kelseycare pharmacy directory full 10 09 2017-final · this pharmacy directory was updated on...

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Pharmacy Directory Directorio De Farmacias H0332_PharmDir 2018 List of Network Pharmacies Lista de Farmacias de la Red This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, please contact KelseyCare Advantage at 1-866-589-5222 or, for TTY users, 1-888-206-8041, 24 hours a day, 7 days a week, or visit www.kelseycareadvantage.com. Este directorio de farmacias fue actualizado el 08/01/2017. Para más información y otras preguntas, por favor póngase en contacto con KelseyCare Advantage al 1-866-589-5222 o para usuarios TTY al DE 1-888-206-8041, 24 horas del día, 7 días a la semana o visite www.kelseycareadvantage.com. Cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Un directorio de farmacias actualizada está disponible en nuestra página web www.kelseycareadvantage.com. También puede llamar a Servicios para Miembros para obtener información actualizada proveedor. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.kelseycareadvantage.com. You may also call Member Services for updated provider information. 18

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Page 1: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Pharmacy Directory Directorio De Farmacias

H0332_PharmDir 2018

List of Network Pharmacies

Lista de Farmacias de la Red

This pharmacy directory was updated on 08/01/2017. For more recent information or other questions,please contact KelseyCare Advantage at 1-866-589-5222 o r, for TTY users, 1-888-206-8041, 24 hoursa da y, 7 days a week, or visit www.kelseycareadvantage.com.

Este directorio de farmacias fue actualizado el 08/01/2017. Para más información y otras preguntas,por favor póngase en contacto con KelseyCare Advantage al 1-866-589-5222 o para usuarios TTY alDE 1-888-206-8041, 24 horas del día, 7 días a la semana o visite www.kelseycareadvantage.com.Cambios en nuestra red de farmacias pueden ocurrir durante el año de beneficios. Un directorio defarmacias actualizada está disponible en nuestra página web www.kelseycareadvantage.com. Tambiénpuede llamar a Servicios para Miembros para obtener información actualizada proveedor.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directoryis located on our website at www.kelseycareadvantage.com. You may also call Member Services forupdated provider information.

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Page 2: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

KelseyCare Advantage2018 Pharmacy Directory

08/01/2017. For the most current list, please contact us. Our contact information appears on the front andback cover pages.

You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in thislist that offer preferred cost-sharing. We have marked these pharmacies with an asterisk () to distinguishthem from other pharmacies in our network that offer standard cost-sharing.

Introduction

This booklet provides a list of KelseyCare Advantage’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 KelseyCare Advantage’s formulary.

When this pharmacy directory refers to “we,” “us”, or “our,” it means KS Plan Administrators LLC. When it refers to “plan” or “our plan,” it means KelseyCare Advantage.

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 KelseyCare Advantage only if they are filled at a network pharmacy. 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 network 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

If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us.

KelseyCare Advantage’s Network Pharmacies

To help you choose a pharmacy that will meet your needs, the directory first lists Retail Chain Pharmacies and Retail Pharmacies in our pharmacy network. All other types, such as Home Infusion and Long-Term Care Pharmacies, can also be located in separate sections. Each section then lists the pharmacies in alphabetical order, by county, city and name. An asterisk () next to the pharmacy indicates a pharmacy that offers preferred cost-sharing and your costs for some drugs may be less than other network pharmacies. A square (■) next to the pharmacy indicates which pharmacy will provide you with a 90-day supply. A filled circle (●) next to the pharmacy indicates which pharmacy has met the National Compound Credentialing Program (NCCP) criteria to dispense prescribed compound medications.

Page 3: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Introducción

Este folleto proporciona una lista de farmacias de la red de KelseyCare Advantage. Para obtener una

descripción completa de su cobertura de medicamentos recetados, incluyendo cómo llenar sus recetas, revise

la Evidencia de cobertura y formulario de KelseyCare Advantage.

Cuando este directorio de farmacias se refiere a "nosotros", "nos" o "nuestro", se refiere KS Plan de

Administradores LLC. Cuando se hace referencia a "plan" o "nuestro plan", se refiere KelseyCare

Advantage.

Llamamos a las farmacias en esta lista nuestras "farmacias de la red" porque hemos hecho arreglos con ellos

para proporcionar medicamentos recetados a los miembros del Plan. En la mayoría de los casos, sus recetas

están cubiertas por KelseyCare Advantage sólo si se surten en una farmacia de la red. Una vez que va a una

farmacia, que no están obligados a seguir yendo a la misma farmacia para surtir su receta, pero se puede

cambiar a cualquier otra de las farmacias de la red. Vamos a surtir las recetas en farmacias fuera de la red,

en determinadas circunstancias, como se describe en su Evidencia de Cobertura.

Todas las farmacias de la red pueden no aparecer en este directorio. Farmacias pueden haber sido añadido o

eliminado de la lista después de imprimir este directorio. Esto significa que las farmacias enumerados aquí

ya no pueden estar en nuestra red, o puede haber nuevas farmacias de nuestra red que no figuran. Esta lista

está actualizada a 08/01/2017. Para obtener la lista más actualizada, por favor póngase en contacto con

nosotros. Nuestra información de contacto aparece en la primera y última páginas de portada de este

directorio.

Usted puede ir a todas las farmacias en esta lista, pero sus costos de algunos medicamentos puede ser menor

en las farmacias en esta lista que ofrecen la distribución de costos preferido. Hemos marcado estas farmacias

con un asterisco () para distinguirlas de otras farmacias de la red que ofrecen la distribución de costos

estándar

Si tiene preguntas acerca de cualquiera de los anteriores, por favor ver la primera y última páginas de portada

de este directorio para obtener información sobre cómo ponerse en contacto con nosotros

Farmacias de la Red KelseyCare Advantage

Para ayudarle a escoger una farmacia que se ajuste a sus necesidades, el directorio presenta en primer lugar a

las farmacias minoristas de cadena y farmacias minoristas que pertenecen a nuestra red de farmacias. Todos

los demás tipos, tales como farmacias de infusión en el hogar y farmacias de cuidado a largo plazo, también

pueden estar ubicadas en secciones separadas. Luego, en cada sección aparecen las farmacias en orden

alfabético, por condado, ciudad y nombre. Las farmacias que aparecen marcadas con un asterisco () son las

que ofrecen costo compartido preferido y sus costos para algunos medicamentos pueden ser menores que en

otras farmacias de la red. Las farmacias marcadas con un cuadrado () son las que ofrecen un suministro

para 90 días. Las farmacias marcadas con un círculo (●) son las que ha cumplido con los criterios del

National Compound Credentialing Program (NCCP) para dispensar los medicamentos compuestos.

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Page 4: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Multi-language Interpreter Services Insert

ATTENTION: If you speak any non-English language, language assistance services, free of charge, are available to you. Call 1-866-535-8343 (TTY: 1-866-302-9936).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-535-8343 (TTY: 1-866-302-9936).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-866-535-8343 (TTY: 1-866-302-9936).

注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-866-535-8343(TTY:1-866-302-9936)。

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-866-535-8343 (TTY: 1-866-302-9936)번으로 전화해 주십시오.

: والبكم الصم هاتف رقم) 866-535-8343-1 برقم اتصل. بالمجان لك تتوافر اللغوية المساعدة خدمات فإن اللغة، اذكر تتحدث كنت إذا: ملحوظة1-9936-302-866.)

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کريں1-866-535-8343 (TTY: 1-866-302-9936).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-866-535-8343 (TTY: 1-866-302-9936).

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-866-535-8343 (ATS : 1-866-302-9936).

यान द: यदद आप ह दी बोलते ह तो आपके ललए मु त म भाषा सहायता सेवाए ंउपल ध ह। 1-866-535-8343 (TTY: 1-866-302-9936) पर कॉल कर।

با. باشد یم فراهم شما یبرا گانيرا بصورت یزبان تیتسه د،یکن یم گفتگو فارسی زبان به اگر: توجه 1-866-535-8343 (TTY: 1-866-302-9936) ديریبگ تماس.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-866-535-8343 (TTY: 1-866-302-9936).

સચુના: જો તમે ગજુરાતી બોલતા હો, તો નન:શુ ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલ ધ છે. ફોન કરો 1-866-535-8343 (TTY: 1-866-302-9936).

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-866-535-8343 (телетайп: 1-866-302-9936).

注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。1-866-535-8343(TTY:1-866-302-9936)まで、お電話にてご連絡ください。

ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່

ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-866-535-8343 (TTY: 1-866-302-9936).

H0332_MLI18

Page 5: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Discrimination is Against the Law KelseyCare Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. KelseyCare Advantage does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. KelseyCare Advantage:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other

formats) • Provides free language services to people whose primary language is not English, such as:

o Qualified interpreters o Information written in other languages

If you need these services, contact KelseyCare Advantage Member Services. If you believe that KelseyCare Advantage 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 file a grievance with: KelseyCare Advantage, Attn: Grievance Department, 11511 Shadow Creek Parkway, 1-866-535-8343, TTY 1-866-302-9336, Fax 713-442-9536 You can file a grievance in person, by phone, by mail, or fax. If you need help filing a grievance, KelseyCare Advantage Member Services is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office 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, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Page 6: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

La Discriminación es Contra la Ley KelseyCare Advantage cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. KelseyCare Advantage no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo. KelseyCare Advantage:

• Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes:

o Intérpretes de lenguaje de señas capacitados. o Información escrita en otros formatos (letra grande, audio, formatos electrónicos accesibles,

otros formatos). • Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los

siguientes: o Intérpretes capacitados. o Información escrita en otros idiomas.

Si necesita recibir estos servicios, comuníquese con Servicios para Miembros de KelseyCare Advantage. Si considera que KelseyCare Advantage no le proporcionó estos servicios o lo discriminó de otra manera por motivos de origen étnico, color, nacionalidad, edad, discapacidad o sexo, puede presentar un reclamo a la siguiente persona: KelseyCare Advantage, Attn: Grievance Department, 11511 Shadow Creek Parkway, 1-866-535-8343, TTY 1-866-302-9336, Fax 713-442-9536. Puede presentar el reclamo en persona o por correo postal, o fax. Si necesita ayuda para hacerlo, Servicios para Miembros de KelseyCare Advantage está a su disposición para brindársela. También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación: U.S. Department of Health and Human Services, 200 Independence Avenue, SW Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Puede obtener los formularios de reclamo en el sitio web http://www.hhs.gov/ocr/office/file/index.html.

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Retail Chain Pharmacies (8)................................................................................................................................................................ Retail Pharmacies (532)................................................................................................................................................................ Home Infusion Pharmacies (19)................................................................................................................................................................ Long-term Care Facility Pharmacies (71)................................................................................................................................................................

Table of Contents 4 5 25 26

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Page 8: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Farmacias minorista de cadena-Medicamentos (8).......................................................................................................................................... Farmacias minorista-Medicamentos (532).......................................................................................................................................... Farmacias de infusión en el hogar (19).......................................................................................................................................... Farmacias de centro de atención de largo plazo (71)..........................................................................................................................................

Tabla de Contenidos 4 5 25 26

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Page 9: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Chain PharmaciesFarmacias minorista de cadena-Medicamentos

CVS Pharmacy■ Phone: 1-800-746-7287TRS Relay 711Website: www.cvs.comCostco Pharmacy■ Phone: 1-800-607-6861TRS Relay 711Website: www.costco.comHEB Pharmacy■* Phone: 1-800-432-3113TRS Relay 711Website: www.heb.comKroger Pharmacy■ Phone: 1-800-576-4377TRS Relay 711Website: www.kroger.comRandalls Pharmacy■ Phone: 1-877-723-3929TRS Relay 711Website: www.randalls.comSams Pharmacy■ Phone: 1-800-Walmart(925-6278)TRS Relay 711Website: www.samsclub.comwww.walmart.comWalgreens■ Phone: 1-877-250-5823TRS Relay 711Website: www.walgreens.comWalmart Pharmacy■ Phone: 1-800-Walmart(925-6278)TRS Relay 711Website: www.samsclub.comwww.walmart.com

Retail C

hain Pharmacies / Farm

acias minorista de cadena-M

edicamentos

4

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 10: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

Retail P

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acies /

Far

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Brazoria County / Condado

City of / Cuidad de Alvin

Alvin Care Pharmacy■ 204 E House StAlvin, TX 77511(281) 519-7030 Medic One Pharmacy■ 1701 Fairway Dr Ste 3A Alvin, TX 77511(281) 824-0222 Parkwood Pharmacy #1000■ 104 W. Sealy St. Alvin, TX 77511(281) 968-7946

City of / Cuidad de Pearland

Kelsey Pharmacy - Pearland■* 2515 Business Center DrPearland, TX 77584(713) 442-7272

Fort Bend CountyFort Bend Condado

City of / Cuidad de Fulshear Fulshear Pharmacy■ 29810 Fm 1093 Fulshear, TX 77441(281) 346-2020

City of / Cuidad de Houston

Maximum Care Pharmacy■ 16251 S Post Oak Rd Ste AHouston, TX 77053(281) 438-6161

City of / Cuidad de Katy

Carecom Pharmacy &Compounding■ 6630 Fm 1463 Road. Suite 400-A Katy, TX 77494 (832) 437-3397

Frank's Specialty Pharmacy■ 24554 Kingsland BlvdKaty, TX 77494 (713) 644-3600 Greenbusch Pharmacy■ 25757 Westheimer Pkwy Ste 150 Katy, TX 77494 (832) 437-1130 Hometown Pharmacy■ 1251 Pin Oak Rd Ste 127Katy, TX 77494 (832) 437-2877 Rite Choice Pharmacy,LLC■ 9727 Spring Green BlvdKaty, TX 77494 (832) 913-6905 Spring Green Pharmacy■ 1443 Fm 1463 RdKaty, TX 77494 (281) 942-4330

City of Meadows Place Cuidad de Meadows Place

Primetouch Pharmacy■ 11611 W Airport Blvd Ste B2Meadows Place, TX 77477(281) 302-5494

City of Missouri CityCuidad de Missouri City

Amazing Grace Pharmacy■ 1965 Texas PkwyMissouri City, TX 77489(832) 230-0169 Eco Pharmacy of SiennaPlantation■ 8721 Highway 6 # 200 Missouri City, TX 77459(832) 440-0085 Emoss Pharmacy LLC■ 2440 Texas Pkwy Ste 340 Missouri City, TX 77489(281) 692-7538

Glenn Lakes Pharmacy Inc■ 3640 Glenn Lakes LaneMissouri City, TX 77459(281) 261-8278 Haeckerville Pharmacy■ 9402 Highway 6 Ste 400 Missouri City, TX 77459(281) 915-0793 Kelsey Pharmacy - SiennaPlantation■* 7010 Highway 6 Missouri City, TX 77459(713) 442-6767 Medlin Pharmacy Inc■ 2755 Texas Pkwy Ste 101Missouri City, TX 77489(281) 437-1818 Quail Valley Pharmacy■ 2244 Fm 1092 RdMissouri City, TX 77459(281) 499-9300 Sienna CompoundingPharmacy■ 9029 Highway 6 Ste 190 Missouri City, TX 77459(281) 915-5055 Strident Pharmacy, LLC■ 2817 Dulles AveMissouri City, TX 77459(346) 304-2203 Windies Community Rx LLC■ 5201 Highway 6 Ste 200Missouri City, TX 77459(281) 208-7937

City of / Cuidad de Needville

Lifechek■ 13500 Hwy 36Needville, TX 77461(979) 793-5534

City of / Cuidad de Richmond

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

5

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Retail Pharmacies Farmacias minorista-Medicamentos

Belle Pharmacy LLC■ 1100 Jackson StreetRichmond, TX 77469(866) 358-7758 Kelcare Pharmacy■ 22001 Southwest Fwy Ste 110Richmond, TX 77469(832) 222-9228 Kelsey Pharmacy - Katy■* 22121 FM 1093 Richmond, TX 77407(713) 442-4179 Metscript Pharmacy■ 7790 W. Grand Parkway SouthRichmond, TX 77406(281) 762-6375 Metscript Pharmacy#2■ 1300 Main St Ste 100 Richmond, TX 77469(281) 277-2707 Richmond Pharmacy■ 1601 Main St Richmond, TX 77469(281) 762-7462

City of / Cuidad de Rosenberg

Avenue H Pharmacy■ 3926 Avenue H Ste 2Rosenberg, TX 77471 (832) 945-5611 C - Med Pharmacy and HealthCare Services LLC■ 5633 Avenue I, Suite #CRosenberg, TX 77471 (832) 363-3787 Pioneer Pharmacy■ 5101 Avenue H Ste 18Rosenberg, TX 77471 (832) 759-5114

Rosenberg 9 Pharmacy■ 4114 Avenue HRosenberg, TX 77471 (281) 762-0874 Trident Pharmacy■ 2307 4th St Rosenberg, TX 77471 (281) 238-8440

City of / Cuidad de Stafford

PR Pharmacy LLC■ 720 Fm 1092 Stafford, TX 77477(832) 230-8027 Pharmacy 4 Less■ 432 Murphy RdStafford, TX 77477(281) 969-5077 Stafford Pharmacy & Dme■ 2448 S Main St Stafford, TX 77477(281) 969-5901 Trinity Pharmacy Solutions■ 508 Murphy Rd Ste EStafford, TX 77477(713) 697-8082

City of / Cuidad de Sugar Land

1 Stop Pharmacy■ 17310 W Grand Pkwy S Ste ZSugar Land, TX 77479(832) 471-6891 Admix CompoundingPharmacy■ 1403 Highway 6 Ste 300B Sugar Land, TX 77478(832) 532-3113 Aspcares■ 13515 Southwest Fwy Ste 113Sugar Land, TX 77478(832) 500-3565

Choice Specialty Pharmacy■ 1403 Highway 6 Ste 700A Sugar Land, TX 77478(832) 944-6112 Compound One■ 12560 Reed RdSugar Land, TX 77478(855) 346-7600 Deliverit Pharmacy Inc■ 13303 W Airport BlvdSugar Land, TX 77478(281) 277-1071 Ecleats Pharmacy■ 4427 Highway 6 Ste FSugar Land, TX 77478(281) 903-7491 Evolution Rx Pharmacy■ 931 Eldridge RdSugar Land, TX 77478(832) 532-7961 Health Check Pharmacy■ 3533 Town Center Blvd. SouthSte. 500Sugar Land, TX 77479(281) 201-8232 Healthquest Pharmacy■ 2600 Cordes Dr Ste FSugar Land, TX 77479(832) 222-0100 Pro Pharmacy Health Inc■ 14021 Southwest Fwy # 409BSugar Land, TX 77478(281) 491-0767 Rite Care Pharmacy■ 15271 Southwest FwySugar Land, TX 77478(713) 955-5700 St. Hope Pharmacy■ 13020 Dairy Ashford Rd Ste 100Sugar Land, TX 77478(832) 532-0195

Retail Pharm

acies / Farmacias m

inorista-Medicam

entos

6

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 12: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Retail P

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Tex-Care Pharmacy■ 4660 Sweetwater Blvd Ste 180Sugar Land, TX 77479(832) 532-0135 The Rite Pharmacy■ 2225 Williams Trace Blvd Ste109 Sugar Land, TX 77478(832) 532-0806 Vitamed Pharmacy■ 16126 Southwest Fwy Ste # 180Sugar Land, TX 77479(281) 313-0234

City of / Cuidad de Sugarland

Campbells CompoundingPharmacy■ 4760 Sweetwater BlvdSugarland, TX 77479(281) 980-2555 Kelsey Pharmacy - FortBend■* 11555 University BlvdSugarland, TX 77478(713) 442-9475 Pharmtrust Pharmacy■ 1111 Highway 6 South, Ste 110Sugarland, TX 77478(281) 201-2627 Vita Care Pharmacy II■ 1429 Hwy 6 South #100Sugarland, TX 77478(281) 277-2800

Galveston CountyGalveston Condado

City of / Cuidad de Bacliff Sullivan Pharmacy■ 1140 Grand AveBacliff, TX 77518(281) 339-4577

City of / Cuidad de Dickinson

Santa Fe Pharmacy■ 2251 Fm 646 Rd W #155ADickinson, TX 77539(832) 340-7230

City of Friendswood Cuidad de Friendswood

Edgewood Pharmacy■ 120 S Friendswood DrFriendswood, TX 77546(281) 993-4779

City of / Cuidad de La Marque

Hart Pharmacy■ 202 Hwy 3 La Marque, TX 77568(409) 938-3787

City of League CityCuidad de League City

Rx To Go Pharmacy■ 1100 Gulf Fwy S Ste 290League City, TX 77573(281) 557-0220 Utmb Specialty Care Center AtVictory Lakes■ 2240 Gulf Fwy SLeague City, TX 77573(832) 505-3172

City of / Cuidad de Santa Fe

Lone Star Pharmacy■ 4111 Fm 1764 Ste FSanta Fe, TX 77510(409) 925-9995 Medicine Man Pharmacy■ 13250 Highway 6Santa Fe, TX 77510(409) 927-1979

City of / Cuidad de Texas City

Texas City Pharmacy■ 2506 25th Ave North Ste 4Texas City, TX 77590(409) 655-3033

Harris County / Condado

City of / Cuidad de Baytown

Birdsongs Pharmacy■ 4002 Garth Rd Ste 140ABaytown, TX 77528(281) 628-7186 Blue Ribbon Pharmacy■ 3517 N Main StBaytown, TX 77521(281) 838-8025 GR Cure■ 1658 W Baker RdBaytown, TX 77521(281) 428-0009 Southside Pharmacy 10■ 2802 Garth Rd Ste 101Baytown, TX 77521(832) 831-8010 Wellness Pharmacy■ 3007 Garth RdBaytown, TX 77521(281) 428-4705

City of / Cuidad de Bellaire

Amex Pharmacy■ 5420 Bellaire BlvdBellaire, TX 77401(832) 778-0400 Avita Pharmacy■ 6800 W. Loop S. Ste 225Bellaire, TX 77401(713) 592-0211 Custom Meds Pharmacy, Inc.■ 4805 Bissonnet StBellaire, TX 77401(832) 431-5449 Pin Oak Pharmacy■ 6700 West Loop S Ste 325Bellaire, TX 77401(713) 668-8686

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Retail Pharmacies Farmacias minorista-Medicamentos

Platinum Rx■ 5420 West Loop SouthBellaire, TX 77401(713) 667-6777 St. Hope Pharmacy■ 6800 West Loop S Ste 590Bellaire, TX 77401(832) 319-7610 Westlands Pharmacy■ 5819 Bissonnet StBellaire, TX 77401(713) 664-1400

City of Channelview Cuidad de Channelview

Channelview Pharmacy■ 441 Sheldon Rd Ste CChannelview, TX 77530(281) 457-0523

City of / Cuidad de Cypress BC Pharmacy Inc.■ 14030 Telge Rd Ste ECypress, TX 77429 (832) 334-5695 Cy Springs Pharmacy■ 7630 Fry Rd Ste 500Cypress, TX 77433 (832) 427-6694 Cypress Pharmacy■ 17330 Spring Cypress RoadCypress, TX 77429 (281) 213-3490 Medi Pro InternationalPharmacy■ 27150 Us 290 Ste 200Cypress, TX 77433 (281) 277-0111 North Cypress VillagePharmacy■ 21212 Northwest Fwy Ste 101 Cypress, TX 77429 (832) 912-6210

Rx One Pharmacy■ 9740 Barker Cypress RoadCypress, TX 77433 (281) 656-2000

City of / Cuidad de Highlands Highlands CommunityPharmacy■ 607 E Wallisville Rd Bldg # 1Highlands, TX 77562(832) 838-8560

City of / Cuidad de Houston

1960 Pharmacy■ 724 Cypress Creek Pkwy Ste 100 Houston, TX 77090(281) 893-6000 A-List Pharmacy LLC■ 5205 Emancipation St Ste BHouston, TX 77004(713) 529-2728 Aapex Pharmacy■ 6065 Hillcroft Plaza Ste 109Houston, TX 77081(713) 270-7771 Acariahealth Pharmacy #11■ 1311 W Sam Houston Pkwy N #130 Houston, TX 77043(800) 511-5144 Accredo Health Group Inc■ 9307 Kirby Dr Houston, TX 77054(713) 791-1552 Advance Healing Solutions ofHouston■ 6602 Antoine Dr Houston, TX 77091(713) 682-2112 Advancepharm■ 2646 S Loop W Ste 330Houston, TX 77054(713) 661-5711

Affinity Rx■ 11003 Antoine Dr Ste FHouston, TX 77086(281) 444-5200 Afra Pharmacy■ 8141 Long Point Rd.Houston, TX 77055(832) 831-9694 Ako Pharmacy■ 11811 Fallbrooks Dr, Ste B1Houston, TX 77065(281) 890-9922 Alliance Pharm D■ 13734 Sh Fm 249 Ste C Houston, TX 77086(281) 591-0900 Altus Pharmacy■ 10851 Scarsdale Blvd, Suite160B Houston, TX 77089(281) 481-0398 Amber Jar Pharmacy■ 6160 Richmond AveHouston, TX 77057(713) 893-5993 Amber Pharmacy■ 8924 Kirby Drive Houston, TX 77054(888) 370-1724 Amex CompoundingPharmacy■ 1125 Cypress Station DrHouston, TX 77090(832) 286-1341 Amex Pharmacy # 3■ 5990 Airline Dr Ste 150Houston, TX 77076(713) 451-8400 Amex United Drug■ 3030 Canal StHouston, TX 77003(713) 237-9301

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 14: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

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Apotek Pharmacy■ 5201 Harrisburg BlvdHouston, TX 77011(713) 928-3210 Astro Pharmacy, LLC■ 9801 Long Point Rd Ste 101Houston, TX 77055(713) 957-4600 Awesome Care Pharmacy■ 6060 Bellaire BlvdHouston, TX 77081(281) 501-1008 Azmo PharmacyCompounding■ 7825 Highway 6 NHouston, TX 77095(281) 861-9000 B.V.M. Pharmacy Inc.■ 9325 Kempwood Dr. Suite BHouston, TX 77080(713) 460-5100 Baijes Bissonnet Pharmacy■ 9801 Bissonnet St Ste FHouston, TX 77036(281) 974-3573 Bao Chau Pharmacy■ 12002 Veterans Memorial DriveSte C Houston, TX 77067(281) 631-0600 Barato Pharmacy LLC■ 5105 Harrisburg Bvld Ste D-1Houston, TX 77051(832) 830-8844 Barker Cypress Pharmacy■ 1855 Barker Cypress Rd Ste 140Houston, TX 77084(281) 579-9393

Barker Cypress Pharmacy andCompounding■ 8300 Homestead RdHouston, TX 77028(713) 631-3117 Beechnut ProfessionalPharmacy■ 7500 Beechnut Ste 151Houston, TX 77074(713) 988-1103 Bellaire Discount Pharmacy■ 10515 Bellaire BlvdHouston, TX 77072(281) 568-1888 Bellaire Medical Pharmacy■ 12924 Bellaire Blvd Suite 100AHouston, TX 77072(713) 457-3600 Bellaire Pharmacy■ 9115 Bellaire BlvdHouston, TX 77036(713) 777-6251 Bemaj Pharmacy Inc■ 10039 Bissonnet Ste 100 Houston, TX 77036(713) 774-7200 Berry Professional■ 8520 Jensen DrHouston, TX 77093(713) 697-9750 Betex Pharmacy■ 13948 A Westheimer RdHouston, TX 77077(281) 741-2914 Biocare Pharmacy■ 10603 Bellaire BlvdHouston, TX 77072(281) 530-5800 Biocure LLC■ 8700 Commerce Park Dr Ste 241Houston, TX 77036(713) 360-2100

Bizmart Pharmacy■ 9504 Long Point Rd Ste LHouston, TX 77055(713) 465-2300 Bizmart Pharmacy II■ 1919 Wirt Road Suite BHouston, TX 77055(832) 767-2438 Blue Mint Pharmacy■ 9888 Bissonnet St Ste 210 Houston, TX 77036(713) 773-2535 Bluebonnet ApothecaryServices■ 9000 Richmond Ave Ste 200Houston, TX 77063(713) 691-6200 Botica Familiar Pharmacy■ 12333 South Main StreetHouston, TX 77035(713) 918-6402 Bretshire Pharmacy Inc.■ 6520 Tidwell RdHouston, TX 77016(713) 635-8800 Briargrove Pharmacy■ 6435 San Felipe StHouston, TX 77057(713) 783-5704 Brightmed Pharmacy■ 9630 Clarewood Dr Ste A3Houston, TX 77036(713) 772-7700 C & C Pharmacy■ 8208 Gulf FreewayHouston, TX 77017(713) 641-6300 Canal Healthcare Solns. LLC.■ 7648 Canal StHouston, TX 77012(713) 924-6067

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

9

Page 15: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

Canal Pharmacy■ 2502 Canal StHouston, TX 77003(713) 227-5583 Canal Rx■ 3311 Canal StHouston, TX 77003(713) 547-0752 Careco Pharmacy■ 15003 Fm 529 Rd Ste HHouston, TX 77095(832) 803-0388 Carepharm Pharmacy Ltc■ 3535 Briar Park Dr Ste 110AHouston, TX 77042(800) 503-7604 Carepoint Pharmacy■ 1801 S Dairy Ashford Rd Ste127 Houston, TX 77077(832) 742-0410 Cedra Pharmacy■ 1607 S. Post Oak Lane Houston, TX 77056(713) 621-0621 Cego Infusion Pharmacy■ 6300 Richmond Ave.Houston, TX 77057(713) 541-6000 Choice Pharmacy■ 9207 Country Creek Dr Ste 202Houston, TX 77036(713) 778-0463 Ciitizens ProfessionalPharmacy■ 7333 North Fwy 110 Houston, TX 77076(713) 695-7316 Clinical Care Pharmacy■ 2770 N Sam Houston Pkwy WestHouston, TX 77038(281) 272-8700

Community, A WalgreensPharmacy #15320■ 4101 Greenbriar Ste 235Houston, TX 77098(713) 521-1700 Compounding Shop Pharmacy,Inc■ 11845 Wilcrest DrHouston, TX 77031(281) 495-2230 Creative Care Pharmacy■ 6423 Richmond Ave. Suite GHouston, TX 77057(713) 785-1156 Crossway Pharmacy LLC■ 3044 Antoine Houston, TX 77092(713) 290-0322 Cullen Care Pharmacy■ 5751 Blythewood StHouston, TX 77021(713) 747-2100 Cunningham AirlinePharmacy■ 6033 Airline DrHouston, TX 77076(713) 697-3261 Cunningham PharmacyGulfbank■ 7101 Lawndale StHouston, TX 77023(713) 921-7500 Cunningham PharmacyNorthwest■ 2925 W Tc Jester BlvdHouston, TX 77018(713) 683-8600 Custom Care Pharmacy■ 20320 Northwest Fwy Ste 300 Houston, TX 77065(832) 688-9666

Cypress Fairbanks Acp■ 11302 Fallbrook Dr Ste 104Houston, TX 77065(281) 602-3490 DB Pharmacy, PLLC■ 12100-E Veterans Memorial Dr.Houston, TX 77067(281) 397-7711 DNA Pharmacy■ 9419 Mesa Dr Houston, TX 77028(713) 633-3362 Darcy Pharmacy■ 11210 Bellaire Blvd Suite 130Houston, TX 77072(281) 988-8300 Dollar Rx Pharmacy■ 8721 Jensen Dr Houston, TX 77093(713) 694-1470 EPC Pharmacy LLC■ 9539 Huffmeister RdHouston, TX 77095(281) 861-5512 Eagle Pharmacy■ 11329 Bissonnet Houston, TX 77099(713) 827-1202 Eco Pharmacy of Katy West LLC■ 19255 Park Row Ste 103Houston, TX 77084(281) 206-7388 Eco Pharmacy of Willowbrook, LLC■ 13325 Hargrave Rd Ste 260Houston, TX 77070(281) 955-7500 Elgin Pharmacy■ 1202 Elgin St # BHouston, TX 77004(713) 533-9033

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Elite Pharmacy■ 11569 S Wilcrest DrHouston, TX 77099(832) 230-5229 Emerald Pharmacy LLC■ 12863 Gulf FwyHouston, TX 77034(281) 484-7100 Emmons Pharmacy■ 9555 W Sam Houston Pkwy SSte 180 Houston, TX 77099(832) 582-8758 Empire Rx■ 12361 Main St Houston, TX 77035(832) 500-5847 Empirical Pharmacy■ 9715 Telephone RdHouston, TX 77075(713) 991-0072 Ennis St. Pharmacy■ 3008 Blodgett StHouston, TX 77004(713) 524-7600 Epic Medical Solutions■ 10305 Round Up Ln Ste 200Houston, TX 77064(713) 980-2814 Evergreen Pharmacy■ 9180 Bellaire BlvdHouston, TX 77036(713) 541-1234 Experiencecare SpecialtyPharmacy■ 3730 Kirby Dr Ste 111 Houston, TX 77098(713) 524-3330 Express Drugs■ 10909 I10 East Houston, TX 77029(713) 673-6060

Express Pharmacy■ 6730 Hwy 6 S Houston, TX 77083(281) 988-6000 Express Specialty Pharmacy■ 837 Cypress Creek Pkwy Ste 105AHouston, TX 77090(281) 453-7205 Express Specialty Pharmacy LLC■ 837 Cypress Creek ParkwaySuite 110Houston, TX 77090(281) 453-7085 Fairway Pharmacy■ 4912 Telephone RoadHouston, TX 77087(713) 454-0211 Falcon Pharmacy of TexasInc■ 8145 Highway 6 S Ste 114AHouston, TX 77083(281) 776-9600 Fallbrook SpecialtyPharmacy■ 11780 Fm 1960 WHouston, TX 77065(832) 237-4800 Famacia Del Sol Inc■ 6420 Hillcroft 101Houston, TX 77081(713) 776-0806 Family Care Pharmacies■ 12350 Westheimer Ste DHouston, TX 77077(281) 589-7670 Family Pharmacy Care■ 12121 Richmond Ave Ste 126Houston, TX 77082(281) 315-3770

Familycare Pharmacy■ 12060 Bellaire Blvd Ste EHouston, TX 77072(281) 933-3573 Familyrx Pharmacy Inc■ 9511 Huffmeister Rd Ste 103Houston, TX 77095(281) 855-4343 First Choice Pharmacy■ 7909 Hillcroft St, Suite BHouston, TX 77081(713) 779-7603 Friendly Pharmacy Inc■ 3533 S Dairy Ashford Rd Ste GHouston, TX 77082(832) 351-2000 Friendswood Health MartPharmacy■ 4606 Fm 1960 Rd W Ste 250Houston, TX 77069(281) 315-1300 Galaxy Pharmacy■ 12303 Westheimer Rd Suite DHouston, TX 77077(281) 496-6600 Genesis Drug Inc■ 302 W Gulfbank RdHouston, TX 77037(281) 999-4210 Goderich Pharmacy■ 15000 Bellaire Blvd Ste DHouston, TX 77083(281) 575-6000 Grand Parkway Pharmacy andMedical Supply■ 11965 Bissonnet StHouston, TX 77099(281) 495-5777 Greens Point Pharmacy■ 165 Greens RdHouston, TX 77060(281) 872-4177

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Retail Pharmacies Farmacias minorista-Medicamentos

Groveway Pharmacy■ 4501 GrovewayHouston, TX 77087(713) 644-9400 HPB Pharmacy■ 6410 Fannin St Ste 116 Houston, TX 77030(713) 799-1472 Hacs Pharmacy■ 2150 West 18th St.Houston, TX 77008(832) 384-1423 Health Fit Pharmacy■ 1307 Yale St Ste HHouston, TX 77008(713) 802-2441 Health Rx Scripts Pharmacy■ 900 S Wayside DrHouston, TX 77023(832) 740-4353 Healthchoice Pharmacy■ 10001 W Bellfort St Ste KHouston, TX 77031(281) 741-8358 Healthco Pharmacy■ 8604 Martin Luther King Jr. BlvdHouston, TX 77033(713) 640-5575 Healthco Pharmacy Corp■ 5730 Chimney Rock RdHouston, TX 77081(713) 218-6337 Healthy Strides Rx■ 4401 Emancipation StHouston, TX 77004(281) 888-2235 Heights Studewood Pharmacy■ 427 W 20th St Ste 105Houston, TX 77008(713) 869-2225

Helping Hand Pharmacy #4■ 2811 Teague Rd #1303Houston, TX 77080(346) 204-4576 Hicare Pharmacy■ 7814 Almeda RoadHouston, TX 77054(713) 799-8880 Hillcroft Pharmacy■ 6400 HillcroftHouston, TX 77081(713) 988-9996 Holman Pharmacy■ 10000 A Harwin Houston, TX 77036(713) 776-3500 Houston Midtown Pharmacy LLC■ 6609 W Sam Houston PkwySouthHouston, TX 77072(832) 831-0346 Ideal Pharmacy, LLC■ 2904 Fulton St Ste AHouston, TX 77009(832) 834-7463 Intracare CommunityPharmacy■ 1120 Cypress Station Dr Houston, TX 77090(713) 790-7821 Inwood Pharmacy■ 13300 Hargrave RdHouston, TX 77070(281) 664-8829 Irvington Family Pharmacy■ 3815 Irvington Blvd Ste EHouston, TX 77009(713) 694-8399

J & I Pharmacy■ 13249 Bellaire BlvdHouston, TX 77083(281) 372-6526 J Dykes Pharmacy■ 4901 YaleHouston, TX 77018(713) 691-5100 Jacinto Pharmacy Inc■ 10805 Market St RdHouston, TX 77029(713) 455-1361 Jacks Apothecary■ 8109 Cullen BlvdHouston, TX 77051(713) 733-7424 Jacobs Discount Pharmacy■ 8118 Long Point RdHouston, TX 77055(713) 469-3502 James Pharmacy■ 12950 S. Post OakHouston, TX 77045(713) 721-3800 K Med Pharmacy■ 11900 Barryknoll #6109Houston, TX 77024(832) 834-7998 KB Pharmacy■ 5402 East Sam Houston Pkwy NHouston, TX 77015(832) 376-4748 KC Pharmacy■ 6061 Bissonnet St Houston, TX 77081(713) 808-9704 Kase Rx Pharmacy■ 8353 Southwest FwyHouston, TX 77074(713) 777-9200

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 18: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

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Kashmere Pharmacy Inc■ 6402 Lyons Ave Houston, TX 77020(713) 674-6916 Kelsey Pharmacy - Cypress■* 13114 Fm 1960 Houston, TX 77065(713) 442-4055 Kelsey Pharmacy - HoustonCenter■* 1200 McKinney St Ste 417Houston, TX 77010(713) 442-6337 Kelsey Pharmacy - MainCampus■* 2727 W Holcombe BlvdHouston, TX 77025(713) 442-0079 Kelsey Pharmacy -Meyerland■* 560 Meyerland Plaza MallHouston, TX 77096(713) 442-3200 Kelsey Pharmacy -Tanglewood■* 1111 AugustaHouston, TX 77057(713) 442-2450 Kelsey Pharmacy - Vintage■* 10701 Vintage Preserve Pkwy Houston, TX 77070(713) 442-1579 Keystone Pharmacy■ 9301 Gulf FreewayHouston, TX 77017(832) 834-3312 Kharisma Pharmacy■ 8608 S. Braeswood BlvdHouston, TX 77031(832) 409-5586

Kim Long Pharmacy■ 7601 W Sam Houston Pkwy SHouston, TX 77072(713) 777-1414 Kim Tam Pharmacy■ 11794 Bellaire BlvdHouston, TX 77072(281) 498-5000 Kimmy Pharmacy■ 8388 W Sam Houston Pkwy SSte 186 Houston, TX 77072(281) 564-5400 Kingsbridge Rx Pharmacy■ 6720 Highway 6 S Houston, TX 77083(281) 495-3500 Kwik Meds Pharmacy LLC■ 1900 North Loop W Ste 170Houston, TX 77018(281) 501-2228 La Plaza Pharmacy-1■ 6655 HillcroftHouston, TX 77081(713) 644-9400 La Rx■ 3744 Broadway St Ste CHouston, TX 77017(832) 426-4616 Leland Pharmacy■ 5412 Farmer StHouston, TX 77020(713) 673-8000 Life Drugs Rx■ 12015 Louetta Road, Ste 300Houston, TX 77070(713) 462-7029 Life Pharmacy LLC■ 5800 Bellaire Blvd Ste 100Houston, TX 77081(713) 665-5050

Lifecare Pharmacy■ 7135 Southwest FwyHouston, TX 77074(713) 772-3000 Lincoln Pharmacy Inc■ 8329 Beechnut StreetHouston, TX 77036(713) 771-4700 Living Well SpecialtyPharmacy■ 13311 Hargrave RdHouston, TX 77070(832) 756-2930 Lotus Pharmacy■ 8200 Wilcrest Dr., Suite 8Houston, TX 77072(281) 983-9382 Loving Care Pharmacy■ 4406 Airline DrHouston, TX 77022(713) 808-9103 Mace Rx Pharmacy, LLC■ 8775 S Gessner RdHouston, TX 77074(832) 917-5550 Main Medical PlazaPharmacy■ 10019 S Main Ste A-10 Houston, TX 77025(713) 667-5003 Mainstream Pharmacy,LLC■ 5720-B Bellaire BlvdHouston, TX 77081(713) 660-8500 Maritime Pharmacy■ 900 Broadway StHouston, TX 77012(713) 921-1052 Mas Pharmacy Rx■ 9355 Long Point Rd Ste LHouston, TX 77055(713) 465-6113

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

13

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Retail Pharmacies Farmacias minorista-Medicamentos

Mastery Pharmacy South■ 2715 Fannin StHouston, TX 77002(713) 838-8110 Maswoswe's AlternativePharmacy Services - Maps Rx■ 10411 Veterans Memorial DriveSte B Houston, TX 77038(832) 761-7817 Maxor Pharmacy■ 1046B HerculesHouston, TX 77058(281) 480-0327 Maxor Pharmacy■ 1919 La Branch StHouston, TX 77002(713) 756-5300 Mayflower Pharmacy, Inc■ 8323 Southwest Fwy Ste 115Houston, TX 77074(713) 981-5900 McA Pharmacy, LLC■ 1201 Dairy Ashford, Suite 200Houston, TX 77079(713) 482-4444 Meadows CommunityPharmacy■ 12714 North Fwy Houston, TX 77060(832) 602-5049 Med Pharmacy I■ 3302 OrlandoHouston, TX 77093(713) 694-4618 Med Rx Pharmacy■ 4000 Fulton St, Ste CHouston, TX 77009(713) 695-5000

Med Scripts Pharmacy■ 10039 Bissonnet St Ste 116 Houston, TX 77036(832) 371-6100 Med Solution Pharmacy■ 10680 Jones RoadHouston, TX 77065(281) 890-9922 Med Valt Pharmacy LLC■ 2656 S Loop W Ste 103 Houston, TX 77054(713) 349-9882 Medcare Pharmacy■ 11322 Bellaire Blvd Ste 116Houston, TX 77072(281) 561-0088 Medcare Rx Pharmacy■ 7052 Bissonnet StHouston, TX 77074(713) 272-9600 Medex Pharmacy■ 9600 Fondren Rd #B3Houston, TX 77096(713) 771-3800 Medex Plus, Inc.■ 6006 Bellaire Blvd Ste 111Houston, TX 77081(713) 664-8800 Medi-Script Pharmacy■ 8121 Broadway St Ste 105Houston, TX 77061(713) 910-3774 Medic Pharmacy■ 12121 Westheimer Rd Ste 209Houston, TX 77077(281) 531-5965 Medic Pharmacy■ 4040 S BraeswoodHouston, TX 77025(713) 666-6353

Medical Plaza■ 2101 Crawford StHouston, TX 77002(713) 654-4137 Medical Square Pharmacy■ 1401 Wirt Rd Ste EHouston, TX 77055(713) 468-3236 Medicine Chest PlusPharmacy■ 256 North Sam Houston ParkwayE. Ste 203 Houston, TX 77060(832) 328-0923 Medicine Shoppe■ 5910 Scott StreetHouston, TX 77021(713) 741-5104 Medlite■ 16506 Fm 529 Rd Ste 108Houston, TX 77095(281) 815-7366 Medplus Rx Inc.■ 5950 S Gessner Dr Ste DHouston, TX 77036(713) 779-5400 Medrx Compounding &Pharmacy Limited Company■ 601 Wayside Dr Ste DHouston, TX 77011(832) 767-5466 Medsaver Pharmacy■ 10701 W Bellfort St Ste B # 172Houston, TX 77099(281) 988-0880 Medstar Pharmacy■ 14629 Beechnut StreetHouston, TX 77083(281) 933-4449

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 20: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

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Memorial CompoundingPharmacy■● 2918 San Jacinto StHouston, TX 77004(713) 523-7847 Memorial Pharmacy■ 10101 Southwest Fwy Ste 315Houston, TX 77074(832) 358-8500 Mercury Drive Pharmacy■ 918 Mercury DrHouston, TX 77029(713) 674-6122 Midtown Specialty Rx■ 1701 Webster St Ste DHouston, TX 77003(713) 874-9190 Mobilecare Pharmacy■ 3918 Leeland StreetHouston, TX 77003(713) 600-0075 Modern AutomatedPharmacy■ 8303 Knight Rd Ste AHouston, TX 77054(713) 660-9091 Nahs Pharmacy■ 12000 Wilcrest Dr Ste # 206Houston, TX 77031(281) 498-5700 New Dimension Pharmacy■ 1102 Pinemont Houston, TX 77018(713) 263-7680 Nextcare Pharmacy■ 10021 Main St Ste B-2A Houston, TX 77025(713) 492-2088 Niba Pharmacy■ 13018 Woodforest Ste N.Houston, TX 77015(713) 451-3328

Nnwood Pharmacy LLC■ 8240 Antoine Drive Houston, TX 77088(281) 448-8836 North Houston MedicalPharmacy■ 7007 North Freeway #115Houston, TX 77076(713) 694-3131 Northside Pharmacy LLC■ 4712 Airline Dr Ste FHouston, TX 77022(713) 694-8399 Nw-Acp■ 800 Peakwood Dr Ste 4AHouston, TX 77090(281) 602-3487 Oc Pharmacy■ 925 GessnerHouston, TX 77024(713) 275-3222 Oc Pharmacy II■ 2130 W Holcombe BlvdHouston, TX 77030(713) 600-0934 On Time Pharmacy■ 14455 Cullen BlvdHouston, TX 77047(713) 731-0880 Palm Center Pharmacy■ 5340 Griggs Rd Ste CHouston, TX 77021(713) 264-0699 Paragon Infusion Care, Inc.■ 6721 Portwest Dr Ste 100 Houston, TX 77024(866) 972-5888 Park Place Health CenterPharmacy■ 9809 Rowlett RdHouston, TX 77075(713) 847-6800

Park Plaza Pharmacy■ 1213 Hermann Dr Ste 140 Houston, TX 77004(713) 524-2828 Patient Care Pharmacy■ 6366 Martin Luther King Jr BlvdHouston, TX 77021(281) 501-2325 Pavilion Pharmacy■ 1740 W 27th StHouston, TX 77008(713) 868-1601 Pecan Park Pharmacy■ 906 Wayside DrHouston, TX 77011(713) 861-4300 Pediacare Pharmacy■ 13711 Wallisville Rd. Ste 2Houston, TX 77049(832) 770-9383 Phar-Miles Pharmacy■ 16840 Buccaneer Ln Suite PHouston, TX 77058(832) 410-8123 Pharmacare Plus■ 6720 Sands Point Dr Ste 105Houston, TX 77074(832) 293-4524 Pharmacia Latina■ 1826 Wirt RdHouston, TX 77055(713) 683-6004 Pharmacy & Marketplace Cafe■ 5927 Almeda Rd Ste GHouston, TX 77004(713) 520-0500 Pharmacy At CullenCommons■ 12805 Cullen Blvd.Houston, TX 77047(713) 731-7988

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

15

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Retail Pharmacies Farmacias minorista-Medicamentos

Pharmacy Innovations■ 10130 Louetta Rd Ste CHouston, TX 77070(281) 251-0888 Pharmacy Plus■ 6776 Southwest FwyHouston, TX 77074(713) 782-0558 Pharmacytexas, LLC■ 10490 Huffmeister Rd Ste BHouston, TX 77065(346) 206-4333 Piney Point Pharmacy■ 2532 Fondren RdHouston, TX 77063(713) 782-6212 Platinum Rx North■ 5627 Aldine Bender Rd Ste 7Houston, TX 77032(281) 227-1010 Plaza Pharmacy■ 17030 Nanes Dr Houston, TX 77090(281) 880-8300 Power Center Pharmacy■ 12401 S Post Oak RdHouston, TX 77045(713) 721-3303 Power Center Pharmacy■ 8803 Scott StHouston, TX 77051(713) 731-8999 Preferred Pharmacy■ 3939 Hillcroft St Ste 120Houston, TX 77057(713) 465-8100 Prestige Pharmacy■ 6550 Maple RidgeHouston, TX 77081(832) 778-6552

Prime Rx Pharmacy■ 902 NormandyHouston, TX 77015(713) 451-0200 Primecare Pharmacy■ 5900 Chimney Rock Rd Ste AcHouston, TX 77081(713) 661-7746 Primesource Rx■ 2656 S Loop W Ste 574 Houston, TX 77054(832) 464-7616 Primeway Pharmacy■ 6520 Tidwell RdHouston, TX 77016(713) 491-2600 Pro Med Pharmacy■ 2421 Aldine Mail Rd Ste BHouston, TX 77039(281) 372-8522 Procare Rx■ 16300 Kuykendahl Rd Ste 370Houston, TX 77068(281) 580-4500 Proscript America■ 4151 Southwest Fwy Ste 373Houston, TX 77027(281) 816-6501 Proven Care Pharmacy, LLC■ 10950 Bissonnet St Ste # 220Houston, TX 77099(281) 983-9333 Public Pharmacy■ 6510 Hillcroft St # Ste.100Houston, TX 77081(713) 663-7800 Pumps It Pharmacy■ 10601 Grant Rd Ste 101Houston, TX 77070(832) 604-8480

Pve Pharmacy■ 226 E Crosstimbers St Ste 2 Houston, TX 77022(713) 884-1443

Pyramids Pharmacy■● 1201 Dairy Ashford Rd.Houston, TX 77079(281) 589-2400 R and Y CommunityPharmacy,LLC■ 12659 Bissonnet StreetHouston, TX 77099(713) 777-7002 RC2 Pharmacy■ 11246 S Wilcrest DrHouston, TX 77099(832) 770-9905 Rapid Pharmacy■ 6120 Richmond Ave Ste AHouston, TX 77057(832) 962-4991 Recept Pharmacy #31■ 8111 N Stadium Dr Ste 200AHouston, TX 77054(713) 627-2370 Regency Pharmacy■ 9898 Bissonnet Street Houston, TX 77036(713) 800-0308 Reliance Pharmacy■ 7707 Fannin Houston, TX 77054(713) 797-1107 Richmond Pharmacy■ 9536 Richmond Ave Ste IHouston, TX 77063(832) 991-8997 Ritemed Pharmacy LLC■ 10301 Harwin Dr Ste 3 Houston, TX 77036(713) 772-4242

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 22: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

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Rosa Pharmacy■ 11002 Scarsdale Blvd Ste AHouston, TX 77089(281) 481-6602 Rose Pharmacy, LLC■ 7447 Harwin Dr Ste 188 Houston, TX 77036(713) 952-9568 Rushmed Pharmacy P.L.L.C■ 5326 W Bellfort St # Ste.101Houston, TX 77035(832) 582-8542 Rx Care Pharmacy■ 11511 Veterans Memorial DrHouston, TX 77067(281) 444-6359 Rx Pharmacy■ 5600 S Willow DriveHouston, TX 77035(713) 723-4601 S & K Med Pharmacy■ 1396 Eldridge Pkwy Ste DHouston, TX 77077(281) 752-7244 Safeguard Rx■ 3121 W Orem Dr Ste CHouston, TX 77045(713) 433-1212 Saigon Pharmacy■ 11209 Bellaire BlvdHouston, TX 77072(281) 741-4537 Santa Maria Pharmacy■ 5727 Rampart St. Ste, A8Houston, TX 77081(713) 592-5300 Sav Pharmacy■ 1823 Wirt RdHouston, TX 77055(713) 467-3311

Sem Pharmacy & MedicalSupply■ 16316 Fm 529 Ste DHouston, TX 77095(281) 861-7788 Sena Rx Pharmacy, Inc.■ 5050 Fm 1960 Rd W Ste 125Houston, TX 77069(281) 440-0018 Simons Pharmacy■ 3303 N Main St Houston, TX 77009(713) 222-6650 Solutions In Pharmacy■ 7951 Katy Fwy Ste MHouston, TX 77024(713) 957-8000 South Belt Pharmacy■ 12600B Scarsdale BlvdHouston, TX 77089(281) 481-6600 South Post Oak PharmacyInc■ 14206 S Post Oak RdHouston, TX 77045(713) 433-7075 Southend Pharmacy■ 415 Westheimer Rd Ste 103Houston, TX 77006(281) 498-1450 Southside Pharmacy■ 7700 Main St Ste 100 Houston, TX 77030(713) 660-8888 Southside Pharmacy 3■ 7700 Main St Ste 260 Houston, TX 77030(832) 553-1374 Southside Pharmacy II■ 1200 Binz St Ste 260 Houston, TX 77004(832) 553-1315

Southwest CommunityPharmacy■ 9769 Beechnut StHouston, TX 77036(713) 272-7734 Southwest Pharmacy■ 17115 Red Oak Dr Ste 105Houston, TX 77090(281) 893-8665 Southwest Pharmacy■ 8282 Bellaire Blvd Ste 154AHouston, TX 77036(713) 270-7366 Specialty Therapeutic Care■ 1311 W Sam Houston Pkwy NSte 150 Houston, TX 77043(866) 506-2626 Spring Branch Pharmacy■ 2600 Gessner Dr Houston, TX 77080(713) 690-0001 Star Rex Pharmacy LLC■ 11110 East Fwy Houston, TX 77029(832) 767-0816 Steeplechase Express Rx■ 10694 Jones Rd, Ste 115Houston, TX 77065(281) 894-9900 Sterling Pharmacy■ 9798 Bellaire BlvdHouston, TX 77036(713) 955-8885 Summerwood Pharmacy■ 13176 W Lake Houston PkwySte 1 Houston, TX 77044(281) 225-4300

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

17

Page 23: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

Supercare Pharmacy Inc■ 13480 Veterans Memorial DrHouston, TX 77014(281) 880-4800 Supreme Compounding■ 7346 Antoine Dr Houston, TX 77088(281) 272-0813 Supreme Pharmacy■ 4544 Highway 6 NHouston, TX 77084(281) 550-2100 T & S Pharmacy■ 2345 Aldine Mail Rt.Houston, TX 77039(832) 934-4986 TN Pharmacy■ 12989 Bellaire BlvdHouston, TX 77072(281) 561-0101 Tabb Pharmacy■ 9730 Southwest Fwy Ste Uc #100 Houston, TX 77074(713) 772-8222 Tejas Pharmacy #2■ 5228 Aldine Mail Rt.Houston, TX 77039(281) 741-3385 Texas Children's HospitalPharmacy Greenspoint■ 700 N Sam Houston Pkwy WHouston, TX 77067(832) 828-1605 Texas Children's HospitalPharmacy-Southwest■ 9700 Bissonnet St Ste 1000WHouston, TX 77036(832) 733-1400

Texas Rxsolutions andCompounding Pharmacy■ 7505 Fannin St #140Houston, TX 77054(713) 790-1228 Texas Unicare Pharmacy■ 2424 W Holcombe Blvd Ste 101Houston, TX 77030(832) 834-3222 The Medicine Man Pharmacy■ 7652 Bellfort StHouston, TX 77061(713) 644-1343 The Medicine ShoppePharmacy■ 5600 MykawaHouston, TX 77033(713) 641-3414 The Menninger Clinic■ 12301 Main St. Houston, TX 77035(713) 275-5151 The Peoples Pharmacy■ 8503 E Gulf FreewayHouston, TX 77017(713) 378-4450 Tidwell Pharmacy■ 509 W TidwellHouston, TX 77091(713) 884-8807 Tidwell ProfessionalPharmacy■ 2310 Tidwell RdHouston, TX 77093(713) 694-5977 Tidwell Rx■ 712 E Tidwell Rd Ste CHouston, TX 77022(866) 852-7405

Tonna Pharmacy■ 5225 Katy Fwy Ste 101AHouston, TX 77007(281) 953-0030 Total Care Cac PharmacyLLC■ 14755 North Fwy Ste 200Houston, TX 77090(281) 377-8137 Total Pharmacy Center One■ 4302 Center St Houston, TX 77007(713) 864-0808 Tps/Liberty Rx■ 2912 Mangum Rd.Houston, TX 77092(346) 571-4934 Trace Pharmacy■ 8104 Southwest Fwy Ste BHouston, TX 77074(713) 981-6600 Travelvax Pharmacy■ 14655 Northwest Fwy Ste 101Houston, TX 77040(832) 460-9003 Triple A Pharmacy■ 11450 Space Center BlvdHouston, TX 77059(281) 487-0607 Trucare Pharmacy■ 2000 Crawford St Ste 105Houston, TX 77002(832) 466-2907 Truecare Allied Pharmacy andMedical Supplies Inc■ 3003 S Loop W Ste 450Houston, TX 77054(281) 652-8080 Twin Lakes Pharmacy■ 15462 Fm 529 RdHouston, TX 77095(281) 815-2352

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 24: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

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Tx Rx Solutions &Compounding Pharmacy■ 7501 Fannin St Ste 701Houston, TX 77054(713) 790-1222 United Rx■ 11246 S Wilcrest Dr Ste 180Houston, TX 77099(832) 770-9905 Universal Pharmacy■ 2990 Richmond AveHouston, TX 77098(713) 520-6900 Usps Healthcare Pharmacy■ 11777 Katy Fwy Ste 250-SHouston, TX 77079(713) 325-2700 Vac Pharmacy, Inc.■ 10550 West Bellfort Ave. #150 Houston, TX 77031(281) 495-4331 Valencia Pharmacy,Inc.■ 7330 Southwest Fwy Ste A2Houston, TX 77074(713) 995-1900 Value Rx Pharmacy■ 138 E Little York RdHouston, TX 77076(281) 501-3151 Valustar Pharmacy■ 7227 Fannin St Ste 103 Houston, TX 77030(844) 855-0101 Vietnam Pharmacy■ 2621 C Milam StHouston, TX 77006(713) 520-0205 Village CompoundingPharmacy■● 975 Corbindale RdHouston, TX 77024(713) 464-5069

Village Family Pharmacy■ 9055 Katy Fwy Ste 101Houston, TX 77024(713) 373-3300 Vita-Care Pharmacy■ 2500 FondrenHouston, TX 77063(713) 781-8675 Vital Star Pharmacy, Inc.■ 7207 Regency Square Blvd. Ste203 Houston, TX 77036(713) 785-1960 Wallis Pharmacy■ 5620 E Sam Houston PkwyNorth Houston, TX 77015(281) 457-3838 Washington Ave PharmacyCenter■ 2515 Washington AvenueHouston, TX 77007(713) 864-2401 Wellness Plus Pharmacy Inc■ 13141 Fm 1960 West Ste 200Houston, TX 77065(832) 604-7418 West Ave Pharmacy■ 2800 Kirby Dr Ste A200 Houston, TX 77098(832) 831-9480 Westlake Pharmacy■ 255 Westlake Park Blvd Ste 200Houston, TX 77079(281) 496-1751 Westlake Pharmacy Services■ 2430 North Fry Road #104Houston, TX 77084(281) 579-1310

Westview Pharmacy■ 2323 Wirt Rd Ste F2Houston, TX 77055(713) 365-9393 WillowbrookPharmacy/Compounding■ 8945 Highway 6 N Ste 255Houston, TX 77095(281) 859-3103 Winston's Pharmacy Inc.■ 8405 Almeda Genoa Rd Ste U &S Houston, TX 77075(713) 944-6000 Xavier Pharmacy III■ 96 Berry RoadHouston, TX 77022(713) 697-1400 Xpress Pharmacy■ 7555 Bellaire Blvd Ste BHouston, TX 77036(713) 541-3300 Your Pharmacy■ 6500 North Freeway Ste 119Houston, TX 77076(713) 691-8585 Your Pharmacy Inc.■ 7400 Harwin Dr Ste 100 Houston, TX 77036(713) 781-1010 Zoetic CompoundingPharmacy■ 10674 Westheimer RdHouston, TX 77042(832) 487-9287

City of / Cuidad de Humble

Deerbrook Pharmacy, LLC■ 9816 Memorial Blvd Ste 105Humble, TX 77338(281) 446-0061

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Page 25: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

Dougherty's PharmacyHumble, LLC■ 211 Fm 1960 Bypass Rd EHumble, TX 77338(281) 446-9191 Doyfran Pharmacy■ 9701 N Sam Houston Pkwy ESte 110 Humble, TX 77396(281) 973-8042 Greater Texas Pharmacy■ 1485 Fm 1960 Bypass Rd EHumble, TX 77338(832) 644-9895 Humble Pharmacy■ 19333 Hwy 59 NHumble, TX 77338(281) 540-4441 Kelsey Pharmacy - SummerCreek■* 8233 N Sam Houston Pkwy EHumble, TX 77396(713) 442-2079 Memorial Care Pharmacy■ 8901 Fm 1960 Bypass Rd W Ste102 Humble, TX 77338(832) 777-6448 Pro Script SolutionsPharmacy■ 6730 Atascocita RdHumble, TX 77346(281) 570-6707 Southside Pharmacy 12■ 18648 McKay Dr Ste 110Humble, TX 77338(832) 831-7707 Well Lake Specialty Pharmacy LLC■ 18321 W Lake Houston PkwySte 280 Humble, TX 77346(281) 973-4731

City of Jacinto City Cuidad de Jacinto City

Redi-Med Pharmacy LLC■ 1520 Holland StJacinto City, TX 77029(281) 428-1212

City of / Cuidad de Katy

AAA Rx Pharmacy■ 569 S Mason RdKaty, TX 77450(281) 717-8877 Brookshire Brothers Pharmacyof Katy■ 5249 Franz RdKaty, TX 77493 (281) 391-7051 Controlled Rx Pharmacy■ 403 W Grand Pkwy S Ste EKaty, TX 77494 (281) 396-4536 Fulton Pharmacy■ 1331 W Grand Pkwy N Ste 111Katy, TX 77493 (832) 437-8425 HQ Pharmacy■ 21214 Kingsland Blvd Ste BKaty, TX 77450(281) 579-2700 Health-Rite Pharmacy■ 1801 N Mason Rd Ste BKaty, TX 77449 (832) 437-2216 Helping Hand Pharmacy, LLC■ 529 S Mason RoadKaty, TX 77450(281) 492-0031

Katy Medical ComplexPharmacy■ 21700 Kingsland BlvdKaty, TX 77450(281) 829-6497 Katy Memorial Pharmacy■ 23920 Katy Fwy Ste 112 Katy, TX 77494 (832) 437-7864 Katy Pharmacy I■ 20005 Katy FwyKaty, TX 77450(281) 578-1515 Kingsland Pharmacy■ 21214 Kingsland BlvdKaty, TX 77450(281) 599-7880 Medicine+ Pharmacy■ 705 S Fry Rd Ste 105Katy, TX 77450(281) 724-5820 Noelas Pharmacy■ 942 S Fry RdKaty, TX 77450(832) 321-4459 PSC Pharmacy■ 23510 Kingsland Blvd Ste 104Katy, TX 77494 (281) 665-8899 Sina Pharmacy■ 3815 N Fry Rd Ste 600Katy, TX 77449 (281) 717-4521

City of / Cuidad de La Porte

Prudent Pharmacy■ 10407 West Fairmont PkwyLa Porte, TX 77571(281) 867-0040

City of / Cuidad de Laporte

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■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

Page 26: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

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Deangelo Pharmacy■ 1309 W Fairmont Pkwy Suit PLaporte, TX 77571(281) 842-8500 The Medicine ShoppePharmacy■ 800 S Broadway StLaporte, TX 77571(281) 471-1241

City of / Cuidad de Pasadena

Amex Pharmacy■ 3316 Plainview St Pasadena, TX 77504(832) 767-5563 Angels Pharmacy■ 3623 Red Bluff RdPasadena, TX 77503(713) 740-6800 Aspcares■ 5150 Crenshaw Rd Ste F-120Pasadena, TX 77505(832) 500-3575 Bayshore Health Mart■ 3315 Burke Rd Ste 100Pasadena, TX 77504(281) 984-5000 Bayshore Pharmacy■ 4024A Brookhaven Pasadena, TX 77504(713) 944-8893 Burke Family Pharmacy■ 4002 Burke Rd Ste 400Pasadena, TX 77504(832) 243-6262 DT Pharmacy■ 3911 Woodlawn AvePasadena, TX 77504(832) 775-0060

Family Pharmacy Care■ 4949 Fairmont Parkway Pasadena, TX 77505(832) 900-7712 Family Pharmacy Inc■ 2418 SouthmorePasadena, TX 77502(713) 472-3138 Kelsey Pharmacy -Pasadena■* 5001 E. Sam Houston Pkwy S.Pasadena, TX 77505(713) 442-7179 PCF Pharmacy■ 2615 Strawberry RdPasadena, TX 77502(713) 947-6767 Pasadena Medical PlazaPharmacy■ 1430B Pasadena BlvdPasadena, TX 77502(713) 429-1842 Pharmhouse Pharmacy■ 4500 E Sam Houston Pkwy S Ste100 Pasadena, TX 77505(281) 998-9400 Premiercare Pharmacy■ 5108 Fairmont Pkwy Ste APasadena, TX 77505(281) 991-1300 Rrxpharmacy■ 6243 Fairmont Pkwy Ste 103 Pasadena, TX 77505(281) 998-1100 Strawberry Family Drug■ 1802 Strawberry RoadPasadena, TX 77502(713) 740-9033

Woodlawn Pharmacy■ 3801 Vista RoadPasadena, TX 77504(713) 928-3044

City of / Cuidad de Seabrook

The Medicine ShoppePharmacy■ 4614 Nasa Pkwy Seabrook, TX 77586(832) 864-3785

City of / Cuidad de Spring

Astro Rx,■ 20423 Kuykendahl Rd Ste 250Spring, TX 77379 (832) 209-4999

Better Balance Pharmacy■● 5834 Louetta Road Ste DSpring, TX 77379 (281) 205-7091 Bluejay Pharmacy LLC■ 17819 Stuebner Airline Rd Ste 2Spring, TX 77379 (281) 251-0904 Budget Pharmacy■ 19786 Interstate 45 Spring, TX 77373 (713) 694-3785 Crysoncare Pharmacy Inc■ 22325 Gosling RdSpring, TX 77389 (832) 813-5085 DCE Pharmacy■ 2540 Fm 2920 Rd Ste GSpring, TX 77388 (281) 528-0288 Katy Pharmacy 3■ 25115 Gosling RdSpring, TX 77389 (832) 953-2611

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Page 27: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Kelsey Pharmacy - Spring■* 15655 Cypress Woods MedicalDr Spring, TX 77014 (713) 442-1779 Lighthouse Pharmacy■ 8955 Spring Cypresd RdSpring, TX 77379 (832) 422-3604 Maswoswe's AlternativePharmacy Services (Mapsrx)■ 6402 Louetta RoadSpring, TX 77379 (832) 953-2782 Sterling Ridge Orthopaedics &Sports Medicine Pharmacy■ 20639 Kuykendahl Rd Ste 300Spring, TX 77379 (832) 698-0115

City of / Cuidad de Tomball Benzer Pharmacy■ 28455 Tomball ParkwayTomball, TX 77375 (832) 843-7105 First Care Pharmacy■ 24922 Tomball Parkway, Suite120 Tomball, TX 77375(832) 698-1532 Gloyers Pharmacy Inc■ 1010 W Main StTomball, TX 77375(281) 351-5454 Ms Pharmacy■ 27721 Tomball ParkwayTomball, TX 77375(832) 698-1565 Saddlebrook Pharmacy■ 25201 Kuykendahl Rd Ste 300Tomball, TX 77375(832) 698-2104

TMP Pharmacy■ 455 School StTomball, TX 77375(281) 290-7741 Tomball Health MartPharmacy■ 506 Graham Drive Ste 140Tomball, TX 77375(832) 559-6413 Tomball Professional AtruimPhrm■ 425 Holderrieth BlvdTomball, TX 77375(281) 351-8239

City of / Cuidad de Webster Blossom Pharmacy■ 250 Blossom St Ste 105Webster, TX 77598(281) 724-0280 Clear Lake Professional BldgPharmacy■ 251 Medical Center Blvd Ste 100Webster, TX 77598(281) 332-2496 Kelsey Pharmacy - ClearLake■* 1010 South Ponds DrWebster, TX 77598(713) 442-4360 Medical Plaza Pharmacy AtClear Lake■ 250 Blossom StWebster, TX 77598(281) 332-2213 Medicx Pharmacy■ 504 W. Nasa Parkway Webster, TX 77598(832) 632-1661 Pyramids PharmacyWebster■● 500 N Kobayashi Ste EWebster, TX 77598(281) 724-0531

Webster Pharmacy■ 15610 Highway 3Webster, TX 77598(281) 886-7164

Montgomery CountyMontgomery Condado

City of / Cuidad de Conroe

College Park Pharmacy■ 3115 College Park DrConroe, TX 77384 (936) 321-4011 Genoa, A Qol HealthcareCompany, LLC■ 233 Sgt. Ed Holcomb BlvdSouth, Ste 100Conroe, TX 77304 (253) 218-0830 Ghpma Pharmacy■ 3251 I-45 N. Ste 190Conroe, TX 77304 (936) 788-7700 Lifechek Drug■ 690 S. Loop 336 W. Ste. 100Conroe, TX 77304 (936) 539-4900 Lifechek Drug■ 900 W Dallas StConroe, TX 77301 (936) 788-2255 Lone Star Family HealthCenter Inc■ 605 S Conroe Medical DrConroe, TX 77304 (936) 523-5227

Richie's Specialty Pharmacy■● 12820 Highway 105 WConroe, TX 77304 (936) 588-6337 Roberds Pharmacy■ 503 Medical Center Blvd Ste 130Conroe, TX 77304 (936) 756-4254

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Page 28: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

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St. Hope Pharmacy■ 1414 S Frazier St Ste 106 Conroe, TX 77301 (936) 494-2455 Village Pharmacy■ 1336 League Line Rd Ste 100Conroe, TX 77304 (936) 756-7456

City of / Cuidad de Kingwood

Greenpath Pharmacy■ 24000 Highway 59 NKingwood, TX 77339(832) 445-0500 Millennium Pharmacy #2■ 22730 Professional Dr Ste 110Kingwood, TX 77339(281) 312-8585 Patient Direct Pharmacy■ 22710 Professional DrKingwood, TX 77339(281) 312-8590

City of / Cuidad de Magnolia

B and B Pharmacy■ 18640 C Fm 1488 Magnolia, TX 77354(281) 356-4303 Brookshire BrothersPharmacy■ 18535 Fm 1488Magnolia, TX 77355(281) 356-6103 Magnolia Pharmacy■ 18230 Fm 1488 Ste 100 Magnolia, TX 77354(281) 356-9089 Texas Professional Pharmacy-Magnolia■ 18602 Fm 1488, Magnolia, TX 77355(281) 356-2216

Triumph Pharmacy■● 7030 Fm 1488 Rd # 110Magnolia, TX 77354 (281) 252-4200

City of / Cuidad de Montgomery

Brookshire BrothersPharmacy■ 21005 Eva St.Montgomery, TX 77356(936) 597-8002 Lakeside Pharmacy■ 16955 Walden Rd Ste 100Montgomery, TX 77356(936) 448-6337

City of / Cuidad de New Caney

Brookshire BrothersPharmacy■ 20185 Hwy 59 NNew Caney, TX 77357(281) 689-3936

City of / Cuidad de Shenandoah

Kelsey Pharmacy -Woodlands■* 106 Vision Park BlvdShenandoah, TX 77384(713) 442-1975

City of / Cuidad de Splendora

Splendora Pharmacy■ 13841 Highway 59 Ste CSplendora, TX 77372(281) 689-7700

City of / Cuidad de Spring

Rayford Acp■ 440 Rayford Rd # 155Spring, TX 77386 (281) 367-2700 Spring Trails- Acp■ 28533 Spring Trails Rdg Ste 110Spring, TX 77386 (281) 602-3491

Springwoods Pharmacy, LLC■ 25325 Borough Park Dr #200Spring, TX 77380 (281) 485-4512

City of The Woodlands Cuidad de The Woodlands Acp Pharmacy At St Luke's■ 17350 St Lukes WayThe Woodlands, TX 77384(281) 602-3493 Conception Pharmacy■ 25301 Interstate 45 Ste BThe Woodlands, TX 77380(844) 602-1990 Conversio Health■ 2445 Technology Forest Blvd Ste220 The Woodlands, TX 77381(832) 562-3969 GHPMA2■ 17521 St Lukes Way Ste 120The Woodlands, TX 77384(936) 447-9432 Millennium Pharmacy■ 9319 Pinecroft Dr Ste 110The Woodlands, TX 77380(281) 298-1129 Our Pharmacy■ 25329 Interstate 45 Ste 126The Woodlands, TX 77380(832) 299-6802 Pinecroft Pharmacy■ 9305 Pinecroft DriveThe Woodlands, TX 77380(281) 466-3650 Recept Pharmacy #34■ 25301 Interstate 45 NThe Woodlands, TX 77380(817) 572-0009

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

23

Page 29: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Retail Pharmacies Farmacias minorista-Medicamentos

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Southside Pharmacy 9■ 1111 Medical Plaza Dr Ste 160The Woodlands, TX 77380(832) 813-5296

City of / Cuidad de Woodlands The Woodlands Apothecary■ 9303 Pinecroft Dr Ste 300Woodlands, TX 77380(346) 224-2125

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Page 30: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Home Infusion Pharmacies Farmacias de infusión en el hogar

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Fort Bend CountyFort Bend Condado

City of / Cuidad de Stafford

Nationsmed Healthcare■ 4677 Techniplex DrStafford, TX 77477(281) 240-4144

City of / Cuidad de Sugar Land

Deliverit Pharmacy InfusionCenter LLC■ 13303 West Airport Blvd Suit BSugar Land, TX 77478(713) 562-6775 Healthquest Infusion Services■ 2600 Cordes Dr Ste ESugar Land, TX 77479(832) 612-3500

Harris County / Condado

City of / Cuidad de Houston

Amerita Inc■ 4001 W Sam Houston Pkwy NHouston, TX 77043(713) 843-7700 Assurance Infusion■ 2626 S Loop W Ste 555 Houston, TX 77054(713) 533-8800 Biocure LLC■ 8700 Commerce Park Dr Ste 241Houston, TX 77036(713) 360-2100 Carepoint Partners■ 9360 Kirby Dr Ste 100 Houston, TX 77054(713) 782-4442 Cego Infusion Pharmacy■ 6300 Richmond Ave.Houston, TX 77057(713) 541-6000

Compounding PharmacySolutions■ 6105 Beverly Hill StreetHouston, TX 77057(713) 783-2836 Coram CVS/Specialty InfusionServices■ 10611 S Sam Houston Pkwy W#200 Houston, TX 77071(713) 667-4010 Option Care■ 9030 Kirby Dr Houston, TX 77054(713) 794-0599 Paragon Infusion Care, Inc.■ 6721 Portwest Dr Ste 100 Houston, TX 77024(713) 860-1750 Soleo Health Inc.■ 8275 El Rio #180Houston, TX 77054(832) 981-1000 Southside Infusion■ 7700 Main St Ste 210 Houston, TX 77030(713) 660-8888 Specialty Therapeutic Care■ 1311 W Sam Houston Pkwy N#130 Houston, TX 77043(866) 506-2626 Valustar Pharmacy■ 7227 Fannin St Ste 103 Houston, TX 77030(844) 855-0101 Vital Star Pharmacy, Inc.■ 7207 Regency Square Blvd.Houston, TX 77036(713) 785-1960

City of / Cuidad de Webster

Pyramids Specialty andInfusion Center■ 500 N Kobayashi Ste DWebster, TX 77598(832) 932-5836

Montgomery CountyMontgomery Condado

City of / Cuidad de Magnolia

Triumph Pharmacy■● 7030 Fm 1488 Rd # 110Magnolia, TX 77354(281) 252-4200

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Page 31: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Long-term C

are Facility Pharmacies / Farm

acias de centro de atención de largo plazo

Fort Bend CountyFort Bend Condado

City of Missouri CityCuidad de Missouri City

Eds Pharmacy■ 3740 Cartwright RdMissouri City, TX 77459(281) 499-4555

City of / Cuidad de Needville

Lifechek■ 13500 Hwy 36Needville, TX 77461(979) 793-5534

City of / Cuidad de Richmond

Kelcare Pharmacy■ 22001 Southwest Fwy Ste 110Richmond, TX 77469(832) 222-9228 Richmond State SupportedLiving Center Pharmacy■ 2100 Preston St Richmond, TX 77469(281) 344-4601

City of / Cuidad de Stafford

Advanced Pharmacy■ 12503 Exchange Dr Ste 536Stafford, TX 77477(713) 391-2200 Omnicare of Houston■ 10650 W Airport Blvd Ste 150Stafford, TX 77477(281) 776-8860

Pharmacare■ 11104 W. Airport Blvd Ste 255Stafford, TX 77477(713) 426-4800 Stafford Pharmacy & Dme■ 2448 S Main St Stafford, TX 77477(281) 969-5901

City of / Cuidad de Sugar Land

Ecleats Pharmacy■ 4427 Highway 6 Ste FSugar Land, TX 77478(281) 903-7491 Healthquest Pharmacy■ 2600 Cordes Dr Ste FSugar Land, TX 77479(832) 222-0100 Oasis Pharmacy■ 12946 Dairy Ashford Rd Ste 460Sugar Land, TX 77478(281) 240-8111 Texan Care Pharmacy■ 1803 Wescott Avenue Suite ASugar Land, TX 77479(281) 329-4498 Vitamed Pharmacy■ 16126 Southwest Fwy Ste # 180Sugar Land, TX 77479(281) 313-0234

Galveston CountyGalveston Condado

City of League CityCuidad de League City

Devereux Texas TreatmentNetwork■ 1150 Devereux DrLeague City, TX 77573(281) 316-5438

Harris County / Condado

City of / Cuidad de Bellaire

Westlands Pharmacy■ 5819 Bissonnet StBellaire, TX 77401(713) 664-1400

City of / Cuidad de Houston

Assurance Infusion■ 2626 S Loop W Ste 555Houston, TX 77054(713) 533-8800 Astro Pharmacy, LLC■ 9801 Long Point Rd Ste 101Houston, TX 77055(713) 957-4600 Awesome Care Pharmacy■ 6060 Bellaire BlvdHouston, TX 77081(281) 501-1008 Beechnut ProfessionalPharmacy■ 7500 BeechnutHouston, TX 77074(713) 988-1103 Bellaire Medical Pharmacy■ 12924 Bellaire Blvd Suite 100AHouston, TX 77072(713) 457-3600

Long-term Care Facility PharmaciesFarmacias de centro de atención de largo plazo

Residents of a long-term care facility may access their prescription drugs covered under KelseyCare Advantagethrough the facility's long-term care pharmacy or another network long-term care pharmacy.

Los residentes de un centro de atención a largo plazo pueden acceder a sus medicamentos recetados cubiertosbajo KelseyCare Advantage a través de la farmacia de cuidado a largo plazo de la institución u otra farmacia decuidado de largo plazo de la red.

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

26

Page 32: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Long-term Care Facility PharmaciesFarmacias de centro de atención de largo plazo

Residents of a long-term care facility may access their prescription drugs covered under KelseyCare Advantagethrough the facility's long-term care pharmacy or another network long-term care pharmacy.

Los residentes de un centro de atención a largo plazo pueden acceder a sus medicamentos recetados cubiertosbajo KelseyCare Advantage a través de la farmacia de cuidado a largo plazo de la institución u otra farmacia decuidado de largo plazo de la red.

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Bemaj Pharmacy Inc■ 10039 Bissonnet Houston, TX 77036(713) 774-7200 Blue Mint Pharmacy■ 9888 Bissonnet St Ste 210 Houston, TX 77036(713) 773-2535 Botica Familiar Pharmacy■ 12333 South Main StreetHouston, TX 77035(713) 918-6402 Briargrove Pharmacy■ 6435 San Felipe StHouston, TX 77057(713) 783-5704 Custom Care Pharmacy■ 20320 Northwest Fwy Ste 300 Houston, TX 77065(832) 688-9666 Dollar Rx Pharmacy■ 8721 Jensen Dr Houston, TX 77093(713) 694-1470 Emmons Pharmacy■ 9555 W Sam Houston Pkwy SSte 180 Houston, TX 77099(832) 582-8758 First Choice Pharmacy■ 7909 Hillcroft St, Suite BHouston, TX 77081(713) 779-7603 Friendly Pharmacy Inc■ 3533 S Dairy Ashford Rd Ste GHouston, TX 77082(832) 351-2000

Galaxy Pharmacy■ 12303 Westheimer Rd Suite DHouston, TX 77077(281) 496-6600 Healthco Pharmacy Corp■ 5730 Chimney Rock RdHouston, TX 77081(713) 218-6337 Homescripts■ 1311 W Sam Houston Pkwy NSte 140 Houston, TX 77043(866) 839-2035 Irvington Family Pharmacy■ 3815 Irvington Blvd Ste EHouston, TX 77009(713) 694-8399 Legends Pharmacy II■ 15015 Westheimer Pkwy Ste LlHouston, TX 77082(281) 496-0640 Loving Care Pharmacy■ 4406 Airline DrHouston, TX 77022(713) 808-9103 M Chest Pharmacy-Houston■ 209 Brisbane St Houston, TX 77061(281) 464-6300 Main Medical PlazaPharmacy■ 10019 S Main Ste A10 Houston, TX 77025(713) 667-5003

Mastery Pharmacy South■ 2715 Fannin StHouston, TX 77002(713) 838-8110 Med Scripts Pharmacy■ 10039 Bissonnet St Ste 116 Houston, TX 77036(832) 371-6100 Med Valt Pharmacy LLC■ 2656 S Loop W Ste 103Houston, TX 77054(713) 349-9882 Medi-Script Pharmacy■ 8121 Broadway St Ste 105Houston, TX 77061(713) 910-3774 Medic Pharmacy■ 4040 S BraeswoodHouston, TX 77025(713) 666-6353 Medicine Chest PlusPharmacy■ 256 North Sam Houston ParkwayE. Houston, TX 77060(832) 328-0923 Medicine Shoppe■ 5910 Scott StreetHouston, TX 77021(713) 741-5104 Medsaver Pharmacy■ 10701 W Bellfort St Ste B # 172Houston, TX 77099(281) 988-0880

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

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Long-term C

are Facility Pharmacies / Farm

acias de centro de atención de largo plazo

Modern AutomatedPharmacy■ 8303 Knight Rd Ste AHouston, TX 77054(713) 660-9091 Phar-Miles Pharmacy■ 16840 Buccaneer Ln Suite PHouston, TX 77058(832) 410-8123 Pharmscript of Texas,LLC■ 1718 Fry RdHouston, TX 77084(281) 492-7220 Preferred Pharmacy■ 3939 Hillcroft St Ste 120Houston, TX 77057(713) 465-8100 Pro Med Pharmacy■ 2421 Aldine Mail Rd Ste BHouston, TX 77039(281) 372-8522 Procare Rx■ 16300 Kuykendahl Rd Ste 370Houston, TX 77068(281) 580-4500 Rxperts Pharmacy Texas LLC■ 8700 Jameel RdHouston, TX 77040(713) 460-5454 Sem Pharmacy & MedicalSupply■ 16316 Fm 529 Ste DHouston, TX 77095(281) 861-7788

Southend Pharmacy■ 415 Westheimer RdHouston, TX 77006(281) 498-1450 Star Rex Pharmacy LLC■ 11110 East Fwy Houston, TX 77029(832) 767-0816 The Medicine Man Pharmacy■ 7652 Bellfort StHouston, TX 77061(713) 644-1343

City of / Cuidad de Humble

Doyfran Pharmacy■ 9701 N Sam Houston Pkwy ESte 110 Humble, TX 77396(281) 973-8042

City of / Cuidad de Katy

Katy Pharmacy I■ 20005 Katy FwyKaty, TX 77450(281) 578-1515

City of / Cuidad de Pasadena

Pharmhouse Pharmacy■ 4500 E Sam Houston Pkwy S Ste100 Pasadena, TX 77505(281) 998-9400

City of / Cuidad de Spring

Budget Pharmacy■ 19786 Interstate 45Spring, TX 77373 (713) 694-3785

City of / Cuidad de Tomball

Gloyers Pharmacy Inc■ 1010 W Main StTomball, TX 77375(281) 351-5454 Pharmcare Usa of Houston, LLC■ 420 Chestnut Business Park Dr.Tomball, TX 77375(888) 738-5283 Saddlebrook Pharmacy■ 25201 Kuykendahl Rd Ste 300Tomball, TX 77375(832) 698-2104 Tomball Health MartPharmacy■ 506 Graham Drive Ste 140Tomball, TX 77375(832) 559-6413

City of / Cuidad de Webster Medicx Pharmacy■ 504 W. Nasa ParkwayWebster, TX 77598(832) 632-1661

Montgomery CountyMontgomery Condado

City of / Cuidad de Conroe

Genoa, A Qol HealthcareCompany, LLC■ 233 Sgt Ed Holcomb Blvd S, Ste100 Conroe, TX 77304 (281) 602-0100 Lifechek Drug■ 690 S. Loop 336 W. Ste. 100Conroe, TX 77304 (936) 539-4900

Long-term Care Facility PharmaciesFarmacias de centro de atención de largo plazo

Residents of a long-term care facility may access their prescription drugs covered under KelseyCare Advantagethrough the facility's long-term care pharmacy or another network long-term care pharmacy.

Los residentes de un centro de atención a largo plazo pueden acceder a sus medicamentos recetados cubiertosbajo KelseyCare Advantage a través de la farmacia de cuidado a largo plazo de la institución u otra farmacia decuidado de largo plazo de la red.

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

28

Page 34: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

Long-term Care Facility PharmaciesFarmacias de centro de atención de largo plazo

Long

-term

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arm

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Far

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Residents of a long-term care facility may access their prescription drugs covered under KelseyCare Advantagethrough the facility's long-term care pharmacy or another network long-term care pharmacy.

Los residentes de un centro de atención a largo plazo pueden acceder a sus medicamentos recetados cubiertosbajo KelseyCare Advantage a través de la farmacia de cuidado a largo plazo de la institución u otra farmacia decuidado de largo plazo de la red.

City of / Cuidad de Spring

Rayford Acp■ 440 Rayford Rd # 155Spring, TX 77386 (281) 367-2700 Spring Trails- Acp■ 28533 Spring Trails Rdg Ste 110Spring, TX 77386 (281) 602-3491

City of The Woodlands Cuidad de The Woodlands ACP Pharmacy At St Luke's■ 17350 St Lukes WayThe Woodlands, TX 77384(281) 602-3493 Pinecroft Pharmacy■ 9305 Pinecroft DriveThe Woodlands, TX 77380(281) 466-3650

■ Pharmacies that can fill a 90-day supply prescription / Farmaciasque pueden surtir una receta de suministro de 90 días

* Preferred Cost Sharing / de costo compartido preferido● Compound Credentialed / Compuesto acreditadoto

29

Page 35: KelseyCare Pharmacy Directory Full 10 09 2017-Final · This pharmacy directory was updated on 08/01/2017. For more recent information or other questions, For more recent information

KelseyCare Advantage is offered by KS Plan Administrators LLC, a Medicare Advantage HMO plan with aMedicare contract. Enrollment in KelseyCare Advantage depends on contract renewal. Benefits, deductibleand /or copayments and coinsurance may change on January 1 of each year. The pharmacy network maychange at any time. You will receive notice when necessary.

KelseyCare Advantage’s pharmacy network offers limited access to pharmacies with preferred cost sharingin urban and suburban areas within Texas. The lower costs advertised in our plan materials for thesepharmacies may not be available at the pharmacy you use. For up-to-date information about our networkpharmacies, including pharmacies with preferred cost sharing, please see the first and last cover pages of thisdirectory for information on how to contact us.This pharmacy directory was updated on 08/01/17. You must generally use network pharmacies to use your prescription drug benefit. For more recent information or other questions, please contactKelseyCare Advantage at 1-866-589-5222 or, for TTY users, 1-888-206-8041, 24 hours a day, 7 days aweek, or visit www.kelseycareadvantage.com. Changes to our pharmacy network may occur during thebenefit year. An updated Pharmacy Directory is located at www.kelseycareadvantage.com. You may alsocall Member Services for updated provider information.

This information is available for free in other languages. KelseyCare Advantage can give you information inBraille, in large print or other alternate formats upon request. For alternative formats, please see the first andlast cover pages of this directory for information on how to contact us.

KelseyCare Advantage es ofrecido por KS Plan Administrators LLC, un plan Medicare Advantage HMO quetiene un contrato con Medicare. La inscripción en KelseyCare Advantage depende de la renovación delcontrato. Los beneficios, el deducible y/o los copagos y el coseguro pueden cambiar el 1 de enero de cadaaño. La red de farmacias puede cambiar en cualquier momento. Usted recibirá una notificación cuando seanecesaria.La red de farmacias de KelseyCare Advantage ofrece acceso limitado a farmacias con costo compartidopreferido en áreas urbanas y suburbanas dentro de Texas

Este directorio de farmacias está actualizado al 08/01/17. Por lo general, usted debe usar su red de farmacias para usar su beneficio de medicamentos recetados. Para información más reciente y otraspreguntas, por favor contáctese con KelseyCare Advantage al 1-866-589-5222 o, para usuarios TTY, al 1-888-2068041, las 24 horas del día, los 7 días de la semana, o visite www.kelseycareadvantage.com. Cambiosen nuestra red de farmacias pueden ocurrir durante el año de beneficios. Un Directorio de Farmaciasactualizada se encuentra en www.kelseycareadvantage.com. También puede llamar a Servicios paraMiembros para obtener información actualizada proveedor.Esta información está disponible gratis en otros idiomas. KelseyCare Advantage puede brindarle informaciónen braille, en tamaño de letra grande o en otros formatos alternativos, si lo solicita. Para información alterna,por favor vea las portadas anterior y posterior de este directorio para saber cómo contactarse con nosotros.

. Es posible que los costos menores publicados enlos materiales de nuestro plan para estas farmacias no estén disponibles para la farmacia que usted usa. Parainformación actualizada sobre nuestra red de farmacias, incluyendo farmacias con costo compartidopreferido, por favor vea las portadas anterior y posterior de este directorio para saber cómo contactarse connosotros.