CommuniCare Advantage. Directorio de Farmacia

Transcripción

1 CommuniCare Advantage Ofrecido por Community Health Group Directorio de Farmacia Para más información por favor comuníquese al Departamento de Servicios a Participantes de Community Health Group al , los usuarios de TTY por favor llamen al , estamos disponibles para atenderle las 24 horas del día, los 7 días de la semana, también puede visitar nuestra página web en Este Directorio de Farmacia se actualizó para el 1ro de Enero del This document may be available in other format, including English or large print for free. Please call Member Services at ; TTY/TDD users call, , if you need plan information in another format or language. Es posible que esta información esté disponible gratis en un formato ó idioma diferente, como en letra más grande ó en Ingles. Si usted necesita la información en un formato ó idioma diferente por favor comuníquese al departamento de Servicios a Participantes al ; TTY/TDD Community Health Group es una organización de Medicare Advantage con un contrato de Medicare. Este plan está disponible para cualquier persona que reciba Asistencia Médica del Estado y Medicare. La información de beneficios que se presenta en este libreto es un resumen y no una descripción completa de los beneficios que están a su disposición. Para información sobre beneficios, condiciones de cobertura o limitantes, por favor comuníquese a CommuniCare Advantage (HMO-SNP) al Los usuarios de TTY/TDD deben llamar al Nuestro personal de Servicios a Participantes está disponible para ayudarle las 24 horas del día, los 7 días de la semana incluyendo los días de fiesta. Puede ser que se apliquen límites, copagos y restricciones. Los copagos pueden variar dependiendo del nivel de Ayuda Extra que usted recibe. Por favor comuníquese con el plan para obtener más detalles. H7086_Pharm_Dir_Span_2014 CMS Approval 12/03/2013

2 Esta página se dejó en blanco intencionalmente 2

3 Introducción Este folleto proporciona una lista de farmacias de la red de CommuniCare Advantage (HMO- SNP). Para obtener una descripción completa de su cobertura de medicamentos de receta, incluyendo cómo surtir sus recetas, por favor consulte la Evidencia de Cobertura y el formulario de CommuniCare Advantage (HMO- SNP). Cuando este directorio de farmacias se refiere a " nosotros", " nos" o "nuestro ", se refiere Community Health Group. Cuando se refiere al "plan" o "nuestro plan", significa CommuniCare Advantage (HMO- SNP). En esta lista nos referimos a las farmacias como nuestras " farmacias de la red " porque hemos acordado con ellas proporcionar medicamentos de receta a los participantes del Plan. En la mayoría de los casos, sus recetas están cubiertas por CommuniCare Advantage (HMO- SNP) sólo si se surten en una farmacia de la red o a través de nuestro servicio de farmacia de pedidos por correo. Una vez que usted va a una farmacia, usted no está obligado a seguir yendo a la misma farmacia para surtir su receta, y puede cambiar a cualquier otra de nuestras farmacias de la red. Vamos a surtir las recetas en farmacias fuera de la red solamente en ciertas circunstancias, como se describe en su Evidencia de Cobertura. No todas las farmacias de la red figuran en este directorio. Algunas Farmacias pueden haber sido añadidas o eliminadas de la lista después de que se imprimió este directorio. Esto significa que las farmacias que figuran a continuación pueden no estar en la red, o puede haber nuevas farmacias de nuestra red que no están en la lista. Esta lista está actualizada a 01/01/2014. Para obtener la lista más actualizada, por favor comuníquese con nuestro personal de Servicios a Participantes. Nuestra información de contacto aparece en la parte posterior de las portadas delantera y trasera. Si usted tiene cualquier pregunta, por favor consulte la primera y última páginas de portada de esta guía para obtener información sobre cómo ponerse en contacto con nosotros. 3

4 ALPINE CARLSBAD CHULA VISTA TAVERN ROAD ALPINE, CA (619) ALPINE BOULEVARD ALPINE, CA (619) APLINE BOULEVARD ALPINE, CA (619) SOUTHERN INDIAN HEALTH COUNCIL 4058 WILLOWS ROAD ALPINE, CA (619) BONITA BONITA 4190 BONITA ROAD SUITE 101 BONITA, CA (619) BONITA ROAD BONITA, CA (619) BORREGO SPRINGS BORREGO COMMUNITY HEALTH FOUNDATION 655 PALM CANYON DRIVE SUITE B BORREGO SPRINGS, CA (760) CAMPO SOUTHERN INDIAN HEALTH COUNCIL CHURCH ROAD CAMPO, CA (619) EL CAMINO REAL CARLSBAD, CA (760) LIFE WELLNESS 1932 KELLOGG AVENUE CARLSBAD, CA (800) TAMARACK AVENUE CARLSBAD, CA (760) SAV-ON.COM 2510 EL CAMINO REAL SUITE A CARLSBAD, CA (760) ADVANCED DIABETES SUPPLY 2544 CAMPBELL PLACE SUITE 150 CARLSBAD, CA (760) COSTCO 951 PALOMAR AIRPORT ROAD CARLSBAD, CA (760) RANCHO SANTA FE ROAD CARLSBAD, CA (760) PHARMACA INTEGRATIVE 6985 EL CAMINO REAL STE A103 CARLSBAD, CA (760) AVENIDA ENCINAS SUITE C CARLSBAD, CA (760) EL CAMINO REAL CARLSBAD, CA (760) SUPER RX 2687 GATEWAY ROAD CARLSBAD, CA (760) EL CAMINO REAL CARLSBAD, CA (760) COSTCO 895 EAST H STREET (619) THIRD AVENUE (619) EAST H STREET (619) BROADWAY SUITE 1054 (619) MEDICAL CENTER 340 FOURTH AVENUE SUITE 1 (619) MEDICAL CENTER 480 FOURTH AVENUE (619) TELEGRAPH CANYON ROAD (619) OTAY LAKES ROAD (619) THIRD AVENUE (619) SHARP REES STEALY 525 THIRD AVENUE SUITE A (619) I STREET (619) NORTH BROADWAY (619) Extended Supply Pharmacy 1

5 91911 COMMUNITY MEDICAL 750 MEDICAL CENTER COURT SUITE 1 (619) COSTCO 1130 BROADWAY (619) THIRD AVENUE (619) EAST PALOMAR STREET (619) THIRD AVENUE (619) MEDICAL CENTER 1635 THIRD AVENUE SUITE A (619) MEDICAL CENTER 765 MEDICAL CENTER COURT SUITE 208 (619) MEDICAL CENTER 855 THIRD AVENUE SUITE 1102 (619) RALPHS 659 EAST PALOMAR STREET (619) SHARP CHULA VISTA MEDICAL CENTER SNF 751 MEDICAL CENTER COURT 2ND FLOOR (619) SOUTH COUNTY HEMATOLOGY ONCOLOGY 769 MEDICAL CENTER COURT SUITE 202 (619) TARGET 1240 BROADWAY (619) VETERANS HOME OF CA CHULA VISTA 700 EAST NAPLES COURT (619) THIRD AVENUE (619) BROADWAY (619) SHARP REES STEALY 1400 EAST PALOMAR STREET CHULA VISTA, CA (619) PROCTOR VALLEY ROAD CHULA VISTA, CA (619) OTAY LAKES ROAD CHULA VISTA, CA (619) EASTLAKE PARKWAY SUITE 104 CHULA VISTA, CA (619) OTAY LAKES ROAD CHULA VISTA, CA (619) EASTLAKE PARKWAY CHULA VISTA, CA (619) EASTLAKE PARKWAY CHULA VISTA, CA (619) CORONADO ORANGE AVENUE CORONADO, CA (619) SHARP CORONADO COMMUNITY 230 PROSPECT PLACE SUITE 110 CORONADO, CA (619) SHARP CORONADO HOSPITAL 250 PROSPECT PLACE CORONADO, CA (619) ORANGE AVENUE CORONADO, CA (619) DEL MAR DEL MAR HEIGHTS ROAD DEL MAR, CA (858) DEL MAR MEDICAL CENTER 2662 DEL MAR HEIGHTS ROAD DEL MAR, CA (858) DEL MAR VIA DE LA VALLE DEL MAR, CA (858) EL CAJON JAMACHA ROAD EL CAJON, CA (619) JAMACHA ROAD EL CAJON, CA (619) JAMACHA ROAD EL CAJON, CA (619) Extended Supply Pharmacy

6 SYCUAN MEDICAL/DENTAL CENTER 5442 DEHESA ROAD EL CAJON, CA (619) TARGET 2911 JAMACHA ROAD EL CAJON, CA (619) ASMAR COMMUNITY 436 SOUTH MAGNOLIA AVENUE SUITE 102 EL CAJON, CA (619) FLETCHER PARKWAY EL CAJON, CA (619) EAST CHASE AVENUE EL CAJON, CA (619) FLETCHER PARKWAY EL CAJON, CA (619) EL CAJON EXPRESS 330 SOUTH MAGNOLIA AVENUE SUITE 102 EL CAJON, CA (619) NUDOS 455 NORTH MAGNOLIA AVENUE EL CAJON, CA (619) AVOCADO AVENUE EL CAJON, CA (619) AVOCADO AVENUE EL CAJON, CA (619) FLETCHER PARKWAY EL CAJON, CA (619) ADVANCE CARE RX 1685 EAST MAIN STREET SUITE 103 (619) CLARK'S GREENFIELD 1685 EAST MAIN STREET SUITE 101 (619) BROADWAY (619) MEDCO DRUGS 1252 BROADWAY (619) PILLCO 8575 LOS COCHES ROAD SUITE 5 (619) NORTH SECOND STREET (619) BROADWAY (619) TARGET 250 BROADWAY (619) CAMINO CANADA (619) BROADWAY (619) NORTH SECOND STREET (619) CAMINO CANADA (619) ENCINITAS NORTH EL CAMINO REAL (760) ENCINITAS BOULEVARD (760) MEDICAL CENTER 310 SANTA FE DRIVE SUITE 109 (760) NORTH COAST MEDICAL 477 NORTH EL CAMINO REAL SUITE B-101 (760) RANCHO PARK 1331 ENCINITAS BOULEVARD (760) SANTA FE DRIVE (760) MANCHESTER AVENUE (760) SUPER RX 1048 NORTH EL CAMINO REAL (760) TARGET 1010 NORTH EL CAMINO REAL (760) NORTH EL CAMINO REAL (760) ENCINITAS BOULEVARD (760) LEUCADIA BOULEVARD (760) ESCONDIDO ADVANCE CARE 528 NORTH BROADWAY (760) SOUTH CENTRE CITY PARKWAY (760) FELICITA 625 WEST CITRACADO PARKWAY SUITE 106 (760) MED RX DRUG 909 EAST VALLEY PARKWAY (760) Extended Supply Pharmacy 3

7 MED-RX LTC 911 EAST VALLEY PARKWAY (760) MERCY CARE 488 EAST VALLEY PARKWAY SUITE 101 (760) NEIGHBORHOOD HEALTHCARE ESCONDIDO 460 NORTH ELM STREET (760) SOUTH CENTRE CITY PARKWAY (760) WEST WASHINGTON AVENUE (760) TARGET 280 EAST VIA RANCHO PARKWAY (760) WEST FELICITA AVENUE (760) WEST WASHINGTON AVENUE (760) WEST FELICITA AVENUE (760) WEST EL NORTE PARKWAY ESCONDIDO, CA (760) WEST EL NORTE PARKWAY ESCONDIDO, CA (760) ADVANCED HOMECARE 2127 EAST VALLEY PARKWAY SUITE C ESCONDIDO, CA (760) EAST VALLEY PARKWAY ESCONDIDO, CA (760) EAST VALLEY PARKWAY ESCONDIDO, CA (760) DRUG COMPANY 307 NORTH ASH STREET ESCONDIDO, CA (760) EAST VALLEY PARKWAY ESCONDIDO, CA (760) EAST VALLEY PARKWAY ESCONDIDO, CA (760) EAST VALLEY PARKWAY ESCONDIDO, CA (760) WEST VALLEY PARKWAY ESCONDIDO, CA (760) TARGET 1280 AUTO PARKWAY SOUTH ESCONDIDO, CA (760) FALLBROOK SOUTH MISSION ROAD FALLBROOK, CA (760) FALLBROOK 343 EAST ALVARADO STREET FALLBROOK, CA (760) SOUTH MISSION ROAD FALLBROOK, CA (760) SOUTH MISSION ROAD FALLBROOK, CA (760) SOUTH MISSION ROAD FALLBROOK, CA (760) IMPERIAL BEACH PALM AVENUE IMPERIAL BEACH, CA (619) IMPERIAL BEACH 720 HIGHWAY 75 IMPERIAL BEACH, CA (619) PALM AVENUE IMPERIAL BEACH, CA (619) SATURN BOULEVARD IMPERIAL BEACH, CA (619) LA JOLLA BURNS DRUGS 7824 GIRARD AVENUE (858) CALIFORNIA CANCER ASSOCIATES FOR RESEARCH AND EXCELLENCE 9850 GENESEE AVENUE SUITE 830 (858) NORTH TORREY PINES ROAD (858) LA JOLLA BOULEVARD (858) EADS AVENUE (858) VILLA LA JOLLA DRIVE (858) LA JOLLA DISCOUNT 9228 GENESEE AVENUE (858) Extended Supply Pharmacy

8 92093 PHARMACA INTEGRATIVE 7650 GIRARD AVENUE (858) RALPHS 8657 VILLA LA JOLLA DRIVE (858) THE EDITH & WILLIAM PERLMAN AMB CARE 9350 CAMPUS POINT DRIVE ROOM P-111 (858) THE JOHN M & SALLY B THORNTON HOSPITAL 9300 CAMPUS POINT DRIVE (858) UCSD IMG CLINIC 8939 VILLA LA JOLLA DRIVE SUITE 129 (858) GIRARD AVENUE (858) UCSD MOORES CANCER CENTER 3855 HEALTH SCIENCE DRIVE SUITE 0845 LA JOLLA, CA (858) LA MESA AVOCADO BOULEVARD LA MESA, CA (619) GET WELL 3835 AVOCADO BOULEVARD SUITE 100 LA MESA, CA (619) PRICE RITE 5115 GARFIELD STREET LA MESA, CA (619) UNIVERSITY AVENUE LA MESA, CA (619) CANCER CENTER ONCOLOGY MEDICAL GROUP 5555 GROSSMONT CENTER DRIVE (619) COSTCO 8125 FLETCHER PARKWAY (619) GROSSMONT CENTER DRIVE BUILDING P (619) GROSSMONT 5565 GROSSMONT CENTER DRIVE BUILDING 3 SUITE 150 (619) LA MESA DRUG 8301 LA MESA BOULEVARD (619) MEDICAL ARTS 8851 CENTER DRIVE SUITE 110 (619) FLETCHER PARKWAY (619) SHARP REES STEALY 5525 GROSSMONT CENTER DRIVE (619) SUPERIOR CARE 7200 PARKWAY DRIVE SUITE 116 & 117 (619) GROSSMONT BOULEVARD (619) LAKESIDE LEO'S LAKESIDE 9943 MAINE AVENUE LAKESIDE, CA (619) WINTER GARDENS BOULEVARD LAKESIDE, CA (619) WINTER GARDENS BOULEVARD LAKESIDE, CA (619) LEMON GROVE BROADWAY LEMON GROVE, CA (619) BROADWAY LEMON GROVE, CA (619) BROADWAY LEMON GROVE, CA (619) MIRA MESA MIRA MESA BOULEVARD MIRA MESA, CA (858) NATIONAL CITY EAST PLAZA BOULEVARD NATIONAL CITY, CA (619) SWEETWATER ROAD NATIONAL CITY, CA (619) PLAZA 2220 EAST PLAZA BOULEVARD SUITE L NATIONAL CITY, CA (619) EUCLID AVENUE NATIONAL CITY, CA HIGHLAND AVENUE NATIONAL CITY, CA (619) WELLS DRUG 2403 EAST PLAZA BOULEVARD NATIONAL CITY, CA (619) Extended Supply Pharmacy 5

9 OCEANSIDE OCEANSIDE BOULEVARD OCEANSIDE, CA (760) OCEANSIDE/CARLSBAD HEALTH CENTER 605 CROUCH STREET OCEANSIDE, CA (760) SOUTH COAST HIGHWAY OCEANSIDE, CA (760) MISSION AVENUE OCEANSIDE, CA (760) SUPER RX 2170 VISTA WAY OCEANSIDE, CA (760) TARGET 2255 EL CAMINO REAL OCEANSIDE, CA (760) VISTA COMMUNITY CLINIC PIER VIEW WAY 818 PIER VIEW WAY OCEANSIDE, CA (760) MISSION AVENUE OCEANSIDE, CA (760) VISTA WAY OCEANSIDE, CA (760) COLLEGE BOULEVARD OCEANSIDE, CA (760) NORTH COUNTY ONCOLOGY MEDICAL CLINIC 3617 VISTA WAY OCEANSIDE, CA (760) OCEANSIDE 3601 VISTA WAY SUITE 103 OCEANSIDE, CA (760) RALPHS 3533 CANNON ROAD OCEANSIDE, CA (760) RALPHS 4251 OCEANSIDE BOULEVARD OCEANSIDE, CA (760) PLAZA DRIVE OCEANSIDE, CA (760) MARRON ROAD OCEANSIDE, CA (760) COLLEGE BOULEVARD OCEANSIDE, CA (760) CANNON ROAD OCEANSIDE, CA (760) OCEANSIDE BOULEVARD OCEANSIDE, CA (760) MARRON ROAD OCEANSIDE, CA (760) FRAZEE ROAD OCEANSIDE, CA (760) RALPHS 101 OLD GROVE ROAD OCEANSIDE, CA (760) COLLEGE BOULEVARD OCEANSIDE, CA (760) NORTH RIVER ROAD OCEANSIDE, CA (760) MISSION PARK 2201 MISSION AVENUE OCEANSIDE, CA (760) PACIFIC BEACH GARNET AVENUE PACIFIC BEACH, CA (858) RALPHS 4315 MISSION BOULEVARD PACIFIC BEACH, CA (858) POWAY COSTCO TECH CENTER DRIVE POWAY, CA (858) POWAY ROAD POWAY, CA (858) POWAY ROAD POWAY, CA (858) POMERADO ROAD POWAY, CA (858) SUPER RX POWAY ROAD POWAY, CA (858) POWAY ROAD POWAY, CA (858) COMMUNITY ROAD POWAY, CA (858) RAMONA MAIN STREET RAMONA, CA (760) RAMONA HEALTH CENTER 217 EAST EARLHAM STREET RAMONA, CA (760) Extended Supply Pharmacy

10 1670 MAIN STREET RAMONA, CA (760) MAIN STREET RAMONA, CA (760) RANCHO BERNARDO BERNARDO CENTER DRIVE RANCHO BERNARDO, CA (858) BERNARDO PLAZA DRIVE RANCHO BERNARDO, CA (858) RANCHO SANTA FE RANCHO SANTA FE 6056 EL TORDO RANCHO SANTA FE, CA (858) SAN CARLOS JACKSON DRIVE SAN CARLOS, CA (619) SAN CLEMENTE NORTH EL CAMINO REAL SAN CLEMENTE, CA (949) NORTH EL CAMINO REAL SAN CLEMENTE, CA (949) AVENIDA PICO SAN CLEMENTE, CA (949) SAN DIEGO ALLEN 1141 SIXTH AVENUE (619) C STREET (619) MARKET STREET (619) HORTON PLAZA (619) RALPHS 101 G STREET (619) REZCARE 701 B STREET SUITE C748 (619) KETTNER BOULEVARD (619) C STREET SUITE 100 (619) TH STREET (619) SHARP REES STEALY 300 FIR STREET (619) SIXTH AVENUE 2121 FIFTH AVENUE (619) UNIVERSITY COMPOUNDING TH AVENUE (619) UNIVERSITY COMPOUNDING 1875 THIRD AVENUE (619) COMMUNITY MEDICAL CENTER 610 GATEWAY CENTER WAY SUITE A SAN DIEGO, CA (619) COSTCO 650 GATEWAY CENTER DRIVE SAN DIEGO, CA (619) AHF 3940 FOURTH AVENUE SUITE 150 (619) CARE PLUS 1010 UNIVERSITY AVENUE (619) COMMUNITY, A 3900 FIFTH AVENUE SUITE 110 (619) COMMUNITY, A 640 UNIVERSITY AVENUE (619) WASHINGTON STREET (619) HILLCREST 120 UNIVERSITY AVENUE (619) MEDICAL CENTER 4060 FOURTH AVENUE SUITE 110 (619) PARK BOULEVARD 3904 PARK BOULEVARD (619) PRIDE 1270 UNIVERSITY AVENUE (619) Extended Supply Pharmacy 7

11 RALPHS 1020 UNIVERSITY AVENUE (619) ROBINSON AVENUE (619) TARGET 1288 CAMINO DEL RIO NORTH (619) UCSD MEDICAL CENTER 200 WEST ARBOR DRIVE STE 8765 (619) UCSD MEDICAL GROUP 330 LEWIS STREET 2ND FLOOR (619) UCSD MEDICAL OFFICES SOUTH 4168 FRONT STREET (619) UPAS 3332 THIRD AVENUE (619) WASHINGTON STREET (619) UNIVERSITY AVENUE SAN DIEGO, CA (619) TH STREET SAN DIEGO, CA (619) UNIVERSITY AVENUE SAN DIEGO, CA (619) BRIAN 4224 EL CAJON BOULEVARD (619) LA MAESTRA COMMUNITY 4060 FAIRMOUNT AVENUE (619) LINHKIEU T NGUYEN, MD 3375 EUCLID AVENUE SUITE 100 (619) MEDICAL CENTER WHITE CROSS 4074 FAIRMOUNT AVENUE (619) NGUYEN HIEN'S 4242 EL CAJON BOULEVARD (619) EUCLID AVENUE (619) UNIVERSITY AVENUE (619) V & P 4502 UNIVERSITY AVENUE SUITE 100 (619) RD STREET SUITE 700 (619) WHITE CROSS 4074 FAIRMOUNT AVENUE (619) POINT LOMA CABRILLO DRUG 955 CATALINA BOULEVARD SUITE 102A SAN DIEGO, CA (619) POINT LOMA SHELTER ISLAND DRUG 1105 ROSECRANS STREET SAN DIEGO, CA (619) TRUXTUN ROAD SUITE 100 SAN DIEGO, CA (619) NIAGARA AVENUE SAN DIEGO, CA (619) COSTCO 2345 FENTON PARKWAY SAN DIEGO, CA (619) MISSION CENTER ROAD SUITE 201 SAN DIEGO, CA (619) PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST 1075 CAMINO DEL RIO SOUTH SAN DIEGO, CA (619) GARNET AVENUE SAN DIEGO, CA (858) MISSION BOULEVARD SAN DIEGO, CA (858) GOOD PHARMA COMPOUNDING 951 TURQUOISE STREET SAN DIEGO, CA (858) ROSECRANS STREET SAN DIEGO, CA (619) WEST POINT LOMA BOULEVARD SAN DIEGO, CA (619) PJ'S PRESCRIPTION SHOPPE 3405 KENYON STREET SUITE 107 SAN DIEGO, CA (619) RALPHS 3345 SPORTS ARENA BOULEVARD SAN DIEGO, CA (619) TARGET 3245 SPORTS ARENA BOULEVARD SAN DIEGO, CA (619) MIDWAY DRIVE SAN DIEGO, CA (619) Extended Supply Pharmacy

12 MIDWAY DRIVE SAN DIEGO, CA (619) BALBOA AVENUE SAN DIEGO, CA (858) GOOD MORNING 4898 CONVOY STREET SUITE 102 SAN DIEGO, CA (858) LINDA VISTA 2361 ULRIC STREET SAN DIEGO, CA (858) PALOMAR 5923 BALBOA AVENUE SAN DIEGO, CA (858) LINDA VISTA ROAD SAN DIEGO, CA (858) BALBOA AVENUE SAN DIEGO, CA (858) TARGET 5680 BALBOA AVENUE SAN DIEGO, CA (858) UNION 2420 ULRIC STREET SAN DIEGO, CA (858) BALBOA AVENUE SAN DIEGO, CA (858) SHAWLINE STREET SAN DIEGO, CA (858) COMPREHENSIVE HEALTH CENTER 3177 OCEANVIEW BOULEVARD SAN DIEGO, CA (619) SOUTH 43RD STREET SAN DIEGO, CA (619) GALLOWAY 2995 NATIONAL AVENUE SAN DIEGO, CA (619) LOGAN HEIGHTS FAMILY HEALTH CENTER 1809 NATIONAL AVENUE SAN DIEGO, CA (619) BEST 5507 EL CAJON BOULEVARD SUITE E SAN DIEGO, CA (619) CARE 5065 EL CAJON BOULEVARD SAN DIEGO, CA (619) EL CAJON BOULEVARD SAN DIEGO, CA (619) EL CAJON BOULEVARD SAN DIEGO, CA (619) DAWN 4776 EL CAJON BOULEVARD SUITE 105 SAN DIEGO, CA (619) KHANH 4575 EL CAJON BOULEVARD SUITE C SAN DIEGO, CA (619) SAMS CLUB 6336 COLLEGE GROVE WAY SAN DIEGO, CA (619) VIET'S 4616 EL CAJON BOULEVARD SUITE 6 SAN DIEGO, CA (619) EL CAJON BOULEVARD SAN DIEGO, CA (619) COLLEGE AVENUE SAN DIEGO, CA (619) ADAMS AVENUE SAN DIEGO, CA (619) ADAMS AVENUE SAN DIEGO, CA (619) BALBOA 5222 BALBOA AVENUE SAN DIEGO, CA (858) COSTCO 4605 MORENA BOULEVARD SAN DIEGO, CA (858) CLAIREMONT DRIVE SAN DIEGO, CA (858) CLAIREMONT DRIVE SUITE B SAN DIEGO, CA (619) BALBOA AVENUE SAN DIEGO, CA (858) LAKE MURRAY BOULEVARD SAN DIEGO, CA (619) NAVAJO ROAD SAN DIEGO, CA (619) ALVARADO COMMUNITY 6367 ALVARADO COURT SUITE 109 SAN DIEGO, CA (619) ALVARADO MEDICAL PLAZA 5555 RESERVOIR DRIVE SUITE 114 SAN DIEGO, CA (619) FRIARS ROAD SAN DIEGO, CA (619) Extended Supply Pharmacy 9

13 MAJESTIC 4456 VANDEVER AVENUE SUITE 5 SAN DIEGO, CA (619) MISSION GORGE ROAD SAN DIEGO, CA (619) BIOSCRIP INFUSION SERVICES 5744 PACIFIC CENTER BOULEVARD SUITE 301 SAN DIEGO, CA (858) LA JOLLA PROFESSIONAL PLASTIC SURGERY 4510 EXECUTIVE DRIVE SUITE 105 SAN DIEGO, CA (858) LA VITA COMPOUNDING 3978 SORRENTO VALLEY BOULEVARD SUITE 300 SAN DIEGO, CA (858) OMNICARE OF SAN DIEGO 5825 OBERLIN DRIVE SUITE 300 SAN DIEGO, CA (858) RONS SERVICES 6225 NANCY RIDGE DRIVE SAN DIEGO, CA (858) SHARP REES STEALY GENETIC CENTER DRIVE SAN DIEGO, CA (858) SOUTHERN CALIFORNIA COMPOUNDING FLINTKOTE AVENUE SUITE F SAN DIEGO, CA (858) TOWN CENTRE DRIVE SAN DIEGO, CA (858) GOVERNOR DRIVE SAN DIEGO, CA (858) GENESSE AVENUE SAN DIEGO, CA (858) REGENTS ROAD SAN DIEGO, CA (858) CHILDREN'S MEDICAL CENTER 3030 CHILDREN'S WAY SUITE 108 (858) SANDROCK ROAD (858) JOHN F SHEGA 2710 HEALTH CENTER DRIVE SUITE B (858) MEDICAL CENTER 7910 FROST STREET SUITE 130 (858) MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO 3075 HEALTH CENTER DRIVE SUITE 102 (858) SAN DIEGO COMPOUNDING PHCY 5395 RUFFIN ROAD SUITE 104 (858) SHARP REES STEALY 2929 HEALTH CENTER DRIVE (858) SHARP SPECIALTY SERVICES 3558 SOUTH RUFFIN ROAD (858) UCSD HOME INFUSION 9610 RIDGEHAVEN COURT SUITE A (619) MURPHY CANYON ROAD (858) MURPHY CANYON ROAD (858) TIERRASANTA BOULEVARD SAN DIEGO, CA (858) WESTVIEW PARKWAY SAN DIEGO, CA (858) JP 9188 MIRA MESA BOULEVARD SAN DIEGO, CA (858) PHARMERICA 8930 ACTIVITY ROAD SUITE K SAN DIEGO, CA (858) MIRA MESA BOULEVARD SAN DIEGO, CA (858) WESTVIEW PARKWAY SAN DIEGO, CA (858) TARGET 8251 MIRA MESA BOULEVARD SAN DIEGO, CA (858) CAMINO RUIZ SAN DIEGO, CA (858) S COMMONS DRIVE SAN DIEGO, CA (858) DUENDA ROAD SUITE B1/B2 SAN DIEGO, CA (858) RALPHS S COMMONS DRIVE SAN DIEGO, CA (858) SHARP REES STEALY VIA TUAZON SAN DIEGO, CA (858) Extended Supply Pharmacy

14 COSTCO CARMEL MOUNTAIN ROAD SAN DIEGO, CA (858) CAMINO DEL NORTE SAN DIEGO, CA (858) MODERN HEALTH - SD EVENING CREEK DRIVE SUITE 110 SAN DIEGO, CA (858) CARMEL MOUNTAIN ROAD SAN DIEGO, CA (858) SAV-MART BERNARDO HEIGHTS PARKWAY SUITE L SAN DIEGO, CA (858) RANCHO BERNARDO ROAD SAN DIEGO, CA (858) TWIN TRAILS DRIVE SAN DIEGO, CA (858) BLACK MOUNTAIN ROAD SAN DIEGO, CA (858) PENASQUITOS DRIVE SAN DIEGO, CA (858) HIGHLAND VILLAGE PLACE SAN DIEGO, CA (858) BLACK MOUNTAIN ROAD SAN DIEGO, CA (858) DEL MAR HEIGHTS ROAD SAN DIEGO, CA (858) VALLEY CENTRE DRIVE SAN DIEGO, CA (858) CARMEL MOUNTAIN ROAD SAN DIEGO, CA (858) CRESCENT HEALTHCARE CARROLL CANYON ROAD STE SAN DIEGO, CA (858) SCRIPPS POWAY PARKWAY SAN DIEGO, CA (858) SKILLED NURSING 9920 SCRIPPS LAKE DRIVE SUITE 108 SAN DIEGO, CA (858) SCRIPPS RANCH BOULEVARD SAN DIEGO, CA (858) SCRIPPS POWAY PARKWAY SAN DIEGO, CA (858) PARADISE HILLS 5865 CUMBERLAND STREET SAN DIEGO, CA (619) PILLCO, THE MEDICINE SHOPPE 2939 ALTA VIEW DRIVE SUITE L SAN DIEGO, CA (619) THE MEDICINE SHOPPE 2939 ALTA VIEW DRIVE SUITE L SAN DIEGO, CA (619) PALM AVENUE SAN DIEGO, CA (619) CORONADO AVENUE SAN DIEGO, CA (619) SATURN BOULEVARD SAN DIEGO, CA (619) DENNERY ROAD SAN DIEGO, CA (619) DENNERY ROAD SAN DIEGO, CA (619) SAN MARCOS COSTCO 725 CENTER DRIVE SAN MARCOS, CA (760) WEST MISSION ROAD SAN MARCOS, CA (760) WOODLAND PARKWAY SAN MARCOS, CA (760) WOODLAND PARKWAY SAN MARCOS, CA (760) SAN MARCOS HEALTH CENTER 150 VALPREDA ROAD SAN MARCOS, CA (760) RANCHO SANTA FE ROAD SAN MARCOS, CA (760) CENTER DRIVE SAN MARCOS, CA (760) SOUTH TWIN OAKS VALLEY ROAD SAN MARCOS, CA (760) SOUTH RANCHO SANTA FE SAN MARCOS, CA (760) QUALITY CARE 727 WEST SAN MARCOS BOULEVARD SUITE 113 SAN MARCOS, CA (760) Extended Supply Pharmacy 11

15 RALPHS 306 SOUTH TWIN OAKS VALLEY ROAD SAN MARCOS, CA (760) SOUTH SAN ELIJO ROAD SAN MARCOS, CA (760) WELCARE 1921 WEST SAN MARCOS BOULEVARD SUITE 140 SAN MARCOS, CA (760) SAN YSIDRO EAST SAN YSIDRO BOULEVARD SAN YSIDRO, CA (619) SAN YSIDRO HEALTH CENTER 4004 BEYER BOULEVARD SAN YSIDRO, CA (619) SANTEE ALL CARE 8790 CUYAMACA STREET SUITE B SANTEE, CA (619) COSTCO 101 TOWN CENTER PARKWAY SANTEE, CA (619) MISSION GORGE ROAD SANTEE, CA (619) NORTH MAGNOLIA AVENUE SANTEE, CA (619) TARGET 9846 MISSION GORGE ROAD SANTEE, CA (619) MISSION GORGE ROAD SANTEE, CA (619) MISSION GORGE ROAD SANTEE, CA (619) MISSION GORGE ROAD SANTEE, CA (619) TOWN CENTER PARKWAY SANTEE, CA (619) SOLANA BEACH COAST PODIATRY GROUP OF SOLANA BEACH 550 LOMAS SANTA FE DRIVE SUITE B SOLANA BEACH, CA (858) SOUTH HIGHWAY 101 SOLANA BEACH, CA (858) LOMAS SANTA FE DRIVE SOLANA BEACH, CA (858) LOMAS SANTA FE DRIVE SOLANA BEACH, CA (858) SPRING VALLEY SWEETWATER ROAD SPRING VALLEY, CA (619) SWEETWATER ROAD SPRING VALLEY, CA (619) CAMPO ROAD SPRING VALLEY, CA (619) SWEETWATER ROAD SPRING VALLEY, CA (619) VALLEY CENTER COMMUNITY OF VALLEY CENTER VALLEY CENTER ROAD SUITE F VALLEY CENTER, CA (760) VISTA COSTCO 1755 HACIENDA DRIVE VISTA, CA (760) SOUTH MELROSE DRIVE VISTA, CA (760) SAN DIEGO CANCER CENTER 910 SYCAMORE AVENUE SUITE 102 VISTA, CA (760) TARGET 3150 BUSINESS PARK DRIVE VISTA, CA (760) CEDAR PARK 130 CEDAR ROAD VISTA, CA (760) SOUTH MELROSE DRIVE VISTA, CA (760) SOUTH SANTA FE AVENUE VISTA, CA (760) GREENFIELD 2067 WEST VISTA WAY SUITE 195 VISTA, CA (760) MED-CARE 161 THUNDER DRIVE SUITE 100 VISTA, CA (760) TARGET 1751 UNIVERSITY DRIVE VISTA, CA (760) Extended Supply Pharmacy

16 92084 VISTA COMMUNITY CLINIC 134 GRAPEVINE ROAD VISTA, CA (760) NORTH SANTA FE AVENUE VISTA, CA (760) SYCAMORE AVENUE VISTA, CA (760) UNIVERSITY DRIVE VISTA, CA (760) NORTH SANTE FE AVENUE VISTA, CA (760) MED RX AND COMPOUNDING 1031 EAST VISTA WAY VISTA, CA (760) EAST VISTA WAY VISTA, CA (760) VISTA COMMUNITY CLINIC 1000 VALE TERRACE VISTA, CA (760) SOUTH SANTA FE AVENUE VISTA, CA (760) Extended Supply Pharmacy 13

17 Mail Order Pharmacies BIOSCRIP INFUSION SERVICES 320 S FLOWER ST STE A BURBANK, CA (818) W TRINITY MILLS RD CARROLLTON, TX (800) BIOSCRIP SERVICES 2787 CHARTER ST COLUMBUS, OH (877) # SOUTH PARK CIR ORLANDO, FL (407) POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND, OR (503) # S RIVER PKWY TEMPE, AZ (800) Extended Supply Pharmacy

18 Home Infusion Pharmacies CommuniCare Advantage (HMO) will cover home infusion therapy if: Your prescription drug is on CommuniCare Advantage's (HMO) formulary or you have a formulary exception, CommuniCare Advantage (HMO) has approved your prescription drug for home infusion therapy, and Your prescription is written by an authorized prescriber. In cases when you need home infusion therapy, a nurse case manager will be working with you and your doctor to make sure that you have the care you need. For more information, please contact Member Services. Home Infusion Pharmacy listing by City by Zip Code: EL CAJON PILLCO 8575 LOS COCHES ROAD SUITE 5 (619) ESCONDIDO ADVANCED HOMECARE 2127 EAST VALLEY PARKWAY SUITE C ESCONDIDO, CA (760) LA MESA MEDICAL ARTS 8851 CENTER DRIVE SUITE 110 (619) SAN DIEGO UPAS 3332 THIRD AVENUE (619) DAWN 4776 EL CAJON BOULEVARD SUITE 105 SAN DIEGO, CA (619) BIOSCRIP INFUSION SERVICES 5744 PACIFIC CENTER BOULEVARD SUITE 301 SAN DIEGO, CA (858) SHARP SPECIALTY SERVICES 3558 SOUTH RUFFIN ROAD (858) CORAM SPECIALTY INFUSION SERVICES WORLD TRADE DRIVE SAN DIEGO, CA (858) CRESCENT HEALTHCARE CARROLL CANYON ROAD STE SAN DIEGO, CA (858) THE MEDICINE SHOPPE 2939 ALTA VIEW DRIVE SUITE L SAN DIEGO, CA (619)

19 Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under CommuniCare Advantage (HMO) through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please contact Member Services. Long Term Care Pharmacy listing by City by Zip Code: CHULA VISTA MEDICAL CENTER 765 MEDICAL CENTER COURT SUITE 208 (619) SHARP CHULA VISTA MEDICAL CENTER SNF 751 MEDICAL CENTER COURT 2ND FLOOR (619) VETERANS HOME OF CA CHULA VISTA 700 EAST NAPLES COURT (619) CORONADO SHARP CORONADO HOSPITAL 250 PROSPECT PLACE CORONADO, CA (619) EL CAJON ADVANCE CARE RX 1685 EAST MAIN STREET SUITE 103 (619) CLARK'S GREENFIELD 1685 EAST MAIN STREET SUITE 101 (619) PILLCO 8575 LOS COCHES ROAD SUITE 5 (619) ESCONDIDO ADVANCE CARE 528 NORTH BROADWAY (760) MED-RX LTC 911 EAST VALLEY PARKWAY (760) ADVANCED HOMECARE 2127 EAST VALLEY PARKWAY SUITE C ESCONDIDO, CA (760) LA MESA GET WELL 3835 AVOCADO BOULEVARD SUITE 100 LA MESA, CA (619) SUPERIOR CARE 7200 PARKWAY DRIVE SUITE 116 & 117 (619) SAN DIEGO REZCARE 701 B STREET SUITE C748 (619) MEDICAL CENTER WHITE CROSS 4074 FAIRMOUNT AVENUE (619) NGUYEN HIEN'S 4242 EL CAJON BOULEVARD (619) GALLOWAY 2995 NATIONAL AVENUE SAN DIEGO, CA (619) MAJESTIC 4456 VANDEVER AVENUE SUITE 5 SAN DIEGO, CA (619) OMNICARE OF SAN DIEGO 5825 OBERLIN DRIVE SUITE 300 SAN DIEGO, CA (858) RONS SERVICES 6225 NANCY RIDGE DRIVE SAN DIEGO, CA (858) PHARMERICA 8930 ACTIVITY ROAD SUITE K SAN DIEGO, CA (858) MODERN HEALTH - SD EVENING CREEK DRIVE SUITE 110 SAN DIEGO, CA (858)

20 Long Term Care Pharmacies SAV-MART BERNARDO HEIGHTS PARKWAY SUITE L SAN DIEGO, CA (858) SKILLED NURSING 9920 SCRIPPS LAKE DRIVE SUITE 108 SAN DIEGO, CA (858) THE MEDICINE SHOPPE 2939 ALTA VIEW DRIVE SUITE L SAN DIEGO, CA (619) SAN MARCOS QUALITY CARE 727 WEST SAN MARCOS BOULEVARD SUITE 113 SAN MARCOS, CA (760) WELCARE 1921 WEST SAN MARCOS BOULEVARD SUITE 140 SAN MARCOS, CA (760) Extended Supply Pharmacy 17

21 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through CommuniCare Advantage's (HMO) pharmacy network. Those other than Native Americans and Alaska Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). For more information, please contact Member Services. Indian Health Service/ Tribal / Urban Indian Health Program Pharmacy listing by City by Zip Code: ALPINE SOUTHERN INDIAN HEALTH COUNCIL 4058 WILLOWS ROAD ALPINE, CA (619) CAMPO SOUTHERN INDIAN HEALTH COUNCIL CHURCH ROAD CAMPO, CA (619) EL CAJON SYCUAN MEDICAL/DENTAL CENTER 5442 DEHESA ROAD EL CAJON, CA (619)

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23 This formulary was updated on 01/01/2014. For more recent information or other questions, please contact Community Health Group Member Services, at or, for TTY users, , twentyfour hours a day, seven days a week, or visit ii