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Participating Chain Retail Pharmacies                                                  (continued)   Protecting Your
Fagen Pharmacy
Fairview
                         Keltsch Pharmacy
                         Kerr Drug
                                                  Pathmark Pharmacy
                                                  Pavilions Pharmacy
                                                                           Smith’s Food & Drug
                                                                           Snyder Drug
                                                                                                     Health
Familymeds Pharmacy      Kessel Pharmacy          Phar-Mor                 Snyder’s Drug Store       • Keep an updated list of the
Farm Fresh Pharmacy      King Kullen Pharmacy     Price Chopper Pharmacy   Stadtlanders Pharmacy       medications you’re taking, drug
Farmer Jack Pharmacy     King Sooper’s Pharmacy   Price Cutter Pharmacy    Star Pharmacy               allergies and emergency contact
Food City                King’s Pharmacy          Publix Pharmacy          Stop & Shop Pharmacy        numbers in your wallet or purse.
Food Max Pharmacy        Kinney Drug, Inc.        QFC Pharmacy             Super 1 Pharmacy
Food Town                Kmart Pharmacy           Quality Markets          Super D Drugs             • Review the medications you
Food World Pharmacy      Knight Drug              Quick Chek Pharmacy      Super D Express Rx          are taking, including herbal and
Fred Meyer               Kohl’s Pharmacy          Rainbow Pharmacy         Super Fresh Pharmacy        nutritional supplements, with your
Fred’s Pharmacy          Kroger Food and Drug     Raley’s Drug Center      Super G Discount Drugs
                                                                                                       doctor on a regular basis.
Fred’s Xpress            Kroger Pharmacy          Ralphs                   Superfoodmart Pharmacy    • Read and follow the instructions
   Network Pharmacy      Kroger Sav-on            Randall’s Pharmacy       Target Pharmacy             included with your drugs.
Fruth Pharmacy           Longs Drug Store         Rite Aid Pharmacy        The Medicine Shoppe
Fry’s Food and Drug      Lucky Rx                 Rosauers Pharmacy        The Pharm                 • Don’t stop taking your prescription
Gerbes Pharmacy          Lucky Sav-On             RXD Pharmacy             Thriftway Food and Drug     drugs unless your doctor tells you to.
Giant Eagle Pharmacy     Marc’s                   Sack’N Save Pharmacy     Thriftway White Drug        Stopping when you “feel better” could
Giant Pharmacy           Marc’s Pharmacy          Safeway Pharmacy         Times Pharmacy              lead to problems.
Grand Union Pharmacy     Marsh Drugs              Sam’s Club Pharmacy      Tom Thumb Pharmacy
H.E.B. Pharmacy          Martins Pharmacy         Sav-A-Center Pharmacy    Top Food & Drug           • Only take prescriptions that are
Haggen Pharmacy          May’s Drug Store         Save Mart Pharmacy       Tops Pharmacy               prescribed for you.
Hannaford Food & Drug    Medic Discount Drugs     Sav-Mor                  Twin Knolls Pharmacy
                                                                                                     • Check the expiration dates of
Happy Harry’s            Medic Pharmacy           Sav-On Drugs             Ukrop’s Pharmacy
                                                                                                       medications in your medicine cabinet
Harmons Pharmacy         Medicap                  Sav-On Express           United Pharmacy             regularly. Do not take expired
Harps Pharmacy           Medicine Chest           Sav-On Pharmacy          USA Drug                    medications.
Harris Teeter Pharmacy   Mediserv                 Sav-On Prescriptions     Vons Food & Drug
Harvest Foods Pharmacy   Medistat Pharmacy        Schnucks Pharmacy        Vons Pharmacy
HealthPartners           Med-Rx Drug              Sentry Pharmacy          Waldbaum’s Pharmacy       Blue Cross Blue Shield of Delaware (BCBSD)


                                                                                                                                                          Your Prescription
                                                                                                     has selected Argus Health Systems, Inc.
Hen House Pharmacy       Med-X-Drug               Shaws Pharmacy           Walgreens
                                                                                                     (Argus) as our prescription benefits manager.
Hilander Pharmacy        Meijer Pharmacy          Shelly’s Pharmacy        Wal-Mart Pharmacy         Argus is an independent company providing


                                                                                                                                                           Benefit Program
Hi-School Pharmacy       Metro Pharmacy           Shop ‘N Save             Wegmans Pharmacy          prescription benefits administration services to
Homeland Pharmacy        Minyard Pharmacy         Shop Rite Pharmacy       Weis Pharmacy             Blue Cross Blue Shield of Delaware members.
                                                                                                     Please be assured that both BCBSD and Argus
Horizon Pharmacy         Navarro Discount         Shopko Pharmacy          White Drug                are committed to protecting the privacy of your
Horton & Converse           Pharmacy              Shop’N Save Pharmacy     Winn Dixie                health care information. Blue Cross Blue Shield of
Hy-Vee Drug Town         NCS Healthcare           Shoppers Pharmacy        Xpent Discount Pharmacy   Delaware is an independent licensee of the Blue
Hy-Vee Pharmacy          Neighborcare             Shoprite Pharmacy                                  Cross and Blue Shield Association. ® Registered
                                                                                                     trademark of the Blue Cross and Blue Shield
Kash N’ Karry            Osco Drug                Smart Pharmacy                                     Association. ™ Registered mark of Argus Health
                                                                                                     Systems, Inc.



                                                                                                     Argus Your Prescription Benefits (rev 07/10)
Using Your Prescription Benefit Card
On behalf of Blue Cross Blue Shield of Delaware, your prescription benefits plan is
administered by Argus Health Systems, Inc., (Argus), a leading, independent prescription                                                                                     Participating Chain
benefits manager. Your prescription ID card is accepted at many chain and independent retail
pharmacies nationwide and is convenient and easy to use.
                                                                                                                                                                             Retail Pharmacies
                                                                                                                                                                             The following list shows the chain
                                                                                                                                                                             retail pharmacies that accept
  Getting Started is Easy!                                                                                                        Prescription Drug Choices                  your prescription card. In addition
  Fill your prescriptions in three simple steps:                                                                                  You play an important role in managing     to these, many independent
                                                                                                                                  your overall health. Making sound          pharmacies also take part in the
                                                                                                                      ®




  1. Select a pharmacy – Ask your pharmacist if the pharmacy                                                                      financial and health decisions can          program. From time to time,
     participates in your program.*                                                                                               help you save money and, more              pharmacies are removed from or
  2. Present your benefit card to your pharmacist – Take both your                                            PPO                  importantly, stay healthy. Remember,       added to the list. To find out if a
     card and prescription to the pharmacy.*                                                                                      you will generally pay less for generic    pharmacy participates, contact the
                                                                                                                          PPO ®

                                                                                           10751         $5/$20
                                                                                           011834        $5/$40                   medications. Also, if your benefit plan     pharmacy directly or call Argus at
  3. Pay your portion of the drug cost – Your pharmacist will tell                         03010000      $40
                                                                                                         20%                      has a preferred medication list, take it   800.314.9674.
     you your portion of the price.                                                                      $0/$25/$50
                                                                                                                                  with you to your doctor’s office. You may
    *Note: Some plans do not cover prescriptions filled at a non-participating                                                                                                A & P Pharmacy              Community Pharmacy
    pharmacy or those filled without a prescription benefit card; however, if you are
                                                                                                                                  save money when you use a preferred
                                                                                                                                                                             ACME Pharmacy               Costco Pharmacy
    eligible for reimbursement, request a prescription drug claim form from Argus.                                                medication.
                                                                                                                                                                             Albertsons Pharmacy         Cub Pharmacy
                                                                                                                                                                             American Pharmaceutical     CVS
                                                                                                                                  Save When You Use Generic Drugs               Svs                      CVS Procare Pharmacy
Ordering Mail Service Prescriptions                                                                                               If you would like to lower your            Anchor Pharmacy             D & W Food Center
                                                                                                                                  prescription drug costs, consider using    APS                         Dahl’s Pharmacy
Your prescription benefit plan includes access to Walgreens Mail Service. This service,                                                                                       Arrow Prescription Center
                                                                                                                                  generics. Choosing generics is an                                      Dillon Pharmacy
provided at no cost to you, can save you time and money on long-term drugs.                                                                                                  Aurora Pharmacy
                                                                                                                                  excellent way to save money.                                           Discount Drug Mart
For New Mail Service Prescriptions                                                                                                                                           Baker’s Pharmacy
                                                                                                                                  •   On average, generics cost 20 to 70                                 Docs Drugs
                                                                                                                                                                             Bartell Drugs
   Ask your doctor to write two prescriptions:                                                                                        percent less and produce the same                                  Dominick’s Pharmacy
                                                                                                                                                                             Bel-Air Drugs
                                                                                                                                      result as comparable brand name                                    Drug Emporium
   • One for a short-term supply, which you should have filled at a local pharmacy.                                                                                           Big Bear Store
                                                                                                                                      drugs.                                                             Drug Fair
   • One for an extended supply, with as many as three refills (if appropriate). You will                                                                                     Biggs Pharmacy              Drug Mart
                                                                                                                                  •   Generic versions are available         Bi-Lo Pharmacy
     send this one to Walgreens Mail Service.                                                                                                                                                            Drug Town Pharmacy
                                                                                                                                      for many commonly prescribed           Bi-Mart Pharmacy
                Note: A “short-term supply” of medication generally ranges from 21–34 days, while an                                  drugs. In fact, almost 45 percent                                  Drug Warehouse
                 “extended supply” of medication generally ranges from 35–90 days, depending on your plan.                                                                   BJ’s Pharmacy               Drug World
                                                                                                                                      of prescriptions are now filled with    Brooks Maxi Drug
                                                                                                                                      generic drugs.                                                     Drugs for Less
                     Use the pre-addressed envelope to mail:                                                                                                                 Brooks Pharmacy             Duane Reade
                      • Your prescription                                                                                         •   Ask your doctor to prescribe or        Brookshire Brothers         Duluth Clinic
                                                                                                                                      authorize generic drugs whenever          Pharmacy
                      • A completed mail service order form                                                                           possible. Remember, when you use
                                                                                                                                                                                                         Eagle Pharmacy
                                                                                                                                                                             Brookshire Pharmacy
                                                                                                                                                                                                         Eaton Apothecary
                      • Your payment (refer to your benefit materials or contact Argus for the                                         a generic, you get the same quality    Bruno’s Pharmacy
                                                                                                                                                                                                         Eckerd Drugs
                        correct amount). You can expect to receive your medication 10 to 14                                           as the brand name drug – at a lower    Caremark Pharmacy
                                                                                                                                                                                                         Econofoods
                        days from the date you mailed your order.                                                                     cost.                                  Carle Rx Express
                                                                                                                                                                                                         Henry Ford Medical
                      For Refills:                                                                                                                                            Carnival Pharmacy               Center Pharmacy
                                                                                                                                                                             City Market Pharmacy        Edwards Pharmacy
                               • Call 800.749.0009, or
                               • Log on to www.walgreensmail.com/bcbsde.

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Your Prescription Benefit Program Explained

  • 1. Participating Chain Retail Pharmacies (continued) Protecting Your Fagen Pharmacy Fairview Keltsch Pharmacy Kerr Drug Pathmark Pharmacy Pavilions Pharmacy Smith’s Food & Drug Snyder Drug Health Familymeds Pharmacy Kessel Pharmacy Phar-Mor Snyder’s Drug Store • Keep an updated list of the Farm Fresh Pharmacy King Kullen Pharmacy Price Chopper Pharmacy Stadtlanders Pharmacy medications you’re taking, drug Farmer Jack Pharmacy King Sooper’s Pharmacy Price Cutter Pharmacy Star Pharmacy allergies and emergency contact Food City King’s Pharmacy Publix Pharmacy Stop & Shop Pharmacy numbers in your wallet or purse. Food Max Pharmacy Kinney Drug, Inc. QFC Pharmacy Super 1 Pharmacy Food Town Kmart Pharmacy Quality Markets Super D Drugs • Review the medications you Food World Pharmacy Knight Drug Quick Chek Pharmacy Super D Express Rx are taking, including herbal and Fred Meyer Kohl’s Pharmacy Rainbow Pharmacy Super Fresh Pharmacy nutritional supplements, with your Fred’s Pharmacy Kroger Food and Drug Raley’s Drug Center Super G Discount Drugs doctor on a regular basis. Fred’s Xpress Kroger Pharmacy Ralphs Superfoodmart Pharmacy • Read and follow the instructions Network Pharmacy Kroger Sav-on Randall’s Pharmacy Target Pharmacy included with your drugs. Fruth Pharmacy Longs Drug Store Rite Aid Pharmacy The Medicine Shoppe Fry’s Food and Drug Lucky Rx Rosauers Pharmacy The Pharm • Don’t stop taking your prescription Gerbes Pharmacy Lucky Sav-On RXD Pharmacy Thriftway Food and Drug drugs unless your doctor tells you to. Giant Eagle Pharmacy Marc’s Sack’N Save Pharmacy Thriftway White Drug Stopping when you “feel better” could Giant Pharmacy Marc’s Pharmacy Safeway Pharmacy Times Pharmacy lead to problems. Grand Union Pharmacy Marsh Drugs Sam’s Club Pharmacy Tom Thumb Pharmacy H.E.B. Pharmacy Martins Pharmacy Sav-A-Center Pharmacy Top Food & Drug • Only take prescriptions that are Haggen Pharmacy May’s Drug Store Save Mart Pharmacy Tops Pharmacy prescribed for you. Hannaford Food & Drug Medic Discount Drugs Sav-Mor Twin Knolls Pharmacy • Check the expiration dates of Happy Harry’s Medic Pharmacy Sav-On Drugs Ukrop’s Pharmacy medications in your medicine cabinet Harmons Pharmacy Medicap Sav-On Express United Pharmacy regularly. Do not take expired Harps Pharmacy Medicine Chest Sav-On Pharmacy USA Drug medications. Harris Teeter Pharmacy Mediserv Sav-On Prescriptions Vons Food & Drug Harvest Foods Pharmacy Medistat Pharmacy Schnucks Pharmacy Vons Pharmacy HealthPartners Med-Rx Drug Sentry Pharmacy Waldbaum’s Pharmacy Blue Cross Blue Shield of Delaware (BCBSD) Your Prescription has selected Argus Health Systems, Inc. Hen House Pharmacy Med-X-Drug Shaws Pharmacy Walgreens (Argus) as our prescription benefits manager. Hilander Pharmacy Meijer Pharmacy Shelly’s Pharmacy Wal-Mart Pharmacy Argus is an independent company providing Benefit Program Hi-School Pharmacy Metro Pharmacy Shop ‘N Save Wegmans Pharmacy prescription benefits administration services to Homeland Pharmacy Minyard Pharmacy Shop Rite Pharmacy Weis Pharmacy Blue Cross Blue Shield of Delaware members. Please be assured that both BCBSD and Argus Horizon Pharmacy Navarro Discount Shopko Pharmacy White Drug are committed to protecting the privacy of your Horton & Converse Pharmacy Shop’N Save Pharmacy Winn Dixie health care information. Blue Cross Blue Shield of Hy-Vee Drug Town NCS Healthcare Shoppers Pharmacy Xpent Discount Pharmacy Delaware is an independent licensee of the Blue Hy-Vee Pharmacy Neighborcare Shoprite Pharmacy Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Kash N’ Karry Osco Drug Smart Pharmacy Association. ™ Registered mark of Argus Health Systems, Inc. Argus Your Prescription Benefits (rev 07/10)
  • 2. Using Your Prescription Benefit Card On behalf of Blue Cross Blue Shield of Delaware, your prescription benefits plan is administered by Argus Health Systems, Inc., (Argus), a leading, independent prescription Participating Chain benefits manager. Your prescription ID card is accepted at many chain and independent retail pharmacies nationwide and is convenient and easy to use. Retail Pharmacies The following list shows the chain retail pharmacies that accept Getting Started is Easy! Prescription Drug Choices your prescription card. In addition Fill your prescriptions in three simple steps: You play an important role in managing to these, many independent your overall health. Making sound pharmacies also take part in the ® 1. Select a pharmacy – Ask your pharmacist if the pharmacy financial and health decisions can program. From time to time, participates in your program.* help you save money and, more pharmacies are removed from or 2. Present your benefit card to your pharmacist – Take both your PPO importantly, stay healthy. Remember, added to the list. To find out if a card and prescription to the pharmacy.* you will generally pay less for generic pharmacy participates, contact the PPO ® 10751 $5/$20 011834 $5/$40 medications. Also, if your benefit plan pharmacy directly or call Argus at 3. Pay your portion of the drug cost – Your pharmacist will tell 03010000 $40 20% has a preferred medication list, take it 800.314.9674. you your portion of the price. $0/$25/$50 with you to your doctor’s office. You may *Note: Some plans do not cover prescriptions filled at a non-participating A & P Pharmacy Community Pharmacy pharmacy or those filled without a prescription benefit card; however, if you are save money when you use a preferred ACME Pharmacy Costco Pharmacy eligible for reimbursement, request a prescription drug claim form from Argus. medication. Albertsons Pharmacy Cub Pharmacy American Pharmaceutical CVS Save When You Use Generic Drugs Svs CVS Procare Pharmacy Ordering Mail Service Prescriptions If you would like to lower your Anchor Pharmacy D & W Food Center prescription drug costs, consider using APS Dahl’s Pharmacy Your prescription benefit plan includes access to Walgreens Mail Service. This service, Arrow Prescription Center generics. Choosing generics is an Dillon Pharmacy provided at no cost to you, can save you time and money on long-term drugs. Aurora Pharmacy excellent way to save money. Discount Drug Mart For New Mail Service Prescriptions Baker’s Pharmacy • On average, generics cost 20 to 70 Docs Drugs Bartell Drugs Ask your doctor to write two prescriptions: percent less and produce the same Dominick’s Pharmacy Bel-Air Drugs result as comparable brand name Drug Emporium • One for a short-term supply, which you should have filled at a local pharmacy. Big Bear Store drugs. Drug Fair • One for an extended supply, with as many as three refills (if appropriate). You will Biggs Pharmacy Drug Mart • Generic versions are available Bi-Lo Pharmacy send this one to Walgreens Mail Service. Drug Town Pharmacy for many commonly prescribed Bi-Mart Pharmacy Note: A “short-term supply” of medication generally ranges from 21–34 days, while an drugs. In fact, almost 45 percent Drug Warehouse “extended supply” of medication generally ranges from 35–90 days, depending on your plan. BJ’s Pharmacy Drug World of prescriptions are now filled with Brooks Maxi Drug generic drugs. Drugs for Less Use the pre-addressed envelope to mail: Brooks Pharmacy Duane Reade • Your prescription • Ask your doctor to prescribe or Brookshire Brothers Duluth Clinic authorize generic drugs whenever Pharmacy • A completed mail service order form possible. Remember, when you use Eagle Pharmacy Brookshire Pharmacy Eaton Apothecary • Your payment (refer to your benefit materials or contact Argus for the a generic, you get the same quality Bruno’s Pharmacy Eckerd Drugs correct amount). You can expect to receive your medication 10 to 14 as the brand name drug – at a lower Caremark Pharmacy Econofoods days from the date you mailed your order. cost. Carle Rx Express Henry Ford Medical For Refills: Carnival Pharmacy Center Pharmacy City Market Pharmacy Edwards Pharmacy • Call 800.749.0009, or • Log on to www.walgreensmail.com/bcbsde.