HealthSelect SM of Texas Extended Days' Supply Network Participating Pharmacy Directory (List Updated November 10, 2016) HealthSelect SM of Texas has introduced an extended days’ supply (EDS) network on June 1, 2010. Retail pharmacies in the EDS network will fill a 31- to 90-day supply of medicine with the same copayment* as a mail order prescription. Pharmacies in the EDS network will not charge you a maintenance fee for a 31- to 90-day supply. The following pharmacies are part of the EDS network:

Participating Chains AUBURN PHARMACY BAYLOR SCOTT AND WHITE PHCY BIG Y PHARMACY BROOKSHIRE BROTHERS PHARMACY BROOKSHIRE PHARMACY CARE PLUS CVS/PHARMACY CARRS-GOTTSTEIN FOODS CITY MARKET PHARMACY COMMUNITY PHARMACY CVS PHARMACY DILLON PHARMACY FRED MEYER PHARMACY FRYS FOOD & DRUG GERBES PHARMACY HAGGEN PHARMACY HARTIG DRUG CO HEB PHARMACY

KESSEL PHARMACY KING KULLEN PHARMACY KING SOOPERS PHARMACY KMART PHARMACY KROGER FOOD & DRUG LONGS DRUG STORE LONGS DRUGS LONGS PHARMACY MACEYS PHARMACY MARIANOS PHARMACY MEDICAL ARTS PHARMACY NAVARRO DISCOUNT PHARMACY NOVANT HEALTH PHARMACY PAVILIONS PHARMACY PHARMACARE PHARMACY PLUS QFC PHARMACY

Independents Pharmacies Located in Texas Pharmacy Name S AND J ALVORD PHARMACY PALAFOX PHARMACY ARLINGTON CANCER CENTER PHCY RANDOL MILL LTC PHARMACY RAY'S TOWN NORTH PHARMACY REVCO HEALTHCARE PHARMACY LONGHORN HEALTH SOLUTIONS NAUS ENFIELD LEGEND DRUG THE DAILY DOSE PHARMACY BLUE RIBBON PHARMACY MINYARD PHCY 55 STRICKLAND DRUGS COBURNS PHARMACY KENJURA PHARMACY INC NORMANS PHARMACY LTC ARTS PHARMACY GOLDSTAR PHARMACY TOTAL CARE PHARMACY

Address 115 E BYPASS 287 STE B 929 S MAIN ST 906 W RANDOL MILL RD 1014 N FIELDER RD STE 110 975 N COOPER ST 2505 E ARKANSAS LN #133 11310 W HIGHWAY 290 1115 W LYNN ST 4534 W GATE BLVD STE 111 3517 N MAIN ST 3300 HARWOOD RD 316 PECAN ST 101 S AUSTIN ST 303 N PARK ST 2103 S DAY ST 3354 INTERNATIONAL BLVD 4421 STATE HWY 6 S STE 300 1607 LIVE OAK ST

RALPHS RALPHS PHARMACY RANDALLS PHARMACY RITZMAN PHARMACY SAFEWAY PHARMACY SAMS CLUB PHARMACY SCOTTS PHARMACY SMITHS PHARMACY STERLING DRUG SUPER 1 PHARMACY SUPER RX PHARMACY TOM THUMB PHARMACY UNITED PHARMACY VONS PHARMACY WALMART PHARMACY YOKES PHARMACY

(in alphabetical order by city) City ALVORD ANTHONY ARLINGTON ARLINGTON ARLINGTON ARLINGTON AUSTIN AUSTIN AUSTIN BAYTOWN BEDFORD BLANCO BREMOND BRENHAM BRENHAM BROWNSVILLE COLLEGE STATION COMMERCE

ST TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX

Zip 76225 79821 76012 76012 76011 76010 78737 78703 78745 77521 76021 78606 76629 77833 77833 78521 77845 75428

Phone 940-427-2801 915-886-3394 817-543-4685 682-235-1025 817-274-8221 817-303-5100 866-210-5438 512-476-1221 512-334-9697 281-838-8025 817-540-3131 830-833-4815 254-746-7845 979-836-7922 979-836-8500 956-544-2959 979-690-9112 903-886-8888

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

FIFTY50 PHARMACY DAVY CROCKETT DRUG APPLE DRUGS PLLC PRIDE PHARMACY-CARLISLE LLC TEXAS RX PHARMACY II DE LEON PHARMACY SAVON DRUGS THE PHARMACY CENTER EAST COOK CHILDRENS HOME HEALTH HALLMARK PHARMACY WESTPOINT PHARMACY PHARMNET PRESCRIPTION SRVCS PLL GALLAGHERS PHARMACY PIERATTS PHARMACY LAKE RIDGE PHARMACY MINYARD PHARMACY HAMILTON CITY DRUG HENRIETTA PHARMACY 1960 FAMILY PHARMACY AIRLINE PHARMACY ASSOCIATES LLC BIG TEX PHARMACY LLC BLACK HAWK PHARMACY BLUEBONNET APOTHECARY SERVICES C & E PHARMACEUTICAL CK PHARMACY CONTENTS TRADER INC CPRX PHARMACY D.N.A. PHARMACY INC DISTINGUISHED PHARMACY EMMONS PHARMACY EXPRESS PHARMACY FAMILYCARE PHARMACY PLLC FARMACIA ETC MADONNA PHARMACY INC SPRING PARK PHARMACY STERLING PHARMACY TIDWELL PHARMACY VAC PHARMACY INC WELLNESS PLUS PHARMACY INC DOYFRAN PHARMACY PRIZE PHARMACY LOPERS FAMILY PHARMACY SINA PHARMACY BEAR CREEK PHARMACY LLC RAYS PHARMACY HILLIARD DRUGS EL RIO PHARMACY EL RIO PHARMACY RAYS PHARMACY INC SANITARIUM DRUG COMPANY MED AID PHARMACY- BICENENNIAL MINYARD PHARMACY 73

440 WRANGLER DR #500 107 S 4TH ST 4811 COLUMBIA AVE # B 4015 LEMMON AVE # 4001 11613 N CENTRAL EXPWY STE 114 309 S TEXAS ST 123 LEVERIDGE ST 3100 N LEE TREVINO DR STE F 1719 8TH AVE 1316 SYCAMORE SCHOOL RD STE 13 9501 CLIFFORD ST STE E 8200 STONEBROOK PKWY STE 106 3201 S AUSTIN AVE STE 110 233 S MANSE AVE 4927 LAKE RIDGE PKWY STE 180 4000 WILLIAM D TATE AVE 105 E HENRY ST 124 N BRIDGE ST 837 CYPRESS CREEK PKY STE 105A 11012 AIRLINE DR STE A 10900 GULF FRWY STE A3 17027 NANES DR 9000 RICHMOND AVE STE 200 9627 BISSONNET 5990 AIRLINE DR STE 150 10026 LONGPOINT RD. STE A 850 FM 1960 W STE J 9419 MESA DR 12134 BEECHNUT STREET 9555 W SAM HOUSTON PKWY S # 18 6728 HIGHWAY 6 S 12060 BELLAIRE BLVD 6430 HILLCROFT ST STE 100B 10333 HARWIN DR STE 450 510 WAUGH DR STE B 9798 BELLAIRE BLVD STE B 2310 TIDWELL RD 10550 W BELLFORT STE 150 13141 FM 1960 WEST STE 200 9701 N SAM HOUSTON PKWY E 9761 FM 1960 BYPASS RD W 116 HWY 69 N 3815 N FRY RD STE 600 101B BEAR CREEK PKWY 301 W MANSFIELD HWY 1001 NW 2ND STE #300 2100 CORPUS CHRISTI ST STE 9 6801 MCPHERSON AVE STE 102 1831 E BROAD ST STE 101 156 COLEMAN ST 400 S BICENTENNIAL BLVD 3001 HARDIN BLVD

COPPELL CROCKETT DALLAS DALLAS DALLAS DE LEON EAST BERNARD EL PASO FORT WORTH FORT WORTH FORT WORTH FRISCO GEORGETOWN GIDDINGS GRAND PRAIRIE GRAPEVINE HAMILTON HENRIETTA HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HOUSTON HUMBLE HUMBLE HUNTINGTON KATY KELLER KENNEDALE KERENS LAREDO LAREDO MANSFIELD MARLIN MCALLEN MCKINNEY

TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX

75019 75835 75226 75219 75243 76444 77435 79936 76110 76134 76108 75034 78626 78942 75052 76051 76531 76365 77090 77037 77034 77090 77063 77036 77076 77071 77090 77028 77072 77099 77083 77072 77081 77036 77019 77036 77093 77031 77065 77396 77338 75949 77449 76248 76060 75144 78043 78041 76063 76661 78501 75070

972-243-2727 936-544-2275 214-821-4008 214-954-7389 214-361-9228 254-893-2666 979-335-4810 915-595-1177 682-885-6294 817-293-2441 817-246-6600 972-712-0649 512-763-4400 979-542-3164 972-522-7606 817-684-9211 254-386-3121 940-538-4361 281-453-7205 281-260-9927 713-283-1310 281-919-1905 713-691-6200 713-773-1125 713-697-0610 713-461-3344 832-249-8551 713-633-3362 281-495-0201 832-582-8758 281-988-6000 281-933-3573 713-771-0061 832-831-8114 832-538-1380 713-995-8885 713-694-5977 281-495-4331 832-604-7418 281-973-8129 281-973-8683 936-422-4440 281-717-4521 817-562-4766 817-478-8225 903-396-2214 956-723-2001 956-796-9600 817-473-1145 254-883-3541 956-618-3100 972-547-7110

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

RICHARDS PHARMACY CROSSROADS PHARMACY, LLC KEARNEY PARK PHARMACY ALL CARE PHARMACY MISSION PLAZA PHARMACY FORT BEND RX PHARMACY NEWTON PHARMACY WESTSIDE PHARMACY RRX PHARMACY THE PFLUGERVILLE PHARMACY HOMETOWN PHARMACY RAYMONDVILLE FAMILY PHARMACY BROADWAY PHARMACY DUNCAN PHARMACY INC LIFEWATCH PHARMACY RAST RX SHALLOWATER PHARMACY SCRIPTS PHARMACY NORTH SHORE PHARMACY ACCU-CARE PHARMACY TRINITY NORTH PHARMACY TOMBALL ATRIUM UNTD DRUGS TROUP LEGEND PHARMACY CHAPEL HILL PHARMACY LSL, INC DBA WHITEHOUSE PHARMAC WILCOX PHARMACY

Independents Pharmacies Pharmacy Name UAB HIGHLANDS APOTHECARY COURTLAND DISCOUNT PHARMACY GATEWAY DSCNT APOTHECARY INC. CLEBURNE PHARMACY NORTH ALABAMA INFSN & COMPOUN DUNKIN'S PHARMACY CABOT MEDICAL PARK PHCY INC CAVE CITY PHARMACY FAMILY MEDICAL CENTER PHCY INC MEDICAL CENTER PHARMACY WEST JAMESON RX WADHAMS APOTHECARY INC PLANNED PARENTHOOD AZ MEADOWMONT PHARMACY VITAL COMPOUNDING SPECIALTY PHC BELL DRUGS FISHERS BREA PHARMACY CARUTHERS PHARMACY STAR DRUG RX CARE PHARMACY OLYMPIC GERHART PHARMACY MRX PHARMACY

8030 N FM 1015 STE A 3220 GUS THOMASSON RD STE 237 502 W KEARNEY ST STE 900 1441 S MIDLOTHIAN PKWY #140 906 S BRYAN RD STE 101 1100 FM 1092 RD STE D 104 W COURT ST 200 N PALMVIEW DR 6243 FAIRMONT PKWY STE 103 15608 SPRING HILL LN STE 114 132 W MAIN ST 180 N 7TH ST 6100 BROADWAY ST 3110 NOGALITOS STE 107 2550 BOARDWALK ST 19272 STONE OAK PKWY STE 101 1502 12TH ST STE B 20423 KUYKENDAHL RD STE 250 113 STAR GRASS STE 100 3745 HIGHWAY 6 6053 MAIN STREET SUITE 120 425 HOLDERRIETH BLVD STE 111 501 W DUVAL ST 12445 STATE HIGHWAY 64 E 301 STATE HIGHWAY 110 N 415 STATE HWY 124

MERCEDES MESQUITE MESQUITE MIDLOTHIAN MISSION MISSOURI CITY NEWTON PALMVIEW PASADENA PFLUGERVILLE POST RAYMONDVILLE SAN ANTONIO SAN ANTONIO SAN ANTONIO SAN ANTONIO SHALLOWATER SPRING SPRING BRANCH SUGAR LAND THE COLONY TOMBALL TROUP TYLER WHITEHOUSE WINNIE

TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX TX

78570 75150 75149 76065 78572 77459 75966 78572 77505 78660 79356 78580 78209 78225 78217 78258 79363 77379 78070 77478 75056 77375 75789 75707 75791 77665

956-565-6774 972-682-4971 972-329-1168 972-775-5222 956-581-8833 281-969-7611 409-379-9999 956-584-3458 281-991-3441 512-990-5226 806-495-2535 956-689-6337 210-824-3322 210-532-1345 855-366-6109 210-787-3394 806-832-0250 832-610-3480 830-214-2920 832-939-9052 214-494-6222 281-351-8239 903-842-3074 903-566-0326 903-839-4391 409-296-2497

ST AL AL AL AL AL AL AR AR AR AR AZ AZ AZ CA CA CA CA CA CA CA CA CA

Zip 35205 35618 35553 36264 35661 35405 72023 72521 72204 72143 85226 86004 85032 95223 93301 90201 92821 93609 91711 93210 90022 90241

Phone 205-984-7862 256-637-8050 205-489-2572 256-463-2197 256-389-9297 205-345-4410 501-941-2626 870-283-5589 501-562-3314 501-268-3456 480-659-3466 928-774-5004 602-263-4232 209-795-1155 661-432-7922 323-562-1006 714-529-2113 559-864-3177 909-626-4444 559-935-8833 323-722-1515 562-803-1312

(in alphabetical order by state then city) Address 1201 11TH AVE S 369 HAMILTON ST 26289 HIGHWAY 195 875 ROSS ST 2711 2ND ST 7700 HWY 69 SOUTH STE A 2039 W MAIN ST STE D 301 S MAIN STE C 4202 S UNIVERSITY AVE 2505 W BEEBE CAPPS EXPY #100 3800 W RAY RD STE 5 3100 N WEST ST STE 200A 3131 E THUNDERBIRD RD STE 48 2182 HIGHWAY 4 UNIT C230 2528 CHESTER AVE 3809 GAGE AVE 385 W CENTRAL AVE STE E 2436 W TAHOE 863 W FOOTHILL BLVD 155 S 5TH SUITE A 5724 E OLYMPIC BLVD 12101 WOODRUFF AVE STE C

City BIRMINGHAM COURTLAND DOUBLE SPRINGS HEFLIN MUSCLE SHOALS TUSCALOOSA CABOT CAVE CITY LITTLE ROCK SEARCY CHANDLER FLAGSTAFF PHOENIX ARNOLD BAKERSFIELD BELL BREA CARUTHERS CLAREMONT COALINGA COMMERCE DOWNEY

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

DREW CENTER PHARMACY TLC XPRESS PHARMACY FRAZIER PARK PHARMACY VN DRUGS GLENDALE SQUARE PHARMACY KENNETH ROAD PHARMACY INC IRVINE WELLNESS IVANHOE PHARMACY ARC INFUSION CORP SOUTH COAST CENTER WEST PHARMA ADVANCED CARE PHARMACY INLAND COMPOUNDING PHARMACY HARTLEY MEDICAL CENTER PHCY COLUMBUS PHARMACY FARMACIA DEL REY MISSION ROAD PHARMACY MRP RAMONA PROFESSIONAL PHARMACY INNOVATIVE COMPOUNDING PHARM WELLS DRUG HOMA INC SCIENCE PHARMACEUTICAL PHCY NORTH OAKLAND PHARMACY THE APOTHECARY CITY CENTER PHARMACY INC MYDREXA COMPOUNDING PHARMAC CENTRAL BEST PHARMACY LOS PALOS GSTRLGY ANCILLARY SVC CARE PHARMACY KOSHLAND PHARM SANTA CLARA DRUG 10TH STREET MEDICAL PHARMACY ANCHOR DRUGS III VENICE FAMILY ROYAL HILLS PHARMACY LANVY PHARMACY PIH COMMUNITY PHARMACY, LLC WOODLAND HEALTHCARE PHARMACY MIRAMONT FAMILY MEDICINE MIRAMONT FAMILY MEDICINE WESTERN COLORADO SPLTY PHCY CLEARSPRING PHARMACY MIRAMONT FAMILY MEDICINE MIRAMONT FAMILY MEDICINE BENDER MEDICAL GROUP, INC BEACON PRESCRIPTIONS SOUTH ST KABAFUSION WILLIAM M DEMARCHI MD PA MCHILLS PHARMACY THE MEDICINE SHOPPE LAKE ONE PRO PHCY INC CITRUS HEALTH NETWORK

2111 UNIVERSITY AVE # B 10810 WARNER AVE STE 3 3544 MT PINOS WAY 13075 HARBOR BLVD 1010 N GLENDALE SUITE 106 1400 W KENNETH RD 113 WATERWORKS WAY # 160 33060 ROAD 159 6940 WALKER ST STE 2 31852 COAST HWY STE 103 22642 LAMBERT ST STE 404 24747 REDLANDS BLVD SUITE F 113 W VICTORIA ST 861 N BROADWAY 4055 E OLYMPIC BLVD 1155 N MISSION RD 1902-1910 MARENGO ST STE 200 616 N GARFIELD AVENUE STE 101 41538 EASTMAN DR 2403 E PLAZA BLVD 6428 COLDWATER CANYON AVE 7225 FULTON AVE # H 5705 MARKET ST 7200 BANCROFT AVE STE 268 1270 E LELAND RD STE 102 15644 POMERADO RD STE 303 4100 CENTRAL AVE STE 100 1081 LOS PALOS DR 5065 EL CAJON BLVD 301 FOLSOM ST STE B 2453 FOREST AVE 1450 10TH ST STE 100 161 SOUTH SPRUCE AVE 604 ROSE AVE 7301 MEDICAL CENTER DR STE 106 14971 BROOKHURST ST STE A 12462 PUTNAM STREET 632 W GIBSON RD 4674 SNOW MESA DR STE 140 1014 CENTRE AVE 2472 PATTERSON RD, #12 200 W COUNTY LINE RD STE 260 3850 N.GRANT AVE STE 100 12543 N HIGHWAY 83 STE 228 7950 6TH ST 57 SOUTH ST 3500 NW BOCA RATON BLVD #704 9878 CLINT MOORE RD STE 202 1158 5TH ST 948 ORANGE AVE 4849 LAKE WORTH RD 4175 W 20TH AVE

EAST PALO ALTO FOUNTAIN VALLEY FRAZIER PARK GARDEN GROVE GLENDALE GLENDALE IRVINE IVANHOE LA PALMA LAGUNA BEACH LAKE FOREST LOMA LINDA LONG BEACH LOS ANGELES LOS ANGELES LOS ANGELES LOS ANGELES MONTEREY PARK MURRIETA NATIONAL CITY NORTH HOLLYWOOD NORTH HOLLYWOOD OAKLAND OAKLAND PITTSBURG POWAY RIVERSIDE SALINAS SAN DIEGO SAN FRANCISCO SAN JOSE SANTA MONICA SOUTH SAN FRANCISC VENICE WEST HILLS WESTMINSTER WHITTIER WOODLAND FORT COLLINS FORT COLLINS GRAND JUNCTION HIGHLANDS RANCH LOVELAND PARKER WELLINGTON BRISTOL BOCA RATON BOCA RATON CLERMONT DAYTONA BEACH GREENACRES HIALEAH

CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CA CO CO CO CO CO CO CO CT FL FL FL FL FL FL

94303 92708 93225 92843 91206 91201 92618 93235 90623 92651 92630 92354 90805 90012 90023 90033 90033 91754 92562 91950 91606 91605 94608 94605 94565 92064 92506 93901 92115 94105 95128 90401 94080 90291 91307 92683 90602 95695 80528 80526 81505 80129 80538 80134 80549 06010 33431 33496 34711 32114 33463 33012

650-321-1449 714-465-2431 661-245-3771 714-638-2888 818-548-8040 818-242-4158 949-788-9990 559-798-1219 714-522-8802 949-499-0885 949-347-8881 909-478-3842 562-595-7548 213-622-2777 323-262-8230 323-227-4646 323-227-8883 626-288-8515 951-304-9530 619-267-8882 818-308-6440 818-759-7223 510-652-7536 510-638-7323 925-432-9770 858-726-2614 951-823-0273 831-771-1458 619-501-8046 415-344-0600 408-296-5015 310-394-5405 650-360-5300 310-664-7756 818-887-7380 714-531-2828 562-789-5412 530-668-2646 970-482-0213 970-482-8881 970-243-5050 303-795-4300 970-482-0213 303-805-5528 970-568-4800 860-583-1006 877-309-2207 561-451-2454 352-394-1333 386-310-7900 561-433-3330 305-424-3177

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

FLORIDA PHARMACY INC MELISSA PHARMACY DISC DOCTORS CHOICE PHARMACY PRIME PHARMACY, LLC PHARMACY EXPRESS SUPREME RX BENZER PHARMACY CASTILLA 87 PHARMACY EIGHTY EIGHT PHARMACY AND DISCO LA GANGA DISCOUNT PHARMACY LA REINA PHARMACY NEPTUNE BEACH PHARMACY PEPPER TREE PHARMACY A & M PHARMACY LIFE WORTH LIVING FOUNDATION ROSEMONT DISCOUNT PHARMACY PHARMACY MEDICAL SERVICES INC WATER'S EDGE DERMATOLOGY LLC OLSON LIGGETT DRUG DIRECT PHARMACY SOURCE INC BARNES HEALTHCARE SERVICES TOP RX PHARMACY ANOINTED PHARMACY BRIARCLIFF PHARMACY INC PHARMALIFE LTC CPM PHARMACY MEDICINE CENTER OF ATLANTA GA TIGER TOWN PHARMACY DOLLAR PRESCRIPTION SHOP PYRAMID DISCOUNT PHARMACY RAY DRUG COMPANY RUTLEDGE PHCY & MED SUPPLIES MANAGED HEALTH SOLUTIONS LARRYS PHARMACY GOOD HEALTH PHARMACY LLC MAUI CLINIC PHARMACY LIHUE PROFESSIONAL PHARMACY MAKAWAO TOWN PHARMACY MANSMITH PHARMACY LEE PHARMACY CLAYTON DRUG CLAYTON DRUG AMICARE PHARMACY, INC. MEDNOW PHARMACY AT ST ALPHONS ISVH L PHARMACY MED NOW PHARMACY JACK'S PHARMACY INC HIGH STREET PHARMACY PHARMACY PLUS INC PEACE PHARMACY MASON CITY PHARMACY MULCAHY PHARMACY

5366 W 12TH AVE 634 E 9TH ST 8811 STATE ROAD 52 STE 12 7685 103RD ST STE 4 22 BROADWAY 1611 N FLORIDA AVE 11509 DR MLK JR BLVD 890 SW 87TH AVE STE 17 7471 SW 8TH ST 2955 NW 17TH AVE 455 SW 17TH AVE 1529 ATLANTIC BLVD 5854 SE 5TH ST 6564 OLD WINTER GARDEN RD 6488 CURRIN DR # 100 5832 N ORANGE BLOSSOM TRL 201 NW 70TH AVE # D-E 1400 SE GOLDTREE DR 75 S TUTTLE AVE 4574 N HIATUS RD 2524 CATHAY CT 1420 W WATERS AVE STE 101 32733 EILAND BLVD STE 103 2724 CLAIRMONT RD NE 2915 PIEDMONT RD STE B 3870 MEDICAL PARK DR 3650 CHAMBLEE TUCKER RD 2025 HOMER RD 537 HARDEE ST 1185 CLEVELAND AVE 234 N JEFFERSON AVE 2470 LEONE AVE STE E 3070 BUSINESS PARK DR STE A 1710 ALICE ST 1120 MAUNAKEA ST STE 173 53 S PUUNENE AVE 3-3420 B STE 101 KUHIO HWY 1120 MAKAWAO AVE 3204 1ST ST 601 FIRST ST 104 W MISSION ST 100 E 1ST ST 1015 S HACKETT RD 999 N CURTIS RD STE 102 821 21ST AVE 1512 12TH AVE RD 103 E COLLEGE AVE 2320 HIGH ST 508 N MAIN ST 2320 S WENTWORTH AVE 149 E CHESTNUT 2160 S 1ST AVE

HIALEAH HIALEAH HUDSON JACKSONVILLE KISSIMMEE LAKELAND MANGO MIAMI MIAMI MIAMI MIAMI NEPTUNE BEACH OCALA ORLANDO ORLANDO ORLANDO PLANTATION PORT SAINT LUCIE SARASOTA SUNRISE TALLAHASSEE TAMPA WESLEY CHAPEL ATLANTA ATLANTA AUSTELL CHAMBLEE COMMERCE DALLAS EAST POINT EATONTON LOGANVILLE NORCROSS WAYCROSS HONOLULU KAHULUI LIHUE MAKAWAO EMMETSBURG KEOSAUQUA STRAWBERRY PT SUMNER WATERLOO BOISE LEWISTON NAMPA SAINT MARIES BLUE ISLAND CARROLLTON CHICAGO MASON CITY MAYWOOD

FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL FL GA GA GA GA GA GA GA GA GA GA GA HI HI HI HI IA IA IA IA IA ID ID ID ID IL IL IL IL IL

33012 33010 34667 32210 34741 33805 33550 33174 33144 33142 33135 32266 34472 32835 32835 32810 33317 34952 34237 33351 32308 33604 33545 30329 30305 30106 30341 30529 30132 30344 31024 30052 30071 31501 96817 96732 96766 96768 50536 52565 52076 50674 50701 83706 83501 83686 83861 60406 62016 60616 62664 60153

305-556-0061 305-887-9591 727-697-3700 904-345-3032 407-483-5880 863-940-4733 813-661-2263 305-551-7778 305-264-8404 305-635-5007 305-643-6676 904-685-4919 352-622-5601 407-250-4822 407-522-5683 407-822-1121 954-641-1448 561-694-9493 941-366-0090 954-233-0100 912-531-1961 813-767-1708 813-388-2908 404-728-0092 404-261-7775 770-948-6824 770-934-7703 706-335-0099 770-445-5974 404-559-0715 706-485-3081 770-728-9624 770-496-5314 912-283-1151 808-523-9882 808-877-6222 808-245-3800 808-573-1055 712-852-2727 319-293-3128 563-933-4762 563-578-5068 319-292-6600 208-367-4847 208-799-3422 208-463-5355 208-245-4578 708-388-0033 217-942-3427 312-842-2500 217-482-5985 708-216-9100

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

ROCK VALLEY COMPOUNDING PHCY LA GRANGE ROAD PHARMACY CRITICAL HOME CARE PHARMACY IN UNIV STUDENT HLTH CTR PHCY FAIRMEADOWS PHARMACY H & R PHARMACY INC A P & S PHARMACY INC IRWIN-POTTER DRUG THE MEDICINE STORE CHERRYVALE PHARMACY GREENHAW PHARMACY VILLAGE PEDIATRICS LLC PAUL'S PHARMACY GRANT COUNTY DRUG JCB LABORATORIES WINCHESTER PHARMACY KIMPER PHARMACY THE SKIN GROUP DISPENSARY LLC MEDICINE MARKET PHARMACY APOTHECARY SHOPPE INC CARTER FAMILY PHARMACY PARKER PROFESSIONAL PHARMACY SIMS DRUG RAYS APOTHECARY PHARMACY RAY'S PHARMACY THE PILL BOX THE PILL BOX PHARMACY PRESCRIPTION COMPOUNDS PRESCRIPTIONS PLUS & GIFTS LLC NEW PARRINO DRUG STORE NORTHSIDE FAMILY PHARMACY INC IV SERVICES CENTRAL REXALL DRUGS INC PEGASUS BIOLOGICS, LLC TEDS PHARMACY PEOPLES DRUG STORE INC HONEYCUTT DRUG STORE FAMILY PHARMACY PALLIATIVE PHCY SOLUTIONS LLC LADY OF THE SEA COMMUNITY PHCY TOMPKINS PHARMACY REEDS FAMILY PHARMACY MANGHAM RX MANSURA DRUG STORE MELVILLE PHARMACY BROUSSARDS PHARMACY KEN'S THRIFTY WAY PHARMACY EVANS DRUG MART PINE PRAIRIE PHARMACY, INC. CHRIS' PHARMACY-PORT VINCENT LACOURS PHARMACY MEDIC PHARMACY OFBASTROP,INC.

811 S PERRYVILLE RD STE 109 17495 LA GRANGE RD 401 E NORTH AVE STE 16 600 N JORDAN AVE 800 MACARTHUR BLVD STE 32 27 MAIN ST 221 S 6TH ST 202 W MAIN ST 15415 PINEHURST DR 203 W MAIN ST STE A 508 S ASH ST 8340 MISSION RD, SUITE 100 461 E POYNTZ AVE 219 N MAIN ST 7335 W 33RD ST N 408 DELAWARE ST 51 UPPER JOHNS CRK 444 S 1ST ST STE 100 10870 MAIN ST 1520 CUBA RD 136 JESSICA LN STE E 8857 META HWY STE 1 319 E MAIN ST 3311 PRESCOTT RD STE 110 78A VERSAILLES BLVD 4740 JACKSON STREET EXT 403 BOLTON AVE 5302 O'DONOVAN DR 8080 BLUEBONNET BLVD STE 2000 208 SW MAIN ST 850 COCKERHAM RD 1581 CAROL SUE AVE STE E 125 E THOMAS ST 5700 CITRUS BLVD STE D 1866 MAIN ST 7869 MAIN ST 2835 E OAK STREET 500 ALEXANDER ST 620 GUILBEAU RD STE D 13086 HIGHWAY 3235 2064 W MAIN ST 1009 6TH ST 104 LOUISIANA STREET 2043 LEGLISE ST 320 CHURCH ST 600 W SAINT PETER ST 517 E PRUDHOMME ST 64288 HIGHWAY 41 10711 VETERANS MEMORIAL HWY 18590 LA HIGHWAY 16 STE 2 16237 HIGHWAY 1 601 HIGHWAY 2

ROCKFORD TINLEY PARK VILLA PARK BLOOMINGTON MUNSTER POSEYVILLE TERRE HAUTE ANTHONY BASEHOR CHERRYVALE HILLSBORO LEAWOOD MANHATTAN ULYSSES WICHITA WINCHESTER KIMPER LOUISVILLE MARTIN MAYFIELD OLIVE HILL PIKEVILLE WILMORE ALEXANDRIA ALEXANDRIA ALEXANDRIA ALEXANDRIA BATON ROUGE BATON ROUGE BUNKIE DENHAM SPRINGS GRETNA HAMMOND HARAHAN HAYNESVILLE HOUMA JENA JONESBORO LAFAYETTE LAROSE LUTCHER MAMOU MANGHAM MANSURA MELVILLE NEW IBERIA OPELOUSAS PEARL RIVER PINE PRAIRIE PORT VINCENT SIMMESPORT STERLINGTON

IL IL IL IN IN IN IN KS KS KS KS KS KS KS KS KS KY KY KY KY KY KY KY LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA LA

61108 60477 60181 47405 46321 47633 47807 67003 66012 67335 67063 66206 66502 67880 67205 66097 41539 40202 41649 42066 41164 41501 40390 71301 71303 71303 71301 70808 70810 71322 70726 70056 70401 70123 71038 70360 71342 71251 70506 70373 70071 70554 71259 71350 71353 70560 70570 70452 70576 70726 71369 71280

779-423-0542 708-226-7100 630-530-0280 812-855-8103 219-836-8700 812-874-2815 812-242-3855 620-842-5119 913-724-3666 316-336-2144 620-947-3784 913-642-2100 785-539-1717 620-356-1446 316-773-0405 913-774-3328 606-631-3327 502-814-1970 606-285-9280 270-247-3111 606-286-2029 606-631-9999 859-858-2453 318-448-6541 318-619-7772 318-448-2445 318-528-8765 225-766-9577 225-408-6650 318-346-7204 225-664-9520 504-394-9037 504-345-5120 504-281-4408 318-624-1053 985-873-8526 318-992-4574 318-259-7334 337-262-9777 985-693-9260 225-869-3535 318-468-5207 318-248-2345 318-964-2104 337-623-9992 337-364-2381 337-942-7551 985-863-3100 337-599-2050 225-698-6888 318-941-2423 318-665-4414

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

BRINKHAUS THRIFTY WAY PHARMACY BLAKE'S SOUTHSIDE PHARMACY HARDIN'S COMPOUNDING PHCY, LLC ONCOMED NEIGHBORHOOD PHARMACY WEST CECIL PHARMACY HOPE FOR ALL PHARMACY & STORES I YORK HOSPITAL BERWICK PHARMACY WALTZ LONG TERM CARE PHARMACY TREWORGY PHARMACY HELEN HUNT HEALTH CENTER PHARM YORK HOSPITAL APOTHECARY ROGERS PHARMACY OF CAPAC ARFSTROM PHARMACY HEIGHTS RX STAR PHARMACY MCLAREN LONG-TERM CARE PHCY MILLER ROAD PHARMACY QD PHARMACY ROGERS PHARMACY CDS PHARMACY HACKLEY HLTHCR EQUIP AND PHCY HILL'S PRESCRIPTION SHOP MEDWINS PHARMACY ARFSTROM PHARMACY SAULT COMMUNITY PHARMACY MAC DONALD DRUG BRIGHT SKY RX CARE PHARMACY RX EXPRESS PHARMACY WAYNE FAMILY PHARMACY ALBANY APOTHECARY MERIT CARE NORTH PHARMACY SIVERSONS DRUG STORE FIRST CHOICE PHARMACY HHHCC ONCOLOGY PHARMACY ONAMIA DRUG SPRING PARK PHARMACY WATERTOWN PHARMACY KREISLER COUNTRY PHARMACY RED CROSS LTC PHARMACY NORTH COUNTY HEALTH CENTER SHERRIS PHARMACY SERVICES WHALEY'S WEST SIDE PHARMACY ROGERS PHARMACY RED CROSS PHARMACY BUTLER DRUG STORE INC ALBERS SPECIALTY PHARMACY ROGERS PHARMACY THE PHARMACY AT APPLE MARKET N MISSOURI HEALTH INFUSION RED CROSS PHARMACY

127 ACORN DR 808 S CHATAIGNIER ST 100 WESTLAND PL STE C 150 BEAR HILL ROAD 15 COMMONWEALTH AVE 49 ROCK SPRINGS RD 1425 UNIVERSITY BLVD E STE 151 4 DANA DRIVE 3 BUSINESS PKWY STE 2 333 MAIN ST 242 BRUNSWICK ST 15 HOSPITAL DR 3433 CAPAC RD STE 3 4 EAST M 134 25150 FORD RD STE 120 13325 LIVERNOIS AVE 1454 W CENTER RD STE 2 5097 MILLER RD 1710 W MAIN ST 316 W NEPESSING ST 111 MARSHALL ST 6401 PRAIRIE ST STE 1100 404 HAZEN ST 301 E GENESEE ST STE 100 415 ASHMUN ST 560 OSBORN BLVD 512 PHOENIX ST 23247 PINEWOOD ST, STE 100 6300 COMMERCE DR 6149 N WAYNE RD 244 N WAYNE RD 509 RAILROAD AVE 1705 ANNE ST NW STE 3-7 118 S MAIN ST BOX 65 255 CREEK LN S 3435 W BROADWAY AVE STE 1135 516 MAIN STREET 4689 SHORELINE DR STE 100 204 LEWIS AVE S STE 101 121 W 4TH ST 401 MAIN ST 2796-98 NORTH HIGHWAY 67 108 S MAIN ST 3526 AMAZONAS DR 607 STATE ST 400 W CLAY AVE 222 E MAIN ST 616 NW PLATTE VALLEY DR 2524 FREDERICK AVE 903 N 36TH ST 2319 WELDON PKWY 227 S BROADWAY

SUNSET VILLE PLATTE WEST MONROE WALTHAM WOBURN CONOWINGO HYATTSVILLE BERWICK BRUNSWICK CALAIS OLD TOWN YORK CAPAC CEDARVILLE DEARBORN HEIGHTS DETROIT ESSEXVILLE FLINT KALAMAZOO LAPEER LITCHFIELD MUSKEGON PAW PAW SAGINAW SAULT SAINTE MARIE SAULT SAINTE MARIE SOUTH HAVEN WARREN WESTLAND WESTLAND WESTLAND ALBANY BEMIDJI HENDRICKS JORDAN MINNEAPOLIS ONAMIA SPRING PARK WATERTOWN APPLETON CITY BELTON FLORISSANT GRANT CITY JEFFERSON CITY MOUND CITY PLATTSBURG PORTAGEVILLE RIVERSIDE SAINT JOSEPH SAINT JOSEPH SAINT LOUIS SALISBURY

LA LA LA MA MA MD MD ME ME ME ME ME MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MI MN MN MN MN MN MN MN MN MO MO MO MO MO MO MO MO MO MO MO MO MO

70584 70586 71291 01760 01801 21918 20783 03901 04011 04619 04468 03909 48014 49719 48127 48238 48732 48507 49006 48446 49252 49444 49079 48607 49783 49783 49090 48091 48185 48185 48185 56307 56601 56136 55352 55422 56359 55384 55388 64724 64012 63033 64456 65109 64470 64477 63873 64150 64506 64506 63146 65281

337-662-5236 337-363-7497 318-388-5592 877-662-6033 781-486-0000 443-731-2988 301-434-3990 207-698-6740 207-373-9077 207-454-3100 207-992-4100 207-351-2150 810-395-1880 906-484-3355 313-277-4044 313-978-6839 989-316-4280 810-228-3304 269-459-9648 810-664-0600 517-542-7770 231-727-7968 269-657-4701 989-755-7998 906-632-9661 906-632-2122 269-637-1161 866-576-5040 734-728-4030 734-525-6000 734-728-6400 320-845-4220 218-333-4770 507-275-3323 952-492-3334 763-520-1061 320-532-3633 952-471-3784 952-955-2153 660-476-2142 816-892-1200 314-921-4445 660-564-3784 573-659-0650 660-442-3355 816-539-2121 573-379-5469 816-778-8050 816-232-3348 816-260-6346 314-735-0050 660-388-5221

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

SARCOXIE PHARMACY PRATERS PHARMACY ROGERS PHARMACY PIONEER FAMILY PHARMACY OF ABER TOWNE PHARMACY MEDICAL ARTS PHARMACY MARTYS PHARMACY AND COMPOUN CORNER DRUG STORE OXFORD FAMILY PHARMACY ADVANCED INFUSION SOLUTIONS RIDGELAND DISCOUNT DRUGS COLSTRIP FAMILY PHARMACY EUREKA DRUG COMMUNITY RX ARMC EXTENDED CARE PHARMACY ADVANCED HOME CARE MCLARTY DRUG COMPANY FAMILY PHARMACY & HOME MEDICAL WALKER'S PHARMACY OF NEWTON IN QUAIL CORNERS PHARMACY WAKEMED FOUR STAR DRUG OF BETHANY FOUR STAR DRUG OF LINCOLN DIABETES SUPPLY CTR OF THE MIDLA RXSOLUTIONS FOUR STAR DRUG OF WAVERLY BARNAS RX DRUGS HEALTH FIRST PHARMACY ZACK'S PHARMACY AND GIFTS LAWRENCE PHARMACY HOMETOWN PHARMACY LEGACY HADDON PHARMACY PARKWAY CENTRAL PHARMACY ABELS PHARMACY HARRIS PHARMACY INC VALUE PLUS PHARMACY BELVIDERE PHARMACY VERONICA PHARMACY COMMUNITY CARE RX NJ UNIQUE CARE PHARMACY ASTORIA PHARMACY EAST TREMONT PHARMACY TONE PHARMACY BUSHWICK PHARMACY INC LIEB PHARMACY MILL PARK PHARMACY JNR PHARMACY PROMED PHARMACY CONFUCIUS MANNINGS PHARMACY SUPERIOR BIOLOGICS NY, INC CAYUGA EMPLOYEE PHARMACY

1408 HIGH ST 1711 CHEROKEE AVE 411 MAIN ST 502 JACKSON ST STE 1 6 SIEBENKITTEL CIR STE B 504 MILITARY RD 1042 RIVER OAKS DR 101 W RAILROAD AVE N 2209 S LAMAR BLVD 623 HIGHLAND COLONY PKWY #100 297 HIGHWAY 51 STE E 6230 MAIN ST STE B101 546 US HIGHWAY 93 N 2835 FORT MISSOULA RD 1840 BROOKWOOD AVE 4001 PIEDMONT PKWY 819 N MAIN ST STE 112 338 HOWARD BLVD 33 N COLLEGE AVE 5039 FALLS OF NEUSE RD 3000 NEW BERN AVE 1340 N 66TH ST 1265 S COTNER BLVD 2910 S 84TH ST 11722 STONEGATE CIR 13851 GUILDFORD ST STE D 124 W 3RD ST 600 ATLANTIC CITY BLVD 15 GREENWICH ST 964 STATE ROUTE 173 2940 YORKSHIP SQ 2050 SPRINGDALE RD UNIT 500 330 HADDON AVE 185 CENTRAL AVE 635 GROVE ST 519 BROADWAY 563 BROAD ST 349 SOMERSET ST 84 VERONICA AVE 225 ROUTE 46 W STE 4 4571 W FLAMINGO RD 29-36 30TH AVE 1065 E TREMONT AVE 2268 GRAND CONCOURSE 1486 DEKALB AVE 5006 16TH AVE 6602 AVENUE U 667 STONELEIGH AVE STE 114 537 E MEADOW AVE 36 22 MAIN ST 200 SAW MILL RIVER RD 101 DATES DR SECOND FLOOR

SARCOXIE SENECA TARKIO ABERDEEN CARRIERE COLUMBUS FLOWOOD MAGNOLIA OXFORD RIDGELAND RIDGELAND COLSTRIP EUREKA MISSOULA BURLINGTON HIGH POINT HIGH POINT NEWPORT NEWTON RALEIGH RALEIGH LINCOLN LINCOLN OMAHA OMAHA WAVERLY WILBER BEACHWOOD BELVIDERE BLOOMSBURY CAMDEN CHERRY HILL COLLINGSWOOD EAST ORANGE IRVINGTON NEWARK NEWARK NORTH PLAINFIELD SOMERSET TOTOWA LAS VEGAS ASTORIA BRONX BRONX BROOKLYN BROOKLYN BROOKLYN CARMEL EAST MEADOW FLUSHING HAWTHORNE ITHACA

MO MO MO MS MS MS MS MS MS MS MS MT MT MT NC NC NC NC NC NC NC NE NE NE NE NE NE NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NJ NV NY NY NY NY NY NY NY NY NY NY NY

64862 64865 64491 39730 39426 39701 39232 39652 38655 39157 39157 59323 59917 59804 27215 27265 27262 28570 28658 27609 27610 68505 68510 68124 68164 68462 68465 08722 07823 08804 08104 08003 08108 07018 07111 07104 07102 07060 08873 07512 89103 11102 10460 10457 11237 11204 11234 10512 11554 11354 10532 14850

417-548-7184 417-776-8701 660-736-5512 662-369-4249 601-798-9190 662-328-8660 601-932-2027 601-783-2321 662-234-6315 601-988-1700 601-856-4104 406-213-7010 406-297-7748 406-327-4680 336-570-8357 336-878-8950 339-884-2231 252-223-3291 828-464-1222 919-876-5485 919-410-2298 402-434-7700 402-434-7730 402-399-8444 402-502-6511 402-786-2222 402-821-2834 732-818-1882 908-475-1060 908-479-4617 856-541-2990 856-528-3900 856-854-5655 973-675-2951 973-373-6038 973-482-4968 973-623-5566 908-756-6695 732-227-4994 973-837-8044 702-522-9777 718-278-3772 718-861-0382 718-562-8100 718-821-7911 718-633-5770 718-444-7200 845-278-2600 516-307-9200 718-886-9080 914-747-1150 607-274-4385

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

SOHO PHARMACY ARCOLA PHARMACY RDS PHARMACY NEW MOON PHARMACY INC. THE APOTHECARY SHOPPE APPLE VALLEY PHARMACY SAMARITAN PHARMACY CAMDEN VILLAGE PHARMACY DEER PARK PHARMACY SCHAEPER'S NORTHSIDE PHARMACY TRIPLITT PHARMACY AND GIFTS WOODMAN PHARMACY INC WRIGHT HEALTH PHARMACY DIABETIC CARE SERVICES AND PHARM MILLS PHARMACY SCARBROUGH HEALTHMART MEDICINE CENTER INSTITUTIONAL PH PEMBERVILLE DRUG STORE HEALTHSCRIPTS OF AMERICA - TU BRIGHTWELL HEALTH PLANNED PARENTHOOD PHARMACY I CALHOUN COMPOUNDING PHARMAC SLATE BELT PHARMACY PUBLIC DRUG APOTHECARY OF HARLEYSVILLE HERITAGE THERAPEUTICS, LLC THOMAS DRUG STORE FIRXST PHARMACY JANA PHARMACY MEDCARE PHARMACY NORTHEAST PHILADELPHIA PHCY HOMETECH ADVANCED THERAPIES IN MAX WELL PHARMACY SERVICES HEALTHFAVOR PHARMACY LLC FARMACIA LA NUEVA BARCELONETA TU FARMACIA FARMACIA SANTA OLAYA INC FARMACIA IRIZARRY FARMACIA VILLA CARMEN FARMACIA SOLMARI FARMACIA AMIGA DE VLLA FONTANA FARMACIA AMIGA INC FARMACIA MEDINA, INC. FARMACIA BETANCES FARMACIA RAPIDA MEDICAL SOLUTIONS SUPER FARMACIA RINA FARMACIA MARILU FARMACIA PLAZA ALTA FARMACIA CANDELERO FARMACIA ROSALINA FARMACIA SAN JOSE

3 WALKER ST 65-45 99TH ST 121-17 JAMAICA AVE 109-14 LIBERTY AVE 1975A VICTORY BLVD 44 RONALD REAGAN BLVD 1025 CENTER ST 75 W CENTRAL AVE 4075 E GALBRAITH RD 4187 HAMILTON AVE 523 MAIN ST 1010 WOODMAN DR STE 100 725 UNIVERSITY BOULEVARD 34099 MELINZ PKWY UNIT F2 640 WESSEL DR 138 E MAIN ST 700 W MAIN ST STE A 143 E FRONT ST 329 S ELM ST STE 130 10153 E 79TH ST STE 102 1007 S PEORIA AVE 990 COMMERCIAL ST SE 435 BLUE VALLEY DR 913 MAIN ST 345 MAIN ST STE 7 2173 MACDADE BLVD UNIT C & D 101 W MARKET ST 12043 BUSTLETON AVE 413 E WYOMING AVE 5325 OLD YORK RD LOWR LEVEL 1916 WELSH RD STE 4 505 ELMWOOD AVE 375 W STREET RD 712 CHURCH LANE CARR 140 KM 67.5 LLANADAS RO 140 KM 63.4 BO MAGUEYES CARRITERA 829 KM 6.2 CALLE BARBOSA 38 AVE L MUNOZ MARIN #Q48 CARR 119 BO PUENTO SEC ZARZA CENTRO COM. VILLA FONTANA CENTRO CMRCIAL MONSERRATE PLZ CALLE 24 #19 VILLA CAROLINA JOSE 1 QUINTON #40 18A BALDORIOTY ST CARR 779 BO BARRIO PALOMAS 1 CALLE MCARTHUR 19-22 AV RAMIREZ DE ARELLANO 1 AVE SANTA ANA #262 CARR 3 KM 85.6 CANDELERO ARRIB AVE FONT MARTELO # 344 CENTRO COMERCIAL SAN JOSE #11

NEW YORK REGO PARK RICHMOND HILL SOUTH RICHMOND HIL STATEN ISLAND WARWICK ASHLAND CAMDEN CINCINNATI CINCINNATI COSHOCTON DAYTON DAYTON EASTLAKE FAIRFIELD LEIPSIC LOUISVILLE PEMBERVILLE JENKS TULSA TULSA SALEM BANGOR DARBY HARLEYSVILLE HOLMES ORWIGSBURG PHILADELPHIA PHILADELPHIA PHILADELPHIA PHILADELPHIA SHARON HILL WARMINSTER YEADON BARCELONETA BARCELONETA BAYAMON CABO ROJO CAGUAS CAMUY CAROLINA CAROLINA CAROLINA COAMO COAMO COMERIO GUAYAMA GUAYNABO GUAYNABO HUMACAO HUMACAO HUMACAO

NY NY NY NY NY NY OH OH OH OH OH OH OH OH OH OH OH OH OK OK OK OR PA PA PA PA PA PA PA PA PA PA PA PA PR PR PR PR PR PR PR PR PR PR PR PR PR PR PR PR PR PR

10013 11374 11418 11419 10314 10990 44805 45311 45236 45223 43812 45432 45435 44095 45014 45856 44641 43450 74037 74133 74120 97302 18013 19023 19438 19043 17961 19116 19120 19141 19115 19079 18974 19050 00617 00617 00956 00623 00725 00627 00983 00985 00985 00769 00769 00782 00784 00966 00969 00791 00791 00791

212-219-0095 718-275-5838 718-849-9800 718-738-0302 718-448-0400 845-988-5805 419-289-9636 937-452-1263 513-791-7958 513-541-0354 740-622-2023 937-252-9100 937-245-7800 440-954-7709 513-868-6397 419-943-2561 330-875-9090 419-287-3238 918-298-4153 918-940-6222 918-858-4658 503-967-2405 610-863-6001 610-586-9600 267-932-8157 855-343-2136 570-366-0381 215-613-8065 215-324-7040 215-844-4500 215-464-7600 484-494-3121 215-956-9280 484-461-9055 787-970-3542 787-846-4848 787-797-4966 787-851-1270 787-743-3365 787-898-5873 787-257-1444 787-752-6246 787-762-4955 787-825-1268 787-825-7874 787-875-7016 787-866-4407 787-782-8747 787-272-1205 787-850-7503 787-850-2040 787-852-9494

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

BEST PHARMA FARMACIA QUEBRADILLAS FARMACIA AMIGA DE MONTECARLO I FARMACIA DEL CARMEN FARMACIA FAIRVIEW FARMACIA LAS CASAS FARMACIA NUEVA FARMACIA DOS BOCAS FARMACIA CAGUANA FARMACIA CINTRON INC FRM SAN ANTONIO DE VIEQUES INC MEDI FARE DRUG CENTER DISCOUNT PHARMACY OF HARTSVILLE JAMES DRUG RANCHLAND DRUG KINGWOOD REXALL PHARMACY INC GOODLETTSVILLE PEDIATRICS DISP FISHER DISPENSARY WHITNEY PHARMACY COLLEGE PARK PHARMACY REEVES-SAIN INFUSION LIFE-Q PHARMACY SERVICE DRUG BAKER DRUG COMPANY NEW GARDEN PHARMACY WINSLOW DRUG FRANCISCAN PHCY BONNEY LAKE THE COMPOUNDING APOTHECARY FRANCISCAN PHARMACY 1ST AVE FRANCISCAN PHCY CANYON ROAD MERIDIAN PHARMACY LLC SEA-MAR CLINIC PHARMACY PUGET SOUND PHARMACY LLC CRIVITZ PHARMACY GREEN BAY ONCOLOGY RESTORE HEALTH PHARMACY, LLC PRN RX REEDSBURG AREA MED CENTER PHCY

CARR 111 KM 5.2 BO. PUEBLO 155 SOCORRO ST 800 AVE RAFAEL HDEZ MARIN STE5 CARR 844 BUZON 1390 CENTRO FAIRVIEW RD 845 KM 3.3 2304 AVE BORINQUEN URB RAHOLISA #3 CARR 181 KM 9.1 BO DOS BOCAS CARR 111 KM 8.3 BO CAGUANA CALLE DR CUETO #74 52 CALLE BENITEZ GUZMAN 300 W PINE ST 1057 S 4TH ST 201 SOUTH MAIN 101 N MAIN ST 3824 RINGGOLD RD 200 GLEAVES ST STE A 140 VO TECH DR STE 6 2150 WHITNEY AVE 2106 E ANDREW JOHNSON HWY 1809 MEMORIAL BLVD 1838 ELM HILL PIKE STE 125 215 W MAIN ST 40 N MAIN ST 5300 REDBUD HWY 290 WINSLOW WAY E 9230 SKY ISLAND DR E 300 ADMIRAL WAY STE 107 30809 1ST AVE S 15214 CANYON RD EAST 11011 MERIDIAN AVE N STE 100 8800 14TH AVE S 710 S 38TH ST 710 MAIN AVE 1726 SHAWANO AVE 1289 DEMING WAY 5478 S WESTRIDGE DR STE B 2000 N DEWEY AVE

MOCA QUEBRADILLAS SAN JUAN SAN JUAN SAN JUAN SAN JUAN SAN SEBASTIAN TRUJILLO ALTO UTUADO UTUADO VIEQUES BLACKSBURG HARTSVILLE WAGNER WHITE RIVER CHATTANOOGA MADISON MCMINNVILLE MEMPHIS MORRISTOWN MURFREESBORO NASHVILLE DELTA FILLMORE HONAKER BAINBRIDGE ISLAND BONNEY LAKE EDMONDS FEDERAL WAY PUYALLUP SEATTLE SEATTLE TACOMA CRIVITZ GREEN BAY MADISON NEW BERLIN REEDSBURG

PR PR PR PR PR PR PR PR PR PR PR SC SC SD SD TN TN TN TN TN TN TN UT UT VA WA WA WA WA WA WA WA WA WI WI WI WI WI

00676 00678 00924 00926 00926 00915 00685 00977 00641 00641 00765 29702 29550 57380 57579 37412 37115 37110 38127 37814 37129 37210 84624 84631 24260 98110 98391 98020 98003 98375 98133 98108 98418 54114 54303 53717 53151 53959

787-551-8005 787-895-6006 787-762-1616 787-748-0880 787-760-0024 787-726-3350 787-896-2080 787-283-1920 787-894-8283 787-894-2190 787-741-8397 864-839-6384 843-383-8600 605-384-3541 605-259-3102 423-629-1434 615-851-7810 931-473-4441 901-354-7621 423-586-0721 615-895-0186 888-948-4633 435-864-2545 435-743-6540 276-873-6132 206-842-2652 253-750-6050 425-672-9888 253-529-8888 253-539-6030 206-403-1137 206-762-3397 253-572-0180 715-854-7425 920-965-9526 608-833-7046 262-784-9600 608-768-6261

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

Pharmacies will continue to charge the maintenance fee for up to a 30-day supply of maintenance medicine. Your doctor will need to prescribe a maintenance medicine for more than 30 days for you to use the EDS network. Pharmacies can join or leave the EDS network at any time. Find the current list of participating EDS pharmacies at www.caremark.com/ers. Questions about your prescription drug benefit? Call Caremark Customer Care toll-free at (888) 886-8490. TDD (telecommunications device for the deaf) users please call toll-free (800) 231-4403.

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