Health Net

Medicare Part D 2015 California Pharmacy Directory Health Net Healthy Heart (HMO), Health Net Ruby Select (HMO), Health Net Seniority Plus Ruby (HMO) in San Diego, Santa Barbara, Santa Clara, and Sonoma counties, and Health Net Violet (PPO) This pharmacy directory was updated on 08/01/2014. For more recent information or other questions, please contact Health Net Member Services at HMO Plans: 1-800-275-4737, PPO Plans: 1-800-960-4638 or, for TTY users, 711, 8:00 a.m. to 8:00 p.m., seven days a week (automated telephone service is used on some weekends and holidays), or visit www.healthnet.com/medicare.

6031444 CA116503 Material ID # Y0035_2015_0006_A (H0351, H0562, H5439, H5520, H6815, EG) CMS Accepted 09132014

Table Of Contents

Introduction ................................................................... 1 Retail Pharmacies, including Chain Pharmacies ........... 2 Mail Order Pharmacy .................................................219 Specialty Pharmacies..................................................220 Home Infusion Pharmacies ........................................221 Long-Term Care Pharmacies......................................227 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies ......................................245

Introduction This booklet provides a list of our plan’s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Health Net Healthy Heart (HMO), Health Net Ruby Select (HMO), Health Net Seniority Plus Ruby (HMO) in San Diego, Santa Barbara, Santa Clara, and Sonoma counties, and Health Net Violet (PPO) plans’ formulary. When this pharmacy directory refers to “we,” “us”, or “our,” it means Health Net. When it refers to “plan” or “our plan,” it means Health Net Healthy Heart (HMO), Health Net Ruby Select (HMO), Health Net Seniority Plus Ruby (HMO) in San Diego, Santa Barbara, Santa Clara, and Sonoma counties, and Health Net Violet (PPO). We call the pharmacies on this list our “network pharmacies” because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under our plan only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage.

All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 08/01/2014. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can go to all the pharmacies on this list, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost-sharing. We have marked these pharmacies with a $ to distinguish them from other pharmacies in our network that offer standard cost-sharing. You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory.

1

This directory is for California which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory, contact us at the information on the front and back covers. If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us. The directory is sorted by type of pharmacy and location. Pharmacy types include Retail, Mail Order, Specialty, Home Infusion, Long-Term Care, and Indian Health Service/Tribal/ Urban Indian Health Program (I/T/U) pharmacies. To find a pharmacy near you, locate the section for the type of pharmacy you need. This is not a complete list of our network pharmacies. You can go to any pharmacy in our nationwide network of more than 67,000 pharmacies. To find a pharmacy outside of your state, please visit www.healthnet.com/medicare or contact us. Our contact information appears on the front and back cover pages.

1A

Retail Pharmacies, including Chain Pharmacies Alameda Alameda CVS Pharmacy $ 931 Marina Village Pkwy Alameda, CA 94501 (510) 523-3504 CVS Pharmacy $ 885 Island Dr Ste A Alameda, CA 94502 (510) 865-2155 CVS Pharmacy $ 2314 Santa Clara Ave Alameda, CA 94501 (510) 523-4929 Safeway Pharmacy 867 Island Dr Alameda, CA 94502 (510) 747-1647 Safeway Pharmacy 2227 S Shore Ctr Alameda, CA 94501 (510) 863-9004 Target Pharmacy 2700 Fifth Street Alameda, CA 94501 (510) 214-0932 Versailles Pharmacy $ 2801 Encinal Ave Alameda, CA 94501 (510) 523-4907 Walgreens 2300 Otis Dr Alameda, CA 94501 (510) 523-7043

Walgreens 1916 Webster St Alameda, CA 94501 (510) 864-2800

Milvia Outpatient Pharmacy 2500 Milvia St Ste 130 Berkeley, CA 94704 (510) 204-6550

Albany

Pharmaca Intergrative Pharmacy $ 1744 Solano Ave Berkeley, CA 94707 (510) 526-2452

CVS Pharmacy $ 1382 Solano Ave Albany, CA 94706 (510) 559-3414 Safeway Pharmacy 1395 Solano Ave Albany, CA 94706 (510) 524-5881 Target Pharmacy 1057 Eastshore Hwy Albany, CA 94710 (510) 982-0513

Berkeley CVS Pharmacy $ 2300 Shattuck Ave Berkeley, CA 94704 (510) 549-4255 CVS Pharmacy $ 2655 Telegraph Ave Berkeley, CA 94704 (510) 549-9063 CVS Pharmacy $ 1451 Shattuck Ave Berkeley, CA 94709 (510) 849-0484 Drate Pharmacy 2930 Shattuck Ave Ste 304 Berkeley, CA 94705 (510) 848-1010

*Only dispenses 30-day supplies

Safeway Pharmacy 3210 College Ave Berkeley, CA 94705 (510) 652-1990 Safeway Pharmacy 1444 Shattuck Ave Berkeley, CA 94709 (510) 542-5225 Sal's Pharmacy $ 1831 A Solano Ave Berkeley, CA 94707 (510) 525-6500 United Pharmacy 2929 Telegraph Ave Berkeley, CA 94705 (510) 843-3201 Walgreens 2995 San Pablo Ave Berkeley, CA 94702 (510) 548-2104 Walgreens 1050 Gilman St Berkeley, CA 94710 (510) 528-8274 Walgreens 1607 Shattuck Ave Berkeley, CA 94709 (510) 423-9430

$ Offers preferred cost-sharing -2-

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 2187 Shattuck Ave Berkeley, CA 94704 (510) 849-4691 Walgreens 2310 Telegraph Ave Berkeley, CA 94704 (510) 848-2151 Walgreens 2801 Adeline St Berkeley, CA 94703 (510) 981-8392

Castro Valley Clayworth Healthcare Pharmacy 20353 Lake Chabot Rd Castro Valley, CA 94546 (510) 537-9402 CVS Pharmacy $ 3667 Castro Valley Blvd Castro Valley, CA 94546 (510) 538-1227 Rite Aid Pharmacy 3848 Castro Valley Blvd Castro Valley, CA 94546 (510) 886-3341 Safeway Pharmacy 20629 Redwood Rd Castro Valley, CA 94546 (510) 538-0268 Walgreens 3382 Castro Valley Blvd Castro Valley, CA 94546 (510) 537-0072

Dublin

Fremont

CVS Pharmacy $ 7201 Regional St Dublin, CA 94568 (925) 828-3823

Costco Pharmacy 43621 Pacific Commons Blvd Fremont, CA 94538 (510) 897-1119

Safeway Pharmacy 7499 Dublin Blvd Dublin, CA 94568 (925) 556-5914

CVS Pharmacy $ 35720 Fremont Blvd Fremont, CA 94536 (510) 792-5100

Safeway Pharmacy 4440 Tassajara Rd Dublin, CA 94568 (925) 551-5600

CVS Pharmacy $ 2000 Driscoll Rd Fremont, CA 94539 (510) 770-8571

Target Pharmacy 7200 Amador Plaza Rd Dublin, CA 94568 (925) 241-0000

CVS Pharmacy $ 46445 Mission Blvd Fremont, CA 94539 (510) 656-2467

Target Pharmacy 2800 Dublin Blvd Dublin, CA 94568 (925) 241-1043

CVS Pharmacy $ 4020 Fremont Hub Fremont, CA 94538 (510) 797-5505

Emeryville

Haller's Pharmacy And Medical Supply $ 37323 Fremont Blvd Fremont, CA 94536 (510) 797-2772

CVS Pharmacy $ 4349 San Pablo Ave Emeryville, CA 94608 (510) 653-0526 Safeway Pharmacy 3889 San Pablo Ave Emeryville, CA 94608 (510) 768-1034 Target Pharmacy 1555 40th St Emeryville, CA 94608 (510) 285-0560

*Only dispenses 30-day supplies HEALTH NET

Mowry Medical Pharmacy $ 1999 Mowry Ave Ste 2A Fremont, CA 94538 (510) 793-5011 Mowry Plaza Pharmacy $ 668 Mowry Ave Fremont, CA 94536 (510) 745-9900 Raley's Drug Center 39196 Paseo Padre Pkwy Fremont, CA 94538 (510) 791-0657 $ Offers preferred cost-sharing

-3-

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 3744 Mowry Ave Fremont, CA 94538 (510) 796-2497

Walgreens 3860 Decoto Rd Fremont, CA 94555 (510) 793-9798

Rite Aid Pharmacy 24536 Hesperian Blvd Hayward, CA 94545 (510) 782-0626

Safeway Pharmacy 3902 Washington Blvd Fremont, CA 94538 (510) 490-6695

Walgreens 41400 Blacow Rd Fremont, CA 94538 (510) 440-8195

Rite Aid Pharmacy 31091 Mission Blvd Hayward, CA 94544 (510) 489-4581

Safeway Pharmacy 46848 Mission Blvd Fremont, CA 94539 (510) 497-1015

Walmart Pharmacy $ 40580 Albrae St Fremont, CA 94538 (510) 440-8068

Safeway Pharmacy 22280 Foothill Blvd Hayward, CA 94541 (510) 582-5706

Save Mart Pharmacy 34101 Fremont Blvd Fremont, CA 94555 (510) 794-9735

Walmart Pharmacy $ 44009 Osgood Rd Fremont, CA 94539 (510) 651-3315

Save Mart Pharmacy 25151 Santa Clara St Hayward, CA 94544 (510) 670-0821

Save Mart Pharmacy 40055 Mission Blvd Fremont, CA 94539 (510) 657-5280

Hayward

Save Mart Pharmacy 22555 Mission Blvd Hayward, CA 94541 (510) 538-7819

Save Mart Pharmacy 5000 Mowry Ave Fremont, CA 94538 (510) 744-9330 Target Pharmacy 43956 Pacific Commons Blvd Fremont, CA 94538 (510) 771-1617 Walgreens 46844 Mission Blvd Fremont, CA 94539 (510) 661-0167 Walgreens 2600 Mowry Ave Fremont, CA 94538 (510) 742-9356

Costco Pharmacy 28505 Hesperian Blvd Hayward, CA 94545 (510) 921-3531 CVS Pharmacy $ 22501 Foothill Blvd Hayward, CA 94541 (510) 881-9474 CVS Pharmacy $ 243 W Jackson St Hayward, CA 94544 (510) 783-0330 Hayward Pharmacy $ 27212 Calaroga Ave Hayward, CA 94545 (510) 783-5532 Mission Pharmacy $ 22331 Mission Blvd Hayward, CA 94541 (510) 581-8540

*Only dispenses 30-day supplies

Target Pharmacy 19661 Hesperian Blvd Hayward, CA 94541 (510) 731-0002 Target Pharmacy 2499 Whipple Rd Hayward, CA 94544 (510) 471-9266 Walgreens 26781 Mission Blvd Hayward, CA 94544 (510) 733-6366 Walgreens 1138 W Tennyson Rd Hayward, CA 94544 (510) 293-9031

$ Offers preferred cost-sharing -4-

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 164 W Jackson St Hayward, CA 94544 (510) 781-0900

Rite Aid Pharmacy 1350 N Vasco Rd Livermore, CA 94551 (925) 243-1702

Raley's Drug Center 6399 Jarvis Ave Newark, CA 94560 (510) 797-2321

Walgreens 21463 Foothill Blvd # B Hayward, CA 94541 (510) 538-2745

Safeway Pharmacy 4495 1st St Livermore, CA 94551 (925) 455-2522

Oakland

Walgreens 23958 Hesperian Blvd Hayward, CA 94541 (510) 786-9174

Save Mart Pharmacy 2000 Portola Ave Livermore, CA 94551 (925) 456-7697

Kensington

Save Mart Pharmacy 1951 Holmes St Livermore, CA 94550 (925) 447-7762

Arlington Pharmacy 299 Arlington Ave Kensington, CA 94707 (510) 526-6414

AHF Pharmacy $ 400 30th St Oakland, CA 94609 (510) 628-0954 Bradford Pharmacy $ 445 8th St Oakland, CA 94607 (510) 451-1388 Childrens Clinic Pharmacy $ 747 52nd St Oakland, CA 94609 (510) 428-3166

Livermore

Target Pharmacy 4300 Las Positas Rd Livermore, CA 94551 (925) 245-1406

Costco Pharmacy 2800 Independence Dr Livermore, CA 94551 (925) 443-6783

Walgreens 1620 1st St Livermore, CA 94550 (925) 724-0131

CVS Pharmacy $ 1500 1st St Livermore, CA 94550 (925) 455-5580

Walmart Pharmacy $ 2700 Las Positas Rd Livermore, CA 94551 (925) 455-0116

CVS Pharmacy $ 4405 1st St Livermore, CA 94551 (925) 373-8124

Newark

CVS Pharmacy $ 4100 Redwood Rd Oakland, CA 94619 (510) 531-0602

CVS Pharmacy $ 35080 Newark Blvd Newark, CA 94560 (510) 796-4050

CVS Pharmacy $ 244 20th St Oakland, CA 94612 (510) 832-8384

Newark Haller's Pharmacy $ 6170 Thornton Ave Newark, CA 94560 (510) 797-4333

CVS Pharmacy $ 5100 Broadway Oakland, CA 94611 (510) 654-1556

Rite Aid Pharmacy 968 Murrieta Blvd Livermore, CA 94550 (925) 373-0455

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 175 41st St Oakland, CA 94611 (510) 658-3496 CVS Pharmacy $ 3320 Fruitvale Ave Oakland, CA 94602 (510) 530-3156

$ Offers preferred cost-sharing -5-

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 3236 Lakeshore Ave Oakland, CA 94610 (510) 451-1737

Lake Pharmacy $ 287 13th St Oakland, CA 94612 (510) 832-1804

Oakland Pharmacy 407 8th St Oakland, CA 94607 (510) 839-2888

CVS Pharmacy $ 2000 Mountain Blvd Oakland, CA 94611 (510) 339-8535

My Lan Pharmacy 401 E 18th St Ste B Oakland, CA 94606 (510) 451-1916

Pacific Pharmacy 650 International Blvd Oakland, CA 94606 (510) 451-3234

CVS Pharmacy $ 7200 Bancroft Ave Oakland, CA 94605 (510) 569-2795

New Chinatown Pharmacy 719 E 12th St Oakland, CA 94606 (510) 839-8839

Peralta Outpatient Pharmacy 3300 Webster St Ste 101 Oakland, CA 94609 (510) 869-8835

Dolphin Health Pharmacy 7400 Macarthur Blvd # A Oakland, CA 94605 (510) 638-1321

New Oakland Pharmacy $ 333 9th St Oakland, CA 94607 (510) 628-0368

Pharmaca Integrative Pharmacy $ 5729 College Ave Oakland, CA 94618 (510) 844-0483

East Bay AIDS Center (EBAC) Outpatient Pharmacy 3100 Summit St Fl 2 Oakland, CA 94609 (510) 869-8451

New Oakland Pharmacy $ 822 Webster St Oakland, CA 94607 (510) 763-3282

Fruitvale Avenue Pharmacy 2693 Fruitvale Ave Oakland, CA 94601 (510) 261-1412 High Street Pharmacy 4248 Macarthur Blvd Oakland, CA 94619 (510) 530-1335 Highland Hospital Outpatient Pharmacy 1411 E 31st St Oakland, CA 94602 (510) 437-4226 La Clinica De La Raza Pharmacy 3451 E 12th St Oakland, CA 94601 (510) 535-3375

New Oakland Pharmacy $ 388 9th St Ste 108 Oakland, CA 94607 (570) 763-3282 Nichols Hill Pharmacy $ 2844 Summit St Oakland, CA 94609 (510) 893-8841 North Oakland Pharmacy 5705 Market St Oakland, CA 94608 (510) 652-7536 Oakland Clinic Pharmacy $ 5220 Claremont Ave Oakland, CA 94618 (510) 428-4088

*Only dispenses 30-day supplies

Rite Aid Pharmacy 1400 Broadway Oakland, CA 94612 (510) 893-4265 Rite Aid Pharmacy 1991 Mountain Blvd Oakland, CA 94611 (510) 339-2215 Safeway Pharmacy 3550 Fruitvale Ave Oakland, CA 94602 (510) 336-9305 Safeway Pharmacy 5130 Broadway Oakland, CA 94611 (510) 658-5693 San Antonio NHC Pharmacy 1030 International Blvd Oakland, CA 94606 (510) 238-8040

$ Offers preferred cost-sharing -6-

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Save Mart Pharmacy 247 E 18th St Oakland, CA 94606 (510) 272-9042

Walgreens 3400 Telegraph Ave Oakland, CA 94609 (510) 597-0458

Rite Aid Pharmacy 2819 Hopyard Rd Pleasanton, CA 94588 (925) 846-8345

Save Mart Pharmacy 3000 E 9th St Oakland, CA 94601 (510) 532-0100

Walgreens 3434 High St Oakland, CA 94619 (510) 261-1984

Safeway Pharmacy 6790 Bernal Ave Pleasanton, CA 94566 (925) 484-1960

The Apothecary $ 7200 Bancroft Ave Ste 268 Oakland, CA 94605 (510) 638-7323

Walgreens 5055 Telegraph Ave Oakland, CA 94609 (510) 595-3605

Save Mart Pharmacy 6155 W Las Positas Blvd Pleasanton, CA 94588 (925) 462-3530

Vitacare 2447 Telegraph Ave Oakland, CA 94612 (510) 832-7500

Walmart Pharmacy $ 8400 Edgewater Dr Oakland, CA 94621 (510) 430-9723

Stoneridge Professional Pharmacy $ 5720 Stoneridge Mall Rd # 150 Pleasanton, CA 94588 (925) 463-2248

Walgreens 8102 International Blvd Oakland, CA 94621 (510) 633-3044

Wellspring Pharmacy $ 4184 Piedmont Ave Ste C Oakland, CA 94611 (510) 428-1559

Walgreens 1333 Broadway Oakland, CA 94612 (510) 832-2694

Pleasanton

Walgreens 301 E 18th St Oakland, CA 94606 (510) 271-0103 Walgreens 3232 Foothill Blvd Oakland, CA 94601 (510) 261-4552 Walgreens 3250 Lakeshore Ave Oakland, CA 94610 (510) 271-0843

CVS Pharmacy $ 6750 Bernal Ave Pleasanton, CA 94566 (925) 249-9011 CVS Pharmacy $ 4225 Rosewood Dr Pleasanton, CA 94588 (925) 460-8552

Walmart Pharmacy $ 3112 Santa Rita Rd Pleasanton, CA 94566 (925) 417-0948 Walmart Pharmacy $ 4501 Rosewood Dr Pleasanton, CA 94588 (925) 734-9024

San Leandro

Pleasanton Custom Care Pharmacy $ 4271 1st St Pleasanton, CA 94566 (925) 846-4455

Costco Pharmacy 1900 Davis St San Leandro, CA 94577 (510) 562-6815

Raley's Drug Center 5420 Sunol Blvd Pleasanton, CA 94566 (925) 846-7944

CVS Pharmacy $ 699 Lewelling Blvd San Leandro, CA 94579 (510) 351-0951

*Only dispenses 30-day supplies HEALTH NET

Walgreens 1763 Santa Rita Rd Pleasanton, CA 94566 (925) 426-1562

$ Offers preferred cost-sharing -7-

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 1401 Washington Ave San Leandro, CA 94577 (510) 483-2810

Walgreens 15500 Washington Ave San Leandro, CA 94579 (510) 483-3917

Safeway Pharmacy 1790 Decoto Rd Union City, CA 94587 (510) 429-9093

CVS Pharmacy $ 1188 E 14th St San Leandro, CA 94577 (510) 351-7957

Walgreens 1456 136th Ave San Leandro, CA 94578 (510) 618-1504

Save Mart Pharmacy 32300 Dyer St Union City, CA 94587 (510) 441-9393

CVS Pharmacy $ 14869 E 14th St San Leandro, CA 94578 (510) 351-1492

Walmart Pharmacy $ 15555 Hesperian Blvd San Leandro, CA 94579 (510) 351-0132

Walmart Pharmacy $ 30600 Dyer St Union City, CA 94587 (510) 475-5523

Getwell Pharmacy And Medical Supply $ 699 E 14th St San Leandro, CA 94577 (510) 969-8801

Walmart Pharmacy $ 1919 Davis St San Leandro, CA 94577 (510) 569-9000

Amador

Medical Arts Pharmacy $ 13847 E 14th St San Leandro, CA 94578 (510) 357-1881 Rite Aid Pharmacy 1355 Macarthur Blvd San Leandro, CA 94577 (510) 352-3677

San Lorenzo Save Mart Pharmacy 15840 Hesperian Blvd San Lorenzo, CA 94580 (510) 276-9395

Union City

Save Mart Pharmacy 1300 Fairmont Dr San Leandro, CA 94578 (510) 276-8106

New Tiburcio Vasquez Health Center Pharmacy $ 33255 9th St Union City, CA 94587 (510) 489-8088

Target Pharmacy 300 Bay Fair Mall San Leandro, CA 94578 (510) 276-3979

Rite Aid Pharmacy 31836 Alvarado Blvd Union City, CA 94587 (510) 489-3955

Walgreens 15850 E 14th St San Leandro, CA 94578 (510) 276-5743

Rite Aid Pharmacy 1650 Decoto Rd Union City, CA 94587 (510) 429-0195

*Only dispenses 30-day supplies

Ione Ione Pharmacy 307 Preston Ave Ione, CA 95640 (209) 274-2432

Jackson CVS Pharmacy $ 515 S State Highway 49 Jackson, CA 95642 (209) 223-2471 Raley's Drug Center 785 S State Highway 49 Jackson, CA 95642 (209) 223-9190 Safeway Pharmacy 9 So. Hiway 49 & 88 Jackson, CA 95642 (209) 223-4418

$ Offers preferred cost-sharing -8-

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walmart Pharmacy $ 10355 Wicklow Way Jackson, CA 95642 (209) 223-5193

CVS Pharmacy $ 801 East Ave Chico, CA 95926 (530) 345-1363

Safeway Pharmacy 1366 East Ave Chico, CA 95926 (530) 899-2322

Pine Grove

CVS Pharmacy $ 1496 East Ave Chico, CA 95926 (530) 896-5404

Save Mart Pharmacy 146 W East Ave Chico, CA 95926 (530) 343-3399

CVS Pharmacy $ 2780 Esplanade Chico, CA 95973 (530) 345-9009

Walgreens 860 East Ave Chico, CA 95926 (530) 899-0887

Walgreens 475 Hwy 49 Sutter Creek, CA 95685 (209) 267-5128

Enloe Outpatient Center Pharmacy 888 Lakeside Village Commons Chico, CA 95928 (530) 332-6871

Walgreens 2507 Esplanade Chico, CA 95926 (530) 332-9654

Butte

Next Door Pharmacy $ 285 Cohasset Rd Ste 110 Chico, CA 95926 (530) 933-4455

Pine Cone Drug $ 19910 State Highway 88 Pine Grove, CA 95665 (209) 296-8777

Sutter Creek

Chico Bidwell Pharmacy And Medical Supply 1200 Mangrove Ave Ste A Chico, CA 95926 (530) 891-0388 Chico Pharmacy $ 251 Cohasset Rd Ste 100 Chico, CA 95926 (530) 343-4440 Costco Pharmacy 2100 Martin Luther King Pkwy Chico, CA 95928 (530) 342-8892 CVS Pharmacy $ 1120 Forest Ave Chico, CA 95928 (530) 894-5112

Raley's Drug Center 211 W East Ave Chico, CA 95926 (530) 899-3790 Raley's Drug Center 2485 Notre Dame Blvd Ste 340 Chico, CA 95928 (530) 895-0895 Rite Aid Pharmacy 650 Mangrove Ave Chico, CA 95926 (530) 891-6722 Rite Aid Pharmacy 220 W East Ave Chico, CA 95926 (530) 343-9495

*Only dispenses 30-day supplies HEALTH NET

Walgreens 1042 Nord Ave Chico, CA 95926 (530) 566-1358 Walmart Pharmacy $ 2044 Forest Ave Chico, CA 95928 (530) 899-8650

Gridley CVS Pharmacy $ 260 Spruce St Gridley, CA 95948 (530) 846-3634 Rite Aid Pharmacy 1550 State Highway 99 Gridley, CA 95948 (530) 846-3334 Safeway Pharmacy 1596 State Highway 99 Gridley, CA 95948 (530) 846-7360 $ Offers preferred cost-sharing

-9-

Retail Pharmacies, including Chain Pharmacies Magalia Lisa Family Pharmacy $ 14137 Lakeridge Ct Magalia, CA 95954 (530) 873-0460 Rite Aid Pharmacy 14115 Lakeridge Cir Magalia, CA 95954 (530) 873-0800

Oroville CVS Pharmacy $ 850 Oroville Dam Blvd Oroville, CA 95965 (530) 534-1554 Olive Pharmacy $ 2721 Olive Pharmacy Oroville, CA 95966 (530) 534-9811 Raley's Drug Center 2325 Myers St Ste B Oroville, CA 95966 (530) 533-6876 Rite Aid Pharmacy 2700 E Oroville Dam Blvd Oroville, CA 95965 (530) 533-8083 Roberts Drug Store $ 3010 Myers St Oroville, CA 95966 (530) 533-3103 Walgreens 2703 Oro Dam Blvd E Oroville, CA 95966 (530) 534-1283

Walmart Pharmacy $ 355 Oro Dam Blvd E Oroville, CA 95965 (530) 534-1495

Paradise CVS Pharmacy $ 6800 Skyway Paradise, CA 95969 (530) 876-0186 Feather River Hospital $ 5974 Pentz Rd Paradise, CA 95969 (530) 876-7177 Feather River Hospital Outpatient $ 5125 Skyway Paradise, CA 95969 (530) 876-7226 Paradise Drug $ 6240 Clark Rd Ste B Paradise, CA 95969 (530) 877-4981 Rite Aid Pharmacy 6646 Clark Rd Paradise, CA 95969 (530) 872-2700

Calaveras Angels Camp CVS Pharmacy $ 41 N Main St Angels Camp, CA 95222 (209) 736-1840 Rite Aid Pharmacy 230 S Main St Angels Camp, CA 95222 (209) 736-4623

Arnold Meadowmont Pharmacy 2182 Highway 4 Unit C230 Arnold, CA 95223 (209) 795-1155

Copperopolis Copperopolis Pharmacy $ 49 Cosmic Ct Ste C Copperopolis, CA 95228 (209) 785-8787

Murphys

Safeway Pharmacy 6020 Clark Rd Paradise, CA 95969 (530) 877-7001

Murphys Pharmacy 88 W Highway 4 Murphys, CA 95247 (209) 728-3472

Walgreens 7576 Skyway Paradise, CA 95969 (530) 876-8222

San Andreas

*Only dispenses 30-day supplies

Kellys Drug Store $ 64 E Saint Charles St San Andreas, CA 95249 (209) 754-3595

$ Offers preferred cost-sharing - 10 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Valley Springs CVS Pharmacy $ 200 E Highway 12 Ste D Valley Springs, CA 95252 (209) 772-9681

Rite Aid Pharmacy 130 Alamo Plaza Alamo, CA 94507 (925) 820-1233

Save Mart Pharmacy 3190 Contra Loma Blvd Antioch, CA 94509 (925) 754-8585

Antioch

Target Pharmacy 5769 Lone Tree Way Antioch, CA 94531 (925) 752-0003

Foothills Drug Store $ 1906 Vista Del Lago Dr Ste G Valley Springs, CA 95252 (209) 920-3299

Costco Pharmacy 220 Verne Roberts Cir Antioch, CA 94509 (925) 757-1933

Colusa

CVS Pharmacy $ 4028 Lone Tree Ave Antioch, CA 94509 (925) 978-0276

Colusa Davison Drugs & Stationery $ 640 Market St Colusa, CA 95932 (530) 458-2188 Rite Aid Pharmacy 1021 Bridge St Colusa, CA 95932 (530) 458-2494

Williams Fouch & Son Pharmacy $ 692 E Street Williams, CA 95987 (530) 473-5350

Contra Costa Alamo CVS Pharmacy $ 3158 Danville Blvd Alamo, CA 94507 (925) 314-9714

CVS Pharmacy $ 2511 Somersville Rd Antioch, CA 94509 (925) 754-5800

Walmart Pharmacy $ 4893 Lone Tree Way Antioch, CA 94531 (925) 755-9600

Bay Point

Raley's Drug Center 3636 Lone Tree Way Antioch, CA 94509 (925) 754-5288

Rite Aid Pharmacy 580 Bailey Rd Bay Point, CA 94565 (925) 458-0955

Rite Aid Pharmacy 4100 Lone Tree Way Antioch, CA 94531 (925) 522-0150

Safeway Pharmacy 660 Bailey Rd Bay Point, CA 94565 (925) 458-0930

Rite Aid Pharmacy 3353 Deer Valley Rd Antioch, CA 94531 (925) 757-3390

Walgreens 2700 Willow Pass Rd Bay Point, CA 94565 (925) 709-0317

Rite Aid Pharmacy 20 E 18th St Antioch, CA 94509 (925) 757-7161

Brentwood

Safeway Pharmacy 3365 Deer Valley Rd Antioch, CA 94531 (925) 706-4152

*Only dispenses 30-day supplies HEALTH NET

Walgreens 3416 Deer Valley Rd Antioch, CA 94531 (925) 978-8000

City Center Pharmacy Brentwood $ 50 Eagle Rock Way Ste C Brentwood, CA 94513 (925) 240-9777

$ Offers preferred cost-sharing - 11 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 3171 Balfour Rd Brentwood, CA 94513 (925) 626-3963 CVS Pharmacy $ 1175 2nd St Brentwood, CA 94513 (925) 634-8045 Raley's Drug Center 2400 Sand Creek Rd Brentwood, CA 94513 (925) 513-8844 Safeway Pharmacy 3110 Balfour Rd Brentwood, CA 94513 (925) 626-6030

Clayton CVS Pharmacy $ 6490 Clayton Rd Clayton, CA 94517 (925) 673-2803 Safeway Pharmacy 5432 Clayton Rd Clayton, CA 94517 (925) 672-2107 Walgreens 5437 Clayton Rd Clayton, CA 94517 (925) 672-1356

Kmart Pharmacy 5100 Clayton Rd Concord, CA 94521 (925) 671-8018 Oak Grove Pharmacy 785 Oak Grove Rd Concord, CA 94518 (925) 681-1823 Rite Aid Pharmacy 1905 Monument Blvd Concord, CA 94520 (925) 680-2845

Concord

Safeway Pharmacy 4309 Clayton Rd Concord, CA 94521 (925) 356-2712

Safeway Pharmacy 1125 2nd St Brentwood, CA 94513 (925) 634-6782

Costco Pharmacy 2400 Monument Blvd Concord, CA 94520 (925) 566-4002

Safeway Pharmacy 2600 Willow Pass Rd Concord, CA 94519 (925) 689-0895

Walgreens 6570 Lone Tree Way Brentwood, CA 94513 (925) 240-6043

CVS Pharmacy $ 5408 Ygnacio Valley Rd Concord, CA 94521 (925) 672-0646

Sam's Club Pharmacy $ 1225 Concord Ave Concord, CA 94520 (479) 273-4885

Walgreens 4520 Balfour Rd Brentwood, CA 94513 (925) 513-4055

CVS Pharmacy $ 4424 Treat Blvd Concord, CA 94521 (925) 676-4040

Save Mart Pharmacy 5190 Clayton Rd Concord, CA 94521 (925) 680-5121

Walgreens 2271 Balfour Rd Brentwood, CA 94513 (925) 626-3491

CVS Pharmacy $ 2677 Clayton Rd Concord, CA 94519 (925) 689-2398

Sycamore Medical Pharmacy $ 2485 High School Ave Ste 114 Concord, CA 94520 (925) 682-5600

Byron

Diablo Professional Pharmacy 2700 Grant St Concord, CA 94520 (925) 674-2637

Walgreens 1990 Monument Blvd Concord, CA 94520 (925) 689-7812

CVS Pharmacy $ 14830 Highway 4 Byron, CA 94505 (925) 240-7189 *Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 12 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 1800 Concord Ave Concord, CA 94520 (925) 674-9477

Danville Costco Pharmacy 3150 Fostoria Way Danville, CA 94526 (925) 277-1800 CVS Pharmacy $ 650 San Ramon Valley Blvd Danville, CA 94526 (925) 820-3222 CVS Pharmacy $ 3420 Camino Tassajara Danville, CA 94506 (925) 736-0262 Danville San Ramon Pharmacy 905 San Ramon Valley Blvd #106 Danville, CA 94526 (925) 820-4603 Safeway Pharmacy 3496 Camino Tassajara Danville, CA 94506 (925) 736-0346 Walgreens 611 San Ramon Valley Blvd Danville, CA 94526 (925) 743-0166 Walgreens 480 Diablo Rd Danville, CA 94526 (925) 855-8145

Discovery Bay

Hercules

Safeway Pharmacy 14840 Highway 4 Discovery Bay, CA 94514 (925) 626-6011

Rite Aid Pharmacy 1560 Sycamore Ave Hercules, CA 94547 (510) 799-1252

El Cerrito

Save Mart Pharmacy 1590 Sycamore Ave Hercules, CA 94547 (510) 245-1440

CVS Pharmacy $ 10650 San Pablo Ave El Cerrito, CA 94530 (510) 527-3210 CVS Pharmacy $ 670 El Cerrito Plaza El Cerrito, CA 94530 (510) 524-5895

CVS Pharmacy $ 3625 Mt Diablo Blvd Lafayette, CA 94549 (925) 284-7121

Safeway Pharmacy 11450 San Pablo Ave El Cerrito, CA 94530 (510) 233-8405

Safeway Pharmacy 3540 Mt Diablo Blvd Lafayette, CA 94549 (925) 284-1550

Save Mart Pharmacy 1000 El Cerrito Plaza El Cerrito, CA 94530 (510) 524-8280

Martinez

Walgreens 11565 San Pablo Ave El Cerrito, CA 94530 (510) 234-9300

CVS Pharmacy $ 560 Center Ave Martinez, CA 94553 (925) 370-8077

El Sobrante

CVS Pharmacy $ 6668 Alhambra Ave Martinez, CA 94553 (925) 935-9430

Park Rexall Pharmacy 3716 Dam Road El Sobrante, CA 94803 (510) 223-1321

Rite Aid Pharmacy 1165 Arnold Dr Martinez, CA 94553 (925) 372-0945

Walgreens 3630 San Pablo Dam Rd El Sobrante, CA 94803 (510) 758-2365

Safeway Pharmacy 6688 Alhambra Ave Martinez, CA 94553 (925) 933-0822

*Only dispenses 30-day supplies HEALTH NET

Lafayette

$ Offers preferred cost-sharing - 13 -

Retail Pharmacies, including Chain Pharmacies Orinda

Pittsburg

CVS Pharmacy $ 50 Moraga Way Orinda, CA 94563 (925) 254-4956

City Center Pharmacy $ 1270 E Leland Rd Ste 102 Pittsburg, CA 94565 (925) 432-9770

Moraga

Rite Aid Pharmacy 27 Orinda Way Orinda, CA 94563 (925) 253-1904

CVS Pharmacy $ 230 Atlantic Ave Pittsburg, CA 94565 (925) 439-7422

CVS Pharmacy $ 580 Moraga Rd Moraga, CA 94556 (925) 631-0204

The Medicine Shoppe 282 Village Sq Orinda, CA 94563 (925) 254-1211

Target Pharmacy 4301 Century Blvd Pittsburg, CA 94565 (925) 778-8950

CVS Pharmacy $ 1480 Moraga Rd Ste D Moraga, CA 94556 (925) 376-5166

Pinole

Walgreens 2901 Railroad Ave Pittsburg, CA 94565 (925) 439-8575

Walgreens 3655 Alhambra Ave Martinez, CA 94553 (925) 372-0337 Walmart Pharmacy $ 1021 Arnold Dr Martinez, CA 94553 (925) 313-9059

Rheem Specialty Pharmacy 346 Rheem Blvd Ste 109 Moraga, CA 94556 (877) 404-7112

CVS Pharmacy $ 1401 Tara Hills Dr Pinole, CA 94564 (510) 724-8880

Walmart Pharmacy $ 2203 Loveridge Rd Pittsburg, CA 94565 (925) 427-2151

Oakley

Save Mart Pharmacy 1530 Fitzgerald Dr Pinole, CA 94564 (510) 758-6581

Raley's Drug Center 2077 Main St Oakley, CA 94561 (925) 625-4500

Target Pharmacy 1400 Fitzgerald Dr Pinole, CA 94564 (510) 222-9281

Rite Aid Pharmacy 2140 Contra Costa Blvd Pleasant Hill, CA 94523 (925) 691-0164

Rite Aid Pharmacy 2555 Main St Oakley, CA 94561 (925) 625-9001

Walgreens 2750 Pinole Valley Rd Pinole, CA 94564 (510) 222-9422

Safeway Pharmacy 707 Contra Costa Blvd Pleasant Hill, CA 94523 (925) 689-8466

Save Mart Pharmacy 2545 Main St Oakley, CA 94561 (925) 625-7557

Whitecross Pharmacy 2160 Appian Way Pinole, CA 94564 (510) 724-2333

Safeway Pharmacy 1978 Contra Costa Blvd Pleasant Hill, CA 94523 (925) 688-0684

*Only dispenses 30-day supplies

Pleasant Hill

$ Offers preferred cost-sharing - 14 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Save Mart Pharmacy 155 Crescent Plaza Pleasant Hill, CA 94523 (925) 687-9858

CVS Pharmacy $ 2151 Meeker Ave Richmond, CA 94804 (510) 231-5922

Walmart Pharmacy $ 1400 Hilltop Mall Rd San Pablo, CA 94806 (510) 669-0386

Target Pharmacy 560 Contra Costa Blvd Pleasant Hill, CA 94523 (925) 685-5244

Target Pharmacy 4500 MacDonald Ave Richmond, CA 94805 (510) 253-1001

San Ramon

The Medicine Shoppe $ 2100 Monument Blvd Pleasant Hill, CA 94523 (925) 685-0147

Walgreens 1150 MacDonald Ave Richmond, CA 94801 (510) 236-5748

Walgreens 721 Gregory Ln Pleasant Hill, CA 94523 (925) 944-1592

San Pablo

Point Richmond Point Pharmacy $ 139 W Richmond Ave Ste B Point Richmond, CA 94801 (510) 232-7879

Richmond Central Pharmacy 2300 MacDonald Ave Richmond, CA 94804 (510) 234-4381 Civic Center Pharmacy 2729 MacDonald Ave Richmond, CA 94804 (510) 234-5023 Costco Pharmacy 4801 Central Ave Richmond, CA 94804 (510) 527-6500

Brookvale Medical Center Pharmacy 2101 Vale Rd Ste 100 San Pablo, CA 94806 (510) 235-4443 Save Mart Pharmacy 300 San Pablo Towne Ctr San Pablo, CA 94806 (510) 232-0203 Vale Road Pharmacy $ 2023 Vale Rd San Pablo, CA 94806 (510) 232-2377 Walgreens 15650 San Pablo Ave San Pablo, CA 94806 (510) 243-1100 Walgreens 14280 San Pablo Blvd San Pablo, CA 94806 (510) 730-7000

CVS Pharmacy $ 2455 San Ramon Valley Blvd San Ramon, CA 94583 (925) 820-7325 CVS Pharmacy $ 490 Market Pl San Ramon, CA 94583 (925) 327-0435 CVS Pharmacy $ 9120 Alcosta Blvd San Ramon, CA 94583 (925) 829-9335 Rite Aid Pharmacy 3207 Crow Canyon Pl San Ramon, CA 94583 (925) 866-0505 Safeway Pharmacy 2505 San Ramon Valley Blvd San Ramon, CA 94583 (925) 831-9502 Safeway Pharmacy 11050 Bollinger Canyon Rd San Ramon, CA 94582 (925) 359-2005

Walgreens 13751 San Pablo Ave San Pablo, CA 94806 (510) 233-9467

*Only dispenses 30-day supplies HEALTH NET

Custom Care Compounding Pharmacy 18080 San Ramon Valley Blvd #104 San Ramon, CA 94583 (925) 962-5303

$ Offers preferred cost-sharing - 15 -

Retail Pharmacies, including Chain Pharmacies San Ramon Custom Care Pharmacy $ 124 Market Pl San Ramon, CA 94583 (925) 830-0555 Save Mart Pharmacy 21001 San Ramon Valley Blvd San Ramon, CA 94583 (925) 828-8670 Target Pharmacy 2610 Bishop Dr San Ramon, CA 94583 (925) 867-0245 Walgreens 21001 San Ramon Valley Blvd San Ramon, CA 94583 (925) 803-0893 Walmart Pharmacy $ 9100 Alcosta Blvd San Ramon, CA 94583 (925) 364-9217

Walnut Creek Advance Medical Pharmacy $ 112 La Casa Via Ste 100 Walnut Creek, CA 94598 (925) 939-6311 CVS Pharmacy $ 738 Bancroft Rd Walnut Creek, CA 94598 (925) 938-8525 CVS Pharmacy $ 1914 Tice Valley Blvd Walnut Creek, CA 94595 (925) 947-6050 CVS Pharmacy $ 1123 S California Blvd Walnut Creek, CA 94596 (925) 933-8353

Muir Specialty Pharmacy 1479 Ygnacio Valley Rd Ste 101 Walnut Creek, CA 94598 (925) 949-8915 Rite Aid Pharmacy 1997 Tice Valley Blvd Walnut Creek, CA 94595 (925) 932-0484 Rite Aid Pharmacy 1526 Palos Verdes Mall Walnut Creek, CA 94597 (925) 939-8378 Safeway Pharmacy 600 S Broadway Walnut Creek, CA 94596 (925) 945-3440 Scriptworks-A Professional Pharmacy $ 480 N Wiget Ln Walnut Creek, CA 94598 (925) 934-4400 Sycamore West Pharmacy 452 N Wiget Ln Walnut Creek, CA 94598 (925) 979-9500 Target Pharmacy 1871 N Main St Walnut Creek, CA 94596 (925) 979-0095 Walgreens 2923 Ygnacio Valley Rd Walnut Creek, CA 94598 (925) 256-7230 Walgreens 2900 N Main St Walnut Creek, CA 94597 (925) 933-0307

*Only dispenses 30-day supplies

Del Norte Crescent City Rite Aid Pharmacy 575 M St Crescent City, CA 95531 (707) 465-3981 Safeway Pharmacy 475 M St Crescent City, CA 95531 (707) 465-3663 Walgreens 787 L St Crescent City, CA 95531 (707) 464-3674 Walmart Pharmacy $ 900 E Washington Blvd Crescent City, CA 95531 (707) 464-1452

El Dorado Cameron Park Bel Air Pharmacy 3510 Palmer Dr Cameron Park, CA 95682 (530) 676-4833 CVS Pharmacy $ 3020 Green Valley Rd Ste B Cameron Park, CA 95682 (530) 676-6352 CVS Pharmacy $ 3500 Palmer Dr Cameron Park, CA 95682 (530) 676-0171 $ Offers preferred cost-sharing

- 16 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Placerville

Pollock Pines

CVS Pharmacy $ 3964 Missouri Flat Rd Ste A Placerville, CA 95667 (530) 626-8642

CVS Pharmacy $ 6450 Pony Express Trl Pollock Pines, CA 95726 (530) 647-8013

Raley's Drug Center 160 Placerville Dr Placerville, CA 95667 (530) 622-6630

Safeway Pharmacy 6498 Pony Express Trl Pollock Pines, CA 95726 (530) 647-7449

South Lake Tahoe

El Dorado Hills

Rite Aid Pharmacy 31 Fair Ln Placerville, CA 95667 (530) 626-0801

CVS Pharmacy $ 4400 Latrobe Rd El Dorado Hills, CA 95762 (916) 934-0133

Rite Aid Pharmacy 1220 Broadway Placerville, CA 95667 (530) 626-5501

Raley's Drug Center 3935 Park Dr Ste B El Dorado Hills, CA 95762 (916) 933-0374

Robinsons Pharmacy $ 359 Main St Placerville, CA 95667 (530) 622-3186

Safeway Pharmacy 2207 Francisco Dr El Dorado Hills, CA 95762 (916) 939-9463

Safeway Pharmacy 3955 Missouri Flat Rd Placerville, CA 95667 (530) 295-2977

Target Pharmacy 4400 Town Center Blvd El Dorado Hills, CA 95762 (916) 605-0185

Walgreens 4420 Missouri Flat Rd Placerville, CA 95667 (530) 344-1062

Walgreens 8230 Saratoga Way El Dorado Hills, CA 95762 (926) 933-3854

Walmart Pharmacy $ 4300 Missouri Flat Rd Placerville, CA 95667 (530) 621-3447

Rite Aid Pharmacy NWC Green Valley/Cameron Park Cameron Park, CA 95682 (530) 672-8908 Safeway Pharmacy 3380 Coach Ln Cameron Park, CA 95682 (530) 676-6938 Walgreens 4014 Plaza Goldorado Cir Cameron Park, CA 95682 (530) 676-2095

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 3471 Lake Tahoe Blvd South Lake Tahoe, CA 96150 (530) 541-9477 CVS Pharmacy $ 1043 Emerald Bay Rd South Lake Tahoe, CA 96150 (530) 544-1445 Raley's Drug Center 4018 Lake Tahoe Blvd South Lake Tahoe, CA 96150 (530) 544-4111 Raley's Drug Center 1040 Emerald Bay Rd South Lake Tahoe, CA 96150 (530) 541-5230 Rite Aid Pharmacy 1020 Al Tahoe Blvd South Lake Tahoe, CA 96150 (530) 541-2530 Safeway Pharmacy 1020 Johnson Blvd South Lake Tahoe, CA 96150 (530) 542-7744

$ Offers preferred cost-sharing - 17 -

Retail Pharmacies, including Chain Pharmacies Tahoe Valley Pharmacy $ 2074 Lake Tahoe Blvd Ste I South Lake Tahoe, CA 96150 (530) 541-0870

CVS Pharmacy $ 1107 N Willow Ave Clovis, CA 93611 (559) 322-0340

Vons Pharmacy 1650 Herndon Ave Clovis, CA 93611 (559) 297-6440

Fresno

Rite Aid Pharmacy 1155 Shaw Ave Clovis, CA 93612 (559) 297-4198

Vons Pharmacy 3100 Fowler Ave Clovis, CA 93611 (559) 294-6730

Save Mart Pharmacy 850 Herndon Ave Clovis, CA 93612 (559) 322-0123

Walgreens 205 Shaw Ave Clovis, CA 93612 (559) 325-1858

Save Mart Pharmacy 2179 Shaw Ave Clovis, CA 93611 (559) 298-1707

Walgreens 1790 Shaw Ave Clovis, CA 93611 (559) 299-5823

Save Mart Pharmacy 1157 N Willow Ave Clovis, CA 93611 (559) 297-0174

Walgreens 1815 Herndon Ave Clovis, CA 93611 (559) 325-1324

Script Life Pharmacy $ 255 W Herndon Ave Ste 101 Clovis, CA 93612 (559) 324-1808

Walmart Pharmacy $ 1185 Herndon Ave Clovis, CA 93612 (559) 321-0284

Scriptcare Rx And Medical Supplies $ 159 W Shaw Ave Clovis, CA 93612 (559) 298-0600

Walmart Pharmacy $ 323 W Shaw Ave Clovis, CA 93612 (559) 297-4391

Caruthers Caruthers Pharmacy $ 2436 W Tahoe Caruthers, CA 93609 (559) 864-3177

Clovis Costco Pharmacy 380 W Ashlan Ave Clovis, CA 93612 (559) 291-1084 CVS Pharmacy $ 634 Shaw Ave Clovis, CA 93612 (559) 299-9511 CVS Pharmacy $ 1405 Herndon Ave Clovis, CA 93611 (559) 322-1574 CVS Pharmacy $ 2133 Shaw Ave Clovis, CA 93611 (559) 297-6730 CVS Pharmacy $ 1794 Ashlan Ave Clovis, CA 93611 (559) 294-6603

Target Pharmacy 695 W Herndon Ave Clovis, CA 93612 (559) 321-0010 Target Pharmacy 900 Shaw Ave Clovis, CA 93612 (559) 297-5697

*Only dispenses 30-day supplies

Walmart Pharmacy $ 1830 Shaw Ave Clovis, CA 93611 (559) 862-2837

Coalinga Kmart Pharmacy 25 W Polk Coalinga, CA 93210 (559) 935-1690 $ Offers preferred cost-sharing

- 18 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 159 W Polk St Coalinga, CA 93210 (559) 935-3597

Care Center Pharmacy $ 1570 E Herndon Ave Fresno, CA 93720 (559) 437-7370

CVS Pharmacy $ 5180 E Kings Canyon Rd Fresno, CA 93727 (559) 255-9009

Rx Care Pharmacy $ 1165 Phelps Ave Ste 101 Coalinga, CA 93210 (559) 935-8833

Care Rx Pharmacy $ 302 E Bullard Ave Fresno, CA 93710 (559) 261-9888

CVS Pharmacy $ 4987 N Fresno St Fresno, CA 93726 (559) 227-7137

Walgreens 265 Forest St Coalinga, CA 93210 (559) 934-0461

Cedar Pharmacy & Med Supplies 6767 N Cedar Ave Fresno, CA 93710 (559) 437-3700

CVS Pharmacy $ 6800 N Milburn Ave Fresno, CA 93722 (559) 451-3486

Firebaugh West Side Drug Company 1101 O St Firebaugh, CA 93622 (559) 659-2159

Fowler CVS Pharmacy $ 111 E Merced St Fowler, CA 93625 (559) 834-1606

Fresno Bowermans Pharmacy 3131 S Willow Ave Ste 103 Fresno, CA 93725 (800) 303-2273 Buker And Colson Medicine Chest 1300 N Fresno St Ste 200B Fresno, CA 93703 (587) 237-4171 Bullard Pharmacy $ 2026 W Bullard Ave Fresno, CA 93711 (559) 438-0111

Chestnut Pharmacy 7075 N Chestnut Ave Ste 104 Fresno, CA 93720 (559) 317-6720 Community Center Pharmacy 110 N Valeria St Ste 101 Fresno, CA 93701 (559) 459-6245 Community First Pharmacy 3636 N 1st St Ste 134-A Fresno, CA 93726 (559) 229-6000 Community Medical Arts Pharmacy $ 2041 Divisadero St Fresno, CA 93701 (559) 485-2323 Costco Pharmacy 7100 N Abby St Fresno, CA 93720 (559) 437-3642 Costco Pharmacy 4500 W Shaw Ave Fresno, CA 93722 (559) 276-2595

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 7096 N West Ave Fresno, CA 93711 (559) 436-0471 CVS Pharmacy $ 6750 N Cedar Ave Fresno, CA 93710 (559) 299-3115 CVS Pharmacy $ 1113 E Champlain Dr Fresno, CA 93720 (559) 434-2158 CVS Pharmacy $ 728 W Shaw Ave Fresno, CA 93704 (559) 226-1485 CVS Pharmacy $ 4077 W Clinton Ave Fresno, CA 93722 (559) 271-3177 CVS Pharmacy $ 1325 W Shields Ave Fresno, CA 93705 (559) 224-6963

$ Offers preferred cost-sharing - 19 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 3011 E Shields Ave Fresno, CA 93726 (559) 224-2965

Northwest Medical Pharmacy $ 4770 W Herndon Ave Ste 101 Fresno, CA 93722 (559) 271-6370

Rite Aid Pharmacy 3795 W Shields Ave Fresno, CA 93722 (559) 271-5030

CVS Pharmacy $ 1302 Fulton Mall Fresno, CA 93721 (559) 233-7311

Pill Box Pharmacy 2608 E Ashlan Ave Fresno, CA 93726 (559) 492-2162

Rite Aid Pharmacy 2990 E Nees Ave Fresno, CA 93720 (559) 297-4306

CVS Pharmacy $ 5995 E Kings Canyon Rd Fresno, CA 93727 (559) 252-1124

Primary Care Pharmacy 5551 E Kings Canyon Rd Ste 101 Fresno, CA 93727 (559) 452-0420

Rite Aid Pharmacy 2047 W Shaw Ave Fresno, CA 93711 (559) 224-0920

Discount Pharmacy And Medical Supply 703 N Fulton St Ste 201 Fresno, CA 93728 (559) 268-0712

Ray Fisher Pharmacy 6629 N Blackstone Ave Fresno, CA 93710 (559) 437-3800

Rite Aid Pharmacy 2020 East Copper Ave Fresno, CA 93730 (559) 433-1290

Rite Aid Pharmacy 8027 N Cedar Ave Fresno, CA 93720 (559) 431-1002

Rite Aid Pharmacy 1210 N Blackstone Ave Fresno, CA 93703 (559) 445-0694

Rite Aid Pharmacy 6074 N 1st St Fresno, CA 93710 (559) 431-5231

Rite Aid Pharmacy 1101 Fresno St Fresno, CA 93706 (559) 441-0998

Rite Aid Pharmacy 5638 E Kings Canyon Rd Fresno, CA 93727 (559) 458-0534

Sam's Club Pharmacy $ 7663 N Blackstone Ave Fresno, CA 93720 (559) 446-0196

Rite Aid Pharmacy 4593 N Cedar Ave Fresno, CA 93726 (559) 222-2472

Save Mart Pharmacy 6797 N Milburn Ave Fresno, CA 93722 (559) 216-4126

Rite Aid Pharmacy 4224 E Shields Ave Fresno, CA 93726 (559) 229-6024

Save Mart Pharmacy 7075 N Marks Ave Fresno, CA 93711 (559) 439-1211

Elm Community Health Center 2740 S Elm Ave Fresno, CA 93706 (559) 457-5381 Fresno Pharmacy $ 4917 E Kings Canyon Rd Ste 102 Fresno, CA 93727 (559) 255-8085 Jeffrey K Shinoda Pharm.D. 6121 N Thesta St Ste 204 Fresno, CA 93710 (559) 435-2425 Manor Drugs $ 5795 N 1st St Fresno, CA 93710 (559) 431-4142 Modern Drug 3044 Tulare St Fresno, CA 93721 (559) 266-0701

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 20 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Save Mart Pharmacy 1107 E Champlain Dr Fresno, CA 93720 (559) 433-0283

Target Pharmacy 3150 W Shaw Ave Fresno, CA 93711 (559) 276-8926

Vons Pharmacy 8949 N Cedar Ave Fresno, CA 93720 (559) 438-1356

Save Mart Pharmacy 5750 N 1st St Fresno, CA 93710 (559) 435-7903

The Medicine Shoppe $ 2484 E Gettysburg Ave Fresno, CA 93726 (559) 222-6276

Vons Pharmacy 7733 N 1st St Fresno, CA 93720 (559) 439-1016

Save Mart Pharmacy 5671 E Kings Canyon Rd Fresno, CA 93727 (559) 253-1223

The Medicine Shoppe $ 219 E Olive Ave Fresno, CA 93728 (559) 268-8258

Vons Pharmacy 5638 E Kings Canyon Rd Fresno, CA 93727 (559) 458-0240

Save Mart Pharmacy 659 E Nees Ave Fresno, CA 93720 (559) 446-0715

The Medicine Shoppe $ 4845 E Butler Ave Fresno, CA 93727 (559) 255-3301

Vons Pharmacy 4343 N Blackstone Ave Fresno, CA 93726 (559) 243-0163

Save Mart Pharmacy 2425 N Blackstone Ave Fresno, CA 93703 (559) 229-3119

The Medicine Shoppe $ 4009 N Marks Ave Fresno, CA 93722 (559) 226-1201

Walgreens 2420 N Blackstone Ave Fresno, CA 93703 (559) 244-0974

Target Pharmacy 3173 E Shields Ave Fresno, CA 93726 (559) 222-6287

Tou's Pharmacy 3250 E Olive Ave Ste B Fresno, CA 93702 (559) 268-2547

Walgreens 6010 N Figarden Dr Fresno, CA 93722 (559) 271-4926

Target Pharmacy 5740 N Blackstone Ave Fresno, CA 93710 (559) 431-8650

University Medical Center Pharmacy $ 290 N Wayte Lane 1st Floor Fresno, CA 93701 (559) 459-4592

Walgreens 5785 N 1st St Fresno, CA 93710 (559) 440-0152

Target Pharmacy 6655 N Riverside Drive Fresno, CA 93722 (559) 490-5568 Target Pharmacy 7600 N Blackstone Ave Fresno, CA 93720 (559) 490-0031

Vina Pharmacy 2308 N Fresno St Fresno, CA 93703 (559) 224-5210 Vista Pharmacy $ 4233 E Tulare St Fresno, CA 93702 (559) 255-3071

*Only dispenses 30-day supplies HEALTH NET

Walgreens 5747 N Palm Ave Fresno, CA 93704 (559) 261-9813 Walgreens 4810 E Kings Canyon Rd Fresno, CA 93727 (559) 458-0141

$ Offers preferred cost-sharing - 21 -

Retail Pharmacies, including Chain Pharmacies Kerman

Walgreens 4771 W Ashlan Ave Fresno, CA 93722 (559) 274-0559

Walgreens 610 E Nees Ave Fresno, CA 93720 (559) 431-1379

Walgreens 4172 N 1st St Fresno, CA 93726 (559) 243-0124

Walgreens 6885 N Willow Ave Fresno, CA 93720 (559) 322-0698

Walgreens 2950 N Fowler Fresno, CA 93727 (559) 291-7589

Walgreens 2840 W Ashlan Ave Fresno, CA 93705 (559) 225-8900

Walgreens 7015 N West Ave Fresno, CA 93711 (559) 440-1404

Walmart Pharmacy $ 6855 N Willow Ave Fresno, CA 93710 (559) 298-7371

Walgreens 2424 N Brawley Ave Fresno, CA 93722 (559) 277-5912

Walmart Pharmacy $ 3680 W Shaw Ave Fresno, CA 93711 (559) 277-8274

Walgreens 626 S Clovis Ave Fresno, CA 93727 (559) 251-0163

Walmart Pharmacy $ 7065 N Ingram Ave Fresno, CA 93650 (559) 431-0747

Mendota Drug Store $ 497 Oller St Mendota, CA 93640 (559) 655-4254

Walgreens 1344 W Clinton Ave Fresno, CA 93705 (559) 264-8696

Walmart Pharmacy $ 5125 E Kings Canyon Rd Fresno, CA 93727 (559) 252-9518

United Health Centers -Mendota 121 Barboza St Mendota, CA 93640 (559) 655-5000

Walgreens 1219 N Cedar Ave Fresno, CA 93703 (559) 498-8283

Wintons Professional Pharmacy $ 1377 E Herndon Ave Ste 102 Fresno, CA 93720 (559) 435-1950

Parlier

Walgreens 8975 N Chestnut Ave Fresno, CA 93720 (559) 325-6439

Huron United Health Center 16928 11th St Huron, CA 93234 (559) 945-2541

*Only dispenses 30-day supplies

CVS Pharmacy $ 14967 W Whitesbridge Ave Kerman, CA 93630 (559) 842-0030 Rite Aid Pharmacy 15196 W Whitesbridge Ave Kerman, CA 93630 (559) 846-7115 United Health Centers INC Rx 517 S Madera Ave Kerman, CA 93630 (559) 846-6330 Walmart Pharmacy $ 14061 W Whitesbridge Ave Kerman, CA 93630 (559) 846-1209

Mendota

Fox Drug Store $ 13699 E Manning Ave Ste 105 Parlier, CA 93648 (559) 646-8888 United Health Centers 650 S Zediker Ave Parlier, CA 93648 (559) 646-3561 $ Offers preferred cost-sharing

- 22 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Prather CVS Pharmacy $ 29412 Auberry Rd Prather, CA 93651 (559) 855-4220

Reedley CVS Pharmacy $ 1065 W Manning Ave Reedley, CA 93654 (559) 638-0467 Rite Aid Pharmacy 975 E Manning Ave Reedley, CA 93654 (559) 638-6349 Walgreens 852 E Manning Ave Reedley, CA 93654 (559) 643-0367

Walgreens 2589 Jensen Ave Sanger, CA 93657 (559) 875-4061 Walmart Pharmacy $ 2761 Jensen Ave Sanger, CA 93657 (559) 875-1813

Selma Fox Drug Store $ 1939 High St Selma, CA 93662 (559) 896-1645 Rite Aid Pharmacy 2857 Whitson St Selma, CA 93662 (559) 896-7105

Riverdale Riverdale Drug 3462 W Mount Whitney Riverdale, CA 93656 (559) 867-3013

Walmart Pharmacy $ 3400 Floral Ave Selma, CA 93662 (559) 891-1960

Barr Pharmacy $ 1825 Academy Ave Sanger, CA 93657 (559) 875-2517 CVS Pharmacy $ 333 Academy Ave Sanger, CA 93657 (559) 875-2044

Glenn

Walmart Pharmacy $ 470 N Airport Rd Willows, CA 95988 (530) 934-2042 Willows Pharmacy $ 226 N Butte St Willows, CA 95988 (530) 934-7744

Humboldt Arcata Barnes Arcata Family Drug $ 1080 G St Arcata, CA 95521 (707) 822-2496

Orland

CVS Pharmacy $ 600 F St Arcata, CA 95521 (707) 822-2479

CVS Pharmacy $ 869 Newville Rd Orland, CA 95963 (530) 865-4775

Eureka

*Only dispenses 30-day supplies HEALTH NET

Walgreens 828 Newville Rd Orland, CA 95963 (503) 865-9859

Willows

Walgreens 2795 Floral Ave Selma, CA 93662 (559) 891-9823

Sanger

Orlandcare Pharmacy And Medical 61 E Walker St Orland, CA 95963 (530) 865-4688

Cloneys Prescription Pharmacy $ 2515 Harrison Ave Eureka, CA 95501 (707) 443-7086 $ Offers preferred cost-sharing

- 23 -

Retail Pharmacies, including Chain Pharmacies Costco Pharmacy 1006 W Wabash Ave Eureka, CA 95501 (707) 441-0920

Walmart Pharmacy $ 3300 Broadway Bashore Mall Eureka, CA 95501 (707) 832-5274

Rite Aid Pharmacy 1524 City Center Rd McKinleyville, CA 95519 (707) 839-0140

CVS Pharmacy $ 800 W Harris St Ste 20 Eureka, CA 95503 (707) 443-8311

Ferndale

Willow Creek

Rings Pharmacy 362 Main St Ferndale, CA 95536 (707) 786-4511

Willow Creek Pharmacy 39050 Highway 299 Willow Creek, CA 95573 (530) 629-3144

CVS Pharmacy $ 1105 Myrtle Ave Eureka, CA 95501 (707) 443-5081 Lima's Professional Pharmacy $ 2097 Harrison Ave Eureka, CA 95501 (707) 441-8500 Rite Aid Pharmacy 411 Harris St Eureka, CA 95503 (707) 443-8039 Safeway Pharmacy 2555 Harris St Eureka, CA 95503 (707) 269-0114 Target Pharmacy 2525 4th St Eureka, CA 95501 (707) 442-0549 Walgreens 2525 Harris St Eureka, CA 95503 (707) 444-0521 Walgreens 1424 Broadway St Eureka, CA 95501 (707) 441-1900

Fortuna Redwood Memorial Hospital Pharmacy 3300 Renner Dr Fortuna, CA 95540 (707) 725-7332 Rite Aid Pharmacy 725 S Fortuna Blvd Fortuna, CA 95540 (707) 725-9314 Walgreens 1065 S Fortuna Blvd Fortuna, CA 95540 (707) 726-0377

Garberville Pharmacy Express $ 875 Redwood Dr Garberville, CA 95542 (707) 923-2461

McKinleyville CVS Pharmacy $ 1711 Central Ave McKinleyville, CA 95519 (707) 839-8500

*Only dispenses 30-day supplies

Imperial Brawley Ameri Mex Pharmacy 610 S Brawley Ave Brawley, CA 92227 (760) 344-2400 Brawley Pharmacy 196 W Legion Rd # B Brawley, CA 92227 (760) 344-4100 Clinicas De Salud Del Pueblo 900 Main St Brawley, CA 92227 (760) 344-6471 Rite Aid Pharmacy 405 W Main St Brawley, CA 92227 (760) 344-5732 Valley Medical Pharmacy $ 630 Main St Brawley, CA 92227 (760) 344-6303

$ Offers preferred cost-sharing - 24 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Vons Pharmacy 475 W Main St Brawley, CA 92227 (760) 351-3007 Walmart Pharmacy $ 250 Wildcat Dr Brawley, CA 92227 (760) 351-0186 White Cross Pharmacy 602 Main St Brawley, CA 92227 (760) 344-3131

El Centro Central Pharmacy 600 W Main St El Centro, CA 92243 (760) 352-0600 Costco Pharmacy 2030 N Imperial Ave El Centro, CA 92243 (760) 353-8592

Walgreens 100 N Imperial Ave El Centro, CA 92243 (760) 335-4904 Walmart Pharmacy $ 2050 N Imperial Ave El Centro, CA 92243 (760) 337-1603

Holtville

Calexico

Desert Medical Pharmacy $ 401 W Main St El Centro, CA 92243 (760) 592-4442

Parker's Pharmacy $ 102 W 5th St Holtville, CA 92250 (760) 356-2826

Calexico Pharmacy $ 420 E 2nd St Calexico, CA 92231 (760) 357-1200

Desert Medical Pharmacy $ 1600 S Imperial Ave # St.12 El Centro, CA 92243 (760) 353-5130

Imperial

De Anza Pharmacy 302 E 3rd St #B Calexico, CA 92231 (760) 768-2900

Farmacia Del Pueblo $ 1692 S 4th St Ste F El Centro, CA 92243 (760) 353-9000

Farmacia Del Pueblo $ 801 Birch St Ste 4 Calexico, CA 92231 (760) 768-6000

Preferred Pharmacy $ 1601 N Imperial Ave Ste B El Centro, CA 92243 (760) 592-4650

Hope Pharmacy 420 Heffernan Ave Ste A Calexico, CA 92231 (760) 357-9500

Rite Aid Pharmacy 1501 W Main St El Centro, CA 92243 (760) 352-5731

Rite Aid Corporation 211 W Birch St Calexico, CA 92231 (760) 768-3169

Target Pharmacy 2295 N Imperial Ave El Centro, CA 92243 (760) 482-5407

Walmart Pharmacy $ 656 Yourman Rd Calexico, CA 92231 (760) 768-5011

Vons Pharmacy 750 N Imperial Ave El Centro, CA 92243 (760) 353-2720

*Only dispenses 30-day supplies HEALTH NET

Community Pharmacy 117 N Imperial Ave Imperial, CA 92251 (760) 355-2863

Inyo Lone Pine Lone Pine Drug $ 200 N Main Lone Pine, CA 93545 (760) 876-5569

Kern Arvin Medicine Shoppe $ 505 Bear Mountain Blvd Ste B Arvin, CA 93203 (661) 854-5738 $ Offers preferred cost-sharing

- 25 -

Retail Pharmacies, including Chain Pharmacies Bakersfield BFMC Pharmacy $ 4570 California Ave Ste 110 Bakersfield, CA 93309 (661) 633-1100 Costco Pharmacy 4900 Panama Ln Bakersfield, CA 93313 (661) 398-4749 Costco Pharmacy 3800 Rosedale Hwy Bakersfield, CA 93308 (661) 852-2642 CVS Pharmacy $ 9628 Rosedale Hwy Bakersfield, CA 93312 (661) 587-3705 CVS Pharmacy $ 11300 Ming Ave Bakersfield, CA 93311 (661) 664-0187 CVS Pharmacy $ 6500 S Union Ave Bakersfield, CA 93307 (661) 835-8371 CVS Pharmacy $ 6500 Niles St Bakersfield, CA 93306 (661) 363-6384 CVS Pharmacy $ 5184 Stockdale Hwy Bakersfield, CA 93309 (661) 633-2066 CVS Pharmacy $ 2690 Mount Vernon Ave Bakersfield, CA 93306 (661) 872-3821

CVS Pharmacy $ 8200 Stockdale Hwy Ste G Bakersfield, CA 93311 (661) 832-0982

Family Pharmacy $ 1707 27th St Bakersfield, CA 93301 (661) 637-1000

CVS Pharmacy $ 3500 Stine Rd Bakersfield, CA 93309 (661) 833-0200

Gill's White Lane Pharmacy $ 1559 White Ln Bakersfield, CA 93307 (661) 396-9900

CVS Pharmacy $ 4400 Coffee Rd Bakersfield, CA 93308 (661) 588-1060

Greggs Pharmacy $ 600 34th St Bakersfield, CA 93301 (661) 327-9749

El Tejon Drug Co $ 2819 N Chester Ave Bakersfield, CA 93308 (661) 399-2901

Hina's Homecare Pharmacy 9508 Stockdale Hwy Ste 130 Bakersfield, CA 93311 (661) 664-7979

El Tejon Drug Co $ 2900 Brundage Ln Bakersfield, CA 93304 (661) 325-7284

Hinas Mercy Southwest United Drugs 500 Old River Rd Ste 125 Bakersfield, CA 93311 (661) 663-0977

Express Pharmacy 2666 Mount Vernon Ave Bakersfield, CA 93306 (661) 843-7800 Express Pharmacy 102 Brundage Ln Bakersfield, CA 93304 (661) 325-2500 Express Pharmacy $ 3400 Calloway Dr Ste 302 Bakersfield, CA 93312 (661) 829-7870 Express Pharmacy $ 9802 Stockdale Hwy Ste 106B Bakersfield, CA 93311 (661) 381-7600

*Only dispenses 30-day supplies

Kern Medical Center Campus 2014 College Ave Bakersfield, CA 93305 (661) 326-2506 Komoto Medical Pharmacy $ 2110 Truxtun Ave Ste 100 Bakersfield, CA 93301 (661) 327-7524 Lee's Clinical Pharmacy $ 1201 24th St Ste B-120 Bakersfield, CA 93301 (661) 323-7006 Lee's Niles Drug Store $ 1405 Niles St Bakersfield, CA 93305 (661) 327-9317

$ Offers preferred cost-sharing - 26 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Med Mart Pharmacy 2929 F St Bakersfield, CA 93301 (800) 500-4633

Rite Aid Pharmacy 8000 White Ln Bakersfield, CA 93309 (661) 837-2198

Rite Aid Pharmacy 718 Airport Dr Bakersfield, CA 93308 (661) 392-8844

Mercy Plaza Pharmacy 2323 16th St Ste 100 Bakersfield, CA 93301 (661) 324-2545

Rite Aid Pharmacy 2681 Oswell St Bakersfield, CA 93306 (661) 872-6272

Sagebrush Medical Plaza Pharmacy 1111 Columbus St Ste 2000 Bakersfield, CA 93305 (661) 326-6584

North Chester Pharmacy 1822 N Chester Ave Bakersfield, CA 93308 (661) 399-3337

Rite Aid Pharmacy 6001 Coffee Rd Bakersfield, CA 93308 (661) 587-5401

Northwest Pharmacy 3409 Calloway Dr Unit 602 Bakersfield, CA 93312 (661) 589-7979

Rite Aid Pharmacy 100 China Grade Loop Bakersfield, CA 93308 (661) 393-2524

Oildale Communty Health Center Pharmacy 525 Roberts Ln Rm 115 Bakersfield, CA 93308 (661) 392-7850

Rite Aid Pharmacy 1107 Calloway Dr Bakersfield, CA 93312 (661) 587-6951

Panama Pharmacy $ 4004 Panama Ln Ste 100 Bakersfield, CA 93313 (661) 664-8864 Right Healthcare Pharmacy 1121 W Columbus St Ste B Bakersfield, CA 93301 (888) 354-4446 Rite Aid Pharmacy 3225 E Panama Ln Bakersfield, CA 93307 (661) 396-0108 Rite Aid Pharmacy 9000 Ming Ave Ste A Bakersfield, CA 93311 (661) 663-0171

Rite Aid Pharmacy 11200 Olive Drive Bakersfield, CA 93312 (661) 588-0010 Rite Aid Pharmacy 1425 S H St Bakersfield, CA 93304 (661) 833-1680 Rite Aid Pharmacy 1701 23rd St Bakersfield, CA 93301 (661) 324-8974 Rite Aid Pharmacy 2646 Allen Rd Bakersfield, CA 93314 (661) 587-0275

*Only dispenses 30-day supplies HEALTH NET

Sam's Club Pharmacy $ 5626 Gosford Rd Bakersfield, CA 93313 (661) 654-8577 Save Mart Pharmacy 9600 Hageman Rd Bakersfield, CA 93312 (661) 587-2301 Sav-On Drugs $ 1520 Brundage Ln Bakersfield, CA 93304 (661) 328-0854 Sav-On Pharmacy $ 6045 Coffee Rd Bakersfield, CA 93308 (661) 587-2890 Sav-On Pharmacy $ 13045 Rosedale Hwy Bakersfield, CA 93314 (661) 587-0158 Sav-On Pharmacy $ 3500 Panama Ln Bakersfield, CA 93313 (661) 827-0398 Silver Spray United Drugs 2191 Niles St Bakersfield, CA 93305 (661) 327-4248

$ Offers preferred cost-sharing - 27 -

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 11000 Stockdale Hwy Bakersfield, CA 93311 (661) 617-3658

Vons Pharmacy 9000 Ming Ave Bakersfield, CA 93311 (661) 663-0598

Walgreens 2628 Mount Vernon Ave Bakersfield, CA 93306 (661) 871-3855

Target Pharmacy 9100 Rosedale Hwy Bakersfield, CA 93312 (661) 589-7192

Walgreens 3301 Panama Ln Bakersfield, CA 93313 (661) 835-9383

Walgreens 3815 Niles St Bakersfield, CA 93306 (661) 363-7137

Target Pharmacy 2901 Ming Ave Bakersfield, CA 93304 (661) 617-2001

Walgreens 9550 Hageman Rd Bakersfield, CA 93312 (661) 587-0838

Walmart Pharmacy $ 6225 Colony St Bakersfield, CA 93307 (661) 832-7997

Target Pharmacy 3401 Mall View Rd Bakersfield, CA 93306 (805) 872-9929

Walgreens 4949 Gosford Rd Bakersfield, CA 93313 (661) 858-0218

Walmart Pharmacy $ 2601 Fashion Pl Bakersfield, CA 93306 (661) 873-8104

The Community Pharmacy 1709 27th St Bakersfield, CA 93301 (661) 322-5000

Walgreens 4306 Ming Ave Bakersfield, CA 93309 (661) 827-9058

Walmart Pharmacy $ 8400 Rosedale Hwy Bakersfield, CA 93312 (661) 588-2378

The Medicine Shoppe $ 5601 Auburn St Unit B Bakersfield, CA 93306 (661) 871-8881

Walgreens 4100 White Ln Bakersfield, CA 93309 (661) 396-0344

Walmart Pharmacy $ 5075 Gosford Rd Bakersfield, CA 93313 (661) 665-9682

Truxton Pharmacy 5925 Truxtun Ave Ste B Bakersfield, CA 93309 (661) 324-7979

Walgreens 40 Chester Ave Bakersfield, CA 93301 (661) 631-2837

Wible Pharmacy 2400 Wible Rd Ste 1 Bakersfield, CA 93304 (661) 835-7979

Vons Pharmacy 4500 Coffee Rd Bakersfield, CA 93308 (661) 589-1484

Walgreens 3315 S H St Bakersfield, CA 93304 (661) 396-0634

Your Drug Store 2303 Niles Pt Bakersfield, CA 93306 (661) 325-2487

Vons Pharmacy 5360 Olive Dr Bakersfield, CA 93308 (661) 399-1774

Walgreens 3300 Buena Vista Blvd Bldg A Bakersfield, CA 93307 (661) 665-9109

Zoha's Pharmacy $ 5458 California Ave Bakersfield, CA 93309 (661) 322-7979

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 28 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies California City

Frazier Park

Mojave

California City Pharmacy 8209 California City Blvd California City, CA 93505 (760) 373-9279

Frazier Park Pharmacy 3544 Mt Pinos Way Frazier Park, CA 93225 (661) 245-3771

Mojave Pharmacy $ 16912 State Highway 14 Mojave, CA 93501 (661) 824-1800

Rite Aid Pharmacy 9482 California City Blvd California City, CA 93505 (760) 373-5268

Kernville

Rosamond

The Drugstore $ 111 Piute Dr Kernville, CA 93238 (760) 376-2216

Antelope Valley Pharmacy $ 1431 W Rosamond Blvd Ste 4 Rosamond, CA 93560 (661) 256-8981

Lake Isabella

Rite Aid Pharmacy 2547 W Rosamond Blvd Rosamond, CA 93560 (661) 256-1116

Delano Harshad & Minaxi Patel 1205 Garces Hwy Ste 107 Delano, CA 93215 (661) 725-7777 Kmart Pharmacy 912 County Line Rd Delano, CA 93215 (661) 721-7406

Rite Aid Pharmacy 5530 Lake Isabella Blvd Lake Isabella, CA 93240 (760) 379-5621

Lamont

Komoto Pharmacy $ 1017 Ellington St Delano, CA 93215 (661) 725-9489

Clinica Sierra Vista Pharmacy 8787 Hall Rd Lamont, CA 93241 (661) 845-3731

Rite Aid Pharmacy 611 Cecil Ave Delano, CA 93215 (661) 725-1312

Rite Aid Pharmacy 8008 Panama Rd Lamont, CA 93241 (661) 845-6917

Walgreens 1435 High St Delano, CA 93215 (661) 721-2294

The Medicine Shoppe $ 8929 Panama Rd Lamont, CA 93241 (661) 845-3551

Walmart Pharmacy $ 530 Woollomes Ave Delano, CA 93215 (661) 721-2350

Mc Farland Kern Avenue Pharmacy 205 W Kern Ave Mc Farland, CA 93250 (661) 792-2198

*Only dispenses 30-day supplies HEALTH NET

Rosamond Pharmacy 1415 W Rosamond Blvd Ste 22 Rosamond, CA 93560 (661) 256-1118

Shafter Rite Aid 301 Central Ave Shafter, CA 93263 (661) 746-4991 Shafter Community Health Center Pharmacy 655 S Central Valley Hwy Shafter, CA 93263 (661) 746-9194 Shafter Medical Pharmacy $ 825 Central Valley Hwy Ste A Shafter, CA 93263 (661) 746-5600 Truxtun Pharmacy Shafter 301 Central Ave Ste A Shafter, CA 93263 (661) 746-1100 $ Offers preferred cost-sharing

- 29 -

Retail Pharmacies, including Chain Pharmacies Taft Kern Street Pharmacy 530 Kern St Ste D Taft, CA 93268 (661) 763-4284 Kmart Pharmacy 301 Gardner Field Rd Taft, CA 93268 (661) 763-5951 Rite Aid Pharmacy 1076 Kern St Taft, CA 93268 (661) 763-3132

Tehachapi Kmart Pharmacy 710 W Tehachapi Blvd Tehachapi, CA 93561 (661) 822-3594 Rite Aid Pharmacy 811 Tucker Rd Tehachapi, CA 93561 (661) 822-9232 Sav-On Pharmacy $ 775 Tucker Rd Tehachapi, CA 93561 (661) 823-7094

Kmart Pharmacy 2785 Highway #46 Wasco, CA 93280 (661) 758-8802 Rite Aid Pharmacy 2501 Highway 46 Wasco, CA 93280 (661) 758-0133 Wasco Medical Center Pharmacy 2101 7th St # D Wasco, CA 93280 (661) 759-2278 Wasco Valley Pharmacy 1139 7th St Wasco, CA 93280 (661) 758-0123

Kings

CVS Pharmacy $ 2539 N 11th Ave Hanford, CA 93230 (559) 585-3960 CVS Pharmacy $ 150 S 11th Ave Hanford, CA 93230 (559) 582-2875 Rite Aid Pharmacy 707 W Lacey Blvd Hanford, CA 93230 (559) 584-1896 Rite Aid Pharmacy 2500 N 10th Ave Hanford, CA 93230 (559) 587-9626

Avenal

Save Mart Pharmacy 715 W Grangeville Blvd Hanford, CA 93230 (559) 582-1697

Tomer Drug Company $ 317 E Kings St Avenal, CA 93204 (559) 386-5143

Target Pharmacy 140 N 12th Ave Hanford, CA 93230 (559) 582-9386

Corcoran

Walgreens 1101 W Tehachapi Blvd Tehachapi, CA 93561 (661) 823-0163

R & M Drug $ 1115 Whitley Ave Corcoran, CA 93212 (559) 992-2138

Wasco

Rite Aid Pharmacy 1500 Whitley Ave Corcoran, CA 93212 (559) 992-8020

Express Pharmacy#4 $ 650 F St Wasco, CA 93280 (661) 240-5900

Hanford

*Only dispenses 30-day supplies

Walgreens 710 W Grangeville Blvd Hanford, CA 93230 (559) 582-9438 Walmart Pharmacy $ 1750 W Lacey Blvd Hanford, CA 93230 (559) 583-6393

$ Offers preferred cost-sharing - 30 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Lemoore Kmart Pharmacy 215 W Hanford Armona Rd Lemoore, CA 93245 (559) 924-6495

Walmart Pharmacy $ 15950 Dam Road Ext Clearlake, CA 95422 (707) 994-1671

Hidden Valley Lake

Rite Aid Pharmacy 820 N Lemoore Ave Lemoore, CA 93245 (559) 925-6027

Coyote Valley Pharmacy $ 18990 Coyote Valley Rd Ste 2 Hidden Valley Lake, CA 95467 (707) 987-8502

Save Mart Pharmacy 105 W Hanford Armona Rd Lemoore, CA 93245 (559) 924-9593

Hidden Valley Pharmacy $ 19851 Hartmann Rd # C Hidden Valley Lake, CA 95467 (707) 987-3995

Walgreens 12 W Hanford Armona Rd Lemoore, CA 93245 (559) 925-6510

Kelseyville

Lake

Kelseyville Pharmacy $ 3720 Main St Kelseyville, CA 95451 (707) 279-1561

Lakeport Clearlake Lake Pharmacy $ 15230 Lakeshore Dr Clearlake, CA 95422 (707) 994-3141 Moran's Pharmacy $ 15175 Lakeshore Dr Clearlake, CA 95422 (707) 994-6440 Rite Aid Pharmacy 14804 Olympic Dr Clearlake, CA 95422 (707) 994-8677

CVS Pharmacy $ 949 11th St Lakeport, CA 95453 (707) 262-0244 Kmart Pharmacy 2019 S Main St Lakeport, CA 95453 (707) 263-9051 Lake County Tribal Health Rx 925 Bevins Ct Lakeport, CA 95453 (707) 263-8382 Safeway Pharmacy 1071 11th St Lakeport, CA 95453 (707) 263-8779

*Only dispenses 30-day supplies HEALTH NET

Lucerne Lucerne Pharmacy $ 6244 E Highway 20 Lucerne, CA 95458 (707) 274-6643

Lassen Susanville Owens Healthcare $ 1850 Spring Ridge Dr Ste P Susanville, CA 96130 (530) 252-4315 Rite Aid Pharmacy 2960 Main St Susanville, CA 96130 (530) 257-0603 Walgreens 2875 Main St Susanville, CA 96130 (530) 257-1020 Walmart Pharmacy $ 2900 Main St Susanville, CA 96130 (530) 251-2100

Los Angeles Acton Acton Vale Pharmacy 3630 Smith Ave Ste A Acton, CA 93510 (661) 269-9911

$ Offers preferred cost-sharing - 31 -

Retail Pharmacies, including Chain Pharmacies Crown Valley Pharmacy $ 3720 W Sierra Hwy Ste G Acton, CA 93510 (661) 269-9500

Alpha Medical Pharmacy 703 W Valley Blvd Alhambra, CA 91803 (626) 289-1990

Max Pharmacy $ 333 S Garfield Ave Ste C Alhambra, CA 91801 (626) 281-1818

Agoura Hills

Alpha Medical Pharmacy III 707 S Garfield Ave Alhambra, CA 91801 (626) 872-0505

Med-Care Pharmacy 1048 S Garfield Ave Ste 101 Alhambra, CA 91801 (626) 281-7870

Costco Pharmacy 2207 W Commonwealth Ave Alhambra, CA 91803 (626) 282-6954

Modern Care Pharmacy 150 S Raymond Ave Alhambra, CA 91801 (626) 289-0018

CVS Pharmacy $ 816 E Main St Alhambra, CA 91801 (626) 293-5750

Payless Pharmacy $ 1118 S Garfield Ave Ste 101 Alhambra, CA 91801 (626) 457-8878

CVS Pharmacy $ 1485 E Valley Blvd Alhambra, CA 91801 (626) 289-5075

Rite Aid Pharmacy 920 E Valley Blvd Alhambra, CA 91801 (626) 281-8422

CVS Pharmacy $ 2532 W Valley Blvd Alhambra, CA 91803 (626) 308-1001

Rite Aid Pharmacy 69 E Main St Alhambra, CA 91801 (626) 300-8049

E & J Pharmacy 1234 S Garfield Ave Ste 102 Alhambra, CA 91801 (626) 281-9913

Sav-On Drugs $ 2400 W Commonwealth Ave Alhambra, CA 91803 (626) 576-3900

Hung Jen Pharmacy 1336 West Valley Blvd # 8 Alhambra, CA 91803 (626) 571-2928

Target Pharmacy 2120 W Main St Alhambra, CA 91801 (612) 696-2268

Main Pharmacy 103 N Garfield Ave Ste D Alhambra, CA 91801 (626) 576-0890

Valley Square Pharmacy $ 1227 E Valley Blvd Alhambra, CA 91801 (626) 576-8622

CVS Pharmacy $ 5623 Kanan Rd Agoura Hills, CA 91301 (818) 991-5522 Kanan Pharmacy & Medical Supplies $ 5847 Kanan Rd Agoura Hills, CA 91301 (818) 889-3070 Kramers Pharmacy $ 29525 Canwood St Agoura Hills, CA 91301 (818) 706-8099 Rite Aid Pharmacy 5747 Kanan Rd Agoura Hills, CA 91301 (818) 991-5258

Alhambra A-1 Pharmacy $ 935 S Garfield Ave Alhambra, CA 91801 (626) 281-3633 ABC Pharmacy $ 841 W Valley Blvd Ste 101 Alhambra, CA 91803 (626) 457-8888 Alhambra Professional Pharmacy $ 330 S Garfield Ave Ste 104 Alhambra, CA 91801 (626) 458-8909 *Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 32 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 2251 W Main St Alhambra, CA 91801 (626) 281-1637

CVS Pharmacy $ 188 Las Tunas Dr Arcadia, CA 91007 (626) 446-8830

Altadena

Pavilions Pharmacy 745 W Naomi Ave Arcadia, CA 91007 (626) 446-9261

Mats Pharmacy $ 2264 Lincoln Ave Altadena, CA 91001 (626) 794-7197 Rite Aid Pharmacy 735 E Altadena Dr Altadena, CA 91001 (626) 791-7935 Walmart Pharmacy $ 2408 Lincoln Ave Altadena, CA 91001 (626) 463-2096 Webster Pharmacy 2450 Lake Ave Altadena, CA 91001 (626) 797-1163

Arcadia Arcadia Center Pharmacy 631 W Duarte Rd Arcadia, CA 91007 (626) 446-3300 Arcadia Medical Pharmacy 612 W Duarte Rd Ste 102 Arcadia, CA 91007 (626) 446-0612 CVS Pharmacy $ 1401 S Baldwin Ave Arcadia, CA 91007 (626) 445-1284

Rite Aid Pharmacy 39 Las Tunas Dr Arcadia, CA 91007 (626) 446-1884 Rite Aid Pharmacy 165 E Foothill Blvd Arcadia, CA 91006 (626) 305-9112 Santa Anita Prescription Comp Pharmacy 301 W Huntington Dr Ste 117 Arcadia, CA 91007 (626) 294-4855

Arleta CVS Pharmacy $ 9089 Woodman Ave Arleta, CA 91331 (818) 892-3167 Target Pharmacy 9725 Laurel Canyon Blvd Arleta, CA 91331 (818) 492-0025 Walgreens 9750 Woodman Ave Arleta, CA 91331 (818) 899-9950

Artesia

Sav-On Pharmacy $ 298 E Live Oak Ave Arcadia, CA 91006 (626) 446-1902

CVS Pharmacy $ 11851 Artesia Blvd Artesia, CA 90701 (562) 924-7697

Sunny Bay Pharmacy $ 450 E Huntington Dr Arcadia, CA 91006 (626) 445-9100

Kare Pharmacy 12146 South St Ste C Artesia, CA 90701 (562) 809-8656

Walgreens 253 E Foothill Blvd Arcadia, CA 91006 (626) 256-3536

Walgreens 11800 Artesia Blvd Artesia, CA 90701 (562) 924-7718

Walgreens 140 E Live Oak Ave Arcadia, CA 91006 (626) 447-9117

Welcome Pharmacy $ 18379 Pioneer Blvd Artesia, CA 90701 (562) 860-6336

*Only dispenses 30-day supplies HEALTH NET

West Arcadia Prescription Pharmacy $ 1002 S Baldwin Ave Arcadia, CA 91007 (626) 447-2138

$ Offers preferred cost-sharing - 33 -

Retail Pharmacies, including Chain Pharmacies Avalon Leo's Catalina Drug $ 401 Crescent Ave Avalon, CA 90704 (310) 510-0189

Azusa Arrow Medical Pharmacy $ 453 E Arrow Hwy Ste E Azusa, CA 91702 (626) 339-6141 Azusa Medical Pharmacy 507 N Azusa Ave Azusa, CA 91702 (626) 969-4202 Costco Pharmacy 1220 W Foothill Blvd Azusa, CA 91702 (626) 812-6470 CVS Pharmacy $ 367 N Citrus Ave Azusa, CA 91702 (626) 334-7872 CVS Pharmacy $ 101 W Foothill Blvd Azusa, CA 91702 (626) 969-6669 CVS Pharmacy $ 915 E Arrow Hwy Azusa, CA 91702 (626) 332-7213 Foothill Drug Pharmacy INC. $ 680 E Alosta Ave Ste 113 Azusa, CA 91702 (626) 969-4267

Rite Aid Pharmacy 153 E Gladstone St Azusa, CA 91702 (626) 334-3511

Walmart Pharmacy $ 3250 Big Dalton Ave Baldwin Park, CA 91706 (626) 814-4790

Target Pharmacy 809 N Azusa Ave Azusa, CA 91702 (626) 629-1122

Bell

Baldwin Park

Bell Drugs 3809 Gage Ave Bell, CA 90201 (323) 562-1006

CVS Pharmacy $ 3151 Baldwin Park Blvd Baldwin Park, CA 91706 (626) 814-3506

CVS Pharmacy $ 7101 Atlantic Ave Bell, CA 90201 (323) 773-2025

CVS Pharmacy $ 14503 Ramona Blvd Baldwin Park, CA 91706 (626) 813-7622

Medical Arts United Drugs 5101 Florence Ave Bell, CA 90201 (323) 771-1112

CVS Pharmacy $ 1550 Puente Ave Baldwin Park, CA 91706 (626) 814-1483

Bell Gardens

Knoll's Prescription Pharmacy $ 14300 Ramona Blvd Baldwin Park, CA 91706 (626) 337-1550 St John's Family Pharmacy 14514 Ramona Blvd Ste 4 Baldwin Park, CA 91706 (626) 962-6471 Walgreens 14102 Ramona Blvd Baldwin Park, CA 91706 (626) 337-1082 Walgreens 14101 Francisquito Ave Baldwin Park, CA 91706 (626) 814-9342

*Only dispenses 30-day supplies

Bell Gardens Pharmacy $ 7625 Eastern Ave Ste C Bell Gardens, CA 90201 (323) 773-3800 Rite Aid Pharmacy 6959 Eastern Ave Bell Gardens, CA 90201 (323) 562-4613 Super Market Pharmacy 6039 Florence Ave Bell Gardens, CA 90201 (323) 773-6538 Walmart Pharmacy $ 6820 Eastern Ave Bell Gardens, CA 90201 (323) 773-0035

$ Offers preferred cost-sharing - 34 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Bellflower

Beverly Hills

B&B Pharmacy $ 10244 Rosecrans Ave Bellflower, CA 90706 (562) 866-8363

AHF Healthcare CenterWestside $ 99 N La Cienega Blvd Ste 200 Beverly Hills, CA 90211 (310) 854-2330

Bellwood Medical Center Pharmacy $ 10230 Artesia Blvd Ste 101 Bellflower, CA 90706 (562) 866-8281 Medic Pharmacy 16900 Bellflower Blvd Bellflower, CA 90706 (562) 925-6505 Rite Aid Pharmacy 15924 Bellflower Blvd Bellflower, CA 90706 (562) 925-5314 Top Care Pharmacy 10251 Artesia Blvd Ste A Bellflower, CA 90706 (562) 461-0891 Victory Drug 17325 Bellflower Blvd Bellflower, CA 90706 (562) 925-7575 Walgreens 9031 Rosecrans Ave Bellflower, CA 90706 (562) 531-1557 Walgreens 15740 Woodruff Ave Bellflower, CA 90706 (562) 867-5441

Beverly Hills Cancer Center $ 8900 Wilshire Blvd Beverly Hills, CA 90211 (310) 432-8900 Beverly Hills Med Plaza Pharmacy $ 150 N Robertson Blvd Ste 104 Beverly Hills, CA 90211 (310) 657-5551 Beverly Hills Pharmacy 8500 Wilshire Blvd Ste 101 Beverly Hills, CA 90211 (310) 652-3784

Herberts Pharmacy $ 9001 Wilshire Blvd Ste 101 Beverly Hills, CA 90211 (310) 859-3887 Lane Medical Pharmacy 9033 Wilshire Blvd Beverly Hills, CA 90211 (310) 652-2767 Mickey Fine Pharmacy $ 433 N Roxbury Dr Beverly Hills, CA 90210 (310) 271-6123 Mickey Fine Pharmacy & Cafe $ 8501 Wilshire Blvd Beverly Hills, CA 90211 (310) 854-6123

Camden Clinical Arts Pharmacy * 414 N Camden Dr Beverly Hills, CA 90210 (310) 273-6363

Milart Prescription Pharmacy $ 300 S Beverly Dr Beverly Hills, CA 90212 (310) 553-0225

CVS Pharmacy $ 9045 Wilshire Blvd Beverly Hills, CA 90211 (310) 273-5252

Olympic Boulevard Pharmacy $ 8950 W Olympic Blvd Ste 106 Beverly Hills, CA 90211 (310) 274-8080

Family Pharmacy Services Beverly Hills 8314 Wilshire Blvd Beverly Hills, CA 90211 (323) 653-4070

Pharmacy 90210 $ 9735 Wilshire Blvd Ste 110 Beverly Hills, CA 90212 (310) 777-2000

Garfield Pharmacy $ 9400 Brighton Way Beverly Hills, CA 90210 (310) 274-0144

*Only dispenses 30-day supplies HEALTH NET

Hepps Prescription Pharmacy 240 S La Cienega Blvd # 100 Beverly Hills, CA 90211 (310) 652-0550

Planet Pharmacy $ 121 N Robertson Blvd Beverly Hills, CA 90211 (310) 657-7707

$ Offers preferred cost-sharing - 35 -

Retail Pharmacies, including Chain Pharmacies Prescription Center Pharmacy 9730 Wilshire Blvd Ste 103 Beverly Hills, CA 90212 (310) 274-7113

Wilshire Medical Pharmacy $ 8920 Wilshire Blvd Ste 108 Beverly Hills, CA 90211 (310) 657-0750

CVS Pharmacy $ 511 N Hollywood Way Burbank, CA 91505 (818) 841-0710

Rite Aid Pharmacy 463 N Bedford Dr Beverly Hills, CA 90210 (310) 247-0843

Yasmin's Pharmacy $ 99 N La Cienega Blvd Ste 104 Beverly Hills, CA 90211 (310) 358-0200

CVS Pharmacy $ 2500 W Victory Blvd Burbank, CA 91505 (818) 955-8200

Rite Aid Pharmacy 300 N Canon Dr Beverly Hills, CA 90210 (310) 273-3561

Burbank

CVS Pharmacy $ 1820 W Verdugo Ave Burbank, CA 91506 (818) 845-9332

Robertson Center Pharmacy 250 N Robertson Blvd Ste 107 Beverly Hills, CA 90211 (310) 278-2948 Rodeo Drive Anti-Aging Pharmacy 421 N Rodeo Dr Ste P4 Beverly Hills, CA 90210 (310) 247-8004 Roxbury Pharmacy $ 9101 W Olympic Blvd Beverly Hills, CA 90212 (310) 277-6266 Rx Unlimited 8641 Wilshire Blvd Ste 120 Beverly Hills, CA 90211 (310) 360-0000 Super Care Drugs - Beverly Hills $ 220 N Canon Dr Beverly Hills, CA 90210 (310) 271-2111 Wilshire Le Doux Medical Pharmacy $ 8536 Wilshire Blvd Ste 101 Beverly Hills, CA 90211 (310) 657-4090

Beyond The Script $ 201 N First St Ste B Burbank, CA 91502 (818) 841-7222 Burbank Compounding Pharmacy 201 S Buena Vista St Ste 110 Burbank, CA 91505 (818) 563-2120 Burbank Medical Pharmacy $ 2701 W Alameda Ave Ste 100 Burbank, CA 91505 (818) 559-7401 Burbank Tower Pharmacy 140 N San Fernando Blvd Burbank, CA 91502 (818) 843-2241 Burbank Village Compounding Pharmacy 337 E Magnolia Blvd Burbank, CA 91502 (818) 260-0062 Costco Pharmacy 1051 W Burbank Blvd Burbank, CA 91506 (818) 557-3782

*Only dispenses 30-day supplies

CVS Pharmacy $ 1015 N San Fernando Blvd Burbank, CA 91504 (818) 841-0810 CVS Pharmacy $ 101 E Alameda Ave Burbank, CA 91502 (818) 563-2724 Dana Drugs $ 317 N Pass Ave Burbank, CA 91505 (818) 562-1177 De La Star Pharmacy 1721 W Magnolia Blvd Burbank, CA 91506 (818) 566-7262 Glenoaks Rx Pharmacy 303 S Glenoaks Blvd Ste 16 Burbank, CA 91502 (818) 846-9011 Heart To Heart Pharmacy 1130 W Olive Ave Burbank, CA 91506 (818) 736-5999

$ Offers preferred cost-sharing - 36 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Karen Rx Pharmacy 1730 W Verdugo Ave Burbank, CA 91506 (818) 842-1511

Rite Aid Pharmacy 935 N Hollywood Way Burbank, CA 91505 (818) 841-5336

Rite Aid Pharmacy 4710 Commons Way Calabasas, CA 91302 (818) 222-0549

KD Pharmacy 10970 Sherman Way Ste 110 Burbank, CA 91505 (818) 847-8600

Scripte Corporation 2907 W Empire Ave Burbank, CA 91504 (818) 847-9103

Sav-On Pharmacy $ 26521 Agoura Rd Calabasas, CA 91302 (818) 880-8807

Landmark Specialty Pharmacy 2436 W Victory Blvd Burbank, CA 91506 (818) 260-0010

Target Pharmacy 1800 W Empire Ave Burbank, CA 91504 (818) 238-0239

Canoga Park

Magnolia Pharmacy $ 2211 W Magnolia Blvd Ste 115 Burbank, CA 91506 (818) 238-0100

Tower Pharmacy 350 S Glenoaks Blvd Burbank, CA 91502 (818) 848-0220

Noble Pharmacy 321 E Alameda Ave Ste L Burbank, CA 91502 (818) 563-6655

UMC Pharmacy $ 4318 W Victory Blvd Burbank, CA 91505 (818) 559-2223

Osouth Home Care Pharmacy $ 1214 W Burbank Blvd Burbank, CA 91506 (818) 557-0308

Unique Pharmacy 1004 W Magnolia Blvd Burbank, CA 91506 (818) 841-8065

Pavilions Pharmacy 1110 W Alameda Ave Burbank, CA 91506 (818) 567-0086

Walgreens 2501 W Magnolia Blvd Burbank, CA 91505 (818) 841-1685

Providence Pharmacy $ 181 S Buena Vista St Burbank, CA 91505 (818) 748-4950

Walgreens 1028 S San Fernando Blvd Burbank, CA 91502 (818) 729-9283

Ralphs $ 1100 N San Fernando Blvd Burbank, CA 91504 (818) 845-5112

Calabasas

Ralphs $ 22915 Victory Blvd Canoga Park, CA 91307 (818) 716-1275

Calabasas Pharmacy $ 22277 Mulholland Hwy Calabasas, CA 91302 (818) 223-8656

Ralphs $ 22333 Sherman Way Canoga Park, CA 91303 (818) 713-8014

*Only dispenses 30-day supplies HEALTH NET

Arrowmed Pharmacy 7111 Winnetka Ave # 10 Canoga Park, CA 91306 (818) 340-6600 Canoga Park Pharmacy 22330 Sherman Way Ste C3 Canoga Park, CA 91303 (818) 348-6600 Costco Pharmacy 21300 Roscoe Blvd Canoga Park, CA 91304 (818) 884-1462 CVS Pharmacy $ 21051 Sherman Way Canoga Park, CA 91303 (818) 348-6222 Desoto United Drugs $ 20914 Roscoe Blvd Canoga Park, CA 91304 (818) 341-9515

$ Offers preferred cost-sharing - 37 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 8230 Topanga Canyon Blvd Canoga Park, CA 91304 (818) 348-5126

Target Pharmacy 19105 Golden Valley Rd Canyon Country, CA 91387 (661) 997-5155

Sav-On Pharmacy $ 110 E Carson St Carson, CA 90745 (310) 834-2561

Rite Aid Pharmacy 20141 Sherman Way Canoga Park, CA 91306 (818) 882-0202

Total Care Pharmacy 19409 Soledad Canyon Rd Canyon Country, CA 91351 (661) 250-3800

Short Stop Pharmacy $ 645 E Carson St Carson, CA 90745 (310) 830-8927

Target Pharmacy 6700 Topanga Canyon Blvd Canoga Park, CA 91303 (818) 746-9923

Vons Pharmacy 16550 W Soledad Canyon Rd Canyon Country, CA 91387 (661) 309-1983

Simons Discount 111 E Carson St Ste B Carson, CA 90745 (310) 518-0020

Victory Drug & Surgical $ 21115 Sherman Way Canoga Park, CA 91303 (818) 883-2321

Walgreens 19266 Soledad Canyon Rd Canyon Country, CA 91351 (661) 251-9433

Target Pharmacy 651 W Sepulveda Blvd Carson, CA 90745 (310) 507-0020

Walgreens 7560 Topanga Canyon Blvd Canoga Park, CA 91303 (818) 340-4031

Carson

Target Pharmacy 20700 Avalon Blvd Ste 750 Carson, CA 90746 (310) 819-3012

Walgreens 20505 Sherman Way Canoga Park, CA 91306 (818) 719-6599 Warner West Pharmacy & Supplies 22030 Sherman Way #100 Canoga Park, CA 91302 (818) 883-9490

Canyon Country CVS Pharmacy $ 19424 Soledad Canyon Rd Canyon Country, CA 91351 (661) 251-5444 Rite Aid Pharmacy 16642 Soledad Canyon Rd Canyon Country, CA 91387 (661) 252-5388

Crown Drug $ 657 E University Dr Carson, CA 90746 (310) 323-6193 CVS Pharmacy $ 150 W Carson St Carson, CA 90745 (310) 549-6500

Walmart Pharmacy $ 20226 Avalon Blvd Carson, CA 90746 (310) 327-7548

Castaic

CVS Pharmacy $ 23806 Main St Carson, CA 90745 (310) 952-6640

Ralphs $ 29675 The Old Rd Castaic, CA 91384 (661) 702-6937

Kmart Pharmacy 500 Carson Town Ctr Carson, CA 90745 (310) 533-1899

Rite Aid Pharmacy 31910 Castaic Rd Castaic, CA 91384 (661) 295-0966

Sav-On Pharmacy $ 200 E Sepulveda Blvd Carson, CA 90745 (310) 513-6800

Walgreens 27911 Sloan Canyon Rd Castaic, CA 91384 (661) 775-0840

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 38 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Century City Pharmacy Of The Stars 1900 Avenue Of The Stars A105 Century City, CA 90067 (310) 556-4682

Cerritos Cerritos Medical Pharmacy $ 13325 Artesia Blvd Cerritos, CA 90703 (562) 926-5900 CVS Pharmacy $ 13303 South St Cerritos, CA 90703 (562) 865-0612 Ralphs Pharmacy $ 13321 South St Cerritos, CA 90703 (562) 924-2838

Walmart Pharmacy $ 12701 Towne Center Dr Cerritos, CA 90703 (562) 924-0847

Target Pharmacy 17751 Colima Rd City Of Industry, CA 91748 (626) 913-2880

Chatsworth

Walmart Pharmacy $ 17150 Gale Ave City Of Industry, CA 91745 (626) 854-1006

Panacea Pharmacy 9800 B Topanga Canyon Blvd Chatsworth, CA 91311 (818) 727-7530 Rite Aid Pharmacy 10120 Mason Ave Chatsworth, CA 91311 (818) 349-7213

Claremont

Walgreens 20901 Devonshire St Chatsworth, CA 91311 (818) 341-4339

Claremont Pharmacy 276 W 2nd St Claremont, CA 91711 (909) 670-0990

City Of Industry

Hendricks Pharmacy $ 137 Harvard Ave Claremont, CA 91711 (909) 624-1611

Target Pharmacy 20200 Bloomfield Ave Cerritos, CA 90703 (562) 274-0062

Concourse Rx $ 18575 Gale Ave Ste 158 City Of Industry, CA 91748 (626) 965-5988

Target Pharmacy 11525 South St Cerritos, CA 90703 (562) 274-0064

Costco Pharmacy 17550 Castleton St City Of Industry, CA 91748 (626) 964-8946

Triad Compounding Pharmacy 11090 E Artesia Blvd #H Cerritos, CA 90703 (562) 468-4311

Sam's Club Pharmacy $ 17835 Gale Ave City Of Industry, CA 91748 (626) 964-6267

VM Pharmacy 12626 South St Cerritos, CA 90703 (562) 809-8679

Super Care $ 16017 Valley Blvd City Of Industry, CA 91744 (626) 854-2200

*Only dispenses 30-day supplies HEALTH NET

West Covina Pharmacy 1661 Hanover Rd # 104B City Of Industry, CA 91748 (626) 839-9882

MD Pharmacy 1601 Monte Vista Ave Suite 130 Claremont, CA 91711 (909) 949-6337 Star Drug 863 W Foothill Blvd Claremont, CA 91711 (909) 626-4444 Vons Pharmacy 550 E Baseline Rd Claremont, CA 91711 (909) 451-1014

$ Offers preferred cost-sharing - 39 -

Retail Pharmacies, including Chain Pharmacies Commerce Acariahealth Pharmacy #13, INC. $ 3302 Garfield Ave. Commerce, CA 90040 (323) 262-9403 Olympic Gerhart Pharmacy $ 5724 E Olympic Blvd Commerce, CA 90022 (323) 722-1515

Compton Compton Community Pharmacy $ 555 W Compton Blvd Ste 102 Compton, CA 90220 (310) 537-2337 CVS Pharmacy $ 901 S Central Ave Compton, CA 90220 (310) 609-1304 CVS Pharmacy $ 220 E Compton Blvd Compton, CA 90220 (310) 604-1747 Intra Drugs Artesia $ 403 S Long Beach Blvd Ste C Compton, CA 90221 (310) 639-1653 Rite Aid Pharmacy 107 S Long Beach Blvd Compton, CA 90221 (310) 639-8026 Rite Aid Pharmacy 1001 N Central Ave Compton, CA 90222 (310) 639-1278

Target Pharmacy 1621 S Alameda St Compton, CA 90220 (310) 735-0097

Omega Pharmacy 246 W College St Ste 100 Covina, CA 91723 (626) 967-2641

West Alondra Medical Pharmacy $ 1410 W Alondra Blvd Compton, CA 90220 (310) 631-8674

Rite Aid Pharmacy 139 N Grand Ave Covina, CA 91724 (626) 339-8616

Covina BTN Pharmacy 1433 N Hollenbeck Ave Ste 103 Covina, CA 91722 (626) 214-2562 CBC Rose Clinic Pharmacy $ 420 W Rowland St Covina, CA 91723 (626) 966-9888 Community Medical Pharmacy 315 N 3rd Ave Ste 101 Covina, CA 91723 (626) 859-2573

Walgreens 401 N Azusa Ave Covina, CA 91722 (626) 332-0519 Walgreens 150 S Grand Ave Covina, CA 91724 (626) 966-8497 Walmart Pharmacy $ 1275 N Azusa Ave Covina, CA 91722 (626) 339-6912

Cudahy

Covina Pharmacy $ 174 W Badillo St Covina, CA 91723 (626) 915-6615

Las Pharmacy And Medical Equipment 7705 Atlantic Ave Ste H Cudahy, CA 90201 (323) 771-2633

CVS Pharmacy $ 206 N Azusa Ave Covina, CA 91722 (626) 331-9907

St James Pharmacy 7611 Atlantic Ave Cudahy, CA 90201 (323) 773-1700

CVS Pharmacy $ 575 S Citrus Covina, CA 91723 (626) 331-0036

Culver City

Glesener Pharmacy $ 321 N Citrus Ave Covina, CA 91723 (626) 966-3691

*Only dispenses 30-day supplies

Brotman Medical Pharmacy 3831 Hughes Ave Ste 100 Culver City, CA 90232 (310) 204-1111

$ Offers preferred cost-sharing - 40 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Crescent Discount Drugs 5915 Blackwelder St Culver City, CA 90232 (310) 558-1400

Target Pharmacy 6000 Sepulveda Blvd Ste 2250 Culver City, CA 90230 (310) 242-9129

CVS Pharmacy $ 6299 Bristol Pkwy Culver City, CA 90230 (310) 641-4426

Target Pharmacy 10820 Jefferson Blvd Culver City, CA 90230 (310) 836-7087

CVS Pharmacy $ 5748 Mesmer Ave Culver City, CA 90230 (310) 915-0981

Diamond Bar

Memorial Medical Center Pharmacy $ 9806 Venice Blvd Culver City, CA 90232 (310) 837-6158 Pavilions Pharmacy 11030 Jefferson Blvd Culver City, CA 90230 (310) 398-8044 Precise Compounding Pharmacy 10844-46 Washington Blvd Culver City, CA 90232 (310) 559-5555 Ralphs Pharmacy $ 10772 Jefferson Blvd Culver City, CA 90230 (310) 836-2684 Rite Aid Pharmacy 3802 Culver Ctr Culver City, CA 90232 (310) 837-2122 Rite Aid Pharmacy 11096 Jefferson Blvd Culver City, CA 90230 (310) 397-3931

Complete Care Compounding Pharmacy 351 S Diamond Bar Blvd Diamond Bar, CA 91765 (909) 861-6900 CVS Pharmacy $ 300 S Diamond Bar Blvd Diamond Bar, CA 91765 (909) 861-5551 Grace Pharmacy $ 20627 Golden Springs Dr. #2C Diamond Bar, CA 91789 (909) 839-0001 JJ's Pharmacy $ 21010 Golden Springs Dr Diamond Bar, CA 91789 (909) 595-4003 Rite Aid Pharmacy 2797 S Diamond Bar Blvd Diamond Bar, CA 91765 (909) 595-0912 Sav-On Pharmacy $ 1235 S Diamond Bar Blvd Diamond Bar, CA 91765 (909) 861-9433 Target Pharmacy 747 Grand Ave Diamond Bar, CA 91765 (909) 610-2150

*Only dispenses 30-day supplies HEALTH NET

Downey Community Pharmacy $ 10401 Lakewood Blvd Downey, CA 90241 (562) 869-0965 CVS Pharmacy $ 8400 Firestone Blvd Downey, CA 90241 (562) 861-5460 CVS Pharmacy $ 8008 Firestone Blvd Downey, CA 90241 (562) 904-4848 CVS Pharmacy $ 7915 Florence Ave Downey, CA 90240 (562) 927-4747 Downey Plaza Pharmacy $ 11480 Brookshire Ave Ste 102 Downey, CA 90241 (562) 861-5010 Medicine Shoppe Pharmacy $ 11003 Lakewood Blvd Ste 101 Downey, CA 90241 (562) 869-9200 Pacific Pharmacy $ 11525 Brookshire Ave Ste 100 Downey, CA 90241 (562) 862-1302 Ralphs $ 8626 Firestone Blvd Downey, CA 90241 (562) 622-9238 Rancho Los Amigos National Rehabilitation Center 7601 E Imperial Hwy Bldg 100 Downey, CA 90242 (562) 401-7236 $ Offers preferred cost-sharing

- 41 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 7859 Firestone Blvd Downey, CA 90241 (562) 869-8890 Sav-On Pharmacy $ 7676 Firestone Blvd Downey, CA 90241 (562) 869-9655 The Medicine Store Pharmacy 7816 Florence Ave Downey, CA 90240 (562) 334-1077 Walgreens 9018 Firestone Blvd Downey, CA 90241 (562) 861-5089 Walgreens 7966 Florence Ave Downey, CA 90240 (562) 806-0888 Walgreens 8030 Imperial Hwy Downey, CA 90242 (562) 861-6186 Walmart Pharmacy $ 12270 Paramount Blvd Downey, CA 90242 (562) 861-0479 Zweber Apothecary $ 10800 Paramount Blvd Ste 101 Downey, CA 90241 (562) 861-1203 Zweber Apothecary $ 11411 Brookshire Ave Ste 107 Downey, CA 90241 (562) 923-1256

Duarte

El Monte

City Of Hope Natl Med Center Pharmacy 1500 Duarte Rd Duarte, CA 91010 (626) 301-8305

Allcare Pharmacy $ 11028 Lower Azusa Rd El Monte, CA 91731 (626) 442-8135

CVS Pharmacy $ 2315 Huntington Dr Duarte, CA 91010 (626) 305-9333 Rite Aid Pharmacy 1335 Huntington Dr Duarte, CA 91010 (626) 359-1316 Target Pharmacy 1050 Huntington Dr Duarte, CA 91010 (626) 803-0003 Walmart Pharmacy $ 1600 Mountain Ave Duarte, CA 91010 (626) 359-3938

Eagle Rock Glenrock Pharmacy $ 2256 Colorado Blvd # 107-108 Eagle Rock, CA 90041 (323) 551-5906

East Los Angeles Rite Aid Pharmacy 5490 Whittier Blvd East Los Angeles, CA 90022 (323) 721-9718

Ana Pharmacy 3513 Johnson Ave El Monte, CA 91731 (626) 350-1719 Care More Pharmacy 10138 Garvey Ave Ste C El Monte, CA 91733 (626) 442-6611 Crown Care Pharmacy 3208 Santa Anita Ave # 101 El Monte, CA 91733 (626) 442-7696 CVS Pharmacy $ 11574 Lower Azusa Rd El Monte, CA 91732 (626) 350-3550 CVS Pharmacy $ 11940 Garvey Ave El Monte, CA 91732 (626) 350-1052 CVS Pharmacy $ 9920 Garvey Ave El Monte, CA 91733 (626) 443-3097 El Monte Community Pharmacy 10808 Ramona Blvd El Monte, CA 91731 (626) 579-6277 El Monte Pharmacy $ 3948 Peck Rd Ste 5 El Monte, CA 91732 (626) 448-2507

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 42 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Professional Arts Pharmacy 3131 Santa Anita Ave Ste 101 El Monte, CA 91733 (626) 443-8987 Ralph's Prescription Drugs 10728 Ramona Blvd Ste F El Monte, CA 91731 (626) 448-9884 Rite Aid Pharmacy 3570 Santa Anita Ave El Monte, CA 91731 (626) 442-9238 Rosa 1 Pharmacy $ 10050 Garvey Ave Ste 117 El Monte, CA 91733 (626) 448-9956 Sam's Club Pharmacy $ 4901 Santa Anita Ave El Monte, CA 91731 (626) 652-6915 Santa Maria Community Pharmacy 11004 Valley Mall El Monte, CA 91731 (626) 443-3089 Sav-Now Pharmacy $ 9814 Garvey Ave # 24-25 El Monte, CA 91733 (626) 579-1270 Walgreens 3643 Peck Rd El Monte, CA 91731 (626) 442-7868 Walgreens 11907 Valley Blvd El Monte, CA 91732 (626) 450-0536

El Segundo Ralphs $ 500 N Sepulveda Blvd El Segundo, CA 90245 (310) 615-3025 Rite Aid Pharmacy 220 E Grand Ave El Segundo, CA 90245 (310) 640-2715 St Antony Pharmacy 310 E Grand Ave Ste 105 El Segundo, CA 90245 (310) 524-9244 Walgreens 331 N Sepulveda Blvd El Segundo, CA 90245 (310) 640-9651

Encino Family Pharmacy 16060 Ventura Blvd #109 Encino, CA 91436 (818) 387-8119 Encino Pharmacy 16500 Ventura Blvd Ste 110 Encino, CA 91436 (818) 788-5858 Louise Pharmacy 17255-B Ventura Blvd Encino, CA 91316 (818) 387-8144

Encino

Oakdale Pharmacy 5400 Balboa Blvd Encino, CA 91316 (818) 788-0770

ABC Compounding Pharmacy 16311 Ventura Blvd Ste 110 Encino, CA 91436 (818) 783-0422

Ralphs Pharmacy $ 16325 Ventura Blvd Encino, CA 91436 (818) 728-4515

Biocare Rx Specialty Pharmacy 5435 Balboa Blvd Ste 210 Encino, CA 91316 (818) 382-3500

Regent Square Pharmacy $ 17609 Ventura Blvd Ste Ll07 Encino, CA 91316 (818) 666-2490

Central Care Pharmacy 16260 Ventura Blvd Ste 100 Encino, CA 91436 (818) 386-1888

Rite Aid Pharmacy 17864 Ventura Blvd Encino, CA 91316 (818) 345-5456

CVS Pharmacy $ 17320 Ventura Blvd Encino, CA 91316 (818) 995-0071

Rite Care Pharmacy 17200 Ventura Blvd Ste 223A Encino, CA 91316 (818) 907-5400

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 16461 Ventura Blvd Encino, CA 91436 (818) 986-2117

$ Offers preferred cost-sharing - 43 -

Retail Pharmacies, including Chain Pharmacies Rubio Pharmacy $ 16550 Ventura Blvd Encino, CA 91436 (818) 990-5100

Gardena Center Pharmacy $ 15407 S Western Ave Gardena, CA 90249 (310) 767-1522

Target Pharmacy 2169 W Redondo Beach Blvd Gardena, CA 90247 (310) 327-0762

Ventura Central Pharmacy $ 16661 Ventura Blvd Ste 111 Encino, CA 91436 (818) 990-1444

Gardena Professional Pharmacy $ 1045 W Redondo Beach Blvd #140 Gardena, CA 90247 (310) 532-0222

Van Park Pharmacy 14111 Van Ness Ave Gardena, CA 90249 (310) 323-6260

Walgreens 16100 Ventura Blvd Encino, CA 91436 (818) 788-6951 Zelzah Pharmacy 17911 Ventura Blvd Encino, CA 91316 (818) 609-0692

Gardena AHF Pharmacy $ 19300 Hamilton Ave #170 Gardena, CA 90248 (310) 464-8241 Crown Drugs 14133 S Vermont Ave Gardena, CA 90247 (310) 327-9450 CVS Pharmacy $ 15700 S Western Ave Gardena, CA 90247 (310) 538-3131 Dial Pharmacy $ 101 W Walnut St Ste 123 Gardena, CA 90248 (310) 515-8425 Econo Pharmacy 15435 S Western Ave Ste 100-C Gardena, CA 90249 (310) 353-2699

Health Center Pharmacy 15418 Crenshaw Blvd Gardena, CA 90249 (310) 808-9111 Meiji Pharmacy $ 1630 W Redondo Beach Blvd Gardena, CA 90247 (310) 538-2885 Prescriptions Unlimited Pharmacy 1141 W Redondo Beach Blvd Gardena, CA 90247 (310) 515-1881 Ralphs $ 2201 W Redondo Beach Blvd Gardena, CA 90247 (310) 538-9116 Rite Aid Pharmacy 1208 W Redondo Beach Blvd Gardena, CA 90247 (310) 323-4768 Sam's Club Pharmacy $ 1399 W Artesia Blvd Gardena, CA 90248 (310) 800-9863 Sav-On Pharmacy $ 1735 W Artesia Blvd Gardena, CA 90248 (310) 380-4650

*Only dispenses 30-day supplies

Vons Pharmacy 1260 W Redondo Beach Blvd Gardena, CA 90247 (310) 767-7940 Walgreens 1344 W Redondo Beach Blvd Gardena, CA 90247 (310) 353-5726

Glendale ABM Pharmacy 1385 E Colorado St Glendale, CA 91205 (818) 242-4216 Agapi Pharmacy 6501 San Fernando Rd # K Glendale, CA 91201 (818) 246-4433 Ararat Plaza Pharmacy 1248 S Glendale Ave Ste M Glendale, CA 91205 (818) 637-2177 Arden Medical Pharmacy $ 435 W Arden Ave Ste 110 Glendale, CA 91203 (818) 247-1842 Arianna Medical Pharmacy 3600 N Verdugo Rd Ste 103 Glendale, CA 91208 (818) 957-9200 $ Offers preferred cost-sharing

- 44 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Armen Pharmacy 1025 E Broadway Glendale, CA 91205 (818) 551-0082

CVS Pharmacy $ 1122 E Broadway Glendale, CA 91205 (818) 547-0170

Glendale Urgent Care Pharmacy 801 S Chevy Chase Dr Ste 111 Glendale, CA 91205 (818) 502-9097

Asap Pharmacy 367 N Chevy Chase Dr # B Glendale, CA 91206 (818) 543-1800

Drug Center Pharmacy 1530 E Chevy Chase Dr Glendale, CA 91206 (818) 507-8466

Glendale West Pharmacy 1109 S Glendale Ave Ste A& Glendale, CA 91205 (818) 548-5157

AVS Pharmacy 511 1/2 E Broadway Glendale, CA 91205 (818) 484-8680

Drug Center Pharmacy 1127 E Broadway Glendale, CA 91205 (818) 246-7156

Glenmed Pharmacy 1436 W Glenoaks Blvd Ste A Glendale, CA 91201 (818) 409-9020

Central Ave Pharmacy 540 N Central Ave Glendale, CA 91203 (818) 242-8838

East Remedy Pharmacy 816 E Broadway Glendale, CA 91205 (818) 507-0625

Grace Pharmacy 3857 Foothill Blvd #1 Glendale, CA 91214 (818) 957-5555

Central Drugs 730 S Central Ave Ste 117 Glendale, CA 91204 (818) 956-1577

Express Care Pharmacy 801 E Broadway Glendale, CA 91205 (818) 244-3330

Haig Pharmacy $ 1106 S Glendale Ave Glendale, CA 91205 (818) 548-8109

Comfortcare Pharmacy 478 W Colorado St Glendale, CA 91204 (818) 247-7000

Fifteen Sixty United Drug 1560 E Chevy Chase Dr Ste 110 Glendale, CA 91206 (818) 240-4971

Harvard Family Pharmacy 145 S Glendale Ave Glendale, CA 91205 (818) 662-0700

Confidential Pharmacy Services 230 N Maryland Ave Ste 307 Glendale, CA 91206 (888) 884-6337

Glendale Han Kuk Pharmacy $ 831 N Pacific Ave #G Glendale, CA 91203 (818) 637-7708

Haugen's Idea Pharmacy $ 1155 N Central Ave Glendale, CA 91202 (818) 246-1739

Cornerstone Compoud Pharmacy 1131 N Pacific Ave Glendale, CA 91202 (818) 550-1522

Glendale Medical Express Pharmacy 1030 S Glendale Ave Ste 102 Glendale, CA 91205 (818) 500-0411

Honolulu Pharmacy 450 S Central Ave Glendale, CA 91204 (818) 242-2233

CVS Pharmacy $ 3943 San Fernando Rd Glendale, CA 91204 (818) 549-2270

Glendale Pharmacy 1122 N Brand Blvd Glendale, CA 91202 (818) 244-3164

*Only dispenses 30-day supplies HEALTH NET

Hye Pharmacy $ 1200 S Central Ave Glendale, CA 91204 (818) 240-7152

$ Offers preferred cost-sharing - 45 -

Retail Pharmacies, including Chain Pharmacies I & G Pharmacy 815 E Colorado St Ste A Glendale, CA 91205 (818) 500-0895

Pinnacle Pharmacy 1811 W Glenoaks Blvd Ste A Glendale, CA 91201 (818) 484-5532

Kenneth Road Pharmacy $ 1400 W Kenneth Rd Glendale, CA 91201 (818) 242-4158

Remedy Drugs 459 W Broadway #4 Glendale, CA 91204 (818) 548-6165

Med Zone Pharmacy 418 E. Glenoaks Blvd. #102 Glendale, CA 91207 (818) 243-6605

Rileys Pharmacy $ 633 N Central Ave Ste 100 Glendale, CA 91203 (818) 244-1195

Medical Terrace Unteddrug 1505 Wilson Ter Ste 100 Glendale, CA 91206 (818) 409-8392

Rite Aid Pharmacy 531 N Glendale Ave Glendale, CA 91206 (818) 241-9770

Memorial Medical Pharmacy 1510 S Central Ave Ste 110 Glendale, CA 91204 (818) 247-0526

Rx Central 800 S Central Ave #101A Glendale, CA 91204 (818) 244-5152

Optima Care Pharmacy $ 1755 W Glenoaks Blvd # E Glendale, CA 91201 (818) 548-5488

San Jose Pharmacy 222 W Eulalia St Ste 212 Glendale, CA 91204 (818) 247-3266

Pacific Grand Pharmacy And Supply 501 W Glenoaks Blvd #12 Glendale, CA 91202 (818) 500-1517

Target Pharmacy 2195 Glendale Galleria Glendale, CA 91210 (818) 334-1401

Pacific Medical Pharmacy 1101 N Pacific Ave Ste 101 Glendale, CA 91202 (818) 548-1330 Persons Monterey Pharmacy 812 N Glendale Ave Glendale, CA 91206 (818) 243-3144

Tower III Pharmacy 620 S Glendale Ave # J Glendale, CA 91205 (818) 546-1400 Verdugo Clinic Pharmacy $ 1540 E Colorado St Glendale, CA 91205 (818) 550-0218

*Only dispenses 30-day supplies

Verdugo Hills Professional Pharmacy $ 1808 Verdugo Blvd Ste 111 Glendale, CA 91208 (818) 952-2223 Verdugo Medical Pharmacy 1818 Verdugo Blvd Ste 101 Glendale, CA 91208 (818) 952-3523 Vons Pharmacy 311 W Los Feliz Rd Glendale, CA 91204 (818) 246-5399 Well Care Pharmacy 1108 1/2 W Glenoaks Blvd Glendale, CA 91202 (818) 551-0102 Western Drug $ 501 Western Ave Glendale, CA 91201 (818) 242-5887

Glendora Apothecary Rx 303 W Foothill Blvd Ste 10 Glendora, CA 91741 (626) 963-7689 CVS Pharmacy $ 435 East Arrow Hwy Glendora, CA 91740 (626) 963-1625 CVS Pharmacy $ 130 N Grand Ave Glendora, CA 91741 (626) 963-0385

$ Offers preferred cost-sharing - 46 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Foothill Medical Plaza Pharmacy $ 415 W Route 66 Glendora, CA 91740 (626) 857-5500 Glendora Medical Pharmacy 130 W Route 66 Glendora, CA 91740 (626) 335-0288 Healthrx Specialty Pharmacy 1844 E Route 66 Glendora, CA 91740 (626) 335-4777 Nelsons Drug Store 159 N Glendora Ave Glendora, CA 91741 (626) 335-0221 Ralphs $ 655 S Grand Ave Glendora, CA 91740 (626) 857-9439 Sam's Club Pharmacy $ 1301 S Lone Hill Ave Glendora, CA 91740 (909) 394-7978 Sav-On Pharmacy $ 133 W Route 66 Glendora, CA 91740 (626) 963-5368 Sierra Pharmacy $ 210 S Grand Ave Ste 116 Glendora, CA 91741 (626) 335-2300 Trinity Pharmacy 1335 S Grand Ave Glendora, CA 91740 (626) 335-2700

Vons Pharmacy 435 Foothill Blvd Glendora, CA 91741 (626) 963-3281

Rite Aid Pharmacy 10811 Zelzah Ave Granada Hills, CA 91344 (818) 360-8411

Walgreens 550 S Grand Ave Glendora, CA 91741 (626) 857-0633

Target Pharmacy 11133 Balboa Blvd Granada Hills, CA 91344 (818) 360-2999

Walmart Pharmacy $ 1950 Auto Centre Dr Glendora, CA 91740 (909) 599-3955

The Medicine Shoppe $ 16915 Devonshire St Granada Hills, CA 91344 (818) 366-8857

Granada Hills

Vons Pharmacy 16830 San Fernando Mission Blvd Granada Hills, CA 91344 (818) 831-5059

Balboa Pharmacy $ 10700 Balboa Blvd # 101 Granada Hills, CA 91344 (818) 831-2090 CVS Pharmacy $ 10208 Balboa Blvd Granada Hills, CA 91344 (818) 368-5635

Hacienda Heights

CVS Pharmacy $ 18020 Chatsworth St Granada Hills, CA 91344 (818) 831-3271

CVS Pharmacy $ 2141 S Hacienda Blvd Hacienda Heights, CA 91745 (626) 330-8775

Kamashians Pharmacy $ 10515 Balboa Blvd Granada Hills, CA 91344 (818) 360-2124

Hacienda Heights Pharmacy 17170 Colima Rd Ste F Hacienda Heights, CA 91745 (626) 839-2129

Preferred Compounding Pharmacy 17547 Chatsworth St Granada Hills, CA 91344 (818) 360-5004

Hacienda Pharmacy 3120 S Hacienda Blvd Ste 105 Hacienda Heights, CA 91745 (626) 330-8832

Ralphs $ 16940 Devonshire St Granada Hills, CA 91344 (818) 831-4962

*Only dispenses 30-day supplies HEALTH NET

Walgreens 17010 Chatsworth St Granada Hills, CA 91344 (818) 360-0871

Halliburton Professional Pharmacy $ 15932 Halliburton Rd Hacienda Heights, CA 91745 (626) 369-6286 $ Offers preferred cost-sharing

- 47 -

Retail Pharmacies, including Chain Pharmacies Heidi's Pharmacy 3150 Colima Rd Ste B Hacienda Heights, CA 91745 (626) 333-7878 Puente Hills Pharmacy $ 1850 S Azusa Ave Ste 101 Hacienda Heights, CA 91745 (626) 912-3311 Rite Aid Pharmacy 2060 S Hacienda Blvd Hacienda Heights, CA 91745 (626) 333-5642

Harbor City All In One Pharmacy INC. 24404 Vermont Ave Ste 310 Harbor City, CA 90710 (310) 530-6100 Rite Aid Pharmacy 1207 Pacific Coast Hwy Harbor City, CA 90710 (310) 325-4362 Walgreens 24930 Western Ave Harbor City, CA 90710 (310) 891-1264

Hawaiian Gardens CVS Pharmacy $ 12221 Carson St Hawaiian Gardens, CA 90716 (562) 468-7011 Drug Works Pharmacy 12567 E Carson St Hawaiian Gardens, CA 90716 (562) 219-5763

Hawaiian Gardens Medical & Mental Health 21505 Norwalk Blvd Hawaiian Gardens, CA 90716 (562) 916-7581 Walmart Pharmacy $ 12120 Carson St Hawaiian Gardens, CA 90716 (562) 421-8679

Hawthorne Costco Pharmacy 14501 Hindry Ave Hawthorne, CA 90250 (310) 727-0402 CVS Pharmacy $ 3880 W Rosecrans Ave Hawthorne, CA 90250 (310) 675-0359 CVS Pharmacy $ 11831 Hawthorne Blvd Hawthorne, CA 90250 (310) 679-3668 CVS Pharmacy $ 4775 W Rosecrans Ave Hawthorne, CA 90250 (310) 263-7330 Grand Avenue Pharmacies $ 4455 W 117th St Ste 101 Hawthorne, CA 90250 (310) 649-3774 Hawthorne Professional Pharmacy 4477 W 118th St Ste 100 Hawthorne, CA 90250 (310) 675-6882

*Only dispenses 30-day supplies

New Hope Pharmacy 12309 Hawthorne Blvd Hawthorne, CA 90250 (310) 349-0600 Plaza Pharmacy $ 11930 Hawthorne Blvd Hawthorne, CA 90250 (310) 973-5200 Sav-On Drugs $ 12630 Hawthorne Blvd Hawthorne, CA 90250 (310) 675-3636 Target Pharmacy 2700 W 120th St Hawthorne, CA 90250 (323) 492-1001 Thanh Pharmacy, INC. 12923 Inglewood Ave Ste 2 Hawthorne, CA 90250 (310) 973-0321 Walgreens 14250 Prairie Ave Hawthorne, CA 90250 (310) 978-9167 Walgreens 11983 Hawthorne Blvd Hawthorne, CA 90250 (310) 349-0130 Walmart Pharmacy $ 14441 Inglewood Ave Hawthorne, CA 90250 (424) 336-2215

Hermosa Beach CVS Pharmacy $ 155 Pacific Coast Hwy Hermosa Beach, CA 90254 (310) 372-4345 $ Offers preferred cost-sharing

- 48 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 711 Pier Ave Hermosa Beach, CA 90254 (310) 374-6266

Rite Aid Pharmacy 6360 Pacific Blvd Huntington Park, CA 90255 (323) 585-4321

CVS Pharmacy $ 4345 W Century Blvd Inglewood, CA 90304 (310) 672-6078

Ralphs $ 1100 Pacific Coast Hwy Hermosa Beach, CA 90254 (310) 374-2435

San Martin Pharmacy $ 2699 E Florence Ave Huntington Park, CA 90255 (323) 582-6078

CVS Pharmacy $ 3120 W Imperial Hwy Inglewood, CA 90303 (323) 757-1722

TLC Pharmacy 845 Pacific Coast Hwy Hermosa Beach, CA 90254 (310) 798-5400

Southeast Pharmacy 2675 E Slauson Ave Huntington Park, CA 90255 (323) 589-7504

CVS Pharmacy $ 222 N Market St Inglewood, CA 90301 (310) 671-0441

Highland Park

St Paul's Pharmacy 2459 E Florence Ave Huntington Park, CA 90255 (323) 589-4929

Freeman Medical Pharmacy $ 301 N Prairie Ave Ste 110 Inglewood, CA 90301 (310) 672-7000

Huntington Park

St. Luke Pharmacy, INC. 7024 Seville Ave Ste E Huntington Park, CA 90255 (323) 587-1200

Cameron Pharmacy $ 7119 Seville Ave Ste D Huntington Park, CA 90255 (323) 582-5171

Inglewood Medical & Mental Health Services 4450 W Century Blvd Inglewood, CA 90304 (310) 671-0555

The Medicine Cabinet 7119 Rita Ave Ste B Huntington Park, CA 90255 (323) 581-9106

Courtesy Drug 3180 E Florence Ave Huntington Park, CA 90255 (323) 583-4307

Walgreens 6100 Pacific Blvd Huntington Park, CA 90255 (323) 826-9578

CVS Pharmacy $ 5960 Pacific Blvd Huntington Park, CA 90255 (323) 589-6703

Inglewood

Rite Aid Pharmacy 6305 York Blvd Highland Park, CA 90042 (323) 550-1317

Healthy Family Pharmacy $ 7932 Seville Ave Huntington Park, CA 90255 (323) 582-5286

Alliance Pharmacy $ 323 N Prairie Ave # 100 Inglewood, CA 90301 (310) 419-4479 Costco Pharmacy 3560 W Century Blvd Inglewood, CA 90303 (310) 242-2779

*Only dispenses 30-day supplies HEALTH NET

LAX Pharmacy 4457 Lennox Blvd Inglewood, CA 90304 (310) 674-1403 Medical Center Pharmacy $ 501 E Hardy St Ste 130 Inglewood, CA 90301 (310) 671-7636 Rite Aid Pharmacy 11340 Crenshaw Blvd Inglewood, CA 90303 (323) 754-3139 Simisola Pharmacy 11011 Crenshaw Blvd Ste 102 Inglewood, CA 90303 (310) 677-6522

$ Offers preferred cost-sharing - 49 -

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 3471 W Century Blvd Inglewood, CA 90303 (310) 677-5937

Rite Aid Pharmacy 2647 Foothill Blvd La Crescenta, CA 91214 (818) 248-1016

Rite Aid Pharmacy 15800 Imperial Hwy La Mirada, CA 90638 (562) 902-5538

Vons Pharmacy 500 E Manchester Blvd Inglewood, CA 90301 (310) 677-0501

Vons Pharmacy 3233 Foothill Blvd La Crescenta, CA 91214 (818) 658-1030

Walgreens 14210 Imperial Hwy La Mirada, CA 90638 (562) 777-3405

Walgreens 3331 W Century Blvd Inglewood, CA 90303 (310) 671-1523

Walgreens 3001 Foothill Blvd La Crescenta, CA 91214 (818) 541-7840

Walmart Pharmacy $ 14865 Telegraph Road La Mirada, CA 90638 (562) 567-6492

Walgreens 230 N La Brea Ave Inglewood, CA 90301 (310) 671-2471

La Mirada

La Puente

La Canada

Bright La Mirada Pharmacy $ 12675 La Mirada Blvd Ste 100 La Mirada, CA 90638 (562) 777-8175

CVS Pharmacy $ 861 N Hacienda Blvd La Puente, CA 91744 (626) 968-0668

Flintridge Pharmacy 529 Foothill Blvd La Canada , CA 91011 (818) 790-1802

CVS Pharmacy $ 15743 Imperial Hwy La Mirada, CA 90638 (562) 947-9822

CVS Pharmacy $ 858 N Sunset Ave La Puente, CA 91744 (626) 931-1410

Rite Aid Pharmacy 647 Foothill Blvd La Canada, CA 91011 (818) 790-5577

CVS Pharmacy $ 13525 Beach Blvd La Mirada, CA 90638 (562) 947-3789

Gonzalez Pharmacy 1240 N Hacienda Blvd Ste 105 La Puente, CA 91744 (626) 918-4300

The Marsh Village Pharmacy 2143 Foothill Blvd La Canada, CA 91011 (818) 248-3643

CVS Pharmacy $ 15210 Rosecrans Ave La Mirada, CA 90638 (714) 228-0204

Lisa Pharmacy 1840 N Hacienda Blvd Ste 1 La Puente, CA 91744 (626) 918-0929

La Crescenta

Imperial Pharmacy $ 15074 Imperial Hwy La Mirada, CA 90638 (562) 902-5580

Rite Aid Pharmacy 13905 Amar Rd La Puente, CA 91746 (626) 338-9717

La Mirada Pharmacy $ 15651 Imperial Hwy Ste 102A La Mirada, CA 90638 (562) 943-5888

Valley Drugs $ 17313 Valley Blvd La Puente, CA 91744 (626) 964-2301

La Crescenta Pharmacy 2764 Foothill Blvd La Crescenta, CA 91214 (818) 248-5851

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 50 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 934 N Hacienda Blvd La Puente, CA 91744 (626) 934-1926

CVS Pharmacy $ 5117 Lakewood Blvd Lakewood, CA 90712 (562) 634-9100

Target Pharmacy 141 Lakewood Center Mall Lakewood, CA 90712 (562) 894-0020

Walmart Pharmacy $ 1425 N Hacienda Blvd La Puente, CA 91744 (626) 918-4162

CVS Pharmacy $ 6510 South St Lakewood, CA 90713 (562) 867-1715

Vons Pharmacy 4001 Hardwick St Lakewood, CA 90712 (562) 663-0731

La Verne

CVS Pharmacy $ 5505 Carson St Lakewood, CA 90713 (562) 420-1403

Vons Pharmacy 4226 Woodruff Ave Lakewood, CA 90713 (562) 496-4155

CVS Pharmacy $ 4909 Paramount Blvd Lakewood, CA 90712 (562) 272-6809

Walgreens 5913 Carson St Lakewood, CA 90713 (562) 429-9120

Foundation Pharmacy $ 3650 South St Ste 100 Lakewood, CA 90712 (562) 633-1150

Walgreens 5829 Lakewood Blvd Lakewood, CA 90712 (562) 817-5690

Howard Drug $ 5818 Bellflower Blvd Lakewood, CA 90713 (562) 866-5795

Walmart Pharmacy $ 2770 Carson St Lakewood, CA 90712 (562) 429-9960

Lancaster

Lake Balboa

Pavilions Pharmacy 5500 Woodruff Ave Lakewood, CA 90713 (562) 866-7083

Expert Compound Pharmacy 6744 Balboa Blvd Lake Balboa, CA 91406 (818) 988-7979

Ralphs $ 20137 Pioneer Blvd Lakewood, CA 90715 (562) 924-1210

Lakewood

Rite Aid Pharmacy 5520 Woodruff Ave Lakewood, CA 90713 (562) 866-3681

CVS Pharmacy $ 1479 Foothill Blvd La Verne, CA 91750 (909) 593-7534 Rite Aid Pharmacy 1480 Foothill Blvd La Verne, CA 91750 (909) 593-2619 Target Pharmacy 2462 Foothill Blvd La Verne, CA 91750 (909) 593-8184 Vons Pharmacy 1600 Foothill Blvd La Verne, CA 91750 (909) 593-2572

Costco Pharmacy 340 Lakewood Center Mall Lakewood, CA 90712 (562) 295-1515 *Only dispenses 30-day supplies HEALTH NET

Burns Prescription Pharmacy $ 866 W Lancaster Blvd Lancaster, CA 93534 (661) 942-1461 Costco Pharmacy 1141 West Ave L Lancaster, CA 93534 (661) 802-4469 CVS Pharmacy $ 4105 W Avenue L Lancaster, CA 93536 (661) 722-5784 $ Offers preferred cost-sharing

- 51 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 2006 W Avenue J Lancaster, CA 93536 (661) 945-2729

Vons Pharmacy 4033 W Avenue L Lancaster, CA 93536 (661) 722-0861

CVS Pharmacy $ 15103 Hawthorne Blvd Lawndale, CA 90260 (310) 679-7619

CVS Pharmacy $ 43839 15th St W Ste P Lancaster, CA 93534 (661) 942-0607

Walgreens 1834 W Avenue J Lancaster, CA 93534 (661) 723-0363

Lawndale Medical & Mental Health Services 4023 Marine Ave Lawndale, CA 90260 (310) 675-9555

CVS Pharmacy $ 846 W Avenue K Lancaster, CA 93534 (661) 942-5652

Walgreens 2840 W Avenue L Lancaster, CA 93536 (661) 943-8683

CVS Pharmacy $ 44430 Challenger Way Lancaster, CA 93535 (661) 940-8311

Walgreens 5001 W Avenue N Lancaster, CA 93536 (661) 722-5892

Desert Drugs 204 W Avenue J Lancaster, CA 93534 (661) 942-0822

Walgreens 831 E Avenue K Lancaster, CA 93535 (661) 942-1782

Rite Aid Pharmacy 44226 10th St W Lancaster, CA 93534 (661) 948-3343

Walmart Pharmacy $ 1731 E Avenue J Lancaster, CA 93535 (661) 945-9568

Sav-On Drugs $ 43543 20th St W Lancaster, CA 93534 (661) 940-4752

Walmart Pharmacy $ 44765 Valley Central Way Lancaster, CA 93536 (661) 940-8891

Target Pharmacy 43525 10th St W Lancaster, CA 93534 (612) 696-2268

Lawndale

Valley Pharmacy $ 1324 W Avenue J Ste 1 Lancaster, CA 93534 (661) 942-8777

Community Care Pharmacy 14623 Hawthorne Blvd #104 Lawndale, CA 90260 (310) 973-0181 CVS Pharmacy $ 15718 Hawthorne Blvd Lawndale, CA 90260 (310) 970-7440

*Only dispenses 30-day supplies

Thu Pharmacy $ 15735 Hawthorne Blvd Ste 110 Lawndale, CA 90260 (310) 676-3489

Lomita CVS Pharmacy $ 25829 Narbonne Ave Lomita, CA 90717 (310) 517-8520 CVS Pharmacy $ 2001 Pacific Coast Hwy Lomita, CA 90717 (310) 517-9535 Quality Specialty Pharmacy 2233 Lomita Blvd Lomita, CA 90717 (310) 530-2444

Long Beach Abrams & Clark Pharmacy 3841 Atlantic Ave Long Beach, CA 90807 (562) 427-7901 AHF Pharmacy - Long Beach $ 3500 E. Pacific Coast Hwy Long Beach, CA 90804 (562) 494-0340

$ Offers preferred cost-sharing - 52 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Allied Rexall Drug 2101 Pacific Ave Long Beach, CA 90806 (562) 591-2381

CVS Pharmacy $ 2925 Palo Verde Ave Long Beach, CA 90815 (562) 425-1245

CVS Pharmacy $ 6000 Atlantic Ave Long Beach, CA 90805 (562) 428-2821

Ameri-Care Drugs 500 W Willow St Long Beach, CA 90806 (562) 490-0005

CVS Pharmacy $ 596 Long Beach Blvd Long Beach, CA 90802 (562) 432-3530

Dell's Los Altos United Drug 1777 N Bellflower Blvd Ste 113 Long Beach, CA 90815 (562) 597-3671

Atlantic Professional Pharmacy $ 1045 Atlantic Ave Ste 102 Long Beach, CA 90813 (562) 491-9799

CVS Pharmacy $ 2130 N Bellflower Blvd Long Beach, CA 90815 (562) 598-3301

Family Pharmacy $ 1400 Atlantic Ave Long Beach, CA 90813 (562) 591-4417

CVS Pharmacy $ 3575 Atlantic Ave Long Beach, CA 90807 (562) 997-8743

Gage Pharmacy 5735 Atlantic Ave Long Beach, CA 90805 (562) 423-8437

CVS Pharmacy $ 1250 Epacific Coast Highway Long Beach, CA 90806 (562) 218-0080

Golden Pharmacy $ 1750 Pacific Ave Ste A Long Beach, CA 90813 (562) 599-5292

CVS Pharmacy $ 4400 E Los Coyotes Diagonal Long Beach, CA 90815 (562) 494-4282

Hartley Medical Center Pharmacy $ 113 W Victoria St Long Beach, CA 90805 (562) 595-7548

Bestcare Pharmacy 2220 Clark Ave Long Beach, CA 90815 (562) 494-1371 Bixby Pharmacy 3816 Woodruff Ave Ste 108 Long Beach, CA 90808 (562) 627-1809 Care Rite 3500 E Broadway Long Beach, CA 90803 (562) 438-7055 Coastal Express Pharmacy $ 2632 Pacific Ave Long Beach, CA 90806 (562) 997-2580 CVS Pharmacy $ 4570 Atlantic Ave Long Beach, CA 90807 (562) 423-7959 CVS Pharmacy $ 6265 E 2nd St Ste 101 Long Beach, CA 90803 (562) 430-6481

CVS Pharmacy $ 233 E Willow St Long Beach, CA 90806 (562) 989-9868 CVS Pharmacy $ 5030 Long Beach Blvd Long Beach, CA 90805 (562) 984-2813 CVS Pharmacy $ 650 N Bellflower Blvd Long Beach, CA 90814 (562) 597-2143

*Only dispenses 30-day supplies HEALTH NET

Johns Shop Rite Pharmacy $ 3717 E South St Long Beach, CA 90805 (562) 616-0056 Long Beach Memorial Med. Center. Pharmacy $ 2801 Atlantic Ave Long Beach, CA 90806 (562) 933-7948 Medical Mall Pharmacy $ 1043 Elm Ave Ste 305 Long Beach, CA 90813 (562) 491-9003 $ Offers preferred cost-sharing

- 53 -

Retail Pharmacies, including Chain Pharmacies Miller Children's Pharmacy 2801 Atlantic Ave Long Beach, CA 90806 (562) 933-0440

Procare Pharmacy 861 E Anaheim St Long Beach, CA 90813 (562) 218-8811

Rite Aid Pharmacy 5128 E 2nd St Long Beach, CA 90803 (562) 433-0456

Mission Pharmacy 1050 Atlantic Ave Long Beach, CA 90813 (562) 436-7257

Professional Prescrition United Drugs 2863 Atlantic Ave Long Beach, CA 90806 (562) 426-7664

Rite Aid Pharmacy 1890 Ximeno Ave Long Beach, CA 90815 (562) 597-6520

New Phnom Pich Pharmacy 2100 E Anaheim St Ste A Long Beach, CA 90804 (562) 434-7559 NTM Pharmacy 2317 E Anaheim St Long Beach, CA 90804 (562) 621-0838 P & H Pharmacy 1259 E Anaheim St Long Beach, CA 90813 (562) 599-6935 Pacific Plaza Pharmacy 2777 Pacific Ave Ste A Long Beach, CA 90806 (562) 426-6588 Pavilions Pharmacy 5949 E Spring St Long Beach, CA 90808 (562) 496-1851 PCH Medical Pharmacy $ 306 E Pacific Coast Hwy Ste 10 Long Beach, CA 90806 (562) 591-7655 Phnom Pich Pharmacy 2338 E Anaheim St Ste 100 Long Beach, CA 90804 (562) 438-3324

Ralphs $ 2250 E Carson St Long Beach, CA 90807 (562) 490-0201 Ralphs $ 3380 N Los Coyotes Diagonal Long Beach, CA 90808 (562) 425-9673 Ralphs $ 6290 E Pacific Cost Hwy Long Beach, CA 90804 (562) 795-1087 Rite Aid Pharmacy 4402 Atlantic Ave Long Beach, CA 90807 (562) 423-0036 Rite Aid Pharmacy 6400 E Spring St Long Beach, CA 90815 (562) 425-2713 Rite Aid Pharmacy 601 Pine Ave Long Beach, CA 90802 (562) 435-2083 Rite Aid Pharmacy 5670 E 2nd St Long Beach, CA 90803 (562) 930-1280

*Only dispenses 30-day supplies

Rite Aid Pharmacy 211 Cherry Ave Long Beach, CA 90802 (562) 951-1360 Rite Aid Pharmacy 300 E Willow St Long Beach, CA 90806 (562) 595-8588 Rite Aid Pharmacy 3300 E Anaheim St Long Beach, CA 90804 (562) 439-4546 Rite Aid Pharmacy 5545 E Stearns St Long Beach, CA 90815 (562) 596-8690 Saint Thomas Pharmacy 3530 Long Beach Blvd Ste 100 Long Beach, CA 90807 (562) 912-4802 Sav-On Pharmacy $ 6235 E Spring St Long Beach, CA 90808 (562) 421-0003 Spring Park Pharmacy $ 6226 E Spring St Ste 140 Long Beach, CA 90815 (562) 420-1303

$ Offers preferred cost-sharing - 54 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies St Mary Pharmacy 505 W Willow St Long Beach, CA 90806 (562) 492-9484

Vons Pharmacy 4550 B Atlantic Ave Long Beach, CA 90503 (562) 422-6739

Wards Pharmacy $ 653 Long Beach Blvd Long Beach, CA 90802 (562) 437-0678

Target Pharmacy 2270 N Bellflower Blvd Long Beach, CA 90815 (562) 430-3753

Walgreens 5400 Cherry Ave Long Beach, CA 90805 (562) 422-2164

West County Medical 2272 Pacific Ave Long Beach, CA 90806 (562) 428-4222

Target Pharmacy 6750 Cherry Ave Long Beach, CA 90805 (562) 295-2972

Walgreens 2627 Pacific Ave Long Beach, CA 90806 (562) 490-9575

Yees Prescription Pharmacy $ 1703 Termino Ave Long Beach, CA 90804 (562) 597-7733

Target Pharmacy 950 E 33rd St Long Beach, CA 90807 (562) 989-9271

Walgreens 3570 Atlantic Ave Long Beach, CA 90807 (562) 424-3963

Los Angeles

Today Pharmacy 2200 E Anaheim St Ste C Long Beach, CA 90804 (562) 438-2031

Walgreens 600 Long Beach Blvd Long Beach, CA 90802 (562) 279-1027

Vermillion's Drug 1942 E Anaheim St Long Beach, CA 90813 (562) 591-0549

Walgreens 3339 E Anaheim St Long Beach, CA 90804 (562) 597-5338

Village Road Pharmacy 5412 E Village Rd Long Beach, CA 90808 (562) 425-6434

Walmart Pharmacy $ 151 E 5th St Long Beach, CA 90802 (562) 436-0560

Vons Pharmacy 600 E Broadway Long Beach, CA 90802 (562) 624-2352

Walmart Pharmacy $ 7250 Carson Blvd Long Beach, CA 90808 (562) 425-8045

Vons Pharmacy 4550 Atlantic Ave Long Beach, CA 90807 (562) 984-1428

Walmart Pharmacy $ 7480 Carson Blvd Long Beach, CA 90808 (562) 425-5539

*Only dispenses 30-day supplies HEALTH NET

10th Ave Pharmacy $ 2706 W Martin Luther King Blvd Los Angeles, CA 90008 (323) 298-7693 1663 Pharmacy 1663 Beverly Blvd Los Angeles, CA 90026 (213) 250-7229 2010 Pharmacy $ 2010 Wilshire Blvd Los Angeles, CA 90057 (213) 483-5910 6122 Pharmacy $ 6122 Whittier Blvd Los Angeles, CA 90022 (323) 725-1250 A A Pharmacy $ 625 W College St Ste 101 Los Angeles, CA 90012 (213) 680-9616 A and A Universal Pharmacy $ 866 N Vermont Ave #202 Los Angeles, CA 90029 (323) 660-6666 $ Offers preferred cost-sharing

- 55 -

Retail Pharmacies, including Chain Pharmacies Aalpha Pharmacy $ 174 S Alvarado St Los Angeles, CA 90057 (213) 483-8741

Altamed Pharmacy 5427 Whittier Blvd Los Angeles, CA 90022 (714) 364-1422

Bargain Oakhurst Pharmacy 8700 W Pico Blvd Los Angeles, CA 90035 (310) 289-6590

Ad-Rx Pharmacy $ 6240 Wilshire Blvd Los Angeles, CA 90048 (323) 936-8221

Altamed Pharmacy 3945 Whittier Blvd Los Angeles, CA 90023 (323) 307-0470

Barrington-Wilshire Pharmacy $ 11701 Wilshire Blvd Ste 3 Los Angeles, CA 90025 (310) 473-3323

AHF Pharmacy $ 6210 W Sunset Blvd Los Angeles, CA 90028 (323) 860-0173

Alvarado Drugs 819 S Alvarado St Los Angeles, CA 90057 (213) 388-9518

AHF Pharmacy $ 5417 Whittier Blvd Los Angeles, CA 90022 (323) 722-1010

American Health Solutions Pharmacy 3463 Overland Ave Los Angeles, CA 90034 (310) 838-7422

AHF Pharmacy Hollywood $ 1300 N Vermont Ave # 407 Los Angeles, CA 90027 (323) 661-0643 AHF Pharmacy-Downtown $ 1400 S Grand Ave Ste 801 Los Angeles, CA 90015 (213) 741-5271 Alexander Pharmacy $ 3377 Wilshire Blvd Ste 102B Los Angeles, CA 90010 (213) 382-0032 Alexander Pharmacy $ 1084 N Western Ave Los Angeles, CA 90029 (323) 467-1084 Allure Pharmacy $ 11670 San Vicente Blvd Ste A Los Angeles, CA 90049 (310) 826-1111

Apothecary Pharmacy 11700 National Blvd Ste L Los Angeles, CA 90064 (310) 737-7277 Ardmore Pharmacy $ 3545 Wilshire Blvd Ste 200 Los Angeles, CA 90010 (213) 385-2135 Atlantic Pharmacy $ 5119 E Beverly Blvd Los Angeles, CA 90022 (323) 264-5060 Axminster Pharmacy 4324 W Slauson Ave Los Angeles, CA 90043 (323) 294-7153 B & G Pharmacy 5101 Hollywood Blvd Los Angeles, CA 90027 (323) 668-0523

*Only dispenses 30-day supplies

Beverly Glen Pharmacy $ 2946 N Beverly Glen Cir Los Angeles, CA 90077 (310) 475-0568 Beverly Hills Med Tower Pharmacy 1125 S Beverly Dr Los Angeles, CA 90035 (310) 551-2861 Big One Pharmacy $ 655 N Broadway Los Angeles, CA 90012 (213) 617-7888 Botica Del Sol $ 2331 E Cesar E Chavez Ave Los Angeles, CA 90033 (323) 260-7531 Botica San Jose 1417 N Vermont Ave Los Angeles, CA 90027 (323) 668-1766 Bravo Pharmacy $ 7316 Compton Ave Los Angeles, CA 90001 (323) 586-9828 Brent Air Pharmacy 134 S Barrington Ave Los Angeles, CA 90049 (310) 476-2211 $ Offers preferred cost-sharing

- 56 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Brentwood Plaza Pharmacy 11980 San Vicente Blvd Ste 104 Los Angeles, CA 90049 (310) 820-1496

Caremax Pharmacy $ 4216 Beverly Blvd Los Angeles, CA 90004 (213) 382-8899

College Pharmacy $ 626 W College St Los Angeles, CA 90012 (213) 624-1028

C T Pharmacy 709 N Hill St Ste 23 Los Angeles, CA 90012 (213) 617-0088

Cathay Medical Pharmacy $ 711 W College St Ste 100 Los Angeles, CA 90012 (213) 613-1158

Colonial Drugs $ 1812 1/2 N Vermont Ave Los Angeles, CA 90027 (323) 666-4044

Cal Med Pharmacy $ 1414 S Grand Ave Ste 101 Los Angeles, CA 90015 (213) 746-4677

Cedar Sinai Med Center San Vicente Pharmacy 444 S San Vicente Blvd Ste 104 Los Angeles, CA 90048 (310) 423-9550

Colorado Pharmacy $ 1680 Colorado Blvd Los Angeles, CA 90041 (323) 254-6736

California Family Pharmacy 1600 S Hill St Ste B Los Angeles, CA 90015 (213) 746-3777 California Pacific Phcy, INC. 1000 James M Wood Blvd Los Angeles, CA 90015 (213) 489-1282 Campus Pharmacy $ 100 UCLA Medical Plaza Ste 150 Los Angeles, CA 90024 (310) 208-2340 Canaan Pharma Care $ 903 Crenshaw Blvd Ste 102B Los Angeles, CA 90019 (323) 932-0202 Care Plus CVS/Pharmacy $ 8635 W 3rd St Los Angeles, CA 90048 (310) 652-1528 Caremax Pharmacy $ 4301 S Figueroa St Ste E Los Angeles, CA 90037 (323) 234-4343

Cedars-Sinai Medical Center 127 S San Vicente Blvd # 2403 Los Angeles, CA 90048 (310) 423-1400 Century Beverly Hills Pharmacy $ 412 S San Vicente Blvd Los Angeles, CA 90048 (310) 360-1015 Century City Pharmacy $ 2080 Century Park E Ste 102 Los Angeles, CA 90067 (310) 553-3434 Century Medical Pharmacy 4057 Whittier Blvd Los Angeles, CA 90023 (323) 264-7311 Century Pico Pharmacy $ 8722 W Pico Blvd Los Angeles, CA 90035 (310) 657-6999 Clinica Msr Oscar Romero 123 S Alvarado St Los Angeles, CA 90057 (213) 201-2601

*Only dispenses 30-day supplies HEALTH NET

Columbus Pharmacy 861 N Broadway Los Angeles, CA 90012 (213) 622-2777 Corona Drug 2105 S San Pedro St Los Angeles, CA 90011 (213) 749-4174 Costco Pharmacy 2901 Los Feliz Blvd Los Angeles, CA 90039 (323) 644-5217 Curerx 5060 W Sunset Blvd Ste C Los Angeles, CA 90027 (323) 667-1111 CVS Pharmacy #10309 $ 210 West 7th St Los Angeles, CA 90014 (213) 327-0062 CVS Pharmacy $ 4414 York Blvd Los Angeles, CA 90041 (323) 344-4443

$ Offers preferred cost-sharing - 57 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 10889 Wellworth Ave Los Angeles, CA 90024 (310) 474-2152

CVS Pharmacy $ 12015 Wilshire Blvd Los Angeles, CA 90025 (310) 479-6500

CVS Pharmacy $ 8601 S Sepulveda Blvd Los Angeles, CA 90045 (310) 645-6770

CVS Pharmacy $ 7021 Hollywood Blvd Los Angeles, CA 90028 (323) 836-0307

CVS Pharmacy $ 3010 S Sepulveda Blvd Los Angeles, CA 90034 (310) 478-9821

CVS Pharmacy $ 1747 N Cahuenga Blvd Los Angeles, CA 90028 (323) 463-7900

CVS Pharmacy $ 1843 S La Cienega Blvd Los Angeles, CA 90035 (310) 558-0373

CVS Pharmacy $ 8985 Venice Blvd Los Angeles, CA 90034 (310) 838-1049

CVS Pharmacy $ 3644 E Olympic Blvd Los Angeles, CA 90023 (323) 264-0496

CVS Pharmacy $ 5500 Hollywood Blvd Los Angeles, CA 90028 (323) 467-0304

CVS Pharmacy $ 1050 W Sunset Blvd Los Angeles, CA 90012 (213) 975-1200

CVS Pharmacy $ 3741 Crenshaw Blvd Los Angeles, CA 90016 (323) 298-5595

CVS Pharmacy $ 5176 E Whittier Blvd Los Angeles, CA 90022 (323) 307-0702

CVS Pharmacy $ 861 Vine St Los Angeles, CA 90038 (323) 466-7300

CVS Pharmacy $ 650 E El Segundo Blvd Los Angeles, CA 90059 (310) 327-5520

CVS Pharmacy $ 303 S La Brea Ave Los Angeles, CA 90036 (323) 634-0743

CVS Pharmacy $ 4501 W Slauson Ave Los Angeles, CA 90043 (323) 292-4114

CVS Pharmacy $ 5101 Rodeo Rd Los Angeles, CA 90016 (323) 936-0279

CVS Pharmacy $ 5837 S Central Ave Los Angeles, CA 90001 (323) 233-2493

CVS Pharmacy $ 4707 Venice Blvd Los Angeles, CA 90019 (323) 938-9001

CVS Pharmacy $ 1001 Westwood Blvd Los Angeles, CA 90024 (310) 209-9141

CVS Pharmacy $ 2419 Workman St Los Angeles, CA 90031 (323) 223-9059

CVS Pharmacy $ 3335 S Figueroa St Unit Q Los Angeles, CA 90007 (213) 742-6765

CVS Pharmacy $ 3458 S Sepulveda Blvd Los Angeles, CA 90034 (310) 839-9055

CVS Pharmacy $ 4030 S Western Ave Los Angeles, CA 90062 (323) 292-7009

CVS Pharmacy $ 3751 Wilshire Blvd Los Angeles, CA 90010 (213) 385-5030

CVS Pharmacy $ 9618 W Pico Blvd Ste 501 Los Angeles, CA 90035 (310) 858-1855

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 58 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 11941 San Vicente Blvd Los Angeles, CA 90049 (310) 440-4162

CVS Pharmacy $ 1030 Colorado Blvd Los Angeles, CA 90041 (323) 255-5130

CVS Pharmacy $ 8490 Beverly Blvd Los Angeles, CA 90048 (323) 653-4616

CVS Pharmacy $ 2530 Glendale Blvd Los Angeles, CA 90039 (323) 666-1285

CVS Pharmacy $ 8900 Sepulveda Westway Los Angeles, CA 90045 (310) 258-0265

CVS Pharmacy $ 2240 Fair Park Ave Los Angeles, CA 90041 (323) 254-7346

CVS Pharmacy $ 5985 W Pico Blvd Los Angeles, CA 90035 (323) 965-9161

CVS Pharmacy $ 5399 W Centinela Ave Los Angeles, CA 90045 (310) 670-3335

CVS Pharmacy $ 12315 Venice Blvd Los Angeles, CA 90066 (310) 390-6296

CVS Pharmacy $ 6360 W 3rd St Los Angeles, CA 90036 (323) 937-3019

CVS Pharmacy $ 1645 E 103rd St Los Angeles, CA 90002 (323) 564-5787

CVS Pharmacy $ 1701 S Western Ave Los Angeles, CA 90006 (323) 731-9247

CVS Pharmacy $ 5822 S Vermont Ave Los Angeles, CA 90044 (323) 750-5222

Dabney's Pharmacy 11115 S Main St Los Angeles, CA 90061 (323) 757-2263

CVS Pharmacy $ 5944 N Figueroa St Los Angeles, CA 90042 (323) 478-8310

Discount Medical Pharmacy 2716 Griffith Park Blvd Los Angeles, CA 90027 (323) 661-8366

CVS Pharmacy $ 201 N Los Angeles St Los Angeles, CA 90012 (213) 620-1491

DNM Pharmacy 6221 Wilshire Blvd Ste 100 Los Angeles, CA 90048 (323) 634-8930

*Only dispenses 30-day supplies HEALTH NET

Downtown Med & Mental Health Services 540 S San Pedro St Los Angeles, CA 90013 (213) 236-0556 Doyles Rx Pharmacy $ 8956 Elus Ave Los Angeles, CA 90034 (310) 486-3794 Drug Stop 22 6753 Santa Monica Blvd Los Angeles, CA 90038 (323) 957-2840 Eden Pharmacy $ 2681 W Olympic Blvd Ste 102 Los Angeles, CA 90006 (213) 381-7705 Eisner Pediatric & Family Center 1500 S Olive St Los Angeles, CA 90015 (213) 342-3333 Ethical Drugs $ 254 N Western Ave Los Angeles, CA 90004 (323) 467-4540 Evan Pharmacy 809 W Cesar E Chavez Ave Los Angeles, CA 90012 (213) 626-5228 Fairfax Discount Pharmacy 7771 Beverly Blvd Los Angeles, CA 90036 (323) 937-1111 Farmacia Del Rey $ 4055 E Olympic Blvd Los Angeles, CA 90023 (323) 262-8230 $ Offers preferred cost-sharing

- 59 -

Retail Pharmacies, including Chain Pharmacies Farmacia Familia $ 1833-B E Cesar E Chavez Ave Los Angeles, CA 90033 (323) 222-8882

HAH 2035 W 7th St Los Angeles, CA 90057 (213) 483-4330

Ideal Pharmacy $ 7095 Hollywood Blvd Los Angeles, CA 90028 (323) 851-6800

Florence Pharmacy & Medical Supply 1422 E Florence Ave Los Angeles, CA 90001 (323) 277-9500

Harvard Pharmacy $ 3130 W Olympic Blvd Ste 150 Los Angeles, CA 90006 (323) 732-1911

Imperial Of Westwood Pharmacy $ 1820 Westwood Blvd Los Angeles, CA 90025 (310) 475-6000

Fusion Rx Compounding 2001 Westwood Blvd Ste A Los Angeles, CA 90025 (310) 204-6676 Galleria Pharmacy $ 3250 W Olympic Blvd Ste 101 Los Angeles, CA 90006 (323) 733-7200 Garfield Prescription Pharmacy $ 3756 Santa Rosalia Dr Los Angeles, CA 90008 (323) 295-5585 Golden Care Pharmacy 4128 S Broadway Los Angeles, CA 90037 (323) 234-9956 Good Price Pharmacy 6000 N Figueroa St # 102 Los Angeles, CA 90042 (323) 255-5161 Grand Ave Pharmacy $ 1400 S Grand Ave Ste 100 Los Angeles, CA 90015 (213) 746-4114 Grand Specialty Pharmacy 1513 S Grand Ave # 100 Los Angeles, CA 90015 (213) 747-3200

HK Pharmacy $ 124 N Western Ave Los Angeles, CA 90004 (323) 464-3925 Horton & Converse 10250 Santa Monica Blvd Los Angeles, CA 90067 (310) 557-2332 Horton & Converse 11600 Wilshire Blvd Los Angeles, CA 90025 (310) 478-0801 Horton & Converse 8631 W 3rd St Los Angeles, CA 90048 (310) 659-6111 Horton & Converse 9201 W Sunset Blvd Los Angeles, CA 90069 (323) 272-0488 Hye Pharmacy, INC. $ 5236 Santa Monica Blvd Los Angeles, CA 90029 (323) 661-7152 Hyundai Pharmacy $ 461 S Western Ave Los Angeles, CA 90020 (213) 480-3322

*Only dispenses 30-day supplies

Jay's Drug $ 3170 W Olympic Blvd Ste D Los Angeles, CA 90006 (323) 731-4696 King Pharmacy 2707 Whittier Blvd Los Angeles, CA 90023 (323) 262-8845 Kingsley Pharmacy $ 3663 W 6th St Ste 102 Los Angeles, CA 90020 (213) 383-8877 Koryo Pharmacy $ 2727 W Olympic Blvd Ste 103 Los Angeles, CA 90006 (213) 738-6970 KT Plaza Pharmacy $ 928 S Western Ave Ste 110 Los Angeles, CA 90006 (213) 382-0212 Kyoto Pharmacy $ 420 E 3rd St Ste 106 Los Angeles, CA 90013 (213) 253-5999 Lee's Discount Drug $ 2732 W Olympic Blvd Los Angeles, CA 90006 (213) 382-6391

$ Offers preferred cost-sharing - 60 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies LG Pharmacy $ 4846 Hollywood Blvd Los Angeles, CA 90027 (323) 664-6664

Martin Luther King Jr MACC 12021 South Wilmington Avenue Los Angeles, CA 90059 (310) 668-3972

MRP $ 1141 N Mission Rd Los Angeles, CA 90033 (323) 227-8883

Lincoln Heights Pharmacy 2417 N Broadway Los Angeles, CA 90031 (323) 222-3332

Martin Pharmacy $ 801 S Vermont Ave Ste 104 Los Angeles, CA 90005 (213) 382-9718

Neighborhood Professional Pharmacy 1403 W 54th St Los Angeles, CA 90062 (323) 759-1174

Little Tokyo Pharmacy $ 402 E 2nd St Los Angeles, CA 90012 (213) 680-4012

Medical Square Pharmacy 2100 W 3rd St Ste 190 Los Angeles, CA 90057 (213) 483-1744

Lorena Pharmacy 3400 Whittier Blvd Los Angeles, CA 90023 (323) 268-3384

Medico Pharmacy $ 11779 Santa Monica Blvd Los Angeles, CA 90025 (310) 444-9011

Los Angeles Drugs $ 3030 W Olympic Blvd Ste 118 Los Angeles, CA 90006 (213) 387-3030

Medpro Pharmacy 7129 W Sunset Blvd Los Angeles, CA 90046 (323) 969-8300

M & S Pharmacy $ 4561 S Centinela Ave Los Angeles, CA 90066 (310) 822-6354

Mission Road Pharmacy $ 1155 N Mission Rd Los Angeles, CA 90033 (323) 227-4646

M J Kelly Pharmacy 312 West 5th St Ste 103 Los Angeles, CA 90014 (213) 622-5696

Molinas Pharmacy 3746 Whittier Blvd Los Angeles, CA 90023 (323) 261-3504

Manchester Professional Pharmacy 600 W Manchester Ave Los Angeles, CA 90044 (323) 750-3523

Morningside Medical Pharmacy 1704 W Manchester Ave Los Angeles, CA 90047 (323) 753-1333

Marcos Farmacia $ 4762 Whittier Blvd Los Angeles, CA 90022 (323) 269-7958

Mothers Care Pharmacy $ 3500 W 6th St Ste 120 Los Angeles, CA 90020 (213) 739-3030

*Only dispenses 30-day supplies HEALTH NET

Nofel Pharmacy 507 S Spring St Los Angeles, CA 90013 (213) 623-9171 Normandy Pharmacy 5112 Hollywood Blvd Ste 104 Los Angeles, CA 90027 (323) 913-3337 Normandy Pharmacy $ 3003 W Olympic Blvd Ste 101 Los Angeles, CA 90006 (213) 386-3001 Northeast Clinic Pharmacy 3309 N Eastern Ave Los Angeles, CA 90032 (323) 222-0181 Noubars El Adobe Pharmacy $ 679 S Westlake Ave Los Angeles, CA 90057 (213) 413-3999 Noubars El Adobe Pharmacy $ 5207 Hollywood Blvd Los Angeles, CA 90027 (323) 461-9451 Olive Branch Pharmacy $ 2070 S Central Ave Los Angeles, CA 90011 (213) 536-4888

$ Offers preferred cost-sharing - 61 -

Retail Pharmacies, including Chain Pharmacies Olive Hill Pharmacy $ 255 S Hill St # 217 Los Angeles, CA 90012 (213) 680-2000

Pico Pharmacy 2521 W Pico Blvd Los Angeles, CA 90006 (213) 380-8808

Premier Med Services 11207 S La Cienega Blvd #102 Los Angeles, CA 90045 (855) 258-6352

Olympia Pharmacy $ 3323 W Olympic Blvd Los Angeles, CA 90019 (323) 734-7385

Pico Square Pharmacy 2334 W Pico Blvd Los Angeles, CA 90006 (213) 385-0076

Qualicare Pharmacy Services $ 3801 S Western Ave Los Angeles, CA 90062 (323) 731-4004

Olympia Plaza Pharmacy 5901 W Olympic Blvd Ste 103 Los Angeles, CA 90036 (323) 937-2590

Pico Union Pharmacy 1273 S Union Ave Los Angeles, CA 90015 (213) 380-3124

Ralphs $ 5429 Hollywood Blvd Los Angeles, CA 90027 (323) 957-6830

Orthopaedic Institute For Children 403 W Adams Blvd Los Angeles, CA 90007 (213) 742-1128

Picwood Pharmacy 2370 Westwood Blvd Los Angeles, CA 90064 (310) 475-6006

Ralphs $ 11727 W Olympic Blvd Los Angeles, CA 90064 (310) 444-0603

Ping On Medical Pharmacy 650 N Broadway Ste B Los Angeles, CA 90012 (213) 617-3322

Ralphs $ 3410 W 3rd St Los Angeles, CA 90020 (213) 480-3112

Ping On Pharmacy 640 N Broadway Ste 3 Los Angeles, CA 90012 (213) 617-3333

Ralphs $ 260 S La Brea Ave Los Angeles, CA 90036 (323) 937-9383

Platinum Pharmacy $ 1271 Westwood Blvd Los Angeles, CA 90024 (310) 444-7979

Ralphs $ 5601 Wilshire Blvd Los Angeles, CA 90036 (323) 936-0050

Plaza West Pharmacy 8540 S Sepulveda Blvd Ste 102 Los Angeles, CA 90045 (310) 645-6422

Ralph's $ 10861 Weyburn Ave Los Angeles, CA 90024 (310) 824-5013

Portola Pharmacy $ 5014 Huntington Dr S Los Angeles, CA 90032 (323) 222-2362

Ralphs Pharmacy $ 7257 W Sunset Blvd Los Angeles, CA 90046 (323) 512-0268

Owl Rexall Drug 5634 N Figueroa St Los Angeles, CA 90042 (323) 254-2851 Pavilions Pharmacy 727 Vine St Los Angeles, CA 90038 (323) 466-7158 Pharmaca Integrative $ 12025 San Vicente Blvd Los Angeles, CA 90049 (310) 476-1237 Pharmacy 2000 1646 Westwood Blvd Los Angeles, CA 90024 (310) 234-9991 Pharmasave Drug $ 8474 W 3rd St Ste 112 Los Angeles, CA 90048 (323) 655-7979

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 62 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Ralphs Pharmacy $ 670 S Western Ave Los Angeles, CA 90005 (213) 383-6207

Rite Aid Pharmacy 9864 National Blvd Los Angeles, CA 90034 (310) 836-0623

Rite Aid Pharmacy 4044 Eagle Rock Blvd Los Angeles, CA 90065 (323) 254-8642

Ralphs Pharmacy $ 645 W 9th St Los Angeles, CA 90015 (213) 452-0830

Rite Aid Pharmacy 959 Crenshaw Blvd Los Angeles, CA 90019 (323) 939-7911

Rite Aid Pharmacy 1815 S Vermont Ave Los Angeles, CA 90006 (323) 735-0774

Ramirez Pharmacy 2403 E Cesar E Chavez Ave Los Angeles, CA 90033 (323) 269-7329

Rite Aid Pharmacy 7900 W Sunset Blvd Los Angeles, CA 90046 (323) 876-4466

Rite Aid Pharmacy 334 S Vermont Ave Los Angeles, CA 90020 (213) 381-5257

Rancho Park Pharmacy 10569 W Pico Blvd Los Angeles, CA 90064 (310) 475-3541

Rite Aid Pharmacy 6726 W Sunset Blvd Los Angeles, CA 90028 (323) 836-0890

Rite Aid Pharmacy 500 South Broadway Los Angeles, CA 90013 (213) 623-5820

Reliable Care Pharmacy 2121 W 6th St Los Angeles, CA 90057 (213) 483-1100

Rite Aid Pharmacy 6130 W Sunset Blvd Los Angeles, CA 90028 (323) 467-4201

Rite Aid Pharmacy 11321 National Blvd Los Angeles, CA 90064 (310) 479-5729

Rexford Pharmacy 9406 W Pico Blvd Los Angeles, CA 90035 (310) 278-1365

Rite Aid Pharmacy 600 W 7th St Los Angeles, CA 90017 (213) 896-0083

Rite Aid Pharmacy 11750 Wilmington Ave Los Angeles, CA 90059 (323) 563-6635

Rexmed Pharmacy 4481 Whittier Blvd Los Angeles, CA 90022 (323) 268-7163

Rite Aid Pharmacy 5575 Wilshire Blvd Los Angeles, CA 90036 (323) 954-7193

Rite Aid Pharmacy 1433 Glendale Blvd Los Angeles, CA 90026 (213) 483-3468

Rite Aid Pharmacy 3550 S La Brea Ave Los Angeles, CA 90016 (323) 293-9397

Rite Aid Pharmacy 4633 Santa Monica Blvd Los Angeles, CA 90029 (323) 666-6125

Rite Aid Pharmacy 1534 E Florence Ave Los Angeles, CA 90001 (323) 587-6336

Rite Aid Pharmacy 446 E Washington Blvd Los Angeles, CA 90015 (213) 747-9581

Rite Aid Pharmacy 4046 S Centinela Ave Los Angeles, CA 90066 (310) 391-0255

Rite Aid Pharmacy 1744 W 6th St Los Angeles, CA 90017 (213) 413-2458

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 63 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 1101 Westwood Blvd Los Angeles, CA 90024 (310) 209-0708

Royal Care Pharmacy 7300 W Sunset Blvd Ste L Los Angeles, CA 90046 (323) 850-0722

Shiloh Family Pharmacy 5551 Hollywood Blvd Los Angeles, CA 90028 (323) 536-9575

Rite Aid Pharmacy 1841 N Western Ave Los Angeles, CA 90027 (323) 461-6136

S & S Pharmacy 2922 Division St Los Angeles, CA 90065 (323) 222-7982

Shoreline Pharmacy 1600 Sawtelle Blvd Ste 200 Los Angeles, CA 90025 (310) 464-9170

Rite Aid Pharmacy 111 E Avenue 26 Los Angeles, CA 90031 (323) 222-8876

Samaritan Medical Tower Pharmacy 1127 Wilshire Blvd Ste 201 Los Angeles, CA 90017 (213) 482-0644

Shyn's Pharmacy $ 520 S Virgil Ave Ste 102 Los Angeles, CA 90020 (213) 487-7535

Rite Aid Pharmacy 226 N Larchmont Blvd Los Angeles, CA 90004 (323) 467-1366 Rite Aid Pharmacy 322 S Figueroa St Los Angeles, CA 90071 (323) 235-3535 Rite Aid Pharmacy 3230 W Slauson Ave Los Angeles, CA 90043 (323) 295-9661 Rite Aid Pharmacy 1637 N Vermont Ave Los Angeles, CA 90027 (323) 664-9854

San Judas Pharmacy 2201 W Pico Blvd Ste G Los Angeles, CA 90006 (213) 389-5858 Sav-On Pharmacy $ 3443 S Sepulveda Blvd Los Angeles, CA 90034 (310) 915-9251 Sav-On Pharmacy $ 2035 Hillhurst Ave Los Angeles, CA 90027 (323) 662-5105 Sav-On Pharmacy $ 3901 Crenshaw Blvd Los Angeles, CA 90008 (323) 295-3330

Ronald Reagan UCLA Outpatient Pharmacy 662 Gayley Ave Room B140B Los Angeles, CA 90095 (310) 267-8524

Serrano Medical Pharmacy 4220 W 3rd St Ste 100 Los Angeles, CA 90020 (213) 384-3405

Ross Medical Pharmacy, INC. $ 1818 S Western Ave Ste 100 Los Angeles, CA 90006 (323) 731-8304

Serv-U Pharmacy 2034 W Pico Blvd Los Angeles, CA 90006 (213) 385-5225

*Only dispenses 30-day supplies

Signal Rexall Drug 2171 W Florence Ave Los Angeles, CA 90047 (323) 759-4475 Siloam Pharmacy $ 2528 W Olympic Blvd Ste 102 Los Angeles, CA 90006 (213) 382-0700 Simon's Discount Pharmacy 7256 W Sunset Blvd Los Angeles, CA 90046 (323) 874-2507 Smith Pharmacy 1732 S Western Ave Los Angeles, CA 90006 (323) 733-9390 Smith Pharmacy $ 1107 N Western Ave Los Angeles, CA 90029 (323) 461-8331 So-Cal United Drugs 2405 W 8th St Ste 103 Los Angeles, CA 90057 (213) 384-8909

$ Offers preferred cost-sharing - 64 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies South Figueroa Drugs 1503 West Martin Luther King Los Angeles, CA 90062 (323) 235-4738

Sunshine Pharmacy 357 N Fairfax Ave Los Angeles, CA 90036 (323) 653-8692

The Best Pharmacy $ 2426 W 8th St Ste 102 Los Angeles, CA 90057 (213) 385-9926

South Western Pharmacy 7301 S Western Ave Los Angeles, CA 90047 (323) 752-1692

Supermarket Pharmacy $ 325 1/2 S Western Ave Los Angeles, CA 90020 (213) 385-3321

The Jeffrey Goodman Special CA $ 1625 Schrader Blvd Los Angeles, CA 90028 (323) 993-7513

St. Louis Drug Company 2100 E 1st St Los Angeles, CA 90033 (323) 268-6819

Syd's Pharmacy 7111 Beverly Blvd Los Angeles, CA 90036 (323) 933-8571

Star Pharmacy 7777 W Sunset Blvd Los Angeles, CA 90046 (323) 850-6001

Tai On Pharmacy 818 N Hill St Ste A Los Angeles, CA 90012 (213) 625-3333

Stocker Rx Pharmacy $ 3701 Stocker St Los Angeles, CA 90008 (323) 295-3194

Target Pharmacy 5600 Whittier Blvd Los Angeles, CA 90022 (323) 725-1121

Studiorx 937 Crenshaw Los Angeles, CA 90019 (323) 934-8000

Target Pharmacy 2626 Colorado Blvd Los Angeles, CA 90041 (323) 258-5101

Sun Drug Company 1803 Hillhurst Ave Los Angeles, CA 90027 (323) 663-8017

Target Pharmacy 3535 S La Cienega Blvd Los Angeles, CA 90016 (310) 895-1132

Sun Lake Drug 2860 W Sunset Blvd Los Angeles, CA 90026 (323) 663-5118

Target Pharmacy 735 S Figueroa St Los Angeles, CA 90017 (213) 330-4544

Sunrise Pharmacy 3706 E Cesar Chavez Ave Los Angeles, CA 90063 (323) 981-9931

Thanh's Pharmacy 633 N Spring St Ste 5 Los Angeles, CA 90012 (213) 680-2198

*Only dispenses 30-day supplies HEALTH NET

The Medicine Cabinet 119 E Washington Blvd Los Angeles, CA 90015 (213) 743-9791 The Medicine Shoppe $ 11126 Palms Blvd Los Angeles, CA 90034 (310) 837-1030 The Pharmacy 11905 S Central Ave Los Angeles, CA 90059 (323) 564-6051 The Pharmacy Depot 4972 W Pico Bl, Ste 202 Los Angeles, CA 90019 (323) 965-9885 Total Remedy & Prescription Center $ 1245 Wilshire Blvd Los Angeles, CA 90017 (213) 481-1130 UCLA Med Center Medical Plaza Level IV Pharmacy $ 200 Medical Plaza Ste 426 Los Angeles, CA 90095 (310) 794-7456

$ Offers preferred cost-sharing - 65 -

Retail Pharmacies, including Chain Pharmacies UCLA Pharmacy Medical Plaza 1st Flr $ 200 Medical Plaza Suite 135 Los Angeles, CA 90095 (310) 794-1176 UCLA Pharmacy-Mop $ 10833 Le Conte Ave Rm A7-224 Los Angeles, CA 90095 (310) 206-4242 UCSD Moores Cancer Center PO Box 743475 Los Angeles, CA 90074 (858) 822-6088

USC Pharmacy $ 3601 Trousdale Pkwy Los Angeles, CA 90089 (213) 740-2738

Vitamin Quota Pharmacy 2768 W 8th St Los Angeles, CA 90005 (323) 936-7221

Venice Pharmacy INC. 1514 S Vermont Ave Ste I-2 Los Angeles, CA 90006 (213) 381-6087

Vons Pharmacy 7311 N Figueroa St Los Angeles, CA 90041 (323) 254-7241

Vermont Galleria Pharmacy,INC. $ 440 S Vermont Ave # 109 Los Angeles, CA 90020 (213) 388-4100

Vons Pharmacy 4520 W Sunset Blvd Los Angeles, CA 90027 (323) 662-2121

UMC Pharmacy $ 1201 1/2 N Vermont Ave Los Angeles, CA 90029 (323) 661-2223

Vermont Vo Pharmacy $ 2655 W Olympic Blvd Ste 104 Los Angeles, CA 90006 (213) 480-1503

United Pharmacy $ 1129 S Robertson Blvd Los Angeles, CA 90035 (310) 247-0247

Vernbro Pharmacy $ 231 W Vernon Ave Los Angeles, CA 90037 (323) 232-1111

Universal Drugs 5181 W Sunset Blvd Los Angeles, CA 90027 (323) 666-7778 Uptown Drug Company 444 S Flower St Ste 100 Los Angeles, CA 90071 (213) 612-4300 USC Health Center Pharmacy $ 1150 W Jefferson Blvd Ste 150 Los Angeles, CA 90089 (213) 740-2738 USC Medical Plaza Pharmacy $ 1510 San Pablo St Ste 144 Los Angeles, CA 90033 (323) 442-5770

Vernon Central Botica Pharmacy $ 4375 S Central Ave Los Angeles, CA 90011 (323) 231-8992 Vernon Main Pharmacy * 4401 S Main St Los Angeles, CA 90037 (323) 231-9307 Vine Discount Pharmacy & Med Supply $ 1253 Vine St Ste 11 Los Angeles, CA 90038 (323) 957-9446 Virgil Pharmacy $ 2999 W 6th St Ste 103 Los Angeles, CA 90020 (213) 384-1200

*Only dispenses 30-day supplies

Vons Pharmacy 3461 W 3rd St Los Angeles, CA 90020 (213) 382-5971 Walgreens 2222 Colorado Blvd Los Angeles, CA 90041 (323) 254-4593 Walgreens 1625 W Sunset Blvd Los Angeles, CA 90026 (213) 482-9286 Walgreens 1501 Vine St Los Angeles, CA 90028 (323) 467-7916 Walgreens 1500 E Gage Ave Los Angeles, CA 90001 (323) 581-0964 Walgreens 1399 Roxbury Dr Los Angeles, CA 90035 (310) 203-1007

$ Offers preferred cost-sharing - 66 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 11795 W Olympic Blvd Los Angeles, CA 90064 (310) 312-5606

Walgreens 3201 W 6th St Los Angeles, CA 90020 (213) 251-0179

Walgreens 10407 Santa Monica Blvd Los Angeles, CA 90025 (310) 481-7123

Walgreens 22930 S Western Ave Los Angeles, CA 90501 (310) 517-1851

Walgreens 1050 N Highland Ave Los Angeles, CA 90038 (323) 463-1692

Walgreens 8770 W Pico Blvd Los Angeles, CA 90035 (310) 275-2117

Walgreens 1800 W Slauson Ave Los Angeles, CA 90047 (323) 292-1941

Walgreens 617 W 7th St Los Angeles, CA 90017 (213) 694-2880

Walgreens 3724 Crenshaw Blvd Los Angeles, CA 90016 (323) 292-7261

Walgreens 5843 W Pico Blvd Los Angeles, CA 90019 (323) 692-0506

Walgreens 460 S Broadway Los Angeles, CA 90013 (213) 572-0127

Walgreens 5467 Wilshire Blvd Los Angeles, CA 90036 (323) 525-0824

Walgreens 4616 De Longpre Ave Los Angeles, CA 90027 (323) 644-2080

Walmart Pharmacy $ 701 W Cesar E Chavez Los Angeles, CA 90012 (213) 337-0182

Walgreens 5451 W Sunset Blvd Los Angeles, CA 90027 (323) 860-7970

Walmart Pharmacy $ 4101 Crenshaw Blvd Los Angeles, CA 90008 (323) 299-8246

Walgreens 305 N Breed St Los Angeles, CA 90033 (323) 264-0347

Watts Professional Pharmacy $ 9909 Compton Ave Los Angeles, CA 90002 (323) 564-3218

*Only dispenses 30-day supplies HEALTH NET

Westaid Pharmacy & Medical Supply 1015 S Fairfax Ave Los Angeles, CA 90019 (323) 939-9490 Westchester Pharmacy 8930 S Sepulveda Blvd Los Angeles, CA 90045 (310) 670-3463 Western Medical Pharmacy $ 1075 N Western Ave Los Angeles, CA 90029 (323) 465-3112 Westside Pharmacy $ 11504 Santa Monica Blvd Los Angeles, CA 90025 (310) 479-0200 Westwood Center Pharmacy 10921 Wilshire Blvd Los Angeles, CA 90024 (310) 208-6666 Wilshire La Jolla Pharmacy $ 6360 Wilshire Blvd Los Angeles, CA 90048 (323) 658-6611 Wilshire Pharmacy $ 2013 Wilshire Blvd Los Angeles, CA 90057 (213) 483-8025 Wilshire Westgate Pharmacy $ 11860 Wilshire Blvd Los Angeles, CA 90025 (310) 477-8527 Wilton Care Pharmacy 5660 Hollywood Blvd Los Angeles, CA 90028 (323) 463-0800

$ Offers preferred cost-sharing - 67 -

Retail Pharmacies, including Chain Pharmacies Wilton Pharmacy $ 3511 W Olympic Blvd Ste 102 Los Angeles, CA 90019 (323) 731-0600 Yeh's Pharmacy II $ 966 S Western Ave Ste 103 Los Angeles, CA 90006 (323) 733-7788 York Professional Pharmacy 5821 York Blvd Los Angeles, CA 90042 (323) 254-6839 Zenith Pharmacy $ 3919 Beverly Blvd Ste 101 Los Angeles, CA 90004 (323) 665-8959 Zion Drug 3900 W 3rd St Los Angeles, CA 90020 (213) 382-6485

Lynwood

Mats Pharmacy And Medical Supplies 3625 Martin Luther King Jr Blvd Lynwood, CA 90262 (310) 637-6285 Rite Aid Pharmacy 11325 Long Beach Blvd Lynwood, CA 90262 (310) 604-9264 Santa Elena Pharmacy 9910 Long Beach Blvd Ste F Lynwood, CA 90262 (323) 249-8497 Walgreens 4351 E Imperial Hwy Lynwood, CA 90262 (310) 609-2406

Raindrop Pharmacy 2705 N Sepulveda Manhattan Beach, CA 90266 (424) 237-2420 Target Pharmacy 1200 N Sepulveda Blvd Manhattan Beach, CA 90266 (310) 546-1731 Walgreens 2400 N Sepulveda Blvd Manhattan Beach, CA 90266 (424) 241-1950

Marina Del Rey

Malibu CVS Pharmacy $ 23841 Malibu Rd Malibu, CA 90265 (310) 456-9645

Centurywood Medical Pharmacy 3737 Martin Luther King Jr Blvd Lynwood, CA 90262 (310) 527-1440

Dume Plaza Pharmacy 29211 Heathercliff Rd Ste 25 Malibu, CA 90265 (310) 457-9707

CVS Pharmacy $ 3800 Martin Luther King Jr Blvd Lynwood, CA 90262 (310) 637-2509

Super Care Drugs $ 23661 Pacific Coast Hwy Malibu, CA 90265 (310) 456-1177

Intra Rx Drugs Lynwood $ 3628 E Imperial Hwy Ste 102 Lynwood, CA 90262 (310) 637-2006

CVS Pharmacy $ 1570 Rosecrans Ave Manhattan Beach, CA 90266 (310) 536-9255

Manhattan Beach CVS Pharmacy $ 2900 N Sepulveda Blvd Manhattan Beach, CA 90266 (310) 546-3481

*Only dispenses 30-day supplies

Costco Pharmacy 13463 Washington Blvd Marina Del Rey, CA 90292 (310) 754-2002 CVS Pharmacy $ 13171 Mindanao Way Marina Del Rey, CA 90292 (310) 821-8908 Marina Del Rey Pharmacy $ 4558 Admiralty Way Marina Del Rey, CA 90292 (310) 823-5311 Marina Pharmacy $ 4644 Lincoln Blvd Ste 100 Marina Del Rey, CA 90292 (310) 577-5536 Ralphs $ 4311 Lincoln Blvd Marina Del Rey, CA 90292 (310) 821-4993 $ Offers preferred cost-sharing

- 68 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Ralphs Pharmacy $ 4700 Admiralty Way Marina Del Rey, CA 90292 (310) 827-4843

Rite Aid Pharmacy 10349 Sepulveda Blvd Mission Hills, CA 91345 (818) 891-1941

Sav-On Pharmacy $ 13401 Washington Blvd Marina Del Rey, CA 90292 (310) 821-0904

Monrovia

Walgreens 4009 Lincoln Blvd Marina Del Rey, CA 90292 (310) 823-7152

CVS Pharmacy $ 950 W Foothill Blvd Monrovia, CA 91016 (626) 357-1818

Maywood

MH Express Pharmacy 112 E Huntington Dr Monrovia, CA 91016 (877) 820-2667

Rite Aid Pharmacy 4410 Slauson Ave Maywood, CA 90270 (323) 771-9422

Pavilions Pharmacy 130 W Foothill Blvd Monrovia, CA 91016 (626) 358-7542

The Medicine Cabinet 6046 Atlantic Blvd Maywood, CA 90270 (323) 771-4965

Rite Aid Pharmacy 304 W Huntington Dr Monrovia, CA 91016 (626) 359-6191

Mission Hills

Walgreens 903 E Huntington Dr Monrovia, CA 91016 (626) 256-3247

CVS Pharmacy $ 9900 Sepulveda Blvd Mission Hills, CA 91345 (818) 892-4321 Holy Cross Pharmacy United Drugs 11550 Indian Hills Rd Ste 130 Mission Hills, CA 91345 (818) 898-1628 Reliance Pharmacy $ 11333 SEpulveda Blvd Mission Hills, CA 91345 (818) 837-5999

Walgreens 490 W Huntington Dr Monrovia, CA 91016 (626) 408-6590

Montebello Beverly Plaza Pharmacy $ 101 E Beverly Blvd Ste 101 Montebello, CA 90640 (323) 725-7155

*Only dispenses 30-day supplies HEALTH NET

Beverly Professional United Drugs 433 N 4th St Ste 100 Montebello, CA 90640 (323) 728-0248 Cal-Best Pharmacy 1912 W Whittier Blvd Montebello, CA 90640 (323) 722-0700 Costco Pharmacy 1345 N Montebello Blvd Montebello, CA 90640 (323) 890-0069 CVS Pharmacy $ 2525 Via Campo Montebello, CA 90640 (323) 724-6340 CVS Pharmacy $ 800 W Whittier Blvd Montebello, CA 90640 (323) 278-9098 Montebello Pharmacy 817 W Whittier Blvd Montebello, CA 90640 (323) 722-3200 Montebello Professional Pharmacy $ 265 E Beverly Blvd Ste B Montebello, CA 90640 (323) 722-1999 Rite Aid Pharmacy 802 W Beverly Blvd Montebello, CA 90640 (323) 722-3782 The Prescription Shop $ 1215 W Whittier Blvd Montebello, CA 90640 (323) 728-8127 $ Offers preferred cost-sharing

- 69 -

Retail Pharmacies, including Chain Pharmacies Walgreens 1501 W Whittier Blvd Montebello, CA 90640 (323) 727-9117

Monterey Park CVS Pharmacy $ 2103 S Atlantic Blvd Monterey Park, CA 91754 (323) 268-3524 CVS Pharmacy $ 313 S Garfield Ave Monterey Park, CA 91754 (626) 280-7220 Garfield Medical Square Pharmacy 500 N Garfield Ave Ste 103 Monterey Park, CA 91754 (626) 288-6120 Health Care Medical Pharmacy 420 N Garfield Ave Ste 101 Monterey Park, CA 91754 (626) 573-4513 Health Care Pharmacy $ 223 N Garfield Ave Ste 101 Monterey Park, CA 91754 (626) 571-0154 Henrys Pharmacy 127 N Garfield Ave Ste E Monterey Park, CA 91754 (626) 307-5408 Kang Kang Pharmacy $ 301 N Garfield Ave Ste J Monterey Park, CA 91754 (626) 280-8833

Monterey Park Professional Rx $ 850 S Atlantic Blvd Ste 100 Monterey Park, CA 91754 (626) 308-9227 Ramona Professional Pharmacy 616 N Garfield Ave Ste 101 Monterey Park, CA 91754 (626) 288-8515 Rite Aid Pharmacy 2150 S Atlantic Blvd Monterey Park, CA 91754 (323) 726-0385

Montrose CVS Pharmacy $ 2037 Verdugo Blvd Montrose, CA 91020 (818) 248-8018

Newhall CVS Pharmacy $ 26861 Sierra Hwy Newhall, CA 91321 (661) 251-7346

Sun Sun Pharmacy 600 N Garfield Ave Ste 107A Monterey Park, CA 91754 (626) 288-6560

Lyons Pharmacy & Compounding Lab 23206 Lyons Ave Ste 112 Newhall, CA 91321 (661) 777-7770

Sun Yuan Pharmacy 201 W Garvey Ave Ste 107 Monterey Park, CA 91754 (626) 572-0800

Super Rx Pharmacy 26900 Sierra Hwy Newhall, CA 91321 (661) 298-0161

Tammys Pharmacy 210 N Garfield Ave Ste 101 Monterey Park, CA 91754 (626) 572-3400

Valencia Pharmacy $ 23550 Lyons Ave Ste 111 Newhall, CA 91321 (661) 255-7910

Walgreens 2331 S Altantic Blvd Monterey Park, CA 91754 (323) 526-9102

Vons Pharmacy 24160 Lyons Ave Newhall, CA 91321 (661) 259-9695

Yanco United Drugs 806 S Atlantic Blvd Monterey Park, CA 91754 (626) 282-2956

North Hills

Yan-Yan Pharmacy $ 228 N Garfield Ave Monterey Park, CA 91754 (626) 572-7261

*Only dispenses 30-day supplies

Plaza West Pharmacy 8704 Sepulveda Blvd North Hills, CA 91343 (818) 894-3333 Walgreens 15316 Nordhoff St North Hills, CA 91343 (818) 892-4249 $ Offers preferred cost-sharing

- 70 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies North Hollywood A To Z United Drugs 12626 Riverside Dr North Hollywood, CA 91607 (818) 985-8151 AHF Pharmacy $ 4227 Lankershim Blvd North Hollywood, CA 91602 (818) 487-8700 Bellaire Pharmacy 12650 Sherman Way Ste 9 North Hollywood, CA 91605 (818) 765-1025 CVS Pharmacy $ 10945 Victory Blvd North Hollywood, CA 91606 (818) 487-0119 CVS Pharmacy $ 13021 Victory Blvd North Hollywood, CA 91606 (818) 760-2861 CVS Pharmacy $ 5969 Lankershim Blvd North Hollywood, CA 91601 (818) 761-4235 CVS Pharmacy $ 4744 Lankershim Blvd North Hollywood, CA 91602 (818) 505-0484 Duomo Pharmacy $ 12157 Victory Blvd # A North Hollywood, CA 91606 (818) 980-4999 El Camino Pharmacy $ 10940 Victory Blvd North Hollywood, CA 91606 (818) 763-4334

First Choice Pharmacy & Medical Supply 6320 Laurel Canyon Blvd North Hollywood, CA 91606 (818) 509-1088

Science Pharmaceutical Pharmacy 7225 Fulton Ave # H North Hollywood, CA 91605 (818) 759-7223

Hye Pharmacy $ 12509 Victory Blvd North Hollywood, CA 91606 (818) 766-0100

Superior Pharmacy $ 11755 Victory Blvd Ste 100A North Hollywood, CA 91606 (818) 980-9888

N Hollywood Med Arts 4420 Vineland Ave North Hollywood, CA 91602 (818) 766-3996

Target Pharmacy 11051 Victory Blvd North Hollywood, CA 91606 (818) 487-9351

Prima Pharmacy 12643 Sherman Way Ste C North Hollywood, CA 91605 (818) 765-2555

Victory Discount Pharmacy 12922A Victory Blvd North Hollywood, CA 91606 (818) 752-9888

Priority Care Pharmacy $ 5652 Vineland Ave Ste 102 North Hollywood, CA 91601 (818) 508-8665

Walgreens 10955 Magnolia Blvd North Hollywood, CA 91601 (818) 760-3820

Px Drugstore $ 5300 Lankershim Blvd Ste 160 North Hollywood, CA 91601 (818) 769-0313

Northridge

Rite Aid Pharmacy 11350 Victory Blvd North Hollywood, CA 91606 (818) 982-0695 Rite Aid Pharmacy 12511 Magnolia Blvd North Hollywood, CA 91607 (818) 506-8795 Riverside Park Pharmacy $ 11655 Riverside Dr North Hollywood, CA 91602 (818) 985-7230

*Only dispenses 30-day supplies HEALTH NET

Clinicare Pharmacy $ 9631 Reseda Blvd Northridge, CA 91324 (818) 727-7234 Costco Pharmacy 8810 Tampa Ave Northridge, CA 91324 (818) 718-0260 CVS Pharmacy $ 9038 Balboa Blvd Northridge, CA 91325 (818) 891-0956 CVS Pharmacy $ 10181 Reseda Blvd Northridge, CA 91324 (818) 993-4125 $ Offers preferred cost-sharing

- 71 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 8530 Reseda Blvd Northridge, CA 91324 (818) 341-7104

Reliable Rexall Pharmacy $ 18350 Roscoe Blvd Northridge, CA 91325 (818) 885-7722

CVS Pharmacy $ 11011 Alondra Blvd Norwalk, CA 90650 (562) 864-2427

Devonshire Medical Pharmacy 17075 Devonshire St Ste 105 Northridge, CA 91325 (818) 832-7076

Rite Aid Pharmacy 16930 Parthenia St Northridge, CA 91343 (818) 895-2724

CVS Pharmacy $ 11623 Rosecrans Ave Norwalk, CA 90650 (562) 868-8216

ER Pharmacy Rx, INC. 19500 Plummer St Unit D3 Northridge, CA 91324 (818) 366-1150

Rite Aid Pharmacy 18444 Plummer St Northridge, CA 91325 (818) 349-9192

CVS Pharmacy $ 12618 Studebaker Rd Norwalk, CA 90650 (562) 868-2688

Hope Pharmacy $ 10222 Reseda Blvd Northridge, CA 91324 (818) 832-2757

S & J Discount Pharmacy 8415 Reseda Blvd Ste 6 Northridge, CA 91324 (818) 700-2956

Norwalk Pharmacy 13330 Bloomfield Ave Ste 102 Norwalk, CA 90650 (562) 864-7435

Med Zone Pharmacy 18251 Roscoe Blvd Ste 103 Northridge, CA 91325 (818) 709-5200

Target Pharmacy 8840 Corbin Ave Northridge, CA 91324 (818) 772-0494

Pioneer Pharmacy $ 15917 Pioneer Blvd Norwalk, CA 90650 (562) 402-6972

Medical Center Pharmacy 18433 Roscoe Blvd Ste 101 Northridge, CA 91325 (818) 993-7333

Target Pharmacy 8999 Balboa Blvd Northridge, CA 91325 (818) 924-9002

Rite Aid Pharmacy 12319 Norwalk Blvd Norwalk, CA 90650 (562) 863-3688

Medtronic Diabetes 18000 Devonshire St Northridge, CA 91325 (800) 933-3322

Walgreens 18515 Devonshire St Northridge, CA 91324 (818) 363-1067

Rosecrans Pharmacy 11857 Rosecrans Ave Norwalk, CA 90650 (562) 219-7756

Northridge Plaza Pharmacy 18546 Roscoe Blvd Ste 102 Northridge, CA 91324 (818) 998-8700

Norwalk

San Antonio Pharmacy 13931 San Antonio Dr Norwalk, CA 90650 (562) 807-0001

Northridge Tower 18250 Roscoe Blvd Northridge, CA 91325 (818) 885-8191

Alondra Pharmacy 12519 Alondra Blvd Norwalk, CA 90650 (562) 921-9470 Costco Pharmacy 12324 Hoxie Ave Norwalk, CA 90650 (562) 929-7545

*Only dispenses 30-day supplies

Target Pharmacy 12051 Imperial Hwy Norwalk, CA 90650 (562) 484-9849

$ Offers preferred cost-sharing - 72 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 10600 Firestone Blvd Norwalk, CA 90650 (562) 406-8861 Walgreens 11930 Studebaker Rd Norwalk, CA 90650 (562) 864-8138 Walgreens 10968 Rosecrans Ave Norwalk, CA 90650 (562) 462-9256 Walmart Pharmacy $ 11729 Imperial Hwy Norwalk, CA 90650 (562) 929-6316

Pacific Palisades CVS Pharmacy $ 864 Swarthmore Ave Pacific Palisades, CA 90272 (310) 459-7581 Knolls Pharmacy $ 16630 Marquez Ave Pacific Palisades, CA 90272 (310) 454-6000 Pali-Rx $ 900 Via De La Paz Pacific Palisades, CA 90272 (310) 454-0377 Palisades Compounding Pharmacy $ 540 Palisades Dr Pacific Palisades, CA 90272 (310) 454-4848

Pharmaca Integrative Pharmacy $ 15150 W Sunset Blvd Pacific Palisades, CA 90272 (310) 454-1345

Pacoima Costco Pharmacy 13550 Paxton St Pacoima, CA 91331 (818) 272-2709 Israel Pharmacy 13120 Van Nuys Blvd # A Pacoima, CA 91331 (818) 686-2121 Laurel Pharmacy 13686 Van Nuys Blvd Pacoima, CA 91331 (818) 896-1104 Rite Aid Pharmacy 12739 Van Nuys Blvd Pacoima, CA 91331 (818) 890-1506

Palmdale CVS Pharmacy $ 38012 47th St E Palmdale, CA 93552 (661) 285-1681 CVS Pharmacy $ 2521 E Avenue S Palmdale, CA 93550 (661) 538-1077 Haoeyou Pharmacy 38656 Medical Center Dr Ste C Palmdale, CA 93551 (661) 538-1588

*Only dispenses 30-day supplies HEALTH NET

Palmdale Medical Pharmacy 540 W Palmdale Blvd # A Palmdale, CA 93551 (661) 267-2638 Rite Aid Pharmacy 4616 E Avenue S Palmdale, CA 93552 (661) 285-9473 Rite Aid Pharmacy 3105 Rancho Vista Blvd Palmdale, CA 93551 (661) 538-1601 Rite Aid Pharmacy 2419 E Avenue S Palmdale, CA 93550 (661) 274-4333 Sam's Club Pharmacy $ 39940 10th St W Palmdale, CA 93551 (661) 575-9289 Sav-On Drugs $ 5038 W Avenue N Palmdale, CA 93552 (661) 718-3791 Sav-On Pharmacy $ 38727 Tierra Subida Ave Palmdale, CA 93551 (661) 274-9557 Target Pharmacy 38019 47th St E Palmdale, CA 93552 (661) 998-2501 Target Pharmacy 39440 10th St W Palmdale, CA 93551 (661) 265-0906

$ Offers preferred cost-sharing - 73 -

Retail Pharmacies, including Chain Pharmacies Vons Pharmacy 2616 E Palmdale Blvd Palmdale, CA 93550 (661) 273-3135

Medical Group Pharmacy $ 14860 Roscoe Blvd Ste 102 Panorama City, CA 91402 (818) 787-4490

Paramount Vista Pharmacy 15717 Paramount Blvd Paramount, CA 90723 (562) 630-8044

Vons Pharmacy 3027 Rancho Vista Blvd Palmdale, CA 93551 (661) 265-9741

New Century Pharmacy $ 8227 Woodman Ave Panorama City, CA 91402 (818) 989-2333

Rite Aid Pharmacy 8447 Alondra Blvd Paramount, CA 90723 (562) 634-9074

Walgreens 37160 47th St E Palmdale, CA 93552 (661) 236-0015

Rite Aid Pharmacy 8400 Van Nuys Blvd Panorama City, CA 91402 (818) 891-6785

St. Luke Pharmacy 16660 Paramount Blvd Ste 106 Paramount, CA 90723 (562) 220-2610

Walmart Pharmacy $ 37140 47th St E Palmdale, CA 93552 (661) 533-1029

Walmart Pharmacy $ 14530 Nordhoff St Panorama City, CA 91402 (818) 672-0147

St. Luke Pharmacy 16402 Paramount Blvd Paramount, CA 90723 (562) 220-2793

Walmart Pharmacy $ 320 W Rancho Vista Blvd Palmdale, CA 93551 (661) 267-6596

Walmart Pharmacy $ 8333 Van Nuys Blvd Panorama City, CA 91402 (818) 830-9846

Walmart Pharmacy $ 14501 Lakewood Blvd Paramount, CA 90723 (562) 531-8617

Panorama City

Paramount

Pasadena

All Rx Complete 8727 Van Nuys Blvd #105 Panorama City, CA 91402 (818) 810-9243

A & P Pharmacy 16444 Paramount Blvd Ste 105 Paramount, CA 90723 (562) 790-8618

Arcade Lane Compounding Pharmacy 700 E Colorado Blvd Pasadena, CA 91101 (626) 577-7979

Chase Pharmacy 14427 Chase St, Ste A Panorama City, CA 91402 (818) 810-5608

CVS Pharmacy $ 8859 Alondra Blvd Paramount, CA 90723 (562) 630-2247

CVS Pharmacy $ 8252 Van Nuys Blvd Panorama City, CA 91402 (818) 891-0630

Fobi Comprehensive Pharmacy 7922 Rosecrans Ave Ste P2 Paramount, CA 90723 (562) 630-5700

Liras Pharmacy 14400 Roscoe Blvd Panorama City, CA 91402 (818) 894-1171

Paramount Family Pharmacy 8010 2nd St Paramount, CA 90723 (562) 531-1313

*Only dispenses 30-day supplies

Berry And Sweeney Pharmacy $ 1377 N Fair Oaks Ave Pasadena, CA 91103 (626) 794-1124 Brown Welin United Drugs 937 E Green St Pasadena, CA 91106 (626) 795-5918 Cal Oaks II Home Pharmacy $ 625 S Fair Oaks Ave Ste 125 Pasadena, CA 91105 (626) 696-1583 $ Offers preferred cost-sharing

- 74 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 451 S Sierra Madre Blvd Pasadena, CA 91107 (626) 564-8681

Nova Pharmacy 290 N Hill Ave Ste 4 Pasadena, CA 91106 (626) 583-8786

CVS Pharmacy $ 900 N Lake Ave Pasadena, CA 91104 (626) 794-4714

Pasadena City Pharmacy 1684 E Washington Blvd Pasadena, CA 91104 (626) 797-6661

CVS Pharmacy $ 727 S Arroyo Pkwy Pasadena, CA 91105 (626) 795-3810

Phoenix Pharmacy $ 2523 E Washington Blvd Pasadena, CA 91104 (626) 791-7600

CVS Pharmacy $ 20 E Orange Grove Blvd Pasadena, CA 91103 (626) 795-6609

Phoenix Plaza Pharmacy $ 800 Fairmount Ave Ste #105 Pasadena, CA 91105 (626) 229-8918

CVS Pharmacy $ 3883 E Foothill Blvd (NWC) Pasadena, CA 91107 (626) 351-0589

Ralphs $ 160 N Lake Ave Pasadena, CA 91101 (626) 793-0531

Exclusive Medical Pharmacy 65 N Madison Ave Pasadena, CA 91101 (626) 578-9991

Ralphs $ 3601 E Foothill Blvd Pasadena, CA 91107 (626) 351-6572

Fairmont Pharmacy $ 50 Bellefontaine St Ste 103 Pasadena, CA 91105 (626) 793-1188

Rite Aid Pharmacy 3745 E Foothill Blvd Pasadena, CA 91107 (626) 351-0515

Good Drugs 1864 E Washington Blvd Ste 105 Pasadena, CA 91104 (626) 398-1696

Rite Aid Pharmacy 1038 E Colorado Blvd Pasadena, CA 91106 (626) 796-5539

Michaels Pharmacy $ 960 E Green St Ste 152 Pasadena, CA 91106 (626) 793-7131

Rite Aid Pharmacy 1421 E Washington Blvd Pasadena, CA 91104 (626) 296-0245

*Only dispenses 30-day supplies HEALTH NET

St Luke's Professional Pharmacy $ 2750 E Washington Blvd Ste 150 Pasadena, CA 91107 (626) 791-7595 Target Pharmacy 777 E Colorado Blvd Pasadena, CA 91101 (626) 795-5472 Target Pharmacy 3121 E Colorado Blvd Pasadena, CA 91107 (626) 584-2963 Vons Pharmacy 1390 N Allen Ave Pasadena, CA 91104 (626) 798-0764 Vons Pharmacy 155 W California Blvd Pasadena, CA 91105 (626) 577-2594 Vons Pharmacy 2355 E Colorado Blvd Pasadena, CA 91107 (626) 449-4110 Vons Pharmacy 655 N Fair Oaks Ave Pasadena, CA 91103 (626) 578-1336 Walgreens 2376 E Colorado Blvd Pasadena, CA 91107 (626) 768-4040 Walgreens 310 S Lake Ave Pasadena, CA 91101 (626) 583-8066

$ Offers preferred cost-sharing - 75 -

Retail Pharmacies, including Chain Pharmacies Walgreens 670 N Lake Ave Pasadena, CA 91101 (626) 585-8926

Serv-Rite United Drugs 9420 Slauson Ave Pico Rivera, CA 90660 (562) 948-1905

Washington Pharmacy 2487 E Washington Bl Ste F Pasadena, CA 91104 (626) 791-5000

St Paul's Pharmacy 8809 Whittier Blvd Pico Rivera, CA 90660 (562) 699-9690

Pico Rivera

Target Pharmacy 8800 Whittier Blvd Pico Rivera, CA 90660 (562) 949-6133

AP 6 Pharmacy 6336 Passons Blvd Pico Rivera, CA 90660 (562) 949-0748 Botica San Martin United Drug 9301 Telegraph Rd Pico Rivera, CA 90660 (562) 801-0067 CVS Pharmacy $ 9256 Slauson Ave Pico Rivera, CA 90660 (562) 949-5424 CVS Pharmacy $ 8580 Whittier Blvd Pico Rivera, CA 90660 (562) 942-2268 Pico Vista Pharmacy 9201 Whittier Blvd Pico Rivera, CA 90660 (562) 908-7012 Rite Aid Pharmacy 9333 Whittier Blvd Pico Rivera, CA 90660 (562) 695-6167

Tavarua Health Services 8207 Whittier Blvd Pico Rivera, CA 90660 (562) 695-0737 W & P Pharmacy 9205 Whittier Blvd Pico Rivera, CA 90660 (562) 566-3160 Walgreens 8900 Washington Blvd Pico Rivera, CA 90660 (562) 222-1590 Walmart Pharmacy $ 8550 Washington Blvd Pico Rivera, CA 90660 (562) 801-5378

Pomona Artesia Medical Pharmacy $ 160 E Artesia St Ste 135 Pomona, CA 91767 (909) 623-0551 CBC Mission Pharmacy $ 716 E Mission Blvd # A Pomona, CA 91766 (909) 865-1149 CBC Royalty Pharmacy $ 1902 Royalty Dr # 110 Pomona, CA 91767 (909) 620-0343 CVS Pharmacy $ 150 W Willow St Pomona, CA 91768 (909) 620-3838 CVS Pharmacy $ 775 E Foothill Blvd Pomona, CA 91767 (909) 621-6708 CVS Pharmacy $ 1485 S Garey Ave Pomona, CA 91766 (909) 623-0562

Playa Del Rey

Express United Drugs 752 E Arrow Hwy Pomona, CA 91767 (909) 398-1289

Playa Pharmacy $ 8131 W Manchester Ave Playa Del Rey, CA 90293 (310) 823-4500

Holt Pharmacy $ 1101 E Holt Ave Ste F Pomona, CA 91767 (909) 620-1011

Rivera Pharmacy 9253 Telegraph Rd Pico Rivera, CA 90660 (562) 949-4238

Orange Grove Pharmacy $ 1770 N Orange Grove Ave # 100 Pomona, CA 91767 (909) 623-6429

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 76 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Owl Drug 728 Fairplex Dr Pomona, CA 91768 (909) 623-0563

Western University Pharmacy $ 795 E 2nd St Ste 1 Pomona, CA 91766 (909) 706-3730

Phillips Ranch Pharmacy $ 8 Village Loop Rd Ste A Pomona, CA 91766 (909) 868-7363

Your Drug Store #4 250 W Bonita Ave Ste 110 Pomona, CA 91767 (909) 593-3400

Rite Aid Pharmacy 611 E Holt Ave Pomona, CA 91767 (909) 623-2948

Ponoma

Rite Aid Pharmacy 2059 S Garey Ave Pomona, CA 91766 (909) 773-0073 San Antonio Pharmacy At Casa Colina $ 255 E Bonita Ave Bldg 1 #102 Pomona, CA 91767 (909) 962-6430 Santa Maria Pharmacy 2288 S Garey Ave Pomona, CA 91766 (909) 993-0240 Walgreens 495 E Holt Ave Pomona, CA 91767 (909) 469-9534 Walgreens 795 E Foothill Blvd Pomona, CA 91767 (909) 624-3017 Walmart Pharmacy $ 80 Rio Rancho Rd Pomona, CA 91766 (909) 620-4077

Target Pharmacy 701 Rio Rancho Rd Ponoma, CA 91766 (909) 634-6152

Porter Ranch CVS Pharmacy $ 19783 Rinaldi St Porter Ranch, CA 91326 (818) 368-6279 Ralphs $ 19761 Rinaldi St Porter Ranch, CA 91326 (818) 832-3156 Walmart Pharmacy $ 19821 Rinaldi St Porter Ranch, CA 91326 (818) 832-6592

Quartz Hill Quartz Hill Pharmacy 42357 50th St W Ste 101 Quartz Hill, CA 93536 (661) 943-4118

*Only dispenses 30-day supplies HEALTH NET

Rancho Palos Verdes Golden Cove Pharmacy & Home Healthcare 31238 Palos Verdes Dr W Rancho Palos Verdes, CA 90275 (310) 750-6082 Ralphs $ 30019 Hawthorne Blvd Rancho Palos Verdes, CA 90275 (310) 377-6829

Redondo Beach CVS Pharmacy $ 316 S Pacific Coast Hwy Redondo Beach, CA 90277 (310) 540-9183 CVS Pharmacy $ 1880 S Pacific Coast Hwy Redondo Beach, CA 90277 (310) 316-6492 Kovacs Frey Pharmacy $ 2860 Artesia Blvd Redondo Beach, CA 90278 (310) 371-7541 Pill Box Drug $ 165 Palos Verdes Blvd Redondo Beach, CA 90277 (310) 378-9487 Ralphs $ 1413 Hawthorne Blvd Redondo Beach, CA 90278 (310) 370-8784 Rite Aid Pharmacy 401 N Pacific Coast Hwy Redondo Beach, CA 90277 (310) 372-9029

$ Offers preferred cost-sharing - 77 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 1720 Aviation Blvd Redondo Beach, CA 90278 (310) 376-4460

CVS Pharmacy $ 7400 Reseda Blvd Reseda, CA 91335 (818) 776-2600

Skinner's Rx Pharmacy $ 905 Deep Valley Dr Rolling Hills Estates, CA 90274 (310) 377-4871

Sav-On Pharmacy $ 2115 Artesia Blvd Redondo Beach, CA 90278 (310) 370-1513

Hado Pharmacy 7245 Reseda Blvd Reseda, CA 91335 (818) 342-9333

Rosemead

South Bay Pharmacy 520 N Prospect Ave Ste 101 Redondo Beach, CA 90277 (310) 379-9885

Sav-On Pharmacy $ 19307 Saticoy St Reseda, CA 91335 (818) 885-1525

Sunny Bay Pharmacy $ 500 Torrance Blvd Redondo Beach, CA 90277 (310) 944-9466

Victory Tampa Medical Pharmacy $ 19300 Vanowen St Reseda, CA 91335 (818) 345-6111

Target Pharmacy 1601 Kingsdale Ave Redondo Beach, CA 90278 (310) 750-0004 Vons Pharmacy 4001 Inglewood Ave Redondo Beach, CA 90278 (310) 349-0863 Walgreens 535 S Pacific Coast Hwy Redondo Beach, CA 90277 (310) 540-2228 Walgreens 2321 Hawthorne Blvd Redondo Beach, CA 90278 (310) 214-4891

Reseda CVS Pharmacy $ 18247 Sherman Way Reseda, CA 91335 (818) 345-9640

Vina Pharmacy $ 18541 Sherman Way Ste 103 Reseda, CA 91335 (818) 345-6534 Walgreens 18430 Sherman Way Reseda, CA 91335 (818) 343-4513

Rolling Hills Estates CVS Pharmacy $ 901 Silver Spur Rd Rolling Hills Estates, CA 90274 (310) 377-6745 Pavilions Pharmacy 7 Peninsula Ctr Rolling Hills Estates, CA 90274 (310) 541-1915 Rite Aid Pharmacy 23 Peninsula Ctr Rolling Hills Estates, CA 90274 (310) 377-4472

*Only dispenses 30-day supplies

CVS Pharmacy $ 8225 Garvey Ave Rosemead, CA 91770 (626) 573-2017 Del Mar Pharmacy $ 9008 Garvey Ave Ste A Rosemead, CA 91770 (626) 927-9773 Diamond Square Pharmacy 8150 Garvey Ave Ste 107 Rosemead, CA 91770 (626) 288-8010 Dong Tam Pharmacy 3163 San Gabriel Blvd Ste 103 Rosemead, CA 91770 (626) 572-9730 Garvey United Drugs 7837 Garvey Ave Ste 100A Rosemead, CA 91770 (626) 571-1359 Kim Pharmacy 8736 Valley Blvd Ste A Rosemead, CA 91770 (626) 288-4165 Omni Healthcare Solutions $ 3109 Del Mar Ave Rosemead, CA 91770 (626) 288-2878 Payless Pharmacy $ 8841 Valley Blvd Rosemead, CA 91770 (626) 287-2889 $ Offers preferred cost-sharing

- 78 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 8914 Valley Blvd Rosemead, CA 91770 (626) 573-3540 Robert Pharmacy $ 9126 Valley Blvd #A Rosemead, CA 91770 (626) 307-5501 Rosa II Pharmacy $ 9143 Valley Blvd # 101A Rosemead, CA 91770 (626) 286-8931 Rosa Pharmacy 9200 Valley Blvd Rosemead, CA 91770 (626) 573-9477 Target Pharmacy 3600 Rosemead Blvd Rosemead, CA 91770 (626) 280-4908 V N Pharmacy $ 8244 Garvey Ave # B Rosemead, CA 91770 (626) 307-2711 Walgreens 2750 San Gabriel Blvd Rosemead, CA 91770 (626) 288-2154 Walmart Pharmacy $ 1827 Walnut Grove Ave Rosemead, CA 91770 (626) 573-5094 Watsons Pharmacy And Home Health $ 8622 Garvey Ste 102 Rosemead, CA 91770 (626) 280-2223

Rowland Heights DDE Pharmacy 18491 Colima Rd Rowland Heights, CA 91748 (626) 581-3133 Eastland Pharmacy $ 18339 E Colima Rd Ste A Rowland Heights, CA 91748 (626) 810-1056 Manning United Drugs 1724 Nogales St Rowland Heights, CA 91748 (626) 810-8211 New Life Pharmacy $ 1722 Desire Ave Ste 103 Rowland Heights, CA 91748 (626) 839-3000 Nogales Pharmacy $ 1015 Nogales St Ste 124 Rowland Heights, CA 91748 (626) 810-2240 Rite Aid Pharmacy 18993 Colima Rd Rowland Heights, CA 91748 (626) 964-6714 Walgreens 18308 Colima Rd Rowland Heights, CA 91748 (626) 913-1033

San Dimas Costco Pharmacy 520 N Lone Hill Ave San Dimas, CA 91773 (909) 962-5516

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 120 E Bonita Ave San Dimas, CA 91773 (909) 305-4888 Rite Aid Pharmacy 933 W Arrow Hwy San Dimas, CA 91773 (909) 592-2258 San Dimas Pharmacy 1330 W Covina Blvd San Dimas, CA 91773 (909) 599-8369 Sav-On Pharmacy $ 220 E Bonita Ave San Dimas, CA 91773 (909) 599-8874 Target Pharmacy 888 W Arrow Hwy San Dimas, CA 91773 (909) 394-0335 Via Verde Prescription Shoppe $ 1152 Via Verde San Dimas, CA 91773 (909) 599-3444 Walgreens 1086 W Arrow Hwy San Dimas, CA 91773 (909) 305-1352

San Fernando Absolute Care 541 N Maclay Ave Ste 104 San Fernando, CA 91340 (818) 365-0422 North Valley Pharmacy And Med Supply 11541 Laurel Canyon Blvd Ste C San Fernando, CA 91340 (818) 365-5300 $ Offers preferred cost-sharing

- 79 -

Retail Pharmacies, including Chain Pharmacies Northeast Valley Health Pharmacy 1600 San Fernando Rd San Fernando, CA 91340 (818) 365-8086 Rite Aid Pharmacy 14727 Rinaldi St San Fernando, CA 91340 (818) 361-8010 YM Drugs 1015 Truman St San Fernando, CA 91340 (818) 256-1999

San Gabriel Alex Pharmacy 123 E Valley Blvd #105 San Gabriel, CA 91776 (626) 571-2290 Alex Pharmacy $ 140 W Valley Blvd Ste 105 San Gabriel, CA 91776 (626) 571-1188 Alpha Medical Pharmacy 1418 S San Gabriel Blvd San Gabriel, CA 91776 (626) 280-3131 Big 1 Pharmacy 415 W Valley Blvd San Gabriel, CA 91776 (626) 281-2186 CVS Pharmacy $ 102 N San Gabriel Blvd San Gabriel, CA 91775 (626) 237-2054 EZ Pharmacy $ 625 E Valley Blvd Ste J San Gabriel, CA 91776 (626) 872-0750

Good Pharmacy 1428 S San Gabriel Blvd San Gabriel, CA 91776 (626) 280-3060 Kieu An Pharmacy 600 E Valley Blvd # G San Gabriel, CA 91776 (626) 280-0466 Lotus Pharmacy 1135 S San Gabriel Blvd # 2 San Gabriel, CA 91776 (626) 872-0181

San Marino Buy Well Drugs $ 375 Huntington Dr San Marino, CA 91108 (626) 441-1159 Cal Oaks III Pharmacy $ 2010 Huntington Dr San Marino, CA 91108 (626) 382-2580

San Pedro

Lucky Pharmacy $ 416 W Las Tunas Dr Ste 100 San Gabriel, CA 91776 (626) 282-2277

CVS Pharmacy $ 700 S Gaffey St San Pedro, CA 90731 (310) 514-2003

New-1 Pharmacy 808 E Valley Blvd # 1 San Gabriel, CA 91776 (626) 307-5517

CVS Pharmacy $ 950 N Western Ave San Pedro, CA 90732 (310) 832-7258

Pacific Pharmacy 207 S Santa Anita Ave Ste G-10 San Gabriel, CA 91776 (626) 991-6888

Peninsula Pharmacy 1294 W 6th St Ste 100 San Pedro, CA 90731 (310) 833-3535

Payless Pharmacy V $ 927 E Las Tunas Dr Ste H San Gabriel, CA 91776 (626) 286-1588

Ralphs Pharmacy $ 1050 N Western Ave San Pedro, CA 90732 (310) 833-3225

Top United Pharmacy Services 1730 S San Gabriel Blvd Ste A San Gabriel, CA 91776 (626) 573-4698

Rite Aid Pharmacy 501 S Gaffey St San Pedro, CA 90731 (310) 831-9167

Walgreens 6325 Rosemead Blvd San Gabriel, CA 91775 (626) 285-5107

Rite Aid Pharmacy 28100 S Western Ave San Pedro, CA 90732 (310) 833-5015

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 80 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies San Pedro Pharmacy & Orthopedic Center $ 1360 W 6th St Ste 115 San Pedro, CA 90732 (310) 831-0155 Sav-On Pharmacy $ 1636 W 25th St San Pedro, CA 90732 (310) 831-6962 Seaside Prescription Pharmacy 599 W 7th St San Pedro, CA 90731 (310) 833-3551 Target Pharmacy 1701 N Gaffey St San Pedro, CA 90731 (310) 507-6290 Vons Pharmacy 1440 W 25th St San Pedro, CA 90732 (310) 832-0319 Vons Pharmacy 1221 S Gaffey St San Pedro, CA 90731 (310) 832-9047

Santa Clarita Costco Pharmacy 18649 Via Princessa Santa Clarita, CA 91387 (661) 250-2845 CVS Pharmacy $ 27983 Seco Canyon Rd Santa Clarita, CA 91350 (661) 296-0436 CVS Pharmacy $ 26550 Bouquet Canyon Rd Santa Clarita, CA 91350 (661) 297-1968

Pavilions Pharmacy 27095 McBean Pkwy Santa Clarita, CA 91355 (661) 286-2513

Walmart Pharmacy $ 13310 Telegraph Rd Santa Fe Springs, CA 90670 (562) 946-6935

Sam's Club Pharmacy $ 26468 Carl Boyer Dr Santa Clarita, CA 91350 (661) 222-7568

Santa Monica

Sav-On Pharmacy $ 23850 W Copper Hill Rd Santa Clarita, CA 91355 (661) 775-3944 Walgreens 24790 Valley St Santa Clarita, CA 91321 (661) 670-2020 Walgreens 23925 Newhall Ranch Rd Santa Clarita, CA 91354 (661) 255-7551 Walmart Pharmacy $ 26471 Carl Boyer Dr Santa Clarita, CA 91350 (661) 259-0854 Zoey Pharmacy 18500 Via Princessa Ste 4 Santa Clarita, CA 91387 (661) 298-5858

Betty's Pharmacy $ 1622 Wilshire Blvd Santa Monica, CA 90403 (888) 991-7427 Brentwood Pharmacy $ 214 26th St Santa Monica, CA 90402 (310) 393-0201 Central Pharmacy $ 900 Wilshire Blvd Ste 104 Santa Monica, CA 90401 (310) 395-3294 CVS Pharmacy $ 1411 Lincoln Blvd Santa Monica, CA 90401 (310) 319-1318

Santa Fe Springs

CVS Pharmacy $ 3202 Wilshire Blvd Santa Monica, CA 90403 (310) 829-5523

Griffith Drugs, INC. $ 11721 Telegraph Rd Santa Fe Springs, CA 90670 (562) 949-1003

CVS Pharmacy $ 2505 Santa Monica Blvd Santa Monica, CA 90404 (310) 828-6456

Target Pharmacy 10621 Carmenita Rd Santa Fe Springs, CA 90670 (562) 946-0851

Drugtown Pharmacy 802 7th St Santa Monica, CA 90403 (310) 393-9821

*Only dispenses 30-day supplies HEALTH NET

10th Street Medical Pharmacy $ 1450 10th St Ste 100 Santa Monica, CA 90401 (310) 394-5405

$ Offers preferred cost-sharing - 81 -

Retail Pharmacies, including Chain Pharmacies Golden Wellness Rx $ 1202 Montana Ave Ste C Santa Monica, CA 90403 (310) 451-2828

Rite Aid Pharmacy 2412 Pico Blvd Santa Monica, CA 90405 (310) 450-7624

Vons Pharmacy 710 Broadway Santa Monica, CA 90401 (310) 260-0263

Horton & Converse 2001 Santa Monica Blvd Santa Monica, CA 90404 (310) 829-3401

Santa Monica Medical Plaza Pharmacy $ 1260 15th St Ste 100 Santa Monica, CA 90404 (310) 393-6767

Walgreens 1932 Wilshire Blvd Santa Monica, CA 90403 (310) 829-9264

McCarthy Drugs $ 2601 Lincoln Blvd Santa Monica, CA 90405 (310) 452-1105 Ocean Park Pharmacy 2731 Ocean Park Blvd Santa Monica, CA 90405 (310) 452-5705 Parkside Pharmacy 2428 Santa Monica Blvd Santa Monica, CA 90404 (310) 453-7843 Pattons Pharmacy $ 734 Montana Ave Santa Monica, CA 90403 (310) 451-1414 Ralphs $ 1644 Cloverfield Blvd Santa Monica, CA 90404 (310) 582-3915 Rite Aid Pharmacy 1331 Wilshire Blvd Santa Monica, CA 90403 (310) 458-0731 Rite Aid Pharmacy 1808 Wilshire Blvd Santa Monica, CA 90403 (310) 829-3951

Santa Monica UCLA Med Center Pharmacy 1250 16th St Santa Monica, CA 90404 (310) 319-4892

Walgreens 1911 Lincoln Blvd Santa Monica, CA 90405 (310) 526-4496

Saugus

SMC Pharmacy 1908 Santa Monica Blvd Ste 4 Santa Monica, CA 90404 (310) 315-9999

Rite Aid Pharmacy 26825 Bouquet Canyon Rd Saugus, CA 91350 (661) 296-8572

St John's Med Plaza Pharmacy $ 1301 20th St Ste 120 Santa Monica, CA 90404 (310) 453-6553

Saugus Drugs $ 27641 Bouquet Canyon Rd Saugus, CA 91350 (661) 296-3980

Station Pharmacy $ 1820 Wilshire Blvd Santa Monica, CA 90403 (310) 264-3800

Walgreens 28460 Haskell Canyon Rd Saugus, CA 91390 (661) 513-9240

Tri-Tech Pharmaceuticals $ 910 Broadway Ave Ste 105 Santa Monica, CA 90401 (310) 576-0600 Twenty-Two Twenty-Two Rx Pharmacy $ 2222 Santa Monica Blvd Ste 103 Santa Monica, CA 90404 (310) 453-5557 UCLA 16th Street Pharmacy $ 1223 16th St Rm 1202 Santa Monica, CA 90404 (424) 259-8520

*Only dispenses 30-day supplies

Sherman Oaks AHF Pharmacy-Valley $ 4835 Van Nuys Blvd Ste 200 Sherman Oaks, CA 91403 (818) 986-2643 Capitol Pharmacy $ 4454 Van Nuys Blvd Sherman Oaks, CA 91403 (818) 905-8338

$ Offers preferred cost-sharing - 82 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 5601 Van Nuys Blvd Sherman Oaks, CA 91401 (818) 781-0569 CVS Pharmacy $ 14735 Ventura Blvd Sherman Oaks, CA 91403 (818) 788-0208

Signal Hill Costco Pharmacy 2200 E Willow St Signal Hill, CA 90755 (562) 424-2837

Sam's Club Pharmacy $ 5871 Firestone Blvd South Gate, CA 90280 (562) 928-0179

South El Monte

San Miguel Pharmacy 4476 Tweedy Blvd South Gate, CA 90280 (323) 563-3233

Michaels Pharmacy 4955 Van Nuys Blvd Sherman Oaks, CA 91403 (818) 905-0669

CVS Pharmacy $ 1954 Durfee Ave South El Monte, CA 91733 (626) 350-5705

Sav-On Pharmacy $ 4155 Tweedy Blvd South Gate, CA 90280 (323) 569-0744

Ralphs $ 14049 Ventura Blvd Sherman Oaks, CA 91423 (818) 784-3005

Durfee Medical Pharmacy $ 12331 Rush St South El Monte, CA 91733 (626) 448-8200

St Paul Pharmacy 3819 Tweedy Blvd South Gate, CA 90280 (323) 567-4803

Ralphs Pharmacy $ 14440 Burbank Blvd Sherman Oaks, CA 91401 (818) 989-5422

U Care Pharmacy 9646 Garvey Ave Ste 103 South El Monte, CA 91733 (626) 575-6082

Target Pharmacy 5700 Firestone Blvd South Gate, CA 90280 (562) 372-0037

Rite Aid Pharmacy 13333 Riverside Dr Sherman Oaks, CA 91423 (818) 907-1431

South Gate

The Medicine Cabinet 3270 Tweedy Blvd Ste C South Gate, CA 90280 (323) 564-2056

Specialty Compounding Pharmacy 13322 Riverside Dr Sherman Oaks, CA 91423 (818) 789-8111 Volume Drug 12925 Magnolia Blvd Sherman Oaks, CA 91423 (818) 783-6100

Sierra Madre Best Buy Drugs 29 N Baldwin Ave Sierra Madre, CA 91024 (626) 355-3456

CVS Pharmacy $ 4621 Firestone Blvd South Gate, CA 90280 (323) 569-1932 CVS Pharmacy $ 2655 Santa Ana St South Gate, CA 90280 (323) 582-5601 CVS Pharmacy $ 3710 Tweedy Blvd South Gate, CA 90280 (323) 249-9944 Rite Aid Pharmacy 9715 Otis St South Gate, CA 90280 (323) 566-1198

*Only dispenses 30-day supplies HEALTH NET

Top-Care Pharmacy $ 8121 California Ave South Gate, CA 90280 (323) 249-8871 Walgreens 9830 Long Beach Blvd South Gate, CA 90280 (323) 357-3925 Walmart Pharmacy $ 4651 Firestone Blvd South Gate, CA 90280 (323) 282-4802

$ Offers preferred cost-sharing - 83 -

Retail Pharmacies, including Chain Pharmacies South Pasadena Fair Oaks Pharmacy $ 1526 Mission St South Pasadena, CA 91030 (626) 799-1414 Pavilions Pharmacy 1213 Fair Oaks Ave South Pasadena, CA 91030 (626) 799-4156 Ralphs $ 1745 Garfield Ave South Pasadena, CA 91030 (626) 799-2926 Rite Aid Pharmacy 914 Fair Oaks Ave South Pasadena, CA 91030 (626) 441-3702

Stevenson Ranch Ralph's $ 24975 Pico Canyon Rd Stevenson Ranch, CA 91381 (661) 253-0320 Walmart Pharmacy $ 25450 The Old Rd Stevenson Ranch, CA 91381 (661) 253-2357

Ralphs $ 12842 Ventura Blvd Studio City, CA 91604 (818) 761-7211 Rite Aid Pharmacy 10989 Ventura Blvd Studio City, CA 91604 (818) 766-8628

Sunland Rite Aid Pharmacy 10465 Sunland Blvd Sunland, CA 91040 (818) 352-4129

Sylmar

Studio City Drugs $ 11709 Ventura Blvd Studio City, CA 91604 (818) 980-3311

CVS Pharmacy $ 12717 Glenoaks Blvd Sylmar, CA 91342 (818) 367-6116

Toluca Pharmacy 11914 Ventura Blvd Studio City, CA 91604 (818) 761-1400

Rite Aid Pharmacy 13237 Gladstone Ave Sylmar, CA 91342 (818) 362-2816

Walgreens 11000 Ventura Blvd Studio City, CA 91604 (818) 761-6563

Sam's Club Pharmacy $ 12920 Foothill Blvd Sylmar, CA 91342 (818) 361-2709

Sun Valley

Sylmar Professional United Drugs 12737 Glenoaks Blvd Ste 27 Sylmar, CA 91342 (818) 362-6894

Boulevard Pharmacy 10771 Sherman Way Sun Valley, CA 91352 (818) 503-8806

Studio City

CVS Pharmacy $ 8425 Laurel Canyon Blvd Sun Valley, CA 91352 (818) 768-2110

CVS Pharmacy $ 12143 Ventura Blvd Studio City, CA 91604 (818) 980-1502

Serra Medical Pharmacy 9375 San Fernando Rd Sun Valley, CA 91352 (818) 768-3322

CVS Pharmacy $ 12100 Ventura Blvd Studio City, CA 91604 (818) 763-5562

Stanfred Drugs $ 8031 Vineland Ave Sun Valley, CA 91352 (818) 767-3737

*Only dispenses 30-day supplies

Vida Mejor Farmacia 13841 Foothill Blvd Sylmar, CA 91342 (818) 362-9700

Tarzana 4 Life Rx $ 19554 Ventura Blvd Tarzana, CA 91356 (818) 342-2636 Care Plus Pharmacy 19015 Ventura Blvd Tarzana, CA 91356 (818) 343-5100 $ Offers preferred cost-sharing

- 84 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 19353 Victory Blvd Tarzana, CA 91335 (818) 996-4742

Walgreens 18568 Ventura Blvd Tarzana, CA 91356 (818) 776-1363

CVS Pharmacy $ 18441 Ventura Blvd Tarzana, CA 91356 (818) 996-1000

Wilbur Family Pharmacy $ 5620 Wilbur Ave Ste 100 Tarzana, CA 91356 (818) 342-6520

Garden Plaza Pharmacy 18411 Clark St Ste 106 Tarzana, CA 91356 (818) 345-7982

Temple City

Norm's Pharmacy 18368 Clark St Tarzana, CA 91356 (818) 881-5300 Ronco Drug 18607 Ventura Blvd Ste 109 Tarzana, CA 91356 (818) 654-0150 Tampa Plaza Pharmacy $ 19100 Ventura Blvd Ste L Tarzana, CA 91356 (818) 345-9292 Tarzana Care Pharmacy 18370 Burbank Blvd Ste 104 Tarzana, CA 91356 (818) 996-3600

CVS Pharmacy $ 5585 Rosemead Blvd Temple City, CA 91780 (626) 287-9959 CVS Pharmacy $ 9952 Las Tunas Dr Temple City, CA 91780 (626) 614-1500 Rite Aid Pharmacy 9450 Las Tunas Dr Temple City, CA 91780 (626) 286-0152 Valley Prescription Pharmacy 5546 Rosemead Blvd Ste 101 Temple City, CA 91780 (626) 285-6838

Torrance

Tarzana Plaza Pharmacy 5525 Etiwanda Ave Ste 100 Tarzana, CA 91356 (818) 996-9906

Bella Vida Pharmacy $ 1039 W Carson St Torrance, CA 90502 (310) 320-3333

Walgreens 6416 Tampa Ave Tarzana, CA 91335 (818) 776-9014

Carson Pharmacy $ 21720 S Vermont Ave Ste 101 Torrance, CA 90502 (310) 328-0982

*Only dispenses 30-day supplies HEALTH NET

Choice Compounding Pharmacy $ 4201 Torrance Blvd Ste 120 Torrance, CA 90503 (310) 543-1111 Costco Pharmacy 2751 Skypark Dr Torrance, CA 90505 (310) 891-1026 CVS Pharmacy $ 1303 SEpulveda Blvd Torrance, CA 90501 (310) 784-1351 CVS Pharmacy $ 4320 Redondo Beach Blvd Torrance, CA 90504 (310) 542-7327 CVS Pharmacy $ 5020 W 190th St Torrance, CA 90503 (310) 370-5607 CVS Pharmacy $ 4625 Torrance Blvd Torrance, CA 90503 (310) 370-7919 CVS Pharmacy $ 3020 Sepulveda Blvd Torrance, CA 90505 (310) 534-1264 CVS Pharmacy $ 4235 Pacific Coast Hwy Torrance, CA 90505 (310) 373-6847 Harbor Outpatient Community Pharmacy 1001 W Carson St Ste D Torrance, CA 90502 (310) 328-1621 $ Offers preferred cost-sharing

- 85 -

Retail Pharmacies, including Chain Pharmacies Little Company of Mary Hospital Pharmacy $ 4101 Torrance Blvd Torrance, CA 90503 (310) 303-5777 Medical Arts Pharmacy $ 20911 Earl St Ste 120 Torrance, CA 90503 (310) 214-8282 Pacifica Pharmacy 23560 Madison St Ste 112 Torrance, CA 90505 (310) 530-0831 Pharmco, INC. 381 Van Ness Ave # 1506 Torrance, CA 90501 (800) 272-4767 Ralphs $ 1770 W Carson St Torrance, CA 90501 (310) 787-8862 Ralph's $ 5035 Pacific Coast Hwy Torrance, CA 90505 (310) 378-5214 Ralphs Pharmacy $ 17500 Crenshaw Blvd Torrance, CA 90504 (310) 327-0675 Ralphs Pharmacy $ 3455 Sepulveda Blvd Torrance, CA 90505 (310) 370-0535 Rite Aid Pharmacy 2545 Pacific Coast Hwy Torrance, CA 90505 (310) 325-8420

Rite Aid Pharmacy 2240 Sepulveda Blvd Torrance, CA 90501 (310) 325-0868

The Remedy Pharmacy $ 23811 Hawthorne Blvd Torrance, CA 90505 (310) 375-0655

Rite Aid Pharmacy 1237 W Carson St Torrance, CA 90502 (310) 320-4534

Tormed Pharmacy I $ 3440 Lomita Blvd Torrance, CA 90505 (310) 326-7706

Rite Aid Pharmacy 3860 Sepulveda Blvd Torrance, CA 90505 (310) 373-5884

Torrance Memorial Hospital Pharmacy $ 3330 Lomita Blvd Torrance, CA 90505 (310) 517-4799

Sam's Club Pharmacy $ 2601 Skypark Dr Torrance, CA 90505 (310) 517-0843 Sav-On Pharmacy $ 21035 Hawthorne Blvd Torrance, CA 90503 (310) 540-6807 Servac Pharmacy 3586 Redondo Beach Blvd Torrance, CA 90504 (310) 370-1040 Sunny Bay Pharmacy $ 3565 Del Amo Blvd Torrance, CA 90503 (310) 370-0911 Surf Medical Pharmacy $ 3655 W Lomita Blvd Torrance, CA 90505 (310) 378-1239 Target Pharmacy 3433 Sepulveda Blvd Torrance, CA 90505 (310) 214-1561

*Only dispenses 30-day supplies

Torrance Pharmacy & Compounding Center 23600 Telo Ave #155 Torrance, CA 90505 (424) 250-1701 V M Pharmacy $ 23451 Madison St Ste 100 Torrance, CA 90505 (310) 378-0005 Vons Pharmacy 24325 Crenshaw Blvd Torrance, CA 90505 (310) 784-1025 Walgreens 4142 Pacific Coast Hwy Torrance, CA 90505 (310) 375-9019 Walgreens 2690 Pacific Coast Hwy Torrance, CA 90505 (310) 517-0351 Walgreens 2976 Sepulveda Blvd Torrance, CA 90505 (310) 534-0078 $ Offers preferred cost-sharing

- 86 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walmart Pharmacy $ 19503 Normandie Ave Torrance, CA 90501 (310) 782-6554 Walmart Pharmacy $ 22015 Hawthorne Blvd Torrance, CA 90503 (310) 750-1189 Walmart Pharmacy $ 19340 Hawthorne Blvd Torrance, CA 90503 (310) 371-0310

Valencia CVS Pharmacy $ 24840 Orchard Village Rd Valencia, CA 91355 (661) 222-7881 CVS Pharmacy $ 25880 McBean Pkwy Valencia, CA 91355 (661) 254-3766

Tujunga

Ralphs $ 27760 McBean Pkwy Valencia, CA 91354 (661) 263-6480

CVS Pharmacy $ 6588 Foothill Blvd Tujunga, CA 91042 (818) 446-0647

Rite Aid Pharmacy 27716 McBean Pkwy Valencia, CA 91354 (661) 263-6659

Foothill Remedy Drugs 6253 Foothill Blvd Tujunga, CA 91042 (818) 236-2500

Rite Aid Pharmacy 23335 Lyons Ave Valencia, CA 91355 (661) 259-5950

Miracle Pharmacy 7418-7420 Foothill Blvd Tujunga, CA 91042 (818) 273-4602

Santa Clarita Valley Health Care Pharmacy $ 23929 McBean Pkwy # F-108 Valencia, CA 91355 (661) 254-3600

Sav-On Pharmacy $ 6240 Foothill Blvd Tujunga, CA 91042 (818) 249-2056 Tujunga Pharmacy 6501 Foothill Blvd Ste 102 Tujunga, CA 91042 (818) 352-9200

Target Pharmacy 24425 Magic Mountain Pkwy Valencia, CA 91355 (661) 254-7234 The Druggist 27867 Smyth Dr Ste 101 Valencia, CA 91355 (661) 294-4040

Vons Pharmacy 7789 Foothill Blvd Tujunga, CA 91042 (818) 353-5817 *Only dispenses 30-day supplies HEALTH NET

Valencia Town Center Pharmacy $ 26357 McBean Pkwy Ste 140 Valencia, CA 91355 (661) 291-1800 Vons Pharmacy 25850 The Old Rd Valencia, CA 91381 (661) 254-5824 Walmart Pharmacy $ 27931 Kelly Johnson Pkwy Valencia, CA 91355 (661) 294-0018

Valley Village Key Pharmacy 12660 Riverside Dr Ste 100 Valley Village, CA 91607 (818) 509-3630 Premier Pharmacy $ 12500 Burbank Blvd Valley Village, CA 91607 (818) 761-6131

Van Nuys Costco Pharmacy 6100 Sepulveda Blvd Van Nuys, CA 91411 (818) 989-5158 Cowdreys Pharmacy 15243 Vanowen St Van Nuys, CA 91405 (818) 781-0111 CVS Pharmacy $ 6201 Sepulveda Blvd Van Nuys, CA 91411 (818) 373-5005

$ Offers preferred cost-sharing - 87 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 15232 Sherman Way Van Nuys, CA 91405 (818) 374-3480

Rite Aid Pharmacy 7239 Woodman Ave Van Nuys, CA 91405 (818) 781-7127

TNH Pharmacy 15211 Vanowen St Ste 301 Van Nuys, CA 91405 (818) 988-1288

H K Valley Pharmacy $ 17643 Sherman Way Van Nuys, CA 91406 (818) 708-0728

Rite Aid Pharmacy 17266 Saticoy St Van Nuys, CA 91406 (818) 345-1543

Walgreens 13231 Victory Blvd Van Nuys, CA 91401 (818) 623-9358

Healthy Way Pharmacy 7223 Balboa Blvd Van Nuys, CA 91406 (818) 997-9420

Royal Oak Pharmacy 7314 N Sepulveda Blvd Van Nuys, CA 91405 (562) 630-1620

Walgreens 5224 Coldwater Canyon Ave Van Nuys, CA 91401 (818) 487-2715

Hye Pharmacy $ 13745 Victory Blvd Van Nuys, CA 91401 (818) 782-7152

Rx Unlimited Pharmacy 6815 Noble Ave Ste 107 Van Nuys, CA 91405 (818) 781-2400

Walgreens 7155 Van Nuys Blvd Van Nuys, CA 91405 (818) 989-4281

Kovac's Pharmacy 14423 Gilmore St Van Nuys, CA 91401 (818) 786-2660

State Pharmacy 15714 1/2 Vanowen St Van Nuys, CA 91406 (818) 386-8555

YM Drugs 6578 Van Nuys Blvd Van Nuys, CA 91401 (818) 901-7080

Med Center Pharmacy 14624 Sherman Way Ste 104 Van Nuys, CA 91405 (818) 785-4944

Super Discount Pharmacy 14618 Victory Blvd Ste B Van Nuys, CA 91411 (818) 376-8316

Young's Pharmacy $ 7134 Van Nuys Blvd Van Nuys, CA 91405 (818) 787-9339

Medicine Land Pharmacy 7400 Van Nuys Blvd # 101 Van Nuys, CA 91405 (818) 997-7000

Super-Rite Drugs 14425 Burbank Blvd Van Nuys, CA 91401 (818) 787-2552

Venice

Mesa Pharmacy IV 7218 Van Nuys Blvd #B Van Nuys, CA 91405 (818) 785-6049

Target Pharmacy 14920 Raymer St Van Nuys, CA 91405 (818) 922-0031

Pharmacy For Less, INC. 16600 Sherman Way Ste 290 Van Nuys, CA 91406 (818) 343-5000

Target Pharmacy 5711 Sepulveda Blvd Van Nuys, CA 91411 (818) 779-0321

*Only dispenses 30-day supplies

CVS Pharmacy $ 255 Main St Venice, CA 90291 (310) 399-2436 CVS Pharmacy $ 119 Lincoln Blvd Venice, CA 90291 (310) 392-3983 Rite Aid Pharmacy 888 Lincoln Blvd Venice, CA 90291 (310) 396-2838 $ Offers preferred cost-sharing

- 88 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Venice Family 604 Rose Ave Venice, CA 90291 (310) 664-7756

CVS Pharmacy $ 3670 S Nogales St West Covina, CA 91792 (626) 912-7031

Target Pharmacy 2370 S Azusa Ave West Covina, CA 91792 (626) 667-5401

Walnut

Diabetes Care Pharmacy $ 1339 W Garvey Ave N West Covina, CA 91790 (626) 814-0111

Target Pharmacy 2831 E Eastland Ctr Dr West Covina, CA 91791 (626) 257-2287

Doctors Professional Pharmacy 1535 W Merced Ave West Covina, CA 91790 (626) 962-3229

TLC Med Arts Pharmacy 1500 W Covina Pkwy Ste 100 West Covina, CA 91790 (626) 338-7233

Walnut Park

Maxson Medical Pharmacy $ 933 S Sunset Ave West Covina, CA 91790 (626) 338-1143

Walgreens 2453 S Azusa Ave West Covina, CA 91792 (626) 964-3101

CVS Pharmacy $ 7300 Alameda St Walnut Park, CA 90255 (323) 583-0638

Merced Medical Pharmacy 1515 W Merced Ave West Covina, CA 91790 (626) 962-3685

Walgreens 1131 S Glendora Ave West Covina, CA 91790 (626) 338-0904

West Covina

Nogales Medical Pharmacy 2707 E Valley Blvd Unit 100 West Covina, CA 91792 (626) 965-9727

Walmart Pharmacy $ 2735 E Eastland Center Dr West Covina, CA 91791 (626) 332-2647

Rite Aid Pharmacy 1528 E Amar Rd West Covina, CA 91792 (626) 965-2016

West Hills

CVS Pharmacy $ 21590 Valley Blvd Walnut, CA 91789 (909) 444-7807 Vons Pharmacy 350 N Lemon Ave Walnut, CA 91789 (909) 595-7431

Better Value Pharmacy $ 1135 S Sunset Ave Ste 101 West Covina, CA 91790 (626) 960-4723 Big 8 Pharmacy 985 S Glendora Ave West Covina, CA 91790 (626) 851-8108 CVS Pharmacy $ 727 S Glendora Ave West Covina, CA 91790 (626) 337-7284 CVS Pharmacy $ 702 N Azusa Ave West Covina, CA 91791 (626) 967-0679

San Gabriel Medical Pharmacy 1250 S Sunset Ave Ste 207 West Covina, CA 91790 (626) 960-8696 Sav-On Pharmacy $ 2630 E Workman Ave West Covina, CA 91791 (626) 915-5555

*Only dispenses 30-day supplies HEALTH NET

Carefirstrx Pharmacy 7325 Medical Center Dr Ste 102 West Hills, CA 91307 (818) 887-8844 Columbia Excel Pharmacy 7325 Medical Center Dr Ste 303 West Hills, CA 91307 (818) 226-3650 Medallion Pharmacy 23101 Sherman Pl West Hills, CA 91307 (818) 340-0212 $ Offers preferred cost-sharing

- 89 -

Retail Pharmacies, including Chain Pharmacies Oak Hills Medical Pharmacy $ 7345 Medical Center Dr Ste 100 West Hills, CA 91307 (818) 715-0070 Park West Compounding Pharmacy $ 7230 Medical Center Dr Ste 106 West Hills, CA 91307 (818) 346-6550 Professional Compounding Center Calif 23101 Sherman Pl Ste 207 West Hills, CA 91307 (818) 346-7222 Rite Aid Pharmacy 6410 Platt Ave West Hills, CA 91307 (818) 348-4850 Royal Hills Pharmacy 7301 Medical Center Dr Ste 106 West Hills, CA 91307 (818) 887-7380 Target Pharmacy 6635 Fallbrook Ave West Hills, CA 91307 (818) 999-2390 Walmart Pharmacy $ 6433 Fallbrook Ave West Hills, CA 91307 (818) 719-8610 Woodlake Pharmacy $ 7320 Woodlake Ave Ste 100 West Hills, CA 91307 (818) 999-1111

West Hollywood AHF Pharmacy West Hollywood $ 8212 Santa Monica Blvd West Hollywood, CA 90046 (323) 654-0907 Beverly Sinai Medical Pharmacy $ 8737 Beverly Blvd West Hollywood, CA 90048 (310) 657-2881 Capitol Drugs $ 8578 Santa Monica Blvd West Hollywood, CA 90069 (310) 289-1125 Care Plus CVS/Pharmacy $ 8607 Santa Monica Blvd West Hollywood, CA 90069 (310) 659-9810

CVS Pharmacy $ 8491 Santa Monica Blvd West Hollywood, CA 90069 (310) 360-7303 Eddies Pharmacy 8500 Melrose Ave Ste 109 West Hollywood, CA 90069 (310) 358-2400 Genesee Pharmacy 7764 Santa Monica Blvd West Hollywood, CA 90046 (323) 822-9500 Great Earth Compounds 8941 Santa Monica Blvd West Hollywood, CA 90069 (310) 550-1822 Mid-West Medical Pharmacy 8733 Beverly Blvd West Hollywood, CA 90048 (310) 657-1635

Cedars-Sinai Med Center Pharmacy 8723 Alden Dr #S244 West Hollywood, CA 90048 (310) 423-7484

National Pharmacy 7420 Santa Monica Blvd West Hollywood, CA 90046 (323) 851-4444

Cedars-Sinai Surgery Center 310 N San Vicente Blvd West Hollywood, CA 90048 (310) 423-9390

Pavilions Pharmacy 8969 Santa Monica Blvd West Hollywood, CA 90069 (310) 273-5126

Cienega Pharmacy $ 7360 Santa Monica Blvd #101 West Hollywood, CA 90046 (310) 360-9969

Ralphs $ 1233 N La Brea Ave West Hollywood, CA 90038 (323) 876-5651

Curson Pharmacy 7559 Santa Monica Blvd West Hollywood, CA 90046 (323) 878-2555

Rite Aid Pharmacy 1130 N La Brea Ave West Hollywood, CA 90038 (323) 463-8539

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 90 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rx Biotech Specialty Pharmacy 8737 Beverly Blvd Ste 103 West Hollywood, CA 90048 (800) 657-2212

CVS Pharmacy $ 11735 Whittier Blvd Whittier, CA 90601 (562) 692-7706

Ralphs $ 14919 Whittier Blvd Whittier, CA 90605 (562) 945-5641

Spaulding Pharmacy 7722 Santa Monica Blvd West Hollywood, CA 90046 (323) 656-3663

CVS Pharmacy $ 10048 Mills Ave Whittier, CA 90604 (562) 903-9678

Rite Aid Pharmacy 6512 Comstock Ave Whittier, CA 90601 (562) 696-1714

Target Pharmacy 7100 Santa Monica Blvd West Hollywood, CA 90046 (323) 603-0005

CVS Pharmacy $ 15466 Whittier Blvd Whittier, CA 90603 (562) 943-9303

Rite Aid Pharmacy 7860 Norwalk Blvd Whittier, CA 90606 (562) 692-2184

West Knoll Pharmacy 8547 Santa Monica Blvd West Hollywood, CA 90069 (310) 657-2027

CVS Pharmacy $ 11426 Washington Blvd Whittier, CA 90606 (562) 695-4474

Rite Aid Pharmacy 8508 Painter Ave Whittier, CA 90602 (562) 945-7940

West Los Angeles

Friendly Hills Pharmacy United Drug $ 15141 Whittier Blvd Ste 115 Whittier, CA 90603 (562) 693-3791

Super Rx Pharmacy 11750 Whittier Blvd Whittier, CA 90601 (562) 693-6003

Pavilions Pharmacy 11750 Wilshire Blvd West Los Angeles, CA 90025 (310) 473-6138

Whittier Bright Plaza Pharmacy $ 15725 Whittier Blvd Ste A Whittier, CA 90603 (562) 943-7500 California Specialty Pharmacy $ 12466 E Washington Blvd Whittier, CA 90602 (562) 698-6305 CVS Pharmacy $ 12560 Whittier Blvd Whittier, CA 90602 (562) 696-3483

Heart Drugs Pharmacy 11120 Whittier Blvd Whittier, CA 90606 (562) 692-4278 Pih Community Pharmacy $ 12462 Putnam Street Whittier, CA 90602 (562) 789-5412 Presbyterian Intrcom Hospital Pharmacy 12401 Washington Blvd Whittier, CA 90602 (562) 690-0811 Prescription Shop United Drugs 14350 Whittier Blvd Whittier, CA 90605 (562) 464-6655

*Only dispenses 30-day supplies HEALTH NET

Target Pharmacy 15614 Whittwood Ln Whittier, CA 90603 (562) 371-9004 Vons Pharmacy 15740 La Forge St Whittier, CA 90603 (562) 943-4288 Walgreens 8201 Greenleaf Ave Whittier, CA 90602 (562) 698-4906 Walgreens 11604 Whittier Blvd Whittier, CA 90601 (562) 695-7416

$ Offers preferred cost-sharing - 91 -

Retail Pharmacies, including Chain Pharmacies Walgreens 13331 Telegraph Rd Whittier, CA 90605 (562) 906-0973

CVS Pharmacy $ 20839 Roscoe Blvd Winnetka, CA 91306 (818) 701-8911

Target Pharmacy 20801 Ventura Blvd Woodland Hills, CA 91364 (818) 992-3386

Whittier Intercommunity Pharmacy $ 12291 Washington Blvd Ste 101 Whittier, CA 90606 (562) 945-4166

Woodland Hills

Warner Plaza Pharmacy 21773 Ventura Blvd Woodland Hills, CA 91364 (818) 348-0524

Wilmington Avalon Pharmacy 1203 N Avalon Blvd Ste A Wilmington, CA 90744 (310) 549-9393 CVS Pharmacy $ 311 W Pacific Coast Hwy Ste C Wilmington, CA 90744 (310) 513-0760 Rite Aid Pharmacy 108 W Anaheim St Wilmington, CA 90744 (310) 830-2898 The Medicine Cabinet 228 E Anaheim St Wilmington, CA 90744 (310) 513-9214

Winnetka Annex Pharmacy & Medical Supply 20177 Saticoy Street Winnetka, CA 91306 (818) 882-5010 CVS Pharmacy $ 19701 Vanowen St Winnetka, CA 91306 (818) 716-1218

Bassouth Pharmacy 5960 Fallbrook Ave Woodland Hills, CA 91367 (818) 347-1641 CVS Pharmacy $ 23357 Mulholland Dr Woodland Hills, CA 91364 (818) 223-8240 CVS Pharmacy $ 22050 Ventura Blvd Woodland Hills, CA 91364 (818) 346-2207 CVS Pharmacy $ 22968 Victory Blvd Woodland Hills, CA 91367 (818) 887-7350 Motion Picture-TV Hospital 23388 Mulholland Dr Woodland Hills, CA 91364 (818) 876-1040 Pavilions Pharmacy 19800 West Ventura Blvd Woodland Hills, CA 91364 (818) 703-5130 Rite Aid Pharmacy 21949 Ventura Blvd Woodland Hills, CA 91364 (818) 348-5542 Taft Pharmacy 20056 Ventura Blvd Woodland Hills, CA 91364 (818) 348-0860

*Only dispenses 30-day supplies

West Valley Pharmacy 22554 Ventura Blvd Woodland Hills, CA 91364 (818) 222-9877 Winnetka Pharmacy 19944 Ventura Blvd Woodland Hills, CA 91364 (818) 854-6600 Woodland Hills Pharmacy 23299 Ventura Blvd Ste 200 Woodland Hills, CA 91364 (855) 876-3060

Madera Chowchilla Loyalty Pharmacy $ 327 Trinity Ave Chowchilla, CA 93610 (559) 715-4516 Rite Aid Pharmacy 48 Robertson Blvd Chowchilla, CA 93610 (559) 665-1096 Save Mart Pharmacy 1225 E Robertson Blvd Chowchilla, CA 93610 (559) 665-9479

$ Offers preferred cost-sharing - 92 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Coarsegold

Save Mart Pharmacy 1504 Howard Rd Madera, CA 93637 (559) 661-0871

Vons Pharmacy 40044 Highway 49 Ste D Oakhurst, CA 93644 (559) 642-4255

Friant

The Pill Box Pharmacy 1108 N Lake St Madera, CA 93638 (559) 674-1625

Marin

Friant Pharmacy 17122 N Friant Rd Friant, CA 93626 (559) 822-6401

Walgreens 41169 Goodwin Way Ste 110 Madera, CA 93636 (559) 353-6300

Madera

Walgreens 2020 W Cleveland Ave Madera, CA 93637 (559) 664-9170

Coarsegold Pharmacy 35300 Highway 41 Ste 101 Coarsegold, CA 93614 (559) 692-2479

Almond Avenue Pharmacy 510 E Almond Ave Madera, CA 93637 (559) 673-9222 CVS Pharmacy $ 1456 E Yosemite Ave Madera, CA 93638 (559) 662-8023 CVS Pharmacy $ 1109 Country Club Dr Madera, CA 93638 (559) 673-0003

Walgreens 1300 W Yosemite Ave Madera, CA 93637 (559) 673-8172 Walmart Pharmacy $ 1977 W Cleveland Ave Madera, CA 93637 (559) 675-7003

Oakhurst

CVS Pharmacy $ 1400 Howard Rd Madera, CA 93637 (559) 661-8380

CVS Pharmacy $ 40044 St Hwy 49 Oakhurst, CA 93644 (559) 642-4227

New Life Pharmacy $ 483 E Almond Ave Ste 102 Madera, CA 93637 (559) 674-4511

Raley's Drug Center 40041 Highway 41 Oakhurst, CA 93644 (559) 683-8360

Rite Aid Pharmacy 335 W Olive Ave Madera, CA 93637 (559) 674-2182

Rite Aid Pharmacy 49060 Road 426 Oakhurst, CA 93644 (559) 683-8882

*Only dispenses 30-day supplies HEALTH NET

Corte Madera Rite Aid Pharmacy 431 Corte Madera Town Center Corte Madera, CA 94925 (415) 924-4557

Greenbrae CVS Pharmacy $ 330 Bon Air Ctr Greenbrae, CA 94904 (415) 461-9093

Larkspur Save Mart Pharmacy 570 Magnolia Ave Larkspur, CA 94939 (415) 924-6738

Mill Valley CVS Pharmacy $ 759 E Blithedale Ave Mill Valley, CA 94941 (415) 389-8891 Pharmaca Intergrative Pharmacy $ 230 E Blithedale Ave Mill Valley, CA 94941 (415) 388-6354

$ Offers preferred cost-sharing - 93 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 701 E Blithedale Ave Mill Valley, CA 94941 (415) 388-2546

Safeway Pharmacy 470 Ignacio Blvd Novato, CA 94949 (415) 883-4616

Safeway Pharmacy 110 Town & Country Village Mill Valley, CA 94941 (415) 383-6800

Target Pharmacy 200 Vintage Way Novato, CA 94945 (415) 985-3103

Safeway Pharmacy 1 Camino Alto Mill Valley, CA 94941 (415) 388-2701

Petaluma

Walgreens 227 Shoreline Hwy Mill Valley, CA 94941 (415) 380-8402

CVS Pharmacy $ 291 N McDowell Blvd Petaluma, CA 94954 (707) 778-8666

Pt Reyes Station West Marin Pharmacy 11 Fourth St Pt Reyes Station, CA 94956 (415) 663-1121

San Anselmo CVS Pharmacy $ 880 Sir Francis Drake Blvd San Anselmo, CA 94960 (415) 456-9900 Walgreens 820 Sir Francis Drake Blvd San Anselmo, CA 94960 (415) 482-0191

Novato

CVS Pharmacy $ 365 E Washington St Petaluma, CA 94952 (707) 778-6722

Costco Pharmacy 300 Vintage Way Novato, CA 94945 (415) 899-1337

PHC Pharmacy $ 1179 N McDowell Blvd Petaluma, CA 94954 (707) 559-7612

CVS Pharmacy $ 909 Grand St San Rafael, CA 94901 (415) 258-1649

CVS Pharmacy $ 2035 Novato Blvd Novato, CA 94947 (415) 897-9917

Raley's Pharmacy 157 N McDowell Blvd Petaluma, CA 94954 (707) 765-9100

CVS Pharmacy $ 442 Las Gallinas Ave San Rafael, CA 94903 (415) 479-9171

CVS Pharmacy $ 1707 Grant Ave Novato, CA 94945 (415) 897-4171

Safeway Pharmacy 373 S McDowell Blvd Petaluma, CA 94954 (707) 762-1479

Marin Medical Pharmacy $ 750 Las Gallinas Ave Ste 104 San Rafael, CA 94903 (415) 479-1930

Pharmaca Integrative Pharmacy $ 7514 Redwood Blvd Novato, CA 94945 (415) 892-3722

Save Mart Pharmacy 939 Lakeville St Petaluma, CA 94952 (707) 762-1036

MCC Pharmacy $ 3110 Kerner Blvd San Rafael, CA 94901 (415) 755-2514

Target Pharmacy 401 Kenilworth Dr Petaluma, CA 94952 (612) 696-8311

Rite Aid Pharmacy 471 3rd St San Rafael, CA 94901 (415) 454-7744

Rite Aid Pharmacy 910 Diablo Ave Novato, CA 94947 (415) 898-1905 *Only dispenses 30-day supplies

San Rafael

$ Offers preferred cost-sharing - 94 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 1500 Northgate Mall San Rafael, CA 94903 (415) 492-0888 Safeway Pharmacy 950 Las Gallinas Ave San Rafael, CA 94903 (415) 472-8221 Target Pharmacy 125 Shoreline Pkwy San Rafael, CA 94901 (415) 299-6113 Walgreens 830 3rd St San Rafael, CA 94901 (415) 455-9919 Walgreens 155 Northgate One San Rafael, CA 94903 (415) 479-2260

Sausalito CVS Pharmacy $ 150 Donahue St Sausalito, CA 94965 (415) 339-0169

Tiburon CVS Pharmacy $ 1599 Tiburon Blvd Tiburon, CA 94920 (415) 435-3843

Mariposa Mariposa

Gualala Pharmacy $ 39200 S Highway 1 Gualala, CA 95445 (707) 884-4107

Pioneer Market Pharmacy 5034 Coakley Cir Ste 200 Mariposa, CA 95338 (209) 742-5550

Laytonville

Rite Aid Pharmacy 5034 Coakley Cir Ste 105 Mariposa, CA 95338 (209) 742-7600

Branscomb Pharmacy Corporation 51 Branscomb Rd Ste 100 Laytonville, CA 95454 (707) 984-8371

Mendocino

Mendocino Fort Bragg CVS Pharmacy $ 150 S Main St Fort Bragg, CA 95437 (707) 961-0464 Fort Bragg Pharmacy 189 Boatyard Dr Fort Bragg, CA 95437 (707) 964-1057

Mendocino Village Pharmacy $ 10481 Lansing Street Mendocino, CA 95460 (707) 937-4800

Point Arena Arena Pharmacy $ 235 Main St Point Arena, CA 95468 (707) 882-3025

Ukiah

Mendocino Coast Pharmacy $ 350 Cypress St Fort Bragg, CA 95437 (707) 962-0800

Blue Drug 707 S Dora St Ukiah, CA 95482 (707) 468-8707

Rite Aid Pharmacy 490 S Main St Fort Bragg, CA 95437 (707) 964-1848

CVS Pharmacy $ 155 Orchard Plaza Ukiah, CA 95482 (707) 462-9751

Safeway Pharmacy 660 S Main St Fort Bragg, CA 95437 (707) 964-4058

Myers Medical Pharmacy $ 260 Hospital Dr Ste 111 Ukiah, CA 95482 (707) 468-1866

*Only dispenses 30-day supplies HEALTH NET

Gualala

$ Offers preferred cost-sharing - 95 -

Retail Pharmacies, including Chain Pharmacies Raley's Drug Center 1325 N State St Ukiah, CA 95482 (707) 468-5156 Rite Aid Pharmacy 680 S State St Ukiah, CA 95482 (707) 462-6850 Safeway Pharmacy 653 S State St Ukiah, CA 95482 (707) 467-2712 Walgreens 308 E Perkins St Ukiah, CA 95482 (707) 462-1265

Merced Atwater Bertelli's Health Mart Pharmacy $ 1473 Broadway Ave Atwater, CA 95301 (209) 358-5622 Castle Pharmacy $ 3605 Hospital Rd Ste H Atwater, CA 95301 (209) 723-1888

Delhi Rol's Delhi Drug Store $ 9724 Stephens St Delhi, CA 95315 (209) 634-0061

Dos Palos Pioneer Drug 1428 Center Ave Dos Palos, CA 93620 (209) 392-1048

Gustine

CVS Pharmacy $ 1651 Bellevue Rd Atwater, CA 95301 (209) 358-3304

Pioneer Drug 397 5th St Gustine, CA 95322 (209) 854-1007

Hilmar

Willits

Rite Aid Pharmacy 571 Bellevue Rd Atwater, CA 95301 (209) 358-6306

Rite Aid Pharmacy 1730 S Main St Willits, CA 95490 (707) 459-0559

Save Mart Pharmacy 1870 Bellevue Rd Atwater, CA 95301 (209) 357-2956

Safeway Pharmacy 845 S Main St Willits, CA 95490 (707) 456-1790

Target Pharmacy 1000 Commerce Ave Atwater, CA 95301 (209) 357-4821

Walmart Pharmacy $ 1155 Airport Park Blvd Ukiah, CA 95482 (707) 468-0171

Dairyland Pharmacy 8298 Lander Ave # N Hilmar, CA 95324 (209) 632-1111 Walgreens 8298 Lander Ave Hilmar, CA 95324 (209) 632-1111

Livingston

Walgreens 2730 Shaffer Rd Atwater, CA 95301 (209) 357-9430

GKN Rx $ 1471 B St Suite:R Livingston, CA 95334 (209) 398-2035

Walmart Pharmacy $ 800 Commerce Ave Atwater, CA 95301 (209) 357-2458

Rite Aid Pharmacy 500 Main St Livingston, CA 95334 (209) 394-8416

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 96 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Los Banos Los Banos Drug Company $ 601 J St Los Banos, CA 93635 (209) 826-5834 Rite Aid Pharmacy 1317 E Pacheco Blvd Los Banos, CA 93635 (209) 826-3036 Target Pharmacy 1405 W Pacheco Blvd Los Banos, CA 93635 (209) 827-2081 Walgreens 1360 E Pacheco Blvd Los Banos, CA 93635 (209) 826-2796 Walmart Pharmacy $ 1575 E Pacheco Blvd Los Banos, CA 93635 (209) 826-9653

Merced Costco Pharmacy 1445 R St Merced, CA 95340 (209) 725-5030 CVS Pharmacy $ 1970 Yosemite Pkwy Merced, CA 95341 (209) 726-4113 CVS Pharmacy $ 300 Merced Mall Merced, CA 95348 (209) 723-4303

El Portal Pharmacy $ 3377 G St Ste B Merced, CA 95340 (209) 384-8880

Walgreens 1640 R St Merced, CA 95340 (209) 722-1645

Golden Valley Pharmacy Merced $ 727 W Childs Ave Merced, CA 95341 (209) 383-5987

Walmart Pharmacy $ 3055 Loughborough Dr Merced, CA 95348 (209) 384-1252

Merced Drug $ 35 E 16th St Merced, CA 95340 (209) 388-1080 Raley's Drug Center 3548 G St Merced, CA 95340 (209) 722-3853 Rite Aid Pharmacy 3142 G St Merced, CA 95340 (209) 383-9086 Rite Aid Pharmacy 1158 W Main St Merced, CA 95340 (209) 383-2404 Save Mart Pharmacy 150 W Olive Ave Merced, CA 95348 (209) 723-1912

San Joaquin Drug $ 9215 E Hwy 140 Ste A Planada, CA 95365 (209) 382-1291

Modoc Alturas Rite Aid Pharmacy 432 N Main St Alturas, CA 96101 (530) 233-3113

Mono Bishop

Save Mart Pharmacy 1300 W Olive Ave Merced, CA 95348 (209) 723-2111

Rite Aid Pharmacy 1375 Rocking W Dr Bishop, CA 93514 (760) 873-7883

Walgreens 3098 G St Merced, CA 95340 (209) 385-3438

Vons Pharmacy 1190 N Main St Bishop, CA 93514 (760) 872-8114

*Only dispenses 30-day supplies HEALTH NET

Planada

$ Offers preferred cost-sharing - 97 -

Retail Pharmacies, including Chain Pharmacies Mammoth Lakes

Greenfield

Monterey

Rite Aid Pharmacy 26 Old Mammoth Rd Mammoth Lakes, CA 93546 (760) 934-8564

Greenfield Pharmacy $ 333 El Camino Real Greenfield, CA 93927 (831) 674-5949

CVS Pharmacy $ 686 Lighthouse Ave Monterey, CA 93940 (831) 655-5411

Vons Pharmacy 481 Old Mammoth Rd Mammoth Lakes, CA 93546 (760) 934-4337

Rite Aid Pharmacy 650 Walnut Ave Greenfield, CA 93927 (831) 674-5565

CVS Pharmacy $ 2170 Fremont St Monterey, CA 93940 (831) 375-5135

King City

Pharmaca Integrative Pharmacy $ 570 Munras Ave Ste 10 Monterey, CA 93940 (831) 333-0751

Monterey Carmel Carmel Drug Store $ Ocean Ave & NW San Carlos Carmel, CA 93921 (831) 624-3819 CVS Pharmacy $ 6 The Crossroads Carmel, CA 93923 (831) 624-0148 Safeway Pharmacy 104 Mid Valley Ctr Carmel, CA 93923 (831) 624-1620 Save Mart Pharmacy 555 Carmel Rancho Blvd Carmel, CA 93923 (831) 624-7339

Gonzales

Rite Aid Pharmacy 540 Canal St King City, CA 93930 (831) 385-0886

Marina CVS Pharmacy $ 268 Reservation Rd Marina, CA 93933 (831) 384-1605 Target Pharmacy 133 General Stillwell Dr Marina, CA 93933 (831) 883-5721 Walgreens 226 Reservation Rd Marina, CA 93933 (831) 384-4700 Walmart Pharmacy $ 150 Beach Rd Marina, CA 93933 (831) 883-9920

Gonzales Rx Pharmacy $ 338 Alta St Gonzales, CA 93926 (831) 675-3643

*Only dispenses 30-day supplies

Rite Aid Pharmacy 1301 Munras Ave Monterey, CA 93940 (831) 375-8900 Safeway Pharmacy 815 Canyon Del Rey Blvd Monterey, CA 93940 (831) 393-2090 Walgreens 416 Alvarado St Monterey, CA 93940 (831) 644-9057

Pacific Grove Central Ave Pharmacy $ 15th & Central Avenue Pacific Grove, CA 93950 (831) 373-1225 Rite Aid Pharmacy 160 Country Club Gate Ctr Pacific Grove, CA 93950 (831) 373-8323

$ Offers preferred cost-sharing - 98 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Safeway Pharmacy 1212 Forest Ave Pacific Grove, CA 93950 (831) 375-3019

CVS Pharmacy $ 1140 S Main St Salinas, CA 93901 (831) 422-8511

Prunedale

CVS Pharmacy $ 17579 Vierra Canyon Rd Salinas, CA 93907 (831) 663-3861

CVS Pharmacy $ 8063 San Miguel Canyon Rd Prunedale, CA 93907 (831) 663-2135

Salinas

CVS Pharmacy $ 347 E Alisal St Salinas, CA 93901 (831) 424-0026

A & O Clinic Pharmacy $ 610 E Romie Ln Ste 1 Salinas, CA 93901 (831) 758-0976

Nob Hill Pharmacy 1320 S Main St Salinas, CA 93901 (831) 759-2163

A And O Compounding Pharmacy $ 680 E Romie Ln Ste E Salinas, CA 93901 (831) 769-0458

Rite Aid Pharmacy 880 Northridge Shopping Ctr Salinas, CA 93906 (831) 449-2481

Alisal Pharmacy $ 323 N Sanborn Rd Salinas, CA 93905 (831) 424-7321

Rite Aid Pharmacy 602 Williams Rd Salinas, CA 93905 (831) 784-1606

Costco Pharmacy 1339 N Davis Rd Salinas, CA 93907 (831) 751-0414

Romie Lane Health Mart Pharmacy $ 505 E Romie Ln Ste H Salinas, CA 93901 (831) 424-0395

CVS Pharmacy $ 110 E Laurel Dr Salinas, CA 93906 (831) 754-1551

Safeway Pharmacy 1516 Constitution Blvd Salinas, CA 93905 (831) 444-3630

CVS Pharmacy $ 662 E Boronda Rd Salinas, CA 93906 (831) 443-0891

Safeway Pharmacy 1546 N Main St Salinas, CA 93906 (831) 442-7502

*Only dispenses 30-day supplies HEALTH NET

Sherman's Apothecary Pharmacy $ 1212 S Main St Ste 101 Salinas, CA 93901 (831) 422-5988 Target Pharmacy 1640 N Main St Salinas, CA 93906 (831) 442-0547 Walgreens 1532 N Main St Salinas, CA 93906 (831) 443-8717 Walgreens 575 N Sanborn Rd Salinas, CA 93905 (831) 751-9319 Walmart Pharmacy $ 1375 N Davis Rd Salinas, CA 93907 (831) 998-9087 Walmart Pharmacy $ 1800 N Main St Salinas, CA 93906 (831) 751-0260

Sand City Costco Pharmacy 801 Tioga Ave Sand City, CA 93955 (831) 899-2481

Seaside Save Mart Pharmacy 2000 California Ave Seaside, CA 93955 (831) 393-1700

$ Offers preferred cost-sharing - 99 -

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 2040 California Ave Seaside, CA 93955 (831) 392-1990 Walgreens 1055 Fremont Blvd Seaside, CA 93955 (831) 393-9231

Soledad CVS Pharmacy $ 2293 H Dela Rosa Sr St Soledad, CA 93960 (831) 678-5110 Soledad Rx Pharmacy $ 547 Front St Soledad, CA 93960 (831) 678-2678

Napa American Canyon Safeway Pharmacy 103 American Canyon Rd American Canyon, CA 94503 (707) 649-5160 Walgreens 210 American Canyon Rd American Canyon, CA 94503 (707) 557-0103 Walmart Pharmacy $ 7011 Main St American Canyon, CA 94503 (707) 557-4195

Calistoga Silverado Pharmacy $ 1473 D Lincoln Avenue Calistoga, CA 94515 (707) 942-5115

Safeway Pharmacy 1620 Clay St Napa, CA 94559 (707) 252-0170

Napa

Save Mart Pharmacy 2355 California Blvd Napa, CA 94559 (707) 253-1643

CVS Pharmacy $ 291 S Coombs St Napa, CA 94559 (707) 252-0101

Save Mart Pharmacy 1312 Trancas St Napa, CA 94558 (707) 255-7400

CVS Pharmacy $ 1558 Trancas St Napa, CA 94558 (707) 253-7918

Walgreens 1685 Trancas St Napa, CA 94558 (707) 257-1154

CVS Pharmacy $ 675 Trancas St Napa, CA 94558 (707) 252-2844

Walmart Pharmacy $ 681 Lincoln Ave Napa, CA 94558 (707) 224-7120

Pharmaca Integrative Pharmacy $ 4020 Bel Aire Plaza Napa, CA 94558 (707) 253-0975

Saint Helena

Raley's Drug Center 217 Soscol Ave Napa, CA 94559 (707) 224-1269 Rite Aid Pharmacy 1491 W Imola Ave Napa, CA 94559 (707) 255-4218 Safeway Pharmacy 3375 Jefferson St Napa, CA 94558 (707) 225-3040

*Only dispenses 30-day supplies

Deer Park Pharmacy 6 Woodland Rd Ste 100 Saint Helena, CA 94574 (707) 963-5209 Smiths Pharmacy 1390 Railroad Ave Saint Helena, CA 94574 (707) 963-2794 Vasconis Pharmacy $ 1381 Main St Saint Helena, CA 94574 (707) 963-1444

$ Offers preferred cost-sharing - 100 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Nevada Grass Valley Chapa De Indian Health Pharmacy 1350 E Main St Grass Valley, CA 95945 (530) 477-1727 CVS Pharmacy $ 12005 Sutton Way Grass Valley, CA 95945 (530) 272-8881 Dokimos East Main Pharmacy $ 640 E Main St Ste 2 Grass Valley, CA 95945 (530) 274-0100 Kmart Pharmacy 111 W McKnight Way Grass Valley, CA 95949 (530) 272-2697 Raley's Drug Center 692A Freeman Ln Grass Valley, CA 95949 (530) 272-2496 Rite Aid Pharmacy 720 Sutton Way Grass Valley, CA 95945 (530) 273-6652 Save Mart Pharmacy 12054 Nevada City Hwy Grass Valley, CA 95945 (530) 477-6857

Walgreens 400 Sutton Way Grass Valley, CA 95945 (530) 271-1021

Nevada City Dokimos Nevada City Pharmacy $ 737 Zion St Nevada City, CA 95959 (530) 470-8854

Penn Valley Pleasant Valley Pharmacy 11260 Pleasant Valley Rd Penn Valley, CA 95946 (530) 432-3921

Truckee CVS Pharmacy $ 11411 Deerfield Dr Truckee, CA 96161 (530) 587-5775 Rite Aid Pharmacy 11230 Donner Pass Rd Truckee, CA 96161 (530) 587-5296 Safeway Pharmacy 11290 Donner Pass Rd Truckee, CA 96161 (530) 582-7952 Tahoe Forest Pharmacy $ 10956 Donner Pass Rd Ste 100 Truckee, CA 96161 (530) 587-7607

Spring Hill Pharmacy $ 102 Catherine Ln Grass Valley, CA 95945 (530) 273-2269 *Only dispenses 30-day supplies HEALTH NET

Orange Aliso Viejo CVS Pharmacy $ 26891 Aliso Creek Rd Aliso Viejo, CA 92656 (949) 360-4081 Target Pharmacy 26932 La Paz Rd Aliso Viejo, CA 92656 (949) 831-6314 Walgreens 26531 Aliso Creek Rd Aliso Viejo, CA 92656 (949) 448-0082

Anaheim Acare Pharmacy 9860 Katella Ave Anaheim, CA 92804 (714) 534-4633 Alpha United Drugs 1240 S Magnolia Ave Anaheim, CA 92804 (714) 220-0373 Alpha United Drugs 515 S Beach Blvd Ste A Anaheim, CA 92804 (714) 821-8959 Altamed Pharmacy 1820 W Lincoln Ave Anaheim, CA 92801 (714) 364-1422

$ Offers preferred cost-sharing - 101 -

Retail Pharmacies, including Chain Pharmacies Anaheim Hills Medical Pharmacy 500 S Anaheim Hills Rd Ste 100 Anaheim, CA 92807 (714) 279-1111 Aum Rx 869 S East St Anaheim, CA 92805 (714) 699-3690 Aum Rx II 710 N Euclid St Suite 103 Anaheim, CA 92801 (714) 495-2779 CVS Pharmacy $ 731 S Weir Canyon Rd Anaheim, CA 92808 (714) 282-8095 CVS Pharmacy $ 2011 E La Palma Ave Anaheim, CA 92806 (714) 991-9161 CVS Pharmacy $ 611 S Brookhurst St Anaheim, CA 92804 (714) 778-3123 CVS Pharmacy $ 270 W Lincoln Ave Anaheim, CA 92805 (714) 774-3827 CVS Pharmacy $ 1676 W Katella Ave Anaheim, CA 92802 (714) 956-5920 CVS Pharmacy $ 5735 E La Palma Ave Anaheim, CA 92807 (714) 779-2483

CVS Pharmacy $ 460 S Anaheim Hills Rd Anaheim, CA 92805 (714) 921-0275

Pharmacy Plus $ 1012 N Euclid St Anaheim, CA 92801 (714) 956-3741

CVS Pharmacy $ 510 S Beach Blvd Anaheim, CA 92804 (714) 226-9393

Rite Aid Pharmacy 560 E Santa Ana St Anaheim, CA 92805 (714) 998-4801

Elim Pharmacy 3340 W Ball Rd Anaheim, CA 92804 (714) 220-1139

Rite Aid Pharmacy 921 S Brookhurst St Anaheim, CA 92804 (714) 772-0240

King's Pharmacy 1834 W Lincoln Ave Ste N Anaheim, CA 92801 (714) 687-9090

Rite Aid Pharmacy 2120 E Lincoln Ave Anaheim, CA 92806 (714) 533-9963

Life Care Pharmacy $ 947 S Anaheim Blvd Ste 108 Anaheim, CA 92805 (714) 533-2157

Rx Plus 1425 E Lincoln Ave Ste B Anaheim, CA 92805 (714) 776-1020

Medcare Pharmacy 1285 N Euclid St Anaheim, CA 92801 (714) 491-7472

Sav-On Pharmacy $ 810 S State College Blvd Anaheim, CA 92806 (714) 533-4820

Medical Arts Rexall Pharmacy $ 1120 W La Palma Ave Ste 1 Anaheim, CA 92801 (714) 776-2800

Specenterum PharmacyAnaheim 1236 N Magnolia Ave Anaheim, CA 92801 (714) 826-6246

Pavilions Pharmacy 8010 E Santa Ana Canyon Rd Anaheim, CA 92808 (714) 282-7056 Pharmacy For Living Well 1313 S Harbor Bl, Bld H-8 2Flr Anaheim, CA 92802 (714) 224-0164

*Only dispenses 30-day supplies

Sun Rx Pharmacy 2415 W Lincoln Ave Ste B Anaheim, CA 92801 (714) 827-6979 Target Pharmacy 8148 E Santa Ana Canyon Rd Anaheim, CA 92808 (714) 921-9091

$ Offers preferred cost-sharing - 102 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 101 S Euclid St Anaheim, CA 92802 (714) 422-1121

Walgreens 946 S Brookhurst St Anaheim, CA 92804 (714) 520-5575

Rite Aid Pharmacy 405 W Imperial Hwy Brea, CA 92821 (714) 529-2176

The Pharmacy $ 3055 W Orange Ave Ste 108 Anaheim, CA 92804 (714) 995-4161

Walgreens 2560 W Ball Rd Anaheim, CA 92804 (714) 229-9081

Sav-On Pharmacy $ 2500 E Imperial Hwy Brea, CA 92821 (714) 671-0656

Tru Care Pharmacy 2571 W La Palma Ave # A Anaheim, CA 92801 (714) 576-5875

Walmart Pharmacy $ 440 N Euclid St Anaheim, CA 92801 (714) 491-1778

Target Pharmacy 855 E Birch St Brea, CA 92821 (714) 989-5014

Vista Drugs 931 S Euclid St Anaheim, CA 92802 (714) 533-1337

Walmart Pharmacy $ 88 E Orangethorpe Ave Anaheim, CA 92801 (714) 626-0014

Walmart Pharmacy $ 2595 E Imperial Hwy Brea, CA 92821 (714) 529-5394

Vital Health Plus Pharmacy 1172 N Euclid St Anaheim, CA 92801 (714) 817-8500

Walmart Pharmacy $ 1120 S Anaheim Blvd Anaheim, CA 92805 (657) 208-5384

Watts Clinic Pharmacy 480 Apollo St Ste C Brea, CA 92821 (714) 926-7131

Walgreens 128 S State College Blvd Anaheim, CA 92806 (714) 778-2519

Walmart Pharmacy $ 121 N Beach Ave Anaheim, CA 92801 (714) 822-3180

Buena Park

Walgreens 3446 W Ball Rd Anaheim, CA 92804 (714) 821-3112

Brea

A Plus Pharmacy 6888 Lincoln Ave Ste J Buena Park, CA 90620 (714) 821-7788

Fishers Brea Pharmacy 385 W Central Ave Ste E Brea, CA 92821 (714) 529-2113

Beach Medical Pharmacy $ 5230 Beach Blvd Buena Park, CA 90621 (562) 947-8811

Heritage Compounding Pharmacy 2903 Saturn St Ste A Brea, CA 92821 (714) 579-1636

Best Care Pharmacy 5317 Beach Blvd Buena Park, CA 90621 (714) 670-7979

Walgreens 1720 W La Palma Ave Anaheim, CA 92801 (714) 991-3082 Walgreens 10842 Katella Ave # A Anaheim, CA 92804 (714) 808-0126

PharMedQuest Pharmacy 451 W Lambert Rd # 209 Brea, CA 92821 (714) 364-1422

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 8850 Valley View St Buena Park, CA 90620 (714) 827-7321 $ Offers preferred cost-sharing

- 103 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 7065 La Palma Ave Buena Park, CA 90620 (714) 228-2085 Earth Village Pharmacy $ 5161 Beach Blvd Ste C Buena Park, CA 90621 (714) 228-9212 Rite Aid Pharmacy 8998 Knott Ave Buena Park, CA 90620 (714) 828-1370

Corona Del Mar Medi-Rx Pharmacy 2865 E Coast Hwy Ste 150 Corona Del Mar, CA 92625 (949) 644-7575 Rite Aid Pharmacy 3141 E Coast Hwy Corona Del Mar, CA 92625 (949) 675-0414

Ramsay Rexall Drugs $ 2246 Newport Blvd Costa Mesa, CA 92627 (949) 646-7744 Rite Aid Pharmacy 3029 Harbor Blvd Costa Mesa, CA 92626 (714) 434-7485

Costa Mesa

Rite Aid Pharmacy 2300 Harbor Blvd Costa Mesa, CA 92626 (949) 645-7236

Rite Aid Pharmacy 8030 Dale St Buena Park, CA 90620 (714) 527-2396

CVS Pharmacy $ 2701 Harbor Blvd Bldg B Costa Mesa, CA 92626 (714) 438-1110

Rite Aid Pharmacy 211 E 17th St Costa Mesa, CA 92627 (949) 646-4960

Rite Aid Pharmacy 4520 Beach Blvd Buena Park, CA 90621 (714) 523-2960

CVS Pharmacy $ 1150 Baker St Costa Mesa, CA 92626 (714) 662-7517

Stevens Pharmacy $ 1525 Mesa Verde Dr E Costa Mesa, CA 92626 (714) 540-8911

Sav-On Pharmacy $ 8800 Valley View St Buena Park, CA 90620 (714) 947-9980

CVS Pharmacy $ 1835 Newport Blvd # C Costa Mesa, CA 92627 (949) 722-1749

Target Pharmacy 3030 Harbor Blvd Costa Mesa, CA 92626 (714) 979-6743

Target Pharmacy 7530 Orangethorpe Ave Buena Park, CA 90621 (714) 676-0014

CVS Pharmacy $ 175 E 17th St Costa Mesa, CA 92627 (949) 631-9223

Vista Drug 821 W 19th St Costa Mesa, CA 92627 (949) 642-4500

Walgreens 7878 Crescent Ave Buena Park, CA 90620 (714) 226-0238

Harbor Compound And Home Health Pharmacy $ 2000 Harbor Blvd Ste C100 Costa Mesa, CA 92627 (949) 642-0106

White Front Drug And Discount $ 801-B Baker St Costa Mesa, CA 92626 (714) 540-2882

Ralphs $ 380 E 17th St Costa Mesa, CA 92627 (949) 645-1277

Cypress

Walmart Pharmacy $ 8450 La Palma Ave Buena Park, CA 90620 (714) 484-3555

*Only dispenses 30-day supplies

Costco Pharmacy 5401 Katella Ave Cypress, CA 90630 (562) 668-5178 $ Offers preferred cost-sharing

- 104 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 5501 Ball Rd Cypress, CA 90630 (714) 484-3502 Rite Aid Pharmacy 4037 Ball Rd Cypress, CA 90630 (714) 821-1750 Target Pharmacy 6824 Katella Ave Cypress, CA 90630 (714) 484-7557 Walgreens 6006 Lincoln Ave Cypress, CA 90630 (714) 821-0669 Walgreens 5005 Ball Rd Cypress, CA 90630 (714) 886-1079

Dana Point CVS Pharmacy $ 32900 Pacific Coast Hwy Dana Point, CA 92629 (949) 489-9030 CVS Pharmacy $ 32575 Golden Lantern St Dana Point, CA 92629 (949) 248-4803 Rite Aid Pharmacy 24829 Del Prado Dana Point, CA 92629 (949) 493-4288 Sav-On Pharmacy $ 33601 Del Obispo St Dana Point, CA 92629 (949) 496-9490

Foothill Ranch CVS Pharmacy $ 26686 Portola Pkwy Foothill Ranch, CA 92610 (949) 470-4630 Foothill Ranch Medical Plaza Pharmacy 26750 Towne Centre Dr Ste C Foothill Ranch, CA 92610 (949) 586-6337 Ralphs Pharmacy $ 26751 Portola Pkwy Foothill Ranch, CA 92610 (949) 457-0690 Target Pharmacy 26762 Portola Pkwy Foothill Ranch, CA 92610 (949) 454-0327 Walmart Pharmacy $ 26502 Towne Centre Dr Foothill Ranch, CA 92610 (949) 837-0504

Fountain Valley Care One Pharmacy 9043 Garfield Ave Fountain Valley, CA 92708 (714) 962-4010 Costco Pharmacy 17900 Newhope St Fountain Valley, CA 92708 (714) 434-0344 CVS Pharmacy $ 17136 Magnolia St Fountain Valley, CA 92708 (714) 847-6054

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 9930 Talbert Ave Fountain Valley, CA 92708 (714) 968-3308 Fountain Valley Central Pharmacy 11055 Warner Ave Fountain Valley, CA 92708 (714) 839-5115 Fountain Valley Med Center Pharmacy $ 11100 Warner Ave Fountain Valley, CA 92708 (714) 979-9600 Harbor Pharmacy 16040 Harbor Blvd Ste K Fountain Valley, CA 92708 (714) 531-9988 Rite Aid Pharmacy 18395 Brookhurst St Fountain Valley, CA 92708 (714) 965-1973 Rite Aid Pharmacy 17904 Magnolia St Fountain Valley, CA 92708 (714) 962-9713 Sam's Club Pharmacy $ 17099 Brookhurst St Fountain Valley, CA 92708 (714) 965-0958 Sav-On Express $ 18545 Brookhurst St Fountain Valley, CA 92708 (714) 378-0174 Tao Wellness Pharmacy 16931 Bushard St Fountain Valley, CA 92708 (714) 593-5654 $ Offers preferred cost-sharing

- 105 -

Retail Pharmacies, including Chain Pharmacies TLC Xpress Pharmacy $ 10810 Warner Ave Ste 3 Fountain Valley, CA 92708 (714) 465-2431

CVS Pharmacy $ 1823 W Orangethorpe Ave Fullerton, CA 92833 (714) 871-3040

Ralphs $ 1121 N Harbor Blvd Fullerton, CA 92832 (714) 992-6313

Trinity Mission Pharmacy $ 16569 Brookhurst St Fountain Valley, CA 92708 (714) 839-3033

CVS Pharmacy $ 2200 N Harbor Blvd (NEC) Fullerton, CA 92835 (714) 446-9421

Regional Pain Treatment Center 295 Imperial Hwy Ste 100 Fullerton, CA 92835 (714) 770-8300

Walgreens 15990 Brookhurst St Fountain Valley, CA 92708 (714) 775-3974

CVS Pharmacy $ 1751 N Euclid St Fullerton, CA 92835 (714) 879-9551

Rite Aid Pharmacy 1035 W Orangethorpe Ave Fullerton, CA 92833 (714) 773-9615

Walgreens 10990 Warner Ave Fountain Valley, CA 92708 (714) 962-7200

CVS Pharmacy $ 312 N Euclid St Fullerton, CA 92832 (714) 870-1444

Rite Aid Pharmacy 3300 Yorba Linda Blvd Fullerton, CA 92831 (714) 524-2522

Walgreens 16201 Harbor Blvd Fountain Valley, CA 92708 (714) 839-3496

CVS Pharmacy $ 455 N State College Blvd Fullerton, CA 92831 (714) 871-6700

Sav-On Drugs $ 1930 N Placentia Ave Fullerton, CA 92831 (714) 792-0990

Wellcare Rx 9114 Edinger Ave Fountain Valley, CA 92708 (714) 841-6700

Fullerton Medical Pharmacy $ 1401 S Brookhurst Rd Ste 101 Fullerton, CA 92833 (714) 992-4908

Sav-On Pharmacy $ 2291 W Malvern Ave Fullerton, CA 92833 (714) 992-6739

Fullerton

Howard's Shoprite United Drug 731 N Placentia Ave Fullerton, CA 92831 (714) 996-4642

Sunny Hills Pharmacy $ 1907 Sunnycrest Dr Fullerton, CA 92835 (714) 871-8190

King's Pharmacy And Compounding Center 1950 Sunnycrest Dr Ste 1200 Fullerton, CA 92835 (714) 879-5464

Super Rx Pharmacy 1040 E Bastanchury Rd Fullerton, CA 92835 (714) 674-0900

Bens Val Mesa Pharmacy 100 E Valencia Mesa Dr Fullerton, CA 92835 (714) 992-1234 Central Drugs $ 1955 Sunnycrest Dr Ste 100 Fullerton, CA 92835 (714) 515-1530 Costco Pharmacy 900 S Harbor Blvd Fullerton, CA 92832 (714) 447-9502

Quality Pharmacy 2605 W Orangethorpe Ave Fullerton, CA 92833 (714) 449-0448

*Only dispenses 30-day supplies

Target Pharmacy 200 W Orangethorpe Ave Fullerton, CA 92832 (714) 992-4619

$ Offers preferred cost-sharing - 106 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 1893 W Malvern Ave Fullerton, CA 92833 (714) 278-9022

Cal Pharmacy $ 9746 Westminster Ave Ste D4 Garden Grove, CA 92844 (714) 636-1881

Kaju Pharmacy $ 8887 Garden Grove Blvd Garden Grove, CA 92844 (714) 539-6631

Walgreens 1826 W Orangethorpe Ave Fullerton, CA 92833 (714) 526-9257

Cali Care Pharmacy 10278 Westminster Ave Garden Grove, CA 92843 (714) 537-7291

Kim Pharmacy $ 9828 Garden Grove Blvd Ste 101 Garden Grove, CA 92844 (714) 534-4555

Walgreens 1250 E Chapman Ave Fullerton, CA 92831 (714) 680-9124

Costco Pharmacy 11000 Garden Grove Blvd Garden Grove, CA 92843 (714) 638-6311

Lam Pharmacy $ 10900 Westminster Ave Ste 1 Garden Grove, CA 92843 (714) 537-0325

Garden Grove

CVS Pharmacy $ 12031 Brookhurst St Garden Grove, CA 92840 (714) 530-5280

Manna Pharmacy $ 10402 Westminster Ave Ste C Garden Grove, CA 92843 (714) 534-4133

DSK $ 9580 Garden Grove Blvd Ste 108 Garden Grove, CA 92844 (714) 537-6619

Maria Pharmacy 13872 Harbor Blvd # 1A Garden Grove, CA 92843 (714) 554-4754

Garden Grove Community Pharmacy $ 12665 Garden Grove Blvd # 108 Garden Grove, CA 92843 (714) 530-1130

Maxine Pharmacy $ 10106 Westminster Ave Garden Grove, CA 92843 (714) 590-6046

Advanced Healthcare Pharmacy 13129 Brookhurst St Garden Grove, CA 92843 (714) 530-8088 Altamed Pharmacy 12751 Harbor Blvd Garden Grove, CA 92840 (714) 364-1422 Americare Plus Pharmacy 14211 Euclid St Ste A Garden Grove, CA 92843 (714) 530-3833 An Pharmacy 10963 Westminster Blvd Garden Grove, CA 92843 (714) 638-5565

Grove Harbor Med Center Pharmacy $ 12555 Garden Grove Blvd Ste102 Garden Grove, CA 92843 (714) 636-0593

Ana Pharmacy $ 10191 Westminster Ave Garden Grove, CA 92843 (714) 530-3784

Hau Giang Pharmacy 14411 Brookhurst St Ste F Garden Grove, CA 92843 (714) 839-1115

Apple Pharmacy 12440 Brookhurst St Garden Grove, CA 92840 (714) 537-8099

Hongs Pharmacy 8883 Westminster Ave Garden Grove, CA 92844 (714) 890-0331

*Only dispenses 30-day supplies HEALTH NET

Med Pros Pharmacy & Med Supplies $ 12582 Garden Grove Blvd Garden Grove, CA 92843 (714) 638-4843 MTM Pharmacy 12666 Brookhurst St Ste 110 Garden Grove, CA 92840 (714) 705-6992 Natico Pharmacy 10212 Westminster Ave Ste 109 Garden Grove, CA 92843 (714) 534-1020

$ Offers preferred cost-sharing - 107 -

Retail Pharmacies, including Chain Pharmacies OC Pharmacy $ 14150 Brookhurst St Garden Grove, CA 92843 (714) 590-9401

Tran Pharmacy 9856 Westminster Ave # 123 Garden Grove, CA 92844 (714) 539-3900

Walmart Pharmacy $ 11822 Gilbert St Garden Grove, CA 92841 (714) 591-1307

Procare Pharmacy 9191 Westminster Ave Garden Grove, CA 92844 (714) 899-1111

Trucare Pharmacy 12918 Harbor Blvd Garden Grove, CA 92840 (714) 583-9550

Huntington Beach

Rite Aid Pharmacy 11961 Valley View St Garden Grove, CA 92845 (714) 892-1457

Value Scripts Pharmacy 7761 Garden Grove Blvd Garden Grove, CA 92841 (714) 891-5280

Rite Aid Pharmacy 12491 Valley View St Garden Grove, CA 92845 (714) 894-9230

Van United Drugs 14441 Brookhurst St Ste 4 Garden Grove, CA 92843 (714) 775-1789

Rite Aid Pharmacy 12897 Harbor Blvd Garden Grove, CA 92840 (714) 636-1143

VN Drugs $ 13075 Harbor Blvd Garden Grove, CA 92843 (714) 638-2888

Rite Aid Pharmacy 13822 Brookhurst St Garden Grove, CA 92843 (714) 530-3136

Walgreens 12002 Harbor Blvd Garden Grove, CA 92840 (714) 663-2850

Target Pharmacy 12100 Harbor Blvd Garden Grove, CA 92840 (714) 971-4826

Walgreens 12001 Euclid St Garden Grove, CA 92840 (714) 530-1071

Target Pharmacy 13831 Brookhurst St Garden Grove, CA 92843 (714) 534-2142

Walgreens 11950 Valley View St Garden Grove, CA 92845 (714) 893-4196

Tran Pharmacy 14291 Euclid St Ste D104 Garden Grove, CA 92843 (714) 554-3320

Walmart Pharmacy $ 10912 Katella Ave Garden Grove, CA 92840 (714) 620-3827

*Only dispenses 30-day supplies

Beach Professional Pharmacy $ 17742 Beach Blvd Ste 100 Huntington Beach, CA 92647 (714) 848-4447 Costco Pharmacy 7562 Center Ave Huntington Beach, CA 92647 (714) 372-7511 CVS Pharmacy $ 16961 Beach Blvd Huntington Beach, CA 92647 (714) 841-3591 CVS Pharmacy $ 155 5th St Ste 175 Huntington Beach, CA 92648 (714) 536-6145 CVS Pharmacy $ 15520 Goldenwest St Huntington Beach, CA 92647 (714) 373-4352 CVS Pharmacy $ 7191 Warner Ave Huntington Beach, CA 92647 (714) 841-5118 CVS Pharmacy $ 19121 Beach Blvd Huntington Beach, CA 92648 (714) 848-1522 CVS Pharmacy $ 5822 Edinger Ave Huntington Beach, CA 92649 (714) 846-2824 $ Offers preferred cost-sharing

- 108 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 10011 Adams Ave Huntington Beach, CA 92646 (714) 963-8391

Sav-On Pharmacy $ 19640 Beach Blvd Huntington Beach, CA 92648 (714) 964-7989

Walgreens 19501 Beach Blvd Huntington Beach, CA 92648 (714) 969-1368

CVS Pharmacy $ 18872 Beach Blvd Huntington Beach, CA 92648 (714) 378-1452

Super Rx Pharmacy 10114 Adams Ave Huntington Beach, CA 92646 (714) 593-3700

Walgreens 4935 Warner Ave Huntington Beach, CA 92649 (714) 377-3756

CVS Pharmacy $ 16922 Bolsa Chica St Huntington Beach, CA 92649 (714) 377-8956

Target Pharmacy 9882 Adams Ave Huntington Beach, CA 92646 (714) 849-1815

Walmart Pharmacy $ 8260 Talbert Ave Huntington Beach, CA 92646 (714) 841-3681

E-Z Care Pharmacy 18682 Beach Blvd #115 Huntington Beach, CA 92648 (714) 968-2000

The Druggist $ 21421 Brookhurst St Huntington Beach, CA 92646 (714) 963-4552

Walmart Pharmacy $ 21132 Beach Blvd Huntington Beach, CA 92648 (714) 274-4499

Medical Towers Pharmacy $ 17822 Beach Blvd Huntington Beach, CA 92647 (714) 847-6084

The Druggist $ 16881 Algonquin St Huntington Beach, CA 92649 (714) 846-0688

West Pharmacy $ 18061 Beach Blvd Huntington Beach, CA 92648 (714) 842-5390

Ralphs Pharmacy $ 19081 Goldenwest St Huntington Beach, CA 92648 (714) 960-3102

Vons Pharmacy 8891 Atlanta Ave Huntington Beach, CA 92646 (714) 960-9640

Irvine

Rite Aid Pharmacy 5881 Warner Ave Huntington Beach, CA 92649 (714) 846-5291

Walgreens 6012 Warner Ave Huntington Beach, CA 92647 (714) 375-5443

Sav-On Pharmacy $ 16600 Bolsa Chica St Huntington Beach, CA 92649 (714) 846-1381

Walgreens 17522 Beach Blvd Huntington Beach, CA 92647 (714) 596-5272

Sav-On Pharmacy $ 7201 W Yorktown Ave Huntington Beach, CA 92648 (714) 536-3679

Walgreens 19001 Brookhurst St Huntington Beach, CA 92646 (714) 593-1352

*Only dispenses 30-day supplies HEALTH NET

Apothera $ 45 Post St Ste B Irvine, CA 92618 (949) 387-7711 Bristol Pharmacy 250 E Yale Loop Ste C Irvine, CA 92604 (949) 654-7904 Costco Pharmacy 115 Technology Dr Irvine, CA 92618 (949) 453-9733 CVS Pharmacy $ 17625 Harvard Ave Irvine, CA 92614 (949) 261-5690 $ Offers preferred cost-sharing

- 109 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 14330 Culver Dr Irvine, CA 92604 (949) 559-8129

Medical Center Pharmacy $ 4950 Barranca Pkwy Ste 102 Irvine, CA 92604 (949) 857-2141

Rite Aid Pharmacy 3875 Alton Pkwy Irvine, CA 92606 (949) 250-4465

CVS Pharmacy $ 6775 Quail Hill Pkwy Irvine, CA 92603 (949) 823-8915

Medlife Pharmacy & Compounding $ 6644 Irvine Center Dr Irvine, CA 92618 (949) 502-7272

Sav-On Drugs $ 14201 Jeffrey Rd Irvine, CA 92620 (949) 733-0945

CVS Pharmacy $ 3949 Portola Pkwy Irvine, CA 92602 (714) 508-7527 CVS Pharmacy $ 5385 Alton Pkwy Irvine, CA 92604 (949) 733-8226 CVS Pharmacy $ 3981 Irvine Blvd Irvine, CA 92602 (714) 368-0991 CVS Pharmacy $ 15333 Culver Dr Ste 300 Irvine, CA 92604 (949) 654-2600 Global Rx And Compounding 4720 Barranca Pkwy Irvine, CA 92604 (949) 552-3111 Irvine Medical Center Pharmacy $ 16300 Sand Canyon Ave Ste 101 Irvine, CA 92618 (949) 453-9789 Irvine Medical Pharmacy 14130 Culver Dr Ste D Irvine, CA 92604 (949) 552-7777

Mesa Pharmacy VII 18013 Sky Park Cir Ste D Irvine, CA 92614 (949) 955-2975 Orange County Compounding Pharmacy 6865 Alton Pkwy Ste 120 Irvine, CA 92618 (949) 612-6088 Park Pharmacy 9257 Research Dr Irvine, CA 92618 (949) 551-7195 Pavillons Pharmacy 3901 Portola Parkway Irvine, CA 92602 (714) 544-3236 Payless Pharmacy $ 113 Waterworks Way # 160 Irvine, CA 92618 (949) 788-9990 Ralphs $ 6300 Irvine Blvd Irvine, CA 92620 (949) 559-1739 Rite Aid Pharmacy 18112 Culver Dr Irvine, CA 92612 (949) 786-0151

*Only dispenses 30-day supplies

Sav-On Pharmacy $ 4541 Campus Dr Irvine, CA 92612 (949) 854-8280 Specenterum Pharmacy $ 18 Endeavor Ste 100 Irvine, CA 92618 (949) 679-7288 Target Pharmacy 3750 Barranca Pkwy Irvine, CA 92606 (949) 857-8337 Target Pharmacy 13200 Jamboree Rd Irvine, CA 92602 (714) 838-7433 Target Pharmacy 115 Fortune Dr Irvine, CA 92618 (949) 885-0115 University Of Ca-Student Health Pharmacy 501 Student Health Services Irvine, CA 92697 (949) 824-1440 Value Rx Pharmacy 22 Odyssey # 135 Irvine, CA 92618 (949) 387-1133

$ Offers preferred cost-sharing - 110 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 5695 Alton Pkwy Irvine, CA 92618 (217) 554-8924 Walgreens 6316 Irvine Blvd Irvine, CA 92620 (949) 451-1563 Walmart Pharmacy $ 16555 Von Karman Ave Ste A Irvine, CA 92606 (949) 623-7470 Walmart Pharmacy $ 71 Technology Dr Irvine, CA 92618 (949) 623-6594 Walnut Village Pharmacy 14433 Culver Dr Irvine, CA 92604 (949) 551-4343

La Habra Central Drugs $ 520 W La Habra Blvd La Habra, CA 90631 (562) 691-6754 Costco Pharmacy 101 N Beach Blvd La Habra, CA 90631 (562) 524-0029 CVS Pharmacy #10223 $ 1151 S Harbor Blvd La Habra, CA 90631 (714) 773-0841 CVS Pharmacy $ 1387 W Whittier Blvd La Habra, CA 90631 (562) 691-1721

Professional Compounding Pharmacy 721 W Whittier Blvd Ste H La Habra, CA 90631 (562) 694-5100 Rite Aid Pharmacy 951 N Harbor Blvd La Habra, CA 90631 (562) 697-4718 Rite Aid Pharmacy 1700 W Whittier Blvd La Habra, CA 90631 (562) 694-4367 Sam's Club Pharmacy $ 1390 S Beach Blvd La Habra, CA 90631 (562) 697-9324 Target Pharmacy 1000 E Imperial Hwy La Habra, CA 90631 (714) 870-6289 Vons Pharmacy 2101 W Imperial Hwy La Habra, CA 90631 (562) 905-2805 Walgreens 2000 W Whittier Blvd La Habra, CA 90631 (562) 690-5567 Walgreens 101 W Imperial Hwy La Habra, CA 90631 (714) 447-9576 Walmart Pharmacy $ 1000 E Imperial Hwy La Habra, CA 90631 (714) 869-0539

*Only dispenses 30-day supplies HEALTH NET

Walmart Pharmacy $ 1340 S Beach Blvd La Habra, CA 90631 (562) 694-4587

La Palma Grace Community Pharmacy $ 4881 La Palma Ave La Palma, CA 90623 (562) 860-0586 La Palma Towers Pharmacy $ 5451 La Palma Ave Ste 17 La Palma, CA 90623 (714) 522-7791 Walgreens 5961 La Palma Ave La Palma, CA 90623 (714) 229-0542 Walmart Pharmacy $ 5420 La Palma Ave La Palma, CA 90623 (714) 822-3155

Ladera Ranch CVS Pharmacy $ 27702 Crown Valley Pkwy Ste I Ladera Ranch, CA 92694 (949) 364-1430 CVS Pharmacy $ 25622 Crown Valley Pkwy Ladera Ranch, CA 92694 (949) 347-6751 Pavilions Pharmacy 25636 Crown Valley Pkwy Ladera Ranch, CA 92694 (949) 429-5405

$ Offers preferred cost-sharing - 111 -

Retail Pharmacies, including Chain Pharmacies Sav-On Pharmacy $ 27702 Crown Valley Pkwy Ste B Ladera Ranch, CA 92694 (949) 364-2098

Dial Drug 24261 Avenida De Carlota #Q2 Laguna Hills, CA 92653 (949) 588-7900

Walgreens 24081 El Toro Rd Laguna Hills, CA 92653 (949) 206-9632

Laguna Beach

Moulton Plaza Pharmacy 23665 Moulton Pkwy Ste A Laguna Hills, CA 92653 (949) 768-3784

Laguna Niguel

Bushard's Pharmacy $ 244 Forest Ave Laguna Beach, CA 92651 (949) 494-1059 CVS Pharmacy $ 30842 S Pacific Coast Laguna Beach, CA 92677 (949) 499-2277 Laguna Drug $ 239 Broadway St Laguna Beach, CA 92651 (949) 715-9202 Laguna Sunset Drug 944 Glenneyre St Laguna Beach, CA 92651 (949) 494-6585 Pavilions Pharmacy 600 N Coast Hwy Laguna Beach, CA 92651 (949) 376-3383 South Coast Center West Pharmacy 31852 Coast Hwy Ste 103 Laguna Beach, CA 92651 (949) 499-0885

Laguna Hills Custom Healthcare Compound Pharmacy $ 24022 Calle De La Plata # 510 Laguna Hills, CA 92653 (949) 595-2273

Ralphs $ 25539 Paseo De Valencia Laguna Hills, CA 92653 (949) 951-1018 Rite Aid Pharmacy 24330 El Toro Rd Laguna Hills, CA 92637 (949) 830-0391 Saddleback Medical Arts Pharmacy 24953 Paseo De Valencia #17B Laguna Hills, CA 92653 (949) 581-9840 Saddleback Valley Pharmacy 23961 Calle Dela Magdalena 100 Laguna Hills, CA 92653 (949) 380-8700 Seena Pharmacy $ 24731 Alicia Pkwy Ste B Laguna Hills, CA 92653 (949) 462-9700 Taj Mahal Medical Center Pharmacy 23521 Paseo De Valencia #115A Laguna Hills, CA 92653 (949) 586-4575 Vons Pharmacy 24270 El Toro Rd Laguna Hills, CA 92637 (949) 581-5371

*Only dispenses 30-day supplies

Costco Pharmacy 27972 Cabot Rd Laguna Niguel, CA 92677 (949) 364-0601 Costco Pharmacy 27220 Heather Ridge Rd Laguna Niguel, CA 92677 (949) 389-8702 CVS Pharmacy $ 28221 Crown Valley Pkwy Laguna Niguel, CA 92677 (949) 831-2011 CVS Pharmacy $ 29995 Alicia Pkwy Laguna Niguel, CA 92677 (949) 495-2383 CVS Pharmacy $ 30261 Golden Lantern Laguna Niguel, CA 92677 (949) 363-0482 CVS Pharmacy $ 27251 La Paz Rd Laguna Niguel, CA 92677 (949) 831-4313 Ralphs $ 27871 La Paz Rd Laguna Niguel, CA 92677 (949) 360-0201 Rite Aid Pharmacy 30222 Crown Valley Pkwy Laguna Niguel, CA 92677 (949) 495-5823 $ Offers preferred cost-sharing

- 112 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies The Druggist $ 24022 Aliso Creek Rd Laguna Niguel, CA 92677 (949) 643-0740 Vons Pharmacy 27320 Alicia Pkwy Laguna Niguel, CA 92677 (949) 448-9537 Walgreens 30192 Town Center Dr Laguna Niguel, CA 92677 (949) 495-8414 Walgreens 27982 La Paz Rd Laguna Niguel, CA 92677 (949) 360-8215 Walmart Pharmacy $ 27470 Alicia Pkwy Laguna Niguel, CA 92677 (949) 360-0923

Lake Forest CVS Pharmacy $ 21761 Lake Forest Dr Lake Forest, CA 92630 (949) 855-0144 CVS Pharmacy $ 24372 Rockfield Blvd Lake Forest, CA 92630 (949) 830-5090 CVS Pharmacy $ 24271 Muirlands Blvd Lake Forest, CA 92630 (949) 472-6016 CVS Pharmacy $ 23330 El Toro Rd Lake Forest, CA 92630 (949) 830-4422

Laguna Woods

Pars Pharmacy 23762 Mercury Rd Ste A Lake Forest, CA 92630 (949) 716-2300

CVS Pharmacy $ 24167 Paseo De Valencia Laguna Woods, CA 92637 (949) 586-3503

Ralphs Pharmacy $ 23716 El Toro Rd Lake Forest, CA 92630 (949) 380-1009

El Toro Pharmacy $ 24310 Moulton Pkwy Ste G Laguna Woods, CA 92637 (949) 586-3664

Rite Price Pharmacy $ 23653 El Toro Rd Lake Forest, CA 92630 (949) 586-7780

Laguna Compounding Pharmacy 24902 Moulton Pkwy Ste 110 Laguna Woods, CA 92637 (949) 215-8448

Super Rx Pharmacy 22351 El Toro Rd Lake Forest, CA 92630 (949) 462-9696 Walgreens 24382 Muirlands Blvd Lake Forest, CA 92630 (949) 598-9088

*Only dispenses 30-day supplies HEALTH NET

Walgreens 22477 El Toro Rd Lake Forest, CA 92630 (949) 855-9832

Los Alamitos Compounding Corner Pharmacy $ 4292 Katella Ave Los Alamitos, CA 90720 (562) 431-2308 CVS Pharmacy $ 3401 Katella Ave Los Alamitos, CA 90720 (562) 430-2026 Los Alamitos Pharmacy $ 3801 Katella Ave Ste 120 Los Alamitos, CA 90720 (562) 431-2505 Rite Aid Pharmacy 11172 Los Alamitos Blvd Los Alamitos, CA 90720 (562) 430-3323 So-Low Drugs, INC. 11270 Los Alamitos Blvd Los Alamitos, CA 90720 (562) 596-2729

Mission Viejo Cal-Med Pharmacy $ 24031 Marguerite Pkwy Ste A Mission Viejo, CA 92692 (949) 586-1700 CVS Pharmacy $ 27750 Santa Margarita Pkwy Mission Viejo, CA 92691 (949) 770-9898

$ Offers preferred cost-sharing - 113 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 26851 Trabuco Rd Mission Viejo, CA 92691 (949) 581-5990

Saddleback Pharmacy $ 28251 Marguerite Pkwy Ste D Mission Viejo, CA 92692 (949) 276-8777

Best Choice Pharmacy 4229 Birch St Ste 100 Newport Beach, CA 92660 (949) 724-4000

CVS Pharmacy $ 28781 Los Alisos Blvd Mission Viejo, CA 92692 (949) 595-0501

Sav-On Drugs $ 25872 Muirlands Blvd Mission Viejo, CA 92691 (949) 455-1961

CA Pharmacy & Compounding Center $ 4000 Birch St Ste 120 Newport Beach, CA 92660 (949) 642-8057

CVS Pharmacy $ 25272 Marguerite Pkwy Mission Viejo, CA 92692 (949) 581-9120

Sav-On Pharmacy $ 23072 Alicia Pkwy Mission Viejo, CA 92692 (949) 583-9779

CVS Pharmacy $ 25511 Muirlands Blvd Mission Viejo, CA 92691 (949) 454-6600

Target Pharmacy 24500 Alicia Pkwy Mission Viejo, CA 92691 (949) 853-1298

Mission Medical Pharmacy $ 27800 Medical Center Rd Ste 99 Mission Viejo, CA 92691 (949) 364-0122

Target Pharmacy 25601 Jeronimo Rd Mission Viejo, CA 92691 (949) 680-1065

Mission Plaza Pharmacy $ 26800 Crown Valley Pkwy #185 Mission Viejo, CA 92691 (949) 364-9009

Tower Pharmacy $ 26732 Crown Vly Pkwy Ste 101 Mission Viejo, CA 92691 (949) 364-1200

Osouth Medical Pharmacy 26902 Oso Pkwy Ste 160 Mission Viejo, CA 92691 (949) 582-3633

Walgreens 27785 Santa Margarita Pkwy Mission Viejo, CA 92691 (949) 830-2075

Pavilions Pharmacy 26022 Marguerite Pkwy Mission Viejo, CA 92692 (949) 582-3294

Walgreens 2553 Marquerite Pkwy Mission Viejo, CA 92692 (949) 707-0494

Razi Pharmacy $ 23162 Los Alisos Blvd Ste 102A Mission Viejo, CA 92691 (949) 583-7294

Newport Beach

King's Pharmacy And Compounding Center 510 Superior Ave Ste 120 Newport Beach, CA 92663 (949) 631-4624

Balboa Pharmacy $ 716 E Balboa Blvd Newport Beach, CA 92661 (949) 673-5370

Mariners Pharmacy $ 320 Superior Ave Ste 120 Newport Beach, CA 92663 (949) 645-7200

*Only dispenses 30-day supplies

Coast Hills Pharmacy $ 2610 San Miguel Dr Newport Beach, CA 92660 (949) 720-7044 CVS Pharmacy $ 2521 Eastbluff Dr Newport Beach, CA 92660 (949) 717-6642 CVS Pharmacy $ 1020 Irvine Ave Newport Beach, CA 92660 (949) 642-0122 Hill Pharmacy $ 1441 Avocado Ave Newport Beach, CA 92660 (949) 640-6564 Island Pharmacy 2095 San Joaquin Hills Rd Newport Beach, CA 92660 (949) 640-0455

$ Offers preferred cost-sharing - 114 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Newport Care Center Pharmacy $ 3300 W Coast Hwy Ste A1 Newport Beach, CA 92663 (949) 515-0600 Newport Center Pharmacy 1401 Avocado Ave Ste 104 Newport Beach, CA 92660 (949) 640-1320

Newport Coast Pavilions Pharmacy 21181 Newport Coast Dr Newport Coast, CA 92657 (949) 718-4986

Orange

Newport Coast Pharmacy $ 400 Newport Center Dr Ste 106 Newport Beach, CA 92660 (949) 719-3707

Childrens Hospital Clinic Pharmacy $ 455 S Main St Orange, CA 92868 (714) 532-8856

Newport Lido Pharmacy $ 351 Hospital Rd Ste 107 Newport Beach, CA 92663 (949) 764-6580

CVS Pharmacy $ 480 S Main St Orange, CA 92868 (714) 938-1200

Rite Aid Pharmacy 1016 Bayside Dr Newport Beach, CA 92660 (949) 760-0111

CVS Pharmacy $ 1535 E Katella Ave Orange, CA 92867 (714) 639-6060

Rite Aid Pharmacy 1610 San Miguel Dr Newport Beach, CA 92660 (949) 644-6422

CVS Pharmacy $ 4040 E Chapman Ave Orange, CA 92869 (714) 628-9350

Via Lido Drugs $ 3445 Via Lido Newport Beach, CA 92663 (949) 723-8921

CVS Pharmacy $ 2138 N Tustin St Orange, CA 92865 (714) 998-3812

Westcliff Compounding Pharmacy 1901 Westcliff #3A Newport Beach, CA 92660 (949) 272-0775

Orange Plaza Pharmacy $ 1010 West La Veta Ave Ste 130 Orange, CA 92868 (714) 550-9798 Rite Aid Pharmacy 1825 E Chapman Ave Orange, CA 92867 (714) 538-3382

*Only dispenses 30-day supplies HEALTH NET

Rx Solution Pharmacy 7626 E Chapman Ave Ste C Orange, CA 92869 (714) 288-8744 Sav-On Drugs $ 4550 E Chapman Ave Orange, CA 92869 (714) 771-3014 Sav-On Pharmacy $ 8440 E Chapman Ave Orange, CA 92869 (714) 771-7933 Sav-On Pharmacy $ 940 N Tustin St Orange, CA 92867 (714) 633-1681 St Joseph Pavillion Pharmacy $ 1140 W La Veta Ave Orange, CA 92868 (714) 744-8724 Target Pharmacy 2191 N Tustin St Orange, CA 92865 (714) 283-4704 TC Compounding Pharmacy $ 360 S Main St Orange, CA 92868 (714) 941-6177 TNT Pharmacy 2 $ 705 W La Veta Ave #110A Orange, CA 92868 (714) 538-6868 University Of Ca-Irvine Med Center Pharmacy 101 The City Dr S Orange, CA 92868 (714) 456-5480

$ Offers preferred cost-sharing - 115 -

Retail Pharmacies, including Chain Pharmacies Vons Pharmacy 2684 N Tustin St Orange, CA 92865 (714) 637-2140

Ralphs $ 700 N Rose Dr Placentia, CA 92870 (714) 524-6200

Walgreens 3237 E Chapman Ave Orange, CA 92869 (714) 538-5609

Tommies Medical Center Pharmacy $ 1041 E Yorba Linda Blvd # 209 Placentia, CA 92870 (714) 993-9370

Walgreens 111 S Main St Orange, CA 92868 (714) 289-3650 Walgreens 1538 E Chapman Ave Orange, CA 92866 (714) 288-1790

Walgreens 191 E Yorba Linda Blvd Placentia, CA 92870 (714) 854-1767 Walgreens 1201 E Yorba Linda Blvd Placentia, CA 92870 (714) 579-7451

Target Pharmacy 30602 Santa Margarita Pkwy Rancho Santa Margarita, CA 92688 (949) 459-0973 Walgreens 30592 Santa Margarita Pkwy Rancho Santa Margarita, CA 92688 (949) 635-5966 Walmart Pharmacy $ 30491 Avenida De Las Flores Rancho Santa Margarita, CA 92688 (949) 207-5155

San Clemente

Walmart Pharmacy $ 2300 N Tustin St Orange, CA 92865 (714) 998-5697

Rancho Santa Margarita

CVS Pharmacy $ 602 N El Camino Real San Clemente, CA 92672 (949) 369-5281

Yorba Park Pharmacy $ 2501 E Chapman Ave # 106 Orange, CA 92869 (714) 633-1326

CVS Pharmacy $ 22361 Antonio Pkwy Rancho Santa Margarita, CA 92688 (949) 888-3050

CVS Pharmacy $ 638 Camino De Los Mares San Clemente, CA 92673 (949) 487-9791

Placentia CVS Pharmacy $ 1875 N Kraemer Blvd Placentia, CA 92870 (714) 572-5656 CVS Pharmacy $ 1240 E Yorba Linda Blvd Placentia, CA 92870 (714) 996-7050 CVS Pharmacy $ 150 E Yorba Linda Blvd Placentia, CA 92870 (714) 528-3112

Meds Rx Pharmacy 29851 Aventura Ste J-1 Rancho Santa Margarita, CA 92688 (949) 713-1010 Pavilions Pharmacy 22451 Antonio Pkwy Rancho Santa Margarita, CA 92688 (949) 858-0670 Rite Aid Pharmacy 31541 Santa Margarita Pkwy Rancho Santa Margarita, CA 92688 (949) 858-7737

*Only dispenses 30-day supplies

Ralphs Pharmacy $ 811 Avenida Talega San Clemente, CA 92673 (949) 940-0167 Rite Aid Pharmacy 801 N El Camino Real San Clemente, CA 92672 (949) 498-6752 Sav-On Pharmacy $ 989 Avenida Pico San Clemente, CA 92673 (949) 369-5596

$ Offers preferred cost-sharing - 116 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Sav-On Pharmacy $ 804 E Avenida Pico San Clemente, CA 92673 (949) 492-9448 Sea View Pharmacy $ 665 Camino De Los Mares #101 San Clemente, CA 92673 (949) 496-0123 Target Pharmacy 990 Avenida Vista Hermosa San Clemente, CA 92673 (949) 456-8669 Walmart Pharmacy $ 951 Avenida Pico San Clemente, CA 92673 (949) 498-6679

Santa Ana Assured Pharmacy 2431 N Tustin Ave Ste L Santa Ana, CA 92705 (714) 667-1980 Bristol Family Pharmacy $ 1126 S Bristol St Santa Ana, CA 92704 (714) 486-2277 Bristol Medical Pharmacy 2720 S Bristol St Ste 102 Santa Ana, CA 92704 (714) 549-3385

CVS Pharmacy $ 1750 N Grand Ave Santa Ana, CA 92705 (714) 835-3111 CVS Pharmacy $ 3911 S Bristol St Santa Ana, CA 92704 (714) 556-7183 CVS Pharmacy $ 228 N Harbor Blvd Santa Ana, CA 92703 (714) 554-7120 CVS Pharmacy $ 102 N Main St Santa Ana, CA 92701 (714) 543-4025

San Juan Capistrano

Cabrillo Park Pharmacy $ 2212 E 4th St Ste 102 Santa Ana, CA 92705 (714) 541-8150

Costco Pharmacy 33961 Doheny Park Rd San Juan Capistrano, CA 92675 (949) 240-9573

Caremeds Pharmacy, INC. $ 1920 E Warner Ave Ste L Santa Ana, CA 92614 (949) 483-8363

OC Pharmacy $ 31654 Rancho Viejo Rd Unit N San Juan Capistrano, CA 92675 (949) 429-5326

Catinat Pharmacy 2619 W Edinger Ave Ste D2 Santa Ana, CA 92704 (714) 557-5140

Rite Aid Pharmacy 32121 Camino Capistrano San Juan Capistrano, CA 92675 (949) 831-8517

CIBDPharmacy 2670 N Main St Ste 150 Santa Ana, CA 92705 (949) 748-7521

Rite Aid Pharmacy 31890 Plaza Dr San Juan Capistrano, CA 92675 (949) 248-3318

CVS Pharmacy $ 2330 S Main St Santa Ana, CA 92707 (714) 327-1884

Harbor Healthy Living Pharmacy 646 S Harbor Blvd Santa Ana, CA 92704 (714) 531-8080

Vons Pharmacy 32401 Camino Capistrano San Juan Capistrano, CA 92675 (949) 661-3492

CVS Pharmacy $ 1545 W 17th St Santa Ana, CA 92706 (714) 547-6578

Inland Medical Consultants 1358 E Edinger Ave Santa Ana, CA 92705 (951) 310-9849

*Only dispenses 30-day supplies HEALTH NET

Farmacia Bristol 1155 W Central Ave Ste 112 Santa Ana, CA 92707 (714) 241-1888 Farmacia Santa Ana Pharmacy 510 N Main St Santa Ana, CA 92701 (714) 542-5444 First Street Medical Plaza Pharmacy 2010 E 1st St Ste 120 Santa Ana, CA 92705 (714) 954-1902

$ Offers preferred cost-sharing - 117 -

Retail Pharmacies, including Chain Pharmacies Linda Vista Pharmacy 520 W 17th St Ste 7 Santa Ana, CA 92706 (714) 542-8865

Rite Aid Pharmacy 3325 S Bristol St Santa Ana, CA 92704 (714) 979-4060

Target Pharmacy 3300 S Bristol St Santa Ana, CA 92704 (714) 641-6604

LVRX III $ 301 E 17th St Santa Ana, CA 92706 (714) 862-2470

Rite Aid Pharmacy 1406 W Edinger Ave Santa Ana, CA 92704 (714) 546-6191

Target Pharmacy 1330 E 17th St Santa Ana, CA 92705 (714) 541-4593

Medcare Family Pharmacy 1710 S Main St Santa Ana, CA 92707 (714) 953-7538

Rite Aid Pharmacy 111 N Main St Santa Ana, CA 92701 (714) 648-5329

UCI Family Health Center Pharmacy 800 N Main St Santa Ana, CA 92701 (714) 480-2400

Med-Zone 800 N Tustin Ave Ste K Santa Ana, CA 92705 (714) 558-1900

Rose Pharmacy 1220 Hemlock Way Ste 110 Santa Ana, CA 92707 (714) 662-0548

Mel-Rich Pharmacy 1745 W 17th St Ste A Santa Ana, CA 92706 (714) 558-0131

Rose Pharmacy $ 1125 E 17th St Ste S101 Santa Ana, CA 92701 (714) 664-0518

Mercy Medical Center Pharmacy 2621 S Bristol St Ste 100 Santa Ana, CA 92704 (714) 754-1331

Santa Ana Tustin Clinic Pharmacy 801 N Tustin Ave Ste 100 Santa Ana, CA 92705 (714) 547-3941

Walgreens 3000 S Bristol St Santa Ana, CA 92704 (714) 427-3986

Minh Pharmacy 5110 Westminster Ave Ste B Santa Ana, CA 92703 (714) 530-0144

Sav-On Drugs $ 2000 E 17th St Santa Ana, CA 92705 (714) 543-8300

Walgreens 1301 E 17th St Santa Ana, CA 92705 (714) 541-1747

Pharmacy 9 122 N Euclid Ste A Santa Ana, CA 92703 (714) 554-7155

South Gate Rose Pharmacy 517 N Main St Ste 101 Santa Ana, CA 92701 (714) 953-6861

Walgreens 1715 N Bristol St Santa Ana, CA 92706 (714) 591-8257

Popular Medical Pharmacy 420 S Bristol St Santa Ana, CA 92703 (714) 547-4473

South Main Mercy Pharmacy 618 S Main St Santa Ana, CA 92701 (714) 564-0702

Walmart Pharmacy $ 3600 W McFadden Ave Santa Ana, CA 92704 (714) 775-7501

*Only dispenses 30-day supplies

Vons Pharmacy 3650 S Bristol St Santa Ana, CA 92704 (714) 540-0393 Wagner Pharmacy $ 1224 E McFadden Ave Santa Ana, CA 92705 (714) 547-3590

$ Offers preferred cost-sharing - 118 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Seal Beach CVS Pharmacy $ 921 Pacific Coast Hwy Seal Beach, CA 90740 (562) 598-0473

Walmart Pharmacy $ 12840 Beach Blvd Stanton, CA 90680 (714) 230-0153

CVS Pharmacy $ 671 E 1st St Tustin, CA 92780 (714) 544-7034

Trabuco Canyon

Healthcare United Drugs $ 14642 Newport Ave Tustin, CA 92780 (714) 669-4000

CVS Pharmacy $ 12490 Seal Beach Blvd Seal Beach, CA 90740 (562) 596-4533

CVS Pharmacy $ 21572 Plano Trabuco Rd Trabuco Canyon, CA 92679 (949) 589-3792

Ralph's Pharmacy $ 12470 Seal Beach Blvd Seal Beach, CA 90740 (562) 598-2734

Peoples Pharmacy 31951 Dove Canyon Dr Ste F Trabuco Canyon, CA 92679 (949) 713-9400

Target Pharmacy 12300 Seal Beach Blvd Seal Beach, CA 90740 (562) 596-1775

Tustin

Rite Aid Pharmacy 630 E 1st St Tustin, CA 92780 (714) 544-7274

Stanton

Costco Pharmacy 2700 Park Ave Tustin, CA 92782 (714) 338-1942

Rite Aid Pharmacy 13151 Jamboree Rd Tustin, CA 92782 (714) 573-0908

CVS Pharmacy $ 12444 Beach Blvd Stanton, CA 90680 (714) 899-1520

Costco Pharmacy 2655 El Camino Real Tustin, CA 92782 (714) 838-0677

Sav-On Drugs $ 13270 Newport Ave Tustin, CA 92780 (714) 544-9262

Sam's Club Pharmacy $ 12540 Beach Blvd Stanton, CA 90680 (714) 892-5472

Creative Compounding Pharmacy 13771 Newport Ave Ste 7 Tustin, CA 92780 (714) 627-5600

Target Pharmacy 2300 Park Ave Tustin, CA 92782 (714) 361-2101

Cura Pharmacy $ 17400 Irvine Blvd Ste P Tustin, CA 92780 (714) 505-2872

Tustin Community Pharmacy Unit $ 13400 Newport Ave Tustin, CA 92780 (714) 731-1344

CVS Pharmacy $ 17642 17th St Tustin, CA 92780 (714) 832-1850

Walgreens 13052 Newport Ave Tustin, CA 92780 (714) 505-6021

TNT Pharmacy $ 12505 Beach Blvd Ste A2 Stanton, CA 90680 (714) 899-1898 Walgreens 11900 Beach Blvd Stanton, CA 90680 (714) 890-9063

*Only dispenses 30-day supplies HEALTH NET

Ionia Pharmacy 15421 Red Hill Ave Ste A Tustin, CA 92780 (615) 319-8126

$ Offers preferred cost-sharing - 119 -

Retail Pharmacies, including Chain Pharmacies Villa Park

Bolsa Medical Arts Pharmacy $ 15262 Goldenwest St Westminster, CA 92683 (714) 897-2541

Lanvy Pharmacy $ 14971 Brookhurst St Ste A Westminster, CA 92683 (714) 531-2828

Westminster

California Pharmacy 14541 Brookhurst St Ste C5 Westminster, CA 92683 (714) 775-2000

2010 Pharmacy 7785 Westminster Blvd Westminster, CA 92683 (714) 379-9800

LC Scripts Pharmacy & Compounding 15440 Beach Blvd #120 Westminster, CA 92683 (714) 892-4445

Catinat Pharmacy $ 9549 Bolsa Ave Ste A Westminster, CA 92683 (714) 531-3560

Aloha Pharmacy $ 15611 Brookhurst St Westminster, CA 92683 (714) 839-1267

CVS Pharmacy $ 15421 Brookhurst St Westminster, CA 92683 (714) 531-1551

Anh-Nhi Pharmacy $ 8900 Bolsa Ave Ste A Westminster, CA 92683 (714) 894-4518

Danh's Pharmacy 9182 Bolsa Ave Westminster, CA 92683 (714) 892-4407

Audrey Pharmacy $ 9741 Bolsa Ave Ste 116 Westminster, CA 92683 (714) 531-1983

Dongnai Pharmacy $ 9081 Bolsa Ave Ste 108 Westminster, CA 92683 (714) 379-5072

Audrey Pharmacy $ 9822 Bolsa Ave Ste G Westminster, CA 92683 (714) 531-1244

Golden Pharmacy 10301 Bolsa Ave Ste 105 Westminster, CA 92683 (714) 839-0256

Binh-Dan Pharmacy 14516 Brookhurst St Westminster, CA 92683 (714) 531-5502

Kim An Pharmacy $ 15550 Brookhurst St Westminster, CA 92683 (714) 839-5888

Bolsa Express Pharmacy $ 9262 Bolsa Ave Ste A Westminster, CA 92683 (714) 891-8810

Kim United Drugs 14536 Brookhurst St # 101 Westminster, CA 92683 (714) 775-6677

Villa Park Pharmacy $ 17821 Santiago Blvd Villa Park, CA 92861 (714) 998-3030

*Only dispenses 30-day supplies

Linhs Pharmacy 9191 Bolsa Ave Ste 102 Westminster, CA 92683 (714) 892-8773 Linh's Pharmacy 9500 Bolsa Ave Ste N Westminster, CA 92683 (714) 775-0550 LST Garden Pharmacy 14501 Magnolia St Ste 100 Westminster, CA 92683 (714) 890-3174 Maico Pharmacy 10161 Bolsa Ave Ste 105B Westminster, CA 92683 (714) 531-7000 Mailan Heritage Pharmacy 14441 Beach Blvd Ste 108 Westminster, CA 92683 (714) 899-4960 May Pharmacy 14571 Magnolia St Ste 104 Westminster, CA 92683 (714) 893-2697 New Land Pharmacy 8401 Westminster Blvd Westminster, CA 92683 (714) 892-5372

$ Offers preferred cost-sharing - 120 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Ngoc Mai Pharmacy 9014 Bolsa Ave Westminster, CA 92683 (714) 890-7112

Target Pharmacy 200 Westminster Mall Westminster, CA 92683 (714) 657-1352

Pavilions Pharmacy 16450 Beach Blvd Westminster, CA 92683 (714) 847-5696

The Professional Pharmacy 7631D Westminster Blvd Westminster, CA 92683 (714) 893-2464

Rite Aid Pharmacy 6767 Westminster Blvd Westminster, CA 92683 (714) 897-8521

Thos Pharmacy $ 9433 Bolsa Ave Ste B Westminster, CA 92683 (714) 531-8770

Sav-On Pharmacy $ 6755 Westminster Blvd Westminster, CA 92683 (714) 898-9669

Thu Van Pharmacy $ 10362 Bolsa Ave Ste 108 Westminster, CA 92683 (714) 775-0772

Springdale Pharmacy 5839 Westminster Ste A Westminster, CA 92683 (714) 891-2848

Walgreens 7001 Westminster Blvd Westminster, CA 92683 (714) 890-6021

Tam's Rx Pharmacy $ 14024 Magnolia St Ste 103A Westminster, CA 92683 (714) 892-9808

Walgreens 8052 Westminster Blvd Westminster, CA 92683 (714) 896-9589

Tan Binh Pharmacy 15434 Brookhurst St Westminster, CA 92683 (714) 531-8275

Walmart Pharmacy $ 13331 Beach Blvd Westminster, CA 92683 (714) 799-0039

Tana Pharmacy 10512 Bolsa Ave Ste 104 Westminster, CA 92683 (714) 554-4121

West Drug $ 8526 Westminster Blvd Westminster, CA 92683 (714) 892-6916

Target Pharmacy 16400 Beach Blvd Westminster, CA 92683 (714) 841-4449

Xuans Pharmacy 10495 Bolsa Ave Ste 102 Westminster, CA 92683 (714) 531-2757

*Only dispenses 30-day supplies HEALTH NET

Yorba Linda B & B Village Center Pharmacy 18525 Yorba Linda Blvd Yorba Linda, CA 92886 (714) 777-2737 Costco Pharmacy 22633 Savi Ranch Pkwy Yorba Linda, CA 92887 (714) 279-1580 CVS Pharmacy $ 18080 Imperial Hwy Yorba Linda, CA 92886 (714) 961-1054 CVS Pharmacy $ 20475 Yorba Linda Blvd Yorba Linda, CA 92886 (714) 693-1055 Linda Vista Pharmacy $ 4300 Rose Drive Ste D Yorba Linda, CA 92886 (714) 528-3610 Rite Aid Pharmacy 19701 Yorba Linda Blvd Yorba Linda, CA 92886 (714) 970-7666 Sav-On Pharmacy $ 21500 Yorba Linda Blvd Yorba Linda, CA 92887 (714) 777-0774 Telnet-Rx Pharmacy 3940 Prospect Ave Ste R Yorba Linda, CA 92886 (800) 298-7176 Vons Pharmacy 20445 Yorba Linda Blvd Yorba Linda, CA 92886 (714) 777-1680 $ Offers preferred cost-sharing

- 121 -

Retail Pharmacies, including Chain Pharmacies Placer Auburn Auburn Drug Company $ 815 Lincoln Way Auburn, CA 95603 (530) 885-6524

Rite Aid Pharmacy 2805 Bell Rd Auburn, CA 95603 (530) 823-8125

Walmart Pharmacy $ 4080 Douglas Blvd Granite Bay, CA 95746 (916) 380-3262

Safeway Pharmacy 2550 Bell Rd Auburn, CA 95603 (530) 401-9979

Kings Beach

Bel Air Pharmacy 2222 Grass Valley Hwy Auburn, CA 95603 (530) 889-8003

Sierra Compounding Pharmacy $ 1101 Maidu Dr Ste 200 Auburn, CA 95603 (530) 823-5200

CVS Pharmacy $ 10045 Combie Rd Auburn, CA 95602 (530) 268-3753

Target Pharmacy 2700 Bell Rd Auburn, CA 95603 (530) 889-2766

CVS Pharmacy $ 2140 Grass Valley Hwy Auburn, CA 95603 (530) 885-6084

Walgreens 12120 New Airport Rd Auburn, CA 95603 (530) 888-9235

CVS Pharmacy $ 388 Elm Ave Auburn, CA 95603 (530) 823-0825

Colfax

Greater Placer Pharmacy $ 3133 Professional Dr # 17 Auburn, CA 95603 (530) 885-8582 Raley's Drug Center 13386 Lincoln Way Auburn, CA 95603 (530) 885-7989 Rite Aid Pharmacy 420 Grass Valley Hwy Auburn, CA 95603 (530) 885-9381

Sierra Market Pharmacy $ 575 S Auburn St Colfax, CA 95713 (530) 346-3714

Granite Bay CVS Pharmacy $ 8455 Auburn Folsom Rd Granite Bay, CA 95746 (916) 791-2197 Walgreens 4051 Douglas Blvd Granite Bay, CA 95746 (916) 791-7576

*Only dispenses 30-day supplies

Rite Aid Pharmacy 8245 N Lake Blvd Kings Beach, CA 96143 (530) 546-2523 Safeway Pharmacy 7815 N Lake Blvd Kings Beach, CA 96143 (530) 546-0186

Lincoln CVS Pharmacy $ 63 Lincoln Blvd Lincoln, CA 95648 (916) 408-0230 Raley's Drug Center 765 S Highway 65 Lincoln, CA 95648 (916) 408-3633 Safeway Pharmacy 405 S State Highway 65 Lincoln, CA 95648 (916) 408-0810 Target Pharmacy 950 Groveland Ln Lincoln, CA 95648 (916) 251-3003 Walgreens 700 Twelve Bridges Dr Lincoln, CA 95648 (916) 408-0176

$ Offers preferred cost-sharing - 122 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walmart Pharmacy $ 255 G St Lincoln, CA 95648 (916) 209-5176

Safeway Pharmacy 2220 Sunset Blvd Rocklin, CA 95765 (916) 789-0807

CVS Pharmacy $ 1030 Pleasant Grove Blvd Roseville, CA 95678 (916) 780-4733

Loomis

Save Mart Pharmacy 3021 Stanford Ranch Rd Rocklin, CA 95765 (916) 435-2882

CVS Pharmacy $ 1771 Pleasant Grove Bl Ste 100 Roseville, CA 95747 (916) 772-2212

Target Pharmacy 5104 Commons Drive Rocklin, CA 95677 (916) 251-3346

CVS Pharmacy $ 9280 Sierra College Blvd Roseville, CA 95661 (916) 772-5313

Meadow Vista

Walgreens 2177 Sunset Blvd Rocklin, CA 95765 (916) 435-2181

Raley's Drug Center 6845 Douglas Blvd Roseville, CA 95746 (916) 969-7733

Meadow Vista Pharmacy $ 16893 Placer Hills Rd Meadow Vista, CA 95722 (530) 878-7440

Walmart Pharmacy $ 5609 Pacific St Rocklin, CA 95677 (916) 824-0122

Raley's Drug Center 1915 Douglas Blvd Ste 200 Roseville, CA 95661 (916) 781-7840

Rocklin

Roseville

Bel Air Pharmacy 2341 Sunset Blvd Rocklin, CA 95765 (916) 632-0184

Bel Air Pharmacy 1039 Sunrise Ave Roseville, CA 95661 (916) 786-6104

Raley's Pharmacy 4051 Woodcreek Oaks Blvd Roseville, CA 95747 (916) 771-3344

CVS Pharmacy $ 3251 Stanford Ranch Rd Rocklin, CA 95765 (916) 435-8711

Bel Air Pharmacy 4008 Foothills Blvd Roseville, CA 95747 (916) 783-1174

CVS Pharmacy $ 4785 Granite Dr Rocklin, CA 95677 (916) 624-8286

Costco Pharmacy 6750 Stanford Ranch Rd Roseville, CA 95678 (916) 789-1493

H&H Integrative Pharmacy $ 1240 Sunset Blvd Ste 500 Rocklin, CA 95765 (916) 259-2558

CVS Pharmacy $ 5090 Foothills Blvd Roseville, CA 95747 (916) 783-1355

Main Drug Store $ 3685 Taylor Rd Loomis, CA 95650 (916) 652-7265 Raley's Drug Center 6119 Horseshoe Bar Rd Loomis, CA 95650 (916) 652-5633

*Only dispenses 30-day supplies HEALTH NET

Remedy Rx $ 1420 E Roseville Pkwy #130 Roseville, CA 95661 (916) 740-1600 Rite Aid 446 Roseville Sq Roseville, CA 95678 (916) 784-1590 Rite Aid Pharmacy 4004 Foothills Blvd Roseville, CA 95747 (916) 786-8671

$ Offers preferred cost-sharing - 123 -

Retail Pharmacies, including Chain Pharmacies Portola

Rite Aid Pharmacy 990 Pleasant Grove Blvd Roseville, CA 95678 (916) 782-2120

Target Pharmacy 1925 Douglas Blvd Roseville, CA 95661 (916) 786-8992

Rite Aid Pharmacy 900 Sunrise Ave Roseville, CA 95661 (916) 782-6242

Walgreens 3999 Foothills Blvd Roseville, CA 95747 (916) 788-0890

Safeway Pharmacy 9045 Woodcreek Oaks Blvd Roseville, CA 95747 (916) 780-9929

Walmart Pharmacy $ 900 Pleasant Grove Blvd Roseville, CA 95678 (916) 786-6603

Quincy Drug Store $ 493 Main St Quincy, CA 95971 (530) 283-0480

Safeway Pharmacy 989 Sunrise Ave Roseville, CA 95661 (916) 773-4115

Walmart Pharmacy $ 1400 Lead Hill Blvd Roseville, CA 95661 (916) 783-8052

Rite Aid Pharmacy 40 E Main St Quincy, CA 95971 (530) 283-1809

Safeway Pharmacy 8640 Sierra College Blvd Roseville, CA 95661 (916) 783-2304

Tahoe City

Safeway Pharmacy 1080 Pleasant Grove Blvd Roseville, CA 95678 (916) 783-2128 Sam's Club Pharmacy $ 904 Pleasant Grove Blvd Roseville, CA 95678 (916) 781-8151 Save Mart Pharmacy 5060 Foothills Blvd Roseville, CA 95747 (916) 782-2720 Target Pharmacy 10451 Fairway Dr Roseville, CA 95678 (916) 780-2898

CVS Pharmacy $ 850 N Lake Blvd Tahoe City, CA 96145 (530) 584-0250

Portola Village Pharmacy $ 157 Commercial St Portola, CA 96122 (530) 832-4218

Quincy

Riverside Anza

Plumas

Anza Valley Pharmacy 56555 Hwy 371 Anza, CA 92539 (951) 763-7670

Chester

Banning

Lassen Drug Company 271 Main St Ste A Chester, CA 96020 (530) 258-2261

Med Shop Banning $ 1035 W Ramsey St Ste B3 Banning, CA 92220 (951) 849-4920

Greenville

Rite Aid Pharmacy 3317 W Ramsey St Banning, CA 92220 (909) 849-8614

Village Drug Company $ 225 Main St Greenville, CA 95947 (530) 284-6618

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 124 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 300 S Highland Springs Ave Banning, CA 92220 (909) 769-1285 Walgreens 60 N Highland Springs Ave Banning, CA 92220 (951) 845-5984

Beaumont Loma Linda U-Highland Springs Pharmacy $ 81 Highland Springs Ave #90 Beaumont, CA 92223 (951) 849-3378 Rite Aid Pharmacy 895 Oak Valley Pkwy Beaumont, CA 92223 (951) 769-7370 Super Rx Pharmacy 1430 Beaumont Ave Beaumont, CA 92223 (951) 769-4095 Total Care Pharmacy 1657 E 6th St Beaumont, CA 92223 (951) 769-3105 Walgreens 1400 Beaumont Ave Beaumont, CA 92223 (951) 769-4295 Walmart Pharmacy $ 1540 E 2nd St Beaumont, CA 92223 (951) 845-7994

Bermuda Dunes

Cathedral City

Desert Pharmacy 41120 Washington St Ste 100 Bermuda Dunes, CA 92203 (760) 360-3339

CVS Pharmacy $ 68010 Vista Chino Cathedral City, CA 92234 (760) 325-3229

Ralphs $ 42150 Washington St Bermuda Dunes, CA 92203 (760) 200-0843

CVS Pharmacy $ 31575 Date Palm Dr Cathedral City, CA 92234 (760) 324-4239

Rite Aid Pharmacy 41800 Washington St Bermuda Dunes, CA 92203 (760) 360-6280

Rite Aid Pharmacy 69155 Ramon Rd Cathedral City, CA 92234 (760) 770-3097

Walgreens 42010 Washington St Bermuda Dunes, CA 92203 (760) 772-9122

Sam's Club Pharmacy $ 35780 Date Palm Dr Cathedral City, CA 92234 (760) 770-9622

Blythe

Target Pharmacy 67740 E Palm Canyon Dr Cathedral City, CA 92234 (760) 321-7425

Austin's Pharmacy 1345 W Hobsonway Blythe, CA 92225 (760) 921-2017 Bandy's Pharmacy 707 W Hobsonway Blythe, CA 92225 (760) 922-5165 Rite Aid Pharmacy 890 E Hobsonway Blythe, CA 92225 (760) 922-9867

Calimesa

Walgreens 30015 Date Palm Dr Cathedral City, CA 92234 (760) 770-3659 Walmart Pharmacy $ 31033 Date Palm Dr Cathedral City, CA 92234 (760) 322-1488

Walgreens 1186 Calimesa Blvd Calimesa, CA 92320 (909) 795-1146

*Only dispenses 30-day supplies HEALTH NET

Walgreens 33975 Date Palm Dr Cathedral City, CA 92234 (760) 202-3533

$ Offers preferred cost-sharing - 125 -

Retail Pharmacies, including Chain Pharmacies Coachella

Coles Village Pharmacy $ 223 E Third St St Corona, CA 92879 (951) 444-7057

Med-Rex Drug 707 S Main St Corona, CA 92882 (951) 735-2525

Corona Specialty Pharmacy $ 1280 Corona Pointe Ct Ste 114 Corona, CA 92879 (951) 278-1008

Ralphs $ 2661 Green River Rd Corona, CA 92882 (909) 371-4868

Costco Pharmacy 480 N McKinley St Corona, CA 92879 (951) 340-0296

Ralphs $ 12660 Limonite Ave Corona, CA 92880 (951) 734-8010

Costco Pharmacy 215 Deininger Cir Corona, CA 92880 (951) 493-2371

Rite Aid Pharmacy 1292 Border Ave Corona, CA 92882 (909) 735-1011

CVS Pharmacy $ 1322 W 6th St Corona, CA 92882 (951) 817-8636

Riverwalk Pharmacy $ 6987 Hamner Ave Ste 4 Corona, CA 92880 (951) 371-5070

CVS Pharmacy $ 1183 Magnolia Ave Corona, CA 92879 (951) 272-4427

Sam's Club Pharmacy $ 1375 E Ontario Ave Corona, CA 92881 (951) 582-0739

Corona

CVS Pharmacy $ 1299 E Ontario Ave Corona, CA 92881 (951) 270-2073

Sav-On Pharmacy $ 1260 E Ontario Ave Corona, CA 92881 (909) 734-9765

Care Pharmacy 129 N McKinley St Ste 102 Corona, CA 92879 (951) 666-5737

CVS Pharmacy $ 11950 De Palma Rd Corona, CA 92883 (951) 603-0855

Sav-On Pharmacy $ 260 W Foothill Pkwy Corona, CA 92882 (909) 340-2040

Care-Pro Pharmacy 1307 W 6th St Ste 107 Corona, CA 92882 (951) 496-4408

Main Street Pharmacy $ 823 S Main St Ste 102 Corona, CA 92882 (951) 279-3125

Sav-On Pharmacy $ 7070 Archibald St Corona, CA 92880 (951) 279-4773

CVS Pharmacy $ 85-010 Ave 50 Coachella, CA 92236 (760) 391-5656 La Botica Pharmacy $ 49281 Grapefruit Blvd Ste 2 Coachella, CA 92236 (760) 296-3468 La Buena Vida Pharmacy 51-335 Harrison St, Ste 116 Coachella, CA 92236 (760) 398-8866 Rite Aid Pharmacy 49681 US Highway 86 Coachella, CA 92236 (760) 398-0833 Walgreens 50040 Harrison St Coachella, CA 92236 (760) 391-5395 Walmart Pharmacy $ 83053 Avenue 48 Coachella, CA 92236 (760) 347-1491

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 126 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Super Rx Pharmacy 2243 Eagle Glen Pkwy Corona, CA 92883 (909) 279-4480

Walgreens 1107 W 6th St Corona, CA 92882 (951) 520-9700

Walgreens 12574 Limonite Ave Eastvale, CA 91752 (951) 520-0293

Target Pharmacy 2615 Tuscany St Corona, CA 92881 (951) 277-2356

Walmart Pharmacy $ 1290 E Ontario Ave Corona, CA 92881 (951) 278-1645

Fontana

TC Medical Pharmacy $ 760 Washburn Ave Ste 1 Corona, CA 92882 (951) 371-2003

Walmart Pharmacy $ 479 N McKinley St Corona, CA 92879 (951) 270-0388

Trucare Pharmacy 1875 California Ave Corona, CA 92881 (951) 817-1005

Desert Hot Springs

Cole's Care Pharmacy 16854 Ivy Ave Ste C Fontana, CA 92335 (909) 356-0110

Kmart Pharmacy 14011 Palm Dr Desert Hot Springs, CA 92240 (760) 329-3634

Costco Pharmacy 16505 Sierra Lakes Parkway Fontana, CA 92336 (909) 770-5648

Rite Aid Pharmacy 12900 Palm Dr Desert Hot Springs, CA 92240 (760) 251-1591

CVS Pharmacy $ 9840 Sierra Ave Fontana, CA 92335 (909) 350-0284

Vons Pharmacy 14200 Palm Dr Desert Hot Springs, CA 92240 (760) 329-1889

CVS Pharmacy $ 15286 Summit Ave Fontana, CA 92236 (909) 463-9255

Walgreens 14001 Palm Dr Desert Hot Springs, CA 92240 (760) 288-3210

Farmacia M 7965 Sierra Ave Ste G Fontana, CA 92336 (909) 427-1853

Eastvale

Finleys Rexall Drugs 8554 Sierra Ave Fontana, CA 92335 (909) 822-2288

Vons Pharmacy 369 Magnolia Ave Corona, CA 92879 (909) 549-1910 Vons Pharmacy 535 N McKinley St Corona, CA 92879 (951) 278-8284 Vons Pharmacy 11800 De Palma Road Corona, CA 92883 (951) 603-0814 Walgreens 120 W Parkridge Ave Corona, CA 92880 (951) 278-1852 Walgreens 100 W Ontario Ave Corona, CA 92882 (951) 582-9551

CVS Pharmacy $ 14220 Schleisman Rd Eastvale, CA 92880 (951) 340-0875

*Only dispenses 30-day supplies HEALTH NET

Base Line Pharmacy 13451 Baseline Ave Ste C Fontana, CA 92336 (909) 463-4631

Ralphs Pharmacy $ 16225 Sierra Lakes Pkwy Fontana, CA 92336 (909) 357-2525 $ Offers preferred cost-sharing

- 127 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Corporation 15331 Baseline Avenue Fontana, CA 92336 (909) 574-2831

Target Pharmacy 16964 Slover Ave Fontana, CA 92337 (909) 356-0540

CVS Pharmacy $ 1003 E Devonshire Ave Hemet, CA 92543 (951) 658-2348

Rite Aid Pharmacy 9940 Sierra Ave Fontana, CA 92335 (909) 822-8122

Target Pharmacy 15272 Summit Ave Fontana, CA 92336 (909) 646-7194

CVS Pharmacy $ 43418 State Highway 74 Hemet, CA 92544 (951) 927-2584

Rite Aid Pharmacy 16910 Foothill Blvd Fontana, CA 92335 (909) 350-0493

Vons Pharmacy 7390 Cherry Ave Fontana, CA 92336 (909) 429-3933

Inland Pharmacy $ 1001 E Latham Ave Hemet, CA 92543 (951) 658-7111

Rite Aid Pharmacy 11673 Cherry Ave Fontana, CA 92337 (909) 357-2031

Walgreens 16135 Sierra Lakes Pkwy Fontana, CA 92336 (909) 356-9167

Murphy's Pharmacy $ 172 N San Jacinto St Hemet, CA 92543 (951) 658-3138

Sierra San Antonio Pharmacy 16465 Sierra Lakes Pkwy #110 Fontana, CA 92336 (909) 574-9620

Walgreens 16108 Foothill Blvd Fontana, CA 92335 (909) 357-6900

Rite Aid Pharmacy 260 N Sanderson Ave Hemet, CA 92545 (909) 658-3418

St. Helen's Medical Pharmacy $ 17577 Arrow Blvd Ste 101 Fontana, CA 92335 (909) 428-9842

Walgreens 11121 Sierra Ave Fontana, CA 92337 (909) 356-9715

Rite Aid Pharmacy 1390 E Florida Ave Hemet, CA 92544 (909) 925-1651

St. Mina Pharmacy 8110 Mango Ave Ste 105 Fontana, CA 92335 (909) 350-3200

Walmart Pharmacy $ 17151 Foothill Blvd Fontana, CA 92335 (909) 355-4885

Sail Drug 156 N Harvard St Hemet, CA 92543 (951) 658-7247

Super Rx Pharmacy $ 15222 Summit Ave Fontana, CA 92336 (909) 803-2632

Hemet

Target Pharmacy 3527 W Florida Ave Hemet, CA 92545 (951) 765-4310

Super Rx Pharmacy $ 11225 Sierra Ave Fontana, CA 92337 (909) 428-4558

CVS Pharmacy $ 110 E Stetson Ave Hemet, CA 92543 (951) 766-1618 CVS Pharmacy $ 3055 W Florida Ave Hemet, CA 92545 (951) 652-0866

*Only dispenses 30-day supplies

The Corner Drugstore $ 2087 E Florida Ave Hemet, CA 92544 (951) 658-7207

$ Offers preferred cost-sharing - 128 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies The Medicine Shoppe 1121 S State St Hemet, CA 92543 (951) 652-5988 Walgreens 43200 State Highway Hemet, CA 92544 (951) 927-8570 Walgreens 1101 S Sanderson Ave Hemet, CA 92545 (951) 929-0379 Walgreens 1311 E Florida Ave Hemet, CA 92544 (951) 652-5776 Walgreens 1661 W Florida Ave Hemet, CA 92543 (951) 929-5351 Walmart Pharmacy $ 2171 W Florida Ave Hemet, CA 92545 (951) 766-0155

Indio CVS Pharmacy $ 42150 Jackson St Bldg A Indio, CA 92203 (760) 347-0326 CVS Pharmacy $ 82-270 Highway 111 Indio, CA 92201 (760) 342-2008 CVS Pharmacy $ 49980 Jefferson St Indio, CA 92201 (760) 771-8848 Indio Medical Pharmacy $ 81893 Doctor Carreon Blvd Indio, CA 92201 (760) 347-0659 McIntosh Pharmacy 82422 Miles Ave Indio, CA 92201 (760) 347-3577

Town Square Pharmacy $ 81709 Doctor Carreon Blvd Indio, CA 92201 (760) 342-4933 Walgreens 82955 Ave 48 Building B Indio, CA 92201 (760) 342-2031 Walgreens 82900 Avenue 42 Indio, CA 92203 (760) 347-3524 Walgreens 80925 US Highway Indio, CA 92201 (760) 347-8274 Walgreens 44100 Jefferson St Indio, CA 92201 (760) 772-2759

La Quinta

Idyllwild

Ralphs $ 49908 Jefferson St Indio, CA 92201 (760) 777-4524

Costco Pharmacy 79795 Highway 111 La Quinta, CA 92253 (760) 342-0656

Idyllwild Pharmacy 54391 Village Center Dr Idyllwild, CA 92549 (951) 659-2135

Rite Aid Pharmacy 82-154 Highway 111 Indio, CA 92201 (760) 342-7076

CVS Pharmacy $ 44-075 Jefferson St La Quinta, CA 92253 (760) 772-2969

Indian Wells

Rite Aid Pharmacy 47985 Monroe Street Bldg A Indio, CA 92201 (760) 347-3646

Ralphs $ 50929 Washington St La Quinta, CA 92253 (760) 771-1358

Target Pharmacy 42625 Jackson St Indio, CA 92203 (760) 863-3601

Super Rx Pharmacy $ 78630 US Highway 111 La Quinta, CA 92253 (760) 771-9999

CVS Pharmacy $ 74955 US Highway 111 Indian Wells, CA 92210 (760) 346-4464

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 129 -

Retail Pharmacies, including Chain Pharmacies Menifee

Target Pharmacy 78935 US Hwy 111 La Quinta, CA 92253 (760) 777-8469

Rite Aid Pharmacy 16491 Lakeshore Dr Lake Elsinore, CA 92530 (951) 674-0309

Vons Pharmacy 78-271 State Highway #111 La Quinta, CA 92253 (760) 564-2225

Sav-On Pharmacy $ 30901 Riverside Dr Lake Elsinore, CA 92530 (909) 245-5492

Walgreens 47900 Washington St La Quinta, CA 92253 (760) 771-1526

Target Pharmacy 18287 Collier Ave Lake Elsinore, CA 92530 (951) 674-2696

Walmart Pharmacy $ 79295 Highway 111 La Quinta, CA 92253 (760) 564-5125

Vons Pharmacy 31564 Grape St Lake Elsinore, CA 92532 (909) 245-5732

Lake Elsinore

Walgreens 18296 Collier Ave Lake Elsinore, CA 92530 (951) 471-2132

Country Village Pharmacy 10251 Country Club Dr Unit B Mira Loma, CA 91752 (951) 681-8889

Walgreens 160 Diamond Dr Lake Elsinore, CA 92530 (951) 674-3562

Target Pharmacy 12471 Limonite Ave Mira Loma, CA 91752 (951) 256-5262

Walmart Pharmacy $ 31700 Grape St Lake Elsinore, CA 92532 (951) 245-4329

Vons Pharmacy 6170 Hammer Ave Mira Loma, CA 91752 (951) 360-1911

Mecca

Moreno Valley

Mecca Community Pharmacy $ 91275 Avenue 66 Ste 200 Mecca, CA 92254 (760) 396-3000

Alessandro Pharmacy 22635 Alessandro Blvd Moreno Valley, CA 92553 (951) 656-7979

Costco Pharmacy 29315 Central Ave Lake Elsinore, CA 92532 (951) 253-6039 CVS Pharmacy $ 29985 Canyon Hills Rd Lake Elsinore, CA 92532 (951) 244-6001 CVS Pharmacy $ 2091 E Lakeshore Dr Lake Elsinore, CA 92530 (951) 245-5540 Gen-Rx Drug 16800 Lakeshore Dr # A Lake Elsinore, CA 92530 (951) 674-6836

CVS Pharmacy $ 26973 Newport Rd Menifee, CA 92584 (951) 301-6356 Target Pharmacy 30340 Haun Rd Menifee, CA 92584 (951) 723-6152 Walgreens 30251 Murrieta Rd Menifee, CA 92584 (951) 244-7210

Mira Loma

Lake View Pharmacy 31571 Canyon Est Dr Ste 118 Lake Elsinore, CA 92532 (951) 245-4488

Costco Pharmacy 12700 Day St Moreno Valley, CA 92553 (951) 697-7737

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 130 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 26180 Iris Ave Moreno Valley, CA 92555 (951) 601-2468 CVS Pharmacy $ 12280 Perris Blvd Moreno Valley, CA 92557 (951) 242-3596 CVS Pharmacy $ 15025 Perris Blvd Moreno Valley, CA 92551 (951) 924-0286 CVS Pharmacy $ 25070 Alessandro Blvd Moreno Valley, CA 92553 (951) 242-4770 Laguna Vista Pharmacy 11441 Heacock St Ste D Moreno Valley, CA 92557 (951) 243-6465 Medical Plaza Pharmacy 12818 Heacock St Ste C5 Moreno Valley, CA 92553 (951) 247-3501 Moreno Valley Pharmacy 12980 Frederick St Ste B Moreno Valley, CA 92553 (951) 485-6500 Rite Aid Pharmacy 23965 Ironwood Ave Moreno Valley, CA 92557 (909) 242-0532 Rite Aid Pharmacy 24991 Alessandro Blvd Moreno Valley, CA 92553 (909) 485-4450

Riverside County Regional Dept Pharmacy Services 26520 Cactus Ave Moreno Valley, CA 92555 (951) 486-4529 Super Rx Pharmacy 25900 Iris Ave Moreno Valley, CA 92551 (951) 243-1234 Super Rx Pharmacy $ 14425 Moreno Beach Dr Moreno Valley, CA 92555 (951) 242-7471 Target Pharmacy 27100 Eucalyptus Moreno Valley, CA 92551 (951) 571-8015 Walgreens 25011 Alessandro Blvd Moreno Valley, CA 92553 (951) 485-1116 Walgreens 12275 Perris Blvd Moreno Valley, CA 92557 (951) 242-8717 Walgreens 16020 Perris Blvd Moreno Valley, CA 92551 (951) 247-2113 Walmart Pharmacy $ 12721 Moreno Beach Dr Moreno Valley, CA 92555 (951) 242-6599

CVS Pharmacy $ 23791 Washington Ave Murrieta, CA 92562 (951) 698-9616 Innovative Compounding Pharmacy $ 41538 Eastman Dr Murrieta, CA 92562 (951) 304-9530 Loma Linda University Medical Center (LLUMC)-Murri 28078 Baxter Road Ste 326 Murrieta, CA 92563 (951) 290-4810 Procare Pharmacy 25405 Hancock Ave Ste 100 Murrieta, CA 92562 (951) 304-2038 Ralphs $ 23801 Washington Ave Murrieta, CA 92562 (909) 600-8639 Rancho Springs Outpatient Pharmacy $ 25485 Medical Center Dr #110 Murrieta, CA 92562 (951) 698-4505

Murrieta

Rite Aid Pharmacy 40640 California Oaks Rd Murrieta, CA 92562 (909) 677-2762

CVS Pharmacy $ 25080 Hancock Ave Murrieta, CA 92562 (951) 677-4219

Rite Aid Pharmacy 40481 Murrieta Hot Springs Rd Murrieta, CA 92563 (951) 698-9793

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 23743 Jackson Ave Murrieta, CA 92562 (951) 600-0692

$ Offers preferred cost-sharing - 131 -

Retail Pharmacies, including Chain Pharmacies Palm Desert

Sam's Club Pharmacy $ 40500 Murrieta Hot Springs Rd Murrieta, CA 92563 (951) 696-4513

Walgreens 29910 Murrieta Hot Springs Rd Murrieta, CA 92563 (951) 894-1476

Sav-On Drugs $ 39140 Winchester Rd Murrieta, CA 92563 (909) 600-4479

Walgreens 33060 Antelope Rd Murrieta, CA 92563 (951) 301-0670

Sav-On Pharmacy $ 41000 California Oaks Rd Murrieta, CA 92562 (909) 600-1127

Walgreens 40420 Murrieta Hot Springs Rd Murrieta, CA 92563 (951) 698-7459

Sav-On Pharmacy $ 28047 Scott Rd Murrieta, CA 92562 (951) 696-4147

Walmart Pharmacy $ 41200 Murrieta Hot Springs Rd Murrieta, CA 92562 (951) 461-1481

Target Pharmacy 27818 Clinton Keith Rd Murrieta, CA 92562 (951) 704-1124

Norco

Emmanuel Pharmacy 77760 Country Club Dr Ste I Palm Desert, CA 92211 (760) 360-1080

CVS Pharmacy $ 1101 Hidden Valley Pkwy Norco, CA 92860 (951) 734-4181

Fireside Pharmacy $ 73847 Highway 111 Palm Desert, CA 92260 (760) 346-1113

Pharmco Drugs $ 2844 Hamner Ave Norco, CA 92860 (951) 734-1668

La Quinta Pharmacy $ 43875 Washington St Ste A Palm Desert, CA 92211 (760) 777-9902

Rite Aid Pharmacy 1325 6th St Norco, CA 92860 (951) 549-8586

Rite Aid Pharmacy 74958 Country Club Dr Palm Desert, CA 92260 (760) 776-9760

Target Pharmacy 1290 Hamner Ave Norco, CA 92860 (951) 371-1872

Rite Aid Pharmacy 72875 Highway 111 Palm Desert, CA 92260 (760) 346-2618

Walgreens 475 Hidden Valley Pkwy Norco, CA 92860 (951) 280-1270

Rite Aid Pharmacy 39155 Washington St Palm Desert, CA 92211 (760) 772-7075

Target Pharmacy 40140 California Oaks Rd Murrieta, CA 92562 (909) 696-7612 Vons Pharmacy 38995 Sky Canyon Dr Murrieta, CA 92563 (951) 677-6375 Walgreens 40663 California Oaks Rd Murrieta, CA 92562 (951) 304-1219 Walgreens 27714 Clinton Keith Rd Murrieta, CA 92562 (951) 672-1214

*Only dispenses 30-day supplies

Costco Pharmacy 72800 Dinah Shore Dr Palm Desert, CA 92211 (760) 202-1362 CVS Pharmacy $ 42155 Washington St Palm Desert, CA 92211 (760) 345-3259 Desertrx Pharmacy $ 73091 Country Club Dr Ste A4 Palm Desert, CA 92260 (760) 836-3738

$ Offers preferred cost-sharing - 132 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Sav-On Pharmacy $ 74590 Highway 111 Palm Desert, CA 92260 (760) 346-2573 Super Rx Pharmacy $ 78210 Varner Rd Palm Desert, CA 92211 (760) 772-2764 Target Pharmacy 72549 Highway 111 Palm Desert, CA 92260 (760) 341-9307 Town Center Drugs 72624 El Paseo Ste A1 Palm Desert, CA 92260 (760) 341-3984 Vons Pharmacy 72675 Highway 111 Palm Desert, CA 92260 (760) 340-5244 Walgreens 78218 Varner Rd Palm Desert, CA 92211 (760) 200-4382 Walgreens 44830 Monterey Ave Palm Desert, CA 92260 (760) 674-0716 Walmart Pharmacy $ 34500 Monterey Ave Palm Desert, CA 92211 (760) 328-3168 Walmart Pharmacy $ 72314 Highway 111 Palm Desert, CA 92260 (479) 273-4885

Palm Springs Community, A Walgreens Pharmacy 555 S Sunrise Way Ste 112 Palm Springs, CA 92264 (760) 323-1973 CVS Pharmacy $ 425 S Sunrise Way Palm Springs, CA 92262 (760) 322-2784 Heritage Pharmacy $ 275 N El Cielo Rd Ste C4 Palm Springs, CA 92262 (760) 416-7999 Las Palmas Pharmacy $ 555 E Tachevah Dr Ste 1W101 Palm Springs, CA 92262 (760) 416-0830 Palm Springs Pharmacy 611 S Palm Canyon Dr Ste 12 Palm Springs, CA 92264 (760) 322-3630 Ralphs $ 425 S Sunrise Way Palm Springs, CA 92262 (760) 327-4381

Vons Pharmacy 4733 E Palm Canyon Dr Palm Springs, CA 92264 (760) 324-8269 Walgreens 2465 E Palm Canyon Dr Palm Springs, CA 92264 (760) 322-9351 Walgreens 1750 E Vista Chino Palm Springs, CA 92262 (760) 864-1516 Walgreens 1695 N Sunrise Way Palm Springs, CA 92262 (760) 325-9370 White Cross Pharmacy 1 1445 N Sunrise Way Ste 100 Palm Springs, CA 92262 (760) 322-6700

Perris

Rite Aid Pharmacy 366 S Palm Canyon Dr Palm Springs, CA 92262 (760) 325-2326

Dominguez, A Walgreens Pharmacy 2055 N Perris Blvd Perris, CA 92571 (951) 943-8188

Rite Aid Pharmacy 2333 E Tahquitz Canyon Way Palm Springs, CA 92262 (760) 327-9133

Nuevo Pharmacy $ 75 W Nuevo Rd Ste H Perris, CA 92571 (951) 322-4700

Sav-On Drugs $ 1751 N Sunrise Way Palm Springs, CA 92262 (760) 322-1131

Perris Hills Pharmacy $ 540 W 4th St Ste 1 Perris, CA 92570 (951) 657-9511

*Only dispenses 30-day supplies HEALTH NET

Super Rx Pharmacy $ 1717 E Vista Chino Palm Springs, CA 92262 (760) 318-7440

$ Offers preferred cost-sharing - 133 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 1688 N Perris Blvd Perris, CA 92571 (909) 943-6868

Aqua Pharmacy $ 4336 Market St Riverside, CA 92501 (951) 683-2600

CVS Pharmacy $ 7117 Brockton Ave Riverside, CA 92506 (951) 782-3653

Walmart Pharmacy $ 2560 N Perris Blvd Ste S Perris, CA 92571 (951) 940-9190

Arlington Rx Pharmacy 8990 Garfield St Ste 12 Riverside, CA 92503 (951) 688-5232

CVS Pharmacy $ 3361 Market St Riverside, CA 92501 (951) 680-1145

Rancho Mirage

Assured Pharmacy 7000 Indiana Ave Ste 112 Riverside, CA 92506 (972) 668-7394

CVS Pharmacy $ 8280 Magnolia Ave Riverside, CA 92504 (951) 687-1308

Caring Pharmacy 9041 Magnolia Ave Ste 9 Riverside, CA 92503 (951) 351-1200

CVS Pharmacy $ 6215 Riverside Ave Riverside, CA 92506 (951) 781-0146

Central Best Pharmacy $ 4100 Central Ave Ste 100 Riverside, CA 92506 (951) 823-0273

CVS Pharmacy $ 2831 Mary St Riverside, CA 92506 (951) 369-9941

Community Care Pharmacy 4440 Brockton Ave Ste 400 Riverside, CA 92501 (951) 682-1063

CVS Pharmacy $ 3440 La Sierra Ave Riverside, CA 92503 (951) 352-1933

Community Professional Pharmacy 4000 14th St Riverside, CA 92501 (951) 683-1200

Empire Pharmacy $ 1340 Massachusetts Ave Riverside, CA 92507 (951) 530-8800

CVS Pharmacy $ 42370 Bob Hope Dr Rancho Mirage, CA 92270 (760) 568-5651 Pavilions Pharmacy 36101 Bob Hope Dr Rancho Mirage, CA 92270 (760) 328-2506 Sav-On Drugs $ 40101 Monterey Ave Rancho Mirage, CA 92270 (760) 674-4738 Walgreens 72027 Dinah Shore Dr Rancho Mirage, CA 92270 (760) 321-4892 Walgreens 39000 Bob Hope Dr Ste 114 Rancho Mirage, CA 92270 (760) 773-1219

Riverside ABC Pharmacy $ 777 W Blaine St Riverside, CA 92507 (951) 299-9922

CVS Pharmacy $ 491 E Alessandro Blvd Riverside, CA 92508 (951) 780-1835 CVS Pharmacy $ 6405 Day St Riverside, CA 92507 (951) 697-5657

*Only dispenses 30-day supplies

Jurupa Valley Pharmacy $ 7990 Limonite Ave Ste F Riverside, CA 92509 (951) 332-2235 Parkview Medical Plaza Pharmacy 3975 Jackson St Ste 109 Riverside, CA 92503 (951) 637-0180

$ Offers preferred cost-sharing - 134 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Pharmacy Express $ 5575 Mission Blvd Riverside, CA 92509 (951) 683-2172

Rite Aid Pharmacy 6150 Van Buren Blvd Riverside, CA 92503 (951) 688-5155

Target Pharmacy 2755 Canyon Springs Pkwy Riverside, CA 92507 (909) 697-6449

Ralphs $ 315 E Alessandro Blvd Riverside, CA 92508 (909) 789-0928

Riverside Pharmacy & Compounding 9448 Magnolia Ave Ste B Riverside, CA 92503 (951) 343-1633

Target Pharmacy 3333 Arlington Ave Riverside, CA 92506 (951) 276-9319

Ralphs $ 3350 La Sierra Ave Riverside, CA 92503 (951) 637-9819 Rite Aid Pharmacy 6075 Magnolia Ave Riverside, CA 92506 (909) 682-0177 Rite Aid Pharmacy 5225 Canyon Crest Dr Ste 8 Riverside, CA 92507 (909) 686-2203 Rite Aid Pharmacy 4790 La Sierra Ave Riverside, CA 92505 (951) 688-4196 Rite Aid Pharmacy 3849 Chicago Ave Riverside, CA 92507 (909) 686-2671 Rite Aid Pharmacy 17126 Van Buren Blvd Riverside, CA 92504 (909) 780-3343 Rite Aid Pharmacy 8015 Limonite Ave Riverside, CA 92509 (909) 681-0562

Riverwalk Pharmacy 4234 Riverwalk Parkway Ste 130 Riverside, CA 92505 (951) 352-3030 Rx Express Pharmacy 6160 Arlington Ave Ste C14 Riverside, CA 92504 (951) 785-5386 Sam's Club Pharmacy $ 6363 Valley Springs Pkwy Riverside, CA 92507 (951) 653-7850 Sav-On Pharmacy $ 8939 Trautwein Rd Riverside, CA 92508 (909) 656-3394 Sav-On Pharmacy $ 2975 Van Buren Blvd Riverside, CA 92503 (951) 689-2370 Spencers Prescription Pharmacy 6942 Brockton Ave Riverside, CA 92506 (951) 686-7373 Target Pharmacy 3520 Tyler St Riverside, CA 92503 (909) 351-1083

*Only dispenses 30-day supplies HEALTH NET

Vons Pharmacy 3520 Riverside Plaza Riverside, CA 92506 (951) 342-7930 Vons Pharmacy 3840 La Sierra Ave Riverside, CA 92505 (909) 359-4651 Walgreens 8044 Limonite Ave Riverside, CA 92509 (951) 685-0139 Walgreens 6444 Van Buren Blvd Riverside, CA 92503 (951) 688-8627 Walgreens 6600 Magnolia Ave Riverside, CA 92506 (951) 786-9243 Walgreens 10992 Magnolia Ave Riverside, CA 92505 (951) 688-4154 Walgreens 1745 University Ave Riverside, CA 92507 (951) 684-5661

$ Offers preferred cost-sharing - 135 -

Retail Pharmacies, including Chain Pharmacies Walgreens 8917 Trautwein Rd Riverside, CA 92508 (951) 776-0470

Super Rx Pharmacy $ 1271 North State St San Jacinto, CA 92583 (951) 654-4221

Walgreens 27975 Bradley Rd Sun City, CA 92586 (951) 246-3092

Walmart Pharmacy $ 2663 Canyon Springs Pkwy Riverside, CA 92507 (951) 653-2969

Walgreens 2261 W Esplananda Ave San Jacinto, CA 92582 (951) 487-2383

Temecula

Walmart Pharmacy $ 5048 Van Buren Blvd Riverside, CA 92503 (951) 689-7581

Walgreens 1811 S San Jacinto Ave San Jacinto, CA 92583 (951) 487-6185

Walmart Pharmacy $ 8844 Limonite Ave Riverside, CA 92509 (951) 685-1209

Walgreens 1181 N State St San Jacinto, CA 92583 (951) 487-3810

San Jacinto

Walmart Pharmacy $ 1861 S San Jacinto Ave San Jacinto, CA 92583 (951) 487-8409

Costco Pharmacy 26610 Ynez Rd Temecula, CA 92591 (951) 719-2002 CVS Pharmacy $ 40365 Winchester Rd Temecula, CA 92591 (951) 296-6729 CVS Pharmacy $ 33205 Temecula Pkwy Temecula, CA 92592 (951) 303-3164

Sun City

CVS Pharmacy $ 29610 Rancho California Rd Temecula, CA 92591 (951) 699-0192

CVS Pharmacy $ 102 S Sanderson Ave San Jacinto, CA 92582 (951) 487-9185

Best Pharmacy 26930 Cherry Hill Blvd Sun City, CA 92586 (951) 679-5531

CVS Pharmacy $ 31771 Rancho California Rd Temecula, CA 92591 (951) 699-7587

Rite Aid Pharmacy 1605 S San Jacinto Ave San Jacinto, CA 92583 (909) 654-8173

Rite Aid Pharmacy 27350 Sun City Blvd Sun City, CA 92586 (951) 301-0063

CVS Pharmacy $ 31021 Temecula Pkwy Temecula, CA 92592 (951) 303-9417

Rite Aid Pharmacy 1180 N State Street San Jacinto, CA 92583 (951) 487-1915

Rite Aid Pharmacy 25906 Newport Rd Sun City, CA 92584 (909) 679-5199

CVS Pharmacy $ 30640 Rancho California Rd Temecula, CA 92591 (951) 695-1713

San Jacinto Pharmacy 100 E Main St San Jacinto, CA 92583 (951) 654-9393

Vons Pharmacy 27220 Sun City Blvd Sun City, CA 92586 (909) 679-8889

Kmart Pharmacy 26471 Ynez Rd Temecula, CA 92591 (909) 296-1575

Aghapharmacy Pharmacy $ 1695 S San Jacinto Ave Ste Q San Jacinto, CA 92583 (951) 654-2828

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 136 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Ralphs $ 33293 Highway 79 Temecula, CA 92592 (909) 303-8764 Rite Aid Pharmacy Hwy 79 And Red Hawk Rd Temecula, CA 92592 (909) 302-9353 Rite Aid Pharmacy 39782 Winchester Rd Temecula, CA 92591 (951) 676-0703 Sav-On Drugs $ 31960 US Highway 79 S Temecula, CA 92592 (951) 303-1144 Sav-On Pharmacy $ 30530 Rancho California Rd Temecula, CA 92591 (909) 694-0055 Super Rx Pharmacy 31813 US Highway 79 S Temecula, CA 92592 (909) 302-3737

Walmart Pharmacy $ 32225 Temecula Pkwy Temecula, CA 92592 (951) 506-7631

Wildomar Bear Creek Pharmacy $ 36243 Inland Valley Dr Wildomar, CA 92595 (951) 677-4880 Rite Aid Pharmacy 32450 Clinton Keith Rd Wildomar, CA 92595 (951) 678-9141 Sav-On Pharmacy $ 23893 Clinton Keith Rd Wildomar, CA 92595 (951) 600-4620 Super Rx Pharmacy $ 36010 Hidden Springs Rd Wildomar, CA 92595 (951) 678-1755

Winchester

Target Pharmacy 29676 Rancho California Rd Temecula, CA 92591 (909) 676-2668

CVS Pharmacy $ 30736 Benton Rd Winchester, CA 92596 (951) 926-1223

Vail Ranch Pharmacy $ 32675 Temecula Pkwy Ste B Temecula, CA 92592 (951) 303-8300

Super Rx Pharmacy $ 30712 Benton Rd Winchester, CA 92596 (951) 325-2523

Vons Pharmacy 29530 Rancho California Rd Temecula, CA 92591 (951) 695-7273

*Only dispenses 30-day supplies HEALTH NET

Sacramento Antelope Antelope Pharmacy $ 4207 Elverta Rd Ste 109 Antelope, CA 95843 (916) 729-6884 Bel Air Pharmacy 7901 Walerga Rd Antelope, CA 95843 (916) 725-6940 Rite Aid Pharmacy 4300 Elverta Rd Antelope, CA 95843 (916) 729-6763 Walmart Pharmacy $ 5821 Antelope North Rd Antelope, CA 95843 (916) 729-6236 Walmart Pharmacy $ 7901 Watt Ave Antelope, CA 95843 (916) 332-4427

Carmichael Bel Air Pharmacy 4005 Manzanita Ave Carmichael, CA 95608 (916) 483-2695 CVS Pharmacy $ 4959 Marconi Ave Carmichael, CA 95608 (916) 485-1144

$ Offers preferred cost-sharing - 137 -

Retail Pharmacies, including Chain Pharmacies Family Discount Pharmacy $ 5830 Jameson Ct Ste B Carmichael, CA 95608 (916) 481-6900

Raley's Drug Center 7849 Lichen Dr Citrus Heights, CA 95621 (916) 722-1755

Walgreens 6144 Dewey Dr Citrus Heights, CA 95621 (916) 723-4118

Knotts Pharmacy 6620 Coyle Ave Ste 102 Carmichael, CA 95608 (916) 455-3068

Rite Aid Pharmacy 7900 Arcadia Dr Citrus Heights, CA 95610 (916) 969-1962

Walmart Pharmacy $ 7010 Auburn Blvd Citrus Heights, CA 95621 (916) 729-8069

Raley's Drug Center 5157 Fair Oaks Blvd Carmichael, CA 95608 (916) 483-0419

Rite Aid Pharmacy 6661 Auburn Blvd Citrus Heights, CA 95621 (916) 726-1415

Elk Grove

Rite Aid Pharmacy 4010 Manzanita Ave Carmichael, CA 95608 (916) 482-4930

Rite Aid Pharmacy 5403 Sunrise Blvd Citrus Heights, CA 95610 (916) 961-2064

Save Mart Pharmacy 4708 Manzanita Ave Carmichael, CA 95608 (916) 979-9100

Safeway Pharmacy 7301 Greenback Ln Citrus Heights, CA 95621 (916) 727-2458

Walgreens 6325 Fair Oaks Blvd Carmichael, CA 95608 (916) 480-0979

Sam's Club Pharmacy $ 7147 Greenback Ln Citrus Heights, CA 95621 (916) 721-6527

Walmart Pharmacy $ 6005 Madison Ave Carmichael, CA 95608 (916) 534-1162

Target Pharmacy 5837 Sunrise Blvd Citrus Heights, CA 95610 (916) 526-0302

Citrus Heights

Walgreens 7787 Sunrise Blvd Citrus Heights, CA 95610 (916) 722-1982

Costco Pharmacy 7000 Auburn Blvd Citrus Heights, CA 95621 (916) 560-4002 Kmart Pharmacy 8501 Auburn Blvd Citrus Heights, CA 95610 (916) 726-3395

Walgreens 6199 Sunrise Blvd Citrus Heights, CA 95610 (916) 726-6802

*Only dispenses 30-day supplies

Bel Air 9435 Elk Grove Blvd Elk Grove, CA 95624 (916) 714-6955 Bel Air Pharmacy 8425 Elk Grove Florin Rd Elk Grove, CA 95624 (916) 681-5790 Bel Air Pharmacy 5100 Laguna Blvd Elk Grove, CA 95758 (916) 684-7007 CVS Pharmacy $ 5040 Laguna Blvd Elk Grove, CA 95758 (916) 684-6822 CVS Pharmacy $ 8585 Elk Grove Blvd Elk Grove, CA 95624 (916) 686-5193 CVS Pharmacy $ 9285 Elk Grove Blvd Elk Grove, CA 95624 (916) 714-5372 CVS Pharmacy $ 8400 Bradshaw Rd Elk Grove, CA 95624 (916) 689-1124 $ Offers preferred cost-sharing

- 138 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Laguna Medical Pharmacy 9390 Big Horn Blvd Ste 110 Elk Grove, CA 95758 (916) 684-9922

Walgreens 9180 Franklin Blvd Elk Grove, CA 95758 (916) 427-3739

Safeway Pharmacy 5450 Dewey Dr Fair Oaks, CA 95628 (916) 904-5360

Raleys 4900 Elk Grove Blvd Elk Grove, CA 95758 (916) 683-0720

Walmart Pharmacy $ 10075 Bruceville Rd Elk Grove, CA 95757 (916) 585-7809

Folsom

Rite Aid Pharmacy 9260 Elk Grove Blvd Elk Grove, CA 95624 (916) 686-1020

Walmart Pharmacy $ 8455 Elk Grove Blvd Elk Grove, CA 95758 (916) 509-3212

Rite Aid Pharmacy 7211 Elk Grove Blvd Elk Grove, CA 95758 (916) 478-2970

Walmart Pharmacy $ 8465 Elk Grove Blvd Elk Grove, CA 95758 (916) 684-7104

Safeway Pharmacy 5021 Laguna Blvd Elk Grove, CA 95758 (916) 691-3777

Fair Oaks

CVS Pharmacy $ 1005 E Bidwell St Folsom, CA 95630 (916) 983-5366

CVS Pharmacy $ 5420 Dewey Dr Fair Oaks, CA 95628 (916) 864-4803

CVS Pharmacy $ 2790 E Bidwell St Folsom, CA 95630 (916) 983-8774

CVS Pharmacy $ 8101 Greenback Ln Fair Oaks, CA 95628 (916) 726-4466

CVS Pharmacy $ 9479 Madison Ave Folsom, CA 95630 (916) 987-0342

Raley's Drug Center 8870 Madison Ave Fair Oaks, CA 95628 (916) 966-2241

Folsom Medical Pharmacy 1300 E Bidwell St Ste 105 Folsom, CA 95630 (916) 983-4900

Raley's Drug Center 4830 San Juan Ave Fair Oaks, CA 95628 (916) 966-2266

Raley's Drug Center 715 E Bidwell St Folsom, CA 95630 (916) 983-6574

Safeway Pharmacy 8925 Madison Ave Fair Oaks, CA 95628 (916) 965-1541

Raley's Pharmacy 25025 Blue Ravine Rd Folsom, CA 95630 (916) 351-0303

Target Pharmacy 7505 Laguna Blvd Elk Grove, CA 95758 (916) 683-2936 Walgreens 8400 Elk Grove Florin Rd Elk Grove, CA 95624 (916) 525-3563 Walgreens 7299 Laguna Blvd Elk Grove, CA 95758 (916) 691-4412 Walgreens 9200 Elk Grove Florin Rd Elk Grove, CA 95624 (916) 687-3251

*Only dispenses 30-day supplies HEALTH NET

Bel Air 2760 E Bidwell St Folsom, CA 95630 (916) 983-8044 Costco Pharmacy 1800 Cavitt Dr Folsom, CA 95630 (916) 850-1005

$ Offers preferred cost-sharing - 139 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 526 E Bidwell St Folsom, CA 95630 (916) 984-7749

Raley's 10430 Twin Cities Rd Galt, CA 95632 (209) 745-4881

Safeway Pharmacy 1850 Prairie City Rd Folsom, CA 95630 (916) 608-2455

Rite Aid Pharmacy 10570 Twin Cities Rd Galt, CA 95632 (209) 744-1380

Sam's Club Pharmacy $ 2495 Iron Point Rd # 11 Folsom, CA 95630 (916) 817-8960

Valley Pharmacy 811 C St Galt, CA 95632 (209) 745-1591

Save Mart Pharmacy 1003 E Bidwell St Folsom, CA 95630 (916) 983-4084

Walmart Pharmacy $ 10470 Twin Cities Rd Galt, CA 95632 (209) 744-1965

Target Pharmacy 430 Blue Ravine Rd Folsom, CA 95630 (916) 984-9131

Gold River Bel Air Pharmacy 2155 Golden Centre Ln Gold River, CA 95670 (916) 858-0481

Orangevale CVS Pharmacy $ 8861 Greenback Ln Orangevale, CA 95662 (916) 989-4001 Walgreens 8900 Greenback Ln Orangevale, CA 95662 (916) 990-0500 Walmart Pharmacy $ 8961 Greenback Ln Orangevale, CA 95662 (916) 989-5800

Rancho Cordova Costco Pharmacy 11260 White Rock Rd Rancho Cordova, CA 95742 (916) 635-3162

North Highlands

CVS Pharmacy $ 3301 Zinfandel Dr Rancho Cordova, CA 95670 (916) 852-8332

Walgreens 1100 Riley St Folsom, CA 95630 (916) 983-5862

Rite Aid Pharmacy 6639 Watt Ave North Highlands, CA 95660 (916) 332-2060

Rite Aid Pharmacy 2111 Golden Centre Ln Rancho Cordova, CA 95670 (916) 858-1948

Walmart Pharmacy $ 1018 Riley St Folsom, CA 95630 (916) 983-5667

Walgreens 6819 Watt Ave North Highlands, CA 95660 (916) 339-0189

Safeway Pharmacy 10635 Folsom Blvd Rancho Cordova, CA 95670 (916) 364-4944

Galt

West Coast Pharmacy $ 5731 Watt Ave North Highlands, CA 95660 (916) 331-4653

Target Pharmacy 10881 Olson Dr Rancho Cordova, CA 95670 (916) 503-2513

Walgreens 2595 E Bidwell St Folsom, CA 95630 (916) 817-6533

CVS Pharmacy $ 1063 C St Galt, CA 95632 (209) 745-9534 *Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 140 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 4050 Sunrise Blvd Rancho Cordova, CA 95742 (916) 294-9566

Bel Air Pharmacy 4320 Arden Way Sacramento, CA 95864 (916) 972-7028

CVS Pharmacy $ 5039 Folsom Blvd Sacramento, CA 95819 (916) 739-0740

Walgreens 10701 Folsom Blvd Rancho Cordova, CA 95670 (916) 340-0750

Bel Air Pharmacy 7465 Rush River Dr Sacramento, CA 95831 (916) 399-9060

CVS Pharmacy $ 7465 Rush River Dr Ste 500 Sacramento, CA 95831 (916) 391-1289

Walmart Pharmacy $ 10655 Folsom Blvd Rancho Cordova, CA 95670 (916) 361-0515

Bel Air Pharmacy 1540 W El Camino Ave Sacramento, CA 95833 (916) 920-3558

CVS Pharmacy $ 5333 Elkhorn Blvd Sacramento, CA 95842 (916) 334-7450

Sacramento

Blue Star Pharmacy 3811 Florin Rd Ste 28 Sacramento, CA 95823 (916) 422-9861

CVS Pharmacy $ 1350 Florin Rd Sacramento, CA 95822 (916) 392-5184

C & M Pharmacy 4195 Norwood Ave Sacramento, CA 95838 (916) 928-6183

CVS Pharmacy $ 8351 Elk Grove Florin Rd Sacramento, CA 95829 (916) 681-7913

Costco Pharmacy 7981 E Stockton Blvd Sacramento, CA 95823 (916) 682-7505

CVS Pharmacy $ 400 Howe Ave Sacramento, CA 95825 (916) 929-9577

Costco Pharmacy 1600 Expo Pkwy Sacramento, CA 95815 (916) 563-7012

CVS Pharmacy $ 1587 W El Camino Ave Sacramento, CA 95833 (916) 568-1667

CVS Pharmacy $ 1701 K St Sacramento, CA 95811 (916) 444-9266

CVS Pharmacy $ 3338 Arden Way Sacramento, CA 95825 (916) 480-0351

CVS Pharmacy $ 2050 Club Center Dr Sacramento, CA 95835 (916) 928-6848

CVS Pharmacy $ 2636 Marconi Ave Sacramento, CA 95821 (916) 485-6917

Acariahealth Pharmacy #14, INC. $ 4225 Northgate Blvd Ste 2 Sacramento, CA 95834 (916) 927-0336 Allwell Pharmacy And Medical Supply 5611 Stockton Blvd Sacramento, CA 95824 (916) 457-2905 Anderson Brothers Pharmacy $ 2900 Fulton Ave Sacramento, CA 95821 (916) 489-3638 Avella Of Sacramento $ 2288 Auburn Blvd #102 Sacramento, CA 95821 (916) 564-9888 Bel Air Pharmacy 3250 Arena Blvd Sacramento, CA 95834 (916) 419-4442

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 141 -

Retail Pharmacies, including Chain Pharmacies Folsom Pharmacy $ 9545 Folsom Blvd Ste 7 Sacramento, CA 95827 (916) 364-9900

Physicians Building Pharmacy $ 3701 J St Sacramento, CA 95816 (916) 452-3454

Rite Aid Pharmacy 4221 Norwood Ave Sacramento, CA 95838 (916) 614-9502

Greenhaven Pharmacy $ 7248 S Land Park Dr Sacramento, CA 95831 (916) 378-5757

Professional Village Pharmacy $ 1701 Professional Dr Sacramento, CA 95825 (916) 483-3455

Rite Aid Pharmacy 980 Florin Rd Sacramento, CA 95831 (916) 422-7202

Kim Pharmacy $ 6665 Stockton Blvd # 6 Sacramento, CA 95823 (916) 392-3488

Pucci's Pharmacy $ 2821 J St Sacramento, CA 95816 (916) 442-5891

Rite Aid Pharmacy 9133 Kiefer Blvd Sacramento, CA 95826 (916) 366-1377

Kim Pharmacy $ 5026 Fruitridge Rd #3 Sacramento, CA 95820 (916) 469-9813

Raley's 4650 Natomas Blvd Sacramento, CA 95835 (916) 413-6644

Rite Aid Pharmacy 8368 Elk Grove Florin Rd Sacramento, CA 95829 (916) 681-3558

Lotus Pharmacy 7275 E Southgate Dr Ste 302 Sacramento, CA 95823 (916) 422-5675

Raley's Drug Center 4850 Freeport Blvd Sacramento, CA 95822 (916) 452-3811

Rite Aid Pharmacy 831 K St Sacramento, CA 95814 (916) 444-0690

Med-Aid Pharmacy 3100 Stockton Blvd Sacramento, CA 95820 (916) 736-3188

Raley's Drug Center 3518 Marconi Ave Sacramento, CA 95821 (916) 972-7198

Rite Aid Pharmacy 7900 Florin Rd Ste E Sacramento, CA 95828 (916) 428-4489

Mercy Pharmacy $ 3941 J St Sacramento, CA 95819 (916) 733-6970

Raley's Drug Center 4555 Mack Rd Sacramento, CA 95823 (916) 421-3267

Rite Aid Pharmacy 7860 Gerber Rd Sacramento, CA 95828 (916) 689-8578

Parkside Pharmacy $ 4404 Del Rio Rd Sacramento, CA 95822 (916) 452-2200

Raley's Drug Center 8391 Folsom Blvd Sacramento, CA 95826 (916) 383-4541

Rite Aid Pharmacy 5712 Folsom Blvd Sacramento, CA 95819 (916) 455-6814

Payless Pharmacy 2303 Northgate Blvd Sacramento, CA 95833 (916) 624-9900

Ranch Pharmacy 4220 Florin Rd # 111 Sacramento, CA 95823 (916) 231-0277

Rite Aid Pharmacy 5610 Stockton Blvd Sacramento, CA 95824 (916) 737-0260

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 142 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 4980 Freeport Blvd Sacramento, CA 95822 (916) 457-6247

Rite Aid Pharmacy 2419 Del Paso Blvd Sacramento, CA 95815 (916) 922-5433

Sam's Club Pharmacy $ 8250 Power Inn Rd Sacramento, CA 95828 (916) 688-2122

Rite Aid Pharmacy 4020 Florin Rd Sacramento, CA 95823 (916) 421-6486

Rite Aid Pharmacy 2751 Del Paso Rd Sacramento, CA 95835 (916) 285-9372

Sam's Club Pharmacy $ 3360 El Camino Ave Sacramento, CA 95821 (916) 487-8242

Rite Aid Pharmacy 4241 Marconi Ave Sacramento, CA 95821 (916) 483-8479

Rite Aid Pharmacy 2801 K St Ste 100 Sacramento, CA 95816 (916) 441-5252

Save Mart Pharmacy 3291 Truxel Rd Sacramento, CA 95833 (916) 646-1407

Rite Aid Pharmacy 1125 Alhambra Blvd Sacramento, CA 95816 (916) 444-7960

Rite Aid Pharmacy 4830 J St Sacramento, CA 95819 (916) 451-2187

Save Mart Pharmacy 7960 Gerber Rd Sacramento, CA 95828 (916) 689-8300

Rite Aid Pharmacy 1309 Fulton Ave Sacramento, CA 95825 (916) 483-3486

Sacramento Pharmacy INC. $ 2925 Fulton Ave Sacramento, CA 95821 (916) 993-9980

Save Mart Pharmacy 2501 Fair Oaks Blvd Sacramento, CA 95825 (916) 484-7016

Rite Aid Pharmacy 1730 Watt Ave Sacramento, CA 95825 (916) 483-9268

Safeway Pharmacy 1814 19th St Sacramento, CA 95814 (916) 492-9977

South Sacramento Pharmacy $ 5385 Franklin Blvd Ste I Sacramento, CA 95820 (916) 452-0247

Rite Aid Pharmacy 2101 S St Sacramento, CA 95816 (916) 731-4470

Safeway Pharmacy 3320 Arden Way Sacramento, CA 95825 (916) 483-9574

Target Pharmacy 1919 Fulton Ave Sacramento, CA 95825 (916) 483-5141

Rite Aid Pharmacy 2211 F St Sacramento, CA 95816 (916) 930-0244

Safeway Pharmacy 2851 Del Paso Blvd Sacramento, CA 95815 (916) 285-8844

Target Pharmacy 8101 Cosumnes River Blvd Sacramento, CA 95823 (916) 525-3586

Rite Aid Pharmacy 2214 El Camino Ave Sacramento, CA 95821 (916) 922-8752

Safeway Pharmacy 1025 Alhambra Blvd Sacramento, CA 95816 (916) 456-3421

Target Pharmacy 6507 4th Ave Sacramento, CA 95817 (916) 503-3679

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 143 -

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 3601 North Freeway Blvd Sacramento, CA 95834 (916) 576-0488

Walgreens 2900 Stockton Blvd Sacramento, CA 95817 (916) 739-1621

Walgreens 4331 Antelope Rd Sacramento, CA 95843 (916) 722-3304

Thanh Thuy Pharmacy $ 6830 Stockton Blvd Ste 160 Sacramento, CA 95823 (916) 391-7210

Walgreens 250 Florin Rd Sacramento, CA 95831 (916) 399-0650

Walgreens 8275 Bruceville Rd Sacramento, CA 95823 (916) 682-7407

The Pharmacy At Cares $ 1500 21st St Sacramento, CA 95811 (916) 914-6256

Walgreens 2201 Arden Way Sacramento, CA 95825 (916) 929-7341

Walgreens 840 El Camino Ave Sacramento, CA 95815 (916) 643-9940

Thu Pharmacy $ 6171 Stockton Blvd Ste 185 Sacramento, CA 95824 (916) 395-0352

Walgreens 2401 Florin Rd Sacramento, CA 95822 (916) 399-9674

Walgreens 5020 Madison Ave Sacramento, CA 95841 (916) 339-9712

Timberlake Pharmacy $ 8100 Timberlake Way Ste A Sacramento, CA 95823 (916) 760-2470

Walgreens 4200 Arden Way Sacramento, CA 95864 (916) 485-4069

Walmart Pharmacy $ 6051 Florin Rd Sacramento, CA 95823 (916) 422-5477

UCD-Medical Center OutPatient Pharmacy 2221 Stockton Blvd Rm 1130 Sacramento, CA 95817 (916) 734-3244

Walgreens 1919 Fruitridge Rd Sacramento, CA 95822 (916) 457-5733

Walmart Pharmacy $ 3460 El Camino Ave Sacramento, CA 95821 (916) 977-0221

Walgreens 1420 Meadowview Rd Sacramento, CA 95832 (916) 421-0102

Walmart Pharmacy $ 2700 Marconi Ave Sacramento, CA 95821 (916) 576-7319

Walgreens 1401 Broadway Sacramento, CA 95818 (916) 440-0953

Walmart Pharmacy $ 3661 Truxel Rd Sacramento, CA 95834 (916) 928-9673

Valley Pharmacy Of Sacramento 7600 Hospital Dr Ste A Sacramento, CA 95823 (916) 423-2098 Vangs Pharmacy 7260 E Southgate Dr Ste E Sacramento, CA 95823 (916) 393-5961 Walgreens 3521 Del Paso Blvd Sacramento, CA 95838 (916) 515-1866

Walgreens 4495 Mack Rd Sacramento, CA 95823 (916) 399-0860

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 144 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies San Benito Hollister Rite Aid Pharmacy 1701 Airline Hwy Hollister, CA 95023 (831) 636-1692 Safeway Pharmacy 591 Tres Pinos Rd Hollister, CA 95023 (831) 638-3247 Save Mart Pharmacy 291 McCray St Hollister, CA 95023 (831) 634-1887 Target Pharmacy 1790 Airline Hwy Hollister, CA 95023 (831) 638-4824 Walgreens 600 Tres Pinos Rd Hollister, CA 95023 (831) 638-1024

San Bernardino

Apple Valley A Family Pharmacy-Apple Valley $ 15863 Kasota Rd Ste C Apple Valley, CA 92307 (760) 242-5452 Community Care Pharmacy 16070 Tuscola Rd # 102 Apple Valley, CA 92307 (760) 242-2559 CVS Pharmacy $ 20180 US Highway 18 Apple Valley, CA 92307 (760) 946-3335 Hi Desert Pharmacy 18182 Outer Hwy 18 #107 Apple Valley, CA 92307 (760) 242-4223 Jonathan's Pharmacy $ 19341 Bear Valley Rd Ste 103 Apple Valley, CA 92308 (760) 983-2599 Queens Pharmacy $ 18522 Highway 18 Ste 103 Apple Valley, CA 92307 (760) 946-4700

Adelanto

Rancho Drugs $ 17798 Wika Rd Apple Valley, CA 92307 (760) 242-4900

CVS Pharmacy $ 12058 Palmdale Rd Adelanto, CA 92301 (760) 246-2803

Rite Aid Pharmacy 21738 Hwy 18 Apple Valley, CA 92308 (760) 247-4535

Super Rx Pharmacy $ 14168 US Hwy 395 Adelanto, CA 92301 (760) 246-3524

Rite Aid Pharmacy 19035 Bear Valley Rd Apple Valley, CA 92308 (760) 961-7325

*Only dispenses 30-day supplies HEALTH NET

Sav-On Drugs $ 20261 Highway 18 Apple Valley, CA 92307 (760) 242-1323 Super Rx Pharmacy $ 12253 Apple Valley Rd Apple Valley, CA 92308 (760) 247-1123 Target Pharmacy 19201 Bear Valley Rd Apple Valley, CA 92308 (760) 961-6943 Target Pharmacy 20288 Hwy 18 Apple Valley, CA 92307 (760) 240-5501 Walgreens 21650 US Highway 18 Apple Valley, CA 92307 (760) 240-0866 Walgreens 12109 Apple Valley Rd Apple Valley, CA 92308 (760) 240-5896 Walgreens 20250 US Highway 18 Apple Valley, CA 92307 (760) 946-1174 Walmart Pharmacy $ 20251 Hwy 18 Apple Valley, CA 92307 (760) 946-2430

Barstow Croal's Rexall Drug $ 901 E Williams St Barstow, CA 92311 (760) 256-8968 $ Offers preferred cost-sharing

- 145 -

Retail Pharmacies, including Chain Pharmacies Prescription Shoppe $ 400 S 2nd Ave Ste 101 Barstow, CA 92311 (760) 256-5614 Rite Aid Pharmacy 943 Armory Rd Barstow, CA 92311 (760) 252-3502

Blue Jay Rite Aid Pharmacy 27177 Ste E Hwy 189 Blue Jay, CA 92317 (909) 336-1275

Sam's Club Pharmacy $ 5459 Pennsylvania St. Chino, CA 91710 (909) 627-3683

Chino

Super Rx Pharmacy $ 6989 Schaefer Ave Chino, CA 91710 (909) 627-1472

Teplow Drugs $ 404 E Main St Barstow, CA 92311 (760) 256-2726

Chino Medical Pharmacy 5365 Walnut Ave Ste D Chino, CA 91710 (909) 591-6038

Target Pharmacy 5555 Philadelphia St Chino, CA 91710 (909) 627-8433

Vons Pharmacy 1270 E Main St Barstow, CA 92311 (760) 256-8012

Chino Professional Pharmacy 12611 9th St Ste D Chino, CA 91710 (909) 464-1366

Target Pharmacy 3944 Grand Ave Chino, CA 91710 (909) 364-0725

Walmart Pharmacy $ 621 Montara Rd Barstow, CA 92311 (760) 252-5022

CVS Pharmacy $ 12101 Central Ave Chino, CA 91710 (909) 591-3911

VIP Pharmacy $ 13193 Central Ave Ste 120 Chino, CA 91710 (909) 573-0123

Big Bear Lake

Grandview Pharmacy $ 13768 Roswell Ave Ste 111 Chino, CA 91710 (909) 548-6186

Walgreens 12490 Central Ave Chino, CA 91710 (909) 464-9520

K's Pharmacy $ 12582 Central Ave Chino, CA 91710 (909) 591-7429

Walmart Pharmacy $ 3943 Grand Ave Chino, CA 91710 (909) 590-7597

Ralphs $ 12835 Mountain Ave Chino, CA 91710 (909) 548-6366

Chino Hills

Big Bear Valley Medical Arts Pharmacy 42002 Fox Farm Rd Ste 103 Big Bear Lake, CA 92315 (909) 866-5881 CVS Pharmacy $ 42136 Big Bear Blvd Big Bear Lake, CA 92315 (909) 878-0060 Walgreens 42107 Big Bear Blvd Big Bear Lake, CA 92315 (909) 866-1076

Rite Aid Pharmacy 12059 Central Ave Chino, CA 91710 (909) 627-4012

*Only dispenses 30-day supplies

Chino Hills Professional Pharmacy 2140 Grand Ave Ste 130 Chino Hills, CA 91709 (909) 364-9244 Costco Pharmacy 13111 Peyton Dr Chino Hills, CA 91709 (909) 627-1876 $ Offers preferred cost-sharing

- 146 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 3290 Chino Hills Pkwy Chino Hills, CA 91709 (909) 597-3898

Walgreens 3320 Chino Hills Pkwy Chino Hills, CA 91709 (909) 393-9056

CVS Pharmacy $ 13181 Peyton Dr Chino Hills, CA 91709 (909) 627-5099

Colton

Excel Care Pharmacy 2983 Chino Ave Ste A10 Chino Hills, CA 91709 (909) 614-1384 Rite Aid Pharmacy 4200 Chino Hills Pkwy # Pkwy50 Chino Hills, CA 91709 (909) 393-5710 Rite Aid Pharmacy 15890 Soquel Canyon Rd Chino Hills, CA 91709 (909) 597-3950 Sav-On Pharmacy $ 3255 Grand Ave Chino Hills, CA 91709 (909) 590-8373 Sav-On Pharmacy $ 15970 Los Serranos Ctry Cl Dr Chino Hills, CA 91709 (909) 606-8185 Super Rx Pharmacy 14250 Chino Hills Pkwy Chino Hills, CA 91709 (909) 628-3400 Vons Pharmacy 4200 Chino Hills Pkwy Chino Hills, CA 91709 (909) 548-2827

Arrowhead Regional Medical Center 400 N Pepper Ave Colton, CA 92324 (909) 580-0016 Colton Pharmacy & Medical Supplies 518 W Valley Blvd Colton, CA 92324 (909) 422-0444

Lake Gregory Pharmacy 580 Forest Shade Rd Crestline, CA 92325 (909) 338-1875

Fontana Base Line Pharmacy 13451 Baseline Ave Ste C Fontana, CA 92336 (909) 463-4631 Cole's Care Pharmacy 16854 Ivy Ave Ste C Fontana, CA 92335 (909) 356-0110

Cooley Health Pharmacy 1280 E Cooley Dr Ste 23 Colton, CA 92324 (909) 514-1730

Costco Pharmacy 16505 Sierra Lakes Parkway Fontana, CA 92336 (909) 770-5648

Larson And Hub City Drug $ 142 W H St Colton, CA 92324 (909) 825-1950

CVS Pharmacy $ 9840 Sierra Ave Fontana, CA 92335 (909) 350-0284

Rite Aid Pharmacy 2025 E Washington St Colton, CA 92324 (909) 824-8299

CVS Pharmacy $ 15286 Summit Ave Fontana, CA 92236 (909) 463-9255

Rite Aid Pharmacy 1133 N Mount Vernon Ave Colton, CA 92324 (909) 825-6731

Farmacia M 7965 Sierra Ave Ste G Fontana, CA 92336 (909) 427-1853

Walmart Pharmacy $ 1120 S Mount Vernon Ave Colton, CA 92324 (909) 783-0390

Finleys Rexall Drugs 8554 Sierra Ave Fontana, CA 92335 (909) 822-2288

*Only dispenses 30-day supplies HEALTH NET

Crestline

$ Offers preferred cost-sharing - 147 -

Retail Pharmacies, including Chain Pharmacies Ralphs Pharmacy $ 16225 Sierra Lakes Pkwy Fontana, CA 92336 (909) 357-2525

Super Rx Pharmacy $ 11225 Sierra Ave Fontana, CA 92337 (909) 428-4558

Walgreens 22456 Barton Rd Grand Terrace, CA 92313 (909) 420-9243

Rite Aid Corporation 15331 Baseline Avenue Fontana, CA 92336 (909) 574-2831

Target Pharmacy 16964 Slover Ave Fontana, CA 92337 (909) 356-0540

Hesperia

Rite Aid Pharmacy 9940 Sierra Ave Fontana, CA 92335 (909) 822-8122

Target Pharmacy 15272 Summit Ave Fontana, CA 92336 (909) 646-7194

Rite Aid Pharmacy 16910 Foothill Blvd Fontana, CA 92335 (909) 350-0493

Vons Pharmacy 7390 Cherry Ave Fontana, CA 92336 (909) 429-3933

Rite Aid Pharmacy 11673 Cherry Ave Fontana, CA 92337 (909) 357-2031

Walgreens 16135 Sierra Lakes Pkwy Fontana, CA 92336 (909) 356-9167

Sierra San Antonio Pharmacy 16465 Sierra Lakes Pkwy #110 Fontana, CA 92336 (909) 574-9620

Walgreens 16108 Foothill Blvd Fontana, CA 92335 (909) 357-6900

St. Helen's Medical Pharmacy $ 17577 Arrow Blvd Ste 101 Fontana, CA 92335 (909) 428-9842

Walgreens 11121 Sierra Ave Fontana, CA 92337 (909) 356-9715

St. Mina Pharmacy 8110 Mango Ave Ste 105 Fontana, CA 92335 (909) 350-3200

Walmart Pharmacy $ 17151 Foothill Blvd Fontana, CA 92335 (909) 355-4885

Super Rx Pharmacy $ 15222 Summit Ave Fontana, CA 92336 (909) 803-2632

Grand Terrace

Tomshire Pharmacy 14101 Main St Ste 103 Hesperia, CA 92345 (760) 949-2900

CVS Pharmacy $ 12071 Mount Vernon Ave Grand Terrace, CA 92313 (909) 514-0287

Vons Pharmacy 17390 Main St Hesperia, CA 92345 (760) 948-2445

*Only dispenses 30-day supplies

A Family Pharmacy 11919 Hesperia Rd Hesperia, CA 92345 (760) 244-3777 CVS Pharmacy $ 16975 Bear Valley Rd Hesperia, CA 92345 (760) 947-7043 Hesperia La Salle Pharmacy $ 16455 Main St Ste 8 Hesperia, CA 92345 (760) 956-2270 Rite Aid Pharmacy 17441 Main St Hesperia, CA 92345 (760) 948-4430 Rite Aid Pharmacy 15510 Main St Hesperia, CA 92345 (760) 948-1472 Target Pharmacy 12795 Main St Hesperia, CA 92345 (760) 949-3064

$ Offers preferred cost-sharing - 148 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 17383 Main St Hesperia, CA 92345 (760) 948-0481

Walgreens 27951 Baseline St Highland, CA 92346 (909) 864-5701

Walgreens 17051 Bear Valley Rd Hesperia, CA 92345 (760) 948-7901

Walmart Pharmacy $ 4210 Highland Ave Highland, CA 92346 (909) 425-8687

Walgreens 15480 Main St Hesperia, CA 92345 (760) 947-2283

Joshua Tree

Walmart Pharmacy $ 13401 Main St Hesperia, CA 92345 (760) 669-3179

Star Pharmacy 6448 Hallee Rd Ste 2 Joshua Tree, CA 92252 (760) 366-3653

Lake Arrowhead

Your Drug Store 17079 Main St Hesperia, CA 92345 (760) 949-9310

Pharmacy Of Arrowhead $ 29099 Hospital Rd. Lake Arrowhead, CA 92352 (909) 337-0747

Highland

Pharmacy Of The Woods $ 28200 St Hwy 189 #N-150 Lake Arrowhead, CA 92352 (909) 336-3999

CVS Pharmacy $ 27310 Baseline St Highland, CA 92346 (909) 862-4048

Loma Linda

CVS Pharmacy $ 7241 Boulder Ave Highland, CA 92346 (909) 425-1298

Community Healthcare Services 24747 Redlands Blvd Ste D Loma Linda, CA 92354 (909) 796-2140

Sav-On Pharmacy $ 7201 Boulder Ave Highland, CA 92346 (909) 425-1194

Loma Linda Pharmacy $ 25620 Barton Rd Loma Linda, CA 92354 (909) 796-8308

Super Rx Pharmacy 28988 Greenspot Rd Highland, CA 92346 (909) 863-7616

Loma Linda University Community Pharmacy 25455 Barton Rd Ste 111A Loma Linda, CA 92354 (909) 558-6447

*Only dispenses 30-day supplies HEALTH NET

Loma Linda University Faculty Pharmacy $ 11370 Anderson St Ste 1000 Loma Linda, CA 92354 (909) 558-2804 Loma Linda University Med Center Meridian $ 25875 Barton Rd Ste B108 Loma Linda, CA 92354 (909) 558-3766 Loma Linda University Medical Center (LLUMC) Outpa 11234 Anderson St Loma Linda, CA 92354 (909) 558-4500 Rite Aid Pharmacy 25710 Barton Rd Loma Linda, CA 92354 (909) 799-0821 Walmart Pharmacy $ 25755 Barton Rd Loma Linda, CA 92354 (909) 283-7261

Montclair Alta Vista Pharmacy 9625 Monte Vista Ave Ste 108 Montclair, CA 91763 (909) 626-4315 Costco Pharmacy 9404 Central Ave Montclair, CA 91763 (909) 575-5003 CVS Pharmacy $ 4535 Holt Blvd Montclair, CA 91763 (909) 624-4177

$ Offers preferred cost-sharing - 149 -

Retail Pharmacies, including Chain Pharmacies Monte Vista United Drugs 9635 Monte Vista Ave Montclair, CA 91763 (909) 624-9633 Target Pharmacy 9050 Central Ave Montclair, CA 91763 (909) 447-6785

Needles Needles Point Pharmacy 1101 W Broadway St Needles, CA 92363 (760) 326-2312 Rite Aid Pharmacy 1020 E Broadway St Needles, CA 92363 (760) 326-2944

Ontario Baldy Vista Pharmacy 403 W F St Ontario, CA 91762 (909) 467-1313 CVS Pharmacy $ 2238 S Euclid Ave Ste A Ontario, CA 91762 (909) 391-0263 CVS Pharmacy $ 2456 S Grove Ave Ontario, CA 91761 (909) 947-9390 Diplomat Specialty Pharmacy $ 1809 Excise Ave #207-208 Ontario, CA 91761 (877) 336-6995

Gemmels Compounding Pharmacy $ 143 N Euclid Ave Ontario, CA 91762 (909) 986-1129 Kmart Pharmacy 1670 E 4th St Ontario, CA 91764 (909) 984-2859 Ontario Pharmacy $ 666 E E St Ontario, CA 91764 (909) 986-8161 Rite Aid Pharmacy 1841 E 4th St Ontario, CA 91764 (909) 983-8202 Rite Aid Pharmacy 222 W G St Ontario, CA 91762 (909) 984-3913 Rite Aid Pharmacy 3000 S Archibald Ave Ontario, CA 91761 (909) 773-0073 Rite Aid Pharmacy 1050 N Mountain Ave Ontario, CA 91762 (909) 986-1509 Sam's Club Pharmacy $ 951 N Milliken Ave Ontario, CA 91764 (909) 476-9083 Target Pharmacy 4200 E 4th St Ontario, CA 91764 (909) 579-3041

*Only dispenses 30-day supplies

Vida Drug Store And Pharmacy 437 N Euclid Ave Ste B Ontario, CA 91762 (909) 983-0999 Walgreens 2950 S Archibald Ave Ontario, CA 91761 (909) 923-9934 Walgreens 2245 S Euclid Ave Ontario, CA 91762 (909) 984-0140 Walmart Pharmacy $ 1333 N Mountain Ave Ontario, CA 91762 (909) 321-3172

Phelan Rite Aid Pharmacy 4013 Phelan Rd Phelan, CA 92371 (760) 868-3413 Waldes Desert Pharmacy 9723 Sierra Vista Rd Unit E Phelan, CA 92371 (760) 868-6526

Rancho Cucamonga ABC Pharmacy $ 7974 Haven Ave Rancho Cucamonga, CA 91730 (909) 285-1118 Costco Pharmacy 11800 4th St Rancho Cucamonga, CA 91730 (909) 581-1702

$ Offers preferred cost-sharing - 150 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Cucamonga Community Pharmacy 7777B Milliken Ave Ste 100 Rancho Cucamonga, CA 91730 (909) 948-8377 Cucamonga Pharmacy $ 9349 Foothill Blvd Ste A Rancho Cucamonga, CA 91730 (909) 987-2518 CVS Pharmacy $ 11428 Kenyon Way Rancho Cucamonga, CA 91701 (909) 948-1065 CVS Pharmacy $ 7911 Haven Ave Rancho Cucamonga, CA 91730 (909) 581-1966 Haven Pharmacy 9170 Haven Ave Ste 122 Rancho Cucamonga, CA 91730 (909) 989-2899 Homes Pharmacy $ 9713 Baseline Rd Rancho Cucamonga, CA 91730 (909) 989-8688 Quick Care Pharmacy $ 8330 Red Oak St Ste 102 Rancho Cucamonga, CA 91730 (909) 218-3618 Ralphs $ 12201 Highland Ave Rancho Cucamonga, CA 91739 (909) 646-9366 Ralphs $ 7368 Milliken Ave Rancho Cucamonga, CA 91730 (909) 484-2647

Rite Aid Corporation 7339 Milliken Ave Ste 110 Rancho Cucamonga, CA 91730 (909) 944-3543 Rite Aid Pharmacy 9650 Baseline Rd Rancho Cucamonga, CA 91701 (909) 987-1769 Rite Aid Pharmacy 8760 19th St Rancho Cucamonga, CA 91701 (909) 989-3235 Sav-On Pharmacy $ 8850 Foothill Blvd Rancho Cucamonga, CA 91730 (909) 476-8387 Sierra Pharmacy $ 8661 Baseline Rd Rancho Cucamonga, CA 91730 (909) 989-9800 Target Pharmacy 10576 Foothill Blvd Rancho Cucamonga, CA 91730 (909) 948-9952 Walgreens 6701 Carnelian St Rancho Cucamonga, CA 91701 (909) 581-1157 Walgreens 6400 Haven Ave Rancho Cucamonga, CA 91737 (909) 941-3857 Walmart Pharmacy $ 12549 Foothill Blvd Rancho Cucamonga, CA 91739 (909) 899-7742

*Only dispenses 30-day supplies HEALTH NET

Redlands Beemans Redlands Pharmacy 255 Terracina Blvd Ste 103 Redlands, CA 92373 (909) 792-2300 Cajon Pharmacy $ 232 Cajon St Ste A Redlands, CA 92373 (909) 792-4922 CVS Pharmacy $ 2 W Fern Ave Redlands, CA 92373 (909) 793-9398 CVS Pharmacy $ 101 Redlands Mall Redlands, CA 92373 (909) 792-9684 CVS Pharmacy $ 800 Tri City Ctr Redlands, CA 92374 (909) 798-1524 Redlands Pharmacy 245 Terracina Blvd Ste 201 Redlands, CA 92373 (909) 792-8118 Rite Aid Pharmacy 700 E Redlands Blvd Ste A Redlands, CA 92373 (909) 793-3568 Sav-On Pharmacy $ 450 E Cypress Ave Redlands, CA 92373 (909) 793-2218 Target Pharmacy 27320 W Lugonia Ave Redlands, CA 92374 (909) 307-1810 $ Offers preferred cost-sharing

- 151 -

Retail Pharmacies, including Chain Pharmacies Vons Pharmacy 522 Orange St Redlands, CA 92374 (909) 748-7788

Walgreens 918 E Foothill Blvd Rialto, CA 92376 (909) 746-0131

Rite Aid Pharmacy 101 N China Lake Blvd Ridgecrest, CA 93555 (760) 375-0223

Walgreens 800 Lugonia Ave Redlands, CA 92374 (909) 307-6964

Walgreens 550 S Riverside Ave Rialto, CA 92376 (909) 874-6700

Sav-On Pharmacy $ 927 S China Lake Blvd Ridgecrest, CA 93555 (760) 384-4020

Walmart Pharmacy $ 2050 Wt Redlands Blvd Redlands, CA 92374 (909) 792-6260

Walgreens 2011 N Riverside Ave Rialto, CA 92377 (909) 820-9230

Walgreens 101 Drummond Ave Ridgecrest, CA 93555 (760) 384-2358

Rialto

Walgreens 1280 W Foothill Rialto, CA 92376 (909) 879-0305

Walmart Pharmacy $ 911 S China Lake Blvd Ridgecrest, CA 93555 (760) 371-4979

Walgreens 118 E Base Line Rd Rialto, CA 92376 (909) 562-0267

San Bernardino

ABC Pharmacy $ 826 E Foothill Blvd Rialto, CA 92376 (909) 546-1000 CVS Pharmacy $ 211 W Base Line Rd Rialto, CA 92376 (909) 874-8002 North Rialto Drug 531 E Foothill Blvd Rialto, CA 92376 (909) 875-2131 Rialto Vista Pharmacy 436 S Riverside Ave Rialto, CA 92376 (909) 875-7260 Rite Aid Pharmacy 585 S Riverside Ave Rialto, CA 92376 (909) 820-7474 Rite Aid Pharmacy 2020 N Riverside Ave Rialto, CA 92377 (909) 873-2835

Walmart Pharmacy $ 300 W Base Line Rd Rialto, CA 92376 (909) 546-3061 Walmart Pharmacy $ 1610 S Riverside Ave Rialto, CA 92376 (909) 820-7635 Your Drug Store 1850 N Riverside Ave Ste 170 Rialto, CA 92376 (909) 546-1300

American Surgical Pharmacy 103 E Highland Ave San Bernardino, CA 92404 (909) 882-3353 Beemans Highland Pharmacy 399 E Highland Ave San Bernardino, CA 92404 (909) 886-6851 Beemans Rx Pharmacy 355 E 21st St San Bernardino, CA 92404 (909) 882-3719

Ridgecrest

CBC Community Pharmacy $ 1800 Western Ave San Bernardino, CA 92411 (909) 887-6359

Center Professional Pharmacy $ 1109 N China Lake Blvd Ridgecrest, CA 93555 (760) 446-4141

Costco Pharmacy 1099 E Hospitality Ln San Bernardino, CA 92408 (909) 478-5662

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 152 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 1540 E Highland Ave San Bernardino, CA 92404 (909) 886-4981

Rite Aid Pharmacy 2130 E Highland Ave San Bernardino, CA 92404 (909) 862-4678

Walmart Pharmacy $ 2065 E Highland Ave San Bernardino, CA 92404 (909) 863-3064

CVS Pharmacy $ 1564 W Base Line St San Bernardino, CA 92411 (909) 381-6944

Sam's Club Pharmacy $ 1055 Harriman Pl San Bernardino, CA 92408 (909) 796-1538

Waterman Pharmacy $ 2150 N Waterman Ave Ste 104 San Bernardino, CA 92404 (909) 882-5800

CVS Pharmacy $ 5200 University Pkwy San Bernardino, CA 92407 (909) 887-4929

Sierra Pharmacy 4108 N Sierra Way San Bernardino, CA 92407 (909) 475-4250

Twentynine Palms

Dons Drug $ 1222 W 5th St San Bernardino, CA 92411 (909) 884-0128

Target Pharmacy 499 W Orange Show Rd San Bernardino, CA 92408 (612) 696-2268

Family Pharmacy 1033 N Waterman Ave Ste G San Bernardino, CA 92410 (909) 884-2739

Walgreens 1301 W Base Line St San Bernardino, CA 92411 (909) 386-5724

ABC Pharmacy $ 954 W Foothill Blvd # 6D Upland, CA 91786 (909) 946-5512

IBHS Pharmacy 665 N D St Ste H San Bernardino, CA 92401 (909) 881-6146

Walgreens 1634 E Highland Ave San Bernardino, CA 92404 (909) 882-2836

CVS Pharmacy $ 311 S Mountain Ave Upland, CA 91786 (909) 981-0751

OB Medical Supplies & Pharmacy 671 W 2nd St San Bernardino, CA 92410 (909) 888-7023

Walgreens 1236 N Waterman Ave San Bernardino, CA 92404 (909) 885-7146

CVS Pharmacy $ 690 E Foothill Blvd Upland, CA 91786 (909) 608-7419

Walgreens 4041 N Sierra Way San Bernardino, CA 92407 (909) 881-1813

CVS Pharmacy $ 100 W Foothill Blvd Upland, CA 91786 (909) 982-8908

Walmart Pharmacy $ 4001 Hallmark Pkwy San Bernardino, CA 92407 (909) 880-3652

Doctor's Choice Pharmacy $ 639 N 13th Ave Upland, CA 91786 (909) 532-5588

Pearsons Medical Group Pharmacy 1700 N Waterman Ave San Bernardino, CA 92404 (909) 883-3088 Rite Aid Pharmacy 949 Kendall Dr San Bernardino, CA 92407 (909) 886-6895 *Only dispenses 30-day supplies HEALTH NET

Rite Aid Pharmacy 71717 29 Palms Hwy Twentynine Palms, CA 92277 (760) 367-3262

Upland

$ Offers preferred cost-sharing - 153 -

Retail Pharmacies, including Chain Pharmacies Gemmel Pharmacy $ 901 San Bernardino Rd Ste B Upland, CA 91786 (909) 931-1440

Walgreens 1241 W Foothill Blvd Upland, CA 91786 (909) 985-2713

Prescription Shop 15247 11th St Number 1100 Victorville, CA 92395 (760) 245-7761

King's Pharmacy 1060 E Foothill Blvd Ste 101 Upland, CA 91786 (909) 982-1778

Walmart Pharmacy $ 1445 E Foothill Blvd Upland, CA 91786 (909) 942-4936

Prescription Station 15048 7th St Ste A Victorville, CA 92395 (760) 241-3390

Medical Arts Pharmacy 1175 E Arrow Hwy Ste K Upland, CA 91786 (909) 981-1009

Walmart Pharmacy $ 1540 W Foothill Blvd Upland, CA 91786 (909) 920-0942

Queens Pharmacy $ 12677 Hesperia Rd Ste 180 Victorville, CA 92395 (760) 962-1200

Mountain Plaza Pharmacy $ 1607 N Mountain Ave Upland, CA 91784 (909) 985-0914

Wells Pharmacy, INC. 1113 Alta Ave Ste 100 Upland, CA 91786 (909) 949-6889

Rite Aid Pharmacy 14515 Mojave Dr Suite B Victorville, CA 92394 (760) 955-7898

Sav-On Pharmacy $ 1910 N Campus Ave Upland, CA 91784 (909) 946-3340

Victorville

Rite Aid Pharmacy 14629 7th St Victorville, CA 92395 (760) 245-6600

T.H.E. Pharmacy $ 360 E 7th St Ste F Upland, CA 91786 (909) 946-6411 Target Pharmacy 1931 Campus Ave Upland, CA 91784 (909) 981-6428 Upland Pharmacy 1183 E Foothill Blvd # 130 Upland, CA 91786 (909) 608-1832 Vons Pharmacy 81 W Foothill Blvd Upland, CA 91786 (909) 981-1114

Best Pharmacy $ 16850 Bear Valley Rd Victorville, CA 92395 (760) 962-9220 Costco Pharmacy 14555 Valley Center Dr Victorville, CA 92395 (760) 524-9911 CVS Pharmacy $ 13650 Bear Valley Rd Victorville, CA 92392 (760) 243-4595 CVS Pharmacy $ 14426 Palmdale Rd Victorville, CA 92392 (760) 243-1771 Oasis Pharmacy $ 15433 W Sand St Ste 102 Victorville, CA 92392 (760) 241-4080

*Only dispenses 30-day supplies

Rite Aid Pharmacy 16120 Bear Valley Rd Victorville, CA 92395 (760) 951-0210 Rite Aid Pharmacy 13720 Bear Valley Rd Victorville, CA 92392 (760) 955-2070 Vons Pharmacy 12199 Hesperia Rd Victorville, CA 92395 (760) 241-8384 Walgreens 12184 Palmdale Rd Victorville, CA 92394 (760) 561-7009

$ Offers preferred cost-sharing - 154 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 13655 Bear Valley Rd Victorville, CA 92392 (760) 949-8930

Vons Pharmacy 33644 Yucaipa Blvd Yucaipa, CA 92399 (909) 790-1961

Walgreens 15318 Roy Rogers Dr Victorville, CA 92394 (760) 952-7555

Walgreens 34503 Yucaipa Blvd Yucaipa, CA 92399 (909) 790-7464

Walmart Pharmacy $ 12234 Palmdale Rd Victorville, CA 92301 (760) 962-9316

Yucca Valley

Walmart Pharmacy $ 15272 Bear Valley Rd Victorville, CA 92395 (760) 951-5188 Your Drug Store 12370 Hesperia Rd Ste 7 Victorville, CA 92395 (760) 843-7200

Avalon Pharmacy 58471 29 Palms Hwy Ste 301 Yucca Valley, CA 92284 (760) 365-7621 New Pharmacy 57725 29 Palms Hwy Ste 209 Yucca Valley, CA 92284 (760) 228-1600

Yucaipa

Rite Aid Pharmacy 57646 29 Palms Hwy Yucca Valley, CA 92284 (760) 365-2618

CVS Pharmacy $ 33499 Yucaipa Blvd Yucaipa, CA 92399 (909) 797-3500

Vons Pharmacy 57590 29 Palms Hwy Yucca Valley, CA 92284 (760) 365-0651

Rite Aid Pharmacy 34420 Yucaipa Blvd Yucaipa, CA 92399 (909) 797-1312

Walgreens 58133 29 Palms Hwy Yucca Valley, CA 92284 (760) 369-4615

Rite Aid Pharmacy 11352 Bryant St Yucaipa, CA 92399 (909) 790-4232

Walmart Pharmacy $ 57980 29 Palms Hwy Yucca Valley, CA 92284 (760) 365-7551

Sail Drug 12350 California St Yucaipa, CA 92399 (909) 797-9191 *Only dispenses 30-day supplies HEALTH NET

San Diego Alpine CVS Pharmacy $ 1385 Tavern Rd Alpine, CA 91901 (619) 445-6904 Rite Aid Pharmacy 1665 Alpine Blvd Alpine, CA 91901 (619) 659-1085 Sav-On Pharmacy $ 2955 Alpine Blvd Alpine, CA 91901 (619) 445-0601

Bonita Rite Aid Pharmacy 4348 Bonita Rd Bonita, CA 91902 (619) 267-1617

Borrego Springs Borrego Medical Center Pharmacy $ 655 Palm Canyon Dr Ste B Borrego Springs, CA 92004 (760) 767-3047

Carlsbad Costco Pharmacy 951 Palomar Airport Rd Carlsbad, CA 92009 (760) 929-0579

$ Offers preferred cost-sharing - 155 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 2510 El Camino Real Carlsbad, CA 92008 (760) 729-8941 CVS Pharmacy $ 7740 Rancho Santa Fe Rd Carlsbad, CA 92009 (760) 753-5115 North Coast Medical Supply 2544 Campbell Pl Ste 150 Carlsbad, CA 92009 (800) 730-9887 Pharmaca Integrative Pharmacy $ 6985 El Camino Real Ste 103 Carlsbad, CA 92009 (760) 444-3810 Rite Aid Pharmacy 955 Tamarack Ave Carlsbad, CA 92008 (760) 729-4877 Rite Aid Pharmacy 7100 Avenida Encinas # C Carlsbad, CA 92009 (760) 431-7380 Sav-On Drugs $ 7660 El Camino Real Carlsbad, CA 92009 (760) 633-3589 Super Rx Pharmacy $ 2687 Gateway Rd Carlsbad, CA 92009 (760) 929-7912 Vons Pharmacy 6951 El Camino Real Carlsbad, CA 92009 (760) 431-0437

Chula Vista Community Medical Center Pharmacy West 750 Medical Ctr Ct Ste 1 Chula Vista, CA 91911 (619) 421-1131 Costco Pharmacy 1130 Broadway Chula Vista, CA 91911 (619) 205-1528 Costco Pharmacy 895 E H St Chula Vista, CA 91910 (619) 482-4405 CVS Pharmacy $ 380 E H St Chula Vista, CA 91910 (619) 426-0866 CVS Pharmacy $ 555 Broadway Ste 1054 Chula Vista, CA 91910 (619) 420-7808 CVS Pharmacy $ 16 3rd Avenue Ext Chula Vista, CA 91910 (619) 425-1910 CVS Pharmacy $ 880 3rd Ave Chula Vista, CA 91911 (619) 426-3811 CVS Pharmacy $ 1376 3rd Ave Chula Vista, CA 91911 (619) 691-0662 CVS Pharmacy $ 645 E Palomar St Chula Vista, CA 91911 (619) 421-6500

*Only dispenses 30-day supplies

Medical Center Pharmacy $ 480 4th Ave Chula Vista, CA 91910 (619) 427-1444 Medical Center Pharmacy $ 1635 3rd Ave Ste A Chula Vista, CA 91911 (619) 585-8818 Medical Center Pharmacy $ 855 3rd Ave Ste 1102 Chula Vista, CA 91911 (619) 585-0665 Park Medical Pharmacy $ 340 4th Ave Ste 1 Chula Vista, CA 91910 (619) 422-9291 Ralph's Pharmacy $ 659 Palomar St Chula Vista, CA 91911 (619) 397-0466 Rite Aid Pharmacy 507 Telegraph Canyon Rd Chula Vista, CA 91910 (619) 421-2988 Rite Aid Pharmacy 740 Otay Lakes Rd Chula Vista, CA 91910 (619) 421-4872 Rite Aid Pharmacy 2230 Otay Lakes Rd Chula Vista, CA 91915 (619) 656-6944 Sav-On Pharmacy $ 720 3rd Ave Chula Vista, CA 91910 (619) 420-8313

$ Offers preferred cost-sharing - 156 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Sharp Rees Stealy Pharmacy $ 1400 E Palomar St Chula Vista, CA 91913 (619) 397-3072

Walmart Pharmacy $ 1150 Broadway Chula Vista, CA 91911 (619) 591-4909

CVS Pharmacy $ 426 E Chase Ave El Cajon, CA 92020 (619) 447-1069

Sharp Rees-Stealy Pharmacy $ 525 3rd Ave Ste A Chula Vista, CA 91910 (619) 420-7120

Walmart Pharmacy $ 75 N Broadway Chula Vista, CA 91910 (619) 691-0873

CVS Pharmacy $ 790 Jamacha Rd El Cajon, CA 92019 (619) 442-9439

Target Pharmacy 1240 Broadway Chula Vista, CA 91911 (619) 425-3850

Coronado

CVS Pharmacy $ 572 Fletcher Pkwy El Cajon, CA 92020 (619) 440-3701

Vons Pharmacy 2250 Otay Lakes Rd Chula Vista, CA 91915 (619) 656-3629

Rite Aid Pharmacy 836 Orange Ave Coronado, CA 92118 (619) 435-6585 Walgreens 925 Orange Ave Coronado, CA 92118 (619) 435-6354

CVS Pharmacy $ 1299 Broadway El Cajon, CA 92021 (619) 441-8040

Del Mar

El Cajon Express Pharmacy 330 S Magnolia Ave #102 El Cajon, CA 92020 (619) 334-3307

Walgreens 621 I St Chula Vista, CA 91910 (619) 407-4057

CVS Pharmacy $ 2662 Del Mar Heights Rd Del Mar, CA 92014 (858) 481-8601

Medco Drugs-El Cajon 1252 Broadway El Cajon, CA 92021 (619) 440-3448

Walgreens 1111 3rd Ave Chula Vista, CA 91911 (619) 691-1308

Sav-On Pharmacy $ 2707 Via De La Valle Del Mar, CA 92014 (858) 481-8159

Nudo's Pharmacy 455 N Magnolia Ave El Cajon, CA 92020 (619) 442-0303

Walgreens 1430 Eastlake Pkwy Chula Vista, CA 91915 (619) 591-7042

El Cajon

Rite Aid Pharmacy 1135 Avocado Ave El Cajon, CA 92020 (619) 447-2332

Vons Pharmacy 1745 Eastlake Pkwy Chula Vista, CA 91915 (619) 421-4142

Walmart Pharmacy $ 1360 Eastlake Pkwy Chula Vista, CA 91915 (619) 421-9432

Asmar Community Pharmacy $ 436 S Magnolia Ave Ste 102 El Cajon, CA 92020 (619) 447-9900 CVS Pharmacy $ 2760 Fletcher Pkwy El Cajon, CA 92020 (619) 461-4411

*Only dispenses 30-day supplies HEALTH NET

Rite Aid Pharmacy 2516 Jamacha Rd El Cajon, CA 92019 (619) 670-9769

$ Offers preferred cost-sharing - 157 -

Retail Pharmacies, including Chain Pharmacies Sav-On Drugs $ 2899 Jamacha Rd El Cajon, CA 92019 (619) 670-7880

Walmart Pharmacy $ 300 N 2nd St El Cajon, CA 92021 (619) 219-5252

UCSD-SDCC Retail Pharmacy 1200 Garden View Rd Ste 103 Encinitas, CA 92024 (760) 536-7686

Sav-On Pharmacy $ 1608 Broadway El Cajon, CA 92021 (619) 579-3463

Walmart Pharmacy $ 605 Fletcher Pkwy El Cajon, CA 92020 (619) 440-0848

Vons Pharmacy 262 N El Camino Real Encinitas, CA 92024 (760) 942-4195

Target Pharmacy 250 Broadway El Cajon, CA 92021 (559) 228-8471

Encinitas

Walgreens 1320 Encinitas Blvd Encinitas, CA 92024 (760) 942-2018

Target Pharmacy 2911 Jamacha Rd El Cajon, CA 92019 (619) 315-0016 Vons Pharmacy 1201 Avocado Ave El Cajon, CA 92020 (619) 440-1915 Vons Pharmacy 13439 Camino Canada El Cajon, CA 92021 (619) 390-1146 Walgreens 1306 Broadway El Cajon, CA 92021 (619) 631-0241 Walgreens 215 N 2nd St El Cajon, CA 92021 (619) 401-0761 Walmart Pharmacy $ 13487 Camino Canada El Cajon, CA 92021 (619) 561-2420

CVS Pharmacy $ 455 Encinitas Blvd Encinitas, CA 92024 (760) 436-4055 CVS Pharmacy $ 129 N El Camino Real Encinitas, CA 92024 (760) 942-2269 North Coast Medical - United Drugs 477 N El Camino Real Ste B101 Encinitas, CA 92024 (760) 943-1191 Rite Aid Pharmacy 4455 Manchester Ave Encinitas, CA 92024 (760) 943-9423 Rite Aid Pharmacy 439 Santa Fe Dr Encinitas, CA 92024 (760) 753-2114 Super Rx Pharmacy 1048 N El Camino Real Encinitas, CA 92024 (760) 634-5558 Target Pharmacy 1010 N El Camino Real Encinitas, CA 92024 (612) 696-2268

*Only dispenses 30-day supplies

Walmart Pharmacy $ 1550 Leucadia Blvd Encinitas, CA 92024 (760) 704-0259

Escondido CVS Pharmacy $ 1560 W Valley Pkwy Escondido, CA 92029 (760) 738-9835 CVS Pharmacy $ 1655 S Centre City Pkwy Escondido, CA 92025 (760) 746-9400 CVS Pharmacy $ 318 W El Norte Pkwy Escondido, CA 92026 (760) 489-1505 CVS Pharmacy $ 2427 E Valley Pkwy Escondido, CA 92027 (760) 745-2503 CVS Pharmacy $ 1665 E Valley Pkwy Escondido, CA 92027 (760) 747-2500 $ Offers preferred cost-sharing

- 158 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Drugco Pharmacy 307 N Ash St Escondido, CA 92027 (760) 745-6672

Sav-On Pharmacy $ 2185 Citracado Pkwy Escondido, CA 92029 (760) 781-1575

Walgreens 1574 E Valley Pkwy Escondido, CA 92027 (760) 839-7932

Escondido Pharmacy & Durable Medical Equipment $ 909 E Valley Pkwy Escondido, CA 92025 (760) 480-1871

Sav-On Pharmacy $ 1505 E Valley Pkwy Escondido, CA 92027 (760) 735-5864

Walgreens 111 W Washington Ave Escondido, CA 92025 (760) 291-0299

Target Pharmacy 1280 Auto Parkway S Escondido, CA 92029 (760) 489-6119

Walmart Pharmacy $ 1266 E Valley Pkwy Escondido, CA 92027 (760) 871-6762

Target Pharmacy 280 E Via Rancho Pkwy Escondido, CA 92025 (760) 705-9020

Walmart Pharmacy $ 1330 E Grand Ave Escondido, CA 92027 (760) 317-2275

Trillium Pharmacy 239 S Juniper St Escondido, CA 92025 (760) 480-4080

Fallbrook

Felicita Pharmacy 625 W Citracado Pkwy Ste 106 Escondido, CA 92025 (760) 432-8520 Med-Rx Pharmacy Long Term Care 911 E Valley Pkwy Escondido, CA 92025 (760) 480-1871 Mercy Care Pharmacy 488 E Valley Pkwy Ste 101 Escondido, CA 92025 (760) 294-0014 Neighborhood Healthcare Escondido 460 N Elm St Escondido, CA 92025 (760) 737-2025 Palomar Pharmacy 1955 Citracado Pkwy Ste 101 Escondido, CA 92029 (760) 294-0790 Rite Aid Pharmacy 315 W Washington Ave Escondido, CA 92025 (760) 746-1061 Rite Aid Pharmacy 1825 S Centre City Pkwy Escondido, CA 92025 (760) 738-4236

Vons Pharmacy 1000 W El Norte Pkwy Escondido, CA 92026 (760) 747-5910 Vons Pharmacy 2345 E Valley Pkwy Escondido, CA 92027 (760) 489-0981 Vons Pharmacy 351 W Felicita Ave # 395 Escondido, CA 92025 (760) 480-4900 Walgreens 460 W Felicita Ave Escondido, CA 92025 (760) 735-6025

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 1101 S Mission Rd Fallbrook, CA 92028 (760) 723-5721 Rite Aid Pharmacy 1331 S Mission Rd Fallbrook, CA 92028 (760) 728-6063 Sav-On Pharmacy $ 1133 S Mission Rd Fallbrook, CA 92028 (760) 723-8178 Walgreens 1285 S Mission Rd Fallbrook, CA 92028 (760) 451-2970

$ Offers preferred cost-sharing - 159 -

Retail Pharmacies, including Chain Pharmacies Imperial Beach CVS Pharmacy $ 800 Palm Ave Imperial Beach, CA 91932 (619) 424-8989 Imperial Beach Pharmacy $ 720 Highway 75 Imperial Beach, CA 91932 (800) 999-7516

La Jolla Burns Drugs 7824 Girard Ave La Jolla, CA 92037 (858) 459-4285 CVS Pharmacy $ 5495 La Jolla Blvd La Jolla, CA 92037 (858) 456-4833 CVS Pharmacy $ 8831 Villa La Jolla Dr La Jolla, CA 92037 (858) 457-4480 CVS Pharmacy $ 7525 Eads Ave La Jolla, CA 92037 (858) 551-8698 La Jolla Disc United Drug 9850 Genesee Ave Ste 160 La Jolla, CA 92037 (858) 622-1800 Pharmaca Integrative Pharmacy $ 7650 Girard Ave La Jolla, CA 92037 (858) 454-1337

Ralphs $ 8657 Villa La Jolla Dr La Jolla, CA 92037 (619) 597-0108

Medical Arts Pharmacy 8851 Center Dr Ste 110 La Mesa, CA 91942 (619) 461-8551

The J.M & S.B. Thornton Pharmacy 9300 Campus Point Dr Ste 2-301 La Jolla, CA 92037 (619) 543-6191

Price Rite Pharmacy * 5115 Garfield St La Mesa, CA 91941 (619) 469-0161

Vons Pharmacy 9350 Campus Point Dr La Jolla, CA 92037 (858) 657-0583 Vons Pharmacy 7544 Girard Ave La Jolla, CA 92037 (858) 454-0932

La Mesa Costco Pharmacy 8100 Fletcher Pkwy La Mesa, CA 91942 (619) 667-8520 CVS Pharmacy $ 3749 Avocado Blvd La Mesa, CA 91941 (619) 670-5335 CVS Pharmacy $ 5500 Grossmont Center Dr La Mesa, CA 91942 (619) 465-1013 Grossmont Pharmacy $ 5565 Grossmont Cntr Dr # 150 La Mesa, CA 91942 (619) 462-2400 La Mesa Pharmacy 8301 La Mesa Blvd La Mesa, CA 91941 (619) 466-3246

*Only dispenses 30-day supplies

Sav-On Drugs $ 8920 Fletcher Pkwy La Mesa, CA 91942 (619) 667-9626 Sharp Rees Stealy Pharmacy $ 5525 Grossmont Center Dr La Mesa, CA 91942 (619) 644-6650 Vons Pharmacy 8011 University Ave La Mesa, CA 91941 (619) 464-1102 Walmart Pharmacy $ 8810 Grossmont Blvd La Mesa, CA 91942 (619) 403-5397

Lakeside Leos Lakeside Pharmacy 9943 Maine Ave Lakeside, CA 92040 (619) 443-1013 Rite Aid Pharmacy 9532 Winter Gardens Blvd Lakeside, CA 92040 (619) 390-7342 Walgreens 9728 Winter Gardens Blvd Lakeside, CA 92040 (619) 938-0069 $ Offers preferred cost-sharing

- 160 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Lemon Grove CVS Pharmacy $ 7100 Broadway Lemon Grove, CA 91945 (619) 697-3415 Rite Aid Pharmacy 7224 Broadway Lemon Grove, CA 91945 (619) 465-6694

Walmart Pharmacy $ 1200 Highland Ave National City, CA 91950 (619) 336-1607

Oceanside Pharmacy $ 3601 Vista Way Ste 103 Oceanside, CA 92056 (760) 231-5800

Wells Drug 2403 E Plaza Blvd National City, CA 91950 (619) 267-8882

Ralphs $ 4251 Oceanside Blvd Oceanside, CA 92056 (760) 806-3225

Oceanside

Ralphs $ 101 Old Grove Rd Oceanside, CA 92057 (760) 754-1906

Walgreens 7195 Broadway Lemon Grove, CA 91945 (619) 433-0172

Coast Compounding Pharmacy 1838 S Coast Hwy Oceanside, CA 92054 (760) 433-6232

National City

CVS Pharmacy $ 4615 Frazee Rd Oceanside, CA 92057 (760) 433-9597

CVS Pharmacy $ 1201 E Plaza Blvd National City, CA 91950 (619) 477-7114 CVS Pharmacy $ 1730 Sweetwater Rd National City, CA 91950 (619) 474-6703 Mercury Pharmacy $ 1420 E Plaza Blvd Ste B3 National City, CA 91950 (619) 336-1437 Plaza Pharmacy 2220 E Plaza Blvd Ste L National City, CA 91950 (619) 267-0768 Walgreens 885 Euclid Ave National City, CA 91950 (619) 267-1950

CVS Pharmacy $ 1980 College Blvd Oceanside, CA 92056 (760) 945-4676 CVS Pharmacy $ 3925 N River Rd Oceanside, CA 92054 (760) 757-9348 CVS Pharmacy $ 1706 Oceanside Blvd Oceanside, CA 92054 (760) 721-2433 Mission Park Pharmacy $ 2201 Mission Ave Oceanside, CA 92058 (760) 757-1212 North County Health Services Oceanside 605 Crouch St Bldg C Oceanside, CA 92054 (760) 566-1590

*Only dispenses 30-day supplies HEALTH NET

Ralphs $ 3533 Cannon Rd Oceanside, CA 92056 (760) 631-2605 Rite Aid Pharmacy 3813 Plaza Dr Oceanside, CA 92056 (760) 941-0712 Rite Aid Pharmacy 1201 S Coast Hwy Oceanside, CA 92054 (760) 433-4013 Sav-On Drugs $ 3450 Marron Rd Oceanside, CA 92056 (760) 729-4127 Sav-On Pharmacy $ 3925 Mission Ave Oceanside, CA 92054 (760) 433-9634 Super Rx Pharmacy 2170 Vista Way Oceanside, CA 92054 (760) 757-8887

$ Offers preferred cost-sharing - 161 -

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 2255 S El Camino Real Oceanside, CA 92054 (760) 967-8335 Vons Pharmacy 845 College Blvd Oceanside, CA 92057 (760) 630-6252 Walgreens 4181 Oceanside Blvd Oceanside, CA 92056 (760) 536-7330 Walgreens 3507 Cannon Rd Oceanside, CA 92056 (760) 630-1327 Walgreens 3752 Mission Ave Oceanside, CA 92058 (760) 722-9409 Walmart Pharmacy $ 3405 Marron Rd Oceanside, CA 92056 (760) 730-7386 Walmart Pharmacy $ 2100 Vista Way Oceanside, CA 92054 (760) 966-0143 Walmart Pharmacy $ 1046 Mission Ave Oceanside, CA 92054 (760) 696-9908 Walmart Pharmacy $ 705 College Blvd Oceanside, CA 92057 (760) 631-1857

Poway Costco Pharmacy 12155 Tech Center Dr Poway, CA 92064 (858) 848-2478 CVS Pharmacy $ 12358 Poway Rd Poway, CA 92064 (858) 748-9220

Rite Aid Pharmacy 1670 Main St Ramona, CA 92065 (760) 788-7074 Sav-On Pharmacy $ 1459 Main St Ramona, CA 92065 (760) 789-0094

Rancho Santa Fe

Rite Aid Pharmacy 12666 Poway Rd Poway, CA 92064 (858) 486-0851

Rancho Santa Fe Pharmacy 6056 El Tordo Rancho Santa Fe, CA 92067 (858) 756-3096

Sav-On Pharmacy $ 14837 Pomerado Rd Poway, CA 92064 (619) 748-9130

San Clemente

Super Rx Pharmacy 13589 Poway Rd Poway, CA 92064 (858) 486-9995 Walgreens 13364 Poway Rd Poway, CA 92064 (858) 435-7580 Walmart Pharmacy $ 13425 Community Rd Poway, CA 92064 (858) 486-1801

CVS Pharmacy $ 602 N El Camino Real San Clemente, CA 92672 (949) 369-5281 CVS Pharmacy $ 638 Camino De Los Mares San Clemente, CA 92673 (949) 487-9791 Ralphs Pharmacy $ 811 Avenida Talega San Clemente, CA 92673 (949) 940-0167

Ramona

Rite Aid Pharmacy 801 N El Camino Real San Clemente, CA 92672 (949) 498-6752

CVS Pharmacy $ 1810 Main St Ramona, CA 92065 (760) 789-9062

Sav-On Pharmacy $ 989 Avenida Pico San Clemente, CA 92673 (949) 369-5596

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 162 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Sav-On Pharmacy $ 804 E Avenida Pico San Clemente, CA 92673 (949) 492-9448

Balboa Pharmacy $ 5222 Balboa Ave San Diego, CA 92117 (858) 278-0111

Costco Pharmacy 2345 Fenton Pkwy San Diego, CA 92108 (619) 358-4002

Sea View Pharmacy $ 665 Camino De Los Mares #101 San Clemente, CA 92673 (949) 496-0123

Best Pharmacy 5507 El Cajon Blvd # E San Diego, CA 92115 (619) 582-4466

Costco Pharmacy 12350 Carmel Mountain Rd San Diego, CA 92128 (858) 675-0930

Target Pharmacy 990 Avenida Vista Hermosa San Clemente, CA 92673 (949) 456-8669

Brian Pharmacy 4224 El Cajon Blvd San Diego, CA 92105 (619) 563-9917

Costco Pharmacy 650 Gateway Center Dr San Diego, CA 92102 (619) 358-2302

Walmart Pharmacy $ 951 Avenida Pico San Clemente, CA 92673 (949) 498-6679

Care Pharmacy $ 5065 El Cajon Blvd San Diego, CA 92115 (619) 501-8046

CVS Pharmacy $ 10776 Westview Pkwy San Diego, CA 92126 (858) 566-4551

San Diego

Care Plus CVS/Pharmacy $ 1010 University Ave San Diego, CA 92103 (619) 291-7377

CVS Pharmacy $ 10560-4S Commons Dr San Diego, CA 92127 (858) 673-3460

Carmel Valley Pharmacy $ 12750 Carmel Country Rd # A101 San Diego, CA 92130 (858) 481-4990

CVS Pharmacy $ 645 Market St San Diego, CA 92101 (619) 234-5952

Childrens Medical Center Pharmacy $ 3030 Childrens Way Ste 108 San Diego, CA 92123 (858) 966-4060

CVS Pharmacy $ 510 C St San Diego, CA 92101 (619) 615-0263

6th Avenue United Drug 2121 5th Ave San Diego, CA 92101 (619) 233-3665 AHF Pharmacy $ 3940 Fourth Ave # 150 San Diego, CA 92103 (619) 574-9700 Allen United Drugs $ 1141 6th Ave San Diego, CA 92101 (619) 232-8101 Alvarado Community Pharmacy 6367 Alvarado Ct # 109 San Diego, CA 92120 (619) 287-7697 Alvarado Medplaza United Drug 5555 Reservoir Dr Ste 114 San Diego, CA 92120 (619) 287-5035

Community, A Walgreens Pharmacy 640 University Ave San Diego, CA 92103 (619) 295-6688 Costco Pharmacy 4605 Moreana Blvd San Diego, CA 92117 (619) 581-4550

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 3332 Sandrock Rd San Diego, CA 92123 (858) 278-0047 CVS Pharmacy $ 1792 Garnet Ave San Diego, CA 92109 (858) 483-1489

$ Offers preferred cost-sharing - 163 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 4404 El Cajon Blvd San Diego, CA 92115 (619) 280-5006

CVS Pharmacy $ 1380 S 43rd St San Diego, CA 92113 (619) 263-8116

CVS Pharmacy $ 4829 Clairemont Dr San Diego, CA 92117 (858) 273-5300

CVS Pharmacy $ 3950 W Point Loma Blvd San Diego, CA 92110 (619) 523-1440

CVS Pharmacy $ 14589 Camino Del Norte San Diego, CA 92128 (858) 451-1050

CVS Pharmacy $ 8260 Mira Mesa Blvd San Diego, CA 92126 (858) 566-3031

CVS Pharmacy $ 4445 Mission Blvd San Diego, CA 92109 (858) 273-0900

CVS Pharmacy $ 313 Washington St San Diego, CA 92103 (619) 291-7170

CVS Pharmacy $ 16773 Bernardo Center Dr San Diego, CA 92128 (858) 451-2630

CVS Pharmacy $ 5685 Balboa Ave San Diego, CA 92111 (858) 279-2860

CVS Pharmacy $ 3350 Palm Ave San Diego, CA 92154 (619) 424-7030

CVS Pharmacy $ 645 Saturn Blvd San Diego, CA 92154 (619) 429-8932

CVS Pharmacy $ 3151 University Ave San Diego, CA 92104 (619) 283-7366

CVS Pharmacy $ 10575 Scripps Poway Prky San Diego, CA 92131 (858) 547-3939

CVS Pharmacy $ 6265 El Cajon Blvd San Diego, CA 92115 (619) 287-6848

CVS Pharmacy $ 11655 Duenda Rd San Diego, CA 92127 (858) 385-0223

CVS Pharmacy $ 10350 Friars Rd San Diego, CA 92120 (619) 563-9990

CVS Pharmacy $ 5644 Mission Center Rd San Diego, CA 92108 (619) 298-3655

CVS Pharmacy $ 8915 Towne Centre Dr San Diego, CA 92122 (858) 550-9066

CVS Pharmacy $ 3327 Rosecrans St San Diego, CA 92110 (619) 225-9691

Dawn Pharmacy 4776 El Cajon Blvd Ste 105 San Diego, CA 92115 (619) 287-1206

CVS Pharmacy $ 71 Horton Plaza San Diego, CA 92101 (619) 231-9361

CVS Pharmacy $ 1652 Garnet Ave San Diego, CA 92109 (858) 273-1940

Friendly Pharmacy $ 4060 4th Ave San Diego, CA 92103 (619) 297-2214

CVS Pharmacy $ 9225 Twin Trails Dr San Diego, CA 92129 (858) 538-8770

CVS Pharmacy $ 7393 Jackson Dr San Diego, CA 92119 (619) 465-6800

Good Morning Pharmacy $ 4898 Convoy St Ste 102 San Diego, CA 92111 (858) 268-1660

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 164 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Good Pharma Compounding Pharmacy 951 Turquoise St San Diego, CA 92109 (858) 488-9000 Hal's N-Park United Drug 3825 32nd St San Diego, CA 92104 (619) 282-0223 Hillcrest Pharmacy 120 University Ave San Diego, CA 92103 (619) 260-1010 JP Pharmacy 9188 Mira Mesa Blvd San Diego, CA 92126 (858) 271-0014 Khanh Pharmacy 4575 El Cajon Blvd Ste C San Diego, CA 92115 (619) 280-0199 La Maestra Community Pharmacy 4060 Fairmount Ave San Diego, CA 92105 (619) 564-7014 La Vita Compounding Pharmacy 3978 Sorrento Valley Blvd #300 San Diego, CA 92121 (858) 453-2500 Linda Vista Pharmacy 2361 Ulric St San Diego, CA 92111 (858) 277-6147 Medical Center Pharmacy 12395 El Camino Real Ste 111 San Diego, CA 92130 (858) 259-1221

Medical Center Pharmacy $ 7910 Frost St Ste 130 San Diego, CA 92123 (858) 560-1911

Ralphs $ 3515 Sports Arena Blvd San Diego, CA 92110 (619) 225-1631

Nguyen Hien Pharmacy $ 4242 El Cajon Blvd San Diego, CA 92105 (619) 521-0013

Ralphs $ 1020 University Ave San Diego, CA 92103 (619) 298-5181

Paradise Hills Pharmacy $ 5865 Cumberland St San Diego, CA 92139 (619) 470-3710

Ralphs $ 101 G St San Diego, CA 92101 (619) 237-7660

PJ's Prescription Shoppe $ 3405 Kenyon St San Diego, CA 92110 (619) 223-5404

Rite Aid Pharmacy 3515 Del Mar Heights Rd San Diego, CA 92130 (858) 792-7040

Point Loma Cabrillo Drug $ 955 Catalina Blvd Ste 102A San Diego, CA 92106 (619) 630-2710

Rite Aid Pharmacy 8702 Lake Murray Blvd San Diego, CA 92119 (619) 460-5978

Pride Pharmacy $ 1270 University Ave San Diego, CA 92103 (619) 501-5888

Rite Aid Pharmacy 535 Robinson Ave San Diego, CA 92103 (619) 291-3705

Pt Loma Shelter Island United Drug $ 1105 Rosecrans St San Diego, CA 92106 (619) 223-7171

Rite Aid Pharmacy 8985 Mira Mesa Blvd San Diego, CA 92126 (858) 566-3490

Ralphs $ 4315 Mission Blvd San Diego, CA 92109 (619) 237-2108 Ralphs $ 10525 4S Commons Dr San Diego, CA 92127 (858) 675-7028

*Only dispenses 30-day supplies HEALTH NET

Rite Aid Pharmacy 3650 Adams Ave San Diego, CA 92116 (619) 563-0802 Rite Aid Pharmacy 3081 Clairemont Dr # B San Diego, CA 92117 (619) 275-1175

$ Offers preferred cost-sharing - 165 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 1854 Coronado Ave San Diego, CA 92154 (619) 424-8612

Rite Aid Pharmacy 4437 Genesee Ave San Diego, CA 92117 (858) 292-9349

Rite Aid Pharmacy 1735 Euclid Ave San Diego, CA 92105 (619) 264-7211

Rite Aid Pharmacy 4840 Niagara Ave San Diego, CA 92107 (619) 222-7503

Rite Aid Pharmacy 1411 Kettner Blvd San Diego, CA 92101 (619) 231-7405

Rite Aid Pharmacy 6405 El Cajon Blvd San Diego, CA 92115 (619) 286-3470

Rite Aid Pharmacy 13167 Black Mountain Rd San Diego, CA 92129 (858) 484-7909

Rite Aid Pharmacy 11845 Carmel Mountain Rd San Diego, CA 92128 (858) 451-5711

Rite Aid Pharmacy 6505 Mission Gorge Rd San Diego, CA 92120 (619) 284-3345

Royal Pharmacy Group $ 4419 47th St San Diego, CA 92115 (619) 282-1338

Rite Aid Pharmacy 10631 Tierrasanta Blvd San Diego, CA 92124 (858) 576-0972

Safeway Pharmacy 330 Lewis St San Diego, CA 92103 (619) 299-0012

Rite Aid Pharmacy 6939 Linda Vista Rd San Diego, CA 92111 (858) 277-6730

Sam's Club Pharmacy $ 6336 College Grove Way San Diego, CA 92115 (619) 858-0097

Rite Aid Pharmacy 4077 Governor Dr San Diego, CA 92122 (858) 453-0631

San Diego Community Pharmacy 3703 Camino Del Rio S Ste 215B San Diego, CA 92108 (619) 279-5701

Rite Aid Pharmacy 427 C St Ste 100 San Diego, CA 92101 (619) 233-1666

San Diego Compounding Pharmacy 5395 Ruffin Rd Ste 104 San Diego, CA 92123 (858) 277-8884

*Only dispenses 30-day supplies

San Diego Conty Dept Health Services Pharmacy 3851 Rosecrans St San Diego, CA 92110 (619) 692-5741 Sav On Pharmacy $ 655 14th St San Diego, CA 92101 (619) 237-9127 Sav-On Drugs $ 7715 Balboa Ave Ste A San Diego, CA 92111 (619) 576-2270 Sav-On Drugs $ 12475 Rancho Bernardo Rd San Diego, CA 92128 (760) 385-9229 Sav-On Pharmacy $ 7895 Highland Village Pl San Diego, CA 92129 (858) 780-9872 Sav-On Pharmacy $ 14340 Penasquitos Dr San Diego, CA 92129 (858) 672-2598 Sav-On Pharmacy $ 10740 Westview Pkwy San Diego, CA 92126 (858) 578-7267 Sharp Rees Stealy Pharmacy $ 8933 Activity Rd San Diego, CA 92126 (858) 566-3369 Sharp Rees Stealy Pharmacy $ 300 Fir St San Diego, CA 92101 (619) 446-1512

$ Offers preferred cost-sharing - 166 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Sharp Rees Stealy Pharmacy $ 2929 Health Center Dr San Diego, CA 92123 (858) 939-6540 Sharp Rees Stealy Pharmacy $ 16950 Via Tazon San Diego, CA 92127 (858) 521-2290 Sharp Specialty Pharmacy $ 3558 Ruffin Rd South San Diego, CA 92123 (858) 627-5644 Southern California Pharmacy 11125 Flintkote Ave Ste F San Diego, CA 92121 (858) 622-1278 Target Pharmacy 8251 Mira Mesa Blvd San Diego, CA 92126 (858) 357-2002 Target Pharmacy 5680 Balboa Ave San Diego, CA 92111 (858) 309-6565 Target Pharmacy 1288 Camino Del Rio N San Diego, CA 92108 (619) 542-0292 Target Pharmacy 3245 Sports Arena Blvd San Diego, CA 92110 (619) 471-0030 UC Care Pharmacy $ 9999 Mira Mesa Blvd Ste 101 San Diego, CA 92131 (858) 397-1797

UCSD Medical Center Pharmacy 200 W Arbor Dr Dept 8765 San Diego, CA 92103 (619) 543-3279 UCSD Medical Offices South Pharmacy 4168 Front St # 1-127 San Diego, CA 92103 (619) 543-5934 Union Pharmacy 2420 Ulric St San Diego, CA 92111 (858) 467-9201 University Compounding Pharmacy $ 1875 3rd Ave San Diego, CA 92101 (619) 683-2005 Upas Street Pharmacy 3332 3rd Ave San Diego, CA 92103 (619) 297-1677 Viet Pharmacy & Medical Supplies $ 4616 El Cajon Blvd Ste 6 San Diego, CA 92115 (619) 563-8212 Vons Pharmacy 13255 Black Mountain Rd San Diego, CA 92129 (858) 484-7241 Vons Pharmacy 6155 El Cajon Blvd San Diego, CA 92115 (619) 583-4160

*Only dispenses 30-day supplies HEALTH NET

Vons Pharmacy 515 Washington St San Diego, CA 92103 (619) 299-0079 Vons Pharmacy 4627 Carmel Mountain Rd San Diego, CA 92130 (858) 523-1847 Vons Pharmacy 4145 30th St San Diego, CA 92104 (619) 284-3582 Vons Pharmacy 3850 Valley Centre Dr San Diego, CA 92130 (858) 793-4667 Vons Pharmacy 3645 Midway Dr San Diego, CA 92110 (619) 222-9736 Vons Pharmacy 3610 Adams Ave San Diego, CA 92116 (619) 280-5514 Vons Pharmacy 2495 Truxtun Rd Ste 100 San Diego, CA 92106 (619) 758-9004 Vons Pharmacy 7788 Regents Rd San Diego, CA 92122 (858) 455-6340 Vons Pharmacy 11986 Bernardo Plaza Dr San Diego, CA 92128 (858) 485-1704

$ Offers preferred cost-sharing - 167 -

Retail Pharmacies, including Chain Pharmacies Vons Pharmacy 10675 Scripps Poway Pkwy San Diego, CA 92131 (858) 693-1545

Walgreens 3005 Midway Dr San Diego, CA 92110 (619) 221-0834

CVS Pharmacy $ 1302 West Mission Rd San Marcos, CA 92069 (760) 471-7205

Vons Pharmacy 10016 Scripps Ranch Blvd San Diego, CA 92131 (858) 621-5120

Walgreens 3222 University Ave San Diego, CA 92104 (619) 528-1793

CVS Pharmacy $ 997 Woodland Pkwy San Marcos, CA 92069 (760) 739-0731

Vons Pharmacy 620 Dennery Rd San Diego, CA 92154 (619) 428-3311

Walmart Pharmacy $ 710 Dennery Rd San Diego, CA 92154 (619) 428-4088

CVS Pharmacy $ 734 S Rancho Santa Fe Rd San Marcos, CA 92078 (760) 599-0353

Vons Pharmacy 3550 Murphy Canyon Rd San Diego, CA 92123 (858) 292-4148

Walmart Pharmacy $ 3382 Murphy Canyon Rd San Diego, CA 92123 (858) 571-6971

CVS Pharmacy $ 320 S Twin Oaks Valley Rd San Marcos, CA 92078 (760) 471-8019

Walgreens 5504 Balboa Ave San Diego, CA 92111 (858) 495-9155

Walmart Pharmacy $ 3412 College Ave San Diego, CA 92115 (619) 858-0074

CVS Pharmacy $ 191 Woodland Pkwy San Marcos, CA 92069 (760) 471-9007

Walgreens 301 University Ave San Diego, CA 92103 (619) 325-0423

Walmart Pharmacy $ 575 Saturn Blvd San Diego, CA 92154 (619) 205-6147

North County Health Services Pharmacy 150 Valpreda Rd San Marcos, CA 92069 (760) 736-6712

Walgreens 8766 Navajo Rd San Diego, CA 92119 (619) 667-8764

Walmart Pharmacy $ 4840 Shawline St San Diego, CA 92111 (858) 268-7840

Walgreens 4029 43rd St Ste 700 San Diego, CA 92105 (619) 521-9753

White Cross Pharmacy $ 4074 Fairmount Ave San Diego, CA 92105 (619) 284-1141

Walgreens 10787 Camino Ruiz San Diego, CA 92126 (858) 437-0761

San Marcos Costco Pharmacy 725 Center Dr San Marcos, CA 92069 (760) 871-6868

*Only dispenses 30-day supplies

Ralphs Pharmacy $ 306 S Twin Oaks Valley Rd San Marcos, CA 92078 (760) 891-0618 Sav-On Pharmacy $ 1571 San Elijo Rd S San Marcos, CA 92078 (760) 798-2824 Vons Pharmacy 671 S Rancho Santa Fe Rd San Marcos, CA 92078 (760) 471-0750

$ Offers preferred cost-sharing - 168 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walmart Pharmacy $ 732 Center Dr San Marcos, CA 92069 (760) 233-8971

Target Pharmacy 9846 Mission Gorge Rd Santee, CA 92071 (619) 449-9682

Vons Pharmacy 931 Lomas Santa Fe Dr Solana Beach, CA 92075 (858) 481-2894

Welcare Pharmacy 1921 W San Marcos Blvd Ste 140 San Marcos, CA 92078 (760) 727-3333

Vons Pharmacy 9643 Mission Gorge Rd Santee, CA 92071 (619) 596-5977

Spring Valley

San Ysidro

Walgreens 9305 Mission Gorge Rd Santee, CA 92071 (619) 258-8011

CVS Pharmacy $ 444 E San Ysidro Blvd San Ysidro, CA 92173 (619) 428-4428 San Ysidro Health Center Pharmacy 4004 Beyer Blvd San Ysidro, CA 92173 (619) 662-4151

Santee All Care Pharmacy 8790 Cuyamaca St Ste B Santee, CA 92071 (619) 449-0908 Costco Pharmacy 101 Town Center Pkwy Santee, CA 92071 (619) 562-3993 CVS Pharmacy $ 9730 Mission Gorge Rd Santee, CA 92071 (619) 448-5110 Sav-On Pharmacy $ 9870 N Magnolia Ave Santee, CA 92071 (619) 449-0110

Walgreens 10512 Mission Gorge Rd Santee, CA 92071 (619) 258-7942 Walmart Pharmacy $ 170 Town Center Pkwy Santee, CA 92071 (619) 449-8002

Sherman Heights Walmart Pharmacy $ 2121 Imperial Ave Sherman Heights, CA 92102 (619) 849-5834

Solana Beach CVS Pharmacy $ 683 Lomas Santa Fe Dr Solana Beach, CA 92075 (858) 755-6697 CVS Pharmacy $ 305 S Highway 101 Solana Beach, CA 92075 (858) 259-0340

*Only dispenses 30-day supplies HEALTH NET

Rite Aid Pharmacy 661 Sweetwater Rd Spring Valley, CA 91977 (619) 463-9848 Sav-On Drugs $ 543 Sweetwater Rd Spring Valley, CA 91977 (619) 461-2100 Sav-On Pharmacy $ 9831 Campo Rd Spring Valley, CA 91977 (619) 461-9170 Vons Pharmacy 933 Sweetwater Rd Spring Valley, CA 91977 (619) 460-6336

Valley Center Community Pharmacy Of Valley Center 29115 Valley Center Rd Ste F Valley Center, CA 92082 (760) 749-1156

Vista Cedar Park Pharmacy $ 130 Cedar Rd Vista, CA 92083 (760) 630-8806 Costco Pharmacy 1755 Hacienda Dr Vista, CA 92081 (760) 631-5378 $ Offers preferred cost-sharing

- 169 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 1631 S Melrose Dr Vista, CA 92081 (760) 727-4221

Target Pharmacy 3150 Business Park Dr Vista, CA 92081 (760) 208-6112

CVS Pharmacy $ 1441 N Santa Fe Ave Vista, CA 92084 (760) 414-1681

Vista Community Clinic 134 Grapevine Rd Vista, CA 92083 (760) 631-5000

CVS Pharmacy $ 883 S Santa Fe Ave Vista, CA 92083 (760) 630-2134

Walgreens 802 S Santa Fe Ave Vista, CA 92084 (760) 724-3116

CVS Pharmacy $ 635 S Melrose Dr Vista, CA 92081 (760) 643-3904

Walgreens 1510 N Santa Fe Ave Vista, CA 92083 (760) 724-3763

Greenfield Pharmacy United Drugs $ 2067 W Vista Way Ste 195 Vista, CA 92083 (760) 631-1010

Walgreens 310 Sycamore Ave Vista, CA 92083 (760) 630-5723

Med Care Pharmacy 161 Thunder Dr Ste 100 Vista, CA 92083 (760) 758-7650

Walmart Pharmacy $ 1800 University Dr Vista, CA 92083 (760) 945-2091

Med-Rx Pharmacy And Compounding $ 1031 E Vista Way Vista, CA 92084 (760) 724-7125

San Francisco

Rite Aid Pharmacy 1363 E Vista Way Vista, CA 92084 (760) 726-1909

450 Sutter Pharmacy 450 Sutter St Rm 713 7th Floor San Francisco, CA 94108 (415) 392-4137

Target Pharmacy 1751 University Dr Vista, CA 92083 (760) 941-0220

A-G Pharmacy $ 3636 Cesar Chavez San Francisco, CA 94110 (415) 647-3757

San Francisco

*Only dispenses 30-day supplies

AHF Healthcare Center San Francisco $ 100 Church St San Francisco, CA 94114 (415) 552-0350 AHF Pharmacy $ 4071 18th St San Francisco, CA 94114 (415) 255-2720 Bay Drug $ 281 Turk St San Francisco, CA 94102 (415) 400-5999 Care Plus CVS/Pharmacy $ 445 Castro St San Francisco, CA 94114 (415) 864-7030 CBHS Pharmacy Services 1380 Howard St Rm 130 San Francisco, CA 94103 (415) 255-3659 Central Drug Store 4494 Mission St San Francisco, CA 94112 (415) 585-0111 Charlie's Drug Store $ 1101 Fillmore St San Francisco, CA 94115 (415) 567-0771 Chinatown Medical Pharmacy 823 Jackson St San Francisco, CA 94133 (415) 397-7300 Chinese Hospital Pharmacy 845 Jackson St San Francisco, CA 94133 (415) 677-2430

$ Offers preferred cost-sharing - 170 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Clay Medical Pharmacy $ 929 Clay St San Francisco, CA 94108 (415) 956-5456

CVS Pharmacy $ 581 Market St San Francisco, CA 94105 (415) 777-1654

Green House Pharmacy $ 1516 Noriega St San Francisco, CA 94122 (415) 665-7775

Clement Pharmacy 1922 Clement St San Francisco, CA 94121 (415) 387-3000

CVS Pharmacy $ 377 32nd Ave San Francisco, CA 94121 (415) 666-3153

Joe's Pharmacy $ 5199 Geary Blvd San Francisco, CA 94118 (415) 751-2326

Community Pharmacy $ 2462 Mission St San Francisco, CA 94110 (415) 648-0815

CVS Pharmacy $ 499 Haight St San Francisco, CA 94117 (415) 503-0722

Koshland Pharmacy 301 Folsom St Ste B San Francisco, CA 94105 (415) 344-0600

Costco Pharmacy 450 10th St San Francisco, CA 94103 (415) 626-4341

CVS Pharmacy $ 701 Portola Dr San Francisco, CA 94127 (415) 504-6043

Los Portales Pharmacy $ 2480 Mission St San Francisco, CA 94110 (415) 826-3484

CVS Pharmacy $ 1285 Sutter St San Francisco, CA 94109 (415) 923-5863

CVS Pharmacy $ 1059 Hyde St San Francisco, CA 94109 (415) 346-6100

Mai-Tram Pharmacy 512 Ellis St San Francisco, CA 94109 (415) 441-2672

CVS Pharmacy $ 2280 Market St San Francisco, CA 94114 (415) 554-0113

CVS Pharmacy $ 1101 Market St San Francisco, CA 94103 (415) 558-1538

Nems-Noriega Pharmacy 1450 Noriega St San Francisco, CA 94116 (415) 391-9686

CVS Pharmacy $ 2025 Van Ness Ave San Francisco, CA 94109 (415) 353-5705

CVS Pharmacy $ 731 Market St San Francisco, CA 94103 (415) 243-0273

Nems-San Bruno Pharmacy 2574 San Bruno Ave San Francisco, CA 94134 (415) 391-9686

CVS Pharmacy $ 1760 Ocean Ave San Francisco, CA 94112 (415) 586-2066

Franklin Pharmacy $ 1508 Franklin St San Francisco, CA 94109 (415) 775-3917

North East Medical Services Pharmacy 1520 Stockton St San Francisco, CA 94133 (415) 391-9686

CVS Pharmacy $ 351 California St San Francisco, CA 94104 (415) 398-2578

Golden Gate Pharmacy $ 1844 Noriega St San Francisco, CA 94122 (415) 661-0790

*Only dispenses 30-day supplies HEALTH NET

Parnassus Heights Pharmacy $ 350 Parnassus Ave Ste 100 San Francisco, CA 94117 (451) 564-9191

$ Offers preferred cost-sharing - 171 -

Retail Pharmacies, including Chain Pharmacies Pharmaca Intergrative Pharmacy $ 925 Cole St San Francisco, CA 94117 (415) 661-1216 Post & Divisadero Medical Pharmacy $ 2299 Post St San Francisco, CA 94115 (415) 346-2663 Reliable Drugs $ 801 Irving St San Francisco, CA 94122 (415) 664-8800 Safeway Pharmacy 1335 Webster St San Francisco, CA 94115 (415) 921-5502 Safeway Pharmacy 730 Taraval St San Francisco, CA 94116 (415) 665-0119 Safeway Pharmacy 4950 Mission St San Francisco, CA 94112 (415) 239-8010 Safeway Pharmacy 298 King St San Francisco, CA 94107 (415) 633-1020 Safeway Pharmacy 2350 Noriega St San Francisco, CA 94122 (415) 665-8456 Safeway Pharmacy 2300 16th St San Francisco, CA 94103 (415) 575-1130

Safeway Pharmacy 15 Marina Blvd San Francisco, CA 94123 (415) 563-8681

Target Pharmacy 2675 Geary Blvd San Francisco, CA 94118 (415) 796-5281

Safeway Pharmacy 850 La Playa St San Francisco, CA 94121 (415) 387-0481

Target Pharmacy 789 Mission St San Francisco, CA 94103 (415) 343-6273

Safeway Pharmacy 735 7th Ave San Francisco, CA 94118 (415) 683-4074

Torgsyn Discount Pharmacy $ 5614 Geary Blvd San Francisco, CA 94121 (415) 752-3737

Safeway Pharmacy 2020 Market St San Francisco, CA 94114 (415) 436-9032

UCSF Ambulatory Care Center Pharmacy 505 Parnassus Ave Rm M39 San Francisco, CA 94143 (415) 353-1544

Save Mart Pharmacy 1750 Fulton St San Francisco, CA 94117 (415) 923-6789 Save Mart Pharmacy 1515 Sloat Blvd San Francisco, CA 94132 (415) 681-4136 Scriptsite Pharmacy 490 Post St Ste 208 San Francisco, CA 94102 (917) 747-1103

Visitacion Valley Pharmacy $ 100 Leland Ave San Francisco, CA 94134 (415) 239-5811 Walgreens 965 Geneva Ave San Francisco, CA 94112 (415) 841-0507 Walgreens 1175 Columbus Ave San Francisco, CA 94133 (415) 345-1079

St Marys Medical Center Clinic Pharmacy $ 2235 Hayes St San Francisco, CA 94117 (415) 750-4878

Walgreens 116 New Montgomery St San Francisco, CA 94105 (415) 344-0891

Sutter Professional Pharmacy $ 2300 Sutter St #101 San Francisco, CA 94115 (415) 567-3223

Walgreens 3801 3rd St Ste 550 San Francisco, CA 94124 (415) 285-8773

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 172 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 4645 Mission St San Francisco, CA 94112 (415) 585-6900

Walgreens 3400 Cesar Chavez San Francisco, CA 94110 (415) 285-0802

Walgreens 845 Market St San Francisco, CA 94103 (415) 430-0003

Walgreens 459 Powell St San Francisco, CA 94102 (415) 984-0793

Walgreens 3398 Mission St San Francisco, CA 94110 (415) 824-6886

Walgreens 825 Market St San Francisco, CA 94103 (415) 543-9502

Walgreens 456 Mission St San Francisco, CA 94105 (415) 348-9600

Walgreens 33 Drumm St San Francisco, CA 94111 (415) 989-6116

Walgreens 790 Van Ness Ave San Francisco, CA 94102 (415) 292-6155

Walgreens 45 Castro St San Francisco, CA 94114 (415) 565-0991

Walgreens 3201 Divisadero St San Francisco, CA 94123 (415) 931-6417

Walgreens 776 Market St San Francisco, CA 94102 (415) 397-0837

Walgreens 4129 18th St San Francisco, CA 94114 (415) 551-7837

Walgreens 100 Sansome St San Francisco, CA 94104 (415) 362-2768

Walgreens 498 Castro St San Francisco, CA 94114 (415) 861-3136

Walgreens 320 Bay St San Francisco, CA 94133 (415) 296-0521

Walgreens 3931 Alemany Blvd Ste 2001 San Francisco, CA 94132 (650) 757-5175

Walgreens 730 Market St San Francisco, CA 94102 (415) 397-4800

Walgreens 3838 California St San Francisco, CA 94118 (415) 750-1322

Walgreens 685 Portola Dr San Francisco, CA 94127 (415) 504-6200

Walgreens 500 Geary St San Francisco, CA 94102 (415) 673-8413

Walgreens 500 Parnassus J Lvl, Rm-Mu145 San Francisco, CA 94143 (650) 348-1559

Walgreens 901 Hyde St San Francisco, CA 94109 (415) 409-4230

Walgreens 670 4th St San Francisco, CA 94107 (415) 856-0543

Walgreens 3601 California St San Francisco, CA 94118 (415) 668-5202

Walgreens 88 Spear St San Francisco, CA 94105 (415) 856-0733

Walgreens 5300 3rd St San Francisco, CA 94124 (415) 671-0841

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 173 -

Retail Pharmacies, including Chain Pharmacies Walgreens 5280 Geary Blvd San Francisco, CA 94118 (415) 668-2041

Walgreens 1524 Polk St San Francisco, CA 94109 (415) 673-4701

Walgreens 1300 Bush St San Francisco, CA 94109 (415) 771-3303

Walgreens 5260 Diamond Heights Blvd San Francisco, CA 94131 (415) 695-2808

Walgreens 1496 Market St San Francisco, CA 94102 (415) 626-9972

Walgreens 1201 Taraval St San Francisco, CA 94116 (415) 753-1305

Walgreens 500 Parnassus Ave San Francisco, CA 94143 (650) 348-3374

Walgreens 1979 Mission St San Francisco, CA 94103 (415) 558-8749

Walgreens 141 Kearny St San Francisco, CA 94108 (415) 834-0356

Walgreens 3001 Taraval St San Francisco, CA 94116 (415) 759-0572

Walgreens 1363 Divisadero St San Francisco, CA 94115 (415) 931-9974

Walgreens 2145 Market St San Francisco, CA 94114 (415) 355-0800

Walgreens 745 Clement St San Francisco, CA 94118 (415) 668-5250

Walgreens 199 Parnassus Ave San Francisco, CA 94117 (415) 661-5287

Walgreens 300 Montgomery St San Francisco, CA 94104 (415) 788-2984

Walgreens 135 Powell St San Francisco, CA 94102 (415) 391-7222

Walgreens 1344 Stockton St San Francisco, CA 94133 (415) 981-6274

Walgreens 300 Gough St San Francisco, CA 94102 (415) 581-0600

Walgreens 1750 Noriega St San Francisco, CA 94122 (415) 664-5543

Walgreens 1333 Castro St San Francisco, CA 94114 (415) 826-8533

Walgreens 275 Sacramento St San Francisco, CA 94111 (415) 362-5227

Walgreens 1630 Ocean Ave San Francisco, CA 94112 (415) 239-0804

Walgreens 1301 Market St San Francisco, CA 94103 (415) 861-4010

Walgreens 2690 Mission St San Francisco, CA 94110 (415) 285-1576

Walgreens 1580 Valencia St San Francisco, CA 94110 (415) 970-8001

Walgreens 1301 Franklin St San Francisco, CA 94109 (415) 775-6706

Walgreens 2550 Ocean Ave San Francisco, CA 94132 (415) 587-9000

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 174 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 1899 Fillmore St San Francisco, CA 94115 (415) 771-4603

Wellman's Pharmacy $ 728 Pacific Ave Ste 110 San Francisco, CA 94133 (415) 788-8882

Target Pharmacy 16858 Golden Valley Pkwy Lathrop, CA 95330 (209) 242-5042

Walgreens 2494 San Bruno Ave San Francisco, CA 94134 (415) 468-4274

Wellman's United Drugs $ 1053 Stockton St San Francisco, CA 94108 (415) 362-3622

Walgreens 14780 S Harlan Rd Lathrop, CA 95330 (209) 858-2801

Walgreens 1189 Potrero Ave San Francisco, CA 94110 (415) 647-1397 Walgreens 2141 Chestnut St San Francisco, CA 94123 (415) 567-9320 Walgreens 2120 Polk St San Francisco, CA 94109 (415) 474-9752 Walgreens 2100 Webster St Ste 105 San Francisco, CA 94115 (415) 441-5742 Walgreens 2050 Irving St San Francisco, CA 94122 (415) 664-4215 Walgreens 200 W Portal Ave San Francisco, CA 94127 (415) 665-1008 Walgreens 25 Point Lobos Ave San Francisco, CA 94121 (415) 386-0736

San Joaquin Escalon Rite Aid Pharmacy 2135 Jackson Ave Escalon, CA 95320 (209) 838-3524 Vineyard Pharmacy And Gifts 1900 McHenry Ave Ste 202 Escalon, CA 95320 (209) 838-0511

French Camp Correctional Health Care Pharmacy 7000 Michael Canlis Way French Camp, CA 95231 (209) 468-4761 San Joaquin General Hospital Pharmacy 500 W Hospital Rd French Camp, CA 95231 (209) 468-6028

Lathrop Save Mart Pharmacy 15240 S Harlan Rd Lathrop, CA 95330 (209) 858-5787

*Only dispenses 30-day supplies HEALTH NET

Linden Linden Pharmacy $ 19047 Main St Linden, CA 95236 (209) 887-3397

Lockeford Lockeford Drug 14090 E Highway 88 Lockeford, CA 95237 (209) 727-5527 Youngs Payless Pharmacy $ 18980 N Highway 88 Lockeford, CA 95237 (209) 727-3762

Lodi Costco Pharmacy 2680 Reynolds Ranch Parkway Lodi, CA 95240 (209) 366-7301 CVS Pharmacy $ 1000 W Kettleman Ln Lodi, CA 95240 (209) 368-5112 CVS Pharmacy $ 100 W Lodi Ave Lodi, CA 95240 (209) 369-3648 $ Offers preferred cost-sharing

- 175 -

Retail Pharmacies, including Chain Pharmacies Kmart Pharmacy 520 S Cherokee Ln Lodi, CA 95240 (209) 333-7491

Walgreens 75 N Ham Ln Lodi, CA 95242 (209) 369-8575

Safeway Pharmacy 1187 S Main Street Manteca, CA 95337 (209) 239-1809

Lodi Memorial Hospital Pharmacy 975 S Fairmont Ave Lodi, CA 95240 (209) 334-3411

Walmart Pharmacy $ 2350 W Kettleman Ln Lodi, CA 95242 (209) 368-6658

Striplins Pharmacy 1144 Norman Dr Ste 103 Manteca, CA 95336 (209) 923-4418

Manteca

Target Pharmacy 280 Spreckels Ave Manteca, CA 95336 (209) 824-9288

Lodi Memorial Hospital Pharmacy West 800 S Lower Sacramento Rd Lodi, CA 95242 (209) 333-3167

Bob's United Drugs 629 E Yosemite Ave Manteca, CA 95336 (209) 823-2174

Walgreens 1071 N Main St Manteca, CA 95336 (209) 825-5481

Lodi Pharmacy $ 929 S Cherokee Ln Lodi, CA 95240 (209) 365-7788

Costco Pharmacy 2440 Daniels St Manteca, CA 95336 (209) 825-8209

Raley's Drug Center 33 N Lower Sacramento Rd Lodi, CA 95242 (209) 369-7403

CVS Pharmacy $ 1175 W Lathrop Rd Manteca, CA 95336 (209) 825-4685

Rite Aid Pharmacy 520 W Lodi Ave Lodi, CA 95240 (209) 368-5363

CVS Pharmacy $ 1190 N Main St Manteca, CA 95336 (209) 239-2018

CVS Pharmacy $ 1201 W Main St Ste 14 Ripon, CA 95366 (209) 599-4686

Safeway Pharmacy 2449 W Kettleman Ln Lodi, CA 95242 (209) 367-7882

Raley's Drug Center 1282 W Lathrop Rd Manteca, CA 95336 (209) 825-0494

Save Mart Pharmacy 1453 Goodwin Dr Ripon, CA 95366 (209) 599-3360

Save Mart Pharmacy 610 W Kettleman Ln Lodi, CA 95240 (209) 334-6867

Rite Aid Pharmacy 900 N Main St Manteca, CA 95336 (209) 239-4175

Walgreens 102 N Jack Tone Rd # R Ripon, CA 95366 (209) 599-1639

Target Pharmacy 2375 W Kettleman Ln Lodi, CA 95242 (209) 339-0232

Rite Aid Pharmacy 1245 W Yosemite Ave Manteca, CA 95337 (209) 823-1949

*Only dispenses 30-day supplies

Walmart Pharmacy $ 1205 S Main St Manteca, CA 95337 (209) 824-2121

Ripon

$ Offers preferred cost-sharing - 176 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Stockton Alpha Pharmacy 707 E March Ln Ste 13 Stockton, CA 95207 (209) 477-1796 Angkor Pharmacy 4555 N Pershing Ave Ste 7 Stockton, CA 95207 (209) 473-4706 BJRX Pharmacy INC. $ 1801 E March Ln Ste B280 Stockton, CA 95210 (209) 474-2888 Calmont Pharmacy 2800 N California St Ste 9 Stockton, CA 95204 (209) 943-7676 Carepoint Pharmacy $ 73 W March Ln Ste D Stockton, CA 95207 (209) 957-2295 Charter Way Pharmacy $ 201 W Charter Way Stockton, CA 95206 (209) 466-2223 Costco Pharmacy 1616 E Hammer Ln Stockton, CA 95210 (209) 478-7448 CVS Pharmacy $ 6632 Pacific Ave Stockton, CA 95207 (209) 951-6544 CVS Pharmacy $ 2605 W March Ln Stockton, CA 95207 (209) 952-3494

CVS Pharmacy $ 5070 West Ln Stockton, CA 95210 (209) 472-9684

Rite Aid Pharmacy 6455 Pacific Ave Stockton, CA 95207 (209) 478-5062

Dameron's Linacia Pharmacy 420 W Acacia St Stockton, CA 95203 (209) 466-2954

Rite Aid Pharmacy 4774 West Ln Stockton, CA 95210 (209) 473-9170

El Dorado Drug Store 2005 E Mariposa Rd Stockton, CA 95205 (209) 464-7722

Rite Aid Pharmacy 1050 N Wilson Way Stockton, CA 95205 (209) 948-0950

Forty Nine Drug Company 937 N Yosemite St Stockton, CA 95203 (209) 465-2671

Safeway Pharmacy 6445 Pacific Ave Stockton, CA 95207 (209) 472-8605

Fremont Center Pharmacy $ 2525 E Fremont St Stockton, CA 95205 (209) 948-0546

Safeway Pharmacy 2808 Country Club Blvd Stockton, CA 95204 (209) 461-5560

March Lane Medical Pharmacy 89 W March Ln Ste 2 Stockton, CA 95207 (209) 870-2760

San Joaquin Co Mental Health 1212 N California St Stockton, CA 95202 (209) 468-8710

Nhon Pharmacy 1412 Rosemarie Ln Ste C Stockton, CA 95207 (209) 473-4277

Save Mart Pharmacy 4725 Quail Lakes Dr Stockton, CA 95207 (209) 952-3599

Raley's 4255 Morada Ln Stockton, CA 95212 (209) 956-9444

Save Mart Pharmacy 7506 Pacific Ave Stockton, CA 95207 (209) 951-1051

Raley's Drug Center 2323 W Hammer Ln Stockton, CA 95209 (209) 955-1510

St Joseph's Hospital Pharmacy 1800 N California St Stockton, CA 95204 (209) 461-5486

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 177 -

Retail Pharmacies, including Chain Pharmacies St Josephs Immed Care Pharmacy $ 3132 W March Ln Ste 3 Stockton, CA 95219 (209) 954-3181 Stockton Pharmacy 3330 E Main St Stockton, CA 95205 (209) 466-0411 Target Pharmacy 4707 Pacific Ave Stockton, CA 95207 (209) 954-9176 Target Pharmacy 10424 Trinity Pkwy Stockton, CA 95219 (209) 235-0252 Van Pharmacy 4502 N Pershing Ave # AB Stockton, CA 95207 (209) 478-9868 Walgreens 7850 West Ln Stockton, CA 95210 (209) 473-9515 Walgreens 7929 Lower Sacramento Rd Stockton, CA 95210 (209) 474-0880 Walgreens 678 N Wilson Way Ste 15 Stockton, CA 95205 (209) 467-7861 Walgreens 3131 W Hammer Ln Stockton, CA 95209 (209) 476-8819

Walgreens 29 E March Ln Stockton, CA 95207 (209) 478-0891

Costco Pharmacy 3250 W Grant Line Rd Tracy, CA 95304 (209) 830-5342

Walgreens 15 W Harding Way Stockton, CA 95204 (209) 941-9632

CVS Pharmacy $ 3320 N Tracy Blvd Tracy, CA 95376 (209) 836-2316

Walgreens 2040 E Mariposa Rd Stockton, CA 95205 (209) 465-4167

CVS Pharmacy $ 1885 W 11th St Tracy, CA 95376 (209) 836-1460

Walmart Pharmacy $ 3702 E Hammer Ln Stockton, CA 95212 (209) 473-8951

Grant Line Pharmacy 2160 W Grant Line Rd Ste 205 Tracy, CA 95377 (209) 832-2999

Walmart Pharmacy $ 10355 Trinity Pkwy Stockton, CA 95219 (209) 235-1505

Harold K Reich's Pharmacy $ 39 W 10th St Tracy, CA 95376 (209) 835-1832

Walmart Pharmacy $ 1189 E March Ln Stockton, CA 95210 (209) 235-1264

Raley's Pharmacy 2550 S Tracy Blvd Tracy, CA 95376 (209) 830-6800

West-Lane Pharmacy 4873 West Ln Ste B Stockton, CA 95210 (209) 478-2528

Rite Aid Pharmacy 599 E Valpico Rd Tracy, CA 95376 (209) 830-0976

Weston Ranch Pharmacy 3526 Manthey Rd Ste H Stockton, CA 95206 (209) 234-1020

Rite Aid Pharmacy 1970 W Grant Line Rd Tracy, CA 95376 (209) 830-7388

Tracy

Safeway Pharmacy 1801 W 11th St Tracy, CA 95376 (209) 830-2955

Abala Pharmacy $ 550B W Eaton Ave Tracy, CA 95376 (209) 832-7080

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 178 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Save Mart Pharmacy 1950 W 11th St Tracy, CA 95376 (209) 832-5340

Kmart Pharmacy 1570 W Branch St Arroyo Grande, CA 93420 (805) 481-8640

Walgreens 8005 El Camino Real Atascadero, CA 93422 (805) 462-9272

Save Mart Pharmacy 875 S Tracy Blvd Tracy, CA 95376 (209) 830-1977

Rite Aid Pharmacy 1690 E Grand Ave Arroyo Grande, CA 93420 (805) 474-0469

Cambria

Target Pharmacy 2800 Naglee Rd Tracy, CA 95304 (209) 833-0072

Rite Aid Pharmacy 1207 E Grand Ave Arroyo Grande, CA 93420 (805) 489-1830

Walgreens 2810 S Tracy Blvd Tracy, CA 95377 (209) 834-0248

Sav-On Pharmacy $ 1132 W Branch St Arroyo Grande, CA 93420 (805) 474-4909

Cayucos Pharmacy 72 S Ocean Ave Cayucos, CA 93430 (805) 995-3538

Walgreens 1830 W 11th St Tracy, CA 95376 (209) 832-1498

Walmart Pharmacy $ 1168 W Branch St Arroyo Grande, CA 93420 (805) 474-0900

Grover Beach

Walmart Pharmacy $ 3010 W Grant Line Rd Tracy, CA 95304 (209) 836-1991

Atascadero

San Luis Obispo Arroyo Grande Bestcare Pharmacy $ 1051 E Grand Ave Arroyo Grande, CA 93420 (805) 481-5050 CVS Pharmacy $ 1435 E Grand Ave Arroyo Grande, CA 93420 (805) 474-5720

CVS Pharmacy $ 8320 El Camino Real Atascadero, CA 93422 (805) 466-0732 En Soleil Pharmacy, INC. 5735 El Camino Real Ste H Atascadero, CA 93422 (805) 460-9600 Rite Aid Pharmacy 7055 El Camino Real Atascadero, CA 93422 (805) 466-8722 Sav-On Pharmacy $ 8200 El Camino Real Atascadero, CA 93422 (805) 462-0834

*Only dispenses 30-day supplies HEALTH NET

Cambria Drug & Gift $ 2222 Main St Cambria, CA 93428 (805) 927-7283

Cayucos

Vons Pharmacy 1758 W Grand Ave Grover Beach, CA 93433 (805) 481-2492

Los Osos Los Osos Rexall Drug 989 Los Osos Valley Rd Los Osos, CA 93402 (805) 528-1017 Ralphs $ 1320 Los Osos Valley Rd Los Osos, CA 93402 (805) 528-0244 Rite Aid Pharmacy 1110 Los Osos Valley Rd Los Osos, CA 93402 (805) 528-5779

$ Offers preferred cost-sharing - 179 -

Retail Pharmacies, including Chain Pharmacies The Medicine Shoppe $ 1199 Los Osos Valley Rd Los Osos, CA 93402 (805) 528-1447

Rite Aid Pharmacy 1151 Creston Rd Paso Robles, CA 93446 (805) 239-3028

Costco Pharmacy 1540 Froom Ranch Way San Luis Obispo, CA 93405 (805) 541-7028

Morro Bay

Sav-On Drugs $ 189 Niblick Rd Paso Robles, CA 93446 (805) 237-1803

CVS Pharmacy $ 3960 Broad St San Luis Obispo, CA 93401 (805) 783-2903

Target Pharmacy 2305 Theater Dr Paso Robles, CA 93446 (805) 227-4304

CVS Pharmacy $ 1300 Madonna Rd San Luis Obispo, CA 93405 (805) 549-0993

Walmart Pharmacy $ 180 Niblick Rd Paso Robles, CA 93446 (805) 238-2626

CVS Pharmacy $ 717 Marsh St San Luis Obispo, CA 93401 (805) 547-9888

Pismo Beach

Kohana Pharmacy & Center Regenerative 181 Tank Farm Rd Ste 120 San Luis Obispo, CA 93401 (805) 542-0864

Morro Bay Drug And Gift $ 600 Morro Bay Blvd Ste B Morro Bay, CA 93442 (805) 771-9988 Rite Aid Pharmacy 740 Quintana Rd Morro Bay, CA 93442 (805) 772-6198

Nipomo CVS Pharmacy $ 610 W Tefft St Nipomo, CA 93444 (805) 929-2740 Nipomo Rexall Drugs $ 330 W Tefft St # E Nipomo, CA 93444 (805) 929-1929 Vons Pharmacy 520 W Tefft St Nipomo, CA 93444 (805) 931-1860

Paso Robles CVS Pharmacy $ 187 Niblick Rd Paso Robles, CA 93446 (805) 238-2947 Rite Aid Pharmacy 2424 Spring St Paso Robles, CA 93446 (805) 239-3208

CVS Pharmacy $ 827 Oak Park Blvd Pismo Beach, CA 93449 (805) 473-1114 Rite Aid Pharmacy 531 Five Cities Dr Pismo Beach, CA 93449 (805) 773-1825

San Luis Obispo CHC Pharmacy San Luis Obispo 2180 Johnson Ave Ste A San Luis Obispo, CA 93401 (805) 269-1326 Conversio Health 720 Aerovista Pl Ste D San Luis Obispo, CA 93401 (805) 473-5178

*Only dispenses 30-day supplies

Rite Aid Pharmacy 765 E Foothill Blvd San Luis Obispo, CA 93405 (805) 543-5697 Rite Aid Pharmacy 1251 Johnson Ave San Luis Obispo, CA 93401 (805) 545-0655 Target Pharmacy 11990 Los Osos Valley Rd San Luis Obispo, CA 93405 (805) 858-9903 Vons Pharmacy 3900 Broad St San Luis Obispo, CA 93401 (805) 541-1132

$ Offers preferred cost-sharing - 180 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Templeton Templeton Hills Pharmacy 1050 Las Tablas Rd Templeton, CA 93465 (805) 434-1801

San Mateo Belmont Safeway Pharmacy 901 Emmett Ave Belmont, CA 94002 (650) 596-1735 Safeway Pharmacy 2100 Ralston Ave Belmont, CA 94002 (650) 591-6918 Walgreens 900 Ralston Ave Belmont, CA 94002 (650) 592-7224

Burlingame A And O Peninsula Pharmacy $ 1828 El Camino Real Ste 104 Burlingame, CA 94010 (650) 692-6569 CVS Pharmacy $ 1871 El Camino Real Burlingame, CA 94010 (650) 692-5065 Safeway Pharmacy 1450 Howard Ave Burlingame, CA 94010 (650) 343-3932

Seventeen Fifty Med Center Pharmacy 1750 El Camino Real Ste 101 Burlingame, CA 94010 (650) 692-1686 Walgreens 260 El Camino Real Burlingame, CA 94010 (650) 342-2977 Walgreens 1160 Broadway Burlingame, CA 94010 (650) 347-3026

Colma Target Pharmacy 5001 Junipero Serra Blvd Colma, CA 94014 (612) 696-4101

Daly City 1800 Sullivan Pharmacy 1800 Sullivan Ave Daly City, CA 94015 (650) 756-1800 Apothecary Pharmacy $ 1500 Southgate Ave Ste 109 Daly City, CA 94015 (650) 994-0690 CVS Pharmacy $ 135 Pierce St Daly City, CA 94015 (650) 992-2521 CVS Pharmacy $ 375 Gellert Blvd Daly City, CA 94015 (650) 994-0752

*Only dispenses 30-day supplies HEALTH NET

Nems- Eastmoor Pharmacy 211 Eastmoor Ave Daly City, CA 94015 (650) 550-3923 PMC Pharmacy 901 Campus Dr Ste 108 Daly City, CA 94015 (650) 755-4404 Save Mart Pharmacy 6843 Mission St Daly City, CA 94014 (650) 992-9490 Target Pharmacy 133 Serramonte Ctr Daly City, CA 94015 (650) 755-4668 Walgreens 6100 Mission St Daly City, CA 94014 (650) 992-3900 Walgreens 22 San Pedro Rd Daly City, CA 94014 (650) 756-3412 Walgreens 216 Westlake Ctr Daly City, CA 94015 (650) 756-4535

Foster City Costco Pharmacy 1001 Metro Center Blvd Foster City, CA 94404 (650) 286-0759 CVS Pharmacy $ 987 E Hillsdale Blvd Foster City, CA 94404 (650) 570-4693 $ Offers preferred cost-sharing

- 181 -

Retail Pharmacies, including Chain Pharmacies Save Mart Pharmacy 919 Edgewater Blvd Foster City, CA 94404 (650) 572-1167

Safeway Pharmacy 525 El Camino Real Menlo Park, CA 94025 (650) 326-5640

Half Moon Bay

Walgreens 643 Santa Cruz Ave Menlo Park, CA 94025 (650) 321-1530

Redwood City Costco Pharmacy 2300 Middlefield Rd Redwood City, CA 94063 (650) 365-1703

Millbrae

CVS Pharmacy $ 1039 El Camino Real Redwood City, CA 94063 (650) 780-9910

Half Moon Bay Pharmacy $ 40 Stone Pine Rd Ste I Half Moon Bay, CA 94019 (650) 726-5542

Safeway Pharmacy 525 El Camino Real Millbrae, CA 94030 (650) 652-3477

CVS Pharmacy $ 1301 Broadway St Redwood City, CA 94063 (650) 364-2111

Rite Aid Pharmacy 170 San Mateo Rd Half Moon Bay, CA 94019 (650) 726-2511

Walgreens 615 Broadway Millbrae, CA 94030 (650) 697-0166

Jefferson Plaza Pharmacy $ 3137 Jefferson Ave Redwood City, CA 94062 (650) 366-3784

Menlo Park

Walgreens 45 S El Camino Real Millbrae, CA 94030 (650) 697-3970

Nob Hill Pharmacy 270 Redwood Shores Pkwy Redwood City, CA 94065 (650) 631-1685

Pacifica

Rite Aid Pharmacy 340 Woodside Plaza Redwood City, CA 94061 (650) 368-7008

CVS Pharmacy $ 60 Cabrillo Hwy N Half Moon Bay, CA 94019 (650) 726-6684

Baneth's Pharmacy 900 Willow Rd Menlo Park, CA 94025 (650) 326-8400 CVS Pharmacy $ 700 El Camino Real Menlo Park, CA 94025 (650) 566-1405

Rite Aid Pharmacy 200 Fairmont Shopping Center Pacifica, CA 94044 (650) 355-5810

CVS Pharmacy $ 325 Sharon Park Dr Menlo Park, CA 94025 (650) 854-4636

Rite Aid Pharmacy 1400 Linda Mar Blvd Pacifica, CA 94044 (650) 359-6691

Pharmaca Integrative Pharmacy $ 871 Santa Cruz Ave Menlo Park, CA 94025 (650) 618-6310

Walgreens 520 Palmetto Ave Pacifica, CA 94044 (650) 355-9901

*Only dispenses 30-day supplies

Rite Aid Pharmacy 2150 Roosevelt Ave Redwood City, CA 94061 (650) 369-2071 Safeway Pharmacy 850 Woodside Rd Redwood City, CA 94061 (650) 365-3682 Safeway Pharmacy 2710 Middlefield Rd Redwood City, CA 94063 (650) 474-0510 $ Offers preferred cost-sharing

- 182 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Safeway Pharmacy 1071 El Camino Real Redwood City, CA 94063 (650) 306-1902

CVS Pharmacy $ 1324 San Carlos Ave San Carlos, CA 94070 (650) 591-7659

Rite Aid Pharmacy 1320 W Hillsdale Blvd San Mateo, CA 94403 (650) 570-6094

Target Pharmacy 2485 El Camino Real Redwood City, CA 94063 (650) 363-8940

Save Mart Pharmacy 1133 Old County Rd San Carlos, CA 94070 (650) 637-1788

Safeway Pharmacy 1655 S El Camino Real San Mateo, CA 94402 (650) 341-3305

San Bruno

Walgreens 975 Industrial Ste E&G San Carlos, CA 94070 (800) 973-1955

Target Pharmacy 2220 Bridgepointe Pkwy San Mateo, CA 94404 (650) 393-2126

Walgreens 1414 El Camino Real San Carlos, CA 94070 (650) 637-9777

Walgreens 4070 S El Camino Real San Mateo, CA 94403 (650) 212-4600

San Mateo

Walgreens 191 E 3rd Ave San Mateo, CA 94401 (650) 342-2723

CVS Pharmacy $ 10 Bayhill Shopping Ctr San Bruno, CA 94066 (650) 873-9522 Save Mart Pharmacy 1322 El Camino Real San Bruno, CA 94066 (650) 742-9737 Target Pharmacy 1150 El Camino Real San Bruno, CA 94066 (650) 827-0171

CVS Pharmacy $ 124 De Anza Blvd San Mateo, CA 94402 (650) 572-2514

Walgreens 333 El Camino Real San Bruno, CA 94066 (650) 737-5735

CVS Pharmacy $ 4242 S El Camino Real San Mateo, CA 94403 (650) 573-5401

Anchor Drugs III 161 South Spruce Ave South San Francisco, CA 94080 (650) 360-5300

San Carlos

CVS Pharmacy $ 872 N Delaware St San Mateo, CA 94401 (650) 342-7448

Costco Pharmacy 451 S Airport Blvd South San Francisco, CA 94080 (650) 872-0637

CVS Pharmacy $ 77 Bovet Rd San Mateo, CA 94402 (650) 349-6303

Costco Pharmacy 1600 El Camino Real South San Francisco, CA 94080 (650) 757-3002

Rite Aid Pharmacy 666 Concar Dr San Mateo, CA 94402 (650) 573-8551

CVS Pharmacy $ 186 El Camino Real South San Francisco, CA 94080 (650) 871-0717

Alphascript $ 1160 Industrial Rd Ste 17 San Carlos, CA 94070 (800) 780-3584 CVS Pharmacy $ 11 El Camino Real San Carlos, CA 94070 (650) 595-8511

*Only dispenses 30-day supplies HEALTH NET

South San Francisco

$ Offers preferred cost-sharing - 183 -

Retail Pharmacies, including Chain Pharmacies Lompoc

Sunshine Center Pharmacy $ 1166 Mission Rd South San Francisco, CA 94080 (650) 589-4133

Vons Pharmacy 850 Linden Ave Carpinteria, CA 93013 (805) 684-4124

Walgreens 399 El Camino Real South San Francisco, CA 94080 (650) 583-8685

Goleta

Agewell Pharmacy 191 West Burton Mesa Blvd Ste A Lompoc, CA 93436 (805) 733-2060

Costco Pharmacy 7150 Hollister Ave Goleta, CA 93117 (805) 685-4141

CVS Pharmacy $ 1317 N H St Lompoc, CA 93436 (805) 735-7424

CVS Pharmacy $ 5875 Calle Real Goleta, CA 93117 (805) 967-5677

Public Health PharmacyLompoc 301 N R St Lompoc, CA 93436 (805) 737-6090

Walgreens 2238 Westborough Blvd South San Francisco, CA 94080 (650) 873-0551

Santa Barbara Buellton CVS Pharmacy $ 218 E Highway 246 Bldg 3 Buellton, CA 93427 (805) 693-1132

Carpinteria CVS Pharmacy $ 1036 Casitas Pass Rd Carpinteria, CA 93013 (805) 684-0260 Rite Aid Pharmacy 1012 Casitas Pass Rd Carpinteria, CA 93013 (805) 684-4816 Shepard Place Pharmacy $ 1029 Casitas Pass Rd Carpinteria, CA 93013 (805) 684-8367

Kmart Pharmacy 6865 Hollister Ave Goleta, CA 93117 (805) 968-1633 Rite Aid Pharmacy 199 N Fairview Ave Goleta, CA 93117 (805) 967-9563

Sav-On Pharmacy $ 1500 N H St Lompoc, CA 93436 (805) 736-3850 Vons Pharmacy 729 N H St Lompoc, CA 93436 (805) 735-4388

Santa Barbara Specialty Pharmacy $ 174 Aero Camino Goleta, CA 93117 (805) 770-2061

Walgreens 937 N H St Lompoc, CA 93436 (805) 737-5601

Walgreens 5900 Calle Real Goleta, CA 93117 (805) 967-3798

Walmart Pharmacy $ 701 W Central Ave Lompoc, CA 93436 (805) 735-3343

Guadalupe

Montecito

Guadalupe Drug Center 4581 10th St Ste A Guadalupe, CA 93434 (805) 343-1061

Vons Pharmacy 1020 Coast Village Rd Montecito, CA 93108 (805) 969-4728

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 184 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Orcutt Sav-On Pharmacy $ 1120 E Clark Ave Orcutt, CA 93455 (805) 934-4002

Santa Barbara County Of Santa Barbara Community 300 N San Antonio Rd Bldg 4 Santa Barbara, CA 93110 (805) 681-5300 CVS Pharmacy $ 3939 State St Santa Barbara, CA 93105 (805) 681-8292 CVS Pharmacy $ 1282 Coast Village Rd Santa Barbara, CA 93108 (805) 565-0897 CVS Pharmacy $ 2973 State St Santa Barbara, CA 93105 (805) 682-3761 CVS Pharmacy $ 1835 Cliff Dr Santa Barbara, CA 93109 (805) 962-8709 CVS Pharmacy $ 189 S Turnpike Rd Santa Barbara, CA 93111 (805) 967-4525 CVS Pharmacy $ 1109 State St Santa Barbara, CA 93101 (805) 564-3267

CVS Pharmacy $ 222 W Carrillo St Santa Barbara, CA 93101 (805) 965-9632

Rite Aid Pharmacy 35 S Milpas St Santa Barbara, CA 93103 (805) 965-0787

Federal Drug Co 3327 State St Santa Barbara, CA 93105 (805) 687-7551

Rite Aid Pharmacy 825 State St Santa Barbara, CA 93101 (805) 966-2760

Goleta Valley Medical Pharmacy 334 S Patterson Ave Ste 110 Santa Barbara, CA 93111 (805) 967-5634

San Ysidro Pharmacy 1498 E Valley Rd Santa Barbara, CA 93108 (805) 969-2284

L.M. Caldwell Pharmacist 1509 State St Santa Barbara, CA 93101 (805) 965-4528

Sansum Clinic Pharmacy $ 317 W Pueblo St Santa Barbara, CA 93105 (805) 682-6507

L.M. Caldwell Pharmacy 235 W Pueblo St Santa Barbara, CA 93105 (805) 682-7353

Santa Maria

Prescription Pharmacy $ 51 Hitchcock Way Santa Barbara, CA 93105 (805) 563-6133 Prescription Pharmacy $ 215 Pesetas Ln Santa Barbara, CA 93110 (805) 964-4831 Ralphs $ 100 W Carrillo St Santa Barbara, CA 93101 (805) 564-7670 Rite Aid Pharmacy 1976 Cliff Dr Santa Barbara, CA 93109 (805) 564-6599

*Only dispenses 30-day supplies HEALTH NET

Costco Pharmacy 1335 S Bradley Rd Santa Maria, CA 93454 (805) 922-3430 CVS Pharmacy $ 2116 S Broadway Santa Maria, CA 93454 (805) 922-7934 CVS Pharmacy $ 733 E Main St Santa Maria, CA 93454 (805) 922-2040 CVS Pharmacy $ 1830 N Broadway Santa Maria, CA 93454 (805) 348-3555 CVS Pharmacy $ 4852 S Bradley Rd Santa Maria, CA 93455 (805) 938-9994 $ Offers preferred cost-sharing

- 185 -

Retail Pharmacies, including Chain Pharmacies Hometown Pharmacy $ 1414 S Miller St Ste E Santa Maria, CA 93454 (805) 922-6515

Walgreens 707 N Broadway Santa Maria, CA 93454 (805) 614-4667

La Joya Pharmacy 1115 W Main St Ste E1 Santa Maria, CA 93458 (805) 922-3996

Walgreens 2399 S Broadway Santa Maria, CA 93454 (805) 928-4633

Pain Management Pharmacy 2003 S Miller St Santa Maria, CA 93454 (805) 928-4700

Walmart Pharmacy $ 2240 S Bradley Rd Santa Maria, CA 93455 (805) 348-4956

Public Health Pharmacy Santa Maria 2115 Centerpointe Pkwy Santa Maria, CA 93455 (805) 346-7239

Walmart Pharmacy $ 2220 S Bradley Rd Santa Maria, CA 93455 (805) 349-1192

Rite Aid Pharmacy 2410 S Broadway Santa Maria, CA 93454 (805) 925-6404 Rite Aid Pharmacy 345 Town Ctr W Santa Maria, CA 93458 (805) 925-1167 Sav-On Drugs $ 2320 S Broadway Santa Maria, CA 93454 (805) 928-7623 Target Pharmacy 223 E Betteravia Rd Santa Maria, CA 93454 (805) 922-9904 Vons Pharmacy 1482 S Broadway Santa Maria, CA 93454 (805) 925-5366

Walmart Pharmacy $ 500 S Blosser Rd Santa Maria, CA 93454 (805) 863-9182

Santa Ynez Star Drug Co $ 3576 Madera St Santa Ynez, CA 93460 (805) 688-6898

Solvang Friends Care Pharmacy 320 Alisal Rd Solvang, CA 93463 (805) 691-9068 Rite Aid Pharmacy 616 Alamo Pintado Rd Solvang, CA 93463 (805) 686-0016

*Only dispenses 30-day supplies

Santa Clara Campbell Camden Pharmacy $ 3189 S Bascom Ave Campbell, CA 95008 (408) 371-0111 CVS Pharmacy $ 100 N San Tomas Aquino Rd Campbell, CA 95008 (408) 374-1337 CVS Pharmacy $ 1720 S Bascom Ave Campbell, CA 95008 (408) 371-7191 Safeway Pharmacy 950 W Hamilton Ave Campbell, CA 95008 (408) 871-1260 Safeway Pharmacy 2341 Winchester Blvd Campbell, CA 95008 (408) 364-6882 Walgreens 1660 Winchester Blvd Campbell, CA 95008 (408) 378-7916 Walgreens 1570 W Campbell Ave Campbell, CA 95008 (408) 374-3038

$ Offers preferred cost-sharing - 186 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Cupertino CVS Pharmacy $ 10455 S De Anza Blvd Cupertino, CA 95014 (408) 996-1911 KML Pharmacy $ 1655 S De Anza Blvd Ste 2 Cupertino, CA 95014 (408) 873-8123 Rite Aid Pharmacy 20580 Homestead Rd Cupertino, CA 95014 (408) 253-2005 Safeway Pharmacy 20620 Homestead Rd Cupertino, CA 95014 (408) 253-0122 Target Pharmacy 20745 Stevens Creek Blvd Cupertino, CA 95014 (408) 725-2651 Walgreens 20011 Bollinger Rd Cupertino, CA 95014 (408) 973-8402

East Palo Alto Drew Center Pharmacy 2111 University Ave # B East Palo Alto, CA 94303 (650) 321-1449

Gilroy Costco Pharmacy 7251 Camino Arroyo Gilroy, CA 95020 (408) 848-0702

CVS Pharmacy $ 825 1st St Gilroy, CA 95020 (408) 842-0373 Gardner South County Health Center Pharmacy 7526 Monterey St Gilroy, CA 95020 (408) 848-9494 Gilroy Medical Pharmacy $ 700 W 6th St Ste G Gilroy, CA 95020 (408) 842-3196 Medical Pavilion Pharmacy $ 9460 No Name Uno #100 Gilroy, CA 95020 (408) 842-2001 Nob Hill Pharmacy 677 1st St Gilroy, CA 95020 (408) 847-6777 Rite Aid Pharmacy 360 E 10th St Gilroy, CA 95020 (408) 848-2328 Target Pharmacy 6705 Camino Arroyo Gilroy, CA 95020 (408) 848-6941 Walgreens 770 1st St Gilroy, CA 95020 (408) 847-0983 Walmart Pharmacy $ 7900 Arroyo Cir Gilroy, CA 95020 (408) 848-8171

*Only dispenses 30-day supplies HEALTH NET

Los Altos Rite Aid Pharmacy 2310 Homestead Rd Los Altos, CA 94024 (408) 774-0134 Safeway Pharmacy 255 2nd St Los Altos, CA 94022 (650) 948-1212 Safeway Pharmacy 160 1st St Los Altos, CA 94022 (650) 941-1844 Save Mart Pharmacy 2175 Grant Rd Los Altos, CA 94024 (650) 969-0772 Walgreens 303 2nd St Los Altos, CA 94022 (650) 949-3378

Los Gatos CVS Pharmacy $ 1496 Pollard Rd Los Gatos, CA 95032 (408) 376-3554 CVS Pharmacy $ 750 Blossom Hill Rd Los Gatos, CA 95032 (408) 356-3464 Pharmaca Integrative Pharmacy $ 54 N Santa Cruz Ave Los Gatos, CA 95030 (408) 395-1947

$ Offers preferred cost-sharing - 187 -

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 15920 Los Gatos Blvd Los Gatos, CA 95032 (408) 358-2715

Rite Aid Pharmacy 1350 S Park Victoria Dr Milpitas, CA 95035 (408) 263-3410

Target Pharmacy 1061 Cochrane Rd Morgan Hill, CA 95037 (408) 310-4051

Safeway Pharmacy 470 N Santa Cruz Ave Los Gatos, CA 95032 (408) 354-7436

Safeway Pharmacy 551 E Calaveras Blvd Milpitas, CA 95035 (408) 262-9855

Walgreens 745 E Dunne Ave Morgan Hill, CA 95037 (408) 782-9591

Safeway Pharmacy 15543 Union Ave Los Gatos, CA 95032 (408) 559-5752

Walgreens 342 W Calaveras Blvd Milpitas, CA 95035 (408) 263-3963

Walmart Pharmacy $ 170 Cochrane Plaza Morgan Hill, CA 95037 (408) 782-2360

Silicon Valley Pharmacy $ 14107 Winchester Blvd Ste M Los Gatos, CA 95032 (408) 378-5381

Walgreens 1833 N Milpitas Blvd Milpitas, CA 95035 (408) 262-7774

Mountain View

Sorci Healthcare Pharmacy $ 15714 Los Gatos Blvd Ste A Los Gatos, CA 95032 (408) 356-4747

Walmart Pharmacy $ 301 Ranch Dr Milpitas, CA 95035 (408) 934-0204

Walgreens 423 N Santa Cruz Ave Los Gatos, CA 95030 (408) 354-8029

Morgan Hill

Costco Pharmacy 1000 N Rengstorff Ave Mountain View, CA 94043 (650) 988-7160

CVS Pharmacy $ 16995 Walnut Grove Dr Morgan Hill, CA 95037 (408) 779-6981

CVS Pharmacy $ 1798 Miramonte Ave Mountain View, CA 94040 (650) 969-6297

Rite Aid Pharmacy 16000 Monterey St Morgan Hill, CA 95037 (408) 778-5184

CVS Pharmacy $ 1041 El Monte Ave Mountain View, CA 94040 (650) 961-5560

Milpitas

Safeway Pharmacy 840 E Dunne Ave Morgan Hill, CA 95037 (408) 776-8722

CVS Pharmacy $ 2630 W El Camino Real Mountain View, CA 94040 (650) 941-8430

CVS Pharmacy $ 45 N Milpitas Blvd Milpitas, CA 95035 (408) 946-6424

Safeway Pharmacy 235 Tennant Station Morgan Hill, CA 95037 (408) 782-5185

CVS Pharmacy $ 850 California St Mountain View, CA 94041 (650) 691-4004

Walgreens 14100 Blossom Hill Rd Los Gatos, CA 95032 (408) 356-1152 Wellness Pharmacy 14777 Los Gatos Blvd Ste 101 Los Gatos, CA 95032 (408) 356-4848

*Only dispenses 30-day supplies

Camino Pharmacy $ 701 E El Camino Real Mountain View, CA 94040 (650) 967-3340

$ Offers preferred cost-sharing - 188 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies El Camino Hospital 2500 Grant Rd PO Box 7025 Mountain View, CA 94039 (650) 940-7019

Walmart Pharmacy $ 600 Showers Dr Mountain View, CA 94040 (650) 917-0878

Walgreens 875 Blake Wilbur Dr # Cc1101 Palo Alto, CA 94304 (650) 838-0429

Rite Aid Pharmacy 1040 Grant Rd Mountain View, CA 94040 (650) 967-0184

Palo Alto

Walgreens 4170 El Camino Real Palo Alto, CA 94306 (650) 858-2007

Safeway Pharmacy 570 N Shoreline Blvd Mountain View, CA 94043 (650) 961-4851 Safeway Pharmacy 645 San Antonio Rd Mountain View, CA 94040 (650) 948-4605 Save Mart Pharmacy 715 El Camino Real Mountain View, CA 94040 (650) 938-8200 Target Pharmacy 555 Showers Dr Mountain View, CA 94040 (650) 965-7764 Walgreens 1905 W El Camino Real Mountain View, CA 94040 (650) 967-3531 Walgreens 112 N Rengstorff Ave Mountain View, CA 94043 (650) 969-5784 Walgreens 121 E El Camino Real Mountain View, CA 94040 (650) 961-7555

CVS Pharmacy $ 855 El Camino Real Palo Alto, CA 94301 (650) 322-2554 CVS Pharmacy $ 352 University Ave Palo Alto, CA 94301 (650) 324-3248 CVS Pharmacy $ 2701 Middlefield Rd Palo Alto, CA 94306 (650) 330-0132 LPCH Children's Home Pharmacy 1520 Pagemill Rd Palo Alto, CA 94304 (650) 497-8316 Maximart Pharmacy $ 240 Cambridge Ave Palo Alto, CA 94306 (650) 327-3922 Medical Plaza Pharmacy 1101 Welch Rd Palo Alto, CA 94304 (650) 326-2300 Palo Alto Medical Foundation $ 795 El Camino Real Palo Alto, CA 94301 (650) 853-6066 Safeway Pharmacy 2811 Middlefield Rd Palo Alto, CA 94306 (650) 321-9731

*Only dispenses 30-day supplies HEALTH NET

Walgreens 328 University Ave Palo Alto, CA 94301 (650) 326-3873 Walgreens 300 University Ave Palo Alto, CA 94301 (650) 326-3873 Walgreens 2605 Middlefield Rd Palo Alto, CA 94306 (650) 566-9723

San Jose Aborn Pharmacy $ 2060 Aborn Rd Ste 150B San Jose, CA 95121 (408) 238-3968 Alum Rock Pharmacy $ 1855 Alum Rock Ave Ste A San Jose, CA 95116 (408) 254-1551 Bay Pharmacy $ 1661 Burdette Dr Ste Ab San Jose, CA 95121 (408) 223-0180 Bay Pharmacy $ 200 Jose Figueres Ave Ste 235 San Jose, CA 95116 (408) 254-8884 $ Offers preferred cost-sharing

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Retail Pharmacies, including Chain Pharmacies Blossom Hill Pharmacy $ 393 Blossom Hill Rd #101 San Jose, CA 95123 (408) 224-8192

CVS Pharmacy $ 1285 Lincoln Ave San Jose, CA 95125 (408) 280-5521

CVS Pharmacy $ 6910 Almaden Expy San Jose, CA 95120 (408) 927-7310

Capitol Pharmacy 2114 Senter Rd Ste 26 San Jose, CA 95112 (408) 298-1385

CVS Pharmacy $ 5170 Moorpark Ave San Jose, CA 95129 (408) 257-9918

CVS Pharmacy $ 3220 S White Rd San Jose, CA 95148 (408) 238-9603

Caribbee Center Pharmacy 2887 Senter Rd Ste 101 San Jose, CA 95111 (408) 629-0106

CVS Pharmacy $ 821 The Alameda San Jose, CA 95126 (408) 291-4553

CVS Pharmacy $ 525 W Capitol Expy San Jose, CA 95136 (408) 448-9224

Chaboya Clinic Pharmacy 500 Tully Rd San Jose, CA 95111 (408) 254-6392

CVS Pharmacy $ 1125 Branham Ln San Jose, CA 95118 (408) 267-0911

CVS Pharmacy $ 4110 N 1st St San Jose, CA 95134 (408) 434-1839

Chau Pharmacy 2559 S King Rd Ste 10 San Jose, CA 95122 (408) 532-1490

CVS Pharmacy $ 3074 Story Rd San Jose, CA 95127 (408) 259-5600

CVS Pharmacy $ 1405 Foxworthy Ave San Jose, CA 95118 (408) 264-0371

Costco Pharmacy 2201 Center Rd San Jose, CA 95112 (408) 947-2055

CVS Pharmacy $ 4550 Meridian Ave San Jose, CA 95124 (408) 267-1472

CVS Pharmacy $ 2069 Camden Ave San Jose, CA 95124 (408) 559-1450

Costco Pharmacy 5301 Almaden Expy San Jose, CA 95118 (408) 979-2518

CVS Pharmacy $ 1097 Leigh Ave San Jose, CA 95126 (408) 294-2240

CVS Pharmacy $ 2514 Berryessa Rd San Jose, CA 95132 (408) 272-1431

Costco Pharmacy 1709 Automation Pkwy San Jose, CA 95131 (408) 678-2159

CVS Pharmacy $ 470 Blossom Hill Rd San Jose, CA 95123 (408) 578-4900

CVS Pharmacy $ 1685 Tully Rd San Jose, CA 95122 (408) 923-6616

Creekside Pharmacy $ 1863 Alum Rock Ave Ste A San Jose, CA 95116 (408) 929-6029

CVS Pharmacy $ 5285 Prospect Rd San Jose, CA 95129 (408) 253-3352

CVS Pharmacy $ 3475 McKee Rd San Jose, CA 95127 (408) 272-9156

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 190 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 4850 San Felipe Rd San Jose, CA 95135 (408) 532-2952

Friendly Pharmacy $ 639 Tully Rd Ste A San Jose, CA 95111 (408) 279-8188

Lexann Pharmacy $ 1569 Lexann Ave Ste 104 San Jose, CA 95121 (408) 528-9079

CVS Pharmacy $ 5407 Camden Ave San Jose, CA 95124 (408) 267-9680

Garcia Pharmacy $ 25 N 14th St San Jose, CA 95112 (408) 294-3219

Linda Rx Pharmacy $ 1569 Lexann Ave #130 San Jose, CA 95121 (408) 270-2828

Do Rx Pharmacy 12 S 14th St San Jose, CA 95112 (408) 294-7022

Homechoice Pharmacy 1009 Blossom River Way San Jose, CA 95123 (408) 445-3315

Los Alamitos Pharmacy $ 115 N Jackson Ave Ste 103 San Jose, CA 95116 (408) 259-1000

Downtown Pharmacy $ 60 N 13th St Ste A San Jose, CA 95112 (408) 294-2757

Icare Pharmacy $ 1727B Berryessa Rd San Jose, CA 95133 (408) 926-7691

Lucky Pharmacy 2980 E Capitol Expy San Jose, CA 95148 (408) 274-5939

East Valley Clinic Pharmacy 1993 McKee Rd San Jose, CA 95116 (408) 254-6340

Jackson Medical Pharmacy $ 266 N Jackson Ave Ste 8 San Jose, CA 95116 (408) 251-8122

McKee Medical Pharmacy $ 2350 McKee Rd Ste A3 San Jose, CA 95116 (408) 923-8871

Enborg Pharmacy 2221 Enborg Ln San Jose, CA 95128 (408) 885-4100

King Pharmacy $ 2323 Montpelier Dr Ste D San Jose, CA 95116 (408) 347-0193

Med- Place Pharmacy $ 2101 Forest Ave Ste 122 San Jose, CA 95128 (408) 564-6785

Evergreen Pharmacy $ 2690 S White Rd Ste 200A San Jose, CA 95148 (408) 270-0670

Le Pharmacy $ 392 E Santa Clara St San Jose, CA 95113 (408) 297-2421

Medex Drugs $ 401 E Santa Clara St San Jose, CA 95113 (408) 292-8244

Forest Ave Pharmacy 2039 Forest Ave Ste 202 San Jose, CA 95128 (408) 295-8100

Leiter's Park Avenue Pharmacy $ 1700 Park Ave San Jose, CA 95126 (408) 292-6772

Mega Drugs $ 696 E Santa Clara St Ste 111 San Jose, CA 95112 (408) 283-9518

Friendly #1 Pharmacy $ 485 Lewis Rd Ste D San Jose, CA 95111 (408) 226-0200

Lenzen Pharmacy 976 Lenzen Ave San Jose, CA 95126 (408) 792-5169

*Only dispenses 30-day supplies HEALTH NET

Moorpark Pharmacy 2400 Moorpark Ave San Jose, CA 95128 (408) 885-7675

$ Offers preferred cost-sharing - 191 -

Retail Pharmacies, including Chain Pharmacies Nems- Lundy Pharmacy 1870 Lundy Ave San Jose, CA 95131 (408) 573-9686

Rite Aid Pharmacy 6215 Santa Teresa Blvd San Jose, CA 95119 (408) 227-2816

Safeway Pharmacy 1663 Branham Ln San Jose, CA 95118 (408) 267-4942

Nob Hill Pharmacy 6061 Snell Ave San Jose, CA 95123 (408) 224-6200

Rite Aid Pharmacy 1030 S White Rd San Jose, CA 95127 (408) 258-3311

Safeway Pharmacy 1771 E Capitol Expy San Jose, CA 95121 (408) 238-1770

Pham Anh United Drugs 527 E Santa Clara St San Jose, CA 95112 (408) 947-7900

Rite Aid Pharmacy 1333 S Winchester Blvd San Jose, CA 95128 (408) 379-6570

Samaritan Pharmacy 2505 Samaritan Dr San Jose, CA 95124 (408) 356-7111

Prescription Headquarters 1340 Tully Rd Ste 312 San Jose, CA 95122 (408) 277-0160

Rite Aid Pharmacy 1035 E Capitol Expy San Jose, CA 95121 (408) 629-6060

Santa Clara Drug 2453 Forest Ave San Jose, CA 95128 (408) 296-5015

Rite Aid Pharmacy 6091 Meridian Ave San Jose, CA 95120 (408) 927-7900

Safeway Pharmacy 179 Branham Ln San Jose, CA 95136 (408) 227-5911

Santa Clara Valley Med Center Pharmacy 751 S Bascom Ave San Jose, CA 95128 (408) 885-2310

Rite Aid Pharmacy 6164 Bollinger Rd San Jose, CA 95129 (408) 253-5257

Safeway Pharmacy 5146 Stevens Creek Blvd San Jose, CA 95129 (408) 556-0614

Rite Aid Pharmacy 1550 Hamilton Ave San Jose, CA 95125 (408) 264-8642

Safeway Pharmacy 6477 Almaden Expy San Jose, CA 95120 (408) 323-2013

Rite Aid Pharmacy 3171 Meridian Ave San Jose, CA 95124 (408) 266-5550

Safeway Pharmacy 1300 W San Carlos St San Jose, CA 95126 (408) 882-0988

Rite Aid Pharmacy 3055 McKee Rd San Jose, CA 95127 (408) 251-2477

Safeway Pharmacy 1530 Hamilton Ave San Jose, CA 95125 (408) 264-5391

*Only dispenses 30-day supplies

Savco Pharmacy $ 455 Oconnor Dr Ste 190 San Jose, CA 95128 (408) 298-6190 Save Mart Pharmacy 3457 McKee Rd San Jose, CA 95127 (408) 937-6032 Save Mart Pharmacy 565 W Capitol Expy San Jose, CA 95136 (408) 267-6828 Save Mart Pharmacy 844 Blossom Hill Rd San Jose, CA 95123 (408) 972-2862

$ Offers preferred cost-sharing - 192 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Save Mart Pharmacy 3251 S White Rd San Jose, CA 95148 (408) 274-3394

Target Pharmacy 95 Holger Way San Jose, CA 95134 (408) 834-1528

Walgreens 350 N Capitol Ave San Jose, CA 95133 (408) 259-9200

Save Mart Pharmacy 2027 Camden Ave San Jose, CA 95124 (408) 559-9491

Target Pharmacy 879 Blossom Hill Rd San Jose, CA 95123 (408) 513-3003

Walgreens 3571 N 1st St San Jose, CA 95134 (408) 424-2100

Save Mart Pharmacy 200 El Paseo De Saratoga San Jose, CA 95130 (408) 370-1205

Target Pharmacy 5630 Cottle Rd San Jose, CA 95123 (408) 600-3722

Walgreens 1130 Bird Ave San Jose, CA 95125 (408) 295-7768

Save Mart Pharmacy 129 Bernal Rd San Jose, CA 95119 (408) 578-2295

Target Pharmacy 3155 Silver Creek Rd San Jose, CA 95121 (612) 696-2262

Walgreens 4069 Evergreen Village Sq San Jose, CA 95135 (408) 531-0480

Senter Pharmacy 2643 Senter Rd Ste A San Jose, CA 95111 (408) 287-4899

Target Pharmacy 1811 Hillsdale Ave San Jose, CA 95124 (408) 267-7900

Walgreens 1795 E Capitol Expy San Jose, CA 95121 (408) 238-5890

Silvercreek Pharmacy 1620 E Capitol Expressway San Jose, CA 95121 (408) 494-7507

Target Pharmacy 1750 Story Rd San Jose, CA 95122 (408) 273-0055

Walgreens 440 Blossom Hill Rd San Jose, CA 95123 (408) 229-8013

St James Health Center Pharmacy 55 E Julian St San Jose, CA 95112 (408) 918-2612

Target Pharmacy 533 Coleman Ave San Jose, CA 95110 (408) 346-2023

Walgreens 5 S 1st St San Jose, CA 95113 (408) 283-0835

Tully Medical Clinic Pharmacy $ 1693 Flanigan Dr Ste 104 San Jose, CA 95121 (408) 274-6698

Walgreens 5536 Monterey Hwy San Jose, CA 95138 (408) 225-2222

Valley Health Center Pharmacy 750 S Bascom Ave San Jose, CA 95128 (408) 885-2320

Walgreens 2799 S White Rd San Jose, CA 95148 (408) 528-9349

Target Pharmacy 2161 Monterey Hwy San Jose, CA 95112 (408) 660-1704 Target Pharmacy 1600 Saratoga Ave San Jose, CA 95129 (408) 871-9285

*Only dispenses 30-day supplies HEALTH NET

$ Offers preferred cost-sharing - 193 -

Retail Pharmacies, including Chain Pharmacies Santa Clara

Walgreens 2680 Union Ave San Jose, CA 95124 (408) 371-5426

Walgreens 1376 Kooser Rd San Jose, CA 95118 (408) 448-2503

Walgreens 2585 Almaden Rd San Jose, CA 95125 (408) 723-9905

Walmart Pharmacy $ 4080 Stevens Creek Blvd San Jose, CA 95129 (408) 556-4507

Walgreens 2105 Morrill Ave San Jose, CA 95132 (408) 263-5550

Walmart Pharmacy $ 4055 Evergreen Village Square San Jose, CA 95135 (408) 826-0341

Walgreens 1760 Story Rd San Jose, CA 95122 (408) 251-9853

Walmart Pharmacy $ 1600 Saratoga Ave San Jose, CA 95129 (408) 796-3890

Walgreens 1661 McKee Rd San Jose, CA 95116 (408) 347-1404

Walmart Pharmacy $ 5095 Almaden Expy San Jose, CA 95118 (408) 600-3261

Walgreens 1613 Meridian Ave San Jose, CA 95125 (408) 978-5393

Walmart Pharmacy $ 777 Story Rd San Jose, CA 95122 (408) 885-1760

Walgreens 1399 W San Carlos St San Jose, CA 95126 (408) 971-3098

Walmart Pharmacy $ 5502 Monterey Hwy San Jose, CA 95138 (408) 363-9803

Walgreens 1334 Saratoga Ave San Jose, CA 95129 (408) 249-7333

San Martin

Safeway Pharmacy 3970 Rivermark Plaza Santa Clara, CA 95054 (408) 855-0985

San Martin Clinic Pharmacy 90 Highland Ave San Martin, CA 95046 (408) 686-2230

Save Mart Pharmacy 3705 El Camino Real Santa Clara, CA 95051 (408) 249-6700

Walgreens 780 E Santa Clara St San Jose, CA 95112 (408) 287-0600

Costco Pharmacy 1601 Coleman Ave Santa Clara, CA 95050 (408) 988-0565 CVS Pharmacy $ 222 Saratoga Ave Santa Clara, CA 95050 (408) 247-7250 CVS Pharmacy $ 2700 Homestead Rd Santa Clara, CA 95051 (408) 247-8700 CVS Pharmacy $ 3081 Stevens Creek Blvd Santa Clara, CA 95050 (408) 241-5141 Han's Pharmacy $ 3423 El Camino Real Santa Clara, CA 95051 (408) 247-7450 Rite Aid Pharmacy 2620 El Camino Real Santa Clara, CA 95051 (408) 241-0919

Song Pharmacy 1090 Kiely Blvd Santa Clara, CA 95051 (408) 248-7842

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 194 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 3460 El Camino Real Santa Clara, CA 95051 (408) 261-1047

CVS Pharmacy $ 1675 Hollenbeck Ave Sunnyvale, CA 94087 (408) 735-7922

Walgreens 2140 El Camino Real Santa Clara, CA 95050 (408) 246-1054

CVS Pharmacy $ 576 E El Camino Real Sunnyvale, CA 94087 (408) 739-4620

Walgreens 200 N Winchester Blvd Santa Clara, CA 95050 (408) 247-1894

Foothill Medical Pharmacy 877 W Fremont Ave Ste A1 Sunnyvale, CA 94087 (408) 739-3452

Walmart Pharmacy $ 3255 Mission College Blvd Santa Clara, CA 95054 (408) 961-4480

Rite Aid Pharmacy 777 E El Camino Real Sunnyvale, CA 94087 (408) 738-0595

Saratoga

Safeway Pharmacy 785 E El Camino Real Sunnyvale, CA 94087 (408) 481-3302

CVS Pharmacy $ 12940 Saratoga Sunnyvale Rd Saratoga, CA 95070 (408) 867-6822 Subacute Care Pharmacy 1848 Saratoga Ave Ste 1 Saratoga, CA 95070 (408) 340-1545

Safeway Pharmacy 639 S Bernardo Ave Sunnyvale, CA 94087 (408) 732-5902

Sunnyvale

Safeway Pharmacy 150 E El Camino Real Sunnyvale, CA 94087 (408) 732-3565

Costco Pharmacy 150 Lawrence Station Rd Sunnyvale, CA 94086 (408) 730-0424

Save Mart Pharmacy 484 North Mathilda Sunnyvale, CA 94086 (408) 749-8200

CVS Pharmacy $ 1165 W El Camino Real Sunnyvale, CA 94087 (408) 732-1688

Target Pharmacy 298 W McKinley Ave Sunnyvale, CA 94086 (408) 702-1013

*Only dispenses 30-day supplies HEALTH NET

Valley Health Center Sunnyvale Pharmacy 660 S Fair Oaks Ave Ste 1057 Sunnyvale, CA 94086 (408) 992-4830 Walgreens 782 E El Camino Real Sunnyvale, CA 94087 (408) 738-9430 Walgreens 1306 S Mary Ave # 66 Sunnyvale, CA 94087 (408) 732-2729 Walgreens 105 E El Camino Real Sunnyvale, CA 94087 (408) 991-9013

Santa Cruz Aptos CVS Pharmacy $ 783 Rio Del Mar Blvd Ste 3 Aptos, CA 95003 (831) 687-0460 Franks Pharmacy $ 7518 Soquel Dr Aptos, CA 95003 (831) 685-1100 Rite Aid Pharmacy 80 Rancho Del Mar Aptos, CA 95003 (831) 688-6417 Safeway Pharmacy 16 Rancho Del Mar Aptos, CA 95003 (831) 661-4861 $ Offers preferred cost-sharing

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Retail Pharmacies, including Chain Pharmacies Boulder Creek Boulder Creek Pharmacy $ 13081 Highway 9 Boulder Creek, CA 95006 (831) 338-2144

Capitola CVS Pharmacy $ 809 Bay Ave Capitola, CA 95010 (831) 475-1421 CVS Pharmacy $ 1750 41st Ave Capitola, CA 95010 (831) 476-0400 Lauden Pharmacy 1820 41st Ave Ste F Capitola, CA 95010 (831) 462-9880 Rite Aid Pharmacy 1475 41st Ave Capitola, CA 95010 (831) 476-7282

Rite Aid Pharmacy 6123 Highway 9 Felton, CA 95018 (831) 335-7252

Dominican Plaza Pharmacy $ 1595 Soquel Dr Santa Cruz, CA 95065 (831) 462-7726

Freedom

Horsnyder Pharmacy $ 1226 Soquel Ave Santa Cruz, CA 95062 (831) 423-2315

Kmart Pharmacy 1702 Freedom Blvd Freedom, CA 95019 (831) 728-9324 Rite Aid Pharmacy 1988 Freedom Blvd Freedom, CA 95019 (831) 724-5104 Valle Verde United Drugs 240 Green Valley Rd Freedom, CA 95019 (831) 728-2239 Walgreens 1810 Freedom Blvd Freedom, CA 95019 (831) 768-0183

Medical Pharmacy United 2025 Soquel Ave Santa Cruz, CA 95062 (831) 426-0200 Rite Aid Pharmacy 901 Soquel Ave Santa Cruz, CA 95062 (831) 426-4303 Safeway Pharmacy 2111 Mission St Santa Cruz, CA 95060 (831) 420-0785

Santa Cruz

Safeway Pharmacy 117 Morrissey Blvd Santa Cruz, CA 95062 (831) 426-8911

Target Pharmacy 1825 41st Ave Capitola, CA 95010 (831) 227-2102

Costco Pharmacy 220 Sylvania Ave Santa Cruz, CA 95060 (831) 469-0366

Walgreens 201 Front Street Santa Cruz, CA 95060 (831) 421-9142

Felton

CVS Pharmacy $ 1700 Mission St Santa Cruz, CA 95060 (831) 457-2481

Walgreens 1718 Soquel Ave Santa Cruz, CA 95062 (831) 425-3911

CVS Pharmacy $ 600 Front St Santa Cruz, CA 95060 (831) 426-7444

Scotts Valley

CVS Pharmacy $ 6247 Graham Hill Rd Felton, CA 95018 (831) 335-6403 Felton Drug, INC. 6240 Highway 9 Felton, CA 95018 (831) 335-4461 *Only dispenses 30-day supplies

CVS Pharmacy $ 257 Mount Hermon Rd Scotts Valley, CA 95066 (831) 438-5920 $ Offers preferred cost-sharing

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HEALTH NET

Retail Pharmacies, including Chain Pharmacies Walgreens 210 Mount Hermon Rd Scotts Valley, CA 95066 (831) 430-9113

Soquel Safeway Pharmacy 2720 41st Ave Soquel, CA 95073 (831) 477-7217

Watsonville CVS Pharmacy $ 1966 Main St Watsonville, CA 95076 (831) 722-1782 CVS Pharmacy $ 490 Rodriguez St Watsonville, CA 95076 (831) 722-9454 Save Mart Pharmacy 1465 Main St Watsonville, CA 95076 (831) 768-7180 Target Pharmacy 1415 Main St Watsonville, CA 95076 (831) 740-4283 Watsonville Community Hospital Outpatient Pharmacy 75 Nielson St Watsonville, CA 95076 (831) 763-6440 Watsonville Pharmacy $ 1433 Freedom Blvd Watsonville, CA 95076 (831) 728-1818

Fall River Mills

Shasta Anderson

Fall River Family Pharmacy 43597 Hwy 299 E Fall River Mills, CA 96028 (530) 336-6555

Ferrys Pharmacy $ 2940 East St Anderson, CA 96007 (530) 365-3388

Palo Cedro

Owens Healthcare $ 2995 East St Anderson, CA 96007 (530) 365-2778 Rite Aid Pharmacy 2641 Balls Ferry Rd Anderson, CA 96007 (530) 365-5753 Safeway Pharmacy 2601 Balls Ferry Rd Anderson, CA 96007 (530) 365-1010 Walmart Pharmacy $ 5000 Rhonda Rd Anderson, CA 96007 (530) 378-1680

Burney Rite Aid Pharmacy 37435 State Highway 299 E Burney, CA 96013 (530) 335-4860 Safeway Pharmacy 37264 State Highway 299 E Burney, CA 96013 (530) 335-4101

*Only dispenses 30-day supplies HEALTH NET

Foothill Pharmacy $ 9390 Deschutes Rd Palo Cedro, CA 96073 (530) 547-4403 Palo Cedro Pharmacy 9180 Deschutes Rd Palo Cedro, CA 96073 (530) 547-4465

Redding Churn Creek Pharmacy 3330 Churn Creek Rd Ste A1 Redding, CA 96002 (530) 222-3038 Costco Pharmacy 1300 Dana Dr Redding, CA 96003 (530) 222-8097 CVS Pharmacy $ 1060 E Cypress Ave Redding, CA 96002 (530) 221-5575 CVS Pharmacy $ 3375 Placer St Redding, CA 96001 (530) 241-7328 Dermatran Health Solutions 1504 Market St Redding, CA 96001 (885) 675-5220 $ Offers preferred cost-sharing

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Retail Pharmacies, including Chain Pharmacies Lim's Family Pharmacy $ 1035 Placer St Ste 110 Redding, CA 96001 (530) 241-8700

Rite Aid Pharmacy 975 E Cypress Ave Redding, CA 96002 (530) 223-3995

Walmart Pharmacy $ 1515 Dana Dr Redding, CA 96003 (530) 221-3166

Owens Healthcare $ 2880 Churn Creek Rd Ste A Redding, CA 96002 (530) 226-5530

Rite Aid Pharmacy 6424 Westside Rd Redding, CA 96001 (530) 243-3616

Shasta Lake

Owens Healthcare $ 2510 Airpark Dr Ste 204 Redding, CA 96001 (530) 241-6633

Rite Aid Pharmacy 1801 Eureka Way Redding, CA 96001 (530) 243-5500

Owens Healthcare $ 2025 Court St Ste A Redding, CA 96001 (530) 243-4336

Safeway Pharmacy 1070 E Cypress Ave Redding, CA 96002 (530) 222-8274

Owens Healthcare $ 317 Lake Blvd Ste A Redding, CA 96003 (530) 351-7050

Safeway Pharmacy 2275 Pine Street Redding, CA 96001 (530) 247-3040

Owens Healthcare $ 1002 Placer St Redding, CA 96001 (530) 244-8600

Target Pharmacy 1280 Dana Dr Redding, CA 96003 (530) 224-1437

Owens Pharmacy #20 $ 1255 Liberty St Ste C Redding, CA 96001 (530) 638-8733

Walgreens 1775 Eureka Way Redding, CA 96001 (530) 241-3294

Raley's Drug Center 201 Lake Blvd Unit B Redding, CA 96003 (530) 246-3511

Walgreens 115 Lake Blvd E Redding, CA 96003 (530) 229-1519

Raley's Drug Center 100 Hartnell Ave Redding, CA 96002 (530) 223-3115

Walgreens 980 E Cypress Ave Redding, CA 96002 (530) 221-5028

*Only dispenses 30-day supplies

Rite Aid Pharmacy 4162 Ashby Ct Shasta Lake, CA 96019 (530) 275-1532 Shasta Lake Drug Store $ 4222 Shasta Dam Blvd Shasta Lake, CA 96019 (530) 275-2700

Sierra Loyalton Loyalton Pharmacy 701 Main St Loyalton, CA 96118 (530) 993-4343

Siskiyou Etna Scott Valley Drug 511 Main Street Etna, CA 96027 (530) 467-5335

Happy Camp Clinic Pharmacy 64012 Hillside Rd Happy Camp, CA 96039 (530) 493-2070 $ Offers preferred cost-sharing

- 198 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Mount Shasta Owens Pharmacy $ 216 N Mount Shasta Blvd Mount Shasta, CA 96067 (530) 926-2069 Pharmacy Express 160 Morgan Way Mount Shasta, CA 96067 (530) 926-4460 Rite Aid Pharmacy 310 W Lake St Mount Shasta, CA 96067 (530) 926-3826

Weed Owens Pharmacy $ 582 Main St Weed, CA 96094 (530) 938-4135

Yreka Luke's Yreka Drug $ 829 S Main St Yreka, CA 96097 (530) 842-2600 Medical Center Pharmacy $ 742 S Main St Yreka, CA 96097 (530) 842-4301 Raley's Drug Center 1840 Fort Jones Rd Yreka, CA 96097 (530) 842-4182 Rite Aid Pharmacy 807 S Main St Yreka, CA 96097 (530) 842-5596

Walmart Pharmacy $ 1906 Fort Jones Rd Yreka, CA 96097 (530) 842-9060

Solano Benicia CVS Pharmacy $ 2100 Columbus Pkwy Benicia, CA 94510 (707) 747-3453 Raley's Drug Center 892 Southampton Rd Benicia, CA 94510 (707) 746-5565 Rite Aid Pharmacy 60 Solano Sq Benicia, CA 94510 (707) 746-0229

Dixon CVS Pharmacy $ 1057 N 1st St Dixon, CA 95620 (707) 678-4412 Safeway Pharmacy 1235 Stratford Ave Dixon, CA 95620 (707) 678-7402 Walmart Pharmacy $ 235 Dorset Ct Dixon, CA 95620 (707) 693-6514

*Only dispenses 30-day supplies HEALTH NET

Fairfield Costco Pharmacy 5101 Business Center Dr Fairfield, CA 94534 (707) 639-4106 CVS Pharmacy $ 3340 N Texas St Fairfield, CA 94533 (707) 423-9463 CVS Pharmacy $ 5059 Business Center Dr Fairfield, CA 94534 (707) 863-0722 CVS Pharmacy $ 300 Travis Blvd Fairfield, CA 94533 (707) 422-3460 Gateway Pharmacy $ 1330 Gateway Blvd Ste B2 Fairfield, CA 94533 (707) 422-0500 Raley's Drug Center 3330 N Texas St Fairfield, CA 94533 (707) 421-9010 Raley's Drug Center 3007 Travis Blvd Fairfield, CA 94534 (707) 429-8310 Safeway Pharmacy 2401 Waterman Blvd Fairfield, CA 94534 (707) 427-5642 Target Pharmacy 2059 Cadenasso Dr Fairfield, CA 94533 (707) 759-0005 $ Offers preferred cost-sharing

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Retail Pharmacies, including Chain Pharmacies Walgreens 2590 N Texas St Fairfield, CA 94533 (925) 924-0061

CVS Pharmacy $ 625 Elmira Rd Vacaville, CA 95687 (707) 451-0285

Walmart Pharmacy $ 941 Alamo Dr Vacaville, CA 95687 (707) 359-3183

Walgreens 1955 Texas St Fairfield, CA 94533 (707) 428-0496

Raley's Drug Center 3063 Alamo Dr # C Vacaville, CA 95687 (707) 447-2526

Walmart Pharmacy $ 1501 Helen Power Dr Vacaville, CA 95687 (707) 451-1397

Walmart Pharmacy $ 2701 N Texas St Fairfield, CA 94533 (707) 428-4795

Safeway Pharmacy 2090 Harbison Dr Vacaville, CA 95687 (707) 452-7279

Vallejo

Rio Vista

Sam's Club Pharmacy $ 1500 Helen Power Dr Vacaville, CA 95687 (707) 449-3638

Delta Pharmacy 407 Main St Rio Vista, CA 94571 (707) 374-5135

Suisun City

Save Mart Pharmacy 777 E Monte Vista Ave Vacaville, CA 95688 (707) 448-8420

Raley's Drug Center 268 Sunset Ave Suisun City, CA 94585 (707) 426-1274

Save Mart Pharmacy 1979 Peabody Rd Vacaville, CA 95687 (707) 452-0145

Rite Aid Pharmacy 102 Sunset Ave Suisun City, CA 94585 (707) 426-4242

Target Pharmacy 3000 Harbison Dr Vacaville, CA 95687 (707) 452-8053

Vacaville

Walgreens 2010 Alamo Dr Vacaville, CA 95687 (707) 451-8304

Costco Pharmacy 1051 Hume Way Vacaville, CA 95687 (707) 453-7342 CVS Pharmacy $ 377 E Monte Vista Ave Vacaville, CA 95688 (707) 446-2401

Walmart Pharmacy $ 2050 Nut Tree Rd Vacaville, CA 95687 (707) 359-3261

*Only dispenses 30-day supplies

Costco Pharmacy 198 Plaza Dr Vallejo, CA 94591 (707) 553-6402 CVS Pharmacy $ 149 Plaza Dr Vallejo, CA 94591 (707) 552-0496 CVS Pharmacy $ 3678 Sonoma Blvd Vallejo, CA 94590 (707) 552-8844 Mercury Pharmacy 480 Redwood St Ste 33 Vallejo, CA 94590 (707) 200-4411 Raley's Drug Center 4300 Sonoma Blvd Ste 550 Vallejo, CA 94589 (707) 642-2284 Rite Aid Pharmacy 2055 Solano Ave Vallejo, CA 94590 (707) 552-1476 Safeway Pharmacy 774 Admiral Callaghan Ln Vallejo, CA 94591 (707) 554-8060 $ Offers preferred cost-sharing

- 200 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Safeway Pharmacy 122 Robles Way Vallejo, CA 94591 (707) 554-6908

Forestville Forestville Pharmacy $ 6652 Front St Forestville, CA 95436 (707) 887-2260

CVS Pharmacy $ 365 E Washington St Petaluma, CA 94952 (707) 778-6722

Guerneville

PHC Pharmacy $ 1179 N McDowell Blvd Petaluma, CA 94954 (707) 559-7612

Walgreens 1050 Redwood St Vallejo, CA 94590 (707) 557-6948

Lark Drugs $ 16251 Main St Guerneville, CA 95446 (707) 869-9055

Raley's Pharmacy 157 N McDowell Blvd Petaluma, CA 94954 (707) 765-9100

Walmart Pharmacy $ 501 Sereno Dr Vallejo, CA 94590 (310) 675-5746

Safeway Pharmacy 16405 River Rd Guerneville, CA 95446 (707) 869-0613

Safeway Pharmacy 373 S McDowell Blvd Petaluma, CA 94954 (707) 762-1479

Healdsburg

Save Mart Pharmacy 939 Lakeville St Petaluma, CA 94952 (707) 762-1036

Walgreens 2647 Springs Rd Vallejo, CA 94591 (707) 557-5974

Sonoma Cloverdale Cloverdale Pharmacy $ 790 S Cloverdale Blvd Cloverdale, CA 95425 (707) 894-4414 CVS Pharmacy $ 1111 S Cloverdale Blvd Cloverdale, CA 95425 (707) 894-5206

Cotati Walgreens 7800 Old Redwood Hwy Cotati, CA 94931 (707) 795-6014

CVS Pharmacy $ 455 Center St Healdsburg, CA 95448 (707) 433-3357 Rite Aid Pharmacy 525 Healdsburg Ave Healdsburg, CA 95448 (707) 431-1119

Rohnert Park

Safeway Pharmacy 1115 Vine St Healdsburg, CA 95448 (707) 431-0128

Costco Pharmacy 5901 Redwood Dr Rohnert Park, CA 94928 (707) 540-9112

Petaluma

CVS Pharmacy $ 6378 Commerce Blvd Rohnert Park, CA 94928 (707) 586-3494

CVS Pharmacy $ 291 N McDowell Blvd Petaluma, CA 94954 (707) 778-8666

*Only dispenses 30-day supplies HEALTH NET

Target Pharmacy 401 Kenilworth Dr Petaluma, CA 94952 (612) 696-8311

Raley's Drug Center 125 Raleys Towne Ctr Rohnert Park, CA 94928 (707) 585-3444 $ Offers preferred cost-sharing

- 201 -

Retail Pharmacies, including Chain Pharmacies Safeway Pharmacy 6340 Commerce Blvd Rohnert Park, CA 94928 (707) 585-5980

CVS Pharmacy $ 2700 Yulupa Ave Santa Rosa, CA 95405 (707) 545-7500

Safeway Pharmacy 2210 Mendocino Ave Santa Rosa, CA 95403 (707) 545-5774

Target Pharmacy 475 Rohnert Park Expressway W Rohnert Park, CA 94928 (707) 586-2901

Dollar Drug $ 1055 W College Ave Ste C Santa Rosa, CA 95401 (707) 575-1313

Safeway Pharmacy 2785 Yulupa Ave Santa Rosa, CA 95405 (707) 524-4648

Walgreens 6285 Commerce Blvd Rohnert Park, CA 94928 (707) 583-0022

Lombardi Rosa $ 751B Lombardi Ct Santa Rosa, CA 95407 (707) 583-8770

Save Mart Pharmacy 915 Montgomery Village Ct. Santa Rosa, CA 95405 (707) 542-6519

Walmart Pharmacy $ 4625 Redwood Dr Rohnert Park, CA 94928 (707) 586-3612

Raley's Drug Center 1407B Fulton Rd Santa Rosa, CA 95403 (707) 546-4313

Target Pharmacy 1980 Santa Rosa Ave Santa Rosa, CA 95407 (707) 575-4126

Santa Rosa

Rite Aid Pharmacy 1793 Marlow Rd Santa Rosa, CA 95401 (707) 544-8875

The Medicine Shoppe 990 Sonoma Ave Santa Rosa, CA 95404 (707) 542-7900

Rite Aid Pharmacy SWC Stony Pt & Sebastopol Road Santa Rosa, CA 95407 (707) 526-3015

Tuttle's Doyle Park Pharmacy $ 1220 Sonoma Ave Santa Rosa, CA 95405 (707) 546-9090

Rite Aid Pharmacy 1551 Farmers Ln Santa Rosa, CA 95405 (707) 544-4050

Tuttle's Hoen Pharmacy $ 4731 Hoen Ave Santa Rosa, CA 95405 (707) 528-4511

Safeway Pharmacy 100 Calistoga Rd Santa Rosa, CA 95409 (707) 539-2129

Walgreens 4610 Sonoma Hwy Santa Rosa, CA 95409 (707) 538-9275

Safeway Pharmacy 1799 Marlow Rd Santa Rosa, CA 95401 (707) 528-3730

Walgreens 3093 Marlow Rd Santa Rosa, CA 95403 (707) 569-8504

Costco Pharmacy 1900 Santa Rosa Ave Santa Rosa, CA 95407 (707) 578-1711 Creekside Pharmacy $ 95 Montgomery Dr Ste 108 Santa Rosa, CA 95404 (707) 525-1130 CVS Pharmacy $ 2075 Mendocino Ave Santa Rosa, CA 95401 (707) 542-4182 CVS Pharmacy $ 2771 4th St Santa Rosa, CA 95405 (707) 528-3311 CVS Pharmacy $ 463 Stony Point Rd Santa Rosa, CA 95401 (707) 526-7523 *Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 202 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Sebastopol CVS Pharmacy $ 788 Gravenstein Hwy N Sebastopol, CA 95472 (707) 823-7209 Rite Aid Pharmacy 218 N Main St Sebastopol, CA 95472 (707) 829-3007 Safeway Pharmacy 406 N Main St Sebastopol, CA 95472 (707) 823-1037

Sonoma CVS Pharmacy $ 201 W Napa St Ste 35 Sonoma, CA 95476 (707) 938-4734 Pharmaca Intergrative Pharmacy $ 303 W Napa St Sonoma, CA 95476 (707) 938-1144 Rite Aid Pharmacy 19205 Sonoma Hwy Sonoma, CA 95476 (707) 938-0281 Safeway Pharmacy 477 W Napa St Sonoma, CA 95476 (707) 996-3697

Windsor CVS Pharmacy $ 9030 Brooks Rd S Windsor, CA 95492 (707) 837-8868

Raley's Drug Center 8858 Lakewood Dr Windsor, CA 95492 (707) 838-4319 Safeway Pharmacy 9080 Brooks Rd S Windsor, CA 95492 (707) 837-2002 Walmart Pharmacy $ 6650 Hembree Ln Windsor, CA 95492 (707) 836-7300

Stanislaus Ceres Ceres Drug Store $ 2929 4th St Ceres, CA 95307 (209) 537-0718 Rite Aid Pharmacy 2920 E Whitmore Ave Ceres, CA 95307 (209) 538-4927 Walmart Pharmacy $ 1670 Mitchell Rd Ceres, CA 95307 (209) 541-0471

Hughson Carranza Pharmacy INC. Hughson $ 2431 3rd St Hughson, CA 95326 (209) 883-4911

*Only dispenses 30-day supplies HEALTH NET

Modesto Carranza Pharmacy INC.Modesto $ 1620 Crows Landing Rd Ste K Modesto, CA 95358 (209) 538-2971 Costco Pharmacy 3801 Pelandale Ave Modesto, CA 95356 (209) 342-4902 CVS Pharmacy $ 1700 McHenry Ave Modesto, CA 95350 (209) 529-4813 CVS Pharmacy $ 901 N Carpenter Rd Ste 30 Modesto, CA 95351 (209) 575-2429 CVS Pharmacy $ 801 Oakdale Rd Ste F Modesto, CA 95355 (209) 525-9430 CVS Pharmacy $ 2900 Standiford Ave Modesto, CA 95350 (209) 522-1093 CVS Pharmacy $ 2075 E Hatch Rd Modesto, CA 95351 (209) 537-4824 CVS Pharmacy $ 2601 Oakdale Rd Ste E Modesto, CA 95355 (209) 523-4932 CVS Pharmacy $ 2020 W Briggsmore Ave Modesto, CA 95350 (209) 521-5713 $ Offers preferred cost-sharing

- 203 -

Retail Pharmacies, including Chain Pharmacies Florida Avenue Prescriptions $ 1541 Florida Ave Ste P Modesto, CA 95350 (209) 576-7277

Safeway Pharmacy 2001 McHenry Ave Modesto, CA 95350 (209) 571-6288

Walgreens 3019 Floyd Ave Modesto, CA 95355 (209) 551-4867

Golden Valley Pharmacy $ 1114 6th St Modesto, CA 95354 (209) 576-1972

Save Mart Pharmacy 2100 Standiford Ave Modesto, CA 95350 (209) 577-1350

Walgreens 3500 Coffee Rd Modesto, CA 95355 (209) 341-0814

Paradise Drugs $ 400 Paradise Rd Modesto, CA 95351 (209) 524-7726

Save Mart Pharmacy 3601 Pelandale Ave Modesto, CA 95356 (209) 545-1385

Walgreens 401 Paradise Rd Modesto, CA 95351 (209) 575-3257

Raley's Drug Center 3430 Tully Rd Modesto, CA 95350 (209) 527-4600

Save Mart Pharmacy 801 Oakdale Rd Ste C Modesto, CA 95355 (209) 569-0236

Walgreens 4201 Dale Rd Modesto, CA 95356 (209) 545-5687

Raley's Pharmacy 3020 Floyd Ave Ste 139 Modesto, CA 95355 (209) 551-6030

Target Pharmacy 3405 McHenry Ave Modesto, CA 95350 (209) 523-6210

Walgreens 840 Oakdale Rd Modesto, CA 95355 (209) 571-9075

Rite Aid Pharmacy 3900 Pelandale Ave Modesto, CA 95356 (209) 545-0766

Target Pharmacy 3900 Sisk Rd Modesto, CA 95356 (209) 545-3325

Walmart Pharmacy $ 2225 Plaza Pkwy Modesto, CA 95350 (209) 524-4724

Rite Aid Pharmacy 2401 McHenry Ave Modesto, CA 95350 (209) 526-4773

Walgreens 1101 McHenry Ave Modesto, CA 95350 (209) 577-8695

Walmart Pharmacy $ 3848 McHenry Ave Modesto, CA 95356 (209) 342-0960

Rite Aid Pharmacy 1032 Oakdale Rd Modesto, CA 95355 (209) 577-6060

Walgreens 1700 Standiford Ave Modesto, CA 95350 (209) 527-5416

Walmart Pharmacy $ 1421 Coffee Rd Modesto, CA 95355 (209) 222-5616

Rogers Drugs Store $ 402 H St Modesto, CA 95351 (209) 522-5229

Walgreens 2101 E Hatch Rd Modesto, CA 95351 (209) 538-8268

Westside Plaza Pharmacy 314 I St Modesto, CA 95351 (209) 529-0325

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 204 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Newman

Patterson

Pioneer United Drugs 1261 Main St Newman, CA 95360 (209) 862-2955

CVS Pharmacy $ 1080 Sperry Ave Patterson, CA 95363 (209) 892-5584

Rite Aid Pharmacy 1935 N St Newman, CA 95360 (209) 862-1208

Patterson Family Pharmacy 47 S Delpuerto Ave Patterson, CA 95363 (209) 892-8444

Oakdale

Save Mart Pharmacy 1035 Sperry Ave Patterson, CA 95363 (209) 892-4545

CVS Pharmacy $ 1520 E F St Oakdale, CA 95361 (209) 845-1860 Oakdale Pharmacy 1390 W H St Ste F Oakdale, CA 95361 (209) 322-3745 Rite Aid Pharmacy 1449 E F St Ste 102 Oakdale, CA 95361 (209) 847-4279

Walgreens 995 Sperry Ave Patterson, CA 95363 (209) 894-3700 Walmart Pharmacy $ 1030 Sperry Ave Patterson, CA 95363 (209) 895-4420

Riverbank

Rite Aid Pharmacy 1300 W F St Oakdale, CA 95361 (209) 847-3280

CVS Pharmacy $ 2224 Patterson Rd Riverbank, CA 95367 (209) 869-6499

River Oak Pharmacy $ 1080 D West F St Oakdale, CA 95361 (209) 847-2226

O'Briens Super Market $ 6331 Oakdale Rd Riverbank, CA 95367 (209) 869-9055

Walgreens 444 W F St Oakdale, CA 95361 (209) 845-2820

Save Mart Pharmacy 2237 Claribel Rd Riverbank, CA 95367 (209) 863-1483

*Only dispenses 30-day supplies HEALTH NET

Target Pharmacy 2425 Claribel Rd Riverbank, CA 95367 (209) 863-1277

Turlock Boies Medical Center Pharmacy $ 828 Delbon Ave Turlock, CA 95382 (209) 634-8511 Costco Pharmacy 2955 N Tegner Turlock, CA 95380 (209) 656-5328 CVS Pharmacy $ 3100 Geer Rd Turlock, CA 95382 (209) 664-1121 CVS Pharmacy $ 1621 Lander Ave Turlock, CA 95380 (209) 669-6446 Raley's Drug Center 2900 Geer Rd Ste 2 Turlock, CA 95382 (209) 667-4919 Rite Aid Pharmacy 651 N Golden State Blvd Turlock, CA 95380 (209) 634-5831 Rite Aid Pharmacy 1000 W Monte Vista Avenue Turlock, CA 95382 (209) 669-9704 Safeway Pharmacy 3051 Countryside Dr Turlock, CA 95380 (209) 669-2780 $ Offers preferred cost-sharing

- 205 -

Retail Pharmacies, including Chain Pharmacies Target Pharmacy 3000 Countryside Dr Turlock, CA 95380 (209) 632-0370

CVS Pharmacy $ 1274 Stabler Ln Yuba City, CA 95993 (530) 671-5753

Target Pharmacy 1153 Butte House Rd Yuba City, CA 95991 (530) 671-1828

Tower Pharmacy 1801 Colorado Ave Ste 100 Turlock, CA 95382 (209) 216-3340

Franklin Pharmacy $ 1619 Franklin Rd Apt A Yuba City, CA 95993 (530) 674-3277

Walgreens 855 Colusa Ave Yuba City, CA 95991 (530) 674-5133

Walgreens 1591 Geer Rd Turlock, CA 95380 (209) 669-6648

Mission Pharmacy Services $ 400 Plumas Blvd Ste 100 Yuba City, CA 95991 (530) 674-7214

Walgreens 1781 Colusa Hwy Yuba City, CA 95993 (530) 671-5301

Walmart Pharmacy $ 2480 Geer Rd Turlock, CA 95382 (209) 667-2850

PJ's Pharmacy $ 1180 Live Oak Blvd Yuba City, CA 95991 (530) 870-8405

Walgreens 1644 Lincoln Rd Yuba City, CA 95993 (530) 674-3894

Walmart Pharmacy $ 2111 Fulkerth Rd Turlock, CA 95380 (209) 634-8546

Raley's Drug Center 700 W Onstott Rd # C Yuba City, CA 95991 (530) 673-8880

Walmart Pharmacy $ 935 Tharp Rd Yuba City, CA 95993 (530) 751-2701

Waterford

Rite Aid Pharmacy 1590 Butte House Rd Yuba City, CA 95993 (530) 755-4326

Tehama

Quesenberry's Pharmacy 12641 Bentley St Waterford, CA 95386 (209) 874-2138

Sutter Yuba City Bel Air Pharmacy 1286 Stabler Ln Yuba City, CA 95993 (530) 755-9917

Riverside Pharmacy $ 866 Plumas St Ste C Yuba City, CA 95991 (530) 751-1889 Safesave Pharmacy $ 737 Colusa Ave Yuba City, CA 95991 (530) 674-3550 Sam's Club Pharmacy $ 900 Walton Avenue Yuba City, CA 95993 (530) 674-0983

*Only dispenses 30-day supplies

Corning Clarks Drug Store 2126 Solano St Corning, CA 96021 (530) 824-3502 Prices Pharmacy $ 1322 Solano St Corning, CA 96021 (530) 824-3495 Rite Aid Pharmacy 640 Edith Ave Corning, CA 96021 (530) 824-5086

$ Offers preferred cost-sharing - 206 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Cottonwood Cottonwood Drugs $ 20635 Gas Point Rd Cottonwood, CA 96022 (530) 347-3721

Los Molinos Latimers Pharmacy 7885 Highway 99E Los Molinos, CA 96055 (530) 384-2330

Red Bluff CVS Pharmacy $ 455 S Main St Red Bluff, CA 96080 (530) 529-5530 Elmore Pharmacy $ 401 Walnut St Red Bluff, CA 96080 (530) 527-4636 Owens Healthcare $ 1050 S Main St Red Bluff, CA 96080 (530) 528-7690 Owens Healthcare $ 434 Walnut St # 5 Red Bluff, CA 96080 (530) 527-4275 Raley's Drug Center 727 S Main St Red Bluff, CA 96080 (530) 527-2137 Walgreens 1145 Main St Red Bluff, CA 96080 (530) 528-0478

Walmart Pharmacy $ 1025 S Main St Red Bluff, CA 96080 (530) 529-4390

Trinity Hayfork Hayfork Drug Store 77 Main St Hayfork, CA 96041 (530) 628-5231

Weaverville CVS Pharmacy $ 1311 S Main St Weaverville, CA 96093 (530) 623-5555 Owens Healthcare $ 50 Nugget Lane Ste C Weaverville, CA 96093 (530) 623-1632

Rite Aid Pharmacy 875 N Alta Ave Dinuba, CA 93618 (717) 761-2633 Rite Aid Pharmacy 2200 E El Monte Way Dinuba, CA 93618 (559) 591-1401 Walgreens 170 W El Monte Way Dinuba, CA 93618 (559) 595-1649 Walmart Pharmacy $ 700 W El Monte Way Dinuba, CA 93618 (559) 591-0842

Earlimart United Health Centers Rx 476 E Washington Ave Earlimart, CA 93219 (661) 849-2781

Tulare

Exeter

Corcoran

Rancho Pharmacy 426 N Kaweah Ave Exeter, CA 93221 (559) 592-5222

R & M Drug $ 1115 Whitley Ave Corcoran, CA 93212 (559) 992-2138 Rite Aid Pharmacy 1500 Whitley Ave Corcoran, CA 93212 (559) 992-8020

*Only dispenses 30-day supplies HEALTH NET

Dinuba

Rite Aid Pharmacy 1119 W Visalia Rd Exeter, CA 93221 (559) 592-4901

$ Offers preferred cost-sharing - 207 -

Retail Pharmacies, including Chain Pharmacies Farmersville

Orange Cove

Womack's Sierra Vista Pharmacy $ 650 E Visalia Rd Farmersville, CA 93223 (559) 594-5657

United Health Centers 445 11th St Orange Cove, CA 93646 (559) 626-4031

Ivanhoe Ivanhoe Pharmacy $ 33060 Road 159 Ivanhoe, CA 93235 (559) 798-1219

Kingsburg CVS Pharmacy $ 929 Sierra St Kingsburg, CA 93631 (559) 897-0290 Kmart Pharmacy 333 Sierra St Kingsburg, CA 93631 (559) 897-1913 Walgreens 988 Sierra St Kingsburg, CA 93631 (559) 897-9733

Target Pharmacy 1363 W Henderson Ave Porterville, CA 93257 (559) 719-2204

Porterville

Walgreens 416 W Olive Ave Porterville, CA 93257 (559) 791-0104

CVS Pharmacy $ 53 E Olive Ave Porterville, CA 93257 (559) 791-9238

Walmart Pharmacy $ 1250 W Henderson Ave Porterville, CA 93257 (559) 783-2090

CVS Pharmacy $ 800 N Westwood St Porterville, CA 93257 (559) 784-2876

Warnack Pharmacy 434 S Plano St Porterville, CA 93257 (559) 784-0654

CVS Pharmacy $ 590 W Putnam Ave Porterville, CA 93257 (559) 784-6336

Three Rivers

CVS Pharmacy $ 1155 W Henderson Ave Porterville, CA 93257 (559) 784-3317

Lindsay

Family Healthcare Network Pharmacy 1107 W Poplar Ave Porterville, CA 93257 (559) 793-3533

Lindsay Pharmacy $ 781 Sequoia Ave Ste 2 Lindsay, CA 93247 (559) 562-7979

Rite Aid Pharmacy 66 W Morton Ave Porterville, CA 93257 (559) 788-0452

Rite Aid Pharmacy 262 N Highway 65 Lindsay, CA 93247 (559) 562-4404

Save Mart Pharmacy 900 W Henderson Ave Porterville, CA 93257 (559) 781-1590

*Only dispenses 30-day supplies

Three Rivers Drug $ 40893 Sierra Dr Three Rivers, CA 93271 (559) 561-4217

Tulare CVS Pharmacy $ 2175 E Bardsley Ave Tulare, CA 93274 (559) 685-0123 CVS Pharmacy $ 109 S West St Tulare, CA 93274 (559) 687-1953 CVS Pharmacy $ 1395 E Prosperity Ave Tulare, CA 93274 (559) 688-2992

$ Offers preferred cost-sharing - 208 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Kmart Pharmacy 1475 Hillman St Tulare, CA 93274 (559) 685-9016

Costco Pharmacy 3750 S Mooney Blvd Visalia, CA 93277 (559) 636-9783

Rite Aid Pharmacy 5206 W Walnut Ave Visalia, CA 93277 (559) 733-5404

Rite Aid Pharmacy 1645 E Tulare Ave Tulare, CA 93274 (599) 688-5839

CVS Pharmacy $ 1455 E Noble Ave Visalia, CA 93292 (559) 636-1603

Rite Aid Pharmacy 2727 S Mooney Blvd Visalia, CA 93277 (559) 733-0770

Rite Aid Pharmacy 110 E Cross Ave Tulare, CA 93274 (559) 686-1588

CVS Pharmacy $ 2135 N Dinuba Blvd Visalia, CA 93291 (559) 734-9467

Rite Aid Pharmacy 1735 E Walnut Ave Visalia, CA 93292 (559) 625-3831

Target Pharmacy 2195 E Prosperity Ave Tulare, CA 93274 (559) 631-1128

CVS Pharmacy $ 1102 N Demaree St Visalia, CA 93291 (559) 738-8629

Save Mart Pharmacy 5203 W Walnut Ave Visalia, CA 93277 (559) 625-9888

Tulares Pharmacy 906 N Cherry St Tulare, CA 93274 (559) 684-7979

CVS Pharmacy $ 3619 W Caldwell Ave Visalia, CA 93277 (559) 732-5971

Save Mart Pharmacy 5201 W Goshen Ave Visalia, CA 93291 (559) 738-9487

Walgreens 49 W Tulare Ave Tulare, CA 93274 (559) 685-9704

Family Healthcare Ntwrk Pharmacy 400 E Oak Ave Visalia, CA 93291 (559) 741-4570

Save Mart Pharmacy 3615 W Noble Ave Visalia, CA 93277 (559) 622-0849

Walgreens 1418 E Prosperity Ave Tulare, CA 93274 (559) 684-7963 Walmart Pharmacy $ 1110 E Prosperity Ave Tulare, CA 93274 (559) 684-1327

Visalia Boyd's Pharmacy 101 N Akers St Visalia, CA 93291 (559) 732-8036

Hudspeth Pharmacy $ 10526 W Grove Ave Ste A Visalia, CA 93291 (559) 623-9915 Intergated Care Systems $ 7140 W Pershing Ct Visalia, CA 93291 (559) 734-2896 Pill Box Pharmacy 317 W Noble Ave Visalia, CA 93277 (559) 734-6747

*Only dispenses 30-day supplies HEALTH NET

South Court Pharmacy 1620 S Court St Visalia, CA 93277 (559) 738-8800 Target Pharmacy 3308 N Dinuba Blvd Visalia, CA 93291 (559) 302-1851 Target Pharmacy 4247 S Mooney Blvd Visalia, CA 93277 (559) 749-0748

$ Offers preferred cost-sharing - 209 -

Retail Pharmacies, including Chain Pharmacies The Medicine Shoppe $ 3507 W Walnut Ave Visalia, CA 93277 (559) 625-5015 Town Center Pharmacy $ 535 W Acequia Visalia, CA 93291 (559) 734-5893 Walgreens 100 W Walnut Ave Visalia, CA 93277 (559) 635-7810 Walgreens 1407 N Dinuba Blvd Visalia, CA 93291 (559) 734-2620 Walgreens 5328 W Cypress Ave Visalia, CA 93277 (559) 741-9583 Walgreens 3010 N Demaree St Visalia, CA 93291 (559) 734-5861 Walmart Pharmacy $ 1819 E Noble Ave Visalia, CA 93292 (559) 636-2305 Walmart Pharmacy $ 1320 N Demaree St Visalia, CA 93291 (559) 429-3267 Walmart Pharmacy $ 3750 S Mooney Blvd Visalia, CA 93277 (559) 802-4443

Woodlake Foothill Pharmacy 250 E Antelope Ave Ste B Woodlake, CA 93286 (559) 564-7177

Tuolumne Groveland Groveland Pharmacy 18638 Main St Groveland, CA 95321 (209) 962-5211

Sonora Bertelli's Health Mart Pharmacy $ 220 W Stockton St Sonora, CA 95370 (209) 532-3605 Bob's Greenley Pharmacy $ 800 Delnero Dr Sonora, CA 95370 (209) 532-3139 Community Pharmacy $ 900 Greenley Rd Ste 912 Sonora, CA 95370 (209) 536-3700

Safeway Pharmacy 1291 Sanguinetti Rd Sonora, CA 95370 (209) 533-7812 Save Mart Pharmacy 1045 Mono Way Sonora, CA 95370 (209) 536-1118 Walmart Pharmacy $ 1101 Sanguinetti Rd Sonora, CA 95370 (209) 533-8273

Tuolumne Tuolumne Me Wuk Indian Health Center Pharmacy $ 18880 Cherry Valley Blvd Tuolumne, CA 95379 (209) 928-5407

Twain Harte Twain Harte Pharmacy 18711 Tiffeni Dr Twain Harte, CA 95383 (209) 586-3225

Ventura Camarillo

CVS Pharmacy $ 13763 Mono Way Sonora, CA 95370 (209) 532-6973

CVS Pharmacy $ 351 Carmen Dr Ste B Camarillo, CA 93010 (805) 484-3632

Rite Aid Pharmacy 855 Mono Way Sonora, CA 95370 (209) 588-0561

CVS Pharmacy $ 5259 Mission Oaks Blvd Camarillo, CA 93012 (805) 482-0707

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 210 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 5800 Santa Rosa Rd Camarillo, CA 93012 (805) 484-8208

Walmart Pharmacy $ 275 W Ventura Blvd Camarillo, CA 93010 (805) 445-4821

Rite Aid Pharmacy 20141 Sherman Way Canoga Park, CA 91306 (818) 882-0202

CVS Pharmacy $ 760 Arneill Rd Camarillo, CA 93010 (805) 484-0446

Canoga Park

Target Pharmacy 6700 Topanga Canyon Blvd Canoga Park, CA 91303 (818) 746-9923

Dos Caminos Pharmacy 2412 N Ponderosa Dr Ste 106B Camarillo, CA 93010 (805) 484-1059 Merlin Technologies 699 Mobil Ave Camarillo, CA 93010 (805) 388-7669 R&O Pharmacy 651 Via Alondra Ste 708 Camarillo, CA 93012 (805) 319-7260 Ralphs $ 674 Las Posas Rd Camarillo, CA 93010 (805) 445-1431 Rite Aid Pharmacy 2550 Las Posas Rd Camarillo, CA 93010 (805) 482-2135 Seena Pharmacy $ 3901 Las Posas Rd Ste 101 Camarillo, CA 93010 (805) 419-2686 Target Pharmacy 209 W Ventura Blvd Camarillo, CA 93010 (805) 383-4059

Arrowmed Pharmacy 7111 Winnetka Ave # 10 Canoga Park, CA 91306 (818) 340-6600 Canoga Park Pharmacy 22330 Sherman Way Ste C3 Canoga Park, CA 91303 (818) 348-6600 Costco Pharmacy 21300 Roscoe Blvd Canoga Park, CA 91304 (818) 884-1462 CVS Pharmacy $ 21051 Sherman Way Canoga Park, CA 91303 (818) 348-6222 Desoto United Drugs $ 20914 Roscoe Blvd Canoga Park, CA 91304 (818) 341-9515 Ralphs $ 22915 Victory Blvd Canoga Park, CA 91307 (818) 716-1275 Ralphs $ 22333 Sherman Way Canoga Park, CA 91303 (818) 713-8014

Walgreens 7560 Topanga Canyon Blvd Canoga Park, CA 91303 (818) 340-4031 Walgreens 20505 Sherman Way Canoga Park, CA 91306 (818) 719-6599 Warner West Pharmacy & Supplies 22030 Sherman Way #100 Canoga Park, CA 91302 (818) 883-9490

Fillmore Medical Plaza Pharmacy 353 Central Ave Fillmore, CA 93015 (805) 524-0052 Rite Aid Pharmacy 600 W Ventura St Fillmore, CA 93015 (805) 524-9792

Rite Aid Pharmacy 8230 Topanga Canyon Blvd Canoga Park, CA 91304 (818) 348-5126

*Only dispenses 30-day supplies HEALTH NET

Victory Drug & Surgical $ 21115 Sherman Way Canoga Park, CA 91303 (818) 883-2321

$ Offers preferred cost-sharing - 211 -

Retail Pharmacies, including Chain Pharmacies Moorpark CVS Pharmacy $ 155 W Los Angeles Ave Moorpark, CA 93021 (805) 530-0996 Moorpark Comprehensive Pharmacy $ 865 Patriot Dr Ste 103 Moorpark, CA 93021 (805) 523-8300 Rite Aid Pharmacy 3941 Spring Rd Moorpark, CA 93021 (805) 529-5726 Target Pharmacy 800 New Los Angeles Ave Moorpark, CA 93021 (805) 530-0338 Walgreens 140 Los Angeles Ave. Moorpark, CA 93021 (805) 529-9601

Newbury Park Burt's Pharmacy $ 2333 Borchard Rd Newbury Park, CA 91320 (805) 498-6675 CVS Pharmacy $ 123 N Reino Rd Newbury Park, CA 91320 (805) 480-0314 CVS Pharmacy $ 2120 Newbury Rd Newbury Park, CA 91320 (805) 499-0463

CVS Pharmacy $ 451 S Reino Rd Newbury Park, CA 91320 (805) 499-4006

Ojai Village Pharmacy $ 202 E Ojai Ave Ojai, CA 93023 (805) 646-7272

Ralphs $ 583 N Ventu Park Rd Newbury Park, CA 91320 (805) 376-1380

Rite Aid Pharmacy 11496 N Ventura Ave Ojai, CA 93023 (805) 646-6697

Regency Medical Pharmacy 1000 Newbury Rd #100 Newbury Park, CA 91320 (805) 375-4050

Oxnard

Sav-On Pharmacy $ 541 S Reino Rd Newbury Park, CA 91320 (805) 499-7549 Target Pharmacy 2705 Teller Rd Newbury Park, CA 91320 (805) 716-1040

Costco Pharmacy 2001 E Ventura Blvd Oxnard, CA 93036 (805) 983-6344 CVS Pharmacy $ 1205 S Oxnard Blvd Oxnard, CA 93030 (805) 483-6510

Oak Park

CVS Pharmacy $ 551 S Ventura Rd Oxnard, CA 93030 (805) 984-2003

Dr. Pharmacy 706 Lindero Canyon Rd Ste 776 Oak Park, CA 91377 (818) 991-1901

Farmacia Estrella $ 5020 S C St Oxnard, CA 93033 (805) 240-9962

Ojai

Herbay Pharmacy 650 Hobson Way Ste 105 Oxnard, CA 93030 (805) 487-7551

Medical Arts Pharmacy $ 1320 Maricopa Hwy Ojai, CA 93023 (805) 646-7211 Ojai Rexall Drugs $ 1125 Maricopa Hwy Ojai, CA 93023 (805) 646-4361

*Only dispenses 30-day supplies

Herbay Pharmacy North 1451 N Rice Ave Ste F Oxnard, CA 93030 (805) 981-2500 Omac Pharmacy $ 901 W 7th St Oxnard, CA 93030 (805) 486-2688 $ Offers preferred cost-sharing

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HEALTH NET

Retail Pharmacies, including Chain Pharmacies Oxnard Drug Company $ 105 W 5th St Oxnard, CA 93030 (805) 483-2115

Vons Pharmacy 1291 S Victoria Blvd Oxnard, CA 93030 (805) 984-3268

Hueneme Family Pharmacy 248 E Scott St Port Hueneme, CA 93041 (805) 488-8200

Oxnard Pharmacy $ 300 S A St Ste 100 Oxnard, CA 93030 (805) 483-0001

Walgreens 2303 E Vineyard Ave Oxnard, CA 93036 (805) 983-8644

Rite Aid Pharmacy 733 W Channel Islands Blvd Port Hueneme, CA 93041 (805) 985-2326

Rite Aid Pharmacy 720 N Ventura Rd Oxnard, CA 93030 (805) 939-1097

Walgreens 1801 N Rose Ave Oxnard, CA 93030 (805) 604-7531

Santa Paula

Rite Aid Pharmacy 2661 Saviers Rd Oxnard, CA 93033 (805) 483-8676

Walgreens 481 S Ventura Rd Oxnard, CA 93030 (805) 985-3504

Sam's Club Pharmacy $ 2401 N Rose Ave Oxnard, CA 93036 (805) 485-2191

Walgreens 2851 S Rose Ave Oxnard, CA 93033 (805) 483-5635

Stans Drugs 3001 Saviers Rd Oxnard, CA 93033 (805) 486-2678

Walmart Pharmacy $ 2001 N Rose Ave Oxnard, CA 93036 (805) 981-9606

Target Pharmacy 2850 N Oxnard Blvd Oxnard, CA 93036 (805) 288-3643

Walmart Pharmacy $ 2701 Saviers Rd Oxnard, CA 93033 (805) 200-5906

Vons Pharmacy 450 S Ventura Rd Oxnard, CA 93030 (805) 240-7994

Walmart Pharmacy $ 421 W Esplanade Dr Oxnard, CA 93036 (805) 278-1594

Alamo Pharmacy $ 3695 Alamo St Ste 100 Simi Valley, CA 93063 (805) 306-1636

Vons Pharmacy 2101 N Rose Ave Oxnard, CA 93036 (805) 981-1485

Port Hueneme

Costco Pharmacy 2660 Park Center Dr Simi Valley, CA 93065 (805) 578-3305

CVS Pharmacy $ 581 W Channel Islands Blvd Port Hueneme, CA 93041 (805) 985-4479

*Only dispenses 30-day supplies HEALTH NET

CVS Pharmacy $ 600 W Main St Santa Paula, CA 93060 (805) 933-2998 Palm Pharmacy $ 254 E. Harvard Blvd Santa Paula, CA 93060 (805) 525-8700 Rite Aid Pharmacy 221 E Harvard Blvd Santa Paula, CA 93060 (805) 525-4014 Seebers Discount United Drug 110 W Harvard Blvd Ste H Santa Paula, CA 93060 (805) 525-3313

Simi Valley

$ Offers preferred cost-sharing - 213 -

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 3935 Cochran St Simi Valley, CA 93063 (805) 581-1800

Rite Aid Pharmacy 1159 E Los Angeles Ave Simi Valley, CA 93065 (805) 526-5395

The Medicine Shoppe $ 2925 Sycamore Dr Simi Valley, CA 93065 (805) 581-3784

CVS Pharmacy $ 2825 Cochran St Simi Valley, CA 93065 (805) 522-6904

Rite Aid Pharmacy 5845 E Los Angeles Ave Simi Valley, CA 93063 (805) 522-2029

Vons Pharmacy 1855 Cochran St Simi Valley, CA 93065 (805) 522-8063

CVS Pharmacy $ 591 Country Club Dr Ste C Simi Valley, CA 93065 (805) 584-2053

Sav-On Pharmacy $ 2800 Cochran St Simi Valley, CA 93065 (805) 522-9005

Vons Pharmacy 660 E Los Angeles Ave Simi Valley, CA 93065 (805) 526-7673

CVS Pharmacy $ 4440 Alamo St Simi Valley, CA 93063 (805) 522-3120

Sav-On Pharmacy $ 5135 E Los Angeles Ave Simi Valley, CA 93063 (805) 520-9298

Walgreens 2417 Sycamore Dr Simi Valley, CA 93065 (805) 426-3722

Darmann Pharmacy 3907 Cochran St # C2 Simi Valley, CA 93063 (805) 306-1223

Sav-On Pharmacy $ 1268 Madera Rd Simi Valley, CA 93065 (805) 520-6297

Walmart Pharmacy $ 2204 Tapo St Simi Valley, CA 93063 (805) 577-1843

Golden Life Pharmacy II $ 1960 Sequoia Ave Ste 3 Simi Valley, CA 93063 (805) 416-8900

Simi Pharmacy 1720 E Los Angeles Ave Ste F Simi Valley, CA 93065 (805) 582-7474

Walmart Pharmacy $ 255 Cochran St Simi Valley, CA 93065 (805) 581-6444

Home Care Pharmacy 1687 Erringer Rd Ste 101 Simi Valley, CA 93065 (805) 527-9600

Tapo Pharmacy 2950 Sycamore Dr Ste 101 Simi Valley, CA 93065 (805) 583-1223

Thousand Oaks

Mid Valley Pharmacy $ 2519 Royal Ave Simi Valley, CA 93065 (805) 527-4013

Target Pharmacy 51 Tierra Rejada Rd Simi Valley, CA 93065 (805) 416-5791

Pavilions Pharmacy 2938 Tapo Canyon Rd Simi Valley, CA 93063 (805) 426-6040

Target Pharmacy 2907 Cochran St Simi Valley, CA 93065 (805) 583-0036

*Only dispenses 30-day supplies

All Med Drugs 442 N Moorpark Rd Thousand Oaks, CA 91360 (805) 495-2110 CVS Pharmacy $ 1382 N Moorpark Rd Thousand Oaks, CA 91360 (805) 495-4613 CVS Pharmacy $ 60 N Moorpark Rd Thousand Oaks, CA 91360 (805) 496-9310 $ Offers preferred cost-sharing

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HEALTH NET

Retail Pharmacies, including Chain Pharmacies CVS Pharmacy $ 1822 E Avenida De Los Arboles Thousand Oaks, CA 91362 (805) 493-2894

Vons Pharmacy 1790 N Moorpark Rd Thousand Oaks, CA 91360 (805) 497-8423

Rite Aid Pharmacy 131 W Main St Ventura, CA 93001 (805) 643-1121

Lynn Oaks Compounding Pharmacy 2220 Lynn Rd Ste 100 Thousand Oaks, CA 91360 (805) 495-1015

Walgreens 550 N Ventu Park Rd Thousand Oaks, CA 91320 (805) 375-4052

Rite Aid Pharmacy 2738 E Thompson Blvd Ventura, CA 93003 (805) 648-7795

Walmart Pharmacy $ 512 N Ventu Park Rd Thousand Oaks, CA 91320 (805) 306-0430

Rogers United Drugs 2909 Loma Vista Rd Ventura, CA 93003 (805) 648-1856

Ventura

Target Pharmacy 4200 E Main St Ventura, CA 93003 (805) 644-9871

Plaza Pharmacy $ 430 E Ave De Los Arboles #103 Thousand Oaks, CA 91360 (805) 492-2451 Rite Aid Pharmacy 387 E Avenida De Los Arboles Thousand Oaks, CA 91360 (805) 492-1559 Rite Aid Pharmacy 205 N Moorpark Rd Ste D Thousand Oaks, CA 91360 (805) 495-2019 Rolling Oaks Pharmacy 325 Rolling Oaks Dr # 140A Thousand Oaks, CA 91361 (805) 557-1006 Sav-On Pharmacy $ 1736 E Avenida De Los Arboles Thousand Oaks, CA 91362 (805) 493-1382 The Medicine Shoppe $ 227 W Janss Rd Ste 120 Thousand Oaks, CA 91360 (805) 497-6113 Vons Pharmacy 2048 E Avenida De Los Arboles Thousand Oaks, CA 91362 (805) 492-3511

College Pharmacy $ 90 N Ashwood Ave Ventura, CA 93003 (805) 642-4135 CVS Pharmacy $ 7850 Telegraph Rd Ventura, CA 93004 (805) 671-5122 CVS Pharmacy $ 1740 S Victoria Ave Ventura, CA 93003 (805) 644-1833 CVS Pharmacy $ 50 N Ashwood Ave Ventura, CA 93003 (805) 658-7848 CVS Pharmacy $ 5900 Telegraph Rd Ventura, CA 93003 (805) 642-3276 Ralphs $ 1776 S Victoria Ave Ventura, CA 93003 (805) 650-0466

*Only dispenses 30-day supplies HEALTH NET

Target Pharmacy 245 S Mills Rd Ventura, CA 93003 (805) 535-2753 The Medicine Shoppe $ 2611 E Thompson Blvd Ventura, CA 93003 (805) 648-2724 Vons Pharmacy 6040 Telegraph Rd Ventura, CA 93003 (805) 650-2155 Vons Pharmacy 2433 Harbor Blvd Ventura, CA 93001 (805) 642-7811 Vons Pharmacy 5688 Telephone Rd Ventura, CA 93003 (805) 644-5922

$ Offers preferred cost-sharing - 215 -

Retail Pharmacies, including Chain Pharmacies Walmart Pharmacy $ 1739 S Victoria Ave Ventura, CA 93003 (805) 665-5562

Royal Hills Pharmacy 7301 Medical Center Dr Ste 106 West Hills, CA 91307 (818) 887-7380

Pavilions Pharmacy 1135 Lindero Canyon Rd Westlake Village, CA 91362 (818) 597-1370

West Hills

Target Pharmacy 6635 Fallbrook Ave West Hills, CA 91307 (818) 999-2390

Rite Aid Pharmacy 3825 E Thousand Oaks Blvd Westlake Village, CA 91362 (805) 497-3614

Walmart Pharmacy $ 6433 Fallbrook Ave West Hills, CA 91307 (818) 719-8610

Sav-On Pharmacy $ 5770 Lindero Canyon Rd Westlake Village, CA 91362 (818) 889-9677

Woodlake Pharmacy $ 7320 Woodlake Ave Ste 100 West Hills, CA 91307 (818) 999-1111

Westlake Care Pharmacy 32144 Agoura Rd Ste 101 Westlake Village, CA 91361 (818) 707-2500

Carefirstrx Pharmacy 7325 Medical Center Dr Ste 102 West Hills, CA 91307 (818) 887-8844 Columbia Excel Pharmacy 7325 Medical Center Dr Ste 303 West Hills, CA 91307 (818) 226-3650 Medallion Pharmacy 23101 Sherman Pl West Hills, CA 91307 (818) 340-0212

Westlake Village

Oak Hills Medical Pharmacy $ 7345 Medical Center Dr Ste 100 West Hills, CA 91307 (818) 715-0070

Compoundia Pharmacy 766 Lakefield Rd Unit E Westlake Village, CA 91361 (855) 371-4443

Park West Compounding Pharmacy $ 7230 Medical Center Dr Ste 106 West Hills, CA 91307 (818) 346-6550

Costco Pharmacy 5700 Lindero Canyon Rd Westlake Village, CA 91362 (818) 597-3904

Professional Compounding Center Calif 23101 Sherman Pl Ste 207 West Hills, CA 91307 (818) 346-7222 Rite Aid Pharmacy 6410 Platt Ave West Hills, CA 91307 (818) 348-4850

CVS Pharmacy $ 2791 Agoura Rd Westlake Village, CA 91361 (805) 495-4938 Park Compounding Pharmacy 280 N Westlake Blvd Ste 100 Westlake Village, CA 91362 (805) 497-8258 Paseo Oaks Pharmacy 3701 E Thousand Oaks Blvd Westlake Village, CA 91362 (805) 379-4110

*Only dispenses 30-day supplies

Yolo Davis CVS Pharmacy $ 1471 W Covell Blvd Davis, CA 95616 (530) 757-1128 CVS Pharmacy $ 1550 E Covell Blvd Davis, CA 95616 (530) 753-4004 El Macero Pharmacy 417 Mace Blvd Ste D Davis, CA 95618 (530) 231-6520 Rite Aid Pharmacy 655 Russell Blvd Davis, CA 95616 (530) 756-3393

$ Offers preferred cost-sharing - 216 -

HEALTH NET

Retail Pharmacies, including Chain Pharmacies Rite Aid Pharmacy 2135 Cowell Blvd Davis, CA 95616 (530) 753-9810

Walgreens 1351 W Capitol Ave West Sacramento, CA 95691 (916) 371-3801

Walgreens 10 W Main St Woodland, CA 95695 (530) 668-8589

Target Pharmacy 4601 2nd St Davis, CA 95618 (530) 761-0127

Walmart Pharmacy $ 755 Riverpoint Ct West Sacramento, CA 95605 (916) 373-2213

Walmart Pharmacy $ 215 California St Woodland, CA 95776 (530) 668-1052

University Of California Davis Clinic Pharmacy 2660 W Covell Blvd Davis, CA 95616 (530) 747-3051

Winters

Walmart Pharmacy $ 1250 E Gibson Rd Woodland, CA 95776 (530) 665-4309

West Sacramento Capitol Pharmacy $ 2923 W Capitol Ave West Sacramento, CA 95691 (916) 617-4321 Jefferson Pharmacy $ 1029 Jefferson Blvd Ste A West Sacramento, CA 95691 (916) 371-2022 Raleys Central Fill 2928 Ramco St Ste 100 West Sacramento, CA 95691 (916) 403-2828 Raley's Drug Center 1601 1/2 W Capitol Ave West Sacramento, CA 95691 (916) 372-3111 Rite Aid Pharmacy 1260 W Capitol Ave West Sacramento, CA 95691 (916) 371-4890 Target Pharmacy 2005 Town Center Plaza West Sacramento, CA 95691 (916) 384-0978

Eagle Drug 101 Main St Winters, CA 95694 (530) 795-4123

Woodland Costco Pharmacy 2299 Bronze Star Drive Woodland, CA 95776 (530) 406-2129 CVS Pharmacy $ 7 W Main St Woodland, CA 95695 (530) 666-2448 Raley's Drug Center 367 W Main St Woodland, CA 95695 (530) 666-1445 Rite Aid Pharmacy 215 California St Woodland, CA 95695 (530) 662-1795 Target Pharmacy 2185 Bronze Star Dr Woodland, CA 95776 (530) 665-4148

*Only dispenses 30-day supplies HEALTH NET

Walmart Pharmacy $ 1716 E Main St Woodland, CA 95776 (530) 668-1457 Woodland Healthcare Pharmacy $ 632 W Gibson Rd Woodland, CA 95695 (530) 668-2646

Yuba Marysville CVS Pharmacy $ 906 E St Marysville, CA 95901 (530) 742-5103 Medi-Mart Pharmacy $ 5993 Lindhurst Ave Marysville, CA 95901 (530) 742-8808 Peach Tree Pharmacy $ 5730 Packard Ave Ste 620 Marysville, CA 95901 (530) 741-9800 $ Offers preferred cost-sharing

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Retail Pharmacies, including Chain Pharmacies The Medicine Shoppe $ 812 5th St Marysville, CA 95901 (530) 743-4629 Walgreens 602 10th St Marysville, CA 95901 (530) 743-2594 Walmart Pharmacy $ 1131 N Beale Rd Marysville, CA 95901 (530) 634-9760

Olivehurst Olivehurst Drug Store $ 4897 Olivehurst Ave Olivehurst, CA 95961 (530) 743-5451 Rite Aid Pharmacy 5075 Olivehurst Ave Olivehurst, CA 95961 (530) 634-9970

Plumas Lake Walgreens 2293 River Oaks Blvd Plumas Lake, CA 95961 (530) 634-9980

Wheatland Village Pharmacy $ 414 Main St Wheatland, CA 95692 (530) 633-2819

*Only dispenses 30-day supplies

$ Offers preferred cost-sharing - 218 -

HEALTH NET

Mail Order Pharmacy You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of 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 the phone number listed on the cover.

All Counties CVS Caremark (888) 624-1139 TTY/TDD Users should call (866) 236-1069

HEALTH NET

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Specialty Pharmacies

All Counties Accredo Health Group (866) 718-7952 TTY/TDD Users should call (877) 804-9222 Caremark Specialty Pharmacy (866) 833-3752 TTY/TDD Users should call (800) 863-5488 Walgreens Specialty Pharmacy (866) 202-4014 TTY/TDD Users should call 711

HEALTH NET

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Home Infusion Pharmacies Home Infusion pharmacies are generally for patients receiving home infusion therapy and may not be available to all members.

Alameda

Owens Pharmacy 3760 Morrow Ln Chico, CA 95928 (530) 899-8877

Emeryville Sutter Infusion Pharmacy Service 1900 Powell St Ste 140 Emeryville, CA 94608 (888) 395-2200

Hayward Coram Healthcare Corporation Of N CA 21353 Cabot Blvd Hayward, CA 94545 (510) 732-8800 Crescent Healthcare 2547 Barrington Ct Hayward, CA 94545 (800) 824-8400 Pharmacy Support Services 2150 W Winton Ave Hayward, CA 94545 (510) 265-0300

Butte Chico Option Care 15 Declaration Dr Chico, CA 95973 (530) 893-1337

Kern Bakersfield

Fresno Fresno

Coram Healthcare 3101 Sillect Ave Bakersfield, CA 93308 (661) 325-8326

Advanced Family Pharmacy 5191 N 6th St Fresno, CA 93710 (559) 222-8303

Hoffman Home Care 2225 E St Ste 200 Bakersfield, CA 93301 (661) 377-0180

Brooks Health Care 3410 W Ashlan Ave Fresno, CA 93722 (559) 221-4800

NCS Healthcare Of California 3400 Stine Rd Ste 700 Bakersfield, CA 93309 (661) 398-0691

Community Home Infusion 1925 E Dakota Suite 211 Fresno, CA 93726 (559) 459-1646

Walgreens Infusion Services 5800 District Blvd Unit 200 Bakersfield, CA 93313 (661) 615-6000

Humboldt

Los Angeles

Eureka

Burbank

Humboldt Home Infusion Program 2612 Harrison Ave Eureka, CA 95501 (707) 269-4258

Bioscrip Infusion Services 320 S Flower St Ste A Burbank, CA 91502 (818) 830-5335

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Quality Home Infusion 212 W Magnolia Blvd Burbank, CA 91502 (818) 848-8112

HEALTH NET

Home Infusion Pharmacies Walgreens Home Care 1026 N Lake St Burbank, CA 91502 (800) 800-4852

Glendale

Canoga Park

Remedy Drugs 1700 W Glenoaks Blvd # E Glendale, CA 91201 (818) 239-3090

Evergreen Pharmaceutical 8220 Remmet Ave Canoga Park, CA 91304 (888) 452-4808

Verdugo Care Pharmacy 1489 E Chevy Chase Dr Glendale, CA 91206 (818) 662-0111

Cerritos

Inglewood

Pharmacy Support Services 13825 Cerritos Corp Dr Ste A Cerritos, CA 90703 (562) 229-3500

Biomed Pharmaceuticals 721 S Glasgow Ave Ste C Inglewood, CA 90301 (310) 665-1121

Covina

Long Beach

Owl Rexall Drug 401 N Vincent Ave Covina, CA 91722 (626) 962-1062

Homecare Pharmacy 450 E Spring St Ste 11 Long Beach, CA 90806 (562) 933-2273

Owl Specialty Pharmacy 1011 W San Bernardino Rd Covina, CA 91722 (626) 209-8169

Los Coyotes Drug 3597 Los Coyotes Diag Long Beach, CA 90808 (562) 420-1480

Owl Western Pharmacy 1009 W San Bernardino Rd Covina, CA 91722 (626) 209-8160

Los Angeles

Culver City

Beverly Pharmacy 2105 Beverly Blvd Ste 107 Los Angeles, CA 90057 (213) 413-4448

IV League 6076 Bristol Pkwy Ste 104 Culver City, CA 90230 (310) 645-1500

Beverly Pharmacy 7909 Beverly Blvd Los Angeles, CA 90048 (323) 651-3249

HEALTH NET

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Boyle Heights Medical Pharmacy 1611 E Cesar E Chavez Ave Los Angeles, CA 90033 (323) 222-0736 Complete Infusion Care 8588 Venice Blvd Los Angeles, CA 90034 (310) 836-6666 Coram Healthcare Corporation Of Southern Californi 2710 Media Center Dr Ste 150 Los Angeles, CA 90065 (818) 543-5169 Injectable Therapharmacy Services 1057 Gayley Ave Ste B Los Angeles, CA 90024 (800) 404-1963 Jana Healthcare Pharmacy 5233 Melrose Ave Los Angeles, CA 90038 (323) 836-0007 Mini Pharmacy 2425 Porter St Los Angeles, CA 90021 (888) 545-6464 Westlake Pharmacy 2500 Wilshire Blvd Ste 101 Los Angeles, CA 90057 (213) 383-4262

Northridge Market Pharmacy 9250 Reseda Blvd, Unit 2C Northridge, CA 91324 (818) 701-7777

Home Infusion Pharmacies Trinitycare Infusion Services 9221 Corbin Ave Ste 190 Northridge, CA 91324 (818) 700-5565

Norwalk Kabafusion 11818 Rosecrans Ave Norwalk, CA 90650 (562) 863-0555

Signal Hill

Monterey

Apex Infusion Pharmacy 3299 E Hill St Ste 301 Signal Hill, CA 90755 (562) 597-6800

Torrance

Marina Access IV 455 Reservation Rd Marina, CA 93933 (831) 384-8080

Pasadena

Biofusion 19110 Van Ness Ave Torrance, CA 90501 (310) 320-6444

Lifecare Solutions 170 N Daisy Ave Pasadena, CA 91107 (626) 683-5401

Premier Infusion Care 19500 Normandie Ave Torrance, CA 90501 (310) 328-3897

Plaza Homecare 50 Alessandro Pl Ste A50 Pasadena, CA 91105 (626) 585-8521

Van Nuys

Orange Anaheim

San Gabriel

Five Star Pharmacy 16438 Vanowen St Unit 101 Van Nuys, CA 91406 (818) 786-0227

Med Quick Prescription Shoppe 546 W Las Tunas Dr San Gabriel, CA 91776 (626) 281-2015

Medicorx Specialty 7039 Valjean Ave Van Nuys, CA 91406 (818) 390-9696

Santa Fe Springs

Whittier

Crescent Healthcare 11980 Telegraph Rd Ste 100 Santa Fe Springs, CA 90670 (800) 879-4844

Chemique Pharmaceutical 13306 Whittier Blvd Whittier, CA 90602 (562) 698-0921

Santa Monica

Monterey Advantacare Infusion 5 Mandeville Ct Monterey, CA 93940 (800) 481-4662

US Bio Services 5100 E Hunter Ave Ste 101 Anaheim, CA 92807 (800) 801-1140

Buena Park Tru- Care Pharmacy 6301 Beach Blvd Ste 105 Buena Park, CA 90621 (714) 690-0349

Corona Del Mar Community Infusion Services 2865 E Coast Hwy Ste 150 Corona Del Mar, CA 92625 (714) 966-9101

Infusion Connections Pharmacy Services 3216A Santa Monica Blvd Santa Monica, CA 90404 (310) 828-3690

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HEALTH NET

Home Infusion Pharmacies Cypress

La Palma

Tustin

Biologic Infusion Pharmacy 8851 Watson St Cypress, CA 90630 (855) 855-3221

Arc Infusion Corporation 6940 Walker St Ste 2 La Palma, CA 90623 (714) 522-8802

Coram Healthcare Corporation Of Southern Californi 3002 Dow Ave Ste 104 Tustin, CA 92780 (714) 665-1121

Garden Grove

Laguna Hills

Preferred Excellent Care 10521 Garden Grove Blvd Garden Grove, CA 92843 (714) 590-3620

Advanced Pharmacy Solutions 26611 Cabot Rd Suite B Laguna Hills, CA 92653 (949) 348-7900

Riverside

Senior Care Pharmacy Services 12600 Hoover St Garden Grove, CA 92841 (714) 891-1800

Infusion Care South 23521 Paseo De Valencia Ste B1 Laguna Hills, CA 92653 (949) 460-1610

Harpers Pharmacy 770 Magnolia Ave Ste 1G Corona, CA 92879 (951) 520-0099

Huntington Beach

Los Alamitos

Riverside

Pacific Side Pharmacy 19582 Beach Blvd Ste 118 Huntington Beach, CA 92648 (714) 965-5203

Pharmacy Advantage 10751 Noel St Los Alamitos, CA 90720 (714) 816-9047

Crescent Healthcare 2010 Iowa Ave Ste 110 Riverside, CA 92507 (800) 735-4872

TBT Pharmacy 6552 Bolsa Ave Huntington Beach, CA 92647 (714) 622-5877

Script Infusion Pharmacy 10571 Calle Lee Ste 163 Los Alamitos, CA 90720 (562) 296-2120

Sacramento

Irvine

Unipharma 10437 Los Alamitos Blvd Los Alamitos, CA 90720 (562) 799-8844

Bioscrip Infusion Services 199 Technology Dr #140 & 150 Irvine, CA 92618 (855) 356-4540 Osouth Home Care, INC. 17175 Gillette Ave Irvine, CA 92614 (949) 660-7126

HEALTH NET

Corona

Sacramento

Orange

Access IV 4610 Northgate Blvd Ste 130 Sacramento, CA 95834 (916) 648-0124

St Joe's Health System Homecare 1845 W Orangewood Ave Ste 100 Orange, CA 92868 (714) 712-9555

Coram Healthcare Corporation Of N CA 1803 Tribute Rd Ste B Sacramento, CA 95815 (916) 857-7000

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Home Infusion Pharmacies Sutter Infusion Pharmacy Services 8318 Ferguson Ave Sacramento, CA 95828 (916) 379-3200

San Diego

San Bernardino Ontario

Coram Alternate Site Services 8804 Balboa Ave San Diego, CA 92123 (858) 576-6969

Bioscrip Infusion Services 840 S Rochester Ave Unit A Ontario, CA 91761 (855) 395-7500

Crescent Healthcare 10070 Carroll Canyon Rd Ste 10 San Diego, CA 92131 (800) 736-4872

Coram Healthcare Corporation Of Southern Californi 4355 E Lowell St Ontario, CA 91761 (909) 605-0010

Neighborcare-San Diego 5825 Oberlin Dr Ste 300 San Diego, CA 92121 (858) 453-8948

Redlands Lifecare Solutions 1220 Research Dr Redlands, CA 92374 (909) 478-5413

San Diego Escondido Advanced Pharmacy Homecare 2127 E Valley Pkwy Ste C Escondido, CA 92027 (760) 741-2813

San Luis Obispo

Bioscrip Infusion Services 5744 Pacific Ctr Blvd #301-305 San Diego, CA 92121 (858) 558-9990

Sharp Home Infusion 3558 Ruffin Rd S0 San Diego, CA 92123 (858) 627-5600 UCSD Home Infusion Pharmacy 9610 Ridgehaven Ct Ste A San Diego, CA 92123 (619) 543-5231

San Joaquin

San Luis Obispo Crescent Healthcare 2995 McMillan Ave Ste 196 San Luis Obispo, CA 93401 (800) 879-4872

Santa Barbara Goleta Coram Healthcare Corporation Of Southern Californi 6483 Calle Real Unit A-C Goleta, CA 93117 (805) 692-1130

Santa Maria Marian Infusion Services 506 Plaza Dr Ste 6 Santa Maria, CA 93454 (805) 739-3810

Shasta Redding

Lodi Neighborcare Lodi 850 S Guild Ave Lodi, CA 95240 (209) 333-4900

Owens Healthcare #9 2025 Court St Ste D Redding, CA 96001 (530) 225-8898 Owens Pharmacy 5200 Churn Creek Rd Redding, CA 96002 (530) 224-3373

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HEALTH NET

Home Infusion Pharmacies Solano Fairfield Senior Care Pharmacy Services 4950 Fulton Dr Ste A & B Fairfield, CA 94534 (707) 673-9800

Sonoma Rohnert Park Bioscrip Infusion Services 600 Martin Ave, Ste 125 Rohnert Park, CA 94928 (707) 541-6186 Infusource 170 Professional Center Dr Rohnert Park, CA 94928 (707) 588-8894

Santa Rosa Creekside Managed-Care 879 2nd St Santa Rosa, CA 95404 (707) 578-0399

Stanislaus Ceres Mid Valley Health Services 2800 Mitchell Rd Ste S Ceres, CA 95307 (209) 531-1858

HEALTH NET

Modesto Memorial Med Center Outptnt Pharmacy 1800 Coffee Rd Ste 110 Modesto, CA 95355 (209) 569-7642

Tehama Cottonwood CWD Closed Door 20633 Gas Point Rd Ste G Cottonwood, CA 96022 (530) 347-3628

Tulare Visalia Kaweah Delta Home Infusion Pharmacy 602 W Willow Ave Ste A Visalia, CA 93291 (559) 624-2740

Ventura Ventura Walgreens Home Care 5574 Everglades St Ste D Ventura, CA 93003 (888) 579-0917

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Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under our plan through the facility’s long-term care pharmacy or another network long-term care pharmacy. Long-term care facility pharmacies are generally for residents of a long-term care facility and may not be available to all members.

Alameda Castro Valley Clayworth Healthcare Pharmacy 20353 Lake Chabot Rd Castro Valley, CA 94546 (510) 537-9402

Dublin Premier Pharmaceutical Services 6543 Regional St Ste D Dublin, CA 94568 (925) 556-9680

Fremont Hallers Long Term Care Pharmacy 4067 Peralta Blvd Fremont, CA 94536 (510) 793-5096

Hayward Coram Healthcare Corporation Of N CA 21353 Cabot Blvd Hayward, CA 94545 (510) 732-8800 Pharmacy Support Services 2150 W Winton Ave Hayward, CA 94545 (510) 265-0300

Skilled Nursing Pharmacy Hayward 21150 Cabot Blvd Hayward, CA 94545 (510) 264-1278

New Oakland Pharmacy-Lake Merritt 250 E 18th St 3rd Floor Oakland, CA 94606 (510) 628-0878

Teds Drugs 27453 Hesperian Blvd Hayward, CA 94545 (510) 782-6494

San Leandro

Livermore Medicine Shoppe Pharmacy 3024 Pacific Ave Livermore, CA 94550 (925) 443-8088

Oakland Dolphin Health Pharmacy 7400 MacArthur Blvd # A Oakland, CA 94605 (510) 900-3131 Elmhurst Pharmacy 7400 MacArthur Blvd Ste B Oakland, CA 94605 (510) 638-9851 Midtown Prescription Pharmacy Professional 201 3rd St Ste 102 Oakland, CA 94607 (510) 451-0100 Mike's Pharmacy 2700 International Blvd Ste A Oakland, CA 94601 (510) 532-1002

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Payless Drug Special Services Pharmacy 10800 Bigge St San Leandro, CA 94577 (800) 330-3665

Union City Masonic Home Pharmacy 34400 Mission Blvd Union City, CA 94587 (510) 429-6427 Pharmerica 32980 Alvarado Niles Rd Ste 83 Union City, CA 94587 (800) 660-9063

Butte Chico Option Care 15 Declaration Dr Chico, CA 95973 (530) 893-1337 Owens Pharmacy 3760 Morrow Ln Chico, CA 95928 (530) 899-8877

HEALTH NET

Long-Term Care Pharmacies Oroville

Coalinga

Crystal Medical Center Pharmacy 2809 Olive Hwy Oroville, CA 95966 (530) 533-1545

Coalinga State Hospital 24511 W Jayne Ave Coalinga, CA 93210 (559) 934-3653

Paradise Cobblestone Pharmacy 6585 Clark Rd Ste 100 Paradise, CA 95969 (530) 877-3712

Fowler Fox Drug Store 3020 San Antonio Dr Fowler, CA 93625 (559) 344-6945

Humboldt Eureka Cloney's Long Term Care Pharmacy 525 5th St Ste B Eureka, CA 95501 (707) 443-8452

Fresno

Cloneys Red Cross Pharmacy 525 5th St Eureka, CA 95501 (707) 443-1614

Concord

Advanced Family Pharmacy 5191 N 6th St Fresno, CA 93710 (559) 222-8303

Limas Specialty Care Pharmacy 2097 Harrison Ave Eureka, CA 95501 (707) 441-8538

Bacon East Pharmacy 2425 East St Ste 5 Concord, CA 94520 (925) 687-0565

Alixarx 4727 W Shaw Ave Fresno, CA 93722 (559) 277-4100

Fortuna

Walnut Creek

BK Pharmacy Corporation 540 E Herndon Ave Ste 101 Fresno, CA 93720 (559) 271-8388

Contra Costa

Ridgecrest Pharmacy 1844 San Miguel Dr Ste 105 Walnut Creek, CA 94596 (925) 937-6800

Fresno Clovis Medicine Shoppe 195 W Shaw Ave #101 Clovis, CA 93612 (559) 297-0251

HEALTH NET

BK Pharmacy Corporation 3126 E Gettysburg Ave Fresno, CA 93726 (559) 228-1888 Pharmerica 4910 E Ashlan Ave Ste 111 Fresno, CA 93726 (800) 499-9079 Sunnyside Pharmacy 5689 E Kings Canyon Rd Fresno, CA 93727 (559) 251-8601

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Greens Fortuna Pharmacy 1058 Main St Fortuna, CA 95540 (707) 725-4431

Scotia Palco Pharmacy 113 Main St Ste D Scotia, CA 95565 (707) 764-3591

Long-Term Care Pharmacies Kern Bakersfield Coram Healthcare 3101 Sillect Ave Bakersfield, CA 93308 (661) 325-8326 Mercy Plaza Pharmacy @ 24th St 2336 Eye St Bakersfield, CA 93301 (661) 323-2925 Ming & H Drugs 1717 Ming Ave Bakersfield, CA 93304 (661) 831-4050 NCS Healthcare Of California 3400 Stine Rd Ste 700 Bakersfield, CA 93309 (661) 398-0691 San Dimas Pharmacy & Compounding Center 3805 San Dimas St Ste A Bakersfield, CA 93301 (661) 325-7979 Walgreens Infusion Services 5800 District Blvd Unit 200 Bakersfield, CA 93313 (661) 615-6000

Lake Isabella

Altadena

Mesa Clinical Pharmacy 12608 Mountain Mesa Rd Lake Isabella, CA 93240 (760) 379-6106

Demi-Rx Pharmacy 2052 Lake Ave Altadena, CA 91001 (626) 798-0703

Arcadia

Lake Lakeport North Lake Medical Pharmacy 5136 Hill Rd Lakeport, CA 95453 (707) 263-6192 North Lake Medical Pharmacy 347 Lakeport Blvd Lakeport, CA 95453 (707) 263-1328

Los Angeles Alhambra Cheng Pharmacy 600 W Main St Ste 106 Alhambra, CA 91801 (626) 281-9222

Delano

Golden Elite Pharmacy 2048 Pepper St Alhambra, CA 91801 (626) 576-2418

Delano Regional Med Center Pharmacy 1401 Garces Hwy Delano, CA 93215 (661) 721-5302

Verdugo Plaza Pharmacy Alhambra 3039 W Valley Blvd Alhambra, CA 91803 (626) 281-3799

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Eo Pharmacy 31 S 1st Ave Arcadia, CA 91006 (626) 446-6088

Artesia Koam Pharmacy 18102 Pioneer Blvd Ste 101 Artesia, CA 90701 (562) 402-3636 The Medicine Shoppe 17623 Pioneer Blvd Artesia, CA 90701 (562) 402-1000

Baldwin Park Owl Homecare Pharmacy 13851 Garvey Ave # A Baldwin Park, CA 91706 (626) 851-9199

Bell American Home Pharmacy 4566 Florence Ave Ste 4 Bell, CA 90201 (323) 562-1578 Juelle & Lima Pharmacy 4566 Florence Ave Ste 9 Bell, CA 90201 (323) 562-1577

HEALTH NET

Long-Term Care Pharmacies Burbank

Covina

Encino

AMC Pharmacy 2625 W Alameda Ave Burbank, CA 91505 (818) 841-0423

Calix Drugs 944 N Grand Ave Covina, CA 91724 (626) 859-6611

Encino Care 16025 Ventura Blvd Ste 100 Encino, CA 91436 (818) 377-6900

Quality Home Infusion 212 W Magnolia Blvd Burbank, CA 91502 (818) 848-8112

Med-Plus Pharmacy Long Term Care 281 E Rowland St Covina, CA 91723 (626) 339-5557

Encino Care Pharmacy II 16001 Ventura Blvd Ste 135 Encino, CA 91436 (818) 789-9200

Walgreens Home Care 1026 N Lake St Burbank, CA 91502 (800) 800-4852

Canoga Park Evergreen Pharmaceutical 8220 Remmet Ave Canoga Park, CA 91304 (888) 452-4808

Canyon Country The Medicine Shoppe 18635 Soledad Canyon Rd Ste 10 Canyon Country, CA 91351 (661) 298-3135

Cerritos Pharmacy Support Services 13825 Cerritos Corp Dr Ste A Cerritos, CA 90703 (562) 229-3500

City Of Industry Skilled Nursing Pharmacy 16666 E Johnson Dr Ste C City Of Industry, CA 91745 (626) 820-5800

HEALTH NET

Owl Rexall Drug 401 N Vincent Ave Covina, CA 91722 (626) 962-1062 Owl Western Pharmacy 1009 W San Bernardino Rd Covina, CA 91722 (626) 209-8160

Duarte Del's Pharmacy II 931 Buena Vista St Ste 104 Duarte, CA 91010 (626) 357-8500

Noble Specialty Pharmacy 17609 Ventura Blvd Ste Ll06 Encino, CA 91316 (818) 464-4988 Shoreline Pharmacy 16530 Ventura Blvd Suite 610 Encino, CA 91436 (310) 464-9170 West-Val Pharmacy 5353 Balboa Blvd Encino, CA 91316 (818) 788-2411

Gardena

Valley Pharmacy 1740 Huntington Dr Ste 302/303 Duarte, CA 91010 (951) 924-7720

Memorial Hospital Of Gardena Pharmacy 1145 W Redondo Beach Blvd Gardena, CA 90247 (310) 538-6635

El Monte

Glendale

El Monte Home Care Pharmacy 3948 Peck Rd Ste 4 El Monte, CA 91732 (626) 448-4085

Americomp Pharmacy 1219 N Pacific Ave Ste B Glendale, CA 91202 (818) 244-3214

Midway Drugs 10410 Lower Azusa Rd El Monte, CA 91731 (626) 448-7659

Verdugo Care Pharmacy 1489 E Chevy Chase Dr Glendale, CA 91206 (818) 662-0111

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Long-Term Care Pharmacies Verdugo Plaza Pharmacy 1809 Verdugo Blvd Ste 110 Glendale, CA 91208 (818) 952-2108 Western Drug 445 W Broadway Glendale, CA 91204 (818) 241-5996 Western Drug 416 E Colorado St Glendale, CA 91205 (818) 243-2231 Western Drug Medical Supply 3604 San Fernando Rd Glendale, CA 91204 (818) 956-2104

Granada Hills Knollwood Pharmacy 11862 Balboa Blvd Granada Hills, CA 91344 (818) 363-8107

Hacienda Heights Patient Care Pharmacy 15002 Clark Ave Hacienda Heights, CA 91745 (626) 333-7370 Super Care Pharmacy 2017 1/2 S Hacienda Blvd Hacienda Heights, CA 91745 (626) 330-3448

Hawthorne Aloha United Drugs 5055 W El Segundo Blvd Hawthorne, CA 90250 (310) 679-1166

Inglewood Specialist Medical Pharmacy 145 N Prairie Ave Inglewood, CA 90301 (310) 672-7951

Irwindale Institutional Pharmacy Solutions 6520 N Irwindale Ave Ste 228 Irwindale, CA 91702 (626) 815-1293

La Mirada Valley View Rexall Drugs 13966 Valley View Ave La Mirada, CA 90638 (562) 941-1208

La Verne Safecare Pharmacy 2125 Wright St Ste C4 La Verne, CA 91750 (909) 593-2787

Long Beach Los Coyotes Drug 3597 Los Coyotes Diag Long Beach, CA 90808 (562) 420-1480

Los Angeles Beyond The Pharmacy 3730 W Sunset Blvd Los Angeles, CA 90026 (323) 660-3667

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Boyle Heights Medical Pharmacy 1611 E Cesar E Chavez Ave Los Angeles, CA 90033 (323) 222-0736 CDVA Vet Home Of CA W LA 11500 Nimitz Ave Los Angeles, CA 90049 (424) 832-8520 Coram Healthcare Corporation Of Southern Californi 2710 Media Center Dr Ste 150 Los Angeles, CA 90065 (818) 543-5169 Express Pharmacy Services INC. 1711 W Temple St. #100B Los Angeles, CA 90026 (310) 558-2520 Express Rx 1711 W Temple St Ste 100 Los Angeles, CA 90026 (213) 353-0552 Gateway Circle Pharmacy 2625 N Figueroa St Los Angeles, CA 90065 (323) 223-3228 Hollywood Presbyterian Medical Center 1300 N Vermont Ave Los Angeles, CA 90027 (323) 913-4989 Hygeia Long Term Care Pharmacy 305 N Soto St Ste A Los Angeles, CA 90033 (888) 449-4342

HEALTH NET

Long-Term Care Pharmacies Jana Healthcare Pharmacy 5233 Melrose Ave Los Angeles, CA 90038 (323) 836-0007 Kerrs Pharmacy 12142 Santa Monica Blvd Los Angeles, CA 90025 (310) 820-1434

Monrovia

Pasadena

Modern Health Pharmacy 110 E Huntington Dr Monrovia, CA 91016 (800) 800-7306

Ararat Pharmacy 2611 E Washington Blvd Pasadena, CA 91107 (626) 798-6789

Montebello

Cal Oaks Pharmacy 55 E California Blvd # 103 Pasadena, CA 91105 (626) 795-5956

Key Drug 770 S Vermont Ave Los Angeles, CA 90005 (213) 383-2211

111 Pharmacy 111 W Beverly Blvd Ste B Montebello, CA 90640 (323) 724-8111

Mini Pharmacy 2425 Porter St Los Angeles, CA 90021 (888) 545-6464

North Hollywood

Prime Pharmacy Services 4211 Avalon Blvd Ste 2 Los Angeles, CA 90011 (323) 432-5183 Soto Drug Company 2911 Beverly Blvd Ste 102 Los Angeles, CA 90057 (213) 480-6588 Totalcare Pharmacy 3971 S Western Ave Los Angeles, CA 90062 (323) 290-2057 White Memorial Med Plaza Pharmacy 1701 Cesar Chavez Ave Ste 109 Los Angeles, CA 90033 (323) 221-6000 Woori Pharmacy 266 S Harvard Blvd Ste 120 Los Angeles, CA 90004 (213) 384-6323

HEALTH NET

Riverside Discount Drugs 12508 Riverside Dr North Hollywood, CA 91607 (818) 766-5376 Superior Pharmacy II 11755 N Victory Blvd # 102 North Hollywood, CA 91606 (818) 691-3351

Northridge Clinishare Pharmacy 8246 White Oak Ave Northridge, CA 91325 (818) 705-9221 Market Pharmacy 9250 Reseda Blvd Unit 2D Northridge, CA 91324 (818) 349-9795

Norwalk Metropolitan State Hospital Pharmacy 11400 Norwalk Blvd Norwalk, CA 90650 (562) 863-7011

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Pomona CBC Convelescent Care 716 E Mission Blvd Ste B Pomona, CA 91766 (909) 865-2808 Lanterman Develpmental Center 3530 Pomona Blvd Pomona, CA 91768 (909) 595-1221 Phillips Ranch Pharmacy 3040 W Temple Ave Pomona, CA 91766 (909) 766-8330

Porter Ranch Porter Ranch Pharmacy 11167 Tampa Ave Porter Ranch, CA 91326 (818) 360-1915

Reseda Joyce Eisenburg Keefer Medical Center Pharmacy 7150 Tampa Ave Reseda, CA 91335 (818) 758-5017

Long-Term Care Pharmacies Rowland Heights

Sherman Oaks

California Pharmacy 19766 Colima Rd Rowland Heights, CA 91748 (909) 598-9885

Multicare Pharmacy 4849 Van Nuys Blvd Ste 101A Sherman Oaks, CA 91403 (818) 461-9600

San Dimas

Studio City

San Dimas Pharmacare 629 W Covina Blvd San Dimas, CA 91773 (909) 305-0358

Dr. Ike's Pharmacare 11738 Ventura Blvd Studio City, CA 91604 (818) 432-2484

San Gabriel

Studio Pharmacy 11309 Ventura Blvd Studio City, CA 91604 (818) 506-0776

San Gabriel Valley Medical Center 438 W Las Tunas Dr San Gabriel, CA 91776 (626) 570-6670

San Pedro Coover Pharmacy 891 W 9th St San Pedro, CA 90731 (310) 833-2575 Little Company of Mary Hospital Pharmacy 1300 W 7th St San Pedro, CA 90732 (310) 514-5265

Santa Fe Springs Crescent Healthcare 11980 Telegraph Rd Ste 100 Santa Fe Springs, CA 90670 (800) 879-4844

Plaza Pharmacy 3400 Lomita Blvd Ste 102 Torrance, CA 90505 (310) 530-3010

Van Nuys Absolute Wellcare 15800 Arminta Van Nuys, CA 91406 (818) 779-8648 Hospicare Pharmacy 16525 Sherman Way Ste C1 Van Nuys, CA 91406 (818) 786-3110

Sun Valley

Medicorx Specialty 7039 Valjean Ave Van Nuys, CA 91406 (818) 390-9696

Senior Care Pharmacy Services 8000 Wheatland Ave Ste I Sun Valley, CA 91352 (818) 394-6100

Rx Ingredients INC. 7107 Valjean Ave Van Nuys, CA 91406 (818) 785-5200

Tarzana

Star Pharmacy 14400 Vanowen St Van Nuys, CA 91405 (818) 304-0881

Medrx Pharmacy 18356 Oxnard St Ste 1 Tarzana, CA 91356 (818) 343-3443 The Medicine Shoppe 19225 Ventura Blvd Tarzana, CA 91356 (818) 996-2878

Torrance Fox Drug Of Torrance 1327 El Prado Ave Torrance, CA 90501 (310) 328-7244

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Ultimate Pharmacy 16438 Vanowen St Ste 201 Van Nuys, CA 91406 (818) 849-3303

West Covina Doctors Hospital Of West Covina 725 S Orange Ave West Covina, CA 91790 (626) 338-8481

HEALTH NET

Long-Term Care Pharmacies Family Health Pharmacy 1300 S Sunset Ave West Covina, CA 91790 (626) 869-1800

West Hollywood Fairfax Pharmacy 1111 N Fairfax Ave Ste 110 West Hollywood, CA 90046 (323) 656-9622

Whittier Whittier Drugs 9209 Colima Rd Ste 1100 Whittier, CA 90605 (562) 789-5852

Woodland Hills Warner Victory Pharmacy 6325 Topanga Canyon Blvd #102 Woodland Hills, CA 91367 (818) 346-1901

Madera Madera B K Pharmacy Corporation 1129 W 4th St Ste A Madera, CA 93637 (559) 675-1688 Madera Medical Pharmacy 402 S Madera Ave Ste A Madera, CA 93637 (559) 674-8553

HEALTH NET

Marin

Mono

Larkspur

Bishop

Ross Valley Pharmacy 2 Bon Air Rd Ste 130 Larkspur, CA 94939 (415) 924-2454

Dwayne's Friendly Pharmacy 644 W Line St Bishop, CA 93514 (760) 872-2522

San Anselmo Jacks Drug Store 121 Tunstead Ave San Anselmo, CA 94960 (415) 454-1451

San Rafael Golden Gate Pharmacy 1525 Francisco Blvd E Ste 2 San Rafael, CA 94901 (415) 455-9042

Merced Delhi Delhi Pharmacy Long Term Care 9724 Stephens St Ste B Delhi, CA 95315 (209) 634-0061

Monterey Monterey Ordway Pharmacy 499 Alvarado St Monterey, CA 93940 (831) 372-8085

Salinas Alisal Long Term Care Pharmacy 323 N Sanborn Rd Ste A Salinas, CA 93905 (831) 759-8184 Allcare Pharmacy 331 Main St Salinas, CA 93901 (831) 424-8053

Napa

Merced Valley Prescription Compounding Pharmacy 330 E 13th St Merced, CA 95341 (209) 722-5765

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Napa Family Drug 1805 Old Sonoma Rd Napa, CA 94559 (707) 224-7807

Long-Term Care Pharmacies Napa State Hospital Pharmacy 2100 Napa Vallejo Hwy Napa, CA 94558 (707) 253-5201

Buena Park

Yountville

Austin Drugs 6970 Aragon Cir Ste 3 Buena Park, CA 90620 (714) 736-5130

Veterans Home Of CA 123 California Drive Yountville, CA 94599 (707) 944-4500

Tru- Care Pharmacy 6301 Beach Blvd Ste 105 Buena Park, CA 90621 (714) 690-0349

Orange Anaheim Anaheim Plaza Pharmacy 3010 W Orange Ave Ste 101 Anaheim, CA 92804 (714) 220-0717 Medcare Long Term Care Pharmacy 1223 N Euclid St Anaheim, CA 92801 (714) 956-1949 The Medicine Shoppe 2795 W Lincoln Ave Ste K Anaheim, CA 92801 (714) 995-0071

Costa Mesa Comfort Rx 3303 Harbor Blvd Ste C2 Costa Mesa, CA 92626 (714) 545-5455

Senior Care Pharmacy Services 12600 Hoover St Garden Grove, CA 92841 (714) 891-1800

Irvine Osouth Home Care, INC. 17175 Gillette Ave Irvine, CA 92614 (949) 660-7126

La Habra

Fairview State Hospital Pharmacy 2501 Harbor Blvd Costa Mesa, CA 92626 (714) 957-5000

Bi Rite Quality Pharmacy 340 N Harbor Blvd La Habra, CA 90631 (562) 691-0539

Cypress

Caremax Pharmacy 1351 S Beach Blvd Ste O La Habra, CA 90631 (562) 902-2622

Pharmerica 11205 Knott Ave Ste B& Cypress, CA 90630 (714) 891-5145

Garden Grove

Yorba Linda Pharmacy 5596 E La Palma Ave Anaheim, CA 92807 (714) 985-1248

CHJ Pharmacare Pharmacy 12841 Western Ave Ste D Garden Grove, CA 92841 (714) 379-3080

Brea

Gilbert Drugs 9240 Garden Grove Blvd Ste 20 Garden Grove, CA 92844 (714) 638-8230

Premier Pharmacy Services 2657 Saturn St Brea, CA 92821 (714) 961-7930

Natico Pharmacy 12526 Westminster Ave Ste B Garden Grove, CA 92843 (714) 554-1111

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Laguna Hills Saddleback Medical Center Pharmacy 24411 Health Center Dr Ste 102 Laguna Hills, CA 92653 (949) 452-3706

Lake Forest Advanced Care Pharmacy 22642 Lambert St Ste 404 Lake Forest, CA 92630 (949) 347-8881

HEALTH NET

Long-Term Care Pharmacies Los Alamitos

Stanton

Pharmacy Advantage 10751 Noel St Los Alamitos, CA 90720 (714) 816-9047

Trinity Care Rx 8381 Katella Ave Ste O Stanton, CA 90680 (714) 484-9910

Unipharma 10437 Los Alamitos Blvd Los Alamitos, CA 90720 (562) 799-8844

Orange

Tustin Coram Healthcare Corporation Of Southern Californi 3002 Dow Ave Ste 104 Tustin, CA 92780 (714) 665-1121

Riverside Blythe Blythe Drug 301 W Hobson Way Blythe, CA 92225 (760) 922-3511

Corona Harpers Pharmacy 770 Magnolia Ave Ste 1G Corona, CA 92879 (951) 520-0099

Pharmacy Alternatives Southern California 4709 E Chapman Ave Orange, CA 92869 (714) 532-1007

Value Care Pharmacy 17662 Irvine Blvd Ste 14 Tustin, CA 92780 (714) 210-1950

Santa Ana

Yorba Linda

Drug Depot 999 N Tustin Ste 12 Santa Ana, CA 92705 (877) 378-4911

Healthy Living Pharmacy 4957 Yorba Ranch Rd Ste A Yorba Linda, CA 92887 (714) 692-3260

Quality Care Pharmacy 2413 S Fairview St Ste E Santa Ana, CA 92704 (714) 754-4567

Placer

Lake Elsinore

Rocklin

Delta Drugs 2497 E Lakeshore Dr Ste B Lake Elsinore, CA 92530 (951) 245-9494

Reliance Pharmacy, INC. 1701 E Edinger Ave Ste A6 Santa Ana, CA 92705 (714) 758-5032

Seal Beach Leisure World Pharmacy 1661D Golden Rain Rd Seal Beach, CA 90740 (562) 795-6202

HEALTH NET

Pacific West Pharmacy 4363 Pacific St Rocklin, CA 95677 (916) 632-7560

Roseville Sutter Roseville Med Center Pharmacy 1 Medical Plaza Dr Roseville, CA 95661 (916) 781-1477

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Palmieri Pharmacy 800 Magnolia Ave Ste 116 Corona, CA 92879 (951) 737-3511 Trucare Pharmacy 1875 California Ave Corona, CA 92881 (951) 817-1005

Moreno Valley Day Street Pharmacy 23900 Ironwood Ave Ste C Moreno Valley, CA 92557 (951) 485-8100

Long-Term Care Pharmacies Lifetime Value Pharmacy 23080 Alessandro Blvd Ste 212 Moreno Valley, CA 92553 (951) 656-7171

Pharmerica 833 Marlborough Ave Ste 100 Riverside, CA 92507 (951) 784-1616

Palm Desert

Raincross Pharmacy 4646 Brockton Ave Riverside, CA 92506 (951) 788-4646

Rivers Edge Pharmacy 36919 Cook St Ste 102 Palm Desert, CA 92211 (760) 340-3248

Palm Springs Desert Hospital Outpatient Pharmacy 1180 N Indian Canyon Dr Ste E1 Palm Springs, CA 92262 (760) 323-1001 Medicine Shoppe Pharmacy 174 S Sunrise Way Palm Springs, CA 92262 (760) 327-4881

Perris Med Express 425 W Rider St Ste B2 Perris, CA 92571 (951) 639-3278

Riverside Parke Vista Pharmacy 3838 Sherman Dr Ste 1 Riverside, CA 92503 (951) 687-4203 Parkview Medical Plaza Pharmacy Long Term Care 3975 Jackson St Ste 111 Riverside, CA 92503 (951) 637-7054

The Medicine Shoppe 10237 Magnolia Ave Riverside, CA 92503 (951) 509-9277

San Jacinto The Medicine Shoppe 1477 S San Jacinto Ave San Jacinto, CA 92583 (951) 652-5988

Sun City Hope Plaza Pharmacy 29798 Haun Rd Ste 100 Sun City, CA 92586 (951) 301-6255

Temecula Nufactor 41093 County Center Dr Ste B Temecula, CA 92591 (800) 323-6832

Sacramento Carmichael Optimal Pharmacy 6945 Fair Oaks Blvd Ste 12 Carmichael, CA 95608 (916) 978-0866 - 237 -

Sacramento Anderson Brothers Florin Square Pharmacy 2374 Florin Rd Sacramento, CA 95822 (916) 428-3794 Broadway Long Term Care Pharmacy 3330 Broadway Sacramento, CA 95817 (916) 452-8022 California Pharmacy 9550 Micron Ave Ste D Sacramento, CA 95827 (916) 362-5400 Coram Healthcare Corporation Of N CA 1803 Tribute Rd Ste B Sacramento, CA 95815 (916) 857-7000 Kindred Pharmacy Services 1214 W North Market Blvd Ste C Sacramento, CA 95834 (916) 928-3830 Mason Pharmacy 4600 47th Ave Ste 110 Sacramento, CA 95824 (916) 428-7500 Methodist Hospital Of Sacramento 7500 Hospital Dr Sacramento, CA 95823 (916) 423-6052 Pharmacy Med Services 2129 Hacienda Way Ste J Sacramento, CA 95825 (916) 487-4488

HEALTH NET

Long-Term Care Pharmacies River City Pharmacy 5491 Carlson Dr Sacramento, CA 95819 (916) 452-3253 Sutter Midtown Pharmacy 2800 L St Ste 450 Sacramento, CA 95816 (916) 454-6744

San Benito Hollister Ansr Pharmacy 101 581 McCray St Hollister, CA 95023 (831) 630-3100 Nob Hill Pharmacy 1700 Airline Hwy Hollister, CA 95023 (831) 637-7423

San Bernardino Fontana Cole's Village Pharmacy 17691 San Bernardino Ave Fontana, CA 92335 (909) 877-4224

Loma Linda

Redlands

Loma Linda Health Pharmacy 11382 Mountain View Ave Ste A Loma Linda, CA 92354 (909) 796-3780

Citrus Pharmacy 511 Amigos Dr Ste B Redlands, CA 92373 (909) 793-8259

Ontario

San Bernardino

Coram Healthcare Corporation Of Southern Californi 4355 E Lowell St Ontario, CA 91761 (909) 605-0010

CBC Med Center Pharmacy 1800 Medical Center Dr San Bernardino, CA 92411 (909) 880-2090

Medicine Shoppe 1520 N Mountain Ave Ontario, CA 91762 (909) 391-3542

Patton Patton State Hospital Pharmacy 3102 E Highland Ave Patton, CA 92369 (909) 425-6388

Rancho Cucamonga Del's Pharmacy 10700 Jersey Blvd Ste 330-340 Rancho Cucamonga, CA 91730 (909) 948-0206

Lake Arrowhead

Del's Pharmacy I 10374 Trademark St Rancho Cucamonga, CA 91730 (909) 477-6300

Mountains Community Hospital 29101 Hospital Rd Lake Arrowhead, CA 92352 (909) 436-3003

Your Drug Store 8237 Rochester Ave Ste 120 Rancho Cucamonga, CA 91730 (909) 941-7472

HEALTH NET

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Community Hospital San Bernardino 1805 Medical Center Dr San Bernardino, CA 92411 (909) 806-1408 Guardian Pharmacy 1823 Commercenter W San Bernardino, CA 92408 (909) 570-2339

Upland Ace Pharmacy 886 W Foothill Blvd Ste D Upland, CA 91786 (909) 946-9400

Victorville Curt's Pharmacy 14829 7th St Ste E Victorville, CA 92395 (760) 245-3518

Long-Term Care Pharmacies San Diego Chula Vista Medical Center Pharmacy 765 Medical Center Ct Ste 208 Chula Vista, CA 91911 (619) 656-2846 Sharp Chula Vista Outpatient 751 Medical Center Ct Chula Vista, CA 91911 (619) 502-4000 Veterans Home Of Chula Vista 700 E Naples Ct Chula Vista, CA 91911 (619) 482-6020

Coronado Sharp Coronado Community Pharmacy 230 Prospect Pl Ste 110 Coronado, CA 92118 (619) 552-3996 Sharp Coronado Hospital Pharmacy 250 Prospect Pl Coronado, CA 92118 (619) 522-3717

El Cajon Advance Care Rx 1685 E Main St Ste 103 El Cajon, CA 92021 (619) 401-7077 Clarks Greenfield Pharmacy 1685 E Main St Ste 101 El Cajon, CA 92021 (619) 441-5800

Pillco Pharmacy 8575 Los Coches Rd Ste 5 El Cajon, CA 92021 (619) 561-5602

Neighborcare-San Diego 5825 Oberlin Dr Ste 300 San Diego, CA 92121 (858) 453-8948

Superior Care Pharmacy 161 E Main St Ste 104 El Cajon, CA 92020 (619) 785-3993

Park Boulevard Pharmacy 3904 Park Blvd San Diego, CA 92103 (619) 295-3109

Escondido

Pharmerica 8930 Activity Rd Ste J San Diego, CA 92126 (858) 537-9374

Advance Care Pharmacy 528 N Broadway Escondido, CA 92025 (760) 489-7077

San Diego

Rezcare Pharmacy 701 B St Ste 748C San Diego, CA 92101 (619) 878-6188

Coram Alternate Site Services 8804 Balboa Ave San Diego, CA 92123 (858) 576-6969

Rons Pharmacy Services 6225 Nancy Ridge Dr San Diego, CA 92121 (858) 652-6900

Galloways Medical Center Pharmacy 2995 National Ave San Diego, CA 92113 (619) 525-1551

Skilled Nursing Pharmacy 9920 Scripps Lake Dr Ste 108 San Diego, CA 92131 (858) 564-2000

Logan Heights 1809 National Ave San Diego, CA 92113 (619) 515-2300 Majestic Pharmacy 4456 Vandever Ave Ste 5 San Diego, CA 92120 (619) 280-1254 Modern Health Pharmacy San Diego 13220 Evening Creek Dr S #110 San Diego, CA 92128 (858) 668-3350

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The Medicine Shoppe 2939 Alta View Dr San Diego, CA 92139 (619) 470-4550

San Marcos Quality-Care Pharmacy 727 W San Marcos Blvd Ste 113 San Marcos, CA 92078 (760) 744-5959

HEALTH NET

Long-Term Care Pharmacies Santee Edgemoor Geriatric Hospital Pharmacy 655 Park Center Drive Santee, CA 92071 (619) 596-6340

St Mary Prescription Pharmacy 2166 Hayes St San Francisco, CA 94117 (415) 387-3231

Rx Express Pharmacy 711 E Market St Stockton, CA 95202 (209) 465-1001

Thousand Cranes Pharmacy 1832 Buchanan St Ste 203 San Francisco, CA 94115 (415) 409-4357

Waterfront Pharmacy 123 S Commerce St Ste A Stockton, CA 95202 (209) 463-7777

San Joaquin

San Luis Obispo

Lodi

Atascadero

Neighborcare Lodi 850 S Guild Ave Lodi, CA 95240 (209) 333-4900

Atascadero State Hospital Pharmacy 10333 El Camino Real Atascadero, CA 93422 (805) 468-2519

San Francisco San Francisco Ace Pharmacy 2505 Noriega St San Francisco, CA 94122 (415) 731-3535 B & B Pharmacy 1727 Fillmore St # A San Francisco, CA 94115 (415) 674-8116 Daniel's Pharmacy 943 Geneva Ave San Francisco, CA 94112 (415) 584-2210

Senior Care Pharmacy 927 Industrial Way Lodi, CA 95240 (209) 642-4045

Stockton

Geary Pharmacy 5427 Geary Blvd San Francisco, CA 94121 (415) 752-8040

Community Medical Centers Pharmacy 701 E Channel St Stockton, CA 95202 (209) 944-4730

Jewish Home Pharmacy 302 Silver Ave San Francisco, CA 94112 (415) 469-2265

Pharmacy Care Concepts 7720 Lorraine Ave Stockton, CA 95210 (209) 957-8787

Laguna Honda Hospital Pharmacy 375 Laguna Honda Blvd San Francisco, CA 94116 (415) 759-3063

Pharmerica 2666 NW Lane Suite D Stockton, CA 95205 (209) 944-0192

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Pismo Beach Model Drug 911 Oak Park Blvd Suite 101 Pismo Beach, CA 93449 (805) 481-5111

San Luis Obispo Pharmerica 873 Ricardo Ct San Luis Obispo, CA 93401 (805) 543-5981

Long-Term Care Pharmacies San Mateo Burlingame PMC Pharmacy 843 Malcolm Rd Burlingame, CA 94010 (650) 239-5282

Daly City Seton Medical Center 1900 Sullivan Ave Daly City, CA 94015 (650) 991-6488

San Mateo

Santa Maria

San Mateo Medical Center 222 W 39th Ave San Mateo, CA 94403 (650) 573-2233

Hometown Long Term Care Pharmacy 1450 W McCoy Ln Ste B Santa Maria, CA 93455 (805) 928-2200

Ted's Village Pharmacy 29 W 25th Ave San Mateo, CA 94403 (650) 349-1373

South San Francisco

JDX Pharmacy 1504 S Broadway Santa Maria, CA 93454 (805) 922-1747

Choicecare Pharmacy 90 S Spruce Ave Ste W South San Francisco, CA 94080 (650) 872-2261

Marian Medical Center Pharmacy 1400 E Church St Santa Maria, CA 93454 (805) 739-3459

Santa Barbara

Santa Clara

Goleta

Campbell

Coram Healthcare Corporation Of Southern Californi 6483 Calle Real Unit A-C Goleta, CA 93117 (805) 692-1130

Horizons Pharmacy Services 1700 Winchester Blvd #104 Campbell, CA 95008 (408) 628-0525

Foster City Mariner Advanced Pharmacy Corporation 1289 E Hillsdale Blvd Ste 6 Foster City, CA 94404 (650) 312-1342

Moss Beach Seton Medical Center Coastside 600 Marine Blvd Moss Beach, CA 94038 (650) 991-6488

San Bruno Davita Rx 1178 Cherry Ave San Bruno, CA 94066 (650) 238-1240

Lompoc Lompoc Valley Med Center 508 E Hickory Ave Lompoc, CA 93436 (805) 737-3337

Santa Barbara The Medicine Shoppe 3605 State St Santa Barbara, CA 93105 (805) 687-1376

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Sav-Co Generic Pharmacy 621 E Campbell Ave Ste 1 Campbell, CA 95008 (408) 378-2363

Gilroy South Valley Pharmacy Services 7496 Eigleberry St Gilroy, CA 95020 (408) 847-6160

HEALTH NET

Long-Term Care Pharmacies Milpitas Tri-City Pharmacy 1132 Cadillac Ct Milpitas, CA 95035 (408) 935-9120

Mountain View Kindred Pharmacy Services 145 E Dana St Mountain View, CA 94041 (650) 961-6355

Palo Alto Medical Plaza Pharmacy 1101 Welch Rd Palo Alto, CA 94304 (650) 326-2300

San Jose Bascom Pharmacy 105 N Bascom Ave Ste 101 San Jose, CA 95128 (408) 995-6020 Tropicana Drugs 1167 S King Rd San Jose, CA 95122 (408) 251-6441

Santa Cruz Santa Cruz

Westside Pharmacy 1401 Mission St Santa Cruz, CA 95060 (831) 423-7175

Fairfield

Shasta Fall River Mills Mayers Memorial Hospital 43563 State Highway 299 E Fall River Mills, CA 96028 (530) 336-5511

Redding Owens Pharmacy 5200 Churn Creek Rd Redding, CA 96002 (530) 224-3373 Shopko Pharmacy 55 Lake Blvd Redding, CA 96003 (530) 241-0713

Siskiyou Mount Shasta Mercy Medical Center Mt Shasta 914 Pine St Mount Shasta, CA 96067 (530) 926-7217

Bruce's Medical Plaza Pharmacy 550 Water St Ste H Santa Cruz, CA 95060 (831) 423-4363

HEALTH NET

Solano

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Senior Care Pharmacy Services 4950 Fulton Dr Ste A & B Fairfield, CA 94534 (707) 673-9800

Vacaville Consonus Pharmacy Services California North 2148 Beechcraft Rd # 100 Vacaville, CA 95688 (866) 253-0048

Sonoma Eldridge Sonoma Develpmental Center Pharmacy 15000 Arnold Drive Eldridge, CA 95431 (707) 938-6581

Santa Rosa Creekside Managed-Care 879 2nd St Santa Rosa, CA 95404 (707) 578-0399 RP Healthcare 2456 W 3rd St Santa Rosa, CA 95401 (707) 571-5955

Long-Term Care Pharmacies Stanislaus Ceres Mid Valley Health Services 2800 Mitchell Rd Ste S Ceres, CA 95307 (209) 531-1858

Modesto Coffee Plaza Pharmacy 2020 Coffee Rd Ste C2 Modesto, CA 95355 (209) 522-3367 Mid Valley Health Services Long Term Care 602 Scenic Dr Modesto, CA 95350 (209) 552-7600

Riverbank Riverbank Pharmacy 2603 Patterson Rd Ste 9 Riverbank, CA 95367 (209) 863-9988

Yuba City One Stop Pharmacy 1040 Colusa Ave Yuba City, CA 95991 (702) 949-6322 Sutter Pharmacy 470 Plumas Blvd Ste 103 Yuba City, CA 95991 (530) 821-5110 Sutter Pharmacy Solutions 470 Plumas Blvd Ste 104 Yuba City, CA 95991 (530) 821-5115

Tehama Cottonwood CWD Closed Door 20633 Gas Point Rd Ste G Cottonwood, CA 96022 (530) 347-3628

Trinity

Sutter

Weaverville

Live Oak

Trinity Hospital 60 Easter Ave Weaverville, CA 96093 (530) 623-5541

Live Oak Pharmacy 9970 Live Oak Blvd Live Oak, CA 95953 (530) 695-5100

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Tulare Kingsburg Model Drug, INC. 1506 Draper St Kingsburg, CA 93631 (559) 897-5111

Porterville Porterville Develpmantal Center 26501 Avenue 140 Porterville, CA 93257 (559) 782-2336

Visalia South Campus Pharmacy 1633 S Court St Visalia, CA 93277 (559) 624-2740 Valley Pharmacy Services 500 N Garden St Ste 4 Visalia, CA 93291 (559) 635-2674

Tuolumne Sonora Community Pharmacy - Forest Rd 193 Fairview Ln Ste A Sonora, CA 95370 (209) 536-3800

HEALTH NET

Long-Term Care Pharmacies Sonora Regional Medical Center Pharmacy 1000 Greenley Rd Sonora, CA 95370 (209) 536-3690

The Medicine Shoppe 960 E Ojai Ave Ojai, CA 93023 (805) 646-0106

Ventura

Oxnard

Cabrillo Pharmacy 146 N Brent St Ventura, CA 93003 (805) 643-9939

Camarillo

Medical Plaza Pharmacy 1700 N Rose Ave Ste 140 Oxnard, CA 91360 (805) 981-3366

Care Pharmacy 90 N Ashwood Ste B Ventura, CA 93003 (805) 642-4135

Medicine Shoppe 2173 Pickwick Dr Camarillo, CA 93010 (805) 389-5311

The Medicine Shoppe 2196 Saviers Rd Oxnard, CA 93033 (805) 487-6303

Pharmerica 5574 Everglades St Ste A Ventura, CA 93003 (805) 642-0555

Neighborhood Pharmacy 4557 Pleasant Valley Rd Camarillo, CA 93012 (805) 388-0800

Santa Paula

The Medicine Shoppe 9308 Telephone Rd Ste B Ventura, CA 93004 (805) 647-1133

Ventura

St John's Pleasant Valley Hospital 2309 Antonio Ave Camarillo, CA 93010 (805) 389-5916

Newbury Park The Medicine Shoppe 2241 Michael Dr Newbury Park, CA 91320 (805) 375-6650

Ojai Ojai Valley Community Hospital Pharmacy 1306 Maricopa Hwy Ojai, CA 93023 (805) 640-2244

HEALTH NET

The Medicine Shoppe 431 Ojai Rd Santa Paula, CA 93060 (805) 525-3335

Simi Valley Darmann Pharmacy 3907 Cochran St # C2 Simi Valley, CA 93063 (805) 306-1223 Golden Life Pharmacy 1960 Sequoia Ave Ste 3B Simi Valley, CA 93063 (805) 416-8700

Walgreens Home Care 5574 Everglades St Ste D Ventura, CA 93003 (888) 579-0917

Westlake Village The Medicine Shoppe 1250 La Venta Dr Ste 114 Westlake Village, CA 91361 (805) 497-3974

Yolo

Thousand Oaks Pas Specialty Pharmacy Services 60 N Rancho Rd Ste 7 Thousand Oaks, CA 91362 (805) 379-9200

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Woodland Corner Drug Company, INC. 602 Main St Woodland, CA 95695 (530) 662-2813

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 our plan’s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (eg., emergencies)

Butte

Lassen

Riverside

Oroville

Susanville

Banning

Feather River Tribe Health Pharmacy 2145 5th Ave Oroville, CA 95965 (530) 534-5394

Lassen Indian Health Center Pharmacy 795 Joaquin St Susanville, CA 96130 (530) 257-8581

Morongo Indian Health Clinic 11555 1/2 Potrero Rd Banning, CA 92220 (951) 849-4761

San Jacinto Soboba Indian Health Clinic 607 Donna Way San Jacinto, CA 92583 (951) 654-0803

Humboldt

Mono

Arcata

Bishop

United Indian Health Service Pharmacy 1600 Weeot Way Arcata, CA 95521 (707) 825-5020

Toiyabe Indian Health Project 52 N Tu Su Ln Bishop, CA 93514 (760) 873-4721

Hoopa

Placer

Kimaw Medical Center Pharmacy 1200 Airport Rd Hoopa, CA 95546 (530) 625-4114

Temecula Pechanga Indian Health Clinic Pharmacy 12784 Pechanga Rd Temecula, CA 92592 (951) 676-6810

San Bernardino

Auburn Chapa-De Indian Health Program 11670 Atwood Rd Auburn, CA 95603 (530) 887-2836

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San Bernardino San Manuel Indian Health Clinic Pharmacy 2210 E Highland Ave Ste 200 San Bernardino, CA 92404 (909) 864-1097

HEALTH NET

Indian Health Service / Tribal / Urban Indian Health Program I/T/U Pharmacies

San Diego

Sonoma

Campo

Santa Rosa

Southern Indian Health Council 36350 Church Rd Campo, CA 91906 (619) 445-1188

Sonoma County Indian Health Project 144 Stony Point Rd Santa Rosa, CA 95401 (707) 544-4585

El Cajon Sycuan Medical Center 5442 Sycuan Rd El Cajon, CA 92019 (619) 445-3518

Valley Center Indian Health Council Pharmacy 50100 Golsh Rd Valley Center, CA 92082 (760) 749-1410

Shasta Redding Redding Rancheria I.H.S. Pharmacy 1441 Liberty St Redding, CA 96001 (530) 224-2716

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This pharmacy directory was updated on 08/01/2014. For more recent information or other questions, please contact Health Net Member Services at HMO Plans: 1-800-275-4737, PPO Plans: 1-800-960-4638 or, for TTY users, 711, 8:00 a.m. to 8:00 p.m., seven days a week (automated telephone service is used on some weekends and holidays), or visit www.healthnet.com/medicare. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change on January 1 of each year. Health Net has a contract with Medicare to offer HMO, PPO, and HMO SNP plans. Enrollment in a Health Net Medicare Advantage plan depends on contract renewal. This information is available for free in other languages. Please call Member Services at the phone number listed above. Esta información está disponible en forma gratuita en otros idiomas. Por favor llame a nuestro número de servicio al cliente al número de teléfono que aparece arriba.