ERS Med D Network of Participating Pharmacy Directory (List Updated July 11, 2016)

Participating Chains ALBERTSONS PHARMACY HEB PHARMACY RALPHS ALBERTSONS/SAV-ON PHARMACY KESSEL PHARMACY RALPHS PHARMACY AUBURN PHARMACY KING KULLEN PHARMACY RANDALLS PHARMACY BAYLOR SCOTT AND WHITE PHCY KING SOOPERS PHARMACY RITZMAN PHARMACY BIG Y PHARMACY KMART PHARMACY SAFEWAY PHARMACY BROOKSHIRE BROTHERS PHARMACY KROGER FOOD & DRUG SAMS CLUB PHARMACY BROOKSHIRE PHARMACY LONGS DRUG STORE SAV-ON DRUGS CARE PLUS CVS/PHARMACY SAV-ON PHARMACY CARRS-GOTTSTEIN FOODS LONGS PHARMACY SCOTTS PHARMACY CITY MARKET PHARMACY MACEYS PHARMACY SMITHS PHARMACY COMMUNITY PHARMACY MARIANOS PHARMACY STERLING DRUG CVS PHARMACY MEDICAL ARTS PHARMACY SUPER 1 PHARMACY DILLON PHARMACY NAVARRO DISCOUNT PHARMACY SUPER RX PHARMACY DRUG EMPORIUM NOVANT HEALTH PHARMACY TARGET PHARMACY FRED MEYER PHARMACY OSCO PHARMACY TOM THUMB PHARMACY FRYS FOOD & DRUG PAVILIONS PHARMACY UNITED PHARMACY GERBES PHARMACY PHARMACARE VONS PHARMACY HAGGEN PHARMACY PHARMACY PLUS WALMART PHARMACY HARTIG DRUG CO QFC PHARMACY YOKES PHARMACY

Independents Pharmacies Located in Texas (in alphabetical order by city) Pharmacy Name Address City ST Zip Phone MISSION PLAZA PHARMACY 816 E MAIN STE G ALTON TX 78573 956-583-0044 S AND J ALVORD PHARMACY 115 E BYPASS 287 STE B ALVORD TX 76225 940-427-2801 PALAFOX PHARMACY 929 S MAIN ST ANTHONY TX 79821 915-886-3394 ARLINGTON CANCER CENTER PHCY 906 W RANDOL MILL RD ARLINGTON TX 76012 817-543-4685 RANDOL MILL LTC PHARMACY 1014 N FIELDER RD STE 110 ARLINGTON TX 76012 682-235-1025 RAY'S TOWN NORTH PHARMACY 975 N COOPER ST ARLINGTON TX 76011 817-274-8221 HEALTHCARE PHARMACY 2505 E ARKANSAS LN #133 ARLINGTON TX 76010 817-303-5100 LONGHORN HEALTH SOLUTIONS 11310 W HIGHWAY 290 AUSTIN TX 78737 866-210-5438 NAUS ENFIELD LEGEND DRUG 1115 W LYNN ST AUSTIN TX 78703 512-476-1221 BLUE RIBBON PHARMACY 3517 N MAIN ST BAYTOWN TX 77521 281-838-8025 MINYARD PHCY 55 3300 HARWOOD RD BEDFORD TX 76021 817-540-3131 TLC PHARMACY & MEDICAL EQUIPME 200 S HILLSIDE DR BEEVILLE TX 78102 361-362-9984 STRICKLAND DRUGS 316 PECAN ST BLANCO TX 78606 830-833-4815 KENJURA PHARMACY INC 303 N PARK ST BRENHAM TX 77833 979-836-7922 ARTS PHARMACY 3354 INTERNATIONAL BLVD BROWNSVILLE TX 78521 956-544-2959 GOLDSTAR PHARMACY 4421 STATE HWY 6 S STE 300 COLLEGE STATION TX 77845 979-690-9112 TOTAL CARE PHARMACY 1607 LIVE OAK ST COMMERCE TX 75428 903-886-8888 NICHOLS WESTWOOD PHARMACY 10525 LEOPARD ST CORPUS CHRISTI TX 78410 361-241-2323 DAVY CROCKETT DRUG 107 S 4TH ST CROCKETT TX 75835 936-544-2275 APPLE DRUGS PLLC 4811 COLUMBIA AVE # B DALLAS TX 75226 214-821-4008 PRIDE PHARMACY-CARLISLE LLC 4015 LEMMON AVE # 4001 DALLAS TX 75219 214-954-7389 TEXAS RX PHARMACY II 11613 N CENTRAL EXPWY STE 114 DALLAS TX 75243 214-361-9228 DE LEON PHARMACY 309 S TEXAS ST DE LEON TX 76444 254-893-2666 SAVON DRUGS 123 LEVERIDGE ST EAST BERNARD TX 77435 979-335-4810

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. COOK CHILDRENS HOME HEALTH 1719 8TH AVE FORT WORTH TX 76110 682-885-6294 FORT WORTH PHARMACY 7833 OAKMONT BLVD FORT WORTH TX 76132 817-361-9960 SARATOGA PHARMACY 12650 N BEACH ST FORT WORTH TX 76244 817-431-9700 WESTPOINT PHARMACY 9501 CLIFFORD ST STE E FORT WORTH TX 76108 817-246-6600 PHARMNET PRESCRIPTION SRVCS PLL 8200 STONEBROOK PKWY STE 106 FRISCO TX 75034 972-712-0649 PIERATTS PHARMACY 233 S MANSE AVE GIDDINGS TX 78942 979-542-3164 HALLSVILLE DRUG 100 E MAIN HALLSVILLE TX 75650 903-668-2012 HAMILTON CITY DRUG 105 E HENRY ST HAMILTON TX 76531 254-386-3121 HENRIETTA PHARMACY 124 N BRIDGE ST HENRIETTA TX 76365 940-538-4361 AIRLINE PHARMACY ASSOCIATES LLC 11012 AIRLINE DR STE A HOUSTON TX 77037 281-260-9927 BLACK HAWK PHARMACY 17027 NANES DR HOUSTON TX 77090 281-919-1905 C & E PHARMACEUTICAL 9627 BISSONNET HOUSTON TX 77036 713-773-1125 CK PHARMACY 5990 AIRLINE DR STE 150 HOUSTON TX 77076 713-697-0610 CONTENTS TRADER INC 10026 LONGPOINT RD. STE A HOUSTON TX 77071 713-461-3344 CPRX PHARMACY 850 FM 1960 W STE J HOUSTON TX 77090 832-249-8551 D.N.A. PHARMACY INC 9419 MESA DR HOUSTON TX 77028 713-633-3362 DISTINGUISHED PHARMACY 12134 BEECHNUT STREET HOUSTON TX 77072 281-495-0201 DOW PHARMACY 8800 LONG POINT RD STE C HOUSTON TX 77055 713-722-7999 EMMONS PHARMACY 9555 W SAM HOUSTON PKWY S # 18 HOUSTON TX 77099 832-582-8758 FAMILYCARE PHARMACY PLLC 12060 BELLAIRE BLVD HOUSTON TX 77072 281-933-3573 FARMACIA ETC 6430 HILLCROFT ST STE 100B HOUSTON TX 77081 713-771-0061 STERLING PHARMACY 9798 BELLAIRE BLVD STE B HOUSTON TX 77036 713-995-8885 TIDWELL PHARMACY 2310 TIDWELL RD HOUSTON TX 77093 713-694-5977 VAC PHARMACY INC 10550 W BELLFORT STE 150 HOUSTON TX 77031 281-495-4331 WELLNESS PLUS PHARMACY INC 13141 FM 1960 WEST STE 200 HOUSTON TX 77065 832-604-7418 WESLEY UNITED PHARMACY 5302 CANEL ST HOUSTON TX 77011 713-514-9494 DOYFRAN PHARMACY 9701 N SAM HOUSTON PKWY E HUMBLE TX 77396 281-973-8129 LOPERS FAMILY PHARMACY 116 HWY 69 N HUNTINGTON TX 75949 936-422-4440 SINA PHARMACY 3815 N FRY RD STE 600 KATY TX 77449 281-717-4521 BEAR CREEK PHARMACY LLC 101B BEAR CREEK PKWY KELLER TX 76248 817-562-4766 RAYS PHARMACY 301 W MANSFIELD HWY KENNEDALE TX 76060 817-478-8225 HILLIARD DRUGS 1001 NW 2ND STE #300 KERENS TX 75144 903-396-2214 RX TO GO PHARMACY 1100 GULF FWY LEAGUE CITY TX 77573 281-557-0220 RAYS PHARMACY INC 1831 E BROAD ST STE 101 MANSFIELD TX 76063 817-473-1145 SANITARIUM DRUG COMPANY 156 COLEMAN ST MARLIN TX 76661 254-883-3541 MED AID PHARMACY- BICENENNIAL 400 S BICENTENNIAL BLVD MCALLEN TX 78501 956-618-3100 BLUEBONNET APOTHECARY SERVICES 11720 W AIRPORT BLVD STE 800 MEADOWS PLACE TX 77477 713-691-6200 RICHARDS PHARMACY 8030 N FM 1015 STE A MERCEDES TX 78570 956-565-6774 CROSSROADS PHARMACY, LLC 3220 GUS THOMASSON RD STE 237 MESQUITE TX 75150 972-682-4971 ALL CARE PHARMACY 1441 S MIDLOTHIAN PKWY #140 MIDLOTHIAN TX 76065 972-775-5222 MISSION PLAZA PHARMACY 906 S BRYAN RD STE 101 MISSION TX 78572 956-581-8833 TLC PHARMACY & MED EQUIP 2120 E GRIFFIN PKWY MISSION TX 78572 956-581-5499 WESTSIDE PHARMACY 200 N PALMVIEW DR PALMVIEW TX 78572 956-584-3458 RRX PHARMACY 6243 FAIRMONT PKWY STE 103 PASADENA TX 77505 281-991-3441 THE PFLUGERVILLE PHARMACY 15608 SPRING HILL LN STE 114 PFLUGERVILLE TX 78660 512-990-5226 THE PHARMACOMPOUNDIA 4704 ROCKCREEK LN PLANO TX 75024 972-378-6867 HOMETOWN PHARMACY 132 W MAIN ST POST TX 79356 806-495-2535 ROCKWALL SUPER DRUGSTORE 3021 RIDGE RD STE 103 ROCKWALL TX 75032 972-772-0500 JOE'S PHARMACY 1221 1ST ST ROSENBERG TX 77471 281-762-1231 BROADWAY PHARMACY 6100 BROADWAY ST SAN ANTONIO TX 78209 210-824-3322 RAST RX 19272 STONE OAK PKWY STE 101 SAN ANTONIO TX 78258 210-787-3394 SCRIPTS PHARMACY 20423 KUYKENDAHL RD STE 250 SPRING TX 77379 832-610-3480 NORTH SHORE PHARMACY 113 STAR GRASS STE 100 SPRING BRANCH TX 78070 830-214-2920

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. ACCU-CARE PHARMACY 4645 HIGHWAY 6 STE J SUGAR LAND TX 77478 281-494-0056 TOMBALL ATRIUM UNTD DRUGS 425 HOLDERRIETH BLVD STE 111 TOMBALL TX 77375 281-351-8239 WILCOX PHARMACY 415 STATE HWY 124 WINNIE TX 77665 409-296-2497

Independents Pharmacies (in alphabetical order by state then city) Pharmacy Name Address City ST Zip Phone BERRY DISCOUNT APOTHECARY INC 31 DEPOT ST BERRY AL 35546 205-689-4777 UAB HIGHLANDS APOTHECARY 1201 11TH AVE S BIRMINGHAM AL 35205 205-984-7862 COURTLAND DISCOUNT PHARMACY 369 HAMILTON ST COURTLAND AL 35618 256-637-8050 TRIAD RX, INC. 26258 POLLARD RD DAPHNE AL 36526 251-380-7630 GATEWAY DSCNT APOTHECARY INC. 26289 HIGHWAY 195 DOUBLE SPRINGS AL 35553 205-489-2572 BOLLING APOTHECARY 106 16TH ST NE FAYETTE AL 35555 205-932-8969 MAGNOLIA SPRINGS PHARMACY 12547 CTY RD 49N FOLEY AL 36535 251-965-6273 CLEBURNE PHARMACY 875 ROSS ST HEFLIN AL 36264 256-463-2197 NORTH ALABAMA INFSN & COMPOUN 2711 2ND ST MUSCLE SHOALS AL 35661 256-389-9297 PISGAH FAMILY PHARMACY LLC 6049 COUNTY RD 88 PISGAH AL 35765 256-451-3283 CORBETT PHARMACY INC 145 STATE HIGHWAY 253 STE C WINFIELD AL 35594 205-487-4199 CABOT MEDICAL PARK PHCY INC 2039 W MAIN ST STE D CABOT AR 72023 501-941-2626 CANTRELL COMPOUNDING INC 7321 CANTRELL RD STE 100 LITTLE ROCK AR 72207 501-663-6368 ROGERS PHARMACY 221 SW 2ND ST WALNUT RIDGE AR 72476 870-886-5700 JAMESON RX 3800 W RAY RD STE 5 CHANDLER AZ 85226 480-659-3466 WADHAMS APOTHECARY INC 3100 N WEST ST STE 200A FLAGSTAFF AZ 86004 928-774-5004 PLANNED PARENTHOOD AZ 3131 E THUNDERBIRD RD STE 48 PHOENIX AZ 85032 602-263-4232 VITAL COMPOUNDING SPECIALTY PHC 2528 CHESTER AVE BAKERSFIELD CA 93301 661-432-7922 BELL DRUGS 3809 GAGE AVE BELL CA 90201 323-562-1006 CARUTHERS PHARMACY 2436 W TAHOE CARUTHERS CA 93609 559-864-3177 MRX PHARMACY 12101 WOODRUFF AVE STE C DOWNEY CA 90241 562-803-1312 TLC XPRESS PHARMACY 10810 WARNER AVE STE 3 FOUNTAIN VALLEY CA 92708 714-465-2431 VN DRUGS 13075 HARBOR BLVD GARDEN GROVE CA 92843 714-638-2888 IRVINE WELLNESS 113 WATERWORKS WAY # 160 IRVINE CA 92618 949-788-9990 IVANHOE PHARMACY 33060 ROAD 159 IVANHOE CA 93235 559-798-1219 ARC INFUSION CORP 6940 WALKER ST STE 2 LA PALMA CA 90623 714-522-8802 PHARMACA INTEGRATIVE PHARMACY 26538-G MOULTON PKWY LAGUNA HILLS CA 92653 949-900-1605 ADVANCED CARE PHARMACY 22642 LAMBERT ST STE 404 LAKE FOREST CA 92630 949-347-8881 MISSION ROAD PHARMACY 1155 N MISSION RD LOS ANGELES CA 90033 323-227-4646 INNOVATIVE COMPOUNDING PHARM 41538 EASTMAN DR MURRIETA CA 92562 951-304-9530 HOMA INC 6428 COLDWATER CANYON AVE N HOLLYWOOD CA 91606 818-308-6440 AMERICAN COMPOUNDING 18250 ROSCOE BLVD NORTHRIDGE CA 91325 818-885-8191 COBBLESTONE PHARMACY 6585 CLARK RD STE 100 PARADISE CA 95969 530-877-3712 CITY CENTER PHARMACY INC 1270 E LELAND RD STE 102 PITTSBURG CA 94565 925-432-9770 MYDREXA COMPOUNDING PHARMAC 15644 POMERADO RD STE 303 POWAY CA 92064 858-726-2614 CENTRAL BEST PHARMACY 4100 CENTRAL AVE STE 100 RIVERSIDE CA 92506 951-823-0273 ANTELOPE VALLEY PHARMACY 1431 W ROSAMOND BLVD STE 4 ROSAMOND CA 93560 661-256-8981 LOS PALOS GSTRLGY ANCILLARY SVC 1081 LOS PALOS DR SALINAS CA 93901 831-771-1458 CARE PHARMACY 5065 EL CAJON BLVD SAN DIEGO CA 92115 619-501-8046 10TH STREET MEDICAL PHARMACY 1450 10TH ST STE 100 SANTA MONICA CA 90401 310-394-5405 DARMANN PHARMACY 2780 TAPO CANYON RD STE A1A SIMI VALLEY CA 93063 805-306-1223 4 LIFE RX INC 19554 VENTURA BLVD TARZANA CA 91356 818-342-2636 LANVY PHARMACY 14971 BROOKHURST ST STE A WESTMINSTER CA 92683 714-531-2828 PIH COMMUNITY PHARMACY, LLC 12462 PUTNAM STREET WHITTIER CA 90602 562-789-5412 WOODLAND HEALTHCARE PHARMACY 632 W GIBSON RD WOODLAND CA 95695 530-668-2646 IRIS PHARMACY 1333 IRIS AVE BOULDER CO 80304 303-413-6288

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. MIRAMONT FAMILY MEDICINE 1014 CENTRE AVE FORT COLLINS CO 80526 970-482-8881 MIRAMONT FAMILY MEDICINE 4674 SNOW MESA DR STE 140 FORT COLLINS CO 80528 970-482-0213 ORCHARD PHARMACY 1060 ORCHARD AVE UNIT A GRAND JUNCTION CO 81501 970-243-3400 WESTERN COLORADO SPLTY PHCY 2472 PATTERSON RD, #12 GRAND JUNCTION CO 81505 970-243-5050 MIRAMONT FAMILY MEDICINE 3850 N.GRANT AVE STE 100 LOVELAND CO 80538 970-482-0213 MIRAMONT FAMILY MEDICINE 12543 N HIGHWAY 83 STE 228 PARKER CO 80134 303-805-5528 BENDER MEDICAL GROUP, INC 7950 6TH ST WELLINGTON CO 80549 970-568-4800 BEACON PRESCRIPTIONS SOUTH ST 57 SOUTH ST BRISTOL CT 06010 860-583-1006 HOP BROOK PHARMACY 900 STRAITS TPKE BLDG 2 1ST FL MIDDLEBURY CT 06762 203-577-6666 NEWTOWN PHARMACY & SURGICALS 20 CHURCH HILL RD NEWTOWN CT 06470 203-270-5555 PROSPECT PHARMACY 166 WATERBURY RD STE 302 PROSPECT CT 06712 203-758-1111 WILLIAM M DEMARCHI MD PA 9878 CLINT MOORE RD STE 202 BOCA RATON FL 33496 561-451-2454 MCHILLS PHARMACY 1158 5TH ST CLERMONT FL 34711 352-394-1333 LAKE ONE PRO PHCY INC 4849 LAKE WORTH RD GREENACRES FL 33463 561-433-3330 CITRUS HEALTH NETWORK 4175 W 20TH AVE HIALEAH FL 33012 305-424-3177 DOCTORS CHOICE PHARMACY 8811 STATE ROAD 52 STE 12 HUDSON FL 34667 727-697-3700 PRIME PHARMACY, LLC 7685 103RD ST STE 4 JACKSONVILLE FL 32210 904-345-3032 UNIVERSITY PHARMACY 500 UNIVERSITY BLVD STE 108 JUPITER FL 33458 561-622-4088 SUPREME RX 1611 N FLORIDA AVE LAKELAND FL 33805 863-940-4733 ACME PHARMACY 11509 DR MLK JR BLVD MANGO FL 33550 813-661-2263 BI COUNTY MEDICAL SUPPLY 1662 NW 36TH ST MIAMI FL 33142 305-637-0666 CASTILLA 87 PHARMACY 890 SW 87TH AVE STE 17 MIAMI FL 33174 305-551-7778 EIGHTY EIGHT PHARMACY AND DISCO 7471 SW 8TH ST MIAMI FL 33144 305-264-8404 LA GANGA DISCOUNT PHARMACY 2955 NW 17TH AVE MIAMI FL 33142 305-635-5007 MIAMI CHILDREN'S HOSPITAL 6125 SW 31ST ST MIAMI FL 33155 305-669-7155 TOPCARE PHARMACY 430 COLLEGE DR STE 116 MIDDLEBURG FL 32068 904-375-1596 NEPTUNE BEACH PHARMACY 1529 ATLANTIC BLVD NEPTUNE BEACH FL 32266 904-685-4919 A & M PHARMACY 6564 OLD WINTER GARDEN RD ORLANDO FL 32835 407-250-4822 ROSEMONT DISCOUNT PHARMACY 5832 N ORANGE BLOSSOM TRL ORLANDO FL 32810 407-822-1121 PHARMACY MEDICAL SERVICES INC 201 NW 70TH AVE # D-E PLANTATION FL 33317 954-641-1448 OLSON LIGGETT DRUG 75 S TUTTLE AVE SARASOTA FL 34237 941-366-0090 DIRECT PHARMACY SOURCE INC 4574 N HIATUS RD SUNRISE FL 33351 954-233-0100 TOP RX PHARMACY 1420 W WATERS AVE STE 101 TAMPA FL 33604 813-767-1708 ANOINTED PHARMACY 32733 EILAND BLVD STE 103 WESLEY CHAPEL FL 33545 813-388-2908 FARMACIA LAS AMERICAS 1800 FOREST HILL BLVD STE B12 WEST PALM BEACH FL 33406 561-642-7590 BRIARCLIFF PHARMACY INC 2724 CLAIRMONT RD NE GA 30329 404-728-0092 MEDICINE CENTER OF ATLANTA GA 3650 CHAMBLEE TUCKER RD CHAMBLEE GA 30341 770-934-7703 DOLLAR PRESCRIPTION SHOP 537 HARDEE ST DALLAS GA 30132 770-445-5974 PYRAMID DISCOUNT PHARMACY 1185 CLEVELAND AVE EAST POINT GA 30344 404-559-0715 WILSON PHARMACY INC 1142 MAIN ST FOREST PARK GA 30297 404-366-4211 MANAGED HEALTH SOLUTIONS 3070 BUSINESS PARK DR STE A NORCROSS GA 30071 770-496-5314 RHINE DRUG COMPANY 119 1ST ST RHINE GA 31077 229-385-5351 MCGOWAN-JONES PHARMACY 363 BURLINGTON RD SHANNON GA 30172 706-295-2505 MAUI CLINIC PHARMACY 53 S PUUNENE AVE KAHULUI HI 96732 808-877-6222 LIHUE PROFESSIONAL PHARMACY 3-3420 B STE 101 KUHIO HWY LIHUE HI 96766 808-245-3800 MAKAWAO TOWN PHARMACY 1120 MAKAWAO AVE MAKAWAO HI 96768 808-573-1055 RICHARDS PHARMACY 5625 HICKMAN RD DES MOINES IA 50310 515-274-4001 POLK CITY PHARMACY 419 W BRIDGE RD STE B POLK CITY IA 50226 515-984-6554 CLAYTON DRUG 104 W MISSION ST STRAWBERRY PT IA 52076 563-933-4762 CLAYTON DRUG 100 E 1ST ST SUMNER IA 50674 563-578-5068 MEDNOW PHARMACY AT ST ALPHONS 999 N CURTIS RD STE 102 BOISE ID 83706 208-367-4847 MED NOW PHARMACY 1512 12TH AVE RD NAMPA ID 83686 208-463-5355 JACK'S PHARMACY INC 103 E COLLEGE AVE SAINT MARIES ID 83861 208-245-4578

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. SHAFER'S GALENA PHARMACY 931 W GALENA BLVD AURORA IL 60506 630-892-0661 PHARMACY PLUS INC 508 N MAIN ST CARROLLTON IL 62016 217-942-3427 GREEN PARK PHARMACY 500 GREEN PARK AVE COLONA IL 61241 309-792-1600 DELAVAN FAMILY PHARMACY 402 PINE ST DELAVAN IL 61734 309-244-7115 DOC'S DRUGS OF MANHATTAN 540 W. NORTH ST. STE 211 MANHATTAN IL 60442 815-478-4477 MASON CITY PHARMACY 149 E CHESTNUT MASON CITY IL 62664 217-482-5985 MULCAHY PHARMACY 2160 S 1ST AVE MAYWOOD IL 60153 708-216-9100 CRUSADER WEST END PHARMACY 1100 BROADWAY ROCKFORD IL 61104 815-490-1350 CRUSADERS WEST END PHARMACY 1200 W STATE ST ROCKFORD IL 61102 815-490-1633 COSGRAVE PHARMACY INC 908 1ST AVE SILVIS IL 61282 309-792-9527 VILLA GROVE PHARMACY 4 N MAIN ST VILLA GROVE IL 61956 217-681-1014 CRITICAL HOME CARE PHARMACY 401 E NORTH AVE STE 16 VILLA PARK IL 60181 630-530-0280 IN UNIV STUDENT HLTH CTR PHCY 600 N JORDAN AVE BLOOMINGTON IN 47405 812-855-3865 LEE PHARMACY & HEALTHCARE 1299 E MORGAN ST MARTINSVILLE IN 46151 765-342-1801 FAIRMEADOWS PHARMACY 800 MACARTHUR BLVD STE 32 MUNSTER IN 46321 219-836-8700 A P & S PHARMACY INC 221 S 6TH ST TERRE HAUTE IN 47807 812-242-3855 IRWIN-POTTER DRUG 202 W MAIN ST ANTHONY KS 67003 620-842-5119 THE MEDICINE STORE 15415 PINEHURST DR BASEHOR KS 66012 913-724-3666 CHERRYVALE PHARMACY 203 W MAIN ST STE A CHERRYVALE KS 67335 316-336-2144 VILLAGE PEDIATRICS LLC 8340 MISSION RD, SUITE 100 LEAWOOD KS 66206 913-642-2100 PAUL'S PHARMACY 461 E POYNTZ AVE MANHATTAN KS 66502 785-539-1717 GRANT COUNTY DRUG 219 N MAIN ST ULYSSES KS 67880 620-356-1446 WINCHESTER PHARMACY 408 DELAWARE ST WINCHESTER KS 66097 913-774-3328 THE SKIN GROUP DISPENSARY LLC 444 S 1ST ST STE 100 LOUISVILLE KY 40202 502-814-1970 MEDICINE MARKET PHARMACY 10870 MAIN ST MARTIN KY 41649 606-285-9280 APOTHECARY SHOPPE INC 1520 CUBA RD MAYFIELD KY 42066 270-247-3111 CARTER FAMILY PHARMACY 136 JESSICA LN STE E OLIVE HILL KY 41164 606-286-2029 PARKER PROFESSIONAL PHARMACY 8857 META HWY STE 1 PIKEVILLE KY 41501 606-631-9999 SIMS DRUG 319 E MAIN ST WILMORE KY 40390 859-858-2453 RAY'S PHARMACY 78A VERSAILLES BLVD ALEXANDRIA LA 71303 318-619-7772 THE PILL BOX PHARMACY 403 BOLTON AVE ALEXANDRIA LA 71301 318-528-8765 PRESCRIPTION COMPOUNDS 5302 O'DONOVAN DR BATON ROUGE LA 70808 225-766-9577 NEW PARRINO DRUG STORE 208 SW MAIN ST BUNKIE LA 71322 318-346-7204 NORTHSIDE FAMILY PHARMACY INC 850 COCKERHAM RD DENHAM SPRINGS LA 70726 225-664-9520 CENTRAL REXALL DRUGS INC 125 E THOMAS ST HAMMOND LA 70401 504-345-5120 STORE INC 7869 MAIN ST HOUMA LA 70360 985-873-8526 PALLIATIVE PHCY SOLUTIONS LLC 620 GUILBEAU RD STE D LAFAYETTE LA 70506 337-262-9777 LADY OF THE SEA COMMUNITY PHCY 13086 HIGHWAY 3235 LAROSE LA 70373 985-693-9260 TOMPKINS PHARMACY 2064 W MAIN ST LUTCHER LA 70071 225-869-3535 MANSURA DRUG STORE 2043 LEGLISE ST MANSURA LA 71350 318-964-2104 MELVILLE PHARMACY 320 CHURCH ST MELVILLE LA 71353 337-623-9992 C AND R DRUGS 10663 HIGHWAY 1 MOREAUVILLE LA 71355 318-985-2104 ACKAL'S IBERIA PHARMACY 1620 S HOPKINS ST NEW IBERIA LA 70560 337-364-7271 BROUSSARDS PHARMACY 600 W SAINT PETER ST NEW IBERIA LA 70560 337-364-2381 EVANS DRUG MART 64288 HIGHWAY 41 PEARL RIVER LA 70452 985-863-3100 PINE PRAIRIE PHARMACY, INC. 10711 VETERANS MEMORIAL HWY PINE PRAIRIE LA 70576 337-599-2050 LACOURS PHARMACY 16237 HIGHWAY 1 SIMMESPORT LA 71369 318-941-2423 F AND M SPECIALTY PHARMACY INC 118 VILLAGE ST STE D SLIDELL LA 70458 985-781-6798 HOMETOWN PHARMACY LLC 27118 HIGHWAY 42 SPRINGFIELD LA 70462 225-294-6021 MEDIC PHARMACY OFBASTROP,INC. 601 HIGHWAY 2 STERLINGTON LA 71280 318-665-4414 BRINKHAUS THRIFTY WAY PHARMACY 127 ACORN DR SUNSET LA 70584 337-662-5236 THRIFTY WAY PHCY OF VLE PLATTE 1011 W LINCOLN RD VILLE PLATTE LA 70586 337-363-6685 THRIFTY WAY PHARMACY 514 E RUSSELL AVE WELSH LA 70591 318-734-4488

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. HARDIN'S COMPOUNDING PHCY, LLC 100 WESTLAND PL STE C WEST MONROE LA 71291 318-388-5592 FLURRYS CASH PHARMACY 101 E MAIN ST WINNFIELD LA 71483 318-628-5800 ONCOMED 150 BEAR HILL ROAD WALTHAM MA 01760 877-662-6033 WEST CECIL PHARMACY 49 ROCK SPRINGS RD CONOWINGO MD 21918 443-731-2988 NORTHSIDE PHARMACY 707 N BRIDGE ST UNIT B ELKTON MD 21921 410-398-3784 EASTERN DISCOUNT PHARMACY 163 ORVILLE RD ESSEX MD 21221 410-686-1136 HOPE FOR ALL PHARMACY & STORES I 1425 UNIVERSITY BLVD E STE 151 HYATTSVILLE MD 20783 301-434-3990 WALTZ LONG TERM CARE PHARMACY 3 BUSINESS PKWY STE 2 BRUNSWICK ME 04011 207-373-9077 HELEN HUNT HEALTH CENTER PHARM 242 BRUNSWICK ST OLD TOWN ME 04468 207-992-4100 ROGERS PHARMACY OF CAPAC 3433 CAPAC RD STE 3 CAPAC MI 48014 810-395-1880 CARE CONNECTION PLUS 7277 BERNICE SUITE 104 CENTER LINE MI 48015 586-353-3756 BUCKLEYS PHARMACY 18021 CONANT ST DETROIT MI 48234 313-368-1000 STAR PHARMACY 13325 LIVERNOIS AVE DETROIT MI 48238 313-978-6839 MCLAREN LONG-TERM CARE PHCY 1454 W CENTER RD STE 2 ESSEXVILLE MI 48732 989-316-4280 QD PHARMACY 1710 W MAIN ST KALAMAZOO MI 49006 269-459-9648 ROGERS PHARMACY 316 W NEPESSING ST LAPEER MI 48446 810-664-0600 CDS PHARMACY 111 MARSHALL ST LITCHFIELD MI 49252 517-542-7770 LIFECARE PHARMACY 8810 MIDDLEBELT RD LIVONIA MI 48150 734-261-4400 HACKLEY HLTHCR EQUIP AND PHCY 6401 PRAIRIE ST STE 1100 MUSKEGON MI 49444 231-727-7968 HILL'S PRESCRIPTION SHOP 404 HAZEN ST PAW PAW MI 49079 269-657-4701 MAC DONALD DRUG 512 PHOENIX ST SOUTH HAVEN MI 49090 269-637-1161 BRIGHT SKY 23247 PINEWOOD ST, STE 100 WARREN MI 48091 866-576-5040 SAFEWAY PHARMACY 22917 VAN DYKE AVE WARREN MI 48089 586-619-7697 PENNOCK PHARMACY-GUN LAKE 12851 WEST M-179 HWY WAYLAND MI 49348 269-945-8050 RX EXPRESS PHARMACY 6149 N WAYNE RD WESTLAND MI 48185 734-525-6000 ALBANY APOTHECARY 509 RAILROAD AVE ALBANY MN 56307 320-845-4220 MERIT CARE NORTH PHARMACY 1705 ANNE ST NW STE 3-7 BEMIDJI MN 56601 218-333-4770 SIVERSONS DRUG STORE 118 S MAIN ST BOX 65 HENDRICKS MN 56136 507-275-3323 HOWARD LAKE DRUG COMPANY 732 6TH ST HOWARD LAKE MN 55349 320-543-2141 FIRST CHOICE PHARMACY 255 CREEK LN S JORDAN MN 55352 952-492-3334 ONAMIA DRUG 516 MAIN STREET ONAMIA MN 56359 320-532-3633 ALLINA HEALTH RITCHIE 280 N SMITH AVE STE 120 SAINT PAUL MN 55102 651-241-6380 KREISLER COUNTRY PHARMACY 121 W 4TH ST APPLETON CITY MO 64724 660-476-2142 MERCY PHARMACY SMIZER 1203 SMIZER MILL RD STE 101 FENTON MO 63026 636-717-1491 NORTH COUNTY HEALTH CENTER 2796-98 NORTH HIGHWAY 67 FLORISSANT MO 63033 314-921-4445 RED CROSS LTC PHARMACY 4006 E 137TH TERRACE GRANDVIEW MO 64030 816-743-7320 SHERRIS PHARMACY SERVICES 108 S MAIN ST GRANT CITY MO 64456 660-564-3784 RED CROSS LTC PHARMACY 1712 MAIN ST HIGGINSVILLE MO 64037 660-584-2110 WHALEY'S WEST SIDE PHARMACY 3526 AMAZONAS DR JEFFERSON CITY MO 65109 573-659-0650 ROGERS PHARMACY 607 STATE ST MOUND CITY MO 64470 660-442-3355 ST LUKES PHARMACY WINGHAVEN 5551 WINGHAVEN BLVD STE 120 O FALLON MO 63368 636-695-2555 RED CROSS PHARMACY 400 W CLAY AVE PLATTSBURG MO 64477 816-539-2121 SAM'S PRESCRIPTION SHOP 7506 RAYTOWN RD RAYTOWN MO 64138 816-356-0300 ROGERS PHARMACY 2524 FREDERICK AVE SAINT JOSEPH MO 64506 816-232-3348 THE PHARMACY AT APPLE MARKET N 903 N 36TH ST SAINT JOSEPH MO 64506 816-260-6346 RED CROSS PHARMACY 227 S BROADWAY SALISBURY MO 65281 660-388-5221 SARCOXIE PHARMACY 1408 HIGH ST SARCOXIE MO 64862 417-548-7184 PRATER'S DISCOUNT PBA PHARMACY 1711 CHEROKEE AVE SENECA MO 64865 417-776-8701 ROGERS PHARMACY 411 MAIN ST TARKIO MO 64491 660-736-5512 TOWNE PHARMACY 6 SIEBENKITTEL CIR STE B CARRIERE MS 39426 601-798-9190 MARTYS PHARMACY AND COMPOUN 1042 RIVER OAKS DR FLOWOOD MS 39232 601-932-2027 CORNER DRUG STORE 101 W RAILROAD AVE N MAGNOLIA MS 39652 601-783-2321 PALACE DRUG STORE 2234 COLUMBIA AVE PRENTISS MS 39474 601-792-4959

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. ADVANCED INFUSION SOLUTIONS 623 HIGHLAND COLONY PKWY #100 RIDGELAND MS 39157 601-988-1700 COLSTRIP FAMILY PHARMACY 6230 MAIN ST STE B101 COLSTRIP MT 59323 406-213-7010 COMMUNITY RX 2835 FORT MISSOULA RD MISSOULA MT 59804 406-327-4680 ARMC EXTENDED CARE PHARMACY 1840 BROOKWOOD AVE BURLINGTON NC 27215 336-570-8357 ADVANCED HOME CARE 4001 PIEDMONT PKWY HIGH POINT NC 27265 336-878-8950 MCLARTY DRUG COMPANY 819 N MAIN ST STE 112 HIGH POINT NC 27262 339-884-2231 BURKE PHARMACY INC 301 W MEETING ST MORGANTON NC 28655 828-437-5800 FAMILY PHARMACY & HOME MEDICAL 338 HOWARD BLVD NEWPORT NC 28570 252-223-3291 WALKER'S PHARMACY OF NEWTON IN 33 N COLLEGE AVE NEWTON NC 28658 828-464-1222 QUAIL CORNERS PHARMACY 5039 FALLS OF NEUSE RD RALEIGH NC 27609 919-876-5485 WAKEMED 3000 NEW BERN AVE RALEIGH NC 27610 919-410-2298 LIESKE'S PHARMACY 1312 Q ST FRANKLIN NE 68939 308-425-3319 DIABETES SUPPLY CTR OF THE MIDLA 2910 S 84TH ST OMAHA NE 68124 402-399-8444 ELMWOOD PHARMACY 808 S 52ND ST OMAHA NE 68106 402-551-5200 RXSOLUTIONS 11722 STONEGATE CIR OMAHA NE 68164 402-502-6511 BARNAS RX DRUGS 124 W 3RD ST WILBER NE 68465 402-821-2834 HEALTH FIRST PHARMACY 600 ATLANTIC CITY BLVD BEACHWOOD NJ 08722 732-818-1882 LAWRENCE PHARMACY 964 STATE ROUTE 173 BLOOMSBURY NJ 08804 908-479-4617 HOMETOWN PHARMACY 2940 YORKSHIP SQ CAMDEN NJ 08104 856-541-2990 LEGACY 2050 SPRINGDALE RD UNIT 500 CHERRY HILL NJ 08003 856-528-3900 HADDON PHARMACY 330 HADDON AVE COLLINGSWOOD NJ 08108 856-854-5655 HEALTH SHOPPE PHARMACY 162 SUMMERHILL RD STE D EAST BRUNSWICK NJ 08816 732-257-1225 COUNTY PHARMACY 45 REAVILLE AVE FLEMINGTON NJ 08822 908-806-2322 HUNTERDON REGIONAL PHARMACY I 2100 WESCOTT DR FL 1 FLEMINGTON NJ 08822 908-788-6586 FORKED RIVER PHARMACY 605 RT #9 FORKED RIVER NJ 08731 609-693-2868 FREEHOLD BORO PHARMACY 31 E MAIN ST FREEHOLD NJ 07728 732-761-1234 POINT OF CARE PHARMACY 333 FORSGATE DR STE 104 JAMESBURG NJ 08831 732-641-2664 VALUE PLUS PHARMACY 563 BROAD ST NEWARK NJ 07102 973-623-5566 BELVIDERE PHARMACY 349 SOMERSET ST NORTH PLAINFIELD NJ 07060 908-756-6695 VERONICA PHARMACY 84 VERONICA AVE SOMERSET NJ 08873 732-227-4994 COMMUNITY CARE RX NJ 225 ROUTE 46 W STE 4 TOTOWA NJ 07512 973-837-8044 MONUMENT PHARMACY 321 N WARREN ST TRENTON NJ 08618 609-278-4100 UNIQUE CARE PHARMACY 4571 W FLAMINGO RD LAS VEGAS NV 89103 702-522-9777 EAST TREMONT PHARMACY 1065 E TREMONT AVE BRONX NY 10460 718-861-0382 JJ PHARMACY 332 E 188TH ST BRONX NY 10458 718-367-2000 LIEB PHARMACY 5006 16TH AVE BROOKLYN NY 11204 718-633-5770 MILL PARK PHARMACY 6602 AVENUE U BROOKLYN NY 11234 718-444-7200 THRIFTCARE PHARMACY 759 WASHINGTON AVE BROOKLYN NY 11238 718-638-3800 THRIFTCARE PHARMACY 1717 FOSTER AVE BROOKLYN NY 11230 718-724-1717 JNR PHARMACY 667 STONELEIGH AVE STE 114 CARMEL NY 10512 845-278-2600 GEROULDS PHARMACY 98 W PULTENEY ST CORNING NY 14830 607-936-3233 COUNTRY VILLAGE PHARMACY-LEGEN 242 E MAIN ST EAST ISLIP NY 11730 631-581-7878 TOWER DRUGS INC 27268 GRAND CENTRAL PKWY FLORAL PARK NY 11005 718-631-9300 GEROULD'S PROFESSIONAL PHARMAC 2887 WESTINGHOUSE RD HORSEHEADS NY 14845 607-796-2193 JUNCTION PHARMACY LLC 9508 35TH AVE JACKSON HEIGHTS NY 11372 718-651-5232 KINGSTON PHARMACY 516 BROADWAY KINGSTON NY 12401 845-802-0808 SOHO PHARMACY 3 WALKER ST NEW YORK NY 10013 212-219-0095 KIMROS MEDICINE PLACE 511 STATE ST OGDENSBURG NY 13669 315-393-6290 ARCOLA PHARMACY 65-45 99TH ST REGO PARK NY 11374 718-275-5838 THE APOTHECARY SHOPPE 1975A VICTORY BLVD STATEN ISLAND NY 10314 718-448-0400 APPLE VALLEY PHARMACY 44 RONALD REAGAN BLVD WARWICK NY 10990 845-988-5805 SAMARITAN PHARMACY 1025 CENTER ST ASHLAND OH 44805 419-289-9636 THE MEDICINE SHOPPE 6900 MARKET STREET BOARDMAN OH 44512 330-729-9710

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. SCHAEPER'S NORTHSIDE PHARMACY 4187 HAMILTON AVE CINCINNATI OH 45223 513-541-0354 OLD VILLAGE PHARMACY 50 OLD VILLAGE RD STE 103A COLUMBUS OH 43228 614-853-3498 PHILLIPS PHARMACY INC 1017 MOUNT VERNON AVE COLUMBUS OH 43203 614-253-2344 TRIPLITT PHARMACY AND GIFTS 523 MAIN ST COSHOCTON OH 43812 740-622-2023 NEW CHOICE PHARMACY 1900 23RD ST CUYAHOGA FALLS OH 44223 330-971-7393 WOODMAN PHARMACY INC 1010 WOODMAN DR STE 100 DAYTON OH 45432 937-252-9100 DIABETIC CARE SERVICES AND PHARM 34099 MELINZ PKWY UNIT F2 EASTLAKE OH 44095 440-954-7709 SCARBROUGH HEALTHMART 138 E MAIN ST LEIPSIC OH 45856 419-943-2561 DANNER DRUGS 202 W MAIN ST LOUDONVILLE OH 44842 419-994-3221 BEACHLERS PHARMACY 210 W ELM ST EL RENO OK 73036 405-262-3212 HEALTHSCRIPTS OF AMERICA - TU 329 S ELM ST STE 130 JENKS OK 74037 918-298-4153 PLANNED PARENTHOOD PHARMACY I 1007 S PEORIA AVE TULSA OK 74120 918-858-4658 CALHOUN COMPOUNDING PHARMAC 990 COMMERCIAL ST SE SALEM OR 97302 503-967-2405 PUBLIC DRUG 913 MAIN ST DARBY PA 19023 610-586-9600 HERITAGE THERAPEUTICS, LLC 2173 MACDADE BLVD UNIT C & D HOLMES PA 19043 855-343-2136 FIRXST PHARMACY 12043 BUSTLETON AVE PHILADELPHIA PA 19116 215-613-8065 JANA PHARMACY 413 E WYOMING AVE PHILADELPHIA PA 19120 215-324-7040 MEDCARE PHARMACY 5325 OLD YORK RD LOWR LEVEL PHILADELPHIA PA 19141 215-844-4500 FOREST HILLS PHARMACY INC 552 LOCUST ST SAINT MICHAEL PA 15951 814-495-9437 HOMETECH ADVANCED THERAPIES IN 505 ELMWOOD AVE SHARON HILL PA 19079 484-494-3121 FARMACIA LA NUEVA BARCELONETA CARR 140 KM 67.5 LLANADAS BARCELONETA PR 00617 787-970-3542 TU FARMACIA RO 140 KM 63.4 BO MAGUEYES BARCELONETA PR 00617 787-846-4848 FARMACIA SANTA OLAYA INC CARRITERA 829 KM 6.2 BAYAMON PR 00956 787-797-4966 FARMACIA SOLMARI CARR 119 BO PUENTO SEC ZARZA CAMUY PR 00627 787-898-5873 FARMACIA MEDINA, INC. CALLE 24 #19 VILLA CAROLINA CAROLINA PR 00985 787-762-4955 FARMACIA BETANCES JOSE 1 QUINTON #40 COAMO PR 00769 787-825-1268 FARMACIA RAPIDA 18A BALDORIOTY ST COAMO PR 00769 787-825-7874 MEDICAL SOLUTIONS CARR 779 BO BARRIO PALOMAS COMERIO PR 00782 787-875-7016 SUPER FARMACIA RINA 1 CALLE MCARTHUR GUAYAMA PR 00784 787-866-4407 FARMACIA MARILU 19-22 AV RAMIREZ DE ARELLANO 1 GUAYNABO PR 00966 787-782-8747 FARMACIA PLAZA ALTA AVE SANTA ANA #262 GUAYNABO PR 00969 787-272-1205 FARMACIA CANDELERO CARR 3 KM 85.6 CANDELERO ARRIB HUMACAO PR 00791 787-850-7503 FARMACIA SAN JOSE CENTRO COMERCIAL SAN JOSE #11 HUMACAO PR 00791 787-852-9494 FARMACIA AMIGA DE MONTECARLO I 800 AVE RAFAEL HDEZ MARIN STE5 SAN JUAN PR 00924 787-762-1616 FARMACIA DEL CARMEN CARR 844 BUZON 1390 SAN JUAN PR 00926 787-748-0880 FARMACIA FAIRVIEW CENTRO FAIRVIEW RD 845 KM 3.3 SAN JUAN PR 00926 787-760-0024 FARMACIA LAS CASAS 2304 AVE BORINQUEN SAN JUAN PR 00915 787-726-3350 FARMACIA DOS BOCAS CARR 181 KM 9.1 BO DOS BOCAS TRUJILLO ALTO PR 00977 787-283-1920 FARMACIA CAGUANA CARR 111 KM 8.3 BO CAGUANA UTUADO PR 00641 787-894-8283 FARMACIA CINTRON INC CALLE DR CUETO #74 UTUADO PR 00641 787-894-2190 FRM SAN ANTONIO DE VIEQUES INC 52 CALLE BENITEZ GUZMAN VIEQUES PR 00765 787-741-8397 MEDI FARE DRUG CENTER 300 W PINE ST BLACKSBURG SC 29702 864-839-6384 RIVERTOWN PHARMACY INC 2219 N MAIN ST CONWAY SC 29526 843-488-4400 MEDICINE MART 348 B COLUMBIA AVE LEXINGTON SC 29072 803-957-5969 AIRPORT PHARMACY 3907 EDMUND ROAD WEST COLUMBIA SC 29170 803-755-9600 JAMES DRUG 201 SOUTH MAIN WAGNER SD 57380 605-384-3541 RANCHLAND DRUG 101 N MAIN ST WHITE RIVER SD 57579 605-259-3102 BARTLETT PRESCRIPTION SHOP 5675 STAGE RD BARTLETT TN 38134 901-372-0787 GOODLETTSVILLE PEDIATRICS DISP 200 GLEAVES ST STE A MADISON TN 37115 615-851-7810 FISHER DISPENSARY 140 VO TECH DR STE 6 MCMINNVILLE TN 37110 931-473-4441 COLLEGE PARK PHARMACY 2106 E ANDREW JOHNSON HWY MORRISTOWN TN 37814 423-586-0721 REEVES-SAIN INFUSION 1809 MEMORIAL BLVD MURFREESBORO TN 37129 615-895-0186 LIFEWATCH PHARMACY 1838 ELM HILL PIKE STE 117 NASHVILLE TN 37210 615-884-0302

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan. MEDS DIRECT RX OF TN LLC 1400 DONELSON PIKE STE A20 NASHVILLE TN 37217 615-915-5266 SERVICE DRUG 215 W MAIN ST DELTA UT 84624 435-864-2545 BAKER DRUG COMPANY 40 N MAIN ST FILLMORE UT 84631 435-743-6540 WEE CARE PHARMACY 1580 W ANTELOPE DR STE 130 LAYTON UT 84041 801-525-5277 THE COMPOUNDING APOTHECARY 300 ADMIRAL WAY STE 107 EDMONDS WA 98020 425-672-9888 THE PRESCRIPTION PAD 3915 TALBOT RD S STE 201 RENTON WA 98055 425-656-4050 MERIDIAN PHARMACY LLC 11011 MERIDIAN AVE N STE 100 SEATTLE WA 98133 206-403-1137 PUGET SOUND PHARMACY LLC 710 S 38TH ST TACOMA WA 98418 253-572-0180 CRIVITZ PHARMACY 710 MAIN AVE CRIVITZ WI 54114 715-854-7425 GREEN BAY ONCOLOGY 1726 SHAWANO AVE GREEN BAY WI 54303 920-965-9526 CHN PHARMACY GREEN LAKE 760 COMMERCIAL AVE GREEN LAKE WI 54941 920-294-4244 RESTORE HEALTH PHARMACY, LLC 1289 DEMING WAY MADISON WI 53717 608-833-7046 PRN RX 5478 S WESTRIDGE DR STE B NEW BERLIN WI 53151 262-784-9600 ROSS DRUG 340 E MAIN ST MILTON WV 25541 304-397-5071

Pharmacies will continue to charge the maintenance fee for a 30-day or less supply of maintenance medicine. Your doctor will need to prescribe more than a 30-day supply of maintenance medicine for you to use the EDS network.

Pharmacies can join or leave the EDS network at any time. You can look up participating EDS pharmacies at www.caremark.com/ers.

Questions about your prescription drug benefit? Call a Caremark Customer Care Representative toll-free at (888) 886-8490. TDD (telecommunications device for the deaf) users please call toll-free (800) 231-4403.

*Copayment, copay or coinsurance means the amount a plan participant is required to pay for a prescription in accordance with a Plan, which may be a deductible, a percentage of the prescription price, a fixed amount, or other charge, with the balance, if any, to be paid by a Plan.