Report Period: 1/1/2021 to 1/31/2021

PHARMACY NAME PHARMACY ADDRESS1 PHARMACY ADDRESS2 PHARMACY CITY PHARMACY PHARMACY ZIP PHONE NUMBER STATE 3 C PHARMACY INC (605)723-5920 319 SUMMIT ST BELLE FOURCHE SD 57717 A&W Pharmacy LLC (435)738-3784 171 E Main St Duchesne UT 84021--099 ACCREDO HEALTH GROUP, INC (800)803-2523 1620 Century Center Parkway, Suite 109 Memphis TN 38134-8849

ACCREDO HEALTH GROUP, INC. (314)684-6924 3000 ERICSSON DR. STE 100 WARRENDALE PA 15086-7594 ADVANCED PHARMACY SERVICES,LLC (303)592-2000 4605 QUEBEC ST. B-11 DENVER CO 80216 LLC (307)635-1155 3355 E PERSHING BLVD CHEYENNE WY 82001-5764 ALBERTSONS LLC (307)672-8908 1865 COFFEEN AVE SHERIDAN WY 82801-5711 ALBERTSONS LLC (307)234-7159 2625 E 2nd St Casper WY 82609 ALBERTSONS LLC (307)266-0156 1076 CY AVE CASPER WY 82604-3561 ALBERTSONS LLC (307)733-9223 105 Buffalo Way Jackson WY 83001 ALBERTSONS LLC (307)362-9734 1323 Dewar Dr Rock Springs WY 82901 ALBERTSONS LLC (307)687-2996 2610 S DOUGLAS HWY GILLETTE WY 82718-6468 ALBERTSONS LLC (307)637-8361 5800 YELLOWSTONE RD CHEYENNE WY 82009-4131 ALBERTSONS LLC (307)527-7426 1825 17TH ST CODY WY 82414-4701 ALBERTSONS LLC dba Osco Pharmacy #1227 (208)395-3920 670 MAIN ST BILLINGS MT 59105--322 ALTITUDE DRUG, LLC (307)367-2278 709 W Pine Street PINEDALE WY 82941 AMBER Enterprises, Inc. (888)370-1724 10004 South 152nd Street, Suite A Omaha NE 68138-3931 AmPharm, Inc. (731)847-4013 1971 Tennessee Avenue North Parsons TN 38363 ANOVORX GROUP, LLC (901)612-3281 1710 N. SHELBY OAKS DR., SUITE 1 MEMPHIS TN 38134-7403 BASIN PHARMACY (307)568-3636 403 W "C" Street BASIN WY 82410 BEAR LAKE DRUG LLC (208)847-1421 836 MONTPELIER ID 83254 BEMIS DRUG, INC (308)235-3936 129 S Chestnut KIMBALL NE 69145-1208 Benzer CO 1 LLC CHOW (303)822-9371 568 US HWY 36 Byers CO 80103 BILLINGS CLINIC ATRIUM PHARMACY (406)238-2084 2800 10TH AVE N BILLINGS MT 59101 Billings Clinic Specialty Supplies and Services (406)657-4545 1015 Broadwater Ave Suite 101 Billings MT 59102 Billings Clinic Specialty Supplies and Services (406)435-5970 1015 Broadwater Ave Suite 201 Billings MT 59102 BIOLOGICS, INC. (800)856-1984 11800 Weston Parkway CARY NC 27513 BioRx, LLC (760)707-1486 1819 Aston Street Suite 102 Carlsbad CA 98008 BriovaRX of , LLC (866)618-6741 8350 Briova Drive Las Vegas NV 89113 BROULIMS PHARMACY #12 (307)885-5055 141 N. WASHINGTON STREET AFTON WY 83110 BROULIMS PHARMACY #2 (208)847-0806 130 S 4TH STREET MONTPELIER ID 83254 BROULIMS PHARMACY #7 (208)354-0057 240 S. STATE DRIGGS ID 83422 BUFFALO PRESCRIPTION SHOP (307)684-7003 431 FORT STREET BUFFALO WY 82834-1805 BVP, LLC (307)782-3784 950 N. Highway 414 Mountain View WY 82939 Cambria Discount Drug LLC (307)746-9191 701 Washington Blvd. Newcastle WY 82701 CD Pharmacy LLC (801)433-9500 450 S 900 E Suite150 Salt Lake City UT 84102 CD Pharmacy LLC (801)477-9444 863 West 450 South Ste 101 Springville UT 84663 City Drug (307)789-4000 131 10th Street Evanston WY 82930 CITY MARKET PHARMACY #412 (307)324-3084 602 HIGLEY BLVD. RAWLINS WY 82301-5968 CITY MARKET PHARMACY #415 (970)824-4449 505 W. VICTORY WAY CRAIG CO 81625-2929 CNS PROFESSIONAL SERVICES (801)886-0670 2820 South Redwood Rd West Valley City UT 84119 Comm Hlth Ctr of Ctrl Wyo (340B) (307)233-6050 5000 Blackmore Rd Casper WY 82609

Page 1 012021 Pharmacies Pharmacies Report Period: 1/1/2021 to 1/31/2021

Comm Hlth Ctr of Ctrl Wyo () (307)233-6000 5000 BLACKMORE RD CASPER WY 82609-3544 COMMUNITY DRUG INC (307)532-3060 900 WEST VALLEY ROAD TORRINGTON WY 82240-3232 Community Pharmacies dba Vilas Pharmacy (307)283-3883 208 N. Bighorn Ave Moorcroft WY 82721 COMMUNITY PHARMACY AT REGIONAL WEST (308)630-1900 3911 AVENUE B, SUITE M-200 SCOTTSBLUFF NE 69361-4617 CORAM CVS SPECIALTY INFUSION SERVICES (303)799-0093 12450 E ARAPAHOE RD SUITE A1 CENTENNIAL CO 80112-3952 CORAM CVS/SPECIALTY INFUSION SERVICES (909)799-4071 136 SOUTH MCKINLEY CASPER WY 82601-2745 CORNER DRUG (208)354-2334 10 S MAIN STREET DRIGGS ID 83422 Cowboy Drug (307)331-9394 977 Gilchrist St Wheatland WY 82201 CSRX, Inc (605)348-2500 339 St. Patrick Street Rapid City SD 57701 CVS PHARMACY #05307 (406)252-9000 823 N. 27TH STREET BILLINGS MT 59101-1116 CVS Pharmacy Inc (307)829-3118 1708 Dell Range Boulevard Cheyenne WY 82009 CVS Pharmacy, Inc. (401)770-4350 401 SE Blvd Casper WY 82609 CVS Pharmacy, L.L.C. (866)813-4547 2101 N. URSULA ST. UNIT 35 AURORA CO 80045-7426 CVS/Specialty (800)225-5967 1127 BRYN MAWR AVENUE STE A REDLANDS CA 92374-4558 CVS/SPECIALTY (800)360-0520 11162 RENNER BLVD LENEXA KS 66219-9621 CYSTIC FIBROSIS SERVICES INC (800)541-4959 10530 JOHN W ELLIOT DR 200 FRISCO TX 75033-2013 Evanston Community Health Center Pharmacy (340B) (307)789-8291 75 Yellow Creek Road Ste102 Evanston WY 82930 Evanston Community Health Center Pharmacy (Retail) (435)755-8424 75 Yellowcreek Road suite 102 Evanston WY 82930 EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SRVS, INC. (314)684-6448 8931 SPRINGDALE AVE ST LOUIS MO 63134 Foundation Care LLC (407)520-3230 4010 Wedgeway Court Earth City MO 63045 FRONTIER PHARMACY (307)276-3499 501 N. NICHOLS BIG PINEY WY 83113-0990 GENEVA WOODS PHARMACY AND INFUSION SERVICES (307)472-0597 2546 E, 2ND STREET, BUILDING 100 CASPER WY 82609-2062 Geneva Woods Retail Pharmacy, LLC (907)565-6171 2546 E 2nd ST, BLDG 100, STE C Casper WY 82609--206 Genoa Healthcare LLC (307)439-5199 1430 Wilkins Circle, Ste 154 Casper WY 82601 Genoa Healthcare LLC (307)778-3818 510 W. 29th Street, Suite P Cheyenne WY 82001-3519 GLENROCK HOSPITAL DISTRICT (307)436-7116 925 WEST BIRCH GLENROCK WY 82637-0786 Greybull Drug LLC (307)765-4601 925 N. 6th St. Greybull WY 82426 Health Works (307)637-7000 2508 East Fox Farm Road Suite 1B Cheyenne WY 82007 Heartland Pharmacy Denver (303)248-7920 8599 Prairie Trail Drive, Ste A300 Englewood CO 80112 HOSPITAL PHARMACY (307)672-2426 1 SOUTH MAIN ST. SHERIDAN WY 82801-4221 HOSPITAL PHARMACY WEST (307)673-3188 1333 WEST 5TH ST. STE 107 SHERIDAN WY 82801 Humana Pharmacy, Inc. (800)486-2668 9843 Windisch Rd. West Chester OH 45069 IMC COMMUNITY PHARMACY (801)507-3030 5121 S COTTONWOOD DRIVE MURRAY UT 84157-7000 IV Solutions of Lubbock (800)658-6046 6101 43rd Street, Ste C Lubbock TX 79407 JOHNSON COUNTY MEMORIAL HOSPITAL (307)684-6153 497 W. LOTT BUFFALO WY 82834-1691 k-pack pharmacy (307)875-6722 170 commerce dr ste b green river WY 82935 Kabafusion (307)266-2273 1030 N Poplar, Ste A CASPER WY 82601 KEMMERER PHARMACY (307)800-8880 613 MOOSE STREET KEMMERER WY 83101 KING SOOPERS #79 (307)638-0192 3702 DELL RANGE BLVD. CHEYENNE WY 82001 SPECIALTY PHARMACY, INC. (407)404-7205 1821 KAISER AVE IRVINE CA 92614-5707 KROGER SPECIALTY PHARMACY, INC. (407)404-7205 3200 Lake Emma Road, Suite 1000 LAKE MARY FL 32746-3358 LOVELL DRUG (307)548-7231 164 E. MAIN ST., BOX 847 LOVELL WY 82431 Medical Center of the Rockies Outpatient Pharmacy (970)624-1485 2500 Rocky Mountain Avenue Loveland CO 80528 MEDICAL CENTER PHARMACY (307)527-6221 698 YELLOWSTONE AVE CODY WY 82414

Page 2 012021 Pharmacies Pharmacies Report Period: 1/1/2021 to 1/31/2021

MEDICAL HILL PHARMACY (307)685-2899 407 MEDICAL ARTS CENTER STE., A GILLETTE WY 82716-3372 MEDICAP PHARMACY (307)635-3712 1947 BLUEGRASS CIRCLE CHEYENNE WY 82009-7355 MEDICAP PHARMACY 251 (307)685-6985 501 E. LAKEWAY RD GILLETTE WY 82718-6416 NORTH STAR PHARMACY AND INFUSION (307)637-4300 7121 COMMONS DRIVE CHEYENNE WY 82009 North Star Pharmacy and Infusion (2) (307)637-7920 2301 House AVe Ste 101 Cheyenne WY 82001 OMNICARE OF BILLINGS (406)896-3380 2747 ENTERPRISE AVE SUITE #1 BILLINGS MT 59102 OMNICARE OF GOLDEN (303)590-2100 15000 WEST 6TH AVENUE #300 GOLDEN CO 80401 OPTION CARE (303)694-1202 345 INVERNESS DR SO BUILDING A SUITE 140 ENGLEWOOD CO 80112-5890 Orsini Pharmaceutical Services, LLC (847)734-7373 1107 Nicholas Blvd Elk Grove Village IL 60007 OUR VALLEY PHARMACY (307)883-6337 118 Peterson Pkwy THAYNE WY 83127 OUR VALLEY PHARMACY, INC (307)654-6337 168 US HWY 89 SUITE D ALPINE WY 83128 Our Valley Pharmacy, Inc. (307)885-6337 307 S Washington Afton WY 83110 PALACE PHARMACY (307)332-2270 634 MAIN STREET LANDER WY 82520 PANTHERx Specialty, LLC (855)726-8479 24 SUMMIT PARK DRIVE SUITE 101 PITTSBURGH PA 15275 PARAGON HEMOPHILIA SOLUTIONS, LLC (833)862-4559 17111 Preston Rd, Suite 150 Dallas TX 75248--123 PHARMACISTS IMPROVING LIVES INC dba Powell Drug (307)754-2031 140 N BENT ST POWELL WY 82435--271 PHARMACY 1 (406)245-6717 2900 12TH AVE N Suite 110A BILLINGS MT 59101-7506 Pharmacy Corporation of America (800)330-3665 18110 SE 34th St. Bldg 2 STE 270 Vancouver WA 98683 PHARMERICA DRUG SYSTEMS, LLC (801)486-9555 376 W. LAWNDALE DRIVE SALT LAKE CITY UT 84115-2915 Pharmworx, LLC (307)337-1999 4641 SW Wyoming Blvd Casper WY 82601 Pioneer Pharmacy, LLC (307)463-8400 832 W Main St Riverton WY 82501 Pole Mountain Pharmacy, LLC (307)460-4080 319 E Harney St Laramie WY 82072 Poudre Valley Hospital Outpatient Pharmacy (970)495-8034 1024 South Lemay Avenue Fort Collins CO 80524 Powell Valley Health Care (307)754-1179 Pharmacy Services 777 Avenue H Powell WY 82435-2260 PREMIER CARE PHARMACY (801)607-2138 452 WEST 800 NORTH OREM UT 84057 PRIMARY CHILDREN'S MEDICAL CENTER (801)662-1682 100 N MARIO CAPECCHI DR. SALT LAKE CITY UT 84113-1103 QUALITY I.V. CARE (307)742-5048 3131 GRAND AVE., UNIT #B LARAMIE WY 82070-5140 Rawhide Drug LLC (970)481-9668 232 S. Main Street Lusk WY 82225 Regional Health Home Plus, LLC (605)755-7649 1420 North 10th Street, Suite 1 Spearfish SD 57783-1532 Regional Health Home Plus, LLC (605)755-7649 1906 Lombardy Drive, Suite 102 Rapid City SD 57703-4132 Regional Health Home Plus, LLC (605)755-8184 353 Fairmont Blvd. Rapid City SD 57701--737 REGISTER CLIFF PHARMACY (307)836-9270 437 West Whalen St PO Box 250 GUERNSEY WY 82214 Respack LLC (360)839-8065 18110 SE 34th St Bldg 2 Ste 290 Vancouver WA 98683 RICKER PHARMACY INC (307)347-2281 1801 BIGHORN AVE WORLAND WY 82401-2691 Ridley's Pharmacy #1130 (307)672-1788 169 COFFEEN AVE. SHERIDAN WY 82801 Ridley's Pharmacy #1131 (307)745-7246 3112 EAST GRAND AVENUE LARAMIE WY 82070 Ridley's Pharmacy #1132 (307)577-7062 300 SE WYOMING BLVD CASPER WY 82609 RIDLEY'S PHARMACY #1153 (307)367-4451 341 EAST PINE STREET PINEDALE WY 82941-1856 RIDLEY'S PHARMACY #1163 (307)877-4209 620 PINE AVENUE KEMMERER WY 83101 Rock Springs Comm Hlth (340B) (435)755-8424 2620 Commercial Way Suite 121 Rock Springs WY 82901 Rock Springs Comm Hlth (Retail) (435)755-8424 2620 Commercial Way, Suite 121 Rock Springs Wy 82901 ROCK SPRINGS I.V. CENTER (307)382-3544 400 2ND STREET STE., A-1 ROCK SPRINGS WY 82901 ROCKERS PHARMACY (913)294-2715 304 BAPTISTE DRIVE PAOLA KS 66071 S.E.W Enterprises, Inc. (270)247-3725 317 West Broadway Mayfield KY 42066

Page 3 012021 Pharmacies Pharmacies Report Period: 1/1/2021 to 1/31/2021

SAFEWAY INC (308)635-1444 601 Broadway Scottsbluff NE 69361 SAFEWAY INC (605)642-3039 1606 North Ave Suite 2 Spearfish SD 57783 SAFEWAY INC (307)332-3939 1165 MAIN ST LANDER WY 82520 SAFEWAY INC (307)635-4087 700 S Greeley Hwy Cheyenne WY 82007 SAFEWAY INC (307)745-4224 554 NORTH 3RD STREET LARAMIE WY 82072 SAFEWAY PHARMACY 0467 (208)395-3920 1900 E. RICHARDS ST. DOUGLAS WY 82633 Sams West Inc (307)274-9844 1948 DELL RANGE BLVD CHEYENNE WY 82009-4917 Sams West, Inc (307)472-0124 4600 E 2ND ST CASPER WY 82609-4224 Scales Pharmacy LLC (720)388-9339 1999 Pennsylvania St Denver CO 80203 SCL Health Pharmacy Services - Franklin Pharmacy (303)318-1313 1830 Franklin Street, Suite 190 Denver CO 80218 SHARED PHARMACY SERVICES OF (801)262-6980 4843 MURRAY BLVD MURRAY UT 84123 SHATTO'S FRONTIER DRUG (307)358-5077 1202 E RICHARDS DOUGLAS WY 82633-2934 PHARMACY # 2762 (307)864-3777 142 SOUTH HIGHWAY 20 THERMOPOLIS WY 82443-9403 SHOPKO PHARMACY # 2767 (307)347-2851 100 SOUTH 20TH ST WORLAND WY 82401-3742 SHOPKO PHARMACY #2526 (307)885-9804 679 S. WASHINGTON ST. AFTON WY 83110 SHOPKO PHARMACY #2752 (307)532-1011 1100 E. VALLEY RD. TORRINGTON WY 82240-3614 SHOPKO PHARMACY #2755 (307)322-2030 1701 16TH ST WHEATLAND WY 82201-2243 SHOPKO PHARMACY #2758 (307)358-3386 1950 E RICHARDS ST DOUGLAS WY 82633-3049 SHOPKO PHARMACY #2760 (307)875-4904 1105 BRIDGER DRIVE GREEN RIVER WY 82935-5895 SHOPKO PHARMACY #2761 (307)746-2741 205 BOYD AVE NEWCASTLE WY 82701-2965 SHOPKO PHARMACY #2764 (307)684-4540 129 HARMONY STREET BUFFALO WY 82834-2463 SHOPKO PHARMACY #2765 (307)782-7922 1080 Hwy 414 Mountain View WY 82939 SHOPKO PHARMACY #2772 (307)754-2755 HWY 14 WEST POWELL WY 82435 SHOPKO PHARMACY #2776 (307)765-4601 925 N 6th St GREYBULL WY 82426 Sina Drug LLC (877)662-6633 225 Community Drive,STE 100 Great Neck NY 11021 SMITH'S PHARMACY #182 (307)362-1841 2531 FOOTHILL BLVD ROCK SPRINGS WY 82902 SMITH'S PHARMACY #180 (307)682-1217 906 CAMEL DRIVE GILLETTE WY 82716-4902 SMITH'S PHARMACY #183 (307)856-4934 1200 WEST MAIN RIVERTON WY 82501-3227 SMITH'S PHARMACY #184 (307)733-8746 1425 S HIGHWAY 89 JACKSON WY 83002-4330 SMITH'S PHARMACY #185 (307)266-6250 2405 CY AVENUE CASPER WY 82604-3444 SMITH'S PHARMACY #187 (307)875-7841 905 BRIDGER DRIVE GREEN RIVER WY 82935-5879 SMITH'S PHARMACY #86 (307)789-0535 70 YELLOW CREEK ROAD EVANSTON WY 82930-5227 SOUTH STREET PHARMACY (307)322-2486 1456 SOUTH STREET WHEATLAND WY 82201 Spamony20 dba Corner Stone Pharmacy (307)620-7071 150 E Hart St Buffalo WY 82834 Specialty Therapeutic Care, LP (855)422-2742 1311 W Sam Houston Pkwy N 150 Houston TX 77043 ST. JOHN'S MEDICAL CENTER (307)739-6170 625 E BROADWAY JACKSON WY 83001 St. Johns Retail Pharmacy (307)739-7650 Po Box 428 Jackson wy 83001 STONE DRUG (307)733-6222 830 W BROADWAY JACKSON WY 83001 Superior Care Pharmacy, LLC (801)266-3999 2280 WEST ALEXANDER STREET SALT LAKE CITY UT 84119-2051 SUPERIOR PHARMACY SOLUTIONS, INC. (866)416-3655 2050 E. ALGONQUIN ROAD, SUITE 606 SCHAUMBURG IL 60173

U OF COL OUTPATIENT PAVILION PHARMACY (720)848-1020 1635 AURORA COURT RM 1012, MS AURORA CO 80045-7402 F702 UCD HEMOPHILIA CENTER (303)724-0173 13199 East Montview Boulevard #100 AURORA CO 80045 Uinta Drug, PC (307)786-2222 2822 WY-414 Lyman WY 82937--042

Page 4 012021 Pharmacies Pharmacies Report Period: 1/1/2021 to 1/31/2021

UNIVERSITY OF UTAH HUNTSMAN RETAIL PHARMACY (801)585-0172 1950 CIRCLE OF HOPE DRIVE SUITE SALT LAKE CITY UT 84112-5500 2110 University of Utah Midvalley Specialty Pharmacy (801)213-8650 6056 Fashion Square Drive, Suite 1000 Murray UT 84107

UNIVERSITY OF UTAH MORAN EYE PHARMACY (801)585-6522 65 N MEDICAL DR STE. 2430 SALT LAKE CITY UT 84132-1000 UNIVERSITY OF UTAH OUTPATIENT PHARMACY (801)587-6322 50 NORTH MEDICAL DR. A-050 SALT LAKE CITY UT 84132-0001 University of Wyoming (307)265-4446 1522 E A St Casper WY 82601--221 UNIVERSITY OF WYOMING STUDENT HEALTH SERVICES PH (307)766-6602 1000 E UNIVERSITY AVE DEPT 3068 LARAMIE WY 82071 US BIOSERVICES CORPORATION (888)518-7246 5025 Plano Parkway, Suite 100 Carrollton TX 75010 VALLEY PHARMACY (307)326-5129 101 CONSTITUTION AVE Saratoga WY 82331 Vandel Drug LLC (307)532-2214 2041 MAIN STREET TORRINGTON WY 82240 Vicklund Inc. (307)864-2369 610 South 6th Street Thermopolis WY 82443 Vilas Pharmacy (307)283-3883 224 E Main Street Sundance WY 82729 WAL-MART PHARMACY #10-0867 (308)632-3767 3322 AVE I SCOTTSBLUFF NE 69361-4589 WAL-MART PHARMACY #10-1315 (307)634-7433 2032 DELL RANGE BLVD. CHEYENNE WY 82009-4956 WAL-MART PHARMACY #10-1412 (307)745-6112 4308 GRAND AVE LARAMIE WY 82070-5546 WAL-MART PHARMACY #10-1457 (307)856-3269 1733 NORTH FEDERAL RIVERTON WY 82501-5201 WAL-MART PHARMACY #10-1543 (605)642-3025 2825 1ST AVE SPEARFISH SD 57783-3261 WAL-MART PHARMACY #10-1617 (307)237-0994 4400 EAST 2ND STREET CASPER WY 82609-4221 Walgreen Co (217)709-2263 10103 Ridgegate Pkwy Ste 117 Lone Tree CO 80124--552 Walgreen Co (217)709-2350 2608 E Colfax Ave Denver CO 80206-1412 07383 (308)635-3296 205 W 27TH ST SCOTTSBLUFF NE 69361-4307 WALGREENS 07462 (307)234-9184 190 SE WYOMING BLVD Casper WY 82609 WALGREENS 07601 (307)234-9379 1071 CY Ave Casper WY 82604 WALGREENS 07928 (307)682-4517 2000 S. DOUGLAS HWY Gillette WY 82718 WALGREENS 09092 (307)382-2536 70 Gateway Blvd Rock Springs WY 82901 WALGREENS 09547 (307)674-1936 1766 COFEEN AVE SHERIDAN WY 82801-5710 WALGREENS 09548 (307)635-5854 1501 Dell Range Blvd Cheyenne WY 82009 WALGREENS 10466 (307)857-6023 845 N Federal Blvd Riverton WY 82501 WALGREENS 11448 (720)262-4524 13123 EAST 16TH AVE AURORA CO 80045-7106 WALGREENS 12378 (307)587-2017 1585 Sheridan Ave Cody WY 82414 WALGREENS 12805 (303)524-3750 499 E Hampden Ave., Suite 150 Englewood CO 80113 WALGREENS 12906 (605)642-0650 1430 NORTH AVE SPEARFISH SD 57783 WALGREENS 12918 (720)214-0963 4745 ARAPAHOE AVE STE 120 BOULDER CO 80303-1080 WALGREENS 13100 (303)656-4656 1601 E 19th Ave Ste 4650 Denver CO 80218 WALGREENS 15606 (307)745-1557 4005 EAST GRAND AVENUE LARAMIE WY 82070-5161 WALGREENS CO (307)635-0241 2304 E. LINCOLNWAY CHEYENNE WY 82001-5416 WALGREENS SPECIALTY PHARMACY #15438 (888)282-5166 41460 HAGGERTY CIRCLE SOUTH CANTON MI 48188 WALGREENS SPECIALTY PHARMACY #15443 (800)424-9002 10530 JOHN W ELLIOTT #100 FRISCO TX 75033 WALGREENS SPECIALTY PHARMACY #16287 (888)347-3416 130 ENTERPRISE DR PITTSBURGH PA 15275-1213 Walmart Inc (307)417-3058 2390 E Cedar St Rawlins WY 82301-6026 WALMART INC (307)527-5746 321 YELLOWSTONE AVE Cody WY 82414 WALMART INC (307)686-5166 2300 S DOUGLAS HWY GILLETTE WY 82718-5420 WALMART INC (307)674-7417 1695 COFFEEN AVE SHERIDAN WY 82801-5761 WALMART INC (307)362-1967 201 GATEWAY BLVD ROCK SPRINGS WY 82901-5782

Page 5 012021 Pharmacies Pharmacies Report Period: 1/1/2021 to 1/31/2021

WALMART INC (307)823-6812 580 LIVINGSTON AVE CHEYENNE WY 82007-1966 WALMART INC (307)789-0020 125 NORTH 2ND ST EVANSTON WY 82930-3672 WALMART INC (307)232-9605 4255 CY AVENUE CASPER WY 82604-4247 WALMART INC (970)824-0317 2000 WEST VICTORY WAY CRAIG CO 81625-3440 West Park Hospital District (307)578-2900 424 YELLOWSTONE AVE STE 130 CODY WY 82414-9318 WEST PARK HOSPITAL DISTRICT (307)578-2274 707 SHERIDAN AVENUE CODY WY 82414 WESTON COUNTY HEALTH SERVICES (307)746-4491 1124 WASHINGTON BLVD NEWCASTLE WY 82701-2972 Weston County Pharmacy (307)746-2425 727a Washington Blvd Newcastle WY 82701 Wind River Cares Riverton Pharmacy (307)856-9281 511 N 12th Street E Riverton WY 82501 Wind River Family & Community Health Care (307)855-2951 510 Ethete Road Ethete WY 82520 Wind River Family & Community Health Care (307)855-2975 14 Great Plains Road Arapaho WY 82510 WIND RIVER SERVICE UNIT PHARMACY (307)332-7300 29 BLACK COAL ROAD FORT WASHAKIE WY 82514 Worland Pharmacy Inc. (307)347-4500 1095 Circle Road Worland WY 82401

Page 6 012021 Pharmacies