pharmacy directory - AARP Medicare Part D by yaosaigeng

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									Sierra Rx plans


pharmacy directory
Hawaii
This directory provides a list of the SierraRx plans' network pharmacies by county for the state of
Hawaii. All network pharmacies are not listed in this directory. Pharmacies may have been added
or removed from the list after this directory was printed.

The SierraRx plans pharmacy network comprises more than 60,000 pharmacies nationwide,
including retail, mail order, long-term care, home infusion and I/T/U (Indian Health Service / Tribal /
Urban Indian) pharmacy services. The SierraRx plans have contracts with all network pharmacies
that are equal to or exceed Medicare requirements for pharmacy access in your area.

To get current information about the SierraRx plans network pharmacies in your area, please call
our Customer Care Associates at 1-866-819-3450 24 hours a day, 7 days a week. TTY users
should call 1-877-730-4203.

Para información en español, por favor llame al departamento de atención al cliente.
 Introduction.
We call the pharmacies on this list our "network pharmacies" because we have made
arrangements with them to provide prescription drugs to plan members. A network pharmacy is a
pharmacy where as a plan member; you obtain prescription drug benefits provided by the
SierraRx plans. In most cases, your prescriptions are covered under the SierraRx plans only if
they are filled at a network pharmacy or through our mail service pharmacies. You are not
required to continue going to the same network pharmacy to fill your prescription. You can go to
any of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain
circumstances as described in your Evidence of Coverage.

For a complete description of your prescription coverage, including how to fill your prescriptions,
please review your Evidence of Coverage and the SierraRx plans Formulary. Please refer to the
pharmacy listing on the following pages for network pharmacies in your area.


Filling a prescription through the SierraRx plans' network mail service
pharmacies.
You can use one of the SierraRx plans' network mail service pharmacies to fill prescriptions for
what we call "maintenance drugs." These are drugs that you take on a regular basis for a
chronic or long-term medical condition. When you order prescription drugs by mail, you will
need to order a 90-day supply (extended supply) of the drug.

To get order forms and more information about filling your prescriptions by mail, please
contact the mail service pharmacies listed later in this directory. Please note that you must use
one of the SierraRx plans' network mail service pharmacies. Prescription drugs that you get
through any other mail order service pharmacy are not covered.

Generally, it takes mail service pharmacies 14 days to process your order and ship it to you.
Please be aware of this turn-around time, and request refills early enough to leave time for
your refills to be processed and sent out to you. You should fill your prescription at a local
network pharmacy if you are out of your medication and cannot wait for your mail service
prescription to arrive.


The SierraRx plans Retail Pharmacies offering 90-day supplies of
medications.

You are not required to use mail order prescription drug services to obtain a 90-day
supply of medications. You have the choice of using retail pharmacies in our network to fill
your prescriptions. Some retail pharmacies in the SierraRx plans' network have agreed to offer
a 90-day supply of medications, which will result in no out-of-pocket payment difference to
you. In other words, you will only be responsible for three copays, coinsurance payments or
out-of-pocket payments at the time of dispensing.¹ If you qualify for extra help, you may have
lower or no copays/coinsurance.

Please refer to the pharmacy listing in this directory for pharmacies in our network where you
can fill a 90-day supply of medications in your area. Or call one of our Customer Care
Associates at the number listed below for more information.
 National pharmacy chains.
The list below is a partial listing of national pharmacy chains that are in the SierraRx plans'
network. All stores in these national network chain pharmacies are participating SierraRx plans
providers. For locations and phone numbers of stores in your area, call the numbers listed
below or go to www.SierraRx.com.


Ahold*                                          Safeway & Affiliates*       1-877-SAFEWAY
Giant Food                 1-888-469-4426       Safeway                     1-877-723-3929
Giant Food Stores          1-888-814-4268       Vons                        1-877-723-3929
of Carlisle                                     Randalls                    1-877-723-3929
Stop & Shop               1-800-767-7772        Tom Thumb                   1-877-723-3929
                                                Carr's Quality Center       1-877-723-3929
CVS Pharmacy*             1-800-SHOP-CVS        Genuardi's                  1-877-723-3929
                          (1-800-746-7287)      Pavilions                   1-877-723-3929
                                                Dominick's                  1-877-723-3929
Kmart*                    1-800-866-0086
Kroger & Affiliates*      1-866-221-4141        SUPERVALU                   1-877-932-7948
Kroger                    1-866-221-4141        & Affiliates*
Fred Meyer                1-866-221-4141        Osco Pharmacy               1-800-783-0458
Smith's Food & Drug       1-866-221-4141        Sav-on Pharmacy             1-800-783-0458
Fry's Pharmacy            1-866-221-4141        Cub Pharmacy                1-800-783-0458
King Soopers              1-866-221-4141        Shoppers Pharmacy           1-800-783-0458
Ralphs                    1-866-221-4141        Shop´n Save Pharmacy        1-800-783-0458
Dillons                   1-866-221-4141        Farm Fresh Pharamacy        1-800-783-0458
City Market               1-866-221-4141        Bigg's Pharmacy             1-800-783-0458
QFC Pharmacy              1-866-221-4141
Food-4-Less               1-866-221-4141        Target Pharmacy*            1-800-440-0680
Baker's Pharmacy          1-866-221-4141
Gerbes                    1-866-221-4141        Walgreens                   1-877-250-5823
Hilander Pharmacy         1-866-221-4141        TTY (for the hearing
Pay-Less Pharmacy         1-866-221-4141        impaired)                   1-877-924-7889
Owens Pharmacy            1-866-221-4141
                                                Wal-Mart*                   1-800-WALMART
Longs Drugs*              1-800-TO-LONGS                                    (1-800-925-6278)
                          (1-800-865-6647)
                                                Sam's Club                  1-888-746-7726
Medicine Shoppe            1-800-297-0227
Pharmacy *                                       *For the hearing impaired, please contact your
The Medicap Pharmacy       1-800-297-0227        state relay center at 7-1-1.

                                                 This list of network pharmacies may change.
Rite Aid *                 1-800-RITEAID
                                                 For the most current list of pharmacies, contact
                           (1-800-748-3243)
                                                 our Customer Care Associates.


                To find a pharmacy not listed in this directory or for more information on how to
                use our network pharmacies, call our Customer Care Associates at
                1-866-819-3450, (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
 Mail service pharmacies.
You can use mail service pharmacies for filling a 90-day supply of your maintenance drugs.

Mail Service Pharmacies:
Prescription Solutions                                 Walgreens Mail Service
Toll-Free Number: 1-877-896-2764                       Toll-Free Number: 1-888-492-2956
TTY: 1-866-394-7218                                    TTY: 1-888-492-2968




                To find a pharmacy not listed in this directory or for more information on how to
                use our network pharmacies, call our Customer Care Associates at
                1-866-819-3450, (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
 Retail pharmacies.
Retail pharmacies in bold print below have agreed to offer a 90-day supply of medications, which will
result in no out-of-pocket payment difference to you.



Retail network pharmacies by county:

                                                       Hawaii
HAWAII COUNTY
COSTCO PHARMACY                       KMART PHARMACY                     LONGS DRUG STORE
73 5600 MAIAU ST                      745465 KAMAKAEHA AVENUE            75 5595 PALANI RD
KAILUA KONA, HI 96740                 KONA, HI 96740                     KAILUA, HI 96740
1-808-331-4808                        1-808-326-1707                     1-808-329-1632
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


FOODLAND PHARMACY                     KTA KAMUELA PHARMACY               LONGS DRUG STORE
67 1185 MAMALAHOA HWY                 65-1158 MAMALAHOA                  78 6831 ALII DRIVE
KAMUELA, HI 96743                     KAMUELA, HI 96743                  KAILUA, HI 96740
1-808-885-2075                        1-808-885-0033                     1-808-322-6627
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


HAMAKUA FAMILY PHARMACY INC           KTA KEAUHOU PHARMACY               LONGS DRUG STORE
45 3551A MAMANE ST                    78-6831 ALII DR                    16 586 OLD VALCANO RD
HONOKAA, HI 96727                     KAILUA KONA, HI 96740              KEAAU, HI 96749
1-808-775-0496                        1-808-322-2511                     1-805-982-8600
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


HILO PHARMACY                         KTA PUAINAKO PHARMACY              MINA PHARMACY
82 PUUHONU PL                         50 E PUAINAKO ST                   1251 KILAUEA AVE
HILO, HI 96720                        HILO, HI 96720                     HILO, HI 96720
1-808-961-9267                        1-808-959-9111                     1-808-935-3100
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


KAMEHAMEHA PHARMACY                   LONGS DRUG STORE                   MINA PHARMACY
54 3877 AKONI PULE HWY                555 KILAUEA AVE                    75 5995 KUAKINI HWY
KAPAAU, HI 96755                      HILO, HI 96720                     KAILUA KONA, HI 96740
1-808-889-6161                        1-808-935-9075                     1-808-329-1000
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


KAU PHARMACY                          LONGS DRUG STORE                   MINA PHARMACY LTC
96 1115 KAMANI ST                     111 E PUAINAKO ST                  75 5995 KUAKINI HWY
PAHALA, HI 96777                      HILO, HI 96720                     KAILUA KONA, HI 96740
1-808-928-6252                        1-808-959-4508                     1-808-329-1000
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                   To find a pharmacy not listed in this directory or for more information on how to use
                   our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                   (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                      Hawaii

OSHIMA DRUG                          ULULANI PHARMACY                   APOS FARMACIA INC
79 7400 MAMALAHOA HWY                868 ULULANI ST                     634 KALIHI ST
KEALAKEKUA, HI 96750                 HILO, HI 96720                     HONOLULU, HI 96819
1-808-322-3313                       1-808-934-9400                     1-808-848-0088
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PAHOA RX PHARMACY                    VILLAGE PHARMACY WAIMEA LLC        CASTLE PROFESSIONAL CTR PHCY
1 GOVERNMENT RD                      65 1267 KAWAIHAE RD                46 001 KAMEHAMEHA HWY
PAHOA, HI 96778                      KAMUELA, HI 96743                  KANEOHE, HI 96744
1-808-965-7535                       1-808-885-4418                     1-808-247-0047
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PHARMERICA HILO                      WAIKOLOA PHARMACY                  CHINATOWN PHARMACY
688 KINOOLE STREET                   68 1845 WAIKOLOA ROAD              70 N HOTEL ST
HILO, HI 96720                       WAIKOLOA, HI 96738                 HONOLULU, HI 96817
1-808-969-1775                       1-808-883-8484                     1-808-533-6288
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PONAHAWAI PHARMACY                   WAL-MART PHARMACY                  CITY PHARMACY
670 PONAHAWAI ST                     325 MAKAALA ST                     966 KAHEKA ST
HILO, HI 96720                       HILO, HI 96720                     HONOLULU, HI 96814
1-808-933-8555                       1-808-969-1062                     1-808-945-7875
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PUNA PHARMACY                        WAL-MART PHARMACY                  CITY PHARMACY KAPAHULU INC
15 2660 KEAAU PAHOA RD               75 1015 HENRY STREET               750 PALANI AVE
PAHOA, HI 96778                      KAILUA KONA, HI 96740              HONOLULU, HI 96816
1-808-965-0601                       1-808-334-0552                     1-808-739-1188
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE
                                     HONOLULU COUNTY
SAFEWAY                              AIEA MEDICAL PHARMACY              CORNER PHARMACY
111 EAST PUAINAKO                    99 128 AIEA HEIGHTS DR             1029 KAPAHULU AVE
HILO, HI 96720                       AIEA, HI 96701                     HONOLULU, HI 96816
1-808-959-2000                       1-808-840-5680                     1-808-218-7896
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


SHIIGI DRUG COMPANY INC              AINA HAINA RX PHARMACY             COSTCO PHARMACY
333 KILAUEA AVE                      850 W HIND DR                      94 1231 KA UKA BLVD
HILO, HI 96720                       HONOLULU, HI 96821                 WAIPAHU, HI 96797
1-808-935-0001                       1-808-373-5151                     1-808-678-6102
TTY: USE 7-1-1 RELAY SERVICE         TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                  To find a pharmacy not listed in this directory or for more information on how to use
                  our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                  (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                       Hawaii

COSTCO PHARMACY                       FOODLAND PHARMACY                  KUHIO PHARMACY
525 ALA KAWA STREET                   55 510 KAMEHAMEHA HWY              2330 KUHIO AVE
IWILEI, HI 96817                      LAIE, HI 96762                     HONOLULU, HI 96815
1-808-526-6102                        1-808-640-1848                     1-808-923-4466
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


COSTCO PHARMACY                       HONNIS INC                         LEEWARD OAHU PHARMACY INC
333 A KEOHOLE STREET                  1520 LILIHA ST                     94 837 WAIPAHU STREET
HONOLULU, HI 96825                    HONOLULU, HI 96817                 WAIPAHU, HI 96797
1-808-394-3318                        1-808-533-6990                     1-808-677-9611
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


CVS PROCARE PHARMACY                  KMART PHARMACY                     LONGS DRUG STORE
970 NORTH KALAHEO AVENUE              500 KAMOKILA BLVD                  98 1005 MOANALUA RD SPC 400
KAILUA, HI 96734                      KAPOLEI, HI 96707                  AIEA, HI 96701
1-808-254-2727                        1-808-674-9655                     1-808-488-0958
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


DON QUIJOTE DRUGS                     KMART PHARMACY                     LONGS DRUG STORE
345 HAHANI ST                         94825 LUMIAINA                     91 1401 FORT WEAVER RD
KAILUA, HI 96734                      WAIPAHU, HI 96797                  EWA BEACH, HI 96706
1-808-266-4434                        1-808-678-9701                     1-808-685-5622
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


DON QUIJOTE DRUGS                     KMART PHARMACY                     LONGS DRUG STORE
94-144 FARRINGTON HWY                 500 NORTH NIMITZ HWY               91 590 FARRINGTON HWY 300
WAIPAHU, HI 96797                     HONOLULU, HI 96817                 KAPOLEI, HI 96707
1-808-678-6831                        1-808-524-1568                     1-808-674-0269
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


DON QUIJOTE DRUGS                     KMART PHARMACY                     LONGS DRUG STORE
801 KAHEKA ST                         4561 SALT LAKE BLVD                66 150 KAMEHAMEHA HWY
HONOLULU, HI 96814                    HONOLULU, HI 96818                 HALEIWA, HI 96712
1-808-973-6661                        1-808-486-6449                     1-808-637-9393
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


FOODLAND MEDICINE CABINET PHCY        KOOLAU PHARMACY                    LONGS DRUG STORE
108 HEKILI ST                         642 ULUKAHIKI ST                   609 KAILUA RD
KAILUA, HI 96734                      KAILUA, HI 96734                   KAILUA, HI 96734
1-808-261-3211                        1-808-263-5060                     1-808-261-9794
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                   To find a pharmacy not listed in this directory or for more information on how to use
                   our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                   (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                       Hawaii

LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
30 AULIKE ST                          95 1249 D MEHEULA PKWY             3221 WAIALAE AVE
KAILUA, HI 96734                      MILILANI TOWN, HI 96789            HONOLULU, HI 96816
1-808-266-3222                        1-808-625-5222                     1-808-735-2811
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
46 047 KAMEHAMEHA HWY                 86 120 FARRINGTON HWY              1620 N SCHOOL ST
KANEOHE, HI 96744                     WAIANAE, HI 96792                  HONOLULU, HI 96817
1-808-235-4551                        1-808-696-7059                     1-808-841-0724
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
45 480 KANEOHE BAY DR                 94 060 FARRINGTON HWY              848 ALA LILIKOI ST
KANEOHE, HI 96744                     WAIPAHU, HI 96797                  HONOLULU, HI 96818
1-808-235-5805                        1-808-676-8116                     1-808-833-2597
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
850 KAMEHAMEHA HWY                    1330 PALI HIGHWAY                  330 SAND ISLAND ACCESS RD
PEARL CITY, HI 96782                  HONOLULU, HI 96813                 HONOLULU, HI 96819
1-808-455-4555                        1-808-536-5542                     1-808-841-1461
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
925 CALIFORNIA AVE                    1088 BISHOP ST                     2070 N KING ST 5
WAHIAWA, HI 96786                     HONOLULU, HI 96813                 HONOLULU, HI 96819
1-808-621-7772                        1-808-536-5706                     1-808-845-8324
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
302 CALIFORNIA AVE                    2004 ALA MOANA CENTER              2750 WOODLAWN DR
WAHIAWA, HI 96786                     HONOLULU, HI 96814                 HONOLULU, HI 96822
1-808-622-2773                        1-808-949-4010                     1-808-988-2151
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


LONGS DRUG STORE                      LONGS DRUG STORE                   LONGS DRUG STORE
94 780A MEHEULA PKWY                  4211 WAIALAE AVE                   377 KEAHOLE ST
MILILANI TOWN, HI 96789               HONOLULU, HI 96816                 HONOLULU, HI 96825
1-808-623-6636                        1-808-732-0782                     1-808-395-4427
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                   To find a pharmacy not listed in this directory or for more information on how to use
                   our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                   (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                     Hawaii

LONGS DRUG STORE                    MINA PHARMACY LTC LLC              PHARMACARE
2220 S KING ST                      4510 SALT LAKE BLVD                2228 LILIHA ST
HONOLULU, HI 96826                  HONOLULU, HI 96818                 HONOLULU, HI 96817
1-808-947-2651                      1-808-488-7500                     1-808-840-5620
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


MEDIPHARM PHARMACY                  MINA PHARMACY MAIN OFFICE          PHARMACARE
1188 BISHOP STREET STE 802          1441 KAPIOLANI BLVD                3375 KOAPAKA
HONOLULU, HI 96813                  HONOLULU, HI 96814                 HONOLULU, HI 96819
1-808-523-7088                      1-808-945-9366                     1-808-836-0223
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


MEDIPHARM PHARMACY LLC              NEWTOWN SQUARE PHARMACY            PHARMACARE
606 CORAL ST                        98-1247 KAAHUMANU ST               1319 PUNAHOU ST
HONOLULU, HI 96813                  AIEA, HI 96701                     HONOLULU, HI 96826
1-808-791-6077                      1-808-488-5458                     1-808-840-5670
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


MINA PHARMACY                       PACIFIC HEALTH PHARMACY LLC        PHARMACARE LTC
599 FARRINGTON HWY                  2875 KOAPAKA ST                    99 128 AIEA HEIGHTS DR
KAPOLEI, HI 96707                   HONOLULU, HI 96819                 AIEA, HI 96701
1-808-674-4477                      1-808-833-3414                     1-808-840-5690
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


MINA PHARMACY                       PHARMACARE                         PHARMACYONE
1620 N SCHOOL ST                    98 1079 MOANALNA RD                1712 LILIHA ST STE 101
HONOLULU, HI 96817                  AIEA, HI 96701                     HONOLULU, HI 96817
1-808-853-2222                      1-808-840-5660                     1-808-548-2299
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


MINA PHARMACY                       PHARMACARE                         PHARMERICA
4510 SALT LAKE BLVD                 91 2139 FT WEAVER RD               3375 KOAPAKA ST
HONOLULU, HI 96818                  EWA BEACH, HI 96706                HONOLULU, HI 96814
1-808-488-7500                      1-808-840-5630                     1-808-832-8232
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


MINA PHARMACY                       PHARMACARE                         PHARMERICA KANEOHE
2470 S KING ST                      888 S KING ST                      45-710 KEAAHALA ROAD
HONOLULU, HI 96826                  HONOLULU, HI 96813                 KANEOHE, HI 96744
1-808-955-6800                      1-808-840-5640                     1-808-236-8350
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                 To find a pharmacy not listed in this directory or for more information on how to use
                 our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                 (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                       Hawaii

PILLBOX PHARMACY                      SAMS PHARMACY                      TIMES PHARMACY
1133 11TH AVE                         1000 KAMEHAMEHA HWY SUITE 100      98 1264 KAAHUMANU ST
HONOLULU, HI 96816                    PEARL CITY, HI 96782               PEARL CITY, HI 96782
1-808-737-1777                        1-808-454-0182                     1-808-483-3078
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PLAZA PHARMACY                        SAMS PHARMACY                      TIMES PHARMACY
321 N KUAKINI ST                      750 KEEAUMOKU ST                   94 766 FARRINGTON HWY
HONOLULU, HI 96817                    HONOLULU, HI 96814                 WAIPAHU, HI 96797
1-808-547-9440                        1-808-941-6719                     1-808-677-1513
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


QUEENS POB I PHARMACY                 TIMES MILILANI PHARMACY            TIMES PHARMACY
1380 LUSITANA ST                      95 390 KUAHEALANI AVE              94 615 KUPUOHI ST
HONOLULU, HI 96813                    MILILANI, HI 96789                 WAIPAHU, HI 96797
1-808-547-4745                        1-808-625-8010                     1-808-677-5999
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


QUEENS POB 2 PHARMACY                 TIMES PHARMACY                     TIMES PHARMACY
1329 LUSITANA ST                      99 115 AIEA HEIGHTS DR             1290 S BERETANIA ST
HONOLULU, HI 96813                    AIEA, HI 96701                     HONOLULU, HI 96814
1-808-547-4560                        1-808-483-3071                     1-808-522-5071
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


SAFEWAY                               TIMES PHARMACY                     TIMES PHARMACY
200 HAMAKUA DRIVE                     590 KAILUA RD                      1173 21ST AVE
KAILUA, HI 96734                      KAILUA, HI 96734                   HONOLULU, HI 96816
1-808-266-5220                        1-808-266-2702                     1-808-733-2031
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


SAFEWAY                               TIMES PHARMACY                     TIMES PHARMACY
1121 S BERETANIA ST                   45 934 KAMEHAMEHA HWY              1425 LILIHA ST
HONOLULU, HI 96814                    KANEOHE, HI 96744                  HONOLULU, HI 96817
1-808-592-6487                        1-808-233-4601                     1-808-522-5078
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


SAFEWAY                               TIMES PHARMACY                     TIMES PHARMACY
888 KAPAHULU AVE                      47 388 HUI IWA ST                  1772 S KING ST
HONOLULU, HI 96816                    KANEOHE, HI 96744                  HONOLULU, HI 96826
1-808-733-2606                        1-808-239-3204                     1-808-973-5851
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                   To find a pharmacy not listed in this directory or for more information on how to use
                   our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                   (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                     Hawaii

                               WAL-MART PHARMACY
WAHIAWA GENERAL HOSPITAL PHARMACY                                      KALAHEO PHARMACY
128 LEHUA ST                        94 595 KUPUOHI ST                  4489 PAPLINA RD
WAHIAWA, HI 96786                   WAIPAHU, HI 96797                  KALAHEO, HI 96741
1-808-621-4222                      1-808-688-9096                     1-808-332-7660
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


WAIANAE DRUG                        WAL-MART PHARMACY                  LIFEWAY PHARMACY LIHUE
85-910 FARRINGTON HWY               700 KEEAUMOKU STREET               3 3295 KUHIO HWY
WAIANAE, HI 96792                   HONOLULU, HI 96814                 LIHUE, HI 96766
1-808-696-6349                      1-808-955-8611                     1-808-245-2471
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


WAIMANALO PHARMACY INC              WALGREENS DRUG STORE               LIFEWAY PHARMACY WIAMEA
41 1610 KALANIANAOLE HWY            1488 KAPIOLANI BLVD                4643 A WAIMEA CANYON RD
WAIMANALO, HI 96795                 HONOLULU, HI 96814                 WAIMEA, HI 96796
1-808-259-8488                      1-808-949-8500                     1-808-338-0600
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


WAIPAHU DRUG                        WELLNESS PHARMACY INC              LIHUE PHARMACY INC
94 748 A HIKIMOE ST                 100 N BERETANIA ST                 4484 PAHEE ST
WAIPAHU, HI 96797                   HONOLULU, HI 96817                 LIHUE, HI 96766
1-808-677-0794                      1-808-550-2833                     1-808-246-9100
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE
                                    KAUAI COUNTY
WAIPAHU FAMILY PHARMACY             COSTCO PHARMACY                    LIHUE PROFESSIONAL PHARMACY
94 889 WAIPAHU ST                   4300 NUHOU ST                      3420 KUHIO HWY
WAIPAHU, HI 96797                   LIHUE, HI 96766                    LIHUE, HI 96766
1-808-677-9188                      1-808-241-4009                     1-808-245-3800
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


WAIPAHU TOWN PHARMACY               FOODLAND PHARMACY                  LONGS DRUG STORE
94 307 FARRINGTON HWY               5 4280 KUHIO HWY                   4469 WAIALO RD
WAIPAHU, HI 96797                   PRINCEVILLE, HI 96722              ELEELE, HI 96705
1-808-676-2230                      1-808-826-4228                     1-808-335-0700
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


WAL-MART PHARMACY                   HO OLA LAHUI HAWAI I               LONGS DRUG STORE
1131 KUALA STREET                   3501 RICE ST STE 209               4 831 KUHIO HIGHWAY
PEARL CITY, HI 96782                LIHUE, HI 96766                    KAPAA, HI 96746
1-808-454-8792                      1-808-240-0200                     1-808-822-4918
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                 To find a pharmacy not listed in this directory or for more information on how to use
                 our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                 (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                       Hawaii

LONGS DRUG STORE                      WESTSIDE PHARMACY                  LONGS DRUG STORE
3 2600 KAUMUALII HWY 2000             1 3845 KAUMUALII HWY               1215 S KIHEI RD
LIHUE, HI 96766                       HANAPEPE, HI 96716                 KIHEI, HI 96753
1-808-245-8871                        1-808-335-5342                     1-808-879-2033
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE
                                      MAUI COUNTY
MENEHUNE PHARMACY                     COSTCO PHARMACY                    LONGS DRUG STORE
1 9665 KAUMUALII HWY                  540 HALEAKALA HIGHWAY              41 LIPOA
WAIMEA, HI 96796                      KAHULUI, HI 96732                  KIHEI, HI 96753
1-808-338-0200                        1-808-871-8755                     1-808-879-8499
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PAPALINA PHARMACY                                                      LONGS DRUG STORE
                                      FOODLAND MEDICINE CABINET OR FOODLA
4469 PAPALINA RD                      55 PUKALANI ST                     1221 HONOAPIILANI HWY
KALAHEO, HI 96741                     PUKALANI, HI 96768                 LAHAINA, HI 96761
1-808-332-9130                        1-808-572-8266                     1-808-667-4390
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PHARMERICA KAUAI                      HAIKU PHARMACY                     LONGS DRUG STORE
3420 KUHIO HIGHWAY                    810 HAIKU RD                       1900 MAIN ST
LIHUE, HI 96766                       HAIKU, HI 96708                    WAILUKU, HI 96793
1-808-245-8024                        1-808-575-7522                     1-808-244-9099
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


SAFEWAY                               KMART PHARMACY                     MOLOKAI DRUGS INC
4 831 KUHIO HWY                       424 DAIRY ROAD                     28 KAMOI ST
KAPAA, HI 96746                       KAHULUI, HI 96732                  KAUNAKAKAI, HI 96748
1-808-822-2191                        1-808-871-5677                     1-808-553-5790
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


SOUTHSHORE PHARMACY                   LAHAINA PHARMACY                   SAFEWAY
5330 KOLOA RD                         843 WAINEE ST                      170 E KAMEHAMEHA AVE
KOLOA, HI 96756                       LAHAINA, HI 96761                  KAHULUI, HI 96732
1-808-742-7511                        1-808-661-8339                     1-808-893-0606
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


WAL-MART PHARMACY                     LONGS DRUG STORE                   SAFEWAY
3 3300 KUHIO HWY                      70 E KAAHUMANU AVE                 277 PIIKEA AVENUE
LIHUE, HI 96766                       KAHULUI, HI 96732                  KIHEI, HI 96753
1-808-246-1822                        1-808-877-0068                     1-808-891-9130
TTY: USE 7-1-1 RELAY SERVICE          TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE




                   To find a pharmacy not listed in this directory or for more information on how to use
                   our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                   (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
Retail network pharmacies by county:

                                                  Hawaii

STAR MARKET PHARMACY
1310 S KIHEI RD
KIHEI, HI 96753
1-808-875-4695
TTY: USE 7-1-1 RELAY SERVICE


VALLEY ISLE PHARMACY LAHAINA
130 PRISON ST
LAHAINA, HI 96761
1-808-661-4747
TTY: USE 7-1-1 RELAY SERVICE


VALLEY ISLE PHARMACY WAILUKU
2180 MAIN ST
WAILUKU, HI 96793
1-808-244-7252
TTY: USE 7-1-1 RELAY SERVICE


WAILUKU PROFESSIONAL PHARMACY
1900 MAIN STREET
WAILUKU, HI 96793
1-808-249-2113
TTY: USE 7-1-1 RELAY SERVICE


WAILUKU TOWN PHARMACY
99 S MARKET ST
WAILUKU, HI 96793
1-808-242-7095
TTY: USE 7-1-1 RELAY SERVICE


WAL-MART PHARMACY
101 PAKAULA STREET
KAHULUI, HI 96732
1-808-871-7012
TTY: USE 7-1-1 RELAY SERVICE




                  To find a pharmacy not listed in this directory or for more information on how to use
                  our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                  (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
 Home infusion pharmacies.
The SierraRx plans will cover home infusion therapy if:
 n  Your prescription drug is on the SierraRx plans' Formulary or you have a formulary exception;

 n   The SierraRx plans have approved your prescription drug for home infusion therapy; and

 n
     Your prescription is written by an authorized prescriber.

If you have questions about coverage for home infusion medications, or for more information on the
SierraRx plans network home infusion pharmacy services, call our Customer Care Associates.

Home infusion network pharmacies by county:

                                                  Hawaii
HONOLULU COUNTY
AIEA MEDICAL PHARMACY
99 128 AIEA HEIGHTS DR
AIEA, HI 96701
1-808-840-5680
TTY: USE 7-1-1 RELAY SERVICE


CAREMARK PHARMACY SERVICES
970 N KALAHEO AVE
KAILUA, HI 96734
1-808-254-6622
TTY: USE 7-1-1 RELAY SERVICE
MAUI COUNTY
MAUI CLINIC PHARMACY
53 PUUNENE AVE
KAHULUI, HI 96732
1-808-877-6222
TTY: USE 7-1-1 RELAY SERVICE




                   To find a pharmacy not listed in this directory or for more information on how to use
                   our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                   (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
  Long-term care pharmacies.
In some cases, residents of a long-term care facility may access their prescription drugs through the
facility's long-term care pharmacy or another network long-term care pharmacy.

For more information on the SierraRx plans' network of long-term care pharmacy services, call our
Customer Care Associates.

Long-term care network pharmacies by county:

                                                     Hawaii
HAWAII COUNTY                                                          KAUAI COUNTY
                               PACIFIC HEALTH PHARMACY LLC
KONA COMMUNITY HOSPITAL PHARMACY                                       PHARMERICA KAUAI
79 1019 HAUKAPILA ST                2875 KOAPAKA ST                    3420 KUHIO HIGHWAY
KEALAKEKUA, HI 96750                HONOLULU, HI 96819                 LIHUE, HI 96766
1-808-322-4470                      1-808-833-3414                     1-808-245-8024
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE
                                                                       MAUI COUNTY
MINA PHARMACY LTC                   PHARMACARE                         WAILUKU PROFESSIONAL PHARMACY
75 5995 KUAKINI HWY                 3375 KOAPAKA                       1900 MAIN STREET
KAILUA KONA, HI 96740               HONOLULU, HI 96819                 WAILUKU, HI 96793
1-808-329-1000                      1-808-836-0223                     1-808-249-2113
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE       TTY: USE 7-1-1 RELAY SERVICE


PHARMERICA HILO                     PHARMACARE LTC
688 KINOOLE STREET                  99 128 AIEA HEIGHTS DR
HILO, HI 96720                      AIEA, HI 96701
1-808-969-1775                      1-808-840-5690
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE
HONOLULU COUNTY
HONNIS INC                          PHARMERICA
1520 LILIHA ST                      3375 KOAPAKA ST
HONOLULU, HI 96817                  HONOLULU, HI 96814
1-808-533-6990                      1-808-832-8232
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE


MINA PHARMACY LTC LLC               PHARMERICA KANEOHE
4510 SALT LAKE BLVD                 45-710 KEAAHALA ROAD
HONOLULU, HI 96818                  KANEOHE, HI 96744
1-808-488-7500                      1-808-236-8350
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE


NEWTOWN SQUARE PHARMACY             WAHIAWA GENERAL HOSPITAL PHARMACY
98-1247 KAAHUMANU ST                128 LEHUA ST
AIEA, HI 96701                      WAHIAWA, HI 96786
1-808-488-5458                      1-808-621-4222
TTY: USE 7-1-1 RELAY SERVICE        TTY: USE 7-1-1 RELAY SERVICE



                 To find a pharmacy not listed in this directory or for more information on how to use
                 our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                 (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U)
 pharmacies.
Only Native Americans and Alaska Natives have access to I/T/U pharmacies through the SierraRx
plans' pharmacy network. Other people may access these pharmacies under limited
circumstances (e.g., emergencies).

For more information on the SierraRx plans I/T/U network pharmacy services, contact our
Customer Care Associates.
I/T/U network pharmacies by county:

                                                Hawaii
NONE AVAILABLE




                 To find a pharmacy not listed in this directory or for more information on how to use
                 our network pharmacies, call our Customer Care Associates at 1-866-819-3450,
                 (TTY 1-877-730-4203), 24 hours a day, 7 days a week.
  ¹ If a retail pharmacy has not agreed to accept a contract to dispense an extended
  supply of Medications beyond 30 days per dispensing, you will be responsible for any
  differences in cost for the extended supply.



  SierraRx and SeirraRx Basic are Prescription Drug plans offered by Sierra Health and Life
  Insurance Company, Inc., a UnitedHealthcare Company. Sierra Health and Life Insurance
  Company, Inc. contracts with Medicare. Anyone with Medicare Parts A or B may apply.
  Members must continue to pay Medicare premiums and use plan providers for routine
  care. Prescription coverage subject to limitations.




NDPDP3072033_XSCE000ST
S5820S5805S5921S5917_PDP3064002_000

								
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