2017 Pharmacy Directory Assurance

Balance

Confidence

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This pharmacy directory was updated on 8/2016. For more recent information or other questions, please contact Dean Advantage Member Services at 1-877-232-7566 or for TTY users, 711, 8 am – 8 pm, weekdays (year-round) and weekends (October 1 – February 14), or visit deancare.com/medicare.

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Retail Pharmacies, including Chain Pharmacies WISCONSIN Adams Adams SHOPKO PHARMACY #2619 * 220 W Lincoln St Adams, WI 53910 (608) 339-3630 Friendship PHILLIPS ROCHE A CRI PHARMACY INC * 402 West Lake St Friendship, WI 53934 (608) 339-9080 Ashland Ashland HUHN RX DRUG * 522 W Main St Ashland, WI 54806 (715) 682-3123 THE MEDICINE SHOPPE PHARMACY * 510 Ellis Ave Ashland, WI 54806 (715) 682-2701 WAL-MART PHARMACY 101672 * 2500 East Lake Shore Drive Ashland, WI 54806 (715) 682-3660 WALGREENS #10758 * 110 Lake Shore Dr W Ashland, WI 54806 (715) 685-0202 Barron

Barron CVS PHARMACY # 10772 * 535 E Division Ave Barron, WI 54812 (715) 637-0991 ECONOFOODS PHARMACY * 622 Lasalle Avenue Barron, WI 54812 (715) 537-5345 JAMES PHARMACY * 337 E Lasalle Ave Barron, WI 54812 (715) 537-5005 Chetek OHDE HEALTH MART PHARMACY * 628 Second Street Chetek, WI 54728 (715) 924-3592 Cumberland SCHNEIDER DRUG * 1296 2nd Ave Cumberland, WI 54829 (715) 822-2434 THE APOTHECARY * 1470 Webb St Cumberland, WI 54829 (715) 822-2424 Rice Lake MARSHFIELD CLINIC PHARMACY 1700 W Stout St Rice Lake, WI 54868 (715) 236-8103 MEDICATIONS PLUS PHARMACY * 8 East Koepp Street Rice Lake, WI 54868 (715) 234-9021

OSTERBAUER DRUGS * 312 W Knapp St Rice Lake, WI 54868 (715) 234-3969 SHOPKO PHARMACY * 320 S Access Rd Rice Lake, WI 54868 (715) 236-7414 WAL-MART PHARMACY 101446 * 2501 West Avenue Rice Lake, WI 54868 (715) 234-2997 WALGREENS #11860 * 502 S Main St Rice Lake, WI 54868 (715) 736-0120 Turtle Lake JAMES PHARMACY LTD * 215 Maple St Turtle Lake, WI 54889 (715) 986-2225 Bayfield Iron River NORTHLAKES CLINIC PHARMACY * 7665 Us Highway 2 Iron River, WI 54847 (715) 372-5001 Washburn LANGFORD PHARMACY * 114 W Bayfield St Washburn, WI 54891 (715) 373-5588 Brown Ashwaubenon

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 1

TARGET PHARMACY * 1001 Cormier Road Ashwaubenon, WI 54304 (920) 499-2608

WALGREENS * 150 S Wisconsin St De Pere, WI 54115 (920) 278-3241

Bellevue COSTCO PHARMACY #1162 * 2355 Costco Way Bellevue, WI 54311 (920) 469-5710

WALMART PHARMACY 105090 * 1415 Lawrence Dr. De Pere, WI 54115 (920) 336-7168

TARGET PHARMACY * 2050 Lime Kiln Road Bellevue, WI 54311 (920) 406-9049

Denmark BELLIN HEALTH PHARMACY * 595 County Trunk R Denmark, WI 54208 (920) 863-5800

WALGREENS * 1979 Lime Kiln Rd Bellevue, WI 54311 (920) 288-0638 De Pere AURORA PHARMACY 155 DE PERE * 1881 Chicago St De Pere, WI 54115 (920) 403-8050 CVS PHARMACY #02214 * 800 Main Ave De Pere, WI 54115 (920) 336-6373 SHOPKO EXPRESS * 3705 Monroe Rd De Pere, WI 54115 (920) 336-6096 SHOPKO PHARMACY * 230 N Wisconsin St De Pere, WI 54115 (920) 336-2323

Green Bay AURORA PHARMACY 169 GREEN BAY * 2845 Green Brier Rd Green Bay, WI 54311 (920) 288-3140 AURORA PRESCRIPTION DISPENSING CENTER * 2253 West Mason St Green Bay, WI 54303 (920) 327-7220

COPPS FOOD CENTER PHARMACY * 1819 Main Street Green Bay, WI 54302 (920) 469-3436 COPPS FOOD CENTER PHARMACY * 1291 Lombardi Access Rd Green Bay, WI 54304 (920) 498-9783 CVS PHARMACY * 1561 W Mason St Green Bay, WI 54303 (920) 497-5959 CVS PHARMACY * 2222 S Webster Ave Green Bay, WI 54301 (920) 430-8089 CVS PHARMACY * 2400 Velp Avenue Green Bay, WI 54303 (920) 434-3954 CVS PHARMACY * 930 Main St Green Bay, WI 54301 (920) 436-9382

BELLIN HEALTH PHARMACY * 1630 Commanche Ave Green Bay, WI 54313 (920) 430-4555

KRIDER PHARMACY * 1119 W Mason St Green Bay, WI 54303 (920) 499-6225

BELLIN HEALTH REMOTE DISPENSING * 3263 Eaton Rd Green Bay, WI 54311 (920) 433-6790

LINEVILLE HEALTHMART PHARMACY * 2673 Lineville Rd Green Bay, WI 54313 (920) 434-1444

WALGREENS #10235 * 901 Main Ave De Pere, WI 54115 (920) 983-6153

SAMS PHARMACY 10-8149 * 2470 West Mason Green Bay, WI 54303 (920) 494-0536

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 2

SHOPKO EXPRESS * 2585 Lineville Rd Green Bay, WI 54313 (920) 662-9450

WALGREENS #6569 * 464 Cardinal Ln Green Bay, WI 54313 (920) 661-9355

SHOPKO PHARMACY * 216 S Military Ave Green Bay, WI 54303 (920) 499-0895

WALGREENS #11339 * 116 N Military Ave Green Bay, WI 54303 (920) 498-3247

SHOPKO PHARMACY * 2430 E Mason St Green Bay, WI 54302 (920) 468-6044

WALGREENS * 2301 S Oneida Green Bay, WI 54304 (920) 490-0424

SHOPKO PHARMACY * 301 Bay Park Sq Green Bay, WI 54304 (920) 499-5889

WALGREENS * 2204 University Ave Green Bay, WI 54302 (920) 469-5516

SHOPKO PHARMACY * 2320 Lineville Rd Green Bay, WI 54313 (920) 434-5846

WALGREENS * 1165 W Mason Street Green Bay, WI 54303 (920) 498-3794

STREUS PHARMACY INC * 635 Main St Green Bay, WI 54301 (920) 437-0206

WALGREENS * 1995 Main Street Green Bay, WI 54302 (920) 465-6210

WAL-MART PHARMACY 101453 * 2440 West Mason Street Green Bay, WI 54303 (920) 499-2330

Pulaski HEALTH MART PULASKI PHARMACY * 121 N St Augustine St Pulaski, WI 54162 (920) 822-3011

WAL-MART PHARMACY 101908 * 2292 Main Street Green Bay, WI 54311 (920) 465-7737 WALGREENS #3088 * 1401 East Mason Green Bay, WI 54301 (920) 435-7679

Wrightstown BELLIN HEALTH REMOTE DISPENSING * 555 Quality Ct Wrightstown, WI 54180 (920) 532-0700 Buffalo Mondovi

MONDOVI HEALTH MART PHARMACY * 122 S Eau Claire St Mondovi, WI 54755 (715) 926-4938 Burnett Grantsburg WOOD RIVER PHARMACY * 122 W Madison Ave Grantsburg, WI 54840 (715) 463-2525 Siren SIREN PHARMACY * 24106 State Rd 35 Siren, WI 54872 (715) 349-2221 Webster YELLOW RIVER PHARMACY INC * 7438 Main St West Webster, WI 54893 (715) 866-8644 Calumet Appleton CVS PHARMACY * 1485 Oneida St Appleton, WI 54915 (920) 733-1194 WAL-MART PHARMACY 102958 * 3701 East Calumet St. Appleton, WI 54915 (920) 996-0746 Brillion SHOPKO PHARMACY 608 * 1010 W Ryan St Brillion, WI 54110 (920) 756-2640 Chilton

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 3

WALGREENS #13065 * 245 E Calumet St Chilton, WI 53014 (920) 849-2818

SHOPKO PHARMACY * 2677 S Prairie View Rd Chippewa Falls, WI 54729 (715) 726-1631

WALMART PHARMACY 102509 * 810 South Irish Road Chilton, WI 53014 (920) 849-7330

THE MEDICINE SHOPPE PHARMACY * 603 North Bridge Street Chippewa Falls, WI 54729 (715) 723-9192

Chippewa Bloomer ED'S HEALTH MART PHARMACY * 1511 Main St Bloomer, WI 54724 (715) 568-2190

WALGREENS #7966 * 849 Woodward Ave Chippewa Falls, WI 54729 (715) 726-8540

Cadott MILLER PHARMACY * 318 N Main St Cadott, WI 54727 (715) 289-3243 Chippewa Falls CHIPPEWA CLINIC PHARMACY * 2509 County Highway I Chippewa Falls, WI 54729 (715) 723-2824 KONSELLA HEALTH MART PHARMACY * 212 Bay St Chippewa Falls, WI 54729 (715) 723-9177 MARSHFIELD CLINIC PHARMACY 2655 County Hwy I Chippewa Falls, WI 54729 (715) 726-4177

WALMART PHARMACY 105373 * 2786 Commercial Blvd Chippewa Falls, WI 54729 (715) 738-2418 Cornell CORNELL PHARMACY * 300 Main St Cornell, WI 54732 (715) 239-6453 Stanley SHOPKO PHARMACY #790 * 409 Junction Ave Stanley, WI 54768 (715) 644-6168 Clark Neillsville SHOPKO PHARMACY #2627 * 1008 E Division St Neillsville, WI 54456 (715) 743-6632 SNITEMAN PHARMACY * 528 Hewett St Neillsville, WI 54456 (715) 743-3500

Withee OWEN-WITHEE PHARMACY * 514 Division St Withee, WI 54498 (715) 229-2020 Columbia Columbus SHOPKO PHARMACY #2788 * 200 Commerce Dr Columbus, WI 53925 (920) 623-2700 WALGREENS #10396 * 1500 W James St Columbus, WI 53925 (920) 623-5459 Lodi MALLATT'S PHARMACY AND COSTUMES #103 * 801 N Main St Lodi, WI 53555 (608) 592-3256 Pardeeville PARDEEVILLE HOMETOWN PHARMACY * 135 North Main Street Pardeeville, WI 53954 (608) 429-2325 Portage WAL-MART PHARMACY 101799 * 2950 New Pinery Road Portage, WI 53901 (608) 742-1670 WALGREENS #7732 * 2700 New Pinery Rd Portage, WI 53901 (608) 742-5727

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 4

WILZ DRUG AND HOME HEALTH CARE * 140 E Cook St Portage, WI 53901 (608) 742-3545

WALGREENS #10682 * 109 N Marquette Rd Prairie Du Chien, WI 53821 (608) 326-0581

WALGREENS #12603 * 2575 Main St Cross Plains, WI 53528 (608) 798-4003

Soldiers Grove SOLAR TOWN PHARMACY VMH * 104 Sunset Avenue Soldiers Grove, WI 54655 (608) 624-3344

Deerfield DEERFIELD HOMETOWN PHARMACY * 10 Liberty St Ste 106 Deerfield, WI 53531 (608) 764-2793

Rio RIO HOMETOWN PHARMACY * 208 Lincoln Ave Rio, WI 53960 (920) 992-3335

Dane Belleville BELLEVILLE HOMETOWN PHARMACY * 1 W Main St Belleville, WI 53508 (608) 424-3364

Deforest DEFOREST HOMETOWN PHARMACY * 645 S Main St Deforest, WI 53532 (608) 846-4736

Wisconsin Dells TRAVELMART PHARMACY * 802 Broadway Wisconsin Dells, WI 53965 (608) 253-4231

Cambridge VILLAGE PHARMACY * 109 W Main St #69 Cambridge, WI 53523 (608) 423-3231

Crawford Prairie Du Chien HARTIG DRUG CO * 101 S Marquette Rd Prairie Du Chien, WI 53821 (608) 326-2581

Cottage Grove COTTAGE GROVE HOMETOWN PHARMACY * 429 W Cottage Grove Rd Cottage Grove, WI 53527 (608) 839-5239

PRAIRIE PHARMACY GUNDERSEN HEALTH SYSTEM * 610 E Taylor St Prairie Du Chien, WI 53821 (608) 326-8911

CVS PHARMACY * 605 W Cottage Grove Rd Cottage Grove, WI 53527 (608) 839-3704

Randolph RANDOLPH HOMETOWN PHARMACY * 107 N High St Randolph, WI 53956 (920) 326-5242

WAL-MART PHARMACY 100882 * 38020 Us Highway 18 Prairie Du Chien, WI 53821 (608) 326-5103

Cross Plains CROSS PLAINS PHARMACY * 1910 Main St Cross Plains, WI 53528 (608) 798-3031

WALGREENS #9740 * 807 S Main St Deforest, WI 53532 (608) 846-3671 Fitchburg FITCHBURG HOMETOWN PHARMACY * 3000 Cahill Main Suite J114 Fitchburg, WI 53711 (608) 274-3784 HY-VEE PHARMACY (1184) * 2920 Fitchrona Road Fitchburg, WI 53719 (608) 273-5122 TARGET PHARMACY * 6321 Mckee Rd Fitchburg, WI 53719 (608) 819-1523 WALGREENS * 2931 S Fish Hatchery Rd Fitchburg, WI 53711 (608) 277-0087 Madison

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 5

AMC PHARMACY * 600 Williamson St Ste H Madison, WI 53703 (608) 316-8612

HOEY APOTHECARY * 217 Cottage Grove Road Madison, WI 53716 (608) 221-4639

SAMS PHARMACY 10-8255 * 7050 Watts Rd Madison, WI 53719 (608) 274-4061

COMMUNITY PHARMACY * 341 State St Madison, WI 53703 (608) 251-4454

HY-VEE PHARMACY #2 (1392) * 675 S. Whitney Way Madison, WI 53711 (608) 277-6731

SHOPKO PHARMACY * 7401 Mineral Point Rd Madison, WI 53717 (608) 833-6622

COPPS FOOD CENTER PHARMACY * 2502 Shopko Dr Madison, WI 53704 (608) 243-7788 CVS PHARMACY * 2 South Bedford St Madison, WI 53703 (608) 251-6047 CVS PHARMACY * 6701 Mineral Point Rd Madison, WI 53705 (608) 833-4588 DEAN CLINIC PHARMACY * 1313 Fish Hatchery Rd Madison, WI 53715 (608) 252-8044 DEAN CLINIC PHARMACY * 700 S Park St Madison, WI 53715 (608) 256-6465 DEAN CLINIC PHARMACY * 752 N High Point Rd Madison, WI 53717 (608) 824-4500 DEAN CLINIC PHARMACY * 1821 S Stoughton Rd Madison, WI 53716 (608) 260-6500

HY-VEE PHARMACY (1391) * 3801 E Washington Ave Madison, WI 53704 (608) 244-4991 MALLATT'S PHARMACY AND COSTUME #101 * 1255 Williamson St Madison, WI 53703 (608) 255-9116 MALLATT'S PHARMACY AND COSTUMES * 3506 Monroe Street Madison, WI 53711 (608) 238-3106 MERITER OUTPATIENT PHARMACY * 202 S. Park St Madison, WI 53715 (608) 417-6009 METRO MARKET PHARMACY * 6010 Cottage Grove Rd Madison, WI 53718 (608) 223-0951 NEUHAUSER PHARMACY * 1875 Monroe St Madison, WI 53711 (608) 256-8712

TARGET PHARMACY * 201 Junction Road Madison, WI 53717 (608) 827-9483 TARGET PHARMACY * 4301 Lien Rd Madison, WI 53704 (608) 819-1911 TARGET PHARMACY * 750 Hilldale Way Madison, WI 53705 (608) 807-3979 UW HEALTH PHARMACY SERVICES * 1 S Park St Madison, WI 53715 (608) 287-2400 UW HEALTH PHARMACY SERVICES * 3209 Dryden Dr Madison, WI 53704 (608) 241-9638 UW HEALTH PHARMACY SERVICES * 2880 University Ave Room 177 Madison, WI 53705 (608) 263-9393

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 6

UW HEALTH PHARMACY SERVICES * 7102 Mineral Point Rd Madison, WI 53717 (608) 828-7688

UW HEALTH PHARMACY SERVICES * 3434 E Washington Ave Madison, WI 53704 (608) 204-2680

UW HEALTH PHARMACY SERVICES * 4122 E Towne Blvd Madison, WI 53704 (608) 242-6862

UW HEALTH PHARMACY SERVICES * 4602 Eastpark Blvd Madison, WI 53718 (608) 240-4265

UW HEALTH PHARMACY SERVICES * 451 Junction Rd Madison, WI 53717 (608) 265-7070

UW HEALTH REMOTE DISPENSING SERVICES * 2202 S Park St Madison, WI 53713 (608) 230-7450

UW HEALTH PHARMACY SERVICES * 600 Highland Ave Madison, WI 53792 (608) 263-7025

WAL-MART PHARMACY 101138 * 7202 Watts Road Madison, WI 53719 (608) 276-9399

UW HEALTH PHARMACY SERVICES * 600 Highland Ave Madison, WI 53792 (608) 263-1280

WAL-MART PHARMACY 102335 * 4198 Nakoosa Trail Madison, WI 53714 (608) 241-2151

UW HEALTH PHARMACY SERVICES * 5249 E Terrace Dr Madison, WI 53718 (608) 265-1650

WALGREENS #2848 * 606 S Whitney Way Madison, WI 53711 (608) 274-1311

WALGREENS * 108 Cottage Grove Road Madison, WI 53716 (608) 222-8651

WALGREENS #4240 * 3710 East Washington Av Madison, WI 53704 (608) 242-9483

WALGREENS * 2909 E Washington Ave Madison, WI 53704 (608) 244-1301

WALGREENS #7536 * 8302 Old Sauk Rd Madison, WI 53717 (608) 833-2373

WALGREENS * 4518 Cottage Grove Rd At Acewood Madison, WI 53716 (608) 222-3648

UW HEALTH PHARMACY SERVICES * 600 Highland Avenue Madison, WI 53792 (608) 890-7899 UW HEALTH PHARMACY SERVICES * 1102 S Park St Madison, WI 53715 (608) 287-5885

WALGREENS #10573 * 5702 Raymond Rd Madison, WI 53711 (608) 278-8037 WALGREENS * 3700 University Ave Madison, WI 53705 (608) 238-7109 WALGREENS * 1725 Northport Dr Madison, WI 53704 (608) 241-7001 WALGREENS * 7810 Mineral Point Rd Madison, WI 53717 (608) 833-1222 WALGREENS * 2121 S Park St Madison, WI 53713 (608) 257-0804 WALGREENS * 15 E Main St Madison, WI 53703 (608) 257-3814

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 7

WALGREENS * 6601 Mckee Rd Madison, WI 53719 (608) 848-8285

WALGREENS #10555 * 2010 Branch St Middleton, WI 53562 (608) 831-6548

WALGREENS * 311 E Campus Mall Madison, WI 53715 (608) 251-0042

Monona SHOPKO PHARMACY * 2101 W Broadway Monona, WI 53713 (608) 222-2066

Mcfarland MCFARLAND HOMETOWN PHARMACY * 4880 Larson Beach Rd Mcfarland, WI 53558 (608) 838-7455 THE MEDICINE SHOPPE PHARMACY * 5700 U S Highway 51 Mcfarland, WI 53558 (608) 838-5700 WALGREENS #10554 * 4611 Larson Beach Rd Mcfarland, WI 53558 (608) 838-6829 Middleton COMMUNITY PHARMACY * 6333 University Ave Ste 103 Middleton, WI 53562 (608) 310-5389 COSTCO PHARMACY * 2150 Deming Way Middleton, WI 53562 (608) 824-3959 CVS PHARMACY * 6210 Century Ave Middleton, WI 53562 (608) 836-6630

OREGON HOMETOWN PHARMACY * 815 North Main St Oregon, WI 53575 (608) 835-3191 WALGREENS #9741 * 704 N Main St Oregon, WI 53575 (608) 835-6771

THE MEDICINE SHOPPE PHARMACY * 4205 Monona Rd Monona, WI 53716 (608) 221-8151

Stoughton MCGLYNN PHARMACY INC * 100 E Main St Stoughton, WI 53589 (608) 873-3244

WALGREENS #4830 * 5300 Monona Drive Monona, WI 53716 (608) 226-9920

WAL-MART PHARMACY 101176 * 1800 Us Highway 51 And 138 Stoughton, WI 53589 (608) 873-9262

WALMART PHARMACY 103857 * 2151 Royal Ave Monona, WI 53713 (608) 226-8671 Mount Horeb MOUNT HOREB PHARMACY * 203 W Main St Mount Horeb, WI 53572 (608) 437-3001 WALGREENS #11648 * 1401 Hwy 18 151 Mount Horeb, WI 53572 (608) 437-9160 Oregon DEAN CLINIC PHARMACY * 753 N Main Street Oregon, WI 53575 (608) 835-7175

WALGREENS * 1705 Us Hwy 51 Stoughton, WI 53589 (608) 873-7612 Sun Prairie COPPS FOOD CENTER * 640 E Main St Sun Prairie, WI 53590 (608) 837-3821 COPPS FOOD CENTER PHARMACY * 2538 Ironwood Dr Sun Prairie, WI 53590 (608) 837-2867 COSTCO PHARMACY #1121 * 2850 Hoepker Rd Sun Prairie, WI 53590 (608) 825-4011

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 8

DEAN CLINIC PHARMACY * 10 Tower Drive Sun Prairie, WI 53590 (608) 825-3690

WALGREENS #1159 * 104 N Main St Verona, WI 53593 (608) 848-7154

OCONNELL PHARMACY LTD * 302 S Grand Ave Sun Prairie, WI 53590 (608) 837-5949

Waunakee MALLATT'S PHARMACY AND COSTUMES #102 * 233 S Century Ave Waunakee, WI 53597 (608) 849-7888

SUN PRAIRIE HOMETOWN PHARMACY * 13 N Bird St Sun Prairie, WI 53590 (608) 825-7530 TARGET PHARMACY * 660 S Grand Ave Sun Prairie, WI 53590 (608) 834-5601 WAL-MART PHARMACY 101267 * 1905 Mc Coy Road Sun Prairie, WI 53590 (608) 837-4995 WALGREENS #10925 * 546 N Grand Ave Sun Prairie, WI 53590 (608) 825-2678 WALGREENS * 275 Davison Drive Sun Prairie, WI 53590 (608) 837-8566 Verona VERONA HOMETOWN PHARMACY * 202 S Main St Verona, WI 53593 (608) 848-8020

WALGREENS * 401 W Main St Waunakee, WI 53597 (608) 850-6203 Dodge Beaver Dam BDCH PHARMACY * 705 S University Ave Beaver Dam, WI 53916 (920) 356-0040 BEAVER DAM HOMETOWN PHARMACY * 709 N Spring St Beaver Dam, WI 53916 (920) 356-1500 SHOPKO PHARMACY * 822 Park Ave Beaver Dam, WI 53916 (920) 887-7461 WALGREENS #11253 * 607 Park Ave Beaver Dam, WI 53916 (920) 356-0148 WALMART PHARMACY 101012 * 120 Frances Lane Beaver Dam, WI 53916 (920) 885-5808 Brownsville

AGNESIAN PRESCRIPTION CENTER BROWNSVILLE * 900 Main Street Brownsville, WI 53006 (920) 583-1310 Horicon MARSHLAND PHARMACY * 700 Washington Street Horicon, WI 53032 (920) 485-3400 Lomira AURORA PRESCRIPTION DISPENSING CENTER * 375 East Ave Lomira, WI 53048 (920) 269-2080 Mayville AGNESIAN PRESCRIPTION CENTER MAYVILLE * 360 S Mountin Dr Mayville, WI 53050 (920) 387-7570 SHOPKO PHARMACY * 2050 Horicon St Mayville, WI 53050 (920) 387-0257 Waupun WALGREENS * 999 E Main St Waupun, WI 53963 (920) 324-4696 Door Sister Bay SHOPKO PHARMACY #2616 * 2541 S Bay Shore Dr Sister Bay, WI 54234 (920) 854-9182 Sturgeon Bay

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 9

AURORA PHARMACY 157 STURGEON BAY * 1910 Alabama St Sturgeon Bay, WI 54235 (920) 746-7340 BAY HOMETOWN PHARMACY * 231 N 7th Ave Sturgeon Bay, WI 54235 (920) 746-4110 CVS PHARMACY # 10419 * 1407 Egg Harbor Rd Sturgeon Bay, WI 54235 (920) 743-6089 WAL-MART PHARMACY 101316 * 1536 Egg Harbor Road Sturgeon Bay, WI 54235 (920) 746-0412 WALGREENS #7635 * 808 S Duluth Ave Sturgeon Bay, WI 54235 (920) 746-5245 Douglas Superior CVS PHARMACY #07261 * 2631 Tower Ave Superior, WI 54880 (715) 392-0487 ESSENTIA HEALTH SUPERIOR EAST PHARMACY * 2202 E 2nd St Ste 477 Superior, WI 54880 (715) 817-7999 ESSENTIA HEALTH SUPERIOR PHARMACY * 3500 Tower Ave Ste A Superior, WI 54880 (715) 817-7880

PEOPLE'S DRUG STORE * 1124 Belknap St Superior, WI 54880 (715) 394-7765 WAL-MART PHARMACY 101447 * 3705 Tower Avenue Superior, WI 54880 (715) 392-9520 WALGREENS #3064 * 2015 Tower Avenue Superior, WI 54880 (715) 392-9550 Dunn Colfax COLFAX HEALTH MART PHARMACY * 525 Main St Colfax, WI 54730 (715) 962-3784 Menomonie CVS PHARMACY #10411 * 433 Broadway St S Menomonie, WI 54751 (715) 235-5349 MAYO CLINIC HEALTH SYSTEM-RED CEDAR PHARMACY * 2321 Stout Rd Menomonie, WI 54751 (715) 233-7500 THE MEDICINE SHOPPE PHARMACY * 1302 Stout Rd Menomonie, WI 54751 (715) 309-4329

WAL-MART PHARMACY 101819 * 180 Cedar Falls Road Menomonie, WI 54751 (715) 235-7885 WALGREENS #9514 * 121 Pine Ave W Menomonie, WI 54751 (715) 235-9275 Eau Claire Augusta WALLY SHONG HEALTH MART PHARMACY * 153 W Lincoln St Augusta, WI 54722 (715) 286-2515 Eau Claire CVS PHARMACY # 10550 * 2200 Brackett Ave Eau Claire, WI 54701 (715) 839-0041 EAU CLAIRE HEALTH MART PHARMACY * 2741 N Clairemont Ave Ste E Eau Claire, WI 54703 (715) 833-6767 MARSHFIELD CLINIC DISPENSING 3501 Golf Road Eau Claire, WI 54701 (715) 858-4224 MARSHFIELD CLINIC DISPENSING 1000 Starr Avenue Eau Claire, WI 54703 (715) 858-4366

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 10

MARSHFIELD CLINIC DISPENSING 900 W Clairemont Ave Eau Claire, WI 54701 (715) 858-6811 MARSHFIELD CLINIC PHARMACY 2116 Craig Road Eau Claire, WI 54701 (715) 858-4811 MAYO CLINIC HEALTH SYSTEM PHARMACY & HOME MEDICALCLAIREMONT 733 W Clairemont Ave Eau Claire, WI 54701 (715) 838-5000 MAYO CLINIC HEALTH SYSTEM PHARMACY & HOME MEDICAL-LUTHER 1400 Bellinger St Eau Claire, WI 54703 (715) 838-6000

TARGET PHARMACY * 3649 South Hastings Way Eau Claire, WI 54701 (715) 838-0447 VALUE CENTER HEALTH MART PHARMACY * 2421 E Clairemont Avenue Eau Claire, WI 54701 (715) 833-6760 WAL-MART PHARMACY 101669 * 3915 Gateway Drive Eau Claire, WI 54701 (715) 834-5966 WALGREENS #1937 * 1106 W Clairemont Av Eau Claire, WI 54701 (715) 852-0063 WALGREENS * 1819 S Hastings Way Eau Claire, WI 54701 (715) 834-3121

MAYO CLINIC HEALTH SYSTEM PHARMACY & HOME MEDICAL DOWNTOWN 325 E Madison St Eau Claire, WI 54703 (715) 838-1800

Fond Du Lac Campbellsport HAYAT PHARMACY 8 * 110 W Main St Campbellsport, WI 53010 (920) 533-4012

SAMS PHARMACY 10-8185 * 4001 Gateway Dr Eau Claire, WI 54701 (715) 839-1094

Fond Du Lac AGNESIAN PHARMACY * 145 N Main St Fond Du Lac, WI 54935 (920) 921-4660

SHOPKO PHARMACY * 955 W Clairemont Ave Eau Claire, WI 54701 (715) 832-8336

AGNESIAN PHARMACY PLUS * 420 E Division St Fond Du Lac, WI 54935 (920) 926-8585

AGNESIAN PHARMACY WEST * 912 S Hickory Street Fond Du Lac, WI 54935 (920) 929-7480 AGNESIAN PRESCRIPTION CENTER HEALTH PLAZA * 421 Camelot Drive Fond Du Lac, WI 54935 (920) 926-5455 AURORA PHARMACY 032 FOND DU LAC * 210 Wisconsin American Dr Fond Du Lac, WI 54935 (920) 907-7260 PICK N SAVE PHARMACY * 760 W Johnson St Fond Du Lac, WI 54935 (920) 929-7422 PICK N SAVE PHARMACY * 55 W Poineer Rd Fond Du Lac, WI 54935 (920) 923-7780 SHOPKO PHARMACY * 616 W Johnson St Fond Du Lac, WI 54935 (920) 921-5490 TARGET PHARMACY * 485 N Rolling Meadows Dr Fond Du Lac, WI 54937 (920) 921-6759 WAL-MART PHARMACY 101643 * 377 North Rolling Meadows Dr Fond Du Lac, WI 54935 (920) 921-9591

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 11

WALGREENS #10496 * 192 N Main St Fond Du Lac, WI 54935 (920) 921-5264

CRANDON PHARMACY * 101 N Lake Ave Crandon, WI 54520 (715) 478-3313

WALGREENS #10927 * 20 W Pioneer Rd Fond Du Lac, WI 54935 (920) 907-0556

WOLF RIVER PHARMACY * 600 E Pioneer Plaza Crandon, WI 54520 (715) 478-3369

WALGREENS * 1060 E Johnson St Fond Du Lac, WI 54935 (920) 266-4323

Laona LAONA PHARMACY * 4876 Mill St Laona, WI 54541 (715) 674-2635

North Fond Du Lac AGNESIAN PHARMACY NORTH FOND DU LAC * 723 Park Ridge Ln North Fond Du Lac, WI 54937 (920) 926-8660 Ripon KMART PHARMACY7649 * 1200 West Fond Du Lac St Ripon, WI 54971 (920) 748-1203 RIPON DRUG * 328 Watson St Ripon, WI 54971 (920) 748-5174 WALGREENS * 1203 W Fond Du Lac St Ripon, WI 54971 (920) 748-6005 Waupun AGNESIAN PHARMACY WAUPUN * 904 W Main St Waupun, WI 53963 (920) 324-3010

Grant Boscobel BOSCOBEL PHARMACY INC * 1028 Wisconsin Ave Boscobel, WI 53805 (608) 375-4466 Cuba City CUBA CITY HOMETOWN PHARMACY * 122 N Main St Cuba City, WI 53807 (608) 744-2440 Fennimore HARTIG DRUG CO * 1120 Lincoln Ave Fennimore, WI 53809 (608) 822-3601 Lancaster HARTIG DRUG CO INC * 139 W Maple St Lancaster, WI 53813 (608) 723-4737

Forest Crandon

SHOPKO PHARMACY #2626 * 1625 Us 61 Lancaster, WI 53813 (608) 723-7679 Platteville HARTIG DRUG CO * 180 W Pine St Platteville, WI 53818 (608) 348-9771 KMART PHARMACY3970 * 1425 E Highway 151 Platteville, WI 53818 (608) 348-6577 THE PHARMACY AT SOUTHWEST HEALTH * 1450 East Side Road Platteville, WI 53818 (608) 342-6200 WAL-MART PHARMACY 100958 * 1800 Progressive Pkwy Platteville, WI 53818 (608) 348-4733 WALGREENS * 675 S Water St Platteville, WI 53818 (608) 348-7611 Green Brodhead PINNOW PHARMACY INC * 1028 First Center Ave Brodhead, WI 53520 (608) 897-2595 Monroe CLINIC PHARMACY * 515 22nd Ave Monroe, WI 53566 (608) 325-3111

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 12

SCHULTZ PHARMACY * 1008 17th Ave Monroe, WI 53566 (608) 325-2151 SHOPKO PHARMACY * 405 W 8th St Monroe, WI 53566 (608) 328-3310 WAL-MART PHARMACY * 300 6th Ave W Monroe, WI 53566 (608) 325-7805 WALGREENS * 717 8th Ave Monroe, WI 53566 (608) 325-7020 New Glarus NEW GLARUS PHARMACY * 1101 Hwy 69 Ste 7 New Glarus, WI 53574 (608) 527-2517 Green Lake Berlin FIELD PHARMACY LLC * 135 W Huron St Berlin, WI 54923 (920) 361-1565 WAL-MART PHARMACY 101727 * W861 County Road F Berlin, WI 54923 (920) 361-3433 Green Lake THEDACARE PHARMACYGREEN LAKE * 762 Commercial Ave Green Lake, WI 54941 (920) 294-4244

AGNESIAN PHARMACY MARKESAN * 730 N Margaret Street Markesan, WI 53946 (920) 398-3261

MARSHFIELD CLINIC DISPENSING 5110 N Hwy 51 Mercer, WI 54547 (715) 476-2345

Princeton BENTLEY DRUG * 528 Water St Princeton, WI 54968 (920) 295-6271

Jackson Black River Falls BLACK RIVER FALLS CLINIC PHARMACY * 610 W Adams St Black River Falls, WI 54615 (715) 284-4089

Iowa Dodgeville CORNER DRUG HOMETOWN PHARMACY * 206 N Iowa St Dodgeville, WI 53533 (608) 935-3661 WAL-MART PHARMACY 100847 * 601 Leffler Street Dodgeville, WI 53533 (608) 935-2365 WALGREENS #10962 * 1133 N Johns St Dodgeville, WI 53533 (608) 935-2041 Mineral Point IVEYS PHARMACY INC * 128 High St Mineral Point, WI 53565 (608) 987-2336 Iron Hurley WHITE CROSS PHARMACY * 314 Silver St Hurley, WI 54534 (715) 561-5666

WAL-MART PHARMACY 101277 * 611 Hwy 54 East Black River Falls, WI 54615 (715) 284-9115 Jefferson Fort Atkinson SHOPKO PHARMACY * 1425 Janesville Ave Fort Atkinson, WI 53538 (920) 563-9351 TUTTLES PHARMACY INC * 102 S Main St Fort Atkinson, WI 53538 (920) 563-2458 WALGREENS #1976 * 300 N Main St Fort Atkinson, WI 53538 (920) 568-9326 Jefferson THE DRUG STORE AND MUELLER DRUGS INC * 132 S Main St Jefferson, WI 53549 (920) 674-5733

Mercer

Markesan * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 13

WALMART PHARMACY 103499 * 1520 S Main St Jefferson, WI 53549 (920) 674-2873

WATERTOWN HOMETOWN PHARMACY * 204 E Main St Watertown, WI 53094 (920) 261-1900

Lake Mills SHOPKO PHARMACY 612 * 203 N Main St Lake Mills, WI 53551 (920) 648-3455

Juneau Mauston PHILLIPS DRUG STORE INC * 123 E State St Mauston, WI 53948 (608) 847-5949

WALGREENS #11176 * 812 N Main St Lake Mills, WI 53551 (920) 648-5187 Waterloo ZIMBRIC PHARMACY * 104 E Madison St Waterloo, WI 53594 (920) 478-2685 Watertown PICK N SAVE PHARMACY * 624 S Church St Watertown, WI 53094 (920) 261-7140 SHOPKO PHARMACY * 701 S Church St Watertown, WI 53094 (920) 261-1920 WAL-MART PHARMACY 101776 * 1901 Market Way Watertown, WI 53094 (920) 261-8601 WALGREENS * 301 W Main St Watertown, WI 53094 (920) 206-9588

WALGREENS #9008 * 403 State Rd 82 East Mauston, WI 53948 (608) 847-7814 New Lisbon RAABES PHARMACY * 112 S Adams St New Lisbon, WI 53950 (608) 562-3302 Kenosha Kenosha AURORA PHARMACY 150 KENOSHA * 10400 75th St Kenosha, WI 53142 (262) 948-7040 AURORA PRESCRIPTION DISPENSING CENTER * 7540 22nd Avenue Kenosha, WI 53143 (262) 605-3674 CVS PHARMACY * 3726 North 22nd Kenosha, WI 53140 (262) 654-6545

CVS PHARMACY * 2207 80th Street Kenosha, WI 53143 (262) 658-3731 CVS PHARMACY * 3710 57th Ave Kenosha, WI 53144 (262) 652-1474 GOOD VALUE PHARMACY * 3207 80th St Ste 100 Kenosha, WI 53142 (262) 697-5744 GOOD VALUE PHARMACY LARSEN-MAYER * 3535 30th Ave Kenosha, WI 53144 (262) 658-8124 GOOD VALUE PHARMACY MEDCARE WEST * 9916 75th St Ste 103 Kenosha, WI 53142 (262) 925-0201 KMART PHARMACY3088 * 4100 52nd St Kenosha, WI 53142 (262) 658-0902 MEIJER PHARMACY #284 * 7701 Green Bay Rd Kenosha, WI 53142 (262) 612-1610 MODERN APOTHECARY * 4924 7th Ave Kenosha, WI 53140 (262) 997-9573 PICK N SAVE PHARMACY * 5710 75th Street Kenosha, WI 53142 (262) 697-5424

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 14

PICK N SAVE PHARMACY * 1901 63rd Street Kenosha, WI 53143 (262) 653-1202

COSTCO PHARMACY #1198 * 7707 94th Ave Pleasant Prairie, WI 53158 (262) 597-1037

SHOPKO PHARMACY * 802 North Main St Kewaunee, WI 54216 (920) 388-2231

PICK N SAVE PHARMACY * 2811 18th St Kenosha, WI 53140 (262) 551-0367

TARGET PHARMACY * 9777 76th St Pleasant Prairie, WI 53158 (262) 842-1171

SHOPKO PHARMACY * 5300 52nd St Kenosha, WI 53144 (262) 658-8137

WALGREENS #7965 * 7520 118th Ave Pleasant Prairie, WI 53158 (262) 857-9484

Luxemburg LUXEMBURG PHARMACY LLC * 125 School Creek Tr Luxemburg, WI 54217 (920) 845-5832

WAL-MART PHARMACY 101167 * 3500 Brumback Blvd Kenosha, WI 53144 (262) 652-1458

Salem WALGREENS #5935 * 25401 75th St Salem, WI 53168 (262) 843-1550

WALGREENS #9605 * 1810 30th Ave Kenosha, WI 53144 (262) 551-8812

Somers SAM'S PHARMACY 10-6331 * 3300 Brumback Blvd Somers, WI 53144 (262) 654-6854

WALGREENS #12413 * 7525 Sheridan Rd Kenosha, WI 53143 (262) 652-2396 WALGREENS * 3805 80th Street Kenosha, WI 53142 (262) 694-0750 WALGREENS * 3820 52nd Street Kenosha, WI 53144 (262) 652-9665 WALGREENS * 7535 N Green Bay Rd Kenosha, WI 53142 (262) 697-8927

Twin Lakes AURORA PRESCRIPTION DISPENSING CENTER * 700 N Lake Ave Ste 101 Twin Lakes, WI 53181 (262) 877-8777 Kewaunee Algoma AURORA PHARMACY 036 ALGOMA * 801 Jefferson St Algoma, WI 54201 (920) 487-2887 Kewaunee

La Crosse Holmen DEGEN BERGLUND HOLMEN * 600 N Holmen Dr Holmen, WI 54636 (608) 775-8875 MCHS HOLMEN PHARMACY * 1303 S Main St Holmen, WI 54636 (608) 526-1566 La Crosse CASS STREET PHARMACY * 528 Cass St La Crosse, WI 54601 (608) 784-9922 DEGEN BERGLUND VILLAGE * 2511 Green Bay St La Crosse, WI 54601 (608) 775-8585 GUNDERSEN LUTHERAN CLINIC PHARMACY * 1836 South Ave La Crosse, WI 54601 (608) 775-5595

Pleasant Prairie * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 15

GUNDERSEN LUTHERAN EAST PHCY * 724 Denton St La Crosse, WI 54601 (608) 775-1000 KMART PHARMACY4089 * 2415 State Road La Crosse, WI 54601 (608) 788-0803 MCHS CLINIC PHARMACY * 800 West Ave S La Crosse, WI 54601 (608) 392-9855 MCHS ST. FRANCIS PHARMACY * 700 West Ave South La Crosse, WI 54601 (608) 392-2844 SHOPKO PHARMACY * 2400 Rose St La Crosse, WI 54603 (608) 781-3300 SHOPKO PHARMACY * 4344 Morman Coulee Rd La Crosse, WI 54601 (608) 788-8860 WALGREENS #9214 * 2626 Rose St La Crosse, WI 54603 (608) 781-0791 WALGREENS #12455 * 3910 Mormon Coulee Rd La Crosse, WI 54601 (608) 788-9700 WALGREENS * 900 West Ave S La Crosse, WI 54601 (608) 796-2058

WALGREENS * 4415 State Road 16 La Crosse, WI 54601 (608) 779-0939

WEST SALEM PHARMACY * 880 N. Mill St. West Salem, WI 54669 (608) 786-0210

WALMART PHARMACY 105127 * 4622 Mormon Coulee Road La Crosse, WI 54601 (608) 788-9146

Lafayette Darlington HARTIG DRUG CO * 327 Main St Darlington, WI 53530 (608) 776-4481

Onalaska DEGEN BERGLUND ONALASKA * 111 Sand Lake Rd Onalaska, WI 54650 (608) 775-8595 GUNDERSEN LUTHERN CLINIC PHARMACY * 3111 Gundersen Dr Onalaska, WI 54650 (608) 775-8699 MCHS ONALASKA PHARMACY * 191 Theater Rd Onalaska, WI 54650 (608) 392-5030 SHOPKO PHARMACY * 9366 State Road 16 Onalaska, WI 54650 (608) 781-5404 TARGET PHARMACY * 9400 State Road 16 Onalaska, WI 54650 (608) 779-5780 WAL-MART PHARMACY 101679 * 3107 Market Pl Onalaska, WI 54650 (608) 781-8355

Langlade Antigo LAKESIDE PHARMACY * 536 5th Ave Antigo, WI 54409 (715) 623-2631 WAL-MART PHARMACY 103268 * 200 Hwy 64 East Antigo, WI 54409 (715) 627-1636 WALGREENS * 2204 Neva Road Antigo, WI 54409 (715) 627-7430 Lincoln Merrill JOHNSON PHARMACY * 1021 East Main Street Merrill, WI 54452 (715) 539-2772 MARSHFIELD CLINIC DISPENSING 1205 O Day Street Merrill, WI 54452 (715) 539-0118

West Salem * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 16

WAL-MART PHARMACY 101366 * 505 S Pine Ridge Ave Merrill, WI 54452 (715) 536-5530

AURORA PHARMACY 040 MANITOWOC * 601 Reed Ave Manitowoc, WI 54220 (920) 686-5237

AURORA PHARMACY 041 TWO RIVERS * 5300 Memorial Drive Two Rivers, WI 54241 (920) 793-7380

WALGREENS #10574 * 101 Center Ave Merrill, WI 54452 (715) 539-0218

COPPS FOOD CENTER PHARMACY * 3300 Calumet Ave Manitowoc, WI 54220 (920) 682-3051

AURORA PRESCRIPTION DISPENSING LOCATION * 2219 Garfield St Ste 100 Two Rivers, WI 54241 (920) 794-8029

CVS PHARMACY * 701 E Reed Ave Manitowoc, WI 54220 (920) 682-3726

THE MEDICINE SHOPPE PHARMACY * 1500 Washington Street Two Rivers, WI 54241 (920) 794-1225

YOUNG'S DRUG STORE * 301 E 2nd Street Merrill, WI 54452 (715) 536-2909 Tomahawk SHOPKO PHARMACY #2792 * 686 N 4th St Tomahawk, WI 54487 (715) 453-5996

HEALTH MART MANITOWOC PHARMACIES * 919 S 8th St Manitowoc, WI 54220 (920) 684-6789

TOMAHAWK PHARMACY * 1208 N 4th St Tomahawk, WI 54487 (715) 453-6600

HFM PHARMACY * 3310 Calumet Ave Manitowoc, WI 54220 (920) 320-4400

Manitowoc Kiel AURORA PHARMACY 228 KIEL * 1001 Service Rd Kiel, WI 53042 (920) 894-4370

SHOPKO PHARMACY * 3415 Calumet Ave Manitowoc, WI 54220 (920) 684-0251

SHOPKO PHARMACY 609 * 1120 State Road 67 Kiel, WI 53042 (920) 894-3604 Manitowoc

WAL-MART PHARMACY 101449 * 4115 Calumet Avenue Manitowoc, WI 54220 (920) 684-5016 WALGREENS * 2702 Calumet Manitowoc, WI 54220 (920) 683-8887 Two Rivers

WALGREENS * 2206 Washington St Two Rivers, WI 54241 (920) 793-8352 Marathon Abbotsford SHOPKO PHARMACY * 1011 E Spruce St Abbotsford, WI 54405 (715) 223-2480 Marshfield WAL-MART PHARMACY 102813 * 2001 North Central Ave Marshfield, WI 54449 (715) 486-9439 Mosinee MARSHFIELD CLINIC PHARMACY 390 Orbiting Drive Mosinee, WI 54455 (715) 693-9181 Rothschild

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 17

PICK N SAVE PHARMACY * 10101 Market St Rothschild, WI 54474 (715) 241-0245

SAMS PHARMACY 10-6535 * 4000 Rib Mountain Dr Wausau, WI 54401 (715) 355-0161

WALGREENS #9609 * 5305 Us Hwy Business 51 S Weston, WI 54476 (715) 355-9640

SHOPKO PHARMACY * 1105 E Grand Ave Rothschild, WI 54474 (715) 359-4251

SHOPKO PHARMACY * 200 S 18th Ave Wausau, WI 54401 (715) 842-7737

Schofield 29 SUPER PHARMACY * 2806 Schofield Ave Schofield, WI 54476 (715) 359-3194

TRIGS PHARMACY * 110 S 17th Ave Wausau, WI 54401 (715) 848-9066

Marinette Coleman VILLAGE HEALTHMART PHARMACY * 633 Bus Nwy 141 Coleman, WI 54112 (920) 897-5333

TARGET PHARMACY * 2707 Schofield Ave Schofield, WI 54476 (715) 355-1359 Wausau ASPIRUS CLINIC PHARMACY * 425 Pine Ridge Blvd Ste 103 Wausau, WI 54401 (715) 847-2547 COUNTY MARKET PHARMACY * 220 S 18th Ave Wausau, WI 54401 (715) 842-3541 CVS PHARMACY #10172 * 102 Central Bridge St Wausau, WI 54401 (715) 842-0744 MARSHFIELD CLINIC PHARMACY 2727 Plaza Drive Wausau, WI 54401 (715) 847-3302

WAL-MART PHARMACY 102127 * 4300 Rib Mountain Drive Wausau, WI 54401 (715) 359-6877 WALGREENS * 105 Central Bridge St Wausau, WI 54401 (715) 845-8279 WALGREENS * 504 S 17th Ave Wausau, WI 54401 (715) 848-8730 YOUNG'S DRUG STORE * 310 E Bridge St Wausau, WI 54403 (715) 845-5203 YOUNG'S DRUG STORE * 2106 Grand Ave Wausau, WI 54403 (715) 845-3713 Weston MARSHFIELD CLINIC DISPENSING 3501 Cranberry Boulevard Weston, WI 54476 (715) 393-1040

Crivitz CRIVITZ PHARMACY * 710 Main Ave Crivitz, WI 54114 (715) 854-7425 Marinette AURORA PHARMACY 242 MARINETTE * 4061 Old Peshtigo Rd Marinette, WI 54143 (715) 732-8040 BAY AREA OUTPATIENT PHARMACY * 3100 Shore Dr Marinette, WI 54143 (715) 735-8072 SHOPKO PHARMACY * 2741 Roosevelt Rd Marinette, WI 54143 (715) 735-0325 VALUCARE CENTER HEALTH MART PHARMACY * 1378 Main St Marinette, WI 54143 (715) 732-0717

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 18

WAL-MART PHARMACY 102545 * 2900 Roosevelt Rd Marinette, WI 54143 (715) 735-5593

WAL-MART PHARMACY 106394 * 6300 W Brown Deer Rd Brown Deer, WI 53223 (414) 410-2551

WALGREENS * 2301 Hall Ave Marinette, WI 54143 (715) 732-4102

WALGREENS * 6020 W Brown Deer Rd Brown Deer, WI 53223 (414) 365-3608

Franklin AURORA PHARMACY * 9200 W Loomis Rd Ste 202 Franklin, WI 53132 (414) 219-7003

Peshtigo PESHTIGO HOMETOWN PHARMACY * 960 Frontage Rd Peshtigo, WI 54157 (715) 582-0898

Cudahay WALGREENS #9066 * 3201 E Layton Ave Cudahay, WI 53110 (414) 481-8220

AURORA PHARMACY 120 FRANKLIN * 9200 W Loomis Rd Franklin, WI 53132 (414) 529-9275

Cudahy CVS PHARMACY * 5740 S Packard Ave Cudahy, WI 53110 (414) 483-5667

CVS PHARMACY * 5220 West Rawson Ave Franklin, WI 53132 (414) 423-5257

PESHTIGO PHARMACY * 220 French St Peshtigo, WI 54157 (715) 582-4237 Marquette Montello BENTLEY PHARMACY * 25 W Montello St Montello, WI 53949 (608) 297-2474 Westfield BENTLEY PHARMACY * 206 S Main St Westfield, WI 53964 (608) 296-2877 Milwaukee Brown Deer PICK N SAVE PHARMACY * 9200 N Greenbay Road Brown Deer, WI 53206 (414) 354-7213

KMART PHARMACY4395 * 6077 S Packard Avenue Cudahy, WI 53110 (414) 769-0510 PICK N SAVE PHARMACY * 5851 S Packard Av Cudahy, WI 53110 (414) 744-6058 WALGREENS #9839 * 6241 S Packard Ave Cudahy, WI 53110 (414) 762-9717 Fox Point CVS PHARMACY * 8661 N Port Washington Fox Point, WI 53217 (414) 540-6836

WALGREENS * 8615 N Port Washington Rd Fox Point, WI 53217 (414) 352-0526

PICK N SAVE PHARMACY * 7201 S 76th Street Franklin, WI 53132 (414) 427-8692 SAM'S PHARMACY 10-8167 * 6705 South 27th St Franklin, WI 53132 (414) 304-1255 TARGET PHARMACY * 7800 S Lovers Lane Rd Franklin, WI 53132 (414) 448-4001 WAL-MART PHARMACY 101551 * 6701 South 27th Street Franklin, WI 53132 (414) 761-9571 WALGREENS * 7130 S 76th Street Franklin, WI 53132 (414) 425-0411

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 19

WALGREENS * 9909 W Loomis Rd Franklin, WI 53132 (414) 427-7187 WALGREENS * 9527 S 27th St Franklin, WI 53132 (414) 304-1239 WHEATON FRANCISCAN PHARMACY #6845 * 10101 S 27th St Franklin, WI 53132 (414) 325-4740 Glendale MEDPOINT PHARMACY * 2501 W. Silver Springs Rd Glendale, WI 53209 (414) 461-6005 PICK N SAVE * 1735 W Silversprings Dr Glendale, WI 53209 (414) 247-8581 WALGREENS #9549 * 5400 N Port Washington Glendale, WI 53217 (414) 967-0457 Greendale WAL-MART PHARMACY 105668 * 5301 S. 76th St Greendale, WI 53129 (414) 978-9016 WALGREENS * 6210 W Loomis Greendale, WI 53129 (414) 423-1485 Greenfield

APM PHARMACY SERVICES * 4131 W Loomis Rd Ste 250 Greenfield, WI 53221 (414) 585-8720 HAYAT PHARMACY 6 * 4931 S 27th St Ste 400 Greenfield, WI 53221 (414) 817-6666

PICK N SAVE * 5800 S 108th St Hales Corners, WI 53130 (414) 525-0763 WALGREENS * 5860 S 108th St Hales Corners, WI 53130 (414) 529-3222

MEDPOINT PHARMACY * 5233 S 27th St Greenfield, WI 53221 (414) 461-6005

Milwaukee AMC PHARMACY * 820 N Plankinton Ave Milwaukee, WI 53203 (414) 223-6820

PICK N SAVE PHARMACY * 4279 S 76th St Greenfield, WI 53220 (414) 541-3836

AURORA PHARMACY * 3355 W Forest Home Ave Milwaukee, WI 53215 (414) 385-0244

TARGET PHARMACY * 4777 South 27th Street Greenfield, WI 53221 (414) 282-0634

AURORA PHARMACY 002 MILWAUKEE * 6901 W Edgerton Ave Milwaukee, WI 53220 (414) 421-8401

WAL-MART PHARMACY 101394 * 10600 W Layton Ave Greenfield, WI 53228 (414) 529-4699 WALGREENS * 4296 S 76th St Greenfield, WI 53220 (414) 321-7602 WALGREENS * 4405 W Layton Avenue Greenfield, WI 53220 (414) 281-5762 WALGREENS * 4688 S 108th St Greenfield, WI 53228 (414) 427-1328

AURORA PHARMACY 007 MILWAUKEE * 2906 S 20th St Milwaukee, WI 53215 (414) 385-7850 AURORA PHARMACY 101 MILWAUKEE * 2700 S 60th St Milwaukee, WI 53219 (414) 541-2400 AURORA PHARMACY 110 MILWAUKEE * 1575 N Rivercenter Dr Milwaukee, WI 53212 (414) 224-1555

Hales Corners * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 20

AURORA PHARMACY 1260 WAUWATOSA * 1055 N Mayfair Rd Ste 100 Milwaukee, WI 53226 (414) 479-2500 AURORA PHARMACY 1262 MILWAUKEE * 3003 W Good Hope Rd Milwaukee, WI 53209 (414) 540-9236 AURORA PRESCRIPTION DISPENSING CENTER * 180 W Grange Ave Milwaukee, WI 53207 (414) 744-4302 CENTER FOR ADVANCED CARE PHARMACY * 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-1295 COMMUNITY, A WALGREENS PHARMACY * 826 N Plankinton Ave Milwaukee, WI 53203 (414) 278-7828 CVS PHARMACY * 1316 W Forest Home Ave Milwaukee, WI 53204 (414) 672-4554 CVS PHARMACY * 1650 Farwell Milwaukee, WI 53202 (414) 277-5054 CVS PHARMACY * 6330 North 76th St Milwaukee, WI 53218 (414) 760-0347

CVS PHARMACY * 5929 West Lisbon Ave Milwaukee, WI 53210 (414) 442-9233 CVS PHARMACY * 3030 W Villard Ave Milwaukee, WI 53209 (414) 536-3378 CVS PHARMACY * 2607 N Downer Ave Milwaukee, WI 53211 (414) 906-0942 CVS PHARMACY * 7550 W Perkins Place Milwaukee, WI 53216 (414) 466-4875 CVS PHARMACY * 3860 S 27th Street Milwaukee, WI 53221 (414) 282-7557 DRUGS R US * 3512 N Oakland Ave Milwaukee, WI 53211 (414) 332-9300 FROEDTERT EAST PHARMACY * 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-6501 FROEDTERT EYE INSTITUTE PHARMACY * 925 N 87th St Milwaukee, WI 53226 (414) 955-3360

FROEDTERT HOSPITAL CANCER CENTER PHARMACY * 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-0977 FROEDTERT WEST PHARMACY * 9200 W Wisconsin Ave Milwaukee, WI 53226 (414) 805-5115 HAYAT PHARMACY #4 * 5434 W Capitol Dr Milwaukee, WI 53216 (414) 817-1111 HAYAT PHARMACY * 1919 W North Ave Milwaukee, WI 53205 (414) 374-0000 HAYAT PHARMACY 1 * 3727 W Wisconsin Ave Milwaukee, WI 53208 (414) 931-0000 HAYAT PHARMACY 2 * 5928 W. Vliet St. Milwaukee, WI 53208 (414) 454-0000 HAYAT PHARMACY 3 * 8500 W Capitol Dr Milwaukee, WI 53222 (414) 463-1111 HAYAT PHARMACY 7 * 5312 W Villard Ave Milwaukee, WI 53218 (414) 858-1111 HAYAT PHARMACY 9 * 8434 W Silver Spring Dr Milwaukee, WI 53225 (414) 712-5200

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 21

HAYEKS SHOREWOOD PHARMACY * 4001 N Downer Ave Milwaukee, WI 53211 (414) 332-8870 HCHM PHARMACY 210 W Capitol Dr Milwaukee, WI 53212 (414) 964-7425 ISAAC COGGS HERITAGE HLTH CTR 8200 W Silver Spring Milwaukee, WI 53218 (414) 760-3922 MEDICAP PHARMACY * 7733 W Burleigh St Milwaukee, WI 53222 (414) 299-3828 MEDICATE PHARMACY INC * 2741 W Layton Ave Ste 102 Milwaukee, WI 53221 (414) 539-3912 MEDPACK PHARMACY * 7324 W Capitol Dr Milwaukee, WI 53216 (414) 436-7311 METRO MARKET PHARMACY * 1123 N Van Buren St Milwaukee, WI 53202 (414) 347-9219 MIDTOWN PHARMACY * 7235 W Appleton Ave Ste 101 Milwaukee, WI 53216 (414) 269-0341 MLK HERTIAGE CLINIC * 2555 N Mlk Drive Milwaukee, WI 53212 (414) 267-3702

OMNI PHARMACY * 1134 W North Ave Milwaukee, WI 53205 (414) 431-6377

SETON PHARMACY * 2323 N Lake Dr Milwaukee, WI 53211 (414) 585-1303

PICK N SAVE * 2355 N 35th St Milwaukee, WI 53210 (414) 447-8117

TARGET PHARMACY * 2950 South Chase Ave Milwaukee, WI 53207 (414) 483-1190

PICK N SAVE * 1100 E Garfield Milwaukee, WI 53212 (414) 374-8769

TOSA PHARMACY * 9235 W Capital Dr Milwaukee, WI 53222 (414) 462-1700

PICK N SAVE PHARMACY * 10202 W Silver Spring Dr Milwaukee, WI 53225 (414) 461-1428

UNION SERV U PHARMACY * 709 W Oklahoma Ave Milwaukee, WI 53215 (414) 481-8170

PICK N SAVE PHARMACY * 3701 S 27th Street Milwaukee, WI 53221 (414) 281-3622

WAL-MART PHARMACY 102452 * 401 East Capital Drive Milwaukee, WI 53212 (414) 967-9360

PICK N SAVE PHARMACY * 7401 W Good Hope Rd Milwaukee, WI 53223 (414) 760-3273 PICK N SAVE PHARMACY * 250 W Holt Ave Milwaukee, WI 53207 (414) 769-8990 PICK N SAVE PHARMACY * 1818 W National Ave Milwaukee, WI 53204 (414) 672-8815 SAMS PHARMACY 10-6324 * 7701 West Calumet Road Milwaukee, WI 53223 (414) 371-1580

WAL-MART PHARMACY 102828 * 3355 South 27th St Milwaukee, WI 53215 (414) 383-1522 WAL-MART PHARMACY 105697 * 7025 W Main St Milwaukee, WI 53214 (414) 203-0683 WALGREENS #649 * 3701 S Howell Ave Milwaukee, WI 53207 (414) 482-1470 WALGREENS #1685 * 1400 E Brady Milwaukee, WI 53202 (414) 272-2171

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 22

WALGREENS #2911 * 6292 South 27th St Milwaukee, WI 53221 (414) 761-0994

WALGREENS * 3522 W Wisconsin Ave Milwaukee, WI 53208 (414) 342-4446

WALGREENS * 5115 W Capitol Dr Milwaukee, WI 53216 (414) 444-0506

WALGREENS #4350 * 3233 S 27th Milwaukee, WI 53215 (414) 671-3660

WALGREENS * 1600 W Wisconsin Milwaukee, WI 53233 (414) 344-1833

WALGREENS * 2727 W North Avenue Milwaukee, WI 53208 (414) 933-9150

WALGREENS #4537 * 7600 W Capitol Milwaukee, WI 53222 (414) 464-4601

WALGREENS * 275 W Wisconsin Ave Milwaukee, WI 53203 (414) 273-5426

WALGREENS * 9100 West Beloit Milwaukee, WI 53227 (414) 328-1228

WALGREENS #4720 * 2222 W Capitol Milwaukee, WI 53206 (414) 871-7738

WALGREENS * 4808 Hopkins Milwaukee, WI 53209 (414) 462-4310

WALGREENS * 620 W Oklahoma Ave Milwaukee, WI 53215 (414) 744-1135

WALGREENS #7370 * 6442 N 76th St Milwaukee, WI 53223 (414) 353-5620

WALGREENS * 7171 N Teutonia Ave Milwaukee, WI 53209 (414) 351-2538

WALGREENS * 5201 N 91st St Milwaukee, WI 53225 (414) 527-2044

WALGREENS #7661 * 2410 W Forest Home Ave Milwaukee, WI 53215 (414) 383-3414

WALGREENS * 6030 W Oklahoma Ave Milwaukee, WI 53219 (414) 327-1010

WALGREENS * 6707 W Hampton Ave Milwaukee, WI 53218 (414) 536-1179

WALGREENS #7809 * 2625 W National Ave Milwaukee, WI 53204 (414) 383-4021

WALGREENS * 2303 N Mlking Dr Milwaukee, WI 53212 (414) 374-8536

WALGREENS * 4730 S 27th St Milwaukee, WI 53221 (414) 817-0647

WALGREENS #10873 * 2830 N Oakland Ave Milwaukee, WI 53211 (414) 332-1901

WALGREENS * 3109 Kinnickinnic Milwaukee, WI 53207 (414) 482-3515

WALGREENS * 9040 W Good Hope Rd Milwaukee, WI 53224 (414) 358-1526

WALGREENS #11237 * 1433 W Burnham St Milwaukee, WI 53204 (414) 672-3017

WALGREENS * 370 E Capitol Dr Milwaukee, WI 53212 (414) 964-9851

WALMART PHARMACY 102936 * 10330 W Silver Spring Dr Milwaukee, WI 53225 (414) 355-1838

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 23

WHEATON FRANCISCAN PHARMACY #6810 * 5000 W Chambers St Milwaukee, WI 53210 (414) 447-2585 WHEATON FRANCISCAN PHARMACY #6825 * 3237 S 16th St Milwaukee, WI 53215 (414) 647-5300 WHEATON FRANCISCAN PHARMACY #6835 * 2500 W Layton Ave Milwaukee, WI 53221 (414) 281-7500 WHEATON FRANCISCAN PHARMACY * 201 N Mayfair Rd Milwaukee, WI 53226 (414) 259-7440 WISCONSIN HEALTH FUND PHARMACY * 6118 W Bluemound Rd Milwaukee, WI 53213 (414) 771-5606 Oak Creek MEIJER PHARMACY #283 * 171 W. Town Square Way Oak Creek, WI 53154 (414) 501-1710 PICK N SAVE PHARMACY * 2320 W Ryan Road Oak Creek, WI 53154 (414) 761-1692 PICK N SAVE PHARMACY * 8770 S Howell Ave Oak Creek, WI 53154 (414) 762-6770

PICK N SAVE PHARMACY * 6462 S 27th St Oak Creek, WI 53154 (414) 761-1550 TARGET PHARMACY * 8989 S Howell Ave Oak Creek, WI 53154 (414) 216-0002 WALGREENS * 9449 S Howell Ave Oak Creek, WI 53154 (414) 764-8980 Shorewood METRO MARKET PHARMACY * 4075 N Oakland Ave Shorewood, WI 53211 (414) 962-3744 THOMPSONS SERV U PHARMACY * 1421 E Capitol Dr Shorewood, WI 53211 (414) 962-9665 WALGREENS * 4035 N Oakland Ave Shorewood, WI 53211 (414) 961-2001 WALGREENS * 3970 N Oakland Ave Shorewood, WI 53211 (217) 709-2326 South Milwaukee AFFINITY BIOTECH, INC. * 1333 College Ave Ste J South Milwaukee, WI 53172 (866) 668-6388

AURORA PHARMACY 014 SOUTH MILWAUKEE * 2414 10th Ave South Milwaukee, WI 53172 (414) 762-2610 WAL-MART PHARMACY 105667 * 222 N Chicago Ave South Milwaukee, WI 53172 (414) 501-1122 WALGREENS * 2985 S Chicago Ave South Milwaukee, WI 53172 (414) 762-9653 St Francis AURORA PHARMACY 050 ST FRANCIS * 2000 E Layton Ave St Francis, WI 53235 (414) 483-3800 PICK N SAVE PHARMACY * 4698 S Whitnall Ave St Francis, WI 53235 (414) 769-0660 Wauwatosa AURORA PHARMACY 017 WAUWATOSA * 1220 Dewey Ave Wauwatosa, WI 53213 (414) 454-6796 CVS PHARMACY * 7520 W Blue Mound Rd Wauwatosa, WI 53213 (414) 771-9146 FROEDTERT HEALTH PLANK ROAD PHARMACY * 1155 N Mayfair Road Wauwatosa, WI 53226 (414) 955-3990

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 24

MEIJER PHARMACY #277 * 11111 W Burleigh St Wauwatosa, WI 53222 (414) 290-0910

WALGREENS * 10800 W Capitol Wauwatosa, WI 53222 (414) 466-1221

TARGET PHARMACY * 2600 South 108th Street West Allis, WI 53227 (414) 545-0385

PICK N SAVE PHARMACY * 6950 W State Street Wauwatosa, WI 53213 (414) 475-1932

West Allis AURORA PHARMACY 060 WEST ALLIS * 2424 S 90th St West Allis, WI 53227 (414) 546-9722

WALGREENS * 2677 S 108th Street West Allis, WI 53227 (414) 545-1440

PICK N SAVE PHARMACY * 1717 N Mayfair Rd Wauwatosa, WI 53226 (414) 778-1884 SKYWALK PHARMACY * 9000 W Wisconsin Ave Wauwatosa, WI 53226 (414) 266-1893 SWAN SERV U PHARMACY * 9130 W North Ave Wauwatosa, WI 53226 (414) 258-9550 TARGET PHARMACY * 3900 N 124th St Wauwatosa, WI 53222 (414) 847-1101 WALGREENS #10196 * 6600 W State St Wauwatosa, WI 53213 (414) 476-5585 WALGREENS * 2275 N Mayfair Rd Wauwatosa, WI 53226 (414) 774-4821 WALGREENS * 2656 Wauwatosa Avenue Wauwatosa, WI 53213 (414) 453-9630

AURORA PHARMACY 062 WEST ALLIS * 7220 W National Ave West Allis, WI 53214 (414) 771-1350 CVS PHARMACY * 9220 W Greenfield West Allis, WI 53214 (414) 456-9119 CVS PHARMACY * 7552 W Oklahoma Ave West Allis, WI 53219 (414) 321-8236 KMART PHARMACY3618 * 6900 West Greenfield Ave West Allis, WI 53214 (414) 476-0785 PICK N SAVE PHARMACY * 2625 S 108th St West Allis, WI 53227 (414) 328-4051 PICK N SAVE PHARMACY * 6760 W National Ave West Allis, WI 53214 (414) 476-5111 SAMS PHARMACY 10-6303 * 1540 South 108th Street West Allis, WI 53214 (414) 453-5039

WALGREENS * 10725 W Greenfield Ave West Allis, WI 53214 (414) 258-8054 WALGREENS * 8333 W Greenfield Ave West Allis, WI 53214 (414) 443-9414 WALGREENS * 60th And Greenfield West Allis, WI 53214 (414) 258-1652 West Milwaukee ALTSCRIPTS SPECIALTY PHARMACY 1636 Miller Park Way West Milwaukee, WI 53214 (414) 385-9500 TARGET PHARMACY * 1501 Miller Park Way West Milwaukee, WI 53214 (414) 203-0107 WAL-MART PHARMACY 105669 * 4140 W Greenfield Ave West Milwaukee, WI 53215 (414) 978-2007 Whitefish Bay

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 25

CVS PHARMACY * 240 E Hampton Whitefish Bay, WI 53217 (414) 962-7071 DAN FITZGERALD PHARMACY INC * 424 E Silver Spring Dr Whitefish Bay, WI 53217 (414) 332-8380 Monroe Cashton SCENIC BLUFFS COMM HEALTH CTR INC * 238 Front St Cashton, WI 54619 (608) 654-5100

THE MEDICINE SHOPPE PHARMACY * 300 Superior Avenue Tomah, WI 54660 (608) 372-2101

OCONTO FALLS PHARMACY * 323 E Highland Dr Oconto Falls, WI 54154 (920) 848-3721

WAL-MART PHARMACY 100965 * 222 West Mccoy Blvd Tomah, WI 54660 (608) 372-7557

Oneida Minocqua MARSHFIELD CLINIC PHARMACY 9601 Townline Road Minocqua, WI 54548 (715) 358-1216

Oconto Gillett HSHS PHARMACY #102 * 117 N Mckenzie St Gillett, WI 54124 (920) 848-6323

TRIGS PHARMACY * 9750 State Highway 70 Minocqua, WI 54548 (715) 356-9449

Sparta SPARTA PHARMACY * 201 S Water St Sparta, WI 54656 (608) 269-2949

Lakewood NICOLET PHARMACY * 15481 Commercial Rd Lakewood, WI 54138 (715) 276-3646

WAL-MART PHARMACY 102510 * 8760 N Ridgeway Minocqua, WI 54548 (715) 356-3782

WAL-MART PHARMACY 100979 * 1600 West Wisconsin St Sparta, WI 54656 (608) 269-7843

Oconto OCONTO PHARMACY * 1008 Main St Oconto, WI 54153 (920) 834-4455

WALGREENS #9168 * 710 W Wisconsin St Sparta, WI 54656 (608) 269-4031

SHOPKO PHARMACY * 126 Charles St Oconto, WI 54153 (920) 834-9800

Rhinelander BACKES APOTHECARY PHARMACY * 114 N Brown St Rhinelander, WI 54501 (715) 365-5020

Tomah PHILLIPS TOMAH PHARMACY INC * 1004 Superior Ave Tomah, WI 54660 (608) 372-4115

Oconto Falls HSHS PHARMACY #101 * 855 S Main St Oconto Falls, WI 54154 (920) 846-3444

SHOPKO PHARMACY * 2200 Lincoln St Rhinelander, WI 54501 (715) 362-3999 STOXEN PROFESSIONAL PHARMACY * 2251 N Shore Dr Rhinelander, WI 54501 (715) 361-4770

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 26

TRIGS PHARMACY * 232 S Courtney St Rhinelander, WI 54501 (715) 369-4849

SAM'S PHARMACY 10-6321 * 1000 No Westhill Blvd Appleton, WI 54914 (920) 733-7410

WALGREENS #12693 * 729 W Northland Ave Appleton, WI 54914 (920) 954-8100

WAL-MART PHARMACY 101931 * 2121 Lincoln St Rhinelander, WI 54501 (715) 362-8580

SHOPKO EXPRESS * 2101 E Evergreen Dr Appleton, WI 54913 (920) 733-2305

WALGREENS * 700 W College Ave Appleton, WI 54914 (920) 733-6599

SHOPKO EXPRESS * W3208 Van Roy Rd Appleton, WI 54915 (920) 733-3846

WALGREENS * 3330 E Calumet St Appleton, WI 54915 (920) 733-3016

SHOPKO PHARMACY * 1000 W Northland Ave Appleton, WI 54914 (920) 739-6871

Grand Chute COSTCO PHARMACY #1222 * 5401 W Integrity Way Grand Chute, WI 54913 (920) 363-7010

WALGREENS #7880 * 421 S Eisenhower Pkwy Rhinelander, WI 54501 (715) 369-1079 Three Lakes THREE LAKES PHARMACY * 1790 Superior St Three Lakes, WI 54562 (715) 546-3266 Woodruff WALGREENS #1158 * 900 1st Ave Woodruff, WI 54568 (715) 358-7084 Outagamie Appleton CONSUMER PRESCRIPTION CTR * 2310 W College Ave Appleton, WI 54914 (920) 739-9232 CVS PHARMACY * 700 West Wisconsin Ave Appleton, WI 54914 (920) 991-1190 PICK N SAVE PHARMACY * 2700 N Ballard Rd Appleton, WI 54911 (920) 996-0121

TARGET PHARMACY * 1800 South Kensington Drive Appleton, WI 54915 (920) 749-9775 TARGET PHARMACY * 4301 W Wisconsin Ave Ste 42 Appleton, WI 54913 (920) 243-7877 WAL-MART PHARMACY 101982 * 955 North Mutual Way Appleton, WI 54913 (920) 954-6400 WALGREENS #2921 * 1901 South Oneida St Appleton, WI 54915 (920) 739-7321 WALGREENS #12019 * 2803 N Meade St Appleton, WI 54911 (920) 830-6985

PICK N SAVE PHARMACY * 2400 W Wisconsin Ave Grand Chute, WI 54914 (920) 831-0400 WALGREENS #10234 * 1305 N Casaloma Dr Grand Chute, WI 54913 (920) 730-8218 Kaukauna AURORA PRESCRIPTION DISPENSING CENTER * 2700 Crooks Avenue Kaukauna, WI 54130 (920) 759-3050 WALGREENS #10759 * 2412 Crooks Ave Kaukauna, WI 54130 (920) 759-7436 Kimberly

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 27

SHOPKO PHARMACY * 800 E Maes Ave Kimberly, WI 54136 (920) 788-9154 Little Chute SMITH PHARMACY * 1800 Freedom Rd Unit D Little Chute, WI 54140 (920) 788-8888

Grafton AURORA PHARMACY * 975 Port Washington Road Grafton, WI 53024 (262) 329-1600

COLUMBIA ST MARYS PHARMACY * 13133 N Port Washington Mequon, WI 53097 (262) 243-6700

COSTCO PHARMACY * 950 Port Washington Rd Grafton, WI 53024 (262) 204-1059

METRO MARKET PHARMACY * 11558 N Port Washington Rd Mequon, WI 53092 (262) 241-7983

WALGREENS #9682 * 219 W Main St Little Chute, WI 54140 (920) 687-6193

MEIJER PHARMACY #274 * 1600 Port Washington Rd Grafton, WI 53024 (262) 204-2810

New London JERNEGAN'S HEALTH MART * 1301 Mill Street New London, WI 54961 (920) 982-7670

PICK N SAVE PHARMACY * 301 Falls Road Grafton, WI 53024 (262) 375-1628

Seymour SHOPKO PHARMACY * 1010 S Mainline Dr Seymour, WI 54165 (920) 833-0430 Ozaukee Cedarburg CVS PHARMACY * W63 N152 Washington Ave Cedarburg, WI 53012 (262) 377-6090 WALGREENS * W62n190 Washington Ave Cedarburg, WI 53012 (262) 375-3039 YE OLDE PHARMACY AND WELLNESS CTR * N54 W6135 Mill St Cedarburg, WI 53012 (262) 375-0010

SHOPKO PHARMACY * 1771 Wisconsin Ave Grafton, WI 53024 (262) 375-0016 TARGET PHARMACY * 1250 Port Washinton Road Grafton, WI 53024 (262) 375-6738 WALGREENS #1988 * 1915 Wisconsin Ave Grafton, WI 53024 (262) 377-0352 Mequon AURORA PHARMACY 097 MEQUON * 10932 N Port Washington Rd Ste 100 Mequon, WI 53092 (262) 241-5320

SKYWALK MEQUON * 1655 W Mequon Rd Mequon, WI 53092 (262) 432-7613 WALGREENS * 11270 N Port Washington Rd Mequon, WI 53092 (262) 241-5539 Port Washington SHOPKO EXPRESS * 1011 N Wisconsin St Port Washington, WI 53074 (262) 284-3436 Saukville WAL-MART PHARMACY 101650 * 825 East Green Bay Avenue Saukville, WI 53080 (262) 284-9881 WALGREENS #2110 * 829 E Green Bay Ave Saukville, WI 53080 (262) 268-9091 Thiensville WALGREENS * 278 N Main St Thiensville, WI 53092 (262) 242-3451 Pepin

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 28

Durand ECONOFOODS PHARMACY * 520 West Main St Durand, WI 54736 (715) 672-5900

CHET JOHNSON DRUGS INC * 204 N Keller Ave Amery, WI 54001 (715) 268-8121

ST CROIX FALLS PHARMACY * 216 S Adams Street St Croix Falls, WI 54024 (715) 483-0260

HEIKE PHARMACY INC * 213 W Main St Durand, WI 54736 (715) 672-5202

JOHNSON DRUG AT ARMC * 265 E Griffin St Amery, WI 54001 (715) 268-0678

TANGEN DRUG INC * 124 N Washington St St Croix Falls, WI 54024 (715) 483-3271

Pierce Ellsworth SHOPKO PHARMACY #2512 * 598 Lucas Lane Ellsworth, WI 54011 (715) 273-4278

Balsam Lake BALSAM LAKE PHARMACY * 315 Main St Balsam Lake, WI 54810 (715) 485-3374

WAL-MART PHARMACY 102421 * 2212 Glacier Drive St Croix Falls, WI 54024 (715) 483-1499

UNITY PHARMACY * 1504 190th Ave Balsam Lake, WI 54810 (715) 825-4498

Portage Plover COPPS FOOD CENTER PHARMACY * 1850 Plover Rd Plover, WI 54467 (715) 344-0066

Prescott MOST PHARMACY * 201 N Broad St Prescott, WI 54021 (715) 262-3294 River Falls FAMILY FRESH MARKET PHARMACY * 303 South Main St River Falls, WI 54022 (715) 425-1325 FREEMAN DRUG * 104 S Main St River Falls, WI 54022 (715) 425-2255 Spring Valley SPRING VALLEY DRUG * 104 S Mckay Ave Spring Valley, WI 54767 (715) 778-5684

Frederic FREDERIC PHARMACY * 201 Oak Street West Frederic, WI 54837 (715) 327-4208 Luck LUCK PHARMACY * 132 S Main St Luck, WI 54853 (715) 472-2122 Osceola OSCEOLA CLINIC PHARMACY * 2600 65th Ave Osceola, WI 54020 (715) 294-4050 St Croix Falls

SHOPKO PHARMACY * 1800 Plover Rd Plover, WI 54467 (715) 342-9368 WAL-MART PHARMACY 101828 * 250 Crossroads Dr Plover, WI 54467 (715) 345-7870 Stevens Point COPPS FOOD CENTER PHARMACY * 1500 Pinecrest Ave Stevens Point, WI 54481 (715) 345-7175

Polk Amery

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 29

KMART PHARMACY7010 * 111 Division St North Stevens Point, WI 54481 (715) 341-5613 SHOPKO PHARMACY #2055 * 1200 Main St Stevens Point, WI 54481 (715) 344-1230 TRIGS PHARMACY * 1600 Academy Ave Stevens Point, WI 54481 (715) 341-6102 WALGREENS #6935 * 10 Park Ridge Drive Stevens Point, WI 54481 (715) 344-7368 WALGREENS #11278 * 3301 Church St Stevens Point, WI 54481 (715) 345-2843 WALGREENS * 900 Illinois Ave Stevens Point, WI 54481 (715) 344-6834 Price Park Falls PARK PHARMACY * 138 N 2nd Ave Park Falls, WI 54552 (715) 762-3283 SHOPKO PHARMACY #2633 * 1333 4th Ave S Park Falls, WI 54552 (715) 762-4764 Phillips

COPPS FOOD CENTER PHARMACY * 256 S Lake Ave Phillips, WI 54555 (715) 339-3116 LAKEVIEW PHARMACY * 114 N Lake Ave Phillips, WI 54555 (715) 339-2424 Racine Burlington AURORA PHARMACY 140 BURLINGTON * 250 Mchenry St Burlington, WI 53105 (262) 767-6004 AURORA PHARMACY 143 BURLINGTON * 210 S Pine St Burlington, WI 53105 (262) 763-7177 PICK N SAVE PHARMACY * 1008 Milwaukee Ave Burlington, WI 53105 (262) 767-1446 THE PHARMACY STATION * 300 S Pine Street Burlington, WI 53105 (262) 763-8877 WALGREENS #10584 * 680 Milwaukee Ave Burlington, WI 53105 (262) 767-0697 WALMART PHARMACY 103488 * 1901 Milwaukee Avenue Burlington, WI 53105 (262) 767-1902

PICK N SAVE PHARMACY * 2820 S Green Bay Rd Mount Pleasant, WI 53406 (262) 554-1116 WAL-MART PHARMACY 105695 * 5625 Washington Ave Mount Pleasant, WI 53406 (262) 886-2729 Racine AURORA PHARMACY 070 RACINE * 8400 Washington Ave Racine, WI 53406 (262) 884-4030 AURORA PHARMACY 099 RACINE * 3900 Erie St Suite Racine, WI 53402 (262) 639-1611 CVS PHARMACY # 10533 * 3915 Durand Ave. Racine, WI 53405 (262) 554-0035 CVS PHARMACY * 1122 West Blvd Racine, WI 53405 (262) 637-5603 KMART PHARMACY3774 * 2211 S Green Bay Road Racine, WI 53406 (262) 638-0868 KMART PHARMACY3851 * 5141 Douglas Ave Racine, WI 53402 (262) 639-8947

Mount Pleasant * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 30

LAKEVIEW PHCY OF RACINE INC * 516 Monument Sq Racine, WI 53403 (262) 632-0520 NUTRITIONAL DESIGNS AND PHARMACY LLC * 5220 Washington Ave Ste 101 Racine, WI 53406 (262) 632-6500 SHOPKO PHARMACY * 4801 Washington Ave Racine, WI 53406 (262) 637-8444 WALGREENS #2927 * 4810 Washington Ave Racine, WI 53406 (262) 635-0181 WALGREENS #5417 * 6125 Durand Ave Racine, WI 53406 (262) 554-6116 WALGREENS #9363 * 1920 Douglas Ave Racine, WI 53404 (262) 633-4948 WALGREENS #9606 * 4901 Spring St Racine, WI 53406 (262) 886-9643 WALGREENS * 819 N Memorial Dr Racine, WI 53404 (262) 637-4900 WALGREENS * 3825 Durand Ave Racine, WI 53405 (262) 554-8686

WALGREENS * 5005 Douglas Ave Racine, WI 53402 (262) 639-9241

THE PHARMACY STATION * 601 N Milwaukee St Waterford, WI 53185 (262) 534-9222

WHEATON FRANCISCAN PHARMACY 424 * 1244 Wisconsin Ave Racine, WI 53403 (262) 687-2150

WALGREENS * 900 E Main St Waterford, WI 53185 (262) 514-4290

WHEATON FRANCISCAN PHARMACY 425 * 3811 Spring St Racine, WI 53405 (262) 687-1600 WHEATON FRANCISCAN PHARMACY 426 * 3807 Spring St Racine, WI 53405 (262) 687-8430 Sturtevant WAL-MART PHARMACY 102668 * 3049 South Oakes Road Sturtevant, WI 53177 (262) 598-8528

Richland Richland Center RICHLAND FAMILY PRESCRIPTION CENTER * 301 E Second St Richland Center, WI 53581 (608) 647-8806 THRIFTY WHITE PHARMACY * 190 Richland Sq Richland Center, WI 53581 (608) 647-8918 WAL-MART PHARMACY 101007 * 2401 Us Hwy 14 E Richland Center, WI 53581 (608) 647-8941

Union Grove AURORA PHARMACY INC 115 * 4310 67th Dr Union Grove, WI 53182 (262) 878-1171

Rock Beloit CVS PHARMACY * 1063 4th Street Beloit, WI 53511 (608) 362-4566

Waterford AURORA PRESCRIPTION DISPENSING CENTER * 818 Forrest Lane Waterford, WI 53185 (262) 514-8050

CVS PHARMACY * 2149 Prairie Ave Beloit, WI 53511 (608) 362-1767 HOMECARE PHARMACY * 1006 Woodward Ave Beloit, WI 53511 (608) 362-1234

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 31

SHOPKO PHARMACY * 2761 Prairie Ave Beloit, WI 53511 (608) 365-4418

CVS PHARMACY # 10143 * 1700 Milton Ave Janesville, WI 53545 (608) 756-0614

SHOPKO PHARMACY * 2500 E Us Highway 14 Janesville, WI 53545 (608) 754-7450

WAL-MART PHARMACY 102532 * 2785 Milwaukee Road Beloit, WI 53511 (608) 362-7774

CVS PHARMACY * 1832 W Court St Janesville, WI 53548 (608) 752-9286

TARGET PHARMACY * 2017 Humes Rd Janesville, WI 53545 (608) 757-0834

DEAN CLINIC PHARMACY * 3200 E. Racine St Janesville, WI 53546 (608) 371-8100

WAL-MART PHARMACY 101305 * 3800 Deerfield Drive Janesville, WI 53546 (608) 754-3030

WALGREENS #12136 * 910 Broad St Beloit, WI 53511 (608) 362-6047 WALGREENS * 1901 Prairie Ave Beloit, WI 53511 (608) 365-2001

KEALEY PHARMACY AND HOMECARE INC * 21 S Jackson St Janesville, WI 53548 (608) 752-7869

WALGREENS * 1531 Madison Rd Beloit, WI 53511 (608) 365-1904

MERCY EAST PHARMACY * 3524 E Milwaukee St Janesville, WI 53546 (608) 754-5194

WALGREENS #11235 * 1740 Center Ave Janesville, WI 53546 (608) 757-1261

Clinton CLINTON PHARMACY * 238 Allen Street Clinton, WI 53525 (608) 676-2700

MERCY MALL PHARMACY * 1010 N Washington St Janesville, WI 53548 (608) 754-0286

WALGREENS * 1933 W Court St Janesville, WI 53548 (608) 755-9805

MERCY WEST PHARMACY * 1000 Mineral Point Janesville, WI 53548 (608) 741-6980

WALGREENS * 2519 Kettering St Janesville, WI 53546 (608) 754-0007

SAMS PHARMACY 10-4840 * 3900 Deerfield Drive Janesville, WI 53546 (608) 741-2391

Milton MILTON PHARMACY * 725 S Janesville St Milton, WI 53563 (608) 868-6777

Edgerton EDGERTON PHARMACY * 711 N Main St Edgerton, WI 53534 (608) 884-3308 Evansville EVANSVILLE HOMETOWN PHARMACY * 21 W Main St Evansville, WI 53536 (608) 882-4550

SCHNUCKS PHARMACY * 1501 Creston Park Dr Janesville, WI 53545 (608) 752-7431

WALGREENS #4055 * 1717 Milton Ave Janesville, WI 53545 (608) 754-2278

Rusk Ladysmith

Janesville

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 32

MARSHFIELD CLINIC PHARMACY 906 College Avenue West Ladysmith, WI 54848 (715) 532-2323

BALLWEG FAMILY PHARMACY * 1200 Prairie St Prairie Du Sac, WI 53578 (608) 643-6500

SPRING GREEN HEALTH MART PHARMACY * 208 E Jefferson Street Spring Green, WI 53588 (608) 588-2541

RUSK COUNTY PHARMACY * 400 W 9th St N Ladysmith, WI 54848 (715) 532-3339

EANNELLI PHARMACY * 405 Water St Prairie Du Sac, WI 53578 (608) 643-3396

WALMART PHARMACY 104281 * 800 West 10th Street South Ladysmith, WI 54848 (715) 532-2721

Reedsburg REEDSBURG AREA MEDICAL CENTER COMMUNITY PHARMACY * 1900 N Dewey Ave Reedsburg, WI 53959 (608) 524-6177

Wisconsin Dells WALGREENS * 300 Highway 13 Wisconsin Dells, WI 53965 (608) 254-5760

Sauk Baraboo CORNER DRUG CLINIC PHARMACY * 1700 Tuttle Street Baraboo, WI 53913 (608) 356-6966

REEDSBURG FAMILY PRESC CENTER * 115 2nd St Reedsburg, WI 53959 (608) 524-3215

CORNER DRUG STORE * 522 Oak St Baraboo, WI 53913 (608) 356-8701

WALGREENS #10237 * 1100 Main St Reedsburg, WI 53959 (608) 524-1228

WAL-MART PHARMACY 101396 * 920 Hwy 12 Baraboo, WI 53913 (608) 356-1779

Sauk City SAUK CITY PHARMACY * 830 Water St Sauk City, WI 53583 (608) 643-6858

WALGREENS #7882 * 603 W Pine St Baraboo, WI 53913 (608) 356-1171

WALGREENS #11277 * 333 Phillips Blvd Sauk City, WI 53583 (608) 643-5182

Prairie Du Sac

Spring Green

WALMART PHARMACY 103505 * 130 Commerce Street Wisconsin Dells, WI 53965 (608) 253-5662 Sawyer Hayward CO-OP PHARMACY * 15870 W First Street Hayward, WI 54843 (715) 634-8238 ESSENTIA HEALTH HAYWARD PHARMACY * 11134 N County Rd S Apt 77 Hayward, WI 54843 (715) 634-6774 MARKETPLACE PHARMACY #2583 * 10514 Main St Hayward, WI 54843 (715) 634-1817 WALGREENS * 10489 Sr 27 Hayward, WI 54843 (715) 634-1919

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 33

WALMART PHARMACY 103245 * 15594 State Highway 77 Hayward, WI 54843 (715) 634-8309

AURORA PHARMACY 230 HOWARDS GROVE * 620 S Wisconsin Dr Howards Grove, WI 53083 (920) 565-5425

Shawano Shawano DREIER PHARMACY * 117 S Main St Shawano, WI 54166 (715) 526-2011

Kohler ASSOCIATES PHARMACY * 795 C Woodlake Rd Kohler, WI 53044 (920) 459-8768

THEDA CARE PHARMACY * 100 County Rd B Shawano, WI 54166 (715) 526-3456 WAL-MART PHARMACY 102271 * 1244 East Green Bay Shawano, WI 54166 (715) 524-5983 WALGREENS #7615 * 401 E Green Bay St Shawano, WI 54166 (715) 524-5600 Wittenberg GWIDT PHARMACY INC * 203 E Westgor Ave Wittenberg, WI 54499 (715) 253-2164 Sheboygan Cedar Grove AURORA PRESCRIPTION DISPENSING CENTER * 313 S Main St Cedar Grove, WI 53013 (920) 668-6286

Plymouth AURORA PHARMACY 1227 PLYMOUTH * 2635 Eastern Ave Plymouth, WI 53073 (920) 893-1442 WALGREENS #1497 * 2455 Eastern Ave Plymouth, WI 53073 (920) 893-5895 WALMART PHARMACY 103497 * 428 Walton Drive Plymouth, WI 53073 (920) 892-2656 Sheboygan AURORA PHARMACY 223 SHEBOYGAN * 2414 Kohler Memorial Dr Sheboygan, WI 53081 (920) 459-2630 AURORA PHARMACY 225 SHEBOYGAN * 509 Superior Ave Sheboygan, WI 53081 (920) 459-2637

Howards Grove

CVS PHARMACY# 10549 * 1108 N 14th St Sheboygan, WI 53081 (920) 452-0079 GLANDER PRESCRIPTION PLUS * 3529 Superior Ave Sheboygan, WI 53081 (920) 459-2755 PICK N SAVE PHARMACY * 1317 N 25th Street Sheboygan, WI 53081 (920) 457-5839 PICK N SAVE PHARMACY * 2625 S Business Dr Sheboygan, WI 53081 (920) 452-2739 SHEBOYGAN HEALTH MART PHARMACY * 577 S Taylor Dr Sheboygan, WI 53081 (920) 459-7467 SHOPKO PHARMACY * 518 S Taylor Dr Sheboygan, WI 53081 (920) 458-0040 WAL-MART PHARMACY 101276 * 3711 So Taylor Drive Sheboygan, WI 53081 (920) 459-8601 WALGREENS #6097 * 3320 S Business Drive Sheboygan, WI 53081 (920) 452-5858 WALGREENS * 1029 N 14th St Sheboygan, WI 53081 (920) 458-7707

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 34

WALGREENS * 2702 Calumet Dr Sheboygan, WI 53083 (920) 457-5656 WALMART PHARMACY 103324 * 4433 Vanguard Drive Sheboygan, WI 53081 (920) 459-9405 Sheboygan Falls TARGET PHARMACY * 4085 State Highway 28 Sheboygan Falls, WI 53085 (920) 451-8448 St. Croix Baldwin VILLAGE PHARMACY * 840 Main St Baldwin, WI 54002 (715) 684-2674 VILLAGE PHARMACY AT WWH * 1100 Bergslien St Baldwin, WI 54002 (715) 688-2674 Glenwood City VILLAGE PHARMACY GLENWOOD * 224 W. Oak St. Glenwood City, WI 54013 (715) 565-3465 Hudson COUNTY MARKET PHARMACY * 2310 Crestview Dr Hudson, WI 54016 (715) 381-5923

FAMILY FRESH MARKET PHARMACY * 2351 Coulee Road Hudson, WI 54016 (715) 381-9661

WESTFIELDS COMMUNITY PHARMACY * 535 Hospital Rd New Richmond, WI 54017 (715) 243-2970

HUDSON HOSPITAL & CLINIC * 405 Stageline Rd Hudson, WI 54016 (715) 531-6450

River Falls SHOPKO PHARMACY * 1777 Paulson Rd River Falls, WI 54022 (715) 425-6272

MICKLESEN DRUG INC * 530 2nd St Hudson, WI 54016 (715) 386-3344

WALGREENS #10585 * 1047 N Main St River Falls, WI 54022 (715) 426-4089

TARGET PHARMACY * 2401 Coulee Road Hudson, WI 54016 (715) 381-3603

Somerset SOMERSET DRUG * 107 Parent Street Somerset, WI 54025 (715) 247-3535

WAL-MART PHARMACY 101365 * 2222 Crest View Drive Hudson, WI 54016 (715) 386-1345 WALGREENS * 141 Carmichael Rd Hudson, WI 54016 (715) 381-0183 New Richmond FAMILY FRESH MARKET PHARMACY * 110 West 4th Street New Richmond, WI 54017 (715) 246-2186 WALMART PHARMACY 105432 * 250 West Richmond Way New Richmond, WI 54017 (715) 246-9097

Taylor Medford ASPIRUS PHARMACY MEDFORD * 139 S Gibson St Medford, WI 54451 (715) 748-5800 KMART PHARMACY7656 * 190 Medford Plaza Medford, WI 54451 (715) 748-2122 MEDFORD PHARMACY * 210 S Main St Medford, WI 54451 (715) 748-4477 WALMART PHARMACY 103643 * 1010 N 8th St Medford, WI 54451 (715) 748-9000

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 35

Trempealeau Arcadia SHOPKO PHARMACY #2630 * 1625 E Blaschko Ave Arcadia, WI 54612 (608) 323-8134 Blair THE BLAIR PHARMACY * 125 W Broadway St Blair, WI 54616 (608) 989-2919 Galesville GALESVILLE PHARMACY * 16812 S Main St Galesville, WI 54630 (608) 582-2446 Osseo MAYO CLINIC HEALTH SYSTEM PHARMACY & HOME MEDICAL-OSSEO 13025 8th St Osseo, WI 54758 (715) 597-3166 Strum STRUM PHARMACY INC * 111 5th Ave N Strum, WI 54770 (715) 695-3417 Whitehall COLBY HEALTH MART PHARMACY * 36363 Main St Whitehall, WI 54773 (715) 538-4947 Vernon Hillsboro

PETERSON PHARMACY * 727 Water Ave Hillsboro, WI 54634 (608) 489-3141

WALGREENS #12545 * 108 W Wall St Eagle River, WI 54521 (715) 479-1069

Lafarge VERNON MEMORIAL PHARMACY LAFARGE * 206 N. Mill St. Lafarge, WI 54639 (608) 625-2552

WALL STREET HEALTH CARE PHCY * 123 E Wall St Eagle River, WI 54521 (715) 479-3306

Viroqua VERNON MEMORIAL PHARMACY * 407 S Main St Viroqua, WI 54665 (608) 637-4718 WAL-MART PHARMACY 100971 * 1133 North Main St Viroqua, WI 54665 (608) 637-8514 WALGREENS * 517 N Main St Viroqua, WI 54665 (608) 637-8405 Westby VERNON MEMORIAL PHARMACY WESTBY * 115 West State Street Westby, WI 54667 (608) 634-2222 Vilas Eagle River TRIGS PHARMACY * 925 E Wall St Eagle River, WI 54521 (715) 479-6413

Land O Lakes LAND O LAKES HEALTH CARE PHCY * 4348a Hwy B Land O Lakes, WI 54540 (715) 547-3788 St Germain ST GERMAIN HEALTH CARE PHARMACY * 252 Hwy 70 St Germain, WI 54558 (715) 479-7608 Walworth Delavan SHOPKO PHARMACY * 1450 E Geneva St Delavan, WI 53115 (262) 728-0062 WALGREENS #9210 * 445 S Wright St Delavan, WI 53115 (262) 728-3999 WALMART PHARMACY 103247 * 1819 East Geneva Street Delavan, WI 53115 (262) 740-2549 East Troy

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 36

EAST TROY HOMETOWN PHARMACY * 3284 Main St East Troy, WI 53120 (262) 642-3510 Elkhorn AURORA PRESCRIPTION DISPENSING CENTER * W3985 County Rd Nn Elkhorn, WI 53121 (262) 741-2311 AURORA PRESCRIPTION DISPENSING CENTER * 201 E Morrissey Dr Ste 100 Elkhorn, WI 53121 (262) 741-1955 PHARMACY STATION * 3 E Geneva St Elkhorn, WI 53121 (262) 723-6466 PLAZA PHARMACY * 603 E Geneva St Elkhorn, WI 53121 (262) 723-8444 WALGREENS #10714 * 839 N Wisconsin St Elkhorn, WI 53121 (262) 723-5055 Lake Geneva AURORA PHARMACY 178 LAKE GENEVA * 146 E Geneva Sq Lake Geneva, WI 53147 (262) 249-4630 MERCY WALWORTH PHARMACY * N 2950 State Rd 67 Lake Geneva, WI 53147 (262) 245-2319

TARGET PHARMACY * 660 N Edwards Blvd Lake Geneva, WI 53147 (262) 248-5611 WAL-MART PHARMACY 100910 * 201 South Edwards Boulevard Lake Geneva, WI 53147 (262) 248-3391 WALGREENS #5600 * 351 N Edwards Blvd Lake Geneva, WI 53147 (262) 248-7885 Walworth AURORA PRESCRIPTION DISPENSING CENTER * 525 Kenosha St Walworth, WI 53184 (262) 275-0936 MCCULLOUGHS PRESCRIPTION AND GIFTS * 547 Kenosha St Walworth, WI 53184 (262) 275-2137 Whitewater MCCULLOUGHS PRESCRIPTION AND GIFTS * 1173 W Main St Whitewater, WI 53190 (262) 473-5065 WAL-MART PHARMACY 101274 * 1362 West Main Street Whitewater, WI 53190 (262) 473-7740 WALGREENS * 1041 W Main St Whitewater, WI 53190 (262) 472-0238

Washburn Shell Lake SHELL LAKE PHARMACY * 108 4th Ave W Shell Lake, WI 54871 (715) 468-7800 Spooner RED CROSS PHARMACY * 146 Walnut St Spooner, WI 54801 (715) 635-2117 SCHMITZS ECONOMART * 700 S River St Spooner, WI 54801 (715) 635-8785 Washington Germantown PICK N SAVE PHARMACY * N112 W16200 Mequon Rd Germantown, WI 53022 (262) 253-0052 WAL-MART PHARMACY 101515 * W190 N9855 Appleton Avenue Germantown, WI 53022 (262) 255-5351 WALGREENS * W156 N11261 Pilgrim Rd Germantown, WI 53022 (262) 253-9720 Hartford AURORA PHARMACY 102 HARTFORD * 1640 E Sumner St Hartford, WI 53027 (262) 670-4210

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 37

WALGREENS #6960 * 1400 E Sumner St Hartford, WI 53027 (262) 670-1137 Hatford WALMART PHARMACY 105463 * 1220 Thiel Street Hatford, WI 53027 (262) 670-5803 Hubertus AURORA PHARMACY 122 HUBERTUS * 1303 Hwy 175 Hubertus, WI 53033 (262) 628-3550 Jackson WALGREENS #11676 * N 168 W 21330 Main St Jackson, WI 53037 (262) 677-1702 Kewaskum FHHP KEWASKUM * 901 Fond Du Lac Ave Kewaskum, WI 53040 (262) 477-1700 Slinger AURORA PHARMACY 053 SLINGER * 1054 E Commerce Blvd Slinger, WI 53086 (262) 644-5246 West Bend AURORA PHARMACY 055 WEST BEND * 205 Valley Ave West Bend, WI 53095 (262) 338-2311

FROEDTERT HEALTH HOMETOWN PHARMACY * 1709 S 18th St West Bend, WI 53095 (262) 338-6444 FROEDTERT HEALTH ST. JOSEPH'S HOSPITAL PHARMACY * 3200 Pleasant Valley Rd Ste 1a West Bend, WI 53095 (262) 836-5411 PICK N SAVE PHARMACY * 1629 S Main St West Bend, WI 53095 (262) 335-2292 PICK N SAVE PHARMACY * 2518 W Washington St West Bend, WI 53095 (262) 334-4033 SHOPKO PHARMACY * 1710 S Main St West Bend, WI 53095 (262) 338-0222 WAL-MART PHARMACY 102658 * 1515 West Paradise Dr. West Bend, WI 53095 (262) 334-9860 WALGREENS #13088 * 1921 S Main St West Bend, WI 53095 (262) 338-1156 WALGREENS * 1720 W Washington St West Bend, WI 53095 (262) 438-1120 Waukesha Big Bend

JEROME DRUGS BIG BEND * W230s8715 Clark St Big Bend, WI 53103 (262) 662-5622 Brookfield AURORA PHARMACY 104 BROOKFIELD * 17280 W North Ave Brookfield, WI 53045 (262) 786-8080 AURORA PHARMACY 105 BROOKFIELD * 13175 W Bluemound Rd Number 1 Brookfield, WI 53005 (262) 782-8125 AURORA PRESCRIPTION DISPENSING CENTER * 16985 W Bluemound Rd Ste 100 Brookfield, WI 53005 (262) 641-7665 CVS PHARMACY * 17165 Bluemound Rd. Brookfield, WI 53005 (262) 797-9074 METRO MARKET PHARMACY * 17630 W Bluemound Rd Brookfield, WI 53045 (262) 784-2490 PICK N SAVE PHARMACY * 15170 W Greenfield Ave Brookfield, WI 53005 (262) 782-2787 PICK N SAVE PHARMACY * 17295 W Capitol Drive Brookfield, WI 53045 (262) 373-1080

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 38

PICK N SAVE PHARMACY * 12735 W Capitol Dr Brookfield, WI 53005 (262) 783-7302

SKYWALK DELAFIELD * 3195 Hillside Dr Delafield, WI 53018 (262) 646-9636

TARGET PHARMACY * 12725 W Bluemound Rd Brookfield, WI 53005 (262) 395-1626

TARGET PHARMACY * 2553 Sun Valley Dr Delafield, WI 53018 (262) 646-3637

WALGREENS #7797 * 15738 Capitol Drive Brookfield, WI 53005 (262) 781-6926

WAL-MART PHARMACY 101678 * 2863 Heritage Drive Delafield, WI 53018 (262) 646-3535

WALGREENS * 15650 W Greenfield Ave Brookfield, WI 53005 (262) 786-3692 WALGREENS * 2205 N Calhoun Brookfield, WI 53005 (262) 782-3120 WHEATON FRANCISCAN PHARMACY #6846 * 19333 W North Avenue Brookfield, WI 53045 (262) 780-4430 WHEATON FRANCISCAN PHARMACY * 13950 W Capitol Drive Brookfield, WI 53005 (414) 874-6200 Butler AURORA SPECIALTY PHARMACY * 12601 W Hampton Ave Ste 100 Butler, WI 53007 (262) 781-0148 Delafield

WALGREENS * 2901 Golf Rd Delafield, WI 53018 (262) 646-9095 Elm Grove WALGREENS * 15350 W Bluemound Elm Grove, WI 53122 (262) 789-6819 Hartland AURORA PHARMACY 065 HARTLAND * 109 E Capital Dr Hartland, WI 53029 (262) 367-3141 AURORA PRESCRIPTION DISPENSING CENTER * 600 Walnut Ridge Dr Hartland, WI 53029 (262) 369-7080 WALGREENS #9365 * 423 Merton Ave Hartland, WI 53029 (262) 367-4751 Menomonee Falls

AURORA PHARMACY 1263 MENOMONEE FALLS * N84 W16 889 Menomonee Ave Menomonee Falls, WI 53051 (262) 251-8500 CARECENTER PHARMACY LLC * W 165 N 5595 Creekwood Crossing Menomonee Falls, WI 53051 (262) 703-3386 COMMUNITY MEMORIAL HOSPITAL OUTPATIENT PHARMACY * W180 N8085 Town Hall Rd Menomonee Falls, WI 53051 (262) 257-3073 COSTCO PHARMACY #1209 * 9235 Pershing Avenue Menomonee Falls, WI 53051 (262) 946-6070 CVS PHARMACY * N83 W15550 Appleton Ave Menomonee Falls, WI 53051 (262) 253-5056 FROEDTERT HEALTH MENOMONEE FALLS CLINIC PHARMACY * W180n8000 Town Hall Rd Menomonee Falls, WI 53051 (262) 532-3050 PICK N SAVE PHARMACY * N95 W18351 County Line Rd Menomonee Falls, WI 53051 (262) 253-4705 PICK N SAVE PHARMACY * N77w14435 Appleton Ave Menomonee Falls, WI 53051 (262) 255-8673

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 39

TARGET PHARMACY * N95 West17707 Shady Ln Menomonee Falls, WI 53051 (262) 415-0005 WALGREENS #5002 * N83 W15701 Appleton Av Menomonee Falls, WI 53051 (262) 251-3890 WALGREENS #7143 * N56 W15501 Silver Spring Dr Menomonee Falls, WI 53051 (262) 703-9781 Mukwonago MILLER PHARMACY INC * 801 N Rochester St Mukwonago, WI 53149 (262) 363-4001 PICK N SAVE PHARMACY * 1010 N Rochester Street Mukwonago, WI 53149 (262) 363-1680 WAL-MART PHARMACY 101571 * 250 East Wolf Run Mukwonago, WI 53149 (262) 363-8366 WALGREENS * 212 N Rochester St Mukwonago, WI 53149 (262) 363-5235 Muskego AURORA PRESCRIPTION DISPENSING CENTER * S68w15500 Janesville Rd Ste 100 Muskego, WI 53150 (414) 422-4257

JEROME DRUGS MUSKEGO * S 75 W 17301 Janesville Road Muskego, WI 53150 (262) 679-1800

PICK N SAVE PHARMACY * 15445 W National Ave New Berlin, WI 53151 (262) 938-0133

WALGREENS #7603 * S79 W 18885 Janesville Rd Muskego, WI 53150 (262) 679-5894

SKYWALK PHARMACY NEW BERLIN * 4855 S Moorland Rd New Berlin, WI 53151 (262) 432-7613

WALGREENS #11636 * S 70 W 15775 Janesville Rd Muskego, WI 53150 (414) 422-1359

TARGET PHARMACY * 4798 South Moorland Road New Berlin, WI 53151 (262) 207-0021

WALMART PHARMACY 104677 * W159s6530 Moorland Road Muskego, WI 53150 (414) 209-0324

WALGREENS #7259 * 3855 S Moorland Rd New Berlin, WI 53151 (262) 784-4992

New Berlin AURORA PHARMACY 130 NEW BERLIN * 14555 W National Ave New Berlin, WI 53151 (262) 827-9062 COSTCO PHARMACY #1212 * 15300 West Grange Avenue New Berlin, WI 53151 (262) 599-7040 FROEDTERT & MCW MOORLAND RESERVE HEALTH CENTER PHARMACY * 4805 S Moorland Rd Rm G0502a New Berlin, WI 53151 (262) 798-7386 PICK N SAVE * 13995 W National Ave New Berlin, WI 53151 (262) 827-0201

WALMART PHARMACY 105438 * 15205 W Greenfield Ave New Berlin, WI 53151 (262) 796-2734 Oconomowoc AURORA PHARMACY 135 OCONOMOWOC * 1284 Summit Ave Ste 100 Oconomowoc, WI 53066 (262) 569-8204 KMART PHARMACY3692 * 1450 Summit Avenue Oconomowoc, WI 53066 (262) 567-9254 PICK N SAVE PHARMACY * 1300 Pabst Farms Circle Oconomowoc, WI 53066 (262) 200-7000

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 40

PRESCRIPTION CENTER PHARMACY * 888 Thackeray Trl Oconomowoc, WI 53066 (262) 567-7267 PROHEALTH PHARMACY OCONOMOWOC * 791 Summit Ave Oconomowoc, WI 53066 (262) 569-0284 TOBINS PHARMACY * 1260 A Brown Street Oconomowoc, WI 53066 (262) 567-6651

PICK N SAVE PHARMACY * 2160 Silvernail Rd Pewaukee, WI 53072 (262) 547-6343 WALGREENS * 1441 Capitol Dr Pewaukee, WI 53072 (262) 695-3088 WALMART PHARMACY 103322 * 411 Pewaukee Road Pewaukee, WI 53072 (262) 695-2878

AURORA PRESCRIPTION DISPENSING CENTER * W231 N1440 Corporate Ct Waukesha, WI 53186 (262) 896-6040 CVS PHARMACY * 1130 W. Sunset Dr Waukesha, WI 53189 (262) 446-5169 MEDICAL CENTER PHARMACY * 1111 Delafield St Waukesha, WI 53188 (262) 544-5303

WALGREENS * 1021 Summit Ave Oconomowoc, WI 53066 (262) 567-9173

Summit AURORA PHARMACY * 36500 Aurora Dr Ste 100 Summit, WI 53066 (262) 434-7700

Oconomowoc Lake PICK N SAVE PHARMACY * 36903 E Wisconsin Avenue Oconomowoc Lake, WI 53066 (262) 567-7938

Sussex SHOPKO PHARMACY * N66w25201 Cth V V Sussex, WI 53089 (262) 820-2611

MORELAND PLAZA PHARMACY * 827 W Moreland Blvd Waukesha, WI 53188 (262) 542-4488

Pewaukee COSTCO PHARMACY #1101 * 443 Pewaukee Road Pewaukee, WI 53072 (262) 956-6701

WALGREENS #7731 * N65 W 25055 Main St Sussex, WI 53089 (262) 820-0750

PICK N SAVE PHARMACY * 220 East Sunset Dr Waukesha, WI 53201 (262) 574-0405

CVS PHARMACY * 2135 Silvernail Rd Pewaukee, WI 53072 (262) 513-9221

Wales PICK N SAVE PHARMACY * 405 N Wales Rd Wales, WI 53183 (262) 968-9570

PICK N SAVE PHARMACY * 1220 W Sunset Dr Waukesha, WI 53189 (262) 446-6924

MEIJER PHARMACY #275 * N51w24953 Lisbon Rd Pewaukee, WI 53072 (262) 932-2510

WALGREENS #12021 * 320 W Summit Ave Wales, WI 53183 (262) 968-6900

MEIJER PHARMACY #276 * 801 E Sunset Dr Waukesha, WI 53189 (262) 899-6010

PROHEALTH PHARMACYPEWAUKEE * N16w24131 Riverwood Dr Waukesha, WI 53188 (262) 696-0919

Waukesha

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 41

PROHEALTH PHARMACY WAUKESHA * 725 American Ave Waukesha, WI 53188 (262) 928-2279 SAMS PHARMACY 10-8164 * 600 North Springdale Road Waukesha, WI 53186 (262) 798-1580 TARGET PHARMACY * 2401 Kossow Road Waukesha, WI 53186 (262) 784-8417 TARGET PHARMACY * 1250 W Sunset Dr Waukesha, WI 53189 (262) 832-1273 VALUCARE PHARMACY * 501 S Grand Ave Waukesha, WI 53186 (262) 544-6622 WAL-MART PHARMACY 101635 * 2000 S West Ave Waukesha, WI 53186 (262) 521-9204 WALGREENS #7730 * 2700 Grandview Blvd Waukesha, WI 53188 (262) 542-2003 WALGREENS * 230 Madison St Waukesha, WI 53188 (262) 542-9935 WALGREENS * 221 E Sunset Dr Waukesha, WI 53189 (262) 542-3981

WALGREENS * 21325 E Moreland Blvd Waukesha, WI 53186 (262) 798-0223 WALGREENS * 601 Meadowbrook Rd Waukesha, WI 53188 (262) 549-2356 Waupaca Clintonville ERICKSON PHARMACY * 8 S Main St Clintonville, WI 54929 (715) 823-2222 SHOPKO PHARMACY #2615 * 291 S Main St Clintonville, WI 54929 (715) 823-2350 WALGREENS * 201 S Main St Clintonville, WI 54929 (715) 823-4238 Iola SWEET MED PRESCRIPTION PLUS * 155 N Main St Iola, WI 54945 (715) 445-3117 New London WAL-MART PHARMACY 101471 * 1717 North Shawano Street New London, WI 54961 (920) 982-7906 WALGREENS #11301 * 981 N Shawano St New London, WI 54961 (920) 982-5189

Waupaca KMART PHARMACY3750 * 830 West Fulton Street Waupaca, WI 54981 (715) 258-4285 SHOPKO PHARMACY #510 * 800 Riverside Dr Waupaca, WI 54981 (715) 256-1115 SHOPKO PHARMACY #2789 * 825 W Fulton St Waupaca, WI 54981 (715) 258-7621 STRATTON DRUG STORE * 107 N Main St Waupaca, WI 54981 (715) 258-7057 WALGREENS #9699 * 925 W Fulton St Waupaca, WI 54981 (715) 258-9228 WAUPACA HOMETOWN PHARMACY * 115 N Western Ave Unit 8 Waupaca, WI 54981 (715) 256-0400 Waushara Wautoma AURORA PHARMACY 300 WAUTOMA * 900 E Division Dr Wautoma, WI 54982 (920) 787-6940 SHOPKO PHARMACY #2617 * N2585 Plaza Rd Wautoma, WI 54982 (920) 787-2090

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 42

THEDACARE PHARMACY WAUTOMA * N2934 Hwy 22 N Wautoma, WI 54982 (920) 787-5757 Winnebago Appleton PICK N SAVE PHARMACY * 511 W Calumet St Appleton, WI 54915 (920) 734-3882 Menasha SHOPKO PHARMACY * 1578 Appleton Rd Menasha, WI 54952 (920) 722-1895 WALGREENS * 305 Racine St Menasha, WI 54952 (920) 722-4759 Neenah CVS PHARMACY * 901 S Green Bay Rd Neenah, WI 54956 (920) 729-1448 NEENAH HOMETOWN PHARMACY * 1415 S Commercial St Neenah, WI 54956 (920) 729-4910 PICK N SAVE PHARMACY * 828 Fox Point Plz Neenah, WI 54956 (920) 722-1348 SHOPKO PHARMACY * 699 Green Bay Rd Neenah, WI 54956 (920) 751-0270

WALGREENS #10236 * 1191 Westowne Dr Neenah, WI 54956 (920) 725-3152

PICK N SAVE PHARMACY * 1940 Koeller Street Oshkosh, WI 54901 (920) 236-9494

WALGREENS * 500 S Commercial St Neenah, WI 54956 (920) 729-1311

SAWYER STREET HOMETOWN PHARMACY * 321 N Sawyer St Oshkosh, WI 54902 (920) 429-0763

WALMART PHARMACY 102986 * 1155 Winneconne Avenue Neenah, WI 54956 (920) 722-1185 Omro OMRO PHARMACY * 328 E Main St Omro, WI 54963 (920) 685-5041 Oshkosh AURORA PHARMACY 030 OSHKOSH * 2101 Bowen Street Oshkosh, WI 54901 (920) 303-5006 AURORA PHARMACY 034 OSHKOSH * 855 N Westhaven Dr Oshkosh, WI 54904 (920) 303-8830 CVS PHARMACY #04380 * 1736 W 9th Ave Oshkosh, WI 54902 (920) 235-6664 MURDOCK HOMETOWN PHARMACY * 1828 Jackson St Oshkosh, WI 54901 (920) 231-3300

SCHULTZ PHARMACY * 220 N Main St Oshkosh, WI 54901 (920) 233-2151 SHOPKO PHARMACY * 1300 S Koeller St Oshkosh, WI 54902 (920) 426-5770 SMARTSCRIPT PHARMACY * 4041 State Road 91 Ste B Oshkosh, WI 54904 (844) 476-2781 TARGET PHARMACY * 1900 S Koeller St Oshkosh, WI 54902 (920) 233-4287 WAL-MART PHARMACY 101430 * 351 South Washburn St. Oshkosh, WI 54904 (920) 231-2219 WALGREENS #5280 * 950 Koeller Rd Oshkosh, WI 54902 (920) 303-1712 WALGREENS #7835 * 1100 Emmers Lane Oshkosh, WI 54904 (920) 237-4753

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 43

WALGREENS * 315 W Murdock Oshkosh, WI 54901 (920) 231-8664 Winneconne SHOPKO PHARMACY # 613 * 946 E Main St Winneconne, WI 54986 (920) 582-4414 Wood Marshfield FAMILY HEALTH CENTER PHARMACY 1307 N Saint Joseph Ave Marshfield, WI 54449 (715) 389-7474 MARSHFIELD CLINIC PHARMACY 1000 N Oak Ave Marshfield, WI 54449 (715) 387-9100 MARSHFIELD CLINIC PHARMACY 630 S Central Ave Ste 106 Marshfield, WI 54449 (715) 389-5900 SHOPKO PHARMACY * 1306 N Central Ave Marshfield, WI 54449 (715) 387-3705

Wisconsin Rapids COPPS FOOD CENTER PHARMACY * 900 E Riverview Expy Wisconsin Rapids, WI 54494 (715) 423-2585 CVS PHARNACY #10163 * 2410 8th St S Wisconsin Rapids, WI 54494 (715) 423-2340 DALY DRUG * 3215 8th St S Wisconsin Rapids, WI 54494 (715) 423-3400 SHOPKO PHARMACY * 1100 E Riverview Expy Wisconsin Rapids, WI 54494 (715) 421-1750 WAL-MART PHARMACY 101202 * 4331 8th St South Wisconsin Rapids, WI 54494 (715) 423-8500 WALGREENS #9009 * 3200 8th St S Wisconsin Rapids, WI 54494 (715) 424-4082

ST JOSEPHS HOSPITAL OP PHCY * 611 St Joseph Ave Marshfield, WI 54449 (715) 387-9907 WALGREENS * 1012 N Central Ave Marshfield, WI 54449 (715) 384-9703

Mail Order Pharmacy(ies) You can get prescription drugs shipped to your home through our network mail order delivery program. To refill your mail order prescriptions, please contact us 14 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 14 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 (888) 479-2000. The TTY/TTD line is (800) 900-6570 and available 24/7 for your assistance. FLORIDA Polk Lakeland WELLDYNERX-FL 500 Eagles Landing Drive Lakeland, FL 33810 (888) 479-2000

Home Infusion Pharmacies ALABAMA Mobile Mobile HPC 63 S Royal St Mobile, AL 36602 (800) 757-9192 CALIFORNIA Los Angeles Burbank

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 44

BIOSCRIP INFUSION SERVICES 320 S Flower St Burbank, CA 91502 (818) 830-5335 Riverside Temecula NUFACTOR 41093 County Center Dr Ste B Temecula, CA 92591 (800) 323-6832

Polk Urbandale BIORX LLC 10607 & 10611 Aurora Ave. Urbandale, IA 50322 (515) 727-7937

FAIRVIEW HOME INFUSION RETAIL * 711b Kasota Avenue South East Minneapolis, MN 55414 (612) 672-2233

UNITYPOINT AT HOME 11333 Aurora Ave Urbandale, IA 50322 (800) 368-5758

Ramsey New Brighton MERWIN IV AND SPECIALTY PHCY 1811 Old Highway 8 Nw Ste C New Brighton, MN 55112 (763) 746-9890

CONNECTICUT Hartford Enfield AHF 31 Moody Road Enfield, CT 06082 (860) 763-7020

KANSAS Johnson Lenexa AXELACARE HEALTH SOLUTIONS LLC 15529 College Blvd Lenexa, KS 66219 (913) 747-3700

FLORIDA Seminole Altamonte Springs BIOPLUS SPECIALTY PHARMACY SERVICES, INC * 376 Northlake Blvd Altamonte Springs, FL 32701 (888) 292-0744

LOUISIANA Jefferson Metairie FAST ACCESS SPECIALTY THERAPEUTICS * 3131 N I-10 Service Road East Metairie, LA 70002 (504) 885-3378

ILLINOIS Cook Chicago PRI-MED INFUSION SERVICES INC 5517 N Cumberland Ave Chicago, IL 60656 (800) 831-7740

MINNESOTA Dakota Eagan INFUSCIENCE INC 2915 Waters Road Eagan, MN 55121 (612) 486-1960

Hoffman Estates SMART MEDS PHARMACY * 1056 W Golf Rd Hoffman Estates, IL 60169 (847) 490-3995

Hennepin Minneapolis

IOWA

Saint Paul HEARTLAND IV CARE 1400 Energy Park Dr Ste 17 Saint Paul, MN 55108 (651) 636-1714 MISSOURI Cape Girardeau Cape Girardeau AUREUS PHARMACY 61 Doctors Park Cape Girardeau, MO 63703 (573) 339-1999 NEBRASKA Douglas Omaha AFFINITY BIOTECH, INC. * 1810 N 203rd St Omaha, NE 68022 (402) 289-0189 NEW JERSEY Morris Morris Plains BIOSCRIP INFUSION SERVICES 102 The American Rd Morris Plains, NJ 07950 (800) 552-3462

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 45

NEW YORK Suffolk Holbrook FOCUS RX 1361 Lincoln Ave Ste 9 Holbrook, NY 11741 (888) 464-8987 OHIO Franklin Columbus BIOSCRIP PHARMACY SERVICES 2795 Charter St Columbus, OH 43228 (877) 517-9299 Hamilton Cincinnati BIORX 7167 E Kemper Rd Cincinnati, OH 45249 (513) 792-7080 PENNSYLVANIA Delaware Boothwyn PENTEC HEALTH, INC 4 Creek Parkway Boothwyn, PA 19061 (800) 223-4376 Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA 19060 (610) 545-6040 Havertown AXELACARE HEALTH SOLUTIONS, LLC * 4h Raymond Dr Havertown, PA 19083 (484) 450-0140

HOMETECH ADVANCED THERAPIES, INC. * 505 Elmwood Ave Sharon Hill, PA 19079 (484) 494-3121 Lackawanna Moosic ETHICAL FACTOR RX 330 Montage Mountain Rd Ste A-11 Moosic, PA 18507 (570) 606-3622 TEXAS Harris Houston ACARIAHEALTH PHARMACY #11 * 1311 W Sam Houston Pkwy N # 130 Houston, TX 77043 (800) 511-5144 SPECIALTY THERAPEUTIC CARE * 1311 W Sam Houston Pkwy N Ste 150 Houston, TX 77043 (866) 506-2626 Tarrant Ft Worth AMERICAN OUTCOMES MGMT LP 6310 Southwest Blvd Ste 204 Ft Worth, TX 76109 (800) 746-9089 WISCONSIN Brown Green Bay

AURORA AT HOME 931 Discovery Ave Green Bay, WI 54311 (920) 288-5141 Dane Madison HOME HEALTH UNITED XTRA CARE PHARMACY 4639 Hammersley Rd Madison, WI 53711 (608) 223-7951 Middleton CHARTWELL MIDWEST WISCONSIN 2241 Pinehurst Dr Middleton, WI 53562 (608) 831-8555 La Crosse La Crosse DEGEN BERGLUND VILLAGE * 2511 Green Bay St La Crosse, WI 54601 (608) 775-8585 Milwaukee Milwaukee AURORA AT HOME 11333 West National Ave Milwaukee, WI 53227 (414) 328-4503 South Milwaukee AFFINITY BIOTECH, INC. * 1333 College Ave Ste J South Milwaukee, WI 53172 (866) 668-6388 Outagamie Appleton

Sharon Hill * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 46

THEDACARE AT HOME INFUSION PHARMACY 1818 N Meade St Appleton, WI 54911 (920) 969-0919 Waukesha New Berlin CORAM CVS/SPECIALTY INFUSION SERVICES 5345 S Moorland Rd Ste 101 New Berlin, WI 53151 (262) 207-1590 HOME CARE PHARMACY 5665 South Westridge Drive New Berlin, WI 53151 (262) 957-5549

Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under Dean Advantage through the facility’s long-term care pharmacy or another network long-term care pharmacy. MINNESOTA Ramsey New Brighton MERWIN IV AND SPECIALTY PHCY 1811 Old Highway 8 Nw Ste C New Brighton, MN 55112 (763) 746-9890 PENNSYLVANIA Delaware Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA 19060 (610) 545-6040

Lackawanna Moosic ETHICAL FACTOR RX 330 Montage Mountain Rd Ste A-11 Moosic, PA 18507 (570) 606-3622 WISCONSIN Ashland Ashland HUHN RX DRUG * 522 W Main St Ashland, WI 54806 (715) 682-3123 Barron Barron JAMES PHARMACY * 337 E Lasalle Ave Barron, WI 54812 (715) 537-5005 Chetek OHDE HEALTH MART PHARMACY * 628 Second Street Chetek, WI 54728 (715) 924-3592 Cumberland THE APOTHECARY * 1470 Webb St Cumberland, WI 54829 (715) 822-2424 Bayfield Washburn LANGFORD PHARMACY * 114 W Bayfield St Washburn, WI 54891 (715) 373-5588 Brown De Pere

SHOPKO PHARMACY * 230 N Wisconsin St De Pere, WI 54115 (920) 336-2323 Green Bay KRIDER PHARMACY * 1119 W Mason St Green Bay, WI 54303 (920) 499-6225 SHOPKO PHARMACY * 2320 Lineville Rd Green Bay, WI 54313 (920) 434-5846 STREUS PHARMACY LTC 528 N Monroe Ave Green Bay, WI 54301 (920) 437-0206 Buffalo Mondovi MONDOVI HEALTH MART PHARMACY * 122 S Eau Claire St Mondovi, WI 54755 (715) 926-4938 Chippewa Bloomer ED'S HEALTH MART PHARMACY * 1511 Main St Bloomer, WI 54724 (715) 568-2190 Cadott MILLER PHARMACY * 318 N Main St Cadott, WI 54727 (715) 289-3243 Chippewa Falls

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 47

KONSELLA HEALTH MART PHARMACY * 212 Bay St Chippewa Falls, WI 54729 (715) 723-9177 LTC RX 13 E Spruce St. Suite #102 Chippewa Falls, WI 54729 (715) 861-4422 OMNICARE OF CHIPPEWA FALLS 2815 County Highway I Ste B Chippewa Falls, WI 54729 (715) 726-0834 Columbia Columbus SHOPKO PHARMACY #2788 * 200 Commerce Dr Columbus, WI 53925 (920) 623-2700 Lodi MALLATT'S PHARMACY AND COSTUMES #103 * 801 N Main St Lodi, WI 53555 (608) 592-3256 Portage DIVINE SAVIOR HEALTHCARE 2817 New Pinery Rd Portage, WI 53901 (608) 745-5146 Dane Deforest HOMETOWN LONG TERM CARE PHARMACY 643 S Main St Deforest, WI 53532 (608) 846-2750

Madison CNTRL WIS PHARMACY CENTER 317 Knutson Dr Madison, WI 53704 (608) 301-1946 GENOA, A QOL HEALTHCARE COMPANY, LLC 625 West Washington Ave Madison, WI 53703 (608) 251-1838 HOEY APOTHECARY * 217 Cottage Grove Road Madison, WI 53716 (608) 221-4639 MALLATT'S HOMECARE PHARMACY 3250 Kingsley Way Madison, WI 53713 (608) 310-9922 OAKWOOD PHARMACY 6201 W Mineral Point Rd Madison, WI 53705 (608) 230-4217 OMNICARE OF MADISON 2818 Progress Rd Madison, WI 53716 (608) 216-0140 WILLOW PHARMACY 2445 Darwin Road Madison, WI 53704 (608) 240-2280 Monona SHOPKO PHARMACY * 2101 W Broadway Monona, WI 53713 (608) 222-2066

O'CONNELL PHARMACY LONG TERM CARE 125 S. Thompson Rd. Sun Prairie, WI 53590 (608) 837-8002 OCONNELL PHARMACY LTD * 302 S Grand Ave Sun Prairie, WI 53590 (608) 837-5949 Waunakee MALLATT'S PHARMACY AND COSTUMES #102 * 233 S Century Ave Waunakee, WI 53597 (608) 849-7888 Dodge Beaver Dam HILLSIDE UNIT PHARMACY 707 S University Ave Beaver Dam, WI 53916 (920) 887-4038 Dunn Colfax COLFAX HEALTH MART PHARMACY * 525 Main St Colfax, WI 54730 (715) 962-3784 Eau Claire Augusta WALLY SHONG HEALTH MART PHARMACY * 153 W Lincoln St Augusta, WI 54722 (715) 286-2515 Eau Claire

Sun Prairie

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 48

EAU CLAIRE HEALTH MART PHARMACY * 2741 N Clairemont Ave Ste E Eau Claire, WI 54703 (715) 833-6767 HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC 3184 London Rd Eau Claire, WI 54701 (715) 832-3780 MAYO CLINIC HEALTH SYSTEM PHARMACY & HOME MEDICAL - LTC 1707 Westgate Rd Eau Claire, WI 54703 (715) 838-5856 PERSONIFILRX 800 Wisconsin Street Mail Box 21 Eau Claire, WI 54703 (844) 780-2909 VALUE CENTER HEALTH MART PHARMACY * 2421 E Clairemont Avenue Eau Claire, WI 54701 (715) 833-6760 Fond Du Lac Ripon RIPON DRUG * 328 Watson St Ripon, WI 54971 (920) 748-5174 Waupun AGNESIAN PHARMACY WAUPUN * 904 W Main St Waupun, WI 53963 (920) 324-3010 Iowa

Dodgeville UPLAND HILLS HEALTH PHARMACY 800 Compassion Way Dodgeville, WI 53533 (608) 930-7200

GENOA, A QOL HEALTHCARE COMPANY, LLC 1707 Main St Ste 102 La Crosse, WI 54601 (608) 433-2287

Iron Hurley WHITE CROSS PHARMACY * 314 Silver St Hurley, WI 54534 (715) 561-5666

HEALTH DIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #119 2840 South 21st Place La Crosse, WI 54601 (608) 784-6500

Juneau Mauston PHILLIPS DRUG STORE INC * 123 E State St Mauston, WI 53948 (608) 847-5949 PHILLIPS TOTAL CARE PHARMACY 125 E State St Mauston, WI 53948 (608) 847-5949 Kenosha Kenosha GOOD VALUE PHARMACY LTC 9916 75th St Kenosha, WI 53142 (262) 925-0201 Kewaunee Luxemburg LUXEMBURG PHARMACY LLC * 125 School Creek Tr Luxemburg, WI 54217 (920) 845-5832

MEDPAK PHARMACY 505 King St Ste 154 La Crosse, WI 54601 (608) 782-4448 OMNICARE OF LACROSSE 3235 Airport Rd La Crosse, WI 54603 (608) 781-7900 West Salem COMMUNITY HEALTH PHARMACY 880 Mill St N Ste 101 West Salem, WI 54669 (608) 786-2520 WEST SALEM PHARMACY * 880 N. Mill St. West Salem, WI 54669 (608) 786-0210 Langlade Antigo LAKESIDE PHARMACY * 536 5th Ave Antigo, WI 54409 (715) 623-2631 Lincoln Merrill

La Crosse La Crosse

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 49

JOHNSON PHARMACY * 1021 East Main Street Merrill, WI 54452 (715) 539-2772 Tomahawk SHOPKO PHARMACY #2792 * 686 N 4th St Tomahawk, WI 54487 (715) 453-5996

SURETY PRO PHARMACY LLC 9200 W Layton Ave Greenfield, WI 53228 (414) 433-0188 Milwaukee DRUGS R US * 3512 N Oakland Ave Milwaukee, WI 53211 (414) 332-9300

Marathon Rothschild SHOPKO PHARMACY * 1105 E Grand Ave Rothschild, WI 54474 (715) 359-4251

GENOA, A QOL HEALTHCARE COMPANY, LLC 10424 W Bluemound Rd Ste B Milwaukee, WI 53226 (414) 244-9844

Wausau NORTH CENTRAL HEALTH CARE 1100 Lake View Dr Wausau, WI 54403 (715) 848-4497

GENOA, A QOL HEALTHCARE COMPANY, LLC 229 E Wisconsin Ave Ste 601 Milwaukee, WI 53202 (414) 892-7880

YOUNG'S LONG TERM CARE PHARMACY 555 S 72nd Ave Wausau, WI 54401 (715) 842-0791 Marinette Marinette VALUCARE CENTER HEALTH MART PHARMACY * 1378 Main St Marinette, WI 54143 (715) 732-0717 Milwaukee Greenfield

HCHM PHARMACY 210 W Capitol Dr Milwaukee, WI 53212 (414) 964-7425 LUTHER MANOR PHARMACY 4545 N 92nd St Milwaukee, WI 53225 (414) 464-3880 OMNICARE OF MILWAUKEE 5185 S Ninth St Milwaukee, WI 53221 (414) 486-3100 PHARMERICA 9041 W Heather Ave Milwaukee, WI 53224 (800) 477-7221

PHOENIX PHARMACY INC 1748 N Farwell Ave Milwaukee, WI 53202 (414) 225-4478 WCS CLINIC PHCY 3734 W Wisconsin Ave Milwaukee, WI 53208 (414) 344-6111 Wauwatosa ASSISTED LIVING PHARMACY SERVICE 1441 N Mayfair Rd Wauwatosa, WI 53226 (414) 433-1700 West Allis PRESCRIPTIONS PLUS 10233 W Greenfield Ave West Allis, WI 53214 (414) 727-5750 WHOLE HEALTH PHARMACY 1040 S 70th St West Allis, WI 53214 (414) 476-8602 Monroe Sparta SPARTA PHARMACY * 201 S Water St Sparta, WI 54656 (608) 269-2949 Oneida Rhinelander SHOPKO PHARMACY * 2200 Lincoln St Rhinelander, WI 54501 (715) 362-3999 Outagamie Appleton

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 50

HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC 3701 E Evergreen Dr Appleton, WI 54913 (920) 739-5900 SHOPKO EXPRESS * W3208 Van Roy Rd Appleton, WI 54915 (920) 733-3846 Greenville OMNICARE OF APPLETON N926 Tower View Drive Greenville, WI 54942 (920) 954-5693 Kimberly SHOPKO PHARMACY * 800 E Maes Ave Kimberly, WI 54136 (920) 788-9154 Little Chute SMITH PHARMACY * 1800 Freedom Rd Unit D Little Chute, WI 54140 (920) 788-8888 New London JERNEGAN'S HEALTH MART * 1301 Mill Street New London, WI 54961 (920) 982-7670 Seymour SHOPKO PHARMACY * 1010 S Mainline Dr Seymour, WI 54165 (920) 833-0430

HEIKE PHARMACY INC * 213 W Main St Durand, WI 54736 (715) 672-5202 Pierce Ellsworth SHOPKO PHARMACY #2512 * 598 Lucas Lane Ellsworth, WI 54011 (715) 273-4278 Polk Frederic FREDERIC PHARMACY * 201 Oak Street West Frederic, WI 54837 (715) 327-4208 Price Park Falls NORTH CENTRAL IV 138 1/2 N 2nd Ave Park Falls, WI 54552 (715) 762-3283 Phillips LAKEVIEW PHARMACY * 114 N Lake Ave Phillips, WI 54555 (715) 339-2424 Racine Racine LAKEVIEW LTC PHARMACY 517 Wisconsin Ave Racine, WI 53403 (262) 632-8215 Richland Richland Center

Pepin Durand

RICHLAND FAMILY PRESCRIPTION CENTER * 301 E Second St Richland Center, WI 53581 (608) 647-8806 Rock Edgerton ROCKMED LONG TERM CARE PHARMACY LLC 607 E State Road 59 Edgerton, WI 53534 (608) 884-6644 Janesville MERCY MALL PHARMACY * 1010 N Washington St Janesville, WI 53548 (608) 754-0286 MERCY WEST PHARMACY * 1000 Mineral Point Janesville, WI 53548 (608) 741-6980 Rusk Ladysmith RUSK COUNTY PHARMACY * 400 W 9th St N Ladysmith, WI 54848 (715) 532-3339 Sauk Baraboo CORNER DRUG STORE * 522 Oak St Baraboo, WI 53913 (608) 356-8701 Reedsburg REEDSBURG FAMILY PRESC CENTER * 115 2nd St Reedsburg, WI 53959 (608) 524-3215

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 51

Sauk City MAPLEWOOD OF SAUK PRAIRIE 245 Sycamore St Sauk City, WI 53583 (608) 644-9265 Spring Green SPRING GREEN HEALTH MART PHARMACY * 208 E Jefferson Street Spring Green, WI 53588 (608) 588-2541 Sawyer Hayward HAYWARD AREA MEMORIAL HOSPITAL 11040 N State Rd 77 Hayward, WI 54843 (715) 934-4230 Shawano Wittenberg GWIDT PHARMACY 203 E. Westgor Wittenberg, WI 54499 (715) 253-2164 GWIDT PHARMACY INC * 203 E Westgor Ave Wittenberg, WI 54499 (715) 253-2164 Sheboygan Sheboygan GLANDER PRESCRIPTION PLUS * 3529 Superior Ave Sheboygan, WI 53081 (920) 459-2755 St. Croix Baldwin

VILLAGE PHARMACY * 840 Main St Baldwin, WI 54002 (715) 684-2674 Glenwood City VILLAGE PHARMACY GLENWOOD * 224 W. Oak St. Glenwood City, WI 54013 (715) 565-3465 Hudson MICKLESEN DRUG INC * 530 2nd St Hudson, WI 54016 (715) 386-3344 Taylor Medford ASPIRUS PHARMACY MEDFORD * 139 S Gibson St Medford, WI 54451 (715) 748-5800 Trempealeau Blair THE BLAIR PHARMACY * 125 W Broadway St Blair, WI 54616 (608) 989-2919 Galesville GALESVILLE LTC PHARMACY 16814 S Main St Galesville, WI 54630 (877) 310-9534 GALESVILLE PHARMACY * 16812 S Main St Galesville, WI 54630 (608) 582-2446

COLBY HEALTH MART PHARMACY * 36363 Main St Whitehall, WI 54773 (715) 538-4947 Walworth Whitewater MCCULLOUGH'S LTC PHARMACY 1173 W Main St Whitewater, WI 53190 (262) 473-2225 Washburn Shell Lake SHELL LAKE PHARMACY * 108 4th Ave W Shell Lake, WI 54871 (715) 468-7800 Washington Jackson GENOA, A QOL HEALTHCARE COMPANY, LLC W209n17321 Industrial Drive Jackson, WI 53037 (262) 677-1401 West Bend CEDAR LAKE CAMPUS PHARMACY 5595 Hwy Z West Bend, WI 53095 (262) 306-2140 GENOA, A QOL HEALTHCARE COMPANY, LLC 333 E Washington St Ste 2100 Room 2107 West Bend, WI 53095 (262) 346-1144

Whitehall * This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 52

SHOPKO PHARMACY * 1710 S Main St West Bend, WI 53095 (262) 338-0222 Waukesha Brookfield HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC 150 N. Patrick Blvrd, Ste 250 Brookfield, WI 53045 (262) 395-4658 WHEATON FRANCISCAN PHARMACY * 13950 W Capitol Drive Brookfield, WI 53005 (414) 874-6200 Menomonee Falls MALLATT'S HOMECARE PHARMACY #104 N85 W15882 Appleton Ave Menomonee Falls, WI 53051 (262) 437-0031 New Berlin THRIFTY WHITE PHARMACY #080 2720 S 163rd St New Berlin, WI 53151 (262) 780-1910 Waukesha GENOA, A QOL HEALTHCARE COMPANY, LLC 514 Riverview Ave Rm 238 Waukesha, WI 53188 (262) 955-8811 Waupaca King

WISCONSIN VETERANS HOME PHCY N 2665 County Rd Qq King, WI 54946 (715) 258-1674 Winnebago Neenah MORTON LTC 201 E Bell Street Neenah, WI 54956 (920) 727-3853 Oshkosh LHO PHARMACY LLC 225 N Eagle St Oshkosh, WI 54902 (920) 966-1345 SHOPKO PHARMACY * 1300 S Koeller St Oshkosh, WI 54902 (920) 426-5770 Winneconne SHOPKO PHARMACY # 613 * 946 E Main St Winneconne, WI 54986 (920) 582-4414 Wood Wisconsin Rapids DALY DRUG LONG TERM CARE PHARMACY 3215 8th St S Ste 101 Wisconsin Rapids, WI 54494 (715) 423-3401 SHOPKO PHARMACY * 1100 E Riverview Expy Wisconsin Rapids, WI 54494 (715) 421-1750

Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Dean Advantages pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). WISCONSIN Ashland Ashland BAD RIVER PHARMACY 53585 Nokomis Road Ashland, WI 54806 (715) 682-8518 Bayfield Bayfield RED CLIFF COMM HLTH CTR PHY 36745 Aiken Rd Bayfield, WI 54814 (715) 779-3157 Brown Oneida ONEIDA COMM HLTH CTR PHCY 525 Airport Drive Oneida, WI 54155 (920) 869-4826 Menominee Keshena

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 53

MENOMINEE TRIBAL CLINIC PHARMACY 3275 Wolf River Rd Keshena, WI 54135 (715) 799-5464

WALGREENS SPECIALTY PHARMACY * 41460 Haggerty Circle S Canton, MI 48188 (734) 477-9800

Sawyer Hayward LAC COURTE OREILLES PHARMACY 13380 W Trepania Rd Hayward, WI 54843 (715) 638-5146

OREGON Washington Beaverton WALGREENS SPECIALTY PHARMACY * 9775 Sw Gemini Beaverton, OR 97008 (866) 202-4014

Shawano Bowler STOCKBRIDGE MUNSEE HEALTH AND WELLNES W12802 Cty Rd Bowler, WI 54416 (715) 793-5027 Vilas Lac Du Flambeau PETER CHRISTENSEN HEALTH CENTER 129 Old Abe Rd Lac Du Flambeau, WI 54538 (715) 588-3371

Specialty Pharmacy MICHIGAN Wayne Canton WALGREENS SPECIALITY PHARMACY 41460 Haggerty Circle S Canton, MI 48188 (888) 282-5166

WALGREENS SPECIALTY PHARMACY * 10530 John Elliott Dr Frisco, TX 75033 (800) 424-9002

PENNSYLVANIA Allegheny Carnegie WALGREENS SPECIALTY PHARMACY #10997 * 500 Noblestown Rd Ste 200 Carnegie, PA 15106 (412) 231-3777 Pittsburgh WALGREENS SPECIALTY PHARMACY #16287 * 130 Enterprise Dr Pittsburgh, PA 15275 (888) 347-3416 TEXAS Collin Frisco WALGREENS SPECIALTY PHARMACY 10530 John W Elliott Dr Ste 100 Frisco, TX 75033 (214) 387-3500 Denton Frisco

* This pharmacy qualifies for dispensing up to a 90-day supply. This directory is current as of 08/26/2016 . Due to possible changes after this date, inclusion of a pharmacy in this directory does not guarantee the pharmacy is still in the network at the time of use. It also does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Page 54

This pharmacy directory was updated on 8/2016. For more recent information or other questions, please contact Dean Advantage Member Services at 1-877-232-7566 or for TTY users, 711, 8 am – 8 pm, weekdays (year-round) and weekends (October 1 – February 14), or visit deancare.com/medicare.

Dean Health Plan, Inc. 1277 Deming Way Madison, WI 53717 Local: 1-608-828-1978 Toll-free: 1-877-232-7566 TTY: 711 deancare.com/medicare