H2582_MC_DIR_PR81_01012020_NS_C SEP 2020 About this DIRECTORY

This directory is a partial list of the plan’s network . It lists pharmacies in your area based on your State. Pharmacies are listed in alphabetical order. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed may no longer be in our network, or there may be newer pharmacies in our network that are not listed. It is current as of the date printed on the cover of this directory. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on the plan’s website. For the most current list of the plan’s network pharmacies, please see the cover of this directory for information on how to call us.

Network pharmacies A network pharmacy is a pharmacy where you get prescription drug benefits provided by your plan. We call the pharmacies in this directory our “network pharmacies” because we have made arrangements with them to provide prescription drugs to our plan members. In most cases, your prescriptions are covered under the plan only if they are filled at one of our network pharmacies or through a mail service pharmacy. We have a large service area with many pharmacies where you may fill your prescription drugs. This directory lists network pharmacies in your area. For information about additional network pharmacies, please contact us using the information on the cover of this directory. You do not have to use the same network pharmacy every time you fill your prescription drugs. You may use any of the plan’s network pharmacies. In certain situations, we may cover prescriptions filled at pharmacies outside of the network. Please see your plan’s Evidence of Coverage for more information. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your plan’s Evidence of Coverage and Drug List (Formulary). If you have questions about any of the above, including instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the cover of this directory for information on how to call us.

Mail service pharmacies Members can order prescription drugs from a network mail service pharmacy and have their prescription drugs delivered to their home. You can use any of your plan’s network pharmacies to fill your covered prescription drugs. OptumRx® home delivery pharmacy is one of the mail service pharmacies in the plan’s network. You are not required to use OptumRx for a 90-day supply of your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan’s mail service pharmacy.1 Members may also use other mail service pharmacies to fill prescriptions. Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills. OptumRx will contact you, by phone, to get your approval. At that time you may also tell OptumRx to automatically fill any future prescriptions they receive directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval your prescription will not be sent to you. Prescriptions should arrive within 5 business days from the date the completed order is received by the mail service pharmacy. OptumRx will call you if there will be an extended delay in the delivery of your medications. To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs or need to call us, please call OptumRx toll-free at 1-877-889-6358, TTY 711, 24 hours, 7 days a week. Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx at 1-877-889-6358, TTY 711, 24 hours, 7 days a week. You can find more information about mail service pharmacies by calling OptumRx at the number listed in the “Mail service pharmacies” section of this directory. Mail service pharmacies are indicated by a symbol in the pharmacy listings on the following pages.

90-day supply from pharmacies You do not have to use a mail service pharmacy to get a 90-day supply of your prescription drugs. Some of the retail pharmacies in the plan’s network also offer 90-day supply of prescription drugs. If you fill a 90-day supply at a retail pharmacy, you may pay more. Keep in mind, if you use the plan’s mail service pharmacy you may receive savings on 90-day supply of prescription drugs. Retail pharmacies in the network that fill 90-day supply of prescription drugs are indicated by a symbol in the pharmacy listings on the following pages.

E-prescribing Some of our network pharmacies use electronic prescribing, or e-prescribing. The pharmacy receives your prescriptions electronically, directly from your doctor. Your prescription may be sent before you even leave your doctor’s office. E-prescribing can be a safe and efficient way for network pharmacies to get your prescriptions. It may help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken together. Network pharmacies that use e-prescribing are indicated by an symbol in the pharmacy listings on the following pages. 2020 PHARMACY DIRECTORY

List of network pharmacies

Rocky Mountain Health Plans DualCare Plus (HMO D-SNP)

This directory is a list of network pharmacies near you. This directory is for Colorado. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on our website. For more information, please call Customer Service at: Toll-free 1-800-346-4643, TTY 711 8am-8pm: 7 Days Oct-Mar; M-F Apr-Sept

www.rmhp.org

Y0066_190809_4479394_C Last updated August 19, 2020 About this PHARMACY DIRECTORY

This directory is a partial list of the plan’s network pharmacies. It lists pharmacies in your area based on your State. Pharmacies are listed in alphabetical order. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed may no longer be in our network, or there may be newer pharmacies in our network that are not listed. It is current as of the date printed on the cover of this directory. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on the plan’s website. For the most current list of the plan’s network pharmacies, please see the cover of this directory for information on how to call us.

Network pharmacies A network pharmacy is a pharmacy where you get prescription drug benefits provided by your plan. We call the pharmacies in this directory our “network pharmacies” because we have made arrangements with them to provide prescription drugs to our plan members. In most cases, your prescriptions are covered under the plan only if they are filled at one of our network pharmacies or through a mail service pharmacy. We have a large service area with many pharmacies where you may fill your prescription drugs. This directory lists network pharmacies in your area. For information about additional network pharmacies, please contact us using the information on the cover of this directory. You do not have to use the same network pharmacy every time you fill your prescription drugs. You may use any of the plan’s network pharmacies. In certain situations, we may cover prescriptions filled at pharmacies outside of the network. Please see your plan’s Evidence of Coverage for more information. For a complete description of your prescription drug coverage, including how to fill your prescriptions, please see your plan’s Evidence of Coverage and Drug List (Formulary). If you have questions about any of the above, including instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the cover of this directory for information on how to call us.

Mail service pharmacies Members can order prescription drugs from a network mail service pharmacy and have their prescription drugs delivered to their home. You can use any of your plan’s network pharmacies to fill your covered prescription drugs. OptumRx® home delivery pharmacy is one of the mail service pharmacies in the plan’s network. You are not required to use OptumRx for a 90-day supply of your maintenance medications, but you may pay more out-of-pocket compared to using OptumRx, your plan’s mail service pharmacy.1 Members may also use other mail service pharmacies to fill prescriptions. Prescription orders sent directly to OptumRx from your doctor must have your approval before OptumRx can send your medications. This includes new prescriptions and prescription refills. OptumRx will contact you, by phone, to get your approval. At that time you may also tell OptumRx to automatically fill any future prescriptions they receive directly from your doctor(s) for up to one year. If OptumRx is unable to reach you for approval your prescription will not be sent to you. Prescriptions should arrive within 5 business days from the date the completed order is received by the mail service pharmacy. OptumRx will call you if there will be an extended delay in the delivery of your medications. To refill your home delivery prescriptions, please call us before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. If you do not receive your prescription drugs or need to call us, please call OptumRx toll-free at 1-877-889-6358, TTY 711, 24 hours, 7 days a week. Refunds may be available for prescriptions you did not approve and did not want. You may request a refund or cancel your approval by calling OptumRx at 1-877-889-6358, TTY 711, 24 hours, 7 days a week. You can find more information about mail service pharmacies by calling OptumRx at the number listed in the “Mail service pharmacies” section of this directory. Mail service pharmacies are indicated by a symbol in the pharmacy listings on the following pages.

90-day supply from retail pharmacies You do not have to use a mail service pharmacy to get a 90-day supply of your prescription drugs. Some of the retail pharmacies in the plan’s network also offer 90-day supply of prescription drugs. If you fill a 90-day supply at a retail pharmacy, you may pay more. Keep in mind, if you use the plan’s mail service pharmacy you may receive savings on 90-day supply of prescription drugs. Retail pharmacies in the network that fill 90-day supply of prescription drugs are indicated by a symbol in the pharmacy listings on the following pages.

E-prescribing Some of our network pharmacies use electronic prescribing, or e-prescribing. The pharmacy receives your prescriptions electronically, directly from your doctor. Your prescription may be sent before you even leave your doctor’s office. E-prescribing can be a safe and efficient way for network pharmacies to get your prescriptions. It may help the pharmacy avoid reading mistakes and may alert your doctor to drugs that should not be taken together. Network pharmacies that use e-prescribing are indicated by an symbol in the pharmacy listings on the following pages. Retail pharmacies, including chain pharmacies near you Below are some of the retail and chain pharmacies in your area. Other pharmacies are available in our network. Pharmacies may have closed or moved locations since this directory was printed.

Adams Pharmacy Benzer Pharmacy 6400 W 92nd Ave 5092 W 92nd Ave Westminster, CO 80031 Suit D-8 303-412-1327, TTY: 711 Westminster, CO 80031 720-617-7600, TTY: 711 Genoa Healthcare, LLC 8989 Huron St Ste 204 CVS Pharmacy Thornton, CO 80260 1001 E 120th Ave 303-487-1146, TTY: 711 Thornton, CO 80233 303-280-6273, TTY: 711 Idgp Pharmacy at The University 1635 Aurora Court CVS Pharmacy Rm 7284, Ms-F702 2101 N Ursula St Unit 35 Aurora, CO 80045 Aurora, CO 80045 720-848-4081, TTY: 711 303-364-1139, TTY: 711 King Soopers Pharmacy CVS Pharmacy 750 E 104th Ave 2171 Prairie Center Pkwy Thornton, CO 80229 Brighton, CO 80601 303-452-8661, TTY: 711 303-219-9056, TTY: 711 King Soopers Pharmacy Centura Health Pharmacy Services 1575 W 84th Ave 2551 W. 84th Ave Federal Heights, CO 80221 Pharmacy 303-427-9295, TTY: 711 Westminster, CO 80031 303-426-2360, TTY: 711 King Soopers Pharmacy 4850 E 62nd Ave Colorado Veterans Community Livi Commerce City, CO 80022 1919 Quentin St 303-288-6629, TTY: 711 Aurora, CO 80045 720-857-6422, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy King Soopers Pharmacy 9983 Wadsworth Pkwy 15051 E 104th Ave Westminster, CO 80030 Commerce City, CO 80022 303-424-7346, TTY: 711 303-286-5470, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 10351 N Federal Blvd 100 N 50th Ave Westminister, CO 80260 Brighton, CO 80601 303-404-9026, TTY: 711 303-637-0350, TTY: 711

King Soopers Pharmacy Platte Valley Pharmacy 3801 E 120th Ave 1610 Prairie Center Pkwy Ste 211 Thornton, CO 80241 Brighton, CO 80601 303-451-9470, TTY: 711 303-483-7455, TTY: 711

King Soopers Pharmacy Remedi Seniorcare of Colorado 825 S Colorado Blvd 8971 Harlan St Unit B Denver, CO 80022 Westminster, CO 80031 303-722-5793, TTY: 711 303-993-8604, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 500 East Bromley Lane 1605 Bridge Street Brighton, CO 80601 Brighton, CO 80601 303-655-7773, TTY: 711 303-659-9660, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 13700 Colorado Blvd 771 Thornton Parkway Thornton, CO 80602 Thornton, CO 80229 720-872-1660, TTY: 711 303-280-8218, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 1045 First St 500 E 120th Ave Bennett, CO 80102 Northglenn, CO 80233 303-644-5080, TTY: 711 303-450-4145, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Safeway Pharmacy University of Colorado Hospital 3840 E 104th Ave 12605 E 16th Ave Thornton, CO 80233 Room 1.510, Ms A027 303-255-0587, TTY: 711 Aurora, CO 80045 720-848-8368, TTY: 711

Safeway Pharmacy 10300 Federal Blvd Federal Heights, CO 80260 4001 E 120th Ave 303-469-0809, TTY: 711 Thornton, CO 80233 303-451-5562, TTY: 711

Salud Pharmacy Brighton 1860 E Egbert St Walgreens Brighton, CO 80601 1601 W 84th Ave 303-655-4998, TTY: 711 Federal Heights, CO 80260 303-426-4994, TTY: 711

Salud Pharmacy Commerce City 6255 Quebec Pkwy Walgreens Commerce City, CO 80022 10390 Federal Blvd 303-227-6458, TTY: 711 Federal Heights, CO 80260 720-887-9145, TTY: 711

Sams Pharmacy 9601 Grant Street Walgreens Thornton, CO 80229 7211 Federal Blvd 303-453-4964, TTY: 711 Westminster, CO 80030 303-427-7479, TTY: 711

University of Co Hosp Op Pavilio 1635 Aurora Court Walgreens Room 1012, Ms-F702 750 E 120th Ave Aurora, CO 80045 Northglenn, CO 80233 720-848-1020, TTY: 711 303-280-9252, TTY: 711

University of Colorado Hospital Walgreens 12605 E 16th 1821 E Bridge St Suite A Rm 1054 Ms-A027 Brighton, CO 80601 Aurora, CO 80045 720-685-3099, TTY: 711 720-848-4083, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walgreens 2400 E Midway Blvd 15310 E 104th Ave Denver, CO 80234 Commerce City, CO 80022 303-404-3754, TTY: 711 303-928-4084, TTY: 711

Walgreens Pharmacy 8799 N Washington St 9901 Grant St. Thornton, CO 80229 Thornton, CO 80229 720-214-2620, TTY: 711 303-451-6404, TTY: 711

Walgreens Walmart Pharmacy 6011 Dexter St 60 West Bromley Lane Commerce City, CO 80022 Brighton, CO 80601 720-214-0199, TTY: 711 303-659-2510, TTY: 711

Walgreens Walmart Pharmacy 4351 E 104th Ave 9499 Sheridan Blvd Thornton, CO 80233 Westminster, CO 80031 303-501-1725, TTY: 711 303-427-2276, TTY: 711

Walgreens Walmart Pharmacy 13611 Colorado Blvd 5990 Dahlia St Thornton, CO 80602 Commerce City, CO 80022 303-501-1934, TTY: 711 303-287-0909, TTY: 711

Walgreens Walmart Pharmacy 13123 E 16th Ave 200 West 136th Ave Aurora, CO 80045 Westminster, CO 80234 720-262-4524, TTY: 711 720-929-1770, TTY: 711

Walgreens Walmart Pharmacy 10337 Washington St 7101 E. 128th Ave Thornton, CO 80229 Thornton, CO 80602 720-833-3790, TTY: 711 303-209-3620, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walmart Pharmacy Walgreens 850 E 88th Ave 1203 Main St Thornton, CO 80229 Alamosa, CO 81101 303-287-4466, TTY: 711 719-589-3165, TTY: 711

Walmart Pharmacy Walmart Pharmacy 10755 Washington St 3333 Clark Street Northglenn, CO 80233 Alamosa, CO 81101 303-200-1492, TTY: 711 719-589-9021, TTY: 711

Walmart Pharmacy Arapahoe 7170 N Federal Blvd Allhealth Network Pharmacy Westminster, CO 80030 5500 S Sycamore St 303-200-1066, TTY: 711 Ste 100 Littleton, CO 80120 Alamosa 303-797-2500, TTY: 711 City Market Pharmacy 131 Market Street Amerita, Inc Alamosa, CO 81101 7307 S Revere Pkwy 719-589-6656, TTY: 711 Centennial, CO 80112 303-355-4745, TTY: 711

Genoa Healthcare, LLC 8745 County Road 9 South, Ste 15 Benzer Pharmacy Alamosa, CO 81101 568 N Hwy 36 719-937-4750, TTY: 711 Byers, CO 80103 303-822-9371, TTY: 711

Safeway Pharmacy 1301 Main Street CVS Pharmacy Alamosa, CO 81101 16910 E Quincy Ave 719-587-3076, TTY: 711 Aurora, CO 80015 303-680-3284, TTY: 711

Valley Wide Pharmacy 1710 1st St CVS Pharmacy Alamosa, CO 81101 14200 E Ellsworth Ave 719-589-3633, TTY: 711 Aurora, CO 80012 303-214-0115, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

CVS Pharmacy Clearspring Pharmacy 1400 S Havana St 8031 Southpark Cir Ste A Aurora, CO 80012 Littleton, CO 80120 303-755-6614, TTY: 711 303-795-4300, TTY: 711

CVS Pharmacy Clearspring Pharmacy 6767 S Clinton St 8031 Southpark Cir # B Englewood, CO 80112 Littleton, CO 80120 303-566-0005, TTY: 711 303-707-1500, TTY: 711

CVS Pharmacy Cordant Pharmacy Solutions 7400 S Gartrell Rd 8200 E Belleview Ave Ste 416C Aurora, CO 80016 Greenwood Village, CO 80111 303-209-2828, TTY: 711 303-771-3254, TTY: 711

CVS Pharmacy Costco Pharmacy 3650 Riverpoint Pkwy 1471 S Havana St Sheridan, CO 80110 Aurora, CO 80012 303-974-6662, TTY: 711 303-750-6405, TTY: 711

CVS Pharmacy Costco Pharmacy 15700 E Briarwood Cir 4000 River Point Pkwy Aurora, CO 80016 Sheridan, CO 80110 720-214-6000, TTY: 711 303-200-1830, TTY: 711

Centennial Medical Center Pharma Elite Pharmacy, Inc 14200 E Arapahoe Rd 8100 S Lincoln St Centennial, CO 80112 Littleton, CO 80122 303-699-3070, TTY: 711 303-248-7234, TTY: 711

Children's Colorado Specialty Ph Front Range Pharmacy 860 N. Potomac Circle 3401 S Broadway Unit 180 Aurora, CO 80011 Englewood, CO 80113 720-777-0300, TTY: 711 720-405-5125, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Gem Pharmacy King Soopers Pharmacy 191 E Orchard Rd 1155 S Havana Ste 100 Aurora, CO 80012 Littleton, CO 80121 303-755-1246, TTY: 711 303-795-3154, TTY: 711

King Soopers Pharmacy Genoa Healthcare, LLC 5050 E Arapahoe Rd 791 Chambers Rd Rm 152 Littleton, CO 80122 Aurora, CO 80011 303-770-3402, TTY: 711 720-388-1880, TTY: 711

King Soopers Pharmacy Grace Health Pharmacy 3050 S. Peoria St. 3191 S Vaughn Way Unit 102 Aurora, CO 80014 Unit 102 720-795-7153, TTY: 711 Aurora, CO 80014 720-748-2449, TTY: 711 King Soopers Pharmacy 101 Englewood Pky Grane Supply D/B/A Grane Rx Englewood, CO 80110 3251 Revere St Ste 205 303-761-7817, TTY: 711 Aurora, CO 80011 720-381-3737, TTY: 711 King Soopers Pharmacy 7575 S University Blvd Heartland Pharmacy Denver Centennial, CO 80122 8599 Prairie Trail Drive 303-798-2491, TTY: 711 Ste A300 Englewood, CO 80112 303-248-7920, TTY: 711 King Soopers Pharmacy 17000 E Iliff Ave Aurora, CO 80013 Hp Compounding Pharmacy and Medi 303-752-4777, TTY: 711 1555 S Havana St Ste Hj Aurora, CO 80012 303-750-3600, TTY: 711 King Soopers Pharmacy 4910 S Yosemite Greenwood Village, CO 80111 King Soopers Pharmacy 303-773-2390, TTY: 711 655 Peoria St Aurora, CO 80011 303-364-9196, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy King Soopers Pharmacy 15109 E Colfax Ave 6000 S Holly St Aurora, CO 80011 Greenwood Village, CO 80111 303-343-3170, TTY: 711 720-488-3405, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 15250 E Mississippi 7901 S Broadway Aurora, CO 80012 Littleton, CO 80122 303-671-8701, TTY: 711 303-738-5710, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 8200 S Holly St 18211 E Hampden Ave Littleton, CO 80122 Aurora, CO 80013 303-779-4242, TTY: 711 303-627-3301, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 4271 South Buckley Rd 100 Littleton Blvd Aurora, CO 80014 Littleton, CO 80120 303-680-8690, TTY: 711 303-738-5741, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 19711 E Smoky Hill Road 3495 S University Blvd Aurora, CO 80015 Englewood, CO 80113 303-400-5204, TTY: 711 303-806-2770, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 2750 S Colorado Blvd 5050 S Federal Blvd Denver, CO 80122 Englewood, CO 80110 303-512-0449, TTY: 711 303-794-6397, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 6412 S Parker Rd 25701 E Smoky Hill Road Aurora, CO 80016 Aurora, CO 80016 303-627-6111, TTY: 711 303-615-2860, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Optum Infusion Services , LLC Saddle Rock Pharmacy 12503 E Euclid Dr Ste 80 22962 E Smoky Hill Rd Centennial, CO 80111 Aurora, CO 80016 303-708-1124, TTY: 711 720-353-4212, TTY: 711

Outpatient Pharmacy at The Medic Saddle Rock Pharmacy 1421 S Potomac St Ste 100 22962 E Smoky Hill Rd Aurora, CO 80012 Aurora, CO 80016 303-368-2485, TTY: 711 720-353-4212, TTY: 711

Paragon Infusion Care Safeway Pharmacy 8811 American Way 12200 E Mississippi Ave Suite 150 Aurora, CO 80012 Englewood, CO 80112 303-696-1923, TTY: 711 866-972-5888, TTY: 711

Safeway Pharmacy Paragon Pharmacy 7375 E Arapahoe Rd 7720 S Broadway Ste 100 Englewood, CO 80112 Littleton, CO 80122 303-779-5520, TTY: 711 720-627-6123, TTY: 711

Safeway Pharmacy Partners In Pharmacy 201 E Jefferson Ave 9450 E Mississippi Ave Unit C Englewood, CO 80113 Denver, CO 80247 303-781-7187, TTY: 711 720-341-8881, TTY: 711

Safeway Pharmacy Peak Vitality, LLC 18748 East Hampden Ave 8101 E Prentice Ave Ste 100 Aurora, CO 80013 Greenwood Village, CO 80111 720-876-2245, TTY: 711 720-504-8007, TTY: 711

Safeway Pharmacy Pharmaca Integrative Pharmacy 1677 S Havana 5910 S University Blvd Ste E2 Aurora, CO 80012 Greenwood Village, CO 80121 303-481-2291, TTY: 711 303-798-0388, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Safeway Pharmacy Urology Associates Pc 1200 S Buckley Rd 799 E Hampden Ave Ste 430 Aurora, CO 80017 Englewood, CO 80113 303-750-8346, TTY: 711 303-733-8848, TTY: 711

Safeway Pharmacy Us Specialty Care LLC 6100 S Gun Club Rd 7472 S Tucson Way Aurora, CO 80016 Suite 100A 303-400-4880, TTY: 711 Centennial, CO 80112 800-641-8475, TTY: 711

Safeway Pharmacy 181 W Mineral Ave Walgreens Littleton, CO 80120 10501 E Colfax Ave 303-218-2104, TTY: 711 Aurora, CO 80010 303-343-3336, TTY: 711

Sams Pharmacy 880 South Abilene Street Walgreens Aurora, CO 80012 123 E Belleview Ave 303-695-6519, TTY: 711 Englewood, CO 80113 303-795-2331, TTY: 711

Sams Pharmacy 6201 South Aurora Parkway Walgreens Aurora, CO 80016 12051 E Mississippi Ave 303-617-5614, TTY: 711 Aurora, CO 80012 303-340-8860, TTY: 711

Soleo Health Inc Col 6789 S Yosemite St Ste B4 Walgreens Centennial, CO 80112 15301 E Iliff Ave 303-968-1915, TTY: 711 Aurora, CO 80013 303-752-4911, TTY: 711

Summit Pharmacy 11877 E Arapahoe Rd Ste 150 Walgreens Centennial, CO 80112 8151 S Quebec St 720-370-1121, TTY: 711 Englewood, CO 80112 303-694-2136, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walgreens 12011 E Iliff Ave 10601 E Alameda Ave Aurora, CO 80014 Aurora, CO 80012 303-695-3049, TTY: 711 720-262-4686, TTY: 711

Walgreens Walgreens 3080 S Broadway 8959 E Dry Creek Rd Englewood, CO 80113 Centennial, CO 80112 303-761-1673, TTY: 711 720-214-1172, TTY: 711

Walgreens Walgreens 950 S Quebec St 16440 E Arapahoe Rd Denver, CO 80247 Foxfield, CO 80016 303-388-1805, TTY: 711 303-928-8064, TTY: 711

Walgreens Walgreens 15301 E Mississippi Ave 2425 E Smoky Hill Rd Aurora, CO 80017 Aurora, CO 80016 303-751-5694, TTY: 711 303-524-3778, TTY: 711

Walgreens Walgreens 18461 E Hampden Ave 15310 E Colfax Ave Aurora, CO 80013 Aurora, CO 80011 303-627-2449, TTY: 711 720-262-4615, TTY: 711

Walgreens Walgreens 20051 E Smoky Hill Rd 2281 E Arapahoe Rd. Aurora, CO 80015 Centennial, CO 80122 720-876-0919, TTY: 711 720-214-2245, TTY: 711

Walgreens Walgreens 18620 E Iliff Ave 499 Hampden Ave Aurora, CO 80013 Ste 150 303-751-7663, TTY: 711 Englewood, CO 80113 303-524-3750, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walmart Pharmacy 16950 E Smoky Hill Rd 10900 East Briarwood Avenue Centennial, CO 80015 Centennial, CO 80112 303-627-0045, TTY: 711 303-706-9548, TTY: 711

Walgreens Walmart Pharmacy 15320 E Hampden Ave 3301 North Tower Road Aurora, CO 80013 Aurora, CO 80011 303-693-1805, TTY: 711 720-374-0652, TTY: 711

Walgreens Walmart Pharmacy 100 East Mineral Drive 16746 E Smoky Hill Rd Littleton, CO 80122 Centennial, CO 80015 303-795-0043, TTY: 711 303-305-1115, TTY: 711

Walmart Pharmacy Walmart Pharmacy 14000 East Exposition Avenue 15240 E. Lliff Ave Aurora, CO 80012 Aurora, CO 80014 303-368-1116, TTY: 711 303-481-3922, TTY: 711

Walmart Pharmacy Walmart Pharmacy 5650 South Chambers Road 10400 E Colfax Ave Aurora, CO 80015 Aurora, CO 80010 303-693-7148, TTY: 711 303-537-9809, TTY: 711

Walmart Pharmacy Walmart Pharmacy 601 Englewood Pkwy 21475 E Quincy Ave Englewood, CO 80110 Aurora, CO 80015 303-789-7209, TTY: 711 303-749-8845, TTY: 711

Walmart Pharmacy Xenia Specialty Pharmacy 6101 South Aurora Parkway 14001 E Iliff Ave Ste 200 Aurora, CO 80016 Aurora, CO 80014 303-617-5532, TTY: 711 720-669-4567, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Archuleta Beatties Healthmart Pharmacy City Market Pharmacy 3140 Village Vista Dr 165 Country Center Dr Ste 100 Pagosa Springs, CO 81147 Erie, CO 80516 970-731-6006, TTY: 711 720-890-5095, TTY: 711

Selah Mountain Pharmacy Boulder County Foot & Ankle Pc 426 Pagosa Street 2575 Pearl St Ste 240 Pagosa Springs, CO 81147 Boulder, CO 80302 970-264-0126, TTY: 711 303-442-2910, TTY: 711

Walmart Pharmacy Boulder Health Center Pharmacy 211 Aspen Village Dr 5495 Arapahoe Ave Pagosa Springs, CO 81147 Boulder, CO 80303 970-731-9017, TTY: 711 303-499-2879, TTY: 711

Baca Boulder Medical Center Pharmacy 2750 Broadway St R & R Family Pharmacy Boulder, CO 80304 27913 US Highway 287 303-440-3111, TTY: 711 Springfield, CO 81073 719-523-6201, TTY: 711 CVS Pharmacy Bent 400 Marshall Rd Superior, CO 80027 Val U Med Health Mart 303-209-0107, TTY: 711 159 Bent Ave Las Animas, CO 81054 719-456-1691, TTY: 711 CVS Pharmacy 2800 Pearl St Boulder, CO 80301 Boulder 303-209-0102, TTY: 711 Beattie's Healthmart Pharmacy 3140 Village Vista Dr Unit 100 Erie, CO 80516 CVS Pharmacy 720-890-5095, TTY: 711 551 S Hover Rd Longmont, CO 80501 720-864-4394, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Chinook Healthcare Pharmacy King Soopers Pharmacy 275 Waneka Parkway 3600 Table Mesa Dr Ste. 10 Boulder, CO 80303 Lafayette, CO 80026 303-499-4244, TTY: 711 720-458-4887, TTY: 711

King Soopers Pharmacy Costco Pharmacy 2255 N Main Street 600 Marshall Rd Longmont, CO 80501 Superior, CO 80027 303-772-7552, TTY: 711 720-587-1002, TTY: 711

King Soopers Pharmacy Flatirons Family Pharmacy 1650 30th St 603 Ken Pratt Blvd Boulder, CO 80302 Longmont, CO 80501 303-444-0164, TTY: 711 303-827-3480, TTY: 711

King Soopers Pharmacy Genoa Healthcare, LLC 1375 S Boulder Rd 975 North St Ste P1 Louisville, CO 80027 Boulder, CO 80304 303-673-1818, TTY: 711 720-399-6026, TTY: 711

King Soopers Pharmacy Good Day Pharmacy 995 S Hover St 1749 Main St Longmont, CO 80501 Longmont, CO 80501 303-702-0089, TTY: 711 303-776-0709, TTY: 711

King Soopers Pharmacy Hopelight Medical Clinic 480 N Highway 287 1351 Collyer St Lafayette, CO 80026 Longmont, CO 80501 303-604-3070, TTY: 711 303-776-7117, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 1981 State Hwy 7 6550 Lookout Rd Erie, CO 80516 Boulder, CO 80301 303-729-4170, TTY: 711 303-530-0400, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Pdc Pharmacy Colorado, Inc Safeway Pharmacy 4665 Nautilus Ct Ste 101 1050 Ken Pratt Blvd Boulder, CO 80301 Longmont, CO 80501 303-530-1188, TTY: 711 303-682-0598, TTY: 711

Pharmaca Integrative Pharmacy Safeway Pharmacy 1647 Pearl St 910 W Cherry St Boulder, CO 80302 Louisville, CO 80027 303-442-5164, TTY: 711 303-673-0697, TTY: 711

Pharmaca Integrative Pharmacy Safeway Pharmacy 2700 Broadway 1601 Coalton Road Boulder, CO 80304 Superior, CO 80027 303-442-1972, TTY: 711 303-543-2314, TTY: 711

Pharmaca Integrative Pharmacy Safeway Pharmacy 645 S Broadway 3333 Arapahoe Rd #B Boulder, CO 80305 Erie, CO 80516 303-867-3400, TTY: 711 720-890-0425, TTY: 711

Safeway Pharmacy Safeway Pharmacy 2798 Arapahoe Ave 3325 28th Street Boulder, CO 80302 Boulder, CO 80301 303-443-6142, TTY: 711 303-938-9284, TTY: 711

Safeway Pharmacy Salud Pharmacy Longmont 1632 Hover Road 220 E Rogers Rd Longmont, CO 80501 Longmont, CO 80501 303-776-0508, TTY: 711 303-827-2657, TTY: 711

Safeway Pharmacy Sam's Pharmacy 4800 East Baseline Road 1200 S Hover St Boulder, CO 80303 Longmont, CO 80501 303-494-8851, TTY: 711 303-845-4219, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Scl Health Pharmacy Services G Walgreens 200 Exempla Cir 1600 E Coalton Rd P1-142 Superior, CO 80027 Lafayette, CO 80026 303-465-3024, TTY: 711 303-689-6121, TTY: 711

Walgreens The Apothecary 191 S Mccaslin Blvd University of Colorado Cb 119 Louisville, CO 80027 Ucb 119 303-666-7816, TTY: 711 Boulder, CO 80309 303-492-8553, TTY: 711 Walgreens 450 Ken Pratt Blvd Walgreens Longmont, CO 80501 1830 30th Street 303-532-3488, TTY: 711 Boulder, CO 80301 303-444-0407, TTY: 711 Walgreens 4745 Arapahoe Ave Walgreens Ste 120 1041 Main St Boulder, CO 80303 Longmont, CO 80501 720-214-0963, TTY: 711 303-772-1111, TTY: 711

Walgreens Walgreens 490 Erie Pkwy 655 South Boulder Road Erie, CO 80516 Louisville, CO 80027 303-586-8276, TTY: 711 303-666-6051, TTY: 711

Walgreens Walgreens 2870 28th St 1770 Hover St Boulder, CO 80301 Longmont, CO 80501 720-214-3853, TTY: 711 303-776-0128, TTY: 711

Walgreens Walgreens 4800 Baseline Road 309 N Hwy 287 Building E 107 Lafayette, CO 80026 Boulder, CO 80303 720-890-7041, TTY: 711 303-499-1919, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens King Soopers Pharmacy 3348 N 28th Street 2355 W 136th Boulder, CO 80301 Broomfield, CO 80023 303-447-1173, TTY: 711 303-920-3050, TTY: 711

Walmart Pharmacy Pharmerica 745 US Hwy 287 557 Burbank Street Lafayette, CO 80026 Suite Q 303-666-0434, TTY: 711 Broomfield, CO 80020 303-460-9474, TTY: 711 Broomfield CVS Pharmacy Safeway Pharmacy 14451 Orchard Pkwy 3600 W 144th Ave Westminster, CO 80023 Broomfield, CO 80023 303-209-0164, TTY: 711 303-209-2416, TTY: 711

Centura Health Pharmacy at St. A Walgreens 14300 Orchard Pkwy 5190 W 120th Ave Westminster, CO 80023 Westminster, CO 80020 720-627-0090, TTY: 711 303-410-1105, TTY: 711

Costco Pharmacy Walgreens 16375 N Washington St 570 US Highway 287 Thornton, CO 80023 Broomfield, CO 80020 303-474-3254, TTY: 711 720-274-0379, TTY: 711

King Soopers Pharmacy Walmart Pharmacy 12167 Sheridan Blvd 4651 W 121st Ave Broomfield, CO 80020 Broomfield, CO 80020 303-439-0169, TTY: 711 303-217-9381, TTY: 711

Chaffee King Soopers Pharmacy 1150 Hwy 287 Buena Vista Drug Broomfield, CO 80020 403 US Hwy 24 South 303-439-9040, TTY: 711 Buena Vista, CO 81211 719-395-2481, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

City Market Pharmacy Conejos 438 S Hwy 24 La Jara Pharmaceutical Center Buena Vista, CO 81211 412 Main St 719-395-3149, TTY: 711 La Jara, CO 81140 719-274-5109, TTY: 711 Hrrmc Pharmacy 1000 Rush Dr Crowley Salida, CO 81201 Arkansas Valley Accumed 719-530-2430, TTY: 711 228 Main St Ordway, CO 81063 719-267-3544 711 Safeway Pharmacy , TTY: 232 G St Salida, CO 81201 Ordway Pharmacy 719-539-6933, TTY: 711 231 Main St Ordway, CO 81063 719-267-3411 711 Salida Pharmacy & Fountain , TTY: 137 F St Salida, CO 81201 Custer 719-530-4790, TTY: 711 Custer County Medical Clinic 704 Edwards St Shavano Pharmacy LLC Westcliffe, CO 81252 415 US Highway 24 N 952-653-2568, TTY: 711 Buena Vista, CO 81211 719-398-6550, TTY: 711 Delta Cedaredge Pharmacy Walmart Pharmacy 215 W Main St 7865 West Hwy 50 Cedaredge, CO 81413 Salida, CO 81201 970-856-3161, TTY: 711 719-539-6614, TTY: 711

City Market Pharmacy Clear Creek 122 Gunnison River Drive Safeway Pharmacy Delta, CO 81416 2425 Miner Street 970-874-5771, TTY: 711 Idaho Springs, CO 80452 303-567-2496, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

City Market Pharmacy Avella of Denver 215 6th Street 1245 E Colfax Ave Hotchkiss, CO 81419 Suite 102 970-872-2623, TTY: 711 Denver, CO 80218 303-863-7644, TTY: 711

Hays Drug Store 224 Grand Ave CVS Pharmacy Paonia, CO 81428 4301 E Virginia Ave 970-527-4109, TTY: 711 Glendale, CO 80246 303-209-0183, TTY: 711

Safeway Pharmacy 1550 Highway 92 CVS Pharmacy Delta, CO 81416 7930 Northfield Blvd 970-874-9091, TTY: 711 Denver, CO 80238 303-209-8721, TTY: 711

Walmart Pharmacy 37 Stafford Lane CVS Pharmacy Delta, CO 81416 7777 E Hampden Ave 970-874-1782, TTY: 711 Denver, CO 80231 303-481-2822, TTY: 711 Denver Advanced Pharmacy Services LLC CVS Pharmacy 4605 Quebec St. 3770 Sheridan Blvd Ste B-11 Denver, CO 80212 Denver, CO 80216 720-855-8477, TTY: 711 303-592-2000, TTY: 711

CVS Pharmacy Advanced Rx LLC 1900 18th St, 1st Floor 1058 S Federal Blvd Denver, CO 80202 Denver, CO 80219 303-534-1110, TTY: 711 303-975-1700, TTY: 711

CVS Pharmacy Alto Pharmacy 1600 California St Ste 14 929 N Broadway Denver, CO 80202 Denver, CO 80203 720-904-6990, TTY: 711 800-874-5881, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

CVS Pharmacy Colorado Mental Health Institute 750 16th St 3520 W Oxford Ave Denver, CO 80202 Denver, CO 80236 303-534-1182, TTY: 711 303-866-7149, TTY: 711

CVS Pharmacy Community, A Walgreens Pharmacy 4005 E 8th Ave 2608 E Colfax Ave Denver, CO 80220 Denver, CO 80206 303-739-3969, TTY: 711 303-794-3220, TTY: 711

Capitol Heights Pharmacy Cu Pharmacy 1200 Madison St 3525 West Oxford Ave. G-1 Denver, CO 80206 Denver, CO 80236 303-388-3679, TTY: 711 303-315-6149, TTY: 711

Ccc Pharmacy Denver Health Central Fill Pharm 1825 Marion St 500 Quivas St Denver, CO 80218 Ste A 303-318-3490, TTY: 711 Denver, CO 80204 303-602-2020, TTY: 711

Centura Health Pharmacy at Porte 2535 S Downing St Denver Health Eastside Pharmacy Ste G10 501 28th St Denver, CO 80210 Denver, CO 80205 303-778-2427, TTY: 711 303-602-6519, TTY: 711

Cherry Creek Pharmacy Denver Health Medical Center Dis 6336 Leetsdale Dr 790 Delaware St Denver, CO 80224 Denver, CO 80204 303-333-2232, TTY: 711 303-602-9217, TTY: 711

Clearspring Pharmacy, Ltd Denver Health Medical Center I D 201 University Blvd 605 Bannock St Ste 105 Denver, CO 80204 Denver, CO 80206 303-602-8726, TTY: 711 303-333-2010, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Denver Health Primary Care Pharm King Soopers Pharmacy 301 W 6th Ave 6470 E Hampden Ave Denver, CO 80204 Denver, CO 80222 303-602-8522, TTY: 711 303-758-0011, TTY: 711

Denver Indian Health and Family King Soopers Pharmacy 2880 W Holden Pl 1155 E 9th Ave Denver, CO 80204 Denver, CO 80218 303-953-6610, TTY: 711 303-832-5298, TTY: 711

Downtowns Health Care LLC 950 17th St Ste 200 King Soopers Pharmacy Denver, CO 80202 890 S Monaco Pkwy 303-292-9992, TTY: 711 Denver, CO 80222 303-333-1545, TTY: 711

Federico F. Pena Family Health C 1339 S Federal Blvd King Soopers Pharmacy Denver, CO 80219 5125 W Florida 303-602-0153, TTY: 711 Denver, CO 80219 303-936-7403, TTY: 711

Goldin Pharmacy and Medical Supp 909 S Oneida St King Soopers Pharmacy Ste 11 5301 W 38th Ave Denver, CO 80224 Wheatridge, CO 80212 303-355-6818, TTY: 711 303-425-7455, TTY: 711

Huan Pharmacy King Soopers Pharmacy 633 S Federal Blvd 2727 W Evans Ave Ste 203 Denver, CO 80219 Denver, CO 80219 303-936-2377, TTY: 711 303-936-3230, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 1331 N Speer Blvd 1355 Krameria Denver, CO 80204 Denver, CO 80220 303-571-1943, TTY: 711 303-388-1689, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy Lowry Family Health Center Pharm 9551 S University Blvd 1001 Yosemite St Ste 100 Highlands Ranch, CO 80216 Denver, CO 80230 303-470-6445, TTY: 711 303-602-4639, TTY: 711

King Soopers Pharmacy Medstuff Inc 2810 Quebec St 970 S Oneida St Unit 1B Denver, CO 80207 Denver, CO 80224 303-333-3837, TTY: 711 303-333-2035, TTY: 711

King Soopers Pharmacy Mercy Pharmacy 18605 Green Valley Ranch Blvd 2200 S Federal Blvd Unit 3 Denver, CO 80249 Denver, CO 80219 303-371-8985, TTY: 711 720-923-6892, TTY: 711

King Soopers Pharmacy Mhcd Pharmacy 4600 Leetsdale Dr 4455 E 12th Ave Glendale, CO 80246 Denver, CO 80220 303-320-3110, TTY: 711 303-504-7799, TTY: 711

King Soopers Pharmacy Montbello Family Health Center P 1950 Chestnut Pl 12600 E. Albrook Dr Denver, CO 80202 Denver, CO 80239 303-678-2443, TTY: 711 303-602-4048, TTY: 711

King Soopers Pharmacy National Jewish Health Pharmacy 10406 Martin Luther King Jr Blvd 1400 Jackson St Denver, CO 80238 A197 720-231-5204, TTY: 711 Denver, CO 80206 303-398-1582, TTY: 711

La Casa-Quigg Newton Health Cent 4545 Navajo St Pencol Compounding Pharmacy Denver, CO 80211 1325 S Colorado Blvd 303-602-6730, TTY: 711 Ste B-024 Denver, CO 80222 303-388-3613, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Red Rock Pharmacy Safeway Pharmacy 1240 S Parker Rd Ste 200 323 S Broadway Denver, CO 80231 Denver, CO 80209 303-745-3000, TTY: 711 303-744-8660, TTY: 711

Rocky Mountain Cancer Centers Ph Safeway Pharmacy 4700 Hale Pkwy Ste 400 2150 S Downing Street Denver, CO 80220 Denver, CO 80210 303-285-5085, TTY: 711 303-722-1702, TTY: 711

Safeway Pharmacy Safeway Pharmacy 3800 W 44th Ave 560 Corona St Denver, CO 80211 Denver, CO 80218 303-458-8438, TTY: 711 303-777-6888, TTY: 711

Safeway Pharmacy Safeway Pharmacy 1653 S Colorado Blvd 200 Quebec St Denver, CO 80222 Suite 400 303-691-2962, TTY: 711 Denver, CO 80230 303-340-4459, TTY: 711

Safeway Pharmacy 757 E 20th Ave Safeway Pharmacy Denver, CO 80205 6220 East 14th Avenue 303-861-1212, TTY: 711 Denver, CO 80220 303-242-3535, TTY: 711

Safeway Pharmacy 2660 Federal Blvd Sams Pharmacy Denver, CO 80211 7805 East 35th Avenue 303-477-1470, TTY: 711 Denver, CO 80238 720-941-7146, TTY: 711

Safeway Pharmacy 6460 E Yale Ave Unit F Sams Pharmacy Denver, CO 80222 505 S Broadway 303-691-8874, TTY: 711 Denver, CO 80209 303-722-5205, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Scales Pharmacy Tks Pharmacy 1999 Pennsylvania St 4809 Argonne St Ste 225 Denver, CO 80203 Denver, CO 80249 303-974-5424, TTY: 711 720-583-2110, TTY: 711

Scales Pharmacy LLC Tks Pharmacy 1999 Pennsylvania St 4809 Argonne St Ste 225 Denver, CO 80203 Denver, CO 80249 720-388-9339, TTY: 711 720-583-2110, TTY: 711

Scl Health Pharmacy Services F Todds Harvard Park Pharmacy 1830 N Franklin St Ste 190 950 E Harvard Ave Denver, CO 80218 Ste 170 303-318-1305, TTY: 711 Denver, CO 80210 303-733-3755, TTY: 711

Scl Health Pharmacy Services S 1375 E 19th Ave University of Colorado Hospital Ste 1665 8111 E. Lowry Blvd. Denver, CO 80218 Ste 110, Ms B01 303-812-2326, TTY: 711 Denver, CO 80230 720-848-9590, TTY: 711

Stout Street Health Center 2130 Stout St Vivent Pharmacy Denver, CO 80205 5250 Leetsdale Dr Ste 300 303-293-6516, TTY: 711 Denver, CO 80246 303-321-0436, TTY: 711

The Co. Ks 1220 S Lipan St Walgreens Denver, CO 80223 6200 E Colfax Ave 303-778-3398, TTY: 711 Denver, CO 80220 303-398-6066, TTY: 711

The Urology Center of Colorado 2777 Mile High Stadium Cir Walgreens Denver, CO 80211 801 16th Street 303-825-8822, TTY: 711 Denver, CO 80202 303-571-5314, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walgreens 7190 E Hampden Ave 1505 S Federal Blvd Denver, CO 80224 Denver, CO 80219 303-773-6154, TTY: 711 303-975-7444, TTY: 711

Walgreens Walgreens 1235 E Evans Ave 7311 E 29th Drive Denver, CO 80210 Denver, CO 80238 303-778-6069, TTY: 711 720-214-5332, TTY: 711

Walgreens Walgreens 2000 East Colfax Ave 18550 Green Valley Ranch Blvd Denver, CO 80206 Denver, CO 80249 303-331-0917, TTY: 711 720-214-1030, TTY: 711

Walgreens Walgreens 6360 East Evans Ave 5151 W Colfax Ave Denver, CO 80222 Denver, CO 80204 303-759-8853, TTY: 711 720-214-1151, TTY: 711

Walgreens Walgreens 120 Broadway 4545 E 9th Ave Denver, CO 80203 Ste 100 303-722-0771, TTY: 711 Denver, CO 80220 303-333-4678, TTY: 711

Walgreens 1111 S Colorado Blvd Walgreens Denver, CO 80246 360 S Colorado Blvd 303-758-8083, TTY: 711 Glendale, CO 80246 720-258-8203, TTY: 711

Walgreens 2975 Federal Blvd Walgreens Denver, CO 80211 300 S Federal Blvd 303-433-8911, TTY: 711 Denver, CO 80219 303-586-8417, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walmart Pharmacy 1601 E 19th Ave 5957 W 44th Ave Ste 4650 Wheat Ridge, CO 80212 Denver, CO 80218 303-222-4474, TTY: 711 303-656-4656, TTY: 711

Walmart Pharmacy Walgreens 2770 W Evans Ave 3555 Colorado Blvd Denver, CO 80219 Denver, CO 80205 303-222-7050, TTY: 711 303-320-7847, TTY: 711

Wellshire Pharmacy Walgreens 4141 E. Dickenson Place 2870 South Colorado Boulevard Denver, CO 80222 Denver, CO 80222 303-504-6699, TTY: 711 303-757-2365, TTY: 711

Westside Neighborhood Health Cen Walmart Pharmacy 1100 Federal Blvd 9400 East Hampden Avenue Denver, CO 80204 Aurora, CO 80231 303-602-0713, TTY: 711 720-748-1700, TTY: 711 Douglas Walmart Pharmacy CVS Pharmacy 7800 East Smith Road 5010 Founders Pkwy Denver, CO 80207 Castle Rock, CO 80108 209-226-7007, TTY: 711 303-663-4715, TTY: 711

Walmart Pharmacy CVS Pharmacy 1442 S Parker Rd 1950 E County Line Rd Denver, CO 80231 Highlands Ranch, CO 80126 303-481-3520, TTY: 711 303-797-0771, TTY: 711

Walmart Pharmacy CVS Pharmacy 5141 Chambers Rd 10001 Commons St Denver, CO 80239 Lone Tree, CO 80124 303-218-6242, TTY: 711 303-209-1852, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

CVS Pharmacy Crx Pharmacy 11150 S Twenty Mile Rd 206 W County Line Rd Ste 100 Parker, CO 80134 Highlands Ranch, CO 80129 303-209-0167, TTY: 711 720-328-5767, TTY: 711

CVS Pharmacy King Soopers Pharmacy 1265 Sgt Jon Stiles Dr 5544 Promenade Pkwy Highlands Ranch, CO 80129 Castle Rock, CO 80108 303-323-4972, TTY: 711 303-663-0768, TTY: 711

CVS Pharmacy King Soopers Pharmacy 16920 Lincoln Ave 12959 S Parker Road Parker, CO 80134 Parker, CO 80134 303-805-0761, TTY: 711 303-840-7683, TTY: 711

CVS Pharmacy King Soopers Pharmacy 4050 Future St 17031 Lincoln Ave Castle Rock, CO 80109 Parker, CO 80134 303-474-5227, TTY: 711 720-851-7754, TTY: 711

Colorado Urology King Soopers Pharmacy 11960 Lioness Way 2205 W Wildcat Reserve Pkwy Ste 210 Littleton, CO 80129 Parker, CO 80134 720-344-0334, TTY: 711 865-276-2765, TTY: 711

King Soopers Pharmacy Costco Pharmacy 7284 Lagae Rd 8686 Park Meadow Ctr Dr Castle Pines, CO 80108 Littleton, CO 80124 303-688-9721, TTY: 711 303-708-8571, TTY: 711

King Soopers Pharmacy Costco Pharmacy 8673 S Quebec Street 18414 Cottonwood Dr Highlands Ranch, CO 80126 Parker, CO 80138 303-683-3669, TTY: 711 303-583-1946, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy Safeway Pharmacy 4000 Red Cedar Dr 9229 E Lincoln Ave Highlands Ranch, CO 80126 Lone Tree, CO 80124 303-683-4288, TTY: 711 303-649-9749, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 750 Ridge Road 8355 N Rampart Range Road Castle Rock, CO 80104 Littleton, CO 80125 303-660-2510, TTY: 711 303-242-3568, TTY: 711

King Soopers Pharmacy Sam's Pharmacy 17761 Cottonwood Dr 5940 Promenade Pkwy Parker, CO 80134 Castle Rock, CO 80108 303-334-9548, TTY: 711 303-379-8039, TTY: 711

Ridgeview Pharmacy Sams Pharmacy 9397 Crown Crest Blvd Ste 101 7817 Park Meadows Drive Parker, CO 80138 Lone Tree, CO 80124 303-339-5333, TTY: 711 303-662-1720, TTY: 711

Safeway Pharmacy Uchealth Highlands Ranch Hospita 880 South Perry Street 1500 Park Central Drive Castle Rock, CO 80104 Room G205 303-688-6060, TTY: 711 Highlands Ranch, CO 80129 720-516-0070, TTY: 711

Safeway Pharmacy 11051 S Parker Rd Walgreens Parker, CO 80134 9390 S Colorado Blvd 303-840-1606, TTY: 711 Highlands Ranch, CO 80126 303-683-1159, TTY: 711

Safeway Pharmacy 9255 South Broadway Walgreens Highlands Ranch, CO 80129 9141 S Broadway 303-683-0511, TTY: 711 Highlands Ranch, CO 80129 720-344-0700, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walgreens 19028 Lincoln Ave 10103 Ridgegate Pkwy Ste 117 Parker, CO 80134 Lone Tree, CO 80124 303-805-2135, TTY: 711 303-794-3220, TTY: 711

Walgreens Walmart Pharmacy 14 E Allen Street 133 Sam Walton Ln Castle Rock, CO 80108 Castle Rock, CO 80104 303-663-6858, TTY: 711 303-688-8335, TTY: 711

Walgreens Walmart Pharmacy 355 S Wilcox St 6675 Business Center Dr. Castle Rock, CO 80104 Highlands Ranch, CO 80130 303-663-5998, TTY: 711 303-683-4179, TTY: 711

Walgreens Walmart Pharmacy 6650 Timberline Rd 11101 So Parker Road Highlands Ranch, CO 80130 Parker, CO 80134 303-791-1523, TTY: 711 303-805-0709, TTY: 711

Walgreens Eagle 4175 E Wildcat Reserve Pkwy Basalt Clinic Pharmacy Highlands Ranch, CO 80126 110 Midland Ave 720-214-4910, TTY: 711 Basalt, CO 81621 970-927-3833, TTY: 711

Walgreens 13143 S Parker Rd City Market Pharmacy Parker, CO 80134 0072 Beaver Creek Place 720-214-1073, TTY: 711 Avon, CO 81620 970-949-5437, TTY: 711

Walgreens 7370 Lagae Rd City Market Pharmacy Castle Rock, CO 80108 0103 Market Street 720-214-2283, TTY: 711 Eagle, CO 81631 970-328-1311, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

City Market Pharmacy Walgreens 2109 N Frontage Road West 15 Sun Road Vail, CO 81657 Avon, CO 81620 970-476-1621, TTY: 711 970-949-8097, TTY: 711

Costco Pharmacy Walmart Pharmacy 170 Cooley Mesa Rd 171 Yoder Avenue Gypsum, CO 81637 Avon, CO 81620 970-328-7610, TTY: 711 970-949-6544, TTY: 711

Eagle Pharmacy El Paso 301 Broadway Amerita, Inc Eagle, CO 81631 2270 Garden of The Gods Road 970-328-6875, TTY: 711 Ste 102 Colorado Springs, CO 80907 719-570-3100, TTY: 711 Edwards Medical Center Pharmacy 322 Beard Creek Rd Edwards, CO 81632 CVS Pharmacy 970-569-7676, TTY: 711 5240 N Academy Blvd Colorado Springs, CO 80918 719-262-6638, TTY: 711 Vail Pharmacy 181 W Meadow Dr Ste Vail, CO 81657 CVS Pharmacy 970-479-7253, TTY: 711 3810 Bloomington St Colorado Springs, CO 80922 719-574-7493, TTY: 711 Vail Valley Pharmacy 0105 Edwards Village Blvd Ste G- Edwards, CO 81632 CVS Pharmacy 970-569-4150, TTY: 711 9670 Prominent Pt Colorado Springs, CO 80924 719-302-4267, TTY: 711

CVS Pharmacy 7353 Rangewood Dr Colorado Springs, CO 80918 719-598-2751, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

CVS Pharmacy Compass Pharmacy, LLC 3475 N Academy Blvd 3960 Maizeland Rd Colorado Springs, CO 80917 Colorado Springs, CO 80909 719-591-1515, TTY: 711 719-444-4774, TTY: 711

CVS Pharmacy Costco Pharmacy 445 N Circle Dr 5885 Barnes Rd Colorado Springs, CO 80909 Colorado Springs, CO 80922 719-633-8819, TTY: 711 719-591-3009, TTY: 711

Centura Health Pharmacy at Penro Costco Pharmacy 2222 N Nevada Avenue 5050 N Nevada Ave Colorado Springs, CO 80907 Colorado Springs, CO 80918 719-776-5486, TTY: 711 719-264-5019, TTY: 711

City Employee Pharmacy Genoa Healthcare, LLC 30 S Nevada Ave Rm L04 875 W Moreno Ave Colorado Springs, CO 80903 Colorado Springs, CO 80905 719-385-2261, TTY: 711 719-630-3421, TTY: 711

Colorado Medical Solutions Genoa Healthcare, LLC 1465 Kelly Johnson Blvd Ste 300 1795 Jet Wing Dr Ste 2230 Colorado Springs, CO 80920 Colorado Springs, CO 80916 719-308-2314, TTY: 711 719-639-2256, TTY: 711

Colorado Springs Pharmacy Ivywild Pharmacy 2224 E Pikes Peak Ave 1640 S Nevada Ave Colorado Springs, CO 80909 Colorado Springs, CO 80905 719-428-2003, TTY: 711 719-634-5541, TTY: 711

Compass Pharmacy, LLC King Soopers Pharmacy 3960 Maizeland Rd 1750 W Uintah St Colorado Springs, CO 80909 Colorado Springs, CO 80904 719-444-4774, TTY: 711 719-636-5046, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy King Soopers Pharmacy 6930 N Academy Blvd 9225 N Union Blvd Colorado Springs, CO 80918 Colorado Springs, CO 80920 719-598-5191, TTY: 711 719-522-2201, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 815 Cheyenne Meadows 3620 Austin Bluffs Pkway Colorado Springs, CO 80906 Colorado Springs, CO 80918 719-527-1640, TTY: 711 719-598-3578, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 2910 S Academy Blvd 7915 Constitution Ave Colorado Spring, CO 80916 Colorado Springs, CO 80951 719-393-9688, TTY: 711 719-284-6274, TTY: 711

King Soopers Pharmacy Medicine Shoppe 1070 W Baptist Rd 2431 N Union Blvd Colorado Springs, CO 80921 Colorado Springs, CO 80909 719-488-2988, TTY: 711 719-630-3154, TTY: 711

King Soopers Pharmacy Pharmerica 3570 Hartsel Drive 1041 Elkton Dr Colorado Springs, CO 80920 Suite A 719-590-7515, TTY: 711 Colorado Springs, CO 80907 719-599-8999, TTY: 711

King Soopers Pharmacy 6030 Stetson Hills Blvd Premier Pharmacy Group Colorado Springs, CO 80922 101 S Union Blvd 719-591-4163, TTY: 711 Colorado Springs, CO 80910 719-457-6377, TTY: 711

King Soopers Pharmacy 3250 Centennial Blvd Professional LTC Pharmacy, LLC Colorado Springs, CO 80919 595 Chapel Hills Drive 719-866-6646, TTY: 711 Suite 104 Colorado Springs, CO 80920 719-633-8278, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Professional Pharmacy, LLC Safeway Pharmacy 595 Chapel Hills Dr Ste 104 2890 N Powers Blvd Colorado Springs, CO 80920 Colorado Springs, CO 80922 719-633-8278, TTY: 711 719-573-4759, TTY: 711

Safeway Pharmacy Safeway Pharmacy 3275 W Colorado Avenue 6520 S Academy Blvd Colorado Springs, CO 80904 Colorado Springs, CO 80906 719-473-6446, TTY: 711 719-527-4807, TTY: 711

Safeway Pharmacy Safeway Pharmacy 1920 S Nevada Ave 7655 Mclaughlin Rd Colorado Springs, CO 80906 Falcon, CO 80831 719-636-5257, TTY: 711 719-495-7400, TTY: 711

Safeway Pharmacy Safeway Pharmacy 5060 N Academy Blvd 1425 S Murray Blvd Colorado Springs, CO 80918 Colorado Springs, CO 80916 719-593-1474, TTY: 711 719-591-0831, TTY: 711

Safeway Pharmacy Safeway Pharmacy 840 Village Ctr Dr 6925 Mesa Ridge Parkway Colorado Springs, CO 80919 Fountain, CO 80817 719-548-1477, TTY: 711 719-322-9358, TTY: 711

Safeway Pharmacy Safeway Pharmacy 624 Highway 105 8750 N Union Blvd Monument, CO 80132 Colorado Springs, CO 80920 719-488-1189, TTY: 711 719-282-9502, TTY: 711

Safeway Pharmacy Safeway Pharmacy 1121 North Circle Drive 7055 Austin Bluffs Pkwy Colorado Springs, CO 80909 Colorado Springs, CO 80923 719-573-6061, TTY: 711 719-264-6925, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Sams Pharmacy Uchealth Pharmacy Memorial Hos 4385 Venetucci Blvd 4050 Briargate Pkwy Colorado Springs, CO 80906 Colorado Springs, CO 80920 719-637-3874, TTY: 711 719-364-2424, TTY: 711

Sams Pharmacy Uchealth Springs Pharmacy 1850 East Woodmen Road 1400 E Boulder St Colorado Springs, CO 80920 Colorado Springs, CO 80909 719-277-0553, TTY: 711 719-365-2525, TTY: 711

St. Francis Medical Center Outpa Walgreens 6001 E Woodmen Rd 920 N Circle Dr Colorado Springs, CO 80923 Colorado Springs, CO 80909 719-571-2311, TTY: 711 719-473-9090, TTY: 711

The Medicine Shoppe Walgreens 2431 North Union Blvd 3480 N Academy Blvd Colorado Springs, CO 80909 Colorado Springs, CO 80917 719-630-3154, TTY: 711 719-380-9438, TTY: 711

The Medicine Shoppe Pharmacy Walgreens 3159 W Colorado Avenue 1810 W Uintah St Colorado Springs, CO 80904 Colorado Springs, CO 80904 719-475-9030, TTY: 711 719-473-8834, TTY: 711

The Medicine Shoppe Pharmacy Walgreens 2306 N Wahsatch 1920 S Chelton Rd Colorado Springs, CO 80907 Colorado Springs, CO 80916 719-471-3600, TTY: 711 719-570-1618, TTY: 711

The Medicine Shoppe Pharmacy Walgreens 1625 Medical Center Point 2785 Dublin Blvd Suite 140 Colorado Springs, CO 80918 Colorado Springs, CO 80907 719-593-8940, TTY: 711 719-577-9800, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walgreens 1825 S Nevada Ave 350 N Union Blvd Colorado Springs, CO 80906 Colorado Springs, CO 80909 719-473-7300, TTY: 711 719-442-2356, TTY: 711

Walgreens Walgreens 303 S Circle Drive 4305 E Platte Ave Colorado Springs, CO 80910 Colorado Springs, CO 80915 719-444-8569, TTY: 711 719-622-1726, TTY: 711

Walgreens Walgreens 2921 N Nevada Ave 6075 Barnes Road Colorado Springs, CO 80907 Colorado Springs, CO 80922 719-471-3440, TTY: 711 719-219-2793, TTY: 711

Walgreens Walgreens 5755 Constitution Ave 7910 Fountain Mesa Rd Colorado Springs, CO 80915 Fountain, CO 80817 719-591-9929, TTY: 711 719-382-0427, TTY: 711

Walgreens Walgreens 6820 Centennial Blvd 7392 Mc Laughlin Colorado Springs, CO 80919 Falcon, CO 80831 719-264-1665, TTY: 711 719-219-1252, TTY: 711

Walgreens Walgreens 6011 Rangewood Drive 7390 Rangewood Dr Colorado Springs, CO 80918 Colorado Springs, CO 80918 719-593-7119, TTY: 711 719-219-1471, TTY: 711

Walgreens Walgreens 8705 Lexington Dr 3143 W Colorado Ave Colorado Springs, CO 80920 Colorado Springs, CO 80904 719-282-7788, TTY: 711 719-632-7112, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walmart Pharmacy 4315 Centennial Blvd 3201 East Platte Ave Colorado Springs, CO 80907 Colorado Springs, CO 80909 719-264-1400, TTY: 711 719-578-0380, TTY: 711

Walgreens Walmart Pharmacy 4713 Flintridge Dr 6310 South US Hwy 85-87 Colorado Springs, CO 80918 Fountain, CO 80817 719-219-3747, TTY: 711 719-391-1505, TTY: 711

Walgreens Walmart Pharmacy 725 W Baptist Rd 707 South 8th St Colorado Springs, CO 80921 Colorado Springs, CO 80905 719-219-0230, TTY: 711 719-633-7511, TTY: 711

Walgreens Walmart Pharmacy 265 W Hwy 105 8250 Razorback Rd Monument, CO 80132 Colorado Springs, CO 80920 719-219-1288, TTY: 711 719-593-2305, TTY: 711

Walgreens Walmart Pharmacy 4470 Royal Pine Dr 1575 Space Center Drive Colorado Springs, CO 80920 Colorado Springs, CO 80915 719-445-4160, TTY: 711 719-597-9481, TTY: 711

Walgreens Walmart Pharmacy 15 N Union Blvd. 5550 East Woodmen Road Colorado Springs, CO 80909 Colorado Springs, CO 80920 303-794-3220, TTY: 711 719-531-6833, TTY: 711

Walgreens $ Walmart Pharmacy 280 Main Street 16218 Jackson Creek Parkway Colorado Springs, CO 80911 Monument, CO 80132 719-390-9123, TTY: 711 719-484-0924, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walmart Pharmacy Walmart Pharmacy 11550 Meridian Market View 2100 Legacy Cir Falcon, CO 80831 Elizabeth, CO 80107 719-522-2989, TTY: 711 303-646-2289, TTY: 711

Walmart Pharmacy Fremont 665 N Murray Blvd City Market Pharmacy Colorado Springs, CO 80915 1703 Fremont 719-596-1401, TTY: 711 Canon City, CO 81212 719-275-3319, TTY: 711

Walmart Pharmacy 1622 S Academy Blvd Fox Drug Inc Colorado Springs, CO 80916 1100 E Main St 719-244-9572, TTY: 711 Florence, CO 81226 719-784-3523, TTY: 711

Walmart Pharmacy 1725 N Union Blvd Palace Drug Colorado Springs, CO 80909 601 Main St 719-473-8250, TTY: 711 Canon City, CO 81212 719-275-3375, TTY: 711

Walmart Pharmacy 4142 Austin Bluffs Pkwy Palace Drug Colorado Springs, CO 80918 601 Main St 719-244-9783, TTY: 711 Canon City, CO 81212 719-275-3375, TTY: 711

Walmart Pharmacy 4425 Venetucci Blvd Safeway Pharmacy Fountain, CO 80906 1414 Main Street 719-313-4385, TTY: 711 Cannon City, CO 81212 719-275-7511, TTY: 711 Elbert Safeway Pharmacy 220 Elizabeth St Elizabeth, CO 80107 303-646-0656, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Clarks Pharmacy Battlement 1609 Fremont Dr 71 Sipprelle Dr Canon City, CO 81212 Parachute, CO 81635 719-275-1267, TTY: 711 970-285-5661, TTY: 711

Walmart Pharmacy Downtown Drug 3105 E US Hwy 50 825 Grand Ave Canon City, CO 81212 Glenwood Springs, CO 81601 719-275-1641, TTY: 711 970-945-7987, TTY: 711

Garfield CVS Pharmacy 1412 Grand Avenue 110 W Meadows Dr Glenwood Springs, CO 81601 Glenwood Springs, CO 81601 970-945-7403, TTY: 711 970-945-8056, TTY: 711

The Pharmacy at Valley View City Market Pharmacy 1906 Blake Ave 1320 Railroad Avenue Glenwood Springs, CO 81601 Rifle, CO 81650 970-945-2202, TTY: 711 970-625-9420, TTY: 711

Walmart Pharmacy City Market Pharmacy 3010 Blake Avenue 250 E Valley Rd Glenwood Springs, CO 81601 El Jebel, CO 81623 970-945-5114, TTY: 711 970-963-3730, TTY: 711

Walmart Pharmacy City Market Pharmacy 1000 Airport Road 1051 Highway 133 Rifle, CO 81650 Carbondale, CO 81623 970-625-8931, TTY: 711 970-963-5727, TTY: 711 Grand City Market Pharmacy City Market Pharmacy 850 Castle Valley Blvd 1001 Tompson Road New Castle, CO 81647 Granby, CO 80446 970-984-2067, TTY: 711 970-887-7150, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Kremmling Mercantile Jefferson 101 Martin Way Alpine Pharmacy Box 1600 8600 W 14th Ave Ste 4 Kremmling, CO 80459 Lakewood, CO 80215 970-724-3205, TTY: 711 303-339-0868, TTY: 711

Safeway Pharmacy Arvada Pharmacy and Medical Supp 40 County Road 804 10382 Ralston Rd Fraser, CO 80442 Arvada, CO 80004 970-726-6920, TTY: 711 720-707-2444, TTY: 711

Gunnison Blue Spruce Pharmacy City Market Pharmacy 9485 W Colfax Ave 880 N Main Lakewood, CO 80215 Gunnison, CO 81230 303-432-5925, TTY: 711 970-641-6379, TTY: 711

Blue Spruce Pharmacy at Independ Clark's Market 4851 Independence St 502 Belleview Ave Wheat Ridge, CO 80033 Crested Butte, CO 81224 303-432-5725, TTY: 711 970-349-2652, TTY: 711

CVS Pharmacy Walmart Pharmacy 7899 Wadsworth Blvd 900 North Main Street Arvada, CO 80003 Gunnison, CO 81230 303-425-8722, TTY: 711 970-641-1145, TTY: 711

CVS Pharmacy Huerfano 9390 W Cross Dr Star Drug Littleton, CO 80123 520 Main St 720-922-1524, TTY: 711 Walsenburg, CO 81089 719-738-1130, TTY: 711 CVS Pharmacy 14500 W Colfax Ave Unit B1 Lakewood, CO 80401 303-273-9949, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

CVS Pharmacy Continued Care Pharmacy LLC 10445 Reed St 3895 Upham St Ste 080 Westminster, CO 80021 Wheat Ridge, CO 80033 303-410-8330, TTY: 711 888-557-4318, TTY: 711

CVS Pharmacy Costco Pharmacy 5071 Kipling St 7900 W Quincy Ave Wheat Ridge, CO 80033 Littleton, CO 80123 303-209-1849, TTY: 711 303-948-2863, TTY: 711

CVS Pharmacy Costco Pharmacy 1985 Sheridan Blvd 5195 Wadsworth Blvd Edgewater, CO 80214 Arvada, CO 80002 720-274-3666, TTY: 711 303-463-3602, TTY: 711

CVS Pharmacy King Soopers Pharmacy 460 S Vance St 3100 S Sheridan Blvd Unit 2 Lakewood, CO 80226 Denver, CO 80227 303-209-7750, TTY: 711 303-937-4404, TTY: 711

CVS Pharmacy King Soopers Pharmacy 9936 W Bowles Ave 3400 Youngfield Littleton, CO 80123 Wheat Ridge, CO 80033 303-948-3641, TTY: 711 303-238-7301, TTY: 711

Centura Health Pharmacy at St An King Soopers Pharmacy 11600 W. 2nd Place 9731 W 58th Ave Suite 1817 Arvada, CO 80002 Lakewood, CO 80228 303-421-1200, TTY: 711 720-321-8290, TTY: 711

King Soopers Pharmacy Coast To Coast Compounding 1927 S Wadsworth Blvd 780 Simms St Ste 103 Lakewood, CO 80227 Golden, CO 80401 303-985-8797, TTY: 711 303-237-4478, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy King Soopers Pharmacy 8031 Wadsworth Blvd 1555 Quail Arvada, CO 80005 Lakewood, CO 80226 303-420-1377, TTY: 711 303-233-1001, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 12043 W Alameda Pkwy 1173 Bergen Pkwy Lakewood, CO 80228 Evergreen, CO 80439 303-988-8058, TTY: 711 303-674-8246, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 6760 S Pierce 6350 Sheridan Blvd Littleton, CO 80128 Arvada, CO 80003 303-979-2180, TTY: 711 303-428-1992, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 12350 W 64th Ave 11747 W Ken Caryl Ave Arvada, CO 80004 Littleton, CO 80127 303-422-1476, TTY: 711 303-933-5119, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 1725 Sheridan Blvd 17171 S Golden Road Edgewater, CO 80214 Golden, CO 80401 303-237-6140, TTY: 711 303-279-5684, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 9800 W Belleview 8126 South Wadsworth Blvd Littleton, CO 80123 Littleton, CO 80128 303-978-9950, TTY: 711 720-981-4610, TTY: 711

King Soopers Pharmacy King Soopers Pharmacy 1545 S Kipling 15200 W 64th Ave Lakewood, CO 80232 Arvada, CO 80007 303-989-8490, TTY: 711 720-898-4232, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

King Soopers Pharmacy Safeway Pharmacy 7984 W Alameda Ave 1701 Jackson St Lakewood, CO 80226 Golden, CO 80401 303-914-2061, TTY: 711 303-278-2284, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 8055 Sheridan Blvd 9160 W Colfax Ave Arvada, CO 80003 Lakewood, CO 80215 303-487-5325, TTY: 711 303-232-1259, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 25637 Conifer Road 7561 W 80th Avenue Conifer, CO 80433 Arvada, CO 80003 303-816-4970, TTY: 711 303-425-0371, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 14967 Candelas Pkwy 11088 W Jewell Avenue Arvada, CO 80007 Lakewood, CO 80226 720-907-6788, TTY: 711 303-989-8812, TTY: 711

Omnicare of Golden Safeway Pharmacy 15000 W 6th Ave 8434 S Kipling Pkwy Ste 300 Littleton, CO 80127 Golden, CO 80401 720-922-0749, TTY: 711 303-590-2100, TTY: 711

Safeway Pharmacy Peoples Pharmacy 5025 S Kipling Pkwy 255 Union Blvd Littleton, CO 80127 Ste 100 303-973-6795, TTY: 711 Lakewood, CO 80228 303-987-0707, TTY: 711 Safeway Pharmacy 27152 Main Street Rite Aid Conifer, CO 80433 7665West Jewell Avenue 303-838-7859, TTY: 711 Lakewood, CO 80232 303-985-3977, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Safeway Pharmacy Ultimate Health Medical Clinic I 13111 W Alameda Pkwy 7735 W Long Dr Unit 12 Lakewood, CO 80228 Littleton, CO 80123 303-980-0283, TTY: 711 303-904-0331, TTY: 711

Safeway Pharmacy Union Square Pharmacy at Belmar 3900 Wadsworth Boulevard 8015 W Alameda Wheatridge, CO 80033 Ste 100 303-456-4413, TTY: 711 Lakewood, CO 80226 303-274-7877, TTY: 711

Safeway Pharmacy 12442 W Ken Caryl Avenue Walgreens Littleton, CO 80127 11602 W 64th Ave 303-978-0184, TTY: 711 Arvada, CO 80004 303-421-5237, TTY: 711

Safeway Pharmacy 3851 S Highway 74 Walgreens Evergreen, CO 80439 10140 W Colfax Ave 303-209-5274, TTY: 711 Lakewood, CO 80215 303-238-0488, TTY: 711

Sams Pharmacy 7370 West 52nd Avenue Walgreens Arvada, CO 80002 12700 W 32nd Ave 303-420-7770, TTY: 711 Wheatridge, CO 80033 303-237-4392, TTY: 711

Sams Pharmacy 4827 S Wadsworth Way Walgreens Littleton, CO 80123 5870 S Kipling Pkwy 303-971-0038, TTY: 711 Littleton, CO 80127 303-973-4800, TTY: 711

Scl Health Pharmacy Services L 8300 W 38th Ave Walgreens T2-105 4401 Wadsworth Blvd Wheat Ridge, CO 80033 Wheatridge, CO 80033 303-403-6420, TTY: 711 303-463-7719, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walgreens 7551 W Alameda Ave 2697 W Belleview Ave Lakewood, CO 80226 Littleton, CO 80123 303-232-7549, TTY: 711 720-214-5532, TTY: 711

Walgreens Walgreens 7930 Wadsworth Blvd 6390 Mcintyre Pkwy Arvada, CO 80003 Arvada, CO 80403 303-420-5619, TTY: 711 720-214-5673, TTY: 711

Walgreens Walgreens 6395 N Sheridan Blvd 6605 Wadsworth Blvd Arvada, CO 80003 Arvada, CO 80003 303-420-7545, TTY: 711 720-214-5117, TTY: 711

Walgreens Walgreens 7496 South Simms St 11605 W Belleview Ave Littleton, CO 80127 Littleton, CO 80127 303-904-1023, TTY: 711 303-524-3745, TTY: 711

Walgreens Walgreens 9970 Wadsworth Pkwy 12880 W Alameda Pkwy Westminster, CO 80021 Lakewood, CO 80228 303-439-8600, TTY: 711 303-457-5145, TTY: 711

Walgreens Walgreens 6789 W Coal Mine Ave 17222 S Golden Rd Littleton, CO 80123 Golden, CO 80401 720-283-6236, TTY: 711 303-457-5823, TTY: 711

Walgreens Walgreens 10808 W Jewell Ave 7443 W Chatfield Ave Lakewood, CO 80232 Littleton, CO 80128 303-914-1088, TTY: 711 303-928-7053, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Walmart Pharmacy 3067 S Sheridan Blvd 440 Wadsworth Blvd Denver, CO 80227 Lakewood, CO 80226 720-214-0186, TTY: 711 303-205-0766, TTY: 711

Walgreens Walmart Pharmacy 3510 Evergreen Pkwy 7155 Sheridan Blvd Evergreen, CO 80439 Westminster, CO 80003 303-928-8982, TTY: 711 303-487-7043, TTY: 711

Walmart Pharmacy Walmart Pharmacy 7700 West Quincy Avenue 9400 Ralston Rd Littleton, CO 80123 Arvada, CO 80002 303-971-0337, TTY: 711 720-624-0333, TTY: 711

Walmart Pharmacy Ward Road Pharmacy 7455 West Colfax Avenue 6590 Holman Street Lakewood, CO 80214 Suite 203 303-274-5214, TTY: 711 Arvada, CO 80004 303-420-7979, TTY: 711

Walmart Pharmacy 952 SWede Gulch Road Wheat Ridge Professional Pharmac Golden, CO 80401 6650 W 38th Ave 303-526-2334, TTY: 711 Wheat Ridge, CO 80033 303-421-6111, TTY: 711

Walmart Pharmacy 13420 Coal Mine Ave Kiowa Littleton, CO 80127 Kiowa Drug 303-979-2870, TTY: 711 1201 Maine Eads, CO 81036 719-438-5832, TTY: 711 Walmart Pharmacy 500 Summit Blvd Broomfield, CO 80021 303-466-7911, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Kit Carson Savon Pharmacy Wb Drug 311 W College Dr 314 14th St Durango, CO 81301 Burlington, CO 80807 970-382-2228, TTY: 711 719-346-8851, TTY: 711 Walgreens La Plata 2701 Main Ave Durango, CO 81301 Bayfield Pharmacy 970-385-1001, TTY: 711 871 County Road 501 Bayfield, CO 81122 970-884-9133 711 , TTY: Walgreens 28 Town Plaza Durango, CO 81301 Centura Health Pharmacy at Mercy 970-247-5057, TTY: 711 1010 Three Springs Blvd Durango, CO 81301 970-764-1746 711 , TTY: Walmart Pharmacy 1155 South Camino Del Rio Durango, CO 81303 City Market Pharmacy 970-259-8788, TTY: 711 3130 Main Avenue Durango, CO 81301 970-247-9435, TTY: 711 Lake Safeway Pharmacy City Market Pharmacy 1900 N Poplar St 6 Town Plz Leadville, CO 80461 Durango, CO 81301 719-486-1846, TTY: 711 970-247-2921, TTY: 711 Larimer Rivergate Pharmacy Banner Family Pharmacy-Skyline 575 Rivergate Lane 2555 E 13th St Ste 125 Ste 111 Suite 125 Durango, CO 81301 Loveland, CO 80537 970-375-7711, TTY: 711 970-820-4300, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Berthoud Drug Costco Pharmacy 330 Mountain Ave 4705 Weitzel St Berthoud, CO 80513 Timnath, CO 80547 970-532-2034, TTY: 711 970-416-6125, TTY: 711

CVS Pharmacy Csu Health Network Pharmacy 1725 Rocky Mtn Ave 151 W. Lake St Suite 1100 Loveland, CO 80538 Colorado State University 970-663-1962, TTY: 711 Ft Collins, CO 80523 970-491-1402, TTY: 711

CVS Pharmacy 105 W Troutman Pkwy Foursquare P.p.s. Fort Collins, CO 80525 4803 Innovation Dr Ste 2 970-223-0840, TTY: 711 Fort Collins, CO 80525 970-223-1930, TTY: 711

CVS Pharmacy 2936 Council Tree Ave Genoa Healthcare, LLC Fort Collins, CO 80525 1250 N. Wilson Ave 970-530-3121, TTY: 711 Loveland, CO 80537 970-667-1362, TTY: 711

Centre Pharmacy Inc 915 Centre Ave Genoa Healthcare, LLC Suite 4 700 Centre Ave Ste P Ft Collins, CO 80526 Fort Collins, CO 80526 970-221-0190, TTY: 711 970-372-4680, TTY: 711

City Drug Good Day Pharmacy 209 N College Ave 2033 Boise Ave Ft Collins, CO 80524 Loveland, CO 80538 970-482-1234, TTY: 711 970-669-7500, TTY: 711

Columbine Drug Good Day Pharmacy 2295 W Eisenhower Blvd 2001 S Shields St Loveland, CO 80537 Bldg D 970-663-4600, TTY: 711 Fort Collins, CO 80526 970-224-1212, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Good Day Pharmacy King Soopers Pharmacy 2601 S Lemay Ave 4503 John F Kennedy Pkwy Ste 44 Fort Collins, CO 80525 Fort Collins, CO 80525 970-223-5769, TTY: 711 970-225-1234, TTY: 711

King Soopers Pharmacy Good Day Pharmacy 1275 Eagle Dr 7955 6th St Loveland, CO 80537 Wellington, CO 80549 970-663-2048, TTY: 711 970-568-7282, TTY: 711

King Soopers Pharmacy Harmony Emergency Department Pha 2602 S Timberline Rd 4630 Snow Mesa Dr Fort Collins, CO 80525 Fort Collins, CO 80528 970-267-5110, TTY: 711 970-237-8140, TTY: 711

King Soopers Pharmacy Integrated Medical Group 1842 North College Ave 2244 E Harmony Rd Ste 110 Fort Collins, CO 80525 Fort Collins, CO 80528 970-494-6950, TTY: 711 970-226-1117, TTY: 711

Loveland Community Health Center King Soopers Pharmacy 302 3rd St SE # 150 2325 S College Loveland, CO 80537 Fort Collins, CO 80525 970-461-3843, TTY: 711 970-484-1410, TTY: 711

Medical Center of The Rockies Ou King Soopers Pharmacy 2500 Rocky Mountain Ave 253 E 29th St Loveland, CO 80538 Loveland, CO 80538 970-624-1485, TTY: 711 970-669-6275, TTY: 711

Poudre Infusion Therapy LLC King Soopers Pharmacy 915 Centre Ave 1015 S Taft Hill Rd Ste 3 Fort Collins, CO 80521 Ft Collins, CO 80526 970-221-4940, TTY: 711 970-494-2130, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Poudre Valley Hospital Pharmacy Safeway Pharmacy 1024 S Lemay Ave 2321 W Eisenhower Blvd Fort Collins, CO 80524 Loveland, CO 80537 970-495-8034, TTY: 711 970-669-1548, TTY: 711

Ridley's Pharmacy Safeway Pharmacy 7670 5th St 1451 W Eisenhower Blvd Wellington, CO 80549 Loveland, CO 80537 970-825-7038, TTY: 711 970-667-5642, TTY: 711

Rite Aid Safeway Pharmacy 1103 West Prospect Road 1426 East Harmony Road Fort Collins, CO 80526 Fort Collins, CO 80525 970-221-3073, TTY: 711 970-223-2556, TTY: 711

Rocky Mountain Pharmacy Safeway Pharmacy 455 E Wonderview Ave B1 731 S Lemay Estes Park, CO 80517 Fort Collins, CO 80524 970-586-5577, TTY: 711 970-490-1128, TTY: 711

Safeway Pharmacy Safeway Pharmacy 3657 S College Ave 451 E Wonderview Ave Fort Collins, CO 80525 Estes Park, CO 80517 970-223-1990, TTY: 711 970-577-8226, TTY: 711

Safeway Pharmacy Salud Pharmacy Fort Collins 860 Cleveland Ave 1635 Blue Spruce Dr Loveland, CO 80537 Fort Collins, CO 80524 970-663-4092, TTY: 711 970-494-4041, TTY: 711

Safeway Pharmacy Sams Pharmacy 2160 W Drake Rd 1200 East Eisenhower Blvd Fort Collins, CO 80521 Loveland, CO 80537 970-484-2843, TTY: 711 970-461-2434, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Sams Pharmacy Walgreens 4700 Boardwalk Drive 1300 14th St SW Ft Collins, CO 80525 Loveland, CO 80537 970-204-7817, TTY: 711 970-612-1125, TTY: 711

Walgreens Walgreens 205 E Eisenhower Blvd 743 S Lemay Ave Loveland, CO 80537 Fort Collins, CO 80524 970-669-4444, TTY: 711 970-482-5492, TTY: 711

Walgreens Walgreens 2190 W Drake Rd 2268 E Harmony Rd Fort Collins, CO 80526 Fort Collins, CO 80528 970-484-5841, TTY: 711 970-530-2692, TTY: 711

Walgreens Walmart Pharmacy 4502 S College Ave 1325 North Denver Ave Fort Collins, CO 80525 Loveland, CO 80537 970-377-0300, TTY: 711 970-669-3891, TTY: 711

Walgreens Walmart Pharmacy 3690 N Garfield Ave 250 W 65th St Loveland, CO 80538 Loveland, CO 80538 970-612-0278, TTY: 711 970-461-2095, TTY: 711

Walgreens Walmart Pharmacy 2370 W Eisenhower Blvd 1250 East Magnolia St Loveland, CO 80537 Fort Collins, CO 80524 970-612-0243, TTY: 711 970-493-3934, TTY: 711

Walgreens 2614 S College Ave Fort Collins, CO 80525 970-530-2105, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walmart Pharmacy Hoffman Drug 4500 Weitzel St 900 Main St Timnath, CO 80547 Limon, CO 80828 970-493-4285, TTY: 711 719-775-2371, TTY: 711

Walmart Pharmacy Silver Spring Pharmacy 4625 S Mason St 333 M Ave #200 Fort Collins, CO 80525 Limon, CO 80828 970-372-3481, TTY: 711 719-775-0400, TTY: 711

Las Animas Logan Hometown Pharmacy and Medical Cj Pharmacy II 824 E Main St 422 Main St Trinidad, CO 81082 Sterling, CO 80751 719-845-0069, TTY: 711 970-521-0190, TTY: 711

Safeway Pharmacy Cj Pharmacy II 457 W Main St 422 Main St Trinidad, CO 81082 Sterling, CO 80751 719-846-3086, TTY: 711 970-526-9417, TTY: 711

Walmart Pharmacy Lorenzo Apothecary 2921 Toupal Drive 306 Main St Trinidad, CO 81082 Sterling, CO 80751 719-846-3358, TTY: 711 970-522-0828, TTY: 711

Lincoln Walgreens Ben's Family Pharmacy 101 W Main St 333 M Ave #100 Sterling, CO 80751 Limon, CO 80828 970-522-1447, TTY: 711 719-775-0500, TTY: 711

Walker Pharmacy 410 W Main Street Sterling, CO 80751 970-522-1302, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walker Pharmacy LTC City Market Pharmacy 410 W Main St 2770 Hwy 50 South Sterling, CO 80751 Grand Junction, CO 81503 970-522-1302, TTY: 711 970-245-1215, TTY: 711

Walmart Pharmacy City Market Pharmacy 1510 West Main 135 S Plum Sterling, CO 80751 Fruita, CO 81521 970-522-8340, TTY: 711 970-858-9508, TTY: 711

Mesa City Market Pharmacy Advanced Pharmacy Services 630 24 Rd 237 S 7th St Grand Junction, CO 81505 Grand Junction, CO 81501 970-244-8110, TTY: 711 970-242-4484, TTY: 711 City Market Pharmacy Advanced Pharmacy Services LLC 2600 North 12th St 237 S 7th St Grand Junction, CO 81501 Grand Junction, CO 81501 970-628-7563, TTY: 711 970-242-4484, TTY: 711 Colorado State Infusion, Inc. CVS Pharmacy 1401 N 1st St 2424 Highway 6 And 50 Grand Junction, CO 81501 Grand Junction, CO 81505 970-243-3411, TTY: 711 970-241-2477, TTY: 711 Colorado Surgical Affiliates LLC Canyon View Pharmacy 2373 G Rd Ste 200 2373 G Rd Ste 120 Grand Junction, CO 81505 Grand Junction, CO 81505 970-243-3061, TTY: 711 970-644-4380, TTY: 711 Genoa Healthcare, LLC City Market Pharmacy 515 28 3/4 Rd 569 32 Road Grand Junction, CO 81501 Grand Junction, CO 81504 970-361-3748, TTY: 711 970-434-9651, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Omnicare of Grand Junction Safeway Pharmacy 504 281/4 Rd 681 Horizon Drive Grand Junction, CO 81501 Grand Junction, CO 81506 970-241-0035, TTY: 711 970-257-1392, TTY: 711

Palisade Pharmacy Sams Pharmacy 707 Elberta Ave 1040 Independent Ave Ste B Grand Junction, CO 81505 Palisade, CO 81526 970-254-2875, TTY: 711 970-464-5668, TTY: 711

Walgreens Rite Aid Pharmacy 572 32nd Road 1834 North 12th Street Clifton, CO 81520 Grand Junction, CO 81501 970-523-0193, TTY: 711 970-243-3125, TTY: 711

Walgreens Rite Aid Pharmacy 2900 North Ave 2992 Paterson Road Grand Junction, CO 81504 Grand Junction, CO 81504 970-208-1014, TTY: 711 970-241-3795, TTY: 711

Walgreens Rite Aid Pharmacy 316 W Aspen Ave 400 North 1st Street Fruita, CO 81521 Grand Junction, CO 81501 970-858-0147, TTY: 711 970-263-7415, TTY: 711

Walgreens Safeway Pharmacy 240 W Park Dr 2901 F Road Grand Junction, CO 81505 Grand Junction, CO 81504 970-208-1252, TTY: 711 970-248-9871, TTY: 711

Walmart Pharmacy Safeway Pharmacy 2881 North Avenue 2512 Broadway Grand Junction, CO 81501 Grand Junction, CO 81507 970-241-6652, TTY: 711 970-257-0233, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walmart Pharmacy Safeway Pharmacy 2545 Rimrock Ave 1580 East Main Street Grand Junction, CO 81505 Cortez, CO 81321 970-248-0812, TTY: 711 970-564-1353, TTY: 711

Walmart Pharmacy Southwest Health System 541 Warrior Way 1311 North Mildred Road Grand Junction, CO 81504 Cortez, CO 81321 970-208-0041, TTY: 711 970-564-2194, TTY: 711

Moffat Ute Mountain Ute Health Center City Market Pharmacy 232 Rustling Willow 505 W Victory Way Towaoc, CO 81334 Craig, CO 81625 970-565-4441, TTY: 711 970-824-4449, TTY: 711 Walgreens Community Pharmacy at Memorial R 1671 E Main St 750 Hospital Loop Cortez, CO 81321 Craig, CO 81625 970-564-9165, TTY: 711 970-826-3055, TTY: 711 Walmart Pharmacy Walgreens 1835 East Main St 750 W Victory Way Cortez, CO 81321 Craig, CO 81625 970-565-7038, TTY: 711 970-824-0155, TTY: 711 Montrose Walmart Pharmacy CVS Pharmacy 2000 West Victory Way 3530 Wolverine Dr Craig, CO 81625 Montrose, CO 81401 970-824-0317, TTY: 711 970-497-8981, TTY: 711

Montezuma City Market Pharmacy City Market Pharmacy 128 S Townsend 508 E Main Street Montrose, CO 81401 Cortez, CO 81321 970-249-2064, TTY: 711 970-565-6466, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

City Market Pharmacy Walgreens 16400 S Townsend 2351 S Townsend Dr Montrose, CO 81401 Montrose, CO 81401 970-240-1994, TTY: 711 970-252-1743, TTY: 711

Genoa Healthcare, LLC Walmart Pharmacy 605 East Miami Road, Ste 100 16750 South Townsend Montrose, CO 81401 Montrose, CO 81401 970-497-1945, TTY: 711 970-249-7742, TTY: 711

Hartman Brothers Inc Morgan 531 E Main St B and B Pharmacy Montrose, CO 81401 1302 Edison St 970-252-1760, TTY: 711 Brush, CO 80723 970-842-2416, TTY: 711

River Valley Pharmacy 1010 S Rio Grande Ave Genoa Healthcare, LLC Montrose, CO 81401 821 E Railroad Ave 970-787-2044, TTY: 711 Suite 154 Fort Morgan, CO 80701 970-427-4033, TTY: 711 Safeway Pharmacy 1329 S Townsend Ave Montrose, CO 81401 Safeway Pharmacy 970-249-1160, TTY: 711 620 W Platte Avenue Fort Morgan, CO 80701 970-867-3027, TTY: 711 The Apothecary Shoppe 480 Main Street Nucla, CO 81424 Walgreens 970-864-2100, TTY: 711 111 E Platte Ave Ft Morgan, CO 80701 970-542-9345, TTY: 711

Walmart Pharmacy 1300 North Barlow Road Fort Morgan, CO 80701 970-542-2284, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Otero Mmh Hometown Pharmacy Harris Healthmart Pharmacy 1001 E Johnson St 309 N Main St Holyoke, CO 80734 Rocky Ford, CO 81067 970-854-2222, TTY: 711 719-254-3337, TTY: 711 Pitkin Opera House Pharmacy Carl's Pharmacy LLC 223 Colorado Ave 306 E Main St La Junta, CO 81050 Aspen, CO 81611 719-384-2521, TTY: 711 970-925-3273, TTY: 711

Safeway Pharmacy City Market Pharmacy 315 W 2nd Street 685 E Cooper Ave Ste A112 La Junta, CO 81050 Aspen, CO 81611 719-384-6616, TTY: 711 303-778-3398, TTY: 711

Walmart Pharmacy Clarks Pharmacy Aspen 6 Conley Road 300 Puppy Smith St. La Junta, CO 81050 Aspen, CO 81611 719-384-5954, TTY: 711 970-925-2728, TTY: 711

Ouray Prowers Stacie's Apothecary Shoppe Safeway Pharmacy 112 Village Square West 906 East Olive Street Suite #110 Lamar, CO 81052 Ridgway, CO 81432 719-336-0880, TTY: 711 970-626-7100, TTY: 711

Walmart Pharmacy Phillips 1432 East Olive St Haxtun Hospital District Pharmac Lamar, CO 81052 235 W Fletcher St 719-336-0541, TTY: 711 Haxtun, CO 80731 970-774-6979, TTY: 711 Willow Creek Health Mart 1700 S Main St Lamar, CO 81052 719-336-3200, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Pueblo J B Pharmacy Blende Drug Inc 915 W Northern Ave 1910 Santa Fe Dr Pueblo, CO 81004 Pueblo, CO 81006 719-545-1811, TTY: 711 719-542-2477, TTY: 711 King Soopers Pharmacy Broadway Pharmacy Inc. 3050 W Northern 101 Colorado Ave Pueblo, CO 81004 Pueblo, CO 81004 719-564-0491, TTY: 711 719-545-0430, TTY: 711 King Soopers Pharmacy CVS Pharmacy 102 W 29th Ave 3300 Dillon Dr Pueblo, CO 81003 Pueblo, CO 81008 719-544-0870, TTY: 711 719-696-6685, TTY: 711 Mesa Pharmacy Centura Health Pharmacy at St. M 25140 E US Highway 50 1008 Minnequa Ave Pueblo, CO 81006 Pueblo, CO 81004 719-544-1371, TTY: 711 719-557-5676, TTY: 711 Omnicare of Pueblo Colorado Mental Health Institute 4602 Elizabeth Street 1600 W 24th St Suite 190 Pueblo, CO 81003 Pueblo, CO 81008 719-546-4215, TTY: 711 719-544-2146, TTY: 711

Genoa Healthcare, LLC Prescription Shop 1304 Chinook Lane 1728 S Prairie Ave Pueblo, CO 81001 Pueblo, CO 81005 719-296-6937, TTY: 711 719-564-0220, TTY: 711

Genoa Healthcare, LLC Prescription Shop 41 Montebello Rd Ste 122 1728 S. Prairie Ave Pueblo, CO 81001 1728 S. Prairie Ave 719-283-1075, TTY: 711 Pueblo, CO 81005 719-564-0220, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Pueblo Community Health Center P Valley Pharmacy 110 East Routt Ave 4493 Bent Brothers Blvd Pueblo, CO 81004 Colorado City, CO 81019 719-543-8718, TTY: 711 719-676-3333, TTY: 711

Pueblo Community Health Center P Walgreens 1302 E 5th St 2900 W Northern Ave Pueblo, CO 81001 Pueblo, CO 81005 719-476-0220, TTY: 711 719-561-9728, TTY: 711

Safeway Pharmacy Walgreens 1231 S Prarie Avenue 1811 W US Hwy 50 Pueblo, CO 81005 Pueblo, CO 81008 719-561-4407, TTY: 711 719-296-8007, TTY: 711

Safeway Pharmacy Walgreens 1017 Market Plaza North 1013 Bonforte Blvd Pueblo West, CO 81007 Pueblo, CO 81001 719-547-2913, TTY: 711 719-544-9998, TTY: 711

Sams Pharmacy Walgreens 412 Eagleridge Blvd 1520 W 4th St Pueblo, CO 81008 Pueblo, CO 81004 719-553-0914, TTY: 711 719-404-0069, TTY: 711

Savon Pharmacy Walgreens 1601 Hwy 50 W 958 Hailey Ln Pueblo, CO 81008 Pueblo West, CO 81007 719-543-5921, TTY: 711 719-404-0081, TTY: 711

The Pharmacy at Parkview Walmart Pharmacy 400 W 16th St 4200 Dillon Dr Suite 101 Pueblo, CO 81008 Pueblo, CO 81003 719-543-8348, TTY: 711 719-595-7900, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walmart Pharmacy Routt 4080 West Northern Ave. Bonfiglio Drug Pueblo, CO 81005 118 Main St 719-561-0951, TTY: 711 118 Main St Oak Creek, CO 80467 970-736-2377, TTY: 711 Walmart Pharmacy 78 North Mcculloch Blvd Pueblo West, CO 81007 City Market 719-647-9925, TTY: 711 1825 Central Park Plz Steamboat Springs, CO 80477 970-879-7317, TTY: 711 Walmart Pharmacy 2730 S Prairie Ave Pueblo, CO 81005 Community Pharmacy at Steamboat 719-696-6159, TTY: 711 2201 Curve Plz Unit A-101 Unit A Unit A101 Rio Blanco Steamboat Springs, CO 80487 970-629-3004, TTY: 711 Meeker Drugs, Inc. 315 6th St Meeker, CO 81641 Dba: Lyons Corner Drug 970-878-9988, TTY: 711 840 Lincoln Ave Steamboat Springs, CO 80487 970-879-1114, TTY: 711 Rangely Pharmacy 225 Eagle Crest St Rangely, CO 81648 Lyons Corner Drug 970-675-2169, TTY: 711 840 Lincoln Ave Steamboat Springs, CO 80487 970-879-1114, TTY: 711 Rio Grande Jacks Market Pharmacy 222 Solar Ave Safeway Pharmacy Monte Vista, CO 81144 37500 E US Hwy 40 719-852-9894, TTY: 711 #881030 Steamboat Springs, CO 80487 970-879-2503, TTY: 711 Monte Vista Medical Clinic Pharm 1033 2nd Ave Monte Vista, CO 81144 719-628-0533, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walgreens Summit 1440 Pine Grove Rd CVS Pharmacy Steamboat Springs, CO 80487 715 Blue River Pkwy 970-879-1968, TTY: 711 Silverthorne, CO 80498 970-468-2311, TTY: 711 Walmart Pharmacy 1805 Central Park Drive City Market Pharmacy Steamboat Springs, CO 80477 300 Dillon Ridge Rd 970-879-8688, TTY: 711 Dillon, CO 80435 970-468-5369, TTY: 711 Yampa Valley Medical Center Outp 1024 Central Park Dr City Market Pharmacy Steamboat Springs, CO 80487 400 N Park Ave 970-875-2771, TTY: 711 Breckenridge, CO 80424 970-547-9343, TTY: 711 San Miguel Sunshine Pharmacy Safeway Pharmacy 333 W Colorado Ave Suite 3 1008 N Summit Boulevard Telluride, CO 81435 Frisco, CO 80443 970-728-3601, TTY: 711 970-668-9980, TTY: 711

Umc Pharmacy Walgreens 1350 Aspen Street 269 Dillon Ridge Rd Suite B Dillon, CO 80435 Norwood, CO 81423 970-468-0287, TTY: 711 970-327-4233, TTY: 711

Walmart Pharmacy Sedgwick 840 Summit Blvd Abts Pharmacy LLC Frisco, CO 80443 121 Cedar St 970-668-5961, TTY: 711 Julesburg, CO 80737 970-474-3672, TTY: 711 Teller City Market Pharmacy 777 Gold Hill Place Woodland Park, CO 80863 719-687-6007, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Mountain Key Pharmacy CVS Pharmacy 18172 County Road 1 4400 Centerplace Dr Florissant, CO 80816 Greeley, CO 80634 719-309-9525, TTY: 711 970-330-5414, TTY: 711

Safeway Pharmacy Dales Pharmacy 1101 E US Hwy 24 237 Denver Avenue Woodland Park, CO 80866 Fort Lupton, CO 80621 719-686-9161, TTY: 711 303-857-6266, TTY: 711

Walgreens Front Range Dermatology Associat 140 Paradise Cir 6801 W 20th St Unit 208 Woodland Park, CO 80863 Greeley, CO 80634 719-687-8104, TTY: 711 970-673-1155, TTY: 711

Walmart Pharmacy Genoa Healthcare, LLC 19600 East US Highway 24 1300 N 17th Ave Woodland Park, CO 80863 Greeley, CO 80631 719-687-4308, TTY: 711 970-475-6016, TTY: 711

Washington Good Day Pharmacy B & B Drug 1900 16th St 149 Main Avenue Suite 102 Akron, CO 80720 Greeley, CO 80631 970-514-4433, TTY: 711 970-576-3178, TTY: 711

Weld Good Day Pharmacy Atrium Apothecary 180 S Elm Ave Eaton, CO 80615 1801 16th St 970-454-2110, TTY: 711 Greeley, CO 80631 970-810-4500, TTY: 711 Good Day Pharmacy Banner Home Medsolutions 4775 Larimer Pkwy Johnstown, CO 80534 1990 59th Ave 970-461-9101, TTY: 711 Greeley, CO 80634 970-810-6455, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Good Day Pharmacy Longs Peak Hospital 201 Johnstown Center Dr 1750 E Ken Pratt Blvd Johnstown, CO 80534 Longmont, CO 80504 970-587-1128, TTY: 711 720-718-1255, TTY: 711

King Soopers Pharmacy Monfort Family Clinic Pharmacy 2712 11th Ave 2930 11th Avenue Greeley, CO 80631 Evans, CO 80620 970-353-9780, TTY: 711 970-395-9011, TTY: 711

King Soopers Pharmacy Rite Aid 2100 35th Avenue 1013 11th Street Greeley, CO 80632 Greeley, CO 80631 970-339-1717, TTY: 711 970-304-1218, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 1520 Main Street 3526 W 10th Street Windsor, CO 80550 Greeley, CO 80634 970-674-2840, TTY: 711 970-351-8650, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 1611 Pace Street 1535 Main St Longmont, CO 80504 Windsor, CO 80550 303-776-7590, TTY: 711 970-674-1188, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 6110 Firestone Blvd 8134 Colorado Blvd Firestone, CO 80504 Firestone, CO 80504 303-682-4170, TTY: 711 303-833-2813, TTY: 711

King Soopers Pharmacy Safeway Pharmacy 6922 W 10th St 1300 Dexter Street Greeley, CO 80634 Fort Lupton, CO 80621 970-392-4150, TTY: 711 303-857-6380, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Safeway Pharmacy Walgreens 4548 Centerplace Dr 1480 Main St Greeley, CO 80634 Windsor, CO 80550 970-330-9962, TTY: 711 970-686-0838, TTY: 711

Sams Pharmacy Walgreens 3247 23rd Avenue 3700 35th Ave Evans, CO 80620 Evans, CO 80620 970-330-1011, TTY: 711 970-330-4368, TTY: 711

Summit View Pharmacy Walgreens 2001 70th Ave 1641 23rd Ave Suite 104 Greeley, CO 80634 Greeley, CO 80634 970-356-1177, TTY: 711 970-810-2000, TTY: 711

Walgreens The Pharmacy at St Michaels 3700 W 10th St 2914 67th Ave Ste 101 Greeley, CO 80634 Greeley, CO 80634 970-475-0192, TTY: 711 970-978-4557, TTY: 711

Walgreens The Salud Pharmacy 5962 Firestone Blvd 1115 2nd Street Firestone, CO 80504 Fort Lupton, CO 80621 303-532-8069, TTY: 711 720-322-9445, TTY: 711

Walgreens Uchealth Greeley Hospital Pharma 2600 11th Ave 6767 W 29th St Rd Greenly, CO 80631 Greeley, CO 80634 970-475-0554, TTY: 711 970-652-2125, TTY: 711

Walmart Pharmacy Walgreens 2285 E Ken Pratt Blvd 835 E 17th Ave Longmont, CO 80504 Longmont, CO 80504 303-678-0931, TTY: 711 303-651-7468, TTY: 711

= 90-day supply = Mail service pharmacy = e-prescribe Retail pharmacies, including chain pharmacies near you (continued)

Walmart Pharmacy Yuma 3103 23rd Avenue Foltmer Health Mart Drug Greeley, CO 80631 317 Main St 970-330-4557, TTY: 711 Wray, CO 80758 970-332-4911, TTY: 711 Walmart Pharmacy 920 47th Avenue Good Day Pharmacy Greeley, CO 80634 315 E 8th Ave 970-353-8375, TTY: 711 Yuma, CO 80759 970-848-5427, TTY: 711 Walmart Pharmacy 2514 Main St Longmont, CO 80504 303-774-9419, TTY: 711

Mail service pharmacies Our mail service pharmacies will ship your prescription drugs directly to your home. For more information, please see your Evidence of Coverage. Below are the mail service pharmacies in the plan’s network.

Preferred mail service pharmacy: Other mail service pharmacies: OptumRx Advanced Diabetes Supply Toll-free 1-877-889-6358 TTY 711 Toll-free 1-866-422-4866, TTY 711 www.OptumRx.com www.northcoastmed.com

Optum Specialty Pharmacy Alliance Rx Walgreens Prime Home Toll-free 1-855-242-2241, TTY 711 Delivery www.Specialty.OptumRx.com Toll-free 1-800-489-2197 TTY 1-888-492-2968 www.alliancerxwp.com/home-delivery

= 90-day supply = Mail service pharmacy = e-prescribe Home infusion pharmacies near you The plan will cover home infusion therapy if: • The plan has approved your prescription drug for home infusion therapy; and • You get your prescription from an authorized prescriber. For more information, please see your Evidence of Coverage. Below are some of the home infusion network pharmacies in your area.

Arapahoe Optum Infusion Services , LLC Accredo Health Group Inc 12503 E Euclid Dr Ste 80 361 Inverness Dr South Centennial, CO 80111 Ste F 303-708-1124 Englewood, CO 80112 303-799-6550 Paragon Infusion Care 8811 American Way Amerita, Inc Suite 150 7307 S Revere Pkwy Englewood, CO 80112 Centennial, CO 80112 866-972-5888 303-355-4745 Denver Coram CVS/Specialty Infusion Ser Us Bioservices 12450 E Arapahoe Rd 501 W 44th Ave Unit A Suite A1 Denver, CO 80216 Centennial, CO 80112 800-809-0647 303-799-0093 El Paso Option Care 345 Inverness Dr. South Amerita, Inc Suite 140, Building A 2270 Garden of The Gods Road Englewood, CO 80112 Ste 102 303-694-1202 Colorado Springs, CO 80907 719-570-3100

Mesa Advanced Pharmacy Services LLC 237 S 7th St Grand Junction, CO 81501 970-242-4484

= 90-day supply = Mail service pharmacy = e-prescribe Home infusion pharmacies near you (continued)

Colorado State Infusion, Inc. Weld 1401 N 1st St Banner Home Medsolutions Grand Junction, CO 81501 1990 59th Ave 970-243-3411 Greeley, CO 80634 970-810-6455 Montrose Hartman Brothers Inc 531 E Main St Montrose, CO 81401 970-252-1760

Long-term care pharmacies near you Residents of a long-term care facility may get their covered prescription drugs from their facility’s long- term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. Below are some of the long-term care network pharmacies in your area.

Adams Alamosa Colorado Veterans Community Livi Genoa Healthcare, LLC 1919 Quentin St 8745 County Road 9 South, Ste 15 Aurora, CO 80045 Alamosa, CO 81101 720-857-6422 719-937-4750

Genoa Healthcare, LLC Arapahoe 8989 Huron St Ste 204 Clearspring Pharmacy Thornton, CO 80260 8031 Southpark Cir Ste A 303-487-1146 Littleton, CO 80120 303-795-4300

Remedi Seniorcare of Colorado 8971 Harlan St Unit B Genoa Healthcare, LLC Westminster, CO 80031 791 Chambers Rd Rm 152 303-993-8604 Aurora, CO 80011 720-388-1880

= 90-day supply = Mail service pharmacy = e-prescribe Long-term care pharmacies near you (continued)

Grane Supply D/B/A Grane Rx Genoa Healthcare, LLC 3251 Revere St Ste 205 975 North St Ste P1 Aurora, CO 80011 Boulder, CO 80304 720-381-3737 720-399-6026

Heartland Pharmacy Denver Pdc Pharmacy Colorado, Inc 8599 Prairie Trail Drive 4665 Nautilus Ct Ste 101 Ste A300 Boulder, CO 80301 Englewood, CO 80112 303-530-1188 303-248-7920 Broomfield Partners In Pharmacy Pharmerica 9450 E Mississippi Ave Unit C 557 Burbank Street Denver, CO 80247 Suite Q 720-341-8881 Broomfield, CO 80020 303-460-9474

Saddle Rock Pharmacy 22962 E Smoky Hill Rd Crowley Aurora, CO 80016 Arkansas Valley Accumed 720-353-4212 228 Main St Ordway, CO 81063 Baca 719-267-3544 R & R Family Pharmacy 27913 US Highway 287 Denver Springfield, CO 81073 Advanced Pharmacy Services LLC 719-523-6201 4605 Quebec St. Ste B-11 Boulder Denver, CO 80216 303-592-2000 Beattie's Healthmart Pharmacy 3140 Village Vista Dr Unit 100 Erie, CO 80516 Colorado Mental Health Institute 720-890-5095 3520 W Oxford Ave Denver, CO 80236 303-866-7149

= 90-day supply = Mail service pharmacy = e-prescribe Long-term care pharmacies near you (continued)

Red Rock Pharmacy Pharmerica 1240 S Parker Rd Ste 200 1041 Elkton Dr Denver, CO 80231 Suite A 303-745-3000 Colorado Springs, CO 80907 719-599-8999

Scales Pharmacy LLC 1999 Pennsylvania St Premier Pharmacy Group Denver, CO 80203 101 S Union Blvd 720-388-9339 Colorado Springs, CO 80910 719-457-6377

Tks Pharmacy 4809 Argonne St Ste 225 Professional LTC Pharmacy, LLC Denver, CO 80249 595 Chapel Hills Drive 720-583-2110 Suite 104 Colorado Springs, CO 80920 719-633-8278 El Paso Compass Pharmacy, LLC 3960 Maizeland Rd The Medicine Shoppe Pharmacy Colorado Springs, CO 80909 2306 N Wahsatch 719-444-4774 Colorado Springs, CO 80907 719-471-3600

Genoa Healthcare, LLC Fremont 875 W Moreno Ave Colorado Springs, CO 80905 Palace Drug 719-630-3421 601 Main St Canon City, CO 81212 719-275-3375 Genoa Healthcare, LLC 1795 Jet Wing Dr Ste 2230 Colorado Springs, CO 80916 Palace Drug 719-639-2256 601 Main St Canon City, CO 81212 719-275-3375 Medicine Shoppe 2431 N Union Blvd Colorado Springs, CO 80909 719-630-3154

= 90-day supply = Mail service pharmacy = e-prescribe Long-term care pharmacies near you (continued)

Jefferson Foursquare P.p.s. Alpine Pharmacy 4803 Innovation Dr Ste 2 8600 W 14th Ave Ste 4 Fort Collins, CO 80525 Lakewood, CO 80215 970-223-1930 303-339-0868 Genoa Healthcare, LLC Continued Care Pharmacy LLC 1250 N. Wilson Ave 3895 Upham St Ste 080 Loveland, CO 80537 Wheat Ridge, CO 80033 970-667-1362 888-557-4318 Genoa Healthcare, LLC Omnicare of Golden 700 Centre Ave Ste P 15000 W 6th Ave Fort Collins, CO 80526 Ste 300 970-372-4680 Golden, CO 80401 303-590-2100 Lincoln Hoffman Drug Ward Road Pharmacy 900 Main St 6590 Holman Street Limon, CO 80828 Suite 203 719-775-2371 Arvada, CO 80004 303-420-7979 Silver Spring Pharmacy 333 M Ave #200 La Plata Limon, CO 80828 Rivergate Pharmacy 719-775-0400 575 Rivergate Lane Ste 111 Logan Durango, CO 81301 970-375-7711 Cj Pharmacy II 422 Main St Sterling, CO 80751 Larimer 970-526-9417 Centre Pharmacy Inc 915 Centre Ave Suite 4 Lorenzo Apothecary Ft Collins, CO 80526 306 Main St 970-221-0190 Sterling, CO 80751 970-522-0828

= 90-day supply = Mail service pharmacy = e-prescribe Long-term care pharmacies near you (continued)

Walker Pharmacy Montrose 410 W Main Street Genoa Healthcare, LLC Sterling, CO 80751 605 East Miami Road, Ste 100 970-522-1302 Montrose, CO 81401 970-497-1945

Walker Pharmacy LTC 410 W Main St Morgan Sterling, CO 80751 Genoa Healthcare, LLC 970-522-1302 821 E Railroad Ave Suite 154 Mesa Fort Morgan, CO 80701 970-427-4033 Advanced Pharmacy Services 237 S 7th St Grand Junction, CO 81501 Phillips 970-242-4484 Haxtun Hospital District Pharmac 235 W Fletcher St Haxtun, CO 80731 Genoa Healthcare, LLC 970-774-6979 515 28 3/4 Rd Grand Junction, CO 81501 970-361-3748 Pueblo Colorado Mental Health Institute Omnicare of Grand Junction 1600 W 24th St 504 281/4 Rd Pueblo, CO 81003 Grand Junction, CO 81501 719-546-4215 970-241-0035 Genoa Healthcare, LLC Palisade Pharmacy 1304 Chinook Lane 707 Elberta Ave Pueblo, CO 81001 Ste B 719-296-6937 Palisade, CO 81526 970-464-5668 Genoa Healthcare, LLC 41 Montebello Rd Ste 122 Pueblo, CO 81001 719-283-1075

= 90-day supply = Mail service pharmacy = e-prescribe Long-term care pharmacies near you (continued)

Omnicare of Pueblo Dba: Lyons Corner Drug 4602 Elizabeth Street 840 Lincoln Ave Suite 190 Steamboat Springs, CO 80487 Pueblo, CO 81008 970-879-1114 719-544-2146 Teller Prescription Shop Mountain Key Pharmacy 1728 S. Prairie Ave 18172 County Road 1 1728 S. Prairie Ave Florissant, CO 80816 Pueblo, CO 81005 719-309-9525 719-564-0220

Weld Rio Blanco Genoa Healthcare, LLC Rangely Pharmacy 1300 N 17th Ave 225 Eagle Crest St Greeley, CO 80631 Rangely, CO 81648 970-475-6016 970-675-2169

Good Day Pharmacy Routt 4775 Larimer Pkwy Bonfiglio Drug Johnstown, CO 80534 118 Main St 970-461-9101 118 Main St Oak Creek, CO 80467 970-736-2377

= 90-day supply = Mail service pharmacy = e-prescribe Indian health service/Tribal/Urban Indian health program (I/T/U) pharmacies near you Only Native Americans and Alaska Natives can use I/T/U pharmacies in the plan’s pharmacy network. Other people may be able to use these pharmacies under limited circumstances (for example, emergencies). For more information, please see your Evidence of Coverage. Below are some of the I/T/U network pharmacies in your area.

Montezuma Ute Mountain Ute Health Center 232 Rustling Willow Towaoc, CO 81334 970-565-4441

= 90-day supply = Mail service pharmacy = e-prescribe Required Information

Other pharmacies are available in our network. The pharmacy network may change at any time. You will receive notice when necessary. This document is available for free in language of the disclaimer. Please call Customer Service number listed on the front and back covers. Este documento está disponible sin costo en el idioma de la exención de responsabilidad. Llame al Servicio al Cliente al número indicado en la portada y contraportada. OptumRx is an affiliate of UnitedHealthcare Insurance Company. You are not required to use OptumRx home delivery for a 90-day supply of your maintenance medication. If you have not used OptumRx home delivery, you must approve the first prescription order sent directly from your doctor to OptumRx before it can be filled. Prescriptions from OptumRx should arrive within 5 business days after we receive the complete order. Contact OptumRx anytime at 1-877-889-6358, TTY 711. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This directory is a partial list of pharmacies available in the plan’s pharmacy network. Changes to our pharmacy network may occur during the benefit year. An updated list of pharmacies is located on our website. For more information, please call Customer Service at: Toll-free 1-800-346-4643, TTY 711 8am-8pm: 7 Days Oct-Mar; M-F Apr-Sept

www.rmhp.org

1 Maintenance medications are typically those drugs you take on a regular basis for a chronic or long- term condition.

UHCO20DU4657406_008 Last updated August 19, 2020

T his document may be available in an alternate format Call Customer Service at the number above for more information.

This Part B pharmacy directory was updated on September 1, 2020. For more recent information or other questions, please contact Rocky Mountain Health Plans (RMHP) Customer Service at 888-282-1420 or, for TTY users, dial 711, 8am - 8pm, 7 days/week, October 1 – March 31, and 8 am – 8 pm, Monday - Friday, April 1 – September 30, or visit www.rmhpMedicare.org . Changes to our Part B pharmacy network may occur during the benefit year. An updated Part B Pharmacy Directory is located on our website at www.rmhpMedicare.org. You may also call Customer Service for updated provider information.