Pharmacy

324 Pages·2016·2.27 MB·English

Health Net
Medicare Part D
2017 California Pharmacy Directory
Health Net Seniority Plus Amber I (HMO SNP), Health Net Seniority Plus Amber II (HMO SNP),
Health Net Seniority Plus Amber II Premier (HMO SNP), Health Net Seniority Plus Sapphire (HMO),
Health Net Seniority Plus Sapphire Premier (HMO), and Health Net Seniority Plus Employer (HMO)
Tis pharmacy directory was updated on 09/01/2016. For more recent information or other questions,
please contact Health Net at HMO Plans: 1-800-275-4737, HMO SNP Plans: 1-800-431-9007, or, for TTY
users, 711, 8:00 a.m. to 8:00 p.m., seven days a week (automated telephone service is used on some
weekends and holidays), or visit www.healthnet.com/medicare.
Changes to our pharmacy network may occur during the beneft year. An updated Pharmacy Directory is
located on our website at www.healthnet.com/medicare. You may also call Member Services for updated
provider information.
Y0020_2017_0013_NM (06282016, 06292016)
Table
of
Conten
ts
Table of Contents
Introduction..........................................................................5
Retail Pharmacies, including Chain Pharmacies................ 15
Mail Order Pharmacy........................................................291
Specialty Pharmacies.......................................................295
Home Infusion Pharmacies.............................................. 299
Long-Term Care Pharmacies........................................... 305
Indian Health Service/Tribal/Urban Indian Health ............321
Program (I/T/U) Pharmacies
Introdu
ction
Introduction
This booklet provides a list of our plan’s network pharmacies. To get a complete
description of your prescription coverage, including how to fll your prescriptions,
please review the Evidence of Coverage and Health Net Seniority Plus Amber I
(HMO SNP), Health Net Seniority Plus Amber II (HMO SNP), Health Net Seniority
Plus Amber II Premier (HMO SNP), Health Net Seniority Plus Sapphire (HMO),
Health Net Seniority Plus Sapphire Premier (HMO), and Health Net Seniority Plus
Employer (HMO)’s formulary.
When this pharmacy directory refers to “we,” “us”, or “our,” it means Health Net. When it refers to “plan” or
“our plan,” it means Health Net Seniority Plus Amber I (HMO SNP), Health Net Seniority Plus Amber II
(HMO SNP), Health Net Seniority Plus Amber II Premier (HMO SNP), Health Net Seniority Plus Sapphire
(HMO), Health Net Seniority Plus Sapphire Premier (HMO), and Health Net Seniority Plus Employer
(HMO).
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 our plan
only if they are flled 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 fll your prescription but can
switch to any other of our network pharmacies. We will fll prescriptions at non-network pharmacies under
certain circumstances as described in your Evidence of Coverage.
All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed
from the list afer this directory was printed. Tis 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. Tis list is current as of
09/01/2016. For the most current list, please contact us. Our contact information appears on the front and
back cover pages.
You can get prescription drugs shipped to your home through our network mail order delivery service. For
more information, please contact us or see the mail order section of this pharmacy directory.
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Tis directory is for California which includes the area in which you live. However, we cover a larger service
area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information
on more pharmacies in our plan network not listed in this directory contact us. Our contact information
appears on the front and back cover pages.
If you have questions about any of the above, please see the frst and last cover pages of this directory for
information on how to contact us.
Te directory is sorted by type of pharmacy and location. Pharmacy types include Retail, Mail Order,
Specialty, Home Infusion, Long-Term Care, and Indian Health Service/Tribal/Urban Indian Health Program
(I/T/U) pharmacies. To fnd a pharmacy near you, locate the section for the type of pharmacy you need. Tis
is not a complete list of our network pharmacies. You can go to any pharmacy in our nationwide network
of more than 67,000 pharmacies. To fnd a pharmacy outside of your state, please visit www.healthnet.com/
medicare or contact us. Our contact information appears on the front and back cover pages.
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Notice of Non-Discrimination:
Health Net complies with applicable Federal civil rights laws and does not discriminate on the basis of race,
color, national origin, age, disability, or sex. Health Net does not exclude people or treat them diferently
because of race, color, national origin, age, disability, or sex.
Health Net:
• P rovides free aids and services to people with disabilities to communicate efectively with us, such as
qualifed sign language interpreters and written information in other formats (large print, accessible
electronic formats, other formats).
• P rovides free language services to people whose primary language is not English, such as qualifed
interpreters and information written in other languages.
If you need these services, contact Health Net’s Customer Contact Center at:
Arizona: 1-800-977-7522 (TTY: 711), 8:00 a.m. to 8:00 p.m., Mountain time, seven days a week.
California: 1-800-275-4737 (TTY: 711), 8:00 a.m. to 8:00 p.m., Pacifc time, seven days a week.
Oregon: 1-888-445-8913 (TTY: 711), 8:00 a.m. to 8:00 p.m., Pacifc time, seven days a week.
If you believe that Health Net has failed to provide these services or discriminated in another way on the basis
of race, color, national origin, age, disability, or sex, you can fle a grievance by calling the number above and
telling them you need help fling a grievance; Health Net’s Customer Contact Center is available to help you.
You can also fle a civil rights complaint with the U.S. Department of Health and Human Services, Ofce for
Civil Rights, electronically through the Ofce for Civil Rights Complaint Portal, available at
https://ocrportal.hhs.gov/ocr/portal/lobby.jsf or by mail or phone at: U.S. Department of Health and Human
Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 20201,
1-800–368–1019, (TDD: 1-800–537–7697).
Complaint forms are available at http://www.hhs.gov/ocr/ofce/fle/index.html
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