2022 bright health pharmacy directory

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2022 Bright Health Pharmacy Directory Individual and Family Plans - Nebraska Health Network, Bryan Health Connect - Omaha & Lincoln For the most up to date pharmacy information, or other questions, please contact us, at 833-726-0670, 24 hours, 7 days a week (TTY 711). Changes to our pharmacy network may occur during the benefit year. This pharmacy directory was updated on 01/13/2022. If you would prefer to receive this information in another format (e.g. braille, large print or audio tape), please call Member Services. Si prefiere recibir esta información en otro formato (por ejemplo, braille, letra grande o grabación de audio), contáctese con el Departamento de Servicios para Miembros. 如果您想收到其他格式(例如盲文、大字版或錄音帶)的資訊,請聯絡我們的會員服務部。 IFP 22_101580_01 Page 1

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2022 Bright Health Pharmacy Directory
Individual and Family Plans - Nebraska Health Network, Bryan Health Connect - Omaha & Lincoln
For the most up to date pharmacy information, or other questions, please contact us, at 833-726-0670, 24 hours, 7 days a week (TTY 711). Changes to our pharmacy network may occur during the benefit year.
This pharmacy directory was updated on 01/13/2022.
If you would prefer to receive this information in another format (e.g. braille, large print or audio tape), please call Member Services. Si prefiere recibir esta información en otro formato (por ejemplo, braille, letra grande o grabación de audio), contáctese con el Departamento de Servicios para Miembros.

IFP 22_101580_01 Page 1
IFP 22_101580_01 Page 2
Retail Pharmacies, including Chain Pharmacies 4
Mail Order Pharmacy 47
Home Infusion Pharmacies 48
Long-Term Care Pharmacies 50
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies 67
Welcome to Bright Health.
Enclosed is a list of all of the in-network pharmacies,included in Bright Health’s Individual and Family plans.
For a complete description of your prescription coverage, including how to fill your prescriptions, please review your Certificate of Coverage and the Bright Health Plan Formulary (drug list).
We call the pharmacies on this list “network pharmacies” because we’ve made arrangements with these pharmacies to provide prescription drugs to our Plan members. In most cases, your prescriptions are covered under a Bright Health plan only if you get them filled at a network pharmacy, or through our mail order pharmacy service. However, you’re not obligated to get your prescriptions filled at the same network pharmacy, and can switch network pharmacies, at any time. Keep in mind, we will fill prescriptions at non-network pharmacies only under certain circumstances and as described in your Certificate of Coverage. You can also get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory.
Because this list is current as of the date on the cover of this directory, we encourage you to contact us for the most up to date network pharmacy list. You can find our contact information on the front and back cover of this directory.
IFP 22_101580_01 Page 3
Retail Pharmacies, including Chain Pharmacies | ADAMS
LAKE CREST PHARMACY 620 MAIN STREET STE B ADAMS, NE 68301 (402) 988-7145 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | AINSWORTH
AINSWORTH DRUG 255 N MAIN ST AINSWORTH, NE 69210-1300 (402) 376-5959 TTY 711
Extended Day Supplier Non-preferred
Retail Pharmacies, including Chain Pharmacies | ALBION
GOOD LIFE PHARMACY 124 S 4TH ST ALBION, NE 68620 (402) 395-3353 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WELLS DRUG 113 S 4TH ST ALBION, NE 68620-1215 (402) 395-2184 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ALLIANCE
ALLIANCE COMMUNITY PHARMACY 2409 BOX BUTTE AVE ALLIANCE, NE 69301 (308) 629-1045 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
DAVE'S PHARMACY 223 BOX BUTTE AVE ALLIANCE, NE 69301-3741 (308) 762-4811 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAFEWAY PHARMACY #0549 500 E. THIRD STREET ALLIANCE, NE 69301-3832 (308) 762-1258 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 4
Retail Pharmacies, including Chain Pharmacies | ALMA
HAYS PHARMACY 706 W MAIN ALMA, NE 68920 (308) 928-2022 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ARAPAHOE
ARAPAHOE PHARMACY 507 NEBRASKA AVE ARAPAHOE, NE 68922 (308) 962-7895 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ASHLAND
ASHLAND PHARMACY 1401 SILVER ST ASHLAND, NE 68003-1845 (402) 944-3303 TTY 711
Extended Day Supplier Non-preferred
ASHLAND PHARMACY, MEDICINE SHOPPE 2058 1401 SILVER ST ASHLAND, NE 68003 (402) 944-3303 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ATKINSON
WEST HOLT PHARMACY 313 W PEARL ATKINSON, NE 68713 (402) 925-2651 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 5
Retail Pharmacies, including Chain Pharmacies | AUBURN
CODY'S USAVE PHARMACY 2220 J STREET AUBURN, NE 68305 (402) 274-4186 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
STONER DRUG 2115 14TH ST STE 201 AUBURN, NE 68305-1760 (402) 274-0220 TTY 711
Extended Day Supplier Non-preferred
Retail Pharmacies, including Chain Pharmacies | AURORA
JIMS U SAVE PHARMACY 219 Q STREET AURORA, NE 68818 (402) 694-3187 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BASSETT
ROCK COUNTY PHARMACY 801 S STATE ST BASSETT, NE 68714-5062 (402) 684-2730 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BEATRICE
CLABAUGH PHARMACY 501 COURT ST BEATRICE, NE 68310-3989 (402) 223-3591 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
DEINES PHARMACY 910 E COURT ST BEATRICE, NE 68310 (402) 223-4779 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-2784 3620 NORTH 6TH STREET BEATRICE, NE 68310 (402) 228-4594 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 6
Retail Pharmacies, including Chain Pharmacies | BELLEVUE
BAKERS PHARMACY 801 GALVIN RD BELLEVUE, NE 68005 (402) 292-0331 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 3614 TWIN CREEK DR BELLEVUE, NE 68123 (402) 292-3580 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - BELLEVUE 3308 SAMSON WAY STE 106 BELLEVUE, NE 68123 (402) 291-5076 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #03085 1701 GALVIN RD S BELLEVUE, NE 68005-3810 (402) 292-2685 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #16867 3808 TWIN CREEK DR BELLEVUE, NE 68123 (402) 291-6779 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
THE NEBRASKA MED CTR BELLEVUE PHARMACY DBA NEBRASKA MEDICINE 2510 BELLEVUE MEDICAL CENTER DR STE 100 BELLEVUE, NE 68123 (402) 595-1156 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #03694 1802 GALVIN RD S BELLEVUE, NE 68005-3813 (402) 291-8400 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05540 6905 S 36TH ST BELLEVUE, NE 68147-1231 (402) 734-7592 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-2847 10504 SOUTH 15TH STREET BELLEVUE, NE 68123 (402) 292-0463 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3154 2109 TOWNE CENTER DR BELLEVUE, NE 68123 (402) 686-2043 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 7
Retail Pharmacies, including Chain Pharmacies | BENKELMAN
BENKELMAN PHARMACY 509 S CHIEF BENKELMAN, NE 69021 (308) 423-2759 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BENNINGTON
HEALTH MART PHARMACY 15817 C W HADAN DR BENNINGTON, NE 68007 (402) 932-5556 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BLAIR
HEALTH MART PHARMACY 238 S 8TH ST BLAIR, NE 68008 (402) 426-9066 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #11957 1260 WASHINGTON ST BLAIR, NE 68008-1732 (402) 533-8444 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-4568 1882 HOLLY ST BLAIR, NE 68008-6309 (402) 533-8288 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BLOOMFIELD
BLOOMFIELD PHARMACY 105 S BROADWAY ST STE 1 BLOOMFIELD, NE 68718 (402) 373-4411 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 8
Retail Pharmacies, including Chain Pharmacies | BLUE HILL
RONS PHARMACY 537 WEST GAGE ST BLUE HILL, NE 68930-0307 (402) 756-3811 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BRIDGEPORT
NEIN PHARMACY 1012 MAIN ST BRIDGEPORT, NE 69336 (308) 262-1070 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SONNYS PHARMACY 310 MAIN ST BRIDGEPORT, NE 69336 (308) 262-0580 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BROKEN BOW
FRONTIER FAMILY PHARMACY 540 S 8TH AVE BROKEN BOW, NE 68822 (308) 872-5231 TTY 711
Extended Day Supplier Non-preferred
VARNEY HEALTH MART 744 SOUTH E ST BROKEN BOW, NE 68822-0070 (308) 872-2321 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | BURWELL
BURWELL PHARMACY 137 GRAND AVE BURWELL, NE 68823-9802 (308) 346-4747 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 9
Retail Pharmacies, including Chain Pharmacies | CALLAWAY
SEVEN VALLEYS HEALTH MART 200 E PACIFIC ST CALLAWAY, NE 68825-0130 (308) 836-2219 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | CAMBRIDGE
MARKS PHARMACY CAMBRIDGE 624 PATTERSON ST CAMBRIDGE, NE 69022-0117 (308) 697-3400 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | CENTRAL CITY
CORNER DRUG 401 G ST CENTRAL CITY, NE 68826-1755 (308) 946-2205 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
TRAV'S U-SAVE PHARMACY 1414 16TH ST CENTRAL CITY, NE 68826-1812 (308) 946-3859 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | CHADRON
PETERSEN DRUG 302 MAIN ST CHADRON, NE 69337-2358 (308) 432-2400 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAFEWAY PHARMACY #2563 230 MOREHEAD CHADRON, NE 69337-2325 (308) 432-2070 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-2579 510 LINDEN STREET CHADRON, NE 69337 (308) 432-6995 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 10
Retail Pharmacies, including Chain Pharmacies | CHAPPELL
OUR TOWN PHARMACY 733 2ND ST CHAPPELL, NE 69129-6876 (308) 874-2428 TTY 711
Extended Day Supplier Non-preferred
Retail Pharmacies, including Chain Pharmacies | COLUMBUS
CVS PHARMACY #10441 2307 23RD ST COLUMBUS, NE 68601-3303 (402) 564-5105 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
GENOA HEALTHCARE, LLC 4321 41ST AVE, STE 1 COLUMBUS, NE 68601-2131 (402) 835-0413 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SUPER SAVERS PHARMACY 3318 23RD ST COLUMBUS, NE 68601 (402) 563-3349 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
TOOLEY DRUG INC 2615 13TH ST COLUMBUS, NE 68601 (402) 564-7205 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
TOOLEY DRUG INC CLINICAL PHARMACY 4306 38TH ST COLUMBUS, NE 68601 (402) 562-8627 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #12115 2320 23RD AVE COLUMBUS, NE 68601-3304 (402) 563-3588 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-0774 818 EAST 23RD ST. COLUMBUS, NE 68601 (402) 563-4571 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 11
Retail Pharmacies, including Chain Pharmacies | COZAD
SERVICE DRUG STORE 133 E 8TH ST COZAD, NE 69130-1729 (308) 784-2238 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY COZAD 312 W 8TH ST COZAD, NE 69130-1772 (308) 784-3500 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | CREIGHTON
MANION'S DRUG STORE 719 MAIN STREET CREIGHTON, NE 68729-0085 (402) 358-3535 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | CRETE
KENS U SAVE PHARMACY 1302 LINDEN AVE CRETE, NE 68333-2257 (402) 826-3784 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-4322 1800 EAST 29TH STREET CRETE, NE 68333 (402) 826-1032 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | CURTIS
CURTIS DISCOUNT PHARMACY 115 CENTER AVE CURTIS, NE 69025 (308) 367-5100 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 12
Retail Pharmacies, including Chain Pharmacies | DAVID CITY
DAVID CITY DISCOUNT PHARMACY 422 5TH ST DAVID CITY, NE 68632 (402) 367-3068 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ELGIN
ELGIN PHARMACY 112 S. 2ND STREET ELGIN, NE 68636 (402) 843-5555 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ELKHORN
WALGREENS #11204 20201 MANDERSON ST ELKHORN, NE 68022-3234 (402) 289-0520 TTY 711
Extended Day Supplier Electronic Prescribing
Retail Pharmacies, including Chain Pharmacies | EMERSON
EMERSON APOTHECARY 1003 S MAIN ST STE 2 EMERSON, NE 68733-3606 (402) 695-8100 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 13
Retail Pharmacies, including Chain Pharmacies | FAIRBURY
GLOBE REXALL PHARMACY 424 E ST FAIRBURY, NE 68352-2535 (402) 729-2620 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KORBEL DRUG 405 5TH ST FAIRBURY, NE 68352-2598 (402) 729-3104 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-0418 2831 HWY 15 FAIRBURY, NE 68352 (402) 729-3755 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | FALLS CITY
KEX RX PHARMACY & HOME CARE 120 E 18TH ST FALLS CITY, NE 68355 (402) 245-2029 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | FRANKLIN
FRANKLIN DRUG 635 15TH AVE FRANKLIN, NE 68939-1073 (308) 425-3004 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | FREMONT
A & A DRUG COMPANY 1612 N BELL FREMONT, NE 68025 (402) 721-7634 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 1531 N BELL ST FREMONT, NE 68025 (402) 727-1995 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KUBAT HEALTHCARE 350 WEST 23RD STREET FREMONT, NE 68025 (402) 727-4044 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 14
WALGREENS #09899 1525 E 23RD ST FREMONT, NE 68025-2434 (402) 721-8872 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-0776 3010 E 23RD AVE N FREMONT, NE 68025 (402) 727-8772 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | FRIEND
JOHNSON PHARMACY 151 MAPLE ST FRIEND, NE 68359-1030 (402) 947-2341 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | FULLERTON
REIMER PHARMACY 312 BROADWAY FULLERTON, NE 68638 (308) 536-2641 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | GENEVA
WEAVER PHARMACY 1014 G ST GENEVA, NE 68361 (402) 759-4433 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 15
Retail Pharmacies, including Chain Pharmacies | GENOA
GENOA COMMUNITY PHARMACY 508 WILLARD AVE. GENOA, NE 68640-0000 (402) 993-2400 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | GERING
GERING U-SAVE PHARMACY 1400 10TH STREET GERING, NE 69341 (308) 436-2181 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | GORDON
STOCKMEN'S DRUG 116 N MAIN ST GORDON, NE 69343-1501 (308) 282-1114 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | GOTHENBURG
GOTHENBURG DISCOUNT PHARMACY 902 AVENUE D GOTHENBURG, NE 69138 (308) 537-7155 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 16
Retail Pharmacies, including Chain Pharmacies | GRAND ISLAND
CVS PHARMACY #10243 1710 W 2ND ST GRAND ISLAND, NE 68803-5409 (308) 384-4089 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
EMPLOYER'S HEALTH CARE PHARMACY 810 N DIERS AVE GRAND ISLAND, NE 68803-4955 (308) 381-2225 TTY 711
Extended Day Supplier Electronic Prescribing
SUPER SAVER PHARMACY #28 710 WEST STATE ST GRAND ISLAND, NE 68801 (308) 398-0940 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY 4TH STREET 423 W 4TH ST GRAND ISLAND, NE 68801-4503 (308) 384-7372 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY SOUTH 2105 S LOCUST ST GRAND ISLAND, NE 68801 (308) 382-3784 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U-SAVE PHARMACY NW 3224 W 13TH ST GRAND ISLAND, NE 68803 (308) 384-9010 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #03467 1515 W 2ND ST GRAND ISLAND, NE 68801-5715 (308) 384-8290 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #12538 1230 N WEBB RD GRAND ISLAND, NE 68803-3304 (308) 384-2626 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-1326 2250 NO. DIERS AVE GRAND ISLAND, NE 68803 (308) 381-0337 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3395 3501 SOUTH LOCUST STREET GRAND ISLAND, NE 68801 (308) 381-5859 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | GRANT
GRANT PHARMACY 218 CENTRAL AVE GRANT, NE 69140 (308) 352-4511 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 17
Retail Pharmacies, including Chain Pharmacies | GRETNA
U SAVE PHARMACY GRETNA 611 N HIGHWAY 6 GRETNA, NE 68028 (402) 332-5990 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-4600 11350 WICKERSHAM BLVD GRETNA, NE 68028 (402) 881-3687 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | HARTINGTON
STEFFEN DRUG 214 NORTH BROADWAY HARTINGTON, NE 68739-0248 (402) 254-3549 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | HASTINGS
BERTS PHARMACY 1021 W 14TH ST HASTINGS, NE 68901-3046 (402) 462-4466 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BERTS PHARMACY 700 W 2ND ST HASTINGS, NE 68901-5103 (402) 462-4343 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CROSIER PARK PHARMACY 405 EAST 14TH STREET HASTINGS, NE 68901 (402) 462-4600 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KEITHS DRIVE IN DRUG 500 N HASTINGS HASTINGS, NE 68901-5173 (402) 462-6101 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KEITHS MEDICAL PARK PHARMACY 2115 N KANSAS AVE HASTINGS, NE 68901-2615 (402) 463-0515 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
REDLINE SPECIALTY PHARMACY 2415 OSBORNE DRIVE EAST, STE 100 HASTINGS, NE 68901 (402) 462-2929 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 18
RUSS'S MARKET PHARMACY #7 611 N BURLINGTON AVE HASTINGS, NE 68901 (402) 463-8503 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #03269 705 N BURLINGTON AVE HASTINGS, NE 68901-4419 (402) 463-4554 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-1460 3803 OSBORNE DRIVE WEST HASTINGS, NE 68901 (402) 462-6100 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | HEBRON
THAYER COUNTY PHARMACY 428 LINCOLN AVE HEBRON, NE 68370-1526 (402) 768-6319 TTY 711
Extended Day Supplier Non-preferred
Retail Pharmacies, including Chain Pharmacies | HEMINGFORD
DAVES PHARMACY 508 NIOBRARA AVE HEMINGFORD, NE 69348 (308) 487-5212 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | HENDERSON
HENDERSON PHARMACY 1060 N MAIN ST HENDERSON, NE 68371 (402) 723-4475 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 19
Retail Pharmacies, including Chain Pharmacies | HICKMAN
MEADOWLARK PHARMACY 520 PRAIRIE VW HICKMAN, NE 68372-7083 (831) 277-1871 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | HOLDREGE
FULMER U-SAVE PHARMACY 1317 HILL ST HOLDREGE, NE 68949 (308) 995-4401 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
HOLDREGE PHARMACY 516 W 14TH ST SUITE 500 HOLDREGE, NE 68949 (308) 995-5414 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | IMPERIAL
ADAMS DRUG COMPANY INC 513 BROADWAY IMPERIAL, NE 69033-0369 (308) 882-4949 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | KEARNEY
ABC DRUG 2123 CENTRAL AVE KEARNEY, NE 68847 (308) 237-2178 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #16297 4800 3RD AVE KEARNEY, NE 68845 (308) 237-2002 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
FAMILY FRESH MARKET PHARMACY 3765 3920 2ND AVENUE KEARNEY, NE 68847-2485 (308) 234-6086 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 20
HAEBERLE'S GRAND CENTRAL PHARMACY 7 W 25TH ST KEARNEY, NE 68847 (308) 237-2545 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
HEARTLAND ONCOLOGY PHARMACY 412 W. 42ND ST KEARNEY, NE 68845-2401 (308) 865-2303 TTY 711
Extended Day Supplier Non-preferred
MEDICAP PHARMACY 2706 2ND AVE STE A KEARNEY, NE 68847-4430 (308) 234-8056 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U-SAVE PHARMACY 3611 2ND AVE KEARNEY, NE 68847-8104 (308) 455-1555 TTY 711
Extended Day Supplier Non-preferred
VALLEY PHARMACY INC 211 W 33RD ST KEARNEY, NE 68845 (308) 234-3300 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #03716 2516 2ND AVE KEARNEY, NE 68847-4415 (308) 236-8547 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-0598 5411 N. SECOND AVENUE KEARNEY, NE 68847 (308) 234-6681 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | KIMBALL
BEMIS DRUG LLC 129 S CHESTNUT ST KIMBALL, NE 69145-1208 (308) 235-3936 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | LA VISTA
COSTCO PHARMACY #1237 12515 PORTSIDE PKWY LA VISTA, NE 68128-5622 (402) 378-7408 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #02741 6901 S 84TH ST LA VISTA, NE 68128-2127 (402) 339-1090 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #04754 8380 HARRISON ST LA VISTA, NE 68128-2918 (402) 592-7990 TTY 711
Extended Day Supplier Electronic Prescribing
IFP 22_101580_01 Page 21
WALMART PHARMACY 10-3173 9460 GILES RD LA VISTA, NE 68128-3064 (402) 513-4214 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | LAUREL
MAIN ST APOTHECARY 201 E 2ND ST LAUREL, NE 68745-0515 (402) 256-3511 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | LAVISTA
CHI HEALTH PHARMACY - LAVISTA 8248 S. 96TH STREET SUITE 101 LAVISTA, NE 68128 (402) 717-9510 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | LEXINGTON
USAVE PHARMACY LEX 603 N WASHINGTON LEXINGTON, NE 68850 (308) 324-6325 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-0637 200 FRONTIER STREET LEXINGTON, NE 68850 (308) 324-7437 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 22
Retail Pharmacies, including Chain Pharmacies | LINCOLN
ALIVATION PHARMACY, LLC 8550 CUTHILLS CIR LINCOLN, NE 68526-9474 (402) 476-5686 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CANCER PARTNERS OF NEBRASKA 201 S 68TH STREET PL STE 200 LINCOLN, NE 68510-2496 (402) 420-7000 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
COSTCO PHARMACY #1285 1620 PINE LAKE RD LINCOLN, NE 68512-3612 (531) 333-7569 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #00473 1550 SOUTH ST L LINCOLN, NE 68502 (402) 477-0397 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #04033 5611 S 27TH ST LINCOLN, NE 68512-1613 (402) 420-0318 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #08294 4808 W O ST LINCOLN, NE 68510-1908 (402) 467-1134 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #08610 2755 S 48TH ST LINCOLN, NE 68506 (402) 484-5777 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #08615 1411 SUPERIOR STREET LINCOLN, NE 68521 (402) 477-9200 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #08616 5566 S 56TH ST LINCOLN, NE 68516 (402) 423-3839 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #08626 7002 O ST LINCOLN, NE 68510-2425 (402) 489-6399 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #16055 333 N 48TH ST LINCOLN, NE 68504 (402) 464-8066 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #17371 8201 S 40TH ST LINCOLN, NE 68516 (402) 420-3541 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
GENOA HEALTHCARE, LLC 3100 N 14TH STREET, SUITE P LINCOLN, NE 68521-2134 (402) 858-7229 TTY 711
Extended Day Supplier Non-preferred
GENOA HEALTHCARE, LLC 2301 O ST LINCOLN, NE 68510-1124 (402) 817-0165 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KOHLL'S RX 808 N. 27TH STREET LINCOLN, NE 68503-2523 (402) 476-3342 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 23
LINCOLN PHARMACY 3300 A ST STE 100 LINCOLN, NE 68510-4512 (408) 817-7978 TTY 711
Extended Day Supplier Non-preferred
NEBRASKA HEMATOLOGY- ONCOLOGY PC PHARMACY 4004 PIONEER WOODS DR LINCOLN, NE 68506-7548 (402) 484-4919 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
NEBRASKA LTC PHARMACY 3901 NORMAL BLVD STE 203 LINCOLN, NE 68506-5250 (402) 328-0231 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
RELYCARE PHARMACY 1221 N COTNER BLVD STE 1 LINCOLN, NE 68505 (402) 466-7283 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
RUSS PHARMACY 1709 WASHINGTON ST LINCOLN, NE 68502 (402) 474-2102 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
RUSS'S PHARMACY #16 4400 SOUTH 33RD STREET COURT LINCOLN, NE 68516-0000 (402) 421-1333 TTY 711
Extended Day Supplier Electronic Prescribing
RUSS'S PHARMACY #2 130 N 66TH ST LINCOLN, NE 68505-2402 (402) 489-6085 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
RUSS'S PHARMACY #21 1550 S CODDINGTON LINCOLN, NE 68522 (402) 435-8241 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAMS PHARMACY 4900 NORTH 27TH STREET LINCOLN, NE 68521 (402) 438-3015 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAMS PHARMACY 10-4873 8480 ANDERMATT DR LINCOLN, NE 68526 (402) 975-6908 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
STOCKWELL PHARMACY 3811 S 27TH ST LINCOLN, NE 68502-5700 (402) 423-8588 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SUPER SAVER PHARMACY #11 5460 S 56TH ST LINCOLN, NE 68516-1879 (402) 423-0870 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SUPER SAVER PHARMACY #17 2525 PINE LAKE ROAD LINCOLN, NE 68512 (402) 420-8268 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SUPER SAVER PHARMACY #27 840 FALLBROOK BLVD LINCOLN, NE 68521 (402) 438-8870 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SUPER SAVER PHARMACY #4 233 N 48TH ST LINCOLN, NE 68504 (402) 464-8822 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 24
SUPER SAVER PHARMACY #9 2662 CORNHUSKER HWY LINCOLN, NE 68521 (402) 466-7775 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
UNIVERSITY HEALTH CENTER PHARMACY 550 N 19TH ST LINCOLN, NE 68588-0046 (402) 472-7457 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #00515 2600 SOUTH 48TH STREET STE 7 LINCOLN, NE 68506-2502 (402) 483-2834 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #00541 1301 O STREET LINCOLN, NE 68508-1512 (402) 476-6898 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #01162 8300 NORTHERN LIGHTS DR LINCOLN, NE 68505-3705 (402) 464-8302 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #01430 1701 SOUTH ST LINCOLN, NE 68502-2734 (402) 435-3271 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #02845 5701 VILLAGE BLVD LINCOLN, NE 68516-4759 (402) 421-7119 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #03182 7045 O STREET LINCOLN, NE 68510-2426 (402) 484-8222 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #04088 2502 N 48TH ST LINCOLN, NE 68504-3629 (402) 466-1424 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #04753 1404 SUPERIOR ST LINCOLN, NE 68521-1945 (402) 477-2622 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05736 815 N 27TH ST LINCOLN, NE 68503-2524 (402) 435-5151 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05874 2630 PINE LAKE RD LINCOLN, NE 68512-3648 (402) 421-0984 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #06884 4000 S 70TH ST LINCOLN, NE 68506-4658 (402) 489-0338 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #10408 4811 O ST LINCOLN, NE 68510-1920 (402) 489-2232 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #11089 5500 RED ROCK LN LINCOLN, NE 68516-6512 (402) 421-2122 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-3278 8700 ANDERMATT DRIVE LINCOLN, NE 68526 (402) 484-6342 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-1943 4700 N 27TH STREET LINCOLN, NE 68521 (402) 438-4381 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-2432 2501 GRAINGER PARKWAY LINCOLN, NE 68512 (402) 975-6174 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 25
WALMART PHARMACY 10-3823 3400 NORTH 85TH STREET LINCOLN, NE 68507-9435 (402) 466-0095 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WELLNESS PHARMACY, INC 4640 CHAMPLAIN DR STE 113 LINCOLN, NE 68521-4714 (402) 413-9950 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | LOUISVILLE
BLAKE'S PHARMACY 213 MAIN ST LOUISVILLE, NE 68037-0339 (402) 234-3025 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | LOUP CITY
LOUP CITY RX SHOPPE 133 S 7TH ST LOUP CITY, NE 68853-8019 (308) 745-2109 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | MADISON
LOUDERBACK DRUG 201 S MAIN ST MADISON, NE 68748 (402) 454-2525 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 26
Retail Pharmacies, including Chain Pharmacies | MCCOOK
FARRELL'S PHARMACY 120 WEST B ST MCCOOK, NE 69001 (308) 345-1781 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY AND MEDICAL SUPPLY 902 N HWY 83 MCCOOK, NE 69001 (308) 345-5670 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-0790 1902 WEST B MCCOOK, NE 69001 (308) 345-7024 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | MILFORD
MILFORD PHARMACY 610 1ST ST MILFORD, NE 68405 (402) 761-2222 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | MINDEN
LT PEDLEY DRUG 419 N COLORADO MINDEN, NE 68959 (308) 832-2815 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | NEBRASKA CITY
MOSER'S U SAVE PHARMACY 1821 S 11TH ST NEBRASKA CITY, NE 68410 (402) 873-3397 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #12854 502 S 11TH ST NEBRASKA CITY, NE 68410-2728 (402) 873-1012 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-4209 2101 S. 11TH STREET NEBRASKA CITY, NE 68410 (402) 874-9093 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 27
Retail Pharmacies, including Chain Pharmacies | NELIGH
HILLTOP DRUGS ETC 108 W 11TH ST NELIGH, NE 68756 (402) 887-5551 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WANEK PHARMACY 410 MAIN STREET NELIGH, NE 68756 (402) 887-5426 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | NORFOLK
CVS PHARMACY #10293 1301 WEST NORFOLK AVE NORFOLK, NE 68701 (402) 371-9438 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
FAITH REGIONAL HEALTH SERVICES - THE PILLBOX 2700 WEST NORFOLK AVE NORFOLK, NE 68701-4438 (402) 844-8299 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
MEDS & MORE 1226 W PASEWALK AVE NORFOLK, NE 68701 (402) 371-6673 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY OF NORFOLK 1001 W BENJAMIN AVENUE NORFOLK, NE 68701 (402) 379-8728 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #04531 1300 W. NORFOLK AVE NORFOLK, NE 68701-4834 (402) 371-2340 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-0645 2400 PASEWALK AVE NORFOLK, NE 68701 (402) 371-6232 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | NORTH BEND
MEDICINE MAN PHARMACY 748 MAIN ST NORTH BEND, NE 68649 (402) 652-3217 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 28
Retail Pharmacies, including Chain Pharmacies | NORTH PLATTE
DEPOT DRUG 221 S JEFFERS ST STE 2 STE 2 NORTH PLATTE, NE 69101 (308) 534-8886 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
RX EXPRESS PHARMACY 402 N JEFFERS ST NORTH PLATTE, NE 69101 (308) 532-7010 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY 211 W LEOTA NORTH PLATTE, NE 69101-6503 (308) 532-0310 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U-SAVE PAVILION PHARMACY 611 W FRANCIS ST STE 130 NORTH PLATTE, NE 69101-0614 (308) 221-6993 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #12405 102 E PHILIP AVE NORTH PLATTE, NE 69101-5537 (308) 532-4303 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-1585 1401 SOUTH DEWEY ST. NORTH PLATTE, NE 69101 (308) 532-5830 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WESTFIELD PHARMACY 1845 WEST A ST NORTH PLATTE, NE 69101 (308) 532-5539 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | OAKLAND
CORNER DRUG 301 N OAKLAND AVENUE OAKLAND, NE 68045 (402) 685-5883 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 29
Retail Pharmacies, including Chain Pharmacies | OGALLALA
SAFEWAY PHARMACY #0557 611 N SPRUCE ST OGALLALA, NE 69153-2140 (308) 284-3670 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
U SAVE PHARMACY OGALLALA 23 N SPRUCE ST OGALLALA, NE 69153 (308) 284-2242 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-7129 201 PONY EXPRESS LANE OGALLALA, NE 69153 (308) 284-0118 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | OMAHA
AMBER SPECIALTY PHARMACY 10004 S 152ND ST STE A OMAHA, NE 68138 (402) 896-5000 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 505 N 155TH PLAZA OMAHA, NE 68154 (402) 964-0888 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 17370 LAKESIDE HILLS PLAZA OMAHA, NE 68130 (402) 333-5351 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 4405 N 72ND ST OMAHA, NE 68134 (402) 571-3122 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 5555 N 90TH ST OMAHA, NE 68134 (402) 573-0947 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 13250 W MAPLE RD OMAHA, NE 68164 (402) 965-8339 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 888 SADDLECREEK RD OMAHA, NE 68106 (402) 556-5600 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKERS PHARMACY 12025 W CENTER RD OMAHA, NE 68144 (402) 333-6500 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
BAKER'S PHARMACY #316 7312 N 30TH ST OMAHA, NE 68112-2821 (402) 451-3980 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - 132ND AND CENTER 13315 W CENTER RD SUITE 101 OMAHA, NE 68144-3449 (402) 717-9410 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - 161ST AND MAPLE 16101 EVANS STREET SUITE 101 OMAHA, NE 68116-2020 (402) 717-9770 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - 42ND AND L 4220 L ST OMAHA, NE 68107-1048 (402) 717-7055 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 30
CHI HEALTH PHARMACY - BERGAN MERCY 7710 MERCY RD STE 110 OMAHA, NE 68124 (402) 398-6781 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - FLORENCE 8613 N 30TH ST OMAHA, NE 68112 (402) 451-2125 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - IMMANUEL 6901 N 72ND ST OMAHA, NE 68122 (402) 572-2300 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH PHARMACY - LAKESIDE 16909 LAKESIDE HILLS CT STE 107 OMAHA, NE 68130 (402) 758-5006 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CHI HEALTH SPECIALTY PHARMACY 7710 MERCY RD STE 102 OMAHA, NE 68124-2372 (402) 398-5503 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
COSTCO PHARMACY #1012 12300 W DODGE RD OMAHA, NE 68154-2382 (402) 952-3249 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CREIGHTON UNIVERSITY MEDICAL CENTER CLINIC PHARMACY 2412 CUMING ST STE 201 CUMC CLINIC PHARMACY OMAHA, NE 68131-2137 (402) 449-4560 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #02931 14303 U ST OMAHA, NE 68137-2666 (402) 895-0181 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #03478 2609 S 132ND ST OMAHA, NE 68144-2595 (402) 334-6933 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #04929 10770 FORT ST OMAHA, NE 68134-1230 (402) 493-3257 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #05634 8315 W CENTER RD OMAHA, NE 68124-3111 (402) 393-2557 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #05714 4840 DODGE ST OMAHA, NE 68132-3111 (402) 558-2000 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #05863 14460 W MAPLE RD OMAHA, NE 68116-5163 (402) 493-0443 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #06733 1919 N 90TH ST OMAHA, NE 68114-1316 (402) 391-2072 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #16146 4001 N 132ND ST OMAHA, NE 68164 (402) 431-9161 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 31
CVS PHARMACY #16903 17810 W CENTER RD OMAHA, NE 68130 (402) 697-4876 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #17105 6636 N 73RD PLZ OMAHA, NE 68122 (402) 573-2221 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #17208 7200 DODGE ST OMAHA, NE 68114 (402) 390-8881 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #17392 16959 EVANS PLAZA OMAHA, NE 68116 (402) 970-1001 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #17446 12500 K PLAZA OMAHA, NE 68137 (402) 201-2660 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
DEPOT DRUG 1400 DOUGLAS ST STOP 0050 OMAHA, NE 68179 (402) 544-3740 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
DIABETES SUPPLY CENTER OF THE MIDLANDS 2910 S 84TH ST OMAHA, NE 68124-3213 (402) 399-8444 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
ELMWOOD PHARMACY 808 S 52ND OMAHA, NE 68106 (402) 551-5200 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
FAMILY FARE PHARMACY 3811 1221 SOUTH 203RD STREET OMAHA, NE 68130 (402) 896-1450 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
FRED LEROY HEALTH AND WELLNESS CENTER 2602 J ST OMAHA, NE 68107-1643 (402) 738-3190 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
GENOA HEALTHCARE, LLC 4001 LEAVENWORTH ST STE 150A OMAHA, NE 68105-1026 (402) 979-8011 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
HEMATOLOGY & ONCOLOGY CONSULTANTS PHARMACY 6901 N 72ND ST STE 2244 OMAHA, NE 68122-1709 (402) 572-3524 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
HY-VEE PHARMACY SOLUTIONS 10004 S 152ND STREET SUITE C OMAHA, NE 68138 (877) 794-9833 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KOHLL'S RX 2915 LEAVENWORTH ST OMAHA, NE 68105-2739 (402) 342-6548 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KOHLL'S RX 5002 DODGE ST OMAHA, NE 68132-2906 (402) 553-8901 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 32
KOHLL'S RX 12741 Q ST OMAHA, NE 68137-3211 (402) 895-3102 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KUBAT HEALTHCARE 2401 N ST OMAHA, NE 68107 (402) 731-4333 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KUBAT HEALTHCARE 4924 CENTER ST OMAHA, NE 68106-3296 (402) 558-8888 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
KUBAT HEALTHCARE 4924 CENTER ST STE A1 OMAHA, NE 68106-0000 (402) 558-2474 TTY 711
Extended Day Supplier Non-preferred
MEDICINE MAN PHARMACY 15615 PACIFIC ST STE 8 OMAHA, NE 68118-2118 (402) 496-9757 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
MIDWEST SURGICAL HOSPTIAL PHARMACY 7915 FARNAM DR OMAHA, NE 68114-4504 (402) 399-1975 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
NCS OUTPATIENT PHARMACY 17201 WRIGHT ST STE 204 OMAHA, NE 68130 (402) 691-5102 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
NEBRASKA MEDICINE PHARMACY AT LAURITZEN OUTPATIENT CENTER 4014 LEAVENWORTH ST OMAHA, NE 68198-5610 (402) 552-7999 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
NEBRASKA ORTHOPAEDIC HOSPITAL RETAIL PHARMACY 2808 S 143RD PLZ OMAHA, NE 68144 (402) 609-3344 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
ONEWORLD PHARMACY 4920 S 30TH ST STE 105 OMAHA, NE 68107 (402) 502-5832 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
PHARMACY EXPRESS IN TOWER PLAZA 349 N 78TH STREET OMAHA, NE 68114-3640 (402) 932-8709 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAMS PHARMACY 10-8146 13130 L STREET OMAHA, NE 68137 (402) 334-3496 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
STEIER PHARMACY 6828 N 72ND ST STE 2160 OMAHA, NE 68122 (402) 572-3553 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
THE NEBRASKA MEDICAL CENTER CLINIC PHARMACY 989200 NEBRASKA MEDICAL CENTER OMAHA, NE 68198-9200 (402) 559-5215 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
THINK AKSARBEN PHARMACY LLC 7100 W CENTER RD OMAHA, NE 68106-2700 (402) 506-9010 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 33
VIARX 825 N 90TH ST OMAHA, NE 68114-2702 (402) 614-6363 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #02472 18040 R PLAZA OMAHA, NE 68135-1922 (402) 408-2342 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #03186 3701 NORTH 132ND ST OMAHA, NE 68164-1849 (402) 431-0655 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #03202 7202 NORTH 30TH ST OMAHA, NE 68112-2819 (402) 457-5615 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #03621 9001 BLONDO STREET OMAHA, NE 68134-6029 (402) 393-8056 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #04443 9001 W CENTER RD OMAHA, NE 68124-2046 (402) 393-8451 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #04772 3005 LAKE ST OMAHA, NE 68111-3780 (402) 451-7201 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #04974 5038 CENTER ST OMAHA, NE 68106-3111 (402) 551-6205 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05059 10725 FORT ST OMAHA, NE 68134-1229 (402) 496-2214 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05143 7151 CASS ST OMAHA, NE 68132-2652 (402) 558-8551 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05190 2323 L STREET OMAHA, NE 68107-1847 (402) 738-8061 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05360 5062 S 155TH ST OMAHA, NE 68137-5002 (402) 861-6966 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05741 3001 DODGE ST OMAHA, NE 68131-2627 (402) 342-3301 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #05966 2605 S 171ST ST OMAHA, NE 68130-2389 (402) 697-9393 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #06802 15525 SPAULDING PLAZA OMAHA, NE 68116-6211 (402) 408-1078 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #06962 3121 S 24TH ST OMAHA, NE 68108-1824 (402) 345-7178 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #07272 13155 W CENTER RD OMAHA, NE 68144-3740 (402) 334-9134 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #07563 8989 W DODGE RD OMAHA, NE 68114-3301 (402) 393-2029 TTY 711
Extended Day Supplier Electronic Prescribing
IFP 22_101580_01 Page 34
WALGREENS #07693 225 N SADDLE CREEK RD OMAHA, NE 68131-2228 (402) 551-1797 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #10437 5225 N 90TH ST OMAHA, NE 68134-2831 (402) 408-0304 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #11203 17909 BURKE ST OMAHA, NE 68118-2252 (402) 289-0808 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #11205 6005 N 72ND ST OMAHA, NE 68134-2300 (402) 201-2729 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #13137 13510 Q ST OMAHA, NE 68137-3116 (402) 895-1619 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #15237 2929 N 60TH ST OMAHA, NE 68106-2929 (402) 551-6151 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #16270 240 S 77TH ST OMAHA, NE 68114-4579 (402) 397-5906 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-1637 6304 NORTH 99TH STREET OMAHA, NE 68122 (402) 492-9349 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3151 5018 AMES AVE OMAHA, NE 68104-2323 (402) 970-9304 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3152 2451 N 90TH ST OMAHA, NE 68134-6009 (402) 397-5853 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3153 6710 S 167TH ST OMAHA, NE 68135 (402) 609-5710 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3172 5051 L ST OMAHA, NE 68117-1328 (402) 541-0823 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-3267 18201 WRIGHT ST. OMAHA, NE 68130 (402) 330-3650 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-4138 13105 BIRCH DR OMAHA, NE 68164-5222 (402) 686-2058 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-4139 360 N SADDLE CREEK RD OMAHA, NE 68131-2230 (402) 970-6492 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 35
WALMART PHARMACY 10-4358 1606 SOUTH 72ND STREET OMAHA, NE 68124 (402) 393-9560 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-5141 16960 WEST MAPLE ROAD OMAHA, NE 68116 (402) 289-9276 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-5361 12850 L STREET OMAHA, NE 68137 (402) 697-1742 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ONEILL
O'NEILL FAMILY PHARMACY 317 E DOUGLAS STREET ONEILL, NE 68763-1829 (402) 336-2660 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | ORD
ANDERSON PHARMACY 1429 M ST ORD, NE 68862 (308) 728-5922 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
GOOD LIFE PHARMACY 125 S 16TH ST ORD, NE 68862 (308) 728-3295 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | OSCEOLA
TOOLEY'S OSCEOLA PHARMACY 415 HAWKEYE STREET OSCEOLA, NE 68651 (402) 747-8994 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 36
Retail Pharmacies, including Chain Pharmacies | OSHKOSH
CAMPBELL DRUG 311 MAIN ST OSHKOSH, NE 69154 (308) 772-3333 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | OSMOND
OSMOND PHARMACY 322 STATE STREET 322 STATE ST OSMOND, NE 68765-0036 (402) 748-3708 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | PAPILLION
CHI HEALTH PHARMACY - MIDLANDS 11109 S 84TH ST STE 1841 PAPILLION, NE 68046 (402) 827-4200 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
CVS PHARMACY #16148 718 N WASHINGTON ST PAPILLION, NE 68046 (402) 597-9499 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAM'S CLUB PHARMACY 10-6181 9851 S 71ST PLAZA PAPILLION, NE 68133 (402) 686-2393 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #11355 9512 S 71ST PLAZA PAPILLION, NE 68133-2152 (402) 408-1086 TTY 711
Extended Day Supplier Electronic Prescribing
WALGREENS #11356 11343 S 96TH ST PAPILLION, NE 68046-4280 (402) 408-0761 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-1671 8525 S 71ST PLZ PAPILLION, NE 68133-2100 (402) 597-8982 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 37
Retail Pharmacies, including Chain Pharmacies | PENDER
THE APOTHECARY SHOP 958 WELLNESS WAY SUITE 2 PENDER, NE 68047-4509 (402) 385-3350 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | PIERCE
PIERCE PHARMACY 215 E. MAIN STREET, STE. B PIERCE, NE 68767-1314 (402) 329-4067 TTY 711
Extended Day Supplier Non-preferred
Retail Pharmacies, including Chain Pharmacies | PLAINVIEW
PLAINVIEW FAMILY PHARMACY 103 S MAIN PLAINVIEW, NE 68769-0217 (402) 582-4202 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | PONCA
KELLER PHARMACY 101 W 3RD ST PONCA, NE 68770-0365 (402) 755-2216 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 38
Retail Pharmacies, including Chain Pharmacies | RAVENNA
SVANDA PHARMACY 314 GRAND AVE RAVENNA, NE 68869-1393 (308) 452-3672 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | RED CLOUD
VILLAGE PHARMACY 317 N WEBSTER ST RED CLOUD, NE 68970-2549 (402) 746-3335 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SAINT PAUL
BREHM DRUG 608 HOWARD AVE SAINT PAUL, NE 68873 (308) 754-4611 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SCHUYLER
SCHUYLER PHARMACY 122 W. 16TH STREET SCHUYLER, NE 68661 (402) 352-3020 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 39
Retail Pharmacies, including Chain Pharmacies | SCOTTSBLUFF
COMMUNITY PHARMACY AT REGIONAL WEST 3911 AVENUE B STE M200 SCOTTSBLUFF, NE 69361 (308) 630-1900 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SAFEWAY PHARMACY #0556 601 BROADWAY SCOTTSBLUFF, NE 69361-3517 (308) 635-1444 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #07383 205 W 27TH ST SCOTTSBLUFF, NE 69361-4307 (308) 635-3296 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-0867 3322 AVENUE I SCOTTSBLUFF, NE 69361-4589 (308) 632-3767 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SCRIBNER
SCRIBNER DRUGSTORE 416 MAIN ST SCRIBNER, NE 68057-3196 (402) 664-3133 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SEWARD
MUERI DRUG 544 SEWARD ST SEWARD, NE 68434-2008 (402) 643-3332 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
PAC N SAVE DISCOUNT PHARMACY 1519 W HWY 34 STE 1 SEWARD, NE 68434 (402) 643-2918 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
SEWARD FAMILY PHARMACY 250 N COLUMBIA AVE SEWARD, NE 68434 (402) 646-4607 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 40
WALMART PHARMACY 10-0885 1326 280TH ROAD SEWARD, NE 68434 (402) 643-6611 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SIDNEY
SAFEWAY PHARMACY #2555 1944 ILLINOIS ST SIDNEY, NE 69162-1427 (308) 254-4531 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALMART PHARMACY 10-5170 3001 SILVERBERG DRIVE SIDNEY, NE 69162 (308) 254-9149 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WESTERN DRUG 806 ILLINIOS SIDNEY, NE 69162 (308) 254-2032 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SOUTH SIOUX CITY
WALGREENS #10502 1030 W 21ST ST SOUTH SIOUX CITY, NE 68776-2661 (402) 494-8827 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-1332 1601 CORNHUSKERS DRIVE SOUTH SIOUX CITY, NE 68776 (402) 494-8850 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SPALDING
SPALDING PHARMACY 230 W ST JOSEPH SPALDING, NE 68665-0040 (308) 497-2250 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 41
Retail Pharmacies, including Chain Pharmacies | SPRINGFIELD
SPRINGFIELD DRUG 205 MAIN ST SPRINGFIELD, NE 68059-0130 (402) 253-2000 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | STROMSBURG
YUNGDAHLS APOTHECARY 309 COMMERCIAL ST STROMSBURG, NE 68666 (402) 764-2827 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SUPERIOR
SUPERIOR PHARMACY 348 N CENTRAL AVE SUPERIOR, NE 68978 (402) 879-4234 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | SUTTON
SUTTON PHARMACY 210 NORTH SAUNDERS AVENUE SUTTON, NE 68979 (402) 773-4300 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 42
Retail Pharmacies, including Chain Pharmacies | SYRACUSE
SYRACUSE U-SAVE PHARMACY 1710 POPLAR SYRACUSE, NE 68446 (402) 269-2001 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | TECUMSEH
CHIEF DRUG 123 SOUTH 3RD ST TECUMSEH, NE 68450 (402) 335-3375 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
HASSELBALCH PHARMACY 143 S 3RD ST TECUMSEH, NE 68450-0537 (402) 335-3303 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | TEKAMAH
TEKAMAH DRUG COMPANY 412 S 13TH ST TEKAMAH, NE 68061-0009 (402) 374-2500 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | TILDEN
TILDEN PHARMACY 103 E 2ND STREET POB 190 TILDEN, NE 68781 (402) 368-5385 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 43
Retail Pharmacies, including Chain Pharmacies | VALENTINE
HEART CITY DRUG 110 N MAIN ST VALENTINE, NE 69201-1840 (402) 376-5959 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | VALLEY
VALLEY PHARMACY 123 E GARDINER ST VALLEY, NE 68064-9798 (402) 359-2284 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | WAHOO
URBAN CLINIC PHARMACY INC 1760 COUNTY RD J WAHOO, NE 68066 (402) 443-1630 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WAHOO PHARMACY AND GIFTS 526 N LINDEN ST WAHOO, NE 68066 (402) 443-4167 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | WAVERLY
U-SAVE PHARMACY 13851 GUILDFORD ST STE D WAVERLY, NE 68462-1453 (402) 786-0225 TTY 711
Extended Day Supplier Non-preferred
U-SAVE PHARMACY 13851 GUILDFORD ST STE D WAVERLY, NE 68462-1453 (402) 786-0225 TTY 711
Extended Day Supplier Electronic Prescribing
IFP 22_101580_01 Page 44
Retail Pharmacies, including Chain Pharmacies | WAYNE
U-SAVE PHARMACY 216 E 7TH ST WAYNE, NE 68787 (402) 375-2922 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | WEST POINT
TOMS REXALL DRUG 124 N MAIN ST WEST POINT, NE 68788-1498 (402) 372-2108 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | WILBER
BARNAS DRUG INC 124 W 3RD ST WILBER, NE 68465-0547 (402) 821-2834 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | WISNER
WISNER APOTHECARY 118 18TH ST. WISNER, NE 68791 (402) 529-3550 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 45
Retail Pharmacies, including Chain Pharmacies | WYMORE
ARBOR STATE PHARMACY 203 S 7TH ST STE B WYMORE, NE 68466-2101 (402) 645-3080 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
Retail Pharmacies, including Chain Pharmacies | YORK
CHARLIES U SAVE PHARMACY 2029 N LINCOLN AVE YORK, NE 68467-1025 (402) 362-4429 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
WALGREENS #10892 533 S LINCOLN AVE YORK, NE 68467-4211 (402) 362-1280 TTY 711
Extended Day Supplier Electronic Prescribing
WALMART PHARMACY 10-0350 101 EAST DAVID DRIVE YORK, NE 68467 (402) 362-2092 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 46
Extended Day Supplier Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 47
Home Infusion Pharmacies | GRETNA
COMMUNITY PHARMACY SERVICES 21689 NORTHSTAR DR GRETNA, NE 68028 (402) 289-0431 TTY 711
Extended Day Supplier Limited Access Electronic Prescribing Non-preferred
Home Infusion Pharmacies | HASTINGS
REDLINE SPECIALTY PHARMACY 2415 OSBORNE DRIVE EAST, STE 100 HASTINGS, NE 68901 (402) 462-2929 TTY 711
Extended Day Supplier Limited Access Electronic Prescribing Non-preferred
Home Infusion Pharmacies | LINCOLN
OPTION CARE 4401 S 70TH ST STE 2 LINCOLN, NE 68516 (402) 423-1333 TTY 711
Extended Day Supplier Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 48
Home Infusion Pharmacies | OMAHA
AMBER SPECIALTY PHARMACY 10004 S 152ND ST STE A OMAHA, NE 68138 (402) 896-5000 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
HY-VEE PHARMACY SOLUTIONS 10004 S 152ND STREET SUITE C OMAHA, NE 68138 (877) 794-9833 TTY 711
Extended Day Supplier Electronic Prescribing Non-preferred
OPTION CARE 10924 JOHN GALT BLVD OMAHA, NE 68137 (402) 331-0980 TTY 711
Extended Day Supplier Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 49
Long-Term Care Pharmacies | ADAMS
LAKE CREST PHARMACY 620 MAIN STREET STE B ADAMS, NE 68301 (402) 988-7145 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | ALBION
WELLS DRUG 113 S 4TH ST ALBION, NE 68620-1215 (402) 395-2184 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | ASHLAND
ASHLAND PHARMACY 1401 SILVER ST ASHLAND, NE 68003-1845 (402) 944-3303 TTY 711
Non-preferred
Long-Term Care Pharmacies | BASSETT
ROCK COUNTY PHARMACY 801 S STATE ST BASSETT, NE 68714-5062 (402) 684-2730 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 50
Long-Term Care Pharmacies | BEATRICE
CLABAUGH PHARMACY 501 COURT ST BEATRICE, NE 68310-3989 (402) 223-3591 TTY 711
Limited Access Electronic Prescribing Non-preferred
NEBRASKA LONG TERM CARE LLC 910 COURT ST STE D BEATRICE, NE 68310 (402) 223-4779 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | BELLEVUE
RELYCARE LTC BELLEVUE 2227 THURSTON CIR BELLEVUE, NE 68005-2157 (402) 991-7283 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | BENKELMAN
BENKELMAN PHARMACY 509 S CHIEF BENKELMAN, NE 69021 (308) 423-2759 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | BRIDGEPORT
NEIN PHARMACY 1012 MAIN ST BRIDGEPORT, NE 69336 (308) 262-1070 TTY 711
Limited Access Electronic Prescribing Non-preferred
SONNYS PHARMACY 310 MAIN ST BRIDGEPORT, NE 69336 (308) 262-0580 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 51
Long-Term Care Pharmacies | BROKEN BOW
FRONTIER FAMILY PHARMACY 540 S 8TH AVE BROKEN BOW, NE 68822 (308) 872-5231 TTY 711
Non-preferred
Long-Term Care Pharmacies | BURWELL
BURWELL PHARMACY 137 GRAND AVE BURWELL, NE 68823-9802 (308) 346-4747 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | CAMBRIDGE
MARKS PHARMACY CAMBRIDGE 624 PATTERSON ST CAMBRIDGE, NE 69022-0117 (308) 697-3400 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | CENTRAL CITY
CORNER DRUG 401 G ST CENTRAL CITY, NE 68826-1755 (308) 946-2205 TTY 711
Limited Access Electronic Prescribing Non-preferred
TRAVS U-SAVE PHARMACY LTC 1414 16TH ST CENTRAL CITY, NE 68826-1812 (308) 946-3859 TTY 711
Non-preferred
IFP 22_101580_01 Page 52
Long-Term Care Pharmacies | CHADRON
PETERSEN DRUG 302 MAIN ST CHADRON, NE 69337-2358 (308) 432-2400 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | CHAPPELL
OUR TOWN PHARMACY 733 2ND ST CHAPPELL, NE 69129-6876 (308) 874-2428 TTY 711
Non-preferred
Long-Term Care Pharmacies | COLUMBUS
GENOA HEALTHCARE, LLC 4321 41ST AVE, STE 1 COLUMBUS, NE 68601-2131 (402) 835-0413 TTY 711
Limited Access Electronic Prescribing Non-preferred
LTC TOOLEY DRUG COMPANY 2615 13TH ST COLUMBUS, NE 68601-4915 (402) 564-7205 TTY 711
Non-preferred
LTC TOOLEY'S CLINIC PHARMACY 4306 38TH ST COLUMBUS, NE 68601-1618 (402) 562-8627 TTY 711
Non-preferred
Long-Term Care Pharmacies | COZAD
SERVICE DRUG STORE 133 E 8TH ST COZAD, NE 69130-1729 (308) 784-2238 TTY 711
Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 53
Long-Term Care Pharmacies | ELGIN
ELGIN PHARMACY 112 S. 2ND STREET ELGIN, NE 68636 (402) 843-5555 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | FALLS CITY
KEX RX PHARMACY & HOME CARE 120 E 18TH ST FALLS CITY, NE 68355 (402) 245-2029 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | FRANKLIN
FRANKLIN DRUG 635 15TH AVE FRANKLIN, NE 68939-1073 (308) 425-3004 TTY 711
Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | FREMONT
GENOA HEALTHCARE, LLC 2740 N CLARKSON ST SUITE P1 FREMONT, NE 68025-7703 (402) 289-8533 TTY 711
Non-preferred
MILLER PHARMACY SPECIALTIES 322 E. 22ND STREET FREMONT, NE 68025 (402) 721-1177 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 54
Long-Term Care Pharmacies | FULLERTON
REIMER PHARMACY 312 BROADWAY FULLERTON, NE 68638 (308) 536-2641 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | GENEVA
WEAVER PHARMACY 1014 G ST GENEVA, NE 68361 (402) 759-4433 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | GENOA
GENOA COMMUNITY PHARMACY 508 WILLARD AVE. GENOA, NE 68640-0000 (402) 993-2400 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | GERING
GERING U-SAVE PHARMACY (LTC) 1400 10TH STREET GERING, NE 69341 (308) 436-2181 TTY 711
Limited Access Non-preferred
IFP 22_101580_01 Page 55
Long-Term Care Pharmacies | GOTHENBURG
GOTHENBURG DISCOUNT PHARMACY 902 AVENUE D GOTHENBURG, NE 69138 (308) 537-7155 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | GRAND ISLAND
MIDWEST LTC PHARMACY 2208 N WEBB RD UNIT #3 GRAND ISLAND, NE 68803 (308) 398-0538 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | GRETNA
COMMUNITY PHARMACY SERVICES 21689 NORTHSTAR DR GRETNA, NE 68028 (402) 289-0431 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | HEBRON
THAYER COUNTY PHARMACY 428 LINCOLN AVE HEBRON, NE 68370-1526 (402) 768-6319 TTY 711
Non-preferred
IFP 22_101580_01 Page 56
Long-Term Care Pharmacies | HENDERSON
HENDERSON PHARMACY 1060 N MAIN ST HENDERSON, NE 68371 (402) 723-4475 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | HOLDREGE
HOLDREGE PHARMACY 516 W 14TH ST SUITE 500 HOLDREGE, NE 68949 (308) 995-5414 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | KEARNEY
ABC DRUG 2123 CENTRAL AVE KEARNEY, NE 68847 (308) 237-2178 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | KIMBALL
BEMIS DRUG LLC 129 S CHESTNUT ST KIMBALL, NE 69145-1208 (308) 235-3936 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 57
Long-Term Care Pharmacies | LAUREL
MAIN ST APOTHECARY 201 E 2ND ST LAUREL, NE 68745-0515 (402) 256-3511 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | LINCOLN
GENOA HEALTHCARE, LLC 3100 N 14TH STREET, SUITE P LINCOLN, NE 68521-2134 (402) 858-7229 TTY 711
Limited Access Non-preferred
GENOA HEALTHCARE, LLC 2301 O ST LINCOLN, NE 68510-1124 (402) 817-0165 TTY 711
Limited Access Electronic Prescribing Non-preferred
KOHLLS RX LTC 808 N 27TH ST LINCOLN, NE 68503-2523 (402) 476-3342 TTY 711
Non-preferred
LINCOLN PHARMACY 3300 A ST STE 100 LINCOLN, NE 68510-4512 (408) 817-7978 TTY 711
Non-preferred
NEBRASKA LTC PHARMACY 3901 NORMAL BLVD STE 203 LINCOLN, NE 68506-5250 (402) 328-0231 TTY 711
Limited Access Electronic Prescribing Non-preferred
NEIGHBORHOOD LTC PHARMACY 1265 S COTNER BLVD STE 30 LINCOLN, NE 68510-4924 (402) 488-1184 TTY 711
Limited Access Electronic Prescribing Non-preferred
PHARMSCRIPT OF NE LLC 1001 SOUTH ST LINCOLN, NE 68502-2251 (908) 389-1818 TTY 711
Non-preferred
RELYCARE LTC LINCOLN 1219 NORTH COTNER BLVD LINCOLN, NE 68505 (402) 466-6083 TTY 711
Limited Access Electronic Prescribing Non-preferred
RELYCARE PHARMACY 1221 N COTNER BLVD STE 1 LINCOLN, NE 68505 (402) 466-7283 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 58
Long-Term Care Pharmacies | LOUISVILLE
BLAKES PHARMACY, LTC 213 MAIN ST LOUISVILLE, NE 68037-6032 (402) 234-3025 TTY 711
Non-preferred
Long-Term Care Pharmacies | LOUP CITY
LOUP CITY RX SHOPPE 133 S 7TH ST LOUP CITY, NE 68853-8019 (308) 745-2109 TTY 711
Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | MCCOOK
FARRELL'S PHARMACY 120 WEST B ST MCCOOK, NE 69001 (308) 345-1781 TTY 711
Limited Access Electronic Prescribing Non-preferred
U SAVE PHARMACY AND MEDICAL SUPPLY 902 N HWY 83 MCCOOK, NE 69001 (308) 345-5670 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | MILFORD
MILFORD PHARMACY 610 1ST ST MILFORD, NE 68405 (402) 761-2222 TTY 711
Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 59
Long-Term Care Pharmacies | NELIGH
WANEK PHARMACY 410 MAIN STREET NELIGH, NE 68756 (402) 887-5426 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | NORFOLK
FAITH REGIONAL HEALTH SERVICES- THE PILLBOX LTC 2700 W NORFOLK AVE NORFOLK, NE 68701-4438 (402) 844-8299 TTY 711
Non-preferred
MEDS & MORE 1226 W PASEWALK AVE NORFOLK, NE 68701 (402) 371-6673 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | NORTH PLATTE
NORTH PLATTE LTC PHARMACY 211 W. LEOTA NORTH PLATTE, NE 69101 (308) 532-0310 TTY 711
Limited Access Non-preferred
WESTFIELD PHARMACY 1845 WEST A ST NORTH PLATTE, NE 69101 (308) 532-5539 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | OAKLAND
CORNER DRUG 301 N OAKLAND AVENUE OAKLAND, NE 68045 (402) 685-5883 TTY 711
Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 60
Long-Term Care Pharmacies | OMAHA
GENOA HEALTHCARE, LLC 4001 LEAVENWORTH ST STE 150A OMAHA, NE 68105-1026 (402) 979-8011 TTY 711
Limited Access Electronic Prescribing Non-preferred
GERIMED INC 7915 N 30TH ST OMAHA, NE 68112-2444 (402) 827-6080 TTY 711
Limited Access Electronic Prescribing Non-preferred
KOHLL'S EXTENDED CARE 12767 Q ST OMAHA, NE 68137-3211 (402) 895-7037 TTY 711
Non-preferred
KOHLLS RX LTC 5002 DODGE ST OMAHA, NE 68132-2906 (402) 553-8901 TTY 711
Non-preferred
KOHLLS RX LTC 2915 LEAVENWORTH ST OMAHA, NE 68105-2739 (402) 342-6548 TTY 711
Non-preferred
NEIGHBORHOOD LTC PHARMACY 5115 S 111TH ST OMAHA, NE 68137 (402) 983-9600 TTY 711
Limited Access Electronic Prescribing Non-preferred
PARAGON PARTNERS 10043 SCOTT CIR STE 105 OMAHA, NE 68122-3052 (402) 916-5888 TTY 711
Non-preferred
PRECISION DIRECT RX 11605 MIRACLE HILLS DR STE 100 OMAHA, NE 68154-4467 (402) 315-1410 TTY 711
Non-preferred
REDLERS LTC PHARMACY LLC 13831 CHALCO VALLEY PKWY STE 101 OMAHA, NE 68138-6101 (402) 592-5244 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | ONEILL
O'NEILL FAMILY PHARMACY 317 E DOUGLAS STREET ONEILL, NE 68763-1829 (402) 336-2660 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 61
Long-Term Care Pharmacies | ORD
ANDERSON PHARMACY 1429 M ST ORD, NE 68862 (308) 728-5922 TTY 711
Limited Access Electronic Prescribing Non-preferred
GOOD LIFE LONG TERM CARE 125 S 16TH ST STE A ORD, NE 68862 (308) 728-3295 TTY 711
Limited Access Non-preferred
Long-Term Care Pharmacies | OSCEOLA
LTC TOOLEY'S OSCEOLA PHARMACY 415 HAWKEYE ST OSCEOLA, NE 68651-4474 (402) 747-8994 TTY 711
Non-preferred
Long-Term Care Pharmacies | PONCA
KELLER PHARMACY 101 W 3RD ST PONCA, NE 68770-0365 (402) 755-2216 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | RAVENNA
SVANDA PHARMACY 314 GRAND AVE RAVENNA, NE 68869-1393 (308) 452-3672 TTY 711
Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | SAINT PAUL
BREHM DRUG 608 HOWARD AVE SAINT PAUL, NE 68873 (308) 754-4611 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | SCRIBNER
SCRIBNER DRUGSTORE 416 MAIN ST SCRIBNER, NE 68057-3196 (402) 664-3133 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | SEWARD
MUERI DRUG 544 SEWARD ST SEWARD, NE 68434-2008 (402) 643-3332 TTY 711
Limited Access Electronic Prescribing Non-preferred
PAC N SAVE DISCOUNT PHARMACY 1519 W HWY 34 STE 1 SEWARD, NE 68434 (402) 643-2918 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | SIDNEY
WESTERN DRUG 806 ILLINIOS SIDNEY, NE 69162 (308) 254-2032 TTY 711
Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 63
Long-Term Care Pharmacies | SPALDING
SPALDING PHARMACY 230 W ST JOSEPH SPALDING, NE 68665-0040 (308) 497-2250 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | STROMSBURG
YUNGDAHLS APOTHECARY 309 COMMERCIAL ST STROMSBURG, NE 68666 (402) 764-2827 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | SUPERIOR
SUPERIOR PHARMACY 348 N CENTRAL AVE SUPERIOR, NE 68978 (402) 879-4234 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | SYRACUSE
SYRACUSE U-SAVE LTC PHARMACY 1710 POPLAR SYRACUSE, NE 68446 (402) 269-2001 TTY 711
Non-preferred
IFP 22_101580_01 Page 64
Long-Term Care Pharmacies | TEKAMAH
TEKAMAH DRUG COMPANY 412 S 13TH ST TEKAMAH, NE 68061-0009 (402) 374-2500 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | TILDEN
TILDEN PHARMACY 103 E 2ND STREET POB 190 TILDEN, NE 68781 (402) 368-5385 TTY 711
Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | WAHOO
WAHOO PHARMACY AND GIFTS 526 N LINDEN ST WAHOO, NE 68066 (402) 443-4167 TTY 711
Limited Access Electronic Prescribing Non-preferred
Long-Term Care Pharmacies | WAYNE
U-SAVE PHARMACY 216 E 7TH ST WAYNE, NE 68787 (402) 375-2922 TTY 711
Limited Access Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 65
Long-Term Care Pharmacies | WILBER
BARNAS DRUG INC 124 W 3RD ST WILBER, NE 68465-0547 (402) 821-2834 TTY 711
Electronic Prescribing Non-preferred
IFP 22_101580_01 Page 66
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies | MACY
CARL T CURTIS HEALTH EDUCATION CENTER 100 INDIAN HILLS DR MACY, NE 68039-0000 (402) 837-5381 TTY 711
Extended Day Supplier Limited Access Electronic Prescribing Non-preferred
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies | NIOBRARA
SANTEE TRIBAL CLINIC PHARMACY 110 S VISITING EAGLE ST NIOBRARA, NE 68760-7201 (402) 857-2901 TTY 711
Extended Day Supplier Limited Access Non-preferred
Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies | WINNEBAGO
WINNEBAGO COMPREHENSIVE HEALTHCARE SYSTEM US HIGHWAY 77 75 225 SOUTH BLUFF STREET WINNEBAGO, NE 68071 (402) 878-2231 TTY 711
Extended Day Supplier Limited Access Non-preferred
IFP 22_101580_01 Page 67
There. That's Brighter.
For the most up to date pharmacy information, or other questions, please contact us, at 833-726-0670, 24 hours, 7 days a week (TTY 711). Changes to our pharmacy network may occur during the benefit year.
This pharmacy directory was updated on 01/13/2022.
If you would prefer to receive this information in another format (e.g. braille, large print or audio tape), please call Member Services. Si prefiere recibir esta información en otro formato (por ejemplo, braille, letra grande o grabación de audio), contáctese con el Departamento de Servicios para Miembros.

IFP 22_101580_01 Page 68
Nondiscrimination Notice and Assistance with Communication
against any individual on the basis of sex, age, race, color, national origin, or disability.
Language assistance and alternate formats: Assistance is available at no cost to help you communicate with us. The services include, but are not limited to: • Interpreters for languages other than English; • Written information in alternative formats such as large print; and • Assistance with reading Bright HealthCare websites. To ask for help with these services, please call 1-855-827-4448. If you think that we failed to provide language assistance or alternate formats, or you were discriminated against because of your sex, age, race, color, national origin, or disability, you can send a complaint to: Bright HealthCare Civil Rights Coordinator P.O. Box 16275 Reading, PA 19612-6275 Phone: 1-855-827-4448 You can also file a complaint with the U.S Dept. of Health and Human Services, the Office of Civil Rights:
• Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf • Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html • Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD) • Mail: U.S Dept. of Health and Human Services. 200 Independence Avenue,
SW Room 509F, HHH Building, Washington, D.C. 20201 If you need help with your complaint, please call 1-855-827-4448.
ALL100_IFP_LTR_4454 (Updated 08/20/2021) IFP21_101010_04
Language Assistance and Alternate Formats This information is available in other formats like large print. To ask for another format, please call 1-855-827-4448. _________________________________________________________________________________________
English
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ATTENTION: If you speak a language other than English, language assistance services including interpretation and written translation, free of charge, are available to you. Call (855)-827-4448.
ATENCIÓN: Si no habla inglés, tiene a su disposición servicios gratuitos de asistencia lingüística, incluidos servicios de interpretación y traducción. Llame al (800)-882-2520.
(855)-827-4448
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.(855)-827-4448
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(855)-827-4448
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