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Best Medicare Advantage Plans for 2018 Rating is from U.S. News and World Report, a leading publisher of annual authoritative rankings including Best Medicare Plans. Our plan does not have a direct relationship with U.S. News. This award was not given by Medicare. Our overall rating from Medicare for 2018 is 5.0. Our plan’s official CMS Star Rating can be found at www.Medicare.gov.

KelseyCare Advantage 2019 Pharmacy Directory

This pharmacy directory was updated on 10/01/2018. For more recent information or other questions, please contact KelseyCare Advantage at 1-866-589-5222 or, for TTY users, 1-888-206-8041, 24 hours a day, 7 days a week, or visit www.kelseycareadvantage.com.

Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.kelseycareadvantage.com. You may also call Member Services for updated pharmacy information.

Click here for important information about this Pharmacy Directory and our pharmacy network.

Find a Pharmacy

This searchable directory provides a list of KelseyCare Advantage’s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and KelseyCare Advantage’s formulary.

KelseyCare Advantage provides you access to more than 67,000 network pharmacies nationwide, including 1,300 pharmacies in our service area.  Our Medicare Part D pharmacy access exceeds Medicare requirements. 

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 KelseyCare Advantage only if they are filled at a network pharmacy. 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.

Within the 1,300 pharmacies located in our service area, there are three types of pharmacies - Retail, Long-Term Care and Home Infusion. Preferred Cost-Sharing Pharmacies include the Kelsey-Seybold pharmacies, H-E-B and all CVS pharmacies.

A convenient way to find a Retail Pharmacy in the service area is to search by zip code, city or pharmacy name using the form below. You can also search by the three pharmacy types in our pharmacy network: Retail, Long-Term Care (LTC) and Home Infusion.

Search for a Pharmacy

Please select your search criteria by specifying any or all of the fields below:
Pharmacy Category:


Pharmacy Type:
Zip Code:
City:
Pharmacy Name:

The pharmacy network may change at any time. You will receive notice when necessary.

You may go to any of our network pharmacies. However, 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 Pharmacy Search tool will tell you which of the network pharmacies offer preferred cost-sharing.

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. This rigorous additional credentialing is only for pharmacies to dispense compound medications. All other medications (non-compounded medications) may continue to be filled at any network pharmacy. 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 users should call 1-888-206-8041).

If you need help finding a network pharmacy, please call OptumRx Customer Service toll-free at 1-866-589-5222 (TTY/TDD users should call 1-888-206-8041) or click on the link above to access our searchable directory. If you would like a Pharmacy Directory mailed to you, you may call the number above, or request one by sending an email to memberservices@kelseycareadvantage.com.

 

Pharmacy Directory Request
If you would like a Pharmacy Directory or Pharmacy Directory Addendum mailed to you, here are your options:

  

Important Note for City of Houston Members:
Your pharmacies with preferred cost-sharing include Kelsey-Seybold pharmacies,  Walmart/Sam’s pharmacies, H-E-B and all CVS pharmacies.