Pharmacies Participating in 90-Day Extended Network

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Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

City Name Address 1 Zip Code Phone 24-Hour Chain Name ABBEVILLE ABBEVILLE DISCOUNT DRUGS 201 W MAIN ST 310011213 229 467-2221 N LEADER DRUG STORES INC ACWORTH CVS PHARMACY 4595 HWY 92 30102 770 529-9712 N CVS PHARMACY INC ACWORTH CVS PHARMACY 3513 BAKER RD STE 500 30101 770 917-0408 N CVS PHARMACY INC ACWORTH DOLLAR PRESCRIPTION SHOP TOO 2151 CEDARCREST RD 30101 770 672-0846 N THIRD PARTY STATION CP ACWORTH ELDERCARE PHARMACY 4769 S MAIN ST 30101 770 974-4277 N MHA LONG TERM CARE NETWORK ACWORTH KROGER PHARMACY 6199 HIGHWAY 92 30102 770 924-9105 N THE KROGER CO ACWORTH KROGER PHARMACY 1720 MARS HILL RD 30101 770 419-5495 N THE KROGER CO ACWORTH KROGER PHARMACY 3330 COBB PARKWAY 30101 770 975-8776 N THE KROGER CO ACWORTH LACEY DRUG COMPANY 4797 S MAIN ST 301015392 770 974-3131 N ELEVATE PROVIDER NETWORK ACWORTH LACEYS LTC PHCY 4469 LEMON ST 30101 678 236-0400 N GERIMED LTC NETWORK INC ACWORTH PUBLIX PHARMACY #0566 1727 MARS HILL RD 30101 770 218-2426 N PUBLIX SUPER MARKETS INC ACWORTH PUBLIX PHARMACY #0593 3507 BAKER ROAD SUITE 300 30101 770 917-0218 N PUBLIX SUPER MARKETS INC ACWORTH PUBLIX PHARMACY #1096 6110 CEDARCREST ROAD NW 30101 678 439-3446 N PUBLIX SUPER MARKETS INC ACWORTH RED CARPET PHARMACY 3450 COBB PKWY NW STE 110 301018351 770 529-9277 N LEADER DRUG STORES INC ACWORTH RITE AID PHARMACY 11732 3245 COBB PARKWAY 30101 770 974-0936 N RITE AID CORPORATION ACWORTH RITE AID PHARMACY 11733 1775 MARS HILL ROAD 30101 770 919-0882 N RITE AID CORPORATION ACWORTH RITE AID PHARMACY 11734 4890 CHEROKEE ST 30101 678 574-8095 N RITE AID CORPORATION ACWORTH RITE AID PHARMACY 11735 4486 COBB PARKWAY 30101 678 574-7044 N RITE AID CORPORATION ACWORTH TARGET PHARMACY 3378 COBB PKWY NW 30101 678 202-0997 N TARGET PHARMACIES ACWORTH WALGREENS #6461 1762 MARS HILL RD NW 30101 770 424-2177 N WALGREENS DRUG STORE ACWORTH WALGREENS #7338 6090 LAKE ACWORTH DRIVE NW 30101 770 966-1230 N WALGREENS DRUG STORE ACWORTH WAL-MART PHARMACY 10-3748 3826 COBB PKWY NW 301014022 770 966-1366 N WALMART STORES INC ACWORTH WELLSTAR PHARMACY NETWORK #7 4550 COBB PARKWAY NW 30101 470 956-0005 N ACCESSHEALTH PLUS ADAIRSVILLE ADAIRSVILLE DRUG 6000 JOE FRANK HARRIS PKY 30103 770 773-3521 N PPOK RXSELECT PHCY NETWORK ADEL HARVEYS SUPERMARKET 400 W 4TH ST 31620 229 896-4391 N BI LO LLC ADEL RITE AID PHARMACY 01673 715 W FOURTH ST 316202607 229 896-2300 N RITE AID CORPORATION ADEL U SAVE IT PHARMACY - ADEL 714 W 4TH ST 316202656 229 896-1602 N EPIC PHARMACY NETWORK INC ALBANY CAREPOINT PARTNERS 426 W 2ND AVE 31701 229 432-5830 N HOME CHOICE PARTNERS INC ALBANY CVS PHARMACY 609 N WESTOVER BLVD 31707 229 439-2554 N CVS PHARMACY INC ALBANY CVS PHARMACY 1509 RADIUM SPRINGS RD 31705 229 439-2248 N CVS PHARMACY INC ALBANY FREDS PHARMACY 1001 N SLAPPEY BLVD 31701 229 883-1879 N FREDS PHARMACY Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ALBANY FRED'S PHARMACY 1705 PHILEMA RD S 317014706 229 446-4290 N FREDS PHARMACY ALBANY HARVEYS SUPERMARKET 2800 OLD DAWSON RD 31707 229 888-3530 N WINN DIXIE PHARMACY ALBANY KMART PHARMACY3219 2525 DAWSON RD 31708 229 435-5646 N K MART PHARMACY ALBANY MEDI SAVE PHARMACY 800 S SLAPPEY BLVD 317012616 229 435-1306 N ELEVATE PROVIDER NETWORK ALBANY PHILLIPS PHARMACY 523 7TH AVE 317011921 229 432-1203 N EPIC PHARMACY NETWORK INC ALBANY PUBLIX PHARMACY #0450 2715 DAWSON RD 31707 229 431-2890 N PUBLIX SUPER MARKETS INC ALBANY QOL MEDS 601 W ELEVENTH AVE 31701 229 430-6070 N MHA LONG TERM CARE NETWORK ALBANY RITE AID PHARMACY 11854 300 S SLAPPEY BOULEVARD 31701 229 435-7115 N RITE AID CORPORATION ALBANY RITE AID PHARMACY 11855 2425 N SLAPPEY BOULEVARD 31701 229 883-5047 N RITE AID CORPORATION ALBANY RITE AID PHARMACY 11856 2400 SYLVESTER ROAD 31705 229 435-7168 N RITE AID CORPORATION ALBANY RITE AID PHARMACY 11857 2400 DAWSON ROAD 31707 229 432-0389 N RITE AID CORPORATION ALBANY SAMS PHARMACY 10-6506 1201 N WESTOVER BLVD 31707 229 888-3400 N WALMART STORES INC ALBANY THE PRESCRIPTION SHOPPE 610 N SLAPPEY BLVD 31701 229 434-1414 N ELEVATE PROVIDER NETWORK ALBANY U SAVE IT PHARMACY 400 N JEFFERSON ST 31701 229 435-8351 N EPIC PHARMACY NETWORK INC ALBANY U SAVE IT PHARMACY 1315 DAWSON RD 31707 229 436-1518 N EPIC PHARMACY NETWORK INC ALBANY U SAVE IT PHARMACY 2112 PALMYRA RD 317011320 229 439-4939 N EPIC PHARMACY NETWORK INC ALBANY U SAVE IT PHARMACY NW 2624 MEREDYTH DR 317070206 229 435-2328 N EPIC PHARMACY NETWORK INC ALBANY U SAVE IT PHARMACY SOUTH ALBANY 1310 NEWTON ROAD 317013480 229 435-5199 N EPIC PHARMACY NETWORK INC ALBANY WALGREENS 2200 E OGLETHORPE BLVD 317052940 229 432-2895 N WALGREENS DRUG STORE ALBANY WALGREENS #10796 2414 SYLVESTER RD 317052469 229 430-9119 N WALGREENS DRUG STORE ALBANY WALGREENS #10797 300 N SLAPPEY BLVD 317011406 229 430-5541 N WALGREENS DRUG STORE ALBANY WALGREENS #6201 2351 DAWSON RD 31707 229 888-6166 N WALGREENS DRUG STORE ALBANY WAL-MART PHARMACY 10-0588 2825 LEDO ROAD 31707 229 889-9923 N WALMART STORES INC ALBANY WAL-MART PHARMACY 10-2801 108 S WESTOVER BLVD 317070604 229 405-6805 N WALMART STORES INC ALBANY WALMART PHARMACY 10-4517 2586 N SLAPPEY BLVD 317011012 229 405-7029 N WALMART STORES INC ALBANY WAL-MART PHARMACY 10-5797 262 CORDELE RD 317052407 229 352-9459 N WALMART STORES INC ALMA ALMA DISCOUNT PHARMACY INC 442 W 12TH ST 315102142 912 632-4267 N THIRD PARTY STATION CP ALMA BACON COUNTY HOSPITAL PHARMACY 302 S WAYNE ST 315100987 912 632-8961 N GERIMED LTC NETWORK INC ALMA LAMARS PHARMACY 905 S PIERCE ST 315103528 912 632-8925 THIRD PARTY STATION CP ALMA RITE AID PHARMACY 03767 701 S PIERCE ST 315103217 912 632-6715 N RITE AID CORPORATION ALMA WALMART PHARMACY 10-4229 1041 S US HIGHWAY 1 31510 912 632-4016 N WALMART STORES INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ALPHARETTA ADVANCED SPINE & PAIN INTERVENTIONS 12389 CRABAPPLE RD 300046328 470 299-1998 N ALPHARETTA CVS PHARMACY 5740 ATLANTA HWY 30004 678 366-7954 N CVS PHARMACY INC ALPHARETTA CVS PHARMACY 3020 WINDWARD PLZ 30005 770 475-3638 N CVS PHARMACY INC ALPHARETTA CVS PHARMACY 10710 STATE BRIDGE RD 30022 770 346-8432 N CVS PHARMACY INC ALPHARETTA CVS PHARMACY 11625 JONES BRIDGE RD 300052539 770 752-4642 N CVS PHARMACY INC ALPHARETTA CVS PHARMACY 9920 JONES BRIDGE RD 30022 770 410-1755 N CVS PHARMACY INC ALPHARETTA CVS PHARMACY 8430 HOLCOMB BRIDGE RD 30022 770 640-6576 N CVS PHARMACY INC ALPHARETTA CVS PHARMACY 184 N MAIN ST 300093623 678 297-1089 N CVS PHARMACY INC ALPHARETTA EHI PHARMACY SOLUTIONS LLC ALPHARETTA 3506 OLD MILTON PKWY 300054458 678 867-7053 N VANTAGE RX DISPENSING SERVICES LLC ALPHARETTA KROGER PHARMACY 12870 STATE HIGHWAY 9 30004 770 772-0699 N THE KROGER CO ALPHARETTA KROGER PHARMACY 3000 OLD ALABAMA ROAD 30022 770 751-7388 N THE KROGER CO ALPHARETTA KROGER PHARMACY 11877 DOUGLAS ROAD 30005 770 751-3651 N THE KROGER CO ALPHARETTA KROGER PHARMACY 10945 STATE BRIDGE RD 30022 770 751-3010 N THE KROGER CO ALPHARETTA KROGER PHARMACY 12460 CRABAPPLE ROAD 30004 770 740-2060 Y THE KROGER CO ALPHARETTA KROGER PHARMACY 5665 GEORGIA HIGHWAY 9 30004 770 752-5388 N THE KROGER CO ALPHARETTA NORTH FULTON PHARMACY 11775 NORTHFALL LN 300097978 770 751-7575 N THIRD PARTY STATION ALPHARETTA NORTHSIDE ALPHARETTA PHARMACY 3400 A OLD MILTON PKWY 30005 770 667-4023 THIRD PARTY STATION ALPHARETTA PUBLIX PHARMACY #0469 9925 HAYNES BRIDGE RD 30022 770 751-7986 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #0515 11585 JONES BRIDGE RD 30022 770 751-4586 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #0556 11800 HAYNES BRIDGE RD 30004 770 752-4966 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #0616 4900 HIGHWAY 9 30004 770 754-4327 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #0721 4305 STATE BRIDGE ROAD 300224471 770 751-7997 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #0762 13800 N HIGHWAY 9 SUITE E 30004 770 751-1625 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #1019 270 RUCKER ROAD 30004 770 360-5668 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #1060 980 BIRMINGHAM RD 30004 770 751-5549 N PUBLIX SUPER MARKETS INC ALPHARETTA PUBLIX PHARMACY #1089 5180 MCGINNIS FERRY ROAD 30005 770 360-1030 N PUBLIX SUPER MARKETS INC ALPHARETTA RITE AID PHARMACY 11676 142 S MAIN ST 30004 770 752-9011 N RITE AID CORPORATION ALPHARETTA RITE AID PHARMACY 11677 12155 HOUZE ROAD 30004 678 762-1429 N RITE AID CORPORATION ALPHARETTA RITE AID PHARMACY 11678 4830 HIGHWAY 9 NORTH 30004 770 777-0589 N RITE AID CORPORATION ALPHARETTA RITE AID PHARMACY 11679 4975 WINDWARD PARKWAY 30004 678 366-0472 N RITE AID CORPORATION ALPHARETTA RITE AID PHARMACY 11680 11855 JONES BRIDGE ROAD 30005 770 521-1292 N RITE AID CORPORATION Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ALPHARETTA RITE AID PHARMACY 11687 3719 OLD ALABAMA ROAD 30022 770 475-8100 N RITE AID CORPORATION ALPHARETTA SAMS PHARMACY 10-6646 10600 DAVIS DRIVE 30004 770 992-1211 N WALMART STORES INC ALPHARETTA TARGET PHARMACY 2600 HOLCOMB BRIDGE RD 300225305 678 775-7621 N TARGET PHARMACIES ALPHARETTA TARGET PHARMACY 6000 N POINT PKWY 30022 770 521-1788 N TARGET PHARMACIES ALPHARETTA WALGREENS 12305 CRABAPPLE RD 30004 678 393-9858 N WALGREENS DRUG STORE ALPHARETTA WALGREENS #5760 3003 OLD ALABAMA RD 30022 678 566-3284 N WALGREENS DRUG STORE ALPHARETTA WALGREENS #5903 4395 KIMBALL BRIDGE RD 30022 678 566-0422 N WALGREENS DRUG STORE ALPHARETTA WALGREENS #6999 173 S MAIN ST 30004 678 297-9178 N WALGREENS DRUG STORE ALPHARETTA WALGREENS #9451 5510 WINDWARD PKWY 30004 678 366-2118 N WALGREENS DRUG STORE ALPHARETTA WAL-MART PHARMACY 10-2941 5200 WINDWARD PARKWAY 30004 770 777-5832 N WALMART STORES INC ALPHARETTA WAL-MART PHARMACY 10-3186 11770 HAYNES BRIDGE RD 300091966 678 259-2518 N WALMART STORES INC ALPHARETTA WAL-MART PHARMACY 10-4436 5455 ATLANTA HWY 300042928 770 475-4011 N WALMART STORES INC ALTANTA WALGREENS #10422 3658 ROSWELL RD NE 30342 404 816-8464 N WALGREENS DRUG STORE ALTANTA WALGREENS #9620 3800 PRINCETON LAKES PKWY SW 303315580 404 344-5158 Y WALGREENS DRUG STORE AMERICUS CLINIC DRUG 1001 E FORSYTH ST 31709 229 924-2783 N ACCESSHEALTH AMERICUS CVS PHARMACY 1036 E FORSYTH ST 31709 229 924-6916 N CVS PHARMACY INC AMERICUS DOCTORS PHARMACY 611 E LAMAR ST STE B 31709 229 928-9010 N PPOK RXSELECT PHCY NETWORK AMERICUS FOOD LION PHARMACY 107 PRINCE ST 31709 229 931-6312 N FOOD LION LLC AMERICUS HARVEYS SUPERMARKET 1208 CRAWFORD ST 31709 229 931-0271 N WINN DIXIE PHARMACY AMERICUS MIDDLE FLINT BEHAVIORAL HLTH PHCY 415 N JACKSON ST 31709 229 931-2470 N AMERICUS RITE AID PHARMACY 11858 1442 E LAMAR ST 31709 229 924-2641 N RITE AID CORPORATION AMERICUS WALGREENS #11106 733 E FORSYTH ST 317093718 229 924-6670 N WALGREENS DRUG STORE AMERICUS WAL-MART PHARMACY 10-0758 1711 E LAMAR ST 31709 229 924-0121 N WALMART STORES INC ARLINGTON ARLINGTON REXALL PHARMACY 84 MAXWELL ST 398130506 229 725-4212 N ELEVATE PROVIDER NETWORK ARLINGTON HARRIS PHARMACY 465 NW PIONEER RD 39813 229 725-4911 N ELEVATE PROVIDER NETWORK ASHBURN R AND M CASH DRUGS 362 E WASHINGTON AVE 317141244 229 567-2393 N THIRD PARTY STATION CP ASHBURN RITE AID PHARMACY 01915 650 E WASHINGTON AVE 317145316 229 567-3007 N RITE AID CORPORATION ASHBURN WALMART PHARMACY 10-4234 155 W WASHINGTON AVE 317145756 229 567-0284 N WALMART STORES INC ATHENS ADD DRUG 1695 S LUMPKIN ST 306064798 706 548-2239 N ELEVATE PROVIDER NETWORK ATHENS ATHENS INFUSION AND PHCY 1135 CEDAR SHOALS DR 30605 706 369-0583 N THIRD PARTY STATION ATHENS ATHENS NEIGHBORHOOD PHARMACY 402 MCKINLEY DR 306013261 706 850-8057 N THIRD PARTY STATION CP Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ATHENS ATHENS REGIONAL PHARMACY 1199 PRINCE AVE 306062797 706 475-1920 N MAXORXPRESS ATHENS BUY WISE DRUGS INC 740 N CHASE ST 306011908 706 353-7847 N THIRD PARTY STATION CP ATHENS CVS PHARMACY 196 ALPS RD STE 20 B 30606 706 369-3490 N CVS PHARMACY INC ATHENS CVS PHARMACY 395 N AVE 306012255 706 546-6627 N CVS PHARMACY INC ATHENS CVS PHARMACY 4044 LEXINGTON RD 30605 706 546-7903 N CVS PHARMACY INC ATHENS CVS PHARMACY # 3595 ATLANTA HWY 30606 706 549-8985 N CVS PHARMACY INC ATHENS CVS PHARMACY # 05704 795 OGLETHORPE AVE 306062242 706 549-6838 N CVS PHARMACY INC ATHENS HAWTHORNE DRUG COMPANY 975 HAWTHORNE AVE 306062139 706 548-5227 N ELEVATE PROVIDER NETWORK ATHENS HORTONS DRUG STORE 101 E CLAYTON ST 306012789 706 543-3454 N AMERICAN PHARMACY NETWORK SOLUTIONS ATHENS KROGER PHARMACY 2301 COLLEGE STATION ROAD 30605 706 353-6882 Y THE KROGER CO ATHENS KROGER PHARMACY 191 ALPS ROAD 30606 706 543-3553 N THE KROGER CO ATHENS KROGER PHARMACY 1720 EPPS BRIDGE ROAD 30606 706 583-8911 N THE KROGER CO ATHENS KROGER PHARMACY #618 700 HIGHWAY 29 N 306011544 706 715-3740 N THE KROGER CO ATHENS PUBLIX PHARMACY #0451 3620 ATLANTA HWY 30606 706 208-3706 N PUBLIX SUPER MARKETS INC ATHENS PUBLIX PHARMACY #1146 1860 BARNETT SHOALS ROAD 30605 706 227-6265 N PUBLIX SUPER MARKETS INC ATHENS REDDY URGENT CARE LLC 1061 DOWDY RD, STE 101 30606 706 621-7575 N A S MEDICATION SOLUTIONS LLC ATHENS RITE AID PHARMACY 11820 1850 BARNETT SHOALS ROAD 30605 706 549-3820 N RITE AID CORPORATION ATHENS RITE AID PHARMACY 11822 1190 PRINCE AVE 30606 706 543-3327 N RITE AID CORPORATION ATHENS RITE AID PHARMACY 11823 2435 JEFFERSON ROAD 30607 706 549-8598 N RITE AID CORPORATION ATHENS TARGET PHARMACY 3065 ATLANTA HWY 30606 706 548-8656 N TARGET PHARMACIES ATHENS UNIVERSITY CANCER & BLOOD LLC 3320 OLD JEFFERSON RD 30607 706 353-4344 N ELEVATE PROVIDER NETWORK ATHENS WALGREENS 3355 LEXINGTON RD 306052450 706 765-2000 N WALGREENS DRUG STORE ATHENS WALGREENS #7134 110 HAWTHORNE AVE 30606 706 543-2951 N WALGREENS DRUG STORE ATHENS WAL-MART PHARMACY 10-1400 1911 EPPS BRIDGE PKWY 30606 706 549-0236 N WALMART STORES INC ATHENS WAL-MART PHARMACY 10-2811 4375 LEXINGTON ROAD 30605 706 355-3090 N WALMART STORES INC ATHENS WALMART PHARMACY 10-5267 3130 ATLANTA HWY 306066977 706 715-6236 N WALMART STORES INC ATLANTA ALLIANCE COMMUNITY PHARMACY 1529 PIEDMONT AVE NE STE C 303245000 404 461-9105 N ELEVATE PROVIDER NETWORK ATLANTA 2441 CHESHIRE BRIDGE RD NE STE- ANDOTE PHARMACY 130 303243760 404 487-0051 N ACCESSHEALTH PLUS ATLANTA ASA YANCEY HEALTH CENTER 1247 DONALD LEE HOLLOWELL PHARMACY PKWY NW 30318 404 616-9951 N ACCESSHEALTH PLUS ATLANTA 5670 PEACHTREE DUNWOODY RD ATLANTA CANCER CARE STE 1100 30342 404 851-2368 THIRD PARTY STATION ATLANTA ATLANTA MEDICAL CLINIC L L C 1801 PEACHTREE ST NE STE 250 303091881 404 872-8837 N EMEDRX SOLUTIONS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ATLANTA ATLANTA UROLOGICAL GROUP 285 BOULEVARD NE STE 215 303124220 404 524-3082 N VANTAGE RX DISPENSING SERVICES LLC ATLANTA BARNES HEALTHCARE SERVICES 2030 POWERS FERRY RD SE STE 325 303392823 678 627-0077 N ELEVATE PROVIDER NETWORK ATLANTA BRIARCLIFF PHARMACY INC 2724 CLAIRMONT RD NE 30329 404 728-0092 N ACCESSHEALTH PLUS ATLANTA BUDD TERRACE PHARMACY 1833 CLIFTON RD NE 30329 404 728-6807 N MHA LONG TERM CARE NETWORK ATLANTA CARECENTER PHARMACY LLC 133 PEACHTREE ST NE 30303 404 522-6330 N CVS PHARMACY INC ATLANTA SSC BLDG C, FLR 2, 2455 PACES CARECENTER PHARMACY LLC FERRY RD, NW 30339 770 433-2722 N CVS PHARMACY INC ATLANTA CAREPLUS CVS PHARMACY 560 AMSTERDAM AVE STE E 30306 404 892-9131 N PROCARE PHARMACY LLC ATLANTA CAREPLUS CVS/PHARMACY #10625 1 COCA COLA PLZ NW APT NM 303132420 401 765-1500 N CVS PHARMACY INC ATLANTA COLLIERS PERSONAL CARE PHARMACY 5 DUNWOODY PARK 30338 678 441-0045 N GERIMED LTC NETWORK INC ATLANTA COMMUNITY, A WALGREENS PHARMACY 1874 PIEDMONT AVE NE STE 100A 30324 404 733-6800 N WALGREENS DRUG STORE ATLANTA CONCORD DRUGS 5505 PEACHTREE DUNWOODY RD 303421797 404 250-9656 N ACCESSHEALTH ATLANTA 5555 PEACHTREE DUNWOODY RD CONCORD DRUGS NE 303421710 404 252-3607 N ACCESSHEALTH ATLANTA CONCORD DRUGS 960 JOHNSON FERRY RD NE 303421601 404 252-2280 N ACCESSHEALTH ATLANTA CONCORD DRUGS 550 PEACHTREE ST NE 303082225 404 523-4908 N ACCESSHEALTH ATLANTA CVS PHARMACY 520 BLVD SE 30312 404 624-0022 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2910 BUFORD HWY 30329 404 325-2735 N CVS PHARMACY INC ATLANTA CVS PHARMACY 3637 PEACHTREE RD NE 30319 404 926-3541 N CVS PHARMACY INC ATLANTA CVS PHARMACY 865 N HIGHLAND AVE NE 30306 404 733-6089 N CVS PHARMACY INC ATLANTA CVS PHARMACY 3030 HEADLAND DRIVE 30311 404 346-1423 N CVS PHARMACY INC ATLANTA CVS PHARMACY 3439 ASHFORD DUNWOODY RD 30319 770 216-8605 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2830 N DRUID HILLS RD NE 30329 404 679-4666 Y CVS PHARMACY INC ATLANTA CVS PHARMACY 2237 CASCADE RD SW 30311 404 756-5591 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2350 CHESHIRE BRIDGE RD 30324 404 486-7289 N CVS PHARMACY INC ATLANTA CVS PHARMACY 3788 ROSWELL RD NE 30342 404 261-6525 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2720 METROPOLITAN AVE 30315 404 761-0375 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2014 POWERS FERRY RD NW 30339 770 612-0958 N CVS PHARMACY INC ATLANTA CVS PHARMACY 4300 PACES FERRY RD SE STE 170 30339 770 433-9437 N CVS PHARMACY INC ATLANTA CVS PHARMACY 1943 PEACHTREE RD 30309 404 351-4932 N CVS PHARMACY INC ATLANTA CVS PHARMACY 3615 CLAIRMONT RD 30319 404 320-6658 N CVS PHARMACY INC ATLANTA CVS PHARMACY 895 RALPH ABERNATHY BLVD 30310 404 755-1511 Y CVS PHARMACY INC ATLANTA CVS PHARMACY 3401 NSIDE PKWY NW 30327 404 261-7123 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ATLANTA CVS PHARMACY 5815 CAMPBELLTRON RD 30331 404 346-4164 N CVS PHARMACY INC ATLANTA CVS PHARMACY 1455 MORELAND AVE 30316 404 622-1819 N CVS PHARMACY INC ATLANTA CVS PHARMACY 439 HIGHLAND AVE NE 30312 404 230-9385 N CVS PHARMACY INC ATLANTA CVS PHARMACY 6370 POWERS FERRY RD 30339 770 955-1813 N CVS PHARMACY INC ATLANTA CVS PHARMACY 1554 N DECATUR RD 30307 404 373-4534 N CVS PHARMACY INC ATLANTA CVS PHARMACY 12 J BROAD ST SW 30303 404 681-1976 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2429 MARTIN LUTHER KING JR DR 30311 404 691-3344 N CVS PHARMACY INC ATLANTA CVS PHARMACY 842 PEACHTREE ST NE 30308 404 892-8468 N CVS PHARMACY INC ATLANTA CVS PHARMACY 1610 MT VERNON RD STE100 30338 770 671-2797 N CVS PHARMACY INC ATLANTA CVS PHARMACY 2555 BOLTON RD NW 30318 404 355-8855 N CVS PHARMACY INC ATLANTA CVS PHARMACY 1544 PIEDMONT AVE NE 30324 404 892-0074 N CVS PHARMACY INC ATLANTA CVS PHARMACY # 1520 AVE PL STE B-100 303294015 404 639-5575 N CVS PHARMACY INC ATLANTA CVS PHARMACY # 03878 680 PONCE DE LEON AVE NE 303081808 404 892-1164 N CVS PHARMACY INC ATLANTA CVS PHARMACY # 05731 3221 PEACHTREE ROAD NE 303052414 404 869-3308 N CVS PHARMACY INC ATLANTA CVS PHARMACY # 10043 235 PEACHTREE ST NE 303031401 404 577-4054 N CVS PHARMACY INC ATLANTA DELTA EMPLOYEE CARE PHARMACY 1050 DELTA BLVD 303541989 404 305-9062 N WALGREENS DRUG STORE ATLANTA EASTLAKE PHARMACY 1308 GLENWOOD AVE SE 30316 404 968-9332 N ACCESSHEALTH PLUS ATLANTA EHI PHARMACY SOLUTIONS LLC 550 PEACHTREE ST NE # 1960 303082247 404 589-1330 N VANTAGE RX DISPENSING SERVICES LLC ATLANTA EHI PHARMACY SOLUTIONS LLC COLLIER 35 COLLIER RD NW STE 650 303091611 404 446-1890 N VANTAGE RX DISPENSING SERVICES LLC ATLANTA EHI PHARMACY SOLUTIONS LLC PERIMETER 5445 MERIDIAN MARKS RD 303424763 404 237-3668 N VANTAGE RX DISPENSING SERVICES LLC ATLANTA EHI PHARMACY SOLUTIONS LLC TUCKER 2295 PARKLAKE DR NE STE 150 303452825 770 938-5974 N VANTAGE RX DISPENSING SERVICES LLC ATLANTA ENCOMPASS RX, LLC 1190 W DRUID HILLS DR NE STE 135 303292121 404 367-9111 N ATLANTA EXPRESS DRUGS 212 EDGEWOOD AVE 30303 404 688-2211 N ATLANTA EXPRESS FOOD & PHARMACY 50 UPPER ALABAMA ST SW STE 92 303033105 404 818-0075 N ELEVATE PROVIDER NETWORK ATLANTA EXPRESS FOOD AND PHARMACY 2111 CAMPBELLTON RD SW 303114605 404 755-4232 N ELEVATE PROVIDER NETWORK ATLANTA EZ MED PHARMACY 199 HILDERBRAND DR 30328 404 781-1800 N GERIMED LTC NETWORK INC ATLANTA FORWARD WEST PROFESSIONAL PHCY 2600 MARTIN L KING JR DR NW 303111636 404 696-8330 N ATLANTA GRADY BEHAVIORAL HEALTH CENTER PHARMACY 10 PARK PLACE SE 30303 404 616-0888 N ATLANTA GRADY HEALTH SYSTEM - SENIOR CARE PHARMA 80 JESSE HILL JR DR SE 303033031 404 616-5079 N ATLANTA GRADY INFECTIOUS DISEASE PHARMACY 341 PONCE DE LEON AVE 30308 404 616-2466 N Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

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AUGUSTA RITE AID PHARMACY 11832 1505 WALTON WAY 30901 706 828-3113 N RITE AID CORPORATION AUGUSTA RITE AID PHARMACY 11834 2803 WRIGHTSBORO ROAD 30909 706 733-4414 N RITE AID CORPORATION AUGUSTA RITE AID PHARMACY 11836 3650 WHEELER ROAD 30909 706 210-7991 N RITE AID CORPORATION AUGUSTA SAMS PHARMACY 10-8115 596 BOBBY JONES EXPRESSWAY 30907 706 863-9693 N WALMART STORES INC AUGUSTA SUMMERVILLE PHARMACY 2839 CENTRAL AVE 309093904 706 481-7140 N THIRD PARTY STATION CP AUGUSTA SURREY CENTER PHARMACY 483 HIGHLAND AVE 309093798 706 738-4558 N ACCESSHEALTH PLUS AUGUSTA TARGET PHARMACY 235 ROBERT C DANIEL JR PKWY 30909 706 667-6368 N TARGET PHARMACIES AUGUSTA WALGREENS 2744 WASHINGTON RD 309092218 706 733-4277 N WALGREENS DRUG STORE AUGUSTA WALGREENS #6632 3204 PEACH ORCHARD RD 30906 706 796-7240 Y WALGREENS DRUG STORE AUGUSTA WALGREENS #9789 3228 WRIGHTSBORO RD 309092937 706 733-3715 N WALGREENS DRUG STORE AUGUSTA WAL-MART PHARMACY 10-1227 260 BOBBY JONES EXPRESSWAY 30907 706 860-0699 N WALMART STORES INC AUGUSTA WAL-MART PHARMACY 10-1293 3209 DEANS BRIDGE RD 30906 706 796-7754 N WALMART STORES INC AUGUSTA WAL-MART PHARMACY 10-4144 3338 WRIGHTSBORO RD 309092811 706 941-5328 N WALMART STORES INC AUGUSTA WALMART PHARMACY 10-4206 300 S BELAIR RD 30907 706 941-5927 N WALMART STORES INC AUSTELL ADVANCED RX PHARMACY 034 3870 MEDICAL PARK DR 301061110 678 564-2233 N ELEVATE PROVIDER NETWORK AUSTELL CONCORD PHARMACY 1700 HOSPITAL S DR 30106 770 819-1584 N ACCESSHEALTH PLUS AUSTELL CVS PHARMACY 800 E W CONNECTOR 30106 770 438-1680 N CVS PHARMACY INC AUSTELL EHI PHARMACY SOLUTIONS LLC 3825 MEDICAL PARK DR STE 200 301066831 770 745-5101 N VANTAGE RX DISPENSING SERVICES LLC AUSTELL PHYSICIANS PHARMACY 3875 AUSTELL RD 30106 770 944-9101 N AUSTELL PRESBYTERIAN VILLAGE PHARMACY 2000 E W CONNECTOR 30106 770 819-7001 N MHA LONG TERM CARE NETWORK AUSTELL RELIABLE PHARMACY 3999 AUSTELL RD STE 903 301061160 770 819-0032 N ACCESSHEALTH PLUS AUSTELL RITE AID PHARMACY 11736 4930 AUSTELL ROAD 30106 770 941-2645 N RITE AID CORPORATION AUSTELL TARGET PHARMACY 4125 AUSTELL ROAD 30106 678 945-4530 N TARGET PHARMACIES AUSTELL THOMAS DRUGS 2704 JEFFERSON ST 30168 770 944-3100 N AMERICAN PHARMACY NETWORK SOLUTIONS AUSTELL WALGREENS #5811 4120 AUSTELL ROAD 30106 770 941-2918 N WALGREENS DRUG STORE AUSTELL WAL-MART PHARMACY 10-1586 1133 E W CONNECTOR 301061779 770 863-9500 N WALMART STORES INC AUSTELL WELLSTAR PHARMACY NETWORK 3950 AUSTELL RD 30106 470 732-2111 N ACCESSHEALTH PLUS BAINBRIDGE BAINBRIDGE PHARMACY INC 1420 EVANS ST 39819 229 246-7200 N ELEVATE PROVIDER NETWORK BAINBRIDGE CVS PHARMACY 817 E SHOTWELL ST 398194145 229 243-0374 N CVS PHARMACY INC BAINBRIDGE GRIMSLEY PHARMACY CENTER 1508 E EVANS ST 39819 229 246-7733 N LEADER DRUG STORES INC BAINBRIDGE RX DRUG CENTER 1205 E SHOTWELL ST 39819 229 246-1000 N ELEVATE PROVIDER NETWORK BAINBRIDGE WALGREENS #10831 1410 E SHOTWELL ST 398194254 229 246-1441 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

BAINBRIDGE WAL-MART PHARMACY 10-5422 500 E ALICE ST 39819 229 246-9551 N WALMART STORES INC BAINBRIDGE WINN DIXIE 915 E SHOTWELL ST 39819 229 246-5594 N WINN DIXIE PHARMACY BALDWIN MEDICINE SHOPPE PHARMACY 1667 WILLINGHAM AVE 30511 706 778-7174 N MEDICINE SHOPPE INTERNATIONAL INC BARNESVILLE CVS PHARMACY 622 VETERANS PARKWAY 30204 770 358-4600 N CVS PHARMACY INC BARNESVILLE HINES PRESCRIPTION SHOP 302 COLLEGE DR 30204 770 358-2266 N THIRD PARTY STATION CP BARNESVILLE WALGREENS #11222 597 S HWY 341 30204 770 872-3924 N WALGREENS DRUG STORE BAXLEY ABUNDANT LIFE PHARMACY AND HEALTH FOODS INC 395 W PARKER ST 31513 912 367-8404 N EPIC PHARMACY NETWORK INC BAXLEY BARNES PHARMACY 694 S MAIN ST 31513 912 367-7708 N LEADER DRUG STORES INC BAXLEY CVS PHARMACY 19 E PARKER ST 31513 912 367-7024 N CVS PHARMACY INC BAXLEY FULGHUM DRUGS INC 34 PARK AVE NW 31513 912 367-2488 N THIRD PARTY STATION CP BAXLEY STANS PHARMACY 438 W PARKER ST 31513 912 367-1155 N ACCESSHEALTH PLUS BAXLEY WAL-MART PHARMACY 10-5392 980 W PARKER ST 31513 912 367-3234 N WALMART STORES INC BETHLEHEM PUBLIX PHARMACY #1251 916 LOGANVILLE HWY 30620 770 307-1637 N PUBLIX SUPER MARKETS INC BETHLEHEM TARGET PHARMACY 916 LOGANVILLE HWY, STE 400 30620 678 975-3061 N TARGET PHARMACIES BLACKSHEAR BARBERS PHARMACY 731 CAMERON DR 315160128 912 449-4444 N EPIC PHARMACY NETWORK INC BLACKSHEAR BLACKSHEAR DRUG CO 3487 US HWY 84 315162208 912 449-6616 N THIRD PARTY STATION CP BLACKSHEAR RITE AID PHARMACY 04573 3537 HIGHWAY 84 315161859 912 449-0811 N RITE AID CORPORATION BLAIRSVILLE CVS PHARMACY 208 HIGHWAY 515 E 30512 706 745-9601 N CVS PHARMACY INC BLAIRSVILLE RITE AID PHARMACY 04557 363 BLUE RIDGE ST 305141459 706 745-6954 N RITE AID CORPORATION BLAIRSVILLE WAL-MART PHARMACY 10-3485 2257 HWY 515 30512 706 835-2833 N WALMART STORES INC BLAKELY CVS PHARMACY 11685 COLUMBIA ST 39823 229 723-4274 N CVS PHARMACY INC BLAKELY HALL DRUG CO. 90 COURT SQ 39823 229 723-3441 N ELEVATE PROVIDER NETWORK BLAKELY PIONEER COMMUNITY HOSPITAL OF EARLY 11740 COLUMBIA ST 39823 229 724-4208 N ACCESSHEALTH PLUS BLAKEY HARVEYS SUPERMARKET 12246 COLUMBIA ST 39823 224 723-5205 N BI LO LLC BLOOMINGDALE GORDON'S PHARMACY 3010 US HWY 80 31302 912 988-1780 N THIRD PARTY STATION CP BLUE RIDGE CVS PHARMACY 30 ORVIN LANCE CONNECTOR 30513 706 632-8097 N CVS PHARMACY INC BLUE RIDGE WAL-MART PHARMACY 10-5812 97 COMMERCE DR 30513 706 632-9508 N WALMART STORES INC BOGART ADD'S PERSONAL CARE PHARMACY 1020 GARLAND DR STE 700 306223222 678 726-2111 N MHA LONG TERM CARE NETWORK BOGART SAMS PHARMACY 10-8194 4365 ATLANTA HWY 30622 706 548-1913 N WALMART STORES INC BONAIRE KROGER PHARMACY #641 774 HIGHWAY 96 31005 478 988-5710 N THE KROGER CO BOWDON CVS PHARMACY 100 OAK ST 30108 770 258-2487 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

BOWDON RITE AID PHARMACY 01826 128 LOVVORN AVE 301081000 770 258-3310 N RITE AID CORPORATION BOWDON SOUTHEASTERN LONG TERM CARE PHARMACY 301 W COLLEGE ST STE B 301081309 770 258-3366 N MHA LONG TERM CARE NETWORK BRASELTON BRASELTON PHARMACY 5745 OLD WINDER HWY STE G 305171636 770 967-7000 N LEADER DRUG STORES INC BRASELTON PUBLIX PHARMACY #0108 2095 HIGHWAY 211 NW 30517 678 425-6206 N PUBLIX SUPER MARKETS INC BREMEN CVS PHARMACY 206 ALABAMA AVE 30110 770 537-3847 N CVS PHARMACY INC BREMEN LOVVORN DRUG COMPANY 404 ALABAMA AVE 30110 770 537-8889 N ELEVATE PROVIDER NETWORK BREMEN WALGREENS #11685 201 PACIFIC AVE 301102044 770 824-5077 N WALGREENS DRUG STORE BREMEN WAL-MART PHARMACY 10-0856 404 HIGHWAY 27 N BYP 301101950 770 537-2131 N WALMART STORES INC BROOKLET BROOKLET DRUG 114 B PARKER AVE 30415 912 842-9886 N THIRD PARTY STATION CP BROXTON BROXTON PHARMACY,LLC 402 ALABAMA ST N 31519 912 359-2362 N BRUNSWICK COASTAL PHARMACARE INC 220 BYTHE ISLAND CONNECTOR 31520 912 261-7190 N MHA LONG TERM CARE NETWORK BRUNSWICK CVS PHARMACY 1709 GLOUCESTER ST 31520 912 264-9442 N CVS PHARMACY INC BRUNSWICK CVS PHARMACY 5421 NEW JESUP HWY 31523 912 264-1321 N CVS PHARMACY INC BRUNSWICK FREDS PHARMACY 5485 NEW JESUP HWY 31523 912 554-1602 N FREDS PHARMACY BRUNSWICK GENOA, A QOL HEALTHCARE 600 COASTAL VILLAGE DRIVE COMPANY, LLC ROOM 107 31520 912 554-8468 N MHA LONG TERM CARE NETWORK BRUNSWICK INFUSION PARTNERS 18 CANAL ROAD PLAZA 31525 912 267-6192 N INFUSION PARTNERS INC BRUNSWICK PUBLIX PHARMACY #0431 171 VILLAGE AT GLYNN PLACE 31525 912 261-4734 N PUBLIX SUPER MARKETS INC BRUNSWICK RAINBOW DRUG STORE 4319 NEW JESUP HWY 315201686 912 265-5040 N LEADER DRUG STORES INC BRUNSWICK RITE AID PHARMACY 11850 3487 CYPRESS MILL ROAD 31520 912 265-6330 N RITE AID CORPORATION BRUNSWICK TARGET PHARMACY 200 GLYNN ISLE PARKWAY 31525 912 261-4869 N TARGET PHARMACIES BRUNSWICK WALGREENS 4575 ALTAMA AVE 31520 912 261-2593 N WALGREENS DRUG STORE BRUNSWICK WALGREENS #10266 21 WARDE ST 31520 912 267-0415 N WALGREENS DRUG STORE BRUNSWICK WAL-MART PHARMACY 10-0639 150 ALTAMA CONNECTOR 31525 912 261-0553 N WALMART STORES INC BRUNSWICK WALMART PHARMACY 10-2840 11 GLYNN PLZ 315203641 912 602-6146 N WALMART STORES INC BRUNSWICK WINN DIXIE 284 HYDE PARK COMMONS 31520 912 267-4846 N WINN DIXIE PHARMACY BRUNSWICK WINN DIXIE 4404 ALTAMA AVE 31520 912 264-5310 N WINN DIXIE PHARMACY BRUNSWICK WINN DIXIE 341 VENTURE DR 31525 912 264-2190 N WINN DIXIE PHARMACY BUCHANAN BUCHANAN DRUGS 406 CARROLLTON ST 30113 770 646-3570 N ELEVATE PROVIDER NETWORK BUFORD CVS PHARMACY 1950 BUFORD HWY 30518 770 945-7286 N CVS PHARMACY INC BUFORD CVS PHARMACY 2605 HAMILTON MILL RD 30519 678 546-5352 N CVS PHARMACY INC BUFORD JOHNSONS HOMETOWN PHARMACY INC 85 E MAIN ST 30518 770 945-9501 N ACCESSHEALTH Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

BUFORD KROGER PHARMACY 3300 HAMILTON MILL ROAD 30519 770 614-1086 N THE KROGER CO BUFORD PUBLIX PHARMACY #0596 5885 CUMMING HWY 30518 770 614-8866 N PUBLIX SUPER MARKETS INC BUFORD PUBLIX PHARMACY #0706 4840 GOLDEN PARKWAY 30518 770 614-7711 N PUBLIX SUPER MARKETS INC BUFORD RITE AID PHARMACY 11812 3330 HAMILTON MILL ROAD 30519 770 904-7188 N RITE AID CORPORATION BUFORD SAMS PHARMACY 10-4780 3383 BUFORD DRIVE 30519 770 831-8182 N WALMART STORES INC BUFORD SHERWOOD'S DRUG SHOP, INC. 4700 NELSON BROGDON BLVD 30518 770 945-9526 N EPIC PHARMACY NETWORK INC BUFORD TARGET PHARMACY 3205 WOODWARD BLVD STE B 305194938 678 482-6528 N TARGET PHARMACIES BUFORD WALGREENS #7958 2630 BRASELTON HWY 30519 678 546-7328 N WALGREENS DRUG STORE BUFORD WAL-MART PHARMACY 10-1314 3795 BUFORD DRIVE 30519 770 271-9807 N WALMART STORES INC BUFORD WAL-MART PHARMACY 10-3786 3250 SARDIS CHURCH ROAD 30519 678 546-6406 N WALMART STORES INC BUTLER SMITHS PHARMACY AND HOME HEALTH 10 N POPLAR ST 31006 478 862-5655 N LEADER DRUG STORES INC BYRON PUBLIX PHARMACY #1291 6015 WATSON BLVD 31008 478 953-2615 N PUBLIX SUPER MARKETS INC BYRON U SAVE IT PHARMACY 101 W WHITE RD 31008 478 956-3630 N EPIC PHARMACY NETWORK INC CAIRO CENTER DRUGS 133 2ND AVE SE 39828 229 377-2777 N THIRD PARTY STATION CP CAIRO COX PHARMACY INC 300 2ND AVE SE 39828 229 377-9017 N THIRD PARTY STATION CP CAIRO HARVEYS SUPERMARKET PHARMACY 1000 1ST AVE NE 39828 229 377-1200 N BI LO LLC CAIRO RITE AID PHARMACY 04603 496 HIGHWAY 84 EAST 39828 229 377-7644 N RITE AID CORPORATION CAIRO U SAVE IT PHARMACY CAIRO 445 9TH AVE SE 39828 229 377-4304 N EPIC PHARMACY NETWORK INC CAIRO WALGREENS #11107 501 US HIGHWAY 84 E 398281852 229 337-5510 N WALGREENS DRUG STORE CAIRO WAL-MART PHARMACY 10-0858 361 8TH AVE NE 39828 229 377-1451 N WALMART STORES INC CALHOUN CALHOUN PRESCRIPTIONS 1100 RED BUD RD 307019236 706 629-1001 N ELEVATE PROVIDER NETWORK CALHOUN CROWLEY DRUG CO., INC. 1201 DEWS POND ROAD 30701 706 979-2400 N THIRD PARTY STATION CALHOUN CVS PHARMACY 402 N WALL ST 30701 706 625-5452 N CVS PHARMACY INC CALHOUN KMART PHARMACY9625 122 W C BRYANT PARKWAY 30701 706 625-0600 N K MART PHARMACY CALHOUN KROGER PHARMACY 136 W BELMONT DRIVE SW 30701 706 625-4211 Y THE KROGER CO CALHOUN RITE AID PHARMACY 04751 910 S WALL ST 307012620 706 602-8008 N RITE AID CORPORATION CALHOUN RITE AID PHARMACY 11828 1101 RED BUD ROAD 30701 706 602-8900 N RITE AID CORPORATION CALHOUN SONORAVILLE PHARMACY 6824 FAIRMOUNT HWY SE 307014019 706 383-8604 N TPN CALHOUN THE PRESCRIPTION SHOP 1042 RED BUD RD NE 307012081 706 629-9139 N THIRD PARTY STATION CP CALHOUN WAL-MART PHARMACY 10-1215 450 W BELMONT DR 30701 706 625-3289 N WALMART STORES INC CAMILLA FRED'S PHARMACY 500 US HWY 19 SOUTH 31730 229 522-3170 N FREDS PHARMACY Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

CAMILLA LIVE OAK PHARMACY 98 E OAKLAND AVE 317301529 229 336-2255 N ELEVATE PROVIDER NETWORK CAMILLA RITE AID PHARMACY 01631 74 N SCOTT ST 317301247 229 336-5400 N RITE AID CORPORATION CAMILLA WALGREENS #12553 266 E BROAD ST 317301926 229 336-2976 N WALGREENS DRUG STORE CAMILLA WAL-MART PHARMACY 10-0843 165 US HIGHWAY 19 N 317301408 229 336-0922 N WALMART STORES INC CANTON BRIDGEMILL FAMILY PHARMACY LLC 10511 BELLS FERRY RD 30114 770 720-0300 N ELEVATE PROVIDER NETWORK CANTON CANTON NORTHSIDE PHARMACY 170 MARIETTA HWY 30114 770 479-2171 N ACCESSHEALTH PLUS CANTON CVS PHARMACY 6120 HICKORY FLAT HWY 30115 770 720-0610 N CVS PHARMACY INC CANTON CVS PHARMACY 129 MARIETTA HWY 30114 770 479-1806 N CVS PHARMACY INC CANTON CVS PHARMACY 3785 SIXES RD 30114 770 720-3466 N CVS PHARMACY INC CANTON EHI PHARMACY SOLUTIONS LLC CANTON 132 RIVERSTONE TER STE 101 301141703 678 880-0036 N VANTAGE RX DISPENSING SERVICES LLC CANTON KROGER PHARMACY 4045 MARIETTA HIGHWAY 30114 770 345-3645 N THE KROGER CO CANTON KROGER PHARMACY 6766 HICKORY FLAT HWY 30115 770 721-7310 N THE KROGER CO CANTON KROGER PHARMACY 8020 CUMMING HWY 30115 770 345-8461 N THE KROGER CO CANTON MID-CITY PHARMACY 196 E MAIN ST 301142799 770 479-5533 N ELEVATE PROVIDER NETWORK CANTON PUBLIX PHARMACY #0042 12424 CUMMING HIGHWAY 30115 678 455-0211 N PUBLIX SUPER MARKETS INC CANTON PUBLIX PHARMACY #0624 1451 RIVERSTONE PARKWAY 30114 770 720-1042 N PUBLIX SUPER MARKETS INC CANTON PUBLIX PHARMACY #0694 3760 SIXES ROAD SUITE 110 30114 770 345-8378 N PUBLIX SUPER MARKETS INC CANTON PUBLIX PHARMACY #0711 6175 HICKORY FLAT HWY STE 140 30114 770 345-8606 N PUBLIX SUPER MARKETS INC CANTON PUBLIX PHARMACY #1064 120 PROMINENCE POINT PARKWAY 30114 770 720-4825 N PUBLIX SUPER MARKETS INC CANTON 15 LAUREL CANYON VILLAGE CIR, PUBLIX PHARMACY #1248 SUITE 118 30114 770 479-3711 N PUBLIX SUPER MARKETS INC CANTON RITE AID PHARMACY 11737 2017 MARIETTA HIGHWAY 30114 770 479-5582 N RITE AID CORPORATION CANTON SUPERIOR HEALTHCARE LLC 2050 CUMMING HWY STE 100 301152315 770 345-9600 N MDS RX CANTON TARGET PHARMACY 2022 CUMMING HWY 30114 678 880-4312 N TARGET PHARMACIES CANTON WALGREENS #7340 120 MARIETTA HIGHWAY 30114 678 880-0575 N WALGREENS DRUG STORE CANTON WALGREENS #7396 6111 HICKORY FLAT HIGHWAY 30115 770 479-7039 N WALGREENS DRUG STORE CANTON WALGREENS #9981 101 PROMINENCE POINT PKWY 30114 770 704-4045 N WALGREENS DRUG STORE CANTON WAL-MART PHARMACY 10-0518 1550 RIVERSTONE PWKY 30114 770 479-9003 N WALMART STORES INC CARNESVILLE MARKETPLACE PHARMACY 9205 LAVONIA RD 305213203 706 384-2085 N UNITED DRUGS CARNESVILLE SULLIVAN DRUGS INC 9563 LAVONIA RD 30521 706 384-2022 ACCESSHEALTH PLUS CARROLLTON BROOKE'S PHARMACY 812 S PARK ST STE 5A 301174412 770 834-9050 N ELEVATE PROVIDER NETWORK CARROLLTON CVS PHARMACY 2125 MAPLE ST 30117 770 832-0471 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

CARROLLTON CVS PHARMACY 546 BANKHEAD HWY 30117 770 834-1091 N CVS PHARMACY INC CARROLLTON HANEYS DRUG CORNER 623 DIXIE ST 301174507 770 834-3393 N ELEVATE PROVIDER NETWORK CARROLLTON KMART PHARMACY7154 620 BANKHEAD AVE 30117 770 832-1186 N K MART PHARMACY CARROLLTON KROGER PHARMACY 1355 S PARK ST HWY 27 30117 770 832-9015 N THE KROGER CO CARROLLTON PUBLIX PHARMACY #0608 1109 S PARK ST SUITE 600 30117 770 214-3146 N PUBLIX SUPER MARKETS INC CARROLLTON RITE AID PHARMACY 11738 125 S PARK ST 30117 770 838-1860 N RITE AID CORPORATION CARROLLTON TURNER PHARMACY 821 DIXIE ST 301174415 770 832-7076 N ELEVATE PROVIDER NETWORK CARROLLTON WALGREENS #7820 794 S PARK ST 30117 770 838-1678 Y WALGREENS DRUG STORE CARROLLTON WAL-MART PHARMACY 10-0722 1735 S HWY 27 30117 770 834-1010 N WALMART STORES INC CARTERSVILLE CVS PHARMACY 13 N TENNESSEE ST 30120 770 386-2417 N CVS PHARMACY INC CARTERSVILLE CVS PHARMACY # 03086 1162 W AVE 301206138 770 606-1260 N CVS PHARMACY INC CARTERSVILLE CVS PHARMACY # 08976 965 JOE FRANK HARRIS PKWY SE 301202130 678 721-1090 Y CVS PHARMACY INC CARTERSVILLE HOLTS PHARMACY INC 406 GRASSDALE RD 30121 770 382-5757 N LEADER DRUG STORES INC CARTERSVILLE KROGER PHARMACY 51 N MORNINGSIDE DRIVE 30120 770 386-8160 N THE KROGER CO CARTERSVILLE PUBLIX PHARMACY #0554 300 CHEROKEE PLACE 30120 770 606-2366 N PUBLIX SUPER MARKETS INC CARTERSVILLE RITE AID PHARMACY 11739 954 JOE FRANK HARRIS PKWY 30120 770 383-3055 Y RITE AID CORPORATION CARTERSVILLE WALGREENS 101 N TENNESSEE ST 301203211 770 387-2525 N WALGREENS DRUG STORE CARTERSVILLE WAL-MART PHARMACY 10-0615 101 MARKET PLACE BLVD 30121 770 386-7582 N WALMART STORES INC CARTERSVILLE WEST END PHARMACY 807 W AVE STE D 301208230 770 606-0697 N ELEVATE PROVIDER NETWORK CARTERSVILLE YOUNG BROTHERS PHARMACY 2 W MAIN ST 301203598 770 382-4010 N ELEVATE PROVIDER NETWORK CAVE SPRING CLINE PHARMACY 1 ALABAMA ST 301242608 706 777-3373 N ACCESSHEALTH CEDARTOWN CVS PHARMACY 511 N MAIN ST 30125 770 748-9944 N CVS PHARMACY INC CEDARTOWN KROGER PHARMACY 730 N MAIN ST 30125 770 749-5095 N THE KROGER CO CEDARTOWN RITE AID PHARMACY 11741 633 N MAIN ST 30125 770 748-5030 N RITE AID CORPORATION CEDARTOWN WAL-MART PHARMACY 10-0727 1585 ROME HIGHWAY 30125 770 748-2264 N WALMART STORES INC CENTERVILLE RITE AID PHARMACY 11838 2900 WATSON BOULEVARD 31028 478 953-2006 N RITE AID CORPORATION CENTERVILLE U SAVE IT PHARMACY 202 GUNN RD 31028 478 953-8118 N EPIC PHARMACY NETWORK INC CHAMBLEE CARING PHARMACY 4897 BUFORD HWY 30341 770 807-0395 N CHAMBLEE CVS PHARMACY 5764 PEACHTREE INDUSTRIAL BLVD 30341 770 457-4401 N CVS PHARMACY INC CHAMBLEE KROGER PHARMACY 3559 CHAMBLEE TUCKER ROAD 30345 770 216-2245 N THE KROGER CO CHAMBLEE NORTH DEKALB HEALTH CENTER PHARMACY 3807 CLAIRMONT RD NE 30341 404 616-3031 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

CHAMBLEE RITE AID PHARMACY 11802 3549 CHAMBLEE TUCKER ROAD 30341 770 455-8620 N RITE AID CORPORATION CHAMBLEE TRACYS MEDICINE CENTER 3650 CHAMBLEE TUCKER RD 303414412 770 934-7703 N MEDICINE CENTERS OF ATLANTA CHAMBLEE WALGREENS #2359 5373 PEACHTREE INDUSTRIAL BLVD 30341 678 547-1672 N WALGREENS DRUG STORE CHAMBLEE WAL-MART PHARMACY 10-3621 1871 CHAMBLEE TUCKER RD 30341 770 455-4699 N WALMART STORES INC CHATSWORTH CARLTONS PHARMACY CORP 101 MURRAY PLAZA 307052562 706 695-4576 N ACCESSHEALTH CHATSWORTH CVS PHARMACY 1420 HWY 76 30705 706 695-0518 N CVS PHARMACY INC CHATSWORTH LIVING WELL CENTRAL PHCY 2976 HWY 76 30705 706 695-0909 ACCESSHEALTH PLUS CHATSWORTH WALGREENS #10798 1101 N THIRD AVE 30705 706 517-1354 N WALGREENS DRUG STORE CHICKAMAUGA FRED'S PHARMACY 93 BUSHROD JOHNSON AVE 307076093 706 375-1490 N FREDS PHARMACY CLARKESVILLE CLARKESVILLE DRUG 596 W LOUISE ST 30523 706 754-3763 N LEADER DRUG STORES INC CLARKESVILLE RITE AID PHARMACY 01964 1235 WASHINGTON ST 305230369 706 754-4122 N RITE AID CORPORATION CLARKSTON GLOBAL PHARMACY 926 MONTREAL RD 30021 404 299-8255 N ELEVATE PROVIDER NETWORK CLARKSTON LIFELINE MEDICAL CENTER, LLC 3660 MARKET ST 300211246 470 355-7896 MDS RX CLARKSVILLE EXPRESS MED 410 A W LOUISE ST 30523 706 754-0101 N THIRD PARTY STATION CP CLAXTON CVS PHARMACY 401 N DUVAL ST 30417 912 739-1327 N CVS PHARMACY INC CLAXTON KEMPS PHARMACY 107 S DUVAL ST 30417 912 739-2745 N LEADER DRUG STORES INC CLAXTON RITE AID PHARMACY 04553 2 W MAIN ST 304171752 912 739-0406 N RITE AID CORPORATION CLAXTON THE DRUG STORE 305 E LONG ST 30417 912 739-9393 N ACCESSHEALTH CLAYTON CLAYTON PHARMACY 100 S MAIN ST 305250686 706 782-3211 N ELEVATE PROVIDER NETWORK CLAYTON CVS PHARMACY 308 S US HWY 441 30525 706 782-2722 N CVS PHARMACY INC CLAYTON U SAVE IT PHARMACY 321 HIGHWAY 441 N 30525 706 782-3813 N EPIC PHARMACY NETWORK INC CLAYTON WALGREENS #12464 335 HIGHWAY 441 S 305255454 706 212-0581 N WALGREENS DRUG STORE CLAYTON WAL-MART PHARMACY 10-2753 1455 HWY 441 SOUTH 30525 706 782-3730 N WALMART STORES INC CLERMONT WAUKA MOUNTAIN PHARMACY 5233 CLEVELAND HWY 305270410 770 983-9556 N ELEVATE PROVIDER NETWORK CLERMONT WOODYS PHARMACY 5226 DAHLONEGA HWY 30527 770 983-3510 N ELEVATE PROVIDER NETWORK CLEVELAND GRIFFIN DRUG COMPANY 6 W JARRARD ST 305280368 706 865-2224 N ACCESSHEALTH PLUS CLEVELAND RITE AID PHARMACY 11813 379 N MAIN ST 30528 706 865-2525 N RITE AID CORPORATION CLEVELAND WAL-MART PHARMACY 10-4616 260 DONALD E THURMOND PKWY 305257185 706 219-2309 N WALMART STORES INC COCHRAN CVS PHARMACY 202 E DYKES ST 31014 478 934-9431 N CVS PHARMACY INC COCHRAN MCDANIEL PHARMACY 195 E DYKES ST 310141619 478 934-6885 EPIC PHARMACY NETWORK INC COCHRAN PORTER PHARMACY & GIFTS 129 N SECOND ST 310141619 478 934-6344 N ELEVATE PROVIDER NETWORK COCHRAN WALGREENS #12263 102 S 2ND ST 310146805 478 934-3868 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

COCHRAN WALMART PHARMACY 10-7246 366 HWY 26 E 31014 478 934-4735 N WALMART STORES INC COLBERT COLBERT PHARMACY 5674 HIGHWAY 72 WEST 306280336 706 788-2102 N EPIC PHARMACY NETWORK INC COLBERT FRED'S PHARMACY 15 COLBERT BUSINESS PKWY W 306282462 706 788-2320 N FREDS PHARMACY COLLEGE PARK KROGER PHARMACY 6055 OLD NATIONAL HIGHWAY 30349 770 996-5488 N THE KROGER CO COLLEGE PARK OLD NATIONAL DRUG PHARMACY 5615 OLD NATIONAL HWY STE B 303493817 404 209-0070 N THIRD PARTY STATION CP COLLEGE PARK WALGREENS 6120 OLD NATIONAL HWY 303494482 678 536-4050 N WALGREENS DRUG STORE COLLEGE PARK WAL-MART PHARMACY 10-3401 6149 OLD NATIONAL HIGHWAY 30349 770 994-0199 N WALMART STORES INC COLQUITT RITE AID PHARMACY 01892 211 W COLLEGE ST 398373403 229 758-3168 N RITE AID CORPORATION COLUMBUS AMBIENT HEALTHCARE OF GA INC 750 A LINWOOD BLVD 319011977 706 649-4566 N AMBIENT HEALTHCARE INC COLUMBUS CENTER PHARMACY 1005 TALBOTTON RD 31904 706 327-8967 N COMMUNITY INDEPENDENT PHARMACY NETW COLUMBUS COMMUNITY HEALTH PHARMACY 2100 COMER AVE 31904 706 321-3700 N ELEVATE PROVIDER NETWORK COLUMBUS CVS PHARMACY 3617 HILTON AVE 31904 706 324-0169 Y CVS PHARMACY INC COLUMBUS CVS PHARMACY 1367 DOUBLE CHURCHES RD 31904 706 641-8100 N CVS PHARMACY INC COLUMBUS CVS PHARMACY 4432 MILLER RD 31909 706 561-5001 N CVS PHARMACY INC COLUMBUS CVS PHARMACY 7042 MOON RD 31909 706 653-2923 N CVS PHARMACY INC COLUMBUS CVS PHARMACY 1622 S LUMPKIN RD 31903 706 682-0119 N CVS PHARMACY INC COLUMBUS CVS PHARMACY 625 MANCHESTER EXPRESSWAY 31904 706 324-2109 N CVS PHARMACY INC COLUMBUS CVS PHARMACY 3127 MACON RD 31906 706 563-4502 N CVS PHARMACY INC COLUMBUS DINGLEWOOD PHARMACY 1939 WYNNTON RD 319062991 706 322-0616 N THIRD PARTY STATION COLUMBUS FRED'S PHARMACY 3857 ST MARYS RD 319064476 706 685-1845 N FREDS PHARMACY COLUMBUS KMART PHARMACY4198 3200 MACON RD 31906 706 568-4360 N K MART PHARMACY COLUMBUS KMART PHARMACY7388 2500 AIRPORT THRUWAY 31904 706 322-5154 N K MART PHARMACY COLUMBUS MIDTOWN PHARMACY 2660 BUENA VISTA RD 319063945 706 596-8871 N ELEVATE PROVIDER NETWORK COLUMBUS NEW HORIZONS CSB PHARMACY 2100 COMER AVE 31904 706 596-5725 N COLUMBUS NORTH COLUMBUS PHARMACY 6298 VETERANS PKWY 31909 706 327-5125 N ELEVATE PROVIDER NETWORK COLUMBUS OPEN GATE PHARMACY #3 4519 WOODRUFF RD, SUITE 16 31904 706 225-0022 N ELEVATE PROVIDER NETWORK COLUMBUS OPEN GATE PHARMACY 1 2051 10TH AVE 319011459 706 323-0306 N ELEVATE PROVIDER NETWORK COLUMBUS OPEN GATE PHARMACY 2 1807 C S LUMPKIN RD 319032794 706 940-0365 N ELEVATE PROVIDER NETWORK COLUMBUS PUBLIX PHARMACY #0474 1639 BRADLEY PARK DR STE600 31904 706 571-3426 N PUBLIX SUPER MARKETS INC COLUMBUS PUBLIX PHARMACY #0562 5435 WOODRUFF FARMS RD 31907 706 568-8826 N PUBLIX SUPER MARKETS INC COLUMBUS PUBLIX PHARMACY #0650 7600 SCHOMBURG ROAD 31909 706 565-3266 N PUBLIX SUPER MARKETS INC COLUMBUS PUBLIX PHARMACY #1390 3201 MACON RD STE 201 31906 706 568-8815 N PUBLIX SUPER MARKETS INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

COLUMBUS RITE AID PHARMACY 11861 2300 WYNNTON ROAD 31906 706 327-1215 N RITE AID CORPORATION COLUMBUS RITE AID PHARMACY 11862 3472 MACON ROAD 31907 706 563-4992 N RITE AID CORPORATION COLUMBUS RITE AID PHARMACY 11863 2801 DOUBLE CHURCHES ROAD 31909 706 321-1081 N RITE AID CORPORATION COLUMBUS SAMS PHARMACY 10-8213 5448 A WHITTLESEY BLVD 31909 706 649-6322 N WALMART STORES INC COLUMBUS TARGET PHARMACY 1591 BRADLEY PARK DR 31909 706 327-8201 N TARGET PHARMACIES COLUMBUS THE MEDICAL CENTER OUTPATIENT PHARMACY 710 CENTER ST 31901 706 571-1992 N ELEVATE PROVIDER NETWORK COLUMBUS THE VILLAGE APOTHECARY, LLC 6801 RIVER RD BLDG 2 # 201 319043352 706 327-4242 N THIRD PARTY STATION CP COLUMBUS THOMAS DRUGS 4105 C BUENA VISTA RD 31907 706 569-8680 N ELEVATE PROVIDER NETWORK COLUMBUS U SAVE IT PHARMACY - WARM SPRINGS RD 5900 WARM SPRINGS RD STE A 319094310 706 563-5597 N EPIC PHARMACY NETWORK INC COLUMBUS VALLEY HEALTHCARE SYSTEM, INC. 1600 FORT BENNING RD 319032834 706 507-1850 N LEADER DRUG STORES INC COLUMBUS WALGREENS 7869 VETERANS PKWY 319091721 706 571-9312 N WALGREENS DRUG STORE COLUMBUS WALGREENS 4808 BUENA VISTA 31907 706 569-9439 N WALGREENS DRUG STORE COLUMBUS WALGREENS #6326 3700 MACON RD 31907 706 568-6878 N WALGREENS DRUG STORE COLUMBUS WALGREENS #6328 2510 WYNNTON RD 31906 706 327-6181 N WALGREENS DRUG STORE COLUMBUS WALGREENS #6373 5707 VETERANS PKWY 31904 706 322-6253 N WALGREENS DRUG STORE COLUMBUS WAL-MART PHARMACY 10-1311 5448 B WHITTLESEY BLVD 31909 706 322-8950 N WALMART STORES INC COLUMBUS WAL-MART PHARMACY 10-1338 4701 BUENA VISTA ROAD 31907 706 568-4517 N WALMART STORES INC COLUMBUS WAL-MART PHARMACY 10-4200 6475 GATEWAY RD 31909 706 563-6535 N WALMART STORES INC COLUMBUS WAL-MART PHARMACY 10-4283 2801 AIRPORT THRUWAY 31909 706 653-4044 N WALMART STORES INC COLUMBUS WALMART PHARMACY 10-4421 7400 BLACKMON RD 319094480 706 330-5214 N WALMART STORES INC COLUMBUS WALMART PHARMACY 10-4426 1042 MANCHESTER EXPY 319046571 479 277-8020 N WALMART STORES INC COLUMBUS WINN DIXIE 4231 MACON RD 31907 706 563-6844 N WINN DIXIE PHARMACY COLUMBUS WINN DIXIE 6770 VETERANS PKWY 31909 706 653-9224 N WINN DIXIE PHARMACY COLUMBUS WINN DIXIE 5750 MILGEN RD 31907 706 561-6300 N WINN DIXIE PHARMACY COLUMBUS WINN DIXIE 1100 HUNT AVE 31907 706 562-8330 N WINN DIXIE PHARMACY COMMERCE CVS PHARMACY 2041 N ELM ST 30529 706 335-5107 N CVS PHARMACY INC COMMERCE TIGER TOWN PHARMACY 2025 HOMER ROAD 30529 706 335-0099 N ELEVATE PROVIDER NETWORK COMMERCE U SAVE IT PHARMACY COMMERCE 1751 N ELM ST 305292316 706 335-3111 N EPIC PHARMACY NETWORK INC COMMERCE WALGREENS #11791 2100 N BROAD ST 305291700 706 336-5931 N WALGREENS DRUG STORE COMMERCE WAL-MART PHARMACY 10-0003 30983 HWY 441 SOUTH 30529 706 335-7818 N WALMART STORES INC CONYERS ALPHACARE PHARMACY SERVICES 1560 FARMER RD NW 300123491 770 922-4466 N MHA LONG TERM CARE NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

CONYERS BEASLEY DRUG COMPANY 933 CENTER ST 30012 770 483-7211 N ELEVATE PROVIDER NETWORK CONYERS CONYERS PHARMACY 1179 W AVE 30012 770 929-1414 N ELEVATE PROVIDER NETWORK CONYERS CVS PHARMACY 1541 GEORGIA HWY 20 NE 30012 770 929-0311 Y CVS PHARMACY INC CONYERS CVS PHARMACY 3481 GEORGIA HWY 20 30013 770 922-4890 N CVS PHARMACY INC CONYERS KROGER PHARMACY 1745 HIGHWAY 138 30013 770 922-0447 Y THE KROGER CO CONYERS PUBLIX PHARMACY #1071 2880 GEORGIA HIGHWAY 212 30094 770 388-0320 N PUBLIX SUPER MARKETS INC CONYERS PUBLIX PHARMACY #1118 1591 GEORGIA HIGHWAY 20 NE 30012 678 413-2471 N PUBLIX SUPER MARKETS INC CONYERS PUBLIX PHARMACY #1411 2159 HWY 20 SE 30094 770 918-2506 N PUBLIX SUPER MARKETS INC CONYERS REAGANS PHARMACY INC 1600 MILSTEAD RD 30012 770 483-4727 N THIRD PARTY STATION CP CONYERS RITE AID PHARMACY 11682 2240 SALEM ROAD SOUTHEAST 30013 770 929-8711 N RITE AID CORPORATION CONYERS RITE AID PHARMACY 11683 3531 A HIGHWAY 20 30013 770 922-2467 N RITE AID CORPORATION CONYERS TARGET PHARMACY 2195 HWY 20 SE 30013 770 785-6471 N TARGET PHARMACIES CONYERS WALGREENS #10479 1783 HIGHWAY 138 30013 770 483-5644 N WALGREENS DRUG STORE CONYERS WALGREENS #7742 1510 MILSTEAD RD NE 30012 770 785-7128 N WALGREENS DRUG STORE CONYERS WAL-MART PHARMACY 10-2475 1436 DOGWOOD DRIVE 30013 770 860-8806 N WALMART STORES INC CORDELE CRISP REGIONAL HOSPITAL, INC. 902 N 7TH ST 310153234 229 276-3386 N TEMPEST MED CORDELE CVS PHARMACY 214 E 16TH AVE 31015 229 273-6551 N CVS PHARMACY INC CORDELE HARVEYS SUPERMARKET 1011 16TH AVE 31015 229 273-8231 N BI LO LLC CORDELE U SAVE IT PHARMACY 405 4TH AVE E 31015 229 273-6422 N EPIC PHARMACY NETWORK INC CORDELE WALGREENS #9849 1024 16TH AVE 31015 229 273-5043 N WALGREENS DRUG STORE CORDELE WAL-MART PHARMACY 10-1006 1215 E 16TH 31015 229 273-9390 N WALMART STORES INC CORNELIA ARNOLD DRUG COMPANY 639 IRVIN ST 30531 706 778-4918 N EPIC PHARMACY NETWORK INC CORNELIA CVS PHARMACY 549 N MAIN ST 30531 706 778-5097 N CVS PHARMACY INC CORNELIA KMART PHARMACY9657 365 HABERSHAM VILLAGE CIRCLE 305315325 706 776-6046 N K MART PHARMACY CORNELIA 189 QUALITY FOODS SHOPPING RITE AID PHARMACY 11814 CENTER 30531 706 778-9523 N RITE AID CORPORATION CORNELIA TIMS PHARMACY 130 MAGNOLIA AVE 30531 706 776-3784 N ACCESSHEALTH CORNELIA WAL-MART PHARMACY 10-1403 250 FURNITURE DR 30531 706 776-3061 N WALMART STORES INC COVINGTON CITIZENS EXPRESS PHARMACY 4101 TATE ST 30014 770 788-9191 N COVINGTON CVS PHARMACY 4192 SALEM RD 30016 770 788-2026 N CVS PHARMACY INC COVINGTON CVS PHARMACY 10267 HWY 36 30014 770 788-9430 N CVS PHARMACY INC COVINGTON CVS PHARMACY 4183 HWY 278 NE 30014 770 385-5282 Y CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

COVINGTON CVS PHARMACY # 01359 5384 HIGHWAY 20 S 300164403 770 788-6566 N CVS PHARMACY INC COVINGTON KMART PHARMACY3713 6239 TURNER LAKE RD 300142064 770 787-8292 N K MART PHARMACY COVINGTON KROGER PHARMACY 3139 US HIGHWAY 278 NE 30014 770 787-4041 N THE KROGER CO COVINGTON KROGER PHARMACY 5341 HIGHWAY 20 SOUTH 30016 770 788-4008 N THE KROGER CO COVINGTON PUBLIX PHARMACY #0744 13015 BROWN BRIDGE RD 30016 678 342-6939 N PUBLIX SUPER MARKETS INC COVINGTON RITE AID PHARMACY 11684 3215 HIGHWAY 278 N WEST 30014 770 786-1131 N RITE AID CORPORATION COVINGTON THE KROGER COMPANY 3700 SALEM RD 30016 678 342-6050 N THE KROGER CO COVINGTON WALGREENS 3188 HIGHWAY 278 NE 300142300 770 784-8090 N WALGREENS DRUG STORE COVINGTON WALGREENS #12621 12955 BROWN BRIDGE RD 300162969 770 385-3226 N WALGREENS DRUG STORE COVINGTON WAL-MART PHARMACY 10-0459 10300 INDUSTRIAL BLVD 30015 770 787-8164 N WALMART STORES INC COVINGTON WAL-MART PHARMACY 10-4558 4200 SALEM RD 300164533 678 212-3202 N WALMART STORES INC CUMMING CVS PHARMACY 603 CANTON HWY 30040 770 887-7771 N CVS PHARMACY INC CUMMING CVS PHARMACY 4895 POST RD 30040 678 341-6858 N CVS PHARMACY INC CUMMING CVS PHARMACY 450 PEACHTREE PKWY 300416818 770 889-1301 N CVS PHARMACY INC CUMMING CVS PHARMACY 3095 OLD ATLANTA RD 30041 770 844-5686 N CVS PHARMACY INC CUMMING CVS PHARMACY 1230 BUFORD HWY 30041 770 887-6860 N CVS PHARMACY INC CUMMING CVS PHARMACY 5510 CASTLEBERRY RD 30040 770 887-7720 N CVS PHARMACY INC CUMMING EHI PHARMACY SOLUTIONS LLC CUMMING 960 SANDERS RD STE 100 300415962 770 889-9596 N VANTAGE RX DISPENSING SERVICES LLC CUMMING GOODSON PHARMACY 116 W MAPLE ST 30040 770 887-5040 N ACCESSHEALTH PLUS CUMMING HOME CARE PHARMACY FORSYTH 1200 NORTHSIDE FORSYTH DR 30041 770 844-3396 THIRD PARTY STATION CUMMING KROGER PHARMACY 2345 BETHELVIEW 30040 770 888-1025 N THE KROGER CO CUMMING KROGER PHARMACY 2655 FREEDOM PARKWAY 30041 770 781-6689 N THE KROGER CO CUMMING KROGER PHARMACY 1595 PEACHTREE PARKWAY 30041 678 455-4585 N THE KROGER CO CUMMING LAKESIDE PHARMACY 1505 NORTHSIDE BLVD STE 1600 30041 770 205-0290 N THIRD PARTY STATION CUMMING PUBLIX PHARMACY #0026 1735 BUFORD HWY 30041 770 781-8152 N PUBLIX SUPER MARKETS INC CUMMING PUBLIX PHARMACY #0049 3480 KEITH BRIDGE ROAD 30041 678 455-0630 N PUBLIX SUPER MARKETS INC CUMMING PUBLIX PHARMACY #0519 580 ATLANTA RD 30040 770 781-2046 N PUBLIX SUPER MARKETS INC CUMMING PUBLIX PHARMACY #1130 5475 BETHELVIEW RD 30040 678 455-1238 N PUBLIX SUPER MARKETS INC CUMMING RITE AID PHARMACY 11696 2323 CANTON HIGHWAY 30040 770 888-5031 N RITE AID CORPORATION CUMMING RITE AID PHARMACY 11697 2820 KEITH BRIDGE ROAD 30041 770 888-6740 N RITE AID CORPORATION CUMMING RITE AID PHARMACY 11698 1455 PEACHTREE PARKWAY 30041 770 205-4244 N RITE AID CORPORATION Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

CUMMING SAWNEE DRUG CO 2515 BUSINESS DR 300284394 770 889-8900 N ELEVATE PROVIDER NETWORK CUMMING TARGET PHARMACY 1525 MARKETPLACE BLVD 30041 678 513-1762 N TARGET PHARMACIES CUMMING WALGREENS #10423 3290 KEITH BRIDGE RD 300413937 770 886-3202 N WALGREENS DRUG STORE CUMMING WALGREENS #7946 1650 BUFORD HWY 30041 678 455-7739 N WALGREENS DRUG STORE CUMMING WALGREENS #7994 2595 PEACHTREE PKWY 30041 678 455-4544 N WALGREENS DRUG STORE CUMMING WAL-MART PHARMACY 10-0878 1500 MARKETPLACE BLVD 30041 770 887-9709 N WALMART STORES INC CUMMING WALMART PHARMACY 10-4185 2395 PEACHTREE PKWY 300417227 770 406-5208 N WALMART STORES INC CUTHBERT CVS PHARMACY 800 BLAKELY ST 39840 229 732-2192 N CVS PHARMACY INC CUTHBERT FRED'S PHARMACY 101 N WEBSTER ST 398402522 229 732-2892 N FREDS PHARMACY CUTHBERT SOUTHWEST GEORGIA REGIONAL MEDICAL CENTER 361 RANDOLPH ST 39840 229 209-1295 N ACCESSHEALTH DACULA COVENANT FAMILY MEDICINE 2069 TERON TRCE STE 100 30019 678 730-1620 N TPN DACULA CVS PHARMACY 3027 JIM MOORE RD 30019 770 339-0129 N CVS PHARMACY INC DACULA DACULA PHARMACY 2555 2ND AVE N 30019 770 339-1593 N ACCESSHEALTH DACULA EHI PHARMACY SOLUTIONS LLC DACULA 2069 TERON TRCE STE 300 300191665 770 384-0284 N VANTAGE RX DISPENSING SERVICES LLC DACULA EXPRESS FOOD & PHARMACY 3685 BRASELTON HWY STE 101/102 300195920 678 889-2131 N ELEVATE PROVIDER NETWORK DACULA KROGER PHARMACY 2700 BRASELTON HIGHWAY 30019 770 614-1022 N THE KROGER CO DACULA KROGER PHARMACY #11-635 505 DACULA RD 300192125 678 407-8739 N THE KROGER CO DACULA PUBLIX PHARMACY #0569 2463 HAMILTON MILL PKWY 30019 770 614-1076 N PUBLIX SUPER MARKETS INC DACULA PUBLIX PHARMACY #0803 720 DACULA RD 30019 770 822-6229 N PUBLIX SUPER MARKETS INC DACULA PUBLIX PHARMACY #1178 831 AUBURN RD 30019 770 682-2627 N PUBLIX SUPER MARKETS INC DACULA RITE AID PHARMACY 11686 2580 WINDER HIGHWAY 30019 770 682-0213 N RITE AID CORPORATION DACULA WALGREENS 575 DACULA RD 30019 770 962-2077 N WALGREENS DRUG STORE DAHLONEGA DAHLONEGA PHARMACY INC 70 MEMORIAL DR 30533 706 864-2522 N EPIC PHARMACY NETWORK INC DAHLONEGA RITE AID PHARMACY 11815 566 E MAIN ST 30533 706 864-7641 N RITE AID CORPORATION DAHLONEGA WAL-MART PHARMACY 10-2513 270 WAL-MART WAY 30533 706 867-6918 N WALMART STORES INC DAHLONEGA WOODY'S PHARMACY 130 LONGBRANCH RD 30533 706 867-9493 N ELEVATE PROVIDER NETWORK DALLAS ASHLYN DRUGS 1160 OLD HARRIS RD 30132 770 443-0205 N LEADER DRUG STORES INC DALLAS C AND C PHARMACY 621 W MEMORIAL 301320497 770 445-2600 N ELEVATE PROVIDER NETWORK DALLAS CVS PHARMACY 51 SEVEN HILLS RD 30132 678 574-3032 N CVS PHARMACY INC DALLAS CVS PHARMACY 495 CHARLES HARDY HWY 30157 770 445-2128 Y CVS PHARMACY INC DALLAS DOLLAR PRESCRIPTION SHOP INC 537 HARDEE ST 301321929 770 445-5974 N ELEVATE PROVIDER NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

DALLAS EHI PHARMACY SOLUTIONS LLC DALLAS 100 GREYSTONE POWER BLVD 301570908 770 943-7877 N VANTAGE RX DISPENSING SERVICES LLC DALLAS KROGER PHARMACY 8876 DALLAS ACWORTH HWY 30123 678 574-6933 N THE KROGER CO DALLAS KROGER PHARMACY 457 NATHAN DEAN BLVD 30093 770 443-8776 N THE KROGER CO DALLAS PUBLIX PHARMACY #1063 51 E PAULDING DRIVE 30157 770 505-8988 N PUBLIX SUPER MARKETS INC DALLAS PUBLIX PHARMACY #1184 80 SEVEN HILLS BLVD 30132 770 975-6791 N PUBLIX SUPER MARKETS INC DALLAS PUBLIX PHARMACY #1217 7953 VILLA RICA HWY 30157 678 840-4677 N PUBLIX SUPER MARKETS INC DALLAS RITE AID PHARMACY 11753 76 E PAULDING DRIVE 30157 770 443-9201 N RITE AID CORPORATION DALLAS THE MEDICINE SHOPPE #1427 760 PAULDING PLAZA 30132 770 445-6422 N ELEVATE PROVIDER NETWORK DALLAS WALGREENS #10528 4519 DALLAS ACWORTH HWY 30132 770 443-4988 N WALGREENS DRUG STORE DALLAS WALGREENS 11686 303 CHARLIE WATTS DR 30157 770 443-4886 N WALGREENS DRUG STORE DALLAS WAL-MART PHARMACY 10-3403 3615 MARIETTA HIGHWAY 30157 770 445-9096 N WALMART STORES INC DALLAS WENDER & ROBERTS DRUGS - DALLAS 318 MAIN ST 30132 770 445-2148 ACCESSHEALTH PLUS DALTON CENTER FOR SPINE AND PRESCRIPTION MEDS LLC 1413 CHATTANOOGA AVE 30720 706 279-2635 N DALTON CHEROKEE PHARMACY 1506 CHATTANOOGA ROAD STE A 30720 706 278-6600 N EPIC PHARMACY NETWORK INC DALTON CVS PHARMACY 2501 E WALNUT AVE 30721 706 226-3664 N CVS PHARMACY INC DALTON CVS PHARMACY 2791 CLEVELAND HWY 30721 706 259-9406 N CVS PHARMACY INC DALTON DART DRUGS AND SURGICAL 1101 MEMORIAL DR 307202563 706 278-1900 N ACCESSHEALTH PLUS DALTON FAMILY PHARMACY 1100 E WALNUT AVE 30721 706 226-6000 N ACCESSHEALTH DALTON FRED'S PHARMACY 2311 E MORRIS ST 307214373 706 272-0080 N FREDS PHARMACY DALTON HMC RX CARE 1200 MEMORIAL DRIVE 307202529 706 272-6450 N ACCESSHEALTH PLUS DALTON KMART PHARMACY7064 1308 W WALNUT AVE 30720 706 278-4717 N K MART PHARMACY DALTON KMART PHARMACY7437 1203 CLEVELAND ROAD 30721 706 226-6304 N K MART PHARMACY DALTON KROGER PHARMACY 1365 W WALNUT AVE 30720 706 270-0850 N THE KROGER CO DALTON KROGER PHARMACY 1205 CLEVELAND ROAD 30720 706 226-7033 N THE KROGER CO DALTON NORTH GEORGIA UROLOGY CENTER PC 1434 BROADRICK DR 307203009 706 278-5961 N THIRD PARTY STATION DALTON PROFESSIONAL PHARMACY 1100 BURLEYSON RD 307203058 706 278-2490 N ELEVATE PROVIDER NETWORK DALTON RITE AID PHARMACY 11829 1320 CLEVELAND HIGHWAY 30721 706 272-9346 N RITE AID CORPORATION DALTON S AND W PHARMACY 1710 CLEVELAND HWY 307210487 706 259-9787 N ELEVATE PROVIDER NETWORK DALTON SUTTON FAMILY PHARMACY 3957 CLEVELAND HWY 30721 706 852-1802 N THIRD PARTY STATION CP DALTON VALURITE DISCOUNT PHARMACY 1006 PROFESSIONAL BLVD 30720 706 217-2700 N ELEVATE PROVIDER NETWORK DALTON WALGREENS #11994 2225 E WALNUT AVE 307214529 706 260-2628 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

DALTON WALGREENS #5954 1247 W WALNUT AVE 30720 706 428-9003 N WALGREENS DRUG STORE DALTON WAL-MART PHARMACY 10-0669 2545 E WALNUT AVE 30721 706 278-6555 N WALMART STORES INC DALTON WALMART PHARMACY 10-4528 98 W WALNUT AVE 30720 762 209-5008 N WALMART STORES INC DALTON WAL-MART PHARMACY 10-5173 815 SHUGART ROAD 30720 706 271-2834 N WALMART STORES INC DANIELSVILLE MEDICINE SHOPPE PHARMACY 7 JOHNSON DRIVE 30633 706 795-0920 N MEDICINE SHOPPE INTERNATIONAL INC DANIELSVILLE RITE AID PHARMACY 03475 380 GENERAL DANIEL AVE NORTH 306330359 706 795-2135 N RITE AID CORPORATION DARIEN FREDS PHARMACY HWY 17 NORTH 31305 912 437-6353 N FREDS PHARMACY DAWSON MOSELEY DRUG COMPANY 412 JOHNSON ST 39842 229 995-2126 N ELEVATE PROVIDER NETWORK DAWSONVILLE CVS PHARMACY 6327 HWY 53 EAST 30534 706 216-1303 N CVS PHARMACY INC DAWSONVILLE DAWSON PHARMACY 66 S400 CENTER LANE 30534 678 714-0735 N UNITED DRUGS DAWSONVILLE GOODSONS PHARMACY 159 HWY 53 WEST 305340204 706 265-2020 N ELEVATE PROVIDER NETWORK DAWSONVILLE INTOUCH PHARMACY 75 ELLIOTT RD STE 240 305348901 706 867-5195 N DAWSONVILLE KROGER PHARMACY 78 DAWSON VILLAGE WAY NORTH 30534 706 216-5508 N THE KROGER CO DAWSONVILLE RITE AID PHARMACY 11816 51 HIGHWAY 400 SOUTH 30534 706 216-2101 N RITE AID CORPORATION DAWSONVILLE WAL-MART PHARMACY 10-3874 156 POWER CENTER DRIVE 30534 706 265-2484 N WALMART STORES INC DECATUR C & S LONG TERM CARE PHARMACY 5360 SNAPFINGER WOODS DR 30035 770 987-2642 N MHA LONG TERM CARE NETWORK DECATUR CVS PHARMACY 2444 WESLEY CHAPEL RD 30035 770 981-2532 N CVS PHARMACY INC DECATUR CVS PHARMACY 3820 N DECATUR RD 30032 404 299-9154 N CVS PHARMACY INC DECATUR CVS PHARMACY 2738 N DECATUR RD 30033 404 508-2456 Y CVS PHARMACY INC DECATUR CVS PHARMACY 4037 GLENWOOD RD 30032 404 288-4881 N CVS PHARMACY INC DECATUR CVS PHARMACY 225 W PONCE DELEON AVE 30030 404 373-9627 N CVS PHARMACY INC DECATUR CVS PHARMACY 2458 CANDLER RD 30032 404 284-9718 N CVS PHARMACY INC DECATUR CVS PHARMACY 2586 LAWRENCEVILLE HWY 30033 770 491-8616 N CVS PHARMACY INC DECATUR KROGER PHARMACY 2875 N DECATUR ROAD 30033 404 294-8211 N THE KROGER CO DECATUR KROGER PHARMACY 4915 FLAT SHOALS PARKWAY 30034 770 322-3138 N THE KROGER CO DECATUR KROGER PHARMACY 2385 WESLEY CHAPEL RD 30035 770 987-1400 N THE KROGER CO DECATUR KROGER PHARMACY 3479 MEMORIAL DRIVE 30032 404 286-5788 N THE KROGER CO DECATUR LONGS DEKALB HEALTH PHARMACY 1428 SCOTT BLVD 300301424 404 270-9242 N ACCESSHEALTH PLUS DECATUR MCKINNEYS APOTHECARY 225 E PONCE DE LEON AVE 30030 404 378-5408 N ELEVATE PROVIDER NETWORK DECATUR PUBLIX PHARMACY #0269 3649 FLAKES MILL RD 30034 770 322-2386 N PUBLIX SUPER MARKETS INC DECATUR PUBLIX PHARMACY #0665 3870 N DRUID HILLS ROAD 30033 404 633-6466 N PUBLIX SUPER MARKETS INC DECATUR PUBLIX PHARMACY #0723 2155 N DECATUR ROAD 30030 404 638-6166 N PUBLIX SUPER MARKETS INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

DECATUR PUBLIX PHARMACY #0804 2075 S HAIRSTON ROAD 30035 770 322-6557 N PUBLIX SUPER MARKETS INC DECATUR QOL MEDS 445 WINN WAY 300301707 404 508-7700 N MHA LONG TERM CARE NETWORK DECATUR QOL MEDS 3110 CLIFTON SPRINGS ROAD 30034 404 244-4401 N MHA LONG TERM CARE NETWORK DECATUR RITE AID PHARMACY 11690 4110 MEMORIAL DRIVE 30032 404 294-6504 N RITE AID CORPORATION DECATUR RITE AID PHARMACY 11693 4855 FLAT SHOALS PKWY 30034 770 987-3824 N RITE AID CORPORATION DECATUR WALGREENS 2675 N DECATUR RD 300336131 404 299-5411 N WALGREENS DRUG STORE DECATUR WALGREENS #5580 2035 CANDLER RD 30032 404 284-9912 N WALGREENS DRUG STORE DECATUR WALGREENS #5759 585 DEKALB INDUSTRIAL WAY 30030 404 292-8878 N WALGREENS DRUG STORE DECATUR WALGREENS #6138 2065 S HAIRSTON RD 30035 770 322-1290 N WALGREENS DRUG STORE DECATUR WALGREENS #6481 3584 WESLEY CHAPEL RD 30034 770 987-9093 N WALGREENS DRUG STORE DECATUR WALGREENS #7478 2781 LAVISTA RD 30033 404 929-1013 N WALGREENS DRUG STORE DECATUR WAL-MART PHARMACY 10-3118 2525 N DECATUR RD 300336126 404 464-4475 N WALMART STORES INC DECATUR WAL-MART PHARMACY 10-3710 3580 MEMORIAL DRIVE 30032 404 284-0707 N WALMART STORES INC DEMOREST HABERSHAM DRUG 638 HISTORIC HWY 441 STE A 30535 706 754-4128 N EPIC PHARMACY NETWORK INC DEMOREST HABERSHAM MEDICAL CENTER- APOTHECARY 541 HISTORIC HWY 441 N 305350037 706 754-3113 N GERIMED LTC NETWORK INC DONALSONVILLE FREDS PHARMACY 409 W 3RD ST 39845 229 524-2596 N FREDS PHARMACY DONALSONVILLE RITE AID PHARMACY 03340 100 W 3RD ST 398451506 229 524-1126 N RITE AID CORPORATION DONALSONVILLE ROBERTS PHARMACY 803 N WILEY AVE 39845 229 524-2313 N DONALSONVILLE WALMART PHARMACY 10-4254 907 MARIANNA HWY 398451917 229 524-8312 N WALMART STORES INC DORAVILLE COLLIERS PHARMACY 5705 BUFORD HWY 30340 770 455-4433 N THIRD PARTY STATION DORAVILLE KIMS PHARMACY INC 5280 BUFORD HWY 303401117 770 455-7700 N DORAVILLE WAI KIU FAMCARE PHARMACY 5150 BUFORD HWY 30340 770 455-8882 N LEADER DRUG STORES INC DOUGLAS CVS PHARMACY 912 W WARD ST 31533 912 384-2088 N CVS PHARMACY INC DOUGLAS FULCO DISCOUNT DRUGS 301 SHIRLEY AVE 315333609 912 384-7026 N EPIC PHARMACY NETWORK INC DOUGLAS HARVEYS SUPERMARKET 901 W WARD ST 31533 912 393-3289 N BI LO LLC DOUGLAS HARVEYS SUPERMARKET 813 S PETERSON AVE 31533 912 383-6862 N BI LO LLC DOUGLAS KMART PHARMACY3946 1300 S MADISON AVE 31533 912 384-0144 N K MART PHARMACY DOUGLAS MCRAES PHARMACY 1002 W WARD ST 31533 912 384-5255 N EPIC PHARMACY NETWORK INC DOUGLAS MOBLEYS PHARMACY 800 N PETERSON AVE 31533 912 383-7947 N THIRD PARTY STATION DOUGLAS ROY POWELLS DRUG STORE 223 W ASHLEY ST 31533 912 384-1793 N EPIC PHARMACY NETWORK INC DOUGLAS WALGREENS 602 PETERSON AVE S 315335233 912 260-1198 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

DOUGLAS WAL-MART PHARMACY 10-0593 1450 SOUTHEAST BOWENS MILL RD 31533 912 384-5492 N WALMART STORES INC DOUGLASVILLE APOTHECARY SHOPPE PHARMACY 6126 PRESTLEY MILL RD 30135 770 949-7977 N ELEVATE PROVIDER NETWORK DOUGLASVILLE CVS PHARMACY 6031 FAIRBURN RD 30134 770 942-9214 N CVS PHARMACY INC DOUGLASVILLE CVS PHARMACY # 3674 HIGHWAY 5 301352364 770 942-3153 N CVS PHARMACY INC DOUGLASVILLE D AND B PHARMACY 3311 HWY 5 30135 678 391-1140 N DOUGLASVILLE EHI PHARMACY SOLUTIONS LLC 6084 PROFESSIONAL PKWY STE B 301345612 678 838-4443 N VANTAGE RX DISPENSING SERVICES LLC DOUGLASVILLE KROGER PHARMACY 3875 CHAPEL HILL ROAD 30135 770 947-8787 N THE KROGER CO DOUGLASVILLE KROGER PHARMACY 4815 RIDGE ROAD 30134 770 949-2661 N THE KROGER CO DOUGLASVILLE KROGER PHARMACY 8501 HOSPITAL DRIVE 30133 770 949-3529 N THE KROGER CO DOUGLASVILLE KROGER PHARMACY 3251 HIGHWAY 5 30135 770 920-1884 N THE KROGER CO DOUGLASVILLE PUBLIX PHARMACY #0485 3316 HIGHWAY 5 30135 770 920-3466 N PUBLIX SUPER MARKETS INC DOUGLASVILLE PUBLIX PHARMACY #1139 4300 CHAPEL HILL RD 30135 770 577-5139 N PUBLIX SUPER MARKETS INC DOUGLASVILLE RITE AID PHARMACY 11745 4692 RIDGE ROAD 301346150 770 489-8699 N RITE AID CORPORATION DOUGLASVILLE RITE AID PHARMACY 11746 3687 HIGHWAY 5 30135 770 577-8979 N RITE AID CORPORATION DOUGLASVILLE RITE AID PHARMACY 11747 2710 HIGHWAY 92 30135 770 489-8422 N RITE AID CORPORATION DOUGLASVILLE RITE AID PHARMACY 11748 2981 CHAPEL HILL ROAD 30135 678 391-1886 N RITE AID CORPORATION DOUGLASVILLE SAMS PHARMACY 10-8211 6995 CONCOURSE PARKWAY 30134 770 489-3334 N WALMART STORES INC DOUGLASVILLE TARGET PHARMACY 2950 CHAPEL HILL ROAD 30135 770 947-5332 N TARGET PHARMACIES DOUGLASVILLE VILLAGE PHARMACY 3697 HIGHWAY 5 STE 6 301356901 678 501-5165 N ELEVATE PROVIDER NETWORK DOUGLASVILLE WALGREENS 3851 CHAPEL HILL RD 30135 678 715-2578 N WALGREENS DRUG STORE DOUGLASVILLE WALGREENS #10246 5864 FAIRBURN RD 301342301 770 949-9307 N WALGREENS DRUG STORE DOUGLASVILLE WALGREENS #10854 2701 FAIRBURN RD 301352941 770 489-2734 N WALGREENS DRUG STORE DOUGLASVILLE WALGREENS #6896 9465 HIGHWAY 5 30135 678 715-8494 N WALGREENS DRUG STORE DOUGLASVILLE WAL-MART PHARMACY 10-1488 7001 CONCOURSE PKWY 30134 770 489-7361 N WALMART STORES INC DUBLIN BUYSMART RX/HME INC 1632 VETERANS BLVD 31021 478 275-1455 N EPIC PHARMACY NETWORK INC DUBLIN CVS PHARMACY 1025 HILLCREST PARKWAY 31021 478 275-9591 N CVS PHARMACY INC DUBLIN FREDS PHARMACY 122 HILLCREST PARKWAY 31021 478 296-1773 N FREDS PHARMACY DUBLIN GAYCO HEALTHCARE 507 INDUSTRIAL BLVD 31021 478 272-8093 N GERIMED LTC NETWORK INC DUBLIN HARVEYS SUPERMARKET 1945 VETERANS BOULEVARD 310213001 478 272-8851 N BI LO LLC DUBLIN KMART PHARMACY3967 116 HILLCREST PKWY 31021 478 275-3655 N K MART PHARMACY DUBLIN KROGER PHARMACY 1100 HILLCREST PARKWAY 31021 478 277-3085 N THE KROGER CO DUBLIN MEDICAL PARK PHARMACY 2406 BELLEVUE RD 31021 478 272-8065 N ELEVATE PROVIDER NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

DUBLIN RITE AID PHARMACY 11837 2000 VETERANS BOULEVARD 31021 478 296-7608 N RITE AID CORPORATION DUBLIN TOMLINSON PHARMACY 108 ROWE ST 31021 478 272-7722 N ELEVATE PROVIDER NETWORK DUBLIN WAL-MART PHARMACY 10-0555 2423 HWY 80 W 31021 478 272-8060 N WALMART STORES INC DULUTH CORNER PHARMACY 2550 PLEASANT HILL RD BUILD 100 30096 770 622-0688 N ELEVATE PROVIDER NETWORK DULUTH CVS PHARMACY 4110 PLEASANT HILL RD 30096 770 418-0510 N CVS PHARMACY INC DULUTH DULUTH PHARMACY 3890 PLEASANT HILL RD STE # 103 300964807 770 476-2820 N UNITED DRUGS DULUTH KROGER PHARMACY 6555 SUGARLOAF PARKWAY 200 30097 770 418-2398 N THE KROGER CO DULUTH KROGER PHARMACY 3093 STEVE REYNOLDS BLVD 30096 770 225-0960 N THE KROGER CO DULUTH KROGER PHARMACY 3455 PEACHTREE IND BLVD 30096 770 476-7985 N THE KROGER CO DULUTH PUBLIX PHARMACY #0226 5805 STATE BRIDGE RD 30097 770 813-7456 N PUBLIX SUPER MARKETS INC DULUTH PUBLIX PHARMACY #0505 1625 PLEASANT HILL ROAD STE 20 30096 770 806-2787 N PUBLIX SUPER MARKETS INC DULUTH PUBLIX PHARMACY #0585 2750 BUFORD HWY 30096 770 622-6756 N PUBLIX SUPER MARKETS INC DULUTH PUBLIX PHARMACY #0726 3870 PEACHTREE INDUSTRIAL BLVD 30096 770 813-9330 N PUBLIX SUPER MARKETS INC DULUTH RITE AID PHARMACY 11730 2325 PLEASANT HILL ROAD 30096 770 497-4425 N RITE AID CORPORATION DULUTH RITE AID PHARMACY 11731 10820 ABBOTT'S BRIDGE ROAD 30097 770 814-8919 N RITE AID CORPORATION DULUTH SAMS PHARMACY 10-8166 3450 STEVE REYNOLDS BLVD 30096 770 495-0484 N WALMART STORES INC DULUTH TARGET PHARMACY 5950 STATE BRIDGE RD 30097 678 258-1000 N TARGET PHARMACIES DULUTH VILLAGE PODIATRY 3655 HOWELL FERRY RD 30096 770 497-8283 N VANTAGE RX DISPENSING SERVICES LLC DULUTH WALGREENS #5989 2705 BUFORD HWY 30096 770 476-5363 N WALGREENS DRUG STORE DULUTH WALGREENS #6276 6590 SUGARLOAF PKWY 30097 678 957-0021 N WALGREENS DRUG STORE DULUTH WALGREENS #7395 6410 W JOHNS CROSSING 30097 770 476-9537 N WALGREENS DRUG STORE DULUTH WALGREENS #7502 1490 PLEASANT HILL RD 30096 770 921-9976 N WALGREENS DRUG STORE DULUTH WAL-MART PHARMACY 10-2154 2635 PLEASANT HILL ROAD 30096 770 418-9535 N WALMART STORES INC DULUTH YES PHARMACY 3500 GWINNETT PLACE DR STE 15 300964751 770 837-0571 N ELEVATE PROVIDER NETWORK DUNWOODY CARLTONS DUNWOODY PHARMACY 5484 CHAMBLEE-DUNWOODY RD 303384114 770 394-3233 N ACCESSHEALTH PLUS DUNWOODY CVS PHARMACY 2500 MT VERNON RD 30338 770 394-5131 N CVS PHARMACY INC DUNWOODY DUNWOODY PHARMACY 4675 N SHALLOWFORD RD 30338 770 455-1144 N LEADER DRUG STORES INC DUNWOODY KROGER PHARMACY 4498 CHAMBLEE DUNWOODY RD 30338 770 451-7408 N THE KROGER CO DUNWOODY PUBLIX PHARMACY #0514 8725 ROSWELL RD 30350 770 640-5956 N PUBLIX SUPER MARKETS INC DUNWOODY 5556 CHAMBLEE DUNWOODY RITE AID PHARMACY 11798 ROAD 30338 770 394-8407 N RITE AID CORPORATION DUNWOODY RITE AID PHARMACY 11799 4621 N SHALLOWFORD ROAD 30338 770 455-4681 N RITE AID CORPORATION Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

DUNWOODY WALGREENS #7167 5511 A CHAMBLEE DUNWOODY 30338 770 671-9424 N WALGREENS DRUG STORE DUNWOODY WAL-MART PHARMACY 10-3070 5025 WINTERS CHAPEL RD 303601700 770 280-0323 N WALMART STORES INC EAST DUBLIN FREDS PHARMACY 705 CENTRAL DRIVE 31027 478 296-7336 N FREDS PHARMACY EAST DUBLIN MICHAELS PHARMACY 203 CENTRAL DR 31027 478 274-8876 N THIRD PARTY STATION CP EAST DUBLIN RITE AID PHARMACY 01972 620 CENTRAL DRIVE 310277414 478 272-8024 N RITE AID CORPORATION EAST ELLIJAY CVS PHARMACY 601 HOWARD SIMMONS RD 305408173 706 635-2500 N CVS PHARMACY INC EAST ELLIJAY RITE AID PHARMACY 11817 192 FIRST AVE 30539 706 635-2241 N RITE AID CORPORATION EAST ELLIJAY RIVERSIDE DRUGS 941 MADDOX DRIVE 30540 706 635-5151 N TPN CP EAST POINT CVS PHARMACY 2907 MAIN ST 303444203 404 768-3630 N CVS PHARMACY INC EAST POINT DISCOUNT PHARMACY SERVICES 1514 E CLEVELAND AVE 30344 404 305-8002 N MHA LONG TERM CARE NETWORK EAST POINT EAST POINT GRADY HEALTH CENTER PHARMACY 1595 W CLEVELAND AVE 303442558 404 616-9231 N EAST POINT PYRAMID DISCOUNT PHARMACY 1185 CLEVELAND AVE 30344 404 559-0715 N EAST POINT RITE AID PHARMACY 11804 3055 WASHINGTON ROAD 30344 404 767-8789 N RITE AID CORPORATION EAST POINT TARGET PHARMACY 3660 MARKETPLACE BLVD 30344 404 267-0064 N TARGET PHARMACIES EAST POINT WALMART PHARMACY 10-6998 844 CLEVELAND AVE 303442907 404 460-6160 N WALMART STORES INC EAST POINT WASHINGTON ROAD PHARMACY 3518 WASHINGTON RD 30344 404 761-6488 N TPN EASTANOLLEE WAL-MART PHARMACY 10-1122 3886 HIGHWAY 17 30538 706 282-1193 N WALMART STORES INC EASTMAN CVS PHARMACY 535 OAK ST 31023 478 374-4593 N CVS PHARMACY INC EASTMAN FREDS PHARMACY 5011 FOURTH AVE 31023 478 374-7816 N FREDS PHARMACY EASTMAN MEDICAL CENTER PRESCRIPTION SHOP 710 MEDICAL CENTER DR 31023 478 374-5514 N ELEVATE PROVIDER NETWORK EASTMAN WAL-MART PHARMACY 10-1018 1099 INDIAN DRIVE 31023 478 374-3403 N WALMART STORES INC EATONTON CVS PHARMACY 809 OAK ST 31024 706 485-5832 N CVS PHARMACY INC EATONTON RAY DRUG COMPANY 234 N JEFFERSON AVE 310241022 706 485-3081 N ELEVATE PROVIDER NETWORK EATONTON SHOPPERS PHARMACY 303 S JEFFERSON AVE 31024 706 485-6262 N THIRD PARTY STATION CP EATONTON WAL-MART PHARMACY 10-5482 201 WAL-MART DRIVE 31024 706 485-4536 N WALMART STORES INC EDISON LANE DRUG CO 19427E HARTFORD ST 39846 229 835-2212 N THIRD PARTY STATION CP ELBERTON CVS PHARMACY 232 ELBERT ST 30635 706 283-7176 N CVS PHARMACY INC ELBERTON MADDEN'S PHARMACY, INC. 101 COLLEGE AVE 30635 706 283-1701 ELEVATE PROVIDER NETWORK ELBERTON WALGREENS #11166 18 COLLEGE AVE 306351740 706 283-8228 N WALGREENS DRUG STORE ELBERTON WAL-MART PHARMACY 10-1701 955 ELBERT ST 30635 706 283-8735 N WALMART STORES INC ELLAVILLE GILL DRUGS 54 E OGLETHORPE ST 318069230 229 937-2002 N THIRD PARTY STATION CP Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ELLAVILLE WALMART PHARMACY 10-4228 560 S BROAD ST 318063462 229 937-5522 N WALMART STORES INC ELLENWOOD CVS PHARMACY 80 FAIRVIEW RD 30294 770 474-7926 N CVS PHARMACY INC ELLENWOOD KROGER PHARMACY 101 FAIRVIEW ROAD 30294 770 389-7088 N THE KROGER CO ELLENWOOD WALGREENS #9621 315 FAIRVIEW RD 30294 770 474-2438 N WALGREENS DRUG STORE ELLENWOOD WAL-MART PHARMACY 10-3609 2940 ANVIL BLOCK RD 302942403 404 361-6961 N WALMART STORES INC ELLIJAY WAL-MART PHARMACY 10-1070 88 HIGHLAND XING 305406052 706 276-1180 N WALMART STORES INC ETON LIVING WELL PHARMACY 79 HWY 286 30724 706 422-9355 N ACCESSHEALTH PLUS EVANS CVS PHARMACY 1044 FURYS FERRY RD 30809 706 860-3945 N CVS PHARMACY INC EVANS CVS PHARMACY 4385 HEREFORD FARM RD 30809 706 210-0014 N CVS PHARMACY INC EVANS CVS PHARMACY 5101 WASHINGTON RD 308096445 706 650-0911 N CVS PHARMACY INC EVANS KROGER PHARMACY 4355 WASHINGTON RD 30809 706 868-4515 N THE KROGER CO EVANS MEDICAL CENTER WEST PHARMACY 465 N BELAIR RD 30809 706 854-2424 N UNITED DRUGS EVANS PUBLIX PHARMACY #0526 4274 WASHINGTON RD 30809 706 650-5046 N PUBLIX SUPER MARKETS INC EVANS PUBLIX PHARMACY #1286 5119 WASHINGTON RD 30809 706 650-1686 N PUBLIX SUPER MARKETS INC EVANS TARGET PHARMACY 4223 WASHINGTON RD 30809 706 869-0937 N TARGET PHARMACIES EVANS WALGREENS #10602 4310 WASHINGTON RD 30809 706 860-4179 N WALGREENS DRUG STORE EVANS WAL-MART PHARMACY 10-3570 4469 WASHINGTON RD 308093807 706 854-1516 N WALMART STORES INC FAIRBURN CVS PHARMACY 77 HUDSON PLZ 30213 770 964-7785 N CVS PHARMACY INC FAIRBURN PUBLIX PHARMACY #1183 5370 CAMPBELTON FAIRBURN RD 30213 770 774-3605 N PUBLIX SUPER MARKETS INC FAIRMOUNT FAIRMOUNT DRUGS 2688 HWY 411 SE 301390471 706 337-5541 N LEADER DRUG STORES INC FAYETTEVILLE APEX PHARMACY 1240 HWY 54 W 30214 770 719-9050 N FAYETTEVILLE CVS PHARMACY 480 N GLYNN ST 30214 770 461-3431 N CVS PHARMACY INC FAYETTEVILLE HARSCH & OSBORNE MD PC 105 CARNEGIE PL STE 103 302145900 770 716-7999 N VANTAGE RX DISPENSING SERVICES LLC FAYETTEVILLE JONES PHARMACY 575 GLYNN ST N 302141198 770 461-3911 N ELEVATE PROVIDER NETWORK FAYETTEVILLE KROGER PHARMACY 134 BANKS CROSSING 30214 770 461-7632 N THE KROGER CO FAYETTEVILLE KROGER PHARMACY 805 S GLYNN ST 30215 770 461-8266 N THE KROGER CO FAYETTEVILLE PUBLIX PHARMACY #0579 108 PAVILION PARKWAY 30214 770 460-4106 N PUBLIX SUPER MARKETS INC FAYETTEVILLE PUBLIX PHARMACY #1087 840 GLYNN ST SOUTH 30214 678 817-5420 N PUBLIX SUPER MARKETS INC FAYETTEVILLE RITE AID PHARMACY 11761 800 N GLYNN ST 30214 770 461-1241 N RITE AID CORPORATION FAYETTEVILLE RITE AID PHARMACY 11762 975 HIGHWAY 54 WEST 30214 770 719-3340 N RITE AID CORPORATION FAYETTEVILLE RITE AID PHARMACY 11763 894 HIGHWAY 85 SOUTH 30215 770 716-9925 N RITE AID CORPORATION FAYETTEVILLE TARGET PHARMACY 107 PAVILLION PKWY 30214 770 719-9976 N TARGET PHARMACIES Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

FAYETTEVILLE WALGREENS #6371 880 HIGHWAY 85 SO 30214 678 817-4787 N WALGREENS DRUG STORE FAYETTEVILLE WALGREENS #6372 780 N GLYNN ST 30214 770 716-2262 N WALGREENS DRUG STORE FAYETTEVILLE WAL-MART PHARMACY 10-0594 125 PAVILLION PARKWAY 30214 770 460-0726 N WALMART STORES INC FITZGERALD COLONY DISCOUNT DRUGS, INC. 502 S GRANT ST 317503398 229 423-9801 N EPIC PHARMACY NETWORK INC FITZGERALD CVS PHARMACY 816 SGRANT ST 31750 229 423-6523 N CVS PHARMACY INC FITZGERALD EAST GEORGIA RESPICARE, INC. 611 S GRANT ST 317503377 229 424-0018 N THIRD PARTY STATION FITZGERALD HARVEYS SUPERMARKET 220 W CENTRAL AVE 31750 229 423-0521 N BI LO LLC FITZGERALD RITE AID PHARMACY 11859 162 OCILLA HIGHWAY 31750 229 423-2039 N RITE AID CORPORATION FITZGERALD WAL-MART PHARMACY 10-0686 120 BENJAMIN H HILL DR SW 31750 229 423-5647 N WALMART STORES INC FLINTSTONE FLINTSTONE PHARMACY 3255 CHATTANOOGA VALLEY RD 30725 706 820-9971 N THIRD PARTY STATION CP FLOWERY CVS PHARMACY 7395 SPOUT SPRINGS RD 30542 770 965-1037 N CVS PHARMACY INC FLOWERY BRANCH CITIZENS PHARMACY 5325 ATLANTA HWY 305420004 770 967-3324 N ELEVATE PROVIDER NETWORK FLOWERY BRANCH CVS PHARMACY 4050 WINDER RD 305423021 770 965-1979 N CVS PHARMACY INC FLOWERY BRANCH KROGER PHARMACY 7380 SPOUT SPRINGS ROAD 30542 770 965-5644 N THE KROGER CO FLOWERY BRANCH PUBLIX PHARMACY #0634 3446 WINDER HIGHWAY 30542 770 538-4276 N PUBLIX SUPER MARKETS INC FLOWERY BRANCH PUBLIX PHARMACY #0844 5900 SPOUT SPRINGS RD 30542 770 967-1775 N PUBLIX SUPER MARKETS INC FLOWERY BRANCH PUBLIX PHARMACY #1279 7334 SPOUT SPRINGS RD 30542 770 967-4103 N PUBLIX SUPER MARKETS INC FLOWERY BRANCH RITE AID PHARMACY 11818 5915 SPOUT SPRINGS ROAD 30542 770 967-1664 N RITE AID CORPORATION FLOWERY BRANCH TARGET PHARMACY 5865 SPOUT SPRINGS RD 30542 770 967-1210 N TARGET PHARMACIES FLOWERY BRANCH THE KROGER CO 4025 WINDER HWY 30542 770 539-5031 N THE KROGER CO FLOWERY BRANCH WALGREENS #12811 5963 SPOUT SPRINGS RD 305423452 770 965-2371 N WALGREENS DRUG STORE FOLKSTON BENNETT'S HOMETOWN PHARMACY 4402 SECOND ST N 315379383 912 496-3784 N ELEVATE PROVIDER NETWORK FOLKSTON FOLKSTON PHARMACY 3885 MAIN ST 315377543 912 496-2522 N LEADER DRUG STORES INC FOLKSTON RITE AID PHARMACY 01555 4242 N SECOND ST 315373008 912 496-7759 N RITE AID CORPORATION FOREST PARK CHRISTIANS HEALTH SERVICES 4980 PHILLIPS DR 30297 404 362-2990 N ELEVATE PROVIDER NETWORK FOREST PARK CHRISTIANS PHARMACY 1032 MAIN ST 30297 404 366-4320 N ELEVATE PROVIDER NETWORK FOREST PARK CVS PHARMACY 1029 FOREST PKWY 30297 404 608-0751 N CVS PHARMACY INC FOREST PARK RITE AID PHARMACY 11787 833 FOREST PARKWAY 30297 404 366-8420 N RITE AID CORPORATION FOREST PARK TRUSTEE DRUGS INC 381 FOREST PKWY 302972187 404 366-9088 N THIRD PARTY STATION CP FOREST PARK WILSON PHARMACY 1142 MAIN ST 30297 404 366-4211 N THIRD PARTY STATION CP FORSYTH CASTLEBERRY DRUG COMPANY 67 N LEE ST 31029 478 994-2051 N LEADER DRUG STORES INC FORSYTH CVS PHARMACY 430 TIFT COLLEGE DR 31029 478 994-0193 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

FORSYTH U SAVE IT PHARMACY #21 25 W JOHNSTON ST 310292208 478 994-2015 N EPIC PHARMACY NETWORK INC FORSYTH WAL-MART PHARMACY 10-0907 180 N LEE ST 31029 478 994-6005 N WALMART STORES INC FORT GAINES BUY RITE DRUGS 114 S HANCOCK ST 398514338 229 768-2422 N EPIC PHARMACY NETWORK INC FORT OGLETHORPE KMART PHARMACY3083 526 BATTLEFIELD PARKWAY 307423849 706 861-2771 N K MART PHARMACY FORT OGLETHORPE WALGREENS #12921 3625 BATTLEFIELD PKWY 307424001 706 866-1839 N WALGREENS DRUG STORE FORT OGLETHORPE WALGREENS #7567 1228 BATTLEFIELD PKWY 30742 706 861-7284 Y WALGREENS DRUG STORE FORT OGLETHORPE WAL-MART PHARMACY 10-1458 3040 BATTLEFIELD PKWY 30742 706 861-6252 N WALMART STORES INC FORT OGLETHORPE WALMART PHARMACY 10-3635 1155 BATTLEFIELD PKWY 307423960 762 887-6046 N WALMART STORES INC FORT VALLEY CVS PHARMACY 104 VINEVILLE ST 31030 478 825-0079 N CVS PHARMACY INC FORT VALLEY FIVE POINTS PHARMACY 115 COMMERCIAL HEIGHTS 31030 478 822-0555 N ACCESSHEALTH PLUS FORT VALLEY U SAVE IT PHARMACY 609 BLUEBIRD BLVD 310305082 478 825-8226 N EPIC PHARMACY NETWORK INC FT OGLETHORPE CVS PHARMACY 887 BATTLEFIELD PKWY 30742 706 861-3337 Y CVS PHARMACY INC FT OGLETHORPE LMCS PHARMACY 1875 FANT DRIVE 30742 706 861-3387 N ACCESSHEALTH PLUS GAINESVILLE CVS PHARMACY 103 JESSE JEWEL PARKWAY 30501 770 536-3441 Y CVS PHARMACY INC GAINESVILLE CVS PHARMACY 3709 THOMPSON BRIDGE RD 30506 770 503-7454 N CVS PHARMACY INC GAINESVILLE CVS PHARMACY 1400 PARK HILL DRIVE 30501 770 534-8408 N CVS PHARMACY INC GAINESVILLE 1240 JESSE JEWELL PKWY SE STE DIAGNOSTIC CLINIC PHARMACY 550 305013862 678 450-7855 N TPN GAINESVILLE EHI PHARMACY SOLUTIONS LLC 466 GREEN ST NE 305013312 770 384-0284 N VANTAGE RX DISPENSING SERVICES LLC GAINESVILLE HST PHARMACY 1267 PROFESSIONAL PKWY STE 200 305078705 844 375-3003 N ELEVATE PROVIDER NETWORK GAINESVILLE KROGER PHARMACY #682 1931 JESSE JEWELL PARKWAY 30501 470 252-3185 N THE KROGER CO GAINESVILLE MEDICAL PARK PHARMACY 2551 LIMESTONE PKWY 305012061 770 535-8860 N EPIC PHARMACY NETWORK INC GAINESVILLE NORTHEAST GEORGIA HEALTH SERVICES PHARMACY CORP 825 JESSE JEWELL PKWY 305013899 770 219-6337 N ACCESSHEALTH PLUS GAINESVILLE PUBLIX PHARMACY #1110 879 DAWSONVILLE HIGHWAY 30501 770 534-3436 N PUBLIX SUPER MARKETS INC GAINESVILLE RITE AID PHARMACY 11807 599 S ENOTA DRIVE 30501 770 536-4361 N RITE AID CORPORATION GAINESVILLE RITE AID PHARMACY 11808 3640 MUNDY MILL ROAD 30504 770 532-9111 N RITE AID CORPORATION GAINESVILLE RITE AID PHARMACY 11809 2925 BROWN'S BRIDGE ROAD 30504 770 532-2266 N RITE AID CORPORATION GAINESVILLE RITE AID PHARMACY 11810 3320 THOMPSON BRIDGE ROAD 30506 770 287-8361 N RITE AID CORPORATION GAINESVILLE RIVERSIDE MOT PHARMACY INC 935-B GREEN ST 30501 770 532-6253 N MHA LONG TERM CARE NETWORK GAINESVILLE RIVERSIDE PHARMACY INC 935 GREEN ST 30501 770 532-6203 N PPOK RXSELECT PHCY NETWORK GAINESVILLE WALGREENS #6374 649 SHALLOWFORD RD NW 30504 678 450-8847 N WALGREENS DRUG STORE GAINESVILLE WALGREENS #9155 3414 MUNDY MILL RD 30507 770 287-8359 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

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HAWKINSVILLE WALGREENS #12319 126 BROAD ST 31036 478 783-4700 N WALGREENS DRUG STORE HAZLEHURST CHIPS DISCOUNT DRUGS LLC 240 S TALLAHASSEE ST 315396024 912 375-3218 N ACCESSHEALTH PLUS HAZLEHURST CVS PHARMACY 92 S TALLAHASSEE ST 31539 912 375-7729 N CVS PHARMACY INC HAZLEHURST HARDIES DRUG STORE 38 S TALLAHASSEE ST 315392734 912 375-2545 N EPIC PHARMACY NETWORK INC HAZLEHURST HARVEYS SUPERMARKET 112 S TALLAHASSEE ST 315396415 912 375-3575 N BI LO LLC HAZLEHURST WAL-MART PHARMACY 10-1061 136 E JARMAN ST 31539 912 375-3646 N WALMART STORES INC HELEN RANDYS HELEN PHARMACY 8016 S MAIN ST 30545 706 878-0066 THIRD PARTY STATION HELENA FREDS PHARMACY 156 8TH ST 31037 229 868-4913 N FREDS PHARMACY HEPHZIBAH BI LO PHARMACY 5292 2512 TOBACCO ROAD 30815 706 793-7284 N BI LO LLC HEPHZIBAH HEPHZIBAH PHARMACY LLC 4819 WINDSOR SPRING RD 30815 706 592-4646 N EPIC PHARMACY NETWORK INC HEPHZIBAH RITE AID PHARMACY 11831 2501 TOBACCO ROAD 30815 706 790-1118 N RITE AID CORPORATION HEPHZIBAH WALGREENS 2493 TOBACCO RD 308155951 706 793-2106 N WALGREENS DRUG STORE HEPHZIBAH WALMART PHARMACY 10-2465 3697 WINDSOR SPRING RD 308157192 706 691-0571 N WALMART STORES INC HIAWASSEE FREDS PHARMACY 534 BELL CREEK ROAD 30546 706 896-1774 N FREDS PHARMACY HIAWASSEE HIAWASSEE DISCOUNT PHARMACY 226 N MAIN ST 305460220 706 896-5555 N HIAWASSEE RITE AID PHARMACY 03778 131 S MAIN ST 305469308 706 896-2255 N RITE AID CORPORATION HINESVILLE CVS PHARMACY 114 E GEN SCREVEN WAY 31313 912 877-3002 N CVS PHARMACY INC HINESVILLE HINESVILLE PHARMACY 481 ELMA G MILES PKWY 313133615 912 876-8125 N EPIC PHARMACY NETWORK INC HINESVILLE KROGER PHARMACY 555 W OGLETHORPE ROAD 31313 912 876-6675 N THE KROGER CO HINESVILLE WAL-MART PHARMACY 10-0862 751 W OGLETHORPE HWY 31313 912 369-3353 N WALMART STORES INC HINESVILLE WALMART PHARMACY 10-4519 801-A E GENERAL STEWART WAY 31313 912 255-6009 N WALMART STORES INC HINESVILLE WALMART PHARMACY 10-4525 1422 W OGLETHORPE HWY STE A 313135645 912 877-9818 N WALMART STORES INC HIRAM RITE AID PHARMACY 11749 4442 JIMMY LEE SMITH PKWY 30141 770 943-0592 N RITE AID CORPORATION HIRAM SAMS PHARMACY 10-4802 4798 JIMMY LEE SMITH PARKWAY 30141 678 567-5980 N WALMART STORES INC HIRAM 5220 JIMMY LEE SMITH PKWY STE TARGET PHARMACY 118 30141 770 222-1421 N TARGET PHARMACIES HIRAM WAL-MART PHARMACY 10-0618 4166 JIMMY LEE SMITH PKWY 30141 770 439-2952 N WALMART STORES INC HIRAM WELLSTAR PHARMACY NETWORK AT PAULDING 144 BILL CARRUTH PARKWAY 30141 470 644-8095 N ACCESSHEALTH PLUS HOGANSVILLE HEALTHMART PHARMACY OF HOGANSVILLE 200 N HWY #29 30230 770 474-7693 N ACCESSHEALTH PLUS HOGANSVILLE RITE AID PHARMACY 01642 100 S HIGHWAY I 29 302301142 706 637-6461 N RITE AID CORPORATION HOLLY SPRINGS WALMART PHARMACY 10-5814 2200 HOLLY SPRINGS PKWY 301159079 770 213-6521 N WALMART STORES INC HOMER HOMER DRUG COMPANY 1228 HISTORIC HOMER HWY 30547 706 677-3223 N ELEVATE PROVIDER NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

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JESUP WAYNE MEMORIAL HOSPITAL PHARMACY RETAIL 865 S 1ST ST 315450210 912 530-3375 N ACCESSHEALTH PLUS JOHNS CREEK EHI PHARMACY SOLUTIONS LLC 11459 JOHNS CREEK PKWY STE 260 300973517 770 232-5030 N VANTAGE RX DISPENSING SERVICES LLC JOHNS CREEK KROGER PHARMACY #653 8465 HOLCOMB BRIDGE RD 300228530 770 552-4705 N THE KROGER CO JOHNS CREEK LILY'S PHARMACY 11670 JONES BRIDGE RD STE E 300052540 678 964-5459 N ELEVATE PROVIDER NETWORK JOHNS CREEK 10900 MEDLOCK BRIDGE RD STE OH PHARMACY 308 300971592 470 223-4775 N LEADER DRUG STORES INC JONESBORO ARROWHEAD HEALTH MART PHARMACY 188 UPPER RIVERDALE RD 30236 770 603-5555 N ACCESSHEALTH JONESBORO CVS PHARMACY 10307 TARA BLVD 30236 770 210-3400 N CVS PHARMACY INC JONESBORO CVS PHARMACY 8525 TARA BLVD 30236 770 477-6848 N CVS PHARMACY INC JONESBORO CVS PHARMACY 7267 TARA BLVD 30236 770 471-9532 N CVS PHARMACY INC JONESBORO KROGER PHARMACY 10375 TARA BLVD 30236 770 477-0975 N THE KROGER CO JONESBORO KROGER PHARMACY 8059 TARA BOULEVARD 30236 770 478-6353 N THE KROGER CO JONESBORO RITE AID PHARMACY 11768 1638 HIGHWAY 138 SOUTHEAST 30236 770 472-1205 N RITE AID CORPORATION JONESBORO WALGREENS #9271 7935 TARA BLVD 30236 678 479-1976 N WALGREENS DRUG STORE KATHLEEN PUBLIX PHARMACY #1008 1114 HIGHWAY 96 31047 478 987-6788 N PUBLIX SUPER MARKETS INC KENNESAW CVS PHARMACY 2782 COBB PKWY NW 301523472 770 420-1092 Y CVS PHARMACY INC KENNESAW KROGER PHARMACY 3895 CHEROKEE ST NE 30144 770 218-7033 N THE KROGER CO KENNESAW MAIN STREET PHARMACY 3070 N MAIN ST NW 301442756 678 290-6757 N ELEVATE PROVIDER NETWORK KENNESAW PHARMACY PARTNERS OF GA 2105 BARRETT PARK DR 30144 678 797-9067 N MHA LONG TERM CARE NETWORK KENNESAW PUBLIX PHARMACY #0146 4430 WADE GREEN RD 30144 770 419-4036 N PUBLIX SUPER MARKETS INC KENNESAW PUBLIX PHARMACY #0559 2774 N COBB PKWY 30152 770 426-3246 N PUBLIX SUPER MARKETS INC KENNESAW PUBLIX PHARMACY #0764 4290 BELLS FERRY ROAD 30144 770 516-0686 N PUBLIX SUPER MARKETS INC KENNESAW PUBLIX PHARMACY #0769 1635 OLD 41 HIGHWAY NW 30152 770 426-6860 N PUBLIX SUPER MARKETS INC KENNESAW PUBLIX PHARMACY #1077 2090 BAKER ROAD NW 30144 678 331-8755 N PUBLIX SUPER MARKETS INC KENNESAW 4283 WADE GREEN ROAD RITE AID PHARMACY 11751 NORTHWEST 30144 770 422-0904 N RITE AID CORPORATION KENNESAW 1550 KENNESAW DUE W ROAD, RITE AID PHARMACY 11752 NORTHWEST 30152 770 423-9525 N RITE AID CORPORATION KENNESAW TARGET PHARMACY 740 ERNEST W BARRETT PKWY NW 30144 770 499-1018 N TARGET PHARMACIES KENNESAW TRINITY PHARMACY 3600 CHEROKEE ST NW 301442027 770 726-7270 N LEADER DRUG STORES INC KENNESAW WALGREENS #5485 2779 COBB PKWY 30152 770 795-1838 N WALGREENS DRUG STORE KENNESAW WALGREENS #7068 4075 CHEROKEE ST NW 30144 770 528-5651 N WALGREENS DRUG STORE KENNESAW WALGREENS #7764 4360 BELLS FERRY RD NW 30144 678 445-5064 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

KENNESAW WAL-MART PHARMACY 10-3471 3105 N COBB PARKWAY 30152 770 974-5119 N WALMART STORES INC KINGSLAND CVS PHARMACY 1402 BOONE ST 31548 912 729-6227 N CVS PHARMACY INC KINGSLAND KMART PHARMACY3991 1601 HIGHWAY 40 EAST 31548 912 729-6170 N K MART PHARMACY KINGSLAND PUBLIX PHARMACY #0455 1601 GA HWY 40 EAST 31548 912 729-1457 N PUBLIX SUPER MARKETS INC KINGSLAND WALGREENS 2060 HIGHWAY 40 E 315486731 912 673-9130 N WALGREENS DRUG STORE KINGSLAND WINN DIXIE 1390 E BOONE ST 31548 912 729-6450 N WINN DIXIE PHARMACY LA FAYETTE MEDITHRIFT PHARMACY 324 W PATTON ST 307280791 706 638-3114 N ELEVATE PROVIDER NETWORK LA FAYETTE PROFESSIONAL PARK ASSOCIATES 611 E VILLANOW ST 307282618 706 638-1606 N PHYSICIANS PHARMACEUTICAL CORP LA FAYETTE WAL-MART PHARMACY 10-2988 2625 NO HWY 27 30728 706 639-4905 N WALMART STORES INC LA GRANGE CVS PHARMACY 1802 ROANOKE RD 30240 706 882-5564 N CVS PHARMACY INC LA GRANGE CVS PHARMACY 300 MORGAN ST 30241 706 882-2971 Y CVS PHARMACY INC LA GRANGE WAL-MART PHARMACY 10-0614 803 NEW FRANKLIN RD 30240 706 812-8456 N WALMART STORES INC LAFAYETTE CVS PHARMACY 807 N MAIN ST 30728 706 638-6822 N CVS PHARMACY INC LAFAYETTE FREDS PHARMACY 307 PATTON AVE BROOKWOOD S/C 30728 706 638-6931 N FREDS PHARMACY LAFAYETTE LEDFORD RX EXPRESS PHARMACY 1201 N MAIN ST 30728 706 638-1281 N LEADER DRUG STORES INC LAGRANGE CORLEY DRUGS 18 NEW AIRPORT RD 30240 706 884-2843 N ACCESSHEALTH LAGRANGE CVS PHARMACY # 1597 HOGANSVILLE RD 30241 706 242-4902 N CVS PHARMACY INC LAGRANGE KROGER PHARMACY 203A COMMERCE ST 30240 706 883-6178 N THE KROGER CO LAGRANGE PUBLIX PHARMACY #0540 139 COMMERCE AVE 302412337 706 883-7225 N PUBLIX SUPER MARKETS INC LAGRANGE RITE AID PHARMACY 11769 900 HOGANSVILLE ROAD 30241 706 882-0161 N RITE AID CORPORATION LAGRANGE WALGREENS #9622 115 VERNON ST 302403109 706 812-9852 N WALGREENS DRUG STORE LAGRANGE WALMART PHARMACY 10-2773 955 LAFAYETTE PKWY 302413582 706 443-7060 N WALMART STORES INC LAKE CITY KROGER PHARMACY 5664 JONESBORO ROAD 30260 770 960-0162 N THE KROGER CO LAKE CITY WALGREENS #6897 5675 JONESBORO RD 30260 678 422-1808 N WALGREENS DRUG STORE LAKE PARK WINN DIXIE 1060 LAKES BLVD 31636 229 559-7736 N WINN DIXIE PHARMACY LAKELAND LAKELAND DRUG COMPANY 42 W MAIN ST 316351197 229 482-3677 N UNITED DRUGS LAKELAND SGMC LANIER CAMPUS 116 W THIGPEN AVE 31635 229 482-8409 N THIRD PARTY STATION LAKELAND WALMART PHARMACY 10-4263 142 S VALDOSTA RD 316351576 229 482-2194 N WALMART STORES INC LAVONIA RIGGINS PHARMACY 12240 AUGUSTA RD 30553 706 356-8863 N ELEVATE PROVIDER NETWORK LAVONIA RITE AID PHARMACY 01906 13387 JONES ST 305531164 706 356-4153 N RITE AID CORPORATION LAWERENCEVILLE GWINNETT CLINIC PHARMACY 475 PHILIP BLVD 30045 678 226-6212 N LEADER DRUG STORES INC LAWRENCEVILLE CONCORD PHARMACY 771 OLD NORCROSS RD 30046 678 990-8920 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

LAWRENCEVILLE CONCORD PHARMACY 575 PROFESSIONAL DRIVE 30045 770 338-0971 N ACCESSHEALTH PLUS LAWRENCEVILLE CVS PHARMACY 2650 CRUSE RD 30044 770 921-8514 N CVS PHARMACY INC LAWRENCEVILLE CVS PHARMACY 2935 FIVE FORKS TRICKUM RD 30044 770 982-5202 N CVS PHARMACY INC LAWRENCEVILLE CVS PHARMACY 202 GRAYSON HWY 30045 770 963-8183 N CVS PHARMACY INC LAWRENCEVILLE CVS PHARMACY 1187 GRAYSON HWY 30045 770 338-2513 N CVS PHARMACY INC LAWRENCEVILLE CVS PHARMACY 1525 BUFORD DRIVE 30043 770 962-6117 N CVS PHARMACY INC LAWRENCEVILLE CVS PHARMACY 5710 SUGARLOAF PARKWAY 30043 770 237-2222 N CVS PHARMACY INC LAWRENCEVILLE CVS PHARMACY 620 W PIKE ST 30045 770 339-1802 Y CVS PHARMACY INC LAWRENCEVILLE EHI PHARMACY SOLUTIONS LLC 500 MEDICAL CENTER BLVD STE LAWRENCEVILLE 100 300463330 770 822-2166 N VANTAGE RX DISPENSING SERVICES LLC LAWRENCEVILLE GENOA HEALTHCARE 175 GWINNETT DR STE 111 300468401 678 993-0687 N MHA LONG TERM CARE NETWORK LAWRENCEVILLE GWINNETT DRUGS 905 PARKSIDE WALK LN STE 108 300437314 770 995-5911 N THIRD PARTY STATION CP LAWRENCEVILLE GWINNETT PHARMACY 1880 BRASELTON HWY STE 121 300432877 770 338-1111 N UNITED DRUGS LAWRENCEVILLE GWINNETT PULMONARY RX DISPENSARY 631 PROFESSIONAL DR STE 350 300463370 770 995-0630 N THIRD PARTY STATION CP LAWRENCEVILLE KROGER PHARMACY 455 HIGHWAY 20 S 30046 770 962-3515 N THE KROGER CO LAWRENCEVILLE KROGER PHARMACY 1475 BUFORD DRIVE 30044 770 822-6595 N THE KROGER CO LAWRENCEVILLE KROGER PHARMACY 2100 RIVERSIDE PARKWAY 30043 770 962-1197 N THE KROGER CO LAWRENCEVILLE KROGER PHARMACY #440 950 HERRINGTON RD 300447217 770 995-6210 N THE KROGER CO LAWRENCEVILLE PUBLIX PHARMACY #0495 911 DULUTH HIGHWAY 30043 770 339-5606 N PUBLIX SUPER MARKETS INC LAWRENCEVILLE PUBLIX PHARMACY #0538 2380 BUFORD DR 30043 770 338-4566 N PUBLIX SUPER MARKETS INC LAWRENCEVILLE PUBLIX PHARMACY #0612 4850 SUGARLOAF PARKWAY 30044 770 277-5246 N PUBLIX SUPER MARKETS INC LAWRENCEVILLE PUBLIX PHARMACY #0859 3370 SUGARLOAF PKWAY 30044 678 376-6055 N PUBLIX SUPER MARKETS INC LAWRENCEVILLE PUBLIX PHARMACY #0863 1030 OLD PEACHTREE RD 30043 678 442-0831 N PUBLIX SUPER MARKETS INC LAWRENCEVILLE PUBLIX PHARMACY #1078 930 NEW HOPE ROAD 30045 770 682-2433 N PUBLIX SUPER MARKETS INC LAWRENCEVILLE RITE AID PHARMACY 11701 1900 DULUTH HIGHWAY 30043 678 985-0295 N RITE AID CORPORATION LAWRENCEVILLE RITE AID PHARMACY 11703 2979 FIVE FORKS TRICKUM ROAD 30044 770 979-8121 N RITE AID CORPORATION LAWRENCEVILLE WALGREENS 631 PROFESSIONAL DR STE 100 300463367 770 339-2029 N WALGREENS DRUG STORE LAWRENCEVILLE WALGREENS #5446 2990 FIVE FORKS TRICKUM RD 30044 770 978-6475 N WALGREENS DRUG STORE LAWRENCEVILLE WALGREENS #5896 1556 LAWRENCEVILLE HWY 30044 770 962-4946 N WALGREENS DRUG STORE LAWRENCEVILLE WALGREENS #5899 181 S CLAYTON ST 30045 770 962-0912 N WALGREENS DRUG STORE LAWRENCEVILLE WALGREENS #6088 2365 BUFORD DR 30043 770 339-4749 N WALGREENS DRUG STORE LAWRENCEVILLE WALGREENS #6638 2500 OLD NORCROSS RD 30044 678 407-9136 N WALGREENS DRUG STORE Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

LAWRENCEVILLE WALGREENS #7960 1065 DULUTH HWY 30043 770 277-4698 N WALGREENS DRUG STORE LAWRENCEVILLE WAL-MART PHARMACY 10-0548 630 COLLINS HILL RD 30045 770 995-5212 N WALMART STORES INC LAWRENCEVILLE WAL-MART PHARMACY 10-3074 3059 LAWRENCEVILLE HWY 30044 678 259-0124 N WALMART STORES INC LAWRENCEVILLE WAL-MART PHARMACY 10-3388 1400 LAWRENCEVILLE HIGHWAY 30044 770 682-5342 N WALMART STORES INC LEESBURG CVS PHARMACY # 1193 US HIGHWAY 19 S 317634825 229 436-1330 N CVS PHARMACY INC LEESBURG FRED'S PHARMACY 118 ROBERT B LEE DRIVE 31763 229 759-6903 N FREDS PHARMACY LEESBURG HARVEYS SUPERMARKET 1553 US 19 SOUTH 31763 229 432-1210 N WINN DIXIE PHARMACY LEESBURG PUBLIX PHARMACY #1349 1212 US HIGHWAY 19 SOUTH 31763 229 431-0569 N PUBLIX SUPER MARKETS INC LEESBURG U SAVE IT PHARMACY 100 TABITHA ST 31763 229 436-6992 N EPIC PHARMACY NETWORK INC LEXINGTON FREDS PHARMACY 718 ATHENS RD 30648 706 743-7497 N FREDS PHARMACY LILBURN CVS PHARMACY 5575 LAWRENCEVILLE HWY 30047 770 935-4959 N CVS PHARMACY INC LILBURN CVS PHARMACY 650 B ROCK BRIDGE RD 30047 770 381-0637 N CVS PHARMACY INC LILBURN CVS PHARMACY 3900 LAWRENCEVILLE HWY NW 30047 770 921-3537 N CVS PHARMACY INC LILBURN CVS PHARMACY 4358 BURNS RD 30047 770 564-8023 N CVS PHARMACY INC LILBURN CVS PHARMACY 4860 STONE MOUNTAIN HWY 30047 770 972-2846 N CVS PHARMACY INC LILBURN CVS PHARMACY 4100 H FIVE FORKS TRICKUM RD 30047 770 921-8071 N CVS PHARMACY INC LILBURN KROGER PHARMACY 3050 FIVE FORKS TRICKUM RD 30047 770 985-3720 N THE KROGER CO LILBURN 4155 HIGHWAY 29 AND BEAVER KROGER PHARMACY RUN 30047 770 717-3044 N THE KROGER CO LILBURN 4025 LAWRENCEVILLE HWY NW STE LIFELINE PRIMARY CARE A 300472876 770 559-3501 MDS RX LILBURN PUBLIX PHARMACY #0074 375 ROCKBRIDGE RD 30047 770 806-4045 N PUBLIX SUPER MARKETS INC LILBURN PUBLIX PHARMACY #0564 4045 FIVE FORKS TRICKUM RD 30047 770 381-4176 N PUBLIX SUPER MARKETS INC LILBURN RITE AID PHARMACY 11706 4101 FIVE FORKS TRICKUM ROAD 30047 770 381-2884 N RITE AID CORPORATION LILBURN WALGREENS #5898 5455 LAWRENCEVILLE HWY NW 30097 770 381-1351 N WALGREENS DRUG STORE LILBURN WAL-MART PHARMACY 10-1373 4004 LAWRENCEVILLE HWY NW 30047 770 921-0228 N WALMART STORES INC LINCOLNTON CRAWFORD-BREAZEALE DRUG COMPANY INC 125 N WASHINGTON ST 308170009 706 359-3343 N ELEVATE PROVIDER NETWORK LITHIA SPRINGS KROGER PHARMACY 630 THORNTON ROAD 30122 770 732-6995 N THE KROGER CO LITHIA SPRINGS LITHIA SPRINGS PHARMACY 6935 S SWEETWATER RD 30122 770 948-5208 N ACCESSHEALTH PLUS LITHIA SPRINGS PUBLIX PHARMACY #0730 2675 LEE ROAD 30122 770 920-3476 N PUBLIX SUPER MARKETS INC LITHIA SPRINGS WALGREENS #7337 590 THORNTON RD 30122 678 945-1640 N WALGREENS DRUG STORE LITHIA SPRINGS WAL-MART PHARMACY 10-3205 1100 THORNTON ROAD 30122 770 819-0814 N WALMART STORES INC LITHIA SPRINGS WYATTS PHARMACY 3750 E BANKHEAD HWY 30122 770 948-8825 N ELEVATE PROVIDER NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

LITHONIA AHF PHARMACY 5700 HILLANDALE DR STE 100 300584104 770 808-3705 N LEADER DRUG STORES INC LITHONIA CVS PHARMACY 7550 COVINGTON HWY 30058 770 482-4823 N CVS PHARMACY INC LITHONIA EHI PHARMACY SOLUTIONS LLC LITHONIA 5700 HILLANDALE DR STE 290 300584120 404 288-4117 N VANTAGE RX DISPENSING SERVICES LLC LITHONIA KROGER PHARMACY 6678 COVINGTON HIGHWAY 30058 770 593-7111 N THE KROGER CO LITHONIA PUBLIX PHARMACY #0752 3045 PANOLA ROAD 30038 770 322-5480 N PUBLIX SUPER MARKETS INC LITHONIA RITE AID PHARMACY 11694 3140 TURNER HILL ROAD 30038 678 323-8559 N RITE AID CORPORATION LITHONIA SAMS PHARMACY 10-4810 2994 TURNER HILL ROAD 30058 770 482-1720 N WALMART STORES INC LITHONIA WALGREENS #6202 6771 COVINGTON HWY 30058 678 418-0662 N WALGREENS DRUG STORE LITHONIA WALGREENS #6205 2945 PANOLA ROAD 30038 770 322-8486 N WALGREENS DRUG STORE LITHONIA WAL-MART PHARMACY 10-1340 5401 FAIRINGTON ROAD 30038 770 593-4998 N WALMART STORES INC LITHONIA WAL-MART PHARMACY 10-4143 6152 COVINGTON HWY 300588377 770 225-9568 N WALMART STORES INC LITHONIA WAL-MART PHARMACY 10-4472 8424 MALL PARKWAY 300382979 770 225-0394 N WALMART STORES INC LOCUST GROVE BAY PHARMACY 3340 HIGHWAY 155 30248 770 957-0040 N THIRD PARTY STATION CP LOCUST GROVE EAGLES LANDING PHARMACY 3758 HWY 42 30248 770 957-5556 N ACCESSHEALTH PLUS LOCUST GROVE LOCUST GROVE FAMILY MEDICINE 3778 HIGHWAY 42 302483632 678 610-6649 MDS RX LOCUST GROVE MOYES PHARMACY LOCUST GROVE 3798 HWY 42 S 30248 770 957-6004 N ACCESSHEALTH PLUS LOCUST GROVE PUBLIX PHARMACY #1052 2730 HWY 155 SOUTH 30248 770 288-4186 N PUBLIX SUPER MARKETS INC LOCUST GROVE WAL-MART PHARMACY 10-5709 4949 BILL GARDNER PKWY 302483644 678 734-3492 N WALMART STORES INC LOGANVILLE CVS PHARMACY 4377 ATLANTA HWY 30052 770 466-0109 N CVS PHARMACY INC LOGANVILLE CVS PHARMACY 2720 LOGANVILLE HWY 30052 770 277-5996 N CVS PHARMACY INC LOGANVILLE KROGER PHARMACY 910 ATHENS HIGHWAY 30052 770 554-1111 Y THE KROGER CO LOGANVILLE KROGER PHARMACY #679 4753 ATLANTA HWY 300527307 678 639-4500 N THE KROGER CO LOGANVILLE PUBLIX PHARMACY #0603 4325 ATLANTA HWY 30052 770 466-5156 N PUBLIX SUPER MARKETS INC LOGANVILLE PUBLIX PHARMACY #0789 2715 LOGANVILLE HWY 30052 770 822-2852 N PUBLIX SUPER MARKETS INC LOGANVILLE WALGREENS 4398 ATLANTA HWY 300523722 678 639-0213 N WALGREENS DRUG STORE LOGANVILLE WAL-MART PHARMACY 10-5252 4221 ATLANTA HIGHWAY 30052 770 554-6785 N WALMART STORES INC LOOKOUT MTN FAIRYLAND PHARMACY 100 MCFARLAND RD 307503194 706 820-1627 N LEADER DRUG STORES INC LOUISVILLE BARNEY'S PHARMACY #819 819 PEACHTREE ST 30434 478 625-8980 N LEADER DRUG STORES INC LOUISVILLE FREDS PHARMACY 119 HIGHWAY 1 BYPASS 30434 478 625-1928 N FREDS PHARMACY LOUISVILLE PEACHTREE PHARMACY & GIFTS, INC 802 PEACHTREE ST 304341450 478 625-9450 N LEADER DRUG STORES INC LOVEJOY WAL-MART PHARMACY 10-5363 11465 TARA BLVD 30250 770 471-5055 N WALMART STORES INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

LULA LULA PHARMACY AND FOOTHILLS GIFT SHOP 6102 BANKS ST 305540436 770 869-3616 N EPIC PHARMACY NETWORK INC LYONS ALLCARE PHARMACY 112 S OXLEY DR 30436 912 526-3200 N EPIC PHARMACY NETWORK INC LYONS IDEAL PHARMACY 160 S VICTORY DR 30436 912 526-8531 N THIRD PARTY STATION CP MABLETON CVS PHARMACY 5846 5856 MABLETON PARKWAY 30126 770 745-3171 N CVS PHARMACY INC MABLETON KMART PHARMACY3996 5590 MABLETON PKWY STE 100 301263342 770 745-5635 N K MART PHARMACY MABLETON KROGER PHARMACY 4875 FLOYD RD SW 30126 770 745-3108 N THE KROGER CO MABLETON PUBLIX PHARMACY #0464 5015 FLOYD RD 30126 770 819-5436 N PUBLIX SUPER MARKETS INC MABLETON 1025 VETERANS MEMORIAL HWY PUBLIX PHARMACY #1112 SE 30126 678 398-3657 N PUBLIX SUPER MARKETS INC MABLETON WALGREENS #9452 855 VETERANS MEMORIAL HWY SE 30126 770 819-7869 N WALGREENS DRUG STORE MACON CGHS EMPLOYEE APOTHECARY 777 HEMLOCK ST 312012102 478 633-8826 THIRD PARTY STATION MACON CHICHESTERS BACONSFIELD PHCY 656 BACONSFIELD CTR 31211 478 743-4421 N THIRD PARTY STATION CP MACON CHICHESTERS HARTLEY BRIDGE PHCY INC 4226 HARTLEY BRIDGE ROAD 31216 478 781-1051 N THIRD PARTY STATION CP MACON CHICHESTERS INSTITUTIONAL PHCY 656 N AVE 31211 478 741-3732 N GERIMED LTC NETWORK INC MACON COLISEUM PARK PROFESSIONAL PHARMACY 380 HOSPITAL DR 312173892 478 745-5431 N ELEVATE PROVIDER NETWORK MACON CVS PHARMACY 158 EMERY HWY 31217 478 742-8929 N CVS PHARMACY INC MACON CVS PHARMACY 1615 FOREST HILL RD 31210 478 477-6648 N CVS PHARMACY INC MACON CVS PHARMACY 4080 BLOOMFIELD RD 31206 478 781-6821 N CVS PHARMACY INC MACON CVS PHARMACY 6381 ZEBULON RD 31220 478 476-1911 N CVS PHARMACY INC MACON CVS PHARMACY 4585 HARTLEY BRIDGE RD 31216 478 781-9818 N CVS PHARMACY INC MACON CVS PHARMACY 4291 MERCER UNIVERSITY DR 31204 478 477-0434 N CVS PHARMACY INC MACON CVS PHARMACY 1271 GRAY HWY 31211 478 743-6979 Y CVS PHARMACY INC MACON CVS PHARMACY 3012 HARTLEY BRIDGE RD 312165728 478 785-1962 N CVS PHARMACY INC MACON CVS PHARMACY 1390 PIO NONO AVE 31204 478 742-5281 N CVS PHARMACY INC MACON CVS PHARMACY # 10357 1544 BASS RD 312107510 478 471-4497 N CVS PHARMACY INC MACON EHI PHARMACY SOLUTIONS LLC 3556 RIVERSIDE DR 312102509 478 475-9250 N VANTAGE RX DISPENSING SERVICES LLC MACON EXPRESS RX PHARMACY LLC 743 SHURLING DR 31211 478 742-3020 N THIRD PARTY STATION CP MACON GRAVES PHARMACY 770 PINE ST 312017561 478 745-0476 N ELEVATE PROVIDER NETWORK MACON HARVEYS SUPERMARKET 1605 SHURLING DR 312112150 478 745-0004 N BI LO LLC MACON KENNEDY DRUGS 524 POPLAR ST 312012717 478 743-4700 N THIRD PARTY STATION CP MACON KMART PHARMACY3661 156 TOM HILL SENIOR BLVD 31210 478 474-6596 N K MART PHARMACY MACON KROGER PHARMACY 4650 FORSYTH ROAD 31201 478 474-7413 N THE KROGER CO Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

MACON KROGER PHARMACY 5928 ZEBULON RD 31210 478 757-4152 Y THE KROGER CO MACON KROGER PHARMACY 660 N AVE 31201 478 746-5842 N THE KROGER CO MACON KROGER PHARMACY 220 TOM HILL SR BLVD 31210 478 474-7597 N THE KROGER CO MACON KROGER PHARMACY 4628 PRESIDENTIAL PARKWAY 31206 478 405-3916 N THE KROGER CO MACON KROGER PHARMACY 400 PIO NONO AVE 31204 478 742-5574 N THE KROGER CO MACON KROGER PHARMACY 4341 HARTLEY BRIDGE ROAD 31216 478 788-1015 N THE KROGER CO MACON MEDICAL ARTS PHARMACY 1193 FORSYTH ST 31201 478 746-8331 N ELEVATE PROVIDER NETWORK MACON MIKES MEDICAL PHARMACY 1377 PIO NONO AVE 31204 478 755-9098 N ELEVATE PROVIDER NETWORK MACON PHARMALAB LLC 3356 VINEVILLE AVE 31204 478 476-9642 N PHYSICIANS PHARMACEUTICAL CORP MACON POWELLS PHARMACY 4839 BLOOMFIELD RD 312064399 478 781-1213 N ELEVATE PROVIDER NETWORK MACON PUBLIX PHARMACY #0471 195 TOM HILL SR BLVD 31210 478 757-6526 N PUBLIX SUPER MARKETS INC MACON PUBLIX PHARMACY #1263 5451 BOWMAN RD 31210 478 477-2455 N PUBLIX SUPER MARKETS INC MACON RITE AID PHARMACY 11842 892 PIERCE AVE 31204 478 745-4295 N RITE AID CORPORATION MACON RIVER EDGE BEHAVIORAL HLTH CTR 175 EMERY HWY 31217 478 803-7696 N ACCESSHEALTH PLUS MACON SAMS PHARMACY 10-8225 4701 LOG CABIN DRIVE 31206 478 788-6774 N WALMART STORES INC MACON TARGET PHARMACY 4685 PRESIDENTIAL PKWY 31206 478 471-7366 N TARGET PHARMACIES MACON THE PHARMACY CENTER 308 COLISEUM DR 31217 478 741-8599 N THIRD PARTY STATION MACON U SAVE IT PHARMACY 3576 PIO NONO AVE 31206 478 781-1565 N EPIC PHARMACY NETWORK INC MACON WALGREENS #10634 6035 ZEBULON RD 312102032 478 757-2027 N WALGREENS DRUG STORE MACON WALGREENS #6560 3888 VINEVILLE AVE 31204 478 471-6744 N WALGREENS DRUG STORE MACON WALGREENS #6780 2495 PIO NONO AVE 31204 478 784-9747 N WALGREENS DRUG STORE MACON WALGREENS #6950 1280 GRAY HWY 31211 478 745-3902 Y WALGREENS DRUG STORE MACON WALGREENS #7229 4305 MERCER UNIVERSITY DR 31206 478 471-6669 N WALGREENS DRUG STORE MACON WAL-MART PHARMACY 10-1076 1401 GRAY HIGHWAY 31211 478 755-1097 N WALMART STORES INC MACON WAL-MART PHARMACY 10-1153 6020 HARRISON ROAD 31206 478 788-8008 N WALMART STORES INC MACON (N) WAL-MART PHARMACY 10-2890 5955 ZEBULON ROAD 31201 478 471-9122 N WALMART STORES INC MADISON MADISON DRUG COMPANY 213 N MAIN ST 306501312 706 342-1722 N THIRD PARTY STATION CP MADISON RITE AID PHARMACY 11824 1770 EATONTON HIGHWAY 30650 706 752-1553 N RITE AID CORPORATION MADISON THE MEDICINE SHOPPE 1400 EATONTON RD STE 600 30650 706 342-2070 N ELEVATE PROVIDER NETWORK MADISON THRIFTY MAC DISCOUNT DRUG INC 218 S MAIN ST 30650 706 342-4141 N ELEVATE PROVIDER NETWORK MADISON WAL-MART PHARMACY 10-1363 1681 EATONTON ROAD 30650 706 342-4853 N WALMART STORES INC MANCHESTER CVS PHARMACY #10358 503 W MAIN ST 31816 706 846-2123 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

MANCHESTER RITE AID PHARMACY 01559 305 W MAIN ST 318161656 706 846-8647 N RITE AID CORPORATION MARBLETON WALGREENS #10968 5000 FLOYD RD SW 301261608 770 819-9420 N WALGREENS DRUG STORE MARIETTA AXELACARE 805 A FRANKLIN COURT 300678942 770 420-3393 N AMBIENT HEALTHCARE INC MARIETTA BETA DISCOUNT PHARMACY AND HEALTH SERVICES 776 SANDTOWN RD SW 300083046 678 909-3544 N PPOK RXSELECT PHCY NETWORK MARIETTA CVS PHARMACY 1295 POWDER SPRINGS RD 30064 770 919-1281 N CVS PHARMACY INC MARIETTA CVS PHARMACY 1172 MILFORD CHURCH RD SW 30060 770 319-2540 N CVS PHARMACY INC MARIETTA CVS PHARMACY 684 N COBB PARKWAY 30062 770 427-4648 N CVS PHARMACY INC MARIETTA CVS PHARMACY 1099 JOHNSON FERRY RD 30068 770 973-1810 N CVS PHARMACY INC MARIETTA CVS PHARMACY 100 PIEDMONT RD 30066 770 795-9844 N CVS PHARMACY INC MARIETTA CVS PHARMACY 4250 ROSWELL RD NE 30062 770 565-4064 N CVS PHARMACY INC MARIETTA CVS PHARMACY 300 POWDER SPRINGS RD 30064 770 422-1413 N CVS PHARMACY INC MARIETTA CVS PHARMACY 3051 SANDY PLAINS RD 30066 770 977-7661 N CVS PHARMACY INC MARIETTA CVS PHARMACY 3930 SHALLOWFORD RD NE 30062 770 640-5643 N CVS PHARMACY INC MARIETTA CVS PHARMACY 3905 DUE W NW RD 30064 678 290-5740 N CVS PHARMACY INC MARIETTA CVS PHARMACY # 687 JOHNSON FERRY RD 300684628 770 977-9220 N CVS PHARMACY INC MARIETTA EHI PHARMACY SOLUTIONS LLC MARIETTA 792 CHURCH ST NE 300608954 678 574-0861 N VANTAGE RX DISPENSING SERVICES LLC MARIETTA 1650 COUNTY SERVICES PKWY SW GENOA HEALTHCARE STE 200 300084010 678 213-2001 N MHA LONG TERM CARE NETWORK MARIETTA GUARDIAN PHARMACY OF ATLANTA, LLC 1750 ENTERPRISE WAY SE STE 105 300679220 770 635-3301 N MHA LONG TERM CARE NETWORK MARIETTA KENMAR CLINICAL ASSOCIATES 660 WHITLOCK AVE NW STE G-2 300643174 770 514-5115 N GERIMED LTC NETWORK INC MARIETTA KROGER PHARMACY 3162 JOHNSON FERRY ROAD 30062 770 641-8024 N THE KROGER CO MARIETTA KROGER PHARMACY 4880 LOWER ROSWELL ROAD 30068 770 971-8661 N THE KROGER CO MARIETTA KROGER PHARMACY 1122 POWERS FERRY ROAD 30067 770 955-3474 N THE KROGER CO MARIETTA KROGER PHARMACY 1690 POWDER SPRINGS ROAD 30064 770 218-8171 N THE KROGER CO MARIETTA KROGER PHARMACY 1000 WHITLOCK AVE 30064 770 421-7675 N THE KROGER CO MARIETTA KROGER PHARMACY 3595 CANTON ROAD 30066 770 924-7972 N THE KROGER CO MARIETTA KROGER PHARMACY 2960 SHALLOWFORD ROAD 30062 770 977-3640 N THE KROGER CO MARIETTA KROGER PHARMACY 2100 ROSWELL RD 30062 770 321-1088 N THE KROGER CO MARIETTA KROGER PHARMACY 3600 DALLAS HIGHWAY 30064 770 425-0552 N THE KROGER CO MARIETTA LACEYS MARIETTE PHARMACY 790 CHURCH ST 300607289 770 424-3131 N ELEVATE PROVIDER NETWORK MARIETTA MARIETTA DERMATOLOGY AND THE SKIN CANCER CENTER 111 MARBLE MILL ROAD 30060 770 422-1013 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

MARIETTA MOUNTAINVIEW PHARMACY 1275 POWERS FERRY RD SE STE 170 300678600 770 272-9612 N PPOK RXSELECT PHCY NETWORK MARIETTA NORTHWEST GEORGIA ONCOLOGY CENTERS PC 340 KENNESTONE HOSPITAL BLVD 30060 678 331-3250 N THIRD PARTY STATION MARIETTA PEACHVIEW DRUGS 550 FRANKLIN RD 30067 678 581-1223 N TPN MARIETTA PUBLIX PHARMACY #0033 3605 SANDY PLAINS RD 30066 770 578-6800 N PUBLIX SUPER MARKETS INC MARIETTA PUBLIX PHARMACY #0122 1750 POWDER SPRINGS RD 30064 770 423-4164 N PUBLIX SUPER MARKETS INC MARIETTA PUBLIX PHARMACY #0155 1100 JOHNSON FERRY RD 30068 770 509-2360 N PUBLIX SUPER MARKETS INC MARIETTA PUBLIX PHARMACY #0280 1050 E PIEDMONT RD 30062 770 509-3986 N PUBLIX SUPER MARKETS INC MARIETTA PUBLIX PHARMACY #0548 50 BARRETT PARKWAY SUITE 1000 30066 770 419-4049 N PUBLIX SUPER MARKETS INC MARIETTA 2500 DALLAS HGHWY SW SUITE PUBLIX PHARMACY #0561 300 30064 770 426-3256 N PUBLIX SUPER MARKETS INC MARIETTA PUBLIX PHARMACY #0672 1860 SANDY PLAINS ROAD 30066 770 578-6627 N PUBLIX SUPER MARKETS INC MARIETTA PUBLIX PHARMACY #0725 2900 DELK ROAD SUITE 1150 30067 770 612-5155 N PUBLIX SUPER MARKETS INC MARIETTA RITE AID PHARMACY 11709 780 CHURCH ST 30060 770 427-5341 N RITE AID CORPORATION MARIETTA RITE AID PHARMACY 11711 2200 ROSWELL ROAD 30062 770 973-7337 N RITE AID CORPORATION MARIETTA 3028 SHALLOWFORD ROAD RITE AID PHARMACY 11712 NORTHEAST 30062 770 971-6180 N RITE AID CORPORATION MARIETTA RITE AID PHARMACY 11713 731 WHITLOCK AVE 30064 770 427-8155 N RITE AID CORPORATION MARIETTA RITE AID PHARMACY 11716 4815 CANTON ROAD 30066 678 494-9937 N RITE AID CORPORATION MARIETTA RITE AID PHARMACY 11717 2833 CANTON ROAD N EAST 30066 770 425-1215 N RITE AID CORPORATION MARIETTA RITE AID PHARMACY 11718 1900 SANDY PLAINS ROAD 30066 678 560-0229 N RITE AID CORPORATION MARIETTA SAMS PHARMACY 10-8203 150 COBB PARKWAY SOUTH 30060 678 285-0242 N WALMART STORES INC MARIETTA TARGET PHARMACY 1401 JOHNSON FERRY RD 30062 770 240-0006 N TARGET PHARMACIES MARIETTA TARGET PHARMACY 2535 DALLAS HIGHWAY 30064 770 427-4136 N TARGET PHARMACIES MARIETTA WALGREENS 2590 SANDY PLAINS RD 30066 770 565-5681 N WALGREENS DRUG STORE MARIETTA WALGREENS #1646 23 S MARIETTA PKWY SW 300643288 770 420-8932 N WALGREENS DRUG STORE MARIETTA WALGREENS #5337 2988 SHALLOWFORD RD 300663033 678 560-1871 N WALGREENS DRUG STORE MARIETTA WALGREENS #5447 3299 CANTON RD 30066 770 218-8588 N WALGREENS DRUG STORE MARIETTA WALGREENS #6206 2444 DALLAS HWY SW 30064 770 218-2763 N WALGREENS DRUG STORE MARIETTA WALGREENS #6330 2464 ROSWELL RD 30062 678 560-4781 N WALGREENS DRUG STORE MARIETTA WALGREENS #6809 3033 JOHNSON FERRY RD 30062 770 518-4263 N WALGREENS DRUG STORE MARIETTA WALGREENS #7526 2975 DELK RD SE 30067 770 933-9782 N WALGREENS DRUG STORE MARIETTA WALGREENS #9272 1733 MACLAND RD SW 30064 770 499-7021 N WALGREENS DRUG STORE MARIETTA 2795 CHASTAIN MEADOWS PKWY WAL-MART PHARMACY 10-0937 NW 30066 770 427-2480 N WALMART STORES INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

MARIETTA WAL-MART PHARMACY 10-1181 1785 COBB PARKWAY SOUTH 30060 770 955-6836 N WALMART STORES INC MARIETTA WAL-MART PHARMACY 10-1766 3100 JOHNSON FERRY ROAD 30062 770 642-8466 N WALMART STORES INC MARIETTA WAL-MART PHARMACY 10-3068 1167 POWDER SPRINGS ST 30064 770 799-1684 N WALMART STORES INC MARIETTA WALMART PHARMACY 10-3069 3101 ROSWELL RD 300627621 678 695-4961 N WALMART STORES INC MARIETTA WAL-MART PHARMACY 10-3116 3372 CANTON RD STE 142 300662615 770 800-9027 N WALMART STORES INC MARIETTA WAL-MART PHARMACY 10-3611 6520 EARNEST BARRETT PARKWAY 30064 770 222-6695 N WALMART STORES INC MARIETTA WAL-MART PHARMACY 10-5390 210 COBB PARKWAY SOUTH 30060 770 429-9092 N WALMART STORES INC MARIETTA WAL-MART PHARMACY 10-5815 2909 AUSTELL RD SW STE 100 30008 770 615-1381 N WALMART STORES INC MARIETTA WELLSTAR PHARMACY NETWORK 3747 ROSWELL RD NE 300626234 470 956-0170 N ACCESSHEALTH PLUS MARIETTA WELLSTAR PHARMACY NETWORK 677 CHURCH ST 30060 770 793-9300 N ACCESSHEALTH PLUS MARIETTA WINDY HILL APOTHECARY 2520 WINDY HILL RD 300678605 770 644-1005 N ACCESSHEALTH PLUS MARTINEZ BI LO PHARMACY 5103 500 FURYS FERRY RD 30907 706 863-0975 N BI LO LLC MARTINEZ CVS PHARMACY 4476 COLUMBIA RD 30907 706 860-5340 N CVS PHARMACY INC MARTINEZ CVS PHARMACY 3527 OLD PETERSBURG RD 30907 706 210-0091 N CVS PHARMACY INC MARTINEZ ELDERCARE PHARMACY AUGUSTA 4315 BELAIR FRONTAGE ROAD 30909 706 854-7640 N MHA LONG TERM CARE NETWORK MARTINEZ KROGER PHARMACY 4115 COLUMBIA ROAD 30907 706 863-9645 N THE KROGER CO MARTINEZ PUBLIX PHARMACY #0534 403 FURYS FERRY RD 30907 706 650-3366 N PUBLIX SUPER MARKETS INC MARTINEZ RITE AID PHARMACY 11833 377 FURY'S FERRY ROAD 30907 706 854-0608 N RITE AID CORPORATION MARTINEZ WALGREENS #6394 3900 WASHINGTON RD 30907 706 868-8084 N WALGREENS DRUG STORE MARTINEZ WALGREENS #6395 4470 COLUMBIA RD 30907 706 228-4627 N WALGREENS DRUG STORE MARTINEZ WALGREENS #7772 672 FURYS FERRY RD 30907 706 210-7505 N WALGREENS DRUG STORE MARTINEZ WAL-MART PHARMACY 10-5813 3851 EVANS TO LOCKS RD 309074914 706 941-5857 N WALMART STORES INC MC DONOUGH CVS PHARMACY 2 N ZACK HINTON PKWY 30253 770 957-2984 N CVS PHARMACY INC MC RAE RYALS DRUG STORE 12 S 2ND AVE 310550209 229 868-6735 N ACCESSHEALTH PLUS MCDONOUGH CVS PHARMACY 2098 HIGHWAY 20 WEST 30253 770 898-7356 N CVS PHARMACY INC MCDONOUGH CVS PHARMACY 2720 HIGHWAY 42 N 302534301 678 432-9450 N CVS PHARMACY INC MCDONOUGH CVS PHARMACY 2305 JONESBORO RD 30253 770 957-5864 N CVS PHARMACY INC MCDONOUGH CVS PHARMACY # 1870 HIGHWAY 81 E 30252 678 583-0097 N CVS PHARMACY INC MCDONOUGH KROGER PHARMACY 301 JONESBORO RD 30253 770 954-4375 N THE KROGER CO MCDONOUGH KROGER PHARMACY 5900 PRICE QUARTERS ROAD 30253 770 954-4389 N THE KROGER CO MCDONOUGH MOYES PHARMACY MCDONOUGH 62 KEYS FERRY ST 302533298 770 957-1851 N ACCESSHEALTH PLUS MCDONOUGH MOYES PHARMACY MCDONOUGH N 85 CLAIRE CT 30252 770 957-1852 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

MCDONOUGH PUBLIX PHARMACY #0816 920 HIGHWAY 81 EAST 30252 770 898-3593 N PUBLIX SUPER MARKETS INC MCDONOUGH PUBLIX PHARMACY #1054 2158 HIGHWAY 20 WEST 30253 770 898-6731 N PUBLIX SUPER MARKETS INC MCDONOUGH RITE AID PHARMACY 11771 2125 HIGHWAY 155 NORTH 30252 678 583-5497 N RITE AID CORPORATION MCDONOUGH RITE AID PHARMACY 11773 961 HIGHWAY 20/81 WEST 30253 770 898-4112 N RITE AID CORPORATION MCDONOUGH SAMS PHARMACY 10-4804 1765 JONESBORO ROAD 30253 770 914-5677 N WALMART STORES INC MCDONOUGH TARGET PHARMACY 1850 JONESBORO ROAD 30253 770 954-1065 N TARGET PHARMACIES MCDONOUGH WALGREENS 896 HIGHWAY 81 E 302522914 770 914-7748 N WALGREENS DRUG STORE MCDONOUGH WALGREENS #6208 204 JONESBORO RD 30253 678 583-5381 N WALGREENS DRUG STORE MCDONOUGH WAL-MART PHARMACY 10-3201 135 WILLOW LANE 30253 678 432-2258 N WALMART STORES INC MCRAE SMITHS PHARMACY 112 W OAK ST 31055 229 868-2580 N ACCESSHEALTH PLUS METTER FRED'S PHARMACY 978 GA HIGHWAY 46 E 304394957 912 685-3339 N FREDS PHARMACY METTER IHS PHARMACY #1 150 S LEROY ST 30439 912 685-2803 N ELEVATE PROVIDER NETWORK METTER METTER PHARMACY 705 S LEWIS ST 304395128 912 685-6337 N THIRD PARTY STATION CP METTER RITE AID PHARMACY 01449 730 S LEWIS ST 304392235 912 685-5170 N RITE AID CORPORATION MIDLAND RITE AID PHARMACY 11860 6950 BEAVER RUN ROAD 31820 706 563-6472 N RITE AID CORPORATION MILLEDGEVILLE CVS PHARMACY 423 S WAYNE ST 31061 478 452-3566 N CVS PHARMACY INC MILLEDGEVILLE CVS PHARMACY 960 N COLUMBIA ST 31061 478 452-5902 N CVS PHARMACY INC MILLEDGEVILLE H AND M DRUGS INC 295 HAMMOCK RD 310613288 478 453-7715 N THIRD PARTY STATION CP MILLEDGEVILLE KMART PHARMACY3994 1970 N COLUMBIA 31061 478 453-8399 N K MART PHARMACY MILLEDGEVILLE KROGER PHARMACY 2809 N COLUMBIA ST 310618465 478 414-2145 N THE KROGER CO MILLEDGEVILLE MEDICAL ARTS PHARMACY INC 811 N COBB ST 310612343 478 452-1222 N THIRD PARTY STATION CP MILLEDGEVILLE MEDICAL CENTER PHARMACY 750 N COBB ST 310612361 478 452-3591 N THIRD PARTY STATION CP MILLEDGEVILLE RITE AID PHARMACY 11839 2400 N COLUMBIA ST 31061 478 452-3589 N RITE AID CORPORATION MILLEDGEVILLE RIVER EDGE BALDWIN COUNTY 60 GA HIGHWAY 22 W 310616606 478 451-2784 N ACCESSHEALTH PLUS MILLEDGEVILLE SOUTHSIDE DISCOUNT DRUGS 200 W ANDREWS ST 310613839 478 453-7227 N MILLEDGEVILLE WALGREENS 2350 N COLUMBIA ST 310612091 478 414-1168 N WALGREENS DRUG STORE MILLEDGEVILLE WAL-MART PHARMACY 10-1121 2592 NO COLUMBIA ST 31061 478 454-3426 N WALMART STORES INC MILLEN EAGLE PHARMACY 936 E WINTHROPE AVE 30442 478 982-7979 N EPIC PHARMACY NETWORK INC MILLEN RITE AID PHARMACY 01444 804 E WINTHROPE AVE 304421838 478 982-5832 N RITE AID CORPORATION MILTON CVS PHARMACY 13933 ALPHARETTA HWY 30004 678 366-9633 N CVS PHARMACY INC MILTON TARGET PHARMACY 13055 HIGHWAY 9 N 300045137 770 225-1781 N TARGET PHARMACIES MONROE CARMICHAEL'S VITAL CARE 150-D MLK JR BLVD 30655 770 266-2937 N MHA LONG TERM CARE NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

PHARMACY MONROE CVS PHARMACY 312 S BROAD ST 30655 770 267-8412 N CVS PHARMACY INC MONROE GREAT OAKS PHARMACY LLC 930 HWY 138 30655 770 266-0278 N MHA LONG TERM CARE NETWORK MONROE NURSING HOME PHARMACY 1865 BOLD SPRINGS RD NW 30656 770 267-8677 N MHA LONG TERM CARE NETWORK MONROE PREMIER CARE 221 PLAZA DR 306553184 770 207-9001 N THIRD PARTY STATION MONROE RITE AID PHARMACY 11825 703 W SPRING ST 30655 770 267-8383 N RITE AID CORPORATION MONROE WALGREENS #11539 319 S BOARD ST 306552119 770 266-6061 N WALGREENS DRUG STORE MONROE WAL-MART PHARMACY 10-0780 2050 W SPRING ST 30655 770 267-4175 N WALMART STORES INC MONTEZUMA CVS PHARMACY 501 SPAULDING RD 31063 478 472-7533 N CVS PHARMACY INC MONTEZUMA FRED'S PHARMACY 201 WALNUT ST 31063 478 472-7561 N FREDS PHARMACY MONTICELLO CVS PHARMACY 330 E GREEN ST 31064 706 468-1666 N CVS PHARMACY INC MONTICELLO MONTICELLO DRUGS INC 228 FORSYTH ST 31064 706 468-6836 N EPIC PHARMACY NETWORK INC MORROW CVS PHARMACY 6716 MT ZION BLVD 30260 770 960-0600 N CVS PHARMACY INC MORROW LAVANG PHARMACY 6329 JONESBORO RD 302601730 404 608-9009 N THIRD PARTY STATION MORROW PRIME RX PHARMACY, INC 1500 MOUNT ZION RD STE 104 302604156 770 968-3444 N TPN MORROW PUBLIX PHARMACY #0461 2035 MT ZION RD 30260 770 472-4006 N PUBLIX SUPER MARKETS INC MORROW SAMS PHARMACY 10-8287 7325 JONESBORO ROAD 30260 678 422-4854 N WALMART STORES INC MORROW WAL-MART PHARMACY 10-1047 6065 JONESBORO ROAD 30260 770 968-0660 N WALMART STORES INC MOULTRIE CONVENIENT CARE PHARMACY #1 203 31ST AVE S E 31768 229 985-9296 N EPIC PHARMACY NETWORK INC MOULTRIE CONVENIENT CARE PHARMACY #2 720 W CENTRAL AVE 31768 229 890-6054 N EPIC PHARMACY NETWORK INC MOULTRIE CONVENIENT RX LTC 3015 VETERANS PKWY S 317886705 229 985-6016 N MHA LONG TERM CARE NETWORK MOULTRIE CRYSTAL PHARMACY 705 S MAIN ST 317685432 229 985-4137 N THIRD PARTY STATION CP MOULTRIE CVS PHARMACY 1027 S MAIN ST 31768 229 985-2282 N CVS PHARMACY INC MOULTRIE FRED'S PHARMACY 2601 S MAIN ST 31768 229 217-0095 N FREDS PHARMACY MOULTRIE HARVEYS SUPERMARKET 1209 FIRST AVE 31768 229 985-0101 N BI LO LLC MOULTRIE RITE AID PHARMACY 02112 305 6TH ST SOUTHEAST 317684842 229 985-1378 N RITE AID CORPORATION MOULTRIE WALGREENS 2025 1ST AVE SE 317885155 229 890-2776 N WALGREENS DRUG STORE MOULTRIE WAL-MART PHARMACY 10-0952 641 VETERANS PARKWAY SOUTH 31788 229 985-6850 N WALMART STORES INC MT VERNON FRED'S PHARMACY 601 MASON ST 30445 912 583-4026 N FREDS PHARMACY MURRAYVILLE MURRAYVILLE PHARMACY 5304 THOMPSON BRIDGE RD 30564 770 534-2245 N ELEVATE PROVIDER NETWORK NAHUNTA BENNETTS HOMETOWN PHARMACY LLC 13202 CLEVELAND ST W 31553 912 462-3784 N ELEVATE PROVIDER NETWORK Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

NAHUNTA MARKS DISCOUNT DRUGS 118C MAIN ST 315530865 912 462-6386 N THIRD PARTY STATION CP NASHVILLE DOGWOOD PHARMACY 501 N DAVIS ST 31639 229 686-2620 N ACCESSHEALTH PLUS NASHVILLE HARVEYS SUPERMARKET 207 MCPHERSON ST 31639 229 686-2025 N BI LO LLC NASHVILLE HOMETOWN PHARMACY 407 E MCPHERSON AVE 31639 229 686-9339 N LEADER DRUG STORES INC NASHVILLE JH HARVEY CO LLC 727 S DAVIS ST 31639 207 885-7454 NASHVILLE RITE AID PHARMACY 01669 402 S DAVIS ST 316392441 229 686-5113 N RITE AID CORPORATION NEWNAN CVS PHARMACY 1035 LOWER FAYETTEVILLE RD 30265 678 423-8891 N CVS PHARMACY INC NEWNAN CVS PHARMACY 2305 HWY 34 EAST 30265 678 423-1043 N CVS PHARMACY INC NEWNAN CVS PHARMACY 239 TEMPLE AVE 30263 770 253-2694 N CVS PHARMACY INC NEWNAN CVS PHARMACY #08907 395 JACKSON ST 30263 770 251-3857 N CVS PHARMACY INC NEWNAN KROGER PHARMACY 3150 E HIGHWAY 34 30265 770 254-3035 N THE KROGER CO NEWNAN KROGER PHARMACY 48 BULLSBORO DRIVE 30263 770 251-5188 N THE KROGER CO NEWNAN 1751 NEWNAN CROSSING BLVD KROGER PHARMACY EAST 30265 678 423-5845 N THE KROGER CO NEWNAN LEE GOODRUM EASTSIDE PHARMACY 134 MILLARD FARMER IND BLVD 30263 770 251-4808 N ELEVATE PROVIDER NETWORK NEWNAN LEE GOODRUM PHARMACY 40 HOSPITAL RD 302631200 770 253-1121 N ELEVATE PROVIDER NETWORK NEWNAN LEE-KING PHARMACY 18 CAVENDER ST 302631994 770 253-1622 N ELEVATE PROVIDER NETWORK NEWNAN NEWNAN PHARMACY INC. 15 BAKER RD STE 2 302652155 770 683-6771 N ACCESSHEALTH PLUS NEWNAN NEWNAN PLAZA PHARMACY LLC 775 POPLAR RD STE 100 302658301 770 683-3784 N LEADER DRUG STORES INC NEWNAN PUBLIX PHARMACY #0470 370 BULLSBORO DR 30263 770 502-1142 N PUBLIX SUPER MARKETS INC NEWNAN PUBLIX PHARMACY #0786 100 GLENDA TRACE 30265 770 502-8665 N PUBLIX SUPER MARKETS INC NEWNAN PUBLIX PHARMACY #1143 1110 LOWER FAYETTEVILLE RD 30265 770 502-2376 N PUBLIX SUPER MARKETS INC NEWNAN RITE AID PHARMACY 11776 211 TEMPLE AVE 30263 770 253-8562 N RITE AID CORPORATION NEWNAN RITE AID PHARMACY 11777 3055 E HIGHWAY 34 30265 770 252-3937 N RITE AID CORPORATION NEWNAN TARGET PHARMACY 555 BULLSBORO 30263 770 502-9360 N TARGET PHARMACIES NEWNAN WALGREENS #2454 3096 HIGHWAY 34 E 302651332 678 423-1549 N WALGREENS DRUG STORE NEWNAN WALGREENS #9890 1 FARMER INDUSTRIAL BLVD 302631078 770 251-6778 N WALGREENS DRUG STORE NEWNAN WAL-MART PHARMACY 10-0494 1025 HIGHWAY 34 E 30265 770 254-9765 N WALMART STORES INC NICHOLLS NICHOLLS PHARMACY LLC 1003 VAN STREAT HWY 31554 912 345-1021 N ACCESSHEALTH PLUS NORCROSS ALIXARX - GA HUB 3100 NORTHWOODS PL STE F 300711584 770 246-6650 N MHA LONG TERM CARE NETWORK NORCROSS ALPHA PHARMACY & WELLNESS 3466 HOLCOMB BRIDGE ROAD CENTER SUITE B 30092 770 840-9995 N THIRD PARTY STATION NORCROSS ATLANTA PHARMACY 5456 JIMMY CARTER BLVD STE 160 300931511 770 807-7779 N UNITED DRUGS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

NORCROSS CAREPOINT PARTNERS 5600 OAKBROOK PKWY 30093 678 987-0321 N HOME CHOICE PARTNERS INC NORCROSS CVS PHARMACY 5095 PEACHTREE PARKWAY 30092 770 209-9299 N CVS PHARMACY INC NORCROSS CVS PHARMACY 5304 N BUFORD HWY 30071 770 209-0296 N CVS PHARMACY INC NORCROSS CVS PHARMACY 1190 INDIAN TRAIL 30093 770 638-8958 N CVS PHARMACY INC NORCROSS CVS PHARMACY 7734 SPALDING DRIVE 30092 770 447-9096 N CVS PHARMACY INC NORCROSS EHI PHARMACY SOLUTIONS LLC NORCROSS 3949 HOLCOMB BRIDGE RD STE 100 300922208 770 449-1122 N VANTAGE RX DISPENSING SERVICES LLC NORCROSS 3330 PEACHTREE CORNERS CIR STE EXPRESS PHARMACY G 300923610 770 864-5645 N ELEVATE PROVIDER NETWORK NORCROSS KROGER PHARMACY #389 6050 SINGLETON RD 300931923 770 242-3344 N THE KROGER CO NORCROSS MANAGED HEALTH SOLUTIONS 3070 BUSINESS PARK DR STE A 300711428 770 496-5314 N MHA LONG TERM CARE NETWORK NORCROSS NORCROSS PHARMACY 510 BEAVER RUIN RD 300713919 770 448-2288 N ACCESSHEALTH NORCROSS PRUITTHEALTH PHARMACY SERVICES - ATLANTA 1626 JEURGENS COURT 30093 678 533-6459 N GERIMED LTC NETWORK INC NORCROSS PRUITTHEALTH PHARMACY SERVICES - ATLANTA 1626 JEURGENS COURT 30093 678 533-6459 N GERIMED LTC NETWORK INC NORCROSS PUBLIX PHARMACY #0560 3200 HOLCOMB BRIDGE RD 30092 770 417-5106 N PUBLIX SUPER MARKETS INC NORCROSS 5505 BUFORD HIGHWAY RITE AID PHARMACY 11720 NORTHWEST 30071 770 441-9220 N RITE AID CORPORATION NORCROSS SOLEO HEALTH INC. 3100 MEDLOCK BRIDGE ROAD 30071 470 226-2300 N TPN NORCROSS VN PHARMACY 4782 JIMMY CARTER BLVD 30093 770 717-0707 N NORCROSS VN PHARMACY #2 5495 JIMMY CARTER BLVD STE A8 300931532 770 559-1831 N NORCROSS WALGREENS #6207 5985 PEACHTREE PKWY 30092 678 421-9599 Y WALGREENS DRUG STORE NORCROSS WALGREENS #7001 5296 JIMMY CARTER RD 30093 770 798-9355 N WALGREENS DRUG STORE NORCROSS WAL-MART PHARMACY 10-3067 4975 JIMMY CARTER BLVD 300933535 770 225-9906 N WALMART STORES INC OAKWOOD CVS PHARMACY 4233 MCEVER ROAD 30566 770 532-3727 N CVS PHARMACY INC OAKWOOD SAMS PHARMACY 10-6644 3839 MUNDY MILL ROAD 30566 770 287-7716 N WALMART STORES INC OAKWOOD WAL-MART PHARMACY 10-3627 3875 MUNDY MILL ROAD 30566 770 535-3702 N WALMART STORES INC OCILLA FRED'S PHARMACY #2554 224 E 4TH ST 317741540 229 468-7478 N FREDS PHARMACY OCILLA OCILLA PHARMACY 121 E 4TH ST 317741542 229 468-5929 N PPOK RXSELECT PHCY NETWORK OGLETHORPE DOCTORS PHARMACY 298 MEDICAL COURT 31068 478 472-2040 N THIRD PARTY STATION CP OMEGA OMEGA PHARMACY 246 OAK ST 317750098 229 528-4276 N PATTERSON PATTERSON PHARMACARE 6460 HWY 84 31557 912 647-0777 N LEADER DRUG STORES INC PEACHTREE CITY CVS PHARMACY 101 LEXINGTON CIRCLE 30269 770 486-1639 N CVS PHARMACY INC PEACHTREE CITY KMART PHARMACY3978 400 CROSSTOWN ROAD 30269 770 487-2095 N K MART PHARMACY Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

PEACHTREE CITY KROGER PHARMACY 1101 PEACHTREE PKWY NORTH 30269 770 486-7211 N THE KROGER CO PEACHTREE CITY KROGER PHARMACY 564 CROSSTOWN DRIVE 30269 770 487-3749 N THE KROGER CO PEACHTREE CITY PUBLIX PHARMACY #0546 130 PEACHTREE E SC 30269 770 486-2026 N PUBLIX SUPER MARKETS INC PEACHTREE CITY PUBLIX PHARMACY #0799 1200 HIGHWAY 74 S SUITE 20 30269 770 486-5559 N PUBLIX SUPER MARKETS INC PEACHTREE CITY RITE AID PHARMACY 11778 2228 HIGHWAY 54 EAST 30269 770 487-6877 N RITE AID CORPORATION PEACHTREE CITY RITE AID PHARMACY 11779 101 CITY CIRCLE 30269 770 486-9776 N RITE AID CORPORATION PEACHTREE CITY RITE AID PHARMACY 11780 1232 HIGHWAY 74 SOUTH 302693072 770 631-3088 N RITE AID CORPORATION PEACHTREE CITY SAMS PHARMACY 10-4789 310 FISCHER RD 30277 770 304-8263 N WALMART STORES INC PEACHTREE CITY TARGET PHARMACY 1209 PEACHTREE PKWY N 30269 770 282-2166 N TARGET PHARMACIES PEACHTREE CITY WALGREENS 100 S PEACHTREE PKWY 302691705 770 487-4307 N WALGREENS DRUG STORE PEACHTREE CITY WAL-MART PHARMACY 10-3461 2717 HIGHWAY 54 WEST 30269 770 632-6454 N WALMART STORES INC PEACHTREE CITY WINGARD PRIMARY CARE 1325 COMMERCE DR STE 200 302693582 770 692-7575 MDS RX PEACHTREE CORNERS PEACHTREE PHARMACY 5270 PEACHTREE PKWY STE 114A 300922508 678 691-9079 N ACCESSHEALTH PLUS PEARSON BOONES PHARMACY INC 37 ALBANY AVE E 316429787 912 422-3334 N PEARSON MORRIS DRUG CO INC 646 MAIN ST N 31642 912 422-3631 N EPIC PHARMACY NETWORK INC PEARSON WALMART PHARMACY 10-4261 290 ALBANY AVE W 316427236 912 442-7724 N WALMART STORES INC PELHAM MOYES DRUG STORE 162 E RAILROAD ST SE 31779 229 294-4058 N ELEVATE PROVIDER NETWORK PELHAM RITE AID PHARMACY 03473 120 CURRY ST NORTHEAST 317791311 229 294-5141 N RITE AID CORPORATION PELHAM WALMART PHARMACY 10-4251 398 BARROW AVE SW 317792130 229 294-4053 N WALMART STORES INC PEMBROKE BEDINGFIELD PHARMACY 27 N MAIN ST 313210326 912 653-4596 N THIRD PARTY STATION CP PERRY CVS PHARMACY 1100 WASHINGTON ST 31069 478 987-0707 N CVS PHARMACY INC PERRY KROGER PHARMACY 1367 SAM NUNN BLVD 31069 478 988-8398 N THE KROGER CO PERRY PERRY DRUG COMPANY 1036 A MACON RD 31069 478 988-1144 N LEADER DRUG STORES INC PERRY PUBLIX PHARMACY #1233 275 PERRY PKWY 31069 478 218-7582 N PUBLIX SUPER MARKETS INC PERRY WALGREENS 1100 BALL ST 31069 478 987-1222 N WALGREENS DRUG STORE PERRY WAL-MART PHARMACY 10-2733 1009 ST PATRICKS DRIVE 31069 478 987-2323 N WALMART STORES INC PINE MOUNTAIN U SAVE IT PHARMACY-PINE MOUNTAIN 145 N MAIN AVE 318220833 706 663-2255 N EPIC PHARMACY NETWORK INC PINEVIEW PINEVIEW PHARMACY 117 E COMMERCE ST 31071 229 624-2711 N THIRD PARTY STATION CP POOLER PUBLIX PHARMACY #1364 467 POOLER PARKWAY 31322 912 330-7308 N PUBLIX SUPER MARKETS INC POOLER QUICK RX DRUGS 110 MEDICAL PARK DR 31322 912 748-3194 N ACCESSHEALTH PLUS POOLER RITE AID PHARMACY 01502 1038 W HIGHWAY 80 313222114 912 748-5155 N RITE AID CORPORATION Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

POOLER SAMS PHARMACY 10-4820 15 MILL CREEK CIRCLE 31322 912 748-3136 N WALMART STORES INC POOLER WAL-MART PHARMACY 10-2860 160 POOLER PARKWAY 31322 912 748-1371 N WALMART STORES INC PORT WENTWORTH CVS PHARMACY 7300 GA HIGHWAY 21 31407 912 964-1797 N CVS PHARMACY INC PORT WENTWORTH PUBLIX PHARMACY #1256 7936 GA HIGHWAY 21 314079720 863 688-1188 N PUBLIX SUPER MARKETS INC POWDER SPRINGS CVS PHARMACY 3285 NEW MACLAND RD 30127 770 943-4137 N CVS PHARMACY INC POWDER SPRINGS EHI PHARMACY SOLUTIONS LLC POWDER SPRINGS 5041 DALLAS HWY # 101H 301276458 770 449-0080 N VANTAGE RX DISPENSING SERVICES LLC POWDER SPRINGS KROGER PHARMACY 4150 MACLAND ROAD 30127 770 222-5190 N THE KROGER CO POWDER SPRINGS KROGER PHARMACY 4400 BROWNSVILLE ROAD 30127 770 222-4205 N THE KROGER CO POWDER SPRINGS PUBLIX PHARMACY #0496 5100 DALLAS HWY 30127 770 419-6006 N PUBLIX SUPER MARKETS INC POWDER SPRINGS PUBLIX PHARMACY #0670 3721 NEW MACLAND ROAD 30127 770 222-2778 N PUBLIX SUPER MARKETS INC POWDER SPRINGS RITE AID PHARMACY 11743 4481 HIRAM LITHIA SPRINGS ROAD 30127 770 439-1779 N RITE AID CORPORATION POWDER SPRINGS WALGREENS #5897 1070 RICHARD D SAILORS PKWY 30127 770 222-2897 N WALGREENS DRUG STORE POWDER SPRINGS WALGREENS #6325 5230 DALLAS HWY 30127 770 792-8250 N WALGREENS DRUG STORE PRESTON ADAMS FAMILY PHARMACY 6381 HAMILTON ST 318244029 229 828-2273 N THIRD PARTY STATION CP QUITMAN HARVEYS SUPERMARKET 1207 W SCREVEN ST 316431817 229 605-0140 N BI LO LLC QUITMAN PRESBYTERIAN HOME PHARMACY 1901 W SCREVEN ST 316430407 229 263-6130 N MHA LONG TERM CARE NETWORK QUITMAN RITE AID PHARMACY 01671 1103 W SCREVEN ST 316431815 229 263-4455 N RITE AID CORPORATION REIDSVILLE REIDSVILLE PHARMACY 246 A S MAIN ST 30453 912 557-4000 N LEADER DRUG STORES INC REIDSVILLE THE DRUG STORE 214 S MAIN ST 304530159 912 557-4701 N THIRD PARTY STATION CP REX RITE AID PHARMACY 11781 6456 HIGHWAY 42 30273 770 474-6458 N RITE AID CORPORATION RHINE RHINE DRUG COMPANY 119 1ST ST 310770388 229 385-5351 N LEADER DRUG STORES INC RICHLAND U SAVE IT PHARMACY 676 ALSTON ST 31825 229 887-3747 N EPIC PHARMACY NETWORK INC RICHMOND HILL CVS PHARMACY 2324 US HWY 17 31324 912 756-2531 N CVS PHARMACY INC RICHMOND HILL KROGER PHARMACY 53 EXCHANGE ST 31324 912 459-3030 N THE KROGER CO RICHMOND HILL RICHMOND HILL PHARMACY 2409 HWY 17 313241060 912 756-3331 N EPIC PHARMACY NETWORK INC RICHMOND HILL WALGREENS #10506 2270 US HIGHWAY 17 313243669 912 459-0880 N WALGREENS DRUG STORE RICHMOND HILLS PUBLIX PHARMACY #1154 12800 HWY 144 E 31324 912 459-1177 N PUBLIX SUPER MARKETS INC RINCON CVS PHARMACY 410 S COLUMBIA AVE 31326 912 826-2296 N CVS PHARMACY INC RINCON KROGER PHARMACY 5633 HWY 21 SOUTH 31326 912 826-7665 N THE KROGER CO RINCON KROGER PHARMACY #625 461 S COLUMBIA AVE 313269080 912 826-7665 THE KROGER CO RINCON QUICK RX DRUGS 100 GOSHEN RD 31326 912 826-6008 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

RINCON TOWNE PHARMACY 6014 HWY 21 SOUTH 31326 912 826-0250 N ACCESSHEALTH PLUS RINCON WALGREENS #10799 409 S COLUMBIA AVE 31326 912 826-7350 N WALGREENS DRUG STORE RINCON WAL-MART PHARMACY 10-1011 434 S COLUMBIA AVE 31326 912 826-2072 N WALMART STORES INC RINGGOLD CVS PHARMACY 6945 NASHVILLE ST 30736 706 935-9861 N CVS PHARMACY INC RINGGOLD CVS PHARMACY 4825 BATTLEFIELD PARKWAY 30736 706 866-9278 N CVS PHARMACY INC RINGGOLD NORTH GEORGIA HEALTH CARE CENTER 6120 ALABAMA HWY 30736 706 935-5444 N THIRD PARTY STATION RINGGOLD PARKWAY PHARMACY 4700 BATTLEFIELD PARKWAY 30736 706 866-8475 N THIRD PARTY STATION CP RINGGOLD PRICE RINGGOLD DRUG 7566 NASHVILLE ST 30736 706 935-3131 N THIRD PARTY STATION CP RINGGOLD WALGREENS #10247 5075 ALABAMA HWY 307362435 706 965-2287 N WALGREENS DRUG STORE RIVERDALE CVS PHARMACY 581 FLINT RIVER RD 30274 770 603-2464 N CVS PHARMACY INC RIVERDALE CVS PHARMACY 7055 OLD NATIONAL HWY 30296 770 909-5672 N CVS PHARMACY INC RIVERDALE CVS PHARMACY 22 UPPER RIVERDALE RD 30274 770 472-4566 Y CVS PHARMACY INC RIVERDALE FRED'S PHARMACY 94 UPPER RIVERDALE RD SW 30274 770 909-8508 N FREDS PHARMACY RIVERDALE HEART PHARMACY 706 SPRINGDALE DR 30274 770 997-6500 N ACCESSHEALTH PLUS RIVERDALE KROGER PHARMACY 7125 HIGHWAY 85 30274 770 996-3118 N THE KROGER CO RIVERDALE RITE AID PHARMACY 11782 6690 HIGHWAY 85 SOUTH 30274 770 997-7494 N RITE AID CORPORATION RIVERDALE WALGREENS #11758 6665 HIGHWAY 85 30274 770 907-6934 N WALGREENS DRUG STORE RIVERDALE WAL-MART PHARMACY 10-0787 7050 HIGHWAY 85 30274 770 994-0657 N WALMART STORES INC ROBERTA ROBERTA DRUGS 4 WRIGHT AVE 31078 478 836-3515 N THIRD PARTY STATION CP ROCHELLE ROCHELLE DRUG COMPANY 600 2ND AVE 31079 229 365-7447 N THIRD PARTY STATION CP ROCKMART RITE AID PHARMACY 01886 802 NATHAN DEAN BYPASS 301531945 770 684-6547 N RITE AID CORPORATION ROCKMART ROCKMART PHARMACY 407 N PIEDMONT AVE 301532423 770 684-8448 N THIRD PARTY STATION CP ROCKMART SMITH LOCKWOOD DRUGS AND JEWELRY 114 S MARBLE ST 301532691 770 684-6573 N ACCESSHEALTH PLUS ROCKMART SMITH-LOCKWOOD PHARMACY 701-B HOGUE AVE 30153 770 684-7880 N ACCESSHEALTH PLUS ROCKMART WAL-MART PHARMACY 10-4409 1801 NATHAN DEAN BYPASS 30153 678 757-9756 N WALMART STORES INC ROCKY FACE WEAVERS ROCKY FACE PHARMACY 2600 OLD CHATTANOOGA RD 30740 706 259-0668 N THIRD PARTY STATION CP ROME ARMUCHEE PHARMACY 4334 MARTHA BERRY HWY 301657706 706 235-1303 N TPN ROME AVERY DRUGS INC 710 N 5TH AVE 301652795 706 291-0999 N ACCESSHEALTH ROME CVS PHARMACY 911 SHORTER AVE SW 30165 706 234-5331 N CVS PHARMACY INC ROME CVS PHARMACY 1915 MAPLE AVE SE 30161 706 234-7364 N CVS PHARMACY INC ROME CVS PHARMACY 3357 MARTHA BERRY HWY NW 30165 706 235-6100 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ROME CVS PHARMACY 1201 TURNER MCCALL BLVD 30161 706 232-5270 N CVS PHARMACY INC ROME CVS PHARMACY # 05418 1905 MARTHA BERRY BLVD 301651649 706 295-5717 Y CVS PHARMACY INC ROME DERMATRAN HEALTH SOLUTIONS 85 TECHNOLOGY PKWY NW 301651382 706 844-1502 N UNITED COMPOUNDING MANAGEMENT ROME FIRST CARE PHARMACY 209 TURNER MCCALL BLVD NW 301652545 706 204-8590 N THIRD PARTY STATION CP ROME FRED'S PHARMACY 1916 REDMOND CIRCLE N W 30165 706 378-7946 N FREDS PHARMACY ROME HARBIN CLINIC CANCER CENTER PHARMACY 255 W 5TH ST 30165 706 528-9096 N ELEVATE PROVIDER NETWORK ROME HARBIN CLINIC PHARMACY 1825 MARTHA BERRY BLVD 30165 706 235-2273 N ELEVATE PROVIDER NETWORK ROME KMART PHARMACY4719 102 HICKS DRIVE 30161 706 236-9929 N K MART PHARMACY ROME KROGER PHARMACY 1476 TURNER MCCALL BLVD 30161 706 290-8043 N THE KROGER CO ROME MEDICINE SHOPPE PHARMACY 411 W 10TH ST 30165 706 295-5713 N MEDICINE SHOPPE INTERNATIONAL INC ROME NORTHEAST PHARMACEUTICALS- ROME 6 MATHIS DR NW 301651242 706 237-6306 N MHA LONG TERM CARE NETWORK ROME PUBLIX PHARMACY #1403 435 TURNER MCCALL BLVD NE 301652735 706 291-3385 N PUBLIX SUPER MARKETS INC ROME RITE AID PHARMACY 11754 2005 MAPLE ST 30161 706 234-5392 N RITE AID CORPORATION ROME RITE AID PHARMACY 11755 15 N DIVISION ST NORTHWEST 30165 706 235-5591 N RITE AID CORPORATION ROME ROME COMMUNITY PHARMACY 501 E 2ND AVE 301613249 706 622-2063 N PPOK RXSELECT PHCY NETWORK ROME SHANNON PHARMACY 5855 NEW CALHOUN HWY 30161 706 295-4772 N TPN ROME THE PHARMACY AT FLOYD 304 TURNER MCCALL BOULEVARD 30165 706 509-5908 N ACCESSHEALTH PLUS ROME WALGREENS #7199 701 MARTHA BERRY BLVD NW 30165 706 295-7787 Y WALGREENS DRUG STORE ROME WAL-MART PHARMACY 10-0658 2510 REDMOND CIRCLE 30165 706 235-3699 N WALMART STORES INC ROME WAL-MART PHARMACY 10-5151 825 CARTERSVILLE HIGHWAY SE 30161 706 292-9206 N WALMART STORES INC ROME WARDS PHARMACY 832 TURNER MCCALL BLVD 301612927 706 291-7850 N ELEVATE PROVIDER NETWORK ROSWELL ADDISON HEALTHCARE 11205 ALPHARETTA HWY STE F1 300761444 678 395-3213 N THIRD PARTY STATION ROSWELL CONCORD PHARMACY 2500 HOSPITAL BLVD 300764918 770 664-5428 N ACCESSHEALTH ROSWELL CVS PHARMACY 11710 ALPHARETTA HWY 30076 770 754-0141 N CVS PHARMACY INC ROSWELL CVS PHARMACY 12070 CRABAPPLE RD 30075 770 992-5446 N CVS PHARMACY INC ROSWELL CVS PHARMACY 1380 WOODSTOCK RD 30075 770 640-3131 N CVS PHARMACY INC ROSWELL CVS PHARMACY 895 HOLCOMB BRIDGE RD 30076 770 993-0194 N CVS PHARMACY INC ROSWELL EHI PHARMACY SOLUTIONS LLC ROSWELL 1350 UPPER HEMBREE RD STE 100 300760929 770 663-8011 N VANTAGE RX DISPENSING SERVICES LLC ROSWELL GEORGIA UROLOGY 1357 HEMBREE RD 30076 770 475-7550 N THIRD PARTY STATION ROSWELL KROGER PHARMACY 570 E CROSSVILLE ROAD 30076 770 640-2065 N THE KROGER CO ROSWELL KROGER PHARMACY 2300 HOLCOMB BRIDGE ROAD 30075 678 352-7480 N THE KROGER CO Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

ROSWELL KROGER PHARMACY 900 MARIETTA HWY 30075 678 352-7497 N THE KROGER CO ROSWELL PUBLIX PHARMACY #0086 4401 SHALLOWFORD ROAD 30075 770 640-7742 N PUBLIX SUPER MARKETS INC ROSWELL PUBLIX PHARMACY #0626 885 WOODSTOCK ROAD SUITE 100 30075 770 552-4586 N PUBLIX SUPER MARKETS INC ROSWELL PUBLIX PHARMACY #1043 1425 MARKET BLVD SUITE 600 30076 770 640-6088 N PUBLIX SUPER MARKETS INC ROSWELL RITE AID PHARMACY 11722 635 HOLCOMB BRIDGE ROAD 30076 770 993-8980 N RITE AID CORPORATION ROSWELL RITE AID PHARMACY 11723 2350 HOLCOMB BRIDGE ROAD 30076 770 642-1829 N RITE AID CORPORATION ROSWELL TARGET PHARMACY 1135 WOODSTOCK ROAD 30075 770 998-7122 N TARGET PHARMACIES ROSWELL WALGREENS #5605 695 W CROSSVILLE RD 30075 770 650-6692 N WALGREENS DRUG STORE ROSWELL WALGREENS #6875 10790 ALPHARETTA HWY 30076 770 645-0397 N WALGREENS DRUG STORE ROSWELL WAL-MART PHARMACY 10-1578 970 MANSELL ROAD 30076 770 641-0021 N WALMART STORES INC ROSWELL WAL-MART PHARMACY 10-2376 4651 WOODSTOCK RD NE STE 150 300751694 770 552-0680 N WALMART STORES INC ROSWELL WENDER & ROBERTS - CRABAPPLE 791 ATLANTA ST 30075 770 992-4111 N ACCESSHEALTH PLUS ROYSTON ELDERCARE PHARMACY ROYSTON 635 COOK ST 306623932 706 245-1467 N MHA LONG TERM CARE NETWORK ROYSTON MEDICAP PHARMACY 100 FRANKLIN SPRINGS ST 30662 706 245-9959 N MEDICAP PHARMACIES INC ROYSTON REDDY URGENT CARE - ROYSTON LLC 132 FRANKLIN SPRINGS ST 30662 706 245-7371 N A S MEDICATION SOLUTIONS LLC ROYSTON RITE AID PHARMACY 01753 859 FRANKLIN SPRINGS ST 306621527 706 245-8595 N RITE AID CORPORATION ROYSTON ROYSTON DRUG STORE 26 FRANKLIN SPRINGS ST 30662 706 245-7223 N UNITED DRUGS ROYSTON SCOTTIE DISCOUNT DRUGS 699 COOK ST 30662 706 245-6479 N THIRD PARTY STATION CP SANDERSVILLE CVS PHARMACY 206 S HARRIS ST 31082 478 552-0559 N CVS PHARMACY INC SANDERSVILLE NORTH POINTE PHARMACY & GIFTS 528 SPARTA ROAD 31082 478 552-6114 N ACCESSHEALTH PLUS SANDERSVILLE WAL-MART PHARMACY 10-1143 1308 S HARRIS ST 310826913 478 552-7063 N WALMART STORES INC SANDERSVILLE WEST DRUG COMPANY INC 102 N HARRIS ST 31082 478 552-2521 N THIRD PARTY STATION CP SANDERSVILLE WEST PRESCRIPTION SHOP 514 WASHINGTON AVE 31082 478 552-6111 N THIRD PARTY STATION CP SANDY SPRINGS CVS PHARMACY 6330 ROSWELL RD 30328 404 255-2131 N CVS PHARMACY INC SANDY SPRINGS CVS PHARMACY # 7355 ROSWELL RD NE 303281044 678 579-9792 N CVS PHARMACY INC SANDY SPRINGS KROGER PHARMACY 227 SANDY SPRINGS PL 30328 404 256-2779 N THE KROGER CO SANDY SPRINGS PRIMROSE PHARMACY 8601 DUNWOODY PL SUITE 146 303502519 404 382-7064 N ELEVATE PROVIDER NETWORK SANDY SPRINGS PUBLIX PHARMACY #0468 6615 ROSWELL RD 30328 404 843-4346 N PUBLIX SUPER MARKETS INC SAVANNAH AMBIENT HEALTHCARE OF GEORGIA, INC. 1000 BUSINESS CENTER DRIVE 31405 912 355-1053 N AMBIENT HEALTHCARE INC SAVANNAH CANDLER PRESCRIPTION CENTER 5354 REYNOLDS ST 314056000 912 819-7273 N LEADER DRUG STORES INC SAVANNAH CURTIS V COOPER PHARMACY HEALTH CARE INC 2 ROBERTS ST 31408 912 527-2740 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

SAVANNAH CURTIS V COOPER PRIMARY HEALTH CARE INC 106 E BROAD ST 31401 912 527-1111 N ACCESSHEALTH PLUS SAVANNAH CVS PHARMACY 301 MONTGOMERY CROSS RD 31406 912 920-7698 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 7360 SKIDAWAY RD 31406 912 354-3816 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 119 BULL ST 31401 912 232-1129 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 150 JOHNNY MERCER BLVD 31410 912 897-3220 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 12012 ABERCORN ST 31419 912 925-5568 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 4725 WATERS AVE 31404 912 355-7111 Y CVS PHARMACY INC SAVANNAH CVS PHARMACY 4717 C E HWY 80 31410 912 898-0375 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 5690 OGEECHEE RD 31405 912 234-5575 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 712 STEPHENSON AVE 31405 912 355-8601 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 5401 ABERCORN ST 314056901 912 356-3170 N CVS PHARMACY INC SAVANNAH CVS PHARMACY 2055 E VICTORY DR 31404 912 236-2465 N CVS PHARMACY INC SAVANNAH INFUSCIENCE 7001 CHATHAM CENTER DR 31405 912 238-1881 N INNOVATIX SPECIALTY NETWORK SAVANNAH KMART PHARMACY4189 33 W MONTGOMERY CROSS RD 31406 912 927-1448 N K MART PHARMACY SAVANNAH KROGER PHARMACY 14010 ABERCORN ST 31419 912 925-0396 N THE KROGER CO SAVANNAH KROGER PHARMACY 311 E GWINNETT ST 31401 912 231-2266 N THE KROGER CO SAVANNAH KROGER PHARMACY 495 JOHNNY MERCER BLVD 31410 912 897-0316 N THE KROGER CO SAVANNAH KROGER PHARMACY 7 DIAMOND CAUSEWAY 31406 912 353-4351 N THE KROGER CO SAVANNAH KROGER PHARMACY 1900 VICTORY DRIVE 31404 912 236-0750 N THE KROGER CO SAVANNAH KROGER PHARMACY 5720 OGEECHEE ROAD 31419 912 235-3425 Y THE KROGER CO SAVANNAH KROGER PHARMACY #697 318 MALL BLVD STE 100 314064700 912 200-9165 N THE KROGER CO SAVANNAH MEDICAL CENTER PHARMACY 4700 WATERS AVE 31404 912 350-6337 N EPIC PHARMACY NETWORK INC SAVANNAH MEDICAP PHARMACY 1080 KING GEORGE BLVD 31419 912 920-1500 N MEDICAP PHARMACIES INC SAVANNAH 718 MARTIN LUTHER KING JR BLVD MLK PHARMACY STE A 314015570 912 662-0300 N ELEVATE PROVIDER NETWORK SAVANNAH NEUROLOGICAL SPINE AND PAIN 8880 ABERCORN ST 314064508 912 231-4444 N EMEDRX SOLUTIONS SAVANNAH PUBLIX PHARMACY #0456 155 JOHNNY MERCER BLVD 31410 912 897-8106 N PUBLIX SUPER MARKETS INC SAVANNAH PUBLIX PHARMACY #0521 4717 HWY 80 E STE B 31410 912 897-2337 N PUBLIX SUPER MARKETS INC SAVANNAH PUBLIX PHARMACY #0522 5500 ABERCORN ST 31405 912 353-1266 N PUBLIX SUPER MARKETS INC SAVANNAH PUBLIX PHARMACY #1186 11701 ABERCORN ST 31419 912 925-4117 N PUBLIX SUPER MARKETS INC SAVANNAH QOL MEDS 800 E 70TH ST RM 4 314054813 912 421-0317 N MHA LONG TERM CARE NETWORK SAVANNAH QUICK RX DRUG 1001 MEMORIAL LANE 31410 912 898-7535 N ACCESSHEALTH PLUS Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

SAVANNAH QUICK RX DRUGS 911 E 65TH ST 31405 912 355-0122 N ACCESSHEALTH PLUS SAVANNAH RITE AID PHARMACY 11846 4600 HABERSHAM ST 31405 912 354-5083 N RITE AID CORPORATION SAVANNAH RITE AID PHARMACY 11848 10402 ABERCORN ST EXTENSION 31419 912 925-0707 N RITE AID CORPORATION SAVANNAH 1975 E MONTGOMERY SAMS PHARMACY 10-8202 CROSSROADS 31406 912 352-8223 N WALMART STORES INC SAVANNAH SOUTHCOAST PHARMACY 1326 EISENHOWER DR BLDG 1 31405 912 691-3528 N THIRD PARTY STATION CP SAVANNAH SOUTHEASTERN MEDICAL COMPOUNDING LLC 709 MALL BLVD RM 356B 314064836 912 201-8138 N TPN SAVANNAH SUMMIT CANCER CARE 4700 WATERS AVE STE A 314046220 912 651-5767 N ACCESSHEALTH PLUS SAVANNAH TARGET PHARMACY 14065 ABERCORN ST 31419 912 925-2918 N TARGET PHARMACIES SAVANNAH TARGET PHARMACY 1907 E VICTORY DR 31404 912 644-1601 N TARGET PHARMACIES SAVANNAH VILLAGE WALK PHARMACY 1 SKIDAWAY VILLAGE WALK 31411 912 598-8669 N EPIC PHARMACY NETWORK INC SAVANNAH WALGREENS 2109 E VICTORY DR 314043917 912 354-2603 N WALGREENS DRUG STORE SAVANNAH WALGREENS #10635 5701 OGEECHEE RD 314059505 912 232-8512 N WALGREENS DRUG STORE SAVANNAH WALGREENS #2171 700 E DERENNE AVE 31405 912 354-4853 Y WALGREENS DRUG STORE SAVANNAH WALGREENS #5368 11509 ABERCORN ST 31419 912 927-6119 N WALGREENS DRUG STORE SAVANNAH WALGREENS #6098 125 JOHNNY MERCER BLVD 31410 912 897-4533 N WALGREENS DRUG STORE SAVANNAH 1955 E MONTGOMERY WAL-MART PHARMACY 10-0605 CROSSROADS 31406 912 351-0743 N WALMART STORES INC SAVANNAH WAL-MART PHARMACY 10-0606 4725 E HWY 80 31410 912 898-8091 N WALMART STORES INC SAVANNAH WAL-MART PHARMACY 10-0635 6000 OGEECHEE ROAD 31419 912 927-6117 N WALMART STORES INC SAVANNAH WALMART PHARMACY 10-4530 10530 ABERCORN ST 314191140 912 712-7006 N WALMART STORES INC SAVANNAH WAL-MART PHARMACY 10-4556 14030 ABERCORN ST 314191935 912 344-9671 N WALMART STORES INC SAVANNAH WAL-MART PHARMACY 10-6592 251 ROBERT B MILLER JR RD 314089041 912 964-9851 N WALMART STORES INC SENOIA SENOIA DRUG CO INC 7285 HWY 16 EAST 30276 770 727-3060 N ELEVATE PROVIDER NETWORK SHANNON MCGOWAN JONES PHARMACY CORP 363 BURLINGTON RD 301720965 706 295-2505 N ELEVATE PROVIDER NETWORK SHELLMAN SHELLMAN DRUG COMPANY 75 W RAILROAD ST 39886 229 679-5070 N UNITED DRUGS SMYRNA CARTERS PHARMACY 4015 S COBB DR SE STE 130 30080 770 436-5144 N GERIMED LTC NETWORK INC SMYRNA CURANT HEALTH GEORGIA LLC 200 TECHNOLOGY CT SE STE B 300825201 770 437-8040 N EPIC PHARMACY NETWORK INC SMYRNA CVS PHARMACY 485 CONCORD RD 30082 770 444-0182 N CVS PHARMACY INC SMYRNA CVS PHARMACY 4345 S COBB DRIVE SE 30080 770 438-5042 N CVS PHARMACY INC SMYRNA CVS PHARMACY 2994 ATLANTIC RD 30080 770 435-8314 N CVS PHARMACY INC SMYRNA EHI PHARMACY SOLUTIONS LLC SMYRNA 3969 S COBB DR SE 300806358 770 319-5502 N VANTAGE RX DISPENSING SERVICES LLC SMYRNA K & Y PHARMACY LLC 969 WINDY HILL RD SE STE A 300802025 770 989-1332 N THIRD PARTY STATION CP Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

SMYRNA KROGER PHARMACY 4715 ATLANTA ROAD SE 30080 404 792-6980 N THE KROGER CO SMYRNA KROGER PHARMACY #699 3240 S COBB DR SE 300804194 770 433-3420 N THE KROGER CO SMYRNA PUBLIX PHARMACY #0580 2148 S COBB DRIVE 30080 770 805-0006 N PUBLIX SUPER MARKETS INC SMYRNA PUBLIX PHARMACY #0753 4480 S COBB DR 30080 770 434-8560 N PUBLIX SUPER MARKETS INC SMYRNA RITE AID PHARMACY 11725 2113 S COBB DRIVE 30080 770 435-2544 N RITE AID CORPORATION SMYRNA SOUTH ATLANTIC INTERNAL MEDICINES ASSOCIATES 4600 W VILLAGE PL SE STE 4011 300809213 770 431-7890 N VANTAGE RX DISPENSING SERVICES LLC SMYRNA TARGET PHARMACY 2201 COBB PKWY SE 30080 770 373-2349 N TARGET PHARMACIES SMYRNA THE MEDICINE SHOPPE 3903 S COBB DR 30080 770 436-0811 N MEDICINE SHOPPE INTERNATIONAL INC SMYRNA WALGREENS #5758 4371 S COBB DR 300806376 678 556-0914 N WALGREENS DRUG STORE SMYRNA WALGREENS #5901 2390 S COBB DR SE 30080 678 556-0673 N WALGREENS DRUG STORE SMYRNA WALGREENS #5902 2670 COBB PKWY 30080 770 955-7453 N WALGREENS DRUG STORE SNELLVILLE CVS PHARMACY 1938 SCENIC HWY N 30078 770 979-0922 N CVS PHARMACY INC SNELLVILLE CVS PHARMACY 3010 HWY 124 30039 770 736-6601 N CVS PHARMACY INC SNELLVILLE CVS PHARMACY 1960 E MAIN ST 30078 770 972-4448 N CVS PHARMACY INC SNELLVILLE HARRY'S PHARMACY 4017 ANNISTOWN RD STE E 300396901 770 696-4828 N THIRD PARTY STATION CP SNELLVILLE KROGER PHARMACY 3035 CENTERVILLE HIGHWAY 30039 770 982-1061 N THE KROGER CO SNELLVILLE KROGER PHARMACY 1670 HIGHWAY 124 30078 770 985-3792 N THE KROGER CO SNELLVILLE KROGER PHARMACY #370 4002 HIGHWAY 78 W 300397915 770 979-8772 N THE KROGER CO SNELLVILLE PUBLIX PHARMACY #0508 1905 SCENIC HIGHWAY STE 4000 30078 770 978-5806 N PUBLIX SUPER MARKETS INC SNELLVILLE PUBLIX PHARMACY #0539 3550 CENTERVILLE HWY STE 201 30039 770 736-7806 N PUBLIX SUPER MARKETS INC SNELLVILLE RITE AID PHARMACY 11695 3295 HIGHWAY 124 30039 770 972-8255 N RITE AID CORPORATION SNELLVILLE SAMS PHARMACY 10-4739 1520 SCENIC HIGHWAY 30078 770 979-2941 N WALMART STORES INC SNELLVILLE SNELLS PHARMACY 2295 OAK RD 30078 770 972-0700 N THIRD PARTY STATION CP SNELLVILLE TARGET PHARMACY 1905 SCENIC HWY N 30078 678 344-8223 N TARGET PHARMACIES SNELLVILLE WALGREENS 1700 TREE LN 300786782 770 580-8871 N WALGREENS DRUG STORE SNELLVILLE WALGREENS #10248 3505 CENTERVILLE HWY 300396405 770 736-2157 N WALGREENS DRUG STORE SNELLVILLE WALGREENS #6185 2220 HEWATT RD 30039 770 978-6276 N WALGREENS DRUG STORE SNELLVILLE WALGREENS #7959 1930 HWY 124 30078 770 972-4709 N WALGREENS DRUG STORE SNELLVILLE WAL-MART PHARMACY 10-1720 1550 SCENIC HIGHWAY 30078 770 979-1911 N WALMART STORES INC SNELLVILLE WAL-MART PHARMACY 10-3072 2912 MAIN ST W 300783148 770 225-1408 N WALMART STORES INC SNELLVILLE WAL-MART PHARMACY 10-3389 3435 CENTERVILLE HIGHWAY 30039 770 972-3135 N WALMART STORES INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

SOCIAL CIRCLE FREDS PHARMACY 1567 N CHEROKEE ROAD 30025 770 464-9984 N FREDS PHARMACY SOPERTON DENNARD DRUGS 794 2ND ST 30457 912 529-4545 N THIRD PARTY STATION CP SOPERTON DENNARDS LTC 796 SECOND ST 30457 912 529-2021 N GERIMED LTC NETWORK INC SOPERTON FRED'S PHARMACY 4269 W MAIN ST 304571168 912 529-3234 N FREDS PHARMACY SPARTA WEBSTERS PHARMACY INC 12707 BROAD ST 31087 706 444-5296 N EPIC PHARMACY NETWORK INC SPRINGFIELD HARVEYS SUPERMARKET 1451 HIGHWAY 21 SOUTH 31329 912 754-7009 N BI LO LLC SPRINGFIELD QUICK RX DRUGS 504 N LAUREL ST 31329 912 754-6444 N ACCESSHEALTH PLUS ST MARYS CAMDEN PHARMACY INC 214 B PROFESSIONAL CIR 31558 912 673-8220 N THIRD PARTY STATION CP ST MARYS WAL-MART PHARMACY 10-0836 6586 HIGHWAY 40 E 315584039 912 510-9221 N WALMART STORES INC ST SIMONS ISLAND CVS PHARMACY 30 MARKET ST 31522 912 634-0357 N CVS PHARMACY INC ST SIMONS ISLAND CVS PHARMACY 1605 FREDERICA RD 31522 912 638-7732 N CVS PHARMACY INC ST SIMONS ISLAND ST SIMONS DRUG COMPANY 209 LONGVIEW PLZ 31522 912 638-8676 N ELEVATE PROVIDER NETWORK ST SIMONS ISLAND WINN DIXIE PHARMACY 220 RETREAT VILLAGE 31522 912 634-4817 N WINN DIXIE PHARMACY ST. MARYS CVS PHARMACY 2700 OSBORNE RD 31558 912 882-4841 N CVS PHARMACY INC STATESBORO BI-LO PHARMACY 325 NORTHSIDE DR E STE 1 30458 912 489-1465 N BI LO LLC STATESBORO CVS PHARMACY # 441 FAIR RD 304584913 912 489-0943 N CVS PHARMACY INC STATESBORO FOREST HEIGHTS PHARMACY 4439 COUNTRY CLUB ROAD 30459 912 489-7979 N ELEVATE PROVIDER NETWORK STATESBORO FRED'S PHARMACY 2974 NORTHSIDE DRIVE WEST 30458 912 212-3410 N FREDS PHARMACY STATESBORO KMART PHARMACY3957 715 NORTHSIDE DRIVE EAST 30458 912 489-3813 N K MART PHARMACY STATESBORO MCCOOKS PHARMACY INC 23630 US HIGHWAY 80 E 304616019 912 764-2223 N EPIC PHARMACY NETWORK INC STATESBORO MEDICAL CENTER PHARMACY 57 GRANADE ST 304585298 912 764-5643 N ACCESSHEALTH PLUS STATESBORO MEDICAL CTR PHCY AT COTTON RIDGE 1601 FAIR RD 30458 912 681-2333 N ACCESSHEALTH STATESBORO RIGGS PHARMACY 17 W MAIN ST 304580813 912 764-5613 N STATESBORO RITE AID PHARMACY 11805 556 NORTHSIDE DRIVE 30458 912 489-8683 N RITE AID CORPORATION STATESBORO SENIOR CARE PHARMACY 10929 HWY 301 SOUTH 30458 912 764-7839 N MHA LONG TERM CARE NETWORK STATESBORO SOUTHERN PHARMACY 606 B BRANNEN ST 30458 912 225-9279 N THIRD PARTY STATION CP STATESBORO WALGREENS #9257 516 NORTHSIDE DR E 30458 912 489-3008 N WALGREENS DRUG STORE STATESBORO WALKER PHARMACY AND BOUTIQUE 1198 MERCHANTS WAY 30459 912 681-3784 N THIRD PARTY STATION CP STATESBORO WALKER PHARMACY INC 2425 NORTHSIDE DR W 304584420 912 764-6175 N THIRD PARTY STATION CP STATESBORO WAL-MART PHARMACY 10-0754 730 NORTHSIDE DRIVE EAST 30458 912 764-2110 N WALMART STORES INC STATESBORO WALMART PHARMACY 10-2858 349 BRAMPTON AVE 304580832 912 489-4643 N WALMART STORES INC STOCKBRIDGE CVS PHARMACY 5095 MOUNT ZION PKWY 30281 770 507-0576 N CVS PHARMACY INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

STOCKBRIDGE CVS PHARMACY 5415 N HENRY BLVD 30281 770 474-1355 N CVS PHARMACY INC STOCKBRIDGE EAGLES LANDING PROFESSIONAL 1090 EAGLES LANDING PARKWAY 30281 770 474-5005 N ACCESSHEALTH STOCKBRIDGE HUDSON BRIDGE PHARMACY 1110 EAGLES LANDING PKY 302815012 770 474-0842 N ELEVATE PROVIDER NETWORK STOCKBRIDGE KROGER PHARMACY 1750 HUDSON BRIDGE ROAD 30281 770 507-6327 N THE KROGER CO STOCKBRIDGE KROGER PHARMACY 3618 HIGHWAY 138 SE 30281 770 474-5309 N THE KROGER CO STOCKBRIDGE MOYES PHARMACY STOCKBRIDGE 4467 N HENRY BLVD 30281 770 474-0704 N ACCESSHEALTH PLUS STOCKBRIDGE PUBLIX PHARMACY #0092 250 E ATLANTA RD 30281 770 474-1822 N PUBLIX SUPER MARKETS INC STOCKBRIDGE PUBLIX PHARMACY #0547 909 EAGLES LANDING PKWY 30281 770 389-6136 N PUBLIX SUPER MARKETS INC STOCKBRIDGE RITE AID PHARMACY 11784 440 COUNTRY CLUB DRIVE 30281 770 506-0677 N RITE AID CORPORATION STOCKBRIDGE WALGREENS #6209 1855 HUDSON BRIDGE RD 30281 678 565-0648 N WALGREENS DRUG STORE STOCKBRIDGE WALGREENS #9501 1056 EAGLES LANDING PKWY 302815012 678 284-1535 N WALGREENS DRUG STORE STOCKBRIDGE WAL-MART PHARMACY 10-0745 5600 N HENRY BLVD 30281 770 389-4905 N WALMART STORES INC STOCKBRIDGE WAL-MART PHARMACY 10-3402 1400 HUDSON BRIDGE ROAD 30281 770 474-0454 N WALMART STORES INC STONE MOUNTAIN COMFORT PHARMACY 2 4825 ROCKBRIDGE RD 30083 404 296-4566 N EPIC PHARMACY NETWORK INC STONE MOUNTAIN CVS PHARMACY 1144 S INDIAN CREEK DRIVE 30083 404 296-2936 N CVS PHARMACY INC STONE MOUNTAIN CVS PHARMACY 7207 ROCKBRIDGE RD 30087 770 469-2002 N CVS PHARMACY INC STONE MOUNTAIN CVS PHARMACY 5755 ROCKBRIDGE RD 30087 770 469-7992 N CVS PHARMACY INC STONE MOUNTAIN CVS PHARMACY 1140 N HAIRSTON RD 30083 404 292-0484 N CVS PHARMACY INC STONE MOUNTAIN DISCOUNT PHARMACY LLC 827 N HAIRSTON RD STE D 300833441 770 755-5904 N EPIC PHARMACY NETWORK INC STONE MOUNTAIN EHI PHARMACY SOLUTIONS LLC 5370 STONE MOUNTAIN HWY STE STONE MOUNTAIN 120 300873572 770 469-6069 N VANTAGE RX DISPENSING SERVICES LLC STONE MOUNTAIN KROGER PHARMACY 1227 ROCKBRIDGE ROAD 30087 770 225-1888 N THE KROGER CO STONE MOUNTAIN KROGER PHARMACY 965 N HARRISTON ROAD 30088 770 413-1931 N THE KROGER CO STONE MOUNTAIN MAKO PHARMACY 1525 E PARK PLACE BLVD STE 500 300873404 770 696-9146 N THIRD PARTY STATION CP STONE MOUNTAIN PUBLIX PHARMACY #0494 380 N DESHON RD 30087 770 879-2706 N PUBLIX SUPER MARKETS INC STONE MOUNTAIN WALGREENS 5435 FIVE FORKS TRICKUM RD SW 30087 770 935-5607 N WALGREENS DRUG STORE STONE MOUNTAIN WALGREENS 4765 REDAN RD 30088 404 299-5322 N WALGREENS DRUG STORE STONE MOUNTAIN WALGREENS #5336 5320 MEMORIAL DR 30083 404 508-7166 N WALGREENS DRUG STORE STONE MOUNTAIN WAL-MART PHARMACY 10-1184 1825 ROCKBRIDGE RD 30087 770 469-8570 N WALMART STORES INC STONE MOUNTAIN WAL-MART PHARMACY 10-3188 5935 MEMORIAL DR 300833429 404 260-6149 N WALMART STORES INC STONE MOUNTAIN WHOLECARE PHARMACY 1183 S HAIRSTON ROAD SUITE B 30088 470 225-1433 N THIRD PARTY STATION STONE MT KROGER PHARMACY 1232 S HAIRST0N RD 30088 404 292-5542 N THE KROGER CO Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

SUGAR HILL KROGER PHARMACY 6001 HWY 20 30518 678 546-4113 N THE KROGER CO SUGAR HILL 4470 NELSON BROGDON RITE AID PHARMACY 11811 BOULEVARD 30518 770 945-7691 N RITE AID CORPORATION SUGAR HILL WALGREENS #9494 4397 SUDDERTH RD 30518 678 546-8442 N WALGREENS DRUG STORE SUMMERVILLE CVS PHARMACY 9849 ROME BLVD 30747 706 857-1341 N CVS PHARMACY INC SUMMERVILLE FRED'S PHARMACY 103 W HWY 48 30747 706 857-3300 N FREDS PHARMACY SUWANEE CONCORD PHARMACY 3890 JOHNS CREEK PKWY SOUTH 30024 678 417-0122 N ACCESSHEALTH PLUS SUWANEE CVS PHARMACY 485 PEACHTREE INDUSTRIAL BLVD 30024 678 546-0584 N CVS PHARMACY INC SUWANEE 2850 LAWRENCEVILLE SUWANEE CVS PHARMACY RD 30024 770 932-5410 N CVS PHARMACY INC SUWANEE CVS PHARMACY 5370 LAUREL SPRINGS PARKWAY 30024 678 947-6614 N CVS PHARMACY INC SUWANEE GAYCO HEALTHCARE - NORTH 4090 JOHNS CREEK PKWY STE D 300241260 770 495-2950 N GERIMED LTC NETWORK INC SUWANEE KROGER PHARMACY 400 PEACHTREE INDUSTRIAL BLVD 30024 770 932-4373 Y THE KROGER CO SUWANEE KROGER PHARMACY 3651 PEACHTREE PARKWAY 30024 770 418-2388 N THE KROGER CO SUWANEE 2120 LAWRENCEVILLE SUWANEE KROGER PHARMACY ROAD 30024 770 962-1352 N THE KROGER CO SUWANEE PUBLIX PHARMACY #0565 3245 PEACHTREE PKWY 30024 770 886-5341 N PUBLIX SUPER MARKETS INC SUWANEE PUBLIX PHARMACY #0615 1000 PEACHTREE INDUSTRIAL BLVD 30024 770 932-4306 N PUBLIX SUPER MARKETS INC SUWANEE PUBLIX PHARMACY #1091 7780 MCGINNIS FERRY ROAD 30024 770 622-2652 N PUBLIX SUPER MARKETS INC SUWANEE PUBLIX PHARMACY #1227 3120 MATHIS AIRPORT PKWY 30024 770 781-4640 N PUBLIX SUPER MARKETS INC SUWANEE RITE AID PHARMACY 11689 1085 PEACHTREE INDUSTRIAL 30024 770 614-2880 N RITE AID CORPORATION SUWANEE 2790 LAWRENCEVILLE-SUWANEE SHINNS PHARMACY ROAD 30024 770 932-3023 N ACCESSHEALTH PLUS SUWANEE TARGET PHARMACY 2625 PEACHTREE PKWY 30024 678 965-5806 N TARGET PHARMACIES SUWANEE WALGREENS #5990 2075 LAWRENCEVILLESUWANEE RD 30024 678 377-5258 N WALGREENS DRUG STORE SUWANEE WALGREENS #6699 1090 PEACHTREE INDUSTRIAL BLVD 30024 678 546-0893 N WALGREENS DRUG STORE SUWANEE 3245 LAWRENCEVILLE SUWANEE WAL-MART PHARMACY 10-3462 RD 30024 678 482-1646 N WALMART STORES INC SWAINBORO WALGREENS 390 S MAIN ST 304013666 478 237-0788 N WALGREENS DRUG STORE SWAINSBORO MEDICAL CENTER PHARMACY 132 VICTORY DR 30401 478 237-3838 N THIRD PARTY STATION CP SWAINSBORO SHOP RITE PHARMACY 605 W MAIN ST 30401 478 237-7032 N THIRD PARTY STATION CP SWAINSBORO WAL-MART PHARMACY 10-1024 414 SO MAIN ST 30401 478 237-3524 N WALMART STORES INC SWAINSBORO WILSONS PHARMACY INC 104 S GREEN ST 30401 478 237-8835 N THIRD PARTY STATION CP SYLVANIA MEDICAP PHARMACY 331 MIMS RD 30467 912 564-2720 N MEDICAP PHARMACIES INC SYLVANIA RITE AID PHARMACY 01428 305 W OGEECHEE ST 304671985 912 564-2668 N RITE AID CORPORATION Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

SYLVANIA ROSS DRUG 127 N MAIN ST 30467 912 564-7002 N ELEVATE PROVIDER NETWORK SYLVESTER CVS PHARMACY 104 W FRANKLIN ST 31791 229 776-7619 N CVS PHARMACY INC SYLVESTER FRED'S PHARMACY 620 E FRANKLIN 31791 229 777-0777 N FREDS PHARMACY SYLVESTER HARVEYS SUPERMARKET 502 ASHBURN HWY 31791 229 776-3908 N BI LO LLC SYLVESTER WALGREENS #10969 106 E FRANKLIN ST 317912104 229 776-5518 N WALGREENS DRUG STORE SYLVESTER WALMART PHARMACY 10-7245 1102 E FRANKLIN ST 317917186 229 463-6009 N WALMART STORES INC TALLAPOOSA CVS PHARMACY 107 SPRING ST 30176 770 574-2914 N CVS PHARMACY INC TALLAPOOSA TALLAPOOSA DRUG COMPANY 24 W ALABAMA ST 301761464 770 574-2339 N ACCESSHEALTH PLUS TAYLORSVILLE TAYLORSVILLE PHARMACY 105 CHURCH ST 301780146 770 684-9060 N ELEVATE PROVIDER NETWORK TEMPLE TEMPLE PHARMACY 285 SAGE ST 301790608 770 562-3268 N ELEVATE PROVIDER NETWORK THOMASTON CHEROKEE PHARMACY 200 CHEROKEE RD 30286 706 646-3100 N THIRD PARTY STATION CP THOMASTON RITE AID PHARMACY 11785 708 N CHURCH ST 30286 706 648-2118 N RITE AID CORPORATION THOMASTON WALGREENS #11490 634 N CHURCH ST 302863612 706 647-4000 N WALGREENS DRUG STORE THOMASTON WAL-MART PHARMACY 10-1112 855 N CHURCH ST 30286 706 648-2109 N WALMART STORES INC THOMASVILLE ARCHBOLD HIGH TECH SERVICES 2705 E PINETREE BLVD 31792 229 551-2377 N ELEVATE PROVIDER NETWORK THOMASVILLE CONVENIENT CARE PHARMACY #3 519 W JACKSON ST 31792 225 226-2203 N EPIC PHARMACY NETWORK INC THOMASVILLE CVS PHARMACY 14857 US HWY 19 SOUTH 31792 229 228-7785 N CVS PHARMACY INC THOMASVILLE HARVEYS SUPERMARKET 1404 E JACKSON ST 31792 229 225-1402 N BI LO LLC THOMASVILLE PUBLIX PHARMACY #1498 13775 US HIGHWAY 19 S 31792 229 228-6419 N PUBLIX SUPER MARKETS INC THOMASVILLE QOL MEDS 1102 SMITH AVE STE L 317925740 229 379-3125 N MHA LONG TERM CARE NETWORK THOMASVILLE RITE AID PHARMACY 01629 301 S BROAD ST 317925546 229 228-7658 N RITE AID CORPORATION THOMASVILLE THOMAS DRUG STORE 816 GORDON AVE 31792 229 226-4201 N LEADER DRUG STORES INC THOMASVILLE THOMAS DRUG STORE 108 S BROAD ST 31792 229 226-2535 N LEADER DRUG STORES INC THOMASVILLE TRUMARX DRUGS 501 GORDON AVE 31792 229 226-8700 THIRD PARTY STATION CP THOMASVILLE WALGREENS #11794 11343 US HIGHWAY 319 N 317573419 229 226-5424 N WALGREENS DRUG STORE THOMASVILLE WAL-MART PHARMACY 10-0889 15328 US 19 SOUTH 31792 229 228-5771 N WALMART STORES INC THOMPSON WALGREENS 668 MAIN ST 308247416 706 595-1667 N WALGREENS DRUG STORE THOMSON CVS PHARMACY 109 W HILL ST 30824 706 595-6666 N CVS PHARMACY INC THOMSON LMN PHARMACY INC 501 MT PLEASANT RD 30824 706 595-6126 N THIRD PARTY STATION CP THOMSON MOYE PHARMACY 433 W HILL ST 30824 706 595-4842 N ACCESSHEALTH PLUS THOMSON MOYE PHARMACY SOUTH 433 W HILL ST 30824 706 595-4840 N GERIMED LTC NETWORK INC THOMSON WAL-MART PHARMACY 10-1658 2205 HARRISON ROAD SE 30824 706 595-1080 N WALMART STORES INC Ambetter from Peach State Health Plan: Pharmacies Participating in 90-Day Extended Network

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