in network pharmacies il hmo effective: january 1, 2018€¦ · in network pharmacies – il hmo...

6584-A IL HMO Opt B ©Prime Therapeutics LLC 02/18 Prime Therapeutics LLC is an independent company providing pharmacy benefit management services for Blue Cross Blue Shield of Illinois. Prime Therapeutics has an ownership interest in AllianceRx Walgreens Prime.

In Network Pharmacies – IL HMO Effective: January 1, 2018

NCPDP Pharmacy Name Pharmacy Address City State Zip Phone Number

4535792 AcariaHealth 1311 West Sam Houston Parkway North Ste 150

Houston TX 77043 800-511-5144

4544424 AcariaHealth Pharmacy #11 1311 W Sam Houston Pkwy N # 130

Houston TX 77043 800-511-5144

4840383 AcariaHealth Pharmacy Inc 2924 Telestar Court Falls Church VA 22042 800-511-5144

4436920 Accredo Health Group Inc 1620 Century Center Pkwy Memphis TN 38134 901-385-3600

423993 AllCare Specialty Pharmacy 10620 Colonel Glenn Rd Ste 300

Little Rock AR 72204 501-217-8880

5710098 AllianceRx Walgreens Prime 2354 Commerce Park Drive, Ste 100

Orlando FL 32819 877-627-6337

2348046 AllianceRx Walgreens Prime 41460 Haggerty Circle S Canton MI 48188 888-782-8443

3842944 AllianceRx Walgreens Prime 9775 SW Gemini, Ste 1 Beaverton OR 97008 888-782-8443

3974157 AllianceRx Walgreens Prime 130 Enterprise Dr Pittsburgh PA 15275 888-782-8443

4591055 AllianceRx Walgreens Prime 10530 John Elliott Dr, Ste 100

Frisco TX 75033 888-782-8443

2639738 Apex Specialty Pharmacy 616 NW Platte Valley Dr Riverside MO 64150 816-741-8844

2008301 Apothecary by Design Specialty and Retail

84 Marginal Way, Ste 100 Portland ME 04101 877-814-8447

0354643 Avella of Deer Valley 23620 N 20th Dr, Ste 12 Phoenix AZ 85085 844-841-5496

2631504 Aureus Pharmacy 61 Doctors Park Cape Girardeua

MO 63703 573-339-1999

6000094 Aureus Pharmacy 305 Merchant Lane Pittsburgh PA 15205 412-275-6775

1089526 Axium Healthcare Pharmacy, Inc

550 Technology Park, Ste 1000

Lake Mary FL 32746 888-315-3395



1078535 Bio Plus Specialty Services, Inc.

376 S Northlake Blvd, Ste 1008

Altamonte Springs

FL 32701 800-628-6965

2521640 Brioavarx 2102 5th St N, Ste 3 Columbus MS 39705 866-306-8900

0845240 Biotek Remedys 2 Penns Way Ste 404 New Castle DE 19720 302-544-5138

2243412 BriovaRx of Massachusetts, LLC

145 Bodwell St, Unit A Avon MA 02322 877-633-4807

5054349 BriovaRx, LLC 206 Roxalana Business Park

Dunbar WV 25064 800-707-8194

3980984 Burmans Apothecary LLC 3413 Edgmont Ave Ste B Brookhaven PA 19015 800-604-6068

2369797 Diplomat Specialty Pharmacy

4100 S Saginaw St, Ste D Flint MI 48507 800-722-8720

4434077 Entrust Rx 2001 Campbell Station Pkwy, Ste A5

Murfreesboro TN 37174 615-848-2800

2589159 Entrust Rx 402 Wilkins Wise Rd, Ste 38 Columbus MS 39705 866-279-3314

3990226 Elwyn Specialty Care 3070 McCann Farm Drive Ste 101

Garnet Valley

PA 19060 610-545-6040

2138293 Factor One Source Pharmacy

308 Virginia Avenue Cumberland MD 21502 844-773-6779

0509868 Factor Support Network Pharmacy Inc

900 Avendia Acaso, Ste A Camarillo CA 93012 805-388-9336

0131893 HPC 63 S Royal St, Ste 800 Mobile AL 36602 800-757-9192

3436525 MedPro Rx 140 Northway Court Raleigh NC 27615 888-571-3100

3325063 Onco360 225 Community Drive, Ste 100

Great Neck NY 11021 877-662-6633

1834248 Onco360 1901 Campus Pl, Ste 100 Louisville KY 40299 877-662-6633

2243070 Onco360 150 Bear Hill Rd Waltham MA 02451 877-662-6633


Revised 12/2018


1477416 Orsini Pharmaceutical Services, Inc

1107 Nicholas Blvd Elk Grove Village

IL 60007 800-410-8575

3197084 Parkway Pharmacy 1352 River Ave Unit 2 Lakewood NJ 08701 866-355-7797

1491795 Pharmascript Inc 5437 N Broadway Avenue Chicago IL 60640 773-681-0965

5709449 ProCare Pharmacy 1084 Lee Road Ste 4 Orlando FL 32810 407-730-2770

4509634 Recept Pharmacy 800 8th Avenue, Ste 130 Fort Worth TX 76104 866-326-1425

4554463 Senderra Rx 1301 E Arapaho Rd Ste 101 Richardson TX 75081 888-777-5547

3682689 SimplicityRx 10160 International Blvd West Chester

OH 45246 855-513-6337

5733705 SMP Pharmacy Solutions 6050 S Dixie Hwy South Miami FL 33143 786-361-1111

1487025 Superior Pharmacy Solutions

2050 E Algonquin Rd Ste 606

Schaumburg IL 60173 847-469-2400

1453428 University of Illinois Wood Street PCC Pharmacy

840 South Wood St, Ste 163 Chicago IL 60612 312-996-6887

4531807 US Bioservices 3200 Internet Blvd Frisco TX 75034 888-518-7246

614861 US Bioservices 501 W 44th Ave, Unit A Denver CO 80216 888-518-7246

3974107 US Bioservices 109 Chelsea Parkway Boothwyn PA 19061 888-518-7246

0540977 US Bioservices 5100 E Hunter Ave, Ste 101 Anaheim CA 92807 888-518-7246

02004952

bcbsil.com

bcbsil.com

Health care coverage is important for everyone.

We provide free communication aids and services for anyone with a disability or who needs language assistance. We do not discriminate on the basis of race, color, national origin, sex, gender identity, age or disability.

To receive language or communication assistance free of charge, please call us at 855-710-6984.

If you believe we have failed to provide a service, or think we have discriminated in another way, contact us to file a grievance.

Office of Civil Rights Coordinator Phone: 855-664-7270 (voicemail) 300 E. Randolph St. TTY/TDD: 855-661-6965 35th Floor Fax: 855-661-6960 Chicago, Illinois 60601 Email: [email protected]

You may file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at:

U.S. Dept. of Health & Human Services Phone: 800-368-1019 200 Independence Avenue SW TTY/TDD: 800-537-7697 Room 509F, HHH Building 1019 Complaint Portal: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Washington, DC 20201 Complaint Forms: http://www.hhs.gov/ocr/office/file/index.html

https://ocrportal.hhs.gov/

http://www.hhs.gov/ocr/office/file/index.html

bcbsil.com

bcbsil.com

Health care coverage is important for everyone.

We provide free communication aids and services for anyone with a disability or who needs language assistance. We do not discriminate on the basis of race, color, national origin, sex, gender identity, age or disability.

To receive language or communication assistance free of charge, please call us at 855-710-6984.

If you believe we have failed to provide a service, or think we have discriminated in another way, contact us to file a grievance.

Office of Civil Rights Coordinator Phone: 855-664-7270 (voicemail) 300 E. Randolph St. TTY/TDD: 855-661-6965 35th Floor Fax: 855-661-6960 Chicago, Illinois 60601 Email: [email protected]

You may file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, at:

U.S. Dept. of Health & Human Services Phone: 800-368-1019 200 Independence Avenue SW TTY/TDD: 800-537-7697 Room 509F, HHH Building 1019 Complaint Portal: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Washington, DC 20201 Complaint Forms: http://www.hhs.gov/ocr/office/file/index.html

https://ocrportal.hhs.gov/

http://www.hhs.gov/ocr/office/file/index.html

in network pharmacies il hmo effective: january 1, 2018€¦ · in network pharmacies – il hmo...

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