MEDICAREPHARMACY WV PA OH.sv

92 Pages·2009·0.78 MB·German

2010
Pharmacy
Directory
Pennsylvania
West Virginia
UPMC Medicare Health Plans include:
UPMC for Life Plans (HMO, PPO, PDP)
UPMC for Life Specialty Plan (HMO)
UPMC for Community Living (HMO)

UPMC for Life Pharmacy Directory
2010

NOTE: Throughout this document, UPMC for Life refers to the following plans:
UPMC for Life, UPMC for Life Specialty Plan, and UPMC for Community Living.

This booklet provides a list of UPMC for Life’s network pharmacies. This directory lists
pharmacies in Pennsylvania and West Virginia. All network pharmacies may not be listed in this
directory. Pharmacies may have been added or removed from the list after this directory was
printed. A pharmacy’s listing in the directory does not guarantee the pharmacy is currently in the
network, open for business, or is at the same location. This directory is current as of September
2009.

To get current information about UPMC for Life network pharmacies in your area, please visit
our website at www.upmchealthplan.com/medicare/partd.html or call Member Services at the
phone numbers listed below. UPMC for Life is a Medicare Advantage organization with a
Medicare contract and is a Medicare-approved Part D sponsor.

UPMC for Life Plans (HMO, PPO, or PDP)
• For individuals in our HMO and PPO plans with prescription drug coverage and PDP plans.

Member Services Hours:
Available seven days a week from 8:00 a.m. to 8:00 p.m.*

Current Members call 1-877-539-3080. TTY/TDD users call 1-800-361-2629.

Prospective Members call 1-877-381-3765. TTY/TDD users call 1-800-361-2629
_______________________________________________

UPMC for Life Specialty Plan (HMO) or
UPMC for Community Living (HMO)
• For individuals who have Medicare (Parts A and B) and who have full Medical Assistance.
• Plans ONLY available in Pennsylvania.

Member Services Hours:
Available seven days a week from 8:00 a.m. to 8:00 p.m.*

Current Members call 1-800-606-8648. TTY/TDD users call 1-866-407-8762.

Prospective Members call 1-866-405-8762. TTY/TDD users call 1-866-407-8762

_________________
∗ From March 2 through November 14, you may receive a messaging service on weekends and
holidays. Please leave a message and your call will be returned the next business day.
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Introduction
This booklet provides a list of UPMC for Life’s network pharmacies. To get a complete
description of your prescription coverage, including how to fill your prescriptions, please review
your Evidence of Coverage and UPMC for Life formulary. If you have additional questions,
please call Member Services at the phone number listed on page 1 of this booklet.

How do I find a UPMC for Life network pharmacy?
We call the pharmacies in this directory our “network pharmacies” because we have made
arrangements with them to provide prescription drugs to plan members. A network pharmacy is a
pharmacy where members obtain prescription drug benefits provided by UPMC for Life. In
general, your prescriptions are covered under UPMC for Life only if they are filled at a network
pharmacy or through our mail-order pharmacy service. Once you go to one, you are not required
to continue going to the same pharmacy to fill your prescription.

You can go to any of our network pharmacies throughout the United States. We will fill
prescriptions at non-network pharmacies under certain non-routine limited circumstances, such
as an emergency, when you cannot reasonably use network pharmacies as described in your
Evidence of Coverage.

NOTE: UPMC for Life cannot pay for any prescriptions that are filled by pharmacies outside
the United States, even for medical emergencies.

In this booklet, you will find a list of all UPMC for Life network pharmacies, designated in
alphabetical order by state and then counties within that state. There is also an alphabetical index
in the back of the directory for your convenience.

The UPMC for Life pharmacy network includes:
• Retail Chain pharmacies
• Retail pharmacies
• Mail-order pharmacies
• Specialty pharmacies
• Home Infusion pharmacies
• Long-term Care pharmacies

How do I fill a prescription at a network pharmacy?
To fill your prescription at a network pharmacy, you must show your UPMC for Life member ID
card. If you do not have your ID card with you when you fill your prescription, you may have to
pay the full cost of the prescription (rather than paying just your copayment). If this happens, you
can ask us to reimburse you for our share of the cost by submitting a paper claim to us. To find
out how to submit a paper claim, look in your Evidence of Coverage or call Member Services at
the phone number listed on page 1 of this booklet.

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NOTE:
• If you are a member of UPMC for Life Specialty Plan, you must show both your UPMC
for Life Specialty Plan member ID card and your Medical Assistance ACCESS card.
Showing both cards ensures that you will get the highest level of coverage.

• If you are eligible for Pennsylvania’s State Pharmaceutical Assistance Program (e.g.,
PACE or PACENET), you must show your member ID card and your PACE or
PACENET membership card when you get your prescription filled at network
pharmacies.

How do I fill a prescription through UPMC for Life’s mail-order pharmacy
service?
You may use our network mail-order pharmacy service to fill prescriptions that you take on a
regular basis for a chronic or long-term medical condition. When you order prescription drugs
through our network mail-order pharmacy service, you may order up to a 90-day supply of the
drug. Please make sure your physician writes the prescription for the amount you need to
receive.

You are not required to use our mail-order services to get an extended supply of maintenance
medications. You can also get an extended supply at network pharmacies. However they may
charge a higher price than our mail-order service. Please call Member Services or look for the
indicator next to the pharmacy name in this directory to find out which retail pharmacies offer an
extended supply.

If you decide to fill your prescription drugs through mail-order you must use Express
Scripts mail-order service. Prescription drugs (excluding specialty medications) that you
get through any other mail-order service will not be covered.

You may use UPMC for Life Express Scripts mail-order service for the following types of mail-
order prescription drugs:
• Generic drugs
• Preferred Brand drugs
• Non-preferred Brand drugs

NOTE: Specialty drug prescriptions may be mail-ordered from CuraScript. Specialty
prescription drugs that you get through another mail-order pharmacy may not be
covered.

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To get order forms and information about filling your prescriptions by mail, you can contact
Member Services at the phone number listed on page 1 of this booklet.

On the Express Scripts mail-order form, fill out the following personal information section for
each new prescription you send:
• member ID number
• your name
• date of birth
• drug allergies
• sex
• your address
• your phone number
• doctor’s name
• doctor’s phone number

Include the new prescription slip, which must list the patient’s full name, date of birth, and
address, as well as the doctor’s name and phone number.

Generally, it takes the mail-order pharmacy 14 days to process your order and ship it to you. To
avoid running out of your prescription, reorder your medication when you have at least a 14-day
supply left. Your prescription drug order will be processed promptly and shipped to you along
with forms and instructions for future orders.

If you are mailing a refill prescription request, include your copayment in the mail-order
envelope. You may pay by check, money order, debit card, or credit card. Do not send cash.
You may also request refills over the telephone by contacting Express Scripts Mail-order
Customer Service at 1-877-787-6279, 24 hours a day, seven days a week. TTY/TDD users
should call 1-800-899-2114. If ordering refills by phone, you must pay by credit card.

If you have questions about the status of your prescription, you should also call Express Scripts
Mail-order Customer Service at 1-877-787-6279, 24 hours a day, seven days a week. TTY/TDD
users should call 1-800-899-2114. They will provide you with information, including the
expected delivery date and what to do if your drug shipment is delayed.

For More Information
For more detailed information about your UPMC for Life prescription drug coverage, review
your Evidence of Coverage, UPMC for Life formulary, or call Member Services at the phone
number listed on the page 1 of this booklet. Our website address is www.upmchealth
plan.com/medicare and our mailing address is UPMC for Life, Attn. Member Services, One
Chatham Center, 112 Washington Place, Pittsburgh, PA 15219.

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TABLE OF CONTENTS
HOME INFUSION SERVICES........................9 CENTRE, PA .........................................14
PENNSYLVANIA ......................................10 CHESTER, PA .......................................15
ALLEGHENY, PA.................................10 CLEARFIELD, PA.................................15
BLAIR, PA.............................................10 COLUMBIA, PA....................................15
BUTLER, PA .........................................10 CRAWFORD, PA ..................................15
CENTRE, PA .........................................10 CUMBERLAND, PA.............................15
CHESTER, PA .......................................10 DAUPHIN, PA.......................................15
CRAWFORD, PA ..................................10 DELAWARE, PA...................................15
DAUPHIN, PA.......................................10 ERIE, PA................................................15
DELAWARE, PA...................................10 FAYETTE, PA .......................................15
ERIE, PA................................................10 FRANKLIN, PA.....................................15
LACKAWANNA, PA............................10 FULTON, PA .........................................15
LANCASTER, PA .................................10 INDIANA, PA........................................15
LYCOMING, PA ...................................10 LACKAWANNA, PA............................15
MONTGOMERY, PA............................10 LANCASTER, PA .................................16
MONTOUR, PA.....................................11 LAWRENCE, PA...................................16
NORTHAMPTON, PA ..........................11 LEHIGH, PA..........................................16
YORK, PA..............................................11 LUZERNE, PA.......................................16
WEST VIRGINIA ......................................12 LYCOMING, PA ...................................16
HARRISON, WV...................................12 MERCER, PA.........................................16
KANAWHA, WV ..................................12 MONROE, PA........................................16
MONONGALIA, WV............................12 MONTGOMERY, PA............................16
MONTOUR, PA.....................................17
LONG TERM CARE
PHARMACIES.................................................13 NORTHUMBERLAND, PA..................17
PENNSYLVANIA ......................................14 PERRY, PA............................................17
ALLEGHENY, PA.................................14 PHILADELPHIA, PA............................17
ARMSTRONG, PA................................14 SOMERSET, PA....................................17
BEAVER, PA.........................................14 VENANGO, PA .....................................17
BERKS, PA............................................14 WARREN, PA........................................17
BLAIR, PA.............................................14 WASHINGTON, PA..............................17
BUCKS, PA............................................14 WESTMORELAND, PA .......................17
BUTLER, PA .........................................14 YORK, PA..............................................17
CAMBRIA, PA ......................................14
CARBON, PA ........................................14
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WEST VIRGINIA ......................................19 DELAWARE, PA...................................36
BROOKE, WV.......................................19 ELK, PA .................................................37
CABELL, WV........................................19 ERIE, PA................................................37
GREENBRIER, WV ..............................19 FAYETTE, PA .......................................38
MERCER, WV.......................................19 FOREST, PA..........................................39
MONONGALIA, WV............................19 FRANKLIN, PA.....................................39
OHIO, WV .............................................19 FULTON, PA .........................................39
PUTNAM, WV.......................................19 GREENE, PA .........................................39
HUNTINGDON, PA..............................39
MAIL-ORDER PHARMACY.........................21
INDIANA, PA........................................39
RETAIL CHAIN PHARMACIES..................23
JEFFERSON, PA ...................................40
RETAIL PHARMACIES ................................24
JUNIATA, PA........................................40
PENNSYLVANIA ......................................25
LACKAWANNA, PA............................40
ADAMS, PA...........................................25
LANCASTER, PA .................................41
ALLEGHENY, PA.................................25
LAWRENCE, PA...................................42
ARMSTRONG, PA................................27
LEBANON, PA......................................42
BEAVER, PA.........................................28
LEHIGH, PA..........................................43
BEDFORD, PA ......................................28
LUZERNE, PA.......................................43
BERKS, PA............................................29
LYCOMING, PA ...................................45
BLAIR, PA.............................................29
MCKEAN, PA........................................45
BRADFORD, PA ...................................30
MERCER, PA.........................................45
BUCKS, PA............................................30
MIFFLIN, PA.........................................45
BUTLER, PA .........................................31
MONROE, PA........................................46
CAMBRIA, PA ......................................31
MONTGOMERY, PA............................46
CAMERON, PA.....................................32
MONTOUR, PA.....................................47
CARBON, PA ........................................32
NORTHAMPTON, PA ..........................48
CENTRE, PA .........................................32
NORTHUMBERLAND, PA..................48
CHESTER, PA .......................................33
PERRY, PA............................................48
CLARION, PA .......................................34
PHILADELPHIA, PA............................49
CLEARFIELD, PA.................................34
PIKE, PA................................................53
CLINTON, PA .......................................34
POTTER, PA..........................................53
COLUMBIA, PA....................................34
SCHUYLKILL, PA................................54
CRAWFORD, PA ..................................34
SNYDER, PA.........................................54
CUMBERLAND, PA.............................35
SOMERSET, PA....................................54
DAUPHIN, PA.......................................35
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TABLE OF CONTENTS
SULLIVAN, PA.....................................55 LOGAN, WV .........................................62
SUSQUEHANNA, PA...........................55 MARION, WV .......................................62
TIOGA, PA.............................................55 MARSHALL, WV .................................63
UNION, PA............................................55 MASON, WV.........................................63
VENANGO, PA .....................................55 MCDOWELL, WV ................................63
WARREN, PA........................................55 MERCER, WV.......................................63
WASHINGTON, PA..............................56 MINERAL, WV .....................................63
WAYNE, PA ..........................................56 MINGO, WV..........................................63
WESTMORELAND, PA .......................56 MONONGALIA, WV............................64
WYOMING, PA.....................................58 MONROE, WV......................................64
YORK, PA..............................................58 MORGAN, WV......................................64
WEST VIRGINIA ......................................59 NICHOLAS, WV ...................................64
BARBOUR, WV....................................59 OHIO, WV .............................................64
BERKELEY, WV...................................59 PENDLETON, WV................................65
BOONE, WV..........................................59 PLEASANTS, WV.................................65
BRAXTON, WV ....................................59 POCAHONTAS, WV.............................65
BROOKE, WV.......................................59 PRESTON, WV......................................65
CABELL, WV........................................59 PRESTON, WV......................................65
CALHOUN, WV....................................60 PRESTON, WV......................................65
CLAY, WV.............................................60 PUTNAM, WV.......................................65
DODDRIDGE, WV................................60 RALEIGH, WV......................................65
FAYETTE, WV......................................60 RANDOLPH, WV..................................65
GILMER, WV ........................................60 RITCHIE, WV........................................65
GRANT, WV..........................................60 ROANE, WV..........................................65
GREENBRIER, WV ..............................60 SUMMERS, WV....................................65
HAMPSHIRE, WV ................................60 TAYLOR, WV .......................................66
HANCOCK, WV....................................60 TUCKER, WV .......................................66
HARDY, WV .........................................61 TYLER, WV...........................................66
HARRISON, WV...................................61 UPSHUR, WV........................................66
JACKSON, WV .....................................61 WAYNE, WV.........................................66
JEFFERSON, WV..................................61 WEBSTER, WV.....................................66
KANAWHA, WV ..................................61 WETZEL, WV .......................................66
LEWIS, WV ...........................................62 WIRT, WV .............................................66
LINCOLN, WV......................................62 WOOD, WV...........................................66
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WYOMING, WV ...................................66
SPECIALTY PHARMACIES.........................69
PENNSYLVANIA ......................................70
ALLEGHENY, PA.................................70
BUCKS, PA............................................70
LACKAWANNA, PA............................70
LUZERNE, PA.......................................70
PHILADELPHIA, PA ............................70
FLORIDA....................................................71
ORANGE, FL.........................................71
ALPHABETICAL INDEX ..............................72
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