STATE FUND / EXPRESS SCRIPTS PPO LISTING

ANACONDA BUTTE (CONT.) FORT BENTON CVS MEDICAL ARTS PHARMACY BENTON PHARMACY STOKES PHARAMCY SAFEWAY PHARMACY THRIFTY DRUG THREE BEARS PHARMACY FRENCHTOWN WAL-MART GRANITE PHARMACY BAKER BAKER DRUG GARDINER CHESTER GARDINER PHARMACY BELGRADE LIBERTY DRUG /OSCO PHARMACY CHESTER DRUG GLASGOW LEE & DAD'S PHARMACY 5TH AVENUE PHARMACY CHINOOK PHARMACY BIG SKY CHINOOK PHARMACY WESTERN DRUG BOZEMAN DEACONESS PHARMACY CHOTEAU GLENDIVE BIG TIMBER CHOTEAU DRUG ALBERTSONS/OSCO PHARMACY COLE DRUG F & G PHARMACY COLUMBIA FALLS GABERT CLINIC PHARMACY BIGFORK GOOD MEDICINE PHARMACY BIGFORK DRUG PAMIDA PHARMACY GREAT FALLS SMITH'S FOOD & DRUG ALBERTSONS/OSCO PHARMACY BILLINGS VA SATELLITE PHARMACY ANDERSON FAMILY PHARMACY ALBERTSON'S CLINIC PHARMACY ALBERTSONS/OSCO PHARMACY COLUMBUS CVS ASPEN MEADOWS PHARMACY STILLWATER FAMILY PHARM KMART PHARMACY ATRIUM PHARMACY PHARMERICA COSTCO CONRAD PLAZA PHARMACY CVS OLSON'S DRUG PUBLIC DRUG COMPANY FIRST PHARMACY VILLAGE DRUG SAM'S CLUB JURO'S UNITED DRUG SHOPKO PHARMACY KMART PHARMACY CORVALLIS SMITH'S FOOD & DRUG PHARMACY 1 CORVALLIS DRUG SNYDER DRUG SAM'S CLUB WALGREENS SHOPKO PHARMACY CUT BANK WAL-MART TARGET PHARMACY ALBERTSONS/OSCO PHARMACY WALGREENS DRUGMART HAMILTON WAL-MART ALBERTSONS/OSCO PHARMACY DEER LODGE BITTERROOT DRUG BOULDER KEYSTONE DRUG HAMILTON PHARMACY & GIFTS ELKHORN PHARMACY SAFEWAY PHARMACY HEALTH CARE PLUS TIMBER RIDGE PHARMACY BOZEMAN DILLON WALGREENS ALBERTSONS/OSCO PHARMACY SAFEWAY PHARMACY KMART PHARMACY COSTCO SHOPKO PHARMACY CVS VAN'S PHARMCY HARDIN HIGHLAND PARK PHARMACY PHARMCARE OF HARDIN MEDICAL ARTS PHARMACY ENNIS PRICE RITE DRUG ENNIS PHARMACY HARLEM ROSAUERS PHARMACY MILK RIVER PHARMACY SAFEWAY PHARMACY EUREKA SMITH'S FOOD & DRUG EUREKA DRUG HARLOWTON WAL-MART WHEATLAND MEMORIAL PHARMACY WESTERN DRUG FAIRFIELD FAIRFIELD DRUG HAVRE BROADUS HEALTHMART PHARMACY LARRY'S IGA PHARMACY FLORENCE KMART PHARMACY FLORENCE PHARMACY NORTH NORTHERN MONTANA PHARMACY BUTTE WAL-MART BUTTE COMM HLTH CTR PHCY FORSYTH WESTERN DRUG PHARMACY CVS YELLOWSTONE PHARMACY DRISCOLL DRUG KMART PHARMACY H:\Copy of ESI PPO Pharmacy Listing 061015.xlsx Page 1 MONTANA STATE FUND / EXPRESS SCRIPTS PHARMACY PPO LISTING

HELENA MISSOULA (CONT.) SHERIDAN ALBERTSONS/OSCO PHARMACY COSTCO MAC'S CHC PHARMACY BERGUM/SOUTH HILLS DRUG CVS COSTCO GRANITE PHARMACY SIDNEY CVS KMART PHARMACY CLINIC PHARMACY KMART PHARMACY MISSOULA PHARMACY SHOPKO PHARMACY SAFEWAY PHARMACY PALMER'S DRUG WHITE DRUG SHOPKO PHARMACY PARTNERSHIP HEALTH CENTER ST PETER'S PHARMACY ROSAUERS PHARMACY STEVENSVILLE WALGREENS PINNACLE COMPOUNDING FAMILY PHARMACY WAL-MART SAVMOR DRUG RIDGEWAY PHARMACY SHOPKO PHARMACY VALLEY DRUG KALISPELL TARGET PHARMACY ALBERTSONS/OSCO PHARMACY UNIVERSITY OF MT HEALTH PHCY SUPERIOR COSTCO VILLAGE HEALTH CARE CENTER MINERAL PHARMACY EVERGREEN PHARMACY WALGREENS KMART PHARMACY WAL-MART THOMPSON FALLS MEDICAL ARTS PHARMACY DOUGS DRUG ROSAUERS PHARMACY PHILIPSBURG SHOPKO PHARMACY GRANITE PHARMACY THREE FORKS SMITH'S FOOD & DRUG RAILWAY DRUG SYKES PHARMACY PLAINS THE CLINICAL PHARMACY PLAINS DRUG TOWNSEND WALGREENS TOWNSEND DRUG WAL-MART PLENTYWOOD PLENTYWOOD DRUG TROY LAUREL KOOTENAI DRUG CVS POLSON GENE'S PHARMACY HEALTH CARE PLUS VICTOR WAL-MART SAFEWAY PHARMACY NORTH RIDGE HEALTHCARE ST JOSEPH'S PHARMACY LEWISTOWN WAL-MART WARM SPRINGS ALBERTSONS/OSCO PHARMACY WALGREENS MONTANA STATE HOSPITAL PHCY SHOPKO PHARMACY SEIDEN DRUG POPLAR WEST YELLOWSTONE POPLAR PHARMACY SILVERTIP PHARMACY LIBBY GRANITE PHARMACY RED LODGE LIBBY DRUG RED LODGE DRUG WHTE SULPHUR SPRINGS ROSAUERS PHARMACY CASTLE MOUNTAIN DRUG RONAN LIVINGSTON FAMILY HEALTH PHARMACY WHITEFISH ALBERTSONS/OSCO PHARMACY R&R HLTH CARE SOLUTIONS ALPINE RIDGE PHARMACY PAMIDA PHARMACY SAFEWAY PHARMACY WESTERN DRUG ROUNDUP WALGREENS SHOPKO PHARMACY WHITEFISH DISCOUNT PHARMACY LOLO GOOD MEDICINE PHARMACY LOLO DRUG SAINT IGNATIUS MISSION DRUG PHARMACY WHITEHALL MALTA WHITEHALL DRUG VALLEY DRUG SCOBEY SERVICE DRUG WOLF POINT MILES CITY NE MONTANA HLTH SVCS PHCY ALBERTSONS/OSCO PHARMACY SEELEY LAKE WOLF POINT IDE PHARMACY BIG SKY PHARMACY SEELEY SWAN PHARMACY HOLY ROSARY HC PHCY HEALTH CARE PLUS WAL-MART SHELBY MISSOULA NORTHTOWN DRUG ALBERTSONS/OSCO PHARMACY SHOPKO PHARMACY BROADWAY PHARMACY COMM MED CTR RX H:\Copy of ESI PPO Pharmacy Listing 061015.xlsx Page 2