmacies that are contracted to provide eligible

members an extended 90-day supply of most commonly prescribed maintenance medications. Having a 90-day

supply of maintenance medications can make it easier for our members to keep their medications on hand and

take them as prescribed.

Ambetter members can use the list below to find pharmacies that participate in the Ambetter 90-Day Extended

Network

What is the Ambetter 90-Day Extended pharmacy network?

What is a “maintenance medication”?

Maintenance medications are drugs that are used to treat chronic conditions, such as, high blood pressure, diabetes,

heart disease, and asthma.

Please note, not all medications are maintenance, and not all medications are covered for a 90-day supply. Please

consult the Ambetter 90-Day Supply Maintenance Drug List on our website to determine if a drug is included. Keep in

mind that just because a drug is included on the list, does not mean that it is covered through your specific insurance

plan. Please refer to your benefit materials to ensure your prescription is covered.

Page 2: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Akron Webbs Family Pharmacy 100 E Rochester St 46910 574-893-4413 Alexandria CVS Pharmacy 105 N Park Ave 46001 765-724-2210 Anderson CVS Pharmacy 3824 Main St 46013 765-640-4398 Anderson CVS Pharmacy 2003 Broadway St 46012 765-643-1515 Anderson CVS Pharmacy 2419 Nichol Ave 46016 765-643-4313 Anderson CVS Pharmacy 265 S Scatterfield Rd 46012 765-643-3400 Anderson Genoa-qol Healthcare 2009 Brown St Ste 7 46016 765-649-1251 Anderson Kroger Pharmacy 1900 Applewood Center Dr 46013 765-649-8026 Anderson Kroger Pharmacy 3050 Meridian St 46016 765-644-2421 Anderson Kroger Pharmacy 1845 N Scatterfield Rd 46012 765-649-2477 Anderson Meijer Pharmacy 6610 Scatterfield Road 46013 765-683-5210 Anderson Pharmasave Rx 4638 S Scatterfield Rd 46013 765-374-3444 Anderson Walmart Pharmacy 2321 Charles St 46013 765-642-5365 Angola CVS Pharmacy 700 N Wayne St 46703 260-665-2106 Angola Meijer Pharmacy 2990 N Wayne St 46703 260-668-1110 Angola Walmart Pharmacy 2016 N Wayne St 46703 260-665-7033 Attica CVS Pharmacy 200 W Jackson St 47918 765-762-3390 Attica Swadley Drugs 300 S. Perry St 47918 765-762-3287 Auburn CVS Pharmacy 934 W 7th St 46706 260-925-1590 Auburn Dekalb Pharmacare 1314 E 7th St Ste 104 46706 260-925-8000 Auburn Kroger Sav-on 1001 W 7th St 46706 260-920-2170 Auburn Walmart Pharmacy 505 Touring Dr 46706 260-925-8083 Aurora CVS Pharmacy 405 Green Blvd 47001 812-926-2144 Aurora Walmart Pharmacy 100 Sycamore Estates Dr 47001 812-926-3034 Austin Austin Pharmacy 10 W Main St 47102 812-794-4311 Avon CVS Pharmacy 10209 East Hwy 36 46123 317-271-6598

Page 3: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Avon CVS Pharmacy 7990 E Us Highway 36 46123 317-272-0242 Avon CVS Pharmacy 1074 N State Road 267 46123 317-272-2133 Avon Genoa-qol Healthcare 6655 E Us Highway 36 46123 317-272-4804 Avon Kroger Pharmacy 108 N State Road 267 46123 317-272-4135 Avon Meijer Pharmacy 10841 E Us Highway 36 46123 317-273-6010 Avon Walmart Pharmacy 9500 E Us Highway 36 46123 317-209-8204 Avon West Retail Pharmacy 1111 Ronald Reagan Pkwy 46123 317-217-3355 Bainbridge Crossroads Care Pharmacy 209 E Pat Rady Way Ste B 46105 765-522-4300 Bargersville CVS Pharmacy 5020 N State Road 135 46106 317-535-1898 Batesville CVS Pharmacy 907 State Road 229 47006 812-934-5711 Batesville Georges Family Pharmacy 1198 State Rd 46 E 47006 812-932-6251 Batesville George's Family Pharmacy, Inc. 1198 State Road 46 E 47006 812-932-6251 Batesville Kroger Pharmacy 1034 State Road 229 47006 812-933-0447 Bedford Crowder's Institutional Phcy 629 16th St 47421 812-275-7427 Bedford Crowders Uptown Drug Store 631 16th St 47421 812-275-5949 Bedford CVS Pharmacy 1206 16th St 47421 812-275-3393 Bedford Jay C Food Stores 2631 16th St 47421 812-275-8167 Bedford Lincoln Plaza Pharmacy LLC 629 Lincoln Ave 47421 812-277-2010 Bedford Med Shoppe Pharmacy 2900 16th St 47421 812-275-1340 Bedford Medicine Plus 2412 16th St 47421 812-275-3383 Bedford Walmart Pharmacy 3200 John Williams Blvd 47421 812-275-0415 Beech Grove CVS Pharmacy 1715 Main St 46107 317-784-9037 Berne CVS Pharmacy 928 Us 27 N 46711 260-589-2701 Berne Kaup Pharmacy 104 W Main Street 46711 260-589-3330 Bicknell Family Pharmacy Inc 508 W 11th St 47512 812-735-4444 Bloomfield CVS Pharmacy 668 S Us Highway 231 47424 812-384-4820

Page 4: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Bloomington CVS Pharmacy 3910 W 3rd St 47404 812-339-4006 Bloomington CVS Pharmacy 1000 N College Ave 47404 812-339-2233 Bloomington CVS Pharmacy 2966 E 3rd St 47401 812-336-4101 Bloomington CVS Pharmacy 2650 S Walnut St 47401 812-336-6223 Bloomington CVS Pharmacy 121 E Kirkwood Ave 47408 812-349-0384 Bloomington CVS Pharmacy 2701 E 3rd St 47401 812-332-1419 Bloomington CVS Pharmacy 510 S College Mall Rd 47401 812-336-0279 Bloomington CVS Pharmacy 4444 W State Road 46 47404 812-876-2915 Bloomington Genoa-qol Healthcare 645 S Rogers St 47403 812-355-6340 Bloomington In Univ Student Hlth Ctr Phcy 600 N Jordan Ave 47405 812-855-3865 Bloomington Kroger Pharmacy 4025 S Old State Road 37 47401 812-824-5205 Bloomington Kroger Pharmacy 1825 N Kinser Pike 47404 812-335-6770 Bloomington Kroger Pharmacy 500 S Liberty Dr 47403 812-349-1392 Bloomington Kroger Savon Phcy 528 S College Ave 47403 812-336-5118 Bloomington Kroger Savon Phcy 1175 S College Mall Rd 47401 812-333-5760 Bloomington Panacea Pharmacy Inc. 2424 S Walnut St 47401 812-287-8884 Bloomington Pharmacy 1 Express 730 W 2nd St 47403 812-331-7979 Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State Road 45 47403 812-335-0060 Bloomington Williams Bros Health Care Phcy 574 S Landmark Ave 47403 812-335-0000 Bluffton CVS Pharmacy 1203 S Main St 46714 260-824-1646 Bluffton Walmart Pharmacy 2100 N Main St 46714 260-824-0546 Boonville CVS Pharmacy 905 W Main St 47601 812-897-8828 Boonville Walmart Pharmacy 1115 American Way 47601 812-897-0089 Brazil CVS Pharmacy 307 E National Ave 47834 812-446-2301 Brazil Kroger Savon Phcy 100 Forest Park Plz 47834 812-442-6700

Page 5: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Brazil Lynns Pharmacy 22 W National Ave 47834 812-446-2381 Brazil Walmart Pharmacy 2150 E National Ave 47834 812-443-0466 Bremen CVS Pharmacy 1150 W Plymouth St 46506 574-546-3797 Bristol Bristol Pharmacy 300 E Elkhart St 46507 574-848-0660 Brookville CVS Pharmacy 31 Metamora Rd 47012 765-647-3533 Brookville George's Family Pharmacy 480 Main St 47012 765-647-6251 Brownsburg Blue River Pharmacy 680 E 56th St Ste I 46112 317-286-3506 Brownsburg CVS Pharmacy 21 W Main St 46112 317-852-2763 Brownsburg Grandview Pharmacy 474 Southpoint Cir 46112 800-746-7287 Brownsburg Kroger Pharmacy 905 N Green St 46112 317-852-3340 Brownsburg Walmart Pharmacy 400 W Northfield Dr 46112 317-858-1415 Brownstown CVS Pharmacy 415 S Main St 47220 812-358-3671 Brownstown Family Drug 810 W Commerce St 47220 812-358-4502 Butler CVS Pharmacy 529 W Main St 46721 260-868-2427 Cambridge City CVS Pharmacy 1122 S State Road 1 47327 765-478-3431 Cambridge City Medicenter Alternate Care Phcy 100 N Foote St 47327 765-334-8331 Camby Camby Low Cost Pharmacy 8411 Windfall Ln Ste 90 46113 317-548-8015 Camby Meijer Pharmacy 10509 Heartland Blvd 46113 317-821-6810 Camby Walmart Pharmacy 8191 Upland Bnd 46113 317-856-9521 Carmel Coram Cvs/splty Infusion Svcs 11711 N College Ave Ste 125 46032 317-819-4900 Carmel CVS Pharmacy 367 W 116th St 46032 317-574-0145 Carmel CVS Pharmacy 1421 S Range Line Rd 46032 317-844-2775 Carmel CVS Pharmacy 10401 N Michigan Rd 46032 317-876-0921 Carmel CVS Pharmacy 4721 E 126th St 46033 317-848-2824 Carmel CVS Pharmacy 13090 Pettigru Dr 46032 317-733-8608 Carmel CVS Pharmacy 13640 N Meridian St 46032 317-846-1377

Page 6: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Carmel CVS Pharmacy 15160 N Meridian St 46032 317-564-3522 Carmel Genoa-qol Healthcare 703 Pro-med Ln Ste 200 46032 317-218-7709 Carmel Genoa-qol Healthcare 697 Pro-med Ln 46032 317-815-5924 Carmel Giant Eagle Pharmacy 11505 Illinois Street 46032 317-689-6325 Carmel Kroger Savon Phcy 1217 S Range Line Rd 46032 317-843-4431 Carmel Meijer Pharmacy 1424 W Carmel Drive 46032 317-573-8310 Carmel North Retail Pharmacy 11700 N Meridian St Ste B106 46032 317-688-3040 Carmel Option Care 867 W Carmel Dr 46032 317-569-2055 Carmel Walmart Pharmacy 2001 E 151st St 46033 317-844-9064 Castleton Costco Pharmacy 6110 E 86th St 46250 317-558-1452 Cedar Lake CVS Pharmacy 11115 W 133rd Ave 46303 219-374-5688 Chandler Guthries Pharmacy 520 W Lincoln Ave 47610 812-925-3347 Charlestown Cooper Drugs Inc 830 Main St 47111 812-256-2500 Charlestown Jay C Food Stores 9501 County Road 403 47111 812-256-6805 Charlestown Rite Aid 9616 Highway 403 47111 812-256-6368 Chesterton CVS Pharmacy 505 E 1100 N 46304 219-926-1420 Chesterton Osco Drug 747 Indian Boundary Rd 46304 219-926-8723 Churubusco CVS Pharmacy 601 S Main St 46723 260-693-3483 Cicero CVS Pharmacy 950 S Peru St 46034 317-984-3623 Clarksville CVS Pharmacy 1404 Blackiston Mill Rd 47129 812-285-0682 Clarksville CVS Pharmacy 1125 Veterans Pkwy 47129 812-284-5139 Clarksville Kroger Pharmacy 305 E Lewis And Clark Pkwy 47129 812-948-8065 Clarksville Sam's Club Pharmacy 1301 Veterans Pkwy 47129 812-218-0447 Clarksville Walmart Pharmacy 1351 Veterans Pkwy 47129 812-284-0541 Clay City Clay City Pharmacy 730 Main St 47841 812-939-2173 Clinton CVS Pharmacy 924 Western Ave 47842 765-832-2431

Page 7: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Clinton Walmart Pharmacy 1795 E State Road 163 47842 765-832-3539 Cloverdale Cloverdale Drugs 900 N Main St 46120 765-795-4100 Columbia City CVS Pharmacy 286 W Walker Way 46725 260-244-3113 Columbia City Kroger Savon Phcy 621 Country Side Dr 46725 260-248-4572 Columbia City Walmart Pharmacy 402 W Plaza Dr 46725 260-244-4400 Columbus Columbus Regional Hosp Phcy 2400 E 17th St 47201 812-376-5258 Columbus CVS Pharmacy 4495 W State Road 46 47201 812-342-6817 Columbus CVS Pharmacy 2423 N National Rd 47201 812-372-7804 Columbus CVS Pharmacy 1865 N National Rd 47201 812-376-6938 Columbus Genoa-qol Healthcare 720 N Marr Rd 47201 812-376-7295 Columbus Kroger Pharmacy 3110 N National Rd 47201 812-376-9566 Columbus Sam's Club Pharmacy 2715 Merchant Mile 47201 812-373-9273 Columbus Walmart Pharmacy 2025 Merchant Mile 47201 812-376-9385 Columbus Walmart Pharmacy 735 Whitfield Dr 47201 812-372-4220 Connersville CVS Pharmacy 301 N Grand Ave 47331 765-825-3661 Connersville Kroger Pharmacy 516 W 30th St 47331 765-827-5302 Connersville Medicenter Pharmacy 1475 E State Road 44 47331 765-827-1934 Connersville Src Pharmacy LLC 813 Eastern Ave 47331 765-825-6800 Connersville Walmart Pharmacy 2100 N Park Rd 47331 765-825-7664 Corydon Butt Rexall Drug 115 E Chestnut St 47112 812-738-3272 Corydon CVS Pharmacy 255 Old Capital Plz Nw 47112 812-738-7191 Corydon Walmart Pharmacy 2363 Highway 135 Nw 47112 812-738-1294 Covington CVS Pharmacy 511 3rd St 47932 765-793-4511 Crawfordsville CVS Pharmacy 106 E Market St 47933 765-362-1139 Crawfordsville CVS Pharmacy 713 S Washington St 47933 765-362-2831 Crawfordsville Kroger Pharmacy 1660 Crawfordsville Square Dr 47933 765-361-3260

Page 8: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Crawfordsville Kroger Pharmacy 1440 Darlington Ave 47933 765-362-1904 Crawfordsville Village Apothe At Williamsburg 1609 Lafayette Rd Rm 23 47933 765-364-0363 Crawfordsville Walmart Pharmacy 1835 S Us Highway 231 47933 765-362-5971 Crown Point Cancer Health Treatment Centers, Pc 342 E 109th Ave 46307 219-310-2550 Crown Point Coram Healthcare Corp Of In 1290 Arrowhead Ct Ste A 46307 219-661-0272 Crown Point Crown Point Va Cboc Pharmacy 9301 Madison Street 46307 219-662-5090 Crown Point Custom Dosing Pharmacy 1000 Breuckman Dr 46307 219-662-5602 Crown Point CVS Pharmacy 100 E State Road 231 46307 219-662-8854 Crown Point CVS Pharmacy 10809 Randolph St. 46307 219-663-9075 Crown Point CVS Pharmacy 2272 N Main St 46307 219-661-5601 Crown Point Osco Pharmacy 1276 N Main St 46307 219-662-0200 Crown Point Winfield Medical Pharmacy 9150 E 109th Ave Ste 2b 46307 219-488-1461 Culver CVS Pharmacy 103 S Ohio St 46511 574-842-3400 Dale Special T Rx 702 Buffaloville Rd 47523 812-937-3648 Danville CVS Pharmacy 651 E Main St 46122 317-745-5828 Danville Kroger Savon Phcy 785 E Main St 46122 317-745-8027 Danville Walmart Pharmacy 1894 Ridge Ave 46122 317-745-3209 Decatur CVS Pharmacy 1221 W Monroe St 46733 260-724-2568 Decatur Scotts Pharmacy 929 S 13th St 46733 260-724-9187 Decatur Walmart Pharmacy 1700 S 13th St 46733 260-724-8800 Delphi CVS Pharmacy 505 W Main St 46923 765-564-4117 Demotte CVS Pharmacy 5765 E State Road 10 46310 219-345-4742 Demotte CVS Pharmacy 310 N Halleck St 46310 219-987-3301 Dillsboro Deville Pharmacies Inc 12836 North St 47018 812-432-5684 Dunkirk CVS Pharmacy 1130 S Main St 47336 765-768-6131 Dyer CVS Pharmacy 225 Joliet St 46311 219-322-3014

Page 9: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Dyer Osco Drug 805 Joliet St 46311 219-864-4314 East Chicago CVS Pharmacy 2106 Broadway 46312 219-398-1377 East Chicago Genoa-qol Healthcare 3903 Indianapolis Blvd 46312 219-397-6415 East Chicago St Catherine Outpatient Phcy 4321 Fir St 46312 219-392-7691 Edinburgh CVS Pharmacy 15622 N State Road 79 46124 812-526-2487 Elkhart CVS Pharmacy 900 E Bristol St 46514 574-206-8476 Elkhart CVS Pharmacy 104 W Hively Ave 46517 574-293-2231 Elkhart CVS Pharmacy 551 E Jackson Blvd 46516 574-293-0040 Elkhart CVS Pharmacy 3600 Cassopolis St 46514 574-262-8247 Elkhart CVS Pharmacy 1210 N Nappanee St 46514 574-266-9009 Elkhart Elkhart General Hospital 600 East Blvd 46514 574-523-3101 Elkhart Genoa-qol Healthcare 2600 Oakland Ave 46517 574-970-0440 Elkhart Heart City Health Ctr Pharmacy 236 Simpson Ave 46516 574-970-1441 Elkhart Kroger Pharmacy 130 W Hively Ave 46517 574-294-6092 Elkhart Kroger Savon Phcy 901 Johnson St 46514 574-264-5996 Elkhart Martin's Pharmacy 201 Concord Mall Dr 46517 574-875-9423 Elkhart Martin's Pharmacy 120 Sanford School Rd 46514 574-970-6470 Elkhart Martin's Pharmacy 3900 E Bristol St 46514 574-970-0004 Elkhart Seifert Drugs 230 S Main St 46516 574-295-4333 Elkhart Walmart Pharmacy 30830 Old Us 20 46514 574-674-5730 Elkhart Walmart Pharmacy 175 County Road 6 W 46514 574-266-7459 Elwood CVS Pharmacy 100 N Anderson St 46036 765-552-9565 Elwood Elwood Low Cost Pharmacy 518 S Anderson St 46036 765-552-0869 English CVS Pharmacy 665 E State Road 64 47118 812-338-3686 Evansville CVS Pharmacy 4480 N 1st Ave 47710 812-425-1525 Evansville CVS Pharmacy 3900 Oak Hill Rd 47711 812-475-8497

Page 10: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Evansville CVS Pharmacy 1145 Washington Ave 47714 812-468-8257 Evansville CVS Pharmacy 6625 E Lloyd Expy 47715 812-402-8509 Evansville CVS Pharmacy 4700 Lincoln Ave 47714 812-477-5396 Evansville CVS Pharmacy 2344 Covert Ave 47714 812-479-8581 Evansville CVS Pharmacy 101 N Burkhardt Rd 47715 812-471-8207 Evansville CVS Pharmacy 5120 Weston Rd 47712 812-424-4811 Evansville CVS Pharmacy 2020 E Morgan Ave 47711 812-422-6330 Evansville CVS Pharmacy 4000 N 1st Ave 47710 812-428-2285 Evansville CVS Pharmacy 511 E Boonville New Harmony Rd 47725 812-867-6407 Evansville CVS Pharmacy 609 N Saint Joseph Ave 47712 812-424-3894 Evansville CVS Pharmacy 801 N 1st Ave 47710 812-467-0109 Evansville Deaconess Family Pharmacy 600 Mary St 47747 812-450-3784 Evansville Deaconess Family Pharmacy Dc-dt 421 Chestnut St 47713 812-450-3784 Evansville Evansville Va Cboc Pharmacy 500 E Walnut St 47713 618-997-5311 Evansville Genoa-qol Healthcare 415 Mulberry St 47713 812-422-3448 Evansville Indiana Exceptional Med Care LLC 3700 Bellemeade Ave Ste 101 47715 812-402-3700 Evansville Meijer Pharmacy 2622 Menards Dr 47715 812-647-2210 Evansville Nations Medicines 4849 Pollack Ave 47715 812-962-4664 Evansville Nation's Medicines 3408 N 1st Ave 47710 812-422-8255 Evansville Pauls Ltc Pharmacy 4111 N St. Joseph Ave 47720 812-426-5033 Evansville Paul's Pharmacy 2345 W Franklin St 47712 812-425-4364 Evansville Paul's Pharmacy East 1225 W Franklin St 47715 812-962-3500 Evansville Sam's Club Pharmacy 6700 E Virginia St 47715 812-473-5892 Evansville Schnucks Pharmacy 4500 W Lloyd Expy 47712 812-422-6399 Evansville Schnucks Pharmacy 600 E Boonville New Harmony Rd 47725 812-464-3502 Evansville Schnucks Pharmacy 5000 Washington Ave 47715 812-473-0113

Page 11: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Evansville Schnucks Pharmacy 3700 N 1st Ave 47710 812-464-3952 Evansville Schnucks Pharmacy 3501 N Green River Rd 47715 812-473-4737 Evansville St Mary's Apothecary 801 Saint Marys Dr 47714 812-485-4365 Evansville Walmart Pharmacy 3430 Taylor Ave 47714 812-471-4968 Evansville Walmart Pharmacy 335 S Red Bank Rd 47712 812-426-1679 Evansville Walmart Pharmacy 401 N Burkhardt Rd 47715 812-474-1715 Evansville Walmart Pharmacy 2500 N 1st Ave 47710 812-647-9498 Ferdinand CVS Pharmacy 20 Industrial Park Rd 47532 812-367-2030 Fishers CVS Pharmacy 8295 E 116th St 46038 317-570-8571 Fishers CVS Pharmacy 11750 Commercial Dr 46038 317-845-4962 Fishers CVS Pharmacy 11588 Allisonville Rd 46038 317-842-7773 Fishers CVS Pharmacy 11591 Olio Rd 46037 317-585-2702 Fishers CVS Pharmacy 10580 E 96th St 46037 317-849-6406 Fishers CVS Pharmacy 13098 Publishers Dr 46038 317-598-4409 Fishers Greenleaf Apothecary LLC 10154 Brooks School Rd 46037 317-436-8328 Fishers Indiana Premier Pharmacy 8395 E 116th St Ste 121 46038 317-288-0400 Fishers Innovative Rx 11954 Fishers Crossing Dr 46038 317-845-9820 Fishers Kroger Pharmacy 11700 Olio Rd 46037 317-598-8515 Fishers Kroger Pharmacy 10005 E 116th St 46037 317-913-5505 Fishers Kroger Pharmacy 7272 Fishers Crossing Dr 46038 317-579-0209 Fishers Saxony Retail Pharmacy 13100 E 136th St Ste 1000 46037 317-678-3300 Fishers Walmart Pharmacy 8300 E 96th St 46037 317-578-4416 Fishers Walmart Pharmacy 9354 Ambleside Dr 46038 317-567-8413 Fishers Williams Ltc Pharmacy 11900 Exit 5 Pkwy 46037 317-889-4125 Floyds Knobs Jay C Food Stores 815 Highlander Point Dr 47119 812-923-9013 Fort Wayne Coram Cvs/splty Infusion Svcs 431 Fernhill Ave 46805 260-484-4442

Page 12: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Fort Wayne Costco Pharmacy 5110 Value Drive 46808 260-481-1110 Fort Wayne CVS Pharmacy 6220 Saint Joe Center Rd 46835 260-485-7998 Fort Wayne CVS Pharmacy 6279 E State Blvd 46815 260-492-0951 Fort Wayne CVS Pharmacy 3918 S Calhoun St 46807 260-744-2310 Fort Wayne CVS Pharmacy 1102 S Thomas Rd 46804 260-434-4580 Fort Wayne CVS Pharmacy 5802 S Anthony Blvd 46816 260-456-5518 Fort Wayne CVS Pharmacy 4225 Hobson Rd 46815 260-422-7510 Fort Wayne CVS Pharmacy 2811 Getz Rd 46804 260-432-6151 Fort Wayne CVS Pharmacy 2802 E State Blvd 46805 260-471-5521 Fort Wayne CVS Pharmacy 3801 Coldwater Rd 46805 260-470-6361 Fort Wayne CVS Pharmacy 770 E Dupont Rd 46825 260-451-8242 Fort Wayne CVS Pharmacy 1703 Carroll Rd 46845 260-338-0834 Fort Wayne CVS Pharmacy 10170 Illinois Rd 46804 260-436-6021 Fort Wayne CVS Pharmacy 6119 Stellhorn Rd 46815 260-485-4697 Fort Wayne CVS Pharmacy 7330 Lima Rd 46818 260-489-6064 Fort Wayne Fort Wayne Custom Rx Inc 425 E Dupont Rd 46825 260-490-3447 Fort Wayne Fort Wayne Vamc Pharmacy 2121 Lake Ave 46805 219-460-1491 Fort Wayne Ft Wayne Med Oncology & Hemotology 7910 W Jefferson Blvd Ste 108 46845 260-436-0800 Fort Wayne Ft Wayne Medical Onc & Hema 11143 Parkview Plz Dr Ste 100 46845 260-969-7868 Fort Wayne Genoa-qol Healthcare 909 E State Blvd 46805 260-373-2039 Fort Wayne Genoa-qol Healthcare 2100 Goshen Rd Ste 111 46808 260-203-0998 Fort Wayne Genoa-qol Healthcare 1909 Carew St Ste 100 46805 260-557-1808 Fort Wayne Grandview Healthcare #2 6032 Highview Dr Ste C 46818 800-746-7287 Fort Wayne Kroger Pharmacy 601 E Dupont Rd 46825 260-637-6115 Fort Wayne Kroger Pharmacy 6000 Saint Joe Center Rd 46835 260-492-2054 Fort Wayne Kroger Pharmacy 5725 Coventry Ln 46804 260-432-2475

Page 13: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Fort Wayne Kroger Pharmacy 6310 E State Blvd 46815 260-493-1531 Fort Wayne Kroger Savon Phcy 218 E Pettit Ave 46806 260-456-4736 Fort Wayne Medical Park 11 Pharmacy 11104 Parkview Circle Dr 46845 260-266-4545 Fort Wayne Meijer Pharmacy 6309 Lima Road 46818 260-497-1010 Fort Wayne Meijer Pharmacy 10301 Sr 37 Hwy 46835 260-492-1310 Fort Wayne Meijer Pharmacy 5909 Illinois Road 46804 260-434-3910 Fort Wayne Omnicare Of Ft. Wayne 3402 Congressional Pkwy 46808 260-484-7366 Fort Wayne Parkview Randallia Outpatient 2200 Randallia Dr 46815 260-373-3456 Fort Wayne Sam's Club Pharmacy 6610 Lima Rd 46818 260-490-0638 Fort Wayne Scotts Pharmacy 10230 Chestnut Plaza Dr 46814 260-625-5949 Fort Wayne Scotts Pharmacy 4120 N Clinton St 46805 260-483-3185 Fort Wayne Scotts Pharmacy 7008 Bluffton Rd 46809 260-747-4136 Fort Wayne Scotts Pharmacy 1125 W State Blvd 46808 260-426-4487 Fort Wayne Summit City Pharmacy 1326 N Coliseum Blvd 46805 260-739-6069 Fort Wayne The Medicine Chest Pharmacy 2803 E State Blvd 46805 260-483-3169 Fort Wayne Three Rivers Pharmacy 3537 N Anthony Blvd 46805 260-373-1083 Fort Wayne United Interventional Pain Ctr 7233 W Jefferson Blvd 46804 260-353-1444 Fort Wayne Walmart Pharmacy 1710 Apple Glen Blvd 46804 260-432-9330 Fort Wayne Walmart Pharmacy 7502 Southtown Xing 46816 260-441-7083 Fort Wayne Walmart Pharmacy 5311 Coldwater Rd 46825 260-484-4528 Fort Wayne Walmart Pharmacy 10105 Lima Rd 46818 260-490-6522 Fort Wayne Walmart Pharmacy 10420 Maysville Rd 46835 260-492-5799 Fortville CVS Pharmacy 715 E Broadway St 46040 317-485-7111 Fortville Garst Rx 325 S Main St 46040 317-485-5555 Fowler Glotzbach Pharmacy 500 S Grant Ave 47944 765-884-1520 Frankfort CVS Pharmacy 460 W Walnut St 46041 765-659-2462

Page 14: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Frankfort Holden Pharmacy 359 W Walnut St Ste A 46041 765-654-4300 Frankfort Walmart Pharmacy 2460 E Wabash St 46041 765-654-4056 Franklin CVS Pharmacy 11 N Morton St 46131 317-738-9713 Franklin Franklin Community Pharmacy 30 S Water St Ste B 46131 317-739-3257 Franklin Kroger Pharmacy 1700 Northwood Plz 46131 317-736-9574 Franklin Meijer Pharmacy 2390 N Morton St 46131 317-346-9610 Franklin Walmart Pharmacy 2125 N Morton St 46131 317-738-4387 Garrett Dekalb Health Pharmacare Garrett 1970 1350 S Randolph St 46738 260-553-9200 Gary CVS Pharmacy 3612 Village Court 46408 219-887-1815 Gary CVS Pharmacy 1350 Broadway 46402 219-885-6355 Gary Genoa-qol Healthcare 1100 W 6th Ave 46402 219-728-5003 Gas City CVS Pharmacy 301 E Main St 46933 765-674-6613 Gas City Good Neighbor Pharmacy 1030 E Main St 46933 765-674-6976 Georgetown Mathes Pharmacy Store 2 Inc 1044 N Luther Rd 47122 812-923-8845 Goshen CVS Pharmacy 410 S Main St 46526 574-533-2510 Goshen CVS Pharmacy 3938 Midway Rd 46526 574-875-0610 Goshen Genoa-qol Healthcare 336 Lakeview Dr 46528 574-975-3656 Goshen Goshen Cancer Ctr Outptnt Phcy 200 High Park Ave 46526 574-364-2803 Goshen Kroger Pharmacy 209 Chicago Ave 46526 574-534-9223 Goshen Martins Pharmacy 1527 Bashor Rd 46528 574-533-5600 Goshen Meijer Pharmacy 4522 Elkhart Rd 46526 574-875-3010 Goshen Nephew Pharmacy 2824 Elkhart Rd 46526 574-537-1111 Goshen Walmart Pharmacy 2304 Lincolnway E 46526 574-534-4483 Goshen Walmart Pharmacy 4024 Elkhart Rd Ste 2 46526 574-875-6921 Granger Costco Pharmacy 625 E University Dr 46530 574-401-7014 Granger CVS Pharmacy 12544 Adams Rd 46530 574-272-5773

Page 15: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Granger CVS Pharmacy 130 E Cleveland Rd 46530 574-247-2221 Granger CVS Pharmacy 155 E University Dr 46530 574-243-9042 Granger Martins Pharmacy 7355 Heritage Square Dr 46530 574-807-8222 Granger Martin's Pharmacy 12850 Adams Rd 46530 574-807-8234 Greencastle CVS Pharmacy 1010 Indianapolis Rd 46135 765-653-9029 Greencastle Kroger Pharmacy 821 Indianapolis Rd 46135 765-653-1606 Greencastle Walmart Pharmacy 1750 Indianapolis Rd 46135 765-653-6575 Greenfield CVS Pharmacy 1233 N State St 46140 317-462-7713 Greenfield Innovative Phcy Solutions 6169 W Stoner Dr Ste 180 46140 317-866-1060 Greenfield Kroger Pharmacy 1571 N State St 46140 317-467-8981 Greenfield Medicap Pharmacy 1588 N State St 46140 317-462-7877 Greenfield Walmart Pharmacy 1965 N State St 46140 317-462-4241 Greensburg CVS Pharmacy 1512 N Lincoln St 47240 812-663-2756 Greensburg Decatur County Memorial Hosp 720 N. Lincoln St 47240 812-663-1250 Greensburg Decatur County Memorial Hospital 720 N Lincoln St 47240 812-663-1152 Greensburg Walmart Pharmacy 790 Greensburg 47240 812-663-3338 Greentown Herbst Pharmacy 710 W Main St 46936 765-628-3446 Greenwood CVS Pharmacy 655 Us Highway 31 S 46142 317-881-1655 Greenwood CVS Pharmacy 640 S State Road 135 46142 317-882-0465 Greenwood CVS Pharmacy 895 S State Road 135 46143 317-883-5215 Greenwood CVS Pharmacy 402 Market Place Dr 46142 317-865-2650 Greenwood Genoa-qol Healthcare 896 E Main St Ste 500 46143 317-807-6292 Greenwood Kroger Pharmacy 2200 Independence Dr 46143 317-883-4145 Greenwood Kroger Pharmacy 5961 N State Road 135 46143 317-530-3087 Greenwood Kroger Pharmacy 3100 Meridian Parke Dr 46142 317-887-5757 Greenwood Meijer Pharmacy 150 S Marlin Drive 46142 317-885-3010

Page 16: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Greenwood Sam's Club Pharmacy 1101 Windhorst Way 46143 317-887-0093 Greenwood Walmart Pharmacy 882 S State Road 135 46143 317-851-1103 Greenwood Walmart Pharmacy 1133 N Emerson Ave 46143 317-885-0139 Griffith CVS Pharmacy 1195 E Ridge Rd 46319 219-923-7907 Griffith Kmart Pharmacy 430 W Ridge Rd 46319 219-972-0364 Griffith Omnicare Of Griffith 139 S Broad St 46319 219-924-6671 Griffith Quik Scripts 303 N Broad St 46319 219-924-9540 Hammond CVS Pharmacy 6445 Calumet Ave 46324 219-937-8521 Hammond Franciscan Op Phcy Hammond 5454 South Hohman Ave 2nd Flr 46320 219-852-1521 Hammond Genoa-qol Healthcare 5818 Columbia Ave Ste P 46320 219-228-8531 Hammond Vyto's Pharmacy 6949 Kennedy Ave Ste C 46323 219-845-2900 Hammond Vyto's Pharmacy 4923 Hohman Ave 46320 219-937-1600 Hammond Walmart Pharmacy 1100 5th St 46320 219-473-9709 Hammond Walmart Pharmacy 7850 Cabela Dr 46324 219-989-0275 Hanover CVS Pharmacy 110 E Lagrange Rd 47243 812-866-5599 Hartford City Blackford Community Healthcare Phcy 400 Pilgrim Blvd 47348 765-348-4989 Hartford City CVS Pharmacy 1700 N Walnut St 47348 765-348-4134 Highland CVS Pharmacy 10451 Indianapolis Blvd 46322 219-924-2829 Highland CVS Pharmacy 3835 45th St 46322 219-922-2723 Highland CVS Pharmacy 3405 Ridge Rd 46322 219-972-7131 Highland Meijer Pharmacy 10138 Indianapolis Rd 46322 219-934-2110 Highland Vyto's Pharmacy 8845 Kennedy Ave 46322 219-972-1700 Highland Vyto's Pharmacy Iiii, Inc 3100 45th St Ste 1 46322 219-288-7200 Hobart CVS Pharmacy 1615 S Lake Park Ave 46342 219-942-0616 Hobart CVS Pharmacy 8100 E Ridge Rd 46342 219-962-6564 Hope Hopes Phcy And Wellness Ctr 645 Harrison St 47246 812-546-2502

Page 17: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Huntingburg CVS Pharmacy 610 N Main St 47542 812-683-3309 Huntingburg Sheldons Express Pharmacy 1810 N Main St 47542 812-683-9600 Huntington Bendix Health Center 1850 River Forks Dr 46750 260-200-1310 Huntington CVS Pharmacy 1901 N Jefferson St 46750 260-356-6600 Huntington Owens Pharmacy 2718 Guilford St 46750 260-358-1506 Huntington Walmart Pharmacy 2800 Wal Mart Dr 46750 260-358-8610 Indianapolis 360 Pharmacy Care LLC 2441 Production Dr Suite 101 46241 317-669-1093 Indianapolis Accredo Health Group Inc 2825 W Perimeter Rd Ste 112 46241 888-773-7376 Indianapolis Affordable Rx Healthmart Phcy 1635 East Southport Rd Indian 46227 317-879-5514 Indianapolis Alivio Pharmacy LLC 2060 N Shadeland Ave Ste 101 46219 317-354-8160 Indianapolis Alixa Rx 5635 W 96th St 46278 317-873-7450 Indianapolis Blackburn Health Ctr Phrm 2700 Martin Luther King Drive 46208 317-931-4308 Indianapolis Carepoint Indiana LLC 7305 E 96th St Suite 500 46250 855-237-9112 Indianapolis Community Medical Ctr Phcy 5506 E 16th St C-10 46218 317-356-6346 Indianapolis Confidential Drug 8250 Bash Street Ste D 46250 888-440-7117 Indianapolis Cordant Pharmacy Solutions 3500 Depauw Blvd Ste 2041 46268 765-293-9211 Indianapolis Costco Pharmacy 4628 E County Line Rd 46237 317-360-7086 Indianapolis Costco Pharmacy 9010 Michigan Rd 46268 317-532-1607 Indianapolis Cottage Corner Comm Hlth Ctr 1434 S Shelby St 46203 317-655-3203 Indianapolis CVS Pharmacy 6336 Oaklandon Rd 46236 317-823-6829 Indianapolis CVS Pharmacy 7915 S Emerson Ave Ste C 46237 317-865-7593 Indianapolis CVS Pharmacy 3808 E Washington St 46201 317-357-5437 Indianapolis CVS Pharmacy 2800 Enterprise St Ste 5 46219 317-352-8401 Indianapolis CVS Pharmacy 7240 E 82nd St 46256 317-849-8150 Indianapolis CVS Pharmacy 4401 E 10th St 46201 317-353-2178 Indianapolis CVS Pharmacy 5005 E 56th St 46226 317-254-8921

Page 18: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Indianapolis CVS Pharmacy 6010 S Emerson Ave 46237 317-783-5325 Indianapolis CVS Pharmacy 105 E Ohio St 46204 317-636-5577 Indianapolis CVS Pharmacy 8330 Crawfordsville Rd 46234 317-347-4411 Indianapolis CVS Pharmacy 1375 W 86th St 46260 317-253-6427 Indianapolis CVS Pharmacy 1616 E 86th St 46240 317-569-0387 Indianapolis CVS Pharmacy 4850 E Southport Rd 46237 317-787-6285 Indianapolis CVS Pharmacy 2320 Cunningham Rd 46224 317-241-6374 Indianapolis CVS Pharmacy 5920 Madison Ave 46227 317-789-0256 Indianapolis CVS Pharmacy 5925 E 71st St 46220 317-845-9072 Indianapolis CVS Pharmacy 6975 N Pendleton Pike 46226 317-542-7304 Indianapolis CVS Pharmacy 1299 W Southport Rd 46217 317-859-5881 Indianapolis CVS Pharmacy 5310 Rockville Rd 46224 317-241-8901 Indianapolis CVS Pharmacy 111 W 38th St 46208 317-925-9445 Indianapolis CVS Pharmacy 10202 E Washington St 46229 317-899-3793 Indianapolis CVS Pharmacy 8935 E 21st St 46219 317-897-6536 Indianapolis CVS Pharmacy 3705 Kentucky Ave 46221 317-856-1253 Indianapolis CVS Pharmacy 3805 N German Church Rd 46235 317-894-6181 Indianapolis CVS Pharmacy 5502 W 38th St 46254 317-293-7266 Indianapolis CVS Pharmacy 1030 N Arlington Ave 46219 317-353-8106 Indianapolis CVS Pharmacy 5605 N Post Rd 46216 317-547-2926 Indianapolis CVS Pharmacy 9550 Allisonville Rd 46250 317-842-4458 Indianapolis CVS Pharmacy 11627 Fox Rd 46236 317-823-0824 Indianapolis CVS Pharmacy 7202 Michigan Rd 46268 317-291-1220 Indianapolis CVS Pharmacy 2330 E 46th St 46205 317-253-1636 Indianapolis CVS Pharmacy 6290 N College Ave # 92 46220 317-251-4145 Indianapolis CVS Pharmacy 505 E Thompson Rd 46227 317-784-9716

Page 19: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Indianapolis CVS Pharmacy 7325 W 10th St 46214 317-271-2469 Indianapolis CVS Pharmacy 8405 Southeastern Ave 46239 317-862-2414 Indianapolis CVS Pharmacy 2975 Lafayette Rd 46222 317-283-6713 Indianapolis CVS Pharmacy 6248 Allisonville Rd 46220 317-251-9491 Indianapolis CVS Pharmacy 5611 Georgetown Rd 46254 317-299-9596 Indianapolis CVS Pharmacy 4935 S Arlington Ave 46237 317-791-3822 Indianapolis CVS Pharmacy 3350 N High School Rd 46224 317-293-1223 Indianapolis CVS Pharmacy 5208 W Washington St 46241 317-486-9667 Indianapolis CVS Pharmacy 7935 Brookville Rd 46239 317-353-0783 Indianapolis CVS Pharmacy 1530 N Shadeland Ave 46219 317-356-7337 Indianapolis CVS Pharmacy 2029 W Washington St 46222 317-638-4805 Indianapolis CVS Pharmacy 9805 Geist Crossing Dr 46256 317-577-1353 Indianapolis CVS Pharmacy 1300 E 86th St Ste 35 46240 317-810-0045 Indianapolis CVS Pharmacy 8970 S Meridian St 46217 317-882-0335 Indianapolis CVS Pharmacy 175 N Illinois St 46204 317-636-6664 Indianapolis CVS Pharmacy 6509 N Keystone Ave 46220 317-253-7063 Indianapolis CVS Pharmacy 1545 N Meridian St 46202 317-923-1491 Indianapolis CVS Pharmacy 10001 E Washington St 46229 317-897-6323 Indianapolis CVS Pharmacy 5110 E 38th St 46218 317-549-1891 Indianapolis CVS Pharmacy 7930 Madison Ave 46227 317-885-2360 Indianapolis CVS Pharmacy 3425 W 16th St 46222 317-639-6374 Indianapolis CVS Pharmacy 6925 W 38th St 46254 317-329-7806 Indianapolis CVS Pharmacy 6005 E Washington St 46219 317-359-3911 Indianapolis CVS Pharmacy 119 W 56th St 46208 317-251-9518 Indianapolis CVS Pharmacy 6101 N Keystone Ave Ste 200 46220 317-454-7505 Indianapolis CVS Pharmacy 2215 Shelby St 46203 317-780-3265

Page 20: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Indianapolis Dr Aziz Pharmacy 7320 E 82nd St Ste D 46256 317-842-5771 Indianapolis Eagle Highland Pharmacy 9010 Crawfordsville Rd 46234 317-299-3771 Indianapolis East Side Prescription Shop 5317 E 16th St 46218 317-359-8278 Indianapolis East Washington Pharmacy 9650 E Washington St Ste 105 46229 317-591-9393 Indianapolis Eskenazi West 38th St Pharmacy 5515 W 38th St 46254 317-880-0100 Indianapolis Forest Manor Comm Hlth Ctr Phc 3840 N Sherman Dr 46226 317-541-3458 Indianapolis Franciscan Op Phcy Indianapolis 8111 S Emerson Ave 46237 317-528-6700 Indianapolis Genoa-qol Healthcare 8320 Madison Ave 46227 317-881-7061 Indianapolis Genoa-qol Healthcare 6401 E Washington St 46219 317-662-3755 Indianapolis Grassy Creek Comm Health Cnt Phrcy 9443 E 38th St 46235 317-890-2121 Indianapolis Guardian Phcy Indpls Ltc, LLC 6530 Corporate Drive 46278 317-452-4669 Indianapolis Hematology Oncology Of In 8301 Harcourt Rd Ste 200 46260 317-415-6600 Indianapolis In Hemophilia And Thrombosis 8326 Naab Rd 46260 317-871-0000 Indianapolis Indiana Hemophilia & Thromb 8326 Naab Rd Ste 510 46260 317-829-7778 Indianapolis Indianapolis Vamc 1481 W 10th St 46202 317-554-0289 Indianapolis Indy Scripts Pharmacy 5343 W 38th St 46254 317-820-5454 Indianapolis Kroger Pharmacy 11101 Pendleton Pike 46236 317-823-3245 Indianapolis Kroger Pharmacy 5911 Madison Ave 46227 317-791-3545 Indianapolis Kroger Pharmacy 4445 E 10th St 46201 317-359-1638 Indianapolis Kroger Pharmacy 2629 E 65th St 46220 317-252-5333 Indianapolis Kroger Pharmacy 5810 E 71st St 46220 317-813-1903 Indianapolis Kroger Pharmacy 1330 W Southport Rd 46217 317-884-4250 Indianapolis Kroger Pharmacy 8130 E Southport Rd 46259 317-245-4454 Indianapolis Kroger Pharmacy 227 W. Michigan St 46204 317-262-5267 Indianapolis Kroger Pharmacy 5173 W Washington St 46241 317-381-9659 Indianapolis Kroger Pharmacy 8150 Rockville Rd 46214 317-273-1349

Page 21: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Indianapolis Kroger Pharmacy 4202 S East St 46227 317-781-4258 Indianapolis Kroger Pharmacy 7101 E 10th St 46219 317-351-3216 Indianapolis Kroger Pharmacy 5025 W 71st St 46268 317-347-8488 Indianapolis Kroger Pharmacy 680 Twin Aire Dr 46203 317-264-1755 Indianapolis Kroger Pharmacy 8850 S Emerson Ave 46237 317-884-3325 Indianapolis Kroger Pharmacy 1365 E 86th St 46240 317-217-1190 Indianapolis Kroger Savon Phcy 5718 Crawfordsville Rd 46224 317-240-5007 Indianapolis Kroger Savon Phcy 5325 E Thompson Rd 46237 317-781-3566 Indianapolis Kroger Savon Phcy 9835 Fall Creek Rd 46256 317-577-3486 Indianapolis Kroger Savon Phcy 2550 Lake Circle Dr 46268 317-879-2465 Indianapolis Kroger Savon Phcy 3361 Kentucky Ave 46221 317-240-1588 Indianapolis Kroger Savon Phcy 10450 E Washington St 46229 317-895-2247 Indianapolis Made-in Indianapolis Phy & Med 3350 N Highschool Rd Ste J 46224 317-438-5236 Indianapolis Meijer Pharmacy 11351 E Washington St 46229 317-894-6710 Indianapolis Meijer Pharmacy 5325 E Southport Rd 46237 317-859-2210 Indianapolis Meijer Pharmacy 8375 E 96th St 46256 317-585-2410 Indianapolis Meijer Pharmacy 5550 N Keystone Ave 46220 317-610-2210 Indianapolis Meijer Pharmacy 5349 Pike Plaza Road 46254 317-387-2410 Indianapolis Methodist Retail Pharmacy 1801 N Senate Blvd Ste 105 46202 317-962-5606 Indianapolis Midtown Comm Mental Hlth Pharmacy 1700 N Illinois St 46202 317-941-5020 Indianapolis North Arlington Pharmacy 2505 N Arlington 46219 317-554-5212 Indianapolis Oliver Pharmacy Healhcare Pc 5645 Lafayette Rd 46254 317-387-3050 Indianapolis Omnicare Of Indianapolis 8351 Rockville Rd 46234 317-273-1552 Indianapolis Pca Indianapolis Pharmacy 5925 W 71st St Ste B 46278 317-614-6182 Indianapolis Pecar Community Health Center Phcy 6940 Michigan Rd 46268 317-266-2950 Indianapolis Pharmaneek Inc 7345 Woodland Dr Ste A 46278 317-293-1700

Page 22: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Indianapolis Pharmerica 6330 E 75th St Ste 322 46250 317-595-6270 Indianapolis Pharmscript Of In LLC 6825 Hillsdale Ct Bldg No 3 46250 908-389-1818 Indianapolis Riley Retal Pharmacy 705 Riley Hospital Dr 46202 317-944-2335 Indianapolis Safe Dose 6970 Corporate Dr 46278 317-829-0550 Indianapolis Sam's Club Pharmacy 5805 Rockville Rd 46224 317-241-1141 Indianapolis Sam's Club Pharmacy 7235 E 96th St 46250 317-585-9387 Indianapolis Simple Meds 6862 Hillsdale Ct 46250 844-275-6337 Indianapolis Skilled Care Of Indiana LLC 9900 Westpoint Dr Ste 100 46256 317-841-0388 Indianapolis St Margarets Phcy At Eskenazi 720 Eskenazi Avenue 46202 317-880-4525 Indianapolis St Vincent Pharmacy 2001 W 86th St 46260 317-338-3950 Indianapolis University Retail Pharmacy 550 University Blvd # Uh1425 46202 317-944-3445 Indianapolis Urology Of Indiana 8240 Naab Rd Ste 200 46260 317-876-2330 Indianapolis Walmart Pharmacy 7325 N Keystone Ave 46240 317-202-9731 Indianapolis Walmart Pharmacy 4545 Lafayette Rd 46254 317-328-0401 Indianapolis Walmart Pharmacy 5555 Michigan Rd 46228 317-287-0427 Indianapolis Walmart Pharmacy 4837 Kentucky Ave 46221 317-830-4259 Indianapolis Walmart Pharmacy 4650 S Emerson Ave 46203 317-783-1484 Indianapolis Walmart Pharmacy 10617 E Washington St 46229 317-895-0316 Indianapolis Walmart Pharmacy 5550 Fall Creek Parkway N 46226 317-614-4051 Indianapolis Walmart Pharmacy 5835 W 10th St 46224 317-243-2610 Indianapolis Walmart Pharmacy 10735 Pendleton Pike 46236 317-823-1819 Indianapolis Walmart Pharmacy 7245 Us 31 S 46227 317-888-4048 Indianapolis Walmart Pharmacy 3221 W 86th St 46268 317-876-9724 Indianapolis Walmart Pharmacy 3805 S Keystone Ave 46227 317-786-3820 Indianapolis Walmart Pharmacy 8010 E 38th St 46226 317-895-6016 Indianapolis Wellfount Corp 5751 W 73rd St 46278 317-524-1515

Page 23: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Indianapolis Westside Com Hlth Ctr Pharmacy 2732 W Michigan St 46222 317-554-4616 Indianapolis Young At Heart Pharmacy 101 W 103rd St 46290 866-308-4990 Jasonville Shakamak Pharmacy 346 E Main St 47438 812-665-9760 Jasper CVS Pharmacy 617 W 6th St 47546 812-482-3300 Jasper Flicks Long Term Care Phcy 201 W 6th St 47546 812-428-4663 Jasper Kmart Pharmacy 723 3rd Ave 47546 812-482-9442 Jasper Sheldon's Express Pharmacy #4 750 W 2nd St 47546 812-634-7379 Jasper Walmart Pharmacy 4040 N Newton St 47546 812-634-1777 Jeffersonville Briovarx Of Indiana LLC 1050 Patrol Rd 47130 855-427-4682 Jeffersonville CVS Pharmacy 1002 Spring St 47130 812-282-2256 Jeffersonville Genoa-qol Healthcare 404 Spring St Ste 242 47130 812-284-6418 Jeffersonville Hanger Drugs, Inc. 207 Sparks Ave Ste 1 47130 812-283-3591 Jeffersonville Kroger Pharmacy 2956 E 10th St 47130 812-288-9245 Jeffersonville Meijer Pharmacy 2750 Allison Ln 47130 812-218-6610 Jeffersonville Pca So Indiana Pharmacy 1740 Williamsburg Dr Ste A 47130 502-964-5359 Jeffersonville Rite Aid 3001 East 10th St 47130 812-258-4003 Jeffersonville Westmoreland Phcy Jeffersonville 1495 E 10th St 47130 812-284-6500 Kendallville CVS Pharmacy 224 W North St 46755 260-347-1499 Kendallville Genoa-qol Healthcare 1930 Dowling St Ste P 46755 260-582-2151 Kendallville Kroger Pharmacy 310 W North St 46755 260-347-9177 Kendallville Walmart Pharmacy 2501 E North St 46755 260-347-2900 Kentland CVS Pharmacy 512 E Seymour St 47951 219-474-6787 Knightstown CVS Pharmacy 263 W Morgan St 46148 765-345-7163 Knox CVS Pharmacy 907 S Heaton St 46534 574-772-6544 Kokomo CVS Pharmacy 401 E Morgan St 46901 765-452-0552 Kokomo CVS Pharmacy 4026 South 00 East West 46902 765-453-3979

Page 24: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Kokomo CVS Pharmacy 1037 S Reed Rd 46902 765-868-9151 Kokomo CVS Pharmacy 2340 W Sycamore St 46901 765-452-4437 Kokomo CVS Pharmacy 610 W Markland Ave 46901 765-457-4407 Kokomo Genoa-qol Healthcare 322 N Main St #134 46901 765-252-0810 Kokomo Herbst Apothecary Inc 201 N Dixon Rd 46901 765-457-1191 Kokomo Herbst Pharmacy 2330 S Dixon Rd 46902 765-455-5418 Kokomo Kroger Pharmacy 2821 S Washington St 46902 765-453-3173 Kokomo Kroger Savon Phcy 605 N Dixon Rd 46901 765-457-0800 Kokomo Meijer Pharmacy 2301 E Markland Avenue 46901 765-454-7810 Kokomo Walmart Pharmacy 1920 E Markland Ave 46901 765-456-3641 La Porte CVS Pharmacy 1407 Lincolnway 46350 219-362-3446 La Porte Kroger Savon Phcy 55 Pine Lake Ave 46350 219-325-3152 La Porte Walmart Pharmacy 333 Boyd Blvd 46350 219-325-3426 Lafayette CVS Pharmacy 2 Shenandoah Dr 47905 765-446-1245 Lafayette CVS Pharmacy 3630 S 18th St 47909 765-474-3834 Lafayette CVS Pharmacy 2806 Us 231 South 47909 765-477-6666 Lafayette CVS Pharmacy 1725 Salem St 47904 765-447-1276 Lafayette CVS Pharmacy 50 Sagamore Pkwy S 47905 765-448-1325 Lafayette CVS Pharmacy 3630 State Rd 26 E 47905 765-447-4411 Lafayette Franciscan Op Phcy Lafayette 1701 S Creasy Lane, Rm 1k71 47905 765-428-3550 Lafayette Genoa-qol Healthcare 217 Farabee Dr N 47905 765-588-3359 Lafayette Iu Health Arnett Retail Phcy 5165 Mccarty Ln 47905 765-448-8900 Lafayette Kroger Pharmacy 2513 Maple Point Dr 47905 765-447-8337 Lafayette Medicap Pharmacy 987 S Creasy Ln 47905 765-237-3060 Lafayette Meijer Pharmacy 4901 Sr 26 East 47905 765-449-9210 Lafayette Parkside Pharmacy 2200 Ferry St 47904 765-447-1000

Page 25: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Lafayette Payless Pharmacy 2200 Greenbush St 47904 765-448-9159 Lafayette Payless Pharmacy 65 Beck Ln 47909 765-474-8269 Lafayette Sam's Club Pharmacy 3819 State Road 26 E 47905 765-449-4309 Lafayette Walmart Pharmacy 4205 Commerce Dr 47905 765-446-1278 Lafayette Walmart Pharmacy 2347 Veterans Memorial Pkwy S 47909 765-477-9391 Lagrange CVS Pharmacy 975 N Townline Rd 46761 260-463-2583 Lagrange Millers Pharmacy 420 S Detroit St 46761 260-463-7464 Lake Station Northshore Health Centers 2490 Central Ave Ste B 46360 219-962-5909 Lapel CVS Pharmacy 301 E Pendleton Ave 46051 765-534-3165 Laporte Phil's Discount Drug 702 E Lincolnway 46350 219-362-7133 Lawrenceburg CVS Pharmacy 175 W Eads Pkwy 47025 812-537-5711 Lawrenceburg Devilles Lawrenceburg Pharmacy 401 W Eads Pkwy Ste 270 47025 812-537-1798 Lawrenceburg Genoa-qol Healthcare 281 Bielby Rd 47025 812-539-3300 Lawrenceburg Georges Family Pharmacy Inc 24128 State Line Rd 47025 812-637-6251 Lawrenceburg Kroger Pharmacy 880 West Eads Parkway 47025 812-532-7360 Lebanon Cowan Drug 112 N Lebanon St 46052 765-482-0180 Lebanon CVS Pharmacy 207 S Lebanon St 46052 765-482-3630 Lebanon Kroger Savon Phcy 2420 N Lebanon St 46052 765-482-7095 Lebanon Parkside Pharmacy 1639 N Lebanon St 46052 765-482-1600 Lebanon Pavilion Pointe Pharmacy 2705 N Lebanon St Ste 100 46052 765-483-3900 Lebanon Walmart Pharmacy 2440 N Lebanon St 46052 765-482-6149 Leo CVS Pharmacy 13821 Leo Rd 46765 260-627-8616 Liberty CVS Pharmacy 201 W High St 47353 765-458-6882 Liberty Liberty Medicenter Pharmacy 10 S Main St Suite 100 47353 765-223-2121 Ligonier CVS Pharmacy 101 W Us Highway 6 46767 260-894-4700 Linton CVS Pharmacy 1709 E State Highway 54 47441 812-847-2226

Page 26: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Linton Linton Family Pharmacy 60 A St Nw 47441 812-847-1978 Linton Walmart Pharmacy 2251 E State Highway 54 47441 812-847-8648 Logansport Community Pharmacy 1201 Michigan Ave Ste 100 46947 574-732-0418 Logansport CVS Pharmacy 717 N 3rd St 46947 574-722-2289 Logansport CVS Pharmacy 3404 E Market St 46947 574-753-2312 Logansport Genoa-qol Healthcare 1015 Michigan Ave Rm 117 46947 574-516-6576 Logansport Martin's Pharmacy 3420 E Market St 46947 574-753-2518 Logansport Walmart Pharmacy 240 Mall Rd 46947 574-735-0131 Loogootee CVS Pharmacy 402 W Broadway St 47553 812-295-4600 Loogootee Williams Brothers Healthcare Phcy 104 E Broadway St 47553 812-295-4370 Lowell Horizon Pharmacy Of Lowell 2080 E Commercial Ave 46356 219-696-0212 Madison CVS Pharmacy 500 Clifty Dr 47250 812-273-2117 Madison Kroger Pharmacy 525 E Clifty Dr 47250 812-273-3343 Madison Madison Apothecary 835 W Main St 47250 812-265-4621 Madison Walmart Pharmacy 567 Ivy Tech Dr 47250 812-273-6338 Marion CVS Pharmacy 415 W 3rd St 46952 765-662-1316 Marion CVS Pharmacy 4630 S Washington St 46953 765-674-5085 Marion Genoa-qol Healthcare 505 N Wabash Ave 46952 765-662-9670 Marion Marion Vamc Pharmacy 1700 E 38th St 46953 765-674-3321 Marion Meijer Pharmacy 3820 S Western Ave 46953 765-677-6810 Marion Walmart Pharmacy 3240 S Western Ave 46953 765-662-0829 Martinsville CVS Pharmacy 789 State Road 39 By-pass 46151 765-342-2121 Martinsville Kroger Pharmacy 1600 S Ohio St 46151 765-342-6213 Martinsville Walmart Pharmacy 410 Grand Valley Blvd 46151 765-349-1138 Mc Cordsville CVS Pharmacy 5981 W Broadway 46055 317-335-3380 Mccordsville Meijer Pharmacy 6939 W Broadway 46055 317-510-0310

Page 27: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Merrillville Cancer Care Consultants 8554 Broadway 46410 219-750-9581 Merrillville Costco Pharmacy 1310 E 79th Ave 46410 219-641-6402 Merrillville CVS Pharmacy 5301 Broadway 46410 219-884-0004 Merrillville CVS Pharmacy 2661 E Us 30 46410 219-942-1267 Merrillville CVS Pharmacy 10 East 81st Ave 46410 219-769-0013 Merrillville Genoa-qol Healthcare 8555 Taft St 46410 219-769-8171 Merrillville Meijer Pharmacy 611 Us 30 46410 219-650-3710 Merrillville Sam's Club Pharmacy 3134 E 79th Ave 46410 219-947-3789 Merrillville Walmart Pharmacy 2936 E 79th Ave 46410 219-942-8270 Michigan City CVS Pharmacy 901 N Karwick Rd 46360 219-872-6811 Michigan City CVS Pharmacy 710 Franklin St 46360 219-879-8620 Michigan City CVS Pharmacy 3253 Franklin St 46360 219-872-5854 Michigan City Franciscan Op Phcy Michigan City 301 W Homer St 46360 219-878-8300 Michigan City Genoa-qol Healthcare 7224 W. 400 North Ste 116 46360 219-210-4122 Michigan City Meijer Pharmacy 5150 Franklin St 46360 219-877-2410 Michigan City Phils Healthmart Pharmacy 3535 S Franklin St 46360 219-874-7445 Michigan City Walmart Pharmacy 5780 Franklin St 46360 219-872-3309 Middlebury CVS Pharmacy 102 E Us Highway 20 46540 574-825-2485 Middletown CVS Pharmacy 711 W Mill St 47356 765-354-4692 Milan George's Family Pharmacy 124 W Indian Trail Ste C 47031 812-654-6251 Mishawaka CVS Pharmacy 210 N Main St 46544 574-259-1130 Mishawaka CVS Pharmacy 4501 Lincolnway E 46544 574-255-4729 Mishawaka Hometown Pharmacy 606 N Main St 46545 574-255-2988 Mishawaka Kroger Savon Phcy 906 S Merrifield Ave 46544 574-256-7522 Mishawaka Martins Pharmacy 611 E Douglas Rd Ste 104 46545 574-247-1000 Mishawaka Martins Pharmacy 314 N Ironwood Dr 46544 574-254-2323

Page 28: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Mishawaka Martin's Pharmacy 306 N Bittersweet Rd 46544 574-968-1313 Mishawaka Meijer Pharmacy 5020 Grape Road 46545 574-273-3510 Mishawaka Meijer Pharmacy 3610 S Bremen Highway 46544 574-254-2510 Mishawaka Michiana Hematology Oncology Pcs 5340 Holy Cross Parkway 46545 574-237-1328 Mishawaka Saint Joseph Regional Med Ctr 60101 Bodnar Blvd 46544 574-335-8525 Mishawaka Sam's Club Pharmacy 120 Indian Ridge Blvd 46545 574-243-8419 Mishawaka Unity Med And Surg Hospital 4455 Edison Lakes Pkwy 46545 574-231-6199 Mishawaka Walmart Pharmacy 316 Indian Ridge Blvd 46545 574-243-9707 Mitchell CVS Pharmacy 8830 State Road 60 W 47446 812-849-2425 Mitchell Engleking Rx, LLC 1494 W Main St 47446 812-865-3266 Monticello CVS Pharmacy 831 N Main St 47960 574-583-8220 Monticello Kroger Savon Phcy 916 N Main St 47960 574-583-4489 Monticello Walmart Pharmacy 1088 W Broadway St 47960 574-583-3250 Mooresville CVS Pharmacy 523 S State Road 67 46158 317-831-2661 Mooresville Kroger Pharmacy 530 S Indiana St 46158 317-831-9416 Mount Vernon CVS Pharmacy 700 E 4th St 47620 812-838-5089 Muncie Access To Care 3645 N Briarwood Ln Ste D 47304 765-282-4766 Muncie Access To Care Pharmacy 3631 N Morrison Rd 47304 765-213-2866 Muncie Ball State University Pharmacy 1500 Neeley Ave 47303 765-285-1079 Muncie CVS Pharmacy 425 E Memorial Dr 47302 765-288-2157 Muncie CVS Pharmacy 3310 E Jackson St 47303 765-286-0933 Muncie CVS Pharmacy 415 E Mcgalliard Rd 47303 765-288-7336 Muncie CVS Pharmacy 3601 N Barr St 47303 765-254-9084 Muncie CVS Pharmacy 201 S Tillotson Ave 47304 765-287-0074 Muncie Family Healthcare Pharmacy 5501 W Bethel Ave 47304 765-751-7900 Muncie Genoa-qol Healthcare 130 N Tillotson Ave 47304 765-288-3770

Page 29: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Muncie Kroger Pharmacy 1500 W Mcgilliard Rd 47304 765-741-1494 Muncie Kroger Pharmacy 715 S Tillotson Ave 47304 765-213-1220 Muncie Meijer Pharmacy 6260 W Mcgalliard Rd 47304 765-281-7810 Muncie Pavilion Pharmacy 2525 W University Ave 47303 765-747-8461 Muncie Southway Healthcare Pharmacy 3813 S Madison St 47302 765-751-2324 Muncie Walmart Pharmacy 4801 W Clara Ln 47304 765-284-3750 Muncie Walmart Pharmacy 1501 E 29th St 47302 765-282-0578 Munster Community Surgery Center Pharm 801 Macarthur Blvd Ste 102 46321 219-836-2480 Munster CVS Pharmacy 801 Main St 46321 219-924-2491 Munster CVS Pharmacy 8005 Calumet Ave 46321 219-836-2697 Munster Franciscan Med Specialists Phy 757 45th St Ste 102 46321 219-836-1899 Munster Osco Pharmacy 716 Ridge Rd 46321 219-836-7978 Nappanee CVS Pharmacy 1654 E Market St 46550 574-773-4311 Nappanee Martin's Pharmacy 242 N Oakland Ave 46550 574-773-7873 Nappanee Nephew Pharmacy 1953 Waterfall Dr 46550 574-773-2404 Nashville CVS Pharmacy 292 S Van Buren St 47448 812-988-7463 New Albany CVS Pharmacy 2209 State St 47150 812-945-4768 New Albany CVS Pharmacy 1950 State St 47150 812-948-8305 New Albany Kroger Pharmacy 200 New Albany Plz 47150 812-948-2701 New Albany Kroger Pharmacy 2864 Charlestown Rd 47150 812-948-0953 New Albany Kroger Pharmacy 3400 Grant Line Rd 47150 812-948-1399 New Albany Mathes Pharmacy 1621 Charlestown Rd 47150 812-944-3612 New Albany Meijer Pharmacy 4222 Charlestown Rd 47150 812-542-3810 New Albany Precision Compounding Pharmacy 2113 State St Ste 2 47150 812-941-9300 New Albany Walmart Pharmacy 2910 Grant Line Rd 47150 812-944-1214 New Albany Westmoreland Pharmacy 2125 State St Ste 17 47150 812-944-6500

Page 30: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone New Carlisle CVS Pharmacy 8989 E Us Highway 20 46552 574-654-3148 New Castle CVS Pharmacy 220 S Memorial Dr 47362 765-529-9209 New Castle Forest Ridge Neighborhood Pharmacy 2200 Forest Ridge Pkwy 47362 765-599-3540 New Castle Fred's Hcmh O/p Pharmacy 1000 N 16th St 47362 765-521-1483 New Castle Freds Neighborhood Pharmacy 320 S Main St 47362 765-529-3313 New Castle Kroger Pharmacy 120 S Memorial Dr 47362 765-529-7330 New Castle Mcgrady Pharmacy 1902 S Memorial Dr 47326 765-529-9600 New Castle Walmart Pharmacy 3167 S State Road 3 47362 765-529-5997 New Harmony Chris' Pharmacy 511 Main Street 47631 812-682-3044 New Haven CVS Pharmacy 115 State Road 930 E 46774 260-493-1514 New Haven Kroger Pharmacy 821 Lincoln Hwy W 46774 260-749-0215 New Palestine CVS Pharmacy 5026 W Us Highway 52 46163 317-861-4838 New Salisbury Rite Aid 1673 Highway 64 Ne 47161 812-347-3188 Newburgh CVS Pharmacy 7722 W State Route 66 47630 812-853-6166 Newburgh Deaconess Family Pharmacy Gw 4209 Gateway Blvd 47630 812-450-3784 Newburgh Oncology Hematology Associates 3699 Epworth Road 47630 812-759-0740 Newburgh Optimum Wellness Pharmacy 8900 Ruffian Lane 47630 812-518-3428 Newburgh Schnucks Pharmacy 8301 Bell Oaks Dr 47630 812-853-2475 Newburgh Walmart Pharmacy 8599 High Pointe Dr 47630 812-842-2791 Noblesville CVS Pharmacy 2550 Conner St 46060 317-773-0194 Noblesville CVS Pharmacy 14575 Mundy Dr 46060 317-770-5275 Noblesville CVS Pharmacy 13085 Tegler Dr 46060 317-770-7089 Noblesville CVS Pharmacy 5865 Promenade Shops Blvd 46062 317-776-1175 Noblesville CVS Pharmacy 111 Lakeview Dr 46060 317-773-8100 Noblesville CVS Pharmacy 14835 Sunny Dell Ln 46062 317-569-1392 Noblesville Kroger Pharmacy 14800 Hazel Dell Xing 46062 317-844-1185

Page 31: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Noblesville Kroger Savon Phcy 172 Logan St 46060 317-776-3347 Noblesville Medscript Ltc Pharmacy 14460 Getz Rd Ste 200 46060 317-818-1059 Noblesville Meijer Pharmacy 17000 Mercantile Blvd 46060 317-774-7710 Noblesville Noblesville Low Cost Pharmacy 758 Westfield Rd 46062 317-231-5252 Noblesville Riverview Outpatient Pharmacy 395 Westfield Rd 46060 317-770-4567 Noblesville Walmart Pharmacy 16865 Clover Rd 46060 317-773-1065 North Judson CVS Pharmacy 607 E Talmer Ave 46366 574-896-3111 North Manchester CVS Pharmacy 302 E Main St 46962 260-982-4713 North Manchester Medstat Urgent Care 605 N Walnut St 46962 952-653-2568 North Manchester Webb's Family Pharmacy 103 N Heeter St 46962 260-982-1000 North Vernon CVS Pharmacy 10 N State St 47265 812-346-1200 North Vernon Jay C Food Stores 2325 N State Highway 3 47265 812-352-1780 North Vernon Medicap Pharmacy 939 Veterans Dr Ste B 47265 812-352-9700 North Vernon Walmart Pharmacy 2410 N State Highway 3 47265 812-346-6323 North Webster CVS Pharmacy 618 S Main St 46555 574-834-4772 Oakland City Fred's Pharmacy 1310 W Morton St 47660 812-749-4129 Odon Odon Pharmacy LLC 200 W Main St 47562 812-636-4600 Osgood G.a. Triplett & Son Rexall 111 N Buckeye St 47037 812-689-4748 Paoli Bhoc Pharmacy 642 W Hospital Rd 47454 812-723-7435 Paoli CVS Pharmacy 930 N Gospel St 47454 812-723-2650 Paoli Walmart Pharmacy 735 N Gospel St 47454 812-723-2505 Paoli Williams Bros Health Care Phcy 889 N Gospel St # 2 47454 812-723-3907 Pendleton CVS Pharmacy 620 E State St 46064 765-778-4884 Peru CVS Pharmacy 2 S Broadway 46970 765-472-4367 Peru Kroger Pharmacy 930 W Main St 46970 765-473-2076 Petersburg CVS Pharmacy 200 W Main St 47567 812-354-8939

Page 32: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Plainfield CVS Pharmacy 1700 E Main St 46168 317-839-6822 Plainfield CVS Pharmacy 1102 W Main St 46168 317-839-3438 Plainfield Kroger Savon Phcy 1930 E Main St 46168 317-839-5149 Plainfield Meijer Pharmacy 400 N Dan Jones Rd 46168 317-204-1310 Plainfield Walmart Pharmacy 2373 E Main St 46168 317-839-3881 Plainfield Walmart Pharmacy 900 W Main St 46168 317-204-1386 Plymouth CVS Pharmacy 1900 N Michigan St 46563 574-935-5697 Plymouth Kroger Savon Phcy 2001 N Michigan St 46563 574-936-1980 Plymouth Martin's Pharmacy 865 E Jefferson St 46563 574-936-7334 Plymouth Peoples Drug Store 301 N Michigan St 46563 574-936-3167 Plymouth People's Drug Store 301 N Michigan St 46563 574-936-3167 Plymouth St Joseph Reg Medical Center 1915 Lake Ave 46563 952-653-2565 Plymouth Walmart Pharmacy 2505 N Oak Dr 46563 574-935-9006 Portage CVS Pharmacy 3240 Willowcreek Rd 46368 219-762-3998 Portage Meijer Pharmacy 6050 Us Highway 6 46368 219-763-0310 Portage North Shore Health Centers 3564 Scottsdale St 46368 219-763-8950 Portage Walmart Pharmacy 6087 Us Highway 6 46368 219-759-5811 Portland CVS Pharmacy 802 N Meridian St 47371 260-726-9393 Portland Walmart Pharmacy 950 W Votaw St 47371 260-726-3782 Poseyville H & R Pharmacy Inc 27 W Main St 47633 812-874-2815 Princeton CVS Pharmacy 1000 W Broadway St 47670 812-385-3747 Princeton Walmart Pharmacy 4924 S Maple Tree Dr 47670 812-385-0757 Princeton Walmart Pharmacy 2700 W Broadway St 47670 812-386-6690 Princeton Williams Bros Health Care Phcy 101 W Brumfield Ave 47670 812-386-5194 Rensselaer CVS Pharmacy 107 N Cullen St 47978 219-866-5400 Rensselaer Walmart Pharmacy 905 S College Ave 47978 219-866-0466

Page 33: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Richmond CVS Pharmacy 2150 Chester Blvd 47374 765-935-4650 Richmond CVS Pharmacy 298 Sw 18th St 47374 765-962-5032 Richmond CVS Pharmacy 1515 E Main St 47374 765-962-8822 Richmond Kmart Pharmacy 3150 National Rd W 47374 765-966-0147 Richmond Kroger Savon Phcy 3701 National Rd E 47374 765-935-2074 Richmond Meijer Pharmacy 2507 Chester Blvd 47374 765-939-4410 Richmond Midtown Prescription Center 11 S 9th St 47374 765-962-0025 Richmond Phillips Drugs 1390 National Rd W 47374 765-966-5546 Richmond Phillips Drugs 631 E Main St 47374 765-966-5544 Richmond Phillips Drugs East 1626 E Main St 47374 765-966-2225 Richmond Reid Hospital Pharmacy 1100 Reid Pkwy 47374 765-983-3014 Richmond Walmart Pharmacy 3601 E Main St 47374 765-935-9078 Rising Sun Deville's Rising Sun Pharmacy 223 Main St 47040 812-438-3400 Rochester CVS Pharmacy 1910 Main St 46975 574-223-4304 Rochester Kroger Pharmacy 2040 Peace Tree Vig 46975 574-223-6347 Rochester Walmart Pharmacy 2395 Main St 46975 574-223-9482 Rochester Webb's Family Pharmacy Inc 724 Main St 46975 574-223-2216 Rockport Sheldons Express Pharmacy 815 Sycamore St 47635 812-649-2227 Rockville CVS Pharmacy 820 W Ohio St 47872 765-569-2313 Rockville Jr Pharmacy 1330 N Lincoln Rd 47872 765-569-6900 Rossville CVS Pharmacy 366 W Main St 46065 765-379-2424 Rushville CVS Pharmacy 101 W 1st St 46173 765-932-4070 Rushville Kroger Pharmacy 202 S Main St 46173 765-938-3155 Rushville Rushville Pharmacy 302 N Main St 46173 765-932-3328 Saint John CVS Pharmacy 9885 Wicker Ave 46373 219-365-8609 Saint John Quik Scripts Of NW Indiana 10865 Maple Ln Suite C 46373 219-365-9701

Page 34: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Salem CVS Pharmacy 103 E Hackberry St 47167 812-883-6929 Salem Good Living Pharmacy 1201 N Jim Day Rd Ste B 47167 812-404-4153 Salem Rite Aid 803 South Main St 47167 812-883-1023 Salem Salem Apothecary 3 Public Sq 47167 812-883-4500 Salem Walmart Pharmacy 1309 E Hackberry St 47167 812-883-8722 Schererville CVS Pharmacy 2338 Us Highway 41 46375 219-865-4601 Schererville Walmart Pharmacy 1555 Us Highway 41 46375 219-865-6124 Scottsburg CVS Pharmacy 815 W Mcclain Ave 47170 812-752-4448 Scottsburg Hancock's Drug Store 120 W Mcclain Ave 47170 812-752-2021 Scottsburg Scott County Medical Arts Phrm 1366 N Gardner St 47170 812-752-4226 Scottsburg Walmart Pharmacy 1618 W Mcclain Ave 47170 812-752-5589 Sellersburg CVS Pharmacy 6710 Highway 311 47172 812-246-2241 Sellersburg Rite Aid 7505 State Rte 311 47172 812-246-5405 Sellersburg Westmoreland Pharmacy Sellersburg 7600 Highway 60 #400 47172 812-461-0025 Seymour CVS Pharmacy 201 E Tipton St 47274 812-522-2628 Seymour Jay C Food Stores 1541 E Tipton St 47274 812-522-4401 Seymour Walmart Pharmacy 1600 E Tipton St 47274 812-522-5252 Shelbyville CVS Pharmacy 200 S Harrison St 46176 317-398-9791 Shelbyville Kroger Pharmacy 1601 E Michigan Rd 46176 317-421-2356 Shelbyville Medworks Pharmacy 1412 Miller Ave 46176 317-421-2020 Shelbyville Walmart Pharmacy 2500 E State Road 44 46176 317-392-4947 Sheridan Sheridan-elliott Pharmacy 508 E 10th Street 46069 317-758-4171 Shipshewana Shipshewana Pharmacy 350 S Van Buren St Ste F 46565 260-768-4433 South Bend CVS Pharmacy 1333 Portage Ave 46616 574-234-7190 South Bend CVS Pharmacy 2101 E Ireland Rd 46614 574-291-1303 South Bend CVS Pharmacy 1400 E Ireland Rd 46614 574-231-8258

Page 35: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone South Bend CVS Pharmacy 2051 S Bend Ave 46637 574-273-0080 South Bend CVS Pharmacy 4403 W Western Ave 46619 574-234-3241 South Bend CVS Pharmacy 51467 Indiana State Route 933 46637 574-243-0904 South Bend CVS Pharmacy 2210 Edison Rd 46615 574-472-3234 South Bend Genoa-qol Healthcare 415 E Madison St Rm S-304 46617 574-208-6684 South Bend Kroger Sav-on 1217 E Ireland Rd 46614 574-291-0740 South Bend Kroger Savon Phcy 4526 W Western Ave 46619 574-239-2480 South Bend Martin's Pharmacy 926 Erskine Plz 46614 574-299-8844 South Bend Martin's Pharmacy 525 Mayflower Rd 46619 574-288-4854 South Bend Meijer Pharmacy 3600 North Portage Road 46628 574-273-3410 South Bend Omnicare Of South Bend 3006 S Michigan St 46614 574-291-9985 South Bend Quality Care Pharmacy LLC 201 S William St 46601 734-883-0785 South Bend South Bend Specialty Pharmacy 54590 N Ironwood Road 46635 574-968-3171 South Bend The South Bend Clinic Pharmacy 211 N Eddy St 46617 574-237-9295 South Bend University Commons Pharmacy 6301 University Commons #500 46635 574-273-2000 South Bend Walmart Pharmacy 3701 Portage Ave 46628 574-243-5849 South Bend Walmart Pharmacy 700 W Ireland Rd 46614 574-299-1464 South Whitley Hipp Drug 115 S State St 46787 260-723-4468 Spencer CVS Pharmacy 860 W Morgan St 47460 812-829-2484 Spencer Mckay Family Pharmacy 305 E Morgan St 47460 812-829-4821 Spencer Walmart Pharmacy 823 W State Highway 46 47460 812-829-2289 Sullivan CVS Pharmacy 275 S Section St 47882 812-268-6827 Sullivan Milburn Pharmacy 13 W Jackson St 47882 812-268-4737 Sullivan Walmart Pharmacy 757 W Wolfe St 47882 812-268-4626 Sunman Georges Family Pharmacy Inc 308 N Meridian Street 47041 812-623-6251 Syracuse CVS Pharmacy 308 S Huntington St 46567 574-457-4000

Page 36: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Tell City CVS Pharmacy 225 12th St 47586 812-547-4201 Tell City Walmart Pharmacy 730 East Hwy 66 47586 812-547-9950 Terre Haute A P & S Pharmacy Inc 221 S 6th St 47807 812-242-3855 Terre Haute CVS Pharmacy 1320 Maple Ave 47804 812-242-2787 Terre Haute CVS Pharmacy 2021 Fort Harrison Rd 47804 812-466-6052 Terre Haute CVS Pharmacy 2440 Wabash Ave 47807 812-235-4322 Terre Haute CVS Pharmacy 905 Poplar St 47807 812-232-1316 Terre Haute CVS Pharmacy 670 E Margaret Dr 47802 812-232-3916 Terre Haute Genoa-qol Healthcare 620 8th Ave 47804 812-232-1730 Terre Haute Hoosiers Prescription Shop 3020 S 7th St 47802 812-232-9646 Terre Haute Jr Pharmacy 2902 Poplar St 47803 812-478-1006 Terre Haute Jr Pharmacy 1101 Poplar St 47807 812-235-7373 Terre Haute Jr Pharmacy LLC Ii 15 Southland Shopping Ctr 47802 812-232-6655 Terre Haute Kroger Pharmacy 2650 Wabash Ave 47803 812-235-7326 Terre Haute Kroger Savon Phcy 4714 S Us Highway 41 47802 812-232-8379 Terre Haute Kroger Savon Phcy 2140 Fort Harrison Rd 47804 812-466-6545 Terre Haute Med-pharm Pharmacy 2723 S 7th St Ste N 47802 812-232-2086 Terre Haute Meijer Pharmacy 5600 New Margaret Ave 47803 812-233-6310 Terre Haute Sam's Club Pharmacy 4350 S Us Highway 41 47802 812-238-5572 Terre Haute Union Hospital Lobby Pharmacy 1606 N 7th St 47804 812-238-4935 Terre Haute Vigo Health Pharmacy 1635 N 3rd St 47804 812-231-1040 Terre Haute Walmart Pharmacy 5555 S Us Highway 41 47802 812-299-2210 Terre Haute Walmart Pharmacy 2399 S State Road 46 47803 812-872-2533 Tipton CVS Pharmacy 711 E Jefferson St 46072 765-675-3400 Topeka Topeka Pharmacy 101 N Main St 46571 260-593-2252 Trafalgar CVS Pharmacy 705 West Trafalgar Point Way 46181 317-878-5245

Page 37: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Union City Kaup Pharmacy 366 W Deerfield Rd 47390 765-964-3098 Union City Walgreens 106 S Columbia St 47390 765-964-6000 Upland Upland Family Pharmacy 1809 S Main St Ste 150 46989 765-998-8072 Valparaiso Custom Dosing Pharmacy 2701 Beech St, Unit R 46383 219-465-2181 Valparaiso CVS Pharmacy 2420 Laporte Ave 46383 219-531-6628 Valparaiso CVS Pharmacy 150 Morthland Rd 46383 219-462-7679 Valparaiso CVS Pharmacy 3400 N Calumet Ave 46383 219-462-4381 Valparaiso CVS Pharmacy 1805 Calumet Ave 46383 219-464-2141 Valparaiso Fagen Pharmacy 1001 Sturdy Rd Ste 201 46383 219-462-0047 Valparaiso Genoa-qol Healthcare 601 Wall St 46383 219-462-1603 Valparaiso Gil Drug Company Inc 52 Lincolnway 46383 219-462-4146 Valparaiso In Touch Pharmaceuticals 1150 Eastport Centre Dr Ste A 46383 219-464-7055 Valparaiso Kmart Pharmacy 2801 Calumet Ave 46383 219-465-7153 Valparaiso Meijer Pharmacy 405 Porters Vale Boulevard 46383 219-300-8010 Valparaiso Pharma-card 2005 Roosevelt Rd Ste A 46383 219-464-0404 Valparaiso Valparaiso Pro Pharmacy Pc 2101 Roosevelt Rd 46383 219-462-1484 Valparaiso Walmart Pharmacy 2400 Morthland Dr 46383 219-465-1717 Versailles CVS Pharmacy 221 S High St 47042 812-689-5553 Versailles George's Family Pharmacy, Inc. 326 S. Washington St. Suite 22 47042 812-689-6251 Vevay CVS Pharmacy 703 E Main St 47043 812-427-3777 Vincennes CVS Pharmacy 1500 Hart St 47591 812-886-4869 Vincennes Genoa-qol Healthcare 515 Bayou St 47591 812-886-0907 Vincennes Rusch's Southside Pharmacy 1107 S 15th St 47591 812-316-0079 Vincennes Walmart Pharmacy 650 Kimmell Rd 47591 812-886-0006 Vincennes Williams Bros Health Care Phcy 1216 Washington Ave 47591 812-882-1800 Wabash CVS Pharmacy 486 N Cass St 46992 260-563-6941

Page 38: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone Wabash Kroger Pharmacy 1309 N Cass St 46992 260-563-1612 Wabash Walmart Pharmacy 1601 N Cass St 46992 260-563-4033 Wakarusa Seifert Drug 1028 E Waterford St 46573 574-862-1454 Walkerton CVS Pharmacy 300 Liberty St 46574 574-586-7154 Warsaw CVS Pharmacy 100 N Detroit St 46580 574-267-6208 Warsaw Genoa-qol Healthcare 850 N Harrison St Rm 230 46580 574-306-4455 Warsaw Hometown Pharmacy 1775 E Center St 46580 574-267-7356 Warsaw Martin's Pharmacy 1150 Husky Trail 46582 574-371-9080 Warsaw Med Stat 1500 Provident Dr 46580 952-653-2568 Warsaw Meijer Pharmacy 1200 Lake City Hwy 46580 574-371-4110 Warsaw Owens Pharmacy 2211 E Center St 46580 574-269-6674 Warsaw Pill Box Pharmacy Inc 2306 Dubois Dr 46580 574-267-4900 Warsaw Walmart Pharmacy 2501 Walton Blvd 46582 574-269-7941 Washington CVS Pharmacy 307 E National Hwy 47501 812-254-6298 Washington Prescription Shoppe 2005 State St Ste B 47501 812-254-7666 Washington Walmart Pharmacy 1801 S State Road 57 47501 812-254-6195 Washington Williams Bros Health Care Phcy 10 Williams Brothers Dr 47501 812-254-2497 Washington Williams Bros Health Care Phcy 2000 State Street 47501 812-257-2505 West Baden Springs CVS Pharmacy 8321 W State Road 56 47469 812-936-7272 West Lafayette Custom Plus Pharmacy 482 W Navajo Suite A 47906 765-463-2600 West Lafayette Customplus Long Term Care 482 W Navajo St Ste B 47906 765-607-4103 West Lafayette CVS Pharmacy 512 Sagamore Pkwy W 47906 765-497-3551 West Lafayette CVS Pharmacy 720 Northwestern Ave 47906 765-743-1554 West Lafayette Meijer Pharmacy 2636 Us 52 47906 765-637-4210 West Lafayette Payless Pharmacy 1032 Sagamore Pkwy W 47906 765-464-1456 West Lafayette Purdue University Pharmacy 575 Stadium Mall Dr 47907 765-494-1374

Page 39: Ambetter Pharmacies in the 90-Day Extended Network · 2020-07-02 · Bloomington Sam's Club Pharmacy 3205 W State Road 45 47403 812-333-8903 Bloomington Walmart Pharmacy 3585 W State

© 2018 Celtic Insurance Company. All rights reserved. Ambetter.mhsindiana.com

1-877-687-1182 (TTY/TDD 1-800-743-3333)

City Pharmacy Name Address Zip Phone West Lafayette Walmart Pharmacy 2801 Northwestern Ave 47906 765-463-0910 Westfield CVS Pharmacy 3280 E State Road 32 E 46074 317-867-4577 Westfield CVS Pharmacy 1447 South Waterleaf Drive 46074 317-816-1446 Westfield CVS Pharmacy 16088 Spring Mill Rd 46074 317-804-7513 Westfield Kroger Pharmacy 150 W 161st St 46074 317-867-4187 Westfield Kroger Pharmacy 17447 Carey Rd 46074 317-867-3022 Westfield Westfield Pharmacy 103 S Union Street 46074 317-896-9378 Whiteland CVS Pharmacy 39 S Us Highway 31 46184 317-535-9001 Whiting CVS Pharmacy 1301 119th St 46394 219-659-0299 Whiting Rite Care Pharmacy 2075 Indianapolis Blvd 46394 219-655-5028 Winamac CVS Pharmacy 850 N Plymouth Rd 46996 574-946-3554 Winchester CVS Pharmacy 943 E Washington St 47394 765-584-1001 Winchester Walmart Pharmacy 950 E Greenville Pike 47394 765-584-3028 Yorktown Iu Health Yorktown Pharmacy 1420 S Pilgrim Blvd 47396 765-759-4064 Zionsville CVS Pharmacy 6511 E State Road 334 46077 317-769-5986 Zionsville CVS Pharmacy 1466 W Oak St 46077 317-873-6438 Zionsville Kroger Pharmacy 5 Boone Village 46077 317-873-8194 Zionsville Kroger Pharmacy 10679 N Michigan Rd 46077 317-773-2566 Zionsville Meijer Pharmacy 6650 Whitestown Pkwy 46077 317-732-9210