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.