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Evergreen and PharMerica Senior Living logos

Welcome to Your Pharmacy Resources Page

 

In an effort to make managing medications for the individuals in your care easier, we’ve gathered all the resources you need in one convenient place. On this page, you’ll find answers to frequently asked questions, forms, general information posters, training resources, and more.

 

General Resources:

  • FAX Forms

Use these when faxing new prescriptions, refills, or eMAR discontinue errors to your PharMerica pharmacy.

  • Quick Reference Guide

Our tip sheet for various pharmacy processes.

  • PharMerica Senior Living Billing Insert / Welcome Letter

This letter is sent in the first bill to all residents new to PharMerica to introduce our pharmacy and provide contact information should residents need billing or other assistance.

  • Billing FAQ for residents/families

Our FAQ answers common questions that residents and families may have about billing. It is sent quarterly with all senior living statements.

  • Preferred OTC Formulary

This resource lists some of the 450+ medications currently on our formulary.

  • Resident Adoption Resources
  • Resident Flyer

These digital resources support your efforts in discussing adoption of PharMerica as your residents’ preferred pharmacy.

  • Senior Living Enrollment Form (online)
  • Senior Living Enrollment Form (download/print)

Residents can use our enrollment form to choose PharMerica as their pharmacy.

  • Elements of a Valid Rx 

Our checklist to help you ensure that all prescriptions are compliant, to prevent delays and increase safety.

  • Cycle Dose Replacement Form
  • Missing Cycle Meds Form
  • Cycle Calendar
  • Cycle Medication Refusal Form

Forms and education related to our medications dispensed on a cycle schedule.


 

Pharmacy-Specific Resources

Start by clicking on your PharMerica pharmacy:

  • Akron/Medina
  • Bensenville
  • Bethlehem
  • Columbia
  • Fort Lauderdale
  • Grand Prairie
  • Grand Rapids
  • Greensburg
  • Houston
  • King of Prussia
  • Largo
  • Milwaukee
  • Orlando
  • San Antonio
  • Uniondale
  • Virginia Beach
  • Wallingford
  • Worthington

 


 

Akron/Medina

Pharmacy Phone: (888) 322-6216

Pharmacy FAX: (800) 258-9187

Your Akron/Medina Pharmacy Team:

  • Pharmacy Director: Devin Timberlake
    [email protected]
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Nick Ryall
    [email protected]
    (513) 375-5224

 

Forms & Resources
Printable forms and resources you need to work with your Akron/Medina pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Bensenville

Pharmacy Phone: (800) 514-3784

Pharmacy FAX: (800) 339-0700

Your Bensenville Pharmacy Team:

  • Pharmacy Director: Paul Coletti
    [email protected]
    (630) 254-8471
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager:

 

Forms & Resources
Printable forms and resources you need to work with your Bensenville pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Bethlehem

Pharmacy Phone: (866) 989-1192

Pharmacy FAX: (866) 989-1193

Your Bethlehem Pharmacy Team:

  • Pharmacy Director: Andrew Parise
    [email protected]
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Dylan Holsworth
    [email protected]
    (640) 274-2715

 

Forms & Resources
Printable forms and resources you need to work with your Bethlehem pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Columbia

Pharmacy Phone: (800) 336-7874

Pharmacy FAX: (800) 448-3078

Your Columbia Pharmacy Team:

  • Pharmacy Director: Osmany Velazquez
    [email protected]
    (603) 931-2056
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Dylan Holsworth
    [email protected]
    (640) 274-2715

 

Forms & Resources
Printable forms and resources you need to work with your Columbia pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Fort Lauderdale

Pharmacy Phone: (800) 700-7217

Pharmacy FAX: (800) 700-7218

Your Fort Lauderdale Pharmacy Team:

  • Pharmacy Director: Ian Chin-See
    [email protected]
    (786) 570-2044
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Rahul Joshi
    [email protected]

 

Forms & Resources
Printable forms and resources you need to work with your Fort Lauderdale pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Grand Prairie

Pharmacy Phone: (800) 557-7221

Pharmacy FAX: (800) 595-7222

Your Grand Prairie Pharmacy Team:

  • Pharmacy Director: Sara Mohsen
    [email protected]
    (469) 580-7074
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: TBD

Forms & Resources
Printable forms and resources you need to work with your Grand Prairie pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Grand Rapids

Pharmacy Phone: (866) 618-5695

Pharmacy FAX: (866) 618-5691

Your Grand Rapids Pharmacy Team:

  • Pharmacy Director: Sean Gogolin
    [email protected]
    (616) 780-3014
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: TBD

 

Forms & Resources
Printable forms and resources you need to work with your Grand Rapids pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Greensburg

Pharmacy Phone: (888) 287-7606

Pharmacy FAX: (800) 831-7979

Your Greensburg Pharmacy Team:

  • Pharmacy Director: Tiffany Harmuth
    [email protected]
    (724) 836-8412
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Nick Ryall
    [email protected]
    (513) 375-5224

 

Forms & Resources
Printable forms and resources you need to work with your Greensburg pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Houston

Pharmacy Phone: (800) 627-7351

Pharmacy FAX: (800) 530-0699

Your Houston Pharmacy Team:

  • Pharmacy Director: Joan Darby-Mercadel
    [email protected]
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Megan Peikert
    [email protected]
    (737) 280-9590

 

Forms & Resources
Printable forms and resources you need to work with your Houston pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

King of Prussia

Pharmacy Phone: (800) 227-9666

Pharmacy FAX: (800) 275-3149

Your King of Prussia Pharmacy Team:

  • Pharmacy Director: Amy Foster
    [email protected]
    (610) 547-3105
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Dylan Holsworth
    [email protected]
    (640) 274-2715

 

Forms & Resources
Printable forms and resources you need to work with your King of Prussia pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


Largo

Pharmacy Phone: (800) 330-3526

Pharmacy FAX: (800) 330-2049

Your Largo Pharmacy Team:

  • Pharmacy Director: Michael Gardner
    [email protected]
    (952) 200-7276
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Rahul Joshi
    [email protected]

 

Forms & Resources
Printable forms and resources you need to work with your Largo pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Milwaukee

Pharmacy Phone: (800) 477-7221

Pharmacy FAX: (877) 723-4396

Your Milwaukee Pharmacy Team:

  • Pharmacy Director: Thomas Bartos
    [email protected]
    (502) 616-3965
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Paula Palmese
    [email protected]
    (414) 451-7096

 

Forms & Resources
Printable forms and resources you need to work with your Milwaukee pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Orlando

Pharmacy Phone: (407) 767-9010

Pharmacy FAX: (800) 999-2296

Your Orlando Pharmacy Team:

  • Pharmacy Director: Rumpa Akhter
    [email protected]
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Rahul Joshi
    [email protected]

 

Forms & Resources
Printable forms and resources you need to work with your Orlando pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


San Antonio

Pharmacy Phone: (210) 227-5262

Pharmacy FAX: (800) 227-2118

Your San Antonio Pharmacy Team:

  • Pharmacy Director: Daniel Krause
    [email protected]
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Megan Peikert
    [email protected]
    (737) 280-9590

 

Forms & Resources
Printable forms and resources you need to work with your San Antonio pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


Uniondale

Pharmacy Phone: (516) 536-0800

Pharmacy FAX: (844) 331-4156

Your Uniondale Pharmacy Team:

  • Pharmacy Director: Mark Brodsky
    [email protected]
    (917) 776-6349
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Dylan Holsworth
    [email protected]
    (640) 274-2715

 

Forms & Resources
Printable forms and resources you need to work with your Uniondale pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


Virginia Beach

Pharmacy Phone: (800) 371-9920

Pharmacy FAX: (866) 346-5413

Your Virginia Beach Pharmacy Team:

  • Pharmacy Director: Andrew Levy
    [email protected]
    (757) 472-8148
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Angela Alexander
    [email protected]
    (305) 206-9725

 

Forms & Resources
Printable forms and resources you need to work with your Virginia Beach pharmacy.

  • General Information Poster
  • Escalation Contact Chart
  • e-Script Card

 

 


 

Wallingford

Pharmacy Phone: (800) 282-4321

Pharmacy FAX: (800) 643-5093

Your Wallingford Pharmacy Team:

  • Pharmacy Director: Robert S. Zirlis
    [email protected]
    (203) 694-4193
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Cheryl Redman
    [email protected]
    (731) 434-7069

 

Forms & Resources
Printable forms and resources you need to work with your Wallingford pharmacy.

  • General Information Poster (GIP) – coming soon
  • Escalation Contact Chart
  • e-Script Card

 

 

 


 

Worthington

Pharmacy Phone: (888) 836-8920

Pharmacy FAX: (888) 836-8921

Your Worthington Pharmacy Team:

  • Pharmacy Director: Jessica Keck
    [email protected]
    (614) 774-4138
  • Account Director: Kelsey Haan
    [email protected]
    (269) 274-6910
  • Account Manager: Nick Ryall
    [email protected]
    (513) 375-5224

 

Forms & Resources
Printable forms and resources you need to work with your Worthington pharmacy.

  • General Information Poster (GIP)
  • Escalation Contact Chart
  • e-Script Card

 

Suggestions or questions about this page? Email us.
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