2016 Pharmacy Directory Blue Cross MedicareRx (PDP)SM

This Pharmacy Directory was updated on 10/2016. For more recent information or other questions, please contact Blue Cross MedicareRxSM Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711, 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluetx.com/pdp/pharmacies. Y0096_BEN_TX_PDPHDR16 Accepted 10012015

53518.1016

Blue Cross MedicareRx

Pharmacy Directory Introduction This booklet provides a list of Blue Cross MedicareRx’s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Blue Cross MedicareRx’s formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Blue Cross and Blue Shield of Texas. When it refers to “plan” or “our plan,” it means Blue Cross MedicareRx. We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Blue Cross MedicareRx only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. 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 here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 10/2016. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at getbluetx.com/pdp/pharmacies. You may also call Customer Service for updated provider information. You can go to all the pharmacies on this list, but your costs for some drugs may be lower at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with SAVE to distinguish them from other pharmacies in our network that offer standard cost sharing. Cost sharing information can be found in the Summary of Benefits. You can get prescription drugs shipped to your home through our network mail order delivery program which is called PrimeMail®. For more information, please contact us or see the mail order section of this pharmacy directory. This directory is for the State of Texas which covers the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in the directory, please see the section in this pharmacy directory Network Pharmacies outside the geographic area or contact Blue Cross MedicareRx Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711, 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluetx.com/pdp/pharmacies. This information is available for free in other languages. Please call our Customer Service number at 1-888-285-2249 (TTY/TDD users should call 711). We are open between 8:00 a.m. and 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on the weekends and holidays. Esta información está disponible en otros idiomas de forma gratuita. Comuníquese a nuestro número de Servicio al cliente al 1-888-285-2249 (los usuarios de TTY/TDD deben llamar al 711). Nuestro horario es de 8:00 a.m. a 8:00 p.m., hora local, los 7 días de la semana. Si usted llama del 15 de febrero al 30 de septiembre, durante los fines de semana y feriados, se usarán tecnologías alternas (por ejemplo, correo de voz).

i

We also list pharmacies that are in our network but are outside the State of Texas in which you live. You may also fill your prescriptions at these pharmacies. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the State of Texas or contact Blue Cross MedicareRx Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711, 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluetx.com/pdp/pharmacies. 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 first and last cover pages of this directory for information on how to contact Blue Cross MedicareRx. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the geographic area or contact Blue Cross MedicareRx Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711, 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluetx.com/pdp/pharmacies.

Pharmacy Type Total Number of Pharmacies

Retail

Long Term Care

Home Infusion

Extended Supply

Preferred Network

Preferred Extended Supply Network

65,204 Pharmacies

5,433 Pharmacies

1,064 Pharmacies

50,980 Pharmacies

25,673 Pharmacies

21,187 Pharmacies

The types of pharmacies in this directory appear in this order: Pharmacies are listed alphabetically by county and city and by type of pharmacy. The types of pharmacies in this directory appear in this order: • Mail Order Pharmacies • Chain Pharmacies • Retail Pharmacies • Long-Term Care Pharmacies • Home Infusion Pharmacies • Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies / Specialty Pharmacies Under each listing we also show additional pharmacy features. These features are identified on each page with the following key: SAVE = Preferred cost sharing. Drugs from these pharmacies may cost less than other pharmacies in our network. 90 = 90-day supply. These are retail pharmacies that offer an extended (90-day) supply of medications. 90+SAVE = 90-day supply with preferred cost sharing. Drugs from these extended supply retail pharmacies may cost less than other pharmacies in our network. 24HR = Pharmacy is open 24-hours. eRX = Pharmacy accepts electronic prescriptions from prescribers. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits and/or co-payments/co-insurance may change on January 1 of each year. The pharmacy network may change at any time. You will receive notice when necessary.

ii

Mail Order Pharmacy PrimeMail (877) 277-7895 (TTY users: 711) 24 hours a day, seven days a week www.MyPrimeMail.com You can get prescription drugs shipped to your home through our network mail order delivery service. To refill your mail order prescriptions, please contact us 10 to 20 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs within five to eight business days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at: (877) 277-7895, (TTY users: 711), 24 hours a day, seven days a week, or visit www.MyPrimeMail.com.

Chain Pharmacies Below are chain pharmacies in our network. For locations and phone numbers of stores near you, call the numbers below or visit the pharmacy website. Unless a separate number is provided, TTY users: 711.

Albertsons .................................... (877) 932-7948 www.albertsons.com/pharmacy 90

Randalls ..................................... (877) 723-3929 www.randalls.com 90

Costco ........................................... (800) 607-6861 www.costco.com 90

Sam's Club ................................ (888) 746-7726 www.samsclub.com SAVE, 90

CVS ................................................ (800) 746-7287 www.cvs.com SAVE, 90

Tom Thumb ............................... (877) 723-3929 www.tomthumb.com 90

H-E-B ............................................. (800) 432-3113 www.heb.com SAVE, 90

Walgreens ................................. (800) 925-4733 www.walgreens.com SAVE, 90

Kroger ........................................... (800) 576-4377 www.kroger.com 90

Walmart ..................................... (800) 925-6278 www.walmart.com SAVE, 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 1

ABERNATHY

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies ABERNATHY

NATIONAL CENTRAL PHARMACY... (325) 695-0491 KING PHARMACY...............................(806) 298-2222 3402 S 14TH ST • 79605 eRX 920 AVE D • 79311 OWEN PHARMACY............................ (325) 691-9000 ABILENE 2125 S 20TH ST • 79605 ABILENE STATE SUPPORTED LIVING CENT....................................................(325) 795-3523 SAMS PHARMACY............................. (325) 793-2652 5550 S CLACK ST • 79606 2501 MAPLE ST • 79602 SAVE, 90 BARNES & WILLIAMS DRUG CENTER NO. 2............................................................(325) 695-3784 TEXAS ONCOLOGY PHARMACY......(325) 690-3854 1957 ANTILLEY ROAD • 79606 4601 S 14TH ST • 79605 SAVE, 90 UNITED PHARMACY.......................... (325) 673-4737 2160 PINE ST • 79601 BARNES AND WILLIAMS DRUG CENTER...............................................(325) 677-9191 90, eRX 701 HICKORY ST • 79601 UNITED PHARMACY.......................... (325) 677-1362 SAVE, 90, eRX 920 N WILLIS • 79603 BIG COUNTRY PHARMACY.............. (325) 704-5222 90 3190 ANTILLEY RD. SUITE B • 79606 UNITED PHARMACY.......................... (325) 698-7801 90, eRX 3301 SOUTH 14TH • 79605 DRUG EMPORIUM.............................. (325) 698-0442 90 2550 BARROW ST • 79605 ADDISON 90, eRX A-SCRIPT PHARMACY.......................(214) 643-6287 HENDRICK PROFESSIONAL 17051 DALLAS PKWY # 110 • 75001 PHARMACY.........................................(325) 670-4545 SAVE, eRX 1900 PINE • ROOM 2801 • 79601 CVS PHARMACY #............................. (214) 414-0026 90, eRX 3730 BELT LINE RD • 75001 JAMES MCCOYS DRUG STORE....... (325) 677-2300 SAVE, 90, eRX 839 N JUDGE ELY • 79601 METROCARE PHARMACY AT 90, eRX MIDWAY...............................................(972) 331-6370 JAMES MCCOYS DRUG STORE 16160 MIDWAY RD, STE200 • ATTN: PHARMACY • SOUTH................................................. (325) 676-8900 75001 1725 ANTILLEY ROAD • 79606 eRX 90 PHARMACARE....................................(972) 620-6048 KMART PHARMACY7795...................(325) 690-9668 16750 WESTGROVE DR, • STE 100 • 75001 4565 S 1ST ST • 79605 PHARMACY CARE USA OF ADDISON, 90 LLC.......................................................(972) 388-1800 MARKET STREET PHARMACY......... (325) 695-4690 4500 RATLIFF LN STE 102 • 75001 4450 BUFFALO GAP RD • 79606 SKYLINE PHARMACY........................ (972) 290-1126 90, eRX 16051 ADDISON RD • 75001 SAVE

SAVE = Preferred cost sharing 90 = 90 Day Supply 2

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

ALVARADO

Retail Pharmacies Including Chain Pharmacies TOTAL LIFE CARE RX PHARMACY, CVS PHARMACY #............................. (972) 396-0096 LLC.......................................................(504) 355-4191 907 W MCDERMOTT DR • 75013 4280 KELLWAY CIR • 75001 SAVE, 90, eRX

ALAMO HEIGHTS

IMPRIMISRX........................................ (469) 675-3309 BROADWAY PHARMACY.................. (210) 824-3322 1105 N CENTRAL EXPRESSWAY SUITE 2110 • 75013 6100 BROADWAY • 78209 90 90, eRX MARKET STREET PHARMACY......... (972) 908-3840 985 BETHANY DRIVE • 75013 SANDERS DRUG STORE...................(325) 762-3979 90 104 S. MAIN ST • 76430 ALPINE SAVE, eRX CITY DRUG STORE............................ (432) 837-2252 ALEDO 202 E AVE E • 79830 ALEDO MEDICINE STORE SAVE, 90 PHARMACY.........................................(817) 441-2702 HIGHLAND DRUG...............................(432) 837-3931 621 N FM1187 • 76008 504 E AVE E • 79830 90, eRX 90, eRX BROOKSHIRES PHARMACY............. (817) 441-5982 5118 E I 20 SERVICE ROAD SOUTH • ATTENTION PRESCRIPTION SHOP....................... (432) 837-3498 909 E HOLLAND AVE • 79830 PHARMACY DEPT • 76008 90 90

ALBANY

ALTO HALL'S LNGTERMCARE PHARMACY.........................................(817) 441-5211 B AND B PHARMACY........................ (936) 858-4311 621 N FM 1187 • 76008 272 N MARCUS • 75925 ALICE

ALTON

RUSHING GONZALEZ LEGEND HEALTH PLUS PHARMACY.............. (956) 424-3535 DRUG................................................... (361) 664-4368 1315 W MAIN AVE STE 12 • 78573 301 E MAIN • 78332 90, eRX SAVE, 90 RICHARDS PHARMACY.....................(956) 584-7772 ALLEN 3509 E MAIN AVE • STE 102 • 78573 ALLEN FAMILY DRUG....................... (972) 390-9888 90 317 CENTRAL EXPY N • 75013 WELL-CARE PHARMACY & DME......(956) 271-1555 90, eRX 8115 N. LOS EBANOS STE 5 • 78573 COLLIN DRUGS.................................. (214) 570-1610 90 600 W. MACDERMOTT, STE. A • 75013 ALVARADO 90 ALVARADO PHARMACY................... (817) 783-2727 CVS PHARMACY #............................. (469) 342-2005 208 N PARKWAY DR • 76009 150 E STACY RD • STE 2400 • 75002 eRX SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 3

ALVIN

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies ALVIN

CVS PHARMACY #............................. (806) 356-9270 ALVIN CARE PHARMACY..................(281) 519-7030 8201 I-40 W • 79121 SAVE, 90, eRX 204 E HOUSE ST • 77511 90, eRX DRUG EMPORIUM.............................. (806) 358-1800 MEDIC ONE PHARMACY................... (281) 824-0222 4210 SW 45TH AVE B • 79109 90, eRX 1701 FAIRWAY DR STE 3A • 77511 90, eRX

GRAND PHARMACY.......................... (806) 350-7455 PARKWOOD PHARMACY #1000....... (281) 968-7946 3500 NE 24TH AVE • 79107 SAVE, eRX 104 W. SEALY ST. • 77511 IVSOLUTIONS OF AMARILLO........... (806) 355-5029 102 SW 3RD AVE • 79101 ADC PHARMACY................................(806) 358-0331 eRX 6700 W 9TH • 79106 JO WYATT COMMUNITY HEALTH SAVE CENTER...............................................(806) 351-7240 AMARILLO PHARMACEUTICAL CARE 1411 AMARILLO BLVD EAST • 79107 CENTER...............................................(806) 414-9390 90 1400 S COULTER STE 1100 • 79106 MARKET STREET PHARMACY......... (806) 468-9911 eRX 2530 S GEORGIA • 79109 AMARILLO PHARMACY.....................(806) 803-9401 90 6010 S WESTERN ST STE 100 • 79110 MARTIN TIPTON PHARMACY............(806) 373-2812 SAVE, eRX 1501 S TYLER ST • 79101 AMERITA............................................. (877) 602-7212 eRX 603 QUAIL CREEK DR SPC 700 • 79124 MARTIN TIPTON PHARMACY LLC....(806) 373-2812 90, eRX 1501 S TYLER ST • 79101 AMIGOS PHARMACY......................... (806) 373-8722 SAVE, 90, eRX 3300 I-40 E • 79103 MAXOR PHARMACY.......................... (806) 324-5580 90 216 SOUTH POLK • 79101 AVONDALE PHARMACY HOME HEALTH............................................... (806) 352-2708 MEDI-PARK PHARMACY................... (806) 359-5496 1920 MEDI PARK DR • 79106 5135 PLAINS BLVD • 79106 90 eRX BEST MED PANHANDLE................... (325) 646-9414 MEDICAL SQUARE PHARMACY....... (806) 350-7451 1215 S COULTER ST STE 101 • 79106 1616 S KENTUCKY ST STE A140 • 79102 SAVE, eRX CASH SAVER COST PLUS PHARMACY.........................................(806) 359-8528 OMNICARE OF AMARILLO................(806) 352-1175 2770 DUNIVEN CIRCLE • 79109 2200 S BELL • 79106 eRX PRO MED LTC.................................... (806) 379-6966 CATCHINGS PRESCRIPTIONS LTD..(806) 355-2924 704 N POLK • 79107 eRX 1900 S COULTER • STE F • 79106 SAVE, 90, eRX

AMARILLO

SAVE = Preferred cost sharing 90 = 90 Day Supply 4

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

ANSON

Retail Pharmacies Including Chain Pharmacies SAM'S CLUB PHARMACY 10-7676... (806) 513-6487 ANAHUAC 8952 WESTGATE PKWY WEST • 79124 WILCOX LEGEND DRUG STORE...... (409) 267-6141 SAVE, 90 1208 MILLER ST • 77514 SAMS PHARMACY............................. (806) 374-0622 90, eRX 2201 ROSS OSAGE DRIVE • 79103 ANDREWS SAVE, 90 NEIGHBORHOOD PHARMACY..........(432) 523-7000 SIGNA PHARMACY GROUP.............. (806) 353-7712 801 N MAIN ST STE F • 79714 1900 S COULTER ST • STE F-1 • 79106 90, eRX 24HR, eRX PRESCRIPTION SHOP....................... (432) 523-4861 SOUTHPARK PHARMACY................. (806) 358-2428 813 HOSPITAL DR • 79714 5901 S BELL ST • STE C32 • 79109 SAVE SOUTHPARK PHARMACY................. (806) 353-6530 SHOPKO PHARMACY #2554............. (432) 523-3302 3324 S GEORGIA ST • 79109 1203 N MAIN ST • 79714 eRX 90 TEXAS ONCOLOGY PHARMACY......(806) 457-2053 ANGLETON 1000 S COULTER DR, SUITE 100 • 79106 ANGLETON HEALTH MART UNITED PHARMACY.......................... (806) 383-3345 PHARMACY.........................................(979) 848-8878 3400 RIVER RD • 79107 1104 EAST MULBERRY ST STE E • 77515 90, eRX SAVE, 90, eRX UNITED PHARMACY.......................... (806) 373-3341 LTC RX................................................ (979) 849-3001 4701 S WASHINGTON • 79110 2301 E MULBERRY ST STE B • 77515 90 THE MEDICINE SHOPPE UNITED PHARMACY.......................... (806) 373-7057 PHARMACY.........................................(979) 849-9391 1501 E AMARILLO BLVD • 79107 2301 E MULBERRY • 77515 90 eRX UNITED PHARMACY.......................... (806) 353-7201 ANNA 5807 SW 45TH #100 • 79109 ANNA FAMILY PHARMACY............... (972) 895-2450 90, 24HR, eRX 813 W WHITE ST STE 200 • 75409 UNITED PHARMACY.......................... (806) 352-6650 SAVE, eRX 5601 AMARILLO BLVD W • 79106 BROOKSHIRE PHARMACY............... (972) 924-4220 90 1325 WEST WHITE STREET • 75409 UNITED PHARMACY #530................. (806) 467-6815 90 3552 S SONCY RD • 79119 ANSON 90, eRX ANSON PLAZA PHARMACY..............(325) 823-3203 VALMED PHARMACY SOLUTIONS...(806) 350-6337 1150 W COURT PLAZA • 79501 3 CARE CIR • SUITE 300 • 79124 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 5

ARANSAS PASS

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies ARANSAS PASS

IMIX RX PHARMACY.......................... (817) 617-3460 JERRYS PHARMACY......................... (361) 758-1404 1102 ORCHARD DR • SUITE B • 76012 eRX 105 S AVE A • 78336 SAVE, 90, eRX

ARGYLE

KVN PHARMACY................................ (817) 962-0417 4860 MATLOCK RD STE 120 • 76018 SAVE, 90

S AND J ARGYLE PHARMACY......... (940) 464-4500 M & A PHARMACY............................. (682) 222-7830 306 HIGHWAY 377 N • STE I • 76226 8200 MATLOCK ROAD STE 150 • 76002 90, eRX SAVE, eRX

ARLINGTON

A-CLASS PHARMACY........................(817) 466-7420 4907 S COLLINS ST STE 141 • 76018 SAVE, eRX

MATLOCK PHARMACY......................(817) 557-3900 3360 MATLOCK RD STE # 100 • 76015 90

MEDEASE RX PHARMACY................(817) 855-1035 ARLINGTON CANCER CENTER 4519 MATLOCK RD STE 135A • 76018 PHARMACY.........................................(817) 543-4685 eRX 906 W RANDOL MILL RD • 76012 NEXGEN SPECIALTY PHARMACY... (817) 583-6611 90, eRX 2233 AVENUE J STE 103 • 76006 BALLPARK PHARMACY.................... (682) 323-5449 eRX 1900 BALLPARK WAY STE 104 • 76006 NORTH COLLINS PHARMACY.......... (817) 795-8884 90, eRX 2301 N. COLLINS ST. SUITE 104 • 76011 BECO PHARMACY LLC..................... (817) 419-2804 90, eRX 3340 S WATSON RD • 76014 PATIENT RX SOLUTIONS 90, eRX PHARMACY.........................................(817) 522-7005 CVS PHARMACY #............................. (817) 557-9560 6407 S COOPER ST STE 113B • 76001 1600 W ARBROOK BLVD • 76015 eRX SAVE, 90, eRX PHARMACIA HENRIQUE....................(817) 701-1930 DFW WELLNESS PHARMACY...........(817) 459-8400 4201 INTERWAY PLACE • SUITE A • 76018 711 E LAMAR BLVD STE # 101 • 76011 SAVE, 90, eRX 90, eRX PHARMACY CONCEPTS LTD............(817) 633-6688 GEESONS PHARMACY...................... (817) 419-2688 610 MAGIC MILE ST • 76011 5201 S COOPER STREET • STE 117 • 76017 eRX 90, eRX PHARMACY DEPOT........................... (682) 323-5528 GIBSON PHARMACY......................... (817) 701-2535 1119 W RANDOL MILL RD STE 104 • 76012 3295 S COOPER ST STE 107 • 76015 90, eRX 90, eRX PHARMACY SOLUTIONS...................(817) 274-0050 HIGHPOINT PHARMACY....................(817) 466-3607 1921 W PIONEER PARKWAY • 76013 800 W ARBROOK • STE 140 • 76015 eRX eRX PREFERRED RX................................. (817) 385-4707 1221 CORPORATE DR EAST • 76006 90 SAVE = Preferred cost sharing 90 = 90 Day Supply 6

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

AUSTIN

Retail Pharmacies Including Chain Pharmacies PRIMECARE PHARMACY.................. (817) 538-9767 ASPERMONT 611 W MAIN ST • 76010 ASPERMONT PHARMACY INC..........(940) 989-2139 90, eRX 616 S WASHINGTON • 79502 RANDOL MILL LTC PHARMACY....... (682) 235-1025 eRX 1014 N FIELDER RD • STE 110 • 76012 ATHENS eRX ANDERSON DRUG............................. (903) 675-5040 RANDOL MILL PHARMACY............... (817) 274-1883 419 S PALESTINE ST • 75751 1014 N FIELDER RD • 76012 90, eRX SAVE, eRX BROOKSHIRES PHARMACY............. (903) 675-4211 RAYS TOWN NORTH PHARMACY.... (817) 274-8221 807 E TYLER STREET • ATTENTION PHARMACY 975 N COOPER ST • 76011 DEPT • 75751 90 90 REMCO PHARMACY INC................... (817) 460-4400 GIBSON PRESCRIPTION 1633 W DIVISION ST • 76012 PHARMACY.........................................(903) 675-7069 eRX 600 SOUTH PALESTINE STREET • SUITE 100 • REVCO HEALTHCARE PHARMACY. (817) 303-5100 75751 90, eRX 5504 MATLOCK ROAD • SUITE 130A • 76018

ATLANTA TCHD ARKANSAS LANE PHARMACY.........................................(817) 702-7600 RED RIVER PHARMACY OF 1050 W ARKANSAS LN STE 150 • 76013 ATLANTA.............................................(903) 799-7737 90, eRX 102 E ALLDAY ST • 75551 TEXAS ONCOLOGY PHARMACY......(817) 664-9650 SAVE, eRX 902 W RANDOL MILL RD STE 150 • 76012 eRX

ROBINSON FAMILY PHARMACY...... (903) 796-1730 213 N PINECREST DR • 75551 TEXAS ONCOLOGY PHARMACY......(817) 375-5485 90, eRX AUBREY 515 W. MAYFIELD ROAD, #101 • 76014 THE AGAPE PHARMACY...................(817) 419-2822 AUBREY PHARMACY........................ (940) 440-0400 701 S HIGHWAY 377 • 76227 6109 S COOPER ST # 111 • 76001 SAVE, 90, eRX 90, eRX TREASURE PHARMACY.................... (817) 617-3598 SAVANNAH PHARMACY................... (940) 366-8380 26795 E HIGHWAY • 380 E # SUITE800 • 76227 2625 MATLOCK RD STE 102 • 76015 SAVE, 90, eRX 90, eRX VN DISCOUNT PHARMACY............... (817) 261-9889 AUSTIN 2216 NEW YORK AVE • STE 202 • 76010 A.E. PHARMACY.................................(512) 537-3205 220 INDUSTRIAL BOULEVARD SUITE 100 • 78745 WEBB-KOHLER PHARMACY, HOME MEDICAL............................................. (817) 861-4631 SAVE, eRX 2204 PARK SPRINGS BLVD • 76013 AM PHARMACY.................................. (512) 270-4899 eRX 10401 ANDERSON MILL RD STE 112B • 78750 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 7

AUSTIN

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies AMERICAN PHARMACEUTICAL CORAM CVS/SPECIALTY INFUSION SERVICES........................................... (512) 928-8282 SERVIC................................................ (512) 338-9600 9210 CAMERON RS STE 800 • 9210 CAMERON 1905 A KRAMER LANE • STE 500 • 78758 RD STE 800 • 78754 CRESTVIEW PHARMACY.................. (512) 452-9535 AMERITA INC......................................(512) 458-3983 7100 WOODROW AVE • 78757 2101 DONLEY DR STE 105 • 78758 CVS PHARMACY #............................. (512) 443-2678 90, eRX 2300 W BEN WHITE BLVD • 78704 APA PHARMACY................................ (512) 681-2700 SAVE, 90, eRX 2501 W WILLIAM CANNON DR STE 401C • 78745 CVS PHARMACY #............................. (512) 652-0483 eRX 8601 RESEARCH BLVD • 78758 AURO PHARMACY............................. (512) 206-3150 SAVE, 90, eRX 1139 W BRAKER LANE, STE 102 • 78758 CVS PHARMACY #............................. (512) 687-0635 90, eRX 9500 S INTERSTATE 35 STE G • 78748 SAVE, 90, eRX AUSTIN COMPOUNDING PHARMACY.........................................(512) 327-7455 CVS PHARMACY #............................. (512) 892-3753 3010 BEE CAVE RD • 78746 5300 S MO PAC EXPY • 78749 90, eRX SAVE, 90, eRX AUSTIN PREFERRED INTEGRATIVE CVS PHARMACY #............................. (512) 687-1316 MEDICI................................................. (512) 442-2727 10107 RESEARCH BLVD • 78759 4316 JAMES CASEY ST • 78745 SAVE, 90, eRX eRX CVS PHARMACY #............................. (512) 651-3377 AUSTIN STATE HOSPITAL 10900 LAKELINE MALL DR • 78717 PHARMACY.........................................(512) 419-2741 SAVE, 90, eRX 4110 GUADALUPE ST • 78751 EAST AUSTIN MEDICINE SHOP........(512) 643-0999 AUSTIN STATE SUPPORTED LIVING 2115 E MARTIN LUTHER KING JR BLVD • 78702 CENTE................................................. (512) 374-6168 SAVE, eRX 2203 W 35TH ST • 78703 ECO PHARMACY OF SOUTH AUSTIN AVELLA OF AUSTIN...........................(512) 368-2962 LLC.......................................................(512) 519-9248 3016 GUADALUPE ST STE A • 78705 2555 WESTERN TRAILS BLVD • SUITE 103 • 90 78745 CAREPOINT PARTNERS................... (512) 637-4949 SAVE, eRX 5446 HWY 290 WEST • STE 203 • 78735 FARMACIA LIBERTAD....................... (737) 202-4753 CHILDREN'S HEALTH EXPRESS...... (512) 324-0149 9414 PARKFIELD DRIVE • BUILDING A • 78758 4900 MUELLER BLVD • PHARMACY DEPT • 78723 90, eRX SAVE, eRX FORTY ACRES PHARMACY.............. (512) 471-1824 100 F W DEAN KEETON SSB 1 110 • 78712 COMMUNITYCARE CENTRAL PHARMACY.........................................(512) 978-9011 SAVE, 90 2901 MONTOPOLIS DR • 78741 GENORITE PHARMACY..................... (512) 351-9160 SAVE, eRX 4544 S LAMAR BLVD STE 730 • 78745 SAVE, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 8

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

AUSTIN

Retail Pharmacies Including Chain Pharmacies HEPCARE PHARMACY...................... (512) 381-1708 PEOPLES PHARMACY.......................(512) 459-9090 2200 PARK BEND DR BLDG 1 # 300 • 78758 4018 N LAMAR BLVD • 78756 eRX SAVE, 90, eRX HILL COUNTRY APOTHECARY PEOPLES PHARMACY.......................(512) 444-8866 RIVERPLAC.........................................(512) 487-5759 3801 B S LAMAR BLVD • 78704 6611 RIVER PLACE BLVD STE 103 • 78730 SAVE, 90, eRX LAKE HILLS PHARMACY.................. (512) 608-9355 PEOPLES PHARMACY.......................(512) 327-8877 12005 BEE CAVE RD STE 1A • 78738 4201 WESTBANK DR • 78746 90, eRX SAVE, 90, eRX LAMAR FAMILY PHARMACY............ (512) 765-5831 PHARMACY ALTERNATIVES............ (512) 383-9229 8738 N LAMAR BLVD STE C • 78753 4120 FREIDRICH LN • 78744 SAVE, eRX eRX LAMAR PLAZA DRUG STORE.......... (512) 442-6777 RITE CARE PHARMACY II................. (512) 717-9988 1132 S LAMAR BLVD • 78704 3706 GUADALUPE STREET • SUITE C • 78705 90, eRX 90 LIBERTY PHARMACY........................ (512) 249-7500 RITE-AWAY PHARMACY & MEDICAL SUPPLY............................................... (512) 827-2600 8650 SPICE WOOD SPRINGS RD • STE 106 • 730 W STASSNEY LN STE 160 • 78745 78759 90, eRX SAVE, eRX NAUS ENFIELD DRUG....................... (512) 476-1221 RITE-AWAY PHARMACY #4.............. (512) 827-2250 1115 W LYNN ST • 78703 2410 E RIVERSIDE DR STE D4 • 78741 90, eRX SAVE, eRX NEIGHBORHOOD PHARMACY..........(512) 476-4751 SAM'S CLUB PHARMACY 10-6188... (512) 872-8450 2620 E 7TH ST • 78702 10901 LAKELINE MALL DR • 78717 SAVE, 90 NORTHWEST HILLS AT DAVENPORT....................................... (512) 329-8667 SAMS PHARMACY............................. (512) 349-9753 3801 CAPITOL OF TX HWY N D200 • D-120 • 9700 N CAPITAL OF TX HWY • 78759 SAVE, 90 78746 NORTHWEST HILLS PHARMACY SAMS PHARMACY............................. (512) 358-8734 LTC.......................................................(512) 617-0993 4970 HWY 290 WEST • 78735 3801 N CAPITAL OF TX HWY • STE D202 • 78746 SAVE, 90 eRX SAMS PHARMACY............................. (512) 582-4883 NUCARA PHARMACY #17................. (512) 454-9923 9900 S INTERSTATE 35 • 78748 6111 BURNET RD • 78757 SAVE, 90 PAIN SPECIALISTS OF AUSTIN SETON CENTRAL OUTPATIENT PHARMACY.........................................(512) 485-7207 PHARMACY.........................................(512) 324-7393 4100 DUVAL RD BLDG 3 # 201 • 78759 601 E 15TH ST # L.201A • 78701 90, eRX SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 9

AZLE

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies SOUTH AUSTIN PHARMACY.............(512) 383-9000 AZLE 4203A JAMES CASEY ST • 78745 BROOKSHIRES PHARMACY............. (817) 444-0306 SAVE, 90, eRX 511 NORTH STEWART ROAD • ATTENTION PHARMACY DEPT • 76020 SPECIALTY PHARMACEUTICAL SOLUTIONS.........................................(210) 375-4620 90 11209 METRIC BLVD STE B-4 • 78758 LAURA'S PHARMACY........................(817) 406-4546 eRX 605 NORTHWEST PKWY STE 150 • 76020 SAVE, eRX STONEGATE PHARMACY AT THE VILLAGE.............................................. (512) 693-4222 BACLIFF 5625 EIGER RD STE 150 • 78735 SULLIVAN PHARMACY INC.............. (281) 339-4577 90, eRX 1140 GRAND AVE • 77518 STONEGATE PHARMACY LP............(512) 707-2300 90, eRX 2501 W WILLIAM CANNON DRIVE • BLDG 2 STE BALCH SPRINGS 203 • 78745 MINYARD PHARMACY....................... (972) 557-3535 90, eRX 4202 PIONEER • 75180 TARRYTOWN EXPOCARE................. (512) 617-7312 SAVE, 90, eRX 8500 SHOAL CREEK BLVD. • BLDG. 3, SUITE 200 BALCONES HEIGHTS • 78757 eRX CVS PHARMACY #............................. (210) 280-0001 TARRYTOWN PHARMACY................ (512) 478-6419 4522 FREDERICKSBURG RD • 78201 SAVE, 90, eRX 2727 EXPOSITION BLVD • STE 105 • 78703 SAVE, 90, eRX BALLINGER TEXAS ONCOLOGY PHARMACY......(512) 416-5132 KEEL DRUG STORE...........................(325) 365-3505 4101 JAMES CASEY ST STE 250 • 78745 2001 HUTCHINGS AVE. • SUITE A • 76821 TEXAS ONCOLOGY PHARMACY......(512) 427-9448 eRX 6204 BALCONES • 78731

BANDERA

TEXAS ONCOLOGY PHARMACY......(512) 421-4188 BANDERA DRUG, LLC.......................(830) 796-3111 1100 MULBERRY STREET • 78003 901 W 38TH ST STE 200 • 78705 SAVE, eRX THE AUSTIN DIAGNOSTIC CLINIC PHARMA..............................................(512) 901-4797 BANGS 12221 N MO PAC EXPY STE 100 • 78758 RIPPETOE PHARMACY..................... (325) 752-6133 90, eRX 205 E HALL ST • 76823 VINA PHARMACY............................... (512) 977-8844 SAVE, 90, eRX 11207 N LAMAR BLVD STE A • 78753 BASTROP SAVE, 90, eRX LOCK DRUG STORE.......................... (512) 321-2422 38TH STREET PHARMACY INC.........(512) 458-3784 103 HWY 71 WEST • 78602 711 W 38TH • ST C-3 • 78705 SAVE, 90 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 10

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

BEAUMONT

Retail Pharmacies Including Chain Pharmacies BAY CITY

CORNER PHARMACY........................ (409) 842-3222 HIBBS PHARMACY............................ (979) 245-5501 3570 FANNETT RD • 77705 90 1415 AVE G • 77414 90, eRX

CVS PHARMACY #............................. (409) 898-1584 MUECKE PRESCRIPTION SHOPPE.. (979) 244-1772 5850 EASTEX FWY • 77708 SAVE, 90, eRX 2808 7TH ST • 77414 90, eRX

GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (253) 218-0830 BAYTOWN 2750 S 8TH ST • 77701 BIRDSONGS PHARMACY.................. (281) 628-7186 eRX 4002 GARTH RD STE 140A • 77521 GOLDEN TRIANGLE PHARMACY 90, eRX SERVICES........................................... (409) 832-6100 CVS PHARMACY #............................. (281) 422-5153 3515 FANNIN ST STE 105 • 77701 4510 GARTH RD • 77521 KING'S LTC PHARMACY................... (409) 983-3384 SAVE, 90, eRX 3515 FANNIN ST • SUITE 106 • 77701 GR CURE.............................................(281) 428-0009 eRX 1658 W BAKER RD • SUITE # C • 77521 KINGS PHARMACY BEAUMONT.......(409) 860-0040 90, eRX 3610 N MAJOR DRIVE • 77713 MD PHARMACY.................................. (281) 576-0106 90, eRX 11540 EAGLE DR • STE A • 77523 LOVOI AND SONS PHARMACIES..... (409) 833-7538 SOUTHSIDE PHARMACY 10..............(832) 831-8010 3480 FANNIN ST • 77701 2802 GARTH RD STE 101 • 77521 eRX SAVE, 90, eRX MALLEYS DISCOUNT PHARMACY...(409) 866-1429 WELLNESS PHARMACY....................(281) 428-4705 10 PLAZA DR AT CALDER • 77706 3007 GARTH RD • 77521 eRX 90, eRX MARKET BASKET PHARMACY.........(409) 892-2282 BEAUMONT 5960 HWY 105 • 77708 BROOKSHIRE BROTHERS eRX PHARMACY.........................................(409) 794-2006 MARKET BASKET PHARMACY.........(409) 833-1298 15303 HWY 124 • 77705 3955 PHELAN BLVD • 77707 CASH SAVER PHARMACY................ (409) 835-4558 eRX 655 E LAVACA • 77705 MCMAKIN PHARMACY...................... (409) 898-0717 eRX 4225 GLADYS • 77706 CHILDREN'S SPECIALTY 90, eRX PHARMACY.........................................(409) 838-5552 PECCIO PHARMACY PLUS............... (409) 813-1717 490 INTERSTATE 10 N STE 400 • 77702 3035 COLLEGE ST • 77701 90, eRX 90 COMMUNITY PHARMACY..................(409) 832-6539 SAMS PHARMACY............................. (409) 840-9776 365 FORSYTHE ST • 77701 1615 INTERSTATE 10 S • 77701 90 SAVE, 90 SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 11

BEDFORD

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies TEXAS ONCOLOGY PHARMACY......(409) 899-7047 PIN OAK PHARMACY.........................(713) 668-8686 690 NORTH 14TH STREET • 77702 6700 WEST LOOP S STE 325 • 77401 90, eRX BEDFORD GREEN CROSS PHARMACY............. (817) 354-7771 PLATINUM RX.....................................(713) 667-6777 5420 WEST LOOP SOUTH • STE 1500 • 77401 1305 AIRPORT FREEWAY #110 • 76021 90, eRX 90, eRX IMPULSE PHARMACY........................(682) 200-7869 RECEPT PHARMACY......................... (832) 426-1520 4747 BELLAIRE BLVD STE 135 • 76107 3901 AIRPORT FWY STE 116 • 76021 eRX 90, eRX NORTHEAST COMM CLINIC PHY..... (817) 920-6418 ST. HOPE PHARMACY.......................(832) 319-7610 6800 WEST LOOP S STE 590 • 77401 837 BROWN TRAIL • 76022 eRX 90, eRX PHYSICIANS' CHOICE INFUSION......(817) 484-0233 WESTLANDS PHARMACY................. (713) 664-1400 5819 BISSONNET ST • 77401 2700 TIBBETS DR STE 205 • 76022 eRX 90, eRX

BELLS

TEXAS ONCOLOGY PHARMACY......(817) 359-9070 1609 HOSPITAL PARKWAY • 76022 BELLS FAMILY DRUG........................(903) 965-7383 103 W BELLS BLVD • 75414 BEE CAVE 90, eRX CVS PHARMACY #............................. (512) 651-0095 BELLVILLE 3702 RANCH RD 620 S • 78738 SAVE, 90, eRX BROOKSHIRE BROTHERS PHARMACY.........................................(979) 865-8380 BEEVILLE 720 SOUTH FRONT ST • 77418 SCHULZ AND WROTEN PHARMACY.........................................(361) 358-1150 WALTER'S PHARMACY, INC.............(979) 865-3696 250 W PALM ST • 77418 122 N WASHINGTON ST • 78102 SAVE, 90, eRX 90

BELTON

TLC PHARMACY & MEDICAL EQUIPMENT........................................ (361) 362-9984 BAYLOR SCOTT & WHITE PHARMACY #229......................................................(254) 933-6000 200 S HILLSIDE DR • 78102 90, eRX 309 LAKE RD • STE B • 76513 eRX BELLAIRE

BENBROOK

AMEX PHARMACY............................. (832) 778-0400 5420 BELLAIRE BLVD • 77401 BENBROOK PHARMACY...................(817) 249-9595 90, eRX 410 MERCEDES STREET • 76126 90, eRX CUSTOM MEDS PHARMACY, INC.....(832) 431-5449 BIG LAKE 4805 BISSONNET ST • 77401 eRX NEIGHBORHOOD PHARMACY..........(325) 716-1800 116 N MAIN AVE • 76932 90 SAVE = Preferred cost sharing 90 = 90 Day Supply 12

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

BRENHAM

Retail Pharmacies Including Chain Pharmacies BIG SPRING

BORGER

BIG SPRING STATE HOSPITAL........ (432) 268-7289 UNITED PHARMACY.......................... (806) 273-6427 1901 N HWY 87 • 79720 1414 W WILSON • 79007 90 LEONARDS PRESCRIPTION PHARMACY.........................................(432) 263-7344 BOWIE 701 SCURRY ST • 79720 BOWIE PHARMACY........................... (940) 872-1140 90, eRX 503 E LONDON • 76230 PRESCRIPTION SERVICES INC........ (432) 267-2711 eRX 1002 S MAIN ST • 79720 BOYD eRX BOYD MEDICINE STORE................... (940) 433-8056 PROFESSIONAL PHARMACY........... (432) 267-2546 417 W ROCK ISLAND AVE • 76023 1000 S MAIN ST • 79720 90, eRX 90, eRX

BRACKETTVILLE

WESTOVER PHARMACY................... (432) 267-1611 CLINIC PHARMACY............................(830) 563-9334 710 WEST NARCT DR • 79720 201 JAMES ST • 78832 90, eRX

BLANCO STRICKLAND DRUGS........................ (830) 833-4815 316 PECAN ST • 78606 90, eRX

BOERNE

BRADY

CITY DRUG OF BRADY INC...............(325) 597-2325 704 W 17TH ST • 76825 SAVE, 90

BRAZORIA

MEDICINE MAN PHARMACY BOERNE DRUG COMPANY............... (830) 331-8183 BRAZORIA...........................................(979) 798-4800 725 N MAIN ST STE 2 • 78006 102 E SAN BERNARD ST • SUITE A • 77422 eRX 90, eRX ROCK PHARMACY............................. (830) 357-5052 BRECKENRIDGE 1201 SOUTH MAIN STREET • 78006 UNITED PHARMACY.......................... (254) 559-4080 SAVE, 90, eRX 2802 W WALKER ST • 76424 TALON PHARMACY OF BOERNE..... (830) 816-5910 90, eRX 1430 S. MAIN STREET • SUITE 105 • 78006

BONHAM BONHAM FAMILY DRUG................... (903) 583-7325 100 E SAM RAYBURN DRIVE • 75418 90, eRX

BREMOND

COBURNS PHARMACY..................... (254) 746-7845 101 S AUSTIN • 76629 90, eRX

BRENHAM

BROOKSHIRES PHARMACY............. (903) 583-2887 BRENHAM STATE SUPPORTED LIVING 2228 ISLAND BAYOU RD • 75418 CENT....................................................(979) 277-1351 90 4001 HIGHWAY 36 SOUTH • 77833 FANNIN PHARMACY.......................... (903) 583-8017 2108 N CENTER ST • 75418 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 13

BRIDGE CITY

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies BROOKSHIRE BROTHERS NELSON PHARMACY.........................(806) 637-3533 PHARMACY.........................................(979) 836-2567 805 TAHOKA RD • 79316 303 N AUSTIN PARKWAY • 77833 eRX KENJURA PHARMACY, INC.............. (979) 836-7922 UNITED PHARMACY.......................... (806) 637-7597 303 N PARK ST • 77833 1401 TAHOKA HWY • 79316 90, eRX 90 MEDICAL ARTS DRUG COMPANY... (979) 836-3687 BROWNSVILLE 207 E ACADEMY ST • 77833 AUTREY PHARMACY 1......................(956) 548-0801 NORMAN'S PHARMACY.................... (979) 836-5264 1205 CENTRAL BLVD • 78520 eRX 2105 S DAY ST • 77833 90, eRX AUTREY PHARMACY 2......................(956) 542-5100 NORMAN'S PHARMACY, LTC........... (979) 836-8500 1365 E RUBEN TORRES SR BLVD • 78521 eRX 2103 S DAY ST • 77833

BRIDGE CITY

AUTREY PHARMACY 3......................(956) 525-7759 800 E. ALTON GLOOR BLVD UNIT B • 78526 BRIDGE CITY FAMILY PHARMACY.. (409) 735-5555 eRX 1910 TEXAS AVE • 77611 eRX COMMUNITY PHARMACY..................(956) 542-2669 765 PAREDES LINE RD • STE B • 78521 BRIDGEPORT eRX BROOKSHIRE PHARMACY............... (940) 683-1510 COMPLETE RX PHARMACY..............(956) 554-3532 1203 US HIGHWAY 380 • 76426 1885 E PRICE • STE B • 78521 90, eRX SAVE, eRX GAILS PHARMACY.............................(940) 683-4011 CVS PHARMACY #............................. (956) 698-6121 810 WW RAY CIRCLE • 76426 301 E MORRISON RD • 78526 90 SAVE, 90, eRX VALU RITE PHARMACY.....................(940) 683-2950 ESCOBEDOS PHARMACY.................(956) 986-0707 709 WW RAY CIRCLE • 76426 4430 E 14TH ST • STE B • 78520 90, eRX 90

BROOKSHIRE

GENOA, A QOL HEALTHCARE COMPANY, B AND B PHARMACY........................ (281) 934-8441 LL......................................................... (956) 404-0202 3523 AND ONE HALF FRONT ST • 77423 861 OLD ALICE RD STE 109 • 78520 BROWNFIELD eRX CLINIC PHARMACY............................(806) 637-7049 LAS PALMAS PHARMACY................ (956) 542-7400 901 TAHOKA RD • SUITE B • 79316 864 CENTRAL BLVD STE 1200 • 78520 SAVE, 90 SAVE LIFECARE PHARMACY......................(806) 636-8000 LOS EBANOS PHARMACY LLC........ (956) 542-8542 706 E FELT ST • 79316 1134 LOS EBANOS BLVD • 78520 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 14

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

BUNA

Retail Pharmacies Including Chain Pharmacies OCEAN PLAZA PHARMACY..............(956) 504-1290 LIVE OAK PHARMACY.......................(325) 643-2648 1740 BOCA CHICA BLVD STE 400 • 78520 3707 AUSTIN AVE • 76801 90 SAVE, 90, eRX PETES PHARMACY II.........................(956) 504-9555 UNITED PHARMACY #554................. (325) 510-3400 5235 SOUTHMOST RD • STE C • 78521 300 E COMMERCE ST • 76801 90, eRX 90, eRX SAMS PHARMACY............................. (956) 350-9938 BRYAN 3570 W ALTON GLOOR B • 78520 BROOKSHIRE BROTHERS SAVE, 90 PHARMACY.........................................(979) 822-1383 TEXAS ONCOLOGY PHARMACY......(956) 547-1685 210 N MAIN ST • 77803 2150 NORTH EXPRESSWAY #83 • 78521 CVS PHARMACY #............................. (979) 774-1481 THE FRIENDLY PHARMACY............. (956) 544-1200 3061 WILDFLOWER DR • 77802 SAVE, 90, eRX 3302 BOCA CHICA BLVD • STE 107 • 78526 SAVE, eRX ST. JOSEPH PHARMACY.................. (979) 690-4801 THE NEIGHBORHOOD PHARMACY. (956) 550-8908 2601 OSLER BLVD • 77802 90, eRX 95 E PRICE RD BLDG F • 78521 SAVE, 90 THE PHARMACY CORNER................(979) 776-0902 THE PHARMACY AT UPTOWN..........(956) 544-0237 3201 UNIVERSITY DR E • SUITE 145 • 77802 90 100 UPTOWN AVE # 110-B • 78520 SAVE, eRX VILLAGE FOODS................................ (979) 846-8199 UNITED CARE PHARMACY............... (956) 546-0444 1760 BRIARCREST DR • 77802 90 1755 W PRICE RD • 78521 SAVE, eRX BUDA VALLEYWIDE PHARMACY AND BUDA DRUG STORE.......................... (512) 312-2111 DME......................................................(956) 372-1405 203 RAILROAD ST • BUILD 2 STE B • 78610 1080 E LOS EBANOS BLVD STE A • 78520 90 90, eRX

BROWNWOOD

BUFFALO

BROOKSHIRE BROTHERS BEST MED INC................................... (325) 646-9414 PHARMACY.........................................(903) 322-1315 116 SOUTH PARK DRIVE • 76801 1220 W COMMERCE • 75831 24HR

BULLARD

DOCS DRUGSTORE........................... (325) 643-3800 BROOKSHIRES PHARMACY............. (903) 894-9648 3800 HWY 377 S • 76801 213 NORTH US HWY 69 • ATTENTION SAVE, eRX PHARMACY DEPT • 75757 JACOBS FAMILY PHARMACY.......... (325) 646-1100 90 2701 AUSTIN AVE • 76801 BUNA 90, eRX AUSTIN PHARMACY.......................... (409) 994-3578 15558 FW 1004 W • 77612 90 SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 15

BURKBURNETT

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies BUNA FAMILY PHARMACY............... (409) 994-3535 CAMERON 351 TX ST HWY 62 • 77612 BAYLOR SCOTT & WHITE PHARMACY eRX #275......................................................(254) 605-1150 BURKBURNETT 101-A LAFFERTY • 76520 eRX BOOMTOWN DRUG............................(940) 569-5600 CANADIAN 514 S OKLAHOMA CUT OFF • 76354 SAVE, eRX MEDIC PHARMACY AND GIFTS........(806) 323-6171 UNITED PHARMACY.......................... (940) 569-3319 200 CHEYENNE AVE • 79014 SAVE, 90, eRX 311 SOUTH AVE D • 76354 90, eRX CANTON

BURLESON

BROOKSHIRE PHARMACY............... (903) 567-2403 BEST VALUE WEST PHARMACY......(817) 295-6128 880 E STATE HIGHWAY 243 • 75103 90, eRX 124 W RENFRO • 76028 90, eRX PEACE PHARMACY........................... (903) 567-4129 CVS PHARMACY #............................. (817) 302-0059 300 S BUFFALO ST • 75103 90, eRX 200 NW JOHN JONES DR • 76028 SAVE, 90, eRX CANYON DANDY DRUG..................................... (817) 483-3784 MEDI DRIVE PHARMACY...................(806) 655-1024 5450 E FM 1187 • 76028 507 23RD ST • 79015 90, eRX SAVE, 90 RONS APOTHECARY SHOP..............(817) 295-2273 UNITED PHARMACY.......................... (806) 655-5757 117A W RENFRO • 76028 201 N 23RD ST • 79015 RONS APOTHECARY SHOP..............(817) 295-2273 90 117 W RENFRO ST • 76028 CANYON LAKE 90 BROOKSHIRE BROTHERS PHARMACY SAMS PHARMACY............................. (817) 569-6133 #79........................................................(830) 935-3136 600 N BURLESON BLVD • 76028 18275 FM 306 • 78133 SAVE, 90 eRX

BURNET

MOUNTAIN VALLEY PHARMACY..... (830) 964-3615 LAKE AREA PHARMACY...................(512) 756-8550 1395 SATTLER RD • SUITE 8 • 78132 90 608 BUCHANAN DR • 78611 SAVE, 90, eRX CARLSBAD

CALDWELL

SAN ANGELO STATE SUPPORTED LIVING C........................................................... (325) 465-2650 BROOKSHIRE BROTHERS PHARMACY.........................................(979) 567-1446 10950 HWY 87 N • 76934 455 HWY 36 N • 77836 CARRIZO SPRINGS LIFECHEK DRUG #52.........................(830) 876-2516 314 N 5TH ST • 78834 SAVE, 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 16

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

CHANDLER

Retail Pharmacies Including Chain Pharmacies CARROLLTON

CEDAR HILL

BAYLOR SCOTT & WHITE PHARMACY CVS PHARMACY #............................. (972) 291-6813 #104......................................................(972) 512-1581 739 N HIGHWAY 67 • 75104 4323 N JOSEY LN STE 102 • 75010 SAVE, 90, eRX 90, eRX CEDAR PARK EXPRESS CARE PHARMACY............(214) 800-5526 CPRX PHARMACY..............................(832) 249-8551 3648 OLD DENTON RD STE 104 • 75007 351 CYPRESS CREEK RD • STE 100 • 78613 90, eRX 90, eRX GENERX DISCOUNT PHARMACY.....(972) 417-8895 CVS PHARMACY #............................. (512) 456-2934 1235 S JOSEY LN • SUITE 533 • 75006 1101 C-BAR RANCH TRL LOT #2 • 78613 90, eRX SAVE, 90, eRX HEBRON PHARMACY........................ (972) 394-7015 CELINA 4100 FAIRWAY DR STE 500 • SUITE #500 • 75010 BROOKSHIRES PHARMACY............. (972) 382-3989 90, eRX 675 SUNSET BLVD • ATTENTION PHARMACY PEOPLEFIRST PHARMACY...............(972) 300-4130 DEPT • 75009 2501 HEBRON PARKWAY • 100A • 75010 90 90, eRX CELINA DRUG.................................... (972) 382-2832 PRINCIPAL PAIN & SPINE 701 N. PRESTON RD • SUITE 210 • 75009 CONSULTANTS.................................. (972) 316-7270 90 1809 GOLDEN TRAIL CT STE 110 • 75010

CENTER

SMILE PHARMACY.............................(972) 446-9191 BROOKSHIRE BROTHERS 2625 OLD DENTON RD. STE. 586 • 75007 PHARMACY.........................................(936) 591-9122 90, eRX 105 HURST • 75935 TRINITY APOTHECARY..................... (972) 492-2151 eRX 2501 E HEBRON PARKWAY • SUITE 100 B • 75010 CENTERVILLE eRX CAROLS PHARMACY........................ (903) 536-7326 TRINITY PHARMACY..........................(972) 492-4411 316 SOUTH COMMERCE • 75833 1925 E ROSEMEADE PKY • 75007 90 SAVE

CARTHAGE

CHANDLER

BROOKSHIRES PHARMACY............. (903) 849-4090 BROOKSHIRE BROTHERS 703 HWY 31 EAST • ATTENTION PHARMACY PHARMACY.........................................(903) 693-6791 DEPT • 75758 412 W PANOLA • 75633 90 eRX CHANDLER DRUG, LLC.....................(903) 849-6442 CASTROVILLE 201 HWY 31 E • 75758 QRC HEALTHMART PHARMACY......(830) 931-2116 eRX 408 US HIGHWAY 90 W STE B • STE B • 78009 SAVE, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 17

CHANNELVIEW

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies CHANNELVIEW

CLEBURNE

CHANNELVIEW PHARMACY............. (281) 457-0523 BEST VALUE ROYCES PHARMACY.(817) 645-2445 441 SHELDON RD • STE C • 77530 502 N MAIN • 76033 90 90, eRX

CHILDRESS

CLEBURNE DRUG..............................(817) 645-2415 CHILDRESS OUTPOST PHARMACY.(940) 937-9030 501 N RIDGEWAY • 76033 90 805 HIGHWAY 83 NORTH • 79201 90, eRX

CLEVELAND

UNITED PHARMACY.......................... (940) 937-8242 BROOKSHIRE BROTHERS PHARMACY.........................................(281) 592-5257 2105 AVE F NW • 79201 90 603 E HOUSTON • 77327 eRX CHINA CHINA FAMILY PHARMACY.............. (409) 769-2406 CLEVELAND PHARMACY..................(281) 593-3800 111 SOUTH WILIIAM BARNETT AVE. • 77327 207 E RAILROAD • 77613 SAVE, 90, eRX

CIBOLO

CLIFTON

TRIANGLE PHARMACY SOLUTIONS LLC.......................................................(409) 838-1500 ALBRECHTS PHARMACY..................(254) 675-8398 506 W 5TH ST • 76634 791 FM 1103, STE 121 • 78108 SAVE, 90 90, eRX BROOKSHIRES PHARMACY............. (254) 675-3007 CISCO 900 FM 3220 • ATTENTION PHARMACY DEPT • BROOKSHIRES PHARMACY............. (254) 442-2251 76634 1010 AVENUE E • ATTENTION PHARMACY DEPT 90 • 76437 PILL BOX DRIVE IN PHARMACY 90 INC....................................................... (254) 675-8659 CLARENDON 210 POSEY AVE • 76634 CLARENDON OUTPOST INC............. (806) 874-5202 eRX 619 W 2ND • 79226 CLYDE 90 UNITED PHARMACY.......................... (325) 893-4297 MIKE'S PHARMACY........................... (806) 874-3554 505 S ACCESS RD • 79510 501 W 2ND STREET • 79226 90, eRX 90, eRX

CLARKSVILLE

COLDSPRING

BROOKSHIRE BROTHERS BLACKMON PHARMACY...................(903) 427-2805 PHARMACY.........................................(936) 653-3284 201 S WALNUT ST • 75426 15100 HWY 150 W • 77331

CLEAR LAKE SHORES

BROOKSHIRE BROTHERS CVS PHARMACY #............................. (281) 538-7957 PHARMACY.........................................(936) 653-8201 255 MARINA BAY DR • 77565 14761 HWY 150 WEST • 77331 SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 18

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

CONROE

Retail Pharmacies Including Chain Pharmacies COLEMAN

COLUMBUS

THE OWL DRUG STORE....................(325) 625-9448 LIFECHEK............................................(979) 732-2361 312 COMMERCIAL AVE • 76834 109 SHULT DRIVE • 78934 90, eRX SAVE, 90 TYSON PHARMACY........................... (325) 625-4136 COMANCHE 215 W PECAN ST • 76834 BROOKSHIRES PHARMACY............. (325) 356-5276 SAVE, 90, eRX 404 WEST CENTRAL • ATTENTION PHARMACY COLLEGE STATION DEPT • 76442 90 CVS PHARMACY #............................. (979) 696-4368 2100 TEXAS AVE S • 77840 COMANCHE COUNTY MEDIAL CENTER PHARM................................................ (254) 879-4961 SAVE, 90, eRX 10201 HIGHWAY 16 NORTH • 76442 GOLDSTAR PHARMACY....................(979) 690-9112 SAVE, eRX 4421 STATE HIGHWAY 6 S STE 300 • 77845 eRX COMANCHE PHARMACY...................(325) 356-2585 1001 N AUSTIN • 76442 SAMS PHARMACY............................. (979) 696-0128 90 1405 EARL RUDDER FREEWAY • 77845 COMFORT SAVE, 90 SCOTT & WHITE PHARMACY #276.. (979) 361-6301 DRUG SHOP........................................(830) 995-3300 404 HIGHWAY 27 • 78013 1296 ARRINGTON RD • 77845 90 eRX SCOTT & WHITE PHARMACY #277.. (979) 691-3900 COMMERCE 1110 EARL RUDDER FREEWAY S • 77840 BROOKSHIRES PHARMACY............. (903) 886-2867 eRX 1603 CULVER STREET • ATTENTION PHARMACY DEPT • 75428 COLLEYVILLE 90 MARKET STREET PHARMACY......... (817) 577-5030 TOTALCARE PHARMACY..................(903) 886-8888 5605 COLLEYVILLE BLVD • 76034 1607 LIVE OAK ST • 75428 90 90 VILLAGE LANE APOTHECARY......... (817) 717-2000 CONROE 60 VILLAGE LN • 76034 90, eRX GHPMA PHARMACY.......................... (281) 475-4400 3251 I-45 N. STE 190 • 77304 COLORADO CITY CORNER DRUG.................................. (325) 728-8030 LIFECHEK DRUG................................(936) 539-4900 690 S. LOOP 336 W. STE. 100 • 77304 1001 HICKORY • 79512 SAVE, 90, eRX SAVE, eRX MEDICINE PLACE...............................(325) 728-3489 LONE STAR COMMUNITY HEALTH CENTER I.............................................................(936) 523-5227 2250 CHESTNUT STREET • 79512 605 S CONROE MEDICAL DR • 77304 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 19

COOPER

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MEDICAP PHARMACY....................... (936) 494-4002 CORPUS CHRISTI 2105 W DAVIS ST STE A • 77304 AMERICAN SPECIALTY ROBERDS PHARMACY......................(936) 756-4254 PHARMACY.........................................(361) 233-0077 1521 S STAPLES ST STE 605 • 78404 503 MEDICAL CENTER BLVD STE 130 • 77304 90 eRX SAMS PHARMACY............................. (936) 539-9429 CARTER'S L.T.C PHARMACY........... (361) 452-2051 3845 SPID #B • 78415 2000 WESTVIEW BLVD • 77304 eRX SAVE, 90 ST. HOPE PHARMACY.......................(936) 494-2455 CORPUS CHRISTI STATE SUPPORTED LIVI....................................................... (361) 844-7667 1414 S FRAZIER ST STE 105 • 77301 902 AIRPORT RD • 78405 eRX VILLAGE PHARMACY........................ (936) 756-7456 CVS PHARMACY #............................. (361) 980-8979 5425 S PADRE ISLAND DR • 78411 1336 LEAGUE LINE RD STE 100 • 77304 SAVE, 90, eRX SAVE, 90 3D&S SUPREME PHARMACY........... (936) 494-3781 DELEON PHARMACY.........................(361) 882-3636 613 ELIZABETH STREET • STE 103 • 78404 203 E DAVIS ST • 77301 SAVE, 90, eRX eRX

COOPER

HAMLIN PHARMACY AND FOUNTAIN........................................... (361) 853-7303 MILLERS PHARMACY........................ (903) 395-2161 3801 S STAPLES ST • 78411 102 E DALLAS AVE • 75432 90, eRX SAVE, eRX MEDICAL PLAZA PHARMACY & LTC, COPPELL INC....................................................... (361) 387-0005 DAVITA RX.......................................... (972) 538-8100 13725 NORTHWEST BLVD STE 130 • 78410 1234 LAKESHORE DR • STE 200 • 75019 eRX 90 MEDICAL PLAZA PHARMACY INC... (361) 387-0005 PHARMACY PLUS #7......................... (972) 462-9400 13725 NORTHWEST BLVD • SUITE 130 • 78410 580 S DENTON TAP RD • STE 121 • 75019 eRX 90, eRX NICHOLS SOUTHSIDE PHARMACY..(361) 852-8288 UNITED MARKET STREET 3141 GOLLIHAR RD • 78415 PHARMACY.........................................(469) 322-6815 OMNICARE OF CORPUS CHRISTI.... (361) 299-1058 700 NORTH DENTON TAP ROAD • 75019 5449 BEAR LN • STE 420 • 78405 90, eRX PARAGON INFUSION SERVICES, COPPERAS COVE INC....................................................... (866) 972-5888 MEDICAL ARTS PHARMACY............ (254) 547-4146 4639 CORONA DR STE 26 • 78411 806 E AVE D • SUITE A • 76522 PEDIATRIC PHARMACY.................... (361) 855-3811 90, eRX 3435 S ALAMEDA ST • 78411 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 20

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

CROWLEY

Retail Pharmacies Including Chain Pharmacies PROVIDENCE CARE PHARMACY.....(361) 991-2191 SUPER 1 PHARMACY........................ (903) 874-2152 6434 SARATOGA • STE A • 78414 100 NORTH 15TH • ATTENTION PHARMACY 90 DEPT • 75110 90 PROVIDENCE CARE PHARMACY.....(361) 991-0251 COTULLA 4613 S STAPLES ST STE E • 78411 90 GADDIS PHARMACY LC....................(830) 879-2323 RC PHARMACY.................................. (361) 334-3493 302 N MAIN ST • 78014 90, eRX 5633 S STAPLES ST • 78411 SAVE, eRX CRANDALL RECEPT PHARMACY......................... (361) 853-9269 CRANDALL PHARMACY....................(972) 427-6442 3301 S ALAMEDA ST STE 100B • 78411 1317 HWY 175 STE 1000 • 75114 eRX 90, eRX SAMS PHARMACY............................. (361) 855-7995 CRANE 4833 S PADRE ISLAND DR • 78411 CRANE PHARMACY...........................(432) 558-2411 SAVE, 90 515 S ALFORD ST • 79731 SUNRISE PHARMACY INC................ (361) 887-9226 eRX 2601 HOSPITAL BLVD 107 • 78405 CROCKETT SAVE, eRX BROOKSHIRE BROTHERS CORRIGAN PHARMACY.........................................(936) 544-8188 BROOKSHIRE BROTHERS 401 NORTH FOURTH • 75835 PHARMACY.........................................(936) 398-9227 DAVY CROCKETT DRUG INC............(936) 544-2275 100 S HOME STREET • 75939 107 S 4TH ST • 75835 eRX 90, eRX

CORSICANA

CROSBYTON

BROOKSHIRES PHARMACY............. (903) 874-1111 REGIONAL LEGEND PHARMACY.....(806) 675-2001 800A NORTH MAIN • ATTENTION PHARMACY 622 W MAIN ST • 79322 DEPT • 75110 SAVE, eRX 90

CROSS PLAINS

HOMETOWN PHARMACY.................. (903) 872-3784 LARSON'S PHARMACY..................... (254) 725-7130 2800 HWY 22 WEST • 75110 109 NE 2ND ST • 76443 90, eRX eRX P & S PHARMACY.............................. (903) 874-5691 CROWELL 829 N MAIN ST • 75110 SAVE, eRX SHAW'S PHARMACY......................... (940) 684-1581 P & S PHARMACY LTC...................... (903) 874-5121 102 E COMMERCE • 79227 90 829 N MAIN ST STE C • STE C • 75110 SAVE, eRX

CROWLEY GATEWAY PHARMACY..................... (817) 297-2000 921 FM 1187 E STE A • 76036 SAVE

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 21

CRYSTAL CITY

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies CRYSTAL CITY

RX ONE PHARMACY..........................(281) 656-2000 LIFECHEK............................................(830) 374-3436 9740 BARKER CYPRESS ROAD • STE 107 • 77433 90, eRX 224 E ZAVALA ST • 78839 DAINGERFIELD SAVE, 90

CUERO

BROOKSHIRES PHARMACY............. (903) 645-4552 LIFECHEK............................................(361) 275-2308 609 LINDA DRIVE • ATTENTION PHARMACY DEPT • 75638 101 EAST MAIN ST • 77954 90 SAVE, 90, eRX REUSS PHARMACY........................... (361) 275-3411 FRED'S PHARMACY...........................(903) 645-2255 218 EAST MW WATSON BLVD. • 75638 515 N ESPLANADE ST • 77954 90, eRX SAVE, 90

CYPRESS

DALHART

A PLUS PHARMACY.......................... (281) 858-5353 BOWERS PRESCRIPTION SHOP...... (806) 249-4343 121 E TEXAS BLVD • 79022 8190 BARKER CYPRESS RD STE 800 • 77433 eRX 90, eRX BC PHARMACY INC........................... (832) 334-5695 UNITED PHARMACY.......................... (806) 249-4772 1601 TENNESSEE • 79022 14030 TELGE RD STE E • 77429 90 eRX

DALLAS

CVS PHARMACY #............................. (281) 256-8102 25901 HIGHWAY 290 • 77429 AC PHARMACY.................................. (855) 254-3467 SAVE, 90, eRX 5728 LYNDON B JOHNSON FWY • SUITE 285 • 75240 CY SPRINGS PHARMACY................. (832) 427-6694 SAVE, 90, eRX 7630 FRY RD STE 500 • 77433 eRX ACORN PHARMACY.......................... (214) 887-0744 5315 ROSS AVE • 75206 CYPRESS PHARMACY...................... (281) 213-3490 90 17330 SPRING CYPRESS ROAD • SUITE 160 • AHF PHARMACY................................ (214) 599-7020 77429 SAVE, 90, eRX 3920 CEDAR SPRINGS RD. • 75219 FAIRFIELD PHARMACY / ALDRIDGES FAMILY..........................(214) 943-2322 COMPOUNDING..................................(281) 758-4040 1408 BONNIE VIEW • 75203 15201 MASON RD STE 700 • 77433 90, eRX eRX ALTA CARE PHARMACY...................(214) 330-5700 3434 W ILLINOIS AVE STE 7 • 75211 MEDI PRO INTERNATIONAL PHARMACY.........................................(281) 277-0111 90, eRX 13203 FRY RD STE 400 • 77433 AMERICAN CUSTOM COMPOUNDING 90, eRX PHARMAC........................................... (214) 366-0022 2607 WALNUT HILL LN STE 220 • 75229 NORTH CYPRESS VILLAGE PHARMACY.........................................(832) 912-6210 eRX 21212 NORTHWEST FWY STE 101 • 77429 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 22

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

DALLAS

Retail Pharmacies Including Chain Pharmacies AMERICAN SPECIALTY CVS PHARMACY #............................. (214) 775-0207 PHARMACY.........................................(469) 779-2044 16731 COIT RD • 75248 7125 MARVIN D LOVE FWY STE 105 • 75237 SAVE, 90, eRX SAVE CVS PHARMACY #............................. (214) 902-9017 AVITA DRUGS.....................................(214) 943-5187 9440 MARSH LN • 75220 219 SUNSET AVE STE 118-A • 75208 SAVE, 90, eRX SAVE, 90, eRX CVS PHARMACY #............................. (469) 341-3921 39739 LBJ FWY • 75237 BAYLOR SCOTT & WHITE PHARMACY #101......................................................(214) 820-3451 SAVE, 90, eRX 3600 GASTON AVE STE 109 # LB12 • 75246 CVS PHARMACY #............................. (214) 370-5558 eRX 2417 N HASKELL AVE • 75204 BAYOS PHARMACY INC....................(214) 948-9441 SAVE, 90, eRX 2100 W COLORADO BLVD • 75211 CVS PHARMACY #............................. (214) 360-4203 90, eRX 6464 E NORTHWEST HWY STE 212 • 75214 SAVE, 90, eRX BLUITT FLOWERS HEALTH CENTER...............................................(214) 266-4294 CVS PHARMACY #............................. (214) 343-7418 303 OVERTON RD • 75216 6419 SKILLMAN ST • 75231 BLUITTS PHARMACY........................ (214) 941-1258 SAVE, 90, eRX 2809 CEDAR CREST • 75203 DALLAS HEALTHCARE 90 PHARMACY.........................................(214) 388-5334 BUCKEYE PHARMACY...................... (214) 391-7441 4131 S. BUCKNER • SUITE A • 75227 1401 S BUCKNER BLVD # 127 • 75217 90, eRX 90, eRX DALLAS MENTAL HEALTH CLINIC.. (214) 275-7393 4645 SAMUELL BLVD STE 107 • 75228 BUCKNER NEIGHBORHOOD PHARMACY.........................................(214) 321-3000 eRX 3535 N BUCKNER BLVD • STE 106 • 75228 DALLAS MENTAL HEALTH CLINIC.. (214) 743-1229 90, eRX 2600 N STEMMONS FWY STE 151 • 75207 CAMPUS PHARMACY........................ (214) 648-2422 eRX 5303 HARRY HINES BLVD STE 100 • JAMES DE HARO SALDIVAR HEALTH CENTER AUSTIN AMBULATORY BLDG • 75390 PHAR................................................... (214) 266-0641 eRX 1400 N WESTMORELAND • 75211 CORAM CVS/SPECIALTY INFUSION DOUGHERTY'S PHARMACY FOREST PARK SERVIC................................................ (214) 902-3600 DA........................................................ (469) 248-1000 10105 TECHNOLOGY BLVD WEST • SUITE 102 • 11970 N CENTRAL EXPY STE 100 • 75243 75220 eRX CVS PHARMACY #............................. (972) 490-3951 ELAM ROAD PHARMACY..................(214) 391-6363 13131 MONTFORT DR • 75240 9209 ELAM ROAD • 105 • 75217 SAVE, 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 23

DALLAS

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies FIRST PHARMACY............................. (214) 456-2879 LA PLAZA PHARMACY......................(214) 654-0046 1935 MEDICAL DISTRICT DR • 75235 9616 WEBB CHAPEL ROAD • 75220 eRX 90 FIRST PHARMACY PAVILION........... (214) 456-0641 LANCASTER ADULT OP DCMHMR...(214) 371-6639 2350 STEMMONS FREEWAY • F1510 • 75207 3330 S LANCASTER AVE • 75216 eRX eRX FOREST DRUG STORE LLC..............(469) 729-2769 LONGHORN PHARMACY...................(214) 330-2253 9550 FOREST LN STE 606 • 75243 2301 S HAMPTON RD STE 850 • 75224 90, eRX SAVE, eRX FORNEY PHARMACY.........................(972) 552-2666 LORD AND A PHARMACY................. (214) 421-3133 13601 PRESTON RD STE 720E • 75240 2949 MARTIN LUTHER KING JR BLVD • STE 1 • 90, eRX 75215 90 GASTON PHARMACY........................ (214) 434-1964 712 N WASHINGTON AVE • SUITE 500 • 75246 M & M PHARMACY.............................(469) 547-2419 90, eRX 8150 BROOKRIVER DR STE 107 • 75247 90, eRX GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (214) 634-1300 MAPLEWOOD PHARMACY................(844) 627-9663 2600 N. STEMMONS FREEWAY • 75207 2515 INWOOD RD STE 107 • 75235 eRX 90, eRX GENPHARM PHARMACY...................(972) 572-9006 MD KIDS PEDIATRICS PHARMACY..(214) 331-0567 3920 W. WHEATLAND RD • STE 100 • 75237 3201 W SANER AVE • 75233 SAVE, eRX SAVE, eRX GLOBE PHARMACY...........................(972) 290-0862 MEDFONT PHARMACY...................... (972) 709-2190 2223 SINGLETON BLVD • 75212 4041 W WHEATLAND RD STE 204 • 75237 90, eRX SAVE, eRX GROVE MEDICAL CENTER MEDPHARMA PHARMACY................ (469) 331-8290 PHARMACY.........................................(214) 391-2414 2600 N STEMMONS FWY • STE 164 • 75207 1143 S BUCKNER BLVD • 75217 SAVE, 90, eRX eRX MERIDIAN PHARMACY GROUP........(214) 333-1600 GUARDIAN PHARMACY SERVICES. (214) 521-2133 2815 S HAMPTON RD • 75224 7920 ELMBROOK DR STE 108 • 75247 90, eRX 90, eRX METROCARE PHARMACY AT LIFENET...............................................(469) 899-3200 HATCHER STATION HEALTH CENTER PHARM................................................ (214) 266-1077 9708 SKILLMAN ST • 75243 4600 SCYENE RD • 75210 eRX IVEDCO................................................(800) 333-0660 MEYERLAND PHARMACY LLC......... (713) 728-8000 4950 WESTGROVE DRIVE • SUITE 100 • 75248 4043 TRINITY MILLS RD • STE 112 • 75287 KK'S PHARMACY #51........................ (214) 337-7770 2480 W ILLINOIS AVE • 75233 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 24

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

DALLAS

Retail Pharmacies Including Chain Pharmacies MI DOCTOR PHARMACY................... (214) 845-4000 OUTPATIENT CLINIC PHARMACY....(214) 590-6163 655 W. ILLINOIS AVE, BLDG 900 • SUITE 916/918 • 5201 HARRY HINES BLVD • 75235 75224 OUTPATIENT PHARMACY AT THE CANCER SAVE, 90, eRX C........................................................... (214) 820-8400 3410 WORTH ST • SUITE 240 • 75246 MI DOCTOR PHARMACY- SPRING VALLEY............................................... (214) 884-1705 90, eRX 8112 SPRING VALLEY RD • 75240 PANACEA RX PHARMACY................(214) 339-2352 SAVE, 90, eRX 1050 N WESTMORELAND RD STE 314 • 75211 90, eRX MI DOCTOR PHARMACY-WEBB CHAPEL...............................................(214) 622-6048 PARAGON HEMOPHILIA SOLUTIONS, 9753 WEBB CHAPEL RD • 75220 LLC.......................................................(972) 588-1072 SAVE, 90, eRX 17111 PRESTON RD • STE 100 • 75248 MINYARD PHARMACY....................... (214) 376-2709 90 1201 W CAMP WISDOM • 75232 PARKLAND PRESCRIPTION SAVE, 90, eRX CENTER...............................................(214) 590-2882 MINYARD PHARMACY....................... (214) 374-3559 4917 HARRY HINES BLVD • 75235 2130 E LEDBETTER DR • 75216 PHARMACARE DRUG........................ (972) 247-5670 SAVE, 90, eRX 2552 ROYAL LN • 75229 MINYARD PHARMACY....................... (214) 421-1067 90, eRX 3230 MARTIN LUTHER KING • 75210 PLAZA MEDICAL PHARMACY.......... (214) 855-0606 SAVE, 90, eRX 700 N PEARL ST STE N208 • 75201 MINYARD PHARMACY....................... (972) 289-9083 SAVE, 90, eRX 10121 E LAKE JUNE ROAD • 75217 PRESBYTERIAN VILLAGE NORTH... (214) 355-9082 SAVE, 90, eRX 8600 SKYLINE DR • 75243 MINYARD PHARMACY #40................(972) 387-8977 90, eRX 7007 ARAPAHO RD • 75248 PRESTON ROAD APOTHECARY SAVE, 90, eRX INC....................................................... (214) 361-6172 MINYARD PHARMACY #41................(214) 351-0007 9301 N CENTRAL PKWY • STE 110 • 75231 3630 FOREST LN • 75229 SAVE, 90 SAVE, eRX PRESTON ROAD PHARMACY...........(214) 521-9991 6901 PRESTON RD • 75205 NORTH TEXAS INFUSION AND SPECIALTY......................................... (214) 276-5616 SAVE, 90 3409 WORTH ST STE 725 • 75246 PRESTON VILLAGE PHARMACY......(972) 866-0017 90, eRX 12606 GREENVILLE AVENUE #175 • OAK CLIFF PHARMACY.................... (214) 371-2815 NORTHPOINT MEDICAL ARTS BLDG • 75243 3436 S POLK ST • 75224 eRX 90 PRIDE PHARMACY - CARLISLE........(214) 954-7389 OMEGA PHARMACY.......................... (214) 599-8844 4015 LEMMON AVENUE, SUITE 4001 • 75219 4507 MAPLE AVE STE 100 • 75219 SAVE, 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 25

DALLAS

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies PROVIDENCE FAMILY PHARMACY..(214) 353-7202 SAMS PHARMACY............................. (214) 530-5451 8877 HARRY HINES BLVD SUITE 300B • 75235 9461 WEBB CHAPEL RD • 75220 90, eRX SAVE, 90 RAVENS PHARMACY.........................(214) 946-1700 SAMS PHARMACY............................. (972) 283-1059 820 N ZANG BLVD • STE 120 • 75208 2900 WEST WHEATLAND ROAD • 75237 90, eRX SAVE, 90 RITE CARE PHARMACY.................... (214) 421-2210 SAMS PHARMACY 10-6372............... (214) 382-2525 7560 GREENVILLE AVENUE • 75231 6185 RETAIL RD • 75231 90, eRX SAVE, 90 RITE CARE PHARMACY IV................(214) 324-5100 SILVA PHARMACY INC......................(214) 484-4130 3453 ST. FRANCIS AVE. • 75228 939 W JEFFERSON BLVD # STE.101 • 75208 90, eRX 90, eRX RITE CARE PHARMACY V.................(214) 483-5700 SINA RX PHARMACY......................... (214) 350-6600 7108 ENVOY CT • 75247 3460 WEBB CHAPEL • 75220 90, eRX 90, eRX RX SQUARE PHARMACY.................. (214) 238-3619 SINA RX PHARMACY......................... (214) 570-1610 4305 W WHEATLAND RD STE 110 • 75237 8060 SPRING VALLEY RD • 75240 90, eRX 90, eRX S M U HEALTH CENTER SMA PHARMACY................................(214) 635-3435 PHARMACY.........................................(214) 768-2149 8067 W VIRGINIA DR • 75237 6004 HILLCREST AVE. • 75275 90, eRX SAFEMED PHARMACY...................... (972) 412-7373 SMA PHARMACY................................(214) 948-1848 6300 SAMUAL BLVD • STE #118 • 75228 2603 OAK LAWN AVE STE 102 • 75219 eRX 90, eRX SALUD PHARMACY #1...................... (972) 283-0730 SYWELL PHARMACY.........................(214) 242-8861 2225 W LEDBETTER DR • 75224 4373 S HAMPTON RD • 75232 90, eRX SAVE, eRX SALUD PHARMACY #2...................... (214) 946-3886 TEXAS HEALTH PRESCRIPTION SHOP................................................... (214) 345-2595 611 W. JEFFERSON BLVD • 75208 90, eRX 8200 WALNUT HILL LANE • GROUND LOBBY • 75231 SAMS PHARMACY............................. (214) 321-9574 eRX 5555 S BUCKNER BLVD • 75228 SAVE, 90 TEXAS ONCOLOGY PHARMACY......(972) 780-3433 3555 W WHEATLAND ROAD • 75237 SAMS PHARMACY............................. (972) 759-6492 4062 LBJ FREEWAY • 75244 TEXAS ONCOLOGY PHARMACY......(214) 265-2066 SAVE, 90 8196 WALNUT HILL LN STE 100 • 75231 SAMS PHARMACY............................. (214) 461-8777 TEXAS ONCOLOGY PHARMACY......(214) 370-1600 12000 MCCREE ROAD • 75238 3410 WORTH ST STE 350 • SUITE350 • 75246 SAVE, 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 26

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

DENTON

Retail Pharmacies Including Chain Pharmacies TEXAS ONCOLOGY PHARMACY......(972) 566-5608 DECATUR 7777 FOREST LANE, BUILDING D, SUITE 202 • BEST VALUE RENSHAW DRUG........(940) 627-5343 BLDG D STE 202 • 75230 800 A MEDICAL CENTER DR • 76234 TRINITY FAMILY PHARMACY........... (214) 774-9261 90, eRX 11445 GARLAND RD STE # 110 • 75218 S&J MEDICAL CENTER PHARMACY(940) 627-5400 90, eRX 1101 EAGLE DR • SUITE C • 76234 90 UTSOUTHWESTERN MEDICAL CENTER PHARM................................................ (214) 645-2666 DEKALB 2201 INWOOD RD • NC02.852 • 75390 DEKALB PHARMACY.........................(903) 667-0880 UTSW UNIVERSITY HOSPITAL RETAIL 120 W FRONT ST • 75559 PHA...................................................... (214) 633-4122 SAVE, eRX 6201 HARRY HINES BLVD • 75390 DENISON 24HR, eRX CENTRX PHARMACY AT TEXOMA...(903) 327-8808 W-TEE PHARMACY............................ (214) 467-9009 5012 S US HIGHWAY 75 STE 140 • 75020 2409 ALCO AVE • 75211 90 90, eRX MED CHOICE PHARMACY.................(903) 463-6979 WALNUT PLACE PHARMACY........... (214) 361-8923 2300 W MORTON ST • STE 121 • 75020 5515 GLEN LAKES DR • 75231 SAVE, 90, eRX eRX PARKS DRUG..................................... (903) 465-0048 WESTMORELAND ADULT OC 1926 W MORTON • 75020 DCMHMR............................................. (214) 330-0036 90, eRX 1350 N WESTMORELAND RD • 75211 THE MEDICINE SHOPPE eRX PHARMACY.........................................(903) 463-3985 WHITE ROCK PHARMACY................ (214) 660-1603 2810 W MORTON ST STE 102 • 75020 9037 GARLAND RD • 75218 eRX 90, eRX

DAYTON

DENTON

ADDIS PHARMACY............................ (940) 382-0079 BROOKSHIRE BROTHERS 3305 S MAYHILL ROAD • SUITE 101 • 76208 PHARMACY.........................................(936) 258-2166 90, eRX 403 EAST HWY 90 • 77535 BROOKSHIRES PHARMACY............. (940) 243-9401 eRX 719 I 35 EAST SOUTH • ATTENTION PHARMACY GR CURE PHARMACY....................... (936) 681-8335 DEPT • 76205 108-B NORTH MAIN • 77535 90 90, eRX COMMUNITY PHARMACY..................(940) 382-1618 DE LEON 4400 TEASLEY LN STE 100 • 76210 DE LEON PHARMACY........................(254) 893-2666 90, eRX 309 S TEXAS • 76444 CVS PHARMACY #............................. (940) 220-2123 SAVE, 90, eRX 1801 S LOOP 288 • 76205 SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 27

DENVER CITY

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies DENTON PHARMACY........................ (940) 600-5484 HEALTHFIRST PHARMACY...............(469) 297-5022 1620 W UNIVERSITY DR • 76201 424 E PLEASANT RUN RD • 75115 90 eRX DENTON PRESCRIPTION SHOP....... (940) 382-6758 SMA PHARMACY................................(972) 274-0256 2501 W OAK ST STE 100 • 76201 1110 E PLEASANT RUN RD • 75115 SAVE, 90, eRX 90, eRX

DEVINE DENTON STATE SUPPORTED LIVING CENTE................................................. (940) 591-3573 CONOLY DRUG HEALTHMART.........(830) 663-2224 3980 STATE SCHOOL ROAD • 76205 200 S TEEL • 78016 DRUG EMPORIUM.............................. (940) 387-1290 SAVE, eRX 824 W UNIVERSITY DR • 76201 DIBOLL 90, eRX BROOKSHIRE BROTHERS PREMIUM FAMILY PHARMACY........ (940) 442-6767 PHARMACY.........................................(936) 829-3671 1512 TEASLEY LANE SUITE A • 76205 223 AND ONE HALF TEMPLE DR • 75941 90, eRX DICKINSON

S & J SCRIPTURE STREET CVS PHARMACY #............................. (281) 534-5421 PHARMACY.........................................(940) 484-0100 3100 GULF FWY S • 77539 1612 SCRIPTURE ST • 76201 SAVE, 90, eRX 90, eRX SANTA FE PHARMACY......................(832) 340-7230 SAMS PHARMACY............................. (940) 898-8780 2251 FM 646 RD W #155A • 77539 2850 W UNIVERSITY DR • 76201 90, eRX SAVE, 90

DILLEY

TEXAS ONCOLOGY PHARMACY......(940) 380-7936 DILLEY DRUG STORE........................(830) 965-1666 3720 SOUTH I-35 EAST • 76210 106 N MAIN • 78017 DENVER CITY 90 DENVER CITY PHARMACY............... (806) 592-3333 DIMMITT 105 E BROADWAY ST • 79323 DIMMITT PHARMACY.........................(806) 647-3151 SAVE, eRX 201 NW 2ND ST • 79027 LIBERTY DRUGS................................ (806) 592-2765 DONNA 403 MUSTANG DRIVE • 79323 90, eRX O K PHARMACY INC..........................(956) 464-2200 122 S MAIN ST • 78537 DESOTO SAVE, eRX ADAMS PHARMACY.......................... (972) 223-0444 DRIPPING SPRINGS 309 N HAMPTON RD • 75115 90 DRIPPING SPRINGS PHARMACY..... (512) 858-7935 GREENCARE PHARMACY.................(972) 780-5999 100 COMMONS RD STE 1 • 78620 90, eRX 941 YORK DR STE 201 • 75115 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 28

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

EDINBURG

Retail Pharmacies Including Chain Pharmacies DUBLIN

LOVE OAK PHARMACY.....................(254) 629-1791 BEST VALUE DUBLIN PHARMACY.. (254) 445-3679 805 W MAIN ST • 76448 90, eRX 604 N. PATRICK STREET • 76446 90, eRX

EDEN

DUMAS

CCH PHARMACY................................(325) 869-8760 ROGERS PHARMACY........................ (806) 935-7494 614 EAKER ST. SUITE 100 • 76837 SAVE, 90, eRX 1021 E 1ST ST • 79029 SAVE, 90, eRX

EDGEWOOD

DUNCANVILLE

EDGEWOOD LEGEND DRUG............ (903) 896-1473 BEN FRANKLIN APOTHECARY........ (972) 298-4936 115 N HOUSTON • 75117 SAVE, 90, eRX 302 N MAIN ST • 75116 SAVE, 90, eRX

EDINBURG

PRUDENTIAL PHARMACY.................(972) 709-4500 CANTU'S PHARMACY........................(956) 383-1239 777 E WHEATLAND ROAD • STE 100 • 75116 504 S CLOSNER • 78539 90, eRX 90

EAGLE LAKE

CANTUS LEGEND PHARMACY.........(956) 383-1239 EAGLE LAKE DRUG STORE............. (979) 234-2502 504 S CLOSNER • 78539 90, eRX 702 S MCCARTY • 77434 CENTRX PHARMACY AT EDINBURG.......................................... (956) 587-3523 FRIENDLY PHARMACY......................(830) 752-6088 1102 W TRENTON RD STE A • 78539 2176 E GARRISON ST • STE D • 78852 90, eRX 90, eRX CONQUEST PLAZA PHARMACY...... (956) 287-2882 UNITED MEDICAL CENTER 316 CONQUEST • 78539 PHARMACY.........................................(830) 773-5358 SAVE 2525 N VETERANS BLVD • 78852 GARZA PHARMACY...........................(956) 383-5314 EARLY 1200 S TENTH ST • 78539 DOCS DRUGSTORE OF EARLY INC.(325) 646-2500 GENOA, A QOL HEALTHCARE COMPANY, 1210 C C WOODSON RD • 76802 LL......................................................... (956) 289-7225 SAVE, eRX 1901 S 24TH AVE • 78539

EAGLE PASS

EAST BERNARD

SAVON DRUGS...................................(979) 335-4810 123 LEVERIDGE • 77435 SAVE, eRX

GPS PHARMACY................................ (956) 287-4242 3521 W FREDDY GONZALEZ DR STE A • 78539 eRX

INVERNESS APOTHECARY SOUTH TEXAS, I.............................................................(956) 467-0264 DOC'S DRUGSTORE OF EASTLAND(254) 629-1000 5009 S MCCOLL RD, STE.A • 78539 eRX 905 E MAIN ST • 76448 SAVE, 90, eRX

EASTLAND

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 29

EDNA

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies JACKSON PARK PHARMACY........... (956) 292-0404 EL CAMPO 668 S JACKSON RD • 78539 EL CAMPO PROFESSIONAL 90, eRX PHARMACY.........................................(979) 543-2761 JUNIOR'S PHARMACY.......................(956) 383-4441 1264 N MECHANIC ST • 77437 90 1313 S. CLOSNER AVE • SUITE B • 78539 SAVE, 90, eRX EL PASO LIFECHEK DRUG #61.........................(956) 381-5646 ADVANT EDGE PHARMACY............. (915) 595-0409 922 A S CLOSNER BLVD • 78539 1576 LOMALAND DRIVE • 79935 SAVE 90, eRX MED CARE PHARMACY.................... (956) 383-2600 ALAMEDA THRIFTY PHARMACY......(915) 772-5331 802 A E UNIVERSITY DR • 78539 4900 ALAMEDA AVE • 79905 90, eRX SAVE, 90, eRX OCHOA'S PHARMACY CENTRAL..... (956) 381-0967 AMERICAN SPECIALTY 1002 S 10TH AVE • SUITE A • 78539 PHARMACY.........................................(915) 860-7225 90, eRX 1015 N ZARAGOZA RD • 79907 OCHOA'S PHARMACY SOUTH......... (956) 318-5159 90 301 CONQUEST BLVD • 78539 AMERITA INC......................................(915) 613-5580 90, eRX 7338 REMCON CIRCLE • STE 300 • 79912 RGV FAMILY PHARMACY................. (956) 393-2000 90, eRX 4955 S JACKSON RD • 78539 BANK PHARMACY............................. (915) 562-4000 eRX 4000 MONTANA AVE • 79903 RICHARDS PHARMACY.....................(956) 289-1880 CENTRO SAN VICENTE..................... (915) 859-7545 4630 S. CLOSNER BLVD • 78539 8061 ALAMEDA AVE, SUITE B • 79915 90 eRX SAENZ MEDICAL PHARMACY AT CORAM CVS/SPECIALTY INFUSION RENAISSAN........................................ (956) 618-4500 SERVIC................................................ (915) 833-0140 2821 MICHAEL ANGELO • STE 103 • 78539 3817 CONSTITUTION DR STE 300 • 79922 SAVE, 90, eRX eRX SOUTH TEXAS VALLEY CVS PHARMACY #............................. (915) 849-5011 PHARMACY.........................................(956) 217-7000 1874 JOE BATTLE BLVD • 79936 2717 MICHAELANGELO DR STE 200 • 78539 SAVE, 90, eRX SAVE, eRX CVS PHARMACY #............................. (915) 255-4744 EDNA 801 SUNLAND PARK DR • 79912 ROGERS PHARMACY #6................... (361) 782-7822 SAVE, 90, eRX 1013 S WELLS STREET • BLDG B • 77957 CVS PHARMACY #............................. (915) 255-4758 90, eRX 1901 GEORGE DIETER DR • 79936 SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 30

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

EL PASO

Retail Pharmacies Including Chain Pharmacies EL PASO PAIN CENTER MCCRORY'S PHARMACY..................(915) 581-9655 PHARMACY.........................................(915) 500-6078 6151 DEW DR • SUITE 100 • 79912 3215 GATEWAY BLVD W • SUITE A • 79903 90 90, eRX MED TIME PHARMACY...................... (915) 584-6337 641 N RESLER • STE 306 07 • 79912 EL PASO PSYCHIATRIC CENTER PHARMACY.........................................(915) 534-5300 SAVE, 90 4615 ALAMEDA AVENUE • 79905 PHARMACY CENTER EAST.............. (915) 595-1177 3100 LEE TREVINO DR • STE F • 79936 EL PASO STATE SUPPORTED LIVING CENT....................................................(915) 782-6328 eRX 6700 DELTA DRIVE • 79905 PRIMEMED PHARMACY.................... (915) 595-1300 GENOA HEALTHCARE...................... (915) 235-0060 7812 GATEWAY BLVD E • SUITE 100 • 79915 1601 EAST YANDELL STREET • SUITE 119 • 90, eRX 79902 RECEPT PHARMACY......................... (915) 533-0167 eRX 10412 VISTA DEL SOL • STE 1A • 79925 GENOA HEALTHCARE...................... (915) 257-6167 SAM'S CLUB PHARMACY 10-6246... (915) 730-6092 2400 TRAWOOD DR STE 303A • 79936 9498 GATEWAY BLVD N • 79924 eRX SAVE, 90 GRACE PHARMACY...........................(915) 593-0603 SAMS PHARMACY............................. (915) 775-0960 11140 LA QUINTA PL STE 101 • 79936 7001 GATEWAY BLVD WEST • 79925 SAVE, 90, eRX SAVE, 90 GUARDIAN ANGEL PHARMACY.......(915) 850-0713 SAMS PHARMACY............................. (915) 587-0626 1537 ZARAGOSA • STE 1A • 79936 7970 NORTH MESA • 79932 90 SAVE, 90 KMART PHARMACY3491...................(915) 772-1402 SAMS PHARMACY............................. (915) 591-4090 6375 MONTANA AVE • 79925 11360 PELLICANO DRIVE • 79936 90 SAVE, 90 KMART PHARMACY4201...................(915) 593-1296 SURECARE SPECIALTY PHARMACY, 1120 MCRAE BLVD • 79925 LLC.......................................................(915) 532-2400 90 4005 N. MESA • 79902 KMART PHARMACY4205...................(915) 757-2531 eRX 9484 DYER ST • 79924 TEXAS ONCOLOGY PHARMACY......(915) 747-4840 90 1901 GRANDVIEW • 79902 KMART PHARMACY7347...................(915) 872-9802 TEXAS ONCOLOGY PHARMACY......(915) 595-6874 411 N ZARAGOZA RD • 79907 7848 GATEWAY EAST • 79915 90 THE FAMILY PHARMACY.................. (915) 857-5510 KMART PHARMACY9325...................(915) 584-9448 3660 JOE BATTLE BLVD STE 10 • 79938 655 SUNLAND PARK DR • 79912 SAVE, eRX 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 31

ELECTRA

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies ELKHART THE MEDICINE SHOPPE PHARMACY.........................................(915) 544-6605 ELKHART PHARMACY...................... (903) 764-2355 2002 GRANT STEA • 79930 306 S US HWY 287 • 75839 eRX ELSA

THE MEDICINE SHOPPE PHARMACY.........................................(915) 564-5451 ELSA PHARMACY SERVICES........... (956) 262-6400 205 W EDINBURG DR • 78543 3310 FORT BLVD • 79930 90, eRX THE PHARMACY CENTER.................(915) 313-9870 EMORY 1700 MURCHISON • SUITE A • 79902 BROOKSHIRES PHARMACY............. (903) 473-4523 TIGUA PHARMACY............................ (915) 590-2800 959 EAST US HWY 69 • ATTENTION PHARMACY 8269 N LOOP DR • 79907 DEPT • 75440 90 90 UNIVERSITY MEDICAL CENTER EAST ENNIS PHAR................................................... (915) 521-7087 BROOKSHIRE PHARMACY #88........ (972) 875-4607 1485 GEORGE DIETER DR STE 107 • 79936 2300 WEST ENNIS AVE • 75119 90, eRX 90 UNIVERSITY MEDICAL CENTER NORTHEAST....................................... (915) 231-2310 ENNIS PHARMACY.............................(972) 346-1234 800 E ENNIS AVE STE A • 75119 9839 KENWORTHY ST • 79924 90, eRX 90, eRX HOMETOWN DRUG............................ (972) 875-6798 UNIVERSITY MEDICAL CENTER OF EL PAS...................................................... (915) 521-7705 718 W LAMPASAS • 75119 90, eRX 4815 ALAMEDA AVE • 79905 90, 24HR, eRX QUALITY CARE PHARMACY & COMPOUNDING..................................(972) 875-5200 UNIVERSITY MEDICAL CENTER YSLETA PH.........................................................(915) 790-5722 601 S CLAY ST STE 108 • 75119 90, eRX 300 S ZARAGOZA RD BLDG B • 79907 90, eRX EULESS VIP PHARMACY..................................(915) 629-2020 CVS PHARMACY #............................. (817) 399-8486 1891 N LEE TREVINO STE 200 • 79936 1401 W GLADE RD • 76039 90, eRX SAVE, 90, eRX

ELECTRA

TRAIL CREEK PHARMACY............... (817) 684-9286 GOLDSMITHS DRUG..........................(940) 495-2335 350 WESTPARK WAY • STE 300 • 76040 90, eRX 111 W CLEVELAND • 76360 SAVE, 90, eRX UNITED SPECIALTY PHARMACY..... (888) 470-0573 425 WESTPARK WAY STE 2 • 76040 ELGIN 90, eRX ELGIN MEDICINE SHOP.....................(512) 285-6308 199 HIGHWAY 290 E STE A • 78621 SAVE, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 32

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

FLOWER MOUND

Retail Pharmacies Including Chain Pharmacies FARMERSVILLE WESTPARK DISCOUNT PHARMACY.........................................(817) 545-6600 BROOKSHIRE PHARMACY............... (972) 782-8601 350 WESTPARK WAY STE 300 • 76040 1705 W AUDIE MURPHY PKWY • 75442 eRX 90 FABENS

DYER DRUG STORE.......................... (972) 782-6262 133 MCKINNEY ST • 75442 THE MEDICINE SHOPPE PHARMACY.........................................(915) 764-2739 90, eRX 1420 FABENS RD STE B • 79838 FERRIS eRX US DRUG MART................................. (972) 544-3660 UNIVERSITY MEDICAL CENTER FABENS 103 S MAIN • 75125 PH.........................................................(915) 521-2271 eRX 101 POTASIO ST. • 79838 FLATONIA 90, eRX MAIN STREET PHARMACY............... (361) 865-3554 FAIRFIELD 109 E NORTH MAIN ST • 78941 AWALT STEPHENSON.......................(903) 389-2541 FLINT 201 E COMMERCE • 75840 90 BROOKSHIRES PHARMACY............. (903) 825-7418 20100 HWY 155 SOUTH • ATTENTION BROOKSHIRE BROTHERS PHARMACY.........................................(903) 389-2455 PHARMACY DEPT • 75762 90 300 WEST HWY 84 • 75840

FLOWER MOUND

LTC DYNAMICS.................................. (903) 389-2157 CVS PHARMACY #............................. (972) 874-6709 201 E COMMERCE • STE A • 75840 5959 LONG PRAIRIE RD • 75028 eRX SAVE, 90, eRX FALFURRIAS FREDS PHARMACY........................... (361) 325-2662 FLOWER MOUND PHY AND HERBAL ALTS.................................................... (972) 355-4614 202 W RICE STREET • 78355 1001 CROSSTIMBERS RD • STE 1170 • 75028 FARMERS BRANCH SAVE, 90 AMERICAN SPECIALTY KK'S PHARMACY #151...................... (972) 539-1777 PHARMACY.........................................(214) 432-4422 2201 LONG PRAIRIE RD STE # 101 • 75022 10 MEDICAL PKWY STE 105 • 75234 90, eRX 90 LONG PRAIRIE PHARMACY..............(972) 410-3773 MEDWORLD PHARMACY INC........... (972) 789-9608 4921 LONG PRAIRIE RD STE 105 • SUITE 105 • 4403 N BELTWOOD PKWY • 75244 75028 SAVE, 90, eRX 90 RSVP PHARMACY #7, LLC................(855) 313-7049 TEXAS ONCOLOGY PHARMACY......(972) 537-4161 4343 SIGMA RD STE 400 • 75244 4370 MEDICAL ARTS DR #100 • 75028 ZENITH PHARMACY...........................(972) 247-4322 8 MEDICAL PKWY, PLAZA 2 • SUITE 101 • 75234 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 33

FLOYDADA

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies FLOYDADA

BEST VALUE COUNTRY DAY PAYNE FAMILY PHARMACY............. (806) 983-5111 PHARMACY.........................................(817) 738-0722 6020 HARRIS PARKWAY • 76132 200 S MAIN ST • 79235 90, eRX eRX BEST VALUE RIDGLEA DRUG.......... (817) 737-6655 5932 LOVELL AVE • 76107 SUPER 1 PHARMACY........................ (817) 568-9623 90, eRX 6750 FOREST HILL DRIVE • ATTENTION COOK CHILDREN'S PHARMACY #1. (682) 885-6913 PHARMACY DEPT • 76140 801 7TH AVE STE 1700 • 76104 90 90, eRX

FOREST HILL

FORNEY

COOK CHILDRENS HOME HEALTH. (682) 303-2230 BROOKSHIRES PHARMACY............. (972) 552-9573 1101 W VICKERY BLVD • 76104 427 PINSON ROAD • ATTENTION PHARMACY 24HR DEPT • 75126 COURTYARD PHARMACY.................(817) 922-3800 90 1250 8TH AVE • STE 125 • 76104 FORT STOCKTON 90, eRX BAGGETT PHARMACY...................... (432) 336-2297 CVS PHARMACY #............................. (817) 566-0566 509 N MAIN ST • 79735 751 ALTA MERE DR • 76116 SAVE, 90, eRX SAVE, 90, eRX NOLEN PHARMACY........................... (432) 336-2201 CVS PHARMACY #............................. (817) 423-1661 700 W DICKINSON BLVD • 79735 5700 OVERTON RIDGE BLVD • 76132 90, eRX SAVE, 90, eRX STOCKTON PHARMACY....................(432) 336-2200 CVS PHARMACY #............................. (612) 555-5555 616 W DICKINSON BLVD • 79735 8917 TEHAMA RIDGE PKWY • 76177 90 SAVE, 90, eRX

FORT WORTH

A AND P PHARMACY.........................(817) 838-2319 2329 N RIVERSIDE DR • 76111 SAVE, 90 AHF PHARMACY................................ (817) 831-1814 400 N BEACH ST STE 102 • 76111 eRX AMERICAN OUTCOMES MGMT LP...(866) 869-7307 6310 SOUTHWEST BLVD STE 204 • 76109 eRX BEACH STREET PHARMACY............(817) 427-8774 7630 N BEACH ST • SUITE 170 • 76137 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 34

CVS PHARMACY #............................. (817) 302-0291 301 CARROLL ST • 76107 SAVE, 90, eRX DANIEL DRUG INC............................. (817) 332-6386 3409 W 7TH ST • 76107 90, eRX FORT WORTH PHARMACY............... (817) 361-9960 7833 OAKMONT BLVD • SUITE 120 • 76132 90, eRX HALLS PHARMACY............................(817) 877-3677 708 PENNSYLVANIA AVE • 76104 90

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

FORT WORTH

Retail Pharmacies Including Chain Pharmacies HALLS PHARMACY #2.......................(817) 244-3300 MEADOWBROOK PHARMACY..........(817) 451-6900 8808 CAMP BOWIE WEST BLVD • SUITE 120 • 6624 MEADOWBROOK DR • 76112 90 76116 90, eRX MED STORE LLP................................ (817) 834-3001 HOVIC PHARMACY............................ (817) 888-3132 4004 E BELKNAP ST • 76111 6306 MEADOWBROOK DR • 76112 90, 24HR SAVE, 90 MIRA VISTA PHARMACY...................(817) 292-3800 HULEN PHARMACY........................... (817) 361-7777 5701 BRYANT IRVIN RD STE 104 • 76132 6249 GRANBURY RD • 76133 90 90, eRX MONCRIEF CANCER INSTITUTE RETAIL INDUSTRIAL & FAMILY PHARMACY (817) 625-6265 PH.........................................................(817) 288-9756 2301 NE 28TH ST • 76106 400 W MAGNOLIA AVE STE 2500 • 76104 SAVE, eRX eRX JAMORX PHARMACY INC................. (817) 810-9278 NEW CARE PHARMACY, INC............ (817) 924-7000 650 ST. LOUIS AVE • 76104 900 JEROME STREET • SUITE 100 • 76104 90 90, eRX JPS HEALTH NETWORK OMNICARE OF FORT WORTH.......... (817) 540-2400 PHARMACY.........................................(817) 702-3531 14450 TRINITY BLVD • STE 200 • 76155 4701 BRYANT IRVIN RD N • LL215 • 76107 ONCOLOGY RX CARE ADVANTAGE(817) 837-8600 90, eRX 13501 PARK VISTA BLVD • STE 150 • 76177 90, eRX JPS HEALTH SYSTEM OUTPATIENT PHARMA..............................................(817) 702-3553 ONWARD CARE PHARMACY............ (817) 426-9222 1500 S MAIN ST • STE OPC1 • 76104 3305 ALTAMESA BLVD • 76133 90, eRX PARK PLACE PHARMACY................ (817) 924-9292 JPS VIOLA M PITTS/ COMO PHRM...(817) 702-7481 1601 PARK PLACE AVE • STE B • 76110 4701 BRYANT IRVIN RD N • 76107 eRX 90, eRX PERRONE LEGEND PHARMACY...... (817) 738-2135 LAKE WORTH PHARMACY............... (817) 237-7877 3921 HIGHWAY 377 • 76116 4504 BOAT CLUB RD • SUITE 200 • 76135 90, eRX 90 PERRONERX, LLC..............................(817) 731-5899 LEGACY PHARMACY.........................(817) 924-3200 3923 HWY 377 SOUTH • 76116 1307 8TH AVE • SUITE 501 • 76104 90, 24HR, eRX 90, eRX RECEPT PHARMACY......................... (817) 335-5712 MBS PHARMACY................................(817) 286-2161 800 8TH AVENUE • SUITE 130 • 76104 2601 GRAVEL DR • 76118 eRX 24HR, eRX RECEPT PHARMACY #15.................. (817) 572-0009 MCCART PHARMACY........................ (817) 924-7200 7148 TRAIL LAKE DR STE A • 76123 4237 MCCART AVE • 76115 eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 35

FORTWORTH

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies RIDGMAR PHARMACY...................... (817) 737-7377 TEXAS ONCOLOGY PHARMACY - SW FORT W.......................................................... (817) 263-2650 2524 MALL CIRCLE • 76116 90 TEXAS ONCOLOGY PHARMACY - SW FORT WORTH • 6500 HARRIS PARKWAY SUITE #100 • RX.COM COMMUNITY PHARMACY.. (817) 547-1000 76132 401 S JIM WRIGHT FWY STE 102 • 76108 eRX 90, eRX THE CENTER PHARMACY.................(817) 333-0180 SAFEMED PHARMACY #2................. (469) 666-3600 800 W MAGNOLIA AVE, SUITE 130 • 76104 4245 E BERRY ST • 76105 eRX 90 U S PHARMACY INC.......................... (817) 478-9191 SAMS PHARMACY............................. (817) 989-1931 6619 FOREST HILL DR • STE 20 • 76140 4400 BRYANT IRVIN ROAD • 76132 SAVE, 90 SAVE, 90 WEDGWOOD PHARMACY................. (817) 263-5700 SAMS PHARMACY............................. (817) 459-4984 5324 WEDGMONT CIR N • 76133 8351 ANDERSON BLVD • 76120 SAVE, eRX SAVE, 90 WELLCARE PHARMACY................... (817) 263-5050 SOLEO HEALTH................................. (817) 923-4495 6901 MCCART AVE STE 225 • 76133 4108 AMON CARTER BLVD • STE 208 • 76155 90, eRX 90, eRX

FORTWORTH

SPENCE PHARMACY......................... (817) 626-3744 FOREST HILL PHARMACY................ (817) 887-9434 4821 RIVER OAKS BLVD • 76114 3403 MANSFIELD HWY • 76119 SAVE, 90, eRX 90, eRX TCHD DIAMOND HILL COMMUNITY CLINIC..................................................(817) 702-7006 FRANKLIN 3308 DEEN RD • 76106 DUFFEY DRUG COMPANY................ (979) 828-3536 90, eRX 311 N CENTER • 77856 90, eRX TCHD STOP SIX COMM CLINIC PHY (817) 702-7191 3301 STALLCUP RD • 76119 FRANKSTON 90, eRX MAXWELL PHARMACY..................... (903) 876-2323 TEXAS HEALTH CARE PHARMACY. (817) 595-9770 626 N HWY 155 • 75763 7413 PEBBLE DR • 76118 90, eRX 24HR FREDERICKSBURG TEXAS HEALTHCARE PAIN MGMT.. (817) 332-6092 FREDERICKSBURG LTC....................(830) 997-5800 1307 8TH AVE STE 506 • 76104 707 N LLANO • SUITE B • 78624 TEXAS ONCOLOGY PHARMACY......(817) 850-2090 eRX 1001 12TH AVE, SUITE 200 • 76104 PRESCRIPTION LABORATORY........ (830) 997-2163 205 W WINDCREST • SUITE 160 • 78624 SAVE, 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 36

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

GALVESTON

Retail Pharmacies Including Chain Pharmacies VALU MED PHARMACY INC..............(830) 997-8155 STONEBRIAR PHARMACEUTICAL SERVICES........................................... (813) 549-2134 707 N LLANO ST • 78624 90, eRX 5575 WARREN PKWY STE 216 • 75034 90, eRX FREEPORT FREEPORT PHARMACY.................... (979) 871-9189 UNITED MARKET STREET PHARMACY.........................................(214) 872-1515 323 SOUTH BRAZOSPORT BLVD • 77541 11999 NORTH DALLAS PARKWAY • 75034 SAVE, 90, eRX 90

FRIENDSWOOD

PARKWOOD PHARMACY.................. (832) 569-4059 405 EAST PARKWOOD • 77546 eRX

US BIOSERVICES...............................(888) 518-7246 3200 INTERNET BLVD • 75034 eRX

FRITCH

SAMS PHARMACY............................. (281) 286-4517 FRITCH DRUG AND GIFT SHOPPE...(806) 857-3176 155 WEST EL DORADO BLVD • 77546 105 BROADWAY • 79036 SAVE, 90 SAVE, 90, eRX

FRIONA

GAINESVILLE

BI-WIZE PHARMACY.......................... (806) 250-2270 AMERICARE PHARMACY INC...........(940) 668-6868 902 MAIN ST • 79035 217 NORTH WEAVER • 76240 90, eRX SAVE, eRX

FRISCO

CRUCIBLE PHYSICAL MEDICINE..... (214) 446-5301 6988 LEBANON RD STE 101 • 75034

PLAZA PHARMACY............................(940) 665-8401 411 N GRAND AVE • 76240 SAVE, eRX

CVS PHARMACY #............................. (972) 464-5746 GALVESTON 4885 ELDORADO PKWY • 75033 BROADWAY DRUG STORE INC........(409) 765-7701 SAVE, 90, eRX 2027 BROADWAY ST • 77550 CVS PHARMACY #............................. (972) 668-6909 90 3201 PRESTON RD • 75034 CVS PHARMACY #............................. (409) 740-0876 SAVE, 90, eRX 6128 BROADWAY ST • 77551 DRUG CRAFTERS.............................. (214) 618-3511 SAVE, 90, eRX 5680 FRISCO SQUARE BLVD STE 1100 • 75034 GALVESTON PHYSICAL MEDICINE NORTH TEXAS PRECISION PAIN PLLC.................................................... (409) 744-9355 CARE................................................... (214) 618-6852 2724 61ST ST STE 5 • 77551 3550 PARKWOOD BLVD STE 306 • 75034 eRX eRX SOUTHSIDE PHARMACY 8................(409) 497-2767 PRESTON SURGERY CENTER LLC..(214) 387-4100 707 23RD ST STE F • 77550 7589 PRESTON RD STE 100 • 75034 SAVE, eRX eRX UNIVERSITY OF TEXAS MEDICAL BRANCH.............................................. (409) 772-7129 301 UNIVERSITY BLVD • 77555 90 SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 37

GANADO

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies GANADO

SAMS PHARMACY............................. (972) 530-8496 5150 NORTH GARLAND AVENUE • 75040 BROOKSHIRE BROTHERS PHARMACY #76........................................................(361) 771-3590 SAVE, 90 305 WEST YORK • 77962 TEXAS ONCOLOGY PHARMACY......(214) 778-4118 eRX 530 CLARA BARTON BLVD, SUITE 250 • 75042

GARLAND

TOTAL PHARMACY ENNIS................(972) 276-7071 ADVANCED PHARMACY................... (713) 391-2200 2046 FOREST LN STE 140 • 75042 90, eRX 2360 CRIST RD STE B1400 • 75040

GATESVILLE ADVANCED PRESCRIPTION SERVICE..............................................(214) 703-9100 GATESVILLE DRUG CO LTD.............(254) 865-2417 3671 BROADWAY BLVD STE 300 • 75043 2401 S STATE HIGHWAY 36 STE 100 • 76528 90 BAYLOR SCOTT & WHITE PHARMACY #106......................................................(972) 485-3100 GEORGE WEST 601 CLARA BARTON BLVD STE 140 • 75042 COBB'S PHARMACY..........................(361) 449-2631 90, eRX 510 HOUSTON ST • 78022 BROADWAY PHARMACY LLC.......... (972) 278-9742 90, eRX 3334 BROADWAY BLVD STE 412 • 75043 GEORGETOWN 90, eRX BAYLOR SCOTT & WHITE PHARMACY CARE PLUS PHARMACY...................(972) 468-0001 #202......................................................(512) 942-3302 1401 NORTHWEST HWY STE 107 • 75041 4945 WILLIAMS DR • 78633 90, eRX eRX CHEBYCARE PHARMACY................. (972) 675-1100 CVS PHARMACY #............................. (512) 869-3170 1421 W BUCKINGHAM RD • 75042 1021 W UNIVERSITY STE B3 • 78628 90, eRX SAVE, 90, eRX CVS PHARMACY #............................. (972) 535-0253 GALLAGHER'S PHARMACY..............(512) 763-4400 5301 N GARLAND AVE • 75040 3201 S AUSTIN AVE STE 110 • 78626 SAVE, 90, eRX eRX GARLAND HEALTH CENTER GALLAGHERS PHARMACY...............(512) 863-5579 PHARMACY.........................................(214) 266-0660 2411 WILLIAMS DR • STE 3 • 78628 802 HOPKINS • 75040 90, eRX GARLAND INDEPENDENT PHARMACY.........................................(972) 864-1110 3641 BROADWAY BLVD STE 100 • SUITE 100 • 75043 eRX

GUS'S DRUG STORE......................... (512) 863-2506 702 E UNIVERSITY • 78626 SAVE, 90, eRX

LSCC GEORGETOWN PHARMACYWILLIAMS............................................(512) 686-0155 HERITAGE PHARMACY..................... (214) 703-9000 2423 WILLIAMS DRIVE • SUITE 109 • 78628 2636 W WALNUT ST • STE 300 • 75042 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 38

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

GRAND PRAIRIE

Retail Pharmacies Including Chain Pharmacies GONZALES MCCLURE'S COMPOUNDING PHARMACY.........................................(512) 819-9848 MOHRMANN'S DRUG STORE LLC....(830) 672-2317 105 WILDWOOD DR STE 101 • 78633 2405 WINDING WAY DR • 78629 SAVE, eRX SAVE, 90, eRX GIDDINGS

GORMAN

BROOKSHIRE BROTHERS GORMAN PHARMACY....................... (254) 734-2859 PHARMACY.........................................(979) 542-3308 117 S KENT • 76454 513 E AUSTIN • 78942 90 PIERATTS PHARMACY...................... (979) 542-3164 GRAHAM 233 S MANSE • 78942 JORDAN PHARMACY........................ (940) 549-1011 90, eRX 1332 HWY 16 SOUTH • 76450 GILMER 90, eRX GILMER DRUG COMPANY................ (903) 843-5631 MEDICINE CHEST PHARMACY......... (817) 549-8360 112 DAVIS ST • 75644 814 MONTGOMERY RD • 76450 THE MED-SHOP PHARMACY............ (903) 680-2600 90 825 US HWY 271 N. • 75644 UNITED PHARMACY.......................... (940) 549-3000 90, eRX 1229 HIGHWAY 16 SOUTH • 76450 GLADEWATER 90 WALKER PHARMACY........................ (903) 845-2573 GRANBURY 402B W UPSHUR • 75647 BEST VALUE RONS PHARMACY......(817) 573-1143 SAVE, eRX 420 W PEARL • 76048 GLEN ROSE 90, eRX BEST VALUE MEDICAL CENTER BROOKSHIRES PHARMACY............. (817) 279-9840 PHARMACY.........................................(254) 897-9917 1301 SOUTH MORGAN • ATTENTION PHARMACY 1100 BLUEBONNET • 76043 DEPT • 76048 90, eRX 90 GLEN ROSE DISCOUNT DRUG......... (254) 897-2711 GRANBURY DRUG I........................... (817) 573-1164 906 N E.BIG BEND TRAIL • 76043 602 S MORGAN ST • 76048 SAVE, 90 eRX

GOLDTHWAITE

PECAN DISCOUNT DRUG................. (817) 573-9344 9203 PLANTATION DRIVE, STE 1 • 76049 MCMAHAN PHARMACY SERVICES INC....................................................... (325) 648-2484 SAVE, 90, eRX GRAND PRAIRIE 1503 W FRONT ST • 76844 90, eRX CVS PHARMACY #............................. (469) 348-2101 GOLIAD 5270 S STATE HWY 360 • 75052 GOLIAD PHARMACY AND GIFTS..... (361) 645-3261 SAVE, 90, eRX 236 S COMMERCIAL • 77963 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

FAMAK PHARMACY...........................(972) 660-8884 2985 S STATE HIGHWAY 360 STE 145 • 75052

24HR = Open 24 hours eRX = Electronic prescribing 39

GRAND SALINE

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies GIBSON PHARMACY......................... (972) 264-0268 SAMS PHARMACY............................. (817) 416-0561 2505 S CARRIER PKY • 75052 1701 WEST STATE HIGHWAY 114 • 76051 SAVE, 90 LAKE RIDGE PHARMACY................. (972) 522-7606 4927 LAKE RIDGE PKWY STE 180 • 75052 TEXAS ONCOLOGY PHARMACYGRAPEVINE........................................ (817) 310-7027 90 1631 LANCASTER DRIVE • SUITE 150 • 76051 LAKEPOINTE PHARMACY.................(469) 733-1033 eRX 2715 OSLER DR • 75051 90, eRX TRIWEST SPECIALTY PHARMACY.. (972) 914-4990 1940 ENCHANTED WAY STE 103A • 76051 METROCARE PHARMACY.................(214) 330-2424 90 832 S CARRIER PKWY • ATTN: PHARMACY • YOUR RX PHARMACY....................... (817) 416-2222 75051 eRX 2637 IRA E WOODS AVE STE 200 • 76051 90, eRX PROFESSIONAL PHARMACY PLUS.(972) 809-0984 GREENVILLE 2771 SHERMAN ST • SUITE B • 75051 90, eRX BROOKSHIRES PHARMACY............. (903) 455-1076 SAMS PHARMACY............................. (972) 660-1527 2325 WEST INTERSTATE 20 • 75052 SAVE, 90

6410 WESLEY STREET • ATTENTION PHARMACY DEPT • 75401 90

GRAND SALINE

METROCARE PHARMACY AT GREENVILLE.......................................(972) 331-6330 BROOKSHIRES PHARMACY............. (903) 962-4063 4200 STUART ST • ATTN: PHARMACY DEPT. • 205 WEST FRANK • ATTENTION PHARMACY 75401 DEPT • 75140 eRX 90 SUPER 1 PHARMACY........................ (903) 454-8701 ECONOMY DRUG............................... (903) 962-3900 4811 WESLEY STREET • ATTENTION PHARMACY 511 E GARLAND ST • 75140 DEPT • 75401 90 90

GRAPEVINE

THE MEDICINE SHOPPE BAYLOR SCOTT & WHITE PHARMACY PHARMACY.........................................(903) 455-7200 #107......................................................(817) 388-3090 3001 JOE RAMSEY BLVD E • 75401 1600 W. COLLEGE ST • SUITE 110 • 76051 eRX eRX TOTAL CARE PHARMACY # 2.......... (903) 259-6338 CVS PHARMACY #............................. (817) 601-0350 5127 WESLEY ST • 75401 1101 IRA E WOODS AVE • 76051 90, eRX SAVE, 90, eRX

GROESBECK

GRAPEVINE DRUG RX.......................(817) 481-5780 GROESBECK CITY DRUG................. (254) 729-3092 1115 W NORTHWEST HWY STE H • 76051 404 S DR J B RIGGS DR • 76642 SAVE, eRX 90, eRX RECEPT PHARMACY......................... (817) 571-8745 1469 W STATE HIGHWAY 114 STE 598 • 76051 eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 40

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HARLINGEN

Retail Pharmacies Including Chain Pharmacies PHARMACY PLUS #2......................... (254) 729-3375 HAMILTON 209 N ELLIS ST • 76642 BROOKSHIRE BROTHERS PHARMACY 90, eRX #84........................................................(254) 386-3682 GROVES 1004 E MAIN ST • 76531 eRX BRUCES PHARMACY........................ (409) 962-4431 6001 39TH ST • 77619 HAMILTON CITY DRUG......................(254) 386-3121 eRX 105 E HENRY ST • 76531 90 GROVETON B AND B PHARMACY........................ (936) 642-1174 JORDAN PHARMACY........................ (254) 386-3111 107 N RICE ST • 76531 520 W FIRST • 75845 90, eRX

GUN BARREL CITY

HARKER HEIGHTS

GUN BARREL CITY PHARMACY.......(903) 887-3606 CVS PHARMACY #............................. (254) 953-5881 300 N GUN BARREL LN • 75156 201 E CENTRAL TEXAS EXPY • 76548 90 SAVE, 90, eRX

HALE CENTER

SAM'S PHARMACY 10-6245.............. (254) 415-4892 HALE CENTER CLINICAL 600 WEST CENTRAL TEXAS EXPRESSWAY • PHARMACY.........................................(806) 839-2466 76548 601 AVE G • 79041 SAVE, 90 90

HALLETTSVILLE

HARLINGEN

AMERICAN SPECIALTY BROOKSHIRE BROTHERS PHARMACY.........................................(956) 622-3273 PHARMACY.........................................(361) 798-3229 1113 SOUTH F STREET, STE C • 78550 1514 N TEXANA • 77964 SAVE HALLETTSVILLE PHARMACY...........(361) 798-5010 CARE RX PHARMACY....................... (956) 365-4677 304 N TEXANA • 77964 4501 HALE AVE • STE 1 • 78550 90 90

HALLSVILLE

CVS PHARMACY #............................. (956) 440-8329 BROOKSHIRES PHARMACY............. (903) 668-1409 1002 DIXIELAND RD • 78552 590 WEST MAIN STREET • ATTENTION SAVE, 90, eRX PHARMACY DEPT • 75650 GENOA, A QOL HEALTHCARE COMPANY, 90 LL......................................................... (412) 931-3131 HALTOM CITY 103 N LOOP 499 • 78550 HALTOM PHARMACY LLC................ (817) 838-2500 HARLINGEN PHARMACY.................. (956) 230-3200 5310 E BELKNAP ST STE E • 76117 1616 N ED CAREY DR • 78550 90 eRX KMART PHARMACY7077...................(956) 428-4158 1129 MORGAN BLVD • 78550 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 41

HASKELL

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MUNIZ RIO GRANDE PHARMACY.... (956) 423-1753 WILSON PHARMACY......................... (979) 279-2173 1117 S COMMERCE • 78550 118 W 4TH STREET • 77859 90 90, eRX PETES PHARMACY............................(956) 425-2424 HEBBRONVILLE 721 W HARRISON AVE STE A • 78550 COUNTY PHARMACY........................ (361) 527-3231 90, eRX 602 E GALBRAITH ST • 78361 RIO GRANDE STATE CENTER.......... (956) 364-8262 90 1401 S RANGERVILLE RD • 78551 HEMPHILL SALINAS LEGEND PHARMACY........ (956) 425-1156 BROOKSHIRE BROTHERS 1022 S F ST • 78550 PHARMACY.........................................(409) 787-2356 SAM'S CLUB PHARMACY 10-6269... (956) 507-7305 2075 WORTH ST. • 75948 621 N EXPRESSWAY 77 • 78550 K-C DRUGS #2....................................(409) 787-2345 SAVE, 90 2155 WORTH ST • 75948 SMALL FRYS PHARMACY.................(956) 423-1200 eRX 321 S 21ST STREET • 78550 HEMPSTEAD eRX BROOKSHIRE BROTHERS TEXAS ONCOLOGY PHARMACY......(956) 364-6735 PHARMACY.........................................(979) 826-4895 2121 PEASE, SUITE 101 • 78550 300 BS HWY 290 E • 77445

HASKELL

HENDERSON

HASKELL CLINICAL SERVICES........(940) 864-2674 RAY PHARMACY................................ (903) 657-2588 100 S AVE E • STE B • 79521 220 ZEID BLVD • 75652 THE DRUG STORE............................. (940) 864-2673 90, eRX 100 S AVENUE E • 79521 90, eRX

HASLET

STRONG HURT PHARMACY............. (903) 657-3587 111 E MAIN ST • 75652 90

HASLET PHARMACY......................... (817) 945-2608 HENRIETTA 1205 AVONDALE HASLET RD STE # 200 • 76052 HENRIETTA PHARMACY INC............ (940) 538-4361 90, eRX 124 N BRIDGE • 76365 90 HAWKINS BROOKSHIRES PHARMACY............. (903) 769-3344 HEREFORD 1477 NORTH BEULAH STREET • ATTENTION HEREFORD HEALTH MART PHARMACY DEPT • 75765 PHARMACY.........................................(806) 364-3400 90 809 S 25 MILE AVE • 79045 SAVE, 90, eRX HEARNE HEREFORD HEALTH MART BROOKSHIRE BROTHERS PHARMACY.........................................(979) 279-5343 PHARMACY.........................................(806) 364-3400 809 S 25 MILE AVE • 79045 400 SECOND ST • 77859 24HR, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 42

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HOUSTON

Retail Pharmacies Including Chain Pharmacies HEWITT

HOUSTON

LYNN'S PHARMACY HEWITT............(254) 666-5000 A-PLUS PHARMACY.......................... (713) 750-9160 511 N HEWITT DR STE 1 • 76643 5700 S GESSNER, STE G • 77036 90, eRX AAPEX PHARMACY........................... (713) 270-7771 HICO 6065 HILLCROFT PLAZA • STE109 • 77081 BEST VALUE HICO PHARMACY....... (254) 796-4271 90, eRX W 1ST AND WALNUT • 76457 90, eRX

HILLSBORO

ACARIAHEALTH PHARMACY #11.... (800) 511-5144 1311 W SAM HOUSTON PKWY N # 130 • 77043 90, eRX

BROOKSHIRES PHARMACY............. (254) 580-2953 ACCREDO HEALTH GROUP INC...... (713) 791-1552 9307 KIRBY DR • 77054 120 SOUTH WACO • ATTENTION PHARMACY eRX DEPT • 76645 90 ADVANCE HEALING SOLUTIONS OF EAGLE DRUG..................................... (254) 582-5363 HOUSTO.............................................. (281) 447-7648 5740 W LITTLE YORK RD • 77091 101 JANE LN • 76645 90 90, eRX T B BOND PHARMACY...................... (254) 582-2561 AFFINITY BIOTECH, INC....................(713) 551-2087 11303 CHIMNEY ROCK RD STE 105 • 77035 60 W ELM ST • 76645 eRX 90 AFRA PHARMACY..............................(832) 831-9694 HONDO 8141 LONG POINT RD. • 77055 LIFECHEK............................................(830) 426-2334 eRX 1703 19TH ST • 78861 AKO PHARMACY................................(281) 890-9922 SAVE, 90 11811 FALLBROOKS DR, STE B1 • 77065 HONEY GROVE eRX HONEY GROVE PHARMACY............. (903) 378-2901 ALLIANCE PHARM D......................... (281) 591-0900 435 S 5TH ST • 75446 13734 SH FM 249 • SUITE C • 77086 90 eRX

HOOKS

WHISENHUNT'S CITY PHARMACY... (903) 547-2782 102 MAIN ST • 75561 90

ALTUS PHARMACY............................(281) 481-0398 10851 SCARSDALE BLVD, SUITE 160B • 77089 eRX

AMERITA INC......................................(713) 843-7700 4001 W SAM HOUSTON PKWY N • STE 120 • ADVANT EDGE PHARMACY............. (915) 852-8884 77043 14476 HORIZON BLVD • STE J • 79928 90, eRX 90, eRX AMEX PHARMACY # 3....................... (713) 451-8400 HORSESHOE BAY 5990 AIRLINE DR STE 150 • 77076 BAY PHARMACY................................ (830) 598-1900 90, eRX

HORIZON CITY

7405 HWY 2147 • 78657

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 43

HOUSTON

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies AMEX UNITED DRUG......................... (713) 237-9301 BELLAIRE PHARMACY......................(713) 777-6251 3030 CANAL ST • 77003 9115 BELLAIRE BLVD • SUITE 122 • 77036 90, eRX 90 APOTEK PHARMACY.........................(713) 928-3210 BERRY PROFESSIONAL................... (713) 697-9750 5201 HARRISBURG BLVD • 77011 8520 JENSEN DR • 77093 90, eRX 90, eRX ASTRO PHARMACY, LLC.................. (713) 957-4600 BESTCARE PHARMACY.................... (713) 644-2424 10530 NORTHWEST FWY • 77092 7338 MCHENRY • STE 6 • 77087 90 AWESOME CARE PHARMACY..........(281) 501-1008 6060 BELLAIRE BLVD • STE J • 77081 BIG TEX PHARMACY......................... (713) 283-1310 SAVE, 90, eRX 10900 GULF FWY STE A3 • 77034 eRX AZMO PHARMACY COMPOUNDING (281) 861-9000 7825 HIGHWAY 6 N • STE 106 • 77095 BIOCURE LLC.....................................(713) 360-2100 90, eRX 8700 COMMERCE PARK DR STE 241 • 77036 90, eRX AZTECA PHARMACY......................... (713) 664-3600 3100 BROADWAY ST • STE 105F • 77017 BOTICA FAMILIAR PHARMACY........(713) 918-6402 90, eRX 12333 SOUTH MAIN STREET • 77035 eRX BAIJES BISSONNET PHARMACY.....(281) 974-3573 9801 BISSONNET ST STE F • 77036 BRETSHIRE PHARMACY INC............(713) 635-8800 7030 BRETSHIRE DR • 77016 BAO CHAU PHARMACY.................... (281) 631-0600 eRX 12002 VETERANS MEMORIAL DRIVE • STE C • BRIARGROVE PHARMACY............... (713) 783-5704 77067 90 6435 SAN FELIPE • 77057 90 BARKER CYPRESS PHARMACY...... (281) 579-9393 1855 BARKER CYPRESS RD STE 140 • 77084 BRIGHTMED PHARMACY.................. (713) 772-7700 90, eRX 9630 CLAREWOOD DR. SUITE A-14 • 77036 90 BARKER CYPRESS PHARMACY AND COMPOUN...........................................(713) 631-3117 BWM PHARMACY AND MEDICAL SUPPLY INC....................................................... (281) 469-1882 8300 HOMESTEAD RD • 77028 11850 FM 1960 RD WEST • 77065 BEECHNUT PROFESSIONAL eRX PHARMACY.........................................(713) 988-1103 7500 BEECHNUT • STE 151 • 77074 C & C PHARMACY..............................(713) 641-6300 90 8208 GULF FREEWAY • STE 102 • 77017 90, eRX BELLAIRE DISCOUNT PHY............... (281) 568-1888 10515 BELLAIRE BLVD • STE L • 77072 CAMPBELLS COMPOUNDING INCORPORATED................................ (713) 668-4833 90 6603 KIRBY DR • 77005 BELLAIRE MEDICAL PHARMACY.... (713) 457-3600 12924 BELLAIRE BLVD SUITE 100A • 77072 CANAL HEALTHCARE SOLNS. LLC.(713) 924-6067 90 7648 CANAL ST • 77012 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 44

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HOUSTON

Retail Pharmacies Including Chain Pharmacies CANAL PHARMACY........................... (713) 227-5583 CROSSWAY PHARMACY LLC...........(713) 290-0322 2502 CANAL ST • 77003 3044 ANTOINE • 77092 90, eRX CULLEN CARE PHARMACY.............. (713) 747-2100 CANAL RX...........................................(713) 547-0752 5751 BLYTHEWOOD ST • 77021 3311 CANAL ST • 77003 90, eRX 90 CULLEN CARE PHARMACY.............. (713) 264-0699 CARE PLUS PHARMACY...................(713) 778-1773 9406 CULLEN BLVD STE C • 77051 10301 CLUB CREEK DR • SUITE # I • 77036 eRX eRX CUNNINGHAM AIRLINE CAREPOINT PARTNERS................... (713) 782-4442 PHARMACY.........................................(713) 697-3261 9360 KIRBY DR STE 100 • 77054 6033 AIRLINE DR • 77076 24HR 90 CEGO INFUSION PHARMACY........... (713) 541-6000 CUNNINGHAM PHARMACY GULFBANK......................................... (713) 921-7500 6300 RICHMOND AVE. • SUITE 300A • 77057 90, eRX 7101 LAWNDALE ST • 77023 90 CHOICE PHARMACY..........................(713) 778-0463 9207 COUNTRY CREEK DR STE 202 • 77036 CUNNINGHAM PHARMACY NORTHWEST...................................... (713) 683-8600 90 2925 W TC JESTER BLVD • STE 2B • 77018 CIITIZENS PROFESSIONAL 90 PHARMACY.........................................(713) 695-7316 7333 NORTH FWY 110 • 77076 CVS PHARMACY #............................. (713) 580-0178 90, eRX 10801 WESTHEIMER RD • 77042 SAVE, 90, eRX CLINICAL CARE PHARMACY............(281) 272-8700 2770 N SAM HOUSTON PKWY WEST • 77038 CVS PHARMACY #............................. (713) 300-0228 90 984 GESSNER RD • 77024 SAVE, 90, eRX COMMUNITY EXPRESS PHARMACY(832) 941-0901 9820 GULF FWY STE A10 • 77034 CVS PHARMACY #............................. (281) 858-7452 6955 HIGHWAY 6 N • 77084 COMPOUNDING PHARMACY SAVE, 90, eRX SOLUTIONS.........................................(713) 783-2836 6105 BEVERLY HILL STREET • SUITE 201 • 77057 CVS PHARMACY #............................. (713) 343-2258 13250 NORTHWEST FWY • 77040 COMPOUNDING SHOP PHARMACY, SAVE, 90, eRX INC....................................................... (281) 495-2230 11851A WILCREST DR • 77031 CVS PHARMACY #............................. (281) 949-2220 12701 FM 1960 RD W • 77065 COMPOUNDING SOLUTIONS............(281) 477-7686 SAVE, 90, eRX 11240 FM 1960 W • STE 404 • 77064 CVS PHARMACY #............................. (713) 343-8301 CORAM CVS/SPECIALTY INFUSION 8503 S SAM HOUSTON PKWY E • 77075 SERVIC................................................ (713) 667-4010 SAVE, 90, eRX 10611 S SAM HOUSTON PKWY W • STE 200 • 77071

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 45

HOUSTON

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies CVS PHARMACY #............................. (713) 661-8213 DR RITA'S PHARMACY INC...............(281) 531-5965 8500 MAIN ST • 77025 12289 WEST HOUSTON CENTER BLVD • STE B • SAVE, 90, eRX 77082 eRX CVS PHARMACY #............................. (281) 716-1106 6801 FM 1960 RD W • 77069 DREAM PHARMACY MEMORIAL...... (713) 465-1117 SAVE, 90, eRX 1140 BUSINESS CENTER DR • STE 103 • 77043 90 CVS PHARMACY #............................. (281) 379-2861 21515 TOMBALL PKWY • 77070 EAST END PHARMACY INC.............. (713) 923-5959 SAVE, 90, eRX 6802 NAVIGATION • 77011 90 CVS PHARMACY #............................. (281) 492-7906 19955 KATY FWY • 77094 ECO PHARMACY OF KATY WEST....(281) 206-7388 SAVE, 90, eRX 19255 PARK ROW STE 103 • 77084 SAVE, eRX CVS PHARMACY #............................. (713) 331-0166 4323 SAN FELIPE ST • 77027 ELGIN PHARMACY.............................(713) 533-9033 SAVE, 90, eRX 1202 ELGIN ST # B • 77004 eRX CVS PHARMACY #............................. (713) 292-0031 300 MEYERLAND PLAZA MALL • 77096 ELITE PHARMACY............................. (832) 230-5229 SAVE, 90, eRX 11569 S WILCREST DR • 77099 CVS PHARMACY #............................. (713) 331-0377 EMERALD PHARMACY LLC.............. (281) 484-7100 2580 SHEARN ST • 77007 12863 GULF FWY • 77034 SAVE, 90, eRX eRX CVS PHARMACY #............................. (713) 331-0374 EMMONS PHARMACY....................... (832) 582-8758 8605 WESTHEIMER RD • 77063 9555 W SAM HOUSTON PKWY S STE 180 • 77099 SAVE, 90, eRX eRX CVS PHARMACY #............................. (281) 810-5252 EMPIRE RX..........................................(832) 500-5847 2700 ELDRIDGE PKWY • 77082 12361 MAIN ST • 77035 SAVE, 90, eRX EMPIRICAL PHARMACY.................... (713) 991-0072 9715 TELEPHONE RD • SUITE 105 • 77075 CYPRESS COMPOUNDING PHARMACY.........................................(832) 617-0290 EPC PHARMACY LLC........................ (281) 861-5512 9511 HUFFMEISTER RD STE 104 • 77095 9539 HUFFMEISTER RD • SUIT C • 77095 90, eRX 90, eRX DB PHARMACY, PLLC....................... (281) 397-7711 EVERGREEN PHARMACY................. (713) 541-1234 12100-E VETERANS MEMORIAL DR. • 77067 9180 BELLAIRE BLVD • STE A • 77036 eRX 90, eRX DISCOUNT PHARMACY..................... (281) 780-2328 EXCEL PHARMACY INC.................... (713) 995-1272 8213 HOMESTEAD RD STE D • 77028 8600 W AIRPORT BLVD STE B • 77071 90, eRX eRX DOLLAR RX PHARMACY...................(713) 694-1470 8721 JENSEN DR • STE H • 77093 90 SAVE = Preferred cost sharing 90 = 90 Day Supply 46

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HOUSTON

Retail Pharmacies Including Chain Pharmacies EXPERIENCECARE SPECIALTY GOOD SAMARITAN PHARMACY & PHARMACY.........................................(713) 524-3330 COMPOUNDI....................................... (832) 804-6605 3730 KIRBY DR • STE 111 • 77098 11301 FALLBROOK DR STE 124 • 77065 eRX eRX EXPRESS DRUGS.............................. (713) 673-6060 GRAND PARKWAY PHARMACY AND MEDICAL............................................. (281) 495-1011 10909 I10 EAST • 77029 90, eRX 9634 S KIRKWOOD RD • 77099 90 EXPRESS SPECIALTY PHARMACY..(281) 453-7450 20320 NW FRWY • SUITE 500A • 77065 GREENS POINT PHARMACY............ (281) 872-4177 eRX 165 GREENS RD • 77060 eRX FAIRWAY PHARMACY....................... (713) 454-0211 4912 TELEPHONE ROAD • 77087 GROVEWAY PHARMACY.................. (713) 644-9400 90 4501 GROVEWAY • 77087 90, eRX FALCON PHARMACY OF TEXAS INC....................................................... (281) 776-9600 HACS PHARMACY............................. (832) 384-1423 8145 HIGHWAY 6 S STE 114A • 77083 2150 WEST 18TH ST. • SUITE 300-B • 77008 eRX eRX FAMACIA DEL SOL INC..................... (713) 776-0806 HEALTH FIT PHARMACY...................(713) 802-2441 6300 HILLCROFT 101 • 77081 3620 KATY FWY STE A • 77007 90 HEALTHCHOICE PHARMACY........... (281) 741-8358 FAMILY PHARMACY CARE............... (281) 315-3770 10001 W BELLFORT ST STE K • 77031 12121 RICHMOND AVE STE 126 • 77082 HEALTHCO PHARMACY....................(713) 640-5575 eRX 8604 MARTIN LUTHER KING JR. BLVD • 77033 FAMILYCARE PHARMACY................ (281) 933-3573 SAVE, 90, eRX 12060 BELLAIRE BLVD • STE E • 77072 HEALTHCO PHARMACY CORP........ (713) 218-6337 90 5730 CHIMNEY ROCK RD • 77081 FAMILYRX PHARMACY INC.............. (281) 855-4343 SAVE, 90, eRX 9511 HUFFMEISTER RD STE 103 • 77095 HEIGHTS PHARMACY........................(713) 487-3313 FIRST CHOICE PHARMACY.............. (713) 779-7603 5225 KATY FWY STE 105A • 77007 6200 HILLCROFT ST STE 110 • 77081 eRX eRX HEIGHTS STUDEWOOD FRIENDLY PHARMACY INC.............. (832) 351-2000 PHARMACY.........................................(713) 869-2225 3533 S DAIRY ASHFORD RD • 77082 427 W 20TH ST • STE 105 • 77008 90, eRX GENESIS DRUG INC...........................(281) 999-4210 302 W GULFBANK RD • STE B • 77037 HICARE PHARMACY.......................... (713) 799-8880 90 7814 ALMEDA ROAD • 77054 90, eRX GILLTOP PHARMACY LLC................ (832) 831-7381 14522 S POST OAK RD STE 108A • 77045 HILLCROFT PHARMACY................... (713) 988-9996 eRX 6400 HILLCROFT • STE 107 • 77081 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 47

HOUSTON

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies HOLMAN PHARMACY........................ (713) 776-3500 JAMES PHARMACY........................... (713) 721-3800 10000 A HARWIN • 77036 12950 S. POST OAK • 77045 90 90 HOMESCRIPTS................................... (866) 839-2035 JOSHUAS PHARMACY...................... (713) 772-6014 1311 W SAM HOUSTON PKWY N STE 140 • 77043 8200 WEDNESBURY LANE • 77074 HOPE PHARMACY............................. (713) 864-0100 KASE RX PHARMACY........................(713) 777-9200 1919 N. LOOP WEST, • SUITE 181 • 77008 8353 SOUTHWEST FWY • 77074 90, eRX eRX HOUSTON MEDICINE CHEST............(281) 464-6300 KASHMERE PHARMACY INC............ (713) 674-6916 209 BRISBANE ST • 77061 6402 LYONS • 77020 eRX 90 HPB PHARMACY................................ (713) 799-1472 KELSEY PHARMACY - CYPRESS..... (713) 442-4055 6410 FANNIN ST • STE 116 • 77030 13114 FM 1960 • 77065 90, eRX 90, eRX INNOVA PAIN CENTER...................... (281) 922-0400 KELSEY PHARMACY - HOUSTON CENTER...............................................(713) 442-6337 11920 ASTORIA BLVD STE 130 • 77089 eRX 1200 MCKINNEY ST STE 417 • 77010 90, eRX INTRACARE COMMUNITY PHARMACY.........................................(713) 790-7821 KELSEY PHARMACY MEYERLAND.......................................(713) 442-3200 1120 CYPRESS STATION DR • STE 110 • 77090 90 560 MEYERLAND PLAZA MALL • 77096 90, eRX INWOOD PHARMACY........................ (281) 664-8829 13300 HARGRAVE RD • SUITE 180 • 77070 KELSEY PHARMACY - VINTAGE...... (713) 442-1579 90, eRX 10701 VINTAGE PRESERVE PKWY • 77070 90, eRX IRVINGTON FAMILY PHARMACY..... (713) 694-8399 3815 IRVINGTON BLVD STE E • 77009 KELSEY PHARMACY MAIN............... (713) 442-0079 2727 W HOLCOMBE BLVD • 77025 J DYKES PHARMACY........................ (713) 691-5100 90, eRX 4901 YALE • 77018 90, eRX KELSEY PHARMACYTANGLEWOOD................................... (713) 442-2450 JACINTO PHARMACY INC.................(713) 455-1361 1111 AUGUSTA • 77057 10805 MARKET ST RD • 77029 90, eRX SAVE, 90 KHARISMA PHARMACY.................... (832) 409-5586 JACKS APOTHECARY....................... (713) 733-7424 8608 S. BRAESWOOD BLVD • 77031 8109 CULLEN BLVD • 77051 90 KIM LONG PHARMACY......................(713) 777-1414 7601 W SAM HOUSTON PKWY S • STE 900 • JACOBS DISCOUNT PHARMACY..... (713) 469-3502 77072 8118 LONG POINT RD • 77055 eRX eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 48

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HOUSTON

Retail Pharmacies Including Chain Pharmacies KINGSBRIDGE RX PHARMACY........ (281) 495-3500 LOVING CARE PHARMACY...............(713) 808-9103 6720 HIGHWAY 6 S • 77083 4406 AIRLINE DR • 77022 eRX LYONS PHARMACY........................... (713) 675-9667 KREMCO PHARMACY LLC................(281) 564-7500 5602 LYONS AVE • SUTIE 610 • 77020 10815 BEECHNUT ST • STE 125 • 77072 SAVE, 90, eRX KSF ORTHOPAEDIC CENTER PA..... (281) 440-6960 MACE RX PHARMACY, LLC.............. (832) 917-5550 17270 RED OAK DRIVE #200 • 77090 8775 S GESSNER RD • 77074 eRX eRX KWIK MEDS PHARMACY LLC...........(281) 501-2228 MAIN MEDICAL PLAZA PHARMACY (713) 667-5003 1900 NORTH LOOP W STE 170 • 77018 10019 S MAIN • STE A10 • 77025 eRX SAVE, eRX LA PLAZA PHARMACY-1...................(713) 644-9400 MARITIME PHARMACY...................... (713) 921-1052 6655 HILLCROFT • STE 108 • 77081 900 BROADWAY ST • 3740 WROXTON RD. • 90 77012 eRX LEADCARE PHARMACY INC............ (713) 774-8180 9908 S GESSNER DRIVE • 77071 MAS PHARMACY RX..........................(713) 465-6113 90 9355 LONG POINT RD STE L • 77055 LEGENDS PHARMACY II................... (281) 496-0640 MAXIMUM CARE PHARMACY........... (281) 438-6161 15015 WESTHEIMER PKWY STE LL • 77082 16251 S POST OAK RD STE A • 77053 eRX MAXOR PHARMACY.......................... (281) 480-0327 LELAND PHARMACY......................... (713) 673-8000 1046B HERCULES • 77058 5412 FARMER ST • 77020 eRX 90, eRX MAXOR PHARMACY.......................... (713) 756-5300 LIFE DRUGS RX................................. (713) 462-7029 1919 LA BRANCH ST • 77002 12015 LOUETTA RD #300 • 77070 eRX LIFE PHARMACY................................(713) 665-5050 MAYFLOWER PHARMACY................ (713) 981-5900 5800 BELLAIRE BLVD • SUITE 100 • 77081 8323 SOUTHWEST FWY STE 115 • 77074 eRX MCA PHARMACY, LLC...................... (713) 482-4444 LIFECARE PHARMACY......................(713) 772-3000 1201 DAIRY ASHFORD, SUITE 200 • 77079 7135 SOUTHWEST FWY • 77074 SAVE, 90, eRX 90, eRX MED PHARMACY I............................. (713) 694-4618 LINCOLN PHARMACY INC................ (713) 771-4700 3302 ORLANDO • 77093 8329 BEECHNUT STREET • 77036 MED RX PHARMACY..........................(713) 695-5000 4000 FULTON ST, STE C • 77009 LIVING WELL SPECIALTY PHARMACY.........................................(832) 756-2930 eRX 13333 DOTSON RD STE 120 • 77070 MED SCRIPTS PHARMACY............... (832) 371-6100 90, eRX 10039 BISSONNET ST STE 116 • 77036 LOTUS PHARMACY........................... (281) 983-9382 90, eRX 8200 WILCREST DR., SUITE 8 • 77072

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 49

HOUSTON

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MED SOLUTION PHARMACY............ (281) 890-9922 MERCURY DRIVE PHARMACY..........(713) 674-6122 10680 JONES ROAD • SUITE 500 • 77065 918 MERCURY DR • 77029 90 SAVE, 90 MED VALT PHARMACY LLC............. (713) 349-9882 MIDTOWN SPECIALTY RX.................(713) 874-9190 2656 S LOOP W STE 103 • 77054 1701 WEBSTER ST STE D • 77003 SAVE, 90, eRX eRX MEDCARE PHARMACY..................... (281) 561-0088 MOBILECARE PHARMACY................(713) 600-0075 11322 BELLAIRE BLVD STE 116 • 77072 3918 LEELAND STREET • 77003 90, eRX eRX MEDCARE RX PHARMACY............... (713) 272-9600 MODERN AUTOMATED PHARMACY(713) 660-9091 7052 BISSONNET ST • 77074 8303 KNIGHT RD STE A • 77054 90, eRX 90, eRX MEDEX PHARMACY...........................(713) 771-3800 NAHS PHARMACY............................. (281) 498-5700 9600 FONDREN RD #B3 • 77096 12000 WILCREST DR STE # 206 • 77031 eRX MEDI-SCRIPT PHARMACY................ (713) 910-3774 8121 BROADWAY ST STE 105 • 77061 NIBA PHARMACY...............................(713) 451-3328 13018 WOODFOREST STE N. • 77015 MEDICAL PLAZA................................ (713) 654-4137 90, eRX 2101 CRAWFORD ST • 77002 90, eRX NNWOOD PHARMACY LLC............... (281) 448-8836 8240 ANTOINE DRIVE • STE 108 • 77088 MEDICAL SQUARE PHARMACY....... (713) 468-3236 1401 WIRT RD STE E • 77055 NORTH HOUSTON MEDICAL PHARMACY.........................................(713) 694-3131 90, eRX 7007 NORTH FREEWAY • SUITE 115 • 77076 MEDICINE SHOPPE............................(713) 741-5104 5910 SCOTT STREET • SUITE M • 77021 OC PHARMACY.................................. (713) 275-3222 SAVE, 90, eRX 925 GESSNER • STE 600 • 77024 90, eRX MEDPLUS RX INC.............................. (713) 779-5400 5950 S GESSNER DR STE D • 77036 OC PHARMACY II............................... (713) 600-0934 2130 W HOLCOMBE BLVD • 10TH FLOOR • 77030 MEDRX COMPOUNDING & PHARMACY 90, eRX LIMITE..................................................(832) 767-5466 601 WAYSIDE DR STE D • 77011 OCENIE DRUG EMPORIUM............... (713) 290-8800 eRX 5003 ANTOINE DRIVE • SUITE A • 77092 eRX MEDSAVER PHARMACY................... (281) 988-0880 10701 W BELLFORT ST STE B # 172 • 77099 ON TIME PHARMACY.........................(713) 731-0880 14455 CULLEN BLVD • SUITE C-1 • 77047 MEDSTAR PHARMACY...................... (281) 933-4449 eRX 14629 BEECHNUT STREET • 77083 eRX PARK INFUSION CARE......................(713) 668-7275 4007 BELLAIRE BLVD • STE G • 77025 MEMORIAL PHARMACY.................... (832) 358-8500 10101 SOUTHWEST FWY STE 315 • 77074

SAVE = Preferred cost sharing 90 = 90 Day Supply 50

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HOUSTON

Retail Pharmacies Including Chain Pharmacies PARK PLACE HEALTH CENTER PINEY POINT PHARMACY.................(713) 782-6212 PHARMACY.........................................(713) 847-6800 2532 FONDREN RD • 77063 9809 ROWLETT RD • STE F • 77075 90, eRX 90, eRX PLATINUM RX NORTH....................... (281) 227-1010 PARK PLAZA PHARMACY................ (713) 524-2828 5627 ALDINE BENDER RD STE 7 • 77032 1213 HERMANN DR STE 140 • 77004 POWER CENTER PHARMACY.......... (713) 731-8999 PAVILION PHARMACY.......................(713) 868-1601 8803 SCOTT ST • 77051 1740 W 27TH ST • STE 150 • 77008 90 SAVE, 90, eRX PREFERRED PHARMACY..................(713) 465-8100 PECAN PARK PHARMACY................(713) 861-4300 3939 HILLCROFT ST STE 120 • 77057 906 WAYSIDE DR • 77011 eRX 90 PRIMARY CARE PHARMACY LLC.... (832) 433-7346 PEDIACARE PHARMACY...................(832) 770-9383 6612 HORNWOOD SUITE C H • 77074 13711 WALLISVILLE RD. STE 2 • 77049 PRIMECARE PHARMACY.................. (713) 661-7746 90 5900 CHIMNEY ROCK RD STE AC • 77081 PHAM FAMILY PHARMACY INC........(210) 366-1212 90, eRX 3918 LEELAND STREET • STE D • 77003 PRO MED PHARMACY.......................(281) 372-8522 PHAR-MILES PHARMACY................. (713) 636-3261 2421 ALDINE MAIL RD STE B • 77039 10700 RICHMOND AVE STE 259 • 77042 eRX SAVE, 90, eRX PROCARE RX..................................... (281) 580-4500 PHARMACARE TEXAS, INC.............. (832) 886-2357 16300 KUYKENDAHL RD STE 370 • 77068 9100 SOUTHWEST FWY STE 130 • 77074 90 90, eRX PROVEN CARE PHARMACY, LLC.... (281) 983-9333 10950 BISSONNET ST STE # 220 • 77099 PHARMACY AT CULLEN COMMONS.......................................... (713) 731-7988 PUBLIC PHARMACY.......................... (713) 663-7800 12805 CULLEN BLVD. • STE. C • 77048 6510 HILLCROFT ST # STE.100 • 77081 PHARMACY INNOVATIONS...............(281) 251-0888 SAVE, 90 10130 LOUETTA RD STE C • 77070 PUMPS IT II......................................... (281) 955-8900 SAVE, 90 10601 GRANT RD STE 101 • 77070 PHARMACY PLUS.............................. (713) 782-0558 90 6776 SOUTHWEST FWY • STE 102 • 77074 PVE PHARMACY................................ (713) 884-1443 90 226 E CROSSTIMBERS ST STE 2 • 77022 PHARMACY 45....................................(713) 847-9900 RAPID PHARMACY............................ (832) 962-4991 10547 S POST OAK RD • 77035 6120 RICHMOND AVE STE A • 77057 eRX eRX PHARMSCRIPT OF TEXAS................ (281) 492-7220 RC3 PHARMACY................................ (713) 541-6567 1718 FRY RD • STE 125 • 77084 8410 FONDREN RD • 77074 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 51

HOUSTON

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies RECEPT PHARMACY #31.................. (713) 627-2370 SAMS PHARMACY............................. (281) 807-5194 8111 N STADIUM DR STE 200A • 77054 12205 WEST ROAD • 77065 eRX SAVE, 90 RELIANCE PHARMACY..................... (713) 797-1107 SAMS PHARMACY............................. (713) 791-9345 7707 FANNIN • STE 105 • 77054 1615 S LOOP WEST • 77054 SAVE, 90 RITEMED PHARMACY LLC............... (713) 772-4242 10301 HARWIN DR STE 3 • 77036 SAMS PHARMACY............................. (713) 330-8581 eRX 13600 EAST FREEWAY • 77015 SAVE, 90 ROSA PHARMACY............................. (281) 481-6602 11002 SCARSDALE BLVD • STE A • 77089 SAMS PHARMACY............................. (713) 378-9584 11101 FUQUA STREET • 77089 ROSE PHARMACY, LLC.................... (713) 952-9568 SAVE, 90 7447 HARWIN DR STE 188 • 77036 SAMS PHARMACY............................. (713) 779-2100 RX CARE PHARMACY....................... (281) 444-6359 8300 BISSONNET • STE 100 • 77074 11511 VETERANS MEMORIAL DR • STE 900 • 90 77067 90 SAMS PHARMACY 10-6346............... (281) 829-9121 13331 WESTHEIMER RD • 77082 RX PHARMACY...................................(713) 723-4601 SAVE, 90 5600 S WILLOW DRIVE • STE 113 • 77035 SANTA MARIA PHARMACY.............. (713) 592-5300 RXPERTS PHARMACY TEXAS LLC..(713) 690-2047 5727 RAMPART ST. STE, A8 • 77081 8700 JAMEEL RD • STE 150 • 77040 eRX S & K MED PHARMACY.....................(281) 752-7244 SAV PHARMACY................................ (713) 467-3311 1396 ELDRIDGE PKWY STE D • 77077 1823 WIRT RD • 77055 SAGE PHARMACY AND STORES, 90, eRX LLC.......................................................(713) 339-1855 SEM PHARMACY & MEDICAL 3730D S GESSNER RD • 77063 SUPPLY............................................... (281) 861-7788 eRX 16316 FM 529 • 77095 SAMS PHARMACY............................. (832) 778-9807 SENA RX PHARMACY, INC............... (281) 440-0018 5310 SOUTH RICE AVENUE • 77081 5050 FM 1960 RD W STE 125 • 77069 SAVE, 90 SAVE, eRX SAMS PHARMACY............................. (832) 237-8298 SIMONS PHARMACY......................... (713) 222-6650 7950 FM 1960 • 77070 3303 N MAIN ST • 77009 SAVE, 90 90 SAMS PHARMACY............................. (713) 468-7047 SOLEO HEALTH INC.......................... (832) 981-1000 10488 OLD KATY ROAD • 77043 8275 EL RIO • SUITE 180 • 77054 SAVE, 90 90, eRX SAMS PHARMACY............................. (281) 821-1096 SOLUTIONS IN PHARMACY.............. (713) 957-8000 325 EAST RICHEY ROAD • 77073 7951 KATY FWY STE M • 77024 SAVE, 90 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 52

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HOUSTON

Retail Pharmacies Including Chain Pharmacies SOUTH BELT PHARMACY.................(281) 481-6600 STUDENT HEALTH PHARMACY....... (713) 743-5125 12600B SCARSDALE BLVD • 77089 4367 COUGAR VILLAGE DR • RM 100 • 77204 90 eRX SOUTH POST OAK PHARMACY INC (713) 433-7075 SUPERCARE PHARMACY INC.......... (281) 880-4800 14206 S POST OAK RD • 77045 13480 VETERANS MEMORIAL DR • SUITE R5 • 90 77014 90, eRX SOUTHEND PHARMACY....................(281) 498-1450 10910 W BELLFORT ST • 77099 SUPREME COMPOUNDING............... (281) 272-0813 eRX 7346 ANTOINE DR • 77088 eRX SOUTHSIDE INFUSION...................... (713) 660-8888 7700 MAIN ST • STE 210 • 77030 SUPREME PHARMACY...................... (281) 550-2100 eRX 4544 HIGHWAY 6 N • 77084 SOUTHSIDE PHARMACY II................(832) 553-1315 TABB PHARMACY..............................(713) 772-8222 1200 BINZ ST STE 260 • 77004 9730 SOUTHWEST FWY STE UC # 100 • 77074 SAVE, eRX eRX SOUTHSIDE PHARMACY 3................(832) 553-1374 TD PHARMACY...................................(281) 741-8472 7700 MAIN ST STE 260 • 77030 12319 BELLAIRE BLVD STE 400 • 77072 SAVE, 90, eRX eRX SOUTHWEST PHARMACY.................(281) 893-8665 TEJAS PHARMACY #2....................... (281) 741-3385 17115 RED OAK DR STE 105 • 77090 5228 ALDINE MAIL RT. • SUITE C • 77039 90 eRX SPECIALTY THERAPEUTIC CARE....(866) 506-2626 TEXAS CARE PHARMACY................ (713) 660-9920 1311 W SAM HOUSTON PKWY N STE 150 • 77043 8990 KIRBY DR STE 240 • 77054 90 eRX SPRING BRANCH PHARMACY......... (713) 690-0001 TEXAS CHILDREN'S HOSPITAL PHARMACY.........................................(832) 828-1605 2600 GESSNER DR • STE 162 • 77080 700 N SAM HOUSTON PKWY W • 77067 ST JOSEPH PROFESSIONAL 90, eRX PHARMACY.........................................(713) 659-3030 2000 CRAWFORD ST • 77002 TEXAS CHILDREN'S HOSPITAL PHARMACY-........................................(832) 733-1400 90, eRX 9700 BISSONNET ST STE 1000W • 77036 STAR REX PHARMACY LLC............. (832) 767-0816 90, eRX 11110 EAST FWY • 77029 TEXAS RXSOLUTIONS AND COMPOUNDING STEEPLECHASE EXPRESS RX.........(281) 894-9900 P........................................................... (713) 790-1228 10694 JONES RD, STE 115 • 77065 7505 FANNIN ST #140 • 77054 STERLING PHARMACY..................... (713) 955-8885 90 9798 BELLAIRE BLVD • STE 1B • 77036 TEXAS UNICARE PHARMACY.......... (832) 834-3222 90 2424 W HOLCOMBE BLVD STE 101 • 77030 SAVE, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 53

HOUSTON

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies THE MEDICINE MAN PHARMACY.....(713) 644-1343 TX SPINE AND JOINT........................ (832) 849-0909 7652 BELLFORT ST • 77061 8830 LONG POINT RD STE 502 • 77055 90, eRX UNICARE PHARMACY INC................ (281) 498-1141 11847 BISSONNET ST • 77099 THE MEDICINE SHOPPE PHARMACY.........................................(713) 641-3414 UNIV OF TEXAS MD ANDERSON CANCER 5600 MYKAWA • INSIDE FIESTA MART STORE • CE.........................................................(713) 792-6125 77033 1515 HOLCOMBE BLVD UNIT 90 • 77030 eRX VALENCIA PHARMACY,INC.............. (713) 995-1900 THE PEOPLES PHARMACY.............. (713) 378-4450 7330 SOUTHWEST FWY STE A2 • 77074 8503 E GULF FREEWAY • STE E • 77017 eRX 90 VILLAGE COMPOUNDING TIDWELL PHARMACY........................(713) 884-8807 PHARMACY.........................................(713) 464-5069 509 W TIDWELL • 140 • 77091 975 CORBINDALE RD • SUITE 100 • 77024 90 VILLAGE FAMILY PHARMACY..........(713) 373-3300 TIDWELL PROFESSIONAL 9055 KATY FWY STE 101 • 77024 PHARMACY.........................................(713) 694-5977 SAVE, eRX 2310 TIDWELL RD • 77093 VINTAGE PHARMACY PLUS............. (281) 251-3911 90, eRX 11550 LOUETTA RD. • SUITE #1600 • 77070 TIDWELL RX....................................... (866) 852-7405 SAVE, eRX 712 E TIDWELL RD STE C • 77022 VITA-CARE PHARMACY.................... (713) 781-8675 eRX 2500 FONDREN • 77063 TN PHARMACY...................................(281) 561-0101 90, eRX 12989 BELLAIRE BLVD • STE 1A • 77002 VITAL CARE OF NORTH HOUSTON. (832) 487-9746 90, eRX 1125 CYPRESS STATION F-2 • 77090 TOTAL CARE CAC PHARMACY LLC(281) 377-8137 eRX 14755 NORTH FWY STE 200 • 77090 WALLIS PHARMACY.......................... (281) 457-3838 eRX 5620 E SAM HOUSTON PKWY NORTH • 77015 TOTAL PHARMACY CENTER ONE... (713) 864-0808 90 4302 CENTER ST • 77007 WASHINGTON AVE PHARMACY 90 CENTER...............................................(713) 864-2401 TRACE PHARMACY........................... (713) 981-6600 2515 WASHINGTON AVENUE • STE 1401 • 77007 8104 SOUTHWEST FWY STE B • 77074 90, eRX eRX WELLNESS PHARMACY LLC............(713) 532-0008 TRIPLE A PHARMACY....................... (281) 974-3713 1480 WILCREST DR • 77042 11450 SPACE CENTER BLVD • 77059 WELLNESS PLUS PHARMACY INC.. (832) 604-7418 eRX 13141 FM 1960 WEST STE 200 • 77065 TRUECARE ALLIED PHARMACY AND 90, eRX MEDICA............................................... (281) 652-8080 3003 S LOOP W STE 450 • 77054 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 54

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

HUNTSVILLE

Retail Pharmacies Including Chain Pharmacies WEST AVE PHARMACY.....................(832) 831-9480 DOUGHERTY'S PHARMACY HUMBLE, LLC.......................................................(281) 446-9191 2800 KIRBY DR STE A200 • 77098 90, eRX 211 FM 1960 BYPASS RD E • 77338 WESTLAKE PHARMACY SERVICES (281) 579-1310 DOYFRAN PHARMACY...................... (281) 973-8042 2430 NORTH FRY ROAD #104 • 77084 9701 N SAM HOUSTON PKWY E STE 110 • 77396 90, eRX eRX WESTVIEW PHARMACY.................... (713) 365-9393 GREATER TEXAS PHARMACY......... (832) 644-9895 2323 WIRT RD • STE F2 • 77055 1485 FM 1960 BYPASS RD E • #120 • 77338 SAVE, 90, eRX SAVE, eRX WILLOWBROOK PHARMACY/ HUMBLE PHARMACY........................ (281) 540-4441 COMPOUNDING..................................(281) 859-3103 19333 HWY 59 N • STE 150 • 77338 8945 HIGHWAY 6 N STE 255 • 77095 90, eRX eRX KELSEY PHARMACY - SUMMER WINSTON'S PHARMACY................... (713) 944-6000 CREEK................................................. (713) 442-2079 8405 ALMEDA GENOA RD STE UANDS • 77075 8233 N SAM HOUSTON PKWY E • 77396 90, eRX 90, eRX XAVIER PHARMACY III...................... (713) 697-1400 MEMORIAL CARE PHARMACY......... (832) 777-6448 96 BERRY ROAD • 77022 8901 FM 1960 BYPASS RD W STE 102 • 77338 SAVE, 90 90, eRX YOUR PHARMACY INC...................... (713) 781-1010 SAMS PHARMACY............................. (281) 540-7016 7400 HARWIN DR STE 253 • 77036 9665 FM 1960 BYPASS • 77338 eRX SAVE, 90

HUBBARD

WELLCARE SPECIALTY PHARMACY, HUBBARD CITY DRUG...................... (254) 576-2241 LLC.......................................................(281) 973-4731 18321 W LAKE HOUSTON PKWY STE 280 • 77346 200 N MAGNOLIA ST • 76648 SAVE, eRX 90

HUGHES SPRINGS

HUNTINGTON

THE MED SHOP..................................(903) 639-3508 BROOKSHIRE BROTHERS PHARMACY.........................................(936) 876-5154 111 E 2ND ST • 75656 104 N MAIN • 75949 90, eRX LOPERS FAMILY PHARMACY...........(936) 422-4440 HUMBLE 116 HWY 69 N • 75949 CVS PHARMACY #............................. (281) 540-2126 eRX 20777 HWY 59 N • 77338 HUNTSVILLE SAVE, 90, eRX CVS PHARMACY #............................. (281) 318-2238 BROOKSHIRE BROTHERS PHARMACY.........................................(936) 435-1234 6931 FM 1960 RD E • 77346 2601 11TH STREET • 77340 SAVE, 90, eRX CVS PHARMACY #............................. (936) 649-3074 259 INTERSTATE 45 S • 77340 SAVE, 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 55

HURST

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MCNEASE DRUGS............................. (936) 293-8333 AMERITA............................................. (972) 815-0460 103 MEDICAL PARK LANE • SUITE B • 77340 8080 TRISTAR DR STE 120 • 75063 SAVE, 90, eRX 90, eRX

HURST

BAYLOR SCOTT & WHITE PHARMACY CVS PHARMACY #............................. (817) 282-8917 #108......................................................(972) 579-4074 1901 N. MACARTHUR BLVD. • SUITE 1001 • 75061 1400 PRECINCT LINE RD • 76053 eRX SAVE, 90, eRX MIDCITIES PHARMACY..................... (817) 605-3500 BOARDWALK PHARMACY................(972) 812-7559 1110 COTTONWOOD LANE • STE 115 • 75038 2000 PRECINCT LINE RD STE 102 • 76054 90 SAVE, eRX BROWNS PHARMACY....................... (972) 254-8156 IDALOU 2021 N MCARTHUR • STE 120 • 75061 DRISCOLL PHARMACY..................... (806) 892-2561 SAVE 816 FRONTAGE RD • 79329 CVS PHARMACY #............................. (972) 869-0474 90 7845 N MACARTHUR BLVD • 75063 INGLESIDE SAVE, 90, eRX JERRYS PHARMACY......................... (361) 776-2577 FARMACIA CENTRAL........................ (972) 253-3455 2793 MAIN ST • 78362 504 N OCONNOR RD • 75061 SAVE, 90, eRX 90

IOWA PARK

HUGHES PHARMACY........................ (940) 592-4191 120 W PARK AVE • 76367 90 IOWA PARK PHARMACY...................(940) 592-2731 405 SE ACCESS RD, STE A • 76367 SAVE, eRX

GENERX DISCOUNT PHARMACY.....(972) 417-8895 1202 W PIONEER DR • STE 140 • 75061 90, eRX GIBSON PHARMACY......................... (972) 579-0511 815 N OCONNOR RD • 75061 90

IRVING PHARMACY........................... (972) 313-0585 2000 ESTERS RD STE 202 • 75061 ACCREDO HEALTH GROUP INC...... (972) 929-6800 SAVE, 90, eRX 4343 WEST ROYAL LANE • STE 124 • 75063 LANDMARK HEALTHCARE, INC.......(866) 388-3883

IRVING

ACCREDO HEALTH GROUP INC...... (972) 929-6800 4343 W ROYAL LANE • STE 124 • 75063

8200 TRISTAR DR STE 120 • 75063 eRX

ALPHA PHARMACY........................... (469) 262-5742 LINDSEYS PHARMACY......................(972) 252-8644 2616 TEXAS DR • 75062 8787 N MACARTHUR BLVD STE 120 • 75063 90 90, eRX LUMIN HEALTH SPECIALISTS PA.... (972) 255-5588 AMERICAN SPECIALTY PHARMACY.........................................(214) 206-8586 4301 N MACARTHUR BLVD STE 101 • 75038 eRX 7415 LAS COLINAS BLVD STE 100 • 75063 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 56

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

JEWETT

Retail Pharmacies Including Chain Pharmacies MACARTHUR HEALTH MART UNIVERSAL MED SUPPLY................ (972) 228-1820 PHARMACY.........................................(972) 756-9515 2049 W WALNUT HILL LANE • 75038 5477 N. MACARTHUR BLVD • 75038 90, eRX 90, eRX JACINTO CITY MERIDIAN PHARMACY GROUP........(214) 492-0123 REDI-MED PHARMACY LLC.............. (281) 428-1212 1111 S IRVING HEIGHTS BLVD • 75060 1520 HOLLAND ST • 77029 90, eRX 90 MINYARD PHARMACY....................... (972) 790-3753 JACKSBORO 2200 W SHADY GROVE • 75060 CITY DRUG STORE............................ (940) 567-5576 SAVE, 90, eRX 104 E BELKNAP ST • 76458 PHARMACIA SANA............................ (469) 647-5291 90, eRX 1111 W AIRPORT FWY STE 151 • 75062 JACKSONVILLE 90, eRX BROOKSHIRE BROTHERS PHARMACY PLUS #8......................... (972) 401-3333 PHARMACY.........................................(903) 586-2284 825 W. ROYAL LANE • STE 110 • 75039 210 CHEROKEE • 75766 90, eRX PORTER PHARMACY.........................(903) 586-9804 PROFESSIONAL PHARMACY II........ (972) 514-1277 308 W LARISSA ST • 75766 1221 W AIRPORT FWY STE 111 • 75062 90, eRX 90, eRX

JASPER

PX EXPRESS PHARMACY.................(972) 513-1900 BROOKSHIRE BROTHERS 1625 N STORY RD STE 148 • 75061 PHARMACY.........................................(409) eRX 1125 SOUTH WHEELER • 75951 SAMS PHARMACY............................. (972) 401-0230 GEE SHIPMAN LEGEND 1213 MARKET PLACE BLVD • 75063 PHARMACY.........................................(409) SAVE, 90 140 W LAMAR ST • 75951 SILVERPOINT PHARMACY SERVICES........................................... (214) 260-6900 THE MEDICINE SHOPPE PHARMACY.........................................(409) 8300 ESTERS BLVD STE 950 • 75063 494 SPRINGHILL ST • 75951 eRX eRX SS PHARMACY...................................(817) 632-7779 JEFFERSON 2625 TEXAS DR • 75062 90 CITY DRUG..........................................(903) TEXAS ONCOLOGY PHARMACY......(972) 253-3751 109 W LAFAYETTE ST • 75657 eRX 2001 N MACARTHUR, SUITE 630 • 75061

384-7330

384-4646

384-3432

665-2521

JEWETT

TOTAL CARE PHARMACY AND COMPOUNDING..................................(972) 570-4800 BROOKSHIRE BROTHERS PHARMACY #26........................................................(903) 626-5414 3636 N MACARTHUR BLVD STE 100 • 75062 1117 N MAIN ST • 75846 90, eRX eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 57

JOAQUIN

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies JOAQUIN

CARECOM PHARMACY & BLOUNT PHARMACY.........................(936) 269-3922 COMPOUNDING..................................(832) 437-3397 6630 FM 1463 ROAD. SUITE 400- A • 77494 13290 HWY 84 E • 75954 SAVE, eRX 90, eRX CONTROLLED RX PHARMACY.........(281) 396-4536 JOHNSON CITY 403 W GRAND PKWY S STE E • 77494 JOHNSON CITY PHARMACY.............(830) 868-7185 eRX 405 HWY 281 SOUTH • 78636 CVS PHARMACY #............................. (281) 392-8385 SAVE, 90 23710 WESTHEIMER PKWY • 77494 JOSHUA SAVE, 90, eRX BEST VALUE DANS PHARMACY......(817) 484-3267 FULTON PHARMACY......................... (832) 437-8425 3521 B WILSHIRE BLVD • 76058 1331 W GRAND PKWY N STE 111 • 77493 90, eRX SAVE, 90, eRX BROOKSHIRE PHARMACY #133...... (817) 556-2389 GREENBUSCH PHARMACY.............. (832) 437-1130 1001 JOSHUA STATION BOULEVARD • 76058 25757 WESTHEIMER PKWY STE 150 • 77494 90 SAVE, eRX JOSHUA PHARMACY.........................(817) 295-8531 HEALTH-RITE PHARMACY................(832) 437-2216 504 NORTH BROADWAY • 76058 1801 N MASON RD STE B • 77449 SAVE, eRX 90, eRX

JOURDANTON

JOURDANTON PHARMACY.............. (830) 770-0770 1810 EAST STATE HWY 97 • 78026 90, eRX

HELPING HAND PHARMACY, LLC... (281) 492-0031 529 S MASON RD • 77450 eRX

KATY MEDICAL COMPLEX PHARMACY.........................................(281) 829-6497 CITY PHARMACY OF JUNCTION...... (325) 446-2511 21700 KINGSLAND BLVD • STE 105 • 77450 90, eRX 1610 MAIN ST • 76849 SAVE, 90, eRX KATY PHARMACY I............................(281) 578-1515

JUNCTION

JUSTIN

20005 KATY FWY • 77450 90, eRX

JUSTIN FAMILY PHARMACY............ (940) 648-2222 120 W 4TH ST • 76247 MEDICINE+ PHARMACY.................... (281) 724-5820 SAVE, 90, eRX 705 S FRY RD STE 105 • 77450 90, eRX KARNES CITY JAYS CITY PHARMACY..................... (830) 780-2224 PSC PHARMACY................................ (281) 665-8899 23510 KINGSLAND BLVD STE 104 • 77494 214 E CALVERT AVE • 78118 90, eRX SAVE, 90 RITE CHOICE PHARMACY,LLC.........(832) 913-6905 KATY 9727 SPRING GREEN BLVD • SUITE 150 • 77494 BROOKSHIRE BROTHERS PHARMACY OF 90, eRX KAT...................................................... (281) 391-7051 5249 FRANZ RD • 77493 90 SAVE = Preferred cost sharing 90 = 90 Day Supply 58

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

KILGORE

Retail Pharmacies Including Chain Pharmacies SAMS PHARMACY............................. (281) 578-5593 KENNEDALE 20424 KATY FREEWAY • 77449 RAYS PHARMACY..............................(817) 478-8225 SAVE, 90 301 W KENNEDALE PKWY • 76060 SINA PHARMACY............................... (281) 717-4521 90 3815 N FRY RD STE 600 • 77449 KERENS

KAUFMAN

HILLIARD DRUGS INC....................... (903) 396-2214 BROOKSHIRES PHARMACY............. (972) 962-8547 1001 NW 2ND STE 300 • PO DRAWER 40 • 75144 eRX 2235 S WASHINGTON • ATTENTION PHARMACY DEPT • 75142 KERMIT 90 KERMIT PHARMACY.......................... (432) 586-2556 MEDICATION STATION...................... (972) 932-6855 810 MYER LANE • 79745 700 ED HALL DRIVE • 75142 SAVE, 90, eRX 90, eRX LOWES MARKETPLACE KEENE PHARMACY.........................................(432) 586-3479 KEENE PHARMACY........................... (817) 558-3341 310 E AUSTIN ST • 79745 eRX 114 S OLD BETSY RD • 76059 90, eRX KERRVILLE

KELLER

ANNIE'S APOTHECARY.....................(830) 257-0732 BEAR CREEK PHARMACY LLC........ (817) 562-4766 1228 BANDERA HWY • 78028 90 101B BEAR CREEK PARKWAY • 76248 eRX GENOA, A QOL HEALTHCARE COMPANY, HERITAGE PHARMACY..................... (817) 741-7100 LL......................................................... (830) 896-0256 500 THOMPSON DRIVE • 78028 3529 HERTIAGE TRACE PKWY • STE 141 • 76248 90, eRX KERRVILLE DRUG COMPANY.......... (830) 895-3784 KELLER PHARMACY......................... (682) 593-0461 1050 JUNCTION HWY • 78028 SAVE, 90 1200 KELLER PKWY STE 200 • 76248 90, eRX KERRVILLE STATE HOSPITAL......... (830) 896-2211

KEMP

721 THOMPSON DR • 78028

KEMP FAMILY PHARMACY............... (903) 498-8523 MEDICAL ARTS PHARMACY............ (830) 896-0167 1224 S ELM • 75143 200 WESLEY DR • UNIT A PHASE 1 • 78028 90, eRX SAVE, 90, eRX

KENEDY

THE MEDICINE STOP.........................(830) 896-7440 1000 E MAIN • 78028 FRONTIER PHARMACY OF KENEDY INC....................................................... (830) 583-2115 90, eRX KILGORE 103 MAIN STREET • 78119 90, eRX BROOKSHIRES PHARMACY............. (903) 984-8639 THE PRESCRIPTION SHOP............... (830) 583-9652 747 HWY 259 NORTH • ATTENTION PHARMACY 143 CRAIG ST • 78119 DEPT • 75662 SAVE, 90 90 SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 59

KILLEEN

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies CARDINAL PHARMACY..................... (903) 983-3372 MILLENNIUM PHARMACY #2............ (281) 312-8585 5309 FM 1252 W • 75662 22730 PROFESSIONAL DR STE 110 • 77339 90, eRX eRX

KILLEEN

PATIENT DIRECT PHARMACY INC...(281) 312-8590 22710 PROFESSIONAL DR • STE 103 • 77339

BAYLOR SCOTT & WHITE PHARMACY #231......................................................(254) 953-7777 KIRBYVILLE 2500 CROSS DR • 76543 BROOKSHIRE BROTHERS PHARMACY OF eRX KIR....................................................... (409) 423-2248 KILLEEN PHARMACY........................ (254) 247-3979 1005 S MARGARET • 75956 218 E AVENUE B • 76541 90 eRX S AND R PHARMACY.........................(409) 423-2215 KMART PHARMACY3475...................(254) 526-2444 1606 S MARGARET • 75956 1101 S FORT HOOD ST • 76541 eRX 90 KNOX CITY METROPLEX PHARMACY................. (254) 519-8272 KNOX COUNTY PHARMACY & 2201 S. CLEAR CREEK RD • 76549 SUPPLY............................................... (940) 657-4036 90, eRX 712 SE 5TH ST • 79529 TEXAS CARDIOVASCULAR.............. (254) 628-8836 SAVE, eRX 2123 S CLEAR CREEK RD • 76549 KOUNTZE

KINGSLAND

BROOKSHIRE BROTHERS KINGSLAND HEALTH MART............. (325) 388-4593 PHARMACY.........................................(409) 246-2525 155 MONROE • 77625 306 RANCH ROAD 2900 • 78639 SAVE, 90 LIFECHEK............................................(409) 246-3492

KINGSVILLE

800 S PINE STREET • 77625 SAVE, 90, eRX

HARREL'S KINGSVILLE PHARMACY.........................................(361) 592-9385 KRUM 204 E KLEBERG AVE • 78363 S & J PHARMACY KRUM...................(940) 482-1972 90, eRX 820 E. MCCART • STE C • 76249

KINGWOOD

KYLE

GREENPATH PHARMACY................. (832) 445-0500 CVS PHARMACY #............................. (512) 268-7551 24000 HIGHWAY 59 N • 77339 5188 KYLE CENTER DR • 78640 eRX SAVE, 90, eRX HOPE PHARMACY 1.......................... (832) 777-1960 GREATER AUSTIN PAIN CENTER.... (512) 298-1645 24048 HIGHWAY 59 N • 77339 4100 EVERETT DR STE 210 • 78640 90, eRX eRX KELSEY PHARMACY-KINGWOOD....(713) 442-2179 LA BLANCA 2755 W LAKE HOUSTON PKWY • 77339 LA BLANCA PHARMACY...................(956) 262-7662 90, eRX 18360 FM 493 • STE B • 78558 90 SAVE = Preferred cost sharing 90 = 90 Day Supply 60

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

LANCASTER

Retail Pharmacies Including Chain Pharmacies LA GRANGE

LAKE WORTH

LIFECHEK............................................(979) 968-5835 BROOKSHIRES PHARMACY............. (817) 237-7580 110 E TRAVIS • 78945 6708 LAKE WORTH BLVD • ATTENTION SAVE, 90 PHARMACY DEPT • 76135 90 LA MARQUE HART PHARMACY..............................(409) 938-3787 CVS PHARMACY #............................. (817) 302-0084 6604 LAKE WORTH BLVD • 76135 202 HWY 3 • 77568 SAVE, 90, eRX eRX

LAKEWAY

SAMS PHARMACY............................. (409) 978-2456 6614 GULF FREEWAY • 77568 HILL COUNTRY APOTHECARY.........(512) 351-9139 SAVE, 90 1310 RANCH ROAD 620 S • 78734 eRX LA VERNIA

LAMESA

LIFECHEK............................................(830) 779-2219 13857 US HIGHWAY 87 • SUITE 100 • 78121 JONES MCCALL PHARMACY........... (806) 872-5453 SAVE, 90, eRX 1605 N BRYAN AVE • 79331 SAVE, 90, eRX LACY LAKEVIEW

LAMPASAS

PHARMACY PLUS #6......................... (254) 867-6700 1207 N LOOP 340 • 76705 CATTLES PHARMACY INC................(512) 556-5141 90, eRX 202 N KEY AVE • 76550 90, eRX LAKE JACKSON CVS PHARMACY #............................. (979) 299-2330 HODGES & SARGENT PHARMACY.. (512) 556-3392 210 S KEY AVE. • 76550 202 HIGHWAY 332 W • 77566 90 SAVE, 90, eRX

LANCASTER

SPENCE'S MEDICAL CENTER PHARMACY.........................................(979) 297-1776 MGS PHARMACY INC........................ (972) 223-8787 215 OAK DR S • STE M • 77566 2505 W BELTLINE RD • STE 600 • 75146 90 90 STARR PLUS PHARMACY, LLC........(979) 297-3800 MINYARD PHARMACY....................... (972) 227-2126 208 OAK DR S STE 302 • 77566 1450 WEST PLEASANT RUN RD • STE 200 • 75146 SAVE, 90, eRX THE MEDICINE SHOPPE PHARMACY.........................................(979) 297-9503 MORNING STAR PHARMACY AND MEDICAL S........................................................... (972) 224-1340 109B ABNER JACKSON PARKWAY • 77566 90, eRX 2700 W PLEASANT RUN RD # W250 • 75146 SAVE, 90, eRX LAKE KIOWA RITE CARE PHARMACY III................ (214) 331-4500 KIOWA HOMETOWN PHARMACY AND HOME ME........................................................ (940) 668-7384 3250 W PLEASANT RUN RD • SUITE 165 • 75146 90 100 KIOWA DR W • SUITE 104 • 76240 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 61

LAPORTE

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies LAPORTE

LAREDO DOWNTOWN PHARMACY DEANGELO PHARMACY................... (281) 842-8500 INC....................................................... (956) 726-4512 1219 MATAMOROS ST • 78040 1309 W FAIRMONT PKWY SUIT P • 77571 SAVE, 90 eRX LAREDO PHARMACY........................ (956) 729-9993 THE MEDICINE SHOPPE PHARMACY.........................................(281) 471-1241 3507 JAIME ZAPATA MEMORIAL HWY STE 4 • 78043 800 S BROADWAY ST • 77571 SAVE, 90, eRX eRX MARTINEZ PHARMACY..................... (956) 722-7600 LAREDO 1407 JACAMAN • 78041 CVS PHARMACY #............................. (956) 718-3236 MEDCENTER PHARMACY................. (956) 791-1991 1910 BOB BULLOCK LOOP • 78043 1419 E BUSTAMANTE ST • 78041 SAVE, 90, eRX SAVE, 90, eRX CVS PHARMACY #............................. (956) 722-1205 MEDICAL PLAZA PHARMACY.......... (956) 718-2770 7501 SAN DARIO AVE • 78045 10710 MCPHERSON RD STE 102 • 78045 SAVE, 90, eRX SAVE, 90, eRX GATEWAY COMMUNITY HEALTH CENTER, IN.......................................................... (956) 795-8101 LEAGUE CITY 2007 SOUTH ZAPATA HWY • 78046 DEVEREUX TEXAS TREATMENT NETWORK........................................... (281) 316-5438 GATEWAY COMMUNITY HEALTH CENTER, IN.......................................................... (956) 523-3605 1150 DEVEREUX DR • 77573 90, eRX 1515 PAPPAS ST • 78041 KMART PHARMACY4809...................(956) 729-1907 UTMB SPECIALTY CARE CENTER AT VICTO...................................................(832) 505-1103 5001 SAN DARIO AVE • 78041 2240 GULF FWY S • PHARMACY ROOM 2.203 • 90 77573 LAKESIDE PHARMACY..................... (956) 725-6337 90, eRX 2337 ENDEAVOR DR • STE C • 78041 LEONARD SAVE, 90, eRX LEONARD PHARMACY...................... (903) 587-3363 LAKESIDE PHARMACY SOUTH........ (956) 724-2090 122 W COLLINS ST • 75452 4151 JAIME ZAPATA MEMORIAL HWY STE 208 • 90, eRX 78043 LEVELLAND eRX LAN RX PHARMACY II....................... (956) 725-6000 UNITED PHARMACY.......................... (806) 894-7315 511 COLLEGE AVE • 79336 2110 LOMAS DEL SUR • SUITE 105 • 78046 90, eRX SAVE, eRX LANRX PHARMACY........................... (956) 568-9230 LEWISVILLE 1901 FREES ST STE 2 • 78046 CARDIAC INFUSION SPECIALISTS.. (972) 426-7006 SAVE, 90, eRX 697 S STEMMONS FWY • 75067

SAVE = Preferred cost sharing 90 = 90 Day Supply 62

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

LLANO

Retail Pharmacies Including Chain Pharmacies COMMUNITY CARE PHARMACY...... (972) 317-5599 EAGLE PHARMACY........................... (903) 881-5752 1301 FM 407 JUSTIN RD STE 212 • 75077 1404 S MAIN ST • 75771 90, eRX SAVE, 90, eRX CVS PHARMACY #............................. (972) 459-5906 ELLIOTTS PHARMACY...................... (903) 882-3312 725 HEBRON PKWY • 75057 14077 FM 849 • 75771 SAVE, 90, eRX eRX CVS PHARMACY #............................. (469) 287-0347 LINDEN 4760 STATE HWY 121 • 75056 POWERS PHARMACY NO 1 INC....... (903) 756-7923 SAVE, 90, eRX 702 W HOUSTON ST • 75563 FIRST STOP PHARMACY.................. (972) 299-8990 LITTLE ELM 101 E CORPORATE DR STE 220 • 75067 LITTLE ELM PHARMACY...................(972) 294-2877 SAVE 800 W ELDORADO PKWY • STE 100 • 75068 SAMS PHARMACY............................. (972) 353-0022 90, eRX 751 WEST MAIN • 75067 LITTLEFIELD SAVE, 90 LOWES MARKET PLACE SONEXUS HEALTH PHARMACY PHARMACY.........................................(806) 385-4250 SERVICES........................................... (972) 350-9940 102 W WAYLON JENNINGS BLVD • 79339 2730 EDMONDS LN STE 400 • 75067 eRX eRX PRESCRIPTION SHOP....................... (806) 385-4491 LIBERTY 1506 A SOUTH SUNSET • 79339 BROOKSHIRE BROTHERS PHARMACY LIVE OAK #51........................................................(936) 336-4177 BEST MED SOUTH............................. (325) 646-9414 2325 N MAIN ST • 77575 12702 TOEPPERWEIN RD STE 115 • 78233 RODGER'S PHARMACY.....................(936) 776-5228 SAVE, eRX 1909 GRAND AVENUE • 77575 RX PLUS PHARMACY OF LIVE OAK (210) 646-0207 90, eRX 12315 JUDSON RD STE 108 • 78233 TPS/LIBERTY RX................................ (936) 334-8000 SAVE, eRX 1710 N MAIN ST • 77575 LIVINGSTON SAVE, eRX BROOKSHIRE BROTHERS LIBERTY HILL PHARMACY.........................................(936) 327-4354 LIBERTY HILL PHARMACY & 1253 W CHURCH • 77351 COMPOUNDING..................................(512) 766-5479 LIVINGSTON PHARMACY..................(936) 327-5510 13740 W STATE HIGHWAY 29 STE 4 • 78642 714 W CHURCH ST • 77351 90, eRX SAVE, 90 LINDALE

LLANO

BROOKSHIRES PHARMACY............. (903) 882-1309 CORNER DRUG STORE.....................(325) 247-4155 521 SOUTH MAIN • ATTENTION PHARMACY 600 BESSEMER AVE • 78643 DEPT • 75771 SAVE 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 63

LOCKHART

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies LOCKHART

SAMS PHARMACY............................. (903) 663-2749 WESTYS PHARMACY........................ (512) 398-2114 3310 NORTH 4TH ST • 75605 SAVE, 90 113 S MAIN ST • 78644 90

SUPER 1 PHARMACY........................ (903) 753-1964 1217 EAST MARSHALL • ATTENTION PHARMACY LOCKNEY DEPT • 75601 HOMETOWN PHARMACY.................. (806) 652-3353 90 309 N MAIN ST • 79241 SUPER 1 PHARMACY........................ (903) 234-2785 90, eRX 1800 SOUTH HIGH • ATTENTION PHARMACY LONGVIEW DEPT • 75602 BROOKSHIRES PHARMACY............. (903) 297-6963 90 3354 GILMER ROAD • ATTENTION PHARMACY TEXAS ONCOLOGY PHARMACY......(903) 234-7060 DEPT • 75604 1400 N 4TH STREET • 75601 90

LORENA

CVS PHARMACY #............................. (903) 323-5001 BROOKSHIRE BROTHERS 3092 N EASTMAN RD STE 100 • 75605 PHARMACY.........................................(254) 857-3955 SAVE, 90, eRX 406 N FRONTAGE • 76655 DRUG EMPORIUM.............................. (903) 297-0558 eRX 2321 W LOOP 281 • 75604 LOS FRESNOS 90, eRX LONGVIEW DRUGS............................(903) 291-1730 LOS FRESNOS PHARMACY.............. (956) 233-3400 810 W OCEAN BLVD • 78566 1751 W LOOP 281 • 75604 eRX 90, eRX

LUBBOCK

LOUIS MORGAN DRUG..................... (903) 758-6164 110 JOHNSTON ST • 75601 AMIGOS PHARMACY......................... (806) 763-5908 90, eRX 112 N UNIVERISTY AVE • 79415 90, eRX LOUIS MORGAN DRUGS................... (903) 758-8286 1900 S HIGH ST • 75602 BEST DISCOUNT PHARMACY.......... (806) 795-4353 90, eRX 2316 34TH ST • 79411 90, eRX MEDICAL PARK PHARMACY............ (903) 234-8326 709 HOLLYBROOK • STE 101 • 75605 BRIOVARX, LLC................................. (806) 687-9957 90 6310 GENOA AVE • STE B • 79424 MEDICAL PLAZA PHARMACY.......... (903) 757-3477 CAPROCK COMPOUNDING PHARMACY.........................................(806) 589-6333 707 E MARSHALL AVE • STE 7 • 75601 90 3007 50TH ST • 79413 SAVE, eRX PHARMACY SOLUTIONS...................(903) 295-3338 913 NW LOOP 281 • STE 117 • 75604 CVS PHARMACY #............................. (806) 788-3601 90 6064 MARSHA SHARP FREEWAY • 79407 SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 64

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

LUBBOCK

Retail Pharmacies Including Chain Pharmacies CVS PHARMACY #............................. (806) 748-6456 SAMS PHARMACY............................. (806) 785-2710 7302 UNIVERSITY AVE • 79423 6016 MARSHA SHARP FWY • 79407 SAVE, 90, eRX SAVE, 90 DRUG EMPORIUM.............................. (806) 794-0022 SPECIAL CARE PHARMACY............. (806) 741-1777 5109 82ND ST • 79424 3406 INTERSTATE 27 • 79404 90, eRX TEXAS COMPOUNDING SERVICES..(806) 799-8920 GRACE PHARMACY...........................(806) 740-3305 2420 QUAKER AVE STE 203 • 79410 4515 MARSHA SHARP FREEWAY • 79407 TTUHSC PHARMACY......................... (806) 743-3270 90, eRX 3601 4TH ST • STE 1A 150 • 79430 IVSOLUTIONS OF LUBBOCK............ (806) 791-4663 eRX 3706-A 20TH STREET • 79410 TWIN OAKS PHARMACY................... (806) 799-3636 KMART PHARMACY4972...................(806) 788-0101 3436 34TH ST • 79410 6501 UNIVERSITY AVENUE • 79413 SAVE, eRX 90 TWIN OAKS SPECIALTY PHARMACY.........................................(806) 701-5455 LUBBOCK STATE SUPPORTED LIVING CENT....................................................(806) 741-3636 3434 34TH ST STE B • 79410 3401 N UNIVERSITY AVE • 79413 SAVE, eRX MARKET STREET PHARMACY......... (806) 791-0972 UNITED PHARMACY.......................... (806) 796-1895 3405 50TH ST • 79413 401 SLIDE RD • 79416 90, eRX 90, eRX MARKET STREET PHARMACY......... (806) 798-6115 UNITED PHARMACY.......................... (806) 763-9999 4205 98TH • 79423 1318 BROADWAY • 79401 90 90 MARKET STREET PHARMACY #553 (806) 788-2015 UNITED PHARMACY.......................... (806) 747-3503 4425 19TH ST • 79407 1701 50TH ST • 79412 90, 24HR 90, eRX OMNICARE OF LUBBOCK.................(806) 792-7290 UNITED PHARMACY.......................... (806) 765-7014 6101 43RD ST • STE E • 79407 2630 PARKWAY DR • 79403 24HR 90, eRX PARKWAY PHARMACY..................... (806) 767-9999 UNITED PHARMACY.......................... (806) 745-3907 1824 PARKWAY DR • STE 100 • 79403 2703 82ND ST • 79423 SAVE, eRX 90 RAFF AND HALL FAMILY PARK....... (806) 744-8477 UNITED PHARMACY.......................... (806) 783-0241 3404 INTERSTATE 27 • 79404 8010 FRANKFORD • 79424 eRX 90, eRX RSVP RX #701.................................... (806) 589-6233 UNIVERSITY MEDICAL CTR PHCY... (806) 775-8696 5004 FRANKFORD SQUARE, • STE 119 • 79424 602 INDIANA AVE • 79415 eRX eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 65

LUFKIN

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies LUFKIN

MARKET BASKET PHARMACY.........(409) 755-4932 421 S MAIN ST • 77657 ABELDTS GASLIGHT PHARMACY INC....................................................... (936) 639-2346 eRX LYTLE 200 GASLIGHT BLVD • 75904 90, eRX SUPER DRUG MART.......................... (830) 709-0360 19010 PRIEST BLVD • SUITE 101 • 78052 BROOKSHIRE BROTHERS PHARMACY.........................................(936) 637-7066 90 301 SOUTH CHESTNUT • 75901 MABANK BROOKSHIRE BROTHERS BROOKSHIRE PHARMACY............... (903) 887-6011 PHARMACY.........................................(936) 634-8722 1200 SOUTH 3RD ST • 75147 816 N TIMBERLAND • 75901 90, eRX BROOKSHIRE BROTHERS MABANK FAMILY PHARMACY......... (903) 887-3711 PHARMACY.........................................(936) 634-8394 207 N 3RD STREET • 75147 1807 WEST FRANK • 75904 SAVE, 90, eRX KMART PHARMACY7912...................(936) 632-5566 MADISONVILLE 3061 JOHN REDDITT DR • 75904 BROOKSHIRE BROTHERS 90 PHARMACY.........................................(936) SAMS PHARMACY............................. (936) 639-1748 403 MAIN • 77864 407 N BRENTWOOD • 75901 BROOKSHIRE BROTHERS SAVE, 90 PHARMACY.........................................(936) THE MEDICINE SHOPPE 810 SOUTH STATE • 77864 PHARMACY.........................................(936) 634-3006 MAGNOLIA 903 W FRANK AVE • 75904 B AND B PHARMACY........................ (281) TIMBERLAND MC PHARMACY......... (936) 632-2260 18640 C FM 1488 • 77354 800 S TIMBERLAND DR • 75901 BROOKSHIRE BROTHERS 90 PHARMACY.........................................(281) LULING 18535 FM 1488 • 77355 DISMUKES PHARMACY.....................(830) 875-2811 CVS PHARMACY #............................. (281) 511 E DAVIS ST • 78648 32858 FM 2978 RD • 77354 SAVE, eRX SAVE, 90, eRX

LUMBERTON

348-6951

348-2731

356-4303

356-6103 296-3050

MAGNOLIA PHARMACY.................... (281) 356-9089 BROOKSHIRE BROTHERS 18230 FM 1488 • STE 100 • 77354 PHARMACY.........................................(409) 755-0451 90, eRX 202 NORTH MAIN • 77657 TEXAS PROFESSIONAL PHARMACYKING'S PHARMACY OF MAGNOL..............................................(281) 356-2216 LUMBERTON.......................................(409) 755-1145 18602 FM 1488, • SUITE 700 • 77355 139 NORTH LHS DRIVE • SUITE 211 • 77657 SAVE, 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 66

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

MAURICEVILLE

Retail Pharmacies Including Chain Pharmacies MALAKOFF

MARBLE FALLS

MALAKOFF PRESCRIPTION SHOP ATKINS EXPRESS PHARMACY........ (830) 693-3784 INC....................................................... (903) 489-1909 2607 HWY 281 NORTH • 78654 409 W ROYALL BLVD • 75148 SAVE, 90, eRX 90, eRX ATKINS PHARMACY LTC.................. (830) 693-2972 MANOR 701 3RD ST • 78654 MANOR PHARMACY.......................... (512) 642-8000 eRX 14008 SHADOWN GLEN BLVD • SUITE 102 • 78653 90, eRX

MANSFIELD

ATKINS PHARMACY SERVICES....... (830) 693-2972 701 THIRD ST • 78654 SAVE, 90, eRX

MARLIN

BROAD STREET PHARMACY........... (817) 225-4136 GIBSON PHARMACY......................... (254) 883-2451 2771 E BROAD ST STE 219 • 76063 423 LIVE OAK • 76661 90, eRX 90 CVS PHARMACY #............................. (817) 453-0259 SANITARIUM DRUG STORE.............. (254) 883-3541 1801 HIGHWAY 287 N • 76063 156 COLEMAN ST • 76661 SAVE, 90, eRX 90

MARSHALL INFUSION SERVICES AND SPECIALTY PHA...................................................... (817) 453-5022 MATTHEWSON DRUG CO................. (903) 938-6741 1724 E BROAD ST • STE 136 • 76063 717 S WASHINGTON • 75670 90 eRX KK'S PHARMACY #251...................... (817) 453-5700 SUPER 1 PHARMACY........................ (903) 938-3096 980 N WALNUT CREEK DR, #118 • 76063 207 EAST END BLVD NORTH • ATTENTION 90, eRX PHARMACY DEPT • 75670 MELROSE PHARMACY...................... (817) 453-4444 90 2860 N FM 157 • SUITE 120 • 76063 MASON 90, eRX SCRIPT SHOPPE................................ (325) 347-6248 QIC PHARMACY SERVICES.............. (817) 477-2525 211 MOODY ST • 76856 1831 EAST BROAD STREET • SUITE 213 • 76063 90 RAYS PHARMACY..............................(817) 473-1145 MATHIS 1831 E. BROAD ST • 76063 MATHIS CARE PHARMACY...............(361) 678-4302 90, eRX 217 SOUTH HIGHWAY 359 • 78368 SAM'S PHARMACY............................ (817) 779-6061 eRX 1740 NORTH FM 157 • 76063 MAURICEVILLE SAVE, 90 MAURICEVILLE FAMILY PHCY......... (409) 745-3784 MANVEL INTERSECT HWY 62 AND 12 • 77626 MANVEL PHARMACY........................ (281) 489-3210 eRX 20226 HIGHWAY 6 STE C • 77578 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 67

MCALLEN

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MCALLEN

LINDBERG PHARMACY..................... (956) 687-6204 APPLE PHARMACY............................(956) 627-6652 1200 S 2ND ST • STE 1A • 78501 90, eRX 2501 N. 23RD • SUITE B • 78501 90, eRX MCALLEN PHARMACY...................... (956) 668-1100 ASPCARES..........................................(956) 284-6687 4420 N MCCOLL RD • 78504 eRX 1401 E RIDGE RD STE B • 78503 90

MED-AID BICENTENNIAL CENTRX PHARMACY AT MCALLEN.(956) 467-5771 PHARMACY.........................................(956) 618-3100 400 S BICENTENNIAL BLVD • 78501 301 W EXPRESSWAY 83 STE A • 78503 SAVE, eRX 90, eRX CVS PHARMACY #............................. (956) 686-4068 SAENZ MEDICAL PHARMACY MCALLEN INC....................................................... (956) 708 E EXPRESSWAY 83 • 78503 212 LINDBERG • 78501 SAVE, 90, eRX SAVE, 90, eRX CVS PHARMACY #............................. (956) 618-7701 SAENZ MEDICAL PHARMACY NOLANA 3600 NOLANA AVE • 78504 INC....................................................... (956) SAVE, 90, eRX 801 E NOLANA • STE 22 • 78504 CVS PHARMACY #............................. (956) 686-9260 SAVE, 90, eRX 7400 N 10TH ST • 78504 SAENZ MEDICAL PHARMACY SAVE, 90, eRX NORTH.................................................(956) DLS PHARMACY................................ (956) 631-7900 6900 N 10TH • STE 6 • 78501 1301 E FERN AVE #B-1 • 78501 SAVE, 90, eRX SAVE, eRX SAENZ MEDICAL PHARMACY RIDGE FREDS PHARMACY........................... (956) 994-1044 INC....................................................... (956) 3001 N 23RD ST • STE 9 • 78501 1200 E RIDGE RD • STE 13 • 78503 SAVE, eRX SAVE, 90, eRX JAYS LEGEND PHARMACY.............. (956) 682-4525 SAMS PHARMACY............................. (956) 610 S BROADWAY ST • 78501 7601 N 10TH ST • 78504 90, eRX SAVE, 90

630-6465

687-2500

928-0911

630-2500

278-8833

LEES LEGEND PHCY AND MED EQUIP SAMS PHARMACY............................. (956) 683-8895 CO........................................................ (956) 686-3716 1400 EAST JACKSON • 78503 1901 S 1ST • STE 100 • 78503 SAVE, 90 LEES PHARMACY NORTH................ (956) 630-5500 SOUTHSIDE PHARMACY 4................(956) 627-3117 5120 N 10TH • 78504 300 2ND STREET • SUITE B • 78501 eRX SAVE, eRX LIFECHEK............................................(956) 683-1777 TEXAS ONCOLOGY PHARMACY......(956) 687-6090 1623 W. PECAN • 78501 1901 SOUTH SECOND • 78503 SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 68

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

MERIDIAN

Retail Pharmacies Including Chain Pharmacies MCCAMEY

RXSTOCK SPECIALTY PHARMACY. (469) 714-0286 SERENITY PARK PHARMACY...........(325) 884-2579 4201 MEDICAL CENTER DRIVE • SUITE 320 • 75069 507 S. BURLESON AVE. • 79752 SAVE, eRX eRX

MCGREGOR

SAMS PHARMACY............................. (972) 562-4401 1670 WEST UNIVERSITY DRIVE • 75069 SAVE, 90

BROOKSHIRE BROTHERS PHARMACY.........................................(254) 840-2011 SUPER 1 PHARMACY........................ (972) 548-7025 1250 MCGREGOR • 76657 208 NORTH CENTRAL • ATTENTION PHARMACY MCKINNEY DEPT • 75069 APOLLO PHARMACY.........................(469) 442-0148 90 4987 W UNIVERSITY DR STE 120 • 75071 MELISSA 90 MEDPRO PHARMACY AND WELLNESS BAYLOR SCOTT & WHITE PHARMACY CTR...................................................... (972) 837-2900 #105......................................................(469) 764-7100 2028 STATE HWY 121 • STE 100 • 75454 5236 W UNIVERSITY DR STE 1900 • 75071 90, eRX 90

MEMPHIS

BLUE DIAMOND PHYSICAL MEDICINE............................................ (972) 542-5879 MEMPHIS DRUG................................. (806) 259-5067 506 W NOEL ST • 79245 270 REDBUD BLVD # 100 • 75069 SAVE, eRX CVS PHARMACY #............................. (972) 439-3398 MERCEDES 8900 STATE HWY 121 • 75070 SAVE, 90, eRX COACHS PHARMACY........................ (956) 514-2420 100 N TEXAS • STE A • 78570 CVS PHARMACY #............................. (469) 525-4975 2025 N CENTRAL EXPY • 75070 LIFECHEK DRUG #56.........................(956) 565-6775 SAVE, 90, eRX 8030 N FM1015 • SUITE A • 78570 SAVE, eRX MARKET STREET PHARMACY......... (972) 548-5150 6100 W ELDORADO PKWY • 75070 MID VALLEY PHARMACY..................(956) 565-4111 90 805 W BUSINESS HWY 83 • 78570 90 MCKINNEY PHARMACY.................... (972) 542-4481 1601 W UNIVERSITY DR • 75069 NUESTRA CLINICA DEL VALLE........(956) 565-3191 90 1500 W 1ST ST • 78570 eRX NORTH CENTRAL PHARMACY.........(972) 540-9900 MERIDIAN 2741 VIRGINIA PKWY STE 800 • 75071 SAVE, 90, eRX BROOKSHIRE BROTHERS PHARMACY PHARMA PLUS PHARMACY............. (214) 585-4600 #100......................................................(254) 435-2799 9295 HIGHWAY 6 • 76665 5881 VIRGINIA PKWY STE 400 • 75070 eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 69

MERKEL

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MERKEL

ALBERTSONS MARKET PHARMACY MERKEL DRUG CO............................ (325) 928-5012 #672......................................................(432) 694-9673 1002 ANDREWS HWY • 79701 121 EDWARDS ST • 79536 90, eRX SAVE, eRX CVS PHARMACY #............................. (432) 689-0936 4401 ANDREWS HWY • 79703 AGAPE SPECIALTY PHARMACY......(972) 364-1793 SAVE, 90 3030 TOWNE CENTER • STE B • 75150 GRAHAM PHARMACY....................... (432) 684-0569 90 1601 W WALL ST • 79701 APPLE DRUGS................................... (972) 270-0041 eRX 1900 OATES DR STE 138 • 75150 GRAHAM PHARMACY NORTH..........(432) 684-4479 eRX 4906 BRIARWOOD • 79707 CVS PHARMACY #............................. (214) 302-2961 eRX 1629 N TOWN EAST BLVD • 75150 MARKET STREET PHARMACY #674 (432) 699-7578 SAVE, 90, eRX 4706 N MIDKIFF RD • 79705 FAMILY PHARMACY #2..................... (972) 270-5600 90, eRX 2698 N GALLOWAY AVE STE 108 • 75150 MEDICAL CENTER PHARMACY........(432) 697-7500 eRX 3510 N MIDKIFF • SUITE 100 • 79705 GALLOWAY PHARMACY...................(972) 216-7000 PROVIDE RX....................................... (432) 689-3355 910 N GALLOWAY AVE # 100 • 75149 2208 N LOOP 250 W • STE 101 • 79707 eRX 90 KEARNEY PARK PHARMACY........... (972) 329-1168 SAM'S CLUB PHARMACY 10-8288... (432) 253-7669 502 W KEARNEY ST STE 900 • 75149 1500 TRADEWINDS BLVD • 79706 90, eRX SAVE, 90 TEXAS ONCOLOGY PHARMACY......(972) 698-3140 SUPER MERCADO PHARMACY........(432) 682-9501 4700 N GALLOWAY • 75150 2208 NORTH BIG SPRING • 79705 VERDE PHARMACY........................... (972) 807-2493 SAVE, 90 2929 N GALLOWAY AVE STE 116 • 75150 TEXAS ONCOLOGY PHARMACY......(432) 688-0822 90, eRX CRADDICK MEDICAL OFFICE BUILDING • 400 MEXIA ROSALIND REDFERN GROVER PKWY, STE 100 • MEXIA STATE SUPPORTED LIVING 79701 CENTER...............................................(254) 562-1413 eRX HWY 171 • 76667 MIDLOTHIAN

MESQUITE

MIDLAND

ALL CARE PHARMACY..................... (972) 775-5222 ALBERTSONS MARKET PHARMACY 1441 S MIDLOTHIAN PKWY STE 140 • 76065 #671......................................................(432) 689-8708 90, eRX 3317 N MIDLAND DR • 79703 BROOKSHIRES PHARMACY............. (972) 775-6878 90, eRX 1400 EAST HWY 287 • ATTENTION PHARMACY DEPT • 76065 90 SAVE = Preferred cost sharing 90 = 90 Day Supply 70

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

MISSOURI CITY

Retail Pharmacies Including Chain Pharmacies US DRUG MART................................. (972) 775-1180 MISSION PLAZA PHARMACY............(956) 581-8833 310 W AVE F • 76065 906 BRYAN RD • SUITE 101 • 78572 eRX SAVE, 90, eRX

MILLSAP

NUESTRA CLINICA DEL VALLE........(956) 580-3304 ALPHA CARE PHARMACY................ (817) 550-6332 611 N BRYAN RD • 78572 eRX 1130 FM 1189 STE 109 • 76066 eRX

MINEOLA

PALOMA'S PHARMACY.....................(956) 424-6268 909 BUSINESS PARK DR STE 2 • 78572 90, eRX

BROOKSHIRES PHARMACY............. (903) 569-5504 QUEEN PHARMACY...........................(956) 583-5552 1224 NORTH PACIFIC AVENUE • ATTENTION 8305 N. LA HOMA RD • SUITE A • 78574 PHARMACY DEPT • 75773 90, eRX 90 KELLY DRUG INC...............................(903) 569-3882 RICHARD'S PHARMACY....................(956) 581-4200 1112 E GRIFFIN PKWY STE B • 78572 125 E BROAD • 75773 90, eRX 90 SAENZ MEDICAL PHARMACY LONE STAR MINERAL WELLS IN.......................................................... (956) 519-6500 BEST VALUE WADDY PHARMACY.. (940) 325-0734 2121 E GRIFFIN PKWY • 78572 106 SW 6TH AVE • 76067 SAVE, 90, eRX 90, eRX STARR PHARMACY #2...................... (956) 271-4258 DIAMOND PHARMACY...................... (940) 325-2541 1300 S BRYAN RD STE 101 • 78572 100 SE 17TH AVE • 76067 eRX 90 TLC PHARMACY AND MEDICAL MISSION EQUIPMENT........................................ (956) 581-5499 AG PHARMACY.................................. (956) 580-7791 2120 E GRIFFIN PARKWAY • 78572 2408 N CONWAY AVE • 78574 90, eRX SAVE, 90, eRX TLC PHARMACY AND MEDICAL CENTRX PHARMACY AT MISSION... (956) 445-5383 EQUIPMENT........................................ (956) 583-2700 900 E EXPRESSWAY 83, SUITE A • 78572 1242 E BUSINESS HIGHWAY 83 • 78572 90, eRX 90 CVS PHARMACY #............................. (956) 928-7281 WESTSIDE PHARMACY..................... (956) 584-3458 2427 E EXPWY 83 • 78572 200 N PALMVIEW DR • 78572 SAVE, 90, eRX 90, eRX HEALTH PLUS PHARMACY.............. (956) 424-3535 MISSOURI CITY 3401 W. MILE 5 ROAD • SUITE 2 • 78574 AMAZING GRACE PHARMACY INC..(832) 230-0169 90, eRX 1965 TEXAS PKWY • 77489 LETDIN PHARMACY...........................(956) 581-9566 CVS PHARMACY #............................. (281) 403-6584 1512 E GRIFFIN PKWY STE 1 • 78572 6000 HIGHWAY 6 • 77459 SAVE, 90, eRX SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 71

MONAHANS

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies MOUNT PLEASANT ECO PHARMACY OF SIENNA PLANTATION...................................... (832) 440-0085 CLINIC PHARMACY............................(903) 572-8548 8721 HIGHWAY 6 # 200 • 77459 412 N JEFFERSON • 75455 SAVE, eRX 90 EDS PHARMACY................................ (281) 499-4555 MEDICAL CENTER FAMILY 3740 CARTWRIGHT RD • 77459 PHARMACY.........................................(903) 572-6418 90 2001 N JEFFERSON 132 • 75455 GLENN LAKES PHARMACY INC.......(281) 261-8278 SAVE, 90, eRX 3640 GLENN LAKES LANE • 77459 SUPER 1 PHARMACY........................ (903) 575-1610 602 JEFFERSON PARK • ATTENTION PHARMACY KELSEY PHARMACY - SIENNA PLANTATION...................................... (713) 442-6767 DEPT • 75455 90 7010 HIGHWAY 6 • 77459 90, eRX THURMAN'S PRO-MED PHARMACY (903) 572-6337 KORNER PHARMACY........................ (281) 969-7940 2503 CARTWRIGHT RD • 77459

402 N MADISON AVE • 75455 90, eRX

MEDLIN PHARMACY.......................... (281) 437-1818 MOUNT VERNON 2755 TEXAS PKWY STE 101 • 77489 BROOKSHIRES PHARMACY............. (903) 537-2886 QUAIL VALLEY PHARMACY............. (281) 499-9300 306 STATE HWY 37 SOUTH • ATTENTION PHARMACY DEPT • 75457 2244 FM 1092 RD • 77459 90 eRX WINDIES COMMUNITY RX LLC......... (281) 208-7937 TIGERX PHARMACY.......................... (903) 537-4700 405 HIGHWAY 37 SOUTH • 75457 5201 HIGHWAY 6 STE 200 • 77459 SAVE, eRX 90, eRX

MONAHANS

MUENSTER

MUENSTER PHARMACY....................(940) 759-2833 LOWES MARKETPLACE PHARMACY.........................................(432) 943-4445 511 N MAPLE • 76252 1201 STOCKTON • 79756 MULESHOE eRX UNITED PHARMACY.......................... (806) 272-3169 MONAHANS PHARMACY...................(432) 943-4212 104 W 9TH ST • 79347 801 E 4TH ST • SUITE C • 79756 90 90, eRX MURPHY

MONTGOMERY

INVERNESS LONE STAR PHARMACY, BROOKSHIRE BROTHERS LLC.......................................................(972) 535-2020 PHARMACY.........................................(936) 597-8002 223 E FM 544 STE 806 • 75094 21005 EVA ST. • 77356 eRX LAKESIDE PHARMACY..................... (936) 448-6337 NACOGDOCHES 16955 WALDEN RD STE 100 • 77356 BROOKSHIRE BROTHERS 90, eRX PHARMACY.........................................(936) 569-0687 1216 SOUTH ST • 75961

SAVE = Preferred cost sharing 90 = 90 Day Supply 72

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

NIXON

Retail Pharmacies Including Chain Pharmacies NEW BRAUNFELS BROOKSHIRE BROTHERS PHARMACY.........................................(936) 564-0800 COMAL DRUG HEALTHMART...........(830) 625-2421 1420 N UNIVERSITY DR • 75961 544 N UNION ST • 78130 M AND S PHARMACY INC................. (936) 564-7373 SAVE, 90, eRX 917 E AUSTIN ST • 75965 CVS PHARMACY #............................. (830) 608-3281 90, eRX 135 CREEKSIDE WAY • 78130 MEMORIAL HOSPITAL.......................(936) 569-4657 SAVE, 90, eRX 1204 MOUND ST • 75961 GRUENE ROAD PHARMACY LLC.....(830) 387-4378 eRX 910 GRUENE RD # 3 • 78130 OMNICARE OF NACOGDOCHES...... (936) 569-2460 SAVE, eRX 1716 SOUTH ST • 75964 HILLTOP PHARMACY........................ (830) 627-0069 STRIPLING'S PHARMACY................. (936) 564-4646 1205 N MOUND ST • 75961

631 LAKEVIEW BLVD • 78130 90, 24HR, eRX

THE MEDICINE SHOPPE....................(936) 569-6430 HUNTER'S CREEK PHARMACY........ (830) 515-1278 213 HUNTER'S VILLAGE • SUITE 100 • 78132 212 NORTH STREET • 75961 eRX 10 MINUTE PHARMACY.....................(830) 387-4914 NAPLES 18 GRUENE PARK DR • 78130 SAVE, eRX PRUETTS FOOD-PHARMACY#5....... (903) 897-0028 NEW CANEY 410 W.L. DOC DODSON WEST • 75568 SAVE, 90, eRX BROOKSHIRE BROTHERS

NAVASOTA

PHARMACY.........................................(281) 689-3936 20185 HWY 59 N • 69 • 77357

BROOKSHIRE BROTHERS PHARMACY.........................................(936) 825-8793 NEW WAVERLY 309 N LASALLE • 77868 YOUR NEW WAVERLY PHARMACY NEDERLAND LLC.......................................................(936) 344-2424 9320C STATE HIGHWAY 75 S • 77358 BETTER LIVING MEDICAL.................(409) 727-8660 eRX 1039 N TWIN CITY HWY • 77627

NEEDVILLE

NEWTON

BROOKSHIRE BROTHERS LIFECHEK............................................(979) 793-5534 PHARMACY.........................................(409) 379-5160 13500 HWY 36 • 77461 701 W COURT ST • 75966 SAVE, 90, eRX NEWTON PHARMACY PLLC............. (409) 379-9999 NEW BOSTON 104 W COURT ST • 75966 BROOKSHIRES PHARMACY............. (903) 628-7459 eRX 210 NORTH MCCOY BLVD • ATTENTION NIXON PHARMACY DEPT • 75570 90 MAIN DRUG CO INC...........................(830) 582-1851 201 N NIXON AVE • 78140

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 73

NOCONA

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies NOCONA

LOWES MARKETPLACE GIBBS DRUG STORE......................... (940) 825-3226 PHARMACY.........................................(432) 367-3407 1107 E 42ND ST • 79762 216 CLAY ST • 76255 90

NORMANGEE

MARKET STREET PHARMACY......... (432) 367-4612 4950 E 42ND ST • 79762 90, eRX

BROOKSHIRE BROTHERS PHARMACY #75........................................................(936) 396-1412 PHARMACY UNLIMITED.................... (432) 580-5123 809 TOWER DR • 79761 103 MAIN ST • 77871 eRX SAMS PHARMACY............................. (432) 362-0634 4230 JOHN BEN SHEPPARD PKWY • 79762 NORTH RICHLAND HILLS SAVE, 90 CVS PHARMACY #............................. (817) 503-0615 TEXAS ONCOLOGY PHARMACY......(432) 337-0012 8532 DAVIS BLVD • 76182 301 NORTH WASHINGTON • 79761 SAVE, 90, eRX RSVP #700...........................................(855) 362-7878 TOWN AND COUNTRY DRUG........... (432) 366-2868 2745 N GRANDVIEW • 79762 7904 NE LOOP 820 • SUITE A & B • 76180 SAVE, 90, eRX eRX SAMS PHARMACY............................. (817) 428-3714 UNIVERSITY PHARMACY INC........... (432) 366-8821 4850 E UNIVERSITY AVE • 79762 6375 NE LOOP 820 • 76180 SAVE, 90 SAVE, 90

ODESSA

OLNEY

CUB DRUG INC...................................(940) 564-5551 ALBERTSONS MARKET PHARMACY #676......................................................(432) 333-1591 116 E MAIN ST • 76374 90, eRX 2751 COUNTY RD W • 79764 90, eRX ONALASKA ALBERTSONS MARKET PHARMACY BROOKSHIRE BROTHERS #677......................................................(432) 332-7361 PHARMACY.........................................(936) 646-2488 1350 E 8TH ST • 79760 14981 OLD TRINITY RD • 77360 90, eRX

ORANGE

CVS PHARMACY #............................. (432) 366-1913 SHOLARS MEDICINE CHEST............ (409) 883-4352 3909 E 42ND ST • 79762 1301 W PARK ST • 77630 SAVE, 90, eRX 90 EVANS PRESCRIPTION OVERTON PHARMACY.........................................(432) 337-2361 LOUIS MORGAN DRUGS................... (903) 834-3178 310 N DOTSY AVE • 79763 101 N RUSK ST • 75684 90 90, eRX GOLDER PHARMACY........................ (432) 337-7311 OVERTON PHARMACY...................... (903) 834-0154 319 N GOLDER • 79761 104 W HENDERSON ST • 75684 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 74

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

PASADENA

Retail Pharmacies Including Chain Pharmacies OZONA

PANHANDLE

VILLAGE DRUG.................................. (325) 392-2666 PANHANDLE DRUG STORE.............. (806) 537-3034 902 11TH ST • 76943 201 MAIN STREET • 79068 90 eRX

PALACIOS

PARIS

PALACIOS PRESCRIPTION BROOKSHIRES PHARMACY............. (903) 785-3297 SHOPPE...............................................(361) 972-3608 925 CLARKSVILLE • ATTENTION PHARMACY 321 MAIN STREET • 77465 DEPT • 75460 90 90

PALESTINE

PARIS APOTHECARY........................ (903) 785-4208 ASHA KANCHARLA MD PA...............(903) 723-1940 707 LAMAR AVE • SUITE B • 75460 90, eRX 300 WILLOW CREEK PKWY STE 210A • 75801 BRATTONS PHARMACY....................(903) 731-4734 TEXAS ONCOLOGY PHARMACY......(903) 737-4539 3550 N E LOOP 286 • 75460 2305 W OAK ST • 75802 SAVE, 90

PASADENA

BROOKSHIRES PHARMACY............. (903) 723-1092 AMEX PHARMACY NO. 7...................(832) 767-5563 2107 SOUTH LOOP 256 • ATTENTION PHARMACY 3316 PLAINVIEW ST STE B • 77504 90, eRX DEPT • 75801 90 BAYSHORE HEALTH MART.............. (281) 984-5000 HOMETOWN PHARMACY.................. (903) 729-3100 3315 BURKE RD STE 100 • 77504 101 MEDICAL DR • 75801 SAVE, eRX SAVE, 90, eRX BAYSHORE PHARMACY................... (713) 944-8893 PALMVIEW 4024A BROOKHAVEN • 77504 PHARMAVIDA RX............................... (956) 424-6640 90 1337 E PALMAVISTA DR SUITE B • 78572 90, eRX

BURKE FAMILY PHARMACY............ (832) 243-6262 4002 BURKE RD STE 400 • 77504 QUEEN PHARMACY...........................(713) 498-0705 eRX 2116 W GRIFFIN PKWY STE A • 78572 CRENSHAW PHARMACY...................(281) 998-2777 90, eRX 5010 CRENSHAW RD STE 160 • 77505 90, eRX PAMPA B & B PHARMACY..............................(806) 665-5788 CVS PHARMACY #............................. (281) 504-0144 5757 FAIRMONT PKWY • 77505 300 N BALLARD ST • 79065 SAVE, 90, eRX 90, eRX KEYES PHARMACY........................... (806) 669-1202 DT PHARMACY...................................(832) 775-0060 3911 WOODLAWN AVE • 77504 928 N HOBART ST • 79065 eRX SAVE, 90, eRX UNITED PHARMACY.......................... (806) 665-7642 FAMILY PHARMACY CARE............... (832) 900-7712 4949 FAIRMONT PARKWAY • SUITE 202 • 77505 1420 N HOBART • 79065 90 90 SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 75

PEARLAND

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies FAMILY PHARMACY INC................... (713) 472-3138 KELSEY PHARMACY - PEARLAND.. (713) 442-7272 2418 SOUTHMORE • 77502 2515 BUSINESS CENTER DR • 77584 90, eRX 90, eRX KELSEY PHARMACY - PASADENA.. (713) 442-7179 LTC RX................................................ (281) 993-1656 5001 E. SAM HOUSTON PKWY S. • 77505 1834 BROADWAY • STE 110 • 77581 90, eRX MARATHON INFUSION CARE LLC... (281) 997-6272 2421 ROY RD • 77581 PASADENA MEDICAL PLAZA PHARMACY.........................................(713) 429-1842 MASTERY PHARMACY...................... (713) 665-9995 1430B PASADENA BLVD • 77502 2950 CULLEN PARKWAY • SUITE 112 • 77584 90, eRX MEDX PHARMACY............................. (281) 506-2453 PCF PHARMACY................................ (713) 947-6767 6302 BROADWAY ST. STE. 100 • 77581 2615 STRAWBERRY RD • 77502 90, eRX eRX PHARMCARE...................................... (281) 996-7500 PHARMHOUSE PHARMACY..............(281) 998-9400 1834 BROADWAY ST • STE 106 • 77581 4500 E SAM HOUSTON PKWY S STE 100 • 77505 90 SAVE, 90, eRX ROYAL PHARMACY........................... (346) 207-8588 PREMIERCARE PHARMACY............. (281) 991-1300 12002 SHADOW CREEK PKWY STE 106 • 77584 5108 FAIRMONT PKWY STE A • 77505 90, eRX 24HR, eRX RX CARE PHARMACY....................... (281) 412-0377 RRXPHARMACY................................. (281) 998-1100 7121 BROADWAY ST • 77581 6243 FAIRMONT PKWY STE 103 • 77505 90, eRX eRX SAMS PHARMACY............................. (713) 986-0087 STRAWBERRY FAMILY DRUG..........(713) 740-9033 15800 SOUTH FWY • 77584 1802 STRAWBERRY ROAD • 77502 SAVE, 90 WOODLAWN PHARMACY................. (713) 928-3044 SCRIPT SOURCE PHARMACY.......... (713) 340-3122 3801 VISTA ROAD • STE 395 • 77504 10223 BROADWAY ST STE D2 • 77584 PEARLAND eRX CVS PHARMACY #............................. (713) 436-2516 SMITH RANCH PHARMACY.............. (281) 306-1383 3045 SILVERLAKE VILLAGE DR • 77584 2813 SMITH RANCH RD STE B • 77584 SAVE, 90, eRX eRX FAMILY PHARMACY CARE............... (281) 315-3770 THE SOLEX PHARMACY................... (281) 485-5083 10905 MEMORIAL HERMANN DR STE 102 • 77584 6516 BROADWAY ST. SUITE 136 • 77581 90 eRX HAZEL'S COMPOUNDING RX TODAH PHARMACY LLC...................(281) 485-4512 PHARMACY.........................................(713) 340-0202 2011 E BROADWAY #125 • 77581 1801 COUNTRY PLACE PKWY • 77584 eRX SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 76

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

PITTSBURG

Retail Pharmacies Including Chain Pharmacies PECOS

MARIO'S RX PHARMACY.................. (956) 702-5050 PROFESSIONAL PHARMACY........... (432) 447-2266 6201 S CAGE BLVD STE 5A • 78577 eRX 925 DAGGETT • 79772 SAVE, 90

PENITAS SAENZ MEDICAL PHARMACY OF PENITAS.............................................. (956) 585-2704 3201 EXPRESSWAY 83 • CORNER OF BUENA VISTA EXWY 83 • 78576 SAVE, 90, eRX

PERRYTON

OMNICARE OF PHARR...................... (956) 702-4601 101 E EXPRESSWAY 83 • STE D • 78577 PHARR FAMILY PHARMACY............ (956) 782-8494 710 S CAGE BLVD • STE D • 78577 SAVE, 90, eRX PHARRMACY...................................... (956) 283-0911 1002 W SAM HOUSTON • STE 1 • 78577 SAVE, eRX

RED'S PHARMACY, LLC....................(806) 435-3759 PILOT POINT 3010 GARRETT DR • 79070 AXTELL PHARMACY INC.................. (940) 686-2218 90, eRX 1246 HWY 377 S • STE 100 • 76258 UNITED PHARMACY.......................... (806) 435-2211 SAVE, 90 2802 HWY 83 SOUTH • 79070 BROOKSHIRE BROTHERS PHARMACY 90 #109......................................................(940) 686-5068 750 S HIGHWAY 377 • 76258 PETERSBURG eRX PORTER DRUG...................................(806) 667-2231 EXTENDCARE PHARMACY 1522 MAIN ST • 79250 SERVICES........................................... (940) 686-2140 90, eRX 1246 HWY 3773 • STE 200 • 76258 PFLUGERVILLE CVS PHARMACY #............................. (512) 687-2065 PELZELS HOMETOWN PHARMACY.(940) 686-0123 1340 N HWY 377 • STE 100 • 76258 18700 LIMESTONE COMMERCIAL DR • 78660 90 SAVE, 90, eRX

PINELAND

GRAND AVENUE PHARMACY...........(512) 377-1999 PINELAND PHARMACY..................... (409) 584-2689 1615 GRAND AVENUE PKWY STE 104 • 78660 105 TIMBERLAND HWY • 75968 90, eRX 90 PFLUGERVILLE PHARMACY............ (512) 990-5226 PITTSBURG 15608 SPRING HILL • SUITE 114 • 78660 90 PARKER DRUG...................................(903) 856-3626 114 QUITMAN ST • 75686 PHARR 90, eRX J & L PHARMACY.............................. (956) 782-1156 THE DRUGSTORE.............................. (903) 708-7500 900 W SAM HOUSTON BLVD STE 3 • STE 3 • 19 COUNTY ROAD 4114 STE 1 • 75686 78577 90, eRX SAVE, 90, eRX LAS MILPAS PHARMACY..................(956) 702-2211 7013 S CAGE STE D • 78577 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 77

PLAINVIEW

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies PLAINVIEW

PATIENT FOCUS MEDICAL AMIGOS PHARMACY......................... (806) 293-3820 PRACTICE........................................... (972) 612-4007 1700 COIT RD STE 110 • 75075 2403 N COLUMBIA • 79072 90, eRX

PLANO CARE PHARMACY................(469) 443-4488 HOMETOWN PHARMACY.................. (806) 296-9000 2001 COIT RD STE 310 • 75075 90, eRX 3200 OLTON RD STE B • 79072 90, eRX

PLANO

PLANO ORTHOPEDIC & SPORTS MEDICINE............................................ (972) 250-5700 5228 W PLANO PKWY • 75093

AMERICAN SPECIALTY PHARMACY.........................................(214) 919-2090 REMEDI SENIORCARE OF DALLAS. (469) 344-2144 2700 RESEARCH DR STE 200 • 75074 2743 W 15TH ST • 75075 90 SAMS PHARMACY............................. (469) 633-0041 8621 OHIO DRIVE • 75024 BAYLOR SCOTT & WHITE PHARMACY #109......................................................(469) 814-5780 SAVE, 90 4716 ALLIANCE BLVD STE 280 • 75093 SAMS PHARMACY............................. (972) 516-8525 eRX 1200 EAST SPRING CREEK PKWY • 75074 COURAGE PHARMACY..................... (972) 943-0628 SAVE, 90 3200 14TH STREET SUITE 404 • 75074 SAMS PHARMACY............................. (972) 519-0296 SAVE, eRX 301 COIT ROAD • 75075 CVS PHARMACY #............................. (972) 633-1365 SAVE, 90 120 W PARKER RD • 75075 SCEPTER PHARMACY.......................(972) 578-8888 SAVE, 90, eRX 2520 K AVE STE 600 • 75074 CVS PHARMACY #............................. (972) 473-6335 90, eRX 2200 DALLAS PKWY • 75093 SENIOR CARE PHARMACY OF TEXAS, SAVE, 90, eRX LLC.......................................................(469) 277-1511 GRACE PHARMACY...........................(972) 907-1833 3001 SUMMIT AVE STE 200 • 75074 eRX 4032 MCDERMOTT RD STE 160 • 75024 SAVE SPRING CREEK PHARMACY............ (972) 517-7900 LIFEPATH PHARMACY...................... (469) 467-8629 280 LEGACY DR STE 102 • 75023 90, eRX 7304 ALMA DR • 75025 eRX TEXAS HEALTH PRESCRIPTION SHOP MARKET STREET PHARMACY 566.. (972) 713-5515 PLAN....................................................(972) 981-8445 6130 W PARKER RD STE 100 • STE 100 • 75093 1929 PRESTON ROAD • 75093 eRX 90 TEXAS ONCOLOGY PHARMACY......(972) 867-3577 NORTH TEXAS CENTER FOR PAIN MGMT PL......................................................... (972) 612-3800 3705 W 15TH STREET • 75075 4712 DEXTER DR STE 100 • 75093 TEXAS ONCOLOGY PHARMACY......(469) 467-4348 PARKWAY PHARMACY..................... (972) 985-2600 4708 ALLIANCE BOULEVARD, SUITE 150 • 75093 4708 ALLIANCE PARKWAY • SUITE 110 • 75093 SAVE, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 78

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

PORT NECHES

Retail Pharmacies Including Chain Pharmacies TEXAS RX PHARMACY......................(972) 378-4107 PONDER 6020 W PARKER RD • STE 270 • 75093 GREENBRIAR PHARMACY................(940) 479-0111 90, eRX 250 E. FM 2449 • 76259 TEXAS STAR PHARMACY.................(972) 519-8475 90, eRX 3033 W PARKER BLVD • STE 100 • 75023 PORT ARTHUR 90, eRX CVS PHARMACY #............................. (409) 729-3379 THE PHARMACOMPOUNDIA.............(972) 378-6867 3100 HIGHWAY 365 STE 90 • 77642 6101 WINDHAVEN PKWY STE 120 • 75093 SAVE, 90, eRX SAVE, eRX GULF COAST HEALTH CENTER THE PHARMACOMPOUNDIA - CLINICAL PHARMACY.........................................(409) 983-1161 PHA...................................................... (972) 473-6867 2548 MEMORIAL BLVD • 77640 6001 WINDHAVEN PKWY STE 220 • 75093 90, eRX SAVE, eRX KINGS PHARMACY............................ (409) 983-3384 THE PHARMACY PLACE`.................. (972) 867-6141 1948 9TH AVE • 77642 4031 W PLANO PKWY STE 211 • 75093 90, eRX 90, eRX KINGS PHARMACY MID COUNTY.....(409) 722-3392 THRIVE PHARMACY SOLUTIONS.....(214) 291-5087 8455 9TH AVE • 77642 5425 W. SPRING CREEK PKWY #190 • 75024 90, eRX SAVE, 90, eRX MAXOR PHARMACY.......................... (409) 989-5643 WILLOW BEND PHARMACY............. (214) 473-8682 3701 HIGHWAY 73 • 77642 5944 WEST PARKER RD • STE 110 • 75093 eRX eRX O&M PHARMACY INC........................ (409) 984-9919 PLEASANTON 1630 HOUSTON AVE • 77640 ATASCOSA HEALTH CENTER, INC..(830) 569-2567 eRX 310 W OAKLAWN RD • 78064 PAT WOOD DRUG STORE.................(409) 985-8874 eRX 3648 GULFWAY DR • 77642 CENTER PHARMACY......................... (830) 569-2512 90, eRX 105 N SMITH ST • 78064 PORT LAVACA 90, eRX MEDICINE MAN PHARMACY-PORT REXCO PHARMACY...........................(830) 569-4060 LAVACA...............................................(361) 482-0345 120 N SMITH ST • 78064 1202 N VIRGINIA ST • 77979 SAVE, 90 90, eRX

POLLOK

PORT NECHES

LUFKIN STATE SUPPORTED LIVING MARKET BASKET PHARMACY.........(409) 722-0411 CENTE................................................. (936) 853-8358 864 MAGNOLIA • 77651 6844 US HWY 69 N • 75969 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 79

PORTLAND

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies PORTLAND

QUITMAN

KMART PHARMACY7296...................(361) 643-8576 BROOKSHIRES PHARMACY............. (903) 763-1420 1400 WILDCAT DR • 78374 502C EAST GOODE • ATTENTION PHARMACY 90 DEPT • 75783 90 POST HOMETOWN PHARMACY.................. (806) 495-3576 SCOTT'S QUITMAN PHARMACY.......(903) 763-9600 310 E GOODE ST • SUITE E • 75783 132 W MAIN ST • 79356 90, eRX eRX

POTTSBORO

RANKIN

BROOKSHIRE PHARMACY #127...... (903) 786-3150 RANKIN COUNTY HOSPITAL PHARMACY.........................................(432) 693-1272 11205 N HWY 289 • 75076 1611 SPUR 576 • 79778 90 90, eRX FAMILY PHARMACY OF RAYMONDVILLE POTTSBORO.......................................(903) 786-2006 111 HWY 120 E • STE 101 • 75076 WATSONS CITY DRUG...................... (956) 689-2161 90 192 S 7TH ST • 78580 eRX PRINCETON

RED OAK

PRINCETON PHARMACY...................(972) 736-3777 201 E PRINCETON DR STE 104 • 75407 BROOKSHIRES PHARMACY............. (972) 617-8570 90, eRX 102 E OVILLA RD • 75154 90 PROSPER PROSPER PHARMACY...................... (214) 338-4010 RED OAK DRUG INC..........................(972) 617-2222 106 E OVILLA RD • STE 1 • 75154 1000 N PRESTON RD • SUITE 10 • 75078 90, eRX 90, eRX

REFUGIO

STAR CARE PHARMACY...................(972) 347-6331 321 N PRESTON RD • 75078 VILLAGE PHARMACY........................ (361) 526-4243 SAVE, eRX 112 S ALAMO ST • 78377 90, eRX QUANAH

RHOME

UNITED PHARMACY.......................... (940) 663-2733 1000 W 11TH ST • 79252 BEST VALUE RHOME PHARMACY...(817) 638-5561 90, eRX 400 S MAIN ST • 76078 90, eRX QUINLAN

RICHARDSON

BROOKSHIRES PHARMACY............. (903) 356-6020 8934 HWY 34 SOUTH • ATTENTION PHARMACY AMBER PHARMACY.......................... (214) 828-9848 1301 E ARAPAHO ROAD • SUITE 103 • 75081 DEPT • 75474 90 SAVE, 90, eRX SAVE MART QUINLAN PHARMACY. (903) 356-2449 ARAPAHO PHARMACY..................... (972) 235-7133 HWY 34 AND HWY 276 • 75474 57 ARAPAHO VILLAGE • 75080 SAVE, 90, eRX eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 80

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

RICHMOND

Retail Pharmacies Including Chain Pharmacies CAREPOINT PARTNERS................... (972) 480-9322 PHARMETRICS SPECIALTY GROUP OF DALL.................................................... (972) 677-7891 661 N PLANO RD STE 300 • 75081 90 1110 E COLLINS BLVD STE 100 • 75081 90, eRX CVS PHARMACY #............................. (214) 530-0184 601 S PLANO RD • 75081 RENNER PHARMACY........................ (972) 646-8554 SAVE, 90, eRX 3005 E RENNER RD STE 120 • 75082 eRX DANA DISCOUNT PHARMACY..........(972) 231-8885 1701 N.COLLINS BLVD • SUITE 328 • 75080 SENDERRA RX PHARMACY............. (888) 777-5547 SAVE 1301 E ARAPAHO RD STE 101 • 75081 90, eRX DIPLOMAT SPECIALTY INFUSION GROUP................................................ (214) 503-1250 SINA RX PHARMACY......................... (972) 479-9292 1761 INTERNATIONAL PARKWAY • STE 115 • 101 S COIT RD STE 317 • 75080 90, eRX 75081 FAMILY DISCOUNT PHARMACY.......(972) 235-0444 RICHLAND HILLS 970 N COIT ROAD • STE 2403 • 75080 GLENVIEW PROFESSIONAL 90, eRX PHARMACY.........................................(817) 284-1489 GASTON PHARMACY........................ (214) 628-3177 7640 GLENVIEW DR STE A • 76180 1260 W SPRING VALLEY ROAD • SUITE B • 75080 90 90, eRX GLENVIEW PROFESSIONAL PHARMACY HEIGHTS COMMUNITY PHARMACY.(972) 234-8500 II............................................................(817) 284-1926 7640 GLENVIEW DR STE B • 76180 1112 N FLOYD RD STE 9 • 75080 eRX 90, eRX NRH PHARMACY................................(817) 369-8988 INFINITY PHARMACY SOLUTIONS, LLC.......................................................(214) 765-5456 7200 GLENVIEW DR STE 1 • 76180 90, eRX 3313 ESSEX DR • SUITE 200 • 75082 eRX PRESCRIPTION HEALTH INFUSION THERAPY OF TEXAS....... (855) 742-7690 RESOURCES.......................................(817) 590-9599 7339 AIRPORT FREEWAY • 76118 1748 N GREENVILLE AVE • 75081 eRX eRX IPS SPECIALTY, LLC......................... (214) 765-5470 RICHMOND 3313 ESSEX DR STE 200A • 75082 ALLCARE PHARMACY LLC.............. (281) 419-8820 eRX 7120 FM 1464 RD STE D • 77407 LEGENDS PHARMACY...................... (972) 234-8544 eRX 2093 N COLLINS BLVD • STE 101 • 75080 CARTER'S PHARMACY RX............... (281) 239-7519 24HR 1202 LARK LN STE 3 • 77469 SAVE, eRX MERIDIAN PHARMACY GROUP, INC....................................................... (469) 330-8300 FT BEND FAMILY HLTH CTR PHCY..(281) 633-3188 708 W SPRING VALLEY RD • 75080 400 AUSTIN ST • 77469 90, eRX eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 81

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing RIO GRANDE CITY Retail Pharmacies Including Chain Pharmacies KELSEY PHARMACY - KATY............ (713) 442-4179 ROBINSON 22121 FM 1093 RD • 77407 BROOKSHIRES PHARMACY............. (254) 662-6403 90, eRX 100 PEPLOW • ATTENTION PHARMACY DEPT • MARISTE PHARMACY....................... (713) 234-7190 76706 90 8433 FM 1464 SUITE G • 77407 METSCRIPT PHARMACY................... (281) 762-6375 PHARMACY PLUS #4......................... (254) 662-4444 635 N ROBINSON DR • 76706 7790 W. GRAND PARKWAY SOUTH • SUITE 101 • 90, eRX 77406 90, eRX ROBSTOWN METSCRIPT PHARMACY................... (281) 341-9696 MODERN PHARMACY........................(361) 387-4721 1300 MAIN ST • 77469 305 W AVE A • 78380 90 90 RICHMOND STATE SUPPORTED LIVING ROCKDALE CEN...................................................... (281) 344-4601 BROOKSHIRE BROTHERS 2100 PRESTON ST • 77469 PHARMACY.........................................(512) 446-5056 SAM'S CLUB PHARMACY 10-6867... (281) 202-0345 725 W CAMERON • 76567 22402 BELLAIRE BLVD • 77407 ROCKPORT SAVE, 90 JERRYS PHARMACY......................... (361) 729-5545 RIO GRANDE CITY 2205 STATE HWY 35 N • 78382 APPLE PHARMACY #2.......................(956) 352-6485 SAVE, 90, eRX 2791 PHARMACY RD • 78582 ROCKWALL 90, eRX LAKEPOINTE PHARMACY #1............(972) 722-4339 FRED'S PHARMACY...........................(956) 487-2711 1005 W RALPH HALL PKWY • STE 147 • 75032 2790 PHARMACY RD • STE A • 78582 90, eRX 90, eRX ROCKWALL DRUG & GENERAL LINO'S PHARMACY............................(956) 488-1811 STORE................................................. (972) 722-3784 201 N FM 3167 • STE 101-102 • 78582 106 S GOLIAD ST • 75087 SAVE, 90, eRX eRX NUESTRA CLINICA DEL VALLE - RIO ROCKWALL PHARMACY...................(469) 769-1160 GRA......................................................(956) 487-0846 2504 RIDGE ROAD • SUITE 106 • 75087 600 N GARZA ST STE A • 78582 90, eRX RINGGOLD PHARMACY.................... (956) 488-1660 ROMA 1623 E HIGHWAY 83 • 78582 LINO'S PHARMACY............................(956) 849-1811 90 708 GRANT ST • 78584 ROANOKE SAVE, 90 ROANOKE PHARMACY..................... (817) 491-9111 ROMA PHARMACY.............................(956) 847-1688 207 E BYRON NELSON BLVD • 76262 700 E BRAVO • NUMBER B • 78584 SAVE, 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 82

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

RUSK

Retail Pharmacies Including Chain Pharmacies ROSEBUD

LSCC A&M PHARMACY.....................(512) 524-9260 ROSEBUD PHARMACY......................(254) 583-2727 3950 NORTH AW GRIMES • SUITE N105 • 78665 eRX 112 NORTH 4TH ST. • 76570 90, eRX MBS PHARMACY................................(512) 248-5130 555 ROUND ROCK WEST • STE F-300 • 78681 ROSENBERG eRX AVENUE H PHARMACY..................... (832) 945-5611 QUICK MESA PARK PHARMACY......(512) 255-2144 3926 AVENUE H STE 2 • 77471 701 E PALM VALLEY BLVD • 78664 C - MED PHARMACY AND HEALTH CARE 90, eRX SE.........................................................(832) 363-3787 SAMS PHARMACY............................. (512) 828-0557 5633 AVENUE I, SUITE #C • 77471 130 SUNDANCE PKWY SUITE 300 • 78681 eRX SAVE, 90 CVS PHARMACY #............................. (281) 232-1241 TEXAS ONCOLOGY PHARMACY......(512) 687-0368 23912 COMMERCIAL DR • 77471 2410 ROUND ROCK AVENUE, SUITE 150 • 78681 SAVE, 90, eRX PIONEER PHARMACY....................... (832) 759-5114 ROWLETT 5101 AVENUE H STE 18 • 77471 COMPLETE PHARMACY CARE.........(972) 675-3300 eRX 4206 DALROCK RD • 75088 ROSENBERG 9 PHARMACY............. (281) 762-0874 eRX 4114 AVENUE H • 77471

CVS PHARMACY #............................. (972) 265-6061 TRIDENT PHARMACY........................ (281) 238-8440 4701 LAKEVIEW PKWY • 75088 SAVE, 90, eRX 2307 4TH ST • STE 102 • 77471 90

ROYSE CITY

ROSHARON

ROYSE CITY PHARMACY..................(972) 635-2451 SAVANNAH PHARMACY................... (281) 710-4451 205 E MAIN ST • 75189 90 15028 HIGHWAY 6 • 77583 eRX

RUSK

ROTAN

BROOKSHIRE BROTHERS CLINIC PHARMACY............................(325) 735-2500 PHARMACY.........................................(903) 683-2358 425 N MAIN ST • 75785 774 STATE HIGHWAY 70 N • 79546 SAVE, eRX CHAPMAN PHARMACY..................... (903) 683-2422 108 E 5TH ST • 75785 ROUND ROCK 90 ADVANCED RX PHARMACY 030...... (512) 600-3330 CHEROKEE PHARMACY................... (903) 683-5986 2000 S MAYS ST STE 200 • 78664 181 MAIN ST • 75785 90, eRX PRESCRIPTION PHARMACY.............(903) 683-5436 BAYLOR SCOTT & WHITE PHARMACY #201......................................................(512) 509-3600 156 W 5TH ST • 75785 90 425 UNIVERSITY BLVD • STE 165 • 78665 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 83

S ANTONIO

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies RUSK STATE HOSPITAL MEDICAL ARTS PHARMACY............ (325) 949-4636 PHARMACY.........................................(903) 683-7170 2102 PECOS ST • SUITE 4 • 76901 805 N DICKINSON DR # 318 • 75785 90, eRX

S ANTONIO

MEDWAY INFUSION SERVICES........(325) 944-0300 SAMS PHARMACY............................. (210) 404-1376 3123 EXECUTIVE DR • 76904 90 12919 SAN PEDRO AVE • 78216 SAVE, 90

SAGINAW

MYERS DRUG INC..............................(325) 655-3146 29 S CHADB0URNE • 76903 SAVE, 90, eRX

SAGINAW PHARMACY...................... (817) 405-3333 SAMS PHARMACY............................. (325) 223-1426 200 W J BOAZ RD • STE 100 • 76179 5749 SHERWOOD WAY • 76901 90, eRX SAVE, 90, eRX

SALADO

SHANNON PHARMACY..................... (325) 655-8191 BAYLOR SCOTT & WHITE PHARMACY 119 E BEAUREGARD • 76903 #232......................................................(254) 947-7555 SAVE, 90, eRX 3525 FM 2484 • SUITE B • 76571 SAN ANTONIO eRX ALAMO CITY PHARMACY................. (210) 598-2695 BROOKSHIRE BROTHERS PHARMACY.........................................(254) 947-3185 3338 OAKWELL CT STE 106 • 78218 90, eRX 215 MILL CREEK DR • STE 155 • 76571 AMERICAN MEDICAL DIRECT.......... (210) 832-8300 SAN ANGELO 1862 W BITTERS RD STE 301 • 78248 ALBERTSONS MARKET PHARMACY #678......................................................(325) 942-6658 AMERICAN SPECIALTY PHARMACY.........................................(210) 615-7400 3121 SUNSET DR • 76904 2414 BABCOCK RD STE 111 • 78229 90, eRX 90 BAPTIST PHARMACY........................ (325) 658-7555 AMERICAN SPECIALTY 902 N MAIN ST • 76903 PHARMACY.........................................(210) 598-2678 eRX 110 STONE OAK LOOP # 100 • 78258 COMMUNITY PHARMACY..................(325) 949-4577 90, eRX 3520 KNICKERBOCKER RD • STE A • 76904 AMERITA INC......................................(210) 930-7200 SAVE, 90, eRX 6019 RANDOLPH BLVD • 78233 LOWE'S MARKETPLACE PHARMACY # 90, eRX 38..........................................................(325) 658-6551 APOTHECA COMPOUNDING 2 S MAIN ST • 76903 PHARMACY.........................................(210) 226-1112 LOWE'S PHARMACY # 39................. (325) 653-3271 14603 HUEBER RD • STE 2602 • 78230 1926 N BRYANT BLVD • 76903 APOTHECARE COMPOUNDING MEDI MART PHARMACY................... (325) 949-5381 PHARMACY.........................................(210) 696-4100 2102 PECOS ST • SUITE 13 • 76901 9150 HUEBNER RD STE 125B • 78240 90, eRX 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 84

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

SAN ANTONIO

Retail Pharmacies Including Chain Pharmacies ASTORIA PHARMACY....................... (713) 660-8888 CVS PHARMACY #............................. (210) 679-2369 818 E GRAYSON ST • 78208 22832 US HIGHWAY 281 N • 78258 eRX SAVE, 90, eRX AVITA DRUGS.....................................(210) 231-0383 CVS PHARMACY #............................. (210) 424-1911 303 N FRIO ST STE 102 • 78207 5355 W LOOP 1604 N • 78253 SAVE, 90 SAVE, 90, eRX BABCOCK SQUARE...........................(210) 696-6269 CVS PHARMACY #............................. (210) 247-0114 5824 BABCOCK RD • 78240 17502 LA CANTERA PKWY • 78257 90, eRX SAVE, 90, eRX BUENA VISTA DISCOUNT CVS PHARMACY #............................. (210) 424-3005 PHARMACY.........................................(210) 226-3699 7014 FM 78 • 78244 2223 BUENA VISTA ST • 78207 SAVE, 90, eRX CARVAJAL PHARMACY CROCKETT CVS PHARMACY #............................. (210) PARK................................................... (210) 977-1870 18255 BLANCO RD • 78258 1715 MCCULLOUGH AVE • 78212 SAVE, 90, eRX SAVE, eRX CVS PHARMACY #............................. (210) CARVAJAL PHARMACY CS.............. (210) 922-9031 3227 SE MILITARY DR • 78223 119 HUIZAR REAR • 78214 SAVE, 90, eRX 90, eRX CVS PHARMACY #............................. (210) 8223 STATE HIGHWAY 151 • 78245 CARVAJAL PHARMACY INGRAM PARK................................................... (210) 521-2552 SAVE, 90, eRX 6157 NW LOOP 410 • 78238 CVS PHARMACY #............................. (210) 2810 SW MILITARY DR • 78224 CARVAJAL PHARMACY SOUTH SAN...................................................... (210) 977-1860 SAVE, 90, eRX 7500 BARLITE BLVD # 201-B • 78224 CVS PHARMACY #............................. (210) SAVE, 90, eRX 746 NW LOOP 410 • 78216 CARVAJALS PHARMACY..................(210) 922-2176 SAVE, 90, eRX 3410 ROOSEVELT AVE • 78214 CVS PHARMACY #............................. (210) SAVE, 90, eRX 1223 AUSTIN HWY • 78209 SAVE, 90, eRX CORAM CVS/SPECIALTY INFUSION SERVIC................................................ (210) 523-0125 CVS PHARMACY #............................. (210) 10118 HUEBNER ROAD • 78240 11311 BANDERA RD • 78250 CRAWFORD PHARMACY.................. (210) 932-1200 SAVE, 90, eRX 711 PLEASANTON RD • 78214 DAVILA PHARMACY.......................... (210) 90, eRX 1423 GUADALUPE • STE 108 • 78207 CVS PHARMACY #............................. (210) 545-9208 90, eRX 13700 SAN PEDRO AVE • 78232 ECONOMY PHARMACY..................... (210) SAVE, 90, eRX 305 PEABODY AVE • 78211

SAVE = Preferred cost sharing 90 = 90 Day Supply

764-7972

247-0083

247-0017

927-4752

424-2302

202-3579

682-2533

226-5293

924-5528

24HR = Open 24 hours eRX = Electronic prescribing 85

SAN ANTONIO

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies EMPIRE PHARMACY..........................(210) 223-3863 LIFECARE GARZA PHARMACY........ (210) 225-4561 2207 S ZARZAMORA • 78207 311 CAMDEN • STE 103 • 78215 90, eRX SAVE, eRX EXPRESS PHARMACY.......................(352) 216-5500 LIFECARE PHARMACY......................(210) 212-7455 3930 E SOUTH CROSS • 78222 315 N SAN SABA # STE.110 • 78207 SAVE, eRX 90, eRX GALAXY SPECIALTY PHARMACY....(210) 617-4311 LIV-WELL PHARMACY.......................(210) 390-0091 2829 BABCOCK RD STE 120 • 78229 607 CAMDEN ST STE 102 • 78215 90, eRX eRX GENOA, A QOL HEALTHCARE COMPANY, MARIOS PHARMACY......................... (210) 354-0101 LL......................................................... (210) 610-9091 215 N SAN SABA • STE 106 • 78207 8535 TOM SLICK STE 104 • 78229 90 eRX MEDI RX DRUGS................................ (210) 212-8100 GOOD LIFE PHARMACY....................(210) 819-4515 6609 BLANCO RD • STE 135 • 78215 26108 OVERLOOK PKWY BLDG 4 • 78260 eRX SAVE, eRX MEDICAL CENTER PHARMACY........(210) 534-5457 HILL COUNTRY PHARMACY............. (844) 294-5516 1342 FAIR AVE • 78223 5282 MEDICAL DR STE 165 • 78229 90 eRX MEDICAL CENTER PHARMACY-STONE HILLS DRUG STORE.......................... (210) 225-7283 OAK......................................................(210) 332-9862 705 W KIRK • 78226 540 OAK CENTRE DR STE 153 • 78258 eRX SAVE, eRX HOSPITAL PHARMACEUTICAL MISSION PHARMACY........................ (210) 923-4389 CONSULTING......................................(844) 870-5146 3267 ROOSEVELT AVE • 78214 4742 DODGE ST • 78217 90 90, eRX MORNINGSIDE MINISTRIES HUEBNER FAMILY PHARMACY........(210) 696-2700 PHARMACY.........................................(210) 731-1199 9150 HUEBNER RD SUITE 125A • 78240 602 BABCOCK RD • 78201 90, eRX eRX INVENTIVE INFUSION SOLUTIONS.. (210) 494-4272 NETCARE PHARMACY...................... (210) 923-4404 18866 STONE OAK PKWY • SUITE 101 A • 78258 810 SE MILITARY DR • 78214 90, eRX 90, eRX LAUREL HEIGHTS PHARMACY........ (210) 736-3161 NETCARE PHARMACY #1................. (210) 256-8629 2602 N MAIN AVE • 78212 6428 BANDERA • 78238 90 90, eRX LEGENDS PHARMACY...................... (210) 735-2323 OAK HILLS PHARMACY.................... (210) 614-4100 6601 BLANCO RD STE 125 • 78216 7711 LOUIS PASTEUR DR STE 100 • 78229 SAVE, 90 LEGENDS PHARMACY...................... (210) 434-2477 6601 BLANCO RD STE 250 • 78216

SAVE = Preferred cost sharing 90 = 90 Day Supply 86

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

SAN ANTONIO

Retail Pharmacies Including Chain Pharmacies OAKDELL LONGTERM CARE RECEPT PHARMACY......................... (210) 614-5506 PHARMACY.........................................(210) 614-6200 5282 MEDICAL DR STE 160 • 78229 7220 LOUIS PASTEUR • STE 174 • 78229 eRX SAVE, eRX RITE AWAY PHARMACY & MEDICAL OAKDELL PHARMACY...................... (210) 614-6200 SUPPLY............................................... (210) 927-3742 7220 LOUIS PASTEUR DR • STE 176 • 78229 2716 SW MILITARY DR STE 102 • 78224 SAVE, eRX SAVE, eRX OAKDELL PHARMACY AT THE RITE-AWAY PHARMACY & MEDICAL QUARRY.............................................. (210) 822-6330 SUPPLY............................................... (210) 490-2733 423 TREELINE PARK • STE 201 • 78209 2235 THOUSAND OAKS DR STE 102 • 78232 SAVE, eRX SAVE, eRX OAKDELL PHARMACY IN STONE RITE-AWAY PHARMACY #5.............. (210) 923-7717 OAK......................................................(210) 496-7070 2115 PLEASANTON RD • SUITE 100 • 78221 104 GALLERY CIR STE 104 • 78258 SAVE, eRX SAVE, eRX RITE-AWAY PHARMACY #6.............. (210) 433-9991 OMNICARE OF SAN ANTONIO..........(210) 691-9494 426 CASTROVILLE RD • SUITE 5 • 78207 12460 NETWORK BLVD • STE 101 • 78249 SAVE, eRX ONE SOURCE PHARMACY AND MEDICAL RIVER MEDICAL PHARMACY, INC... (210) 877-6180 SUP...................................................... (844) 320-6779 4752 RESEARCH DR • 78240 15733 SAN PEDRO AVE • 78232 eRX eRX SAM'S CLUB PHARMACY 10-4939... (210) 507-0492 ORTIZ PHARMACY, INC.....................(210) 432-2361 3239 GOLIAD RD • 78223 2515 CASTROVILLE RD • SUITE 107 • 78237 SAVE, 90 90, eRX SAM'S PHARMACY 10-4914.............. (210) 810-4202 PARAGON INFUSION CARE..............(210) 591-6700 2530 MARSHALL RD • 78259 719 CARNOUSTIE DR STE 100 • SUITE 100 • SAVE, 90 78258 SAMS PHARMACY............................. (210) 877-1572 90 5565 DEZAVALA RD • 78249 PIONEER PHARMACY....................... (210) 492-3005 SAVE, 90 4503 DE ZAVALA RD STE 108 • 78249 SAMS PHARMACY............................. (210) 932-0906 eRX 3150 SW MILITARY DRIVE • 78224 PREMIER PHARMACY....................... (210) 298-9000 SAVE, 90 2425 BABCOCK RD STE 108A • 78229 SAMS PHARMACY............................. (210) 682-7144 90, eRX 5055 LOOP 410 NW • 78229 SAVE, 90 PRESCRIPTION DISPENSING LABS INC....................................................... (210) 494-1678 SAMS PHARMACY............................. (210) 599-1505 19230 STONE OAK PKWY • STE 200 • 78258 12349 N IH 35 • 78233 RAST RX..............................................(855) 567-3432 SAVE, 90 19272 STONE OAK PKWY STE 101 • 78258 SAN ANTONIO STATE HOSPITAL.... (210) 531-7724 eRX 6711 S NEW BRAUNFELS STE 100 • 78223 SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 87

SAN AUGUSTINE

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies SAN ANTONIO STATE SUPPORTED TRINITY RX......................................... (210) 927-4744 LIVING..................................................(210) 531-5047 102 PALO ALTO • SUITE 240 • 78211 6711 S NEW BRAUNFELS AVE STE 500 • 78223 SAVE, 90 SHAVANO OAKS PHARMACY.......... (210) 448-9080 UBA PHARMACY................................(210) 646-8804 3603 PAESANOS PKWY STE 102 • 78231 5445 WALZEM RD • 78218 90, eRX 90 SHAVANO OAKS PHARMACY @ BROOKS..............................................(210) 441-4484 3124 SIDNEY BROOKS ST STE 570 # B2 • 78235 90, eRX

UROLOGY SAN ANTONIO PHARMACY.........................................(210) 582-5649 7909 FREDERICKSBURG RD STE 110-A • 78229 eRX

SHAVANO OAKS PHARMACY @ WESTOVER VAMPSRX............................................(210) 224-7676 HI.......................................................... (210) 441-4501 2004 E HOUSTON STREET • 78202 3903 WISEMAN BLVD STE 313 • 78251 90, eRX 90, eRX WESTOVER HILLS PHARMACY........(210) 684-1800 SMART PHARMACY LLC...................(210) 858-7299 9793 CULEBRA RD STE 101 • 78251 4390 CALLAGHAN RD • 78228 90, eRX SAVE WHITE CROSS PHARMACY.............. (210) 227-7200 SONTERRA RX................................... (210) 490-7711 1303 MCCULLOUGH • STE 128 • 78212 1162 E SONTERRA BLVD STE 100 • 78258 SAVE, 90 90, 24HR, eRX ZIKAM NEIGHBORHOOD PHARMACY.........................................(210) 503-5063 SOUTH SAN MEDICAL BUILDING PHARMACY.........................................(210) 922-1816 21920 BULVERDE RD # 102/103 • 78259 919 SW MILITARY DR STE 105 • 78221 SAVE, eRX 90, eRX 15RX PHARMACY...............................(210) 543-1579 STONE OAK PHARMACY.................. (210) 494-4272 11212 STATE HIGHWAY 151 STE 110 • 78251 18866 STONE OAK PKWY • SUITE 101 • 78258 eRX 90, eRX 15RX PHARMACY...............................(210) 684-1579 10415 STATE HWY 151 • 105 • 78251 TEXAS ONCOLOGY PHARMACY SAN ANTONIO............................................. (210) 595-5691 eRX 4411 MEDICAL DRIVE, SUITE 100 • 78229 15RX PHARMACY...............................(210) 684-1579 eRX 11398 BANDERA RD STE 302 • 78250 eRX THE CENTER PHARMACY AT LEGACY OAKS................................................... (210) 971-5803 SAN AUGUSTINE 5372 FREDERICKSBURG RD STE 110 • 78229 BROOKSHIRE BROTHERS eRX PHARMACY.........................................(936) 275-9060 THE START CENTER PHARMACY....(210) 593-2660 705 W COLUMBIA • 75972 4383 MEDICAL DR STE 113 • 78229 SAN AUGUSTINE DRUG CO..............(936) 275-3401 90, eRX 104 E COLUMBIA • 75972 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 88

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

SEABROOK

Retail Pharmacies Including Chain Pharmacies SAN BENITO

SAMS PHARMACY............................. (512) 392-1387 FRYS PRESCRIPTION PHCY............. (956) 399-2453 1350 LEAH AVE • 78666 SAVE, 90 311 N SAM HOUSTON • 78586 90, eRX

TEXAS STATE UNIVERSITY STUDENT SALINAS PHARMACY........................ (956) 399-5501 HEAL....................................................(512) 245-3590 298 STUDENT CENTER DR. • 78666 500 N SAM HOUSTON BLVD • SUITE 1 • 78586 90, eRX 90 THORPE LANE PHARMACY.............. (512) 353-5042 THE MEDICINE SHOPPE PHARMACY.........................................(956) 399-1411 1346 THORPE LANE • 78666 eRX 205 WEST HIGHWAY 77 • 78586

SAN DIEGO

SAN SABA

LA HACIENDA PHARMACY INC........(361) 279-3869 EVERETTS PHARMACY.....................(325) 372-3033 401 W WALLACE • 76877 213 S DR E E DUNLAP ST • 78384 90, eRX 90, eRX

SAN JUAN

SANGER

MARTIN DRUG CO............................. (956) 787-1861 S AND J PHARMACY......................... (940) 458-4448 801 CHAPMAN DRIVE • #100 • 76266 601 S NEBRASKA • 78589 90, eRX 90

SANTA FE

NUESTRA CLINICA DEL VALLE........(956) 787-8915 806 W 3RD ST • 78589 LONE STAR PHARMACY...................(409) 925-9995 eRX 4111 FM 1764 STE F • 77510 90, eRX SAN JUAN PHARMACY..................... (956) 961-4870 1205 N RAUL LONGORIA • STE F • 78589 MEDICINE MAN PHARMACY............. (409) 927-1979 SAVE, eRX 13250 HIGHWAY 6 • 77510 90, eRX SAN MARCOS

SCHERTZ

B AND J PHARMACY......................... (512) 392-3301 2111 HUNTER RD • 78666 SCHERTZ SPECIALTY PHARMACY..(210) 651-6337 SAVE, 90, eRX 5000 SCHERTZ PKWY STE 401 • 78154 90, eRX CVS PHARMACY #............................. (512) 392-7961 SCHULENBURG 700 BARNES DR • 78666 SAVE, 90, eRX APOTHECARY OF MED MEDPARK LEGEND PHARMACY......(512) 353-8900 ASSOCIATES...................................... (979) 743-3265 38 EAST AVENUE • 78956 2004 MEDICAL PKY A • 78666 90, eRX eRX

SEABROOK PHARMACY CARE USA OF SAN MARCOS, LL......................................................... (512) 392-5790 THE MEDICINE SHOPPE 2260 IH 35 SOUTH, BLDG 201 • 78666 PHARMACY.........................................(832) 864-3785 4614 NASA PKWY • 77586

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 89

SEAGOVILLE

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies SEAGOVILLE

SHALLOWATER

BROOKSHIRE PHARMACY............... (972) 287-1680 SHALLOWATER PHARMACY............(806) 832-0250 125 HALL STREET • 75159 1502 12TH STREET, SUITE B • 79363 90 SHAMROCK GIBSON DISCOUNT PHARMACY......(972) 287-7070 MARKET SQUARE PHARMACY........ (806) 256-3111 112 HALL RD • 75159 1814 N BILL MACK • BOX 200 • 79079 SAVE, eRX 90

SEALY

SHENANDOAH

SEALY PHARMACY............................(979) 256-3045 KELSEY PHARMACY 707 MEYER ST • 77474 WOODLANDS......................................(713) 442-1975 SAVE, eRX 106 VISION PARK BLVD • 77384 SEGUIN 90, eRX PARKERS CITY PHARMACY............. (830) 379-1450 SAMS PHARMACY............................. (936) 271-1760 1005 E COURT ST • 78155 19091 INTERSTATE 45 SOUTH • 77385 90, eRX SAVE, 90

SELMA

SHEPHERD

CVS PHARMACY #............................. (210) 945-9759 JC S TRUECARE PHARMACY INC....(936) 628-2099 8234 AGORA PKWY • 78154 11011 HWY 150 • 77371 SAVE, 90, eRX 90

SEMINOLE

SHERMAN

OSWALT PHARMACY........................ (432) 758-3656 CARERX PHARMACY AT SHERMAN(903) 893-1700 701 HOBBS HWY • 79360 1733 TEXOMA PKWY STE 200 • 75090 SAVE, 90 SAVE, 90, eRX

SEVEN POINTS

CVS PHARMACY #............................. (903) 892-4416 BROOKSHIRES PHARMACY............. (903) 432-2516 4160 TOWN CENTER ROAD • 75092 SAVE, 90, eRX 210 SOUTH SEVEN POINTS • ATTENTION PHARMACY DEPT • 75143 GENOA, A QOL HEALTHCARE COMPANY, 90 LL......................................................... (903) 357-5655 GIBSON PHARMACY......................... (903) 432-3494 315 W MCLAIN DR STE 308 • 75092 eRX 205 W CEDAR CREEK PKWY • 75143 90, eRX

SEYMOUR

HERITAGE PARKWAY PHARMACY..(903) 893-8222 3429 N FM 1417 • 75092 SAVE, 90, eRX

SEYMOUR PHARMACY..................... (940) 888-2222 SAMS PHARMACY............................. (903) 891-4440 201 STADIUM DR STE 1 • 76380 3333 N US HIGHWAY 75 • 75090 SAVE, 90, eRX SAVE, 90 UNITED PHARMACY.......................... (940) 889-3622 SHERMAN PHARMACY..................... (903) 328-6655 101 N WASHINGTON • 76380 600 E TAYLOR ST STE 101 • 75090 90, eRX 90, eRX SAVE = Preferred cost sharing 90 = 90 Day Supply 90

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

SPRING

Retail Pharmacies Including Chain Pharmacies TEXAS ONCOLOGY PHARMACY......(903) 868-4790 SOMERVILLE 2800 HIGHWAY 75 NORTH • 75090 B AND B PHARMACY........................ (979) 596-3081 16800 SH 36 SOUTH • 77879 THE MEDICINE SHOPPE PHARMACY.........................................(903) 892-9291 SONORA 1624 N TRAVIS ST • 75092 EVERETTS PHARMACY SONORA.... (325) 387-2541 eRX 417 HWY 277 N • 76950 SHINER 90, eRX QUALITY PHARMACY........................ (361) 594-2262 SOUR LAKE 724 NORTH AVE E • 77984 BROOKSHIRE BROTHER'S PHARMACY SAVE, 90 #59........................................................(409) 287-3525 SHINER FAMILY PHARMACY............(361) 594-2394 295 HWY 105 EAST • 77659 408 N AVE B • 77984 SOUTHLAKE 90, eRX PHARMACY PLUS #9......................... (817) 410-1000 SILSBEE 721 SOUTHLAKE BLVD • STE 180 • 76092 BROOKSHIRE BROTHERS 90, eRX PHARMACY.........................................(409) 385-9148 SPEARMAN 333 HWY 96 S • 77656 HANSFORD PHARMACY................... (806) 659-2226 SINTON 710 S ROLAND ST • 79081 MOORES PHARMACY........................(361) 364-1416 90 200 W RACHAL ST • 78387 MEDIC PHARMACY AND GIFTS........(806) 659-2141 90, eRX 314 MAIN ST • 79081 SLATON SAVE SLATON PHARMACY......................... (806) 828-4444 SPLENDORA 165 S 9TH ST STE A • 79364 SPLENDORA PHARMACY................. (281) 689-7700 SAVE, eRX 13841 HIGHWAY 59 • STE C • 77372 SMITHVILLE eRX SMITHVILLE PHARMACY.................. (512) 237-5216 SPRING 1404A NE LOOP 230 • 78957 BETTER BALANCE PHARMACY.......(281) 205-7091 eRX 5834 LOUETTA ROAD • SUITE D • 77379 SNYDER 90, eRX MCWILLIAMS PHARMACY................ (325) 573-7582 BUDGET PHARMACY........................ (713) 694-3785 3706 COLLEGE AVE • 79549 19786 INTERSTATE 45 • 77373 SAVE, eRX eRX UNITED PHARMACY.......................... (325) 574-1683 CRYSONCARE PHARMACY INC....... (832) 813-5085 3500 COLLEGE • 79549 22325 GOSLING RD • 77389 90 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 91

SPRING BRANCH

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies CVS PHARMACY #............................. (281) 288-5018 STAFFORD 19511 I H 45 • 77388 ADVANCED PHARMACY SVCS.........(713) 391-2200 SAVE, 90, eRX 12503 EXCHANGE DR STE 536 • 77477 KELSEY PHARMACY-SPRING.......... (713) 442-1779 24HR 15655 CYPRESS WOODS MEDICAL DR • STE 150 DR PHARMACY.................................. (832) 539-6386 • 77014 103 AVENUE F • 77477 90, eRX eRX MASWOSWE'S ALTERNATIVE PHARMACY NATIONSMED HEALTHCARE............(281) 240-4144 SER...................................................... (832) 953-2782 4677 TECHNIPLEX DR • 77477 6402 LOUETTA ROAD • SUITE 145 • 77379 OMNICARE OF HOUSTON.................(281) 776-8860 eRX 10650 W AIRPORT BLVD STE 150 • 77477 RAYFORD ACP................................... (281) 367-2700 PHARMACARE....................................(713) 426-4800 440 RAYFORD RD # 155 • 77386 11104 W. AIRPORT BLVD STE 255 • 77477 SAVE, 90, eRX RAYFORD PHARMACY...................... (832) 953-2926 PHARMACY 4 LESS........................... (281) 969-5077 432 MURPHY RD • 77477 7623 LOUETTA RD STE 104 • 77379 90, eRX

PR PHARMACY LLC...........................(832) 230-8027 SPRING TRAILS- ACP........................(281) 602-3491 720 FM 1092 • 77477 eRX 28533 SPRING TRAILS RDG STE 110 • 77386 SAVE, 90, eRX SAMS PHARMACY............................. (281) 295-2512 THE WOODLANDS APOTHECARY... (281) 962-7006 12300 S W FREEWAY • 77477 SAVE, 90 9303 PINECROFT DR STE 300 • 77380 eRX

SPRING BRANCH

STAFFORD PHARMACY & DME........(281) 969-5901 2448 S MAIN ST • 77477 eRX

NORTH SHORE PHARMACY............. (830) 214-2920 TRINITY PHARMACY SOLUTIONS....(713) 697-8082 113 STARGRASS STE 100 • 78070 508 MURPHY RD STE E • 77477 90, eRX 90, eRX

SPRINGTOWN

1 STOP PHARMACY...........................(832) 328-5996 BROOKSHIRES PHARMACY............. (817) 220-1178 11725 W BELLFORT ST • 77477 501 HIGHWAY 199 EAST • ATTENTION STAMFORD PHARMACY DEPT • 76082 90 COUNTRY DRUG STORE...................(325) 773-2441 1517 COLUMBIA ST • 79553 DOUGHERTY'S PHARMACY SPRINGTOWN.....................................(817) 220-7927 SAVE, 90 117 E 1ST ST • 76082 STANTON 90, eRX STANTON DRUG................................ (432) 756-3731 SPUR 201 N ST PETER ST • 2530148 • 79782 DANAS PHARMACY INC....................(806) 271-3394 SAVE, eRX 315 BURLINGTON AVE • 79370

SAVE = Preferred cost sharing 90 = 90 Day Supply 92

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

SUGAR LAND

Retail Pharmacies Including Chain Pharmacies STEPHENVILLE

HEALTHQUEST INFUSION RIVER NORTH PHARMACY............... (254) 918-2201 SERVICES........................................... (832) 612-3500 2600 CORDES DR STE E • 77479 150 RIVER NORTH BLVD • 76401 90, eRX TANGLEWOOD PHARMACY............. (254) 968-7657 HEALTHQUEST PHARMACY.............(832) 222-0100 2445 A NORTHWEST LOOP • 76401 2600 CORDES DR STE F • 77479 SAVE, 90, 24HR, eRX 90, eRX

STRATFORD

ELK PHARMACY................................ (806) 366-5505 317 N. MAIN ST. • 79084 eRX

SUGAR LAND

METSCRIPT PHARMACY................... (281) 277-2700 4888 HWY 90 A • STE 100 • 77498 90, eRX NAHS PHARMACY II.......................... (832) 939-8950 11677 S HIGHWAY 6 • 77498 eRX

ADMIX COMPOUNDING PHARMACY.........................................(832) 532-3113 OASIS PHARMACY............................ (281) 240-8111 1403 HIGHWAY 6 STE 300B • 77478 12946 DAIRY ASHFORD RD STE 460 • 77478 ALLEGIANCERX PHARMACY MANAGEMENT PRO MED RX...................................... (281) 313-0730 SU.........................................................(281) 238-3100 13134 DAIRY ASHFORD RD STE # 900 • 77478 17510 W GRAND PKWY S STE 180 • 77479 eRX CHOICE SPECIALTY PHARMACY.....(832) 944-6112 PRO PHARMACY HEALTH INC......... (281) 491-0767 1403 HIGHWAY 6 STE 700A • 77478 14021 SOUTHWEST FWY # 409B • 77478 90 eRX CVS PHARMACY #............................. (281) 340-0565 RITE CARE PHARMACY.................... (713) 955-5700 16300 SOUTHWEST FWY • 77479 15271 SOUTHWEST FWY • 77478 SAVE, 90, eRX 90, eRX DELIVERIT PHARMACY INC..............(281) 277-1071 SAMS PHARMACY............................. (281) 295-2535 13303 W AIRPORT BLVD • 77478 351 HIGHWAY 6 • 77478 SAVE, 90, 24HR, eRX SAVE, 90, eRX ECLEATS PHARMACY, INC...............(281) 903-7491 SUGAR LAND COMPOUNDING 4427 HIGHWAY 6 STE F • 77478 PHARMACY.........................................(281) 302-6080 90, eRX 14823 SOUTHWEST FWY • SUITE-B • 77478 EVOLUTION RX PHARMACY.............(832) 532-7961 eRX 931 ELDRIDGE RD • 77478 TEXAN CARE PHARMACY................ (281) 329-4498 eRX 1803 WESCOTT AVENUE SUITE A • 77479 FOOT AND ANKLE ASSOCIATES..... (281) 313-0090 eRX 17510 W GRAND PKWY S STE 530 • 77479 TEXAS ONCOLOGY PHARMACY......(281) 276-3467 HEALTH CHECK PHARMACY........... (281) 201-8232 1350 FIRST COLONY BOULEVARD • 77479 3533 TOWN CENTER BLVD. SOUTH STE. 500 • VITAMED PHARMACY....................... (281) 313-0234 77479 16126 SOUTHWEST FWY STE # 180 • 77479 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 93

SUGARLAND

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies SUGARLAND

THE MEDICINE PLACE...................... (325) 236-6809 1410 LAMAR ST • 79556 CAMPBELLS COMPOUNDING PHARMACY.........................................(281) 980-2555 90 TAFT 4760 SWEETWATER BLVD • STE 103 • 77479 KELSEY PHARMACY - FORT BEND. (713) 442-9475 TAFT PHARMACY.............................. (361) 528-2012 11555 UNIVERSITY BLVD • 77478 213 MEYER ST • 78390 90, eRX 90, eRX PHARMTRUST PHARMACY...............(281) 201-2627 TAHOKA 1111 HIGHWAY 6 SOUTH, STE 110 • 77478 TAHOKA DRUG.................................. (806) 561-4041 90, eRX 1610 MAIN ST • #1020 • 79373 VITA CARE PHARMACY II................. (281) 277-2800 SAVE, eRX 1429 HWY 6 SOUTH #100 • 77478 TATUM 90, eRX B AND B PHARMACY........................ (903) 947-2174 SULPHUR SPRINGS 420 N HILL STREET • 75691 BROOKSHIRES PHARMACY............. (903) 885-7532 TAYLOR 809 GILMER ROAD • ATTENTION PHARMACY PFENNIGS PRESCRIPTION DEPT • 75482 PHARMACY.........................................(512) 352-5233 90 511 N MAIN ST • 76574 CODY DRUG....................................... (903) 885-2639 90, eRX 1505 S BROADWAY ST • 75482 SCHWENKER PHARMACY................ (512) 352-3659 SAVE, 90, eRX 2407 N MAIN ST • 76574 MEDICINE CHEST INSTITUTIONAL 90, eRX PHCY....................................................(903) 438-0770 TEAGUE 411 MAIN ST STE 2 • 75482 PHARMACY PLUS #1......................... (254) 739-2585 SWEENY 600 MAIN ST • 75860 LIFECHEK............................................(979) 548-0212 90, eRX 200 N MAIN ST • 77480 TEMPLE SAVE, 90 ANTHONY MEDICAL AND CHIROPRACTIC SWEETWATER CE.........................................................(254) 899-2225 BROOKSHIRES PHARMACY............. (325) 236-6883 1602 W AVENUE A • 76504 501 EAST BROADWAY • ATTENTION PHARMACY eRX DEPT • 79556 BAYLOR SCOTT & WHITE PHARMACY 90 #227......................................................(254) 774-1600 MALONEY PRESCRIPTION 937 CANYON CREEK DR • 76502 PHARMACY.........................................(325) 236-6394 eRX 1405 HAILEY ST • 79556 BAYLOR SCOTT & WHITE PHARMACY 90 #228......................................................(254) 215-9100 1605 S 31ST ST • STE 19 • 76508 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 94

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

THE COLONY

Retail Pharmacies Including Chain Pharmacies BAYLOR SCOTT & WHITE PHARMACY GLENWOOD PHARMACY.................. (903) 792-8296 #230......................................................(254) 774-1050 1400 COLLEGE DR • 75503 514 W. ADAMS • 76501 90, eRX eRX HEALTH CARE CENTER CVS PHARMACY #............................. (254) 295-1058 PHARMACY.........................................(903) 614-2200 3550 S GENERAL BRUCE DR • 76504 2604 ST MICHAEL DR • SUITE 200 • 75503 SAVE, 90, eRX KMART PHARMACY7309...................(903) 838-7539 KING'S DAUGHTERS PHARMACY....(254) 778-1731 4520 W 7TH ST • 75501 1905 SW H K DODGEN LOOP • 76502 90 90 PLEASANT GROVE PHARMACY...... (903) 832-4545 SAMS PHARMACY............................. (254) 742-1073 3302 RICHMOND RD • 75503 1414 MARLAND WOOD ROAD • 76502 90 SAVE, 90 RED RIVER LTC..................................(903) 792-1721 1327 COLLEGE DR • STE A • 75503 SCOTT AND WHITE MEMORIAL HOSPITAL O...........................................................(254) 724-3811 RED RIVER VITAL CARE OF 2401 S 31ST ST • 76508 TEXARKANA....................................... (903) 792-7435 90, eRX 1327 COLLEGE DR • 75503 WESTSIDE DRUG............................... (254) 778-2773 90 1516 S 31ST STREET • 76504 RELIANT HEALTHCARE.................... (877) 354-2688 SAVE, 90, eRX 4315 TEXAS BLVD • 75503 TERRELL eRX BASS RUTLEDGE DRUG................... (972) 563-3311 SAMS PHARMACY............................. (903) 838-0597 601 W MOORE AVE • 75160 3610 SAINT MICHAEL DR • 75503 90 SAVE, 90 BROOKSHIRES PHARMACY............. (972) 563-2693 SUPER 1 PHARMACY........................ (903) 832-2258 1400 WEST MOORE STREET • ATTENTION 2610 RICHMOND ROAD • ATTENTION PHARMACY DEPT • 75160 PHARMACY DEPT • 75503 90 90

TEXAS CITY TERRELL STATE HOSPITAL PHARMACY.........................................(972) 551-8238 AFFORDABLE PHARMACY INC........(409) 229-4636 1200 E BRIN • 75160 8030 FM 1765 SUITE A104 • 77591 TEXARKANA eRX COLLOM AND CARNEY CLINIC TEXAS CITY PHARMACY.................. (409) 655-3033 PHARMACY.........................................(903) 614-3100 2506 25TH AVE NORTH • 4 • 77590 5002 COWHORN CREEK RD • 75503 eRX 90, eRX THE COLONY CVS PHARMACY #............................. (903) 223-0270 NORTH TEXAS PHARMACY.............. (214) 494-6101 102 RICHMOND RANCH RD • 75503 5200 PAIGE RD STE 102 • 75056 SAVE, 90, eRX eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 95

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing THE WOODLANDS Retail Pharmacies Including Chain Pharmacies THE WOODLANDS

TOMBALL

ACP PHARMACY AT ST LUKE'S.......(281) 602-3491 CVS PHARMACY #............................. (281) 255-6289 17350 ST LUKES WAY • 77384 14302 FM 2920 RD • 77377 SAVE, eRX SAVE, 90, eRX CONVERSIO HEALTH........................ (832) 562-3969 FIRST CARE PHARMACY.................. (832) 698-1532 2445 TECHNOLOGY FOREST BLVD STE 220 • 24922 TOMBALL PARKWAY • SUITE 120 • 77375 90, eRX 77381 eRX GLOYERS PHARMACY INC............... (281) 351-5454 CVS PHARMACY #............................. (281) 419-6944 1010 W MAIN ST • 77375 1100 LAKE WOODLANDS DR • 77380 eRX SAVE, 90, eRX MS PHARMACY.................................. (832) 698-1565 GHPMA2.............................................. (936) 447-9432 27721 TOMBALL PARKWAY • SUITE 400 • 77375 17521 ST LUKES WAY • SUITE 120 • 77384 SAVE, 90, eRX eRX TMP PHARMACY................................ (281) 290-7741 MILLENNIUM PHARMACY................. (281) 298-1129 455 SCHOOL ST • SUITE 48 • 77375 9319 PINECROFT DR STE 110 • 77380 90, eRX eRX TOMBALL HEALTH MART OUR PHARMACY................................(832) 299-6802 PHARMACY.........................................(832) 559-6413 25329 INTERSTATE 45 STE 126 • 77380 506 GRAHAM DRIVE • SUITE 140 • 77375 90, eRX SAVE, 90, eRX PINECROFT PHARMACY................... (281) 466-3650 TOMBALL PHARMACY...................... (832) 843-7105 9305 PINECROFT DRIVE • SUITE 102 • 77380 28455 TOMBALL PARKWAY • 77375 SAVE, 90, eRX eRX SOUTHSIDE PHARMACY 9................(832) 813-5296 TOMBALL PROFESSIONAL ATRUIM PHRM................................................... (281) 351-8239 1111 MEDICAL PLAZA DR STE 160 • 77380 SAVE, eRX 425 HOLDERRIETH BLVD • STE 111 • 77375 90, eRX WOODLANDS INTERNISTS PA......... (936) 279-2016 TRINITY 17191 ST LUKES WAY # 200 • 77384

THREE RIVERS

BROOKSHIRE BROTHERS PHARMACY.........................................(936) 594-2549 CAMPBELL DRUG STORE................ (361) 786-3757 515 S ROBB • 75862 101 W THORNTON • 78071 90 LIFECHEK............................................(936) 594-3593 507 S ROBB ST STE B • 75862 TIMPSON SAVE, 90, eRX BUSSEY DRUG................................... (936) 254-2471 TULIA 443 AUSTIN ST • 75975 90, eRX MOORE THAN MEDICINE.................. (806) 995-3551 105 SW 2ND ST • 79088 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 96

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

TYLER

Retail Pharmacies Including Chain Pharmacies TYLER

FRED'S PHARMACY...........................(903) 533-1345 1803 E. GENTRY PKWY • 75702 AMERICAN SPECIALTY PHARMACY.........................................(903) 354-0231 90 1109 E 5TH ST • 75701 GENOA, A QOL HEALTHCARE COMPANY, 90 LL......................................................... (903) 595-3100 BRICK STREET PHARMACY............. (903) 533-8155 2323 WEST FRONT ST • 75702 314 W RUSK ST • 75701 SAVE, 90, eRX

GOODS MEDICINE CHEST................ (903) 885-0821 807 S BECKHAM AVE • 75701 90, eRX

BRICKSTREET LONG TERM CARE, LLC.......................................................(903) 533-8157 GOODS MEDICINE CHEST................ (903) 939-8500 312 W RUSK ST STE B • 75701 2130 GRANDE BLVD • 75703 eRX 90, eRX BROOKSHIRE PHARMACY............... (903) 747-3508 KINSEY'S PHARMACY....................... (903) 561-5656 6991 OLD JACKSONVILLE HWY • 75703 4290 KINSEY DR • 75703 90, eRX 90, eRX BROOKSHIRES PHARMACY............. (903) 526-4092 OMNICARE OF TYLER....................... (903) 533-8122 2734 EAST FIFTH STREET • ATTENTION 105 JORDAN PLAZA BLVD • 75704 PHARMACY DEPT • 75701 PHARMSCRIPT OF TEXAS NORTH.. (903) 535-7200 90 1041 N NORTHEAST LOOP 323 • 75708 BROOKSHIRES PHARMACY............. (903) 597-1358 RED RIVER LTC OF TYLER............... (903) 617-6885 2020 ROSELAND BLVD • ATTENTION PHARMACY 4801 TROUP HWY SUTH • STE 402 • 75703 DEPT • 75701 ROSELAND PHARMACY....................(903) 531-0590 90 1814 ROSELAND BLVD SUITE 220 • 75711 BROOKSHIRES PHARMACY............. (903) 561-7943 90, eRX 100 RICE ROAD • ATTENTION PHARMACY DEPT SAMS PHARMACY............................. (903) 597-1863 • 75703 2025 S SOUTHWEST LOOP 323 • 75701 90 SAVE, 90 CRAIG PHARMACY............................ (903) 595-3737 STEPHENSON PHARMACY............... (903) 593-0236 1863 TROUP HIGHWAY • 75701 1000 S FLEISHEL • 75701 90, eRX 90 CVS PHARMACY #............................. (903) 939-8550 SUPER 1 FOODS PHARMACY #642..(903) 525-6923 7003 S BROADWAY AVE • 75703 172 CENTENNIAL PKWY • 75703 SAVE, 90, eRX 90, eRX DRUG EMPORIUM.............................. (903) 534-9105 SUPER 1 PHARMACY........................ (903) 581-9666 5614 S BROADWAY • 75703 3828 TROUP HWY • ATTENTION PHARMACY 90, eRX DEPT • 75703 FAMILY FIRST PHARMACY............... (903) 561-2822 90 16623 OLD JACKSONVILLE HWY • STE A • 75703 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 97

UVALDE

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies SUPER 1 PHARMACY........................ (903) 535-9467 VERNON 1105 EAST GENTRY PKWY • ATTENTION FAMILY PHARMACY.......................... (940) PHARMACY DEPT • 75702 1720 HILLCREST DR • 76384 90 SAVE, 90, eRX SUPER 1 PHARMACY........................ (903) 593-5369 FAMILY PHARMACY.......................... (940) 113 NW LOOP 323 • ATTENTION PHARMACY 1720 HILLCREST DR • 76384 DEPT • 75702 eRX 90 HILLCREST PHARMACY....................(940) TEXAS ONCOLOGY PHARMACY......(903) 579-9844 1015 HILLCREST DR • STE B • 76384 910 EAST HOUSTON, SUITE 100 • 75702 90, eRX THO PHARMACY................................ (903) 595-7086 NORTH TX STATE HOSP 721 A CLINIC DR • 75701 PHARMACY.........................................(940) 90, eRX 4730 COLLEGE DR • 76385 TYLERRX PHARMACY....................... (903) 593-1400 UNITED PHARMACY.......................... (940) 2415 E 5TH ST • 75701 3000 WILBARGER • 76384 90, eRX 90, eRX UTHCT PHARMACY........................... (903) 877-7088 VICTORIA 11937 US HWY 271 • 75708 CASTLE HILLS LEGEND 90, eRX PHARMACY.........................................(361) WOODY WEAVER PHARMACY......... (903) 593-2533 3412 SAM HOUSTON DR • 77904 2726 W GENTRY • 75702 90, eRX 90 CENTRAL DRUG INC......................... (361) UVALDE 3802 N. LAURENT ST. • 77901 LIFECARE PHARMACY......................(830) 591-1000 90, eRX 1001 E MAIN ST • 78801 CVS PHARMACY #............................. (361) eRX 7608 NE ZAC LENTZ PKWY • 77904

552-2999

552-2999

552-9501

552-4074 552-2600

575-6328

575-4713

579-6716

OUR HEALTH PHARMACY................ (830) 278-5604 SAVE, 90, eRX 200 EVANS ST • 78801 ROGERS PHARMACY........................ (361) 572-0226 eRX 512 E RIO GRANDE • 77901 VAN 90, eRX BROOKSHIRES PHARMACY............. (903) 963-3834 ROGERS PHARMACY #1................... (361) 578-3521 706 WEST MAIN • ATTENTION PHARMACY DEPT 4402 N LAURENT ST • 77901 90, eRX • 75790 90 ROGERS PHARMACY #2................... (361) 582-0503 VAN ALSTYNE 2700 CITIZENS PLAZA • STE 106 • 77901 CITY DRUG..........................................(903) 482-5279 90, eRX 232 E JEFFERSON • 75495 90

SAVE = Preferred cost sharing 90 = 90 Day Supply 98

ROGERS PHARMACY #4................... (361) 572-3106 6502 NURSERY DR • STE 102 • 77904 90, eRX

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

WAXAHACHIE

Retail Pharmacies Including Chain Pharmacies ROGERS PHARMACY #5................... (361) 573-1888 OMNICARE OF WACO....................... (254) 776-6398 8621 N NAVARRO ST • 77904 7524 BOSQUE BLVD • STE N AND O • 76712 90, eRX PHARMACY PLUS #10....................... (254) 836-5255 VIDOR 10412 CHINA SPRING HWY SUITE A • 76708 90, eRX BROOKSHIRE BROTHERS PHARMACY.........................................(409) 769-2439 PHARMACY PLUS #5......................... (254) 756-5383 1380 N MAIN • 77662 3308 HILLCREST DR • 76708 T AND T PHARMACY......................... (409) 769-2438 90, eRX 315 N MAIN ST • 77662

PLAZA PHARMACY............................(254) 751-4915 VIDOR FAMILY PHARMACY.............. (409) 769-2406 6101 WOODWAY DR • SUITE 100 • 76712 eRX 1130 N MAIN ST • 77662 eRX

WACO

SAMS PHARMACY............................. (254) 799-5412 2301 E WACO DR • 76705 SAVE, 90

BAYLOR SCOTT & WHITE PHARMACY #251......................................................(254) 761-5200 TEXAS ONCOLOGY PHARMACY......(254) 399-5900 1700 W HIGHWAY 6 • 76712 1412 N VALLEY MILLS 116 • 76710 eRX WALLER

BAYLOR UNIVERSITY HEALTH CENTER BROOKSHIRE BROTHERS PHA...................................................... (254) 710-4991 PHARMACY.........................................(936) 372-1000 209 SPEIGHT AVE • STE 214 • 76706 31303 FM 2920 • STE H • 77484 eRX eRX CIRCLE DRUG.................................... (254) 662-0774 WASKOM 3211 ROBINSON DR • 76706 KILLION'S PHARMACY...................... (903) 687-2525 90, eRX 396 W TEXAS AVE • 75692 CVS PHARMACY #............................. (254) 399-9140 90, eRX 5401 BOSQUE BLVD • 76710 WATAUGA SAVE, 90, eRX CVS PHARMACY #............................. (817) 427-1099 DRUG EMPORIUM.............................. (254) 772-0011 8000 DENTON HWY • 76148 5900 BOSQUE BLVD • 76710 SAVE, 90, eRX 90, eRX TCHD GERTRUDE TARPLEY COMM CLINIC FAMILY PRACTICE CLINIC PHCY.....(254) 750-8200 P........................................................... (817) 702-6640 1600 PROVIDENCE DR • 76707 6601 WATAUGA RD • STE 126 • 76148 eRX 90, eRX FHC MEDICAID PHARMACY............. (254) 313-4541 WAXAHACHIE 1600 PROVIDENCE DRIVE • SUITE 201 • 76707 BAYLOR SCOTT & WHITE PHARMACY eRX #110......................................................(469) 843-7120 LYNNS LA VEGA PHARMACY.......... (254) 799-4949 2460 N INTERSTATE HIGHWAY 35 E • SUITE 155 • 2401 E WACO DR • 76705 75165 90, eRX eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 99

WEATHERFORD

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies CVS PHARMACY #............................. (972) 923-9169 CLEAR LAKE PROFESSIONAL BLDG PHARMA..............................................(281) 332-2496 1316 N HIGHWAY 77 • 75165 SAVE, 90, eRX 251 MEDICAL CENTER BLVD • STE 100 • 77598 90, eRX GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (972) 937-8309 CVS PHARMACY #............................. (281) 819-4117 1305 WEST JEFFERSON • STE 231 • 75165 1801 W BAY AREA BLVD • 77598 SAVE, 90, eRX THE PRESCRIPTION SHOP............... (972) 938-2642 120 S GRAND AVE • STE 1 • 75165 KELSEY PHARMACY CLEAR LAKE. (713) 442-4360 90, eRX 1010 SOUTH PONDS DR • 77598 90, eRX WEATHERFORD MEDICAL PLAZA PHCY AT CLEAR BEST VALUE HOMETOWN PHARMACY.........................................(817) 594-3435 LAKE....................................................(281) 332-2213 250 BLOSSOM ST • STE 110 • 77598 1702 SANTA FE DR • 76086 90, eRX 90, eRX BROOKSHIRES PHARMACY............. (817) 596-4165 TEXAS ONCOLOGY PHARMACY......(281) 316-4926 501 MEDICAL CENTER BOULEVARD • 77598 601 WEST PALO PINTO • ATTENTION PHARMACY DEPT • 76086 90

WEBSTER PHARMACY......................(281) 886-7164 15610 HIGHWAY 3 • 77598 CVS PHARMACY #............................. (817) 594-4564 90, eRX WEIMAR 122 E INTERSTATE 20 • 76087 SAVE, 90, eRX LIFECHEK............................................(979) 725-6713 DAVIS CITY PHARMACY INC............ (817) 594-3851 406 YOUENS DR • 78962 111 TRINITY ST • 76086 SAVE, 90 90, eRX WELLINGTON TACKETT PHARMACY....................... (817) 441-7046 COLLINGSWORTH PHARMACY........(806) 447-1184 132 EL CHICO TRL • 76087 1016 16TH STREET • 79095 90, eRX 90, eRX TACKETT'S SUPER SAVE WESLACO PHARMACY.........................................(817) 341-7046 CENTRX PHARMACY AT WESLACO(956) 246-4085 102 COLLEGE PARK DR • 76086 330 W EXPRESSWAY 83 SUITE A • 78599 90, eRX 90, eRX TOWN CREEK PHARMACY............... (817) 458-5292 DADS PHARMACY............................. (956) 447-1800 907 EUREKA ST STE B • 76086 415 SOUTH AIRPORT DR • STE G • 78596 eRX SAVE, 90

WEBSTER

BLOSSOM PHARMACY..................... (281) 724-0280 250 BLOSSOM ST STE 105 • 77598 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 100

DE LA ROSA PHARMACY INC.......... (956) 968-8995 1500 E 6TH ST • 78596 eRX

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

WICHITA FALLS

Retail Pharmacies Including Chain Pharmacies LIFECHEK DRUG #47.........................(956) 975-2513 WHITE OAK 512 S WESTGATE • SUITE G • 78596 BROOKSHIRES PHARMACY............. (903) 297-9896 SAVE, 90, eRX 200 WEST HWY 80 • ATTENTION PHARMACY DEPT • 75693 PHARMACY CARE USA OF WESLACO, LLC.......................................................(956) 968-4300 90 2202 SUGAR SWEET ROAD • SUITE E • 78596 WHITEHOUSE PRO SCRIPT PHARMACY BROOKSHIRES PHARMACY............. (903) 839-3715 SERVICES........................................... (956) 969-3784 601 HWY 110 N • ATTENTION PHARMACY DEPT • 911 S AIRPORT DR • 78596 75791 SAVE, 90, eRX 90 SANDER PHARMACY........................ (956) 968-4528 WHITESBORO 916 E 6TH ST • 78596 AXTELL RITE VALUE PHARMACY... (903) 564-3216 eRX 304 ONE HALF CHARLIE DR • 76273 WESLACO PHARMACY..................... (956) 969-0636 SAVE, 90, eRX 1102 S AIRPORT DRIVE • 78596 DIVERSIFIED PHARMACY CARE...... (903) 564-6156 SAVE, 90, eRX 304 AND ONE HALF CHARLIE DR • STE B • 76273

WEST

OLD CORNER DRUG..........................(254) 826-5122 200 N MAIN ST • 76691 90, eRX

HOMETOWN PHARMACY.................. (903) 564-1234 310 CHARLIE DR • 76273 90, eRX

WHITEWRIGHT

WEST DRUG....................................... (254) 826-5292 WHITEWRIGHT PHARMACY..............(903) 364-5537 206 N MAIN ST • 76691 419 S US HIGHWAY 69 • 75491 eRX 90, eRX

WESTWORTH VILLAGE

WHITNEY

SAMS PHARMACY............................. (817) 763-9820 BROOKSHIRES PHARMACY............. (254) 694-4413 6760 WESTWORTH BLVD • 76114 1310 N BRAZOS • ATTENTION PHARMACY DEPT SAVE, 90 • 76692 WHEELER 90 HYLAND'S PHARMACY, LLC............ (806) 826-5561 EUBANK DRUG.................................. (254) 694-3314 108 W OKLAHOMA AVE • 79096 1510 N. BRAZOS • 76692 90 90

WHITE HOUSE

PRESCRIPTION PHARMACY.............(254) 694-2249 FRED'S PHARMACY...........................(903) 839-5149 203 E JEFFERSON • 76692 SAVE, eRX 1123 STATE HIGHWAY 110 N. • 75791 90 WICHITA FALLS CASH SAVER COST PLUS PHARMACY.........................................(940) 691-0801 2720 SW PKWY • 76308 eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 101

WILLS POINT

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

Retail Pharmacies Including Chain Pharmacies DOWNTOWN PHARMACY................. (940) 767-4345 WILLS POINT 1100 SCOTT ST • 76301 BROOKSHIRE PHARMACY............... (903) 873-8237 eRX 1105 W SOUTH COMMERCE • 75169 ENGLISH PHARMACY........................(940) 723-6060 90 2600 10TH ST • 76309 BRUCE AND HUMAN DRUG..............(903) 873-2538 90 145 N 4TH ST • 75169 FRANKLIN PHARMACY..................... (940) 723-7145 SAVE, 90, eRX 1013 BROOK AVENUE • 76301 WIMBERLEY 90 BROOKSHIRE BROTHERS GUFFEY'S DRUG STORE...................(940) 322-8626 PHARMACY.........................................(512) 1610 9TH ST • 76301 14100 RANCH RD 12 • SUITE 2A • 78676 90, eRX WIMBERLEY PHARMACY..................(512) INTEGRATED PHARMACY................ (866) 499-1138 120 JOE WIMBERLEY BLVD • 78676 516 DENVER STREET • SUITE 200 • 76301 SAVE, 90, eRX MARKET STREET PHARMACY......... (940) 692-3443 WINNIE 4590 KELL BLVD • 76309 BROOKSHIRE BROTHERS 90, 24HR, eRX PHARMACY.........................................(409) NORTH TEXAS STATE HOSPITAL 204 BROADWAY • 77665 PHARMACY.........................................(940) 682-1220 WILCOX PHARMACY......................... (409) 6515 KEMP BLVD • 76308 415 STATE HWY 124 • 77665 PARK PLAZA PHARMACY................ (940) 322-5492 90, eRX 1900 9TH ST • 76301 WINNSBORO 90, eRX SCOTTS PHARMACY......................... (903) SAMS PHARMACY............................. (940) 691-7296 211 E COKE RD • 75494 3801 KELL BLVD • 76308 90 SAVE, 90

847-7520 847-2288

296-2175 296-2497

342-3669

WINTERS

TEXAS ONCOLOGY PHARMACY......(940) 689-2632 CASH SAVER COST PLUS 5400 KELL BOULEVARD • 76310 PHARMACY.........................................(325) 754-5680 TROTT'S CALL FIELD DRUG.............(940) 692-1234 900 N MAIN ST • 79567 4122 CALL FIELD RD • 76308 eRX 90, eRX

WOODVILLE

UNITED PHARMACY.......................... (940) 767-3368 BROOKSHIRE BROTHERS 4516 JACKSBORO HWY • 76302 PHARMACY.........................................(409) 283-8323 90, eRX 520 S MAGNOLIA • 75979 UNITED PHARMACY.......................... (940) 322-1114 DOGWOOD PHARMACY AND GIFTS(409) 283-7509 2522 IOWA PARK RD • 76306 205 S MAGNOLIA ST • 75979 90 90, eRX

SAVE = Preferred cost sharing 90 = 90 Day Supply 102

24HR = Open 24 hours eRX = Electronic prescribing

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing

ZAPATA

Retail Pharmacies Including Chain Pharmacies WOODVILLE DRUG............................ (409) 283-3073 1010 WEST BLUFF STREET • 75979 eRX

WYLIE BROOKSHIRES PHARMACY............. (972) 442-5525 701 HWY 78 SOUTH • ATTENTION PHARMACY DEPT • 75098 90 CVS PHARMACY #............................. (972) 769-3944 3440 W FM 544 • 75098 SAVE, 90, eRX QUALITY CARE PHARMACY AND COMPOUNDI....................................... (972) 442-5333 2300 W FM 544 STE 130 • 75098 90, eRX

YOAKUM CITY DRUG STORE............................ (361) 293-2181 223 W GRAND AVE • 77995 SAVE, 90, eRX YOAKUM DISCOUNT PHARMACY.... (361) 741-7455 210 NELSON ST • STE E • 77995 90 YOAKUM DISCOUNT PHARMACY.... (361) 293-6881 1200 CARL RAMERT DR STE A • 77995 90, eRX

YORKTOWN KRAEGE DRUG STORE..................... (361) 564-2216 113 E MAIN ST • 78164 90

ZAPATA GARCIAS PILL BOX........................... (956) 765-6033 US HWY 83 AND 6TH • 78076 SAVE, 90

SAVE = Preferred cost sharing 90 = 90 Day Supply

24HR = Open 24 hours eRX = Electronic prescribing 103

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. ABELDTS GASLIGHT PHARMACY INC....................................................... (936) 639-2346 200 GASLIGHT BLVD • LUFKIN • 75904 ABILENE STATE SUPPORTED LIVING CENT....................................................(325) 795-3523 2501 MAPLE ST • ABILENE • 79602 ADVANCED PHARMACY................... (713) 391-2200 2360 CRIST RD STE B1400 • GARLAND • 75040 ADVANCED PHARMACY SVCS.........(713) 391-2200 12503 EXCHANGE DR STE 536 • STAFFORD • 77477 ADVANCED PRESCRIPTION SERVICE..............................................(214) 703-9100 3671 BROADWAY BLVD STE 300 • GARLAND • 75043 AGAPE SPECIALTY PHARMACY......(972) 364-1793 3030 TOWNE CENTER • STE B • MESQUITE • 75150 ALDRIDGES FAMILY..........................(214) 943-2322 1408 BONNIE VIEW • DALLAS • 75203 ALLEN FAMILY DRUG....................... (972) 390-9888 317 CENTRAL EXPY N • ALLEN • 75013 AMERICAN PHARMACEUTICAL SERVICES........................................... (512) 928-8282 9210 CAMERON RS STE 800 • 9210 CAMERON RD STE 800 • AUSTIN • 78754 APOLLO PHARMACY.........................(469) 442-0148 4987 W UNIVERSITY DR STE 120 • MCKINNEY • 75071 ASPERMONT PHARMACY INC..........(940) 989-2139 616 S WASHINGTON • ASPERMONT • 79502 ATKINS PHARMACY LTC.................. (830) 693-2972 701 3RD ST • MARBLE FALLS • 78654 AUSTIN STATE HOSPITAL PHARMACY.........................................(512) 419-2741 4110 GUADALUPE ST • AUSTIN • 78751

104

AUSTIN STATE SUPPORTED LIVING CENTE................................................. (512) 374-6168 2203 W 35TH ST • AUSTIN • 78703 AWALT STEPHENSON.......................(903) 389-2541 201 E COMMERCE • FAIRFIELD • 75840 AWESOME CARE PHARMACY..........(281) 501-1008 6060 BELLAIRE BLVD • STE J • HOUSTON • 77081 B & B PHARMACY..............................(806) 665-5788 300 N BALLARD ST • PAMPA • 79065 BABCOCK SQUARE...........................(210) 696-6269 5824 BABCOCK RD • SAN ANTONIO • 78240 BAPTIST PHARMACY........................ (325) 658-7555 902 N MAIN ST • SAN ANGELO • 76903 BAY PHARMACY................................ (830) 598-1900 7405 HWY 2147 • HORSESHOE BAY • 78657 BELLAIRE MEDICAL PHARMACY.... (713) 457-3600 12924 BELLAIRE BLVD SUITE 100A • HOUSTON • 77072 BELLS FAMILY DRUG........................(903) 965-7383 103 W BELLS BLVD • BELLS • 75414 BEST MED INC................................... (325) 646-9414 116 SOUTH PARK DRIVE • BROWNWOOD • 76801 BEST MED PANHANDLE................... (325) 646-9414 1616 S KENTUCKY ST STE A140 • AMARILLO • 79102 BEST MED SOUTH............................. (325) 646-9414 12702 TOEPPERWEIN RD STE 115 • LIVE OAK • 78233 BEST VALUE COUNTRY DAY PHARMACY.........................................(817) 738-0722 6020 HARRIS PARKWAY • FORT WORTH • 76132 BEST VALUE HICO PHARMACY....... (254) 796-4271 W 1ST AND WALNUT • HICO • 76457 BEST VALUE MEDICAL CENTER PHARMACY.........................................(254) 897-9917 1100 BLUEBONNET • GLEN ROSE • 76043 BEST VALUE RENSHAW DRUG........(940) 627-5343 800 A MEDICAL CENTER DR • DECATUR • 76234

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. BEST VALUE WADDY PHARMACY.. (940) 325-0734 106 SW 6TH AVE • MINERAL WELLS • 76067 BEST VALUE WEST PHARMACY......(817) 295-6128 124 W RENFRO • BURLESON • 76028 BI-WIZE PHARMACY.......................... (806) 250-2270 902 MAIN ST • FRIONA • 79035 BIG SPRING STATE HOSPITAL........ (432) 268-7289 1901 N HWY 87 • BIG SPRING • 79720 BONHAM FAMILY DRUG................... (903) 583-7325 100 E SAM RAYBURN DRIVE • BONHAM • 75418 BOWERS PRESCRIPTION SHOP...... (806) 249-4343 121 E TEXAS BLVD • DALHART • 79022 BRAZOS COUNTY MEDICINE CHEST................................................. (979) 776-6813 10700 STATE HIGHWAY 30 • COLLEGE STATION • 77845 BRENHAM STATE SUPPORTED LIVING CENT....................................................(979) 277-1351 4001 HIGHWAY 36 SOUTH • BRENHAM • 77833 BRICK STREET PHARMACY............. (903) 533-8155 314 W RUSK ST • TYLER • 75701 BRICKSTREET LONG TERM CARE, LLC.......................................................(903) 533-8157 312 W RUSK ST STE B • TYLER • 75701 BROAD STREET PHARMACY........... (817) 225-4136 2771 E BROAD ST STE 219 • MANSFIELD • 76063 BROWNS PHARMACY....................... (972) 254-8156 2021 N MCARTHUR • STE 120 • IRVING • 75061 CARTER'S L.T.C PHARMACY........... (361) 452-2051 3845 SPID #B • CORPUS CHRISTI • 78415 CARTER'S PHARMACY RX............... (281) 239-7519 1202 LARK LN STE 3 • RICHMOND • 77469 CARVAJAL PHARMACY CS.............. (210) 922-9031 119 HUIZAR REAR • SAN ANTONIO • 78214 CASTLE HILLS LEGEND PHARMACY.........................................(361) 575-6328 3412 SAM HOUSTON DR • VICTORIA • 77904 CHEROKEE PHARMACY................... (903) 683-5986 181 MAIN ST • RUSK • 75785

CITY DRUG..........................................(903) 665-2521 109 W LAFAYETTE ST • JEFFERSON • 75657 CITY DRUG STORE............................ (361) 293-2181 223 W GRAND AVE • YOAKUM • 77995 CITY PHARMACY OF JUNCTION...... (325) 446-2511 1610 MAIN ST • JUNCTION • 76849 CLARENDON OUTPOST INC............. (806) 874-5202 619 W 2ND • CLARENDON • 79226 COLLINGSWORTH PHARMACY........(806) 447-1184 1016 16TH STREET • WELLINGTON • 79095 COMAL DRUG HEALTHMART...........(830) 625-2421 544 N UNION ST • NEW BRAUNFELS • 78130 COMMUNITY CARE PHARMACY...... (972) 317-5599 1301 FM 407 JUSTIN RD STE 212 • LEWISVILLE • 75077 COMMUNITY PHARMACY..................(940) 382-1618 4400 TEASLEY LN STE 100 • DENTON • 76210 COMPLETE PHARMACY CARE.........(972) 675-3300 4206 DALROCK RD • ROWLETT • 75088 CORPUS CHRISTI STATE SUPPORTED LIVI....................................................... (361) 844-7667 902 AIRPORT RD • CORPUS CHRISTI • 78405 CRAIG PHARMACY............................ (903) 595-3737 1863 TROUP HIGHWAY • TYLER • 75701 CUB DRUG INC...................................(940) 564-5551 116 E MAIN ST • OLNEY • 76374 DAVY CROCKETT DRUG INC............(936) 544-2275 107 S 4TH ST • CROCKETT • 75835 DENTON STATE SUPPORTED LIVING CENTE................................................. (940) 591-3573 3980 STATE SCHOOL ROAD • DENTON • 76205 DEVEREUX TEXAS TREATMENT NETWORK........................................... (281) 316-5438 1150 DEVEREUX DR • LEAGUE CITY • 77573 DIVERSIFIED PHARMACY CARE...... (903) 564-6156 304 AND ONE HALF CHARLIE DR • STE B • WHITESBORO • 76273 DOGWOOD PHARMACY AND GIFTS(409) 283-7509 205 S MAGNOLIA ST • WOODVILLE • 75979

105

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. DOUGHERTY'S PHARMACY SPRINGTOWN.....................................(817) 220-7927 117 E 1ST ST • SPRINGTOWN • 76082 DYER DRUG STORE.......................... (972) 782-6262 133 MCKINNEY ST • FARMERSVILLE • 75442 EAGLE LAKE DRUG STORE............. (979) 234-2502 702 S MCCARTY • EAGLE LAKE • 77434 ECLEATS PHARMACY, INC...............(281) 903-7491 4427 HIGHWAY 6 STE F • SUGAR LAND • 77478 EDS PHARMACY................................ (281) 499-4555 3740 CARTWRIGHT RD • MISSOURI CITY • 77459 EL PASO PSYCHIATRIC CENTER PHARMACY.........................................(915) 534-5300 4615 ALAMEDA AVENUE • EL PASO • 79905 EL PASO STATE SUPPORTED LIVING CENT....................................................(915) 782-6328 6700 DELTA DRIVE • EL PASO • 79905 ELSA PHARMACY SERVICES........... (956) 262-6400 205 W EDINBURG DR • ELSA • 78543 EMMONS PHARMACY....................... (832) 582-8758 9555 W SAM HOUSTON PKWY S STE 180 • HOUSTON • 77099 ENGLISH PHARMACY........................(940) 723-6060 2600 10TH ST • WICHITA FALLS • 76309 EUBANK DRUG.................................. (254) 694-3314 1510 N. BRAZOS • WHITNEY • 76692 EVANS PRESCRIPTION PHARMACY.........................................(432) 337-2361 310 N DOTSY AVE • ODESSA • 79763 EVERETTS PHARMACY.....................(325) 372-3033 401 W WALLACE • SAN SABA • 76877 EVERETTS PHARMACY SONORA.... (325) 387-2541 417 HWY 277 N • SONORA • 76950 EXTENDCARE PHARMACY SERVICES........................................... (940) 686-2140 1246 HWY 3773 • STE 200 • PILOT POINT • 76258 FAMILY PHARMACY.......................... (940) 552-2999 1720 HILLCREST DR • VERNON • 76384

106

FAMILY PHARMACY.......................... (940) 552-2999 1720 HILLCREST DR • VERNON • 76384 FREDERICKSBURG LTC....................(830) 997-5800 707 N LLANO • SUITE B • FREDERICKSBURG • 78624 FRIENDLY PHARMACY INC.............. (832) 351-2000 3533 S DAIRY ASHFORD RD • HOUSTON • 77082 FRONTIER PHARMACY OF KENEDY INC....................................................... (830) 583-2115 103 MAIN STREET • KENEDY • 78119 FRYS PRESCRIPTION PHCY............. (956) 399-2453 311 N SAM HOUSTON • SAN BENITO • 78586 GENOA HEALTHCARE...................... (915) 235-0060 1601 EAST YANDELL STREET • SUITE 119 • EL PASO • 79902 GENOA HEALTHCARE...................... (915) 257-6167 2400 TRAWOOD DR STE 303A • EL PASO • 79936 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (253) 218-0830 2750 S 8TH ST • BEAUMONT • 77701 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (956) 404-0202 861 OLD ALICE RD STE 109 • BROWNSVILLE • 78520 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (956) 289-7225 1901 S 24TH AVE • EDINBURG • 78539 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (412) 931-3131 103 N LOOP 499 • HARLINGEN • 78550 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (830) 896-0256 500 THOMPSON DRIVE • KERRVILLE • 78028 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (210) 610-9091 8535 TOM SLICK STE 104 • SAN ANTONIO • 78229 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (903) 357-5655 315 W MCLAIN DR STE 308 • SHERMAN • 75092

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (903) 595-3100 2323 WEST FRONT ST • TYLER • 75702 GENOA, A QOL HEALTHCARE COMPANY, LL......................................................... (972) 937-8309 1305 WEST JEFFERSON • STE 231 • WAXAHACHIE • 75165 GIBBS DRUG STORE......................... (940) 825-3226 216 CLAY ST • NOCONA • 76255 GIBSON PHARMACY......................... (972) 579-0511 815 N OCONNOR RD • IRVING • 75061 GIBSON PRESCRIPTION PHARMACY.........................................(903) 675-7069 600 SOUTH PALESTINE STREET • SUITE 100 • ATHENS • 75751 GLENVIEW PROFESSIONAL PHARMACY II............................................................(817) 284-1926 7640 GLENVIEW DR STE B • RICHLAND HILLS • 76180 GLOYERS PHARMACY INC............... (281) 351-5454 1010 W MAIN ST • TOMBALL • 77375 GOLDER PHARMACY........................ (432) 337-7311 319 N GOLDER • ODESSA • 79761 GOLDSTAR PHARMACY....................(979) 690-9112 4421 STATE HIGHWAY 6 S STE 300 • COLLEGE STATION • 77845 HALE CENTER CLINICAL PHARMACY.........................................(806) 839-2466 601 AVE G • HALE CENTER • 79041 HAMILTON CITY DRUG......................(254) 386-3121 105 E HENRY ST • HAMILTON • 76531 HANSFORD PHARMACY................... (806) 659-2226 710 S ROLAND ST • SPEARMAN • 79081 HASKELL CLINICAL SERVICES........(940) 864-2674 100 S AVE E • STE B • HASKELL • 79521 HEALTHCO PHARMACY....................(713) 640-5575 8604 MARTIN LUTHER KING JR. BLVD • HOUSTON • 77033

HEALTHCO PHARMACY CORP........ (713) 218-6337 5730 CHIMNEY ROCK RD • HOUSTON • 77081 HEALTHQUEST PHARMACY.............(832) 222-0100 2600 CORDES DR STE F • SUGAR LAND • 77479 HEIGHTS COMMUNITY PHARMACY.(972) 234-8500 1112 N FLOYD RD STE 9 • RICHARDSON • 75080 HEREFORD HEALTH MART PHARMACY.........................................(806) 364-3400 809 S 25 MILE AVE • HEREFORD • 79045 HEREFORD HEALTH MART PHARMACY.........................................(806) 364-3400 809 S 25 MILE AVE • HEREFORD • 79045 HIBBS PHARMACY............................ (979) 245-5501 1415 AVE G • BAY CITY • 77414 HILLCREST PHARMACY....................(940) 552-9501 1015 HILLCREST DR • STE B • VERNON • 76384 HILLTOP PHARMACY........................ (830) 627-0069 631 LAKEVIEW BLVD • NEW BRAUNFELS • 78130 HODGES & SARGENT PHARMACY.. (512) 556-3392 210 S KEY AVE. • LAMPASAS • 76550 HOMESCRIPTS................................... (866) 839-2035 1311 W SAM HOUSTON PKWY N STE 140 • HOUSTON • 77043 HOMETOWN DRUG............................ (972) 875-6798 718 W LAMPASAS • ENNIS • 75119 HOMETOWN PHARMACY.................. (806) 495-3576 132 W MAIN ST • POST • 79356 HONEY GROVE PHARMACY............. (903) 378-2901 435 S 5TH ST • HONEY GROVE • 75446 HOUSTON MEDICINE CHEST............(281) 464-6300 209 BRISBANE ST • HOUSTON • 77061 HUGHES PHARMACY........................ (940) 592-4191 120 W PARK AVE • IOWA PARK • 76367 HULEN PHARMACY........................... (817) 361-7777 6249 GRANBURY RD • FORT WORTH • 76133 INFINITY PHARMACY SOLUTIONS, LLC.......................................................(214) 765-5456 3313 ESSEX DR • SUITE 200 • RICHARDSON • 75082

107

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. INTEGRATED PHARMACY................ (866) 499-1138 516 DENVER STREET • SUITE 200 • WICHITA FALLS • 76301 INTRACARE COMMUNITY PHARMACY.........................................(713) 790-7821 1120 CYPRESS STATION DR • STE 110 • HOUSTON • 77090 IPS SPECIALTY, LLC......................... (214) 765-5470 3313 ESSEX DR STE 200A • RICHARDSON • 75082 JORDAN PHARMACY........................ (254) 386-3111 107 N RICE ST • HAMILTON • 76531 JOURDANTON PHARMACY.............. (830) 770-0770 1810 EAST STATE HWY 97 • JOURDANTON • 78026 KATY PHARMACY I............................(281) 578-1515 20005 KATY FWY • KATY • 77450 KEARNEY PARK PHARMACY........... (972) 329-1168 502 W KEARNEY ST STE 900 • MESQUITE • 75149 KEENE PHARMACY........................... (817) 558-3341 114 S OLD BETSY RD • KEENE • 76059 KERRVILLE STATE HOSPITAL......... (830) 896-2211 721 THOMPSON DR • KERRVILLE • 78028 KING'S LTC PHARMACY................... (409) 983-3384 3515 FANNIN ST • SUITE 106 • BEAUMONT • 77701 KNOX COUNTY PHARMACY & SUPPLY............................................... (940) 657-4036 712 SE 5TH ST • KNOX CITY • 79529 KRAEGE DRUG STORE..................... (361) 564-2216 113 E MAIN ST • YORKTOWN • 78164 LAKE HILLS PHARMACY.................. (512) 608-9355 12005 BEE CAVE RD STE 1A • AUSTIN • 78738 LAKEPOINTE PHARMACY.................(469) 733-1033 2715 OSLER DR • GRAND PRAIRIE • 75051 LAKEPOINTE PHARMACY #1............(972) 722-4339 1005 W RALPH HALL PKWY • STE 147 • ROCKWALL • 75032

108

LAMAR PLAZA DRUG STORE.......... (512) 442-6777 1132 S LAMAR BLVD • AUSTIN • 78704 LEGENDS PHARMACY...................... (972) 234-8544 2093 N COLLINS BLVD • STE 101 • RICHARDSON • 75080 LEGENDS PHARMACY...................... (210) 434-2477 6601 BLANCO RD STE 250 • SAN ANTONIO • 78216 LEGENDS PHARMACY II................... (281) 496-0640 15015 WESTHEIMER PKWY STE LL • HOUSTON • 77082 LEONARD PHARMACY...................... (903) 587-3363 122 W COLLINS ST • LEONARD • 75452 LETDIN PHARMACY...........................(956) 581-9566 1512 E GRIFFIN PKWY STE 1 • MISSION • 78572 LIFECHEK............................................(979) 732-2361 109 SHULT DRIVE • COLUMBUS • 78934 LIFECHEK............................................(830) 374-3436 224 E ZAVALA ST • CRYSTAL CITY • 78839 LIFECHEK............................................(361) 275-2308 101 EAST MAIN ST • CUERO • 77954 LIFECHEK............................................(830) 426-2334 1703 19TH ST • HONDO • 78861 LIFECHEK............................................(409) 246-3492 800 S PINE STREET • KOUNTZE • 77625 LIFECHEK............................................(979) 968-5835 110 E TRAVIS • LA GRANGE • 78945 LIFECHEK............................................(830) 779-2219 13857 US HIGHWAY 87 • SUITE 100 • LA VERNIA • 78121 LIFECHEK............................................(956) 683-1777 1623 W. PECAN • MCALLEN • 78501 LIFECHEK............................................(979) 793-5534 13500 HWY 36 • NEEDVILLE • 77461 LIFECHEK............................................(979) 548-0212 200 N MAIN ST • SWEENY • 77480 LIFECHEK............................................(936) 594-3593 507 S ROBB ST STE B • TRINITY • 75862

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. LIFECHEK............................................(979) 725-6713 406 YOUENS DR • WEIMAR • 78962 LIFECHEK DRUG................................(936) 539-4900 690 S. LOOP 336 W. STE. 100 • CONROE • 77304 LIFECHEK DRUG #47.........................(956) 975-2513 512 S WESTGATE • SUITE G • WESLACO • 78596 LIFECHEK DRUG #52.........................(830) 876-2516 314 N 5TH ST • CARRIZO SPRINGS • 78834 LOUIS MORGAN DRUGS................... (903) 758-8286 1900 S HIGH ST • LONGVIEW • 75602 LTC DYNAMICS.................................. (903) 389-2157 201 E COMMERCE • STE A • FAIRFIELD • 75840 LTC RX................................................ (979) 849-3001 2301 E MULBERRY ST STE B • ANGLETON • 77515 LUBBOCK STATE SUPPORTED LIVING CENT....................................................(806) 741-3636 3401 N UNIVERSITY AVE • LUBBOCK • 79413 LUFKIN STATE SUPPORTED LIVING CENTE................................................. (936) 853-8358 6844 US HWY 69 N • POLLOK • 75969 LYNN'S PHARMACY HEWITT............(254) 666-5000 511 N HEWITT DR STE 1 • HEWITT • 76643 LYNNS LA VEGA PHARMACY.......... (254) 799-4949 2401 E WACO DR • WACO • 76705 MALAKOFF PRESCRIPTION SHOP INC....................................................... (903) 489-1909 409 W ROYALL BLVD • MALAKOFF • 75148 MARTIN TIPTON PHARMACY............(806) 373-2812 1501 S TYLER ST • AMARILLO • 79101 MARTIN TIPTON PHARMACY LLC....(806) 373-2812 1501 S TYLER ST • AMARILLO • 79101 MATTHEWSON DRUG CO................. (903) 938-6741 717 S WASHINGTON • MARSHALL • 75670 MBS PHARMACY................................(817) 286-2161 2601 GRAVEL DR • FORT WORTH • 76118 MBS PHARMACY................................(512) 248-5130 555 ROUND ROCK WEST • STE F-300 • ROUND ROCK • 78681

MCMAHAN PHARMACY SERVICES INC....................................................... (325) 648-2484 1503 W FRONT ST • GOLDTHWAITE • 76844 MED SCRIPTS PHARMACY............... (832) 371-6100 10039 BISSONNET ST STE 116 • HOUSTON • 77036 MED STORE LLP................................ (817) 834-3001 4004 E BELKNAP ST • FORT WORTH • 76111 MEDI MART PHARMACY................... (325) 949-5381 2102 PECOS ST • SUITE 13 • SAN ANGELO • 76901 MEDI RX DRUGS................................ (210) 212-8100 6609 BLANCO RD • STE 135 • SAN ANTONIO • 78215 MEDIC PHARMACY............................ (713) 666-6353 4040 S BRAESWOOD • HOUSTON • 77025 MEDIC PHARMACY AND GIFTS........(806) 323-6171 200 CHEYENNE AVE • CANADIAN • 79014 MEDIC PHARMACY AND GIFTS........(806) 659-2141 314 MAIN ST • SPEARMAN • 79081 MEDICAL PLAZA PHARMACY & LTC, INC....................................................... (361) 387-0005 13725 NORTHWEST BLVD STE 130 • CORPUS CHRISTI • 78410 MEDICINE CHEST INSTITUTIONAL PHCY....................................................(903) 438-0770 411 MAIN ST STE 2 • SULPHUR SPRINGS • 75482 MEDICINE PLACE...............................(325) 728-3489 2250 CHESTNUT STREET • COLORADO CITY • 79512 MEMPHIS DRUG................................. (806) 259-5067 506 W NOEL ST • MEMPHIS • 79245 MERKEL DRUG CO............................ (325) 928-5012 121 EDWARDS ST • MERKEL • 79536 MEXIA STATE SUPPORTED LIVING CENTER...............................................(254) 562-1413 HWY 171 • MEXIA • 76667 MODERN AUTOMATED PHARMACY(713) 660-9091 8303 KNIGHT RD STE A • HOUSTON • 77054

109

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. MOORE THAN MEDICINE.................. (806) 995-3551 105 SW 2ND ST • TULIA • 79088 MOORES PHARMACY........................(361) 364-1416 200 W RACHAL ST • SINTON • 78387 MORNINGSIDE MINISTRIES PHARMACY.........................................(210) 731-1199 602 BABCOCK RD • SAN ANTONIO • 78201 MUECKE PRESCRIPTION SHOPPE.. (979) 244-1772 2808 7TH ST • BAY CITY • 77414 NATIONAL CENTRAL PHARMACY... (325) 695-0491 3402 S 14TH ST • ABILENE • 79605 NAUS ENFIELD DRUG....................... (512) 476-1221 1115 W LYNN ST • AUSTIN • 78703 NEIGHBORHOOD PHARMACY..........(432) 523-7000 801 N MAIN ST STE F • ANDREWS • 79714 NEWTON PHARMACY PLLC............. (409) 379-9999 104 W COURT ST • NEWTON • 75966 NORMAN'S PHARMACY, LTC........... (979) 836-8500 2103 S DAY ST • BRENHAM • 77833 NORTH TEXAS PHARMACY.............. (214) 494-6101 5200 PAIGE RD STE 102 • THE COLONY • 75056 NORTH TEXAS STATE HOSPITAL PHARMACY.........................................(940) 682-1220 6515 KEMP BLVD • WICHITA FALLS • 76308 NORTH TX STATE HOSP PHARMACY.........................................(940) 552-4074 4730 COLLEGE DR • VERNON • 76385 NORTHWEST HILLS PHARMACY LTC.......................................................(512) 617-0993 3801 N CAPITAL OF TX HWY • STE D202 • AUSTIN • 78746 OASIS PHARMACY............................ (281) 240-8111 12946 DAIRY ASHFORD RD STE 460 • SUGAR LAND • 77478 OMNICARE OF AMARILLO................(806) 352-1175 2770 DUNIVEN CIRCLE • AMARILLO • 79109 OMNICARE OF CORPUS CHRISTI.... (361) 299-1058 5449 BEAR LN • STE 420 • CORPUS CHRISTI • 78405

110

OMNICARE OF FORT WORTH.......... (817) 540-2400 14450 TRINITY BLVD • STE 200 • FORT WORTH • 76155 OMNICARE OF HOUSTON.................(281) 776-8860 10650 W AIRPORT BLVD STE 150 • STAFFORD • 77477 OMNICARE OF LUBBOCK.................(806) 792-7290 6101 43RD ST • STE E • LUBBOCK • 79407 OMNICARE OF NACOGDOCHES...... (936) 569-2460 1716 SOUTH ST • NACOGDOCHES • 75964 OMNICARE OF PHARR...................... (956) 702-4601 101 E EXPRESSWAY 83 • STE D • PHARR • 78577 OMNICARE OF SAN ANTONIO..........(210) 691-9494 12460 NETWORK BLVD • STE 101 • SAN ANTONIO • 78249 OMNICARE OF TYLER....................... (903) 533-8122 105 JORDAN PLAZA BLVD • TYLER • 75704 OMNICARE OF WACO....................... (254) 776-6398 7524 BOSQUE BLVD • STE N AND O • WACO • 76712 P & S PHARMACY LTC...................... (903) 874-5121 829 N MAIN ST STE C • STE C • CORSICANA • 75110 PALACIOS PRESCRIPTION SHOPPE...............................................(361) 972-3608 321 MAIN STREET • PALACIOS • 77465 PANHANDLE DRUG STORE.............. (806) 537-3034 201 MAIN STREET • PANHANDLE • 79068 PARIS APOTHECARY........................ (903) 785-4208 707 LAMAR AVE • SUITE B • PARIS • 75460 PARK PLAZA PHARMACY................ (940) 322-5492 1900 9TH ST • WICHITA FALLS • 76301 PARKERS CITY PHARMACY............. (830) 379-1450 1005 E COURT ST • SEGUIN • 78155 PARKS DRUG..................................... (903) 465-0048 1926 W MORTON • DENISON • 75020 PARKWAY PHARMACY..................... (972) 985-2600 4708 ALLIANCE PARKWAY • SUITE 110 • PLANO • 75093

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. PEACE PHARMACY........................... (903) 567-4129 300 S BUFFALO ST • CANTON • 75103 PERRONE LEGEND PHARMACY...... (817) 738-2135 3921 HIGHWAY 377 • FORT WORTH • 76116 PERRONERX, LLC..............................(817) 731-5899 3923 HWY 377 SOUTH • FORT WORTH • 76116 PFENNIGS PRESCRIPTION PHARMACY.........................................(512) 352-5233 511 N MAIN ST • TAYLOR • 76574 PHAR-MILES PHARMACY................. (713) 636-3261 10700 RICHMOND AVE STE 259 • HOUSTON • 77042 PHARMACARE....................................(972) 620-6048 16750 WESTGROVE DR, • STE 100 • ADDISON • 75001 PHARMACARE....................................(713) 426-4800 11104 W. AIRPORT BLVD STE 255 • STAFFORD • 77477 PHARMACY ALTERNATIVES............ (512) 383-9229 4120 FREIDRICH LN • AUSTIN • 78744 PHARMACY CARE USA OF ADDISON, LLC.......................................................(972) 388-1800 4500 RATLIFF LN STE 102 • ADDISON • 75001 PHARMACY CARE USA OF SAN MARCOS, LL......................................................... (512) 392-5790 2260 IH 35 SOUTH, BLDG 201 • SAN MARCOS • 78666 PHARMACY CARE USA OF WESLACO, LLC.......................................................(956) 968-4300 2202 SUGAR SWEET ROAD • SUITE E • WESLACO • 78596 PHARMACY CONCEPTS LTD............(817) 633-6688 610 MAGIC MILE ST • ARLINGTON • 76011 PHARMACY INNOVATIONS...............(281) 251-0888 10130 LOUETTA RD STE C • HOUSTON • 77070 PHARMACY PLUS.............................. (713) 782-0558 6776 SOUTHWEST FWY • STE 102 • HOUSTON • 77074

PHARMACY PLUS #1......................... (254) 739-2585 600 MAIN ST • TEAGUE • 75860 PHARMACY PLUS #2......................... (254) 729-3375 209 N ELLIS ST • GROESBECK • 76642 PHARMACY PLUS #4......................... (254) 662-4444 635 N ROBINSON DR • ROBINSON • 76706 PHARMACY PLUS #6......................... (254) 867-6700 1207 N LOOP 340 • LACY LAKEVIEW • 76705 PHARMACY PLUS #7......................... (972) 462-9400 580 S DENTON TAP RD • STE 121 • COPPELL • 75019 PHARMACY PLUS #8......................... (972) 401-3333 825 W. ROYAL LANE • STE 110 • IRVING • 75039 PHARMACY PLUS #9......................... (817) 410-1000 721 SOUTHLAKE BLVD • STE 180 • SOUTHLAKE • 76092 PHARMACY UNLIMITED.................... (432) 580-5123 809 TOWER DR • ODESSA • 79761 PHARMERICA..................................... (512) 443-8984 1340 AIRPORT COMMERCE DR. • BLDG 3 STE 350 • AUSTIN • 78741 PHARMERICA..................................... (915) 545-1955 4171 N MESA ST • SUITE 210A • EL PASO • 79902 PHARMERICA..................................... (972) 623-1075 2214 PADDOCK WAY • SUITE 900 • GRAND PRAIRIE • 75050 PHARMERICA..................................... (713) 680-1325 1289 N POST OAK RD • SUITE 130 • HOUSTON • 77055 PHARMERICA..................................... (866) 258-7662 6113 43RD STREET • SUITE D • LUBBOCK • 79407 PHARMERICA..................................... (210) 227-5262 3019 INTERSTATE DRIVE • SAN ANTONIO • 78219 PHARMERICA..................................... (903) 509-4950 4801 TROUP HIGHWAY • SUITE 603 • TYLER • 75703 PHARMSCRIPT OF TEXAS................ (281) 492-7220 1718 FRY RD • STE 125 • HOUSTON • 77084

111

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. PHARMSCRIPT OF TEXAS NORTH.. (903) 535-7200 1041 N NORTHEAST LOOP 323 • TYLER • 75708 PINECROFT PHARMACY................... (281) 466-3650 9305 PINECROFT DRIVE • SUITE 102 • THE WOODLANDS • 77380 PORTER PHARMACY.........................(903) 586-9804 308 W LARISSA ST • JACKSONVILLE • 75766 PREFERRED RX................................. (817) 385-4707 1221 CORPORATE DR EAST • ARLINGTON • 76006 PRESBYTERIAN VILLAGE NORTH... (214) 355-9082 8600 SKYLINE DR • DALLAS • 75243 PRESCRIPTION HEALTH RESOURCES.......................................(817) 590-9599 7339 AIRPORT FREEWAY • RICHLAND HILLS • 76118 PRESCRIPTION SERVICES INC........ (432) 267-2711 1002 S MAIN ST • BIG SPRING • 79720 PRIMEMED PHARMACY.................... (915) 595-1300 7812 GATEWAY BLVD E • SUITE 100 • EL PASO • 79915 PRO MED LTC.................................... (806) 379-6966 704 N POLK • AMARILLO • 79107 PRO MED RX...................................... (281) 313-0730 13134 DAIRY ASHFORD RD STE # 900 • SUGAR LAND • 77478 PROVIDE RX....................................... (432) 689-3355 2208 N LOOP 250 W • STE 101 • MIDLAND • 79707 PROVIDENCE FAMILY PHARMACY..(214) 353-7202 8877 HARRY HINES BLVD SUITE 300B • DALLAS • 75235 QIC PHARMACY SERVICES.............. (817) 477-2525 1831 EAST BROAD STREET • SUITE 213 • MANSFIELD • 76063 QUALITY CARE PHARMACY & COMPOUNDING..................................(972) 875-5200 601 S CLAY ST STE 108 • ENNIS • 75119

112

QUICK MESA PARK PHARMACY......(512) 255-2144 701 E PALM VALLEY BLVD • ROUND ROCK • 78664 RANDOL MILL LTC PHARMACY....... (682) 235-1025 1014 N FIELDER RD • STE 110 • ARLINGTON • 76012 RANDOL MILL PHARMACY............... (817) 274-1883 1014 N FIELDER RD • ARLINGTON • 76012 RAYFORD PHARMACY...................... (832) 953-2926 7623 LOUETTA RD STE 104 • SPRING • 77379 RED RIVER LTC..................................(903) 792-1721 1327 COLLEGE DR • STE A • TEXARKANA • 75503 RED RIVER LTC OF TYLER............... (903) 617-6885 4801 TROUP HWY SUTH • STE 402 • TYLER • 75703 RED'S PHARMACY, LLC....................(806) 435-3759 3010 GARRETT DR • PERRYTON • 79070 REMEDI SENIORCARE OF DALLAS. (469) 344-2144 2700 RESEARCH DR STE 200 • PLANO • 75074 RICHMOND STATE SUPPORTED LIVING CEN...................................................... (281) 344-4601 2100 PRESTON ST • RICHMOND • 77469 RIO GRANDE STATE CENTER.......... (956) 364-8262 1401 S RANGERVILLE RD • HARLINGEN • 78551 ROGERS PHARMACY #1................... (361) 578-3521 4402 N LAURENT ST • VICTORIA • 77901 RONS APOTHECARY SHOP..............(817) 295-2273 117A W RENFRO • BURLESON • 76028 RUSK STATE HOSPITAL PHARMACY.........................................(903) 683-7170 805 N DICKINSON DR # 318 • RUSK • 75785 RXPERTS PHARMACY TEXAS LLC..(713) 690-2047 8700 JAMEEL RD • STE 150 • HOUSTON • 77040 SALUD PHARMACY #1...................... (972) 283-0730 2225 W LEDBETTER DR • DALLAS • 75224 SALUD PHARMACY #2...................... (214) 946-3886 611 W. JEFFERSON BLVD • DALLAS • 75208

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. SAN ANGELO STATE SUPPORTED LIVING C........................................................... (325) 465-2650 10950 HWY 87 N • CARLSBAD • 76934 SAN ANTONIO STATE HOSPITAL.... (210) 531-7724 6711 S NEW BRAUNFELS STE 100 • SAN ANTONIO • 78223 SAN ANTONIO STATE SUPPORTED LIVING..................................................(210) 531-5047 6711 S NEW BRAUNFELS AVE STE 500 • SAN ANTONIO • 78223 SAN AUGUSTINE DRUG CO..............(936) 275-3401 104 E COLUMBIA • SAN AUGUSTINE • 75972 SENIOR CARE PHARMACY OF TEXAS, LLC.......................................................(469) 277-1511 3001 SUMMIT AVE STE 200 • PLANO • 75074 SHAW'S PHARMACY......................... (940) 684-1581 102 E COMMERCE • CROWELL • 79227 SIGNA PHARMACY GROUP.............. (806) 353-7712 1900 S COULTER ST • STE F-1 • AMARILLO • 79106 SILVERPOINT PHARMACY SERVICES........................................... (214) 260-6900 8300 ESTERS BLVD STE 950 • IRVING • 75063 SPECIAL CARE PHARMACY............. (806) 741-1777 3406 INTERSTATE 27 • LUBBOCK • 79404 STONEGATE PHARMACY LP............(512) 707-2300 2501 W WILLIAM CANNON DRIVE • BLDG 2 STE 203 • AUSTIN • 78745 T B BOND PHARMACY...................... (254) 582-2561 60 W ELM ST • HILLSBORO • 76645 TANGLEWOOD PHARMACY............. (254) 968-7657 2445 A NORTHWEST LOOP • STEPHENVILLE • 76401 TARRYTOWN EXPOCARE................. (512) 617-7312 8500 SHOAL CREEK BLVD. • BLDG. 3, SUITE 200 • AUSTIN • 78757 TERRELL STATE HOSPITAL PHARMACY.........................................(972) 551-8238 1200 E BRIN • TERRELL • 75160

TEXAN CARE PHARMACY................ (281) 329-4498 1803 WESCOTT AVENUE SUITE A • SUGAR LAND • 77479 TEXAS HEALTH CARE PHARMACY. (817) 595-9770 7413 PEBBLE DR • FORT WORTH • 76118 TEXAS STAR PHARMACY.................(972) 519-8475 3033 W PARKER BLVD • STE 100 • PLANO • 75023 THE DRUGSTORE.............................. (903) 708-7500 19 COUNTY ROAD 4114 STE 1 • PITTSBURG • 75686 THE FAMILY PHARMACY.................. (915) 857-5510 3660 JOE BATTLE BLVD STE 10 • EL PASO • 79938 THE MED-SHOP PHARMACY............ (903) 680-2600 825 US HWY 271 N. • GILMER • 75644 THE MEDICINE MAN PHARMACY.....(713) 644-1343 7652 BELLFORT ST • HOUSTON • 77061 THE MEDICINE SHOPPE PHARMACY.........................................(979) 849-9391 2301 E MULBERRY • ANGLETON • 77515 THE MEDICINE SHOPPE PHARMACY.........................................(903) 463-3985 2810 W MORTON ST STE 102 • DENISON • 75020 THE MEDICINE SHOPPE PHARMACY.........................................(409) 384-3432 494 SPRINGHILL ST • JASPER • 75951 THE MEDICINE SHOPPE PHARMACY.........................................(979) 297-9503 109B ABNER JACKSON PARKWAY • LAKE JACKSON • 77566 THE MEDICINE SHOPPE PHARMACY.........................................(936) 634-3006 903 W FRANK AVE • LUFKIN • 75904 THE MEDICINE SHOPPE PHARMACY.........................................(903) 892-9291 1624 N TRAVIS ST • SHERMAN • 75092 THE OWL DRUG STORE....................(325) 625-9448 312 COMMERCIAL AVE • COLEMAN • 76834

113

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Long Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information, please see your Evidence of Coverage. THE PRESCRIPTION SHOP............... (830) 583-9652 143 CRAIG ST • KENEDY • 78119 TIMBERLAND MC PHARMACY......... (936) 632-2260 800 S TIMBERLAND DR • LUFKIN • 75901 TOTAL CARE PHARMACY AND COMPOUNDING..................................(972) 570-4800 3636 N MACARTHUR BLVD STE 100 • IRVING • 75062 TOTALCARE PHARMACY..................(903) 886-8888 1607 LIVE OAK ST • COMMERCE • 75428 TRINITY APOTHECARY..................... (972) 492-2151 2501 E HEBRON PARKWAY • SUITE 100 B • CARROLLTON • 75010 TROTT'S CALL FIELD DRUG.............(940) 692-1234 4122 CALL FIELD RD • WICHITA FALLS • 76308 TYLERRX PHARMACY....................... (903) 593-1400 2415 E 5TH ST • TYLER • 75701 TYSON PHARMACY........................... (325) 625-4136 215 W PECAN ST • COLEMAN • 76834 VALU MED PHARMACY INC..............(830) 997-8155 707 N LLANO ST • FREDERICKSBURG • 78624 VILLAGE DRUG.................................. (325) 392-2666 902 11TH ST • OZONA • 76943 VIP PHARMACY..................................(915) 629-2020 1891 N LEE TREVINO STE 200 • EL PASO • 79936 VITAMED PHARMACY....................... (281) 313-0234 16126 SOUTHWEST FWY STE # 180 • SUGAR LAND • 77479 WALKER PHARMACY........................ (903) 845-2573 402B W UPSHUR • GLADEWATER • 75647 WALNUT PLACE PHARMACY........... (214) 361-8923 5515 GLEN LAKES DR • DALLAS • 75231 WELLNESS PLUS PHARMACY INC.. (832) 604-7418 13141 FM 1960 WEST STE 200 • HOUSTON • 77065 WEST DRUG....................................... (254) 826-5292 206 N MAIN ST • WEST • 76691

114

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Home Infusion Pharmacies For more information, please see your Evidence of Coverage. ACCREDO HEALTH GROUP INC...... (713) 791-1552 9307 KIRBY DR • HOUSTON • 77054 ACCREDO HEALTH GROUP INC...... (972) 929-6800 4343 WEST ROYAL LANE • STE 124 • IRVING • 75063 AMERICAN MEDICAL DIRECT.......... (210) 832-8300 1862 W BITTERS RD STE 301 • SAN ANTONIO • 78248 AMERICAN OUTCOMES MGMT LP...(866) 869-7307 6310 SOUTHWEST BLVD STE 204 • FORT WORTH • 76109 AMERITA............................................. (877) 602-7212 603 QUAIL CREEK DR SPC 700 • AMARILLO • 79124 AMERITA............................................. (972) 815-0460 8080 TRISTAR DR STE 120 • IRVING • 75063 AMERITA INC......................................(512) 458-3983 2101 DONLEY DR STE 105 • AUSTIN • 78758 AMERITA INC......................................(915) 613-5580 7338 REMCON CIRCLE • STE 300 • EL PASO • 79912 AMERITA INC......................................(713) 843-7700 4001 W SAM HOUSTON PKWY N • STE 120 • HOUSTON • 77043 AMERITA INC......................................(210) 930-7200 6019 RANDOLPH BLVD • SAN ANTONIO • 78233 APOLLO PHARMACY.........................(469) 442-0148 4987 W UNIVERSITY DR STE 120 • MCKINNEY • 75071 CARDIAC INFUSION SPECIALISTS.. (972) 426-7006 697 S STEMMONS FWY • LEWISVILLE • 75067 CAREPOINT PARTNERS................... (512) 637-4949 5446 HWY 290 WEST • STE 203 • AUSTIN • 78735 CAREPOINT PARTNERS................... (713) 782-4442 9360 KIRBY DR STE 100 • HOUSTON • 77054 CAREPOINT PARTNERS................... (972) 480-9322 661 N PLANO RD STE 300 • RICHARDSON • 75081 CEGO INFUSION PHARMACY........... (713) 541-6000 6300 RICHMOND AVE. • SUITE 300A • HOUSTON • 77057

CORAM CVS/SPECIALTY INFUSION SERVIC................................................ (512) 338-9600 1905 A KRAMER LANE • STE 500 • AUSTIN • 78758 CORAM CVS/SPECIALTY INFUSION SERVIC................................................ (214) 902-3600 10105 TECHNOLOGY BLVD WEST • SUITE 102 • DALLAS • 75220 CORAM CVS/SPECIALTY INFUSION SERVIC................................................ (915) 833-0140 3817 CONSTITUTION DR STE 300 • EL PASO • 79922 CORAM CVS/SPECIALTY INFUSION SERVIC................................................ (713) 667-4010 10611 S SAM HOUSTON PKWY W • STE 200 • HOUSTON • 77071 CORAM CVS/SPECIALTY INFUSION SERVIC................................................ (210) 523-0125 10118 HUEBNER ROAD • SAN ANTONIO • 78240 COVENANT HOME INFUSION........... (806) 725-6327 4002 22ND PL • LUBBOCK • 79410 FAMILY PHARMACY.......................... (940) 552-2999 1720 HILLCREST DR • VERNON • 76384 HEALTHQUEST INFUSION SERVICES........................................... (832) 612-3500 2600 CORDES DR STE E • SUGAR LAND • 77479 INFUSION THERAPY OF TEXAS....... (855) 742-7690 1748 N GREENVILLE AVE • RICHARDSON • 75081 IVSOLUTIONS OF AMARILLO........... (806) 355-5029 102 SW 3RD AVE • AMARILLO • 79101 IVSOLUTIONS OF LUBBOCK............ (806) 791-4663 3706-A 20TH STREET • LUBBOCK • 79410 MARATHON INFUSION CARE LLC... (281) 997-6272 2421 ROY RD • PEARLAND • 77581 MEDICAL PARK PHARMACY............ (903) 234-8326 709 HOLLYBROOK • STE 101 • LONGVIEW • 75605 NATIONSMED HEALTHCARE............(281) 240-4144 4677 TECHNIPLEX DR • STAFFORD • 77477 OPTION CARE.................................... (713) 794-0599 9030 KIRBY DR • HOUSTON • 77054

115

Blue Cross Medicare Rx Network Pharmacies Texas Pharmacy Listing Home Infusion Pharmacies For more information, please see your Evidence of Coverage. OPTION CARE.................................... (972) 536-7355 6611 N BELT LINE RD STE 100 • IRVING • 75063 OPTION CARE.................................... (210) 404-9259 14220 NORTHBROOK • SUITE 100B • SAN ANTONIO • 78232 PARAGON INFUSION CARE..............(210) 591-6700 719 CARNOUSTIE DR STE 100 • SUITE 100 • SAN ANTONIO • 78258 PARAGON INFUSION SERVICES, INC....................................................... (866) 972-5888 4639 CORONA DR STE 26 • CORPUS CHRISTI • 78411 PARK INFUSION CARE......................(713) 668-7275 4007 BELLAIRE BLVD • STE G • HOUSTON • 77025 PARK INFUSIONCARE....................... (214) 866-2700 13621 INWOOD RD • SUITE 420 • DALLAS • 75244 PHARMACY SOLUTIONS...................(903) 295-3338 913 NW LOOP 281 • STE 117 • LONGVIEW • 75604 PHYSICIANS' CHOICE INFUSION......(817) 484-0233 2700 TIBBETS DR STE 205 • BEDFORD • 76022 RED RIVER VITAL CARE OF TEXARKANA....................................... (903) 792-7435 1327 COLLEGE DR • TEXARKANA • 75503 US BIOSERVICES...............................(888) 518-7246 3200 INTERNET BLVD • FRISCO • 75034 Y MEDICAL ASSOCIATES, INC......... (972) 714-0777 8840 N MAC ARTHUR BLVD • IRVING • 75063

116

This Pharmacy Directory was updated on 10/2016. For more recent information or other questions, please contact Blue Cross MedicareRxSM Customer Service, at 1-888-285-2249 or, for TTY/TDD users, 711, 8:00 a.m. - 8:00 p.m., local time, 7 days a week. If you are calling from February 15 through September 30, alternate technologies (for example, voicemail) will be used on weekends and holidays, or visit getbluetx.com/pdp/pharmacies.

PrimeMail is a registered mark of Prime Therapeutics LLC. Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. PrimeMail is offered by Prime Theraputics LLC, a separate company that provides pharmacy benefit management services for Blue Cross and Blue Shield of Texas. Prescription drug plan provided by Blue Cross and Blue Shield of Texas, which refers to HCSC Insurance Services Company (HISC), an Independent Licensee of the Blue Cross and Blue Shield Association. A Medicareapproved Part D sponsor. Enrollment in HISC’s plan depends on contract renewal.