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2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Complete (PPO) Chapter 2: Important phone numbers and resources 58 State Pharmaceutical Assistance Programs – Contact Information Nevada | Nevada Senior/Disability Rx Program 1-866-303-6323 1860 E Sahara AVE Las Vegas, NV 89104 TTY 711 http://adsd.nv.gov/Programs/Seniors/SeniorRx/SrRxProg/ 8 a.m.-5 p.m. local time, Monday-Friday New York | New York State EPIC Program 1-800-332-3742 P.O. Box 15018 Albany, NY 12212-5018 TTY 1-800-290-9138 http://www.health.ny.gov/health_care/epic/ 8:30 a.m.-5 p.m. local time, Monday-Friday Pennsylvania | Pennsylvania PACE 1-800-225-7223 P.O. Box 8806 Harrisburg, PA 17105-8806 TTY 1-800-222-9004 https://pacecares.magellanhealth.com 8:30 a.m.-5 p.m. local time, Monday-Friday Rhode Island | Rhode Island Office of Healthy Aging 1-401-462-0560 25 Howard AVE, BLDG 57 Cranston, RI 02920 TTY 1-401-462-0740 https://oha.ri.gov/what-we-do/access/health-insurance-coaching/ 8:30 a.m.-4 p.m. local drug-cost-assistance time, Monday-Friday Texas | Texas HIV State Pharmaceutical Assistance Program 1-800-255-1090 (SPAP) TTY 711 P.O. Box 149347, MC 1873 Austin, TX 78714 8 a.m.-5 p.m. local time, https://www.dshs.state.tx.us/hivstd/meds/spap.shtm Monday-Friday Virginia | Virginia Medication Assistance Program (MAP) 1-855-362-0658 P.O. Box 2448 Richmond, VA 23218-2448 TTY 711 https://www.vdh.virginia.gov/disease-prevention/vamap/ 8 a.m.-5 p.m. local time, Monday-Friday Virgin Islands of the U.S. | US Virgin Islands Pharmaceutical 1-340-774-0930 Assistance Program TTY 711 1303 Hospital Ground, Knud Hansen Complex, BLDG A St. Thomas, VI 00802 http://www.dhs.gov.vi/seniors/pharmaceutical.html Vermont | Green Mountain Care Prescription Assistance 1-800-250-8427 Department of Vermont Health Access, 280 State DR Waterbury, TTY 711 VT 05671-1020 8 a.m.-5 p.m. local time, https://dvha.vermont.gov/members/prescription-assistance Monday-Friday

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