ATTACHMENT B - PARTICIPATING FACILITIES.docx

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R408--PHARMACY BENEFIT MANAGEMENT: VISN 22
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36C26221R0017
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36C26221R0017 0002.docx DOCX document
36C26221R0017 0001.docx DOCX document
ATTACHMENT C - BUSINESS ASSOCIATE AGREEMENT.docx DOCX document
ATTACHMENT A - PRICE WORKSHEET.xlsx XLSX spreadsheet
36C26221R0017.docx DOCX document
ATTACHMENT G - WD LA 2015-5613 REV. 16.pdf PDF
ATTACHMENT E - DOCTORS ORDERS.doc DOC document
ATTACHMENT F - PRESCRIPTION FORM.doc DOC document
ATTACHMENT D - IT CONTRACT SECURITY.pdf PDF
ATTACHMENT I - WD SD 2015-5635 REV. 14.pdf PDF
ATTACHMENT H - WD SB 2015-5629 REV. 14.pdf PDF
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ATTACHMENT B

PARTICIPATING FACILITIES

VA LONG BEACH HEALTHCARE SYSTEM

5901 E. Seventh St.

Long Beach, CA 90822

CBOC Name:
Anaheim Veterans Health Clinic
CBOC Name:
Laguna Hills
Street Address:
1801 W. Romneya Drive, Suite 303
Street Address:
25292 McIntyre Road
City, State, Zip:
Anaheim, CA 92801
City, State, Zip:
Laguna Hills, CA 92653
CBOC Name:
Santa Ana Veterans Health Clinic
CBOC Name:
Whittier/Santa Fe Springs Clinic
Street Address:
2740 S. Bristol Street, First Floor
Street Address:
10210 Orr and Day Road
City, State, Zip:
Santa Ana, CA 92704
City, State, Zip:
Santa Fe Springs, CA 90670

VA LOMA LINDA HEALTHCARE SYSTEM

11201 Benton Street Loma Linda, CA 92357

CBOC Name:
Upland
CBOC Name:
Corona
Street Address:
1238 East Arrow Highway, #100
Street Address:
800 Magnolia Avenue, #101
City, State, Zip:
Upland, CA 91786
City, State, Zip:
Corona, CA 92879
CBOC Name:
Sun City
CBOC Name:
Palm Desert
Street Address:
28125 Bradley Road, Suite 130
Street Address:
41-865 Boardwalk, Suite 103
City, State, Zip:
Sun City, CA 92586-2248
City, State, Zip:
Palm Desert, CA 92211
CBOC Name:
Victorville
CBOC Name:
N/A
Street Address:
12138 Industrial Blvd., Suite 120

Street Address:

City, State, Zip:
Victorville, CA 92392

City, State, Zip:

VA SAN DIEGO HEALTHCARE SYSTEM

3350 La Jolla Village Drive San Diego, CA 92161

CBOC Name:
Chula Vista
CBOC Name:
El Centro – Imperial Valley
Street Address:
835 3rd Avenue
Street Address:
1600 South Imperial Avenue
City, State, Zip:
Chula Vista, CA 91910
City, State, Zip:
El Centro, CA 92243
CBOC Name:
Escondido
CBOC Name:
Mission Valley Outpatient Clinic
Street Address:
815 Pennsylvania Avenue
Street Address:
8810 Rio San Diego Drive
City, State, Zip:
Escondido, CA 92025
City, State, Zip:
San Diego, CA 92108
CBOC Name:
Oceanside
CBOC Name:
N/A
Street Address:
1300 Rancho del Oro Drive

Street Address:

City, State, Zip:
Oceanside, CA 92056

City, State, Zip:

VA GREATER LOS ANGELES HEALTHCARE SYSTEM

11301 Wilshire Blvd Los Angeles, CA 90073

CBOC Name:
South Central Los Angeles
CBOC Name:
Oxnard
Street Address:
3737 Martin Luther King Blvd.
Street Address:
2000 Outlet Center Drive, Suite 225
City, State, Zip:
Lynwood, CA 90262
City, State, Zip:
Oxnard, CA 93036
CBOC Name:
Commerce (East Los Angeles)
CBOC Name
Bakersfield
Street Address:
5426 E. Olympic Blvd., Suite 150
Street Address:
1801 Westwind Drive
City, State, Zip:
City of Commerce, CA 90040
City, State, Zip:
Bakersfield, CA 93301
CBOC Name:
Santa Barbara
CBOC Name:
Lynwood
Street Address:
4440 Calle Real
Street Address:
3737 Martin Luther King Jr. Blvd #515
City, State, Zip:
Santa Barbara, CA 93110
City, State, Zip:
Lynwood, CA 90262
CBOC Name:
Gardena
CBOC Name:
San Luis Obispo
Street Address:
1251 Redondo Beach Blvd., 3rd Floor
Street Address:
1288 Morro Street, Suite 200
City, State, Zip:
Gardena, CA 90247
City, State, Zip:
San Luis Obispo, CA 93401
CBOC Name:
Lancaster/Antelope Valley
CBOC Name:
Pasadena
Street Address:
547 West Lancaster Blvd.
Street Address:
55 South Raymond Avenue, Suite 15
City, State, Zip:
Lancaster, CA 93534
City, State, Zip:
Pasadena, CA 91801
CBOC Name:
Santa Maria
CBOC Name:
Upland
Street Address:
1550 East Main Street
Street Address:
1238 East Arrow Highway, #100
City, State, Zip:
Santa Maria, CA 93454
City, State, Zip:
Upland, CA 91786
CBOC Name:
Accelerated Urgent Care **
CBOC Name:
Accelerated Urgent Care**
Street Address:
4871 White Lane
Street Address:
9500 Stockdale Highway Suite 100
City, State, Zip:
Bakersfield, CA 93309
City, State, Zip:
Bakersfield, CA 93311
CBOC Name:
Accelerated Urgent Care**
CBOC Name:
Accelerated Urgent Care**
Street Address:
9710 Brimhall Road
Street Address:
9917 Olive Drive
City, State, Zip:
Bakersfield, CA 93312
City, State, Zip:
Bakersfield, CA 93312
CBOC Name:
Accelerated Urgent Care**
CBOC Name:
Sierra Medical Group**
Street Address:
2400 K Street
Street Address:
44469 10th St. W
City, State, Zip:
Bakersfield, CA 93301
City, State, Zip:
Palmdale, CA 93551
CBOC Name:
Sierra Medical Group**
CBOC Name
Ric Garrison AV Urgent Care**
Street Address:
39115 Trade Center Dr.
Street Address:
41210 11th St.
City, State, Zip:
Palmdale, CA 93551
City, State, Zip:
Palmdale, CA 93551
CBOC Name:
Summit Urgent Care**
CBOC Name:
High Desert Medical Group **
Street Address:
38660 Medical Center Dr.
Street Address:
43839 15th St. West
City, State, Zip:
Palmdale, CA 93551
City, State, Zip:
Lancaster, CA 92534

The following Healthcare System may be added at a later date:

VA ALBUQUERQUE HEALTHCARE SYSTEM - 501

1501 San Pedro Dr SE Albuquerque, NM 87108

VA NORTH ARIZONA HEALTHCARE SYSTEM - 649

500 AZ-89

Prescott, AZ 86301

VA PHOENIX HEALTHCARE SYSTEM - 644

650 E Indian School Rd.

Phoenix, AZ 85012

VA SOUTHERN ARIZONA HEALTHCARE SYSTEM - 678

3601 S 6th Ave.

Tucson, AZ 85723

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