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2018 Pharmacy Directory Blue Cross MedicareRx Value (PDP) SM Blue Cross Medicare Rx Plus (PDP) SM Y0096_BEN_NM_PDPVPHDR18_NM 478900.0918 Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluenm.com/pdp/pharmacies. You may also call Customer Service for updated provider information. This Pharmacy Directory was updated on 09/2018. For more recent information or other questions, please contact Blue Cross MedicareRx SM Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluenm.com/pdp/pharmacies.

2018 Pharmacy Directory - Health Insurance New … · 2018 Pharmacy Directory Blue Cross MedicareRx Value (PDP) SM Blue Cross Medicare Rx Plus (PDP)SM Y0096_BEN_NM_PDPVPHDR18_NM 478900.0818

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2018 Pharmacy DirectoryBlue Cross MedicareRx Value (PDP)SM

Blue Cross Medicare Rx Plus (PDP)SM

Y0096_BEN_NM_PDPVPHDR18_NM 478900.0918

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluenm.com/pdp/pharmacies. You may also call Customer Service for updated provider information.

This Pharmacy Directory was updated on 09/2018. For more recent information or other questions, please contact Blue Cross MedicareRxSM Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluenm.com/pdp/pharmacies.

i

Blue Cross MedicareRxSM

Pharmacy DirectoryIntroduction

This booklet provides a list of Blue Cross MedicareRx’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 MedicareRx’s formulary.

When this pharmacy refers to “we”, “us”, or “our”, it means HCSC Insurance Services Company (HISC). When it refers to the “plan” or “our” plan, it means Blue Cross MedicareRx.

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 MedicareRx 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 09/2018. 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 which is called PrimeMail by Walgreens Mail Service. For more information, please contact us or see the mail order section of this pharmacy directory.

This directory is for the State of New Mexico 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 Medicare RxSM Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711. We are open 8:00 a.m.- 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluenm.com/pdp/pharmacies.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-888-285-2249 (TTY: 711). We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-888-285-2249 (TTY: 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).

ii

We also list pharmacies that are in our network but are outside the State of New Mexico area in which you live. You may also fill your prescriptions at these pharmacies. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the State of New Mexico or contact Blue Cross MedicareRx Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711. We are open 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluenm.com/pdp/pharmacies.

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 MedicareRx. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the State of New Mexico or contact Blue Cross MedicareRx Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711. We are open 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluenm.com/pdp/pharmacies.

Pharmacy Type Retail

Long Term Care

Home Infusion

Extended Supply

Preferred Network

Preferred Extended

Supply Network

Total Number of Pharmacies

65,384 Pharmacies

4,311 Pharmacies

515 Pharmacies

51,092 Pharmacies

17,332 Pharmacies

17,332 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• Retail Pharmacies• Long-Term Care Pharmacies• Home Infusion Pharmacies• Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies

Under each listing we also list 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.

Mail Order Pharmacy

AllianceRx Walgreens Prime(888) 277-5475 (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: (888) 277-5475, (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

Albertsons .................................... (877) 932-7948 Sam's Club ................................ (888) 746-7726www.albertsons.com/pharmacy www.samsclub.comSAVE, 90 90

Costco ........................................... (800) 607-6861 Smith's Pharmacy ..................... (800) 576-4377www.costco.com www.smithsfoodanddrug.com90 SAVE, 90

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

Blue Cross Medicare Rx Network Pharmacies

ACOMA New Mexico 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 prescribing

2

ACOMA

ACL PHARMACY................................ (505) 552-539380 B VETERANS BLVD • 8703490

ALAMOGORDO

ACP PHARMACY................................ (505) 620-28681003 EAST 10TH ST • 87310SAVE, 90, eRX

ALAMOGORDO FAMILY HEALTHCENTER...............................................(575) 434-29601501 10TH ST • 88310eRX

ALBERTSONS MARKET PHARMACY#681......................................................(575) 488-12141300 10TH ST • 88310SAVE, 90, eRX

LOWES MARKETPLACEPHARMACY.........................................(575) 434-4130675 E 10TH ST • 8831090, eRX

WALGREENS #9991........................... (575) 434-4116955 N WHITE SANDS BLVD • 88310SAVE, 90, eRX

WALMART PHARMACY 10-1306....... (575) 434-5345233 S NEW YORK AVE • 8831090

WALMART PHARMACY 10-5726....... (575) 812-70452401 INDIAN WELLS ROAD • 8831090

ALBUQUERQUE

ABQ BESTCARE PHARMACY 2 LLC (505) 268-20305400 GIBSON BLVD SE • (GIBSON MEDICALCENTER PHARMACY) • 8710890, eRX

ABQ BESTCARE PHARMACY 3 LLC (505) 268-20302901 TRANSPORT ST SE • 8710690, eRX

ALBERTSONS MARKET PHARMACY#0904....................................................(505) 883-87034950 MONTGOMERY NE • 87109SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0905....................................................(505) 299-86002910 JUAN TABO BLVD NE • 87112SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0922....................................................(505) 831-46416600 CENTRAL AVE SW • 87121SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0924....................................................(505) 822-84848100 VENTURA ST NE • 87122SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0928....................................................(505) 293-915611825 LOMAS BLVD NE • 87112SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0938....................................................(505) 821-12757101 WYOMING BLVD NE • 87109SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0939....................................................(505) 275-973312201 ACADEMY RD N E • 87111SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#911......................................................(505) 294-15972801 A EUBANK BLVD • 87112SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#915......................................................(505) 898-59706200 COORS BLVD NW • 87120SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#917......................................................(505) 877-22401625 RIO BRAVO BLVD S W • 87105SAVE, 90, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing ALBUQUERQUE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

3

ALBERTSONS MARKET PHARMACY#937......................................................(505) 897-396110131 COORS BLVD NW • 87114SAVE, 90, eRX

ALBUQUERQUE CITY DRUG............ (505) 705-3540205 SILVER AVE SW STE D • 8710290, eRX

ALBUQUERQUE INDIAN HEALTHPHARMACY.........................................(505) 248-7640801 VASSAR DRIVE NE • 8710690

ALBUQUERQUE PHARMACY............(505) 262-5728500 LOUISIANA BLVD NE • 87108eRX

ASPCARES..........................................(505) 908-96237600 JEFFERSON ST NE STE 6 • 87109SAVE, 90, eRX

BEST BUY DRUGS............................. (505) 299-44961445 WYOMING BLVD. NE • 8711290, eRX

BRIOVARX INFUSION SERVICES 308,LLC.......................................................(505) 830-18002420 COMANCHE RD NE • SUITE A5 • 8710790, eRX

CANCER CENTER PHARMACY.........(505) 272-17001201 CAMINO DE SALUD NE • 8710290, eRX

COMMUNITY, A WALGREENS PHARMACY#16544..................................................(505) 313-8080933 SAN MATEO BLVD NE STE 501 • 87108SAVE, 90, eRX

CORAM CVS/SPECIALTY INFUSIONSERVICES........................................... (505) 798-35007400 WASHINGTON ST NE • 87109

COSTCO PHARMACY........................ (505) 332-6602500 EUBANK BLVD SE • 8712390, eRX

COSTCO PHARMACY........................ (505) 342-71481420 RENAISSANCE BLVD • 8710790, eRX

COSTCO PHARMACY........................ (505) 922-74099955 COORS BYPASS NW • 8711490, eRX

CVS PHARMACY #05494................... (505) 296-48031500 TRAMWAY BLVD NE • 8711290, eRX

CVS PHARMACY #07095................... (505) 265-90277105 CENTRAL AVE NE • 8710890, eRX

CVS PHARMACY #07242................... (505) 922-63234201 MONTANO RD NW • 8712090, eRX

CVS PHARMACY #07319................... (505) 792-199210700 UNSER BLVD NW • 8711490, eRX

CVS PHARMACY #08915................... (505) 294-41679640 MENAUL BLVD NE • 8711290, eRX

CVS PHARMACY #08916................... (505) 899-90013821 ELLISON DRIVE, NW • 8711490, eRX

CVS PHARMACY #08917................... (505) 821-93857847 TRAMWAY BLVD NE • 8712290, eRX

CVS PHARMACY #08918................... (505) 884-04174340 SAN MATEO BLVD NE • 8711090, eRX

CVS PHARMACY #08981................... (505) 833-75987900 CENTRAL AVE SW • 8712190, eRX

CVS PHARMACY #16134................... (505) 348-00668510 MONTGOMERY BLVD NE • 8711190, eRX

Blue Cross Medicare Rx Network Pharmacies

ALBUQUERQUE New Mexico 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 prescribing

4

CVS PHARMACY #16135................... (505) 292-911011120 LOMAS BLVD NE • 8711290, eRX

CVS PHARMACY #16166................... (505) 899-77319371 COORS BLVD NW • 8711490, eRX

CVS PHARMACY #17124................... (505) 346-01366100 PASEO DEL NORTE NE • 8711390, eRX

CVS PHARMACY #17650................... (505) 200-32352120 LOUISIANA BLVD NE • 8711090, eRX

DURAN CENTRAL PHARMACY.........(505) 247-41411815 CENTRAL AVE NW • 87104SAVE, 90, eRX

FIRST NATIONS COMMUNITY HEALTHSOURCEPHARMACY.........................................(505) 998-55235608 ZUNI RD SE • 87108SAVE, 90, eRX

GENOA HEALTHCARE, LLC............. (253) 218-08307850 JEFFERSON ST NE STE 301 • 87109eRX

HIGHLAND PHARMACY.....................(505) 243-3777717 ENCINO PL NE • STE 1 • 87102SAVE, 90, eRX

HIT SPECIALISTS............................... (505) 888-650010801 GOLF COURSE NW • 87114

MENAUL COMPOUNDINGPHARMACY.........................................(505) 291-160011417 MENAUL BLVD NE • 8711290, eRX

NEW MEXICO ONCOLOGY HEMATOLOGYCONSULTANTS LTD.......................... (505) 828-37884901 LANG AVE NE • 8710990, eRX

NORTH VALLEY CENTER FOR FAMILY ANDCOMMUNITY HEALTH PHARMACY.. (505) 994-53533401 N 4TH ST NW • STE 106 • 8710790, eRX

OMNICARE OF ALBUQUERQUE.......(505) 344-97599019 WASHINGTON ST NE SUITE B1 • 8711324HR, eRX

PHIL'S PHARMACY............................ (505) 265-68685510 LOMAS NE • 8711090, eRX

RX INNOVATIONS.............................. (505) 881-46017215 WASHINGTON ST NE • 8710990, eRX

SAMS PHARMACY 10-4703............... (505) 922-084710600 COORS BYPASS NW • 8711490

SAMS PHARMACY 10-4938............... (505) 344-91291421 NORTH RENAISSANCE BLVD NE • 8710790

SAMS PHARMACY 10-6672............... (505) 291-0998300 EUBANK BLVD NE • 8712390

SAMS REGENT PHARMACY............. (505) 346-05337120 WYOMING NE • STE 7B • 8710990, eRX

SMITHS PHARMACY #423................. (505) 344-35096125 4TH ST NW • 87107SAVE, 90, eRX

SMITHS PHARMACY #427................. (505) 296-9751200 TRAMWAY SE • 87123SAVE, 90, eRX

SMITHS PHARMACY #439................. (505) 292-58884700 TRAMWAY NE • 87111SAVE, 90, eRX

SMITHS PHARMACY #446................. (505) 266-74336001 LOMAS NE • 87110SAVE, 90, eRX

SMITHS PHARMACY #448................. (505) 897-13218301 GOLF COURSE RD • 87120SAVE, 90, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing ALBUQUERQUE

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

5

SMITHS PHARMACY #450................. (505) 823-44808040 ACADEMY RD NE • 87111SAVE, 90, eRX

SMITHS PHARMACY #459................. (505) 857-97838100 WYOMING NE SUITE A • 87109SAVE, 90, eRX

SMITHS PHARMACY #463................. (505) 922-43034800 MCMAHON BLVD NW • 87114SAVE, 90, eRX

SMITHS PHARMACY #485................. (505) 884-03074016 LOUISIANA NE • 87110SAVE, 90, eRX

SMITHS PHARMACY #494................. (505) 299-76215850 EUBANK NE • 87111SAVE, 90, eRX

SMITHS PHARMACY #496................. (505) 256-94433701 CONSTITUTION NE • 87110SAVE, 90, eRX

SMITHS PHARMACY #498................. (505) 836-5322111 COORS RD NW • 87121SAVE, 90, eRX

SMITHS PHARMACY #571................. (505) 877-45421601 ARENAL SW • 87105SAVE, 90, eRX

SOUTHWEST CARE CENTERPHARMACY.........................................(505) 780-40444710 JEFFERSON STREET • SUITE A • 87109SAVE, 90, eRX

SW MESA FAMILY & COMMUNITY HEALTHPHARMACY.........................................(505) 925-4451301 UNSER BLVD NW STE 106 • 8712190, eRX

THE MEDICINE CHEST...................... (505) 344-23351123 CANDELARIA RD NW • 87107SAVE, 90, eRX

UNIVERSITY HOSPITAL OUTPATIENTPHARMACY.........................................(505) 272-86741209 UNIVERSITY BOULVARD NE • 8710290, eRX

UNM HOSPITALS OUTPATIENT AND DISCHARGEPHARMACY.........................................(505) 272-42392211 LOMAS BLVD NE # 4ACC • 8710690, eRX

UNM TRUMAN HEALTH SERVICESPHARMACY.........................................(505) 925-0996801 ENCINO PL NE STE B4 • 87102eRX

UNMH PHARMACY AT SOUTH EAST HEIGHTSCLINIC..................................................(505) 272-45638200 CENTRAL AVE SE • SUITE 106 • 87108eRX

VICTOR'S REGENT PHARMACY....... (505) 877-16201643 ISLETA BLVD SW • 87105SAVE, 90, eRX

VIDA PHARMACY LLC....................... (505) 856-16608500 JEFFERSON ST NE STE D • STE D • 87113eRX

WALGREENS...................................... (505) 299-95419700 MENAUL BLVD NE • 87112SAVE, 90, 24HR, eRX

WALGREENS...................................... (505) 242-27132105 CENTRAL AVE NW • 87104SAVE, 90, eRX

WALGREENS...................................... (505) 883-57602625 SAN PEDRO DR NE • 87110SAVE, 90, eRX

WALGREENS...................................... (505) 359-60009601 GIBSON BLVD SW • 87121SAVE, 90

WALGREENS...................................... (505) 877-31303401 ISLETA BLVD, SW 87105 • 87105SAVE, 90, eRX

WALGREENS #11360......................... (505) 298-747711200 MONTGOMERY BLVD NE • 87111SAVE, 90, eRX

WALGREENS #11958......................... (505) 217-25513632 MENAUL BLVD NE • 87110SAVE, 90

Blue Cross Medicare Rx Network Pharmacies

ALBUQUERQUE New Mexico 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 prescribing

6

WALGREENS #11959......................... (505) 217-99075201 CENTRAL AVE NE • 87108SAVE, 90

WALGREENS #12004......................... (505) 217-28608011 VENTURA NE • 87122SAVE, 90

WALGREENS #12407......................... (505) 205-184910800 UNSER BLVD NW • 87114SAVE, 90

WALGREENS #1279........................... (505) 262-17452950 CENTRALSE • 87106SAVE, 90, eRX

WALGREENS #15929......................... (505) 243-6195201 CEDAR ST SE STE 102 • 87106SAVE, 90, eRX

WALGREENS #16391......................... (505) 600-4005500 WALTER STREET • SUITE 202 • 87102SAVE, 90, eRX

WALGREENS #16392......................... (505) 600-40072121 JUAN TABO NE • 87112SAVE, 90, eRX

WALGREENS #16393......................... (505) 600-40105150 JOURNAL CENTER BLVD NE • 87109SAVE, 90, eRX

WALGREENS #2053........................... (505) 217-09836565 PARADISE BLVD NW • 87114SAVE, 90, eRX

WALGREENS #23............................... (505) 881-52105001 MONTGOMERY PLAZA • 87109SAVE, 90, 24HR, eRX

WALGREENS #3366........................... (505) 836-41113400 COORS BLVD NW • 87120SAVE, 90, 24HR, eRX

WALGREENS #3367........................... (505) 858-31348011 HARPER AVE NE • 87111SAVE, 90, eRX

WALGREENS #4047........................... (505) 831-3147101 COORS BLVD NW • 87121SAVE, 90, eRX

WALGREENS #4649........................... (505) 255-89083501 LOMAS BLVD NE • 87106SAVE, 90, eRX

WALGREENS #4651........................... (505) 898-173010236 COORS BYPASS • 87114SAVE, 90, eRX

WALGREENS #4911........................... (505) 899-09896000 COORS BLVD NW • 87120SAVE, 90, eRX

WALGREENS #5731........................... (505) 897-77339500 GOLF COURSE RD NW • 87114SAVE, 90, eRX

WALGREENS #5923........................... (505) 298-041313000 INDIAN SCHOOL RD • 87112SAVE, 90, eRX

WALGREENS #6121........................... (505) 559-91348400 MONTGOMERY BLVD NE • 87111SAVE, 90, eRX

WALGREENS #7351........................... (505) 344-13904700 4TH ST NW • 87107SAVE, 90, eRX

WALGREENS #7438........................... (505) 217-28185850 EUBANK BLVD NE • 87111SAVE, 90, eRX

WALGREENS #7442........................... (505) 831-50941201 UNSER BLVD SW • 87121SAVE, 90, eRX

WALGREENS #9213........................... (505) 217-12411900 WYOMING BLVD NE • 87112SAVE, 90, eRX

WALGREENS #9336........................... (505) 247-23532031 12TH STREET NW • 87104SAVE, 90, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing ARTESIA

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

7

WALGREENS #9608........................... (505) 217-23926250 PASEO DEL NORTE NE • 87113SAVE, 90, eRX

WALGREENS #9715........................... (505) 217-99402200 UNSER BLVD NW • 87120SAVE, 90

WALGREENS #9773........................... (505) 292-091710300 CENTRAL AVE SE • 87123SAVE, 90, eRX

WALMART PHARMACY 10-0824....... (505) 821-60088000 ACADEMY ROAD NE • 8711190

WALMART PHARMACY 10-0831....... (505) 262-1915301 SAN MATEO BLVD SE • 8710890

WALMART PHARMACY 10-0835....... (505) 292-8035400 EUBANK BLVD NE • 8712390

WALMART PHARMACY 10-0850....... (505) 881-84962701 CARLISLE BLVD NE • 8711090

WALMART PHARMACY 10-1397....... (505) 897-693510224 COORS BYPASSNW • 8711490

WALMART PHARMACY 10-2451....... (505) 346-16614700 CUTLER AVE NE • 8711090

WALMART PHARMACY 10-2924....... (505) 352-18802550 COORS BLDV NW • 8712090

WALMART PHARMACY 10-3317....... (505) 792-36838511 GOLF COURSE ROAD NW • 8711490

WALMART PHARMACY 10-3385....... (505) 831-40239600 SAGE ROAD SW • 8712190

WALMART PHARMACY 10-3512....... (505) 600-418811018 MONTGOMERY BLVD NE • 8711190

WALMART PHARMACY 10-4676....... (505) 600-42921820 UNSER BLVD NW • 8710290

WALMART PHARMACY 10-5430....... (505) 877-89873500 COORS BLVD SW • 8710590

WALMART PHARMACY 10-5491....... (505) 323-28852266 WYOMING BLVD NE • 8711290

WALMART PHARMACY 10-5675....... (505) 200-344011001 MENAUL BLVD NE • 8711290

ZIA PHARMACY..................................(505) 639-58572820 BROADBENT PKWY NE STE C • 87107eRX

ANGEL FIRE

BESTCARE PHARMACY ANGEL FIRELLC.......................................................(575) 208-1616UNIT B4, THE INN, HIGHWAY 434 • 8771090, eRX

ARTESIA

ARTESIA FAMILY HEALTH CENTER (575) 746-98481105 MEMORIAL DR • 88210

BROWN DRUG STORE...................... (575) 746-3591322 W WASHINGTON AVE • 88210eRX

LOWELLS PHARMACY...................... (575) 746-6681612 N 13TH ST • STE A • 88210SAVE, 90, eRX

WALMART PHARMACY 10-3427....... (575) 746-6137604 NORTH 26TH STREET • 8821090

Blue Cross Medicare Rx Network Pharmacies

AZTEC New Mexico 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 prescribing

8

AZTEC

KARE DRUG AZTEC...........................(505) 334-6411100 LLANO ST • 8741090, eRX

SAFEWAY PHARMACY #1438...........(505) 334-6261415 N MAIN ST • 87410SAVE, 90, eRX

BELEN

BUCKLAND PHARMACY................... (505) 864-7434600 DALIES AVE • 8700290, eRX

SHARE 'N CARE PHARMACY........... (505) 864-7471701 DALIES AVE • STE B • 87002eRX

SHARE N CARE PHARMACY AND MEDICALSUPPLY............................................... (505) 864-7471701 DALIES AVE • 8700290, eRX

WALGREENS #2050........................... (505) 861-1762315 N MAIN ST • 87002SAVE, 90, eRX

WALMART PHARMACY 10-1414....... (505) 864-027001 I 25 INTERCHANGE • 8700290

BERNALILLO

PHARMACY PLUS - BERNALILLO....(505) 867-2336407 W HWY 550 • 87004SAVE, 90, eRX

PUEBLO OF SANDIA PHARMACY.... (505) 867-4696203 SANDIA DAY SCHOOL RD • 87004

SANTA ANA HEALTH CLINICPHARMACY.........................................(505) 867-249702 C DOVE RD • 8700490

WALGREENS #2026........................... (505) 867-6071100 E HWY 550 • 87004SAVE, 90, eRX

WALMART PHARMACY 10-3731....... (505) 771-4877460 NM HIGHWAY 528 • 8700490

BLOOMFIELD

DZILTH NA O DITH HLE HEALTHCENTER...............................................(505) 368-81446 RD 7586 • 8741390

KARE PHARMACY-BLOOMFIELD.....(505) 632-3324100 N CHURCH ST STE A • 8741390, eRX

CANON

JEMEZ VALLEY MEDICAL CLINIC.... (575) 289-32918372 STATE HIGHWAY 4 • 87024

CANONCITO

CANONCITO BAND OF NAVAJOS HEALTHCLINIC..................................................(505) 908-2307129 MEDICINE HORSE RD • 87026

CARLSBAD

ADVANCED MEDICATION MANAGEMENTSYSTEMS............................................ (575) 885-29792402 W PIERCE • STE 2B • 88220eRX

ALBERTSONS MARKET PHARMACY#687......................................................(575) 885-2165808 N CANAL ST • 88220SAVE, 90, eRX

CARLSBAD FAMILY HEALTHCENTER...............................................(575) 887-24552013 SAN JOSE BLVD • 88220

CVS PHARMACY #10448................... (575) 941-0250801 N CANAL ST • 8822090, eRX

LA TIENDA PHARMACY.................... (575) 628-06371301 S CANAL • 8822090, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing CUBA

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

9

SOUTHWESTERN MEDICALPHARMACY.........................................(575) 887-66112402 W PIERCE • ST 1A • 8822090, eRX

WALGREENS #7930........................... (575) 887-05721401 W PIERCE • 88220SAVE, 90, eRX

WALMART PHARMACY 10-0868....... (575) 885-10292401 S CANAL ST • 8822090

CERRILLOS

ORTIZ MOUNTAIN HEALTHCENTER...............................................(505) 471-626606B MAIN ST • 87010

CHAMA

BESTCARE PHARMACY CHAMALLC.......................................................(575) 756-12222215 STATE ROAD 17 • #B • 8752090, eRX

CHAPARRAL

CHAPARRAL FAMILY HEALTHCENTER...............................................(575) 824-8100204 ANGELINA BLVD. • 88081

EZ PHARMACY................................... (575) 824-5242550 E LISA DR STE C • 8808190, eRX

CLAYTON

CITY DRUG..........................................(575) 374-91217 MAIN ST • 88415SAVE, 90, eRX

CLOUDCROFT

SACRAMENTO MOUNTAIN MEDICALCENTER...............................................(575) 682-254274 JAMES CANYON HWY • 88317

CLOVIS

PLAINS REGIONAL MEDICAL CENTERPHARMACY.........................................(575) 769-76802401 W 21ST ST • 88101SAVE, 90, eRX

RODEN-SMITH PHARMACY.............. (575) 762-3848601 E LLANO ESTACADO BLVD • STE A • 8810190, eRX

WALGREENS #4950........................... (575) 762-3851700 E 21ST STREET • 88101SAVE, 90, eRX

WALMART PHARMACY 10-0821....... (575) 769-23893728 N PRINCE STREET • 8810190

COCHITI

COCHITI IHS PHARMACY..................(505) 465-2587255 COCHITI ST • 8707290

CORRALES

CORRALES PHARMACY....................(505) 897-37844940 CORRALES RD • SUITE 200 • 87048SAVE, 90, eRX

COUNSELOR

COUNSELOR NAVAJO CLINIC..........(575) 568-43289837 US HIGHWAY 550 • 87018eRX

CROWNPOINT

CROWNPOINT HEALTH CAREPHARMACY.........................................(505) 786-6344HWY JCT 57 RT 9 • 8731390

CUBA

CUBA HEALTH CENTER....................(575) 289-32916349 US HWY 550 • 87013eRX

CUBA HEALTH CENTERPHARMACY.........................................(575) 289-32916349 US HIGHWAY 550 • 87013

Blue Cross Medicare Rx Network Pharmacies

DEMING New Mexico 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 prescribing

10

CUBA SCHOOL BASED HEALTHCENTER...............................................(575) 289-2082#50 COUNTY ROAD 13 • 87013

DEMING

BESTCARE PHARMACY DEMINGLLC.......................................................(575) 546-5750820 E FLORIDA ST • 8803090, eRX

DEMING HEALTH CENTER................(575) 546-4663300 S. DIAMOND AVENUE • 88030

WALGREENS...................................... (575) 546-2731122 N GOLD AVE • 88030SAVE, 90

WALMART PHARMACY 10-5166....... (575) 546-67461021 EAST PINE STREET • 8803090

DULCE

DULCE IHS PHARMACY.................... (505) 759-329112000 STONE LAKE RD • 8752890

EDGEWOOD

SMITHS PHARMACY #424................. (505) 286-9040#2B HWY 344 • 87015SAVE, 90, eRX

WALGREENS #7881........................... (505) 281-09505 WALKER RD • 87015SAVE, 90, eRX

WALMART PHARMACY 10-4201....... (505) 286-305366 STATE ROAD 344 • 8701590

ESPANOLA

CVS PHARMACY #05994................... (505) 367-35941202 N RIVERSIDE DR • 8753290, eRX

FAIRVIEW PHARMACY...................... (505) 753-2209734 N RIVERSIDE DR • STE B • 8753290, eRX

SANTA CLARA IHS PHARMACY.......(505) 753-9421ROUTE 5 • 8753290

VALLEY COMMUNITY HEALTHCENTER...............................................(505) 747-7400835 SPRUCE ST • 87532

WALGREENS #5157........................... (505) 753-70051115 N RIVERSIDE DR • 87532SAVE, 90, eRX

WALMART PHARMACY 10-2656....... (505) 747-04271610 N RIVERSIDE DRIVE • 8753290

ESTANCIA

ESPERANZA FAMILY HEALTHCENTER...............................................(505) 384-2777903 C N 5TH ST • 87016eRX

EUNICE

MICHAEL'S PRESCRIPTION CORNEREUNICE................................................ (575) 394-23111024 MAIN STREET • 8823190, eRX

FARMINGTON

CVS PHARMACY #16367................... (505) 327-35554900 E MAIN ST • 8740290, eRX

FARMINGTON COMMUNITY HEALTHCENTER...............................................(505) 327-47961001 W BROADWAY • 87401

PINON FAMILY PHARMACY.............. (505) 325-89332300 B E 30TH • SUITE 101 • 8740190, eRX

SAFEWAY PHARMACY #2004...........(505) 564-30863540 E MAIN STREET • 87401SAVE, 90, eRX

SAMS PHARMACY 10-6347............... (505) 326-53844500 EAST MAIN • 8740290

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing HOBBS

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

11

SAN JUAN ONCOLOGY ASSOCIATES,PC.........................................................(505) 564-6850735 W ANIMAS ST • 8740190, eRX

SMITHS PHARMACY #409................. (505) 325-1774600 EAST 20TH ST • 87401SAVE, 90, eRX

WALGREENS #4510........................... (505) 325-17494221 E MAIN • 87402SAVE, 90, eRX

WALGREENS #9067........................... (505) 326-3342701 E 20TH ST • 87401SAVE, 90, eRX

WALMART PHARMACY 10-0826....... (505) 326-11974600 EAST MAIN • 8740290

WALMART PHARMACY 10-3428....... (505) 327-22621400 WEST MAIN STREET • 8740190

FORT SUMNER

ADDISON DRUG................................. (575) 355-2211127 E SUMNER AVE • 88119eRX

GALLUP

GALLUP INDIAN MED CENTERPHARMACY.........................................(505) 722-1185516 EAST NIZHONI BLVD • 8730190

GALLUP TEEN HEALTH CENTER.....(505) 721-26811055 1/2 RICO ST • 87301

INTEGRAL PHARMACY, LLC............ (505) 862-9082109 S SECOND ST • 8730124HR, eRX

SAFEWAY PHARMACY #1743...........(505) 722-9977980 US HIGHWAY 491 • 87301SAVE, 90, eRX

WALGREENS #9007........................... (505) 722-94991870 E HWY 66 • 87301SAVE, 90, eRX

WALMART PHARMACY 10-0906....... (505) 722-38231650 WEST MALONEY AVE • 8730190

WESTERN NEW MEXICO MEDICAL GROUPBEHAVIORAL HEALTH-GALLUP...... (505) 863-38282025 E AZTEC AVE • 87301

WESTERN NM MED GROUPGALLUP...............................................(505) 863-3120610 N 5TH ST • 87301

GRANTS

PARKHURST PHARMACY................. (505) 287-46411208 BONITA ST SUITE A • 8702090, eRX

TRUST PHARMACY............................(505) 287-39131000 ROOSEVELT • 87020SAVE, 90, eRX

WALGREENS...................................... (505) 658-31071509 E SANTA FE AVE • 87020SAVE, 90

WALMART PHARMACY 10-2652....... (505) 285-33781000 ROBERTS DRIVE • 8702090

WESTERN NM MEDICAL GROUPGRANTS.............................................. (505) 287-29581217 BONITA ST • 87020

HATCH

UNITED DRUG SUPERSTORE...........(575) 267-4943221 W HALL ST • 87937eRX

HOBBS

ALBERTSONS MARKET PHARMACY#680......................................................(575) 392-45032402 N GRIMES • 88240SAVE, 90, eRX

Blue Cross Medicare Rx Network Pharmacies

ISLETA New Mexico 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 prescribing

12

CVS PHARMACY #10148................... (575) 397-4855715 W. BENDER BLVD • 8824090, eRX

HOBBS FAMILY HEALTH CENTER...(575) 391-0270200 W LEA • 88240

MICHAEL'S PRESCRIPTION CORNER NORTEVISTA................................................... (575) 392-23112410 N FOWLER ST STE A • 8824090, eRX

WALGREENS #12793......................... (575) 392-0053801 W JOE HARVEY BLVD • 88240SAVE, 90

WALGREENS #2349........................... (575) 393-27671401 NORTH TURNER • 88240SAVE, 90, eRX

WALMART PHARMACY 10-0549....... (575) 492-03103800 LOVINGTON HWY • 8824090

ISLETA

ISLETA HEALTH CENTERPHARMACY.........................................(505) 869-44741 SAGEBRUSH ST • 8702290

JAL

BESTCARE PHARMACY JAL LLC.... (575) 395-2078115 MAIN STREET • 88252SAVE, 90, eRX

JEMEZ PUEBLO

JEMEZ HEALTH CENTERPHARMACY.........................................(575) 834-7413110 SHEEPSPRINGS RD • 8702490

LAS CRUCES

ASPCARES..........................................(575) 532-89194371 E LOHMAN AVE • 88011SAVE, 90, eRX

BEN ARCHER HEALTH CENTERPHARMACY.........................................(575) 382-68121600 THORPE RD • 8801290, eRX

BEN ARCHER HEALTH CENTER PHARMACY OFLAS CRUCES...................................... (575) 528-71601998 MOTEL BOULEVARD • BUILDING B • 8800790, eRX

CVS PHARMACY #07373................... (575) 647-88783011 N MAIN ST • 8800190, 24HR, eRX

CVS PHARMACY #10149................... (575) 524-5900940 N MAIN ST • 8800190, eRX

DEL-REY PHARMACY........................ (575) 888-47563291 DEL REY BLVD • SUITE 3 • 88012SAVE, 90, eRX

HEALTHCARE PHARMACY............... (575) 915-15383865 E LOHMAN AVE STE 2 • 88011SAVE, 90, eRX

SAMS PHARMACY 10-4784............... (575) 521-78902711 N. TELSHOR BLVD • 8801190

SAVON PHARMACY........................... (575) 521-98412551 E LOHMAN AVE • 88011SAVE, 90, eRX

SAVON PHARMACY #1909................ (575) 541-12641285 EL PASEO RD • 88001SAVE, 90, eRX

WALGREENS...................................... (575) 382-91003490 NORTHRISE DR • 88011SAVE, 90, eRX

WALGREENS #11458......................... (575) 522-14573990 E LOHMAN AVE • 88011SAVE, 90

WALGREENS #11960......................... (575) 525-87131256 EL PASEO ROAD • 88001SAVE, 90, 24HR, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing LOS LUNAS

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

13

WALGREENS #12469......................... (575) 523-08332700 W PICACHO AVE • 88007SAVE, 90

WALGREENS #4421........................... (575) 525-02983100 N MAIN • 88001SAVE, 90, 24HR, eRX

WALGREENS #7107........................... (575) 647-25062300 E LOHMAN AVE • 88001SAVE, 90, 24HR, eRX

WALGREENS PRESCRIPTIONCENTER...............................................(224) 323-50653450 S TELSHOR BLVD • 88011SAVE, 90, 24HR

WALMART PHARMACY 10-0806....... (575) 524-3501571 S WALTON BLVD • 8800190

WALMART PHARMACY 10-4601....... (575) 680-37793331 RINCONADA BLVD • 8801190

WALMART PHARMACY 10-5155....... (575) 523-68441550 SOUTH VALLEY DRIVE • 8800590

WALMART PHARMACY 10-5782....... (575) 323-6097150 N SONOMA RANCH BLVD • 8800190

LAS VEGAS

DEL NORTE LONG TERM CAREPHARMACY.........................................(505) 434-6000624 UNIVERSITY AVE STE A-1000 • 87701eRX

DEL NORTE PHARMACY OF LAVEGAS................................................. (505) 425-6241615 GRAND AVE • 8770190, eRX

NEW MEXICO BEHAVIORAL HEALTH INSTITUEAT LAS VEGAS...................................(505) 454-21833695 HOT SPRINGS BLVD • 87701

PLAZA DRUGS................................... (505) 425-5221178 BRIDGE ST • 87701SAVE, 90, eRX

WALGREENS #2425........................... (505) 425-3317620 MILLS AVENUE • 87701SAVE, 90, eRX

WALMART PHARMACY 10-1380....... (505) 425-52692609 7TH STREET • 8770190

LORDSBURG

BESTCARE PHARMACY LORDSBURGLLC.......................................................(575) 542-3004204 E 4TH ST • 8804590, eRX

GENOA HEALTHCARE, LLC............. (575) 542-8800530 EAST DEMOSS STREET, STE P • 88045eRX

LOS ALAMOS

NAMBE DRUGS LOS ALAMOS......... (505) 661-9560111 CENTRAL PARK SQ • 8754490, eRX

SMITHS PHARMACY #467................. (505) 662-4778751 TRINITY DR STE 100 • 87544SAVE, 90, eRX

LOS LUNAS

ALBERTSONS MARKET PHARMACY#0919....................................................(505) 865-20892351 MAIN ST SE • 87031SAVE, 90, eRX

SMITHS PHARMACY #414................. (505) 865-33102580 MAIN ST • 87031SAVE, 90, eRX

WALGREENS...................................... (505) 865-75512500 MAIN ST NE • 87031SAVE, 90, 24HR, eRX

WALGREENS...................................... (505) 865-29331861 MAIN ST • 87031SAVE, 90, eRX

Blue Cross Medicare Rx Network Pharmacies

LOS RANCHOS New Mexico 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 prescribing

14

WALMART PHARMACY 10-3596....... (505) 565-46222250 MAIN STREET NW • 8703190

LOS RANCHOS

NEWSCRIPTS PHARMACY................(505) 358-71557103 4TH ST NW STE G • 8710790, eRX

LOS RANCHOS DE ALBUQ

WALGREENS #7735........................... (505) 345-90596605 4TH ST NW • 87107SAVE, 90, eRX

LOVING

LOVING HEALTH CLINIC................... (575) 745-3573602 S 4TH ST • 88256

LOVINGTON

MICHAEL'S PRESCRIPTIONCORNER.............................................. (575) 396-2311123 W AVENUE A • 8826090, eRX

NOWELL PHARMACY LLC................ (575) 396-4242122 W ADAMS • 8826090, eRX

MAGDALENA

ALAMO NAVAJO HEALTH CENTER. (575) 854-2626HWY 169 MM29 • 87825SAVE, 90, eRX

MAGDALENA CLINIC......................... (575) 854-3161801 10TH ST • 87825eRX

MESCALERO

MESCALERO INDIAN HOSPITALPHARMACY.........................................(575) 464-3844318 ABALONIE LOOP • 8834090

MORA

BESTCARE PHARMACY-MORA LLC(575) 387-5703#3 A033 • 8773290, eRX

MORIARTY

MAY HEALTH MART PHARMACY II..(505) 832-9988600 CENTRAL • 87035SAVE, 90, eRX

MOUNTAINAIR

MOUNTAINAIR FAMILY HEALTHCENTER...............................................(505) 847-2271105 EAST PINON • 87036

MOUNTAINAIR MEDS AND MORELLC.......................................................(505) 847-0242111 W BROADWAY • 8703690, eRX

OJO ENCINO

OJO ENCINO NAVAJO CLINIC.......... (505) 731-2268#2 OJO ENCINO CHAPTER HOUSE ROAD • 87013

PECOS

PECOS VALLEY MEDICAL CENTER.(505) 757-6482199 HIGHWAY 50 • 8755290, eRX

PERALTA

JOES PHARMACY.............................. (505) 869-36463646 HWY 47 • 8704290, eRX

PINE HILL

PINE HILL HEALTH CENTER.............(505) 775-3933BIA RT 125 • 87357

PORTALES

CJS PILL BOX.....................................(575) 356-4422109 W 4TH ST • 8813090, eRX

VILLAGE PHARMACY INC................. (575) 356-85551719 S AVE D • 8813090, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing RIO RANCHO

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

15

WALMART PHARMACY 10-2653....... (575) 359-34351604 EAST SPRUCE STREET • 8813090

QUEMADO

QUEMADO HEALTH CENTER........... (575) 773-46108 OLD TOWN LOOP • 87829eRX

QUESTA

BESTCARE PHARMACY 4 LLC SANTAFE......................................................... (575) 483-69222349 STATE ROAD 522 • 8755690, eRX

QUESTA HEALTH CENTER............... (575) 586-03152573 STATE HWY 522 • 87556

RATON

MESA PHARMACY............................. (575) 245-63721279 S 2ND ST • 8774090, eRX

THE MEDICINE SHOPPEPHARMACY.........................................(575) 445-00751275 A S SECOND ST • 8774090, eRX

RESERVE

CATRON COUNTY CLINIC................. (575) 533-6456ONE FOSTER LN • 87830

RIO RANCHO

ALBERTSONS MARKET PHARMACY#0923....................................................(505) 771-84117800 ENCHANTED HILLS BLVD NE • 87144SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#903......................................................(505) 892-22624300 RIDGECREST DR • 87124SAVE, 90, eRX

CVS PHARMACY #07552................... (505) 896-20781001 NM 528 SE • 8712490, 24HR, eRX

PRESBYTERIAN INTEL HEALTH FOR LIFECENTER...............................................(505) 253-79004100 SARA RD SE, MSRR5 • 87124

PRESBYTERIAN MEDICAL SERVICES FAMILYHEALTH CENTER............................... (505) 896-71002300 GRANDE BLVD SE • 87124eRX

RIO RANCHO FAMILY HEALTHCENTER...............................................(505) 896-0928184 UNSER BLVD NE • 87124

SMITHS PHARMACY #413................. (505) 892-18661000 RIO RANCHO DR • 87124SAVE, 90, eRX

WALGREENS #12270......................... (505) 217-39802101 NORTHERN BLVD NE • 87124SAVE, 90, eRX

WALGREENS #16390......................... (505) 600-40121721 RIO RANCHO BLVD • 87124SAVE, 90, eRX

WALGREENS #4187........................... (505) 891-81861941 SOUTHERN • 87124SAVE, 90, eRX

WALGREENS #5158........................... (505) 892-66904051 SOUTHERN BLVD SE • 87124SAVE, 90, 24HR, eRX

WALGREENS #5732........................... (505) 771-27777850 ENCHANTED HILLS NE • 87144SAVE, 90, eRX

WALMART PHARMACY 10-3517....... (505) 600-40531115 NM HWY 528 SE • 8712490

WALMART PHARMACY 10-3732....... (505) 962-9239901 UNSER BLVD SOUTHEAST • 8712490, eRX

Blue Cross Medicare Rx Network Pharmacies

ROSWELL New Mexico 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 prescribing

16

ROSWELL

ALBERTSONS MARKET PHARMACY#690......................................................(575) 622-70391110 S MAIN ST • 88203SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#691......................................................(575) 622-1984900 W 2ND ST • 88201SAVE, 90, eRX

FARMERS UPTOWN PHARMACY..... (575) 623-08302800 N MAIN ST • 8820190, eRX

KMART PHARMACY7017...................(575) 623-90011705 S MAIN ST • 8820390, eRX

PRIMM DRUG......................................(575) 622-6571700 N UNION • 8820190, eRX

SAMS PHARMACY 10-4961............... (575) 627-98664400 NORTH MAIN STREET • 8820190

WALGREENS #1941........................... (575) 624-14391200 S MAIN ST • 88203SAVE, 90, eRX

WALGREENS #5350........................... (575) 624-04231835 N MAIN ST • 88201SAVE, 90, 24HR, eRX

WALMART PHARMACY 10-0611....... (575) 622-38124500 A NORTH MAIN • 8820190

RUIDOSO

ALBERTSONS MARKET PHARMACY#682......................................................(575) 630-8020721 MECHEM DR STE B • 88345SAVE, 90, eRX

SIERRA BLANCA PHARMACY.......... (575) 258-24561206 MECHEM DR • 8834590, eRX

WALGREENS #4650........................... (575) 257-1566138 SUDDERTH • 88345SAVE, 90, eRX

RUIDOSO DOWNS

WALMART PHARMACY 10-0851....... (575) 378-54001800 W HWY 70 • 8834690

SAN FELIPE

SAN FELIPE HEALTH CLINIC PHCY.(505) 867-54853 CEDAR ST • SAN FELIPE PUEBLO • 8700190

SANTA CLARA

FORT BAYARD MEDICAL CENTERPHARMACY.........................................(575) 537-874541 FORT BAYARD RD • 8802690

SANTA FE

ALBERTSONS MARKET PHARMACY#0927....................................................(505) 982-4806600 N GUADALUPE ST • 87501SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0986....................................................(505) 471-29143542 ZAFARANO DR • 87507SAVE, 90, eRX

ALBERTSONS MARKET PHARMACY#0987....................................................(505) 992-86383001 S ST FRANCIS DR • 87501SAVE, 90, eRX

CHRISTUS ST. VINCENT OUTPATIENTPHARMACY.........................................(505) 913-5000465 SAINT MICHAELS DR STE 112 • 8750590, eRX

CVS PHARMACY #09263................... (505) 983-5546511 W CORDOVA RD • 8750590, eRX

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing SANTO DOMINGO

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

17

CVS PHARMACY #09269................... (505) 982-8787195 PASEO DE PERALTA • 8750190, eRX

CVS PHARMACY #10227................... (505) 471-46602907 CERRILLOS RD • 8750790, eRX

DEL NORTE PHARMACY AND HOME MEDICAL OFSANTA FE........................................... (505) 988-97971691 GALISTEO • 8750190, eRX

DEL NORTE PHARMACY OFELDORADO......................................... (505) 216-06657 CALIENTE RD UNIT A2 • A-2 • 8750890, eRX

NAMBE DRUGS.................................. (505) 455-2256501 OLD SANTA FE TRL • 8750590, eRX

PHARMACA INTEGRATIVEPHARMACY.........................................(505) 820-7467530 W CORDOVA RD • STE B • 8750590, eRX

SAMS PHARMACY 10-6408............... (505) 471-01524201 RODEO ROAD • 8750590

SANTA FE COMMUNITY GUIDANCECENTER...............................................(505) 986-96332960 RODEO PARK DR WEST • 87505eRX

SANTA FE FAMILY WELLNESS........ (505) 471-50062504 CAMINO ENTRADA • 87507

SANTA FE INDIAN HOSPITALPHARMACY.........................................(505) 946-93891700 CERRILLOS RD • 8750590

SMITHS PHARMACY #461................. (505) 471-78742308 CERRILLOS ROAD • 87501SAVE, 90, eRX

SMITHS PHARMACY #491................. (505) 473-55632110 PACHECO • 87501SAVE, 90, eRX

SOUTHWEST CARE CENTER............(505) 989-8154649 HARKLE RD STE C • 87505SAVE, 90, eRX

TEEN HEALTH CENTER - CAPITAL HIGHSCHOOL.............................................. (505) 467-10814851 PASEO DEL SOL • 87507

TEEN HEALTH CENTER -SANTA FE HIGHSCHOOL.............................................. (505) 467-24392100 YUCCA ST • 87505

WALGREENS...................................... (505) 216-14925721 AIRPORT RD • 87507SAVE, 90

WALGREENS #2900........................... (505) 982-98111096 ST FRANCIS DR • 87505SAVE, 90, eRX

WALGREENS #3934........................... (505) 474-35073298 CERRILLOS ROAD • 87505SAVE, 90, 24HR, eRX

WALGREENS #6346........................... (505) 820-2196525 W ZIA ROAD • 87505SAVE, 90, eRX

WALMART PHARMACY 10-0829....... (505) 473-42613251 CERILLOS RD • 8750590

WALMART PHARMACY 10-3423....... (505) 424-91665701 HERRERA DR • 8750790

SANTA ROSA

ROUTE 66 PHARMACY...................... (575) 472-5666117 CAMINO DE VIDA STE 200 • 8843590, eRX

SANTO DOMINGO

SANTO DOMINGO PUEBLO HEALTHCENTER...............................................(505) 465-306085 WEST HIGHWAY 22 • 87052

Blue Cross Medicare Rx Network Pharmacies

SHIPROCK New Mexico 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 prescribing

18

SHIPROCK

NORTHERN NAVAJO MEDICAL CENTERPHARMACY.........................................(505) 368-7252HWY 491 NORTH • 8742090

SILVER CITY

CVS PHARMACY #10449................... (575) 388-1614610 SILVER HEIGHTS BLVD • 8806190, eRX

GENOA HEALTHCARE, LLC............. (575) 342-89001007 NORTH POPE STREET, STE P • 88061eRX

SAVON PHARMACY #3914................ (575) 388-01331956 HWY 180 E • 88062SAVE, 90, eRX

WALGREENS #10808......................... (575) 534-0053100 ROSEDALE RD • 88061SAVE, 90

WALMART PHARMACY 10-1357....... (575) 388-31132501 HWY 180 EAST • 8806190

SOCORRO

KELLY'S PHARMACY.........................(575) 835-2125312 N CALIFORNIA ST • 87801SAVE, 90, eRX

SOCORRO COMMUNITY HEALTHCNTR....................................................(575) 835-44441300 ENTERPRISE • 87801

WALMART PHARMACY 10-5492....... (575) 838-1426700 NORTH 6TH STREET • 8780190

SPRINGER

BESTCARE PHARMACY SPRINGERLLC.......................................................(575) 483-3002307 MAXWELL AVE • #B • 8774790, eRX

MESA PHARMACY............................. (575) 483-2288308 COLBERT AVE • 8774790, eRX

TAOS

ALBERTSONS MARKET PHARMACY#0920....................................................(575) 758-1203710A PASEO DEL PUEBLO SUR • 87571SAVE, 90, eRX

GENOA HEALTHCARE, LLC............. (575) 425-0171105 PASEO DEL CANON W STE P1 • 87571eRX

SMITHS PHARMACY #426................. (575) 758-4823224 PASEO PUEBLO SUR • 87571SAVE, 90, eRX

TAOS PICURIS HEALTH CENTERPHARMACY.........................................(575) 758-69951090 GOAT SPRINGS RD • 8757190

WALGREENS #12751......................... (575) 758-1704811 PASEO DEL PUEBLO SUR • 87571SAVE, 90

WALMART PHARMACY 10-0873....... (575) 758-2743926 PASEO DEL PUEBLO SUR • 8757190

THOREAU

WESTERN NM MEDICAL GROUPTHOREAU............................................(505) 862-741715 E. NAVARRE • 87323eRX

TOHATCHI

TOHATCHI HEALTH CENTERPHARMACY.........................................(505) 733-821807 CHOOSGAI • 8732590

TORREON

TORREON NAVAJO CLINIC.............. (505) 731-22842500 STATE HWY 197 • 87013

Blue Cross Medicare Rx Network Pharmacies

New Mexico Pharmacy Listing ZUNI

Retail Pharmacies, Including Chain Pharmacies

For TTY users, please dial 711.

SAVE = Preferred cost sharing 24HR = Open 24 hours90 = 90-day supply eRX = Electronic prescribing

19

TRUTH OR CONSEQ

NEW MEXICO VETERANS CENTERPHARMACY.........................................(575) 894-4231992 S BROADWAY ST • 8790190

TRUTH OR CONSEQUENCE

DAVIS-FLECK UNITED PHARMACY. (575) 894-1079500 N BROADWAY ST • 8790190, eRX

WALMART PHARMACY 10-4341....... (575) 894-03432001 HR ASHBAUGH DR • 8790190

TUCUMCARI

BOBS BUDGET PHARMACY INC...... (575) 461-1200511 S 2ND ST • 8840190, eRX

QUAY COUNTY FAMILY HEALTHCENTER...............................................(575) 461-22001302 E MAIN ST • 88401eRX

WELLBORN PHARMACY................... (575) 461-2784315 S 2ND STREET • 88401SAVE, 90, eRX

TULAROSA

TULAROSA MEDICAL CENTER........ (575) 585-1250111 CENTRAL AVE • 88352

WHITE ROCK

SMITHS PHARMACY #432................. (505) 672-945731 SHERWOOD BLVD • 87547SAVE, 90, eRX

ZIA

ZIA INDIAN HEALTH CLINICPHARMACY.........................................(505) 867-5258155B CAPITAL SQUARE DR • 8705390

ZUNI

ZUNI INDIAN HOSPITALPHARMACY.........................................(505) 782-7521ROUTE 301 NORTH B ST • 8732790

Blue Cross Medicare Rx Network Pharmacies

New Mexico 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.

20

ADVANCED MEDICATION MANAGEMENTSYSTEMS............................................ (575) 885-29792402 W PIERCE • STE 2B • CARLSBAD • 88220

ALBUQUERQUE PHARMACY............(505) 262-5728500 LOUISIANA BLVD NE • ALBUQUERQUE •87108

BEST BUY DRUGS............................. (505) 299-44961445 WYOMING BLVD. NE • ALBUQUERQUE •87112

CITY DRUG..........................................(575) 374-91217 MAIN ST • CLAYTON • 88415

DEL NORTE LONG TERM CAREPHARMACY.........................................(505) 434-6000624 UNIVERSITY AVE STE A-1000 • LAS VEGAS •87701

GENOA HEALTHCARE, LLC............. (253) 218-08307850 JEFFERSON ST NE STE 301 •ALBUQUERQUE • 87109

GENOA HEALTHCARE, LLC............. (575) 542-8800530 EAST DEMOSS STREET, STE P •LORDSBURG • 88045

GENOA HEALTHCARE, LLC............. (575) 342-89001007 NORTH POPE STREET, STE P • SILVERCITY • 88061

GENOA HEALTHCARE, LLC............. (575) 425-0171105 PASEO DEL CANON W STE P1 • TAOS •87571

INTEGRAL PHARMACY, LLC............ (505) 862-9082109 S SECOND ST • GALLUP • 87301

NEW MEXICO BEHAVIORAL HEALTH INSTITUEAT LAS VEGAS...................................(505) 454-21833695 HOT SPRINGS BLVD • LAS VEGAS • 87701

NEWSCRIPTS PHARMACY................(505) 358-71557103 4TH ST NW STE G • LOS RANCHOS • 87107

NOWELL PHARMACY LLC................ (575) 396-4242122 W ADAMS • LOVINGTON • 88260

OMNICARE OF ALBUQUERQUE.......(505) 344-97599019 WASHINGTON ST NE SUITE B1 •ALBUQUERQUE • 87113

PHARMERICA..................................... (505) 343-11132720 BROADBENT PKWY NE STE A •ALBUQUERQUE • 87107

RX INNOVATIONS.............................. (505) 881-46017215 WASHINGTON ST NE • ALBUQUERQUE •87109

SHARE 'N CARE PHARMACY........... (505) 864-7471701 DALIES AVE • STE B • BELEN • 87002

THE MEDICINE SHOPPEPHARMACY.........................................(575) 445-00751275 A S SECOND ST • RATON • 87740

VIDA PHARMACY LLC....................... (505) 856-16608500 JEFFERSON ST NE STE D • STE D •ALBUQUERQUE • 87113

ZIA PHARMACY..................................(505) 639-58572820 BROADBENT PKWY NE STE C •ALBUQUERQUE • 87107

Blue Cross Medicare Rx Network PharmaciesNew Mexico Pharmacy Listing

Home Infusion Pharmacies

For TTY users, please dial 711.For more information, please see your Evidence of Coverage.

21

BRIOVARX INFUSION SERVICES 308,LLC.......................................................(505) 830-18002420 COMANCHE RD NE • SUITE A5 •ALBUQUERQUE • 87107

CORAM CVS/SPECIALTY INFUSIONSERVICES........................................... (505) 798-35007400 WASHINGTON ST NE • ALBUQUERQUE •87109

HIT SPECIALISTS............................... (505) 888-650010801 GOLF COURSE NW • ALBUQUERQUE •87114

OPTION CARE.................................... (505) 888-43254374 ALEXANDER BLVD NE • STE A C •ALBUQUERQUE • 87107

Blue Cross Medicare Rx Network Pharmacies

New Mexico 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 prescribing

22

ACL PHARMACY................................ (505) 552-539380 B VETERANS BLVD • ACOMA • 8703490

ALAMO NAVAJO HEALTH CENTER. (575) 854-2626HWY 169 MM29 • MAGDALENA • 8782590, eRX

ALBUQUERQUE INDIAN HEALTHPHARMACY.........................................(505) 248-7640801 VASSAR DRIVE NE • ALBUQUERQUE • 8710690

CANONCITO BAND OF NAVAJOS HEALTHCLINIC..................................................(505) 908-2307129 MEDICINE HORSE RD • CANONCITO • 87026

COCHITI IHS PHARMACY..................(505) 465-2587255 COCHITI ST • COCHITI • 8707290

CROWNPOINT HEALTH CAREPHARMACY.........................................(505) 786-6344HWY JCT 57 RT 9 • CROWNPOINT • 8731390

DULCE IHS PHARMACY.................... (505) 759-329112000 STONE LAKE RD • DULCE • 8752890

DZILTH NA O DITH HLE HEALTHCENTER...............................................(505) 368-81446 RD 7586 • BLOOMFIELD • 8741390

GALLUP INDIAN MED CENTERPHARMACY.........................................(505) 722-1185516 EAST NIZHONI BLVD • GALLUP • 8730190

ISLETA HEALTH CENTERPHARMACY.........................................(505) 869-44741 SAGEBRUSH ST • ISLETA • 8702290

JEMEZ HEALTH CENTERPHARMACY.........................................(575) 834-7413110 SHEEPSPRINGS RD • JEMEZ PUEBLO •8702490

MESCALERO INDIAN HOSPITALPHARMACY.........................................(575) 464-3844318 ABALONIE LOOP • MESCALERO • 8834090

NORTHERN NAVAJO MEDICAL CENTERPHARMACY.........................................(505) 368-7252HWY 491 NORTH • SHIPROCK • 8742090

PINE HILL HEALTH CENTER.............(505) 775-3933BIA RT 125 • PINE HILL • 87357

PUEBLO OF SANDIA PHARMACY.... (505) 867-4696203 SANDIA DAY SCHOOL RD • BERNALILLO •87004

SAN FELIPE HEALTH CLINIC PHCY.(505) 867-54853 CEDAR ST • SAN FELIPE PUEBLO • SANFELIPE • 8700190

SANTA ANA HEALTH CLINICPHARMACY.........................................(505) 867-249702 C DOVE RD • BERNALILLO • 8700490

SANTA CLARA IHS PHARMACY.......(505) 753-9421ROUTE 5 • ESPANOLA • 8753290

SANTA FE INDIAN HOSPITALPHARMACY.........................................(505) 946-93891700 CERRILLOS RD • SANTA FE • 8750590

Blue Cross Medicare Rx Network Pharmacies

New Mexico 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 prescribing

23

SANTO DOMINGO PUEBLO HEALTHCENTER...............................................(505) 465-306085 WEST HIGHWAY 22 • SANTO DOMINGO •87052

TAOS PICURIS HEALTH CENTERPHARMACY.........................................(575) 758-69951090 GOAT SPRINGS RD • TAOS • 8757190

TOHATCHI HEALTH CENTERPHARMACY.........................................(505) 733-821807 CHOOSGAI • TOHATCHI • 8732590

ZIA INDIAN HEALTH CLINICPHARMACY.........................................(505) 867-5258155B CAPITAL SQUARE DR • ZIA • 8705390

ZUNI INDIAN HOSPITALPHARMACY.........................................(505) 782-7521ROUTE 301 NORTH B ST • ZUNI • 8732790

Y0096_MRK_NM_NDNOTICE17 Accepted 09042016

Blue Cross and Blue Shield of New Mexico 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 New Mexico does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

Blue Cross and Blue Shield of New Mexico:

• 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 New Mexico 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 file a grievance in person or by mail, fax, or email. If you need help filing a grievance, Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW

Room 509F, HHH Building Washington, D.C. 20201

1-800-368-1019, 800-537-7697 (TDD)

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

478923.0816

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al

Díí baa akó nínízin: Díí saad bee yáníłti’go Diné Bizaad, saad bee áká’ánída’áwo’dę́ę́’, t’áá jiik’eh, éí ná hólǫ́, kojį’ hódíílnih

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer:

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 。

ملحوظ: إذا كنت تتحدث اللغة العربية، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. اتصل رقم (رقم هاتف الصم والبكم:

주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 번으로 전화해 주십시오.

PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa

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

ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le

ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп:

ध्यान दें: ्दद आप हिदंी बोलत ेिैं तो आपके ललए मफुत में भयाषया सिया्तया सवेयाएं उपलब्ध िैं। पर कॉल करें।

توجه: اگر به زبان فارسی گفتگو می کنيد، تسهيالت زبانی به صورت رايگان برای شما فراهم می باشد. با تماس بگيريد.

เรยีน: ถ้าคณุพดูภาษาไทยคณุสามารถใช้บรกิารช่วยเหลือทางภาษาได้ฟร ี โทร

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711)

1-888-285-2249 (ATS: 711).

(TTY: 711)

(TTY: 711)

(TTY: 711).

(TTY: 711) 1-888-285-2249

711).

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711).

1-888-285-2249 (TTY: 711)

1-888-285-2249

1-888-285-2249

1-888-285-2249

1-888-285-2249

1-888-285-2249

(711

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluenm.com/pdp/pharmacies. You may also call Customer Service for updated provider information.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits and/or co-payments/co-insurance may change on January 1 of each year. The pharmacy network may change at any time. You will receive notice when necessary.

Prime Therapeutics LLC, a separate company, provides pharmacy benefit management services for Blue Cross and Blue Shield of New Mexico.

Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans.

Prime Therapeutics has contracted with Walgreens, a company independent from Prime Therapeutics and Blue Cross and Blue Shield of New Mexico, to provide mail pharmacy services through the PrimeMail by Walgreens Mail Service; changing to AllianceRx Walgreens Prime in 2018.

Prescription drug plan is provided by Blue Cross and Blue Shield of New Mexico, which refers to HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. A Medicare-approved Part D sponsor. Enrollment in HISC’s plan depends on contract renewal.

This Pharmacy Directory was updated on 09/2018. For more recent information or other questions, please contact Blue Cross MedicareRxSM Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711. We are open 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluenm.com/pdp/pharmacies.