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Blue Cross Group Medicare Advantage (PPO) SM Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory was updated on 10/2019. For more recent information or other questions, please contact Blue Cross Group Medicare Advantage SM Customer Service, at 1-877-299-1008 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit www.myprime.com. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.myprime.com. You may also call Customer Service for updated providers.

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Page 1: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Group Medicare Advantage (PPO)SM

Blue Cross Group Medicare Advantage (HMO)SM

2020 Group Pharmacy Directory

Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019

This Pharmacy Directory was updated on 10/2019. For more recent information or other questions, please contact Blue Cross Group Medicare AdvantageSM Customer Service, at 1-877-299-1008 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit www.myprime.com.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.myprime.com. You may also call Customer Service for updated providers.

Page 2: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

i

Blue Cross Group Medicare Advantage

Group Pharmacy DirectoryIntroduction

This booklet provides a list of Blue Cross Group Medicare 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 Blue Cross Group Medicare Advantage’s formulary.

When this pharmacy directory refers to “we”, “us”, or “our”, it means GHS Health Maintenance Organization, Inc. d/b/a BlueLincs HMO (BlueLincs). When it refers to “plan” or “our plan,” it means Blue Cross Group Medicare 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 Blue Cross Group Medicare Advantage only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to 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 10/2019. For the most current list, please contact us. Our contact information appears on the front and back cover pages.

You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost-sharing. We have marked these pharmacies with “SAVE” to distinguish them from other pharmacies in our network that offer standard cost-sharing.

You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory.

This directory is for the State of Oklahoma which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory please contact Blue Cross Group Medicare Advantage Customer Service, at 1-877-299-1008 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit www.myprime.com.

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 Blue Cross Group Medicare Advantage.

Page 3: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

ii

Pharmacy Type Retail

Long Term Care

Home Infusion

Extended Supply

Preferred Network

Preferred Extended

Supply Network

Total Number of Pharmacies

64,485 Pharmacies

3,682 Pharmacies

514 Pharmacies

60,157 Pharmacies

23,990 Pharmacies

23,990 Pharmacies

Pharmacies are listed alphabetically by county and city and by type of pharmacy. The types of pharmacies in this directory appear in this order:

• Mail Order Pharmacies• Chain Pharmacies• Retail Pharmacies, Including Chain Pharmacies• Long-Term Care Pharmacies• Home Infusion Pharmacies• Indian Health Service/Tribal/Urban Indian Health Program (I/T/U)• Specialty Pharmacies

Under each listing we also show additional pharmacy features. These features are identified on each page with the following key:

SAVE = Preferred cost-sharing. Drugs from these pharmacies may cost less than other pharmacies in our network.

90 = 90-day supply. These are retail pharmacies that offer an extended (90-day) supply of medications.

24HR = Pharmacy is open 24-hours.

eRX = Pharmacy accepts electronic prescriptions from prescribers.

Page 4: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Mail Order Pharmacy

AllianceRx Walgreens Prime(877) 277-7895 (TTY users: 711)24 hours a day, seven days a weekwww.alliancerxwp.com

You can get prescription drugs shipped to your home through our network mail order delivery program.

For refills of your mail order prescriptions, please contact us 10 to 20 days before you think the drugs youhave on hand will run out to make sure your next order is shipped to you in time.

Typically, you should expect to receive your prescription drugs within 5-8 business days from the timethat the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time,please contact us at: (877) 277-7895, (TTY users: 711), 24 hours a day, seven days a week, or visitwww.alliancerxwp.com.

Chain Pharmacies

Below are chain pharmacies in our network. For locations and phone numbers of stores near you, call thenumbers below (TTY users: 711) or visit the pharmacy website.

SAVE = Preferred cost sharing90 = 90-day supply

1

CVS ................................................ (800) 746-7287 Walgreens ................................. (800) 925-4733www.cvs.com www.walgreens.com90 SAVE, 90

Kmart ............................................. (800) 349-0764 Walmart ..................................... (800) 925-6278www.kmart.com www.walmart.com90 90

Sam's Club ................................... (888) 746-7726www.samsclub.com90

Page 5: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

ADA Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

2

ADA

ADA APOTHECARY........................... (580) 332-20001201B ARLINGTON ST • 74820SAVE, 90, eRX

BROWN'S PHARMACY AND GIFTS.. (580) 279-14161800 ARLINGTON ST • 74820SAVE, 90, eRX

CENTRAL OKLAHOMA FAMILY MEDICALCENTER PHARMACY......................... (580) 436-5111905 COLONY DRIVE • 74849SAVE, 90, eRX

CHICKASAW NATION MEDICALCENTER...............................................(580) 272-57101921 STONECIPHER BLVD • 7482090

CHICKASAW NATION REFILLCENTER...............................................(580) 272-5710933 N COUNTRY CLUB RD • 7482090, eRX

MCCORTNEY'S FAMILY PHARMACY &COMPOUNDING CENTER.................. (580) 332-3344711 E 9TH ST • 74820SAVE, 90, eRX

MERCY HOSPITAL ADAPHARMACY.........................................(580) 421-1500430 N MONTE VISTA ST • 74820SAVE, 90, eRX

PRUETT'S FOOD-PHARMACY#10.....(580) 436-09001601 N BROADWAY • 74820SAVE, 90, eRX

SOVEREIGN PHARMACY SOLUTIONS & FINEGIFTS................................................... (580) 421-87751007 N COUNTRY CLUB • 74820SAVE, 90, eRX

TRADITION DRUG.............................. (580) 332-57201131 ARLINGTON ST. • 74820SAVE, 90, eRX

WALGREENS #11295......................... (580) 272-02831005 ARLINGTON ST • 74820SAVE, 90, eRX

WALMART PHARMACY 10-0231....... (580) 332-47551419 N COUNTRY CLUB RD • 7482090

ALLEN

ALLEN COMMUNITY PHARMACY.....(580) 857-2492200 EAST LEXINGTON • 200 EAST LEXINGTON •74825SAVE, 90, eRX

ALTUS

BROADWAY PHARMACY.................. (580) 477-0800601 E BROADWAY ST • 73521SAVE, 90, eRX

CLINIC PHARMACY............................(580) 482-6464205 S PARK LANE • STE 110 • 73521SAVE, 90, eRX

REXCO DRUG..................................... (580) 477-03812101 N MAIN ST • 73521SAVE, 90, eRX

WALGREENS #09670......................... (580) 477-13161132 N MAIN ST • 73521SAVE, 90, eRX

WALMART PHARMACY 10-0479....... (580) 482-84662500 N MAIN ST • 7352190

ALVA

HOLDER DRUG...................................(580) 327-3332513 BARNES • 73717SAVE, 90, eRX

WALMART PHARMACY 10-0178....... (580) 327-4054914 E OKLAHOMA BLVD • 7371790

ANADARKO

ANADARKO IHS PHARMACY............(405) 247-7947115 OLD TOWN NE • 7300590

Page 6: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing BARTLESVILLE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

3

CLINIC PHARMACY............................(405) 247-30811104 E CENTRAL • SUITE 1 • 73005SAVE, 90, eRX

LOVELLS PHARMACY INC................ (405) 247-3348602 W CENTRAL • 73005SAVE, 90, eRX

WALMART PHARMACY 10-0162....... (405) 247-24041201 WEST PETREE RD • 7300590

ANTLERS

ANTLERS PHARMACY.......................(580) 298-3377810 E MAIN STREET • 74523SAVE, 90, eRX

PRUETTS'S CUT-RATE PHARMACY (580) 298-5064906 E MAIN ST • 74523SAVE, 90, eRX

APACHE

APACHE DRUG...................................(580) 588-3639118 E EVANS • 73006SAVE, 90, eRX

ARDMORE

ARDMORE INDIAN CLINICPHARMACY.........................................(580) 272-57102510 CHICKASAW BLVD • 7340190

CVS/PHARMACY # 06222.................. (580) 223-10411220 N COMMERCE ST • 7340190, eRX

HAC INC.............................................. (580) 223-0143205 N COMMERCE ST • 73401SAVE, 90, eRX

HENRY ROBERTS EXPRESSPHARMACY.........................................(580) 223-58281316 12TH AVE NW • 73401SAVE, 90, eRX

MERCY PHARMACY ARDMORE....... (580) 220-62501011 14TH AVE NW • 73401SAVE, 90, eRX

REED FAMILY PHARMACY............... (580) 223-7636814 W BROADWAY • 73401SAVE, 90, eRX

STEELE DRUG....................................(580) 223-3000907 GRAND AVE • 73401SAVE, 90, eRX

T & M PHARMACY, INC..................... (580) 223-0671423 12TH AVE NW • 73401SAVE, 90, eRX

TIGERT PHARMACY LLC.................. (580) 223-133135 C TIFFANY PLAZA • 73401SAVE, 90, eRX

WALGREENS # 05739........................ (580) 226-69781111 N COMMERCE ST • 73401SAVE, 90, eRX

WALMART PHARMACY 10-0129....... (580) 226-64441715 NORTH COMMERCE STREET • 7340190

ATOKA

CHOCTAW NATION HEALTH CLINICATOKA.................................................(580) 889-19811201 W LIBERTY RD • 7452590

RITTER EXPRESS PHARMACY.........(580) 889-3353744 S MISSISSIPPI • 74525SAVE, 90, eRX

RX SHOPPE........................................ (580) 889-3331872 W 13TH ST • 74525SAVE, 90, eRX

WALMART PHARMACY 10-0232....... (580) 889-30001901 SOUTH MISSISSIPPI • 7452590

BARTLESVILLE

BOULEVARD PHARMACY................. (918) 336-21401117 E FRANK PHILLIPS BLVD • 7400390, eRX

Page 7: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

BEAVER Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

4

CVS/PHARMACY # 10491.................. (918) 333-52173711 E FRANK PHILLIPS BLVD • 7400690, eRX

EXPRESS RX OF BARTLESVILLE.... (918) 876-4204143 SE WASHINGTON BLVD • 74006SAVE, 90, eRX

J & M DRUG AT HOMELAND.............(918) 336-9411811 SE FRANK PHILLIPS BLVD • 74003SAVE, 90, eRX

JANE PHILLIPS MEDCARE AMBULATORYPHARMACY.........................................(918) 331-15403500 E FRANK PHILLIPS BLVD • 74006SAVE, 90, eRX

LIMESTONE PHARMACY...................(918) 331-00003803 NOWATA RD STE C • 74006SAVE, 90, eRX

PYRAMID PHARMACY #67................ (918) 335-20202501 SE WASHINGTON BLVD • 74006SAVE, 90, eRX

WALGREENS # 06618........................ (918) 333-05883816 E FRANK PHILLIPS BLVD • 74006SAVE, 90, eRX

WALGREENS #15751......................... (918) 335-43051920 SE WASHINGTON BLVD • 74006SAVE, 90, eRX

WALMART PHARMACY 10-0041....... (918) 333-69104000 SE GREEN COUNTRY RD • 7400690

BEAVER

COMMUNITY PHARMACY..................(580) 625-3646212 E 8TH ST • 73932SAVE, 90, eRX

BEGGS

MEDICATION STATION...................... (918) 267-48908054 HIGHWAY 16 STE 100 • 74421SAVE, 90, eRX

BETHANY

DON COODY PHARMACY................. (405) 789-89217530 NW 23RD ST • 73008SAVE, 90, eRX

DONS PHARMACY............................. (405) 789-24536801 NW 39TH EXPY • 73008SAVE, 90, eRX

HAC, INC............................................. (405) 789-25967101 NW 23RD ST • 73008SAVE, 90, eRX

WALGREENS # 01423........................ (405) 440-03422316 N ROCKWELL AVE • 73008SAVE, 90, eRX

WESTERN OAKS PHARMACY.......... (405) 789-68812703 N ROCKWELL AVE. • 73008SAVE, 90, eRX

BIXBY

MEDICAP PHARMACY 8422.............. (918) 364-722215030 S MEMORIAL DR • 7400890, eRX

REASOR'S PHARMACY #22.............. (918) 970-491911116 S MEMORIAL DR • 74008SAVE, 90, eRX

WALGREENS # 06839........................ (918) 369-704411118 S MEMORIAL DR • 74008SAVE, 90, eRX

WALGREENS #13059......................... (918) 366-291015111 S MEMORIAL DR • 74008SAVE, 90, eRX

BLACKWELL

HUTTON PHARMACY.........................(580) 363-2137119 N MAIN ST • 74631SAVE, 90, eRX

WALMART PHARMACY 10-0136....... (580) 363-40901219 W DOOLIN AVE • 7463190

Page 8: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing BROKEN ARROW

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

5

BLANCHARD

BLANCHARD DRUG........................... (405) 485-21121203 N COUNCIL • 73010SAVE, 90, eRX

RED CROSS DRUG............................ (405) 485-9311301 NE 10TH STREET • 73010SAVE, 90, eRX

BOISE CITY

BOISE CITY FAMILY PHARMACY..... (580) 544-3441318 W MAIN ST • 73933SAVE, 90, eRX

BRISTOW

KEMP DRUG....................................... (918) 367-3391215 N MAIN ST • 74010SAVE, 90, eRX

SUPER H PHARMACY........................(918) 367-3328201 E 7TH AVE • 74010SAVE, 90, eRX

WALMART PHARMACY 10-0324....... (918) 367-5515105 W HIGHWAY 16 • 7401090

BROKEN ARROW

BROKEN ARROW FAMILY DRUG..... (918) 451-37843359 S ELM PLACE • 74012SAVE, 90, eRX

BROKEN ARROW FAMILY DRUGNORTH.................................................(918) 251-37841030 E LANSING ST • 74012SAVE, 90, eRX

CAREFIRST PHARMACY................... (918) 994-14002530 N. ELM PL. • 74012SAVE, 90, eRX

CVS PHARMACY #01145................... (918) 455-0089751 W TUSCAN ST • 121ST • 7401190, eRX

CVS PHARMACY #04896................... (918) 251-96151853 S ASPEN AVE • 7401290, eRX

CVS PHARMACY #08279................... (918) 355-12932351 N 9TH ST • 7401290, eRX

CVS PHARMACY #17479................... (918) 615-19011150 E HILLSIDE DR • 7401290, eRX

GENOA HEALTHCARE, LLC............. (918) 940-67838937 S GARNETT RD STE P • 74012eRX

NEW SPRING PHARMACY................ (918) 251-6655511 S ASPEN AVE • 74012SAVE, 90, eRX

REASOR'S LLC...................................(918) 251-12951100 E KENOSHA ST • 74012SAVE, 90, eRX

WALGREENS # 03040........................ (918) 251-7924701 WEST HOUSTON ST • 74012SAVE, 90, eRX

WALGREENS # 03534........................ (918) 455-83084704 S ELM PLACE • 74011SAVE, 90, eRX

WALGREENS # 06551........................ (918) 249-02144901 W KENOSHA ST • 74012SAVE, 90, eRX

WALGREENS # 07547........................ (918) 252-92973600 W WASHINGTON ST • 74012SAVE, 90, eRX

WALGREENS # 07821........................ (918) 251-3996950 E KENOSHA ST • 74012SAVE, 90, 24HR, eRX

WALGREENS #12160......................... (918) 355-23173751 N ASPEN AVE • 74012SAVE, 90, eRX

WALMART PHARMACY 10-0472....... (918) 259-91362301 WEST KENOSHA ST • 7401290

Page 9: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

BROKEN BOW Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

6

WALMART PHARMACY 10-3295....... (918) 455-43866310 SOUTH ELM PLACE • 7401190

WALMART PHARMACY 10-3508....... (918) 258-61851770 S ELM PLACE • 7401290

WALMART PHARMACY 10-4637....... (918) 355-10763900 E HILLSIDE DR • 7401490

WALMART PHARMACY 10-4655....... (918) 505-62461300 EAST ALBANY ST • 7401290

WALMART PHARMACY 10-6942....... (918) 505-60944851 W. HOUSTON ST • 7401290

BROKEN BOW

EDDIE ALLENS PHARMACY............. (580) 584-5841619 S PARK DR • 74728SAVE, 90, eRX

PRUETT'S FOOD INC......................... (580) 584-6085201 S PARK DR • 74728SAVE, 90, eRX

SHERILLS PHARMACY AND GIFTS..(580) 584-3353101 MAIN ST • 74728SAVE, 90, eRX

SIMPSON PHARMACY....................... (580) 584-2850802 NORTH PARK DRIVE • 74728SAVE, 90, eRX

WALMART PHARMACY 10-0117....... (580) 584-3335501 SOUTH PARK DRIVE • 7472890

BUFFALO

BUFFALO PHARMACY MGMT. INC.. (580) 735-2161506 NORTH HOY • 73834SAVE, 90, eRX

WESTERN DRUG #6...........................(580) 735-2277115 S. HOY • SUITE A • 73834SAVE, 90, eRX

CALERA

AUTARCH MEDICINAL SERVICESPLLC.................................................... (580) 448-2315213 E MAIN ST STE 100 • 74730SAVE, 90, eRX

CANTON

HEROD DISCOUNT DRUG STORE....(580) 886-3444212 W MAIN • 73724SAVE, 90, eRX

CARNEGIE

CARNEGIE INDIAN HEALTH CLINICPHARMACY.........................................(580) 654-1100US HWY 9 WEST • 7301590

LIBERTY DRUG.................................. (580) 654-111115 W MAIN ST • 73015SAVE, 90, eRX

CATOOSA

PHARMCARE OK OF TULSA.............(918) 379-04042760 S HWY 167 • 7401590, 24HR, eRX

REASOR'S LLC...................................(918) 266-81132500 N HIGHWAY 66 • 74015SAVE, 90, eRX

WALGREENS #12714......................... (918) 266-8837315 N 193RD EAST AVE • 74015SAVE, 90

WALMART PHARMACY 10-3055....... (918) 739-700319801 ROBSON RD • 7401590

CHANDLER

HITE DRUG..........................................(405) 258-1218913 MANVEL AVE • 74834SAVE, 90, eRX

WALMART PHARMACY 10-0387....... (405) 258-20123100 E 1ST ST • 7483490

Page 10: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing CLAREMORE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

7

CHECOTAH

CHECOTAH PHARMACY................... (918) 473-38381002 W GENTRY AVE STE B • 74426SAVE, 90, eRX

WALMART PHARMACY 10-0340....... (918) 473-5404131 S PAUL CARR DR • 7442690

CHELSEA

CHELSEA FAMILY PHARMACY........ (918) 789-2241600 WALNUT ST • 74016SAVE, 90, eRX

CHEROKEE

SMITH DRUG.......................................(580) 596-2411121 S GRAND • 73728SAVE, 90, eRX

CHEYENNE

CHEYENNE PROFESSIONAL DRUG.(580) 497-3325413 BROADWAY AVE • 7362890, eRX

CHICKASHA

CHICKASHA CLINIC PHARMACY,LLC.......................................................(405) 224-48512224 W IOWA AVE • 73018SAVE, 90, eRX

CVS/PHARMACY # 06224.................. (405) 222-03051802 S 4TH ST • 7301890, eRX

GRAND CARE PHARMACY............... (405) 222-22732103 W IOWA AVE • 73018SAVE, 90, eRX

LIBERTY DRUG INC........................... (405) 224-1204315 CHICKASHA AVE • 73018SAVE, 90, eRX

WALGREENS #12009......................... (405) 222-02782120 S 4TH ST • 73018SAVE, 90, eRX

WALMART PHARMACY 10-0113....... (405) 224-02922001 SO 1ST ST • 7301890

CHOCTAW

COUNTRY BOY PHARMACY............. (405) 390-320514890 SE 29TH ST STE 108 • 73020SAVE, 90, eRX

CVS/PHARMACY # 06109.................. (405) 390-36112350 HARPER ST • 7302090, eRX

WALMART PHARMACY 10-4195....... (405) 390-449514185 MACK HARRINGTON DR • 7302090

CHOUTEAU

CHOUTEAU FAMILY PHARMACY..... (918) 476-6455214 N CHOUTEAU • 74337SAVE, 90, eRX

CLAREMORE

BENNETT'S ROUTE 66 PHARMACY. (918) 342-8050700 N LYNN RIGGS BLVD • 74017SAVE, 90, eRX

CLAREMORE COMPOUNDING CENTERINC....................................................... (918) 283-37841151 N LYNN RIGGS BLVD • 7401790, eRX

CLAREMORE IHS PHARMACY..........(918) 342-6581101 S. MOORE AVE • 7401790

CVS/PHARMACY # 10272.................. (918) 341-4938100 N J M DAVIS BLVD • 7401790, 24HR, eRX

J&J PHARMACY & GIFTS..................(918) 341-1184977 W WILL ROGERS BLVD • 74017SAVE, 90, eRX

REASOR'S LLC...................................(918) 341-45571000 W WILL ROGERS BLVD • 74017SAVE, 90, eRX

Page 11: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

CLAYTON Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

8

WALGREENS # 07504........................ (918) 343-7451601 W WILL ROGERS BLVD • 74017SAVE, 90, 24HR, eRX

WALMART PHARMACY 10-0012....... (918) 341-51811500 S LYNN RIGGS BLVD • 7401790

CLAYTON

CLAYTON PHARMACY...................... (918) 569-4884536 N LAWSON BLVD • 74536SAVE, 90, eRX

CLEVELAND

PALACE DRUG STORE......................(918) 358-2524301 N BROADWAY ST • 74020SAVE, 90, eRX

WALMART PHARMACY 10-0207....... (918) 358-5269772 S AIRPORT RD • 7402090

CLINTON

CLINTON IHS PHARMACY.................(580) 323-2884RT 1 • 7360190

KMART PHARMACY #4782................(580) 323-01572501 RED WHEAT DR • 7360190, eRX

S & D DRUG........................................(580) 323-2020915 FRISCO AVE • 73601SAVE, 90, eRX

SALISBURY PHARMACY................... (580) 323-1244815 FRISCO AVE • 73601SAVE, 90, eRX

WESTERN DRUG #4...........................(580) 323-11362008 W GARY BLVD • 73601SAVE, 90, eRX

COALGATE

PALACE DRUG STORE......................(580) 927-2064104 W OHIO AVE • 74538SAVE, 90, eRX

COLLINSVILLE

COLLINSVILLE FAMILYPHARMACY.........................................(918) 371-25471205 W MAIN ST, SUITE A • 74021SAVE, 90, eRX

WALGREENS #12161......................... (918) 371-556311605 N 135TH EAST AVE • 74021SAVE, 90

COMANCHE

THOMPSONS PHARMACY.................(580) 439-8869513 HILLERY ROAD • SUITE B • 73529SAVE, 90, eRX

CORDELL

CLINIC PHARMACY............................(580) 832-37141213 N GLENN ENGLISH • 73632SAVE, 90, eRX

EVETTS DRUG INC............................ (580) 832-3388100 E 1ST ST • 73632SAVE, 90, eRX

COWETA

CITY DRUG OF COWETA...................(918) 486-2193114 N BROADWAY • 74429SAVE, 90, eRX

EXPRESS RX OF COWETA............... (918) 887-104012071 S STATE HIGHWAY 51 • 74429SAVE, 90, eRX

KOWETA INDIAN HEALTHFACILITY............................................. (918) 279-320031870 E STATE HIGHWAY 51 • 7442990, eRX

WALGREENS #15756......................... (918) 486-880014003 S STATE HIGHWAY 51 • 74429SAVE, 90, eRX

WALMART PHARMACY 10-0374....... (918) 486-728611207 S STATE HIGHWAY 51 • 7442990

Page 12: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing DUNCAN

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

9

CRESCENT

CRESCENT CARE PHARMACY.........(405) 969-3518101 N GRAND • 73028SAVE, 90, eRX

CUSHING

BAKER PHARMACY INC....................(918) 225-22001022 E CHERRY ST • 74023SAVE, 90, eRX

CUSHING FAMILY PHARMACY.........(918) 225-5200200 S HIGHLAND • 74023SAVE, 90, eRX

WALGREENS #15808......................... (918) 225-52331405 E MAIN ST • 74023SAVE, 90, eRX

WALMART PHARMACY 10-0360....... (918) 225-63203100 EAST MAIN STREET • 7402390

DAVIS

CITY DRUG OF DAVIS, OKLA., INC.. (580) 369-2831218 E MAIN ST • 73030SAVE, 90, eRX

SOONER PHARMACY OF DAVIS...... (580) 369-3776705 E MAIN ST • 73030SAVE, 90, eRX

DEL CITY

COMFORT CARE PHARMACY.......... (405) 619-37363001 S MANSFIELD • 73115SAVE, 90, 24HR, eRX

CVS PHARMACY #06015................... (405) 670-36374251 SE 44TH ST • 7313590, eRX

HOMELAND PHARMACY #237.......... (405) 672-21804129 SE 29TH ST • 73115SAVE, 90, eRX

LASSITER DRUG................................ (405) 677-05493252 SE 29TH ST • 73115SAVE, 90, eRX

WALGREENS # 03748........................ (405) 677-55194300 SE 29TH ST • 73115SAVE, 90, eRX

WALMART PHARMACY 10-0544....... (405) 670-10305401 TINKER DIAGONAL • 7311590

DEWEY

POPKESS PHARMACY INC............... (918) 534-2262524 E DON TYLER AVE • 74029SAVE, 90, eRX

DRUMRIGHT

MURPHYS DRUG................................(918) 352-9301145 E BROADWAY ST • 74030SAVE, 90, eRX

DUNCAN

BAKER EXPRESS PHARMACY......... (580) 255-37843344 N HIGHWAY 81 • 73533SAVE, 90, eRX

CVS PHARMACY #10274................... (580) 470-88571520 W ELK AVE • 7353390, eRX

HOMELAND PHARMACY #182.......... (580) 255-02281401 W BEECH AVE • 73533SAVE, 90, eRX

R&S DRUG #1..................................... (580) 255-6292821 W MAIN ST • 73533SAVE, 90, eRX

R&S DRUG #2..................................... (580) 255-9648821 W MAIN ST APT # 201 • 7353390, eRX

R&S DRUG #3..................................... (580) 252-01403117 N HIGHWAY 81 • 73533SAVE, 90, eRX

STAR MEDICAL CENTERPHARMACY.........................................(580) 255-71652120 WEST ELK AVENUE • SUITE 10 • 73533SAVE, 90, eRX

Page 13: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

DURANT Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

10

WALGREENS # 05142........................ (580) 252-23751100 N HIGHWAY 81 • 73533SAVE, 90, eRX

WALMART PHARMACY 10-1116....... (580) 252-48883393 N HIGHWAY 81 • 7353390, eRX

DURANT

CHOCTAWNATION HEALTH SYSTEM DURANTHEALTH CENTER PHARMACY......... (580) 920-21001801 CHUKKA HINA • 7470190

CORNER DRUG OF DURANT............ (580) 924-44441005 W MAIN ST • 74701SAVE, 90, eRX

CVS/PHARMACY # 10213.................. (580) 920-99451250 W MAIN ST • 7470190, eRX

MEDICAL CENTER PHARMACY INC (580) 924-74251026 RADIO RD • 74701SAVE, 90, eRX

PHARMCAREOK OF DURANT INC... (580) 920-2211102 WALDRON DRIVE • 7470124HR, eRX

PRUETT'S FOOD-PHARMACY#8.......(580) 924-29031231 N WASHINGTON AVE • 74701SAVE, 90, eRX

THE MEDICINE STORE...................... (580) 924-3784311 N WASHINGTON AVE • 74701SAVE, 90, eRX

WALGREENS #11317......................... (580) 920-1145302 UNIVERSITY PLACE • 74701SAVE, 90, eRX

WALMART PHARMACY 10-0975....... (580) 924-51123712 W MAIN ST • 7470190

EDMOND

APS PHARMACY................................ (405) 726-98451705 RENAISSANCE BLVD STE 110 • 73013SAVE, 90, eRX

APS PHARMACY................................ (405) 844-69551701 RENAISSANCE BLVD STE 120 • 7301390, eRX

BARRETT DRUG CENTER................. (405) 341-1504410 W EDMOND RD • 73003SAVE, 90, eRX

CLINIC PHARMACY............................(405) 341-8490120 N BRYANT AVE STE A2 • 73034SAVE, 90, eRX

CREATIVE CARE PHARMACY.......... (405) 562-180014101 N. EASTERN AVE. • SUITE A • 73013SAVE, 90, eRX

CVS PHARMACY #16737................... (405) 844-50991200 E 2ND ST • 7303490, eRX

CVS/PHARMACY # 06096.................. (405) 340-05221301 N SANTA FE AVE • 7300390, eRX

CVS/PHARMACY # 06225.................. (405) 348-79821520 S BRYANT AVE • 7301390, eRX

CVS/PHARMACY # 06233.................. (405) 359-10251308 N BRYANT AVE • 7303490, eRX

CVS/PHARMACY # 06234.................. (405) 330-81073200 S SANTA FE AVE • 7301390, eRX

CVS/PHARMACY # 2512.................... (405) 341-114217850 N PENNSYLVANIA AVE • 7301290, eRX

HOMELAND PHARMACY #238.......... (405) 844-44041151 N BRYANT AVE • 73034SAVE, 90, eRX

Page 14: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing EL RENO

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

11

HOSPITAL DISCOUNT PHARMACY..(405) 348-1677104 S BRYANT • 73034SAVE, 90, eRX

INTEGRIS PHARMACY 4187..............(405) 657-39004833 INTEGRIS PKWY • SUITE 130 • 73034SAVE, 90, eRX

J&M DRUG @ CREST EDMOND........(405) 330-10892200 W 15TH ST • 73013SAVE, 90, eRX

LIFE PHARMACY................................(405) 562-42421260 W COVELL RD • SUITE 124 • 73003SAVE, 90, eRX

MERCY PHARMACY I-35................... (405) 757-33952017 W I 35 FRONTAGE RD STE 120 • 73013SAVE, 90, eRX

RALPH'S FAMILY PHARMACY..........(405) 285-26001101 NW178TH STREET, SUITE A • 73012SAVE, 90, eRX

RITESCRIPTS PHARMACY................ (405) 509-806616309 N SANTA FE AVE • SUITE C • 7301390, eRX

SAM'S PHARMACY 10-6267.............. (405) 757-38021117 W I 35 FRONTAGE RD • 7303490

SHERRYS DISCOUNT PHARMACY...(405) 341-1683220 S LITTLER AVE • 73034SAVE, 90, eRX

SPRING CREEK PHARMACY............ (405) 285-90821218 E 9TH ST • SUITE 1 • 73034SAVE, 90, eRX

THRIFTY PHARMACY EDMOND........(405) 715-4405230 S SANTA FE AVE • 73003SAVE, 90, eRX

TV DISCOUNT DRUGS....................... (405) 348-02201701 E 2ND ST • 73034SAVE, 90, eRX

WALGREENS # 03648........................ (405) 330-6093301 S SANTA FE AVE • 73003SAVE, 90, 24HR, eRX

WALGREENS # 04896........................ (405) 348-8328185 E 33RD ST • 73013SAVE, 90, eRX

WALGREENS # 06436........................ (405) 216-96721400 E 2ND ST • 73034SAVE, 90, 24HR, eRX

WALGREENS # 07444........................ (405) 330-374215100 N WESTERN AVE • 73013SAVE, 90, eRX

WALGREENS #10094......................... (405) 844-02802675 N KELLY AVE • 73003SAVE, 90, eRX

WALMART PHARMACY 10-0389....... (405) 348-36771225 W I 35 FRONTAGE RD • 7303490

WALMART PHARMACY 10-2803....... (405) 216-05252200 WEST DANFORTH ROAD • 7300390

WALMART PHARMACY 10-2876....... (405) 715-32801301 EAST 2ND ST • 7303490

WALMART PHARMACY 10-3275....... (405) 216-83751101 NW 164TH ST • 7301390

1ST CHOICE PHARMACY.................. (405) 509-24691147A W. 15TH ST. • 73013SAVE, 90, eRX

EL RENO

CANADIAN VALLEY PHARMACY..... (405) 262-41541605 W ELM ST • 73036SAVE, 90, eRX

EL RENO IHS PHARMACY.................(405) 234-84001801 PARKVIEW • 7303690

Page 15: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

ELGIN Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

12

RUKES DISCOUNT PHARMACY INC (405) 262-5590108 S ROCK ISLAND • 73036SAVE, 90, eRX

UNITED PHARMACY #401................. (405) 262-3212210 W ELM ST • 73036SAVE, 90, eRX

WALGREENS #12027......................... (405) 262-02931550 SW 27TH ST • 73036SAVE, 90

WALMART PHARMACY 10-0227....... (405) 262-61122400 SOUTH COUNTRY CLUB ROAD • 7303690

ELGIN

ELGIN PHARMACY LLC.....................(580) 492-50077523 US HWY 277 • 73538SAVE, 90, eRX

ELK CITY

GRANDVIEW PHARMACY................. (580) 225-55501220 W 3RD ST • 73644SAVE, 90, eRX

HAC, INC............................................. (580) 225-7961412 W 3RD ST • 73644SAVE, 90, eRX

KEYES' COMPOUNDING & SPECIALTYDRUG................................................... (580) 225-52731602 W 3RD ST • 73644SAVE, 90, eRX

PAUL JONES DRUG...........................(580) 225-3263105 N MAIN ST • 73644SAVE, 90, eRX

UNITED PHARMACY #362................. (580) 225-16002700 W. 3RD STREET • 73644SAVE, 90, eRX

WALGREENS # 09874........................ (580) 225-4418115 W 3RD ST • 73644SAVE, 90, eRX

WALMART PHARMACY 10-0134....... (580) 225-157520221 E 1110 RD • 7364490

ENID

CVS PHARMACY #10102................... (580) 234-5192930 W OWEN K GARRIOTT RD • 7370190, eRX

EVANS EXPRESS PHARMACY......... (580) 233-1202110 N OAKWOOD • 73703SAVE, 90, eRX

EVANS PHARMACY........................... (580) 234-43431106 W WILLOW RD • 73703SAVE, 90, eRX

FAMILY PHARMACY.......................... (580) 234-77002311 W WILLOW • 73703SAVE, 90, eRX

FAMILY PHARMACY.......................... (580) 233-4244915 E GARRIOTT RD • 73701SAVE, 90, eRX

FAMILY PHARMACY #3..................... (580) 237-3801221 SOUTH 30TH STREET • 73701SAVE, 90, eRX

INTEGRIS PHARMACY 4173..............(580) 213-3442600 S MONROE ST STE 1A • 73701SAVE, 90, eRX

RICK'S PHARMACY............................(580) 237-1535811 W RANDOLPH STREET • 73701SAVE, 90, eRX

SCHEFFE PRESCRIPTION SHOP......(580) 233-2152127 E RANDOLPH ST • 73701SAVE, 90, eRX

SCHEFFE PRESCRIPTION SHOPWEST................................................... (580) 242-37841925 W OWEN K GARRIOTT RD • 73703SAVE, 90, eRX

WALGREENS # 05531........................ (580) 237-3151929 W OWEN K GARRIOTT RD • 73701SAVE, 90, 24HR, eRX

Page 16: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing GUTHRIE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

13

WALGREENS #11718......................... (580) 237-22373915 W OWEN K GARRIOTT RD • 73703SAVE, 90, eRX

WALMART PHARMACY 10-0499....... (580) 233-99485505 W OWEN K GARRIOTT RD • 7370390

WALMART PHARMACY 10-4390....... (580) 599-60131018 N CLEVELAND ST • 7370390

EUFAULA

BOOMER SOLUTIONS....................... (877) 774-3706310 S 1ST ST • 74432eRX

EUFAULA INDIAN HEALTH CENTER(918) 689-2547500 EUNICE BURNS RD • 7443290, eRX

EUFAULA PHARMACY...................... (918) 689-7701401 S MAIN • 74432SAVE, 90, eRX

LAKESIDE PHARMACY..................... (918) 689-9940605 N MAIN • 74432SAVE, 90, eRX

FAIRVIEW

FAIRVIEW RX......................................(580) 227-2045210 E. STATE RD • 73737SAVE, 90, eRX

KIDD DRUGS GIFT INC...................... (580) 227-4685104 N MAIN ST • 73737SAVE, 90, eRX

OLIVER'S EXPRESS PHARMACY..... (580) 227-4000624 N MAIN ST. • 73737SAVE, 90, eRX

FORT GIBSON

VALU-MED PHARMACY.....................(918) 478-30021201 S LEE ST • 74434SAVE, 90, eRX

FREDERICK

FREDERICK PHARMACY INC............(580) 335-55011600 N MAIN ST • 73542SAVE, 90, eRX

GLENPOOL

CURTIN DRUG.................................... (918) 528-600013101 SOUTH ELWOOD • 74033SAVE, 90, eRX

MEDICAP PHARMACY....................... (918) 322-3667262 E 141ST STREET • 7403390, eRX

GORE

GORE GREEN COUNTRY DRUG.......(918) 489-5558305 N MAIN ST • 74435SAVE, 90, eRX

GRANDFIELD

FIKES PHARMACY............................. (580) 479-5696101 E 2ND STREET • 73546SAVE, 90, eRX

GROVE

GROVE DRIVE-IN PHARMACY.......... (918) 786-22681027 S MAIN ST • 74344SAVE, 90, eRX

RX SHOPPE........................................ (918) 786-1092901 S MAIN • 74344SAVE, 90, eRX

WALGREENS # 10643........................ (918) 786-68671119 S MAIN ST • 74344SAVE, 90, eRX

WALMART PHARMACY 10-0090....... (918) 786-44912115 S MAIN ST • 7434490

GUTHRIE

CORNWELL PHARMACY................... (405) 282-7800102 WEST NOBLE AVE • 73044SAVE, 90, eRX

Page 17: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

GUYMON Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

14

MARKS DRUG.....................................(405) 282-2700112 W OKLAHOMA AVE • 73044SAVE, 90, eRX

SPOONFUL PHARMACY....................(405) 282-0661105 E INDUSTRIAL RD STE B • 73044SAVE, 90, eRX

WALGREENS #10916......................... (405) 260-15741621 S DIVISION ST • 73044SAVE, 90, eRX

WALMART PHARMACY 10-0108....... (405) 282-10511608 S DIVISION ST • 7304490

GUYMON

CLINIC PHARMACY............................(580) 338-33391210 N LELIA • 73942SAVE, 90, eRX

PARKVIEW PHARMACY.................... (580) 338-7565115 MEDICAL DR • 73942SAVE, 90, eRX

UNITED DISCOUNT DRUG.................(580) 338-84211902 N ACADEMY • 73942SAVE, 90, eRX

WALMART PHARMACY 10-1437....... (580) 338-13122600 NORTH HIGHWAY 64 • 7394290, eRX

HARRAH

ALLCARE PHARMACY AND GIFTS.. (405) 391-743320914 SE 29TH ST • 73045SAVE, 90, eRX

BESTYET HEALTHMARTPHARMACY.........................................(405) 454-626119671 NE 23RD ST • 73045SAVE, 90, eRX

HARRAH PHARMACY........................ (405) 454-24762060 N CHURCH • 73045SAVE, 90, eRX

HEALDTON

BEAN FAMILY PHARMACY............... (580) 229-114111103 HIGHWAY 76 • 7343890, eRX

HEAVENER

GREENS PRESCRIPTION CENTER...(918) 653-4803101 W AVENUE D • 74937SAVE, 90, eRX

HENNESSEY

HERITAGE PHARMACY II.................. (405) 853-7200529 N MAIN ST • 73742SAVE, 90, eRX

HENRYETTA

HENRYETTA DRUG............................ (918) 652-3361623 W MAIN ST • 74437SAVE, 90, eRX

HOMELAND PHARMACY #495.......... (918) 652-2553310 WEST TRUDGEON STREET • 74437SAVE, 90, eRX

WALMART PHARMACY 10-0247....... (918) 652-9447605 E MAIN ST • 7443790

HINTON

HINTON PHARMACY.......................... (405) 542-6222401 N BROADWAY • 73047SAVE, 90, eRX

HOBART

GRINNELL PRESCRIPTION SHOPINC....................................................... (580) 726-5613304 S BROADWAY • 73651SAVE, 90, eRX

WALMART PHARMACY 10-0607....... (580) 726-2630923 W 11TH ST • 7365190

Page 18: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing JENKS

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

15

HOLDENVILLE

PRUETT'S FOOD-PHARMACY#9.......(405) 379-6331203 E HIGHWAY ST • 74848SAVE, 90, eRX

WALMART PHARMACY 10-0210....... (405) 379-3305500 EAST HIGHWAY 270 • 7484890

HOLLIS

CLINIC PHARMACY............................(580) 688-2247509 E CHESTNUT ST • 73550SAVE, 90, eRX

HOMINY

HOMINY DRUG AND GIFT................. (918) 885-2715104 W MAIN ST • 74035SAVE, 90, eRX

HUGO

CITY DRUG STORE............................ (580) 326-3301116 E DUKE ST • 7474390, eRX

HUGO EXPRESS PHARMACY........... (580) 326-16001200 E JACKSON ST • 74743SAVE, 90, eRX

HUGO FAMILY PHARMACY.............. (580) 326-8337420 E JACKSON ST • 74743SAVE, 90, eRX

PHARMACY.........................................(580) 326-7561410 NORTH M ST • 7474390

WALMART PHARMACY 10-0049....... (580) 326-75411911 E JACKSON ST • 7474390

HULBERT

NEOHEALTH HULBERTPHARMACY.........................................(918) 772-2727131 E. MAIN STREET • 74441SAVE, 90, eRX

HYDRO

DEER CREEK PHARMACY................ (405) 663-4111510 ARAPAHO • 7304890

IDABEL

CHOCTAW NATION HEALTH CLINIC-IDABEL................................................ (580) 286-2600902 LINCOLN RD • 7474590

PALACE DRUG................................... (580) 286-21901200 SE LINCOLN RD • 74745SAVE, 90, eRX

WALMART PHARMACY 10-0038....... (580) 286-33231907 E WASHINGTON ST • 7474590

INOLA

INOLA DRUG.......................................(918) 543-877719 W COMMERCIAL • 74036SAVE, 90, eRX

JAY

COMMUNITY CLINIC.......................... (918) 253-1780859 E. MELTON DRIVE • 7434690, eRX

V AND V DRUG...................................(918) 253-4519453 S MAIN • 74346SAVE, 90, eRX

WALMART PHARMACY 10-0327....... (918) 253-40341107 SOUTH MAIN STREET • 7434690

JENKS

CVS PHARMACY #10214................... (918) 298-4428511 S ELM ST • 7403790, eRX

REASOR'S PHARMACY NO 20..........(918) 299-2684446 S ELM ST • 74037SAVE, 90, eRX

Page 19: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

JONES Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

16

WALGREENS # 09595........................ (918) 298-2691210 S ELM ST • 74037SAVE, 90, eRX

WALMART PHARMACY 10-5336....... (918) 209-701611020 S ELM ST • 7403790

JONES

JONES DRUG STORE........................ (405) 399-2277101 W MAIN ST • 73049SAVE, 90, eRX

KANSAS

KANSAS PHARMACY........................ (918) 868-61621119 E TULSA AVE • 74347SAVE, 90, eRX

KINGFISHER

DENNIS EXPRESS PHARMACY........ (405) 375-54001308 S MAIN • 73750SAVE, 90, eRX

HERITAGE PHARMACY..................... (405) 375-63001309 S MAIN ST • 73750SAVE, 90, eRX

MEDIC PHARMACY AND GIFTS........(405) 375-3202119 W ADMIRE AVE • 73750SAVE, 90, eRX

WALMART PHARMACY 10-0132....... (405) 375-5747200 STARLITE DR • 7375090

KINGSTON

KINGSTON PHARMACY.....................(580) 564-23377 NORTH MAIN ST • 73439SAVE, 90, eRX

KONAWA

CENTRAL OK FAMILY MED CENTERPHARMACY.........................................(580) 925-8911527 W 3RD ST • 74849SAVE, 90, eRX

LANGLEY

LANGLEY DRUG.................................(918) 782-32711631 N THIRD STREET • 74350SAVE, 90, eRX

REASOR'S LLC...................................(918) 782-96191624 N 3RD ST • 74350SAVE, 90, eRX

LAVERNE

MEDIC PHARMACY & GIFTS............. (580) 921-3373102 W JANE JAYROE • 73848SAVE, 90, eRX

LAWTON

ANDERSON PHARMACY ANDACCENTS............................................ (580) 595-95005366 NW CACHE RD • SUITE 1 • 73505SAVE, 90, eRX

CVS PHARMACY #17612................... (508) 354-72752030 NW 82ND STREET • 7350590, eRX

CVS/PHARMACY # 06128.................. (580) 353-19401016 SW LEE BLVD • 7350190, eRX

CVS/PHARMACY # 10520.................. (580) 353-15882107 NW CACHE RD • 7350590, eRX

EASTSIDE PHARMACY......................(580) 355-64003612 SE LEE BLVD • 73501SAVE, 90, eRX

GREAT PLAINS PHARMACY............. (580) 585-54013201 W GORE BLVD • 73505SAVE, 90, eRX

KENS RX............................................. (580) 353-4113802 W GORE BLVD • 73501SAVE, 90, eRX

LAWTON COMMUNITY HEALTHCENTER...............................................(580) 355-52425404 SW LEE BLVD • 73505SAVE, 90, eRX

Page 20: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing MANNFORD

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

17

LAWTON HERITAGE PHARMACY.... (580) 354-986012 NW SHERIDAN RD • 73505SAVE, 90, eRX

LAWTON IHS PHARMACY................. (580) 354-55371515 LAURIE TATUM ROAD • 7350790

MAXOR PHARMACIES....................... (580) 531-5858901 SW GOODYEAR BLVD • 73505S, eRX

SAM'S CLUB PHARMACY 10-8239... (580) 248-3400802 NW SHERIDAN RD • 7350590

SHERIDAN EXPRESS PHARMACY... (580) 248-0300205 SW SHERIDAN RD • 73505SAVE, 90, eRX

WALGREENS # 04703........................ (580) 353-3948701 NW SHERIDAN RD • 73505SAVE, 90, 24HR, eRX

WALGREENS # 06199........................ (580) 536-46216701 NORTHWEST CACHE RD • 73505SAVE, 90, eRX

WALMART PHARMACY 10-0269....... (580) 357-48421002 NW SHERIDAN RD • 7350590

WALMART PHARMACY 10-2984....... (580) 713-77033745 SW LEE BLVD • 7350590

WALMART PHARMACY 10-5071....... (580) 510-03576301 NW QUANNAH PARKER TRL • 7350590

WEST END DRUG...............................(580) 536-11337210 NW CACHE RD • 73505SAVE, 90, eRX

LEEDEY

LEEDEY DRUG INC............................ (580) 488-3393421 S MAIN • 73654SAVE, 90, eRX

LEXINGTON

WILLIAMS PHARMACY...................... (405) 527-5682700 E BROADWAY • 73051SAVE, 90, eRX

LINDSAY

TABORS DRUG INC........................... (405) 756-4511225 S MAIN ST • 73052SAVE, 90, eRX

WALMART PHARMACY 10-0893....... (405) 756-9591401 LINWOOD PLAZA • 7305290

LOCUST GROVE

BLACK DRUG..................................... (918) 479-5223412 E MAIN ST • 74352SAVE, 90, eRX

WALMART PHARMACY 10-3723....... (918) 479-4815800 E MAIN ST • 7435290, eRX

MADILL

CORNER DRUG LLC.......................... (580) 795-3376100 E MAIN • 73446SAVE, 90, eRX

PHARMACY PLUS INC.......................(580) 795-7322211 S FIRST ST • 73446SAVE, 90, eRX

WALMART PHARMACY 10-1295....... (580) 795-33581100 S 1ST ST • 7344690

MANGUM

PUCKETT DISCOUNT DRUG............. (580) 782-2131101 N LOUIS TITTLE • 73554SAVE, 90, eRX

MANNFORD

CENTER PHARMACY......................... (918) 865-2164124 COONROD AVE • 7404490, eRX

Page 21: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

MARIETTA Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

18

MANNFORD PHARMACY...................(918) 519-7860231 W TROWER BLVD • 74044SAVE, 90, eRX

MARIETTA

MARIETTA PHARMACY..................... (580) 276-5555300 S HWY 77 • 73448SAVE, 90, eRX

MARLOW

MARLOW MEDICINE.......................... (580) 658-6060129 N BROADWAY ST • 73055SAVE, 90, eRX

NEWBERRY EXPRESS PHARMACY.(580) 658-3784801 S BROADWAY • 73055SAVE, 90, eRX

MAYSVILLE

JACKS PHARMACY........................... (405) 867-4427500 WILLIAMS • 73057SAVE, 90, eRX

MCALESTER

CHOCTAW NATION HEALTHSERVICES........................................... (918) 423-84401127 S GEORGE NIGH EXPY • 7450190

CVS/PHARMACY # 10275.................. (918) 302-056621 SOUTH STRONG BLVD • 7450190, eRX

PRUETT'S FOOD-PHARMACY#7.......(918) 423-2980601 E WYANDOTTE • 74501SAVE, 90, eRX

THE MEDICINE SHOPPEPHARMACY.........................................(918) 426-5223622 E WYANDOTTE AVENUE • 74501SAVE, 90, eRX

WALGREENS # 09693........................ (918) 426-76571000 E CARL ALBERT PKWY • 74501SAVE, 90, 24HR, eRX

WALMART PHARMACY 10-0151....... (918) 423-8060432 S GEORGE NIGH EXPY • 7450190

WOODS PHARMACY..........................(918) 423-4333200A SOUTH 3RD STREET • 74501SAVE, 90, eRX

MCLOUD

KICKAPOO TRIBAL PHARMACY...... (405) 964-2081105365 S. HWY 102 • 7485190

MCLOUD PHARMACY........................ (405) 964-3956704 S 8TH STREET • STE B • 74851SAVE, 90, eRX

MEDFORD

HUGHES PHARMACY........................ (580) 395-3116107 E CHEROKEE ST • 73759SAVE, 90, eRX

MEEKER

HEARTLAND PHARMACY................. (405) 279-1043501 W CARL HUBBELL • 74855SAVE, 90, eRX

MIAMI

EXPRESS RX OF MIAMI.....................(918) 542-47951910 N MAIN ST • 74354SAVE, 90, eRX

GLMHC PHARMACY LLC.................. (918) 540-1511111 S TREATY RD STE 142A • 74354eRX

NORTHEASTERN TRIBAL HEALTHSYSTEM...............................................(918) 542-16557600 S HIGHWAY 69A • 7435490

OSBORN DRUGS................................(918) 542-444411 W CENTRAL • 74355SAVE, 90, eRX

WALGREENS # 07889........................ (918) 540-9544910 N MAIN ST • 74354SAVE, 90, eRX

Page 22: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing MOORE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

19

WALMART PHARMACY 10-0028....... (918) 542-84292415 N MAIN ST • 7435490

MIDWEST CITY

BUY FOR LESS PHARMACY #1006.. (405) 737-810010011 SOUTHEAST 15TH STREET • 73130SAVE, 90, eRX

CREST RX PHARMACY..................... (405) 741-4411249 N DOUGLAS BLVD • 73130SAVE, 90, eRX

CVS PHARMACY #02489................... (405) 741-0036100 S DOUGLAS BLVD • 7313090, eRX

CVS PHARMACY #17149................... (405) 455-40017305 SE 29TH ST • 7311090, eRX

CVS/PHARMACY # 06006.................. (405) 737-78866951 SE 15TH ST • 7311090, eRX

MARKS PRESCRIPTION SHOP......... (405) 737-34517201 E RENO • 73110SAVE, 90, eRX

VALU-MED PHARMACY.....................(405) 741-12001212-A S DOUGLAS BLVD • 73130SAVE, 90, eRX

WALGREENS # 03645........................ (405) 741-0857101 NORTH MIDWEST BLVD • 73110SAVE, 90, 24HR, eRX

WALGREENS # 05967........................ (405) 737-26371601 S AIR DEPOT BLVD • 73110SAVE, 90, eRX

WALGREENS # 09223........................ (405) 741-29199950 SE 15TH ST • 73130SAVE, 90, eRX

WALMART PHARMACY 10-5863....... (405) 869-00817520 E RENO AVE • 7311090

WILSON PHARMACY......................... (405) 737-3464911 S AIR DEPOT BLVD • 73110SAVE, 90, eRX

MOORE

CVS PHARMACY #17607................... (405) 378-5495720 SW 19TH ST • 7316090, eRX

CVS/PHARMACY # 06021.................. (405) 794-1539800 SE 4TH ST • 7316090, eRX

CVS/PHARMACY # 08314.................. (405) 794-30011040 SW 19TH ST • 7316090, eRX

LEONS MEDICAL CLINICPHARMACY.........................................(405) 794-3565322 N SERVICE RD • 73160SAVE, 90, eRX

MEDS AND MOORE............................(405) 735-51601280 N EASTERN AVE, SUITE F • 73160SAVE, 90, eRX

MOORE RX..........................................(405) 735-51012018 S I-35 SERVICE RD • 73160SAVE, 90, eRX

SAM'S CLUB PHARMACY 10-6779... (405) 300-60271705 SOUTH BROADWAY AVENUE • 7316090

WALGREENS # 03786........................ (405) 799-22441201 NW 12TH ST • 73170SAVE, 90, eRX

WALGREENS # 05738........................ (405) 793-11201229 N EASTERN AVE • 73160SAVE, 90, eRX

WALGREENS # 09375........................ (405) 793-18031041 SW 19TH ST • 73160SAVE, 90, eRX

WALMART PHARMACY 10-0277....... (405) 799-9581501 SW 19TH STREET • 7316090

Page 23: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

MOORELAND Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

20

WALMART PHARMACY 10-2393....... (405) 794-3581640 SE 4TH STREET • 7316090

MOORELAND

WESTERN DRUG #7...........................(580) 994-5988417 SW 7TH ST STE 2 • 73852SAVE, 90, eRX

MOUNDS

APOTHECARY PHARMACY...............(918) 827-63011419 COMMERCIAL AVE • 74047SAVE, 90, eRX

MULDROW

BROADWAY CORNER DRUG............(918) 427-1985101 E SHAWNTEL SMITH BLVD • 74948eRX

MULDROW PHARMACY.....................(918) 427-3243710 E SHAWNTEL SMITH BLVD • 74948SAVE, 90, eRX

MUSKOGEE

CVS PHARMACY #10437................... (918) 683-1570304 N YORK ST • 7440390, eRX

ECONOMY PHARMACY..................... (918) 682-77653414 W OKMULGEE ST • 74401SAVE, 90, eRX

ECONOMY PHARMACY EAST...........(918) 682-2418412 N YORK ST • 74403SAVE, 90, eRX

GADDYS DISCOUNT DRUG...............(918) 682-55841126 W BROADWAY ST • 74401SAVE, 90, eRX

HUNTERS GREEN COUNTRY PHARMACYLLC.......................................................(918) 913-3652619 N MAIN • 74401eRX

PINNACLE ONCOLOGY OKLAHOMAPC.........................................................(918) 683-2000301 N 32ND ST • 74401SAVE, 90, eRX

THREE RIVERS HEALTH CENTER....(918) 781-65751001 S. 41ST ST. EAST • 7440390, eRX

WALGREENS # 05529........................ (918) 681-49102330 CHANDLER RD • 74403SAVE, 90, eRX

WALGREENS # 10223........................ (918) 687-1319100 N 32ND ST • 74401SAVE, 90, eRX

WALMART PHARMACY 10-0130....... (918) 687-12311000 W SHAWNEE ST • 7440190

MUSKOQEE

ERNIES PHARMACY AND WELLNESS CENTERINC....................................................... (918) 683-0611410 SOUTH 32ND STREET • 74401SAVE, 90, eRX

MUSTANG

CVS/PHARMACY # 06235.................. (405) 376-3340106 W STATE HIGHWAY 152 • 7306490, eRX

MUSTANG DRUG................................(405) 256-0555103 E STATE HIGHWAY 152 • 73064SAVE, 90, eRX

VITAL SYSTEMS OF OK INC............. (405) 376-99801218 E HIGHLINE LN • 73064

WALGREENS # 07222........................ (405) 376-3751112 E STATE HIGHWAY 152 • 73064SAVE, 90, eRX

WALMART PHARMACY 10-0517....... (405) 376-4525951 E STATE HIGHWAY 152 • 7306490

Page 24: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing NORMAN

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

21

NEWCASTLE

WALGREENS #10957......................... (405) 387-50063232 TRI CITY DR • 73065SAVE, 90, eRX

WALMART PHARMACY 10-1056....... (405) 387-34043300 TRI CITY DR • 7306590

NEWKIRK

KANZA PHARMACY........................... (580) 362-24493151 E RIVER RD • 7464790, eRX

NEWKIRK PHARMACY...................... (580) 362-2556716 S HIGHWAY 77 • SUITE A • 74647SAVE, 90, eRX

NICOMA PARK

WESTMINSTER FAMILY DRUG......... (405) 769-858510911 NE 23RD • 73066SAVE, 90, eRX

NOBLE

NOBLE PHARMACY........................... (405) 872-5531125 S MAIN ST • 73068SAVE, 90, eRX

NORMAN

AST. LITTLE AXE HEALTH CTRPHARMACY.........................................(405) 292-953015951 LITTLE AXE DRIVE • 7302690, eRX

CENTRAL PHARMACY...................... (405) 321-2838222 ALAMEDA ST • 73069SAVE, 90, eRX

CHARLES B GODDARD HEALTH CENTERPHARMACY.........................................(405) 325-5165620 ELM AVE • 7306990, eRX

CVS PHARMACY #02271................... (405) 307-88243501 36TH AVE NW • 7307290, eRX

CVS PHARMACY #06024................... (405) 321-02261100 E LINDSEY ST • 7307190, eRX

CVS PHARMACY #17297................... (405) 253-30011400 24TH AVE NW • 7306990, eRX

CVS/PHARMACY # 06165.................. (405) 360-54063651 W ROBINSON ST • 7307290, eRX

CVS/PHARMACY # 06228.................. (405) 321-7106700 W MAIN ST • 7306990, eRX

CYBER. PHARMACY.......................... (405) 321-53002600 TECHNOLOGY PLACE • 73071eRX

DAVE'S HEALTHMART PHARMACYINC....................................................... (405) 360-8882329 N PORTER AVE • 73071SAVE, 90, eRX

DOCTORS PARK PHARMACY...........(405) 364-5020500 E ROBINSON ST • SUITE 200 • 73071SAVE, 90, eRX

HAC, INC............................................. (405) 447-00411251 ALAMEDA ST • 73071SAVE, 90, eRX

HAC, INC............................................. (405) 360-97012600 W ROBINSON ST • 73069SAVE, 90, eRX

HOMELAND PHARMACY #200.......... (405) 364-39001724 W LINDSEY ST • 73069SAVE, 90, eRX

INTEGRIS PHARMACY 4172..............(405) 573-5479700 24TH AVE NW STE 102 • 73069SAVE, 90, eRX

J&M DRUG @ CREST NORMAN....... (405) 809-81452550 MOUNT WILLIAMS DR. • 73069SAVE, 90, eRX

Page 25: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

NOWATA Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

22

KEN'S DISCOUNT A WALGREENSPHARMAC........................................... (405) 321-1445808 N PORTER AVE • 73071SAVE, 90, eRX

PHYSICIANS AND SURGEONSPHARMACY.........................................(405) 364-5222900 N PORTER • SUITE 101 • 73071SAVE, 90, eRX

PRESCRIPTION CARE PHARMACY..(405) 928-8985800 W ROCK CREEK RD STE 117 • 73069eRX

SAMS PHARMACY 10-4761............... (405) 307-83693400 WEST MAIN STREET • 7307290

SOONER PHARMACY........................ (405) 329-60011811 W LINDSAY STREET • 73069SAVE, 90, eRX

SOVEREIGN PHARMACYSOLUTIONS.........................................(405) 322-68682080 W STATE HIGHWAY 9 • 73072SAVE, 90, eRX

THUNDER DISCOUNT DRUG LLC.....(405) 212-31772296 W MAIN ST • 73069SAVE, 90, eRX

WALGREENS # 03647........................ (405) 329-2314100 12TH AVE NE • 73071SAVE, 90, eRX

WALGREENS # 06477........................ (405) 573-5019615 W MAIN ST • 73069SAVE, 90, 24HR, eRX

WALMART PHARMACY 10-0212....... (405) 329-5761333 N INTERSTATE DR • 7306990

WALMART PHARMACY 10-2734....... (405) 579-5208601 12TH AVENUE N.E. • 7307190

WALMART PHARMACY 10-5805....... (405) 515-72863571 W. ROCK CREEK • 7306990

WALMART PHARMACY 10-7294....... (405) 515-70233651 CLASSEN BLVD • 7307190

WALMART PHARMACY 10-7308....... (405) 515-74232551 CLASSEN BLVD • 7307190

NOWATA

CITY HEALTHMART DRUG................(918) 273-3825128 E CHEROKEE • 74048SAVE, 90, eRX

REIDS DISCOUNT PHARMACY......... (918) 273-0433206 S ASH ST • 74048SAVE, 90, eRX

WILL ROGERS HEALTH CENTER.....(918) 273-75741020 LENAPE DR • 7404890, eRX

OCHELATA

PHARMACY.........................................(918) 535-6061395200 WEST 2900 ROAD • 7405190, eRX

OK CITY

SAMS PHARMACY 10-4731............... (405) 773-36169000 NW PASSAGE • 7313290

OKARCHE

KRITTENBRINK PHARMACY.............(405) 263-4433315 KANSAS AVE • 73762SAVE, 90, eRX

OKEENE

LUCKIE DRUG.................................... (580) 822-3789116 N MAIN ST • 73763SAVE, 90, eRX

OKEMAH

OKEMAH COMMUNITY CLINIC......... (918) 623-14241800 E COPLIN ST • 7485990, eRX

Page 26: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing OKLAHOMA CITY

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

23

OKEMAH PHARMACY........................(918) 623-2510106 S WOODY GUTHRIE • 74859SAVE, 90, eRX

OKLAHOMA CITY

ACCREDO HEALTH GROUP INC...... (405) 942-39614901 W RENO AVE STE 950 • 73127S, eRX

AFFORDABLE PHARMACY............... (405) 636-40912636 SW 28TH ST • 73108SAVE, 90, eRX

ASBURY PHARMACY........................ (405) 843-66913401 N. MAY SUITE B • 73112SAVE, 90, eRX

BOBS PHARMACY............................. (405) 631-8174210 SW 89TH ST • 73139SAVE, 90, eRX

BRIOVARX INFUSION SERVICES 301,L.P........................................................ (405) 848-03387512 NORTH BROADWAY • SUITE 308 • 7311690, eRX

BUY FOR LESS PHARMACY............. (405) 946-63863501 NW EXPRESSWAY • 73112SAVE, 90, eRX

CHRIS' EXPRESS DRUG....................(405) 735-395012032 S WESTERN AVE • 73170SAVE, 90, eRX

CLYDE PHARMACY........................... (405) 470-70087158 NW 112TH ST • 73162SAVE, 90, eRX

COMMUNITY A WALGREENS PHARMACY#16515..................................................(405) 842-8492519 NW 23RD ST STE 109 • 73103SAVE, 90, eRX

CORAM CVS/SPECIALTY INFUSIONSERVICES........................................... (405) 495-22735924 NW 2ND ST STE 100 • STE 100 • 73127S

COSTCO PHARMACY #1350............. (405) 832-511213200 N WESTERN AVE • 7311490, eRX

CREST RX........................................... (405) 378-717110601 S MAY AVE, SUITE 11 • 73170SAVE, 90, eRX

CVS PHARMACY #06230................... (405) 843-1501715 NW 50TH ST • 7311890, eRX

CVS PHARMACY #11092................... (405) 341-175215103 N MACARTHUR BLVD • 7301390, eRX

CVS PHARMACY #16007................... (405) 945-83755400 N MAY AVE • 7311290, eRX

CVS PHARMACY #16736................... (405) 752-051113924 N PENNSYLVANIA AVE • 7313490, eRX

CVS PHARMACY #16980................... (405) 506-60878315 N ROCKWELL AVE • 7313290, eRX

CVS/PHARMACY # 03883.................. (405) 691-11489000 SOUTH MAY AVE • 7315990, eRX

CVS/PHARMACY # 04319.................. (405) 728-13927925 NW EXPRESSWAY • 7313290, eRX

CVS/PHARMACY # 05959.................. (405) 682-1651900 SW 44TH ST • 7310990, 24HR, eRX

CVS/PHARMACY # 06009.................. (405) 947-67435025 N MAY AVE • 7311290, eRX

CVS/PHARMACY # 06010.................. (405) 521-09962412 N CLASSEN BLVD • 7310690, eRX

Page 27: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

OKLAHOMA CITY Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

24

CVS/PHARMACY # 06016.................. (405) 691-66209001 S WESTERN AVE • 7313990, eRX

CVS/PHARMACY # 06022.................. (405) 755-289212301 N MAY AVE • 7312090, 24HR, eRX

CVS/PHARMACY # 06072.................. (405) 728-808110800 N ROCKWELL AVE • 7316290, eRX

CVS/PHARMACY # 06226.................. (405) 424-05572323 N MARTIN LUTHER KING AVE • 7311190, eRX

CVS/PHARMACY # 06231.................. (405) 947-55054500 NW 23RD ST • 7312790, eRX

CVS/PHARMACY # 06236.................. (405) 691-10412100 SW 119TH ST • 7317090, eRX

EPIC PHARMACY............................... (405) 724-78522249 NW 39TH ST • 73112SAVE, 90, eRX

EXCHANGE PHARMACY................... (405) 235-42422300 EXCHANGE • 73108SAVE, 90, eRX

FAMILY HEALTH PHARMACY...........(405) 692-337010021 S WESTERN AVE • 73139SAVE, 90, eRX

FAMILY MEDICINE PHARMACY........(405) 271-2333900 NE 10TH ST • SUITE 1101 • 73104SAVE, 90, eRX

FLOURISH PHARMACY..................... (405) 751-333314720 N PENNSYLVANIA AVE • 73134SAVE, 90, eRX

HAC, INC............................................. (405) 524-77411108 NW 18TH ST • 73106SAVE, 90, eRX

HAC, INC............................................. (405) 751-71199225 NORTH MAY AVENUE • 73120SAVE, 90, eRX

HOMELAND PHARMACY #195.......... (405) 682-61914301 SOUTH MAY AVENUE • 73119SAVE, 90, eRX

HOMELAND PHARMACY #235.......... (405) 720-93037001 NW 122ND ST • 73142SAVE, 90, eRX

HOPE PHARMACY, LLC.................... (405) 510-38906100 S WALKER AVE • 73139eRX

HUNTERS PRECISION RX................. (405) 418-29295401 N PORTLAND AVE STE 280 • 73112eRX

INTEGRIS PHARMACY 4176..............(405) 951-23453300 NW EXPRESSWAY STE 1D1191 • 73112SAVE, 90, eRX

INTEGRIS PHARMACY 4177..............(405) 231-04004401 S WESTERN AVE STE 1F181 • 73109SAVE, 90, eRX

INTEGRIS PHARMACY 4185..............(405) 636-77174221 S WESTERN AVE • STE 1020 • 73109SAVE, 90, eRX

INTEGRIS PHARMACY 4188..............(405) 773-23005915 W MEMORIAL RD STE 110 • 73142SAVE, 90, eRX

INTEGRIS PHARMACY 4190..............(405) 945-44003433 NW 56TH ST STE 140B • 73112SAVE, 90, eRX

JIMMY EVEREST CANCER CENTERPHARMACY.........................................(405) 271-10471200 CHILDRENS AVE STE 7303 • 73104SAVE, 90, eRX

JIMS COMMUNITY PHARMACY........ (405) 605-0346908 STRAKA TERRACE • 73139SAVE, 90, eRX

Page 28: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing OKLAHOMA CITY

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

25

JIMS TOWER PHARMACY................. (405) 631-96251044 SW 44TH • STE 103 • 73109SAVE, 90, eRX

MCBRIDE ORTHOPEDIC HOSPITALPHARMACY.........................................(405) 486-21859600 N BROADWAY EXTENSION • 73114SAVE, 90, eRX

MEDIC PHARMACY HEFNERPOINTE................................................ (405) 755-392111101 HEFNER POINTE DR • STE 101 • 73120SAVE, 90, eRX

MERCY PHARMACY TOWER OKC... (405) 752-35904200 W MEMORIAL RD • SUITE 106 • 73120SAVE, 90, eRX

MERCY SPECIALTY PHARMACY OKLAHOMACITY..................................................... (405) 486-87274401 MCAULEY BLVD • 73120SAVE, 90, eRX

NEIGHBORHOOD PHARMACY..........(405) 604-80103122 N MAY AVE • 73112SAVE, 90, eRX

NICHOLS HILLS DRUG...................... (405) 843-95017538 BERKLEY AVENUE • 73116SAVE, 90, eRX

OKLAHOMA CITY INDIAN CLINICPHARMACY.........................................(405) 948-49004913 W RENO • 7312790

OMNICARE OF OKLAHOMA CITY.....(405) 524-55114141 HIGHLINE BLVD • STE 100 • 73108eRX

OPTIONONE, LLC...............................(405) 548-484814000 N PORTLAND AVE STE 205 • 73134SAVE, 90

OU CHILDREN'S PHARMACY........... (405) 271-21561200 N CHILDREN'S AVE STE 2A • 73104SAVE, 90, eRX

OU PHARMACISTS CARE CENTER..(405) 271-6446825 NE 10TH ST • NUMBER 2200 • 73104SAVE, 90, eRX

PHARMACY SOLUTIONS, LLC..........(405) 948-46024350 WILL ROGERS PKWY • STE 200 • 73108eRX

PHARMCARE OK INC........................ (405) 787-39396000 NW 2ND ST STE 200 • 7312724HR, eRX

PHARMORE SPECIALTYPHARMACY.........................................(405) 604-68613330 NW 56TH STREET • SUITE 100 • 73112SAVE, 90, eRX

PREFERRED RX, LLC........................ (405) 609-19111111 N LEE AVE STE 105 • 73103SAVE, 90, eRX

PRIME RX PHARMACY...................... (405) 632-05191024 SW 44TH ST STE 700 • 73109SAVE, 90, eRX

RED ROCK PHARMACY.................... (405) 425-04644400 N LINCOLN BLVD • 73105eRX

ROBERT REYNOLDS MD PC.............(405) 752-087113301 N MERIDIAN AVENUE STE 501 • 73120SAVE, 90, eRX

RX PRESCRIPTION SHOP................. (405) 634-14156517 S WESTERN AVE • 73139SAVE, 90, eRX

SAM'S CLUB PHARMACY 10-7189... (405) 200-03634101 N MAY AVE • 7311290

SAMS PHARMACY 10-8117............... (405) 748-65211900 WEST MEMORIAL ROAD • 7313490

SAMS PHARMACY 10-8241............... (405) 737-74576521 SE 29TH STREET • 7311090

Page 29: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

OKLAHOMA CITY Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

26

SAMS PHARMACY 10-8289............... (405) 946-78475510 SW 5TH ST • 7312890

SPECIALTY PHARMACY................... (405) 749-06005401 N PORTLAND AVE STE 250 • 73112SAVE, 90, eRX

SSM HEALTH PHARMACY................ (405) 815-5655608 NW 9TH ST STE 3200 • 7310290, eRX

STEPHENSON SPECIALTYPHARMACY.........................................(405) 271-1488800 NE 10TH ST • 73104SAVE, 90, eRX

TAYLOR DRUG LTC........................... (405) 616-194111317 S WESTERN AVE • STE 200 • 73170eRX

THE MEDICINE CABINET...................(405) 232-0707211 N ROBINSON AVE STE 150-S • 73102SAVE, 90, eRX

THRIFTY PHARMACY........................ (405) 751-285210904 L NORTH MAY AVE • 73120SAVE, 90, eRX

UNITED DISCOUNT PHARMACY.......(405) 947-68285420 N PORTLAND • 73112SAVE, 90, eRX

VARIETY CARE PHARMACY............. (405) 629-52811025 STRAKA TERRACE • 73139SAVE, 90, eRX

VARIETY CARE PHARMACY............. (405) 605-03165320 N PORTLAND AVE • 73112SAVE, 90, eRX

VARIETY CARE PHARMACY............. (405) 629-5223500 SW 44TH ST • 73109SAVE, 90, eRX

VARIETY CARE PHARMACY #721.... (405) 607-5757721 W BRITTON RD • 73114SAVE, 90, eRX

WAL-MART PHARMACY 10-5314......(405) 632-37424420 SOUTH WESTERN AVENUE • 7310990

WALGREENS # 02543........................ (405) 521-09242345 N CLASSEN BLVD • 73106SAVE, 90, eRX

WALGREENS # 03642........................ (405) 631-35614500 S SHIELDS BLVD • 73129SAVE, 90, eRX

WALGREENS # 03643........................ (405) 692-18829011 S PENNSYLVANIA AVE • 73159SAVE, 90, 24HR, eRX

WALGREENS # 03668........................ (405) 773-07117101 W HEFNER RD • 73162SAVE, 90, 24HR, eRX

WALGREENS # 04011........................ (405) 631-92942835 SW 29TH STREET • 73119SAVE, 90, eRX

WALGREENS # 04098........................ (405) 942-24715120 N MAY AVE • 73112SAVE, 90, 24HR, eRX

WALGREENS # 04111........................ (405) 751-193812240 N MAY AVE • 73120SAVE, 90, 24HR, eRX

WALGREENS # 04603........................ (405) 681-14196000 S PENNSYLVANIA AVE • 73159SAVE, 90, eRX

WALGREENS # 04895........................ (405) 943-93612400 N MAY AVE • 73107SAVE, 90, eRX

WALGREENS # 05740........................ (405) 773-50697930 NW EXPRESSWAY • 73132SAVE, 90, eRX

WALGREENS # 06109........................ (405) 692-34321640 SW 119TH ST • 73170SAVE, 90, eRX

Page 30: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing OKMULGEE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

27

WALGREENS # 06834........................ (405) 943-98994400 NW 23RD ST • 73107SAVE, 90, eRX

WALGREENS # 09582........................ (405) 769-27128917 NE 23RD ST • 73141SAVE, 90, eRX

WALGREENS #11095......................... (405) 722-13565901 NW 122ND ST • 73142SAVE, 90, eRX

WALMART PHARMACY 10-0564....... (405) 491-04826100 WEST RENO AVE • 7312790

WALMART PHARMACY 10-0622....... (405) 721-72607800 NW EXPRESSWAY • 7313290

WALMART PHARMACY 10-0743....... (405) 631-2207100 E I 240 SERVICE RD • 7314990

WALMART PHARMACY 10-1626....... (405) 752-28882000 W MEMORIAL ROAD • 7313490

WALMART PHARMACY 10-2394....... (405) 684-97641500 SW 59TH ST • 7311990

WALMART PHARMACY 10-2804....... (405) 841-65161801 BELLE ISLE BLVD • 7311890

WALMART PHARMACY 10-2877....... (405) 773-347811101 NORTH ROCKWELL AVE • 7316290

WALMART PHARMACY 10-2878....... (405) 692-3866911 SW 104TH ST • 7313990

WALMART PHARMACY 10-3202....... (405) 458-62604900 S SOONER RD • 7313590

WALMART PHARMACY 10-3327....... (405) 300-64402900 SW 134TH ST • 7317090, eRX

WALMART PHARMACY 10-3430....... (405) 769-31939011 NE 23RD ST • 7314190

WALMART PHARMACY 10-3615....... (405) 521-08042217 NORTHWEST 23RD STREET • 7310790

WALMART PHARMACY 10-5323....... (405) 300-641813505 S SANTE FE AVE • 7317090

WALMART PHARMACY 10-7326....... (405) 300-65723301 SW 104TH ST • 7315990

23RD STREET PHARMACY............... (405) 602-64422316 NW 23RD ST • 7310790, eRX

OKMULGEE

M & D STAR DRUG............................ (918) 756-1322108 S MORTON • 74447SAVE, 90, eRX

OKMULGEE DISCOUNTPHARMACY.........................................(918) 756-12231160 S BELMONT • 74447SAVE, 90, eRX

OKMULGEE INDIAN HEALTHCENTER...............................................(918) 756-02061313 E 20TH ST • 7444790, eRX

WALGREENS #10836......................... (918) 756-24831403 S WOOD DR • 74447SAVE, 90, eRX

WALMART PHARMACY 10-0121....... (918) 756-35451800 SOUTH WOOD DRIVE • 7444790

Page 31: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

OOLOGAH Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

28

OOLOGAH

TRUMMEL DRUG STORE.................. (918) 443-2414459 S ELM ST • 74053SAVE, 90, eRX

OWASSO

CVS PHARMACY #17182................... (918) 401-80019010 N 121ST EAST AVE • 7405590, eRX

CVS/PHARMACY #02324................... (918) 272-237612902 E 96TH ST N • 7405590, 24HR, eRX

MEDICAP PHARMACY....................... (918) 274-1737130 S MAIN ST • 7405590, eRX

OWASSO DRUG................................. (918) 272-288112802 E 86TH ST N • 74055SAVE, 90, eRX

REASOR'S LLC...................................(918) 371-645511550 N 135TH EAST AVE • 74055SAVE, 90, eRX

REASOR'S LLC...................................(918) 272-303011815 E 86TH ST N • 74055SAVE, 90, eRX

SAM'S PHARMACY #10-6238............ (918) 212-704112905 E 96TH ST N • 7405590

WALGREENS # 02361........................ (918) 272-746712802 E 96TH ST NORTH • 74055SAVE, 90, 24HR, eRX

WALGREENS #15762......................... (918) 272-959511650 E 86TH ST N • 74055SAVE, 90, eRX

WALMART PHARMACY 10-0168....... (918) 272-113412101 E 96TH ST N • 7405590

WALMART PHARMACY 10-4585....... (918) 371-358411551 N 129TH EAST AVE • 7405590

WALMART PHARMACY 10-5840....... (918) 274-123312912 E 86TH ST NORTH • 7405590

PAULS VALLEY

HOMELAND PHARMACY #178.......... (405) 238-7505505 S CHICKASAW ST • 73075SAVE, 90, eRX

LEGACY DRUG...................................(405) 238-3305111 WEST GRANT AVE • 73075SAVE, 90, eRX

REAVIS DRUG.................................... (405) 238-7391110 A BURR AVE • 73075SAVE, 90, eRX

REAVIS SPECIALTY PHARMACY..... (405) 238-2755110 BURR AVE STE A • 73075eRX

WALMART PHARMACY 10-1043....... (405) 238-75252008 W GRANT AVE • 7307590

PAWHUSKA

WAH-ZHA-ZHI HEALTH CENTER...... (918) 287-9373715 GRANDVIEW AVE • 7405690

WEIGANTS PHARMACY.................... (918) 287-1317714 KIHEKAH • 74056SAVE, 90, eRX

PAWNEE

PAWNEE HILLCREST PHARMACY...(918) 762-3666539 6TH ST • 74058SAVE, 90, eRX

PAWNEE IHS PHARMACY................. (918) 762-25171201 HERITAGE CIRCLE • 7405890

PERKINS

PERKINS DRUG..................................(405) 547-2414820 N MAIN ST • 74059SAVE, 90, eRX

Page 32: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing PRYOR

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

29

PERKINS FAMILY CLINICPHARMACY.........................................(405) 547-2473509 E HIGHWAY 33 • 7405990, eRX

PERRY

FOSTER CORNER DRUG INC........... (580) 336-2136328 6TH ST • 73077SAVE, 90, eRX

PERRY PHARMACY........................... (580) 336-4474800 FIR AVE • 73077SAVE, 90, eRX

PIEDMONT

PIEDMONT PHARMACY AND GIFTS (405) 373-309097 GOODER SIMPSON BLVD • 73078SAVE, 90, eRX

PONCA CITY

BINTZ PHARMACY............................. (580) 765-30552701 N 14TH ST • 74601eRX

BINTZ PHARMACY, INC.....................(580) 765-30552701 N 14TH STREET • 74601SAVE, 90, eRX

FAMILY DISCOUNT PHARMACY.......(580) 762-6335310 FAIRVIEW • 74601SAVE, 90, eRX

PYRAMID PHARMACY #68................ (580) 762-74442005 N 14TH ST STE 110 • 74601SAVE, 90, eRX

TONIS WESTSIDE REXALL INC........ (580) 765-4456301 W GRAND AVE • 74601SAVE, 90, eRX

WALGREENS # 07698........................ (580) 767-15842300 N 14TH ST • 74601SAVE, 90

WALMART PHARMACY 10-0823....... (580) 765-01521101 E PROSPECT AVE • 7460190

WHITE EAGLE INDIAN HEALTH CENTERPHARMACY.........................................(580) 765-2501200 WHITE EAGLE DR • 7460190, eRX

POTEAU

BENZER PHARMACY......................... (918) 647-2113219 DEWEY AVENUE • 74953SAVE, 90, eRX

CHOCTAW NATION INDIANHEALTH............................................... (918) 649-1100109 KERR AVE • 7495390

D & D PHARMACY..............................(918) 647-31371940 N BROADWAY • 74953SAVE, 90, eRX

HOMETOWN DRUG COMPANY, LLC(918) 647-2349307 N BROADWAY • 74953SAVE, 90, eRX

PRICE CUTTER PHARMACY............. (918) 647-95312219 N BROADWAY ST • 74953SAVE, 90, eRX

WALMART PHARMACY 10-0031....... (918) 647-26413108 N BROADWAY ST • 7495390

PRAGUE

BEACHLER'S PHARMACY................ (405) 567-40001000 W MAIN ST • 74864SAVE, 90, eRX

PRAGUE PHARMACY........................ (405) 567-43221020 W MAIN ST • 74864SAVE, 90, eRX

PRYOR

BEGGS PHARMACY...........................(918) 825-3059200 S ADAIR ST • 7436190, eRX

ELLIOTT PLAZA PHARMACY............(918) 825-2225510 S ELLIOTT • 74361SAVE, 90, eRX

Page 33: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

PURCELL Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

30

THE CROSS PHARMACY...................(918) 824-13001101 NE 1ST ST • 74361SAVE, 90, eRX

WALGREENS #15763......................... (918) 825-5303591 SOUTH MILL STREET • 74361SAVE, 90, eRX

WALMART PHARMACY 10-0022....... (918) 825-36634901 S MILL ST • 7436190

PURCELL

PURCELL INDIAN HEALTH CLINIC...(580) 272-57101438 HARDCASTLE BLVD • 7308090, eRX

TURNER DRUG...................................(405) 527-21071300 N GREEN AVE • 73080SAVE, 90, eRX

UNITED DISCOUNT DRUG.................(405) 527-59001602 N GREEN AVE • 73080SAVE, 90, eRX

WALGREENS #13123......................... (405) 527-0251116 N GREEN AVE • 73080SAVE, 90

WALMART PHARMACY 10-0139....... (405) 527-73962015 S GREEN AVE • 7308090

RINGLING

MOORE DRUG INC............................. (580) 662-2366101 W MAIN • 73456SAVE, 90, eRX

ROLAND

JOHNNY'S HOMETOWNPHARMACY.........................................(918) 427-0400303 E RAY FINE BLVD • 74954SAVE, 90, eRX

SALINA

CHEROKEE NATION.......................... (918) 434-8500900 N OWEN WALTERS BLVD • 7436590, eRX

SALLISAW

CLIFS PHARMACY............................. (918) 776-0100505 E REDWOOD • 74955SAVE, 90, eRX

REDBIRD SMITH HEALTH CTRPHAR................................................... (918) 774-1422301 S JT STITES ST • 7495590, eRX

SALLISAW PHARMACY..................... (918) 775-44511212A E CHEROKEE • 7495590, eRX

SEQUOYAH COUNTY DRUGCOMPANY........................................... (918) 744-08891632 S KERR BLVD • 74955SAVE, 90, eRX

WALMART PHARMACY 10-0047....... (918) 775-55521101 WEST RUTH AVE • 7495590

SAND SPRINGS

CVS PHARMACY #10065................... (918) 246-9570251 S HIGHWAY 97 • 7406390, eRX

DBA; SPOON DRUG 2........................(918) 245-73733801 S STATE HWY 97 • 74063SAVE, 90, eRX

REASOR'S PHARMACY #21.............. (918) 246-72023825 S HIGHWAY 97 • 74063SAVE, 90, eRX

SPOON DRUGS INC........................... (918) 245-9693540 PLAZA CT • 74063SAVE, 90, eRX

TRIBEX LTC, LLC............................... (855) 444-5387207 W. 1ST ST. • 7406324HR, eRX

WALGREENS # 07857........................ (918) 246-0510405 E 2ND ST • 74063SAVE, 90, eRX

Page 34: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing SHAWNEE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

31

WALGREENS #15809......................... (918) 245-66614016 S HIGHWAY 97 • 74063SAVE, 90, eRX

WALMART PHARMACY 10-0838....... (918) 245-9523220 S STATE HIGHWAY 97 • 7406390

SAPULPA

MED-WORLD PHARMACY................. (918) 227-201014 S MISSION ST • 74066SAVE, 90, eRX

PILL BOX PHARMACY....................... (918) 512-66351329 S MAIN ST UNIT C • 74066SAVE, 90, eRX

REASOR'S LLC...................................(918) 224-3600132 W. TAFT • 74066SAVE, 90, eRX

SAPULPA DRIVE IN PHARMACYINC....................................................... (918) 224-65581029 E CLEVELAND AVE • 74066SAVE, 90, eRX

SAPULPA INDIAN HEALTH CENTER(918) 224-93101125 E CLEVELAND • 7406690, eRX

TRUWELLNESS RX............................ (918) 216-4628105 E ROSS AVE • 74066SAVE, 90, eRX

WALGREENS # 04723........................ (918) 227-087811 W TAFT AVE • 74066SAVE, 90, eRX

WALGREENS #15810......................... (918) 227-7200950 E TAFT AVE • 74066SAVE, 90

WALMART PHARMACY 10-0073....... (918) 224-28001002 W TAFT AVE • 7406690

WALMART PHARMACY 10-4615....... (918) 299-803012200 S WACO AVE • 7406690

SAYRE

CITY PHARMACY............................... (580) 928-3323414 E WASHINGTON AVENUE • 73662SAVE, 90, eRX

SAYRE PROFESSIONALPHARMACY.........................................(580) 928-36331002 NE HWY 66 STE 1 • 73662SAVE, 90, eRX

SEILING

WESTERN DRUG #5...........................(580) 922-4403908 N.W. HIGHWAY 270 • STE. A • 73663SAVE, 90, eRX

SEMINOLE

HOMELAND PHARMACY #146.......... (405) 382-14671701 N MILT PHILLIPS AVE • 74868SAVE, 90, eRX

SEMINOLE DRUG INC........................(405) 382-54201717 N MILT PHILLIPS AVE • 74868SAVE, 90, eRX

WALMART PHARMACY 10-0123....... (405) 382-02011500 E WRANGLER BLVD • 7486890

SHATTUCK

MEDIC PHARMACY & GIFTS............. (580) 938-2854522 S MAIN ST • 73858SAVE, 90, eRX

SHAWNEE

ABSENTEE SHAWNEE PHARMACY.(405) 878-58592029 S GORDON COOPER DR • 7480190, eRX

CITIZEN POTAWATOMI NATION.......(405) 273-52362307 S GORGON COOPER DR • 74801

CPN MAIL ORDER PHARMACY........ (405) 273-52362307 S GORDON COOPER DR STE A • 7480190

CVS/PHARMACY # 06142.................. (405) 878-02444500 N KICKAPOO AVE • 7480490, eRX

Page 35: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

SKIATOOK Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

32

ERIC'S PHARMACY............................(405) 275-96403306 N KICKAPOO AVE • 74804SAVE, 90, eRX

HARRISON DISCOUNT PHARMACY.(405) 273-99061442 N HARRISON ST • 74801SAVE, 90, eRX

PHARM. SHAWNEE LLC....................(405) 273-73601006 N HARRISON • 74801SAVE, 90, eRX

RICHARDS DRUG INC........................(405) 273-7810324 E MAIN ST • 74801SAVE, 90, eRX

THE CLINIC PHARMACY................... (405) 273-94173210 KETHLEY RD • 74804SAVE, 90, eRX

WALGREENS...................................... (405) 273-85201427 N HARRISON AVE • 74801SAVE, 90, eRX

WALGREENS #11811......................... (405) 878-1437600 SHAWNEE MALL DR • 74804SAVE, 90

WALMART PHARMACY 10-0103....... (405) 878-0281196 SHAWNEE MALL DRIVE • 7480490

SKIATOOK

KENDALL DRUG.................................(918) 396-2411222 E ROGERS BLVD • 74070SAVE, 90, eRX

WALMART PHARMACY 10-0246....... (918) 396-3194700 WEST ROGERS BLVD • 7407090

SPIRO

SULLINS DRUGS................................ (918) 962-2131213 W. BROADWAY • 74959eRX

SULLINS DRUGS................................ (918) 962-2131213 W BROADWAY • 74959SAVE, 90, eRX

STIGLER

CHOCTAW NATION HEALTH CLINIC-STIGLER.............................................. (918) 967-92002204 E MAIN ST • 7446290

HEADS PHARMACY........................... (918) 967-8877501 NW H ST • 74462SAVE, 90, eRX

HOOVER DRUG.................................. (918) 967-83211505 E MAIN ST UNIT C • 74462SAVE, 90, eRX

WALMART PHARMACY 10-0276....... (918) 967-33691312 E MAIN ST • 7446290

STILLWATER

ALANS PHARMACY........................... (405) 372-33311721 W 6TH AVE • 74074SAVE, 90, eRX

CENTRAL DRUG.................................(405) 372-61201220 W 12TH AVE • 74074eRX

CENTRAL DRUG.................................(405) 372-61201220 W 12TH AVE • 74074SAVE, 90, eRX

CHARLIES DISCOUNT DRUG INC.....(405) 624-3535723 S WALNUT ST • 74074SAVE, 90, eRX

CVS/PHARMACY # 10101.................. (405) 707-0287101 E HALL OF FAME AVE • 7407590, eRX

OSU STUDENT HEALTH CENTER.... (405) 744-70251202 W FARM RD • 74078SAVE, 90, eRX

PYRAMID PHARMACY #69................ (405) 743-1080421 N MAIN ST • 74075SAVE, 90, eRX

Page 36: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing TAHLEQUAH

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

33

RAZOOK'S DRUG............................... (405) 377-44451518 W 9TH AVE • 74074SAVE, 90, eRX

TIGER DRUG CO................................ (405) 372-7900825 S WALNUT ST • 74074SAVE, 90, eRX

WALGREENS # 05530........................ (405) 377-0349519 S MAIN ST • 74074SAVE, 90, eRX

WALMART PHARMACY 10-0137....... (405) 372-9186111 NORTH PERKINS ROAD • 7407590

WALMART PHARMACY 10-4241....... (405) 707-07564545 WEST 6TH AVE • 7407490

WALMART PHARMACY 10-5364....... (405) 564-71152315 N PERKINS RD • 7407590, eRX

STILWELL

STILWELL PHARMACY......................(918) 696-2500202 S 2ND ST • 74960SAVE, 90, eRX

WALMART PHARMACY 10-0081....... (918) 696-3186RR 6 1895 • 7496090

WILMA P MANKILLER HEALTH CTR(918) 696-8821RR 6 BX 840 • 7496090, eRX

STRATFORD

BAYLESS DRUG.................................(580) 759-2312120 W MAIN • 74872SAVE, 90, eRX

STROUD

BLACK HAWK HEALTH CENTER..... (918) 968-9531356110 E 930 RD • 7407990

STROUD DRUG...................................(918) 968-2323406 W MAIN • 74079SAVE, 90, eRX

SULPHUR

HOBBS PHARMACY...........................(580) 622-3131420 W BROADWAY AVE • 73086SAVE, 90, eRX

SOONER PHARMACY OF OKLAHOMALLC.......................................................(580) 622-2200815 W BROADWAY ST • 73086SAVE, 90, eRX

WALMART PHARMACY 10-0225....... (580) 622-61812705 W BROADWAY AVE • 7308690

TAHLEQUAH

CHEROKEE HILLS PHARMACY........ (918) 456-25311607 S MUSKOGEE AVE • STE D • 74464SAVE, 90, eRX

CHEROKEE NATION W. W. HASTINGS URGENTCARE................................................... (918) 772-4754100 S BLISS AVE • 7446490, eRX

DBA; COX DRUG A WALGREENSPHARMACY.........................................(918) 456-22331301 E DOWNING ST • 74464SAVE, 90

REASOR'S LLC...................................(918) 456-61032001 S MUSKOGEE AVE • 74464SAVE, 90, eRX

TAHLEQUAH DRUG COMPANY........ (918) 431-05552028 MAHANEY AVE • 74464SAVE, 90, eRX

TMC PHARMACY................................(918) 456-06941500 E DOWNING • STE 106 • 74464SAVE, 90, eRX

W.W. HASTINGS INDIAN HOSPITAL.(918) 458-3105100 SOUTH BLISS AVENUE • 7446490, eRX

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Blue Cross Medicare Advantage’s Network Pharmacies

TALIHINA Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

34

WALGREENS #10785......................... (918) 458-42831909 S MUSKOGEE AVE • 74464SAVE, 90, eRX

WALMART PHARMACY 10-0010....... (918) 456-24372020 S MUSKOGEE AVE • 7446490

TALIHINA

CHOCTAW NATION HEALTH CARE. (918) 567-7000ONE CHOCTAW WAY • 7457190, 24HR

LAWSON PHARMACY........................(918) 567-3111301 2ND ST • 74571SAVE, 90, eRX

TECUMSEH

RALPHS PHARMACY INC..................(405) 598-3729211 N BROADWAY ST • 74873SAVE, 90, eRX

THACKERVILLE

THACKERVILLE PHARMACY............ (580) 276-516111530 RIDGE RD STE 1 • 73459SAVE, 90, eRX

THE VILLAGE

CVS/PHARMACY # 06004.................. (405) 751-35539401 N PENNSYLVANIA PL • 7312090, eRX

UPTOWN GROCERY COPHARMACY.........................................(405) 286-90809515 N MAY AVE • 73120SAVE, 90, eRX

WALGREENS # 04784........................ (405) 842-07452100 W BRITTON RD • 73120SAVE, 90, eRX

WALMART PHARMACY 10-5286....... (405) 840-21059320 NORTH PENN AVENUE • 7312090

THOMAS

THOMAS DRUG & VARIETYCENTER...............................................(580) 661-3545145 W BROADWAY • 73669SAVE, 90, eRX

TISHOMINGO

CHICKASAW NATION TISHOMINGO HEALTHCLINI.................................................... (580) 371-2392817 E 6TH ST • 7346090

FAMILY HEALTH CENTER OF SOUTHERNOKLAHOMA PHARMACY...................(580) 371-0203610 E 24TH ST. • 73460SAVE, 90, eRX

GENE LAFITTE PHARMACY..............(580) 371-2355140 E MAIN ST • 73460SAVE, 90, eRX

SOONER PHARMACY OFTISHOMINGO...................................... (580) 371-9509101 S BYRD ST • 73460SAVE, 90, eRX

TULSA

ACT PHARMACY................................ (918) 493-18007010 S YALE AVE STE 215 • 74136SAVE, 90, eRX

AMERITA............................................. (918) 493-272712515 E. 55TH ST. • 7414690, eRX

BOOMER SOLUTIONS OF TULSA.... (866) 237-82175415 S 125TH EAST AVE STE 201-203 • 74146eRX

C F SOLUTIONS INC.......................... (918) 610-07727471 E 46TH PL • 74145SAVE, 90, eRX

CAREFIRST - GETMAN PHARMACY (918) 728-64202516 E 15TH ST • 74104SAVE, 90, eRX

Page 38: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing TULSA

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

35

CAREFIRST PHARMACY................... (918) 940-67676214 S SHERIDAN RD • 74133SAVE, 90, eRX

CENTRAL RX PHARMACY................ (918) 494-92916585 S YALE AVE STE 200 • 74136SAVE, 90, eRX

COMMUNITY HEALTH CONNECTIONPHARMACY.........................................(918) 710-44002321 E 3RD ST • 74104SAVE, 90, eRX

COMMUNITY, A WALGREENS PHARMACY#16556..................................................(918) 877-03371611 E 15TH ST • 74120SAVE, 90, eRX

COSTCO PHARMACY #1207............. (918) 498-701110220 S MEMORIAL DR • 7413390, eRX

COUCH PHARMACY ON SHERIDAN (918) 835-9577444 S SHERIDAN RD • 74112SAVE, 90, eRX

CVS PHARMACY #02478................... (918) 836-17156342 E ADMIRAL PL • 7411590, eRX

CVS PHARMACY #07972................... (918) 747-66904107 S HARVARD AVE • 7413590, eRX

CVS PHARMACY #08263................... (918) 749-54382110 S HARVARD AVE • 7411490, eRX

CVS PHARMACY #10175................... (918) 494-56479122 S YALE AVE • 7413790, eRX

CVS PHARMACY #10976................... (918) 743-63831701 E 15TH ST • 7410490, 24HR, eRX

CVS PHARMACY #16004................... (918) 293-01961701 S YALE AVE • 7411290, eRX

CVS PHARMACY #16906................... (918) 307-817810711 E 71ST ST • 7413390, eRX

CVS PHARMACY #17421................... (918) 877-16217437 S OLYMPIA AVE • 7413290, eRX

CVS PHARMACY #17567................... (918) 615-500110019 S MEMORIAL DR • 7413390, eRX

CVS/PHARMACY # 07971.................. (918) 369-491110101 S. MEMORIAL DR. • 7413390, eRX

CVS/PHARMACY # 08986.................. (918) 477-71857041 S YALE AVE • 7413690, 24HR, eRX

CVS/PHARMACY # 10012.................. (918) 622-356311223 E 31ST ST • 7414690, eRX

CVS/PHARMACY # 10273.................. (918) 270-14388010 E 51ST ST • 7414590, eRX

CVS/PHARMACY # 10561.................. (918) 742-16436116 S LEWIS AVE • 7413690, eRX

ECONOMY PHARMACY EXPRESS... (918) 615-338810120 EAST 91ST • 74133SAVE, 90, eRX

ECONOMY PHARMACY ST.FRANCIS..............................................(918) 491-10046585 S YALE AVE STE 102 • 74136SAVE, 90, eRX

FAMILY AND CHILDRENSSERVICES........................................... (918) 712-34072325 S HARVARD • STE 400 • 74114eRX

FREELAND BROWN PHARMACY..... (918) 743-44914112 S PEORIA AVE • 74105SAVE, 90, eRX

Page 39: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

TULSA Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

36

FREELAND BROWN PHARMACY NO.3............................................................(918) 986-86444227 SOUTHWEST BLVD • CRYSTAL CITYSHOPPING CENTER • 74107SAVE, 90, eRX

HARVARD FAMILY PHYSICIANSPHARMACY.........................................(918) 728-76547912 E 31ST CT STE 130 • 74145SAVE, 90, eRX

INDIAN HEALTH CARE RESOURCE. (918) 382-1267550 S PEORIA • 74120

INSYNC RX..........................................(918) 582-75006310 E 102ND ST • 74137SAVE, 90, eRX

MORTON HEALTH CENTERPHARMACY.........................................(918) 295-61331334 N LANSING AVE • 7410690, eRX

OCS PHARMACY................................(918) 505-325212697 E 51ST ST • 74146SAVE, 90, eRX

OLYMPIA PHARMACY....................... (918) 513-32346802 S OLYMPIA AVE • STE 125 • 74132SAVE, 90, eRX

OMNI PHARMACY.............................. (918) 994-55558066 S. MEMORIAL DR. • 74133SAVE, 90, eRX

OMNICARE OF TULSA.......................(918) 622-80705460 S 103RD EAST AVE • 73146eRX

OU CLINIC PHARMACY..................... (918) 619-49904444 E 41ST ST • 74135SAVE, 90, eRX

PHARMACY AND NUTRITIONSHOPPE...............................................(918) 286-537010109 E 79TH ST S • 74133SAVE, 90, eRX

PROFESSIONAL PHARMACY........... (918) 748-76991919 S WHEELING AVE STE 106 • 74104SAVE, 90, eRX

PROVIDENCE RX................................(918) 392-33667302 S. YALE AVE, SUITE 101 • 74136SAVE, 90, eRX

QUALITY FIRST PHARMACY............ (918) 585-3069115 W 3RD ST STE 820 • 74103eRX

REASOR'S LLC...................................(918) 270-70604909 E 41ST ST • 74135SAVE, 90, eRX

REASOR'S LLC...................................(918) 748-83502429 E 15TH ST • 74104SAVE, 90, eRX

REASOR'S LLC...................................(918) 293-22561885 S YALE AVE • 74112SAVE, 90, eRX

REASOR'S LLC...................................(918) 610-324511005 E 41ST STREET • 74146SAVE, 90, eRX

REASOR'S PHARMACY #25.............. (918) 747-97403915 S PEORIA • 74105SAVE, 90, eRX

REASOR'S PHARMACY NO 7............(918) 481-00007114 S SHERIDAN RD • 74133SAVE, 90, eRX

ROWLAND PHARMACY..................... (918) 236-46681725 E 19TH STREET • SUITE 103 • 74104SAVE, 90, eRX

SAINT FRANCIS ONCOLOGYPHARMACY.........................................(918) 556-712511212 E 48TH ST • 74146SAVE, 90, eRX

SAINT FRANCIS OUTPATIENTPHARMACY.........................................(918) 502-73556161 S YALE AVE • B LEVEL, BLUE NORTH •74136SAVE, 90, eRX

Page 40: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing TULSA

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

37

SAINT FRANCIS WARREN CLINIC TOWERPHARMACY.........................................(918) 488-66606600 S YALE AVE STE 110 • 74136SAVE, 90, eRX

SAMS PHARMACY 10-4839............... (918) 877-45927757 S OLYMPIA AVE • 7413290

SAMS PHARMACY 10-6342............... (918) 294-91006922 S MINGO ROAD • 7413390

SAMS PHARMACY 10-8263............... (918) 610-02704420 SOUTH SHERIDAN ROAD • 7414590

TRB DRUGRY..................................... (918) 743-66233404 S YALE AVE • 74135SAVE, 90, eRX

WALGREENS # 03018........................ (918) 742-10583112 S HARVARD AVE • 74135SAVE, 90, 24HR, eRX

WALGREENS # 03037........................ (918) 622-968411332 EAST 31ST ST • 74146SAVE, 90, 24HR, eRX

WALGREENS # 03038........................ (918) 747-64291440 SOUTH LEWIS AVE • 74104SAVE, 90, 24HR, eRX

WALGREENS # 03039........................ (918) 834-05826415 EAST PINE ST • 74115SAVE, 90, eRX

WALGREENS # 03051........................ (918) 492-37359106 S SHERIDAN RD • 74133SAVE, 90, 24HR, eRX

WALGREENS # 03052........................ (918) 622-51842115 S MEMORIAL DR • 74129SAVE, 90, eRX

WALGREENS # 03258........................ (918) 663-45784971 S MEMORIAL DR • 74145SAVE, 90, eRX

WALGREENS # 03771........................ (918) 481-06667111 S LEWIS AVE • 74136SAVE, 90, 24HR, eRX

WALGREENS # 05421........................ (918) 583-75931438 N LEWIS AVE • 74110SAVE, 90, eRX

WALGREENS # 06268........................ (918) 425-57164561 N PEORIA AVE • 74106SAVE, 90, eRX

WALGREENS # 06973........................ (918) 477-78828102 S YALE AVE • 74137SAVE, 90, eRX

WALGREENS # 07135........................ (918) 298-246710018 S YALE AVE • 74137SAVE, 90, eRX

WALGREENS # 07503........................ (918) 834-28641424 S YALE AVE • 74112SAVE, 90, eRX

WALGREENS # 07858........................ (918) 747-88415104 S LEWIS AVE • 74105SAVE, 90, eRX

WALGREENS #15770......................... (918) 437-96771150 SOUTH GARNETT ROAD • 74128SAVE, 90, eRX

WALGREENS #15772......................... (918) 582-13752323 WEST EDISON ST • 74127SAVE, 90, eRX

WALGREENS #15773......................... (918) 384-02603063 S SHERIDAN RD • 74129SAVE, 90, eRX

WALGREENS #15776......................... (918) 446-35414423 SOUTHWEST BLVD • 74107SAVE, 90, eRX

WALGREENS #15777......................... (918) 494-40406040 SOUTH YALE AVE • 74135SAVE, 90

Page 41: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

TUTTLE Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

38

WALGREENS #15778......................... (918) 833-51806336 EAST 4TH PLACE • 74112SAVE, 90, eRX

WALGREENS #15780......................... (918) 749-46015115 S PEORIA AVE • 74105SAVE, 90, eRX

WALGREENS #15782......................... (918) 743-99681714 UTICA SQUARE • 74114SAVE, 90, 24HR, eRX

WALGREENS #15811......................... (918) 627-64645046 SOUTH SHERIDAN ROAD • 74145SAVE, 90, eRX

WALGREENS #15812......................... (918) 492-36506505 EAST 71ST STREET • 74133SAVE, 90, eRX

WALGREENS #16026......................... (918) 585-1957717 S HOUSTON AVE • STE 103 • 74127SAVE, 90, eRX

WALGREENS #21242......................... (505) 341-47391145 S UTICA AVE • STE G-1 • 74104SAVE, 90, eRX

WALMART PHARMACY 10-0576....... (918) 838-2937207 S MEMORIAL DRIVE • 7411290

WALMART PHARMACY 10-0894....... (918) 294-97006625 S MEMORIAL DRIVE • 7413390

WALMART PHARMACY 10-0992....... (918) 496-00532019 E 81ST ST • 7413790

WALMART PHARMACY 10-1597....... (918) 394-407510938 S. MEMORIAL DR. • 7413390

WALMART PHARMACY 10-2395....... (918) 299-57649411 SO DELAWARE AVE • 7413790

WALMART PHARMACY 10-2880....... (918) 524-16926606 E 81ST ST • 7413390

WALMART PHARMACY 10-3340....... (918) 392-70254720 EAST 21ST STREET • 7411490

WALMART PHARMACY 10-3457....... (918) 622-79233116 SOUTH GARNETT ROAD • 7414690

WALMART PHARMACY 10-5093....... (918) 749-16074404 S PEORIA AVE • 7410590

WALMART PHARMACY 10-6170....... (918) 984-62913139 S HARVARD AVE • 7413590

WESTVIEW PHARMACY.................... (918) 425-13853606 N MARTIN LUTHER KING JR. BLVD • 74106SAVE, 90, eRX

TUTTLE

CEDAR SPRINGS PHARMACY..........(405) 381-44255310 E HWY 37 • 73089SAVE, 90, eRX

ONESOURCE PHARMACY 4HE.........(405) 689-5800100 DON WILLIAMS AVENUE • STE 100 • 7308990, eRX

VALLIANT

PRUETTS FOOD-PHARMACY........... (580) 584-6056202 CHAPPELL DR • 74764SAVE, 90, eRX

VIAN

VIAN PHARMACY............................... (918) 773-811110 THORTON ST • 74962SAVE, 90, eRX

VICI

WESTERN DRUG #3...........................(580) 995-3500202 E. BROADWAY • 73859SAVE, 90, eRX

Page 42: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing WEATHERFORD

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

39

VINITA

OSBORN DRUGS................................(918) 256-6459207 W ILLINOIS • 74301SAVE, 90, eRX

V & V DRUG........................................ (918) 256-2541201 N SCRAPER STREET • 74301SAVE, 90, eRX

VINITA HEALTH CENTERPHARMACY.........................................(918) 256-484827371 S 4410 RD • 7430190, eRX

WALMART PHARMACY 10-0050....... (918) 256-6435268 SO 7TH ST • 7430190

WAGONER

OWL DRUG AND THE GIFT HOUSE..(918) 485-2722418 W CHEROKEE • 74467SAVE, 90, eRX

ROGERS DRUG COMPANY............... (918) 485-2317326 E CHEROKEE ST • 74467SAVE, 90, eRX

WALGREENS #11559......................... (918) 485-66881305 W CHEROKEE ST • 74467SAVE, 90, eRX

WALMART PHARMACY 10-0063....... (918) 485-4581410 S DEWEY AVE • 7446790

WALTERS

COTTON COUNTY DRUG.................. (580) 875-6161619 E MISSOURI ST • 73572SAVE, 90, eRX

WARNER

WARNER FAMILY PHARMACY......... (918) 463-5444806 CAMPBELL RD • UNIT B • 74469SAVE, 90, eRX

WARR ACRES

CVS PHARMACY #06003................... (405) 789-01014026 N MACARTHUR BLVD • 7312290, eRX

CVS/PHARMACY # 06020.................. (405) 721-89475903 NW EXPRESSWAY • 7313290, eRX

REVAN RX...........................................(888) 773-82675601 NW 72ND STREET • SUITE 242 • 73132SAVE, 90, eRX

WALGREENS # 03718........................ (405) 728-83966350 N MACARTHUR BLVD • 73122SAVE, 90, eRX

WALGREENS # 04673........................ (405) 495-82585901 NW 39TH ST • 73122SAVE, 90, eRX

WALMART PHARMACY 10-2875....... (405) 495-10406437 N MACARTHUR BLVD • 7313290

WATONGA

CITY PHARMACY............................... (580) 623-4545101 N CLARENCE NASH BLVD • 73772SAVE, 90, eRX

SWANNS PHARMACY........................(580) 623-4505407 W MAIN ST • 73772SAVE, 90, eRX

WATONGA IHS PHARMACY..............(580) 623-4991RT 1 • 7377290

WAURIKA

ECK DRUG AND GIFT........................ (580) 228-2383101 S MAIN ST • 73573SAVE, 90, eRX

WEATHERFORD

EAGLE PHARMACY, LLC.................. (580) 772-33003741 LEGACY • 73096SAVE, 90, eRX

Page 43: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

WELEETKA Oklahoma Pharmacy Listing

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

40

HEALTH EXPRESS PHARMACY....... (580) 774-12001001 N WASHINGTON • 73096SAVE, 90, eRX

MORE THAN MEDICINE..................... (580) 772-2781101 W MAIN • 73096SAVE, 90, eRX

WALGREENS # 07816........................ (580) 772-29561019 E MAIN ST • 73096SAVE, 90, eRX

WALMART PHARMACY 10-0392....... (580) 772-27121349 E EAGLE RD • 7309690

WELEETKA

WELEETKA DRUG..............................(405) 786-2247309 W 9TH STREET • 74880SAVE, 90, eRX

WELLING

LAKE COUNTRY HEALTHCARELLC.......................................................(918) 457-999727753 S WELLING RD • 74471eRX

WESTVILLE

WESTVILLE PRESCRIPTIONCENTER...............................................(918) 723-5466301 S WILLIAMS • 74965SAVE, 90, eRX

WETUMKA

EAST CENTRAL OKLAHOMA FAMILY HEALTHCENTER, INC. PHARMACY................(405) 452-5400109 S MAIN ST • 74883SAVE, 90, eRX

WETUMKA INDIAN HEALTHCENTER...............................................(405) 452-1313325 S WASHITA ST • 7488390, eRX

WEWOKA

NORMAN DRUG COMPANY.............. (405) 257-5461109 N WEWOKA • 74884SAVE, 90, eRX

WEWOKA IHS PHARMACY............... (405) 257-6281INTERSECTION OF HWY 56 AND 270 • 7488490

WILBURTON

MAIN STREET DRUG......................... (918) 465-9300225 W MAIN ST • STE 1 • 74578eRX

MAIN STREET DRUG......................... (918) 465-9300225 W MAIN • 74578SAVE, 90, eRX

ROYS DISCOUNT PHARMACY LLC..(918) 465-0111621 HWY 2 N • 74578SAVE, 90, eRX

WOODWARD

HOMELAND PHARMACY HAC-INC...(580) 254-34112821 8TH ST • 73801SAVE, 90, eRX

MICKS FAMILY PHARMACY INC.......(580) 254-35042116 OKLAHOMA AVE • 73801SAVE, 90, eRX

RANDYS PHARMACY INC................. (580) 256-66001310 MAIN ST • 73801SAVE, 90, eRX

WALGREENS # 09735........................ (580) 254-2142901 OKLAHOMA AVE • 73801SAVE, 90, eRX

WALMART PHARMACY 10-0150....... (580) 256-00973215 WILLIAMS AVENUE • 7380190

WESTERN DRUG #2...........................(580) 256-55861003 17TH ST • 73801SAVE, 90, eRX

Page 44: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing YUKON (NE)

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

41

WYANDOTTE

BEARSKIN HEALTH CLINICPHARMACY.........................................(918) 678-32471 TURTLE DR • 7437090

WYNNEWOOD

CRESCENT DRUG AND APOTH INCPC.........................................................(405) 665-4115116 S DEAN A MCGEE AVE • 73098SAVE, 90, eRX

DAVIDS PHARMACY.......................... (405) 665-42251300 E KERR BLVD • 73098SAVE, 90, eRX

YALE

YALE DRUG........................................ (918) 387-4183121 N MAIN ST • 74085SAVE, 90, eRX

YUKON

CONRAD MARR DRUG...................... (405) 354-2582948 S YUKON PKWY • 73099SAVE, 90, eRX

CVS PHARMACY #08312................... (405) 324-8170201 S MUSTANG RD • 7309990, eRX

CVS PHARMACY #17513................... (405) 494-31801700 GARTH BROOKS BLVD • 7309990, eRX

CVS/PHARMACY # 06232.................. (405) 354-4869110 W VANDAMENT AVE • 7309990, eRX

HOMELAND PHARMACY #236.......... (405) 354-74492400 CORNWELL DR • 73099SAVE, 90, eRX

INTEGRIS PHARMACY 4174..............(405) 717-53301205 HEALTH CENTER PKWY STE 115 • 73099SAVE, 90, eRX

MILLER DRUG.................................... (405) 373-171711101 SURREY HILLS BLVD • 73099SAVE, 90, eRX

UNITED PHARMACY.......................... (405) 354-5233901 S CORNWELL • 73099SAVE, 90, eRX

WALGREENS # 04066........................ (405) 350-12511099 GARTH BROOKS BLVD • 73099SAVE, 90, 24HR, eRX

WALMART PHARMACY 10-0221....... (405) 350-05001200 GARTH BROOKS BLVD • 7309990

WEST POINTE PHARMACY............... (405) 256-6653520 S MUSTANG RD • 73099SAVE, 90

YUKON (NE)

WALMART PHARMACY 10-3637....... (405) 577-00511001 E MAIN ST • 7309990

Page 45: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Long Term Care Pharmacies

For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.

For more information, please see your Evidence of Coverage.

42

ADA APOTHECARY........................... (580) 332-20001201B ARLINGTON ST • ADA • 74820

ANDERSON PHARMACY ANDACCENTS............................................ (580) 595-95005366 NW CACHE RD • SUITE 1 • LAWTON • 73505

BAKER EXPRESS PHARMACY......... (580) 255-37843344 N HIGHWAY 81 • DUNCAN • 73533

BAKER PHARMACY INC....................(918) 225-22001022 E CHERRY ST • CUSHING • 74023

BESTYET HEALTHMARTPHARMACY.........................................(405) 454-626119671 NE 23RD ST • HARRAH • 73045

BINTZ PHARMACY............................. (580) 765-30552701 N 14TH ST • PONCA CITY • 74601

BINTZ PHARMACY, INC.....................(580) 765-30552701 N 14TH STREET • PONCA CITY • 74601

BOOMER SOLUTIONS....................... (877) 774-3706310 S 1ST ST • EUFAULA • 74432

BOOMER SOLUTIONS OF TULSA.... (866) 237-82175415 S 125TH EAST AVE STE 201-203 • TULSA •74146

BOULEVARD PHARMACY................. (918) 336-21401117 E FRANK PHILLIPS BLVD • BARTLESVILLE •74003

BROADWAY PHARMACY.................. (580) 477-0800601 E BROADWAY ST • ALTUS • 73521

BROKEN ARROW FAMILY DRUG..... (918) 451-37843359 S ELM PLACE • BROKEN ARROW • 74012

BROWN'S PHARMACY AND GIFTS.. (580) 279-14161800 ARLINGTON ST • ADA • 74820

BUFFALO PHARMACY MGMT. INC.. (580) 735-2161506 NORTH HOY • BUFFALO • 73834

CANADIAN VALLEY PHARMACY..... (405) 262-41541605 W ELM ST • EL RENO • 73036

CENTRAL DRUG.................................(405) 372-61201220 W 12TH AVE • STILLWATER • 74074

CHARLIES DISCOUNT DRUG INC.....(405) 624-3535723 S WALNUT ST • STILLWATER • 74074

CITY DRUG OF DAVIS, OKLA., INC.. (580) 369-2831218 E MAIN ST • DAVIS • 73030

CITY HEALTHMART DRUG................(918) 273-3825128 E CHEROKEE • NOWATA • 74048

CLAYTON PHARMACY...................... (918) 569-4884536 N LAWSON BLVD • CLAYTON • 74536

CLINIC PHARMACY............................(405) 247-30811104 E CENTRAL • SUITE 1 • ANADARKO • 73005

CLINIC PHARMACY............................(580) 832-37141213 N GLENN ENGLISH • CORDELL • 73632

CLINIC PHARMACY............................(405) 341-8490120 N BRYANT AVE STE A2 • EDMOND • 73034

CLINIC PHARMACY............................(580) 338-33391210 N LELIA • GUYMON • 73942

CLINIC PHARMACY............................(580) 688-2247509 E CHESTNUT ST • HOLLIS • 73550

COLLINSVILLE FAMILYPHARMACY.........................................(918) 371-25471205 W MAIN ST, SUITE A • COLLINSVILLE •74021

COMFORT CARE PHARMACY.......... (405) 619-37363001 S MANSFIELD • DEL CITY • 73115

CONRAD MARR DRUG...................... (405) 354-2582948 S YUKON PKWY • YUKON • 73099

CORNER DRUG LLC.......................... (580) 795-3376100 E MAIN • MADILL • 73446

COTTON COUNTY DRUG.................. (580) 875-6161619 E MISSOURI ST • WALTERS • 73572

CUSHING FAMILY PHARMACY.........(918) 225-5200200 S HIGHLAND • CUSHING • 74023

CYBER. PHARMACY.......................... (405) 321-53002600 TECHNOLOGY PLACE • NORMAN • 73071

DAVE'S HEALTHMART PHARMACYINC....................................................... (405) 360-8882329 N PORTER AVE • NORMAN • 73071

Page 46: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Long Term Care Pharmacies

For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.

For more information, please see your Evidence of Coverage.

43

DBA; SPOON DRUG 2........................(918) 245-73733801 S STATE HWY 97 • SAND SPRINGS • 74063

DENNIS EXPRESS PHARMACY........ (405) 375-54001308 S MAIN • KINGFISHER • 73750

EAGLE PHARMACY, LLC.................. (580) 772-33003741 LEGACY • WEATHERFORD • 73096

EASTSIDE PHARMACY......................(580) 355-64003612 SE LEE BLVD • LAWTON • 73501

ECK DRUG AND GIFT........................ (580) 228-2383101 S MAIN ST • WAURIKA • 73573

ECONOMY PHARMACY..................... (918) 682-77653414 W OKMULGEE ST • MUSKOGEE • 74401

ECONOMY PHARMACY EXPRESS... (918) 615-338810120 EAST 91ST • TULSA • 74133

ECONOMY PHARMACY ST.FRANCIS..............................................(918) 491-10046585 S YALE AVE STE 102 • TULSA • 74136

ELLIOTT PLAZA PHARMACY............(918) 825-2225510 S ELLIOTT • PRYOR • 74361

ERIC'S PHARMACY............................(405) 275-96403306 N KICKAPOO AVE • SHAWNEE • 74804

EVANS EXPRESS PHARMACY......... (580) 233-1202110 N OAKWOOD • ENID • 73703

EVETTS DRUG INC............................ (580) 832-3388100 E 1ST ST • CORDELL • 73632

FAIRVIEW RX......................................(580) 227-2045210 E. STATE RD • FAIRVIEW • 73737

FAMILY AND CHILDRENSSERVICES........................................... (918) 712-34072325 S HARVARD • STE 400 • TULSA • 74114

FAMILY DISCOUNT PHARMACY.......(580) 762-6335310 FAIRVIEW • PONCA CITY • 74601

FAMILY PHARMACY.......................... (580) 233-4244915 E GARRIOTT RD • ENID • 73701

FIKES PHARMACY............................. (580) 479-5696101 E 2ND STREET • GRANDFIELD • 73546

FOSTER CORNER DRUG INC........... (580) 336-2136328 6TH ST • PERRY • 73077

FREDERICK PHARMACY INC............(580) 335-55011600 N MAIN ST • FREDERICK • 73542

FREELAND BROWN PHARMACY..... (918) 743-44914112 S PEORIA AVE • TULSA • 74105

GADDYS DISCOUNT DRUG...............(918) 682-55841126 W BROADWAY ST • MUSKOGEE • 74401

GENOA HEALTHCARE, LLC............. (918) 940-67838937 S GARNETT RD STE P • BROKEN ARROW •74012

GLMHC PHARMACY LLC.................. (918) 540-1511111 S TREATY RD STE 142A • MIAMI • 74354

GRANDVIEW PHARMACY................. (580) 225-55501220 W 3RD ST • ELK CITY • 73644

GRINNELL PRESCRIPTION SHOPINC....................................................... (580) 726-5613304 S BROADWAY • HOBART • 73651

HARRISON DISCOUNT PHARMACY.(405) 273-99061442 N HARRISON ST • SHAWNEE • 74801

HEADS PHARMACY........................... (918) 967-8877501 NW H ST • STIGLER • 74462

HEALTH EXPRESS PHARMACY....... (580) 774-12001001 N WASHINGTON • WEATHERFORD • 73096

HENRYETTA DRUG............................ (918) 652-3361623 W MAIN ST • HENRYETTA • 74437

HERITAGE PHARMACY II.................. (405) 853-7200529 N MAIN ST • HENNESSEY • 73742

HINTON PHARMACY.......................... (405) 542-6222401 N BROADWAY • HINTON • 73047

HOLDER DRUG...................................(580) 327-3332513 BARNES • ALVA • 73717

HOMETOWN DRUG COMPANY, LLC(918) 647-2349307 N BROADWAY • POTEAU • 74953

HOPE PHARMACY, LLC.................... (405) 510-38906100 S WALKER AVE • OKLAHOMA CITY • 73139

Page 47: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Long Term Care Pharmacies

For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.

For more information, please see your Evidence of Coverage.

44

HUGO EXPRESS PHARMACY........... (580) 326-16001200 E JACKSON ST • HUGO • 74743

HUNTERS GREEN COUNTRY PHARMACYLLC.......................................................(918) 913-3652619 N MAIN • MUSKOGEE • 74401

HUNTERS PRECISION RX................. (405) 418-29295401 N PORTLAND AVE STE 280 • OKLAHOMACITY • 73112

INOLA DRUG.......................................(918) 543-877719 W COMMERCIAL • INOLA • 74036

J&J PHARMACY & GIFTS..................(918) 341-1184977 W WILL ROGERS BLVD • CLAREMORE •74017

KENS RX............................................. (580) 353-4113802 W GORE BLVD • LAWTON • 73501

KIDD DRUGS GIFT INC...................... (580) 227-4685104 N MAIN ST • FAIRVIEW • 73737

LAKE COUNTRY HEALTHCARELLC.......................................................(918) 457-999727753 S WELLING RD • WELLING • 74471

LAWSON PHARMACY........................(918) 567-3111301 2ND ST • TALIHINA • 74571

LAWTON HERITAGE PHARMACY.... (580) 354-986012 NW SHERIDAN RD • LAWTON • 73505

LIBERTY DRUG.................................. (580) 654-111115 W MAIN ST • CARNEGIE • 73015

LIBERTY DRUG INC........................... (405) 224-1204315 CHICKASHA AVE • CHICKASHA • 73018

LOVELLS PHARMACY INC................ (405) 247-3348602 W CENTRAL • ANADARKO • 73005

LUCKIE DRUG.................................... (580) 822-3789116 N MAIN ST • OKEENE • 73763

M & D STAR DRUG............................ (918) 756-1322108 S MORTON • OKMULGEE • 74447

MAIN STREET DRUG......................... (918) 465-9300225 W MAIN ST • STE 1 • WILBURTON • 74578

MAIN STREET DRUG......................... (918) 465-9300225 W MAIN • WILBURTON • 74578

MED-WORLD PHARMACY................. (918) 227-201014 S MISSION ST • SAPULPA • 74066

MEDIC PHARMACY & GIFTS............. (580) 938-2854522 S MAIN ST • SHATTUCK • 73858

MEDIC PHARMACY AND GIFTS........(405) 375-3202119 W ADMIRE AVE • KINGFISHER • 73750

MEDIC PHARMACY HEFNERPOINTE................................................ (405) 755-392111101 HEFNER POINTE DR • STE 101 •OKLAHOMA CITY • 73120

MEDICAL CENTER PHARMACY INC (580) 924-74251026 RADIO RD • DURANT • 74701

MORE THAN MEDICINE..................... (580) 772-2781101 W MAIN • WEATHERFORD • 73096

NEW SPRING PHARMACY................ (918) 251-6655511 S ASPEN AVE • BROKEN ARROW • 74012

NEWBERRY EXPRESS PHARMACY.(580) 658-3784801 S BROADWAY • MARLOW • 73055

NOBLE PHARMACY........................... (405) 872-5531125 S MAIN ST • NOBLE • 73068

NORMAN DRUG COMPANY.............. (405) 257-5461109 N WEWOKA • WEWOKA • 74884

OMNICARE OF OKLAHOMA CITY.....(405) 524-55114141 HIGHLINE BLVD • STE 100 • OKLAHOMACITY • 73108

OMNICARE OF TULSA.......................(918) 622-80705460 S 103RD EAST AVE • TULSA • 73146

OSBORN DRUGS................................(918) 542-444411 W CENTRAL • MIAMI • 74355

OSBORN DRUGS................................(918) 256-6459207 W ILLINOIS • VINITA • 74301

PALACE DRUG STORE......................(918) 358-2524301 N BROADWAY ST • CLEVELAND • 74020

PALACE DRUG STORE......................(580) 927-2064104 W OHIO AVE • COALGATE • 74538

Page 48: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Long Term Care Pharmacies

For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.

For more information, please see your Evidence of Coverage.

45

PARKVIEW PHARMACY.................... (580) 338-7565115 MEDICAL DR • GUYMON • 73942

PAUL JONES DRUG...........................(580) 225-3263105 N MAIN ST • ELK CITY • 73644

PAWNEE HILLCREST PHARMACY...(918) 762-3666539 6TH ST • PAWNEE • 74058

PERKINS DRUG..................................(405) 547-2414820 N MAIN ST • PERKINS • 74059

PERRY PHARMACY........................... (580) 336-4474800 FIR AVE • PERRY • 73077

PHARMACY PLUS INC.......................(580) 795-7322211 S FIRST ST • MADILL • 73446

PHARMACY SOLUTIONS, LLC..........(405) 948-46024350 WILL ROGERS PKWY • STE 200 •OKLAHOMA CITY • 73108

PHARMCARE OK INC........................ (405) 787-39396000 NW 2ND ST STE 200 • OKLAHOMA CITY •73127

PHARMCARE OK OF TULSA.............(918) 379-04042760 S HWY 167 • CATOOSA • 74015

PHARMCAREOK OF DURANT INC... (580) 920-2211102 WALDRON DRIVE • DURANT • 74701

PHARMCAREOK OF ENID INC.......... (580) 242-52521119A E OWEN GARRIOTT RD • ENID • 73701

PHARMCAREOK OF HYDRO INC......(405) 663-4111510 S ARAPAHO AVE • HYDRO • 73048

PHARMERICA..................................... (405) 681-20324425 SW 21ST ST • OKLAHOMA CITY • 73108

PIEDMONT PHARMACY AND GIFTS (405) 373-309097 GOODER SIMPSON BLVD • PIEDMONT • 73078

PILL BOX PHARMACY....................... (918) 512-66351329 S MAIN ST UNIT C • SAPULPA • 74066

PRESCRIPTION CARE PHARMACY..(405) 928-8985800 W ROCK CREEK RD STE 117 • NORMAN •73069

PRIME RX PHARMACY...................... (405) 632-05191024 SW 44TH ST STE 700 • OKLAHOMA CITY •73109

QUALITY FIRST PHARMACY............ (918) 585-3069115 W 3RD ST STE 820 • TULSA • 74103

R&S DRUG #2..................................... (580) 255-9648821 W MAIN ST APT # 201 • DUNCAN • 73533

R&S DRUG #3..................................... (580) 252-01403117 N HIGHWAY 81 • DUNCAN • 73533

RAZOOK'S DRUG............................... (405) 377-44451518 W 9TH AVE • STILLWATER • 74074

REAVIS DRUG.................................... (405) 238-7391110 A BURR AVE • PAULS VALLEY • 73075

REAVIS SPECIALTY PHARMACY..... (405) 238-2755110 BURR AVE STE A • PAULS VALLEY • 73075

RED ROCK PHARMACY.................... (405) 425-04644400 N LINCOLN BLVD • OKLAHOMA CITY • 73105

REIDS DISCOUNT PHARMACY......... (918) 273-0433206 S ASH ST • NOWATA • 74048

REMEDI SENIORCARE OFOKLAHOMA........................................ (877) 927-87134243 WILL ROGERS PKWY • OKLAHOMA CITY •73108

REXCO DRUG..................................... (580) 477-03812101 N MAIN ST • ALTUS • 73521

RICHARDS DRUG INC........................(405) 273-7810324 E MAIN ST • SHAWNEE • 74801

RITTER EXPRESS PHARMACY.........(580) 889-3353744 S MISSISSIPPI • ATOKA • 74525

ROYS DISCOUNT PHARMACY LLC..(918) 465-0111621 HWY 2 N • WILBURTON • 74578

S & D DRUG........................................(580) 323-2020915 FRISCO AVE • CLINTON • 73601

SALISBURY PHARMACY................... (580) 323-1244815 FRISCO AVE • CLINTON • 73601

SCHEFFE PRESCRIPTION SHOP......(580) 233-2152127 E RANDOLPH ST • ENID • 73701

Page 49: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Long Term Care Pharmacies

For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.

For more information, please see your Evidence of Coverage.

46

SCHEFFE PRESCRIPTION SHOPWEST................................................... (580) 242-37841925 W OWEN K GARRIOTT RD • ENID • 73703

SEMINOLE DRUG INC........................(405) 382-54201717 N MILT PHILLIPS AVE • SEMINOLE • 74868

SHERILLS PHARMACY AND GIFTS..(580) 584-3353101 MAIN ST • BROKEN BOW • 74728

SIMPSON PHARMACY....................... (580) 584-2850802 NORTH PARK DRIVE • BROKEN BOW • 74728

SMITH DRUG.......................................(580) 596-2411121 S GRAND • CHEROKEE • 73728

SOONER PHARMACY OFTISHOMINGO...................................... (580) 371-9509101 S BYRD ST • TISHOMINGO • 73460

SPOON DRUGS INC........................... (918) 245-9693540 PLAZA CT • SAND SPRINGS • 74063

STAR MEDICAL CENTERPHARMACY.........................................(580) 255-71652120 WEST ELK AVENUE • SUITE 10 • DUNCAN •73533

STEELE DRUG....................................(580) 223-3000907 GRAND AVE • ARDMORE • 73401

STROUD DRUG...................................(918) 968-2323406 W MAIN • STROUD • 74079

SULLINS DRUGS................................ (918) 962-2131213 W. BROADWAY • SPIRO • 74959

SULLINS DRUGS................................ (918) 962-2131213 W BROADWAY • SPIRO • 74959

SUPER H PHARMACY........................(918) 367-3328201 E 7TH AVE • BRISTOW • 74010

SWANNS PHARMACY........................(580) 623-4505407 W MAIN ST • WATONGA • 73772

TABORS DRUG INC........................... (405) 756-4511225 S MAIN ST • LINDSAY • 73052

TAYLOR DRUG LTC........................... (405) 616-194111317 S WESTERN AVE • STE 200 • OKLAHOMACITY • 73170

THRIFTY PHARMACY EDMOND........(405) 715-4405230 S SANTA FE AVE • EDMOND • 73003

TIGER DRUG CO................................ (405) 372-7900825 S WALNUT ST • STILLWATER • 74074

TIGERT PHARMACY LLC.................. (580) 223-133135 C TIFFANY PLAZA • ARDMORE • 73401

TONIS WESTSIDE REXALL INC........ (580) 765-4456301 W GRAND AVE • PONCA CITY • 74601

TRADITION DRUG.............................. (580) 332-57201131 ARLINGTON ST. • ADA • 74820

TRIBEX LTC, LLC............................... (855) 444-5387207 W. 1ST ST. • SAND SPRINGS • 74063

UNITED DISCOUNT DRUG.................(580) 338-84211902 N ACADEMY • GUYMON • 73942

UNITED DISCOUNT PHARMACY.......(405) 947-68285420 N PORTLAND • OKLAHOMA CITY • 73112

V & V DRUG........................................ (918) 256-2541201 N SCRAPER STREET • VINITA • 74301

V AND V DRUG...................................(918) 253-4519453 S MAIN • JAY • 74346

VIAN PHARMACY............................... (918) 773-811110 THORTON ST • VIAN • 74962

WESTERN DRUG #2...........................(580) 256-55861003 17TH ST • WOODWARD • 73801

WESTERN DRUG #3...........................(580) 995-3500202 E. BROADWAY • VICI • 73859

WESTERN DRUG #4...........................(580) 323-11362008 W GARY BLVD • CLINTON • 73601

WESTERN DRUG #5...........................(580) 922-4403908 N.W. HIGHWAY 270 • STE. A • SEILING •73663

WESTERN DRUG #7...........................(580) 994-5988417 SW 7TH ST STE 2 • MOORELAND • 73852

WILLIAMS PHARMACY...................... (405) 527-5682700 E BROADWAY • LEXINGTON • 73051

WOODS PHARMACY..........................(918) 423-4333200A SOUTH 3RD STREET • MCALESTER • 74501

Page 50: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Long Term Care Pharmacies

For TTY users, please dial 711.Residents of a long-term care facility may access their prescription drugs covered under our plan through thefacility's long-term care pharmacy or another network long-term care pharmacy.

For more information, please see your Evidence of Coverage.

47

YALE DRUG........................................ (918) 387-4183121 N MAIN ST • YALE • 74085

Page 51: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network PharmaciesOklahoma Pharmacy Listing

Home Infusion Pharmacies

For TTY users, please dial 711.For more information, please see your Evidence of Coverage.

48

ACCREDO HEALTH GROUP INC...... (405) 942-39614901 W RENO AVE STE 950 • OKLAHOMA CITY •73127

AMERITA............................................. (918) 493-272712515 E. 55TH ST. • TULSA • 74146

BRIOVARX INFUSION SERVICES 301,L.P........................................................ (405) 848-03387512 NORTH BROADWAY • SUITE 308 •OKLAHOMA CITY • 73116

CORAM CVS/SPECIALTY INFUSIONSERVICES........................................... (405) 495-22735924 NW 2ND ST STE 100 • STE 100 • OKLAHOMACITY • 73127

OPTION CARE.................................... (405) 681-81183401 S MERIDIAN AVE • OKLAHOMA CITY • 73119

OPTIONONE, LLC...............................(405) 548-484814000 N PORTLAND AVE STE 205 • OKLAHOMACITY • 73134

Page 52: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies

For TTY users, please dial 711.

Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian HealthProgram (I/T/U) Pharmacies through our plan's pharmacy network. Those other than Native Americans andAlaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies).

For more information, please see your Evidence of Coverage.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

49

ABSENTEE SHAWNEE PHARMACY.(405) 878-58592029 S GORDON COOPER DR • SHAWNEE •7480190, eRX

ANADARKO IHS PHARMACY............(405) 247-7947115 OLD TOWN NE • ANADARKO • 7300590

ARDMORE INDIAN CLINICPHARMACY.........................................(580) 272-57102510 CHICKASAW BLVD • ARDMORE • 7340190

AST. LITTLE AXE HEALTH CTRPHARMACY.........................................(405) 292-953015951 LITTLE AXE DRIVE • NORMAN • 7302690, eRX

BEARSKIN HEALTH CLINICPHARMACY.........................................(918) 678-32471 TURTLE DR • WYANDOTTE • 7437090

BLACK HAWK HEALTH CENTER..... (918) 968-9531356110 E 930 RD • STROUD • 7407990

CARNEGIE INDIAN HEALTH CLINICPHARMACY.........................................(580) 654-1100US HWY 9 WEST • CARNEGIE • 7301590

CHEROKEE NATION.......................... (918) 434-8500900 N OWEN WALTERS BLVD • SALINA • 7436590, eRX

CHEROKEE NATION W. W. HASTINGS URGENTCARE................................................... (918) 772-4754100 S BLISS AVE • TAHLEQUAH • 7446490, eRX

CHICKASAW NATION MEDICALCENTER...............................................(580) 272-57101921 STONECIPHER BLVD • ADA • 7482090

CHICKASAW NATION REFILLCENTER...............................................(580) 272-5710933 N COUNTRY CLUB RD • ADA • 7482090, eRX

CHICKASAW NATION TISHOMINGO HEALTHCLINI.................................................... (580) 371-2392817 E 6TH ST • TISHOMINGO • 7346090

CHOCTAW NATION HEALTH CARE. (918) 567-7000ONE CHOCTAW WAY • TALIHINA • 7457190, 24HR

CHOCTAW NATION HEALTH CLINICATOKA.................................................(580) 889-19811201 W LIBERTY RD • ATOKA • 7452590

CHOCTAW NATION HEALTH CLINIC-IDABEL................................................ (580) 286-2600902 LINCOLN RD • IDABEL • 7474590

CHOCTAW NATION HEALTH CLINIC-STIGLER.............................................. (918) 967-92002204 E MAIN ST • STIGLER • 7446290

CHOCTAW NATION HEALTHSERVICES........................................... (918) 423-84401127 S GEORGE NIGH EXPY • MCALESTER •7450190

CHOCTAW NATION INDIANHEALTH............................................... (918) 649-1100109 KERR AVE • POTEAU • 7495390

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Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies

For TTY users, please dial 711.

Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian HealthProgram (I/T/U) Pharmacies through our plan's pharmacy network. Those other than Native Americans andAlaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies).

For more information, please see your Evidence of Coverage.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

50

CHOCTAWNATION HEALTH SYSTEM DURANTHEALTH CENTER PHARMACY......... (580) 920-21001801 CHUKKA HINA • DURANT • 7470190

CITIZEN POTAWATOMI NATION.......(405) 273-52362307 S GORGON COOPER DR • SHAWNEE •74801

CLAREMORE IHS PHARMACY..........(918) 342-6581101 S. MOORE AVE • CLAREMORE • 7401790

CLINTON IHS PHARMACY.................(580) 323-2884RT 1 • CLINTON • 7360190

COMMUNITY CLINIC.......................... (918) 253-1780859 E. MELTON DRIVE • JAY • 7434690, eRX

CPN MAIL ORDER PHARMACY........ (405) 273-52362307 S GORDON COOPER DR STE A • SHAWNEE• 7480190

EL RENO IHS PHARMACY.................(405) 234-84001801 PARKVIEW • EL RENO • 7303690

EUFAULA INDIAN HEALTH CENTER(918) 689-2547500 EUNICE BURNS RD • EUFAULA • 7443290, eRX

INDIAN HEALTH CARE RESOURCE. (918) 382-1267550 S PEORIA • TULSA • 74120

KANZA PHARMACY........................... (580) 362-24493151 E RIVER RD • NEWKIRK • 7464790, eRX

KICKAPOO TRIBAL PHARMACY...... (405) 964-2081105365 S. HWY 102 • MCLOUD • 7485190

KOWETA INDIAN HEALTHFACILITY............................................. (918) 279-320031870 E STATE HIGHWAY 51 • COWETA • 7442990, eRX

LAWTON IHS PHARMACY................. (580) 354-55371515 LAURIE TATUM ROAD • LAWTON • 7350790

NORTHEASTERN TRIBAL HEALTHSYSTEM...............................................(918) 542-16557600 S HIGHWAY 69A • MIAMI • 7435490

OKEMAH COMMUNITY CLINIC......... (918) 623-14241800 E COPLIN ST • OKEMAH • 7485990, eRX

OKLAHOMA CITY INDIAN CLINICPHARMACY.........................................(405) 948-49004913 W RENO • OKLAHOMA CITY • 7312790

OKMULGEE INDIAN HEALTHCENTER...............................................(918) 756-02061313 E 20TH ST • OKMULGEE • 7444790, eRX

PAWNEE IHS PHARMACY................. (918) 762-25171201 HERITAGE CIRCLE • PAWNEE • 7405890

PERKINS FAMILY CLINICPHARMACY.........................................(405) 547-2473509 E HIGHWAY 33 • PERKINS • 7405990, eRX

PHARMACY.........................................(580) 326-7561410 NORTH M ST • HUGO • 7474390

PHARMACY.........................................(918) 535-6061395200 WEST 2900 ROAD • OCHELATA • 7405190, eRX

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Blue Cross Medicare Advantage’s Network Pharmacies

Oklahoma Pharmacy Listing

Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies

For TTY users, please dial 711.

Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian HealthProgram (I/T/U) Pharmacies through our plan's pharmacy network. Those other than Native Americans andAlaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies).

For more information, please see your Evidence of Coverage.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

51

PURCELL INDIAN HEALTH CLINIC...(580) 272-57101438 HARDCASTLE BLVD • PURCELL • 7308090, eRX

REDBIRD SMITH HEALTH CTRPHAR................................................... (918) 774-1422301 S JT STITES ST • SALLISAW • 7495590, eRX

SAPULPA INDIAN HEALTH CENTER(918) 224-93101125 E CLEVELAND • SAPULPA • 7406690, eRX

THREE RIVERS HEALTH CENTER....(918) 781-65751001 S. 41ST ST. EAST • MUSKOGEE • 7440390, eRX

VINITA HEALTH CENTERPHARMACY.........................................(918) 256-484827371 S 4410 RD • VINITA • 7430190, eRX

W.W. HASTINGS INDIAN HOSPITAL.(918) 458-3105100 SOUTH BLISS AVENUE • TAHLEQUAH •7446490, eRX

WAH-ZHA-ZHI HEALTH CENTER...... (918) 287-9373715 GRANDVIEW AVE • PAWHUSKA • 7405690

WATONGA IHS PHARMACY..............(580) 623-4991RT 1 • WATONGA • 7377290

WETUMKA INDIAN HEALTHCENTER...............................................(405) 452-1313325 S WASHITA ST • WETUMKA • 7488390, eRX

WEWOKA IHS PHARMACY............... (405) 257-6281INTERSECTION OF HWY 56 AND 270 • WEWOKA• 7488490

WHITE EAGLE INDIAN HEALTH CENTERPHARMACY.........................................(580) 765-2501200 WHITE EAGLE DR • PONCA CITY • 7460190, eRX

WILL ROGERS HEALTH CENTER.....(918) 273-75741020 LENAPE DR • NOWATA • 7404890, eRX

WILMA P MANKILLER HEALTH CTR(918) 696-8821RR 6 BX 840 • STILWELL • 7496090, eRX

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Oklahoma Pharmacy Listing

Specialty Pharmacies

The pharmacy listed below delivers specialty medications to your door. There are other pharmacies in theprevious section of this document in our network that may also be able to provide specialty medications.

AllianceRx Walgreens Prime(800) 533-7606TTY: 711

Hours of operation: 7 a.m. to 7 p.m. Central Time, Monday through Friday, and 8 a.m. to 8 p.m. Eastern Time,Monday through Friday.

www.alliancerxwp.com

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribingS = Specialty Pharmacy

52

Page 56: SM 2020 Group Pharmacy Directory · Blue Cross Group Medicare Advantage (HMO) SM 2020 Group Pharmacy Directory Y0096_BEN_OK_GRP_PREF_MAPDPHDR20NR_C 606658.1019 This Pharmacy Directory

Blue Cross and Blue Shield of Oklahoma complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Blue Cross and Blue Shield of Oklahoma does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blue Cross and Blue Shield of Oklahoma:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

○ Qualified sign language interpreters

○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:

○ Qualified interpreters

○ Information written in other languages

If you need these services, contact Civil Rights Coordinator.

If you believe that Blue Cross and Blue Shield of Oklahoma 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: Civil Rights Coordinator, Office of Civil Rights Coordinator, 300 E. Randolph St., 35th floor, Chicago, Illinois 60601, 1-855-664-7270, TTY/TDD: 1-855-661-6965, Fax: 1-855-661-6960, [email protected]. You can filea grievance in person or by mail, fax, or email. If you need help filing a grievance, Civil Rights Coordinator isavailable 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.

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

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ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-877-299-1008 (TTY: 711).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia linguística. Llame al 1-877-299-1008 (TTY: 711).

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-877-299-1008 (TTY: 711).

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 1-877-299-1008 (TTY: 711)。

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-877-299-1008 (TTY: 711) 번으로 전화해 주십시오.

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfugung. Rufnummer: 1-877-299-1008 (TTY: 711).

ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل برقم 1-877-299-1008 )رقم هاتف الصم والبكم : 711(

သတျပရန - အကယ၍ သငသည ျမနမာစကား က ေျပာပါက၊ ဘာသာစကား အကအည၊ အခမ၊ သငအတြက

စစဥေဆာငရြကေပးပါမည။ ဖနးနပါတ 1-877-299-1008 (TTY: 711) သ႔ ေခၚဆပါ။

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-877-299-1008 (TTY: 711).

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-877-299-1008 (TTY: 711).

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-877-299-1008 (ATS : 711).

ໂປດຊາບ: ຖາວາ ທານເວາພາສາ ລາວ, ການບລການຊວຍເຫອດານພາສາ, ໂດຍບເສຽຄາ, ແມນມພອມໃຫທານ. ໂທຣ 1-877-299-1008 (TTY: 711).

เร ยน: ถ าคณพดภาษาไทยคณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร 1-877-299-1008 (TTY: 711).

خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں.1-877-299-1008 (TTY: 711)

Hagsesda: iyuhno hyiwoniha [tsalagi gawonihisdi]. Call 1-877-299-1008 (TTY: 711)

توجه: اگر به زبان فارسی گفتگو می کنید، تسهیالت زبانی بصورت رایگان برای شما فراهم می باشد.با (TTY: 711) 1008-299-877-1 تماس بگیرید.

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Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.myprime.com. You may also call Customer Service for updated providers.

MyPrime.com is a pharmacy benefit website owned and operated by Prime Therapeutics LLC, a separate company providing pharmacy benefit management services.

Prime Therapeutics LLC has an ownership interest in AllianceRx Walgreens Prime, a central specialty pharmacy and home delivery pharmacy. Prime Therapeutics LLC, provides pharmacy benefit management services for Blue Cross and Blue Shield of Oklahoma and is owned by 18 Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those plans.

HMO plans provided by Blue Cross and Blue Shield of Oklahoma, which refers to GHS Health Maintenance Organization, Inc. d/b/a BlueLincs HMO (BlueLincs). HMO and PPO employer/union group plans provided by Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC). HCSC and BlueLincs are Independent Licensee of the Blue Cross and Blue Shield Association. HCSC and BlueLincs are Medicare Advantage organizations with a Medicare contract. Enrollment in HCSC’s and BlueLincs’ plans depends on contract renewal.

This Pharmacy Directory was updated on 10/2019. The pharmacy network may change at any time. You will receive notice when necessary. For more recent information or other questions, please contact Blue Cross Group Medicare Advantage Customer Service, at 1-877-299-1008 or, for TTY users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from April 1 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit www.myprime.com.