SmartSaver Rx PDP Value 2016 Pharmacy Directory This pharmacy directory was updated on June 6, 2016. For more recent information or other questions, please contact us, HealthNow New York Inc. Customer Service, at: 1-888-787-2390 or, for TTY users 711 October 1-February 14 8 a.m. to 8 p.m., 7 days a week February 15-September 30 8 a.m. to 8 p.m., Monday-Friday or visit healthnowny.com/medicare This information is available for free in other languages. Please call Member Services at 1-888-787-2390 (TTY 711) October 1 – February 14, 8 a.m. to 8 p.m., 7 days a week, February 15- September 30, 8 a.m. to 8 p.m., Monday through Friday Esta información se encuentra disponible gratis en otros idiomas. Comuníquese con nuestros Servicios para Miembros al 1 888 787 2390 para obtener información adicional. Los usuarios de Ydeben llamar al 711. Las horas de atención son 8 a.m. a 8 p.m. los siete dias de las semana, desde Octubre 1 a Febrero 14, y 8 a.m. a 8 p.m. Lunes a Viernes desde Febrero 15 a Septiembre 30. HealthNow New York Inc. is a Medicare Advantage and PDP plan with a Medicare contract. Enrollment in HealthNow New York Inc. depends on contract renewal. The pharmacy network may change at any time. You will receive notice when necessary. Y0086_MRK1581 Accepted Introduction This booklet provides a list of SmartSaver Rx PDP Value'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 SmartSaver Rx PDP Value's formulary. When this pharmacy directory refers to "we", "us", or "our," it means HealthNow New York. When it refers to "plan" or "our plan," it means SmartSaver Rx PDP Value. 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 SmartSaver Rx PDP Value 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 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 June 6, 2016. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.healthnowny.com/medicare. You may also call Member Services for updated provider information. You can go to all of the pharmacies on this list, but your costs for some drugs may be lower 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. Cost sharing information can be found in the Summary of Benefits. You can get prescription drugs shipped to your home though our network mail order delivery service. For more information, please contact us or see the mail order section of this pharmacy directory. If you have questions about any of the above, including instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. 1 To assist you in using our directory we have illustrated a provider listing. Provider Name & Title 123 Street Address City, State 12345 (999) 999-9999 P S ý Please use this table as a reference for the symbols used throughout this directory P Preferred pharmacy. S Standard pharmacy. ý 90 day supply at retail pharmacy 2 TABLE OF CONTENTS Retail Pharmacies, including 5 NEW YORK 80 Home Infusion Pharmacies - 168 Chain Pharmacies - Totals Totals by County NIAGARA 99 by County Home Infusion Pharmacies 169 ONEIDA 101 Retail Pharmacies, 6 Home Infusion Pharmacies 170 ONONDAGA 102 including Chain Pharmacies ALBANY 170 ONTARIO 106 BROOME 170 Retail Pharmacies, including 7 ORANGE 107 Chain Pharmacies ERIE 170 ORLEANS 109 ALBANY 7 KINGS 170 OSWEGO 110 ALLEGANY 9 NASSAU 170 OTSEGO 110 BRONX 9 NEW YORK 170 PUTNAM 111 BROOME 22 ONEIDA 170 QUEENS 112 CATTARAUGUS 23 ONONDAGA 170 RENSSELAER 133 CAYUGA 24 QUEENS 170 RICHMOND 134 CHAUTAUQUA 24 ROCKLAND 170 ROCKLAND 137 CHEMUNG 25 SARATOGA 170 SARATOGA 139 CHENANGO 26 SUFFOLK 171 SCHENECTADY 140 CLINTON 26 WESTCHESTER 171 SCHOHARIE 141 COLUMBIA 27 SCHUYLER 142 Long-Term Care Pharmacies 172 CORTLAND 27 - Totals by County SENECA 142 DELAWARE 28 Long-Term Care 173 ST. LAWRENCE 142 Pharmacies DUTCHESS 28 STEUBEN 143 Long-Term Care Pharmacies 174 ERIE 30 SUFFOLK 143 ALBANY 174 ESSEX 37 SULLIVAN 153 BRONX 174 FRANKLIN 37 TIOGA 154 BROOME 174 FULTON 38 TOMPKINS 154 CHAUTAUQUA 174 GENESEE 38 ULSTER 154 CHEMUNG 174 GREENE 39 WARREN 156 ERIE 174 HERKIMER 39 WASHINGTON 156 FULTON 174 JEFFERSON 39 WAYNE 157 KINGS 174 KINGS 40 WESTCHESTER 158 MONROE 174 LEWIS 64 WYOMING 165 NASSAU 175 LIVINGSTON 64 YATES 165 NEW YORK 175 MADISON 65 Mail Order Pharmacy - Totals 166 ONEIDA 175 MONROE 65 by County ONONDAGA 175 MONTGOMERY 70 Mail Order Pharmacy 167 ORANGE 175 NASSAU 70 3 QUEENS 175 RICHMOND 175 ROCKLAND 176 SARATOGA 176 ST. LAWRENCE 176 SUFFOLK 176 WAYNE 176 WESTCHESTER 176 Indian Health Service / Tribal 177 / Urban Indian Health Program (I/T/U) Pharmacies - Totals by County Indian Health Service / 178 Tribal / Urban Indian Health Program (I/T/U) Pharmacies Indian Health Service / Tribal 179 / Urban Indian Health Program (I/T/U) Pharmacies CATTARAUGUS 179 ERIE 179 FRANKLIN 179 4 Retail Pharmacies, including Chain Pharmacies - Totals by County ALBANY 70 ALLEGANY 10 BRONX 419 BROOME 48 CATTARAUGUS 18 CAYUGA 14 CHAUTAUQUA 33 CHEMUNG 19 CHENANGO 8 CLINTON 21 COLUMBIA 11 CORTLAND 9 DELAWARE 12 DUTCHESS 60 ERIE 211 ESSEX 10 FRANKLIN 11 FULTON 12 GENESEE 14 GREENE 13 HERKIMER 12 JEFFERSON 22 KINGS 809 LEWIS 4 LIVINGSTON 10 MADISON 15 MONROE 145 MONTGOMERY 12 NASSAU 284 NEW YORK 647 NIAGARA 46 5 Retail Pharmacies, including Chain Pharmacies You may use any network pharmacy listed in this directory to obtain covered prescription drugs. If you’re enrolled in a plan that offers both preferred and standard cost-shares (deductibles, coinsurance, or copays) for prescription drugs, your costs for some drugs may be less at a preferred pharmacy. Preferred pharmacies offer preferred cost-shares, and are denoted by the 'P' symbol. Please check your Evidence of Coverage (EOC) for more information on your cost-share at network pharmacies. Cost sharing for members who get “Extra Help” is the same at preferred and standard pharmacies. 6 Retail Pharmacies, including Chain Pharmacies ALBANY CVS #01895 RITE AID #3334 CVS #00134 2040 WESTERN AVE STE 310 S PEARL ST 16 NEW SCOTLAND AVE City/Town of ALBANY 155 ALBANY NY 12202 ALBANY NY 12208 CVS #00413 ALBANY NY 12203 (518)465-6008 (518)434-0677 1026 MADISON AVE (518)869-0657 Px Sx ALBANY NY 12208 Sx RITE AID #10692 SHOPRITE #232 (518)489-8516 CRESTWOOD PHARMACY 911 CENTRAL AVE 709 CENTRAL AVE Sx 26A PICOTTE DR ALBANY NY 12206 ALBANY NY 12206 CVS #00417 ALBANY NY 12208 (518)438-3535 (518)292-1250 885 CENTRAL AVE (518)435-2315 Px Px ALBANY NY 12206 S CVS #00600 SHOPRITE #214 (518)459-4550 HOUSE CALLS PHARMACY 415 DELAWARE AVE STE 1730 CENTRAL AVE Sx #211 419 ALBANY NY 12205 RITE AID #1031 920 LARK DR ALBANY NY 12209 (518)713-4192 581 CENTRAL AVE ALBANY NY 12210 (518)463-2986 Px ALBANY NY 12206 (518)427-0130 Sx TOWN TOTAL HEALTH (518)453-0021 Sx CVS #00744 350 NORTHERN BLVD Px WAL-MART #2152 613 NEW SCOTLAND AVE ALBANY NY 12204 CVS #05030 141 WASHINGTON AVE ALBANY NY 12208 (631)386-1204 1475 WESTERN AVE EXT STE 3 (518)482-4996 Sx ALBANY NY 12203 ALBANY NY 12205 Sx CARE RX PHARMACY (518)482-8759 (518)869-4697 CVS #00680 265 OSBORNE RD Sx Px 153 CENTRAL AVE ALBANY NY 12211 RITE AID #537 ALBANY MEDICAL CENTER ALBANY NY 12206 (518)512-4545 17 N PEARL ST # 21 PHARMACY (518)463-1362 Sx ALBANY NY 12207 43 NEW SCOTLAND AVE Sx NYOH PATIENT (518)434-6024 ALBANY NY 12208 PRICE CHOPPER PRESCRIPTION CNTR Px (518)262-3263 PHARMACY #104 400 PATROON CREEK Sx RITE AID #661 1892 CENTRAL AVE BLVD 2025 WESTERN AVE HANNAFORD FOOD AND ALBANY NY 12205 ALBANY NY 12206 ALBANY NY 12203 DRUG #367 (518)456-9360 (518)489-0044 (518)456-5112 900 CENTRAL AVE Sx Px Px ALBANY NY 12206 LINCOLN PHARMACY PRICE CHOPPER (518)438-2152 RITE AID #10691 300 MORTON AVE PHARMACY #188 Px 1225 WESTERN AVE ALBANY NY 12209 475 SHAKER RD ALBANY NY 12203 SPH OUTPATIENT (518)465-2253 ALBANY NY 12211 (518)458-8691 PHARMACY Sx (518)915-7900 Px 315 S MANNING BLVD Sx CVS #00778 ALBANY NY 12208 PRICE CHOPPER 1170 WESTERN AVE CENTRAL AVE PHARMACY (518)525-1266 PHARMACY #183 ALBANY NY 12203 346 CENTRAL AVE Sx 1706 WESTERN AVE (518)459-0795 ALBANY NY 12206 ALBANY NY 12203 WALGREENS #09971 Sx (518)621-7748 (518)456-0742 41 HOLLAND AVE Px Sx ALBANY NY 12208 (518)426-2976 Sx 7 Retail Pharmacies, including Chain Pharmacies City/Town of COHOES City/Town of DELMAR City/Town of WAL-MART #1997 GUILDERLAND 800 LOUDEN RD CVS #02743 HANNAFORD FOOD AND LATHAM NY 12110 485 COLUMBIA ST DRUG #339 HANNAFORD FOOD AND (518)783-4397 COHOES NY 12047 180 DELAWARE AVE DRUG #393 Px (518)235-7251 DELMAR NY 12054 5239 WESTERN TPKE TARGET PHARMACY #1915 Sx (518)478-9942 GUILDERLAND NY 12009 675 TROY SCHENECTADY Px (518)355-7411 MARRA'S PHARMACY RD Px 217 REMSEN ST FOUR CORNERS LATHAM NY 12110 COHOES NY 12047 PHARMACY WALGREENS #09153 (518)782-1360 (518)237-2110 360 DELAWARE AVE 2061 WESTERN AVE Px Px DELMAR NY 12054 GUILDERLAND NY 12084 RITE AID #10699 (518)439-8200 (518)869-1520 RITE AID #3331 1215 TROY Sx Sx 101 SARATOGA ST SCHENECTADY RD COHOES NY 12047 WALGREENS #12037 PRICE CHOPPER LATHAM NY 12110 (518)233-1518 250 DELAWARE AVE PHARMACY #28 (518)782-1890 Px DELMAR NY 12054 2080 WESTERN AVE Px (518)439-7838 GUILDERLAND NY 12084 City/Town of COLONIE Sx (518)724-6752 RITE AID #10684 RITE AID #4928 Sx 933 LOUDON RD CVS #00375 1863 CENTRAL AVE LATHAM NY 12110 260 DELAWARE AVE City/Town of LATHAM COLONIE NY 12205 (518)783-1551 DELMAR NY 12054 (518)456-0418 PRICE CHOPPER Px (518)439-9356 Px PHARMACY #138 CVS #05047 Sx 873 NEW LOUDON RD TARGET PHARMACY #1268 584 LOUDON RD NEWTON City/Town of GLENMONT LATHAM NY 12110 1440 CENTRAL AVE PLZ (518)782-0227 COLONIE NY 12205 CVS #01090 LATHAM NY 12110 Sx (518)489-0233 392 FEURA BUSH RD (518)785-8086 Px GLENMONT NY 12077 CVS #00415 Sx (518)462-5507 750 NEW LOUDON RD CVS #02702 SAM'S CLUB #6440 Sx LATHAM NY 12110 465 SAND CREEK RD 579 TROY SCHENECTADY (518)785-5878 COLONIE NY 12205 PRICE CHOPPER RD Sx (518)482-2835 PHARMACY #196 LATHAM NY 12110 Sx 329 GLENMONT RD HANNAFORD FOOD AND (518)783-2007 GLENMONT NY 12077 DRUG #386 Px WALGREENS #09154 (518)433-4711 579 TROY SCHENECTEDY 1850 CENTRAL AVE City/Town of Sx RD COLONIE NY 12205 LOUDONVILLE LATHAM NY 12110 (518)456-1356 WAL-MART #3583 (518)782-1754 RITE AID #10695 Sx 311 RT 9W Px 463 ALBANY SHAKER RD GLENMONT NY 12077 HANNAFORD FOOD AND LOUDONVILLE NY 12211 (518)432-1747 FALLON WELLNESS DRUG #362 (518)458-1205 Px PHARMACY 96 WOLF RD Px 1057 TROY COLONIE NY 12205 SCHENECTADY RD (518)482-1925 LATHAM NY 12110 Px (518)220-2005 Sx 8 Retail Pharmacies, including Chain Pharmacies City/Town of MENARDS City/Town of City/Town of FILLMORE DUANE READE #14459 VOORHEESVILLE 58 E FORDHAM RD RITE AID #162 FILLMORE PHARMACY BRONX NY 10468 444 BROADWAY STE 1 HANNAFORD FOOD AND 10560 ROUTE 19 (718)365-9354 MENARDS NY 12204 DRUG #233 FILLMORE NY 14735 Sx (518)462-4233 5 MAPLE RD (585)567-2228 D.D. PHARMACY Px VOORHEESVILLE NY Px 1448 METROPILITAN AVE 12186 City/Town of RAVENA City/Town of FRIENDSHIP BRONX NY 10462 (518)765-4399 RITE AID #4805 FRIENDSHIP PHARMACY (718)823-4344 Px 2463 US ROUTE 9W 9 W MAIN ST Sx City/Town of WATERVLIET RAVENA NY 12143 FRIENDSHIP NY 14739 WEBSTER DRUGS (518)756-6131 WATERVLIET PHARMACY (585)973-3496 753 E TREMONT AVE Px 601 19TH ST Sx BRONX NY 10457 WATERVLIET NY 12189 CVS #05037 City/Town of WELLSVILLE (718)901-4717 (518)273-1402 FAITH PLAZA RT 9W Sx FISHER'S PHARMACY Px RAVENA NY 12143 OVAL PHARMACY 138 N MAIN ST (518)756-3157 RITE AID #10690 255 E GUN HILL RD WELLSVILLE NY 14895 Sx 1901 SECOND AVE BRONX NY 10467 (585)593-1021 WATERVLIET NY 12189 City/Town of Px (718)654-1685 (518)271-0311 SCHENECTADY Sx WALGREENS #12381 Px THE CHARLES PHCY AND CVS #05358 10 N MAIN ST ALLEGANY SURGICAL 3916 CARMAN RD WELLSVILLE NY 14895 4279 WEBSTER AVE SCHENECTADY NY 12303 City/Town of ALFRED (585)593-1540 BRONX NY 10470 (518)357-0061 Sx ALFRED PHARMACY (718)652-2090 Sx 36 N MAIN ST KMART PHARMACY #7677 Sx City/Town of ALFRED NY 14802 121 BOLIVAR RD FRIENDLY PHARMACY SLINGERLANDS (607)587-9222 WELLSVILLE NY 14895 3137 GRAND Sx (585)593-0033 PRICE CHOPPER CONCOURSE Px PHARMACY #159 City/Town of BELMONT BRONX NY 10468 1395 NEW SCOTLAND RD RITE AID #10885 NICHOLSON PHARMACY (718)733-8528 SLINGERLANDS NY 12159 110 BOLIVAR RD 36 SCHUYLER ST Sx (518)478-0597 WELLSVILLE NY 14895 BELMONT NY 14813 FEINBERG'S PHARMACY Sx (585)593-1232 (585)268-7287 2021 GRAND Px SHOPRITE PHCY OF Sx CONCOURSE SLINGERLANDS BRONX BRONX NY 10453 City/Town of CUBA 41 VISTA BLVD City/Town of BRONX (718)299-2800 SLINGERLANDS NY 12159 RITE AID #10872 Px CONCOURSE PHARMACY (518)475-1524 10 W MAIN ST 767 CONCOURSE VLG W PELHAM PARKWAY Px CUBA NY 14727 PHARMACY BRONX NY 10451 (585)968-1410 1469 BEACH AVE (718)665-0026 Px BRONX NY 10460 Sx CUBA PHARMACY (718)409-0908 2 CENTER ST Px CUBA NY 14727 (585)968-3111 Px 9