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Network Provider Directory | 042622A
Confidential – Internal Use Only | ©2022 Walmar Inc.
Pharmacy and your pharmacy benefit manager is:
• OptumRx: optumrx.com/public/landing
– Associates enrolled in the Premier, Contribution, or Saver Plan option, use the following links to determine your
pharmacy providers:
• If your work location is five miles or less from a Walmar or Sam’s Club pharmacy, you must use any Walmar or
Sam’s Club pharmacy (including in-store or in-club), Walmar Home Delivery Pharmacy, or OptumRx Mail-Order
Pharmacy for generic and brand-name drugs.
• If your work location is more than five miles from a Walmar or Sam’s Club pharmacy, you may use any OptumRx
network pharmacy (including any Walmar or Sam’s Club pharmacy), Walmar Home Delivery Pharmacy, or
OptumRx Mail-Order Pharmacy for generic and brand-name drugs.
• Specialty drugs must be filled through Walmar Specialty Pharmacy or Optum Specialty Pharmacy.
– Associates enrolled in a local plan option:
• You must use any Walmar or Sam’s Club pharmacy, Walmar Home Delivery Pharmacy, or OptumRx Mail-Order
Pharmacy for generic and brand-name drugs, regardless of your work location.
• Specialty drugs must be filled through Walmar Specialty Pharmacy or Optum Specialty Pharmacy.
– If you have issues locating a network pharmacy, contact OptumRx at 844-705-7493.
• MC-21: mc-21.com
– Select “Members” in the Menu and select “More Info”
– Search “Member Services”
– Select “Walmar Pharmacy Network”
– Search the network pharmacies by Pharmacy Type, City, Zip Code, and/or Pharmacy Name
Networks for specific plan benefits
• Centers of Excellence (COE) – the Plan has contracted with cerain facilities for the provision of cerain services
under the COE program. Paricipation in the COE program must be arranged by the COE administrators listed below.
You may not contact these facilities directly to receive benefits under the COE program. You must work with the
appropriate COE administrator listed below. When receiving services through the COE program, providers of COE
services at that facility will be network providers for purposes of the COE program. The network status of providers of
non-COE services at a COE facility will be determined by your regular medical third-pary administrator network.
– Contigo Health: 877-230-7037
• Hear surgery
• Spine surgery
• Hip and knee replacement
• Weight loss surgery
– HealthSCOPE Benefits: 800-804-1289 or 479-621-2830
• Cancer medical record review
• Outpatient kidney dialysis or ESRD medical record review
• Transplant