credentialed pharmacies listing...not all pharmacies are credentialed to dispense all types of...

6/12/2015-1

2015

NCCP – Network Compound Credentialing Program

CREDENTIALED

PHARMACIES LISTING

6/12/2015-2

Introduction

This user guide will assist members with the selection of a pharmacy which has been credentialed with the

Catamaran Network Compound Credentialing Program (NCCP).

Using the Guide

This guide is in alphabetical order by state. Each page provides a list of the pharmacies credentialed and

licensed to dispense within that state.

PLEASE NOTE: You may not see a pharmacy near you (or even in your state of residence) listed. However, the

pharmacies listed for each state are licensed to dispense and ship compound medications to that state.

Symbols next to the pharmacies are also provided for reference for some of the more routine types of

compounded products. If your type of product is not listed, or if you are unsure of the type of compounded

product you are filling the pharmacies listed should be able to answer your questions based on the

prescriptions and direct you appropriately as to their ability to compound the product.

Also, please be aware that not ALL compounded medications require a pharmacy that is listed within this

Guide. Some of the more ‘simple’ compounds which do not require a rigorous credentialing review may be

made available to you from any of the network pharmacy providers that you use for your routine medications.

How to find a pharmacy that dispenses a specific type of compound medication The abbreviations below represent routine types of compounds. Not all pharmacies are credentialed to

dispense all types of compounds.

The charts on each page will let you know which which pharmacy may be able to compound the medication you

need. (For example if the prescription appears to be for a topical product look for the TOP symbol after the

pharmacies within your state.)

TOP: denotes topical products such as pain ointments and gels, topical hormone creams, etc.

HRT: denotes hormone replacement therapy and fertility medications (e.g estriol)

PED: denotes pediatric (children) custom products (e.g. liquid g-tube preparations)

NAS: denotes nasal or oral inhaled therapies (e.g. antibiotic or steroid nasal compounds)

STR: denotes sterile Preparations (eg: IV, IM, SC and Epidural injections, Ophthalmic preparations and

Fortified antibiotic/antifungal drops)

SUP: denotes Supplements (eg: Enzymes, EFA’s, Vitamin A, C and D, Calcium, etc.)

PTD: denotes Medicare Part D (eg: a compound claim for a Medicare Part D beneficiary)

6/12/2015-3

STATES

ALABAMA (AL)

Pharmacy Name Address City State Phone Fax TOP HRT PED NAS STR SUP PTD

Advanced Infusions Solutions 623 Highland Colony Parkway Suite 100 Ridgeland MS 877-443-4006 888-298-2220 x x

Allcare Pharmacy and Healthcare Services 112 S. Oxley Drive Lyons GA 912-526-3200 912-526-5960 x x x x x

America's Best Care Plus, Inc 1825 Everett Drive W. Fort Payne AL 800-638-6305 800-638-0294 X X X

Anderson Compounding Pharmacy 310 Bluff City Highway Bristol TN 423-764-4136 423-764-5167 x x x x x x x

Assured Rx 13555 Automobile Blvd Suite 230 Clearwater FL 727-451-6815 888-209-4962 x x

Bellevue Pharmacy (Illinois) 2012 E Northwest Hwy Arlington IL 847-398-3509 847-398-3545 X X X

Bellevue Pharmacy (Florida) 10131 W Commercial Blvd Tamarac FL 954-721-2676 888-965-7258 X X

Bellevue Pharmacy (Missouri) 212 Millwell Drive Maryland Heights MO 314-727-8787 314-727-2830 X X X

Central Rexall Drugs, Inc 125 E. Thomas Street Hammond LA 985-345-5120 985-345-5178 x x x x x x

Compound Care Plus Pharmacy 1410 Highway 98 Unit G Daphne AL 866-832-2263 866-832-2264 X X X

Compound Pharmaceutical Technologies 1048 Stanton Road Suite B Daphne AL 251-626-2820 251-626-2850 X X X X

DermaTran Health Solutions 2700 Stanley Gault Pkwy, Ste 103 Louisville KY 855-675-5240 844-265-1995 x x

DermaTran Health Solutions 85 Technology Pkwy NW Rome GA 855-675-5240 844-265-1995 x x

Diabetes Corporation of America 4701 Trousdale Drive Nashville TN 877-730-5770 877-327-9174 X X X X X

Elite Rx 135 Gemini Circle Suite 201 Birmingham AL 855-945-6705 855-945-6703 X X X X X

Foothills Professional Pharmacy 4545 E. Chandler #100 Phoenix AZ 480-496-4444 480-496-4450 x x x x

Foundation Care, LLC 4010 Wedgeway Court Earth City MO 314-291-1122 314-291-1133 X X X X

Hill Country Apothecary 1310 RR 620 S. Suite A-1 Lakeway TX 512-351-9139 512-366-5573 x x x x x

Hoye's Pharmacy 4330 South Manhattan Avenue Tampa FL 813-839-8861 813-839-8941 X X X X X X

Infinity Compounding Solutions 1204 SE 28th Street Suite 2 Bentonville AR 888-414-5805 855-422-2400 X X X X

Innovation Compounding Inc 6095 Pine Mountain Road NW suite 108 Kennesaw GA 770-421-1399 770-426-1965 X X X X

Inverness Apothecary Trinity 24333 Gordon Terry Parkway Suite B Trinity AL 256-260-3350 256-260-3351 X X X X X

Jersey Shore Pharmacy 3007 Ocean Heights Ave Egg Harbor Township NJ 609-927-0390 609-927-0392 X X X X X X X

Lake Side Pharmacy 10005 AL Hwy 9 N Cedar Bluff AL 256-422-5010 866-609-4582 x x x x

Magnolia Specialty Pharmacy 163 Turtle Creek Drive Suite 130 Hattiesburg MS 877-871-3935 888-990-0575 X X X X X

MasterPharm 115-02 Liberty Avenue Richmond Hill NY 718-529-5500 718-529-2780 X X X X

Medistat 110 East Azalea Avenue Foley AL 855-737-2550 866-457-9612 x x x X

Millers Compounding Pharmacy 678 Wyckoff Avenue Wyckoff NJ 888-891-3334 866-891-3334 X X X X X X X

Pharmacy Innovations 2936 W. 17th ST Erie PA 814-838-2102 814-838-2103 X X X X X X X

Pharmacy Link 3648 Vann Road Building II Suite 116 Birmingham AL 866-332-6966 866-374-4761 x x x x x

Professional Arts Pharmacy 128 Curran Lane Lafayette LA 337-991-0101 337-991-0151 X X X X X

Restore Health 1289 Deming Way Suite 100 Madison WI 800-558-7046 888-898-7412 X X X X X

Sinus Dynamics Pharmacy 755 Lakefield Road Suite D Westlake Village CA 877-447-4276 888-414-0666 x x

TAG Pharmacy 780 Primos Avenue Unit E Folcroft PA 888-824-8100 866-302-7625 x x

The Compounding Shoppe 3349 Independence Drive Suite 102 Birmingham AL 205-870-3150 855-862-0446 X X X X X X

The Pill Box Pharmacy 2422 Danville Rd SW Suite J Decatur AL 256-353-1121 256-353-1790 X X X X X X X

Topical Rx Pharmacy 2565 Capital Medical Blvd Tallahassee FL 850-219-0202 850-219-0282 x x x x x

TPS 3524 Decatur Highway Suite 302 Fultondale AL 205-608-4995 205-608-2718 X X X

TRANSDERMAL THERAPEUTICS INC 211 Summit Pkwy Suite 124 Homewood AL 877-581-5445 877-495-5445 x x

Vital Care of Meridian 1501 23rd Ave Meridian MS 800-652-6157 X X X X X X X

Westchase Compounding Pharmacy 12617 Race Track Road Tampa FL 813-925-8200 813-925-8933 X X X X X X X

6/12/2015-4

ALASKA (AK)










DermaTran Health Solutions 1504 Market Street Redding CA 855-675-5220 844-265-1995 x x x



Fusion Specialty Pharmacy 1100 Canyon View Drive Suite C Santa Clara UT 435-703-9680 435-703-9681 x x x x x







Riverpoint Pharmacy 528 E Spokane Fall Blvd #110 Spokane WA 509-343-6252 509-343-6251 X X X X X X



6/12/2015-5

ARIZONA (AZ)








Carefree Compounding Wellness 2525 W. Carefree Hwy Bld 1 Suite 100 Peoria AZ 623-806-1300 623-806-1304 X X X X


Custom Rx Pharmacy & Wellness Concepts 3510 N Ridge Road Suite 900 Wichita KS 316-721-2626 316-721-4823 X X X X X X











La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego CA 858-453-2500 858-453-2501 X X X X X X




One Way Drug 8751 W Charleston Blvd Suite 120 Las Vegas NV 702-685-3800 702-685-3636 x x x x x x

Pharmacy Innovations 1030 Louetta Road Suite C Houston TX 281-251-0888 281-251-0889 X X X X X X

PRN Rx 5478 S Westridge Drive Suite B New Berlin WI 855-907-7679 855-957-7679 x x





TCS Labs 4000 Park St St. Petersburg FL 727-381-9799 X X X X



Trinity Medical Pharmacy 9332 State Road 54 Suite 203 New Port Richey FL 727-495-6979 727-213-6979 X X X X X X


6/12/2015-6

ARKANSAS (AR)




America's Compounding Center 153 California St. Newton MA 617-527-1563 617-527-1565 X X X X X











Eldon Drug Company 101 S. Maple Street Eldon MO 573-392-4588 573-392-4425 x x x x









Prime Pharmacy Solutions 1346 Lindberg Drive Suite 6 Slidell LA 985-641-2200 985-641-2300 x x x x





Stark Pharmacy 5701 W 119th Street Overland Park KS 913-345-3800 913-345-3803 x x x x x x x


The Apothecary Shoppe (Tulsa) 6136 E 51st Street Tulsa OK 918-665-2003 918-665-8283 X X X X X X X

6/12/2015-7

CALIFORNIA (CA)






CureRx Compounding Pharmacy 5060 W. Sunset Blvd Suite C Los Angeles CA 323-667-1111 323-667-1131 X X X




Harbor Compounding and Home Healthcare 2000 Harbor Blvd Suite C100 Costa Mesa CA 949-642-0106 949-642-5039 x x x x x x x







Owens Healthcare #8 2025 Court Street Suite B Redding CA 530-244-8669 530-243-0687 X X X X X X





Valley Prescription and Compounding Pharmacy 330 E. 13th St Merced CA 209-722-5765 209-722-3296 x x x x

6/12/2015-8

COLORADO (CO)




















Highland Pharmacy 717 Encino Place NE Suite 1 Albuquerque NM 505-243-3777 505-242-3216 X X X X X X X












Pharmacy Specialists 393 Maitland Ave Altamonte Springs FL 407-260-7002 407-260-7044 X X X X

Premier Custom Pharmacy 2000 PGA Blvd. Ste. 5507 Palm Beach Gardens FL 561-691-4998 561-691-4998 X X X X X X








6/12/2015-9

CONNECTICUT (CT)







Auxilium Specialty Apothecary Pharmacy 16 Keystone Drive Suite B Hattiesburg MS 877-847-4612 888-615-6578 x x x x



Belvidere Labs 440 A Raritan Ave Highland Park NJ 800-322-1302 908-756-2890 X X X X X X X

Birds Hill Pharmacy 401 Great Plain Ave Needham MA 781-449-0550 781-449-7993 X X X X X

Boothwyn Pharmacy 2341 Chichester Ave Boothwyn PA 610-485-1130 610-485-9223 X X X X X


Chemistry Rx 829 Spruce Street Suite 100 Philadelphia PA 855-790-0100 267-861-0862 X X X X X




Eastern States Compounding Pharmacy 338 Union Street Littleton NH 603-444-0094 603-444-0095 X X X X X X







Johnson Compounding & Wellness 577 Main Street Waltham MA 781-893-3870 781-899-1172 X X X X X X X





Phusion Pharmacy 17 Coventry Shoppers Park Coventry RI 401-823-0000 401-823-0300 X X X X X X X







6/12/2015-10

DELAWARE (DE)

































6/12/2015-11

FLORIDA (FL)















Buderer Drug Company 633 Hancock Street Sandusky OH 419-627-2800 419-626-0494 X X X X X X X











Executive Pharmacy 4300 N University Drive Suite E200 Sunrise FL 954-368-0901 800-918-4152 x x

Family Pharmacy 3644 Webber Street Sarasota FL 941-921-6645 941-923-7558 x x x x x x x

Family Pharmacy 2653 Bruce B Downs Blvd Suite 115 Wesley Chapel FL 813-991-9500 813-991-9600 x x x x x x x



Health Dimensions, Inc 39303 Country Club Drive A26 Farmington Hills MI 800-836-2303 248-489-1586 X X X X X X X












Medicine Shoppe 10010 Cross Creek Blvd Tampa FL 813-907-3150 813-907-3557 X X X









6/12/2015-12

FLORIDA (FL) – Continued



Professional Compounding Pharmacists 111 2nd Street Suite 100 Leechburg PA 877-883-9300 877-883-9301 X X X X X

Pyramids Pharmacy 1201 Dairy Ashford Road Suite 114 Houston TX 281-589-2400 281-589-2405 X X X X X




Smart Pharmacy 3740 St. Johns Bluff Road #19 Jacksonville FL 904-361-3861 904-361-3866 X X X X X

Smart Pharmacy 14003 Beach Blvd Jacksonville FL 904-503-5030 904-361-3866 X X X X X




Top Rx Pharmacy 1420 W Waters Ave Tampa FL 813-443-4548 813-443-4553 X X






6/12/2015-13

GEORGIA (GA)






















Medical Center Pharmacy 912 S. 16th Street Wilmington NC 910-763-1896 910-763-1709 x x x x x x














6/12/2015-14

HAWAII (HI)




















The Honolulu Pharmacy 1188 Bishop St #2303 Honolulu HI 808-533-8887 808-533-1888 X X X

6/12/2015-15

IDAHO (ID)




























6/12/2015-16

ILLINOIS (IL)



Alwan Pharmacy & Compounding Center 311 N. Western Ave Peoria IL 309-676-6333 309-676-1928 X X X X X X




Ashland Health 12 N. Catherine Ave La Grange IL 708-482-4000 708-482-4004 x x x















Doug's Pharmacy 137 N. Market Street Paxton IL 217-379-3684 217-379-6115 X X X X X

Dr. Aziz Pharmacy 7320 E 82nd Street Indianapolis IN 317-842-5771 317-842-5953 x x x x x x x
























TPS 2250 Shipyard Blvd #11 Wilmington NC 910-442-2056 910-442-2057 x x x x x



6/12/2015-17

INDIANA (IN)










BioMed Specialty Pharmacy 7731 Cox Lane West Chester OH 513-847-1260 513-847-1506 X X X X X X




Clark Professional Pharmacy 3280 Washtenaw Ave Ann Arbor MI 734-369-8782 734-585-5184 X X X X X X X










Fort Wayne Custom Rx Inc 425 E Dupont Road Fort Wayne IN 260-490-3447 260-490-3457 x x x x x x x





















6/12/2015-18

IOWA (IA)

























Pharmacy Innovations 863 Fairmount Ave Jamestown NY 716-484-1586 716-488-0073 X X X X X X X






6/12/2015-19

KANSAS (KS)













Custom Rx Pharmacy & Wellness Concepts 2350 N Greenwich Road Suite 1000 Wichita KS 316-636-9595 316-636-9591 X X X X X X





























6/12/2015-20

KENTUCKY (KY)































6/12/2015-21

LOUISIANA (LA)








Boudreaux's Specialty Compounding Pharmacy 2551 Greenwood Road #110 Shreveport LA 318-631-2005 318-631-1883 x x x x x










Inverness Lone Star Pharmacy 223 E. FM 544 Suite 806 Murphy TX 972-535-2020 855-385-9990 X X X X X X













6/12/2015-22

MAINE (ME)





























6/12/2015-23

MARYLAND (MD)



























The Compounding Center 36 Catoctin Circle Southeast Leesburg VA 703-779-3301 703-443-2283 x x x x x x x





6/12/2015-24

MASSACHUSETTS (MA)




















Buderer Drug Company 38530 Chester Road Suite 400 Avon OH 440-934-3100 440-934-3103 X X X X X X X

Buderer Drug Company 26611 N. Dixie Highway Suite 119 Perrysburg OH 419-873-2800 419-873-0494 X X X X X X X





Community Pharmacy 4400 Teasley Lane #100 Denton TX 940-382-1618 940-898-1986 X X X X X X X




Custom Compounding Centers of America II 701 N State of Franklin Road Suite 9 Johnson City TN 423-207-4290 423-928-0171 X X X



Cypress Compounding Pharmacy 9511 Huffmeister Road Suite 104 Houston TX 832-617-0290 832-510-4003 x x x x x x

Dan's Wellness Pharmacy 418 Garrisonville Road Suite 100 Stafford VA 540-657-0006 540-657-9654 X X X X X

Davis Drug & Specialty Compounding 13478 Carrollton Blvd. Ste V Carrollton VA 757-745-7440 757-745-7441 x x





Don's Pharmacy 501 Ralston Street Reno NV 775-324-2000 775-329-6716 x x x x x












6/12/2015-25

MASSACHUSETTS (MA) – Continued




Harrold's Pharmacy 250 Old River Road Wilkes Barre PA 570-822-5794 570-824-8730 x x x x x x

Harvest Drug & Gift 4426 Kell West Boulevard Wichita Falls TX 940-692-7081 940-692-9676 X X X X X X X


Healthway Compounding Pharmacy 2544 McLeod Dr. Suite #12 Saginaw MI 989-791-1691 989-791-4603 X X X X X X









Jersey Shore Pharmacy 580 N Main Street Barnegat NJ 609-660-1111 609-660-0101 X X X X X


Keystone Pharmacy 4021 Cascade Road SE Grand Rapids MI 616-974-9792 616-464-3469 X X X X X X X





McMahan Pharmacy Services Inc 1503 West Front Street Goldthwaite TX 325-648-2484 325-648-3417 X X X X X X










Pharmacy Innovations 620 Congaree Road Suite F Greenville SC 864-241-0477 864-241-0843 X X X X X X

Pharmacy Innovations 4661 Haygood Road Suite 101 Virginia Beach VA 757-934-0533 757-228-3991 X X X X X









Pyramids Pharmacy Webster 500 N Kobayashi Road Suite E Webster TX 281-724-0531 281-724-0535 x x x x x x



Sierra Pharmacy 9738 S. Virginia Street #G Reno NV 775-853-3500 775-853-3501 x x x x x x





Stonegate Pharmacy 2501 W. William Cannon Suite 203 Austin TX 512-707-2300 512-707-2378 x x x x x x x

6/12/2015-26

MASSACHUSETTS (MA) – Continued





The Apothecary Shoppe of BA 510 N Elm Place Broken Arrow OK 918-449-9988 918-449-9989 X X X X X X











Triumph Pharmacy 6875 FM 1488 Road Suite 300 Magnolia TX 281-252-4200 281-252-4201 x x x x x x x


Village Pharmacy 898 Tanager Street Incline Village NV 775-831-1133 775-831-2228 x x x x x



Wright Specialty Pharmacy 1162 West Poplar Ave Collierville TN 901-861-3000 901-861-3095 X X X X

6/12/2015-27

MICHIGAN (MI)








































6/12/2015-28

MINNESOTA (MN)








































6/12/2015-29

MISSISSIPPI (MS)


































6/12/2015-30

MISSOURI (MO)









































6/12/2015-31

MONTANA (MT)


























6/12/2015-32

NEBRASKA (NE)




















6/12/2015-33

NEVADA (NV)


































Sunquest Pharmaceuticals 150 Eileen Way Suite 1 Syosset NY 516-513-0799 516-677-6050 x x x x x







6/12/2015-34

NEW HAMPSHIRE (NH)
































6/12/2015-35

NEW JERSEY (NJ)











































6/12/2015-36

NEW MEXICO (NM)


































6/12/2015-37

NEW YORK (NY)














































6/12/2015-38

NORTH CAROLINA (NC)




























6/12/2015-39

NORTH DAKOTA (ND)




















6/12/2015-40

OHIO (OH)














































6/12/2015-41

OKLAHOMA (OK)











































6/12/2015-42

OREGON (OR)
























6/12/2015-43

PENNSYLVANIA (PA)





















































6/12/2015-44

PENNSYLVANIA (PA) – Continued



Harrold's Pharmacy 250 Old River Road Wilkes Barre PA 570-822-5794 570-824-8730 x x x x x x















































6/12/2015-45

PENNSYLVANIA (PA) – Continued

























6/12/2015-46

RHODE ISLAND (RI)


































6/12/2015-47

SOUTH CAROLINA (SC)





































6/12/2015-48

SOUTH DAKOTA (SD)




























6/12/2015-49

TENNESSEE (TN)







































6/12/2015-50

TEXAS (TX)



















































6/12/2015-51

TEXAS (TX) – Continued










6/12/2015-52

UTAH (UT)



























6/12/2015-53

VERMONT (VT)



























6/12/2015-54

VIRGINIA (VA)





























6/12/2015-55

WASHINGTON (WA)

































6/12/2015-56

WEST VIRGINIA (WV)



























6/12/2015-57

WISCONSIN (WI)







































6/12/2015-58

WYOMING (WY)






























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