2016 Pharmacy Directory Directorio de Farmacias
Transcription
2016 Pharmacy Directory Directorio de Farmacias
Memorial Hermann Advantage PPO 2016 Pharmacy Directory Directorio de Farmacias 16E1-APPO-P-RX 16S1-APPO-P-RX Memorial Hermann Advantage PPO 2016 Pharmacy Directory This pharmacy directory was updated on 09/2015. For more recent information or other questions, please contact Memorial Hermann Advantage PPO at 1-844-550-6886 or, for TTY users, 711, 8am – 8pm, seven (7) days a week, or visit healthplan.memorialhermann.org/medicare. Y0110_PharmDirCY16 CMS Accepted 9/8/2015 i Introduction This booklet provides a list of Memorial Hermann Advantage PPO network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Memorial Hermann Advantage PPO formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Memorial Hermann Advantage PPO. When it refers to “plan” or “our plan,” it means Memorial Hermann Advantage PPO. 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 Memorial Hermann Advantage PPO 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 September 3, 2015. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at healthplan.memorialhermann.org/medicare. You may also call Customer Service for updated provider information. You can get prescription drugs shipped to your home through our network mail order delivery service which is called “Orchard Pharmaceutical Services.” For more information, please contact us or see the mail order section of this pharmacy directory. We also list pharmacies that are in our network but are outside Harris, Fort Bend and Montgomery Counties, the 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 Harris, Fort Bend and Montgomery County area or call our Customer Service Department at Memorial Hermann Advantage PPO at 1-844-550-6886, 8am – 8pm, seven (7) days a week. TTY users should call 711. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. ii Memorial Hermann Advantage PPO Directorio de farmacias 2016 Este directorio de farmacias se actualizó el 09/2015. Para obtener información más actualizada o para realizar otras consultas, comuníquese con Memorial Hermann Advantage PPO al 1-844-5506896 o, para usuarios de TTY, al 711, de 8.00˚a. m. a 8.00˚p. m., los siete (7) días de la semana, o visite healthplan.memorialhermann.org/medicare. Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 iii Introducción Este cuadernillo brinda una lista de las farmacias de la red de Memorial Hermann Advantage PPO. Para obtener una descripción completa de su cobertura de medicamentos recetados, incluso la forma de surtir sus recetas, revise la Evidencia de Cobertura y el formulario de Memorial Hermann Advantage PPO. En este directorio de farmacias, “nosotros”, “nos” o “nuestro” significa Memorial Hermann Advantage PPO. Cuando se dice “plan” o “nuestro plan”, significa Memorial Hermann Advantage PPO. A las farmacias de esta lista las llamamos nuestras “farmacias de la red” porque hemos hecho acuerdos con ellas para brindarles medicamentos recetados a los miembros del plan. En la mayoría de los casos, sus recetas están cubiertas por Memorial Hermann Advantage PPO solo si el surtido se realiza en una farmacia de la red o mediante nuestro servicio de farmacia con pedido por correo. Una vez que usted vaya a una farmacia, no se le exige que continúe yendo a la misma farmacia para surtir su receta, sino que puede cambiarse a cualquier otra farmacia de la red. Surtiremos recetas en farmacias que estén fuera de la red bajo ciertas circunstancias, tal como se describe en su Evidencia de Cobertura. Es posible que no todas las farmacias de la red estén listadas en este directorio. Es posible que se hayan agregado o eliminado farmacias de la lista después de que este directorio fue impreso. Esto significa que las farmacias que figuran aquí pueden no estar más dentro de nuestra red, o puede haber farmacias nuevas en nuestra red que no figuren aquí. Esta lista está actualizada al 3 de septiembre de 2015. Si desea consultar la lista más reciente, comuníquese con nosotros. Nuestra información de contacto figura en la tapa y contratapa. Durante el año de beneficios puede haber algunas modificaciones en nuestra red de farmacias. Puede consultar el directorio de farmacias actualizado en nuestro sitio web en healthplan.memorialhermann.org/medicare. Si desea obtener información actualizada sobre los proveedores, también puede llamar al Servicio de Atención al Cliente. Puede recibir sus medicamentos recetados directamente en su hogar a través de nuestro servicio de pedidos por correo, llamado “Orchard Pharmaceutical Services”. Para obtener más información, comuníquese con nosotros o consulte la sección de pedidos por correo que figura en este directorio de farmacias. En el directorio también incluimos farmacias que forman parte de nuestra red pero que se encuentran fuera de los condados de Harris, Fort Bend y Montgomery, área en la que usted reside. También usted puede surtir sus recetas en estas farmacias. Para obtener más información, consulte la sección de farmacias de la red fuera del área de los condados de Harris, Fort Bend y Montgomery, la cual figura en este directorio de farmacias, o comuníquese con el Departamento de Servicio al Cliente de Memorial Hermann Advantage PPO al 1-844-550-6896, de 8.00˚a. m. a 8.00˚p. m., los siete (7) días de la semana. Los usuarios de TTY deben llamar al 711. Si tiene alguna pregunta sobre lo expuesto anteriormente, incluso en relación con las instrucciones sobre cómo presentar reclamos para recetas que haya tenido que surtir en farmacias fuera de la red, consulte la tapa y la contratapa de este directorio para obtener información sobre cómo comunicarse con nosotros. iv Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena FORT BEND COUNTY CYPRESS CVS PHARMACY # 10522 SPRING GREEN BLVD KATY, TX 77450-0000 (281) 392-3352 MISSOURI CITY 9 AMAZING GRACE PHARMACY INC 1965 TEXAS PKWY MISSOURI CITY, TX 77489-3121 (832) 230-0169 19 DAYSPRING PHARMACY AND MEDICAL SUPPLIES INC 11806 BARKER CYPRESS RD , STE I CYPRESS, TX 77477-2412 (281) 530-4442 1 FRESNO KROGER PHARMACY 10250 FRESNO STATE HWY 6 FRESNO, TX 77545-0000 (281) 431-6113 CVS PHARMACY # 2720 FM 1463 KATY, TX 77494-7494 (281) 769-9255 10 20 KROGER PHARMACY 146 1704 SPRING GREEN BLVD KATY, TX 77494-6910 (281) 769-4361 11 CVS PHARMACY 1610 CARTWRIGHT RD MISSOURI CITY, TX 77489-4017 (281) 835-0907 21 2 WALGREENS #7774 12225 STATE HWY 6 FRESNO, TX 77545-7545 (281) 431-4248 CVS PHARMACY 1302 FM 1092 MISSOURI CITY, TX 77459-1501 (281) 499-5537 WAL-MART PHARMACY 24919 WESTHEIMER PKWY KATY, TX 77494-7313 (181) 769-4210 12 CVS PHARMACY 2781 DULLES AVE MISSOURI CITY, TX 77459-2984 (281) 403-2320 22 3 WAL-MART PHARMACY 25108 MARKET PLACE DRIVE KATY, TX 77494-4430 (281) 644-6412 13 CVS PHARMACY 6220 SIENNA PKWY MISSOURI CITY, TX 77459-6048 (281) 778-9980 23 FULSHEAR WALGREENS 9423 SPRING GREEN BLVD KATY, TX 77494-3811 (281) 712-4084 14 CVS PHARMACY 5902 FM 1463 RD FULSHEAR, TX 77441-7441 (281) 232-7014 4 GLENN LAKES PHARMACY INC 3640 GLENN LAKES LANE MISSOURI CITY, TX 77459-4064 (281) 261-8278 24 WALGREENS #13062 25620 KINGSLAND BLVD KATY, TX 77494-2086 (281) 371-2360 15 FULSHEAR PHARMACY 29810 FM 1093 , STE B FULSHEAR, TX 77441-7441 (281) 346-2020 5 WALGREENS #7491 6802 S FRY RD KATY, TX 77494-7494 (281) 392-0077 16 HOUSTON PHARMACARE TEXAS, INC. 9100 SOUTHWEST FWY STE 130 , SUITE 180 HOUSTON, TX 77477-3337 (832) 886-2357 6 SOUTHSIDE PHARMACY II 1200 BINZ ST STE 260 HOUSTON, TX 77004-6925 (832) 553-1315 7 HEALTHSCRIPTS OF AMERICASOUTHWEST TEXAS, LLC 2803 DULLES AVE STE 2817 MISSOURI CITY, TX 77459-2950 (281) 499-3481 25 HEB PHARMACY 4724 HWY 6 MISSOURI CITY, TX 77459-7459 (281) 403-1861 26 MEADOWS PLACE CVS PHARMACY 12381 WEST BELLFORT MEADOWS PLACE, TX 774771312 (281) 776-3070 17 WALGREENS #6821 11675 W AIRPORT MEADOWS PLACE, TX 774777477 (281) 313-6403 HEB PHARMACY 8900 HWY 6 MISSOURI CITY, TX 78382-8382 (281) 778-1350 27 18 KATY CVS PHARMACY 3050 W GRAND PRKWY KATY, TX 77494-1502 (281) 392-3788 8 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: KORNER PHARMACY 2503 CARTWRIGHT RD MISSOURI CITY, TX 77459-2606 (281) 969-7940 28 Page 1 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena KROGER PHARMACY 6200 HWY 6 SOUTH MISSOURI CITY, TX 77459-3803 (281) 208-1741 29 MEDLIN PHARMACY 2755 TEXAS PKWY STE 101 , STE 101 MISSOURI CITY, TX 77489-5105 (281) 437-1818 WALGREENS #7721 1307 FM 1092 MISSOURI CITY, TX 77459-7459 (281) 499-5150 40 QUAIL VALLEY PHARMACY 2244 FM 1092 RD MISSOURI CITY, TX 77459-1802 (281) 499-9300 49 KROGER PHARMACY 8011 WEST GRAND PARKWAY SOUTH RICHMOND, TX 77469-8600 (281) 341-2761 NEEDVILLE 30 KROGER PHARMACY 6425 FM 1464 RD RICHMOND, TX 77407-8287 (281) 277-2242 50 LIFECHEK 13500 HWY 36 NEEDVILLE, TX 77461-7461 (979) 793-5534 41 31 KROGER PHARMACY #038 25050 FM 1093 RICHMOND, TX 77494-0000 (832) 586-7376 51 PEARLAND MEDX PHARMACY 6516 BROADWAY ST STE 136 , STE 136 PEARLAND, TX 77581-7879 (281) 506-2453 42 TARGET PHARMACY 6000 HWY 6 MISSOURI CITY, TX 77459-7459 (281) 403-6584 32 UPSHAW PHARMACY 7125 WEST FUQUA RD MISSOURI CITY, TX 77489-7489 (281) 416-9123 33 WAL-MART PHARMACY 5501 HWY 6 MISSOURI CITY, TX 77459-4190 (281) 403-0037 34 WAL-MART PHARMACY 9929 HIGHWAY 6 MISSOURI CITY, TX 77459-0000 (281) 835-0016 35 WALGREENS #3419 4790 LEXINGTON MISSOURI CITY, TX 77459-7459 (281) 499-5257 36 WALGREENS #4071 3403 TEXAS PARKWAY MISSOURI CITY, TX 77489-7489 (281) 438-3557 37 WALGREENS #4837 6120 HIGHWAY 6 MISSOURI CITY, TX 77459-7459 (281) 208-5828 38 WALGREENS #7531 2203 TEXAS PKWY MISSOURI CITY, TX 77489-4009 (281) 208-3304 39 Page 2 FILE ID: MARISTE PHARMACY 8433 FM 1464 SUITE G , STE G RICHMOND, TX 77407-1102 (713) 234-7190 52 METSCRIPT PHARMACY 1300 MAIN ST , STE 100 RICHMOND, TX 77469-3348 (281) 277-2707 RICHMOND 53 ACCESSHEALTH 400 AUSTIN ST RICHMOND, TX 77469-4406 (281) 633-3188 43 METSCRIPT PHARMACY 7790 W. GRAND PARKWAY SOUTH , SUITE 101 RICHMOND, TX 77469-3348 (281) 762-6375 54 CARTER’S PHARMACY RX 1202 LARK LN STE 3 , STE 3 RICHMOND, TX 77469-7433 (281) 239-3238 44 CVS PHARMACY 1410 CRABB RIVER RD RICHMOND, TX 77469-5621 (281) 545-8843 PROFESSIONAL BLDG PHARMACY 1601 MAIN ST , #105 RICHMOND, TX 77469-3230 (281) 341-9898 CVS PHARMACY 6900 GRAND MISSION BLVD RICHMOND, TX 77407-5404 (281) 239-6517 RANDALLS PHARMACY #2670 1890 FM 359 RICHMOND, TX 77406-7406 (281) 238-9790 CVS PHARMACY # 11950 MASON RD RICHMOND, TX 77469-0000 (832) 595-8871 RICHMOND PHARMACY 1601 MAIN ST ,SUITE 106 RICHMOND, TX 77469-7469 (281) 762-7462 55 45 56 46 57 47 HEALTHQUEST PHARMACY 22001 SOUTHWEST FWY , SUITE 110 RICHMOND, TX 77469-7003 (832) 222-0100 48 SAMS CLUB PHARMACY 10-6867 22402 BELLAIRE BLVD RICHMOND, TX 77407-3903 (281) 202-0345 58 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WAL-MART PHARMACY 5330 FM1640 RICHMOND, TX 77469-5435 (281) 342-7921 TARGET PHARMACY 23912 COMMERCIAL DR ROSENBERG, TX 77471-7471 (281) 232-1241 STAFFORD PHARMACY & DME 2448 S MAIN ST STAFFORD, TX 77477-5522 (281) 969-5901 WAL-MART PHARMACY 5660 W GRAND PKWY S RICHMOND, TX 77406-5880 (832) 595-0322 TRIDENT PHARMACY 2307 4TH ST , STE 102 ROSENBERG, TX 77471-7471 (281) 238-8440 WAL-MART PHARMACY 11210 W AIRPORT BLVD STAFFORD, TX 77477-3068 (281) 933-5252 WALGREENS #1169 20675 FM 1093 RICHMOND, TX 77407-7778 (281) 239-3772 WALGREENS #11909 3902 FM 762 ROSENBERG, TX 77469-5892 (281) 232-2962 WALGREENS #11970 9810 S MASON RD RICHMOND, TX 77406-0000 (832) 595-9533 WALGREENS #2958 3316 AVENUE H ROSENBERG, TX 77471-7471 (281) 342-5588 59 69 60 79 70 61 80 SUGAR LAND 71 62 ACCU-CARE PHARMACY 4645 HIGHWAY 6 STE J SUGAR LAND, TX 77478-5515 (832) 939-9052 81 72 ADMIX COMPOUNDING PHARMACY 1403 HIGHWAY 6 STE 300B SUGAR LAND, TX 77478-4929 (832) 532-3113 82 WALGREENS #1199 1600 JACKSON ST RICHMOND, TX 77469-7469 (281) 342-5219 ROSENBURG 63 KROGER PHARMACY 24401 BRAZOS TOWN CROSSING ROSENBURG, TX 77471-6268 (281) 232-1237 73 WALGREENS #9504 7102 FM 1464 RICHMOND, TX 77469-7469 (281) 494-1984 64 STAFFORD COMPOUND ONE 12560 REED RD SUGAR LAND, TX 77478-3379 (855) 346-7600 83 COSTCO PHARMACY #1146 17520 SOUTHWEST FREEWAY SUGAR LAND, TX 77479-0000 (281) 566-6730 84 ROSENBERG NATIONSMED HEALTHCARE 4677 TECHNIPLEX DR STAFFORD, TX 77477-3825 (281) 240-4144 74 C - MED PHARMACY AND HEALTH CARE SERVICES LLC 5633 AVENUE I, SUITE #C , STE C ROSENBERG, TX 77471-6192 (832) 363-3787 CVS PHARMACY 1250 HWY 6 SUGAR LAND, TX 77478-4903 (281) 313-7600 65 CVS PHARMACY 5305 AVENUE I ROSENBERG, TX 77471-3459 (281) 232-1830 85 PHARMACY 4 LESS 432 MURPHY RD STAFFORD, TX 77477-5448 (281) 969-5077 75 CVS PHARMACY 13829 SOUTHWEST FWY SUGAR LAND, TX 77478-3533 (281) 491-7551 66 JOE’S PHARMACY 1221 1ST ST ROSENBERG, TX 77471-3203 (281) 762-1231 86 PR PHARMACY LLC 720 FM 1092 STAFFORD, TX 77477-7477 (832) 230-8027 76 67 ROSENBERG 9 PHARMACY 4114 AVENUE H ROSENBERG, TX 77471-2833 (281) 762-0874 87 RANDALLS PHARMACY #1022 11711 W BELLFORT STAFFORD, TX 77477-7477 (281) 568-0385 77 68 CVS PHARMACY 5757 NEW TERRITORY BLVD SUGAR LAND, TX 77479-5949 (281) 565-5905 88 SAMS PHARMACY 12300 S W FREEWAY STAFFORD, TX 77477-3010 (281) 295-2512 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: CVS PHARMACY 2102 ELDRIDGE RD SUGAR LAND, TX 77478-1812 (281) 242-2890 78 Page 3 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena CVS PHARMACY # 4523 L J PARKWAY SUGAR LAND, TX 77479-0000 (281) 265-0562 RANDALLS PHARMACY #1021 3346 HIGHWAY 6 SOUTH SUGAR LAND, TX 77478-7478 (281) 980-2150 DELIVERIT PHARMACY INC 13303 W AIRPORT BLVD SUGAR LAND, TX 77478-5800 (281) 277-1071 SAMS PHARMACY 351 HIGHWAY 6 SUGAR LAND, TX 77478-4933 (281) 295-2535 KROGER PHARMACY 4825 SWEETWATER BLVD SUGAR LAND, TX 77479-3098 (281) 494-6555 SUGAR LAND COMPOUNDING PHARMACY 14823 SOUTHWEST FWY , SUITE-B SUGAR LAND, TX 77478-7478 (281) 302-6080 89 90 WALGREENS #6783 17330 W GRAND PKW SOUTH SUGAR LAND, TX 77479-7479 (281) 633-0124 99 109 WALGREENS #6855 11525 S HIGHWAY 6 SUGAR LAND, TX 77478-4932 (281) 565-4504 100 91 110 SUGARLAND 101 METSCRIPT PHARMACY 4888 HWY 90 A , STE 100 SUGAR LAND, TX 77498-2196 (281) 277-2700 92 CAMPBELLS COMPOUNDING PHARMACY 4760 SWEETWATER BLVD , STE 103 SUGARLAND, TX 77479-3172 (281) 980-2555 111 TARGET PHARMACY 16300 SOUTHWEST FREEWAY SUGAR LAND, TX 77479-7479 (281) 340-0565 102 NAHS PHARMACY II 11677 S HIGHWAY 6 SUGAR LAND, TX 77498-1302 (832) 939-8950 93 112 TEXAS ONCOLOGY PHARMACY 1350 FIRST COLONY BOULEVARD SUGAR LAND, TX 77479-4308 (281) 276-3467 103 NORMANDY RX INC 7320 US HIGHWAY 90A , SUITE 140 SUGAR LAND, TX 77478-7478 (832) 999-4744 94 VITAMED PHARMACY 16126 SOUTHWEST FWY STE # 180 , STE 180 SUGAR LAND, TX 77479-2638 (281) 313-0234 104 OMNI-ONE-MED PHARMACY SERVICES LLC 17310 W GRAND PKWY S STE E , STE E SUGAR LAND, TX 77479-2586 (832) 554-5008 CVS PHARMACY 16515 LEXINGTON BLVD SUGARLAND, TX 77479-2310 (281) 980-6666 95 WAL-MART PHARMACY 345 HWY 6 SUGAR LAND, TX 77478-4933 (281) 340-0909 105 CVS PHARMACY # 10110 S HWY 6 SUGARLAND, TX 77498-4938 (281) 988-1952 113 HEALTHSCRIPTS SPECIALTY PHARMACY LLC 13020 DAIRY ASHFORD, SUITE 301 SUGARLAND, TX 77478-7478 (832) 532-5118 114 HEB PHARMACY 19900 SOUTHWEST FRWY SUGARLAND, TX 77479-6505 (281) 239-2055 115 PHYSICIANS PAVILION PHARMACY 16902 SOUTHWEST FWY STE 106 SUGAR LAND, TX 77479-2350 (281) 325-6620 WALGREENS 16605 SOUTHWEST FWY , SUITE 100 SUGAR LAND, TX 77479-3501 (281) 980-0293 PRO MED RX 13134 DAIRY ASHFORD RD STE # 900 , STE 900 SUGAR LAND, TX 77478-3766 (281) 313-0730 WALGREENS #1157 3316 HWY 6 SOUTH SUGAR LAND, TX 77478-7478 (281) 980-5790 96 97 106 107 98 Page 4 FILE ID: 116 KELSEY PHARMACY - FORT BEND 11555 UNIVERSITY BLVD SUGARLAND, TX 77478-3889 (713) 442-9475 117 WALGREENS #3696 4711 SWEETWATER BLVD SUGAR LAND, TX 77479-7479 (281) 980-6304 108 PRO PHARMACY HEALTH, INC. 14021 SOUTHWEST FWY # 409B SUGAR LAND, TX 77478-3550 (281) 491-0767 HEB PHARMACY 530 HIGHWAY 6 SUGARLAND, TX 77479-7479 (281) 240-6370 KROGER PHARMACY 11565 STATE HWY 6 SO SUGARLAND, TX 77498-4932 (281) 340-1504 118 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena PHARMTRUST PHARMACY 1111 HIGHWAY 6 SOUTH, STE 110 SUGARLAND, TX 77478-7478 (281) 201-2627 119 BLUE RIBBON PHARMACY 1248 GARTH RD STE D BAYTOWN, TX 77521-4117 (281) 838-8025 WALGREENS 3920 GARTH ROAD BAYTOWN, TX 77521-3106 (281) 420-5529 127 138 CVS PHARMACY 1514 N ALEXANDER BAYTOWN, TX 77520-5322 (281) 420-7510 WALGREENS #10138 4849 N HWY 146 BAYTOWN, TX 77520-8700 (281) 420-9827 CVS PHARMACY 2001 GARTH RD BAYTOWN, TX 77520-2472 (281) 422-0525 WALGREENS #12715 7216 GARTH RD BAYTOWN, TX 77521-8705 (281) 421-9242 CVS PHARMACY 3923 GARTH RD BAYTOWN, TX 77521-3105 (281) 427-6156 WALGREENS #2725 100 N ALEXANDER DR BAYTOWN, TX 77520-7520 (281) 427-3252 GR CURE 1658 W BAKER RD , SUITE # C BAYTOWN, TX 77521-2271 (281) 428-0009 WALGREENS #5389 2000 GARTH RD BAYTOWN, TX 77520-7520 (281) 427-7126 KROGER PHARMACY 1700 N ALEXANDER DR BAYTOWN, TX 77520-3443 (281) 422-8034 WELLNESS PHARMACY 3007 GARTH RD BAYTOWN, TX 77521-3946 (281) 428-4705 128 VITA CARE PHARMACY II 1429 HWY 6 SOUTH #100 SUGARLAND, TX 77478-5134 (281) 277-2800 120 139 129 WALGREENS #3324 2103 ELDRIDGE RD SUGARLAND, TX 77478-7478 (281) 240-0040 121 140 130 HARRIS COUNTY HOUSTON WELLNESS PLUS PHARMACY INC 13141 FM 1960 WEST , STE 200 HOUSTON, TX 77065-7065 (832) 604-7418 122 HARRIS COUNTY ATASCOCITA 141 131 132 143 KROGER PHARMACY 4533 GARTH ROAD BAYTOWN, TX 77521-2123 (281) 422-0105 BELLAIRE 133 TARGET PHARMACY 6931 FM 1960 RD E ATASCOCITA, TX 77346-2705 (281) 318-2238 123 CUSTOM MEDS PHARMACY, INC. 4805 BISSONNET ST BELLAIRE, TX 77401-4028 (832) 431-5449 MEDICINE SHOPPE 2007 NORTH MAIN BAYTOWN, TX 77520-2746 (281) 427-7333 134 AUSTIN AURO PHARMACY 7801 N. LAMAR BLVD , D-99 AUSTIN, TX 78752-8752 (512) 206-3150 BEE CAVE SPECIALTY PHARMACY 11719 BEE CAVE PKWY STE 204 AUSTIN, TX 77055-1232 (512) 487-5650 125 144 CVS PHARMACY 5430 BISSONNET ST BELLAIRE, TX 77401-3913 (713) 218-2291 145 124 SOUTHSIDE COMPOUNDING 2802 GARTH RD STE 101 BAYTOWN, TX 77521-3924 (832) 831-8010 142 135 MEDLEY COMPOUNDING PHARMACY 5711 BISSONNET ST STE F , STE F BELLAIRE, TX 77401-4724 (713) 838-1500 146 TARGET PHARMACY 4510 GARTH RD BAYTOWN, TX 77521-7521 (281) 422-5153 136 PIN OAK PHARMACY 6700 WEST LOOP S STE 325 , STE 325 BELLAIRE, TX 77401-4104 (713) 668-8686 147 BAYTOWN WAL-MART PHARMACY 10-0194 4900 GARTH ROAD BAYTOWN, TX 77521-2257 (281) 421-3024 137 BIRDSONGS PHARMACY 4002 GARTH RD STE 140A BAYTOWN, TX 77521-3179 (281) 628-7186 126 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: Page 5 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena PLATINUM RX 5420 WEST LOOP SOUTH , STE 1500 BELLAIRE, TX 77401-7401 (713) 667-6777 COLLEYVILLE 148 167 MEDICINE BOX PHARMACY 5200 COLLEYVILLE BLVD STE C COLLEYVILLE, TX 76034-5828 (817) 599-7988 158 RANDALLS PHARMACY #3064 5130 BELLAIRE BLVD BELLAIRE, TX 77401-7401 (713) 667-3912 149 CONROE LIFECHEK DRUG 900 W DALLAS ST CONROE, TX 77056-3602 (936) 788-2255 159 RECEPT PHARMACY 4747 BELLAIRE BLVD STE 135 , SUITE 135 BELLAIRE, TX 77401-4527 (832) 426-1520 150 ST HOPE PHARMACY 6800 WEST LOOP S STE 590 , STE 590 BELLAIRE, TX 77401-4516 (832) 319-7610 151 152 CVS PHARMACY 14630 FM 2100 CROSBY, TX 77532-9153 (281) 328-4854 160 WAL-MART PHARMACY 14215 FM 2100 CROSBY, TX 77532-9152 (281) 328-3529 CYPRESS CHANNELVIEW CVS PHARMACY 26265 NORTHWEST FREEWAY CYPRESS, TX 77429-1760 (281) 758-0092 169 CVS PHARMACY 8960 BARKER CYPRESS RD CYPRESS, TX 77433-1644 (281) 656-3520 171 162 153 168 170 WALGREENS #1518 14402 FM 2100 CROSBY, TX 77532-7532 (281) 328-8097 WESTLANDS PHARMACY 5819 BISSONNET ST BELLAIRE, TX 77401-4719 (713) 664-1400 CVS PHARMACY 16155 SPRING CYPRESS RD CYPRESS, TX 77429-1717 (281) 256-3070 CVS PHARMACY 7010 FRY RD CYPRESS, TX 77433-4400 (281) 345-1119 CROSBY 161 WALGREENS #5835 5002 BELLAIRE BLVD BELLAIRE, TX 77401-7401 (713) 663-6636 CVS PHARMACY 13757 CYPRESS N HOUSTON RD CYPRESS, TX 77429-3752 (281) 890-3467 ABI PHARMACY 15035 EAST FREEWAY, SUITE D CHANNELVIEW, TX 77530-7530 (281) 452-1400 A PLUS PHARMACY 8190 BARKER CYPRESS RD STE 800 CYPRESS, TX 77433-2280 (281) 858-5353 CHANNELVIEW PHARMACY 441 SHELDON RD , STE C CHANNELVIEW, TX 77530-7530 (281) 457-0523 BC PHARMACY INC. 14030 TELGE RD STE E CYPRESS, TX 77429-6201 (832) 334-5695 CVS PHARMACY 814 SHELDON RD CHANNELVIEW, TX 77530-3512 (281) 452-7184 BGC PHARMACY LLC 12101 GRANT RD , STE A CYPRESS, TX 77429-7429 (281) 257-4299 WALGREENS #2692 14806 WOODFOREST CHANNELVIEW, TX 77530-7530 (281) 457-5665 CVS PHARMACY 12550 LOUETTA RD CYPRESS, TX 77429-2139 (281) 257-7792 CY SPRINGS PHARMACY 7630 FRY RD STE 500 CYPRESS, TX 77433-3376 (832) 427-6694 172 CYPRESS PHARMACY 17330 SPRING CYPRESS ROAD , SUITE 160 CYPRESS, TX 77429-7429 (281) 213-3490 173 163 154 155 156 157 Page 6 FILE ID: 164 165 166 FAIRFIELD PHARMACY / COMPOUNDING 15201 MASON RD STE 700 , STE 700 CYPRESS, TX 77433-5978 (281) 758-4040 174 HEB PHARMACY 14100 SPRING CYPRESS RD. CYPRESS, TX 77429-7429 (281) 320-3700 175 HEB PHARMACY 24224 NORTHWEST FREEWAY CYPRESS, TX 77429-5683 (281) 758-1155 176 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena HEB PHARMACY 28550 HIGHWAY 290 CYPRESS, TX 77433-7433 (281) 256-6490 WAL-MART PHARMACY 13742 NORTH ELDRIDGE PKWY CYPRESS, TX 77429-2786 (281) 655-8758 KROGER PHARMACY 13135 LOUETTA ROAD CYPRESS, TX 77429-5155 (281) 379-7756 WAL-MART PHARMACY 26270 NORTHWEST FREEWAY CYPRESS, TX 77429-1761 (281) 304-9664 KROGER PHARMACY 17455 SPRING CYPRESS CYPRESS, TX 77429-2683 (281) 304-0971 WALGREENS 12025 HUFFMEISTER RD CYPRESS, TX 77429-3244 (281) 955-8344 KROGER PHARMACY 18030 FM529 CYPRESS, TX 77433-1168 (281) 550-6942 WALGREENS #4901 12407 GRANT RD CYPRESS, TX 77429-7429 (281) 655-0478 MEDI PRO INTERNATIONAL PHARMACY 13203 FRY RD STE 400 , STE 400 CYPRESS, TX 77433-3668 (281) 277-0111 WALGREENS #7101 16211 SPRING CYPRESS RD CYPRESS, TX 77429-7429 (281) 213-3675 177 DICKINSON 187 178 BEST RX PHARMACY 3828 HUGHES COURT STE 101 DICKINSON, TX 77539-6235 (713) 691-8585 198 188 179 HIGHLANDS MEDICINE SHOPPE PHARMACY 302 N MAIN HIGHLANDS, TX 77562-7562 (281) 426-3581 199 189 180 HOUSTON 190 181 1960 PHARMACY 724 CYPRESS CREEK PKWY STE 100 HOUSTON, TX 77090-7090 (281) 893-6000 200 191 A-PLUS PHARMACY 5700 S GESSNER, STE G HOUSTON, TX 77071-2249 (713) 750-9160 201 WALGREENS #7560 8207 BARKER CYPRESS RD CYPRESS, TX 77433-7433 (281) 858-0573 192 NORTH CYPRESS VILLAGE PHARMACY 21212 NORTHWEST FWY STE 101 , STE 101 CYPRESS, TX 77429-5972 (832) 912-6210 182 RANDALLS PHARMACY #1857 12312 BARKER CYPRESS ROAD CYPRESS, TX 77429-7429 (281) 373-2507 183 RX ONE PHARMACY 9740 BARKER CYPRESS ROAD , STE 107 CYPRESS, TX 77433-1974 (281) 656-2000 184 TARGET PHARMACY 25901 HIGHWAY 290 CYPRESS, TX 77429-7429 (281) 256-8102 AAPEX PHARMACY 6065 HILLCROFT PLAZA , STE109 HOUSTON, TX 77081-7081 (713) 270-7771 202 WALGREENS #7561 11803 BARKER CYPRESS RD CYPRESS, TX 77433-7433 (281) 304-5097 193 ABBEY PHARMACY 5351 ANTOINE DRIVE , SUITE # A HOUSTON, TX 77091-7091 (281) 888-4837 203 WALGREENS #9946 14127 CYPRESS ROSEHILL RD CYPRESS, TX 77429-6702 (281) 256-0723 194 WALMART PHARMACY 10-7357 8208 BARKER CYPRESS RD CYPRESS, TX 77433-1211 (281) 500-7991 ACARIAHEALTH PHARMACY #11 1311 W SAM HOUSTON PKWY N # 130 HOUSTON, TX 77043-4010 (800) 511-5144 204 195 185 TB CARE PHARMACY 11734 GRANT RD CYPRESS, TX 77429-2982 (281) 257-8809 186 DEER PARK CVS PHARMACY 3505 CENTER ST DEER PARK, TX 77536-5078 (281) 476-3463 196 205 ALLIANCE PHARM D 13734 SH FM 249 , SUITE C HOUSTON, TX 77086-0000 (281) 591-0900 206 WALGREENS 3300 CENTER STREET DEER PARK, TX 77536-5058 (281) 479-3488 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: ADVANCE PHARMACY 909 DAIRY ASHFORD ST STE 203 , STE 203 HOUSTON, TX 77079-5306 (713) 661-5711 197 Page 7 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena AMEX COMPOUNDING PHARMACY 10400 WESTOFFICE DR STE 111 HOUSTON, TX 77042-7042 (713) 266-5253 B.V.M. PHARMACY INC. 9325 KEMPWOOD DR. SUITE B , STE B HOUSTON, TX 77080-2813 (713) 460-5100 AMEX PHARMACY 12605 EAST FREEWAY , STE 102 HOUSTON, TX 77015-7015 (713) 451-8400 BAIJES BISSONNET PHARMACY 9801 BISSONNET ST STE F , STE F HOUSTON, TX 77036-8224 (281) 974-3573 AMEX PHARMACY 906 WAYSIDE , STE P HOUSTON, TX 77011-2518 (713) 457-9333 BALLEM PHARMACY 3144 SOUTHMORE BLVD HOUSTON, TX 77004-6215 (713) 520-6900 AMEX UNITED DRUG 3030 CANAL ST HOUSTON, TX 77003-1627 (713) 237-9301 BAO CHAU PHARMACY 12002 VETERANS MEMORIAL DRIVE , STE C HOUSTON, TX 77067-1089 (281) 631-0600 207 BERRY PROFESSIONAL 8520 JENSEN DR HOUSTON, TX 77093-7510 (713) 697-9750 218 228 BESTCARE PHARMACY 7338 MCHENRY , STE 6 HOUSTON, TX 77087-7087 (713) 644-2424 229 208 219 BIG TEX PHARMACY 10900 GULF FWY STE A3 , STE A3 HOUSTON, TX 77035-7035 (713) 283-1310 230 209 220 BIOCARE PHARMACY 10603 BELLAIRE BLVD , SUITE B114 HOUSTON, TX 77072-5222 (281) 530-5800 231 210 221 APOTEK PHARMACY 5201 HARRISBURG BLVD , STE B HOUSTON, TX 77011-7011 (713) 928-3210 211 ASTORIA PHARMACY 8785 W BELLFORT ST STE A HOUSTON, TX 77031-2403 (281) 922-4522 212 222 223 213 BEECHNUT PROFESSIONAL PHARMACY 7500 BEECHNUT , STE 151 HOUSTON, TX 77074-4310 (713) 988-1103 224 214 BELLAIRE DISCOUNT PHY 10515 BELLAIRE BLVD , STE L HOUSTON, TX 77072-7072 (281) 568-1888 225 AXIS GRP, LLC 223 AIRTEX DR HOUSTON, TX 77090-6627 (281) 872-7230 215 BELLAIRE PHARMACY 9115 BELLAIRE BLVD , SUITE 122 HOUSTON, TX 77036-4603 (713) 777-6251 226 AZMO PHARMACY COMPOUNDING 7825 HIGHWAY 6 N STE 106 HOUSTON, TX 77095-1705 (281) 861-9000 216 AZTECA PHARMACY 3100 BROADWAY ST , STE 105F HOUSTON, TX 77017-7017 (713) 664-3600 FILE ID: BOTICA FAMILIAR PHARMACY 12333 SOUTH MAIN STREET HOUSTON, TX 77035-6205 (713) 918-6402 234 AWESOME CARE PHARMACY 6060 BELLAIRE BLVD , STE J HOUSTON, TX 77081-7081 (281) 501-1008 Page 8 BIZMART PHARMACY 9504 LONG POINT RD STE L , STE L HOUSTON, TX 77055-4226 (713) 465-2300 233 BARKER CYPRESS PHARMACY AND COMPOUN 8300 HOMESTEAD RD HOUSTON, TX 77028-2149 (713) 631-3117 ASTRO PHARMACY, LLC 10530 NORTHWEST FWY HOUSTON, TX 77092-8205 (713) 957-4600 217 BIOCURE LLC 8700 COMMERCE PARK DR STE 241 HOUSTON, TX 77036-7432 (713) 360-2100 232 BARKER CYPRESS PHARMACY 1855 BARKER CYPRESS RD STE 140 , STE 140 HOUSTON, TX 77084-7210 (281) 579-9393 BEMAJ PHARMACY INC 10039 BISSONNET , STE 100 HOUSTON, TX 77036-7838 (713) 774-7200 227 BRETSHIRE PHARMACY INC. 7030 BRETSHIRE DR HOUSTON, TX 77016-3704 (713) 635-8800 235 BRIARGROVE PHARMACY 6435 SAN FELIPE HOUSTON, TX 77057-7057 (713) 783-5704 236 BRIGHTMED PHARMACY 9630 CLAREWOOD DR. SUITE A-14 HOUSTON, TX 77036-7036 (713) 772-7700 237 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena BRUSHMAN’S PHARMACY 6420 HILLCROFT ST STE 115 , STE 115 HOUSTON, TX 77081-3103 (713) 981-4488 238 CANAL RX 3311 CANAL ST HOUSTON, TX 77003-1847 (713) 547-0752 COSTCO PHARMACY 12405 N GESSNER ROAD HOUSTON, TX 77064-1170 (832) 912-2352 CARE PLUS PHARMACY 10301 CLUB CREEK DR , SUITE # I HOUSTON, TX 77036-7129 (713) 778-1773 COSTCO PHARMACY 3836 RICHMOND AVE HOUSTON, TX 77027-5802 (832) 325-5859 CHOICE PHARMACY 9207 COUNTRY CREEK DR STE 202 , STE 202 HOUSTON, TX 77036-7711 (713) 778-0463 CULLEN CARE PHARMACY 5751 BLYTHEWOOD ST HOUSTON, TX 77021-7021 (713) 747-2100 248 258 249 BWM PHARMACY AND MEDICAL SUPPLY INC 11850 FM 1960 RD WEST HOUSTON, TX 77065-3840 (281) 469-1882 239 BZ PHARMACY INC. 7715 VETERANS MEMORIAL DR , STE C HOUSTON, TX 77088-7088 (713) 973-7500 240 250 260 CULLEN CARE PHARMACY 9406 CULLEN BLVD STE C HOUSTON, TX 77051-3321 (713) 264-0699 261 CIITIZENS PROFESSIONAL PHARMACY 7333 NORTH FWY 110 , #110 HOUSTON, TX 77076-1318 (713) 695-7316 251 C & C PHARMACY 8208 GULF FREEWAY , STE 102 HOUSTON, TX 77017-4531 (713) 641-6300 241 CUNNINGHAM AIRLINE PHARMACY 6033 AIRLINE DR HOUSTON, TX 77076-4298 (713) 697-3261 262 CK PHARMACY 5990 AIRLINE DR , SUITE 150 HOUSTON, TX 77076-4233 (713) 697-0610 252 C AND E PHARMACEUTICAL 9627 BISSONNET HOUSTON, TX 77036-8005 (713) 272-6500 242 CUNNINGHAM PHARMACY GULFBANK 7101 LAWNDALE ST HOUSTON, TX 77023-7023 (713) 921-7500 CLINICAL CARE PHARMACY 2770 N SAM HOUSTON PKWY WEST HOUSTON, TX 77038-7038 (281) 272-8700 253 C AND P PHARMACY 8312 LONG POINT RD STE A , STE A HOUSTON, TX 77055-2050 (713) 827-9000 243 C&G PHARMACY LDT 11618 ALDINE WESTFIELD RD HOUSTON, TX 77093-7093 (281) 442-4201 244 259 263 CUNNINGHAM PHARMACY NORTHWEST 2925 W TC JESTER BLVD , STE 2B HOUSTON, TX 77018-7050 (713) 683-8600 COMMUNITY, A WALGREENS PHARMACY 4101 GREENBRIAR , STE 235 HOUSTON, TX 77098-5294 (713) 521-1700 264 254 CVS PHARMACY 1000 ELGIN STREET HOUSTON, TX 77004-2802 (713) 526-4478 265 CAMPBELLS COMPOUNDING INCORPORATED 6603 KIRBY DR HOUSTON, TX 77005-7005 (713) 668-4833 245 CANAL HEALTHCARE SOLNS. LLC. 7648 CANAL ST HOUSTON, TX 77012-1144 (713) 924-6067 246 CANAL PHARMACY 2502 CANAL ST HOUSTON, TX 77003-1523 (713) 227-5583 247 COMPOUNDING PHARMACY SOLUTIONS 6105 BEVERLY HILL STREET , SUITE 201 HOUSTON, TX 77057-6715 (713) 783-2836 255 256 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 266 CORNERSTONE RX PHARMACY 7255 BISSONNETSTREET HOUSTON, TX 77074-5801 (713) 771-8217 COSTCO PHARMACY 1150 BUNKER HILL ROAD HOUSTON, TX 77055-6208 (713) 576-2052 257 CVS PHARMACY 1001 WAUGH DRIVE HOUSTON, TX 77019-3901 (713) 807-7859 CVS PHARMACY 1002 GESSNER DRIVE HOUSTON, TX 77055-6010 (713) 647-0259 267 Page 9 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena CVS PHARMACY 1003 RICHMOND AVE HOUSTON, TX 77006-5419 (713) 807-8491 CVS PHARMACY 12601 TOMBALL PARKWAY HOUSTON, TX 77086-3326 (281) 272-7190 CVS PHARMACY 2828 SPEARS RD HOUSTON, TX 77067-1012 (281) 583-6250 CVS PHARMACY 10222 EAST FWY HOUSTON, TX 77029-1906 (713) 455-2341 CVS PHARMACY 1325 FM 1960 W HOUSTON, TX 77090-3808 (281) 444-4582 CVS PHARMACY 2910 WESTHEIMER RD HOUSTON, TX 77098-1112 (713) 526-0062 CVS PHARMACY 10902 BISSONNET RD HOUSTON, TX 77099-1707 (281) 776-3874 CVS PHARMACY 1339 S DAIRY ASHFORD HOUSTON, TX 77079-5431 (281) 493-3260 CVS PHARMACY 3140 FM 1960 RD W HOUSTON, TX 77068-3104 (281) 880-1092 CVS PHARMACY 10904 SCARSDALE BLVD STE 200 , STE 200 HOUSTON, TX 77089-6034 (281) 481-0797 CVS PHARMACY 13555 BEECHNUT ST HOUSTON, TX 77083-6056 (281) 776-3858 CVS PHARMACY 3401 TIDWELL RD HOUSTON, TX 77093-7016 (713) 691-6571 CVS PHARMACY 110 W 20TH ST HOUSTON, TX 77008-2510 (832) 673-7131 CVS PHARMACY 14115 EAST SAM HOUSTON PARKWAY NORTH HOUSTON, TX 77044-5131 (281) 459-1826 CVS PHARMACY 3811 OLD SPANISH TRAIL HOUSTON, TX 77021-1328 (713) 741-7900 CVS PHARMACY 11112 RICHMOND AVE HOUSTON, TX 77042-4790 (713) 458-2871 CVS PHARMACY 14606 RICHMOND AVE HOUSTON, TX 77082-1513 (281) 509-3440 CVS PHARMACY 11540 WESTHEIMER RD HOUSTON, TX 77077-6708 (281) 679-8031 CVS PHARMACY 15010 MEMORIAL DR HOUSTON, TX 77079-4302 (281) 368-1600 CVS PHARMACY 11600 FM 1960 RD WEST HOUSTON, TX 77065-3516 (281) 517-7260 CVS PHARMACY 15411 WALLISVILLE RD HOUSTON, TX 77049-4613 (281) 459-2740 CVS PHARMACY 12234 JONES RD HOUSTON, TX 77070-5211 (281) 517-5691 CVS PHARMACY 19715 TOMBALL HWY HOUSTON, TX 77070-3101 (281) 517-1766 CVS PHARMACY 12260 BELLAIRE BLVD HOUSTON, TX 77072-2317 (281) 776-3867 CVS PHARMACY 2266 WEST HOLCOMBE BLVD HOUSTON, TX 77030-2008 (713) 218-2180 CVS PHARMACY 12585 RICHMOND AVE HOUSTON, TX 77082-2487 (281) 749-8863 CVS PHARMACY 2455 ELDRIDGE PKWY HOUSTON, TX 77077-5255 (281) 752-5324 268 269 270 271 279 280 281 282 283 272 290 291 292 293 294 CVS PHARMACY 3939 BELLAIRE BLVD HOUSTON, TX 77025-1119 (832) 778-9025 295 273 284 CVS PHARMACY 402 GRAY ST HOUSTON, TX 77002-8608 (713) 982-5527 296 274 285 CVS PHARMACY 4131 ALDINE MAIL RTE HOUSTON, TX 77039-4649 (281) 985-4741 297 275 286 CVS PHARMACY 4150 N SHEPHERD DR HOUSTON, TX 77018-5513 (713) 884-4040 298 276 287 CVS PHARMACY 4451 W FUQUA ST HOUSTON, TX 77045-6205 (713) 433-6447 299 277 288 CVS PHARMACY 4516 HARRISBURG BLVD HOUSTON, TX 77011-4016 (713) 224-6504 300 278 Page 10 FILE ID: 289 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena CVS PHARMACY 4700 KIRBY DRIVE HOUSTON, TX 77098-5004 (713) 533-2200 CVS PHARMACY 6011 KIRBY DR HOUSTON, TX 77005-3103 (713) 522-3983 CVS PHARMACY 8201 KATY FREEWAY HOUSTON, TX 77024-1911 (713) 957-7500 CVS PHARMACY 4702 IRVINGTON BLVD HOUSTON, TX 77009-2725 (713) 694-9158 CVS PHARMACY 6079 HWY 6 N HOUSTON, TX 77084-1301 (281) 855-5460 CVS PHARMACY 8234 BROADWAY ST HOUSTON, TX 77061-1202 (713) 640-3917 CVS PHARMACY 4755 WESTHEIMER RD HOUSTON, TX 77027-4717 (713) 386-1093 CVS PHARMACY 6161 TELEPHONE RD HOUSTON, TX 77087-5405 (713) 645-3354 CVS PHARMACY 8550 W AIRPORT BLVD HOUSTON, TX 77071-2930 (713) 596-2163 CVS PHARMACY 519 E TIDWELL RD HOUSTON, TX 77022-1817 (713) 692-3400 CVS PHARMACY 6504 W LITTLE YORK HOUSTON, TX 77040-4802 (713) 937-9600 CVS PHARMACY 8620 JONES RD HOUSTON, TX 77065-5394 (281) 517-4222 CVS PHARMACY 5204 RICHMOND AVE HOUSTON, TX 77056-7502 (713) 961-4349 CVS PHARMACY 6532 SAN FELIPE RD HOUSTON, TX 77057-2611 (713) 789-1681 CVS PHARMACY 9101 HWY 6 N HOUSTON, TX 77095-2302 (281) 859-6667 CVS PHARMACY 5212 ANTOINE DR HOUSTON, TX 77092-3316 (713) 682-2533 CVS PHARMACY 6545 WESTHEIMER HOUSTON, TX 77057-5101 (713) 243-8050 CVS PHARMACY 917 MAIN ST HOUSTON, TX 77002-6412 (713) 982-5565 CVS PHARMACY 5401 WASHINGTON AVE HOUSTON, TX 77007-5131 (713) 861-3883 CVS PHARMACY 7102 BEECHNUT ST HOUSTON, TX 77074-5926 (713) 771-6652 CVS PHARMACY 9292 WESTHEIMER RD HOUSTON, TX 77063-3504 (713) 782-2421 CVS PHARMACY 5402 WESTHEIMER RD STE K , STE K HOUSTON, TX 77056-5302 (713) 877-1479 CVS PHARMACY 7710 GESSNER RD HOUSTON, TX 77040-5181 (713) 849-1100 CVS PHARMACY 9411 N FWY HOUSTON, TX 77037-1545 (281) 447-0358 CVS PHARMACY 7900 S MAIN HOUSTON, TX 77025-2807 (713) 660-8934 CVS PHARMACY 9455 HAMMERLY BLVD HOUSTON, TX 77080-5448 (713) 722-1491 CVS PHARMACY 7950 S GESSNER RD HOUSTON, TX 77036-7036 (713) 484-6011 CVS PHARMACY 959 BAY AREA BLVD HOUSTON, TX 77058-2603 (281) 212-8040 CVS PHARMACY 806 S 75TH ST HOUSTON, TX 77023-4302 (713) 926-8848 CVS PHARMACY 980 CLEARLAKE CITY BLVD HOUSTON, TX 77062-7815 (281) 480-4410 301 302 303 304 305 306 307 308 312 313 314 315 316 317 318 319 320 CVS PHARMACY 5510 W OREM DRIVE HOUSTON, TX 77085-1250 (713) 723-1118 309 321 CVS PHARMACY 5603 FM 1960W HOUSTON, TX 77069-4219 (281) 397-4030 310 322 CVS PHARMACY 5725 N ELDRIDGE PKWY HOUSTON, TX 77041-6520 (713) 856-1464 311 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 323 324 325 326 327 328 329 330 331 332 333 Page 11 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena CVS PHARMACY 9838 BUFFALO SPEEDWAY HOUSTON, TX 77025-4500 (713) 218-4491 DIMENSION PHARMACY 8880 BELLAIRE BLVD , STE B2 HOUSTON, TX 77036-4621 (713) 541-4700 ELLA PHARMACY 3444 ELLA BLVD HOUSTON, TX 77018-6100 (713) 956-1622 CVS PHARMACY # 10200 CULLEN BLVD HOUSTON, TX 77047-1140 (713) 731-4413 DIVINE PHARMACY 7457 HARWIN DR , SUITE 149 HOUSTON, TX 77036-2018 (713) 988-1777 EMERALD PHARMACY LLC 12863 GULF FWY HOUSTON, TX 77034-4807 (281) 484-7100 CVS PHARMACY # 12502 MEMORIAL DR HOUSTON, TX 77024-6000 (713) 465-6443 DNA PHARMACY 9419 MESA DR HOUSTON, TX 77028-7028 (713) 633-3362 CVS PHARMACY # 1525 NORTH LOOP W HOUSTON, TX 77008-1650 (713) 868-7456 DOLLAR RX PHARMACY 8721 JENSEN DR , STE H HOUSTON, TX 77093-7656 (713) 694-1470 EMMONS PHARMACY 9555 W SAM HOUSTON PKWY S STE 180 HOUSTON, TX 77099-2155 (832) 582-8758 CVS PHARMACY # 2469 BAY AREA BLVD HOUSTON, TX 77058-7058 (281) 486-0613 DOW PHARMACY 8800 LONG POINT RD HOUSTON, TX 77055-3006 (713) 722-7999 CVS PHARMACY # 9125 HILLCROFT ST HOUSTON, TX 77096-2903 (713) 271-0998 DR RITA’S PHARMACY INC 12289 WEST HOUSTON CENTER BLVD STE C HOUSTON, TX 77082-0000 (281) 531-5965 334 335 336 337 338 339 CVS PHARMACY # 06409 4314 NORTH FWY HOUSTON, TX 77022-6203 (713) 695-4845 345 355 346 356 347 357 348 EMPIRICAL PHARMACY 9715 TELEPHONE RD , SUITE 105 HOUSTON, TX 77075-7075 (713) 991-0072 358 349 ENNIS ST. PHARMACY 4702 ENNIS ST HOUSTON, TX 77004-6132 (713) 524-7600 359 350 EPC PHARMACY LLC 9539 HUFFMEISTER RD , STE C HOUSTON, TX 77095-2856 (281) 861-5512 360 340 CYFAIR PHARMACY 16506 FM 529 RD # 108 , # 108 HOUSTON, TX 77095-1462 (281) 550-0123 341 CYPRESS COMPOUNDING PHARMACY 9511 HUFFMEISTER RD STE 104 HOUSTON, TX 77095-2892 (832) 617-0290 DREAM PHARMACY MEMORIAL 1140 BUSINESS CENTER DR , STE 103 HOUSTON, TX 77043-2740 (713) 465-1117 351 EVERGREEN PHARMACY 9180 BELLAIRE BLVD , STE A HOUSTON, TX 77036-7036 (713) 541-1234 361 EXCEL PHARMACY INC 8600 W AIRPORT BLVD STE B , STE B HOUSTON, TX 77071-2483 (713) 995-1272 362 E AND E PHARMACY 6969 GULF FREEWAY , STE 340 HOUSTON, TX 77087-2544 (713) 847-8700 352 342 DARCY PHARMACY 11210 BELLAIRE BLVD , STE 130 HOUSTON, TX 77072-2528 (281) 988-8300 343 DB PHARMACY, PLLC 12100-E VETERANS MEMORIAL DR. HOUSTON, TX 77067-1126 (281) 397-7711 344 Page 12 FILE ID: E-MED PHARMACY LLC 12638 BISSONNET ST STE G , STE G HOUSTON, TX 77099-1397 (281) 741-5289 353 EXPERIANCARE PHARMACY LLC 3730 KIRBY DR , STE 111 HOUSTON, TX 77098-3930 (713) 524-3330 363 EXPRESS DRUGS 10909 I10 EAST HOUSTON, TX 77029-7029 (713) 673-6060 364 ECO PHARMACY OF WILLOWBROOK, LLC 13325 HARGRAVE RD STE 260 HOUSTON, TX 77070-4539 (281) 955-7500 354 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena EXPRESS SPECIALTY PHARMACY 837 CYPRESS CREEK PKWY STE 105A HOUSTON, TX 77090-7090 (281) 453-7205 365 FRIENDLY PHARMACY INC 3533 S DAIRY ASHFORD RD , STE G HOUSTON, TX 77072-1049 (832) 351-2000 375 GALAXY PHARMACY 12303 WESTHEIMER RD SUITE D , STE D HOUSTON, TX 77077-6063 (281) 496-6600 376 FAIRWAY PHARMACY 4912 TELEPHONE ROAD HOUSTON, TX 77087-7087 (713) 454-0211 366 FALCON PHARMACY OF TEXAS INC 8145 HIGHWAY 6 S STE 114A , STE 114A HOUSTON, TX 77083-5763 (281) 776-9600 367 FALLBROOK PHARMACY 11780 FM 1960 W HOUSTON, TX 77065-7065 (832) 237-4800 368 GENESIS DRUG INC 302 W GULFBANK RD , STE B HOUSTON, TX 77037-2365 (281) 999-4210 377 385 HEALTHSCRIPTS OF AMERICAHOUSTON MEDICAL CENTER, LLC 2060 SPACE PARK DR , STE 108 HOUSTON, TX 77058-3674 (281) 916-1007 386 HEALTHSCRIPTS OF AMERICASTAFFORD, LLC 9301 SOUTHWEST FWY STE 155 HOUSTON, TX 77074-1509 (832) 786-2197 387 GRACELINE PHARMACY 5800 BELLAIRE BLVD BLDG 1 # 108 HOUSTON, TX 77081-5537 (713) 838-8899 378 FAMACIA DEL SOL INC 6300 HILLCROFT 101 , STE 101 HOUSTON, TX 77081-3005 (713) 776-0806 GRAND PARKWAY PHCY AND MED SUPL 9634 S KIRKWOOD RD HOUSTON, TX 77099-7099 (281) 495-1011 FAMILY CARE PHARMACIES 12350 WESTHEIMER STE D HOUSTON, TX 77077-7077 (281) 589-7670 GREENS POINT PHARMACY 165 GREENS RD HOUSTON, TX 77060-1330 (281) 872-4177 FAMILY PHARMACY CARE 12121 RICHMOND AVE STE 126 , STE 126 HOUSTON, TX 77082-2432 (281) 315-3770 GROVEWAY PHARMACY 4501 GROVEWAY HOUSTON, TX 77087-1122 (713) 644-9400 369 HEALTHCO PHARMACY CORP 5730 CHIMNEY ROCK RD HOUSTON, TX 77081-7081 (713) 218-6337 379 HEB PHARMACY 10100 BEECHNUT HOUSTON, TX 77072-5000 (281) 564-5209 388 HEB PHARMACY 10251 KEMPWOOD HOUSTON, TX 77043-1803 (713) 996-0449 389 HEB PHARMACY 10919 LOUETTA RD HOUSTON, TX 77070-1710 (281) 257-4655 390 370 380 HEB PHARMACY 11815 WESTHEIMER HOUSTON, TX 77077-6860 (281) 497-8479 391 371 381 FAMILYCARE PHARMACY 12060 BELLAIRE BLVD , STE E HOUSTON, TX 77072-2569 (281) 933-3573 FAMILYRX PHARMACY INC 9511 HUFFMEISTER RD STE 103 HOUSTON, TX 77095-2865 (281) 855-4343 HEALTH FIT PHARMACY 3620 KATY FWY STE A , SUITE A HOUSTON, TX 77007-3646 (713) 802-2441 FARMACIA ETC 6430 HILLCROFT ST STE 100B , STE 100B HOUSTON, TX 77081-1026 (713) 771-0061 HEALTHCO PHARMACY 8604 MARTIN LUTHER KING JR. BLVD HOUSTON, TX 77033-7033 (713) 640-5575 372 373 374 382 383 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: HEB PHARMACY 12680 W. LAKE HOUSTON PKWY HOUSTON, TX 77044-7044 (281) 436-0748 392 H E B PHARMACY HOUSTON #32 6960 BARKER CYPRESS HOUSTON, TX 77084-1086 (281) 345-1303 384 HEB PHARMACY 1550 FRY ROAD HOUSTON, TX 77084-5813 (281) 829-2565 393 HEB PHARMACY 1701 WEST ALABAMA ST. HOUSTON, TX 77098-7098 (713) 807-7293 394 Page 13 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena HEB PHARMACY 3111 WOODRIDGE SUITE 500 , STE 500 HOUSTON, TX 77087-2558 (713) 847-0071 395 HICARE PHARMACY 7814 ALMEDA ROAD HOUSTON, TX 77054-3235 (713) 799-8880 J & I PHARMACY 13249 BELLAIRE BLVD HOUSTON, TX 77083-7083 (281) 372-6526 HILLCROFT PHARMACY 6400 HILLCROFT , STE 107 HOUSTON, TX 77081-3107 (713) 988-9996 J & J PHARMACY 13415 WOODFOREST BLVD , STE F HOUSTON, TX 77015-2904 (713) 330-4400 405 415 406 HEB PHARMACY 4303 KINGWOOD HOUSTON, TX 77339-3700 (281) 361-0083 396 416 HOLMAN PHARMACY 10000 A HARWIN HOUSTON, TX 77036-7036 (713) 776-3500 407 HEB PHARMACY 4955 HWY 6 N HOUSTON, TX 77084-2718 (281) 463-9148 397 J DYKES PHARMACY 4901 YALE HOUSTON, TX 77018-0000 (713) 691-5100 417 HOPE PHARMACY 1919 N. LOOP WEST, , SUITE 181 HOUSTON, TX 77008-1374 (713) 864-0100 408 HEB PHARMACY 5225A BUFFALO SPEEDWAY HOUSTON, TX 77005-4210 (713) 664-3426 398 JACINTO PHARMACY INC 10805 MARKET ST RD HOUSTON, TX 77029-2391 (713) 455-1361 418 HPB PHARMACY 6410 FANNIN ST , STE 116 HOUSTON, TX 77030-7030 (713) 799-1472 409 HEB PHARMACY 5895 SAN FELIPE ST HOUSTON, TX 77057-7057 (713) 278-8474 399 JACKS APOTHECARY 8109 CULLEN BLVD HOUSTON, TX 77051-2015 (713) 733-7424 419 HW PHARMACY 415 W LITTLE YORK , STE H HOUSTON, TX 77076-1350 (713) 492-2179 410 HEB PHARMACY 9503 JONES RD. HOUSTON, TX 77065-7065 (281) 894-5237 400 JAMES PHARMACY 12950 S. POST OAK , H HOUSTON, TX 77045-2018 (713) 721-3800 420 IMC PHARMACY 17027 NANES DR HOUSTON, TX 77090-2501 (281) 587-0152 411 HEB PHARMACY 9710 KATY FREEWAY HOUSTON, TX 77055-6213 (713) 647-5960 401 HEB PHARMACY 9828 BLACKHAWK BLVD HOUSTON, TX 77075-2246 (713) 991-1351 402 HEIGHTS PHARMACY 5225 KATY FWY STE 105A , STE 105A HOUSTON, TX 77007-2292 (713) 487-3313 JL WELLNESS PHARMACY 9210 HIGHWAY 6 S , STE C HOUSTON, TX 77083-6384 (281) 741-1960 421 INTRACARE COMMUNITY PHARMACY 1120 CYPRESS STATION DR , STE 110 HOUSTON, TX 77090-7090 (713) 790-7821 KASE RX PHARMACY 8353 SOUTHWEST FWY HOUSTON, TX 77074-1602 (713) 777-9200 412 422 KASHMERE PHARMACY INC 6402 LYONS HOUSTON, TX 77020-4917 (713) 674-6916 403 423 INWOOD PHARMACY 13300 HARGRAVE RD , SUITE 180 HOUSTON, TX 77070-7070 (281) 664-8829 413 KELSEY PHARMACY - CYPRESS 13114 FM 1960 HOUSTON, TX 77065-7065 (713) 442-4055 424 HEIGHTS STUDEWOOD PHARMACY 427 W 20TH ST , STE 105 HOUSTON, TX 77008-2425 (713) 869-2225 404 IRVINGTON FAMILY PHARMACY 3815 IRVINGTON BLVD STE E , STE E HOUSTON, TX 77009-4843 (713) 694-8399 414 KELSEY PHARMACY MEYERLAND 560 MEYERLAND PLAZA MALL HOUSTON, TX 77096-1615 (713) 442-3200 425 Page 14 FILE ID: Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena KELSEY PHARMACY - VINTAGE 10701 VINTAGE PRESERVE PKWY HOUSTON, TX 77070-2126 (713) 442-1579 KROGER PHARMACY 10010 CYPRESSWOOD DR HOUSTON, TX 77070-3408 (281) 807-1056 KROGER PHARMACY 14344 MEMORIAL DR HOUSTON, TX 77079-6700 (281) 497-3565 KELSEY PHARMACY MAIN 2727 W HOLCOMBE BLVD HOUSTON, TX 77025-7025 (713) 442-0079 KROGER PHARMACY 10306 S POST OAK HOUSTON, TX 77035-3302 (713) 729-5161 KROGER PHARMACY 1440 STUDEMONT ST HOUSTON, TX 77007-3820 (832) 708-2287 KROGER PHARMACY 1035 N SHEPHERD HOUSTON, TX 77008-6528 (713) 880-4661 KROGER PHARMACY 14710 WOODFOREST HOUSTON, TX 77015-3230 (713) 453-8446 KROGER PHARMACY 11701 S SAM HOUSTON PKWY HOUSTON, TX 77089-4764 (281) 484-3294 KROGER PHARMACY 1505 WIRT HOUSTON, TX 77055-4918 (713) 722-7282 KROGER PHARMACY 12222 JONES RD HOUSTON, TX 77070-5283 (832) 912-7578 KROGER PHARMACY 1520 ELDRIDGE HOUSTON, TX 77077-1759 (281) 496-7719 KROGER PHARMACY 12400 FM 1960 HOUSTON, TX 77065-4809 (832) 237-4890 KROGER PHARMACY 16400 EL CAMINO REAL HOUSTON, TX 77062-5721 (281) 286-8364 KROGER PHARMACY 12434 TOMBALL PARKWAY HOUSTON, TX 77086-3323 (281) 272-0050 KROGER PHARMACY 1801 SOUTH VOSS ROAD HOUSTON, TX 77057-2605 (713) 780-7643 KROGER PHARMACY 12555 BRIAR FOREST DR HOUSTON, TX 77077-2923 (281) 496-1092 KROGER PHARMACY 1938 WEST GRAY HOUSTON, TX 77019-4816 (713) 521-2317 KROGER PHARMACY 12620 WOODFOREST 200 HOUSTON, TX 77015-3568 (713) 451-8184 KROGER PHARMACY 1950 EL DORADO HOUSTON, TX 77062-3621 (281) 480-7092 KROGER PHARMACY 13133 VETERANS MEMORIAL HOUSTON, TX 77014-1903 (281) 440-7456 KROGER PHARMACY 1990 OLD SPANISH TRAIL HOUSTON, TX 77054-2045 (713) 791-1306 KROGER PHARMACY 1352 W 43RD STREET HOUSTON, TX 77018-4206 (713) 681-0821 KROGER PHARMACY 2300 N GESSNER HOUSTON, TX 77080-5006 (713) 467-9425 426 427 KELSEY PHARMACY-TANGLEWOOD 1111 AUGUSTA HOUSTON, TX 77057-7057 (713) 442-2450 436 437 438 428 439 KIM LONG PHARMACY 7601 W SAM HOUSTON PKWY S , STE 900 HOUSTON, TX 77072-5241 (713) 777-1414 429 KIM TAM PHARMACY 11794 BELLAIRE BLVD HOUSTON, TX 77072-2452 (281) 498-5000 430 441 KIMMY PHARMACY, LLC 8388 W SAM HOUSTON PKWY S STE 186 , STE C HOUSTON, TX 77072-2461 (281) 564-5400 431 KINGS RX PHARMACY 9501 LONG POINT RD STE J HOUSTON, TX 77055-4223 (713) 465-6007 432 433 434 KREMCO PHARMACY LLC 10815 BEECHNUT ST STE 125 HOUSTON, TX 77072-4491 (281) 564-7500 435 442 443 KINGSBRIDGE RX PHARMACY 6720 HIGHWAY 6 S HOUSTON, TX 77084-7084 (281) 495-3500 KINGSLEY PHARMACY 2626 S LOOP W STE 115 HOUSTON, TX 77054-2648 (713) 664-6333 440 444 445 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 446 447 448 449 450 451 452 453 454 455 456 457 Page 15 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena KROGER PHARMACY 3300 MONTROSE BLVD HOUSTON, TX 77006-3932 (713) 526-1239 458 KROGER PHARMACY 360 FM 1960 WEST HOUSTON, TX 77090-3518 (281) 397-6622 KROGER PHARMACY 9125 W SAM HOUSTON PARKWAY HOUSTON, TX 77064-6302 (281) 477-0585 LIFECARE PHARMACY 7135 SOUTHWEST FWY HOUSTON, TX 77074-2001 (713) 772-3000 469 480 LOTUS PHARMACY 8200 WILCREST DR., SUITE 8 , STE 8 HOUSTON, TX 77072-4328 (281) 983-9382 459 KROGER PHARMACY 5150 BUFFALO SPEEDWAY HOUSTON, TX 77005-4202 (713) 661-0291 481 KROGER PHARMACY 9303 HWY 6 SOUTH HOUSTON, TX 77083-6381 (713) 474-2111 470 460 KROGER PHARMACY 5235 ALDINE MAIL ROUTE HOUSTON, TX 77039-3803 (281) 449-0338 LOTUS RX PHARMACY AND MEDICAL SUPPLIES 11704 S WILCREST HOUSTON, TX 77099-4757 (281) 983-0399 KROGER PHARMACY 9330 JONES ROAD HOUSTON, TX 77065-4408 (281) 894-4859 471 482 461 KROGER PHARMACY 5620 WEST TIDWELL HOUSTON, TX 77091-4638 (713) 812-0283 KROGER PHARMACY 9919 WESTHEIMER ELMSIDE HOUSTON, TX 77042-0000 (713) 532-5858 472 462 KROGER PHARMACY 6160 HWY 6 AT LITTLE YORK HOUSTON, TX 77084-1304 (281) 345-1425 KWIK MEDS PHARMACY LLC 1900 NORTH LOOP W STE 170 HOUSTON, TX 77018-7018 (281) 501-2228 LA PLAZA PHARMACY 1 6655 HILLCROFT , STE 108 HOUSTON, TX 77081-4801 (713) 541-6655 484 MAIN MEDICAL PLAZA PHARMACY 10019 S MAIN , STE A10 HOUSTON, TX 77025-5257 (713) 667-5003 485 LEADCARE PHARMACY INC 9908 S GESSNER DRIVE HOUSTON, TX 77071-7071 (713) 774-8180 475 465 LEES PHARMACY 9501-P LONGPOINT HOUSTON, TX 77055-4223 (713) 932-7660 476 KROGER PHARMACY 6749 AIRLINE HOUSTON, TX 77076-3522 (713) 692-5163 LELAND PHARMACY 5412 FARMER ST HOUSTON, TX 77020-4720 (713) 673-8000 KROGER PHARMACY 7747 KIRBY DR HOUSTON, TX 77030-4309 (713) 661-7440 LIFE DRUGS RX 12015 LOUETTA RD, STE 300 HOUSTON, TX 77070-1155 (713) 462-7029 KROGER PHARMACY 8550 HWY 6 N WEST RD HOUSTON, TX 77095-0000 (281) 463-2409 LIFE PHARMACY 5800 BELLAIRE BLVD , SUITE 100 HOUSTON, TX 77081-7081 (713) 665-5050 466 LYONS PHARMACY 5602 LYONS AVE , SUTIE 610 HOUSTON, TX 77020-4730 (713) 675-9667 474 464 KROGER PHARMACY 6350 NORTH ELDRIDGE PARKWAY HOUSTON, TX 77041-3504 (713) 896-8487 483 473 463 KROGER PHARMACY 6322 TELEPHONE RD HOUSTON, TX 77087-5410 (713) 644-1815 LOVING CARE PHARMACY 4406 AIRLINE DR HOUSTON, TX 77022-2901 (713) 808-9103 477 MAS PHARMACY RX 9355 LONG POINT RD STE L HOUSTON, TX 77055-4481 (713) 465-6113 486 MAVIS O PHARMACY 10080 BELLAIRE BLVD STE 102 , STE 102 HOUSTON, TX 77072-5249 (281) 498-1133 487 MAXIMUM CARE 3 PHCY UNITED DRUGS 4115 REED RD HOUSTON, TX 77051-2711 (713) 731-1919 488 467 478 MAXIMUM CARE PHARMACY 16251 S POST OAK RD STE A HOUSTON, TX 77053-7053 (281) 438-6161 489 468 Page 16 FILE ID: 479 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena MAXOR PHARMACY 1046B HERCULES HOUSTON, TX 77058-2722 (281) 480-0327 490 MEDEX PLUS, INC. 5420 DASHWOOD DR STE 201 , STE 201 HOUSTON, TX 77081-5332 (713) 664-8800 MEDSAVER PHARMACY 10701 W BELLFORT ST STE B # 172 , STE B 172 HOUSTON, TX 77099-4748 (281) 988-0880 MEDI-SCRIPT PHARMACY 8121 BROADWAY ST STE 105 HOUSTON, TX 77061-1341 (713) 910-3774 MEDSHOPPE RX PHARMACY 14522 S.POST OAK , STE. 108-A HOUSTON, TX 77045-6037 (713) 492-0899 MEDICAL PLAZA 2101 CRAWFORD ST HOUSTON, TX 77002-8913 (713) 654-4137 MEDSTAR PHARMACY 14629 BEECHNUT STREET HOUSTON, TX 77083-7083 (281) 933-4449 501 MAYFLOWER PHARMACY 8323 SOUTHWEST FWY STE 115 HOUSTON, TX 77074-1615 (713) 981-5900 511 491 MCA PHARMACY, LLC 1201 DAIRY ASHFORD, SUITE 200 , STE 200 HOUSTON, TX 77079-3017 (713) 482-4444 502 512 492 503 513 MED PHARMACY I 3302 ORLANDO HOUSTON, TX 77093-4855 (713) 694-4618 MEDICAL SQUARE PHARMACY 1401 WIRT RD STE E HOUSTON, TX 77055-3034 (713) 468-3236 MEDWORLD PHARMACY INC 12390 KINGSRIDE LN HOUSTON, TX 77024-4117 (713) 647-0200 MED RX PHARMACY 4000 FULTON ST, STE C , STE C HOUSTON, TX 77009-4766 (713) 695-5000 MEDICINE SHOPPE 10902 SCARSDALE HOUSTON, TX 77089-6023 (281) 481-6040 MEDX PHARMACY 8751 STATE HWY 6 , SUITE K HOUSTON, TX 77083-7083 (281) 506-2453 MED SOLUTION PHARMACY 10680 JONES ROAD , SUITE 500 HOUSTON, TX 77065-5594 (281) 890-9922 MEDICINE SHOPPE 5600 MYKAWA , INSIDE FIESTA MART STORE HOUSTON, TX 77033-1009 (713) 641-3414 MEMORIAL COMPOUNDING PHARMACY 2918 SAN JACINTO ST HOUSTON, TX 77004-7004 (713) 523-7847 MEDICINE SHOPPE 5910 SCOTT STREET , SUITE M HOUSTON, TX 77021-1457 (713) 741-5104 MEMORIAL PHARMACY 10101 SOUTHWEST FWY STE 315 HOUSTON, TX 77074-1111 (832) 358-8500 MEDITEX PHARMACY 3010 S RICHEY ST , STE C HOUSTON, TX 77017-7220 (713) 401-3536 MERCURY DRIVE PHARMACY 918 MERCURY DR HOUSTON, TX 77029-2002 (713) 674-6122 MEDALWAYS PHARMACY 11211 KATY FWY STE 440B HOUSTON, TX 77079-4619 (713) 465-8100 MEDPLUS RX INC. 5950 S GESSNER DR STE D , STE D HOUSTON, TX 77036-7036 (713) 779-5400 MIDTOWN SPECIALTY RX 1701 WEBSTER ST STE D , STE D HOUSTON, TX 77003-5800 (713) 874-9190 MEDCARE RX PHARMACY 7052 BISSONNET ST HOUSTON, TX 77074-6010 (713) 272-9600 MEDRX COMPOUNDING & PHARMACY LIMITED COMPANY 601 WAYSIDE DR STE D , STE D HOUSTON, TX 77011-3614 (832) 767-5466 MOBILECARE PHARMACY 3918 LEELAND STREET HOUSTON, TX 77003-5648 (713) 600-0075 493 504 494 495 MED VALT PHARMACY LLC 9117 STELLA LINK RD HOUSTON, TX 77025-7025 (713) 349-9882 514 505 515 506 516 496 MED-TECH SPECIALTY PHARMACY LLC 17215 RED OAK DR SUITE 103 HOUSTON, TX 77090-2697 (281) 397-1476 497 498 499 MEDEX PHARMACY 9600 FONDREN RD #B3 , #B3 HOUSTON, TX 77096-3682 (713) 771-3800 507 517 508 518 509 510 519 520 500 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: Page 17 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena MODERN AUTOMATED PHARMACY 8303 KNIGHT RD STE A HOUSTON, TX 77054-7054 (713) 660-9091 OCENIE DRUG EMPORIUM 5003 ANTOINE DRIVE , SUITE A HOUSTON, TX 77092-3348 (713) 290-8800 531 521 OMNIPLUS PHARMACY 4916 MAIN ST STE 100 HOUSTON, TX 77002-9765 (713) 874-0300 PHARMACY AT CULLEN COMMONS 12805 CULLEN BLVD. , STE. C HOUSTON, TX 77048-7048 (713) 731-7988 542 532 NAHS PHARMACY 12000 WILCREST DR STE # 206 , STE 206 HOUSTON, TX 77031-1908 (281) 498-5700 522 523 NEW DIMENSION PHARMACY 1102 PINEMONT , STE F HOUSTON, TX 77018-1323 (713) 263-7680 524 NIBA PHARMACY 13018 WOODFOREST STE N. , SUITE A HOUSTON, TX 77015-2775 (713) 451-3328 525 NNWOOD PHARMACY LLC 8240 ANTOINE DRIVE , STE 108 HOUSTON, TX 77088-2522 (281) 448-8836 526 NORTH HOUSTON MEDICAL PHARMACY 7007 NORTH FREEWAY , SUITE 115 HOUSTON, TX 77076-1326 (713) 694-3131 527 543 ON TIME PHARMACY 14455 CULLEN BLVD , SUITE C-1 HOUSTON, TX 77047-7047 (713) 731-0880 533 NEIGHBORCARE EAGLES TRACE 14703 EAGLE VISTA DR HOUSTON, TX 77077-7077 (281) 249-7290 ORBIT PHARMACY 3330 HILLCROFT ST , STE V HOUSTON, TX 77057-7057 (713) 334-2900 534 PARK PLAZA PHARMACY 1213 HERMANN DR STE 140 HOUSTON, TX 77004-7004 (713) 524-2828 535 PATIENT CARE PHARMACY 6366 MARTIN LUTHER KING JR BLVD HOUSTON, TX 77021-4421 (281) 501-2325 536 PAVILION PHARMACY 1740 W 27TH ST , STE 150 HOUSTON, TX 77008-7008 (713) 868-1601 PECAN PARK PHARMACY 906 WAYSIDE DR HOUSTON, TX 77011-7011 (713) 861-4300 538 PEDIACARE PHARMACY 13711 WALLISVILLE RD. STE 2 HOUSTON, TX 77049-7049 (832) 770-9383 OC PHARMACY 925 GESSNER , STE 600 HOUSTON, TX 77024-2545 (713) 275-3222 PHAR-MILES PHARMACY 10700 RICHMOND AVE STE 259 , STE 259 HOUSTON, TX 77042-4997 (713) 636-3261 OC PHARMACY II 2130 W HOLCOMBE BLVD , 10TH FLOOR HOUSTON, TX 77030-3305 (713) 600-0933 PHARMACIA LATINA 1826 WIRT RD , STE P HOUSTON, TX 77055-2400 (713) 683-6004 539 540 530 FILE ID: 544 PHARMACY PLUS 6776 SOUTHWEST FWY , STE 102 HOUSTON, TX 77074-7074 (713) 782-0558 PHARMETRICS SPECIALTY RX 8924 KIRBY DR HOUSTON, TX 77054-2810 (281) 888-2058 546 PHARMSERV RX 6828 RANCHESTER DR , STE A HOUSTON, TX 77036-7036 (713) 988-0883 547 537 528 Page 18 PHARMACY INNOVATIONS 10130 LOUETTA RD STE C , STE C HOUSTON, TX 77070-2118 (281) 251-0888 545 NORTHWEST PHARMACY 1445 NORTH LOOP W STE 190 , #190 HOUSTON, TX 77008-1529 (713) 864-4449 529 PHARMACY DEPOT 11524 SPACE CENTER BLVD STE 101 HOUSTON, TX 77059-3599 (281) 487-9090 PLATINUM RX NORTH 5627 ALDINE BENDER RD STE 7 , STE 7 HOUSTON, TX 77032-4534 (281) 227-1010 548 PLAZA PHARMACY 17030 NANES DR STE 106 HOUSTON, TX 77090-2531 (713) 697-1685 549 PLEASANT HILL PHARMACY 3814 LYONS AVENUE , STE 100 HOUSTON, TX 77020-7020 (281) 974-4415 550 POWER CENTER PHARMACY 12401 S POST OAK RD , STE E HOUSTON, TX 77045-2021 (713) 721-3303 551 541 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena POWER CENTER PHARMACY 8803 SCOTT ST HOUSTON, TX 77051-7051 (713) 731-8999 PVE PHARMACY 226 E CROSSTIMBERS ST STE 2 HOUSTON, TX 77022-7022 (713) 884-1443 RANDALLS PHARMACY #1066 12850 MEMORIAL DRIVE HOUSTON, TX 77024-7024 (713) 365-6704 PRECIOUS PLACE’S PHARMACY 11336 BEECHNUT ST STE A8 , STE A8 HOUSTON, TX 77072-4212 (281) 760-3660 PYRAMIDS PHARMACY 1201 DAIRY ASHFORD RD. , STE 114 HOUSTON, TX 77079-7079 (281) 589-2400 RANDALLS PHARMACY #1773 2225 LOUISIANA STREET HOUSTON, TX 77002-7002 (713) 331-1053 PRESTIGE PHARMACY 6550 MAPLE RIDGE , SUITE 116 HOUSTON, TX 77081-7081 (832) 778-6552 Q PHARMACY FOODARAMA ANTOINE 7320 ANTOINE DRIVE HOUSTON, TX 77088-7230 (281) 847-5510 552 562 553 563 572 573 RANDALLS PHARMACY #1774 5346 W 34TH STREET HOUSTON, TX 77092-7092 (713) 684-0527 574 554 564 PRIME RX PHARMACY 902 NORMANDY , SUITE 200 HOUSTON, TX 77015-7015 (713) 451-0200 QUICK CK PRESCRIPTION SHOP LLC 2656 S LOOP W STE 574 HOUSTON, TX 77018-1412 (832) 831-9465 565 PRIMECARE PHARMACY 5900 CHIMNEY ROCK RD STE AC HOUSTON, TX 77081-2706 (713) 661-7746 556 R AND Y COMMUNITY PHARMACY,LLC 9573 SOUTH GESSNER DR HOUSTON, TX 77074-7074 (713) 777-7002 557 558 PROVEN CARE PHARMACY, LLC 10950 BISSONNET ST STE # 220 , STE 220 HOUSTON, TX 77099-1707 (281) 983-9333 RANDALLS PHARMACY #3048 2075 WESTHEIMER HOUSTON, TX 77098-7098 (713) 284-1204 577 RANDALLS 1407 SOUTH VOSS HOUSTON, TX 77057-1088 (713) 783-1083 RANDALLS PHARMACY #3067 5161 SAN FELIPE HOUSTON, TX 77056-7056 (713) 964-3154 578 RANDALLS PHARMACY #1011 14610 MEMORIAL DRIVE HOUSTON, TX 77079-7079 (281) 589-3600 568 559 RANDALLS PHARMACY #1012 5219 FM 1960 WEST HOUSTON, TX 77069-7069 (281) 440-9886 RANDALLS PHARMACY #4033 5586 WESLAYAN HOUSTON, TX 77005-7005 (713) 668-9820 579 569 PUBLIC PHARMACY 6510 HILLCROFT ST # STE.100 HOUSTON, TX 77081-7081 (713) 663-7800 RANDALLS PHARMACY #1041 4800 W BELLFORT HOUSTON, TX 77035-7035 (713) 721-0052 PUMPS IT PHARMACY 10601 GRANT RD STE 101 , STE 101 HOUSTON, TX 77070-4449 (281) 955-8900 RANDALLS PHARMACY #1061 3131 W HOLCOMBE BLVD HOUSTON, TX 77025-7025 (713) 349-2160 RANDALLS PHARMACY #4062 2323 CLEAR LAKE BLVD HOUSTON, TX 77062-7062 (281) 280-3104 580 570 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 576 567 PROCARE RX 16300 KUYKENDAHL RD STE 370 , STE 370 HOUSTON, TX 77068-2751 (281) 580-4500 561 RANDALLS PHARMACY #2961 9660 WESTHEIMER RD STE B4 HOUSTON, TX 77063-7063 (713) 706-3725 566 PRO MED PHARMACY 2421 ALDINE MAIL RD STE B , SUITE 101 HOUSTON, TX 77039-5530 (281) 372-8522 560 RANDALLS PHARMACY #2672 18322 CLAY ROAD HOUSTON, TX 77084-7084 (281) 858-9026 575 555 RC 2 PHARMACY 9720 JONES RD , STE 150 HOUSTON, TX 77065-7065 (281) 477-7728 581 571 RC3 PHARMACY 8410 FONDREN RD HOUSTON, TX 77074-5616 (713) 541-6567 582 Page 19 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena RECEPT PHARMACY #31 4126 SOUTHWEST FRWY , STE 100 HOUSTON, TX 77027-7316 (713) 627-2370 583 RX PHARMACY 5600 S WILLOW DRIVE , STE 113 HOUSTON, TX 77035-7035 (713) 723-4601 SAMS PHARMACY 325 EAST RICHEY ROAD HOUSTON, TX 77073-6038 (281) 821-1096 RXPERTS PHARMACY TEXAS LLC 8700 JAMEEL RD , STE 150 HOUSTON, TX 77040-6032 (713) 460-5454 SAMS PHARMACY 5310 SOUTH RICE AVENUE HOUSTON, TX 77081-2112 (832) 778-9807 593 REGENCY PHARMACY 9898 BISSONNET STREET , STE 250A HOUSTON, TX 77036-8270 (713) 800-0308 584 594 RELIANCE PHARMACY 7707 FANNIN , STE 105 HOUSTON, TX 77054-7054 (713) 797-1107 585 RICHMOND PHARMACY 2951 CHIMNEY ROCK , STE B HOUSTON, TX 77056-5937 (713) 270-6363 586 SAGE PHARMACY AND STORES, LLC 3730D S GESSNER RD HOUSTON, TX 77063-5132 (713) 339-1855 RITEMED PHARMACY LLC 10301 HARWIN DR STE 3 HOUSTON, TX 77036-2793 (713) 772-4242 587 597 ROSE PHARMACY, LLC 7447 HARWIN DR STE 188 , STE 188 HOUSTON, TX 77036-2367 (713) 952-9568 588 SAMS CLUB PHARMACY 2827 DUNVALE RD HOUSTON, TX 77063-4403 (713) 787-0571 598 SAMS PHARMACY 10488 OLD KATY ROAD HOUSTON, TX 77043-5106 (713) 468-7047 599 ROSEWOOD FAMILY PHARMACY PLLC 2405 S GESSNER RD STE B HOUSTON, TX 77063-2043 (281) 857-8440 589 RUSHMED PHARMACY P.L.L.C 5326 W BELLFORT ST # STE.101 HOUSTON, TX 77035-3041 (832) 582-8542 590 RX CARE PHARMACY 11511 VETERANS MEMORIAL DR , STE 900 HOUSTON, TX 77067-7067 (281) 444-6359 591 RX MAX PHARMACY 5858 S GESSNER DR STE 124 HOUSTON, TX 77036-2646 (713) 772-1363 FILE ID: SAMS PHARMACY 7950 FM 1960 HOUSTON, TX 77070-5708 (832) 237-8298 SAMS PHARMACY 8300 BISSONNET , STE 100 HOUSTON, TX 77074-7074 (713) 779-2100 607 SAFEGUARD RX 3121 W OREM DR STE C HOUSTON, TX 77045-4641 (713) 433-1212 596 Page 20 605 606 S & K MED PHARMACY 1396 ELDRIDGE PKWY STE D HOUSTON, TX 77077-2545 (281) 752-7244 595 592 604 SAMS PHARMACY 11101 FUQUA STREET HOUSTON, TX 77089-2508 (713) 378-9584 600 SAMS PHARMACY 10-6346 13331 WESTHEIMER RD HOUSTON, TX 77079-1004 (281) 829-9121 608 SAV PHARMACY 1823 WIRT RD HOUSTON, TX 77055-2406 (713) 467-3311 609 SAVE-RITE PHARMACY 1870 BARKER CYPRESS RD HOUSTON, TX 77084-7084 (281) 578-8345 610 SCRIPT LINK PHARMACY 13176 W LAKE HOUSTON PKWY STE 1 , STE 1 HOUSTON, TX 77044-5381 (281) 458-1800 611 SAMS PHARMACY 12205 WEST ROAD HOUSTON, TX 77065-4522 (281) 807-5194 SEM PHARMACY & MEDICAL SUPPLY 16316 FM 529 , STE D HOUSTON, TX 77095-1418 (281) 861-7788 SAMS PHARMACY 13600 EAST FREEWAY HOUSTON, TX 77015-5917 (713) 330-8581 SIMONS PHARMACY 3303 N MAIN ST HOUSTON, TX 77009-5637 (713) 222-6650 SAMS PHARMACY 1615 S LOOP WEST HOUSTON, TX 77054-4814 (713) 791-9345 SOLUTIONS IN PHARMACY 7951 KATY FWY STE M , STE M HOUSTON, TX 77024-1947 (713) 957-8000 601 602 603 612 613 614 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena SOUTH BELT PHARMACY 12600B SCARSDALE BLVD HOUSTON, TX 77089-7089 (281) 481-6600 SPRING BRANCH PHARMACY 2600 GESSNER DR , STE 162 HOUSTON, TX 77080-7080 (713) 690-0001 SOUTH POST OAK PHARMACY INC 14206 S POST OAK RD HOUSTON, TX 77045-7045 (713) 433-7075 ST JOSEPH PROFESSIONAL PHARMACY 2000 CRAWFORD ST HOUSTON, TX 77002-9006 (713) 659-3030 TABB PHARMACY 9730 SOUTHWEST FWY STE UC # 100 HOUSTON, TX 77074-1352 (713) 772-8222 SOUTHEND PHARMACY 10910 W BELLFORT ST HOUSTON, TX 77099-4759 (281) 498-1450 STAR REX PHARMACY LLC 11110 EAST FWY HOUSTON, TX 77029-1914 (832) 767-0816 TARGET PHARMACY 10801 WESTHEIMER RD HOUSTON, TX 77042-7042 (713) 580-0178 SOUTHSIDE PHARMACY 7700 MAIN , STE 100 HOUSTON, TX 77030-7030 (713) 660-8888 STATSCRIPT 12817 GULF FWY STE A HOUSTON, TX 77034-4804 (713) 234-0045 TARGET PHARMACY 12701 FM 1960 ROAD W HOUSTON, TX 77065-7065 (281) 949-2220 SOUTHWEST COMMUNITY PHARMACY 9769 BEECHNUT ST HOUSTON, TX 77036-7036 (713) 272-7734 STEEPLECHASE EXPRESS RX 10694 JONES RD, STE 115 , STE 115 HOUSTON, TX 77065-4236 (281) 894-9900 SOUTHWEST PHARMACY 17115 RED OAK DR STE 105 , STE 105 HOUSTON, TX 77090-2607 (281) 893-8665 STEEPLECHASE PLAZA PHARMACY 11037 FM 1960 WEST , SUITE B5 HOUSTON, TX 77065-7065 (832) 237-9400 SOUTHWEST PHARMACY 8282 BELLAIRE , STE 154 A HOUSTON, TX 77036-4031 (713) 270-7366 STERLING PHARMACY 9798 BELLAIRE BLVD , STE 1B HOUSTON, TX 77036-3427 (713) 955-8885 SOUTHWEST REGIONAL DOING BUSINESS AS 1ST CHOICE PHARMACY 8449 W BELLFORT HOUSTON, TX 77071-7071 (713) 777-6100 SUN PHARMACY 7021 HIGHWAY 6 SOUTH HOUSTON, TX 77083-3305 (281) 568-0628 615 616 617 625 637 628 619 635 636 626 627 618 T & S PHARMACY 2345 ALDINE MAIL RT. , STE A HOUSTON, TX 77039-5528 (832) 230-8137 638 629 TARGET PHARMACY 13250 NORTHWEST FWY HOUSTON, TX 77040-7040 (713) 343-2258 639 TARGET PHARMACY 19955 KATY FWY HOUSTON, TX 77094-7094 (281) 492-7906 640 620 621 630 631 622 SPG PHARMACY CARE 6831 S GESSNER DR HOUSTON, TX 77036-4613 (713) 272-6400 623 632 SUPERCARE PHARMACY 13480 VETERANS MEMORIAL DR , SUITE R5 HOUSTON, TX 77014-1670 (281) 880-4800 633 SUPREME PHARMACY 4544 HIGHWAY 6 N HOUSTON, TX 77084-3402 (281) 550-2100 634 SPRING PARK PHARMACY 510 WAUGH DRIVE , SUITE B HOUSTON, TX 77019-7019 (832) 538-1380 624 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: TARGET PHARMACY 21515 TOMBALL PARKWAY HOUSTON, TX 77070-7070 (281) 379-2861 641 TARGET PHARMACY 2580 SHEARN HOUSTON, TX 77007-7007 (713) 331-0377 642 TARGET PHARMACY 2700 ELDRIDGE PKWY HOUSTON, TX 77082-7082 (281) 810-5252 643 TARGET PHARMACY 300 MEYERLAND PLAZA MALL HOUSTON, TX 77096-7096 (713) 292-0031 644 TARGET PHARMACY 4323 SAN FELIPE ST HOUSTON, TX 77027-7027 (713) 331-0166 645 Page 21 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena TARGET PHARMACY 6801 FM 1960 RD W HOUSTON, TX 77069-7069 (281) 716-1106 THE RITE PHARMACY 2600 S LOOP W STE 425 HOUSTON, TX 77054-7054 (713) 665-7483 TARGET PHARMACY 6955 HIGHWAY 6 N HOUSTON, TX 77084-7084 (281) 858-7452 TIDWELL PHARMACY 509 W TIDWELL , 140 HOUSTON, TX 77091-4353 (713) 884-8807 TARGET PHARMACY 8500 S MAIN STREET HOUSTON, TX 77025-7025 (713) 661-8213 TIDWELL PROFESSIONAL PHARMACY 2310 TIDWELL RD HOUSTON, TX 77093-7093 (713) 694-5977 646 TRINITY MED RX 4101 SAN JACINTO STREET , SUITE # 104 HOUSTON, TX 77004-4856 (713) 874-1777 657 647 667 658 648 668 659 TARGET PHARMACY 8503 S SAM HOUSTON PKWY E HOUSTON, TX 77075-7075 (713) 343-8301 649 TARGET PHARMACY 8605 WESTHEIMER RD HOUSTON, TX 77063-7063 (713) 331-0374 TIDWELL RX 712 E TIDWELL RD STE C HOUSTON, TX 77022-1842 (713) 884-8020 TN PHARMACY 12989 BELLAIRE BLVD , STE 1A HOUSTON, TX 77072-5134 (281) 561-0101 661 651 TONNA PHARMACY 5225 KATY FWY STE 101A HOUSTON, TX 77007-2292 (281) 953-0030 662 TEJAS PHARMACY #2 5228 ALDINE MAIL RT. , SUITE C HOUSTON, TX 77039-3804 (281) 741-3385 653 TOTAL CARE CAC PHARMACY LLC 14755 NORTH FWY STE 200 , STE 200 HOUSTON, TX 77090-6503 (281) 377-8137 654 THE MEDICINE MAN PHARMACY 7652 BELLFORT ST HOUSTON, TX 77061-1768 (713) 644-1343 655 TOTAL PHARMACY CENTER ONE 4302 CENTER ST HOUSTON, TX 77007-7007 (713) 864-0808 656 Page 22 FILE ID: TOWNWOOD PHARMACY 4420 W OREM , STE B HOUSTON, TX 77045-4311 (713) 433-5656 670 U.J. PHARMACY 11965 BISSONNET ST , STE 100A HOUSTON, TX 77099-7099 (281) 495-5777 671 UNICARE PHARMACY INC 11847 BISSONNET ST HOUSTON, TX 77099-1904 (281) 498-1141 UNIV OF TEXAS MD ANDERSON CANCER CENTER 1515 HOLCOMBE BLVD , UNIT 61 HOUSTON, TX 77030-7030 (713) 792-6125 673 VAC PHARMACY, INC. 10550 WEST BELLFORT AVE. #150 , STE 150 HOUSTON, TX 77031-7031 (281) 495-4331 674 665 TRACE PHARMACY 8104 SOUTHWEST FWY STE B , STE B HOUSTON, TX 77074-1704 (713) 981-6600 666 THE PEOPLES PHARMACY 8503 E GULF FREEWAY , STE E HOUSTON, TX 77017-5086 (713) 378-4450 TX RX SOLUTIONS & COMPOUNDING PHARMACY 7501 FANNIN ST STE 701 HOUSTON, TX 77054-7054 (713) 790-1222 663 664 TEXAS UNICARE PHARMACY 2424 W HOLCOMBE BLVD STE 101 HOUSTON, TX 77030-1933 (832) 834-3222 669 672 652 TEXAS CARE PHARMACY 8990 KIRBY DR STE 240 , STE 240 HOUSTON, TX 77054-2852 (713) 660-9920 TRUECARE ALLIED PHARMACY AND MEDICAL SUPPLIES INC 3003 S LOOP W STE 450 , SUITE H HOUSTON, TX 77076-1431 (281) 652-8080 660 650 TARGET PHARMACY 984 GESSNER ROAD HOUSTON, TX 77024-7024 (713) 300-0228 TRIPLE A PHARMACY 11450 SPACE CENTER BLVD HOUSTON, TX 77059-3641 (281) 974-3713 VALENCIA PHARMACY,INC. 7330 SOUTHWEST FWY STE A2 , STE A2 HOUSTON, TX 77074-0000 (713) 995-1900 675 VIETNAM PHARMACY 2621 C MILAM ST , SUITE C HOUSTON, TX 77006-7006 (713) 520-0205 676 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena VILLAGE COMPOUNDING PHARMACY 975 CORBINDALE RD , SUITE 100 HOUSTON, TX 77024-7024 (713) 464-5069 677 WAL-MART PHARMACY 13484 NORTHWEST FREEWAY HOUSTON, TX 77040-6007 (713) 690-6966 WAL-MART PHARMACY 6060 NORTH FRY ROAD HOUSTON, TX 77449-1800 (281) 550-4446 WAL-MART PHARMACY 13750 I-10 EAST HOUSTON, TX 77015-5929 (713) 453-2316 WAL-MART PHARMACY 7075 FM 1960 RD WEST HOUSTON, TX 77069-3601 (281) 893-1701 WAL-MART PHARMACY 15955 FM 529 ROAD HOUSTON, TX 77095-2513 (281) 855-1305 WAL-MART PHARMACY 9460 W SAM HOUSTON PKWY S HOUSTON, TX 77099-1850 (281) 568-3134 WAL-MART PHARMACY 2700 SOUTH KIRKWOOD DRIVE HOUSTON, TX 77077-6696 (281) 558-5703 WAL-MART PHARMACY 9555 SO POST OAK ROAD HOUSTON, TX 77096-4339 (713) 551-9154 WAL-MART PHARMACY 2727 DUNVALE ROAD HOUSTON, TX 77063-4401 (713) 977-2570 WAL-MART PHARMACY 9598 ROWLETT ROAD HOUSTON, TX 77075-2414 (832) 386-0160 WAL-MART PHARMACY 2740 GESSNER ROAD HOUSTON, TX 77080-3737 (713) 934-8107 WAL-MART PHARMACY 9700 HILLCROFT STREET HOUSTON, TX 77096-3808 (713) 283-7437 WAL-MART PHARMACY 3450 FM 1960 WEST HOUSTON, TX 77068-3606 (281) 440-0741 WAL-MART PHARMACY 10-5612 2391 S WAYSIDE DR HOUSTON, TX 77023-3910 (713) 300-3662 688 689 VITA-CARE PHARMACY 2500 FONDREN HOUSTON, TX 77063-2308 (713) 781-8675 678 690 VITAL CARE OF NORTH HOUSTON 1125 CYPRESS STATION F-2 HOUSTON, TX 77090-7090 (832) 487-9746 679 WAL-MART PHARMACY 10411 N FREEWAY 45 HOUSTON, TX 77037-1124 (281) 999-9963 680 WAL-MART PHARMACY 10750 WESTVIEW DRIVE HOUSTON, TX 77043-5019 (713) 984-8035 681 WAL-MART PHARMACY 111 YALE ST HOUSTON, TX 77077-0000 (713) 860-0707 682 WAL-MART PHARMACY 1118 SIBLER RD HOUSTON, TX 77055-0000 (713) 797-2422 683 WAL-MART PHARMACY 11242 SOUTH GESSNER ROAD HOUSTON, TX 77071-1910 (713) 771-8316 684 WAL-MART PHARMACY 11755 BEECHNUT STREET HOUSTON, TX 77072-4107 (832) 328-1653 685 WAL-MART PHARMACY 12353 FM 1960 WEST HOUSTON, TX 77065-4993 (832) 912-7331 686 WAL-MART PHARMACY 13003 TOMBALL PKWY HOUSTON, TX 77086-0000 (281) 272-4805 687 691 692 693 694 WAL-MART PHARMACY 3506 S HWY 6 SOUTH HOUSTON, TX 77082-4204 (281) 561-0846 700 701 702 703 704 705 695 WAL-MART PHARMACY 4412 NORTH FWY HOUSTON, TX 77022-3606 (713) 300-0518 WALGREENS 105 WEST RD HOUSTON, TX 77037-7037 (281) 445-1308 706 696 WAL-MART PHARMACY 4810 HWY 6 NORTH HOUSTON, TX 77084-2979 (281) 859-6850 WALGREENS 107 W RANKIN RD HOUSTON, TX 77090-6928 (281) 872-0612 707 697 WAL-MART PHARMACY 5655 EAST SAM HOUSTON PKWY N HOUSTON, TX 77015-3250 (713) 450-3681 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 699 WALGREENS 10997 FUQUA ST HOUSTON, TX 77089-2409 (713) 943-9289 708 698 WALGREENS 11445 COMPAQ CENTER DRIVE WEST HOUSTON, TX 77070-0000 (281) 251-2384 709 Page 23 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WALGREENS 12097 VETERANS MEMORIAL DR HOUSTON, TX 77067-7067 (281) 444-6304 WALGREENS 3900 REVEILLE ST HOUSTON, TX 77087-5526 (713) 644-1848 WALGREENS 8590 LONG POINT RD HOUSTON, TX 77055-2330 (713) 468-7813 WALGREENS 1215 W 43RD ST HOUSTON, TX 77018-7018 (713) 956-1827 WALGREENS 4841 MOUNT HOUSTON RD HOUSTON, TX 77093-1632 (281) 442-6392 WALGREENS 9150 S DAIRY ASHFORD ST HOUSTON, TX 77099-1218 (281) 498-3734 WALGREENS 12550 WESTHEIMER RD HOUSTON, TX 77077-5808 (281) 870-1130 WALGREENS 4995 HIGHWAY 6 NORTH HOUSTON, TX 77084-2718 (281) 463-6358 WALGREENS 929 GESSNER , SUITE 100 HOUSTON, TX 77024-2515 (713) 465-1103 WALGREENS 1315 ST JOSEPH PKWY , STE 100 HOUSTON, TX 77002-8233 (713) 658-0022 WALGREENS 5003 FM 1960 RD W HOUSTON, TX 77069-7069 (281) 440-1604 WALGREENS 9450 HAMMERLY BLVD HOUSTON, TX 77080-7080 (713) 468-4018 WALGREENS 16185 SPACE CENTER BLVD HOUSTON, TX 77062-7062 (281) 486-1872 WALGREENS 530 W LITTLE YORK RD HOUSTON, TX 77091-2422 (281) 448-6364 WALGREENS 9600 WESTHEIMER HOUSTON, TX 77063-7063 (713) 952-9916 WALGREENS 1710 N FRY ROAD HOUSTON, TX 77084-5801 (281) 492-7033 WALGREENS 5313 KELVIN DR HOUSTON, TX 77005-3201 (713) 520-1442 WALGREENS #10259 10660 EASTEX FWY HOUSTON, TX 77093-7093 (713) 691-4250 WALGREENS 18400 KATY FWY STE 100 HOUSTON, TX 77094-1286 (281) 578-8884 WALGREENS 6600 AIRLINE DR HOUSTON, TX 77076-7076 (713) 699-5157 WALGREENS 1919 W GRAY ST HOUSTON, TX 77019-4801 (713) 526-3621 WALGREENS 6610 TIDWELL RD HOUSTON, TX 77016-4824 (713) 633-2230 WALGREENS #10522 7777 SOUTHWEST FWY STE 104 , SUITE 107 HOUSTON, TX 77074-1826 (713) 270-0632 WALGREENS 3317 MONTROSE BLVD HOUSTON, TX 77006-3931 (713) 520-7777 WALGREENS 6768 HIGHWAY 6 SOUTH HOUSTON, TX 77083-1512 (281) 530-9768 WALGREENS 3403 MANGUM RD HOUSTON, TX 77092-7092 (713) 683-8125 WALGREENS 6895 GRIGGS RD HOUSTON, TX 77023-4316 (713) 921-2166 WALGREENS 390 EDGEBROOK DRIVE HOUSTON, TX 77034-7034 (713) 943-1810 WALGREENS 6926 ANTOINE DR HOUSTON, TX 77091-1212 (713) 957-8185 710 711 712 713 714 715 716 717 718 719 720 Page 24 FILE ID: 721 722 723 724 725 726 727 732 733 734 735 736 737 738 728 WALGREENS #10818 7929 KIRBY DR HOUSTON, TX 77054-1701 (713) 383-0292 739 729 WALGREENS #10846 6400 FANNIN , STE 102 HOUSTON, TX 77030-1521 (713) 799-2459 740 730 WALGREENS #10847 7400 FANNIN , STE 120 HOUSTON, TX 77054-1950 (713) 795-4111 741 731 WALGREENS #10848 7900 FANNIN , STE 1350 HOUSTON, TX 77054-7054 (713) 791-9426 742 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WALGREENS #11216 11914 ASTORIA BLVD , SUITE 190 HOUSTON, TX 77089-6073 (281) 481-2434 WALGREENS #1580 6730 HILLCROFT ST HOUSTON, TX 77081-7081 (713) 988-6407 WALGREENS #3160 6280 BARKER CYPRESS HOUSTON, TX 77084-7084 (281) 859-4898 WALGREENS #11465 3822 OLD SPANISH TRL HOUSTON, TX 77023-7023 (713) 741-7323 WALGREENS #1583 9329 KATY FREEWAY HOUSTON, TX 77024-7024 (713) 461-3607 WALGREENS #3198 7634 BELLAIRE BLVD HOUSTON, TX 77036-7036 (713) 774-2180 WALGREENS #11854 1301 NASA PARKWAY HOUSTON, TX 77058-3112 (281) 990-8024 WALGREENS #16293 3745 WESTHEIMER RD HOUSTON, TX 77027-7027 (713) 629-0703 WALGREENS #3328 12850 MEMORIAL DRIVE HOUSTON, TX 77024-7024 (713) 722-7247 WALGREENS #12015 747 E CROSSTIMBERS ST HOUSTON, TX 77022-3725 (713) 695-2427 WALGREENS #1953 8800 RICHMOND AVE HOUSTON, TX 77063-7063 (713) 784-8130 WALGREENS #3370 13714 TOMBALL PKWY HOUSTON, TX 77086-7086 (281) 448-7005 WALGREENS #12069 2221 FULTON ST HOUSTON, TX 77009-7009 (713) 221-1774 WALGREENS #2116 6107 HIGHWAY 6 N HOUSTON, TX 77084-7084 (281) 856-8293 WALGREENS #3691 20500 FM 529 HOUSTON, TX 77433-7433 (281) 859-2106 WALGREENS #12377 13631 TIDWELL AVE HOUSTON, TX 77044-1551 (281) 810-5204 WALGREENS #2428 2717 FM 1960 RD HOUSTON, TX 77073-7073 (281) 443-2590 WALGREENS #4021 8808 ANTOINE DR HOUSTON, TX 77088-7088 (281) 272-2592 WALGREENS #13142 929 GESSNER RD STE 100 , STE 100 HOUSTON, TX 77024-2515 (713) 468-4040 WALGREENS #2686 1515 LOCKWOOD DR HOUSTON, TX 77020-7020 (713) 674-7465 WALGREENS #4027 5200 WESTHEIMER HOUSTON, TX 77056-7056 (713) 623-0643 WALGREENS #2809 220 SOUTH WAYSIDE HOUSTON, TX 77011-7011 (713) 924-6963 WALGREENS #4073 12606 WESTPARK DR HOUSTON, TX 77082-5526 (281) 558-5410 WALGREENS #2844 5202 ALMEDA HOUSTON, TX 77004-7004 (713) 529-5922 WALGREENS #4105 12611 S GESSNER DR HOUSTON, TX 77071-7071 (713) 266-1853 WALGREENS #2862 14531 WESTHEIMER RD HOUSTON, TX 77077-7077 (832) 379-0541 WALGREENS #4114 510 CHIMNEY ROCK ROAD HOUSTON, TX 77056-7056 (713) 781-4440 WALGREENS #2981 8106 MLKING BLVD HOUSTON, TX 77033-7033 (713) 738-8078 WALGREENS #4161 8206 HIGHWAY 6 NORTH HOUSTON, TX 77095-7095 (281) 550-2169 743 744 745 746 747 748 749 754 755 756 757 758 759 760 761 WALGREENS #13778 6624 FANNIN ST STE 120 HOUSTON, TX 77030-2313 (713) 795-0199 750 762 WALGREENS #13786 200 W 20TH ST HOUSTON, TX 77008-2511 (713) 861-2161 751 763 WALGREENS #15086 6560 FANNIN ST , STE 260 HOUSTON, TX 77030-2706 (713) 797-1410 752 764 WALGREENS #15277 1415 CALIFORNIA ST STE 100 HOUSTON, TX 77006-2602 (713) 807-7154 753 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 765 766 767 768 769 770 771 772 773 774 775 Page 25 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WALGREENS #4316 10800 S POST OAK RD HOUSTON, TX 77035-7035 (713) 723-4774 WALGREENS #4927 6675 W BELLFORT ST HOUSTON, TX 77035-7035 (713) 728-1202 WALGREENS #5709 16590 EL CAMINO REAL HOUSTON, TX 77062-7062 (281) 488-3424 WALGREENS #4328 8413 STELLA LINK HOUSTON, TX 77025-7025 (713) 666-8057 WALGREENS #5035 8301 BROADWAY ST HOUSTON, TX 77061-1801 (713) 641-0389 WALGREENS #5834 12445 FM 1960 RD W HOUSTON, TX 77065-7065 (281) 477-3792 WALGREENS #4396 10850 SCARSDALE BLVD HOUSTON, TX 77089-7089 (281) 484-6118 WALGREENS #5085 10965 FM 1960 RD W HOUSTON, TX 77070-7070 (281) 890-3346 WALGREENS #5871 1838 S KIRKWOOD RD HOUSTON, TX 77077-7077 (281) 759-9347 WALGREENS #4513 1403 FM 1960 W HOUSTON, TX 77090-7090 (281) 444-1201 WALGREENS #5094 14616 MEMORIAL DR HOUSTON, TX 77079-7517 (281) 493-3043 WALGREENS #5965 9350 HIGHWAY 6 HOUSTON, TX 77083-7083 (281) 575-1839 WALGREENS #4514 8535 S BRAESWOOD BLVD HOUSTON, TX 77071-7071 (713) 988-8764 WALGREENS #5101 11220 LOUETTA RD HOUSTON, TX 77070-7070 (281) 376-9846 WALGREENS #6148 3833 FM 1960 W HOUSTON, TX 77068-7068 (281) 866-9674 WALGREENS #4515 6520WESTHEIMER RD HOUSTON, TX 77057-5102 (713) 781-4314 WALGREENS #5313 1506 ELDRIDGE PKWY HOUSTON, TX 77077-7077 (281) 558-4565 WALGREENS #6182 15111 WALLISVILLE RD HOUSTON, TX 77049-7049 (281) 458-6342 WALGREENS #4538 1180 CLEAR LAKE CITY BLVD HOUSTON, TX 77062-7062 (281) 218-0184 WALGREENS #5314 9375 VETERANS MEMORIAL DR HOUSTON, TX 77088-7088 (281) 591-1430 WALGREENS #6401 8942 W SAM HOUSTON PKWY N HOUSTON, TX 77040-7040 (832) 237-5374 WALGREENS #4605 9200 CULLEN BLVD HOUSTON, TX 77051-7051 (713) 733-2406 WALGREENS #5390 8300 WILCREST DR HOUSTON, TX 77072-7072 (281) 530-6210 WALGREENS #6643 6360 SAN FELIPE ST HOUSTON, TX 77057-7057 (713) 278-2616 WALGREENS #4647 388 UVALDE RD HOUSTON, TX 77015-7015 (713) 455-9944 WALGREENS #5423 1413 WIRT RD HOUSTON, TX 77055-4916 (713) 467-4585 WALGREENS #6857 950 STUDEMONT ST HOUSTON, TX 77007-7007 (713) 863-7663 WALGREENS #4745 5280 BUFFALO SPEEDWAY HOUSTON, TX 77005-7005 (713) 838-7704 WALGREENS #553 5300 N BRAESWOOD HOUSTON, TX 77096-7096 (713) 721-1516 WALGREENS #6909 4007 BARKER CYPRESS RD HOUSTON, TX 77084-7084 (281) 550-9804 WALGREENS #489 5560 WESLAYAN HOUSTON, TX 77005-7005 (713) 667-9349 WALGREENS #5536 2808 N GESSNER HOUSTON, TX 77080-7080 (713) 460-0535 WALGREENS #7071 13196 BELLAIRE BLVD HOUSTON, TX 77072-7072 (281) 530-4918 776 777 778 779 780 781 782 783 784 785 786 Page 26 FILE ID: 787 788 789 790 791 792 793 794 795 796 797 798 799 800 801 802 803 804 805 806 807 808 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WALGREENS #7213 16244 S POST OAK RD HOUSTON, TX 77053-7053 (281) 835-3420 WALGREENS #9163 9885 BLACKHAWK BLVD HOUSTON, TX 77075-7075 (713) 991-2752 WALGREENS #7251 11038 WESTHEIMER RD HOUSTON, TX 77042-7042 (713) 789-4847 WALGREENS #9164 3210 HILLCROFT ST HOUSTON, TX 77057-5806 (832) 242-1734 WALGREENS #7289 500 MAXEY RD HOUSTON, TX 77013-7013 (713) 330-4552 WALGREENS #9291 12702 BAMMEL NORTH HOUSTON HOUSTON, TX 77066-7066 (281) 587-1839 809 810 811 WALGREENS #7348 8910 JONES RD HOUSTON, TX 77065-7065 (281) 955-2480 820 WASHINGTON AVE PHY CTR 2515 WASHINGTON AVENUE , STE 1401 HOUSTON, TX 77007-7007 (713) 864-2401 831 821 WELLNESS PHARMACY LLC 1480 WILCREST DR HOUSTON, TX 77042-2229 (713) 532-0008 832 822 WESLEY UNITED PHARMACY 5302 CANAL ST HOUSTON, TX 77011-2258 (713) 514-9494 833 812 WALGREENS #7381 17150 FM 529 HOUSTON, TX 77095-7095 (281) 345-9333 WALGREENS #9293 9733 BUFFALO SPEEDWAY HOUSTON, TX 77025-7025 (713) 218-7856 823 813 WALGREENS #7492 6402 FM 1960 RD W HOUSTON, TX 77069-7069 (281) 631-9736 WALGREENS #9294 415 SHEPHERD DR HOUSTON, TX 77007-7007 (713) 868-1520 WALGREENS #9471 5501 WEST OREM DR HOUSTON, TX 77085-7085 (713) 728-9406 825 815 WALGREENS #7722 11994 RICHMOND AVE HOUSTON, TX 77082-7082 (281) 556-5918 WALGREENS #9473 12300 JONES RD HOUSTON, TX 77070-7070 (281) 955-5619 826 816 WALGREENS #7725 14625 FM 529 HOUSTON, TX 77095-7095 (281) 463-9088 WALGREENS #9696 2605 W HOLCOMBE BLVD HOUSTON, TX 77025-7025 (832) 778-8106 827 817 WALGREENS #7773 12959 ALDINE WESTFIELD RD HOUSTON, TX 77039-7039 (281) 442-3604 834 824 814 WALGREENS #7530 1770 W T C JESTER BLVD HOUSTON, TX 77008-7008 (713) 864-5196 WESTLAKE PHARMACY 255 WESTLAKE PARK BLVD STE 200 , STE 200 HOUSTON, TX 77079-2649 (281) 496-1751 WESTLAKE PHARMACY SERVICES 2430 NORTH FRY ROAD #104 HOUSTON, TX 77084-7084 (281) 579-1310 835 WESTVIEW PHARMACY 2323 WIRT RD , STE F2 HOUSTON, TX 77055-1231 (713) 365-9393 836 WILLOWBROOK PHARMACY/COMPOUNDING 8945 HIGHWAY 6 N STE 255 , STE A HOUSTON, TX 77070-7070 (281) 859-3103 837 WINSTON’S PHARMACY 8405 ALMEDA GENOA RD STE UANDS HOUSTON, TX 77075-2503 (713) 944-6000 838 WALGREENS #9808 2612 SMITH ST HOUSTON, TX 77006-7006 (713) 529-2969 828 818 WALGREENS #9002 6320 N ELDRIDGE PKWY HOUSTON, TX 77041-7041 (713) 937-9463 WALGREENS 11752 915 GESSNER RD , STE 200 HOUSTON, TX 77024-2536 (713) 827-0146 829 819 WALLIS PHARMACY 5620 E SAM HOUSTON PKWY NORTH HOUSTON, TX 77015-7015 (281) 457-3838 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: XAVIER PHARMACY & MEDICAL SUPPLY 4040 BROADWAY STREET HOUSTON, TX 77087-7087 (713) 645-3344 839 830 XAVIER PHARMACY III 96 BERRY ROAD HOUSTON, TX 77022-3057 (713) 697-1400 840 Page 27 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena XPRESS PHARMACY 7555 BELLAIRE BLVD STE B , STE B HOUSTON, TX 77036-5024 (713) 541-3300 DEERBROOK PHARMACY SERVICES, LLC 9816 MEMORIAL BLVD STE 105 HUMBLE, TX 77338-7338 (281) 446-0061 YOUR PHARMACY 6500 NORTH FREEWAY , SUITE 119 HOUSTON, TX 77076-7076 (713) 691-8585 DOYFRAN PHARMACY 9701 N SAM HOUSTON PKWY E STE 110 HUMBLE, TX 77396-4636 (281) 973-8042 YOUR PHARMACY INC. 7400 HARWIN DR STE 253 HOUSTON, TX 77036-2030 (713) 781-1010 GB PHARMACY 8011 FM 1960 RD E HUMBLE, TX 77346-1764 (281) 528-1212 841 851 KROGER PHARMACY #190 6475 FM 1960 RD E HUMBLE, TX 77338-7338 (713) 507-6276 861 MEMORIAL CARE PHARMACY 8901 FM 1960 BYPASS RD W STE 102 , STE 102 HUMBLE, TX 77089-7089 (832) 777-6448 862 842 852 SAMS PHARMACY 9665 FM 1960 BYPASS HUMBLE, TX 77338-4043 (281) 540-7016 863 843 853 TARGET PHARMACY 20777 HWY 59 HUMBLE, TX 77338-7338 (281) 540-2126 864 GREATER TEXAS PHARMACY 1485 FM 1960 BYPASS RD E , #120 HUMBLE, TX 77338-3909 (832) 644-9895 HUFFMAN 854 LIFECHEK PHARMACY 12315 FM 1960 RD STE A HUFFMAN, TX 77336-2450 (281) 324-1960 844 865 HEB PHARMACY 7405 FM 1960 EAST HUMBLE, TX 77346-3128 (281) 812-4729 855 HUMBLE AIRPORT MCKAY PHARMACY 18648 MCKAY DR STE 110 HUMBLE, TX 77338-5716 (832) 644-1456 845 CVS PHARMACY 214 W FIRST ST HUMBLE, TX 77338-3615 (281) 446-0246 847 CVS PHARMACY 7214 FM 1960 E HUMBLE, TX 77346-3133 (281) 852-4700 848 CVS PHARMACY 8789 FM 1960 BYPASS RD W HUMBLE, TX 77338-4021 (281) 548-1020 849 CVS PHARMACY # 8000 N SAM HOUSTON PKWY HUMBLE, TX 77396-2900 (281) 454-0101 850 Page 28 FILE ID: WAL-MART PHARMACY 6626 FM 1960 EAST HUMBLE, TX 77346-2712 (281) 852-4466 866 HUMBLE PHARMACY 19333 HWY 59 N , STE 150 HUMBLE, TX 77338-4273 (281) 540-4441 856 846 CVS PHARMACY 5440 ATASCOCITA RD HUMBLE, TX 77346-2839 (281) 812-4377 THRIFTY HLTH AND COMPOUNDING PHCY 211 FM 1960 BYPASS RD E HUMBLE, TX 77338-3605 (281) 446-9191 WAL-MART PHARMACY 9235 NORTH SAM HOUSTON PKWY E HUMBLE, TX 77396-3160 (281) 441-2670 867 KELSEY PHARMACY - SUMMER CREEK 8233 N SAM HOUSTON PKWY E HUMBLE, TX 77396-2922 (713) 442-2079 857 WAL-MART PHARMACY 9451 FM 1960 BYPASS HUMBLE, TX 77338-4035 (281) 540-8861 868 KROGER PHARMACY 19300 LAKE HOUSTON PARKWAY HUMBLE, TX 77346-2182 (281) 812-4499 858 WALGREENS 7440 FM 1960 RD E HUMBLE, TX 77346-3129 (281) 852-8008 869 KROGER PHARMACY 19611 EASTEX FREEWAY HUMBLE, TX 77338-3512 (281) 446-2620 859 WALGREENS #496 19639 EASTEX FRWY HUMBLE, TX 77338-7338 (281) 446-1006 870 KROGER PHARMACY 3820 ATASCOCITA RAOD HUMBLE, TX 77396-3564 (281) 812-6397 860 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WALGREENS #7681 8505 FM 1960 W HUMBLE, TX 77338-7338 (281) 446-4209 JERSEY VILLAGE PHARMACY-COMPOUNDING 17400 HWY 290 SUITE 400 JERSEY VILLAGE, TX 77040-7040 (281) 416-5800 871 880 WALGREENS #9203 9510 N SAM HOUSTON PKWY E HUMBLE, TX 77396-7396 (281) 454-5214 872 890 HEB PHARMACY 25675 NELSON WAY KATY, TX 77494-7494 (281) 574-1804 891 KATY BROOKSHIRE BROTHERS PHARMACY OF KATY 5249 FRANZ RD KATY, TX 77493-1756 (281) 391-7051 WALGREENS #9601 3755 ATASCOCITA RD HUMBLE, TX 77396-7396 (281) 812-4778 HEB PHARMACY 6711 SOUTH FRY RD KATY, TX 77494-8100 (281) 392-1188 881 873 WALMART PHARMACY 10-7309 12312 WILL CLAYTON PKWY HUMBLE, TX 77346-3889 (281) 318-2107 HEB PHARMACY 1621 MASON ROAD KATY, TX 77450-4564 (281) 599-0958 874 892 COSTCO PHARMACY #1167 23645 KATY FREEWAY KATY, TX 77494-7494 (281) 347-9910 882 CVS PHARMACY 110 WESTGREEN BLVD KATY, TX 77450-3745 (281) 578-8163 HELPING HAND PHARMACY, LLC 529 S MASON RD KATY, TX 77450-2491 (281) 492-0031 893 883 IRVING ALPHA PHARMACY 8787 N MACARTHUR BLVD STE 120 IRVING, TX 75063-5448 (469) 262-5742 875 DASHWOOD PHARMACY 1300 W WALNUT HILL LN STE 163 IRVING, TX 75038-3000 (972) 756-0915 HQ PHARMACY 21214 KINGSLAND BLVD STE B KATY, TX 77450-5898 (281) 579-2700 894 CVS PHARMACY 1616 S MASON RD KATY, TX 77450-4563 (281) 395-5707 884 KATY MEDICAL COMPLEX PHARMACY 21700 KINGSLAND BLVD , STE 105 KATY, TX 77450-2546 (281) 829-6497 895 876 CVS PHARMACY 3080 SOUTH FRY RD KATY, TX 77450-5296 (281) 829-2046 885 KATY PHARMACY I 20005 KATY FWY KATY, TX 77450-2238 (281) 578-1515 896 JACINTO CITY CVS PHARMACY 3103 N FRY RD KATY, TX 77449-6218 (281) 646-2966 886 REDI-MED PHARMACY LLC 1520 HOLLAND ST , STE A JACINTO CITY, TX 77520-4425 (281) 428-1212 877 WALGREENS 11107 MARKET ST JACINTO CITY, TX 77029-2301 (713) 451-9005 878 JERSEY VILLAGE KELSEY PHARMACY - KATY 21660 KINGSLAND BLVD KATY, TX 77450-7450 (713) 442-4179 897 CVS PHARMACY 602 W GRAND PARKWAY S KATY, TX 77494-8328 (281) 392-3808 887 KINGSLAND PHARMACY 21214 KINGSLAND BLVD KATY, TX 77450-5898 (281) 599-7880 898 FULTON PHARMACY 1331 W GRAND PKWY N STE 111 KATY, TX 77493-2710 (832) 437-8425 888 KROGER PHARMACY 1550 GRAND PKWY KATY, TX 77493-2673 (281) 693-0606 899 ECONO PHARMACY 20320 NORTHWEST FWY , SUITE 300 JERSEY VILLAGE, TX 77065-5643 (281) 890-5612 879 HEALTH-RITE PHARMACY 1801 N MASON RD STE B KATY, TX 77449-2844 (832) 437-2216 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 889 Page 29 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena KROGER PHARMACY 1705 FRY RD KATY, TX 77449-3432 (281) 398-3135 TARGET PHARMACY 23710 WESTHEIMER PKWY KATY, TX 77494-7494 (281) 392-8385 KROGER PHARMACY 22150 WESTHEIMER PKWY KATY, TX 77450-8296 (281) 828-8778 WAL-MART PHARMACY 1313 FRY ROAD KATY, TX 77449-3343 (281) 578-1272 KROGER PHARMACY 569 S MASON KATY, TX 77450-2437 (281) 578-8793 WALGREENS #4078 5161 FRANZ RD KATY, TX 77493-7493 (281) 391-3410 KROGER PHARMACY 6055 FRY ROAD KATY, TX 77449-1801 (281) 858-7613 WALGREENS #4696 411 S MASON RD KATY, TX 77450-7450 (281) 579-0910 900 911 901 KROGER PHARMACY 3410 NORTH PARK DRIVE KINGWOOD, TX 77345-6108 (281) 361-7404 922 913 903 KROGER PHARMACY #359 25651 US HWY 59 KINGWOOD, TX 77339-7339 (281) 713-9447 923 914 PATIENT DIRECT PHARMACY INC 22710 PROFESSIONAL DR , STE 103 KINGWOOD, TX 77339-6008 (281) 312-8590 924 MEDICINE+ PHARMACY 705 S FRY RD STE 105 KATY, TX 77450-2252 (281) 724-5820 WALGREENS #4839 2010 S FRY RD KATY, TX 77450-7450 (281) 398-9628 PREMIER PHARMACY 3616 N FRY RD STE 220 KATY, TX 77449-8668 (281) 579-0550 WALGREENS #5100 22202 WESTHEIMER PKWY KATY, TX 77450-7450 (281) 693-6808 904 915 905 906 RANDALLS PHARMACY #2671 525 SOUTH FRY ROAD KATY, TX 77450-7450 (281) 579-1270 907 RANDALLS PHARMACY #3070 1525 S MASON ROAD KATY, TX 77450-7450 (281) 578-9617 908 SAMS PHARMACY 20424 KATY FREEWAY KATY, TX 77449-7636 (281) 578-5593 909 SINA PHARMACY 3815 N FRY RD STE 600 KATY, TX 77449-6735 (281) 717-4521 FILE ID: RANDALLS PHARMACY #1057 4540 KINGWOOD DRIVE KINGWOOD, TX 77345-7345 (281) 360-1888 925 916 RANDALLS PHARMACY #1772 3050 FRY ROAD KATY, TX 77449-7449 (281) 578-3724 Page 30 921 912 902 910 KELSEY PHARMACY-KINGWOOD 2755 LAKE HOUSTON PKWY KINGWOOD, TX 77339-7339 (713) 442-2179 WALGREENS #7019 3120 N FRY RD KATY, TX 77449-7449 (281) 829-5080 917 RANDALLS PHARMACY #1776 600 KINGWOOD DRIVE KINGWOOD, TX 77339-7339 (281) 358-0011 926 WAL-MART PHARMACY 2165 NORTHPARK DRIVE KINGWOOD, TX 77339-1746 (281) 358-5650 927 KINGWOOD CVS PHARMACY 1350 KINGWOOD DR KINGWOOD, TX 77339-3038 (281) 358-3143 918 CVS PHARMACY 4520 KINGWOOD DR KINGWOOD, TX 77345-2600 (281) 360-4800 919 GREENPATH PHARMACY 24000 HIGHWAY 59 N KINGWOOD, TX 77339-1536 (832) 445-0500 920 WALGREENS #4840 2240 NORTH PARK DR KINGWOOD, TX 77339-7339 (281) 358-5458 928 WALGREENS #5671 4445 KINGWOOD DR KINGWOOD, TX 77339-3701 (281) 360-4694 929 WALGREENS #9700 1210 KINGWOOD DR KINGWOOD, TX 77339-7339 (281) 312-6321 930 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena LA PORTE MEADOWS PLACE PRUDENT PHARMACY 10407 WEST FAIRMONT PKWY , SUITE C LA PORTE, TX 77571-7571 (281) 867-0040 948 BLUEBONNET APOTHECARY SERVICES 11720 W AIRPORT BLVD STE 800 , STE 800 MEADOWS PLACE, TX 774777477 (713) 691-6200 931 939 WAL-MART PHARMACY 9025 SPENCER HIGHWAY LA PORTE, TX 77571-3870 (281) 479-9364 932 CVS PHARMACY 1610 NASA RD 1 NASSAU BAY, TX 77058-3146 (281) 333-3985 940 DEANGELO PHARMACY 1309 W FAIRMONT PKWY SUIT P , STE P LAPORTE, TX 77571-6123 (281) 842-8500 933 PASADENA AMEX PHARMACY NO. 7 3316 PLAINVIEW ST STE B PASADENA, TX 77504-1906 (832) 767-5563 KROGER PHARMACY 1300 FAIRMONT PARKWAY LAPORTE, TX 77571-6102 (281) 842-1022 934 MEDICINE SHOPPE PHARMACY 800 S BROADWAY LAPORTE, TX 77571-5324 (281) 471-1241 935 BAYSHORE PHARMACY 4024A BROOKHAVEN PASADENA, TX 77504-1902 (713) 944-8893 BURKE FAMILY PHARMACY 4002 BURKE RD STE 400 PASADENA, TX 77504-3451 (832) 243-6262 CRENSHAW PHARMACY 5010 CRENSHAW RD STE 160 , STE 160 PASADENA, TX 77505-3047 (281) 998-2777 944 CVS PHARMACY 3342 SPENCER HWY PASADENA, TX 77504-1147 (713) 378-2851 945 LAREDO LANRX PHARMACY 1901 FREES ST STE 2 LAREDO, TX 78046-7129 (956) 568-9230 938 CVS PHARMACY 4101 FAIRMONT PKWY PASADENA, TX 77504-3301 (281) 998-2319 946 CVS PHARMACY 5610 SPENCER HWY PASADENA, TX 77505-2339 (281) 991-2593 947 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: HEB PHARMACY 6210 FAIRMONT PARKWAY PASADENA, TX 77505-7505 (281) 487-6170 951 KROGER PHARMACY 2619 RED BLUFF RD PASADENA, TX 77506-5230 (713) 475-0939 953 943 937 FAMILY PHARMACY CARE 4949 FAIRMONT PARKWAY , SUITE 202 PASADENA, TX 77505-3757 (832) 900-7712 952 942 WALGREENS #3286 9705 MAIN STREET LAPORTE, TX 77571-7571 (281) 470-7428 949 KELSEY PHARMACY PASADENA 5001 E. SAM HOUSTON PKWY S. PASADENA, TX 77505-7505 (713) 442-7179 941 936 DT PHARMACY 3911 WOODLAWN AVE PASADENA, TX 77054-1909 (832) 775-0060 950 NASSAU BAY LAPORTE WALGREENS #3001 1102 SOUTH BROADWAY LAPORTE, TX 77571-7571 (281) 471-7282 CVS PHARMACY 930 SOUTHMORE PASADENA, TX 77502-1114 (713) 740-9120 KROGER PHARMACY 3550 SPENCER HWY PASADENA, TX 77504-1110 (713) 944-0722 954 KROGER PHARMACY 6767 SPENCER HWY PASADENA, TX 77505-1755 (281) 998-7755 955 PASADENA MEDICAL PLAZA PHARMACY 1430B PASADENA BLVD PASADENA, TX 77502-2414 (713) 429-1842 956 PCF PHARMACY 2615 STRAWBERRY RD PASADENA, TX 77052-7052 (713) 947-6767 957 Page 31 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena PHARMHOUSE PHARMACY 4500 E SAM HOUSTON PKWY S STE 100 , STE 100 PASADENA, TX 77505-3956 (281) 998-9400 958 WALGREENS #5767 2204 SOUTHMORE AVE PASADENA, TX 77502-7502 (713) 473-8267 959 TARGET PHARMACY 5757 FAIRMONT PARKWAY PASADENA, TX 77505-7505 (281) 504-0144 960 SPECIALTY PHARMACEUTICAL SOLUTIONS 4503 DE ZAVALA RD STE 112 SAN ANTONIO, TX 77081-4647 (210) 375-4620 976 WALGREENS #7073 4615 FAIRMONT PKWY PASADENA, TX 77504-7504 (281) 991-9600 969 PREMIERCARE PHARMACY 5108 FAIRMONT PKWY STE A , STE A PASADENA, TX 77505-3756 (281) 991-1300 SAN ANTONIO 968 WOODLAWN PHARMACY 3801 VISTA ROAD , STE 395 PASADENA, TX 77504-7504 (713) 928-3044 SEABROOK 970 PEARLAND CVS PHARMACY 2800 BAYPORT BLVD SEABROOK, TX 77586-1566 (281) 474-4042 977 KROGER PHARMACY 1905 EL MAR SEABROOK, TX 77586-2832 (281) 474-7666 978 TEJAS PHARMACY 320 SOUTHMORE AVE STE 325B , STE 325B PASADENA, TX 77502-1135 (713) 472-3736 961 WAL-MART PHARMACY 1107 SOUTH SHAVER STREET PASADENA, TX 77506-4405 (713) 534-6665 962 WAL-MART PHARMACY 5200 FAIRMONT PKWY PASADENA, TX 77505-3802 (281) 487-8091 963 WALGREENS #4133 3707 SPENCER HIGHWAY PASADENA, TX 77504-7504 (713) 946-4650 964 WALGREENS #5422 2130 S RICHEY ST PASADENA, TX 77502-7502 (713) 475-8488 HEALTHSCRIPTS OF AMERICA PEARLAND, LLC 1849 PEARLAND PKWY STE 103 PEARLAND, TX 77581-5343 (832) 770-8180 971 PLANO GRACE PHARMACY 4032 MCDERMOTT RD STE 160 PLANO, TX 75024-7733 (972) 907-1833 972 MEDICINE SHOPPE PHARMACY 4614 NASA PKWY SEABROOK, TX 77586-5414 (832) 864-3785 979 WALGREENS #7103 1902 BAYPORT BLVD SEABROOK, TX 77586-7586 (281) 474-1414 980 RICHARDSON SOUTH HOUSTON PHARMETRICS SPECIALTY GROUP OF DALLAS 1110 E COLLINS BLVD STE 100 RICHARDSON, TX 75081-2340 (972) 677-7891 973 NIKORXPHARMACY 207 WINTON ST SOUTH HOUSTON, TX 77587-3433 (713) 510-5434 981 SPRING 965 RICHMOND ALLCARE PHARMACY LLC 7120 FM 1464 RD STE D RICHMOND, TX 77407-6400 (281) 419-8820 BETTER BALANCE PHARMACY INC 5834 LOUETTA ROAD , SUITE D SPRING, TX 77379-7379 (281) 205-7091 NBJ PHARMACY INC. 7830 W GRAND PKWY S STE 160 RICHMOND, TX 77406-5817 (832) 222-9450 BUDGET PHARMACY 19786 INTERSTATE 45 SPRING, TX 77091-2421 (713) 694-3785 974 WALGREENS #5733 6302 FAIRMONT PKWY PASADENA, TX 77505-7505 (281) 998-7416 966 975 WALGREENS #5766 101 W SOUTHMORE AVE PASADENA, TX 77502-7502 (713) 472-0166 967 Page 32 FILE ID: 982 983 CRYSONCARE PHARMACY INC 22325 GOSLING RD SPRING, TX 77389-4409 (832) 813-5085 984 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena CVS PHARMACY 22560 ALDINE WESTFIELD RD SPRING, TX 77373-8808 (281) 353-6078 KROGER PHARMACY 18518 KUYKENDAHL SPRING, TX 77379-8160 (281) 350-3591 WALGREENS 23110 ALDINE WESTFIELD RD SPRING, TX 77373-7738 (281) 350-5311 CVS PHARMACY 24802 ALDINE WESTFIELD SPRING, TX 77373-5926 (281) 288-1561 KROGER PHARMACY 5671 TREASCHWIG SPRING, TX 77373-7162 (281) 443-2883 WALGREENS #6750 18535 CHAMPION FOREST DR SPRING, TX 77379-7379 (281) 370-4961 CVS PHARMACY 3850 FM 2920 SPRING, TX 77388-4123 (281) 528-2810 KROGER PHARMACY 6060 FM 2920 SPRING, TX 77379-2542 (281) 370-4110 WALGREENS #7307 2103 FM 2920 ROAD SPRING, TX 77388-7388 (281) 288-9008 CVS PHARMACY 4343 CYPRESSWOOD DR SPRING, TX 77388-5300 (281) 528-5029 KROGER PHARMACY 8745 SPRING CYPRESS SPRING, TX 77379-3134 (832) 717-4111 WALGREENS #7413 19302 KUYKENDAHL RD SPRING, TX 77379-7379 (281) 353-8621 CVS PHARMACY 6945 CYPRESSWOOD DR SPRING, TX 77379-7703 (281) 257-7894 O NA K PHARMACY 5039 FM 2920 SPRING, TX 77388-7388 (832) 831-0346 WALGREENS #7599 7304 LOUETTA RD SPRING, TX 77379-7379 (281) 379-1317 CVS PHARMACY 8317 LOUETTA RD SPRING, TX 77379-6735 (832) 717-3386 RANDALLS 16616 CHAMPIONS FOREST DR SPRING, TX 77379-7017 (281) 370-7076 WALGREENS #7720 21106 KUYKENDAHL RD SPRING, TX 77379-7379 (281) 355-6325 CVS PHARMACY 8754 SPRING CYPRESS RD SPRING, TX 77379-3135 (281) 257-4320 SCRIPTS PHARMACY 20423 KUYKENDAHL RD STE 250 , STE 250 SPRING, TX 77379-3492 (832) 610-3480 985 986 996 1007 997 987 1008 998 988 1009 999 989 1010 1000 990 1011 1001 991 1002 HEB PHARMACY 7310 LOUETTA SPRING, TX 77379-7234 (281) 251-0255 992 TARGET PHARMACY 19511 I45 NORTH SPRING, TX 77388-7388 (281) 288-5018 CHOICE SPECIALTY PHARMACY 1403 HIGHWAY 6 STE 700A SUGAR LAND, TX 77478-4930 (832) 944-6112 1013 WAL-MART PHARMACY 155 LOUETTA XING SPRING, TX 77373-3007 (281) 651-0216 1004 KELSEY PHARMACY-SPRING 15655 CYPRESS WOODS MEDICAL DR , STE 150 SPRING, TX 77014-7014 (713) 442-1779 994 KROGER PHARMACY 15802 CHAMPION FOREST DR SPRING, TX 77379-7141 (281) 370-9481 WAL-MART PHARMACY 21150 KUYKENDAHL ROAD SPRING, TX 77379-3300 (281) 288-9362 1005 WALGREENS 19710 HOLZWARTH SPRING, TX 77388-7388 (281) 350-1500 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 HEALTH CHECK PHARMACY 3533 TOWN CENTER BLVD. SOUTH STE. 500 , STE 100 SUGAR LAND, TX 77479-1457 (281) 201-8232 1014 993 FILE ID: SUGAR LAND 1003 HEB PHARMACY #610 2121 FM 2920 RD SPRING, TX 77388-7388 (281) 907-7950 995 1012 TEX-CARE PHARMACY 4660 SWEETWATER BLVD STE 180 SUGAR LAND, TX 77479-7479 (832) 532-0135 1015 TOMBALL 1006 CVS PHARMACY 24203 TOMBALL PKWY TOMBALL, TX 77375-8218 (281) 255-4020 1016 Page 33 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena CVS PHARMACY 815 W MAIN ST TOMBALL, TX 77375-5541 (281) 255-8265 TMP PHARMACY 455 SCHOOL ST , SUITE 48 TOMBALL, TX 77375-7375 (281) 290-7741 CVS PHARMACY # 24048 KUYKENDAHL RD TOMBALL, TX 77375-5326 (281) 255-3897 TOMBALL HEALTH MART PHARMACY 506 GRAHAM DRIVE , SUITE 140 TOMBALL, TX 77375-7375 (832) 559-6413 1017 1028 1018 1019 TOMBALL PROFESSIONAL ATRUIM PHRM 425 HOLDERRIETH BLVD , STE 111 TOMBALL, TX 77375-4551 (281) 351-8239 1030 HEB PHARMACY 26500 KUYKENDAHL RD. TOMBALL, TX 77375-7375 (281) 255-2248 1020 WAL-MART PHARMACY 22605 TOMBALL PARKWAY TOMBALL, TX 77375-8239 (281) 374-9523 1031 HEB PHARMACY 28520 TOMBALL PKWY TOMBALL, TX 77375-4546 (281) 351-1972 1021 WAL-MART PHARMACY 27650 TOMBALL PKWY TOMBALL, TX 77375-6518 (281) 351-2144 1032 KLEINS DISCOUNT PHARMACY 1200 W MAIN ST TOMBALL, TX 77375-5522 (281) 351-4961 1022 KROGER PHARMACY 14060 FM 2920 TOMBALL, TX 77377-5502 (281) 516-2486 1023 WALGREENS 26288 KUYKENDAHL RD TOMBALL, TX 77375-2657 (281) 378-2995 1033 WALGREENS 28426 TOMBALL PKWY TOMBALL, TX 77375-6426 (281) 357-0024 1024 WALGREENS #7372 11970 SPRING CYPRESS RD TOMBALL, TX 77377-7377 (281) 320-8654 1035 MS PHARMACY 27721 TOMBALL PARKWAY , SUITE 400 TOMBALL, TX 77375-7375 (832) 698-1565 1025 WALGREENS #7671 24424 TOMBALL PKWY TOMBALL, TX 77375-7375 (281) 290-0537 1036 1039 A & W PHARMACY 435 EL DORADO BLVD # STE.6 WEBSTER, TX 77598-2304 (281) 286-7710 1040 AFYA SPECIALTY PHARMACY 17490 HIGHWAY 3 STE B-200 WEBSTER, TX 77598-4160 (281) 724-1426 1041 BLOSSOM PHARMACY 250 BLOSSOM ST STE 105 WEBSTER, TX 77598-4204 (281) 724-0280 1042 CLEAR LAKE PROFESSIONAL BLDG PHARMACY 251 MEDICAL CENTER BLVD , STE 100 WEBSTER, TX 77598-4242 (281) 332-2496 1043 KELSEY PHARMACY CLEAR LAKE 1010 SOUTH PONDS DR WEBSTER, TX 77598-7598 (713) 442-4360 1044 PYRAMIDS PHARMACY WEBSTER 500 N KOBAYASHI STE E WEBSTER, TX 77598-4820 (281) 724-0531 TARGET PHARMACY 1801 W BAY AREA BLVD WEBSTER, TX 77598-7598 (281) 819-4117 1046 1026 FILE ID: 360 PHARMACY SERVICES 100 E NASA RD 1 , STE101 WEBSTER, TX 77598-5329 (281) 557-1700 1045 SADDLEBROOK PHARMACY 25201 KUYKENDAHL RD STE 300 TOMBALL, TX 77375-3351 (832) 698-2104 Page 34 WEBSTER 1034 KROGER PHARMACY #117 24350 KUYKENDAHL RD TOMBALL, TX 77389-7389 (281) 205-0533 1027 1038 1029 FIRST CARE PHARMACY 24922 TOMBALL PARKWAY , SUITE 120 TOMBALL, TX 77375-7375 (832) 698-1532 TARGET PHARMACY 14302 FM 2920 RD TOMBALL, TX 77377-7377 (281) 255-6289 CVS PHARMACY 31013 FM 2920 RD WALLER, TX 77484-8008 (936) 372-9141 WALLER BROOKSHIRE BROTHERS PHARMACY 31303 FM 2920 , STE H WALLER, TX 77484-7484 (936) 372-1000 1037 TEXAS ONCOLOGY PHARMACY 501 MEDICAL CENTER BOULEVARD WEBSTER, TX 77598-4219 (281) 316-4926 1047 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WEBSTER PHARMACY 15610 HIGHWAY 3 WEBSTER, TX 77598-7598 (281) 886-7164 WAL-MART PHARMACY 10-0400 1407 LOOP 336 WEST CONROE, TX 77304-3503 (936) 760-2112 KROGER PHARMACY 2222 I 45 N CONROE, TX 77301-1706 (936) 441-7379 1048 1058 MONTGOMERY COUNTY CONROE 1068 KROGER PHARMACY 3830 WEST DAVIS CONROE, TX 77304-1838 (936) 756-7233 1059 1069 COLLEGE PARK PHARMACY 3115 COLLEGE PARK DR , STE 103A CONROE, TX 77384-4173 (936) 321-4011 LIFECHEK DRUG 690 S. LOOP 336 W. STE. 100 CONROE, TX 77304-7304 (936) 539-4900 COSTCO PHARMACY #1189 8185 SH 242 CONROE, TX 77385-7385 (936) 703-2305 LONE STAR COMMUNITY HEALTH CTR INC 605 S CONROE MEDICAL DR CONROE, TX 77304-4722 (936) 523-5227 1049 1050 CVS PHARMACY 2110 N FRAZIER CONROE, TX 77301-1203 (936) 760-3101 1051 CVS PHARMACY 910 W DAVIS ST CONROE, TX 77301-2709 (936) 539-1849 1052 GHPMA PHARMACY 3251 I-45 N. STE 190 , STE 190 CONROE, TX 77304-2185 (936) 788-7700 1053 HEB PHARMACY 2108 N FRAZIER CONROE, TX 77301-1220 (936) 756-1435 1054 HEB PHARMACY 3875 W DAVIS ST CONROE, TX 77304-1837 (936) 760-6810 1055 INTEGRA PHARMACY 3074 COLLEGE PARK DR STE B CONROE, TX 77384-7384 (936) 321-5600 1056 KROGER PHARMACY 220 S LOOP 336 CONROE, TX 77304-3306 (936) 756-5574 1057 1060 1061 WALGREENS #5269 420 N FRAZIER ST CONROE, TX 77301-2882 (936) 494-0424 1070 WALGREENS #6782 19215 I 45 SOUTH CONROE, TX 77385-7385 (281) 419-6247 1071 MEDICAP PHARMACY 2105 W DAVIS ST STE A , STE A CONROE, TX 77304-2062 (936) 494-4002 WALGREENS #7287 1120 N LOOP 336 W CONROE, TX 77301-7301 (936) 760-4116 RICHIE’S SPECIALTY PHARMACY 12820 HIGHWAY 105 W CONROE, TX 77304-1574 (936) 588-6337 WALGREENS #9161 4870 W DAVIS ST CONROE, TX 77304-7304 (936) 760-3883 1062 1072 1073 1063 ROBERDS PHARMACY LP 503 MEDICAL CENTER BLVD STE 130 CONROE, TX 77304-7304 (936) 756-4254 HUMBLE 1064 SAMS PHARMACY 2000 WESTVIEW BLVD CONROE, TX 77304-3561 (936) 539-9429 TEXAS HEALTH RX, LLC 8901 FM 1960 RD W STE 104 , SUITE A1 HUMBLE, TX 77380-1902 (281) 419-8820 1074 1065 MAGNOLIA B AND B PHARMACY 18640 C FM 1488 MAGNOLIA, TX 77354-7354 (281) 356-4303 1075 ST. HOPE PHARMACY 1414 S FRAZIER ST STE 105 CONROE, TX 77301-4475 (936) 494-2455 1066 VILLAGE PHARMACY 404 RIVER POINTE , STE 101 CONROE, TX 77304-2836 (936) 756-7456 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: WALGREENS #12165 3901 E DAVIS ST CONROE, TX 77301-7236 (936) 760-6600 1067 BROOKSHIRE BROTHERS PHARMACY 18535 FM 1488 MAGNOLIA, TX 77355-7355 (281) 356-6103 1076 KROGER PHARMACY 6616 FM 1488 MAGNOLIA, TX 77355-1399 (936) 321-9870 1077 Page 35 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena MAGNOLIA PHARMACY 18230 FM 1488 , STE 100 MAGNOLIA, TX 77354-0000 (281) 356-9089 1078 WALGREENS #10919 18900 HWY 105 W MONTGOMERY, TX 77356-6081 (936) 582-0002 1088 SHENANDOAH KELSEY PHARMACY WOODLANDS 106 VISION PARK BLVD , STE 150 SHENANDOAH, TX 77384-3000 (713) 442-1975 1097 TARGET PHARMACY 32858 FM 2978 RD MAGNOLIA, TX 77354-7354 (281) 296-3050 NEW CANEY 1079 BROOKSHIRE BROTHERS PHARMACY 20185 HWY 59 N , 69 NEW CANEY, TX 77357-7357 (281) 689-3936 1089 TEXAS PROFESSIONAL PHARMACY- MAGNOLIA 18602 FM 1488, , SUITE 700 MAGNOLIA, TX 77355-7355 (281) 356-2216 1080 TRIUMPH PHARMACY 6875 FM 1488 RD STE 300 MAGNOLIA, TX 77354-4522 (281) 252-4200 1081 WALGREENS 18850 FM 1488 RD MAGNOLIA, TX 77355-5321 (281) 259-8387 1082 WALGREENS #6864 6707 FM 1488 RD MAGNOLIA, TX 77354-7354 (281) 356-9164 1083 MEDICINE SHOPPE 20851 FM 1485 WEST NEW CANEY, TX 77357-7357 (281) 689-3446 1090 WALGREENS 20824 FM 1485 RD NEW CANEY, TX 77357-7328 (281) 689-0002 1091 SAMS PHARMACY 19091 INTERSTATE 45 SOUTH SHENANDOAH, TX 77385-8748 (936) 271-1760 1098 VILLAGE PHARMACY 1490 RESEARCH FOREST DR SHENANDOAH, TX 77381-4370 (832) 948-1012 1099 SPLENDORA ASSURANCE CONSOLIDATED PHARMACY 13841 HIGHWAY 59 STE C SPLENDORA, TX 77372-4697 (281) 689-7700 1100 PINEHURST WALGREENS #10613 32320 STATE HWY 249 PINEHURST, TX 77362-3892 (832) 934-0415 1092 SPRING ASSURANCE CONSOLIDATED PHARMACY 26202 OAK RIDGE DRIVE , SUITE A 102 SPRING, TX 77380-7380 (832) 813-8199 1101 PORTER MONTGOMERY BROOKSHIRE BROTHERS PHARMACY 21005 EVA ST. MONTGOMERY, TX 77356-7356 (936) 597-8002 1084 CVS PHARMACY 23865 FM 1314 RD PORTER, TX 77365-3727 (281) 354-1815 1093 KROGER PHARMACY 23611 HIGHWAY 59 N PORTER, TX 77365-4992 (281) 354-5687 1094 CVS PHARMACY 15270 HWY 105 WEST MONTGOMERY, TX 77356-5684 (936) 588-0666 1085 LAKESIDE PHARMACY 16955 WALDEN RD STE 100 , STE 100 MONTGOMERY, TX 77356-3227 (936) 448-6337 1086 WAL-MART PHARMACY 10-0297 23561 US HWY 59 PORTER, TX 77365-4991 (281) 354-5125 1095 WALGREENS #6932 24917 FM 1314 RD PORTER, TX 77365-7365 (281) 354-1792 1096 WAL-MART PHARMACY 18700 HIGHWAY 105 W MONTGOMERY, TX 77356-5625 (936) 582-1005 1087 Page 36 FILE ID: CVS PHARMACY 2106 RAYFORD RD SPRING, TX 77386-1711 (281) 298-4530 1102 CVS PHARMACY 25110 GROGANS MILL RD SPRING, TX 77380-2248 (281) 363-2290 1103 CVS PHARMACY # 3487 RAYFORD RD SPRING, TX 77386-3649 (281) 907-6036 1104 HEB PHARMACY 130 SAWDUST ROAD SPRING, TX 77380-2272 (281) 292-0774 1105 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena HEB PHARMACY 3540 RAYFORD RD SPRING, TX 77386-7386 (281) 353-2420 1106 CVS PHARMACY 6700 WOODLANDS PKWY STE 500 , STE 500 THE WOODLANDS, TX 773822581 (281) 419-7681 MILLENNIUM PHARMACY 9319 PINECROFT DR STE 110 , STE 100 THE WOODLANDS, TX 773803256 (281) 298-1129 CVS PHARMACY # 3705 FM 1488 RD THE WOODLANDS, TX 773840000 (281) 298-8705 PINECROFT PHARMACY 9305 PINECROFT DRIVE , SUITE 102 THE WOODLANDS, TX 773803222 (281) 466-3650 1115 KROGER PHARMACY 2301 RAYFORD ROAD SPRING, TX 77386-1708 (832) 813-0410 1107 1116 LIFECHEK DRUG 440 RAYFORD RD # 155 SPRING, TX 77386-1918 (281) 367-2700 1108 GHPMA2 17521 ST LUKES WAY , SUITE 120 THE WOODLANDS, TX 773847384 (936) 447-9432 1124 1125 1117 RANDALLS PHARMACY #2673 2250 BUCKTHORNE PLACE SPRING, TX 77380-7380 (281) 367-5870 1109 WAL-MART PHARMACY 1025 SAWDUST RD SPRING, TX 77380-2383 (281) 292-1721 1110 WALGREENS #1267 485 SAWDUST RD SPRING, TX 77380-7380 (281) 363-9583 1111 WALGREENS #7775 560 RAYFORD RD SPRING, TX 77386-7386 (281) 298-0040 1112 THE WOODLANDS CVS PHARMACY 4747 RESEARCH FOREST DR STE 450 , STE 450 THE WOODLANDS, TX 773814906 (281) 364-7277 1113 CVS PHARMACY 4775 W PANTHER CREEK DR STE A 100 , STE A-100 THE WOODLANDS, TX 773813592 (281) 363-9174 HEALTHY PHARMACY SOLUTIONS 8021 RESEARCH FOREST DR STE D THE WOODLANDS, TX 773821488 (832) 585-0240 RANDALLS PHARMACY #2617 9420 COLLEGE PARK DRIVE SUITE 100 THE WOODLANDS, TX 773847384 (936) 321-4447 1126 1118 RANDALLS PHARMACY #3054 4775 W PANTHER CREEK THE WOODLANDS, TX 773817381 (281) 363-5142 1127 HEB PHARMACY 10777 KUYKENDAHL RD THE WOODLANDS, TX 773822772 (281) 292-8026 TARGET PHARMACY 1100 LAKE WOODLANDS DRIVE THE WOODLANDS, TX 773807380 (281) 419-6944 HEB PHARMACY 3601 FM 1488 RD. THE WOODLANDS, TX 773847384 (936) 321-2748 WAL-MART PHARMACY 10001 WOODLANDS PARKWAY THE WOODLANDS, TX 773822883 (281) 419-5945 HEB PHARMACY 9595 SIX PINES RD THE WOODLANDS, TX 773801531 (281) 292-3962 WAL-MART PHARMACY 3040 COLLEGE PARK DRIVE THE WOODLANDS, TX 773848002 (936) 271-0755 KROGER PHARMACY 4747 RESEARCH FOREST THE WOODLANDS, TX 773814912 (281) 298-6165 WALGREENS #11646 4585 RESEARCH FOREST DR THE WOODLANDS, TX 773814231 (281) 465-0548 KROGER PHARMACY 8000 RESEARCH FOREST DR THE WOODLANDS, TX 773821504 (281) 419-1137 WALGREENS #4493 8000 RESEARCH FOREST DR 100 THE WOODLANDS, TX 773827382 (281) 292-3861 1119 1120 1121 1128 1129 1130 1114 1122 1123 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: 1131 1132 Page 37 Retail Pharmacies, including Chain Parmacies Farmacias minoristas, incluidas las farmacias de cadena WALGREENS #9602 6467 WOODLANDS PKWY THE WOODLANDS, TX 773827382 (281) 292-6743 1133 WILLIS KROGER PHARMACY 12605 I 45 NORTH WILLIS, TX 77318-7318 (936) 890-3949 1134 WALGREENS 9610 W FM 1097 WILLIS, TX 77318-4998 (936) 856-4096 1135 WOODLANDS WALGREENS #7632 3061 COLLEGE PARK WOODLANDS, TX 77384-7384 (936) 271-9471 1136 Pharmacies - Retail = 1136 Page 38 FILE ID: Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Mail Order Pharmacy Farmacias de pedido por correo You can get prescription drugs shipped to your home through our network mail order delivery service which is called “Orchard Pharmaceutical Services”. For refills of your mail order prescriptions, you have the option to sign up for an automatic refill service. Under this service, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill service, please contact us 15 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill service, please contact us by calling 1-866-909-5170, TTY user call 711. Typically, you should expect to receive your prescription drugs within 12 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at 1-866-909-5170, Monday through Friday 8am - 10pm EST and Saturday 8:30am - 4:30pm EST. TTY users should call 711. Puede recibir sus medicamentos recetados directamente en su hogar a través de nuestro servicio de pedidos por correo, llamado “Orchard Pharmaceutical Services”. Si desea recibir un reabastecimiento de sus recetas por correo, tiene la opción de inscribirse en un servicio de reabastecimiento automático. Si se inscribe en este servicio, empezaremos a procesar el próximo reabastecimiento de forma automática cuando nuestros registros indiquen que usted está cerca de terminar su medicamento. Nos comunicaremos con usted antes de enviarle cada reabastecimiento, para asegurarnos de que necesita más medicamento. Si ya cuenta con el medicamento necessario o si su medicamento ha cambiado, puede cancelar los reabastecimientos programados. Si decide no usar el programa de reabastecimiento automático, comuníquese con nosotros 15 días antes de que se dé cuenta de que los medicamentos disponibles se terminarán, para asegurarse de que el próximo pedido se envíe a tiempo. Para cancelar el servicio de reabastecimiento automático, comuníquese con nosotros al 1-866-909-5170. Los usuarios de TTY deben llamar al 711. Generalmente, recibirá los medicamentos recetados dentro de los 12 días desde el momento en que la farmacia de pedidos por correo recibe el pedido. Si no recibe sus medicamentos recetados dentro de ese plazo, comuníquese con nosotros al 1-866-909-5170, de lunes a viernes de 8.00°a.m. a 10.00°p.m., hora estándar del este, y los sábados de 8.30°a.m. a 4.30°p.m., hora estándar del este. Los usuarios de TTY deben llamar al 711. NORTH CANTON, OH Orchard Pharmaceuticals Services 7835 Freedom Ave NW North Canton, OH 44720 (866) 909-5170 TTY: 711 1 Pharmacies - Mail Order = 1 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: Page 39 Home Infusion Pharmacies Farmacias de infusión a domicilio Memorial Hermann Advantage PPO will cover home infusion therapy if: + Your prescription is on Memorial Hermann Advantage PPO formulary or you have a formulary exception; + Memorial Hermann Advantage PPO approved your prescription drug for home infusion therapy; and + Your prescription is written by an authorized prescriber. For currenct information about Memorial Hermann Advantage PPO network pharmacies in your area, please visit our Web site at healthplan.memorialhermann.org/medicare or call Customer Service at Memorial Hermann Advantage PPO at 1-844-550-6886 at, 8am – 8pm, seven (7) days a week. TTY users should call 711. Memorial Hermann Advantage PPO cubrirá la terapia de infusión a domicilio si se cumplen las siguientes condiciones: + El medicamento que le recetaron figura en el formulario de Memorial Hermann Advantage PPO o usted cuenta con una excepción al formulario. + Memorial Hermann Advantage PPO ha aprobado su medicamento recetado para terapia de infusión a domicilio. + La receta fue emitida por una persona autorizada. Para obtener información actualizada sobre las farmacias de la red de Memorial Hermann Advantage PPO dentro su área, visite nuestro sitio web, healthplan.memorialhermann.org/medicare, o llame al Servicio de Atención al Cliente de Memorial Hermann Advantage PPO al 1-844-550-6886, de 8.00°a.m. a 8.00°p.m., los siete (7) días de la semana. Los usuarios de TTY deben llamar al 711. MEDICAL INFUSION THERAPY 15340 PARK ROW STE 100 HOUSTON, TX 77084-2887 (281) 398-9399 HARRIS COUNTY LEWISVILLE 6 HOUSTON CARDIAC INFUSION SPECIALISTS 697 S STEMMONS FWY LEWISVILLE, TX 75067-5067 (972) 426-7006 11 ACCREDO HEALTH GROUP INC 9307 KIRBY DR HOUSTON, TX 77054-7054 (713) 791-1552 1 AMERITA INC 4001 W SAM HOUSTON PKWY N , STE 120 HOUSTON, TX 77043-7043 (713) 843-7700 2 CAREPOINT PARTNERS 1416 N SAM HOUSTON PKWY E , SUITE 190 HOUSTON, TX 77032-7032 (281) 442-6532 3 CAREPOINT PARTNERS 6105 BEVERLY HILL , STE 200 HOUSTON, TX 77057-6716 (713) 782-4442 4 OPTION CARE 9030 KIRBY DR HOUSTON, TX 77054-7054 (713) 794-0599 7 WEBSTER PARK INFUSION CARE 4007 BELLAIRE BLVD , STE G HOUSTON, TX 77025-7025 (713) 668-7275 8 MEDICAL PLAZA PHARMACY AT CLEAR LAKE 250 BLOSSOM ST , STE 110 WEBSTER, TX 77598-4241 (281) 332-2213 12 SOUTHSIDE INFUSION 7700 MAIN ST , STE 210 HOUSTON, TX 77030-7030 (713) 660-8888 9 SPECIALTY THERAPEUTIC CARE 1311 W SAM HOUSTON PKWY N STE 150 HOUSTON, TX 77043-4010 (866) 506-2626 Pharmacies - Home Infusion = 12 10 CORAM CVS/SPECIALTY INFUSION SERVICES 10611 S SAM HOUSTON PKWY W , STE 200 HOUSTON, TX 77071-3111 (713) 667-4010 5 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: Page 41 Long-Term Care Pharmacies Farmacias de atención prolongada Residents of a long-term care facility may access their prescription drugs covered under Memorial Hermann Advantage PPO Plan Name through the facility’s long-term care pharmacy or another network long-term care pharmacy. For current information about Memorial Hermann Advantage PPO network pharmacies in your area, please visit our Web site at healthplan.memorialhermann.org/medicare or call Customer Service at Memorial Hermann Advantage PPO at 1-844-550-6886, 8am – 8pm, seven (7) days a week. TTY users should call 711. Los residentes de un centro de atención prolongada pueden acceder a sus medicamentos recetados cubiertos por Memorial Hermann Advantage PPO a través de la farmacia de atención prolongada del establecimiento o de otra farmacia de atención prolongada de la red. Para obtener información actualizada sobre las farmacias de la red de Memorial Hermann Advantage PPO dentro su área, visite nuestro sitio web, healthplan.memorialhermann.org/medicare, o llame al Servicio de Atención al Cliente de Memorial Herman Advantage PPO al 1-844-550-6886, de 8.00°a.m. a 8.00°p.m., los siete (7) días de la semana. Los usuarios de TTY deben llamar al 711. FORT BEND COUNTY OASIS PHARMACY 12946 DAIRY ASHFORD RD STE 460 , STE 120 SUGAR LAND, TX 77477-2454 (281) 240-8111 6 MISSOURI CITY EDS PHARMACY 3740 CARTWRIGHT RD MISSOURI CITY, TX 77459-7459 (281) 499-4555 1 RICHMOND 2 HARRIS COUNTY HOUSTON 7 LEGENDS PHARMACY II 15015 WESTHEIMER PKWY STE LL HOUSTON, TX 77082-1676 (281) 496-0640 8 RICHMOND STATE SUPPORTED LIVING CENTER PHARMACY 2100 PRESTON ST RICHMOND, TX 77469-1499 (281) 344-4601 3 MEDIC PHARMACY 4040 S BRAESWOOD HOUSTON, TX 77025-7025 (713) 666-6353 9 STAFFORD OMNICARE OF HOUSTON 10650 W AIRPORT BLVD STE 150 STAFFORD, TX 77477-7477 (281) 776-8860 12 SOUTHSIDE LTC PHARMACY 7700 MAIN ST , STE 250 HOUSTON, TX 77030-4456 (832) 553-1349 13 HOUSTON MEDICINE CHEST 209 BRISBANE ST HOUSTON, TX 77061-5045 (281) 464-6300 LIFECHEK DRUG 1100 JACKSON ST RICHMOND, TX 77469-3320 (281) 232-3529 PHARMSCRIPT OF TEXAS,LLC 1718 FRY RD , STE 125 HOUSTON, TX 77084-7084 (281) 492-7220 STAFFORD ADVANCED PHARMACY SVCS 12503 EXCHANGE DR STE 536 STAFFORD, TX 77054-4632 (713) 391-2200 14 TOMBALL GLOYERS PHARMACY INC 1010 W MAIN ST TOMBALL, TX 77375-5576 (281) 351-5454 15 4 SUGAR LAND LONE STAR PHARMACY 12615 W AIRPORT BLVD , STE 200 SUGAR LAND, TX 77478-6203 (281) 242-1798 5 PHARMACARE 9000 HEMPSTEAD RD. BLD C STE 385 , BLDG C STE 385 HOUSTON, TX 77008-7008 (713) 426-4800 10 PHARMERICA 1289 N POST OAK RD , SUITE 130 HOUSTON, TX 77055-7253 (713) 680-1325 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: Pharmacies - Long Term Care = 15 11 Page 43 Network Pharmacies outside the Harris, Fort Bend and Montgomery County area Farmacias de la red fuera del área de los condados de Harris, Fort Bend y Montgomery We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Contamos con farmacias de la red fuera del área de servicio, en las cuales puede obtener sus medicamentos cubiertos como miembro de nuestro plan. BRAZORIA COUNTY ALVIN ALVIN CARE PHARMACY 204 E HOUSE ST ALVIN, TX 77511-3544 (281) 698-0987 1 CVS PHARMACY 1600 SOUTH BYPASS 35 ALVIN, TX 77511-3146 (281) 331-1536 2 KROGER PHARMACY 1804 N VELASCO ANGLETON, TX 77515-3015 (979) 849-5460 18 LTC RX 2301 E MULBERRY ST STE B , STE B ANGLETON, TX 77515-3804 (979) 849-3001 10 MEDICINE SHOPPE PHARMACY 2301 E MULBERRY ANGLETON, TX 77515-3804 (979) 849-9391 11 3 LAKE JACKSON CVS PHARMACY 117 OYSTER CREEK DR LAKE JACKSON, TX 77566-4157 (979) 297-3254 MEDICINE SHOPPE 109B ABNER JACKSON PARKWAY LAKE JACKSON, TX 77566-5159 (979) 297-9503 20 WAL-MART PHARMACY 1801 N VELASCO ANGLETON, TX 77515-3014 (979) 849-3028 12 WAL-MART PHARMACY 400 HIGHWAY 35 BYP S ALVIN, TX 77511-0000 (281) 585-3451 4 WALGREENS #4113 1620 S GORDON ST ALVIN, TX 77511-3460 (281) 585-2404 5 WALGREENS #4373 1001 LOOP 274 ANGLETON, TX 77515-7515 (979) 849-2347 13 ANGLETON ANGLETON HEALTH MART PHARMACY 1104 EAST MULBERRY ST STE E ANGLETON, TX 77515-3952 (979) 848-8878 6 CVS PHARMACY 601 N LOOP 274 ANGLETON, TX 77515-3256 (979) 849-8294 21 22 KROGER PHARMACY 101 DIXIE DR CLUTE, TX 77531-5154 (979) 265-2519 TARGET PHARMACY 202 HIGHWAY 332 W LAKE JACKSON, TX 77566-7566 (979) 299-2330 23 WALGREENS #4100 51 DIXIE DRIVE CLUTE, TX 77531-5147 (979) 265-7700 15 WAL-MART PHARMACY 121 HWY 332 WEST LAKE JACKSON, TX 77566-4028 (979) 297-8578 24 7 DASONCARE 1204 N VELASCO ST STE 105 , STE 105 ANGLETON, TX 77515-3199 (979) 849-5400 SPENCE’S MEDICAL CENTER PHARMACY 215 OAK DR S , STE M LAKE JACKSON, TX 77566-5618 (979) 297-1776 STARR PLUS PHARMACY, LLC. 208 OAK DR S STE 302 LAKE JACKSON, TX 77566-5640 (979) 297-3800 CLUTE 14 FREEPORT CVS PHARMACY 1853 W SECOND ST FREEPORT, TX 77541-4613 (979) 233-5415 16 WALGREENS #2954 131 OYSTER CREEK DR LAKE JACKSON, TX 77566-7566 (979) 292-0328 25 FREEPORT PHARMACY 323 SOUTH BRAZOSPORT BLVD FREEPORT, TX 77541-7541 (979) 871-9189 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: ROSA PHARMACY 11002 SCARSDALE BLVD , STE A HOUSTON, TX 77581-5149 (281) 481-6602 19 KROGER PHARMACY 3100 HWY 35 ALVIN, TX 77511-4790 (281) 388-3403 8 HOUSTON 9 17 Page 45 Network Pharmacies outside the Harris, Fort Bend and Montgomery County area Farmacias de la red fuera del área de los condados de Harris, Fort Bend y Montgomery We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Contamos con farmacias de la red fuera del área de servicio, en las cuales puede obtener sus medicamentos cubiertos como miembro de nuestro plan. MANVEL HAZEL’S COMPOUNDING RX PHARMACY 1801 COUNTRY PLACE PKWY PEARLAND, TX 77584-5120 (713) 340-0202 34 MANVEL PHARMACY 20226 HIGHWAY 6 STE C , STE C MANVEL, TX 77578-3850 (281) 489-3210 26 COUNTRY PLACE PHARMACY 2404 SMITH RANCH RD STE 100 , STE 100 PEARLAND, TX 77584-5121 (713) 436-3344 43 RANDALLS PHARMACY #1858 10228 BROADWAY ST PEARLAND, TX 77584-7584 (281) 504-0285 44 HEB PHARMACY 2710 PEARLAND PKWY. PEARLAND, TX 77581-7581 (281) 485-5047 35 PEARLAND PHARMCARE 1834 BROADWAY ST , STE 106 PEARLAND, TX 77581-5606 (281) 996-7500 27 RX CARE PHARMACY 7121 BROADWAY ST PEARLAND, TX 77581-7581 (281) 412-0377 45 HEB PHARMACY 2805 BUSINESS CENTER DR PEARLAND, TX 77584-2191 (713) 578-6155 36 SAMS PHARMACY 15800 SOUTH FWY PEARLAND, TX 77584-1834 (713) 986-0087 46 CVS PHARMACY 11600 SHADOW CREEK PEARLAND, TX 77584-7261 (713) 436-8250 28 CVS PHARMACY 2900 BROADWAY ST PEARLAND, TX 77581-4507 (281) 997-4400 KELSEY PHARMACY PEARLAND 2515 BUSINESS CENTER DR PEARLAND, TX 77584-7584 (713) 442-7272 37 29 CVS PHARMACY 9522 BROADWAY ST PEARLAND, TX 77584-7724 (713) 436-8151 KROGER PHARMACY 11003 SHADOW CREEK PKWY PEARLAND, TX 77584-7401 (281) 669-1250 38 30 CVS PHARMACY # 12806 BROADWAY ST PEARLAND, TX 77584-7584 (713) 436-1298 KROGER PHARMACY 3245 E BROADWAY PEARLAND, TX 77581-4501 (281) 485-1323 39 31 FAMILY PHARMACY CARE 10905 MEMORIAL HERMANN DR STE 102 PEARLAND, TX 77584-3490 (281) 315-3770 KROGER PHARMACY 8323 BROADWAY PEARLAND, TX 77584-7766 (281) 997-6500 40 32 GALE COMPOUNDING PHARMACY 12234 SHADOW CREEK PKWY STE 4110 PEARLAND, TX 77584-7333 (281) 668-6209 33 Page 46 FILE ID: LTC RX 1834 BROADWAY , STE 110 PEARLAND, TX 77581-7581 (281) 993-1656 41 MASTERY PHARMACY 2950 CULLEN PARKWAY , SUITE 112 PEARLAND, TX 77584-7584 (713) 665-9995 42 SCRIPT SOURCE PHARMACY 10223 BROADWAY ST STE D2 PEARLAND, TX 77584-7881 (713) 340-3122 47 SMITH RANCH PHARMACY 2813 SMITH RANCH RD STE B PEARLAND, TX 77584-5254 (281) 306-1383 48 TARGET PHARMACY 3045 SILVERLAKE VILLAGE DR PEARLAND, TX 77584-7584 (713) 436-2516 49 WAL-MART PHARMACY 10505 BROADWAY PEARLAND, TX 77584-7712 (713) 436-5844 50 WAL-MART PHARMACY 1710 BROADWAY STREET PEARLAND, TX 77581-5604 (281) 482-5516 51 WAL-MART PHARMACY 1919 NORTH MAIN PEARLAND, TX 77581-3305 (281) 485-2818 52 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Network Pharmacies outside the Harris, Fort Bend and Montgomery County area Farmacias de la red fuera del área de los condados de Harris, Fort Bend y Montgomery We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Contamos con farmacias de la red fuera del área de servicio, en las cuales puede obtener sus medicamentos cubiertos como miembro de nuestro plan. WALGREENS 3287 E BROADWAY ST PEARLAND, TX 77581-4501 (281) 485-7843 WALGREENS #12052 100 E BRAZOS AVE WEST COLUMBIA, TX 77486-2726 (979) 345-2147 53 62 WALGREENS #10477 11633 SHADOW CREEK PKWY PEARLAND, TX 77584-7262 (713) 436-4913 CHAMBERS COUNTY 54 WILCOX LEGEND DRUG STORE 1208 MILLER ST ANAHUAC, TX 77514-0220 (409) 267-6141 63 WAL-MART PHARMACY 10-0249 831 HWY 59 SOUTH CLEVELAND, TX 77327-4873 (281) 592-2636 71 BAYTOWN WALGREENS #7459 1515 BROADWAY ST STE 210 PEARLAND, TX 77581-7581 (281) 996-1241 56 MD PHARMACY 11540 EAGLE DR , STE A BAYTOWN, TX 77523-7654 (281) 576-0106 WALGREENS #11814 101 S WASHINGTON AVE CLEVELAND, TX 77327-4414 (281) 592-0491 64 WALGREENS #7534 6122 BROADWAY ST PEARLAND, TX 77581-7581 (281) 412-4896 57 58 ROSHARON WALMART PHARMACY 10-2439 8700 N HWY 146 BAYTOWN, TX 77523-7523 (281) 918-3067 59 WEST COLUMBIA CVS PHARMACY 701 SOUTH 17TH STREET WEST COLUMBIA, TX 77486-3723 (979) 345-5119 WINNIE BROOKSHIRE BROTHERS PHARMACY 204 BROADWAY WINNIE, TX 77665-7665 (409) 296-2175 WILCOX PHARMACY 415 STATE HWY 124 WINNIE, TX 77665-7665 (409) 296-2497 67 60 WAL-MART PHARMACY 301 N COLUMBIA DR WEST COLUMBIA, TX 77486-2520 (979) 345-6030 72 DAYTON 65 BROOKSHIRE BROTHERS PHARMACY 403 EAST HWY 90 DAYTON, TX 77535-7535 (936) 258-2166 73 66 SAVANNAH PHARMACY 15028 HIGHWAY 6 ROSHARON, TX 77583-3261 (281) 710-4451 LIBERTY COUNTY CLEVELAND GR CURE PHARMACY 108-B NORTH MAIN DAYTON, TX 77535-7535 (936) 681-8335 74 WALGREENS 209 HIGHWAY O W DAYTON, TX 77459-4367 (281) 403-6126 75 WALGREENS #7878 209 W HWY 90 DAYTON, TX 77535-7535 (936) 258-7395 76 BROOKSHIRE BROTHERS PHARMACY 603 E HOUSTON CLEVELAND, TX 77327-7327 (281) 592-5257 68 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: CVS PHARMACY 108 N WASHINGTON AVE CLEVELAND, TX 77327-3912 (281) 592-5279 ANAHUAC 55 61 69 70 WALGREENS #6584 8430 BROADWAY ST PEARLAND, TX 77584-7584 (281) 412-3305 WALMART PHARMACY 10-7361 12631 BROADWAY ST PEARLAND, TX 77584-1932 (713) 570-7930 CLEVELAND PHARMACY 111 SOUTH WILIIAM BARNETT AVE. CLEVELAND, TX 77327-4541 (281) 593-3800 Page 47 Network Pharmacies outside the Harris, Fort Bend and Montgomery County area Farmacias de la red fuera del área de los condados de Harris, Fort Bend y Montgomery We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Contamos con farmacias de la red fuera del área de servicio, en las cuales puede obtener sus medicamentos cubiertos como miembro de nuestro plan. LIBERTY TARGET PHARMACY 259 INTERSTATE 45 S HUNTSVILLE, TX 77340-4903 (936) 649-3074 85 BROOKSHIRE BROTHERS PHARMACY #51 2325 N MAIN ST LIBERTY, TX 77575-3901 (936) 336-4177 WHARTON COUNTY EAST BERNARD 77 CVS PHARMACY 2005 HWY 90 LIBERTY, TX 77575-5817 (936) 336-7233 78 WAL-MART PHARMACY 2121 HWY 146 BYPASS LIBERTY, TX 77575-0000 (936) 336-2257 79 WALKER COUNTY WAL-MART PHARMACY 10-0285 141 INTERSTATE 45 S HUNTSVILLE, TX 77320-0000 (936) 295-3041 86 WALGREENS #4999 1570 11TH ST HUNTSVILLE, TX 77340-3816 (936) 291-6764 BROOKSHIRE BROTHERS PHARMACY 2601 11TH STREET HUNTSVILLE, TX 77340-7340 (936) 435-1234 NEW WAVERLY YOUR NEW WAVERLY PHARMACY LLC 9320C STATE HIGHWAY 75 S NEW WAVERLY, TX 77358-7358 (936) 344-2424 80 CVS PHARMACY 1569 11TH ST HUNTSVILLE, TX 77340-3815 (936) 295-6448 81 CVS PHARMACY 2421 SAM HOUSTON AVE HUNTSVILLE, TX 77340-5862 (936) 439-9038 82 83 BROOKSHIRE B AND B PHARMACY 3523 AND ONE HALF FRONT ST BROOKSHIRE, TX 77423-7423 (281) 934-8441 89 HEMPSTEAD 84 Page 48 FILE ID: EL CAMPO PROFESSIONAL PHARMACY 1264 N MECHANIC ST EL CAMPO, TX 77437-2614 (979) 543-2761 93 HEB PHARMACY 306 N MECHANIC EL CAMPO, TX 77437-4420 (979) 578-8609 94 WAL-MART PHARMACY 10-0344 3413 WEST LOOP EL CAMPO, TX 77437-8020 (979) 543-6280 WALGREENS #9739 203 N MECHANIC ST EL CAMPO, TX 77437-4417 (979) 543-8902 96 WHARTON BROOKSHIRE BROTHERS PHARMACY 300 BS HWY 290 E HEMPSTEAD, TX 77445-7445 (979) 826-4895 CVS PHARMACY 1710 N RICHMOND RD WHARTON, TX 77488-2713 (979) 532-8660 97 HEB PHARMACY 1616 N ALABAMA WHARTON, TX 77488-7488 (979) 282-2883 98 WAL-MART PHARMACY 625 HWY 290 EAST HEMPSTEAD, TX 77445-5568 (979) 826-3378 91 MCNEASE DRUGS 103 MEDICAL PARK LANE , SUITE B HUNTSVILLE, TX 77340-7340 (936) 293-8333 EL CAMPO 95 WALLER COUNTY 90 KROGER PHARMACY 111 I 45 SOUTH HUNTSVILLE, TX 77340-4243 (936) 291-7977 92 87 88 HUNTSVILLE SAVON DRUGS 123 LEVERIDGE EAST BERNARD, TX 77435-7435 (979) 335-4810 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 Network Pharmacies outside the Harris, Fort Bend and Montgomery County area Farmacias de la red fuera del área de los condados de Harris, Fort Bend y Montgomery We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. Contamos con farmacias de la red fuera del área de servicio, en las cuales puede obtener sus medicamentos cubiertos como miembro de nuestro plan. WAL-MART PHARMACY 10388 US 59 HWY WHARTON, TX 77488-7217 (979) 532-0641 99 Pharmacies - Outside = 99 Y0110_PharmDirCY16 CMS Accepted 9/8/2015 Y0110_S_PharmDirCY16 CMS Accepted 9/8/2015 FILE ID: Page 49 FILE ID: This information is available for free in other languages. Please call our customer service number at Memorial Hermann Advantage PPO at 1-844-550-6896, 8:00 a.m. to 8:00 p.m., seven days a week. TTY users should call 711. Esta información está disponible gratis en otros idiomas. Comuníquese con el Departamento de Servicio al Cliente de Memorial Hermann Advantage PPO al 1-844-550-6896, de 8.00 a. m. a 8.00 p. m., los siete días de la semana. Los usuarios de TTY deben llamar al 711. Memorial Hermann Advantage PPO es un plan de salud que se brinda a través de un contrato con Medicare. La inscripción en Memorial Hermann Advantage PPO depende de la renovación del contrato. Memorial Hermann Health Solutions, Inc. es la empresa matriz de Memorial Hermann Health Insurance Company y Memorial Hermann Health Plan, Inc., que son organizaciones de Medicare Advantage. Este directorio de farmacias se actualizó el 09/2015. Para obtener información más actualizada o para realizar otras consultas, comuníquese con Memorial Hermann Advantage PPO al 1-844-550-6896 o, para usuarios de TTY, al 711, de 8.00˚a. m. a 8.00˚p. m., los siete (7) días de la semana, o visite healthplan.memorialhermann.org/medicare. healthplan.memorialhermann.org/medicare Copyright © 2015 Memorial Hermann. All rights reserved.
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