Choose from a Network of Pharmacies Close to Home and Nationwide

KelseyCare Advantage gives you access to more than 67,000 network pharmacies nationwide, including 1,300 pharmacies in the Greater Houston area. Our Medicare Part D pharmacy access exceeds Medicare requirements, and our agreement with these pharmacies ensures that they will provide prescription drugs to our plan members. You can also switch your network pharmacy at any time.

Within the network pharmacies in the Greater Houston area, there are three types you can search for in the directory:

• Retail (such as HEB and CVS)
• Long-term care
• Home infusion 

While you can go to any of our network pharmacies, your costs may be even less for your covered drugs if you use a network pharmacy that offers preferred cost sharing rather than a network pharmacy that offers standard cost sharing. The preferred cost-sharing pharmacies in the Greater Houston area include Kelsey-Seybold Clinic, HEB, and CVS locations.

Important Note for City of Houston Members

Your pharmacies with preferred cost sharing include Kelsey-Seybold Pharmacy, HEB, CVS, Walmart, and Sam's Club.

Compound Medications

Certain medications known as “compound medications” will only be covered if dispensed by pharmacies that have met the National Compound Credentialing Program (NCCP) criteria to dispense compound medications. For more information about what pharmacies can dispense these compound medications, please call OptumRx Customer Service toll-free at 1-866-589-5222 (TTY/TDD 1-888-206-8041).