2016 Pharmacy Directory

Transcription

1 GROUP MEDICARE PLANS University of Iowa Retirees Health Alliance Medicare HMO and PPO 2016 Pharmacy Directory This pharmacy directory was updated on October 1, For more recent information or other questions, please contact Health Alliance Medicare HMO and PPO Member Services at or, for TTY users, 711, Monday through Friday, 8 a.m. to 8 p.m., or visit HealthAlliance.org/IA-Retiree. Health Alliance Medicare is an HMO and PPO plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal. This information is available for free in other languages. Please call our Member Services at , Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711. mkt-uiamedpharmd-1015

2 Introduction This booklet provides a list of Health Alliance Medicare HMO and PPO 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 Alliance Medicare s Formulary. 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 Health Alliance Medicare 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 October 1, 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 lower at pharmacies in this list that offer preferred cost-sharing. We listed these under Preferred Pharmacies to distinguish them from other pharmacies in our network that offer standard cost-sharing. Cost-sharing information can be found in the Summary of Benefits. You can get prescription drugs shipped to your home through our network mail-order delivery service. For more information, please contact us or see the mail-order section of this pharmacy directory. We also list pharmacies that are in our network but are outside the Nebraska and Iowa HMO and PPO service area in which you live. You may also fill your prescriptions at these pharmacies. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact Health Alliance Medicare HMO and PPO. 1

3 PREFERRED PHARMACIES APPANOOSE COUNTY CENTERVILLE HIGHWAY 5 CENTERVILLE, IA (641) BLACK HAWK COUNTY CEDAR FALLS 525 BRANDILYNN BLVD CEDAR FALLS, IA (319) WATERLOO 1334 FLAMMANG DRIVE WATERLOO, IA (319) BOONE COUNTY BOONE 1515 SE MARSHALL ST BOONE, IA (515) BREMER COUNTY WAVERLY TH STREET SW WAVERLY, IA (319) BUCHANAN COUNTY BUENA VISTA COUNTY STORM LAKE 1831 LAKE AVENUE STORM LAKE, IA (712) CARROLL COUNTY CARROLL 2014 KITTYHAWK RD CARROLL, IA (712) CASS COUNTY ATLANTIC 1905 EAST 7TH STREET ATLANTIC, IA (712) CEDAR COUNTY TIPTON 1126 HIGHWAY 38 NORTH TIPTON, IA (563) CERRO GORDO COUNTY MASON CITY 4151 FOURTH STREET SW MASON CITY, IA (641) INDEPENDENCE 302 ENTERPRISE DRIVE INDEPENDENCE, IA (319) *Extended (90-day) supply of maintenance medications available.

4 PREFERRED PHARMACIES CLARKE COUNTY OSCEOLA 2400 COLLEGE DR OSCEOLA, IA (641) CLAY COUNTY SPENCER TH ST. S.W. SPENCER, IA (712) CLINTON COUNTY CLINTON 2715 S. 25TH ST. CLINTON, IA (563) CRAWFORD COUNTY DENISON 510 AVENUE C DENISON, IA (712) DELAWARE COUNTY MANCHESTER 1220 WEST MAIN MANCHESTER, IA (563) DES MOINES COUNTY WEST BURLINGTON 324 WEST AGENCY ROAD WEST BURLINGTON, IA (319) DICKINSON COUNTY SPIRIT LAKE TH ST. SPIRIT LAKE, IA (712) DUBUQUE COUNTY DUBUQUE SAM'S CLUB PHARMACY* 4400 ASBURY ROAD DUBUQUE, IA (563) DODGE STREET DUBUQUE, IA (563) HARDIN COUNTY IOWA FALLS 840 S OAK IOWA FALLS, IA (641) HENRY COUNTY MT PLEASANT 1045 NO. GRAND AVENUE MT PLEASANT, IA (319) *Extended (90-day) supply of maintenance medications available. 3

5 PREFERRED PHARMACIES JACKSON COUNTY MAQUOKETA 103 E CARLISLE MAQUOKETA, IA (563) JASPER COUNTY NEWTON 300 IOWA SPEEDWAY DRIVE NEWTON, IA (641) JEFFERSON COUNTY FAIRFIELD 2701 W BURLINGTON AVE FAIRFIELD, IA (641) JOHNSON COUNTY CORALVILLE 2801 COMMERCE DRIVE CORALVILLE, IA (319) IOWA CITY 919 HIGHWAY 1 WEST IOWA CITY, IA (319) JONES COUNTY ANAMOSA TH ST ANAMOSA, IA (319) LEE COUNTY KEOKUK 300 NO. PARK DRIVE KEOKUK, IA (319) LINN COUNTY CEDAR RAPIDS SAM'S CLUB PHARMACY* 2605 BLAIRS FERRY ROAD NE CEDAR RAPIDS, IA (319) BLAIRS FERRY RD CEDAR RAPIDS, IA (319) TH AVENUE S.W. CEDAR RAPIDS, IA (319) MARION 5491 HIGHWAY 151 MARION, IA (319) MAHASKA COUNTY OSKALOOSA 2203 A AVE W OSKALOOSA, IA (641) MARION COUNTY KNOXVILLE 814 WEST BELL AVENUE KNOXVILLE, IA (641) *Extended (90-day) supply of maintenance medications available.

6 PREFERRED PHARMACIES MARION (CONTINUED) PELLA 1650 WASHINGTON ST PELLA, IA (641) MARSHALL COUNTY MARSHALLTOWN 2802 S CENTER STREET MARSHALLTOWN, IA (641) MUSCATINE COUNTY MUSCATINE 3003 NORTH HWY 61 MUSCATINE, IA (563) PAGE COUNTY SHENANDOAH 705 S FREMONT ST SHENANDOAH, IA (712) PLYMOUTH COUNTY LE MARS 1111 HOLTON DRIVE LE MARS, IA (712) POLK COUNTY ALTOONA TH STREET S.W. ALTOONA, IA (515) ANKENY SAM'S CLUB PHARMACY* 4625 SE DELAWARE AVE ANKENY, IA (515) SE NATIONAL DR ANKENY, IA (515) DES MOINES SAM'S CLUB PHARMACY* RD STREET DES MOINES, IA (515) RD STREET DES MOINES, IA (515) SE 14TH STREET DES MOINES, IA (515) GRIMES 2150 E, 1ST. ST. GRIMES, IA (515) WEST DES MOINES 6365 STAGECOACH DRIVE WEST DES MOINES, IA (515) *Extended (90-day) supply of maintenance medications available. 5

7 PREFERRED PHARMACIES POTTAWATTAMIE COUNTY COUNCIL BLUFFS SAM'S CLUB PHARMACY* 3221 MANAWA CENTRE DR COUNCIL BLUFFS, IA (712) N 16TH ST COUNCIL BLUFFS, IA (712) MANAWA DR COUNCIL BLUFFS, IA (712) POWESHIEK COUNTY GRINNELL 415 INDUSTRIAL AVE GRINNELL, IA (641) SCOTT COUNTY DAVENPORT SAM'S CLUB PHARMACY* 3887 ELMORE AVENUE DAVENPORT, IA (563) WEST KIMBERLY ROAD DAVENPORT, IA (563) ELMORE AVENUE DAVENPORT, IA (563) SIOUX COUNTY SIOUX CENTER TH ST SW SIOUX CENTER, IA (712) STORY COUNTY AMES 3015 GRAND AVE AMES, IA (515) SO DUFF AVE AMES, IA (515) UNION COUNTY CRESTON 806 LAUREL ST. CRESTON, IA (641) WAPELLO COUNTY OTTUMWA 1940 VENTURE DRIVE OTTUMWA, IA (641) WARREN COUNTY INDIANOLA 1500 NORTH JEFFERSON INDIANOLA, IA (515) WASHINGTON COUNTY WASHINGTON 2485 HIGHWAY 92 WASHINGTON, IA (319) *Extended (90-day) supply of maintenance medications available.

8 PREFERRED PHARMACIES WEBSTER COUNTY FT DODGE ST AVE. SOUTH FT DODGE, IA (515) WINNESHIEK COUNTY DECORAH 1798 OLD STAGE ROAD DECORAH, IA (563) WOODBURY COUNTY SIOUX CITY 3101 FLOYD BLVD SIOUX CITY, IA (712) SINGING HILLS BLVD SIOUX CITY, IA (712) *Extended (90-day) supply of maintenance medications available. 7

9 ADAIR COUNTY FONTANELLE FONTANELLE DRUG* 401 WASHINGTON ST FONTANELLE, IA (641) GREENFIELD SHOPKO PHARMACY* 202 SW KENT ST GREENFIELD, IA (641) ADAMS COUNTY CORNING HY VEE PHARMACY* 625 DAVIS AVE CORNING, IA (641) ALLAMAKEE COUNTY MONONA MONONA PHARMACY* 118 W CENTER ST MONONA, IA (563) WAUKON HARTIG DRUG CO* 21 W MAIN ST WAUKON, IA (563) SHOPKO PHARMACY* TH AVE SW WAUKON, IA (563) APPANOOSE COUNTY CENTERVILLE 609 N 18TH STREET CENTERVILLE, IA (641) OWL PHARMACY* 213 N 13TH ST CENTERVILLE, IA (641) HIGHWAY 5 CENTERVILLE, IA (641) AUDUBON COUNTY AUDUBON MEDICAP PHARMACY* 316 BROADWAY AUDUBON, IA (712) SHOPKO PHARMACY* 109 N MARKET ST AUDUBON, IA (712) BENTON COUNTY ATKINS ATKINS FAMILY PHARMACY* 401 CARDINAL AVE ATKINS, IA (319) BELLE PLAINE CORNERSTONE APOTHECARY* TH ST BELLE PLAINE, IA (319) *Extended (90-day) supply of maintenance medications available.

10 BENTON (CONTINUED) BELLE PLAINE (continued) HARTIG DRUG CO* TH ST BELLE PLAINE, IA (319) VAN HORNE CORNERSTONE APOTHECARY* 122 MAIN ST VAN HORNE, IA (319) VINTON CLINGMAN PHARMACY INC* 106 E 4TH ST VINTON, IA (319) LAGRANGE PHARMACY INC* 111 W 4TH ST VINTON, IA (319) BLACK HAWK COUNTY CEDAR FALLS CVS PHARMACY* 2302 W FIRST ST CEDAR FALLS, IA (319) A 3 COLLEGE SQUARE MALL,6301 UNIVERSITY CEDAR FALLS, IA (319) MEDICAP PHARMACY* 103 E 18TH ST CEDAR FALLS, IA (319) TARGET PHARMACY* 214 VIKING PLAZA DR CEDAR FALLS, IA (319) WALGREENS* 2509 WHITE TAIL DR CEDAR FALLS, IA (319) BRANDILYNN BLVD CEDAR FALLS, IA (319) EVANSDALE EVANSDALE PHARMACY* 3506 LAFAYETTE ROAD EVANSDALE, IA (319) LA PORTE CITY LAPORTE CITY PHARMACY* 601 HWY 218 N LA PORTE CITY, IA (319) REINBECK REINBECK PHARMACY* 401 MAIN ST REINBECK, IA (319) WATERLOO AMICARE PHARMACY* 1015 S HACKETT RD WATERLOO, IA (319) COVENANT FAMILY PHARMACY* 2710 ST FRANCIS DR,STE 101 WATERLOO, IA (319) CVS PHARMACY* 1825 E. SAN MARNAN DR. WATERLOO, IA (319) *Extended (90-day) supply of maintenance medications available. 9

11 BLACK HAWK (CONTINUED) WATERLOO (continued) 207 FRANKLIN ST WATERLOO, IA (319) GREENWOOD DRUG ON KIMBALL AVE.* 2104 KIMBALL AVE WATERLOO, IA (319) FLAMMANG WATERLOO, IA (319) LOGAN WATERLOO, IA (319) ANSBOROUGH AVE WATERLOO, IA (319) UNIVERSITY AVENUE WATERLOO, IA (319) K MART PHARMACY* 3810 UNIVERSITY AVE WATERLOO, IA (319) NUCARA PHARMACY* 209 E SAN MARNAN DR STE 100 WATERLOO, IA (319) PEOPLES CLINIC PHARMACY* 905 FRANKLIN ST WATERLOO, IA (319) TARGET PHARMACY* 1501 EAST SANMARNAN DRIVE WATERLOO, IA (319) UNITED MED PARK CLINIC PHARMACY* 1717 W RIDGEWAY AVE WATERLOO, IA (319) WALGREENS* 1850 LOGAN AVENUE WATERLOO, IA (319) WALGREENS* 111 W RIDGEWAY AVENUE WATERLOO, IA (319) UNIVERSITY AVE WATERLOO, IA (319) FLAMMANG DRIVE WATERLOO, IA (319) BOONE COUNTY BOONE CLINIC PHARMACY* 1115 S MARSHALL ST BOONE, IA (515) TH STREET BOONE, IA (515) MEDICAL ASSOCIATES PHARMACY* 120 S STORY ST BOONE, IA (515) MEDICAP PHARMACY* 403 STORY ST BOONE, IA (515) *Extended (90-day) supply of maintenance medications available.

12 BOONE (CONTINUED) BOONE (continued) WALGREENS* 310 STORY ST BOONE, IA (515) SE MARSHALL ST BOONE, IA (515) MADRID MEDICAP PHARMACY* 411 ANNEX ROAD MADRID, IA (515) OGDEN SWANSON DRUG INC* 305 W WALNUT ST OGDEN, IA (515) BREMER COUNTY DENVER DENVER DRUG* 340 S STATE ST DENVER, IA (319) SUMNER CLAYTON DRUG* 100 E 1ST ST SUMNER, IA (563) WAVERLY CENTER PHARMACY* 312 9TH ST SW,STE 1000 WAVERLY, IA (319) TH STREET SW WAVERLY, IA (319) MEYER PHARMACY* TH ST SW WAVERLY, IA (319) WALGREENS* 320 W BREMER AVE WAVERLY, IA (319) TH STREET SW WAVERLY, IA (319) BUCHANAN COUNTY INDEPENDENCE HARTIG DRUG CO* 200 1ST ST E INDEPENDENCE, IA (319) RYAN PHARMACY* ST ST E INDEPENDENCE, IA (319) ENTERPRISE DRIVE INDEPENDENCE, IA (319) JESUP JESUP PHARMACY* TH ST JESUP, IA (319) *Extended (90-day) supply of maintenance medications available. 11

13 BUENA VISTA COUNTY STORM LAKE 1250 N LAKE AVENUE STORM LAKE, IA (712) W 5TH ST STORM LAKE, IA (712) WALGREENS* 800 LAKE AVE STORM LAKE, IA (712) LAKE AVENUE STORM LAKE, IA (712) BUTLER COUNTY GREENE MERCY FAMILY PHARMACY* 104 E TRAER ST GREENE, IA (641) PARKERSBURG SIECH'S PARKERSBURG PHARMACY* 226 3RD ST PARKERSBURG, IA (319) CALHOUN COUNTY LAKE CITY COMMUNITY PHARMACY* 1321 W MAIN ST LAKE CITY, IA (712) HARRIS DRUG* 121 E MAIN ST LAKE CITY, IA (712) WOODLAWN PHARMACY* 101 N WOODLAWN AVE LAKE CITY, IA (712) MANSON MEDICAP PHARMACY* TH AVENUE MANSON, IA (712) ROCKWELL CITY COMMUNITY PHARMACY* 507 E LAKE ST ROCKWELL CITY, IA (712) CARROLL COUNTY CARROLL CARROLL APOTHECARY* 425 W US HIGHWAY 30,STE 140 CARROLL, IA (712) CLINIC PHARMACY* 405 S CLARK ST STE 102 CARROLL, IA (712) US HIGHWAY 30 WEST CARROLL, IA (712) K MART PHARMACY* 715 US HIGHWAY 30 WEST CARROLL, IA (712) *Extended (90-day) supply of maintenance medications available.

14 CARROLL (CONTINUED) CARROLL (continued) LINCOLN HIGHWAY PHARMACY* 859 E US HIGHWAY 30 CARROLL, IA (712) WALGREENS* 105 E SIXTH ST CARROLL, IA (712) KITTYHAWK RD CARROLL, IA (712) COON RAPIDS COON RAPIDS PHARMACY* 515 MAIN ST COON RAPIDS, IA (712) MANNING MANNING PHARMACY INC* 317 MAIN ST MANNING, IA (712) CASS COUNTY ANITA ANITA CLINIC PHARMACY* 710 MAIN ST ANITA, IA (712) ATLANTIC 1630 E 7TH STREET ATLANTIC, IA (712) REX PHARMACY* 507 CHESTNUT ST ATLANTIC, IA (712) EAST 7TH STREET ATLANTIC, IA (712) CEDAR COUNTY DURANT WESTFAIR DRUG* 621 5TH ST DURANT, IA (563) TIPTON CAREPRO PHARMACY* 124 E 5TH ST TIPTON, IA (563) HIGHWAY 38 NORTH TIPTON, IA (563) WILTON WESTER DRUG INC* 400 OVESEN RD,STE 102 WILTON, IA (563) CERRO GORDO COUNTY CLEAR LAKE ECONOFOODS PHARMACY* 20 SOUTH 4TH STREET CLEAR LAKE, IA (641) THRIFTY WHITE DRUG* 2 NORTH 4TH STREET CLEAR LAKE, IA (641) *Extended (90-day) supply of maintenance medications available. 13

15 CERRO GORDO (CONTINUED) MASON CITY FOREST PARK PHARMACY* TH ST SW STE 110 MASON CITY, IA (641) HOUCK PHARMACY* 101 S MONROE MASON CITY, IA (641) FOURTH STREET SW MASON CITY, IA (641) S ILLINOIS AVE MASON CITY, IA (641) SW 4TH ST MASON CITY, IA (641) REGENCY PHARMACY* 621 S ILLINOIS AVE STE 101 MASON CITY, IA (641) SHOPKO PHARMACY* 615 S MONROE AVE MASON CITY, IA (641) TARGET PHARMACY* TH STREET S W MASON CITY, IA (641) WALGREENS* TH STREET SW MASON CITY, IA (641) FOURTH STREET SW MASON CITY, IA (641) WESTSIDE PHARMACY* 910 N EISENHOWER AVE MASON CITY, IA (641) CHEROKEE COUNTY CHEROKEE CHEROKEE MAIN STREET PHARMACY* 206 W MAIN ST CHEROKEE, IA (712) N 2ND ST CHEROKEE, IA (712) MARCUS 321 NORTH MAIN MARCUS, IA (712) CHICKASAW COUNTY NEW HAMPTON BENNETT PHARMACY INC* 1 W MAIN ST NEW HAMPTON, IA (641) SHOPKO PHARMACY* 660 W MILWAUKEE ST NEW HAMPTON, IA (641) TOMS FAMILY PHARMACY* 15 E MAIN ST NEW HAMPTON, IA (641) *Extended (90-day) supply of maintenance medications available.

16 CLARKE COUNTY OSCEOLA HY VEE PHARMACY* 510 W MCLANE ST OSCEOLA, IA (641) MEDICAP PHARMACY* 214 S MAIN OSCEOLA, IA (641) COLLEGE DR OSCEOLA, IA (641) CLAY COUNTY SPENCER 819 GRAND AVE SPENCER, IA (712) WALGREENS* 800 GRAND AVE SPENCER, IA (712) TH ST. S.W. SPENCER, IA (712) WHITE DRUG* 400 GRAND AVENUE SPENCER, IA (712) CLAYTON COUNTY ELKADER MOSER FAMILY PHARMACY* 135 N MAIN ELKADER, IA (563) GUTTENBERG GUTTENBERG PHARMACY INC* 807 S HWY 52 GUTTENBERG, IA (563) MCGREGOR MCGREGOR PHARMACY* 230 MAIN ST MCGREGOR, IA (563) STRAWBERRY POINT CLAYTON DRUG* 104 W MISSION ST STRAWBERRY POINT, IA (563) CLINTON COUNTY CLINTON 901 SOUTH 4TH STREET CLINTON, IA (563) MERCY FAMILY PHARMACY* 1410 N 4TH ST CLINTON, IA (563) OSCO PHARMACY* 1309 N SECOND CLINTON, IA (563) WAGNER CLINIC PHARMACY* TH AVE NORTH CLINTON, IA (563) WAGNER PHARMACY* 200 5TH AVE SOUTH,STE 1 CLINTON, IA (563) *Extended (90-day) supply of maintenance medications available. 15

17 CLINTON (CONTINUED) CLINTON (continued) WALGREENS* 1905 N SECOND ST CLINTON, IA (563) S 4TH ST CLINTON, IA (563) S. 25TH ST. CLINTON, IA (563) DEWITT SCOTT DRUG CLINIC PHARMACY* TH ST DEWITT, IA (563) SCOTTS THRIFTY WHITE DRUG* 629 6TH AVE DEWITT, IA (563) CRAWFORD COUNTY DENISON 1426 BROADWAY DENISON, IA (712) THRIFTY WHITE DRUG* 1320 BROADWAY DENISON, IA (712) AVENUE C DENISON, IA (712) DALLAS COUNTY ADEL ADEL HEALTHMART* 113 N 9TH ST ADEL, IA (515) SUMPTER PHARMACY & WELLNESS* 628 NILE KINNICK DR S,STE 1 ADEL, IA (515) DALLAS CENTER MEDICAP PHARMACY* TH STREET DALLAS CENTER, IA (515) PERRY ST STREET PERRY, IA (515) MEDICAP PHARMACY* 601 1ST ST PERRY, IA (515) SHOPKO PHARMACY* ST ST PERRY, IA (515) WAUKEE 1005 EAST HICKMAN WAUKEE, IA (515) MEDICAP PHARMACY* 10 WARRIOR LN WAUKEE, IA (515) *Extended (90-day) supply of maintenance medications available.

18 DAVIS COUNTY BLOOMFIELD 301 W JEFFERSON BLOOMFIELD, IA (641) SHOPKO PHARMACY* 106 SMITH STREET BLOOMFIELD, IA (641) DECATUR COUNTY LAMONI HY VEE PHARMACY* 101 E MAIN LAMONI, IA (641) LEON HY VEE PHARMACY* 204 N MAIN ST LEON, IA (641) DELAWARE COUNTY DYERSVILLE HARTIG DRUG CO* TH AVE SE DYERSVILLE, IA (563) MERCY FAMILY PHARMACY* RD ST SW DYERSVILLE, IA (563) THE PRESCRIPTION SHOPPE* 212 4TH ST SE DYERSVILLE, IA (563) MANCHESTER BLAKESLEY DRUG* 220 E MAIN ST MANCHESTER, IA (563) WEST MAIN MANCHESTER, IA (563) WIDNER DRUG* 111 S FRANKLIN ST MANCHESTER, IA (563) DES MOINES COUNTY BURLINGTON 3140 AGENCY STREET BURLINGTON, IA (319) ANGULAR STREET BURLINGTON, IA (319) WALGREENS* 201 S CENTRAL AVE BURLINGTON, IA (319) AGENCY ST BURLINGTON, IA (319) MEDIAPOLIS CARRUTHERS PHARMACY* 526 MAIN STREET MEDIAPOLIS, IA (319) WEST BURLINGTON HERITAGE FAMILY PHARMACY* 1201 W AGENCY WEST BURLINGTON, IA (319) *Extended (90-day) supply of maintenance medications available. 17

19 DES MOINES (CONTINUED) WEST BURLINGTON (continued) HERITAGE PARK PHARMACY* 1223 S GEAR AVE,STE 105 WEST BURLINGTON, IA (319) WEST AGENCY ROAD WEST BURLINGTON, IA (319) DICKINSON COUNTY MILFORD 1012 OKOBOJI AVE MILFORD, IA (712) SPIRIT LAKE TH STREET SPIRIT LAKE, IA (712) LEWIS FAMILY DRUG* TH STREET SPIRIT LAKE, IA (712) TH ST. SPIRIT LAKE, IA (712) DUBUQUE COUNTY DUBUQUE HARTIG DRUG CO* 157 LOCUST ST DUBUQUE, IA (563) UNIVERSITY AVE DUBUQUE, IA (563) CENTRAL AVE DUBUQUE, IA (563) JOHN F KENNEDY RD DUBUQUE, IA (563) NW ARTERIAL DUBUQUE, IA (563) DODGE STREET DUBUQUE, IA (563) S LOCUST DUBUQUE, IA (563) K MART PHARMACY* 2600 DODGE STREET DUBUQUE, IA (563) MERCY FAMILY PHARMACY* 1000 LANGWORTHY ST DUBUQUE, IA (563) ASSOCIATES DR DUBUQUE, IA (563) ELM ST DUBUQUE, IA (563) MERCY DR DUBUQUE, IA (563) SAM'S CLUB PHARMACY* 4400 ASBURY ROAD DUBUQUE, IA (563) *Extended (90-day) supply of maintenance medications available.

20 DUBUQUE (CONTINUED) DUBUQUE (continued) TARGET PHARMACY* 3500 DODGE STREET DUBUQUE, IA (563) THE FINLEY HOSPITAL PHARMACY* 350 N GRANDVIEW DUBUQUE, IA (563) UNION FAMILY PHARMACY* 2541 CENTRAL AVE DUBUQUE, IA (563) WALGREENS* 345 E 20TH ST DUBUQUE, IA (563) WALGREENS* 2260 J F KENNEDY RD DUBUQUE, IA (563) JFK RD DUBUQUE, IA (563) DODGE STREET DUBUQUE, IA (563) EMMET COUNTY ESTHERVILLE ESTHERVILLE DRUG* 522 CENTRAL AVE ESTHERVILLE, IA (712) CENTRAL AVENUE ESTHERVILLE, IA (712) FAYETTE COUNTY FAYETTE SCOTT PHARMACY* 238 S MAIN ST FAYETTE, IA (563) OELWEIN OELWEIN FAMILY PHARMACY* 32 S FREDERICK AVE OELWEIN, IA (319) SCHUCHMANNS HEALTHMART PHARMACY* 12 S FREDERICK AVE OELWEIN, IA (319) SHOPKO PHARMACY* 1345 S FREDERICK AVE OELWEIN, IA (319) WEST UNION NUCARA PHARMACY* 119 N VINE ST WEST UNION, IA (563) UNION DRUG* 315 HWY 150 N WEST UNION, IA (563) FLOYD COUNTY CHARLES CITY 901 KELLY STREET CHARLES CITY, IA (641) *Extended (90-day) supply of maintenance medications available. 19

21 FLOYD (CONTINUED) CHARLES CITY (continued) K MART PHARMACY* 1405 S GRAND CHARLES CITY, IA (641) FRANKLIN COUNTY HAMPTON KOERNER-WHIPPLE PHARMACY* 104 1ST ST NW HAMPTON, IA (641) MEDICAL CENTER PHARMACY* 1720 CENTRAL AVE EAST HAMPTON, IA (641) RICKS PHARMACY* 6 1ST ST NW HAMPTON, IA (641) SHEFFIELD SHEFFIELD PHARMACY* 115 GILMAN SHEFFIELD, IA (641) FREMONT COUNTY HAMBURG STONER DRUG* 1105 MAIN ST HAMBURG, IA (712) SIDNEY PENN DRUG CO* 714 ILLINOIS ST SIDNEY, IA (712) TABOR STONER DRUG* 712 MAIN ST TABOR, IA (712) GREENE COUNTY JEFFERSON 106 W WASHINGTON ST,STE 1 JEFFERSON, IA (515) MEDICAP PHARMACY* 400 N ELM JEFFERSON, IA (515) GRUNDY COUNTY CONRAD NUCARA PHARMACY* 110 CENTER ST CONRAD, IA (641) GRUNDY CENTER MANLY DRUG STORE* 621 G AVE GRUNDY CENTER, IA (319) GUTHRIE COUNTY ADAIR FAY PHARMACY* 400 AUDUBON ST ADAIR, IA (641) *Extended (90-day) supply of maintenance medications available.

22 GUTHRIE (CONTINUED) GUTHRIE CENTER DOWD DRUG* 307 STATE ST GUTHRIE CENTER, IA (641) PANORA MEDICAP PHARMACY* 615 E MAIN ST PANORA, IA (641) HAMILTON COUNTY JEWELL FAMILY PHARMACY* 633 MAIN ST JEWELL, IA (515) STRATFORD FAMILY PHARMACY* 803 SHAKESPEARE ST STRATFORD, IA (515) WEBSTER CITY 823 2ND STREET WEBSTER CITY, IA (515) THRIFTY WHITE DRUG* 909 WILLSON AVENUE WEBSTER CITY, IA (515) HANCOCK COUNTY BRITT ELIZABETH'S PHARMACY ON MAIN* 52 MAIN AVE N BRITT, IA (641) GARNER TAMMYS PHARMACY INC* 930 HWY 18 W GARNER, IA (641) HARDIN COUNTY ACKLEY NUCARA PHARMACY* 722 MAIN ST ACKLEY, IA (641) ELDORA ELDORA PHARMACY* 1274 EDGINGTON AVE ELDORA, IA (641) MEDICAP PHARMACY* 1602 EDGINGTON AVE ELDORA, IA (641) IOWA FALLS CLINIC PHARMACY* 920 S OAK ST STE 2,STE 2 IOWA FALLS, IA (641) CORNER PHARMACY* 504 ROCKSYLVANIA IOWA FALLS, IA (641) *Extended (90-day) supply of maintenance medications available. 21

23 HARDIN (CONTINUED) IOWA FALLS (continued) 632 S OAK RIVER HILLS IOWA FALLS, IA (641) S OAK IOWA FALLS, IA (641) HARRISON COUNTY DUNLAP DUNLAP FAMILY PHARMACY* 612 IOWA AVE DUNLAP, IA (712) LOGAN EBY DRUG STORE* 103 N 4TH AVE LOGAN, IA (712) MISSOURI VALLEY SHOPKO PHARMACY* 413 W HURON ST MISSOURI VALLEY, IA (712) VALLEY DRUG STORE* 318 E ERIE ST MISSOURI VALLEY, IA (712) WOODBINE EBY DRUG STORE* 423 WALKER ST WOODBINE, IA (712) HENRY COUNTY MT PLEASANT CAPSTONE PHARMACY* 210 N JEFFERSON ST MT PLEASANT, IA (319) S JEFFERSON STREET MT PLEASANT, IA (319) E WASHINGTON STREET MT PLEASANT, IA (319) S WHITE MT PLEASANT, IA (319) NO. GRAND AVENUE MT PLEASANT, IA (319) HOWARD COUNTY CRESCO CRESCO FAMILY PHARMACY* 235 8TH AVE W CRESCO, IA (563) STERLING* 303 2ND AVE SW CRESCO, IA (563) RICEVILLE THE RICEVILLE PHARMACY* 120 W MAIN ST RICEVILLE, IA (641) *Extended (90-day) supply of maintenance medications available.

24 HUMBOLDT COUNTY HUMBOLDT 611 TENTH AVENUE N HUMBOLDT, IA (515) LARRYS PHARMACY* TH AVE N HUMBOLDT, IA (515) IDA COUNTY IDA GROVE IDA DRUG* 506 2ND ST IDA GROVE, IA (712) LEWIS FAMILY DRUG* 401 2ND ST IDA GROVE, IA (712) IOWA COUNTY AMANA AMANA SOCIETY PHARMACY* TH AVE AMANA, IA (319) MARENGO CORNERSTONE APOTHECARY* 1099 COURT AVE MARENGO, IA (319) PETERSON PHARMACY* 104 E WASHINGTON ST MARENGO, IA (319) NORTH ENGLISH NOELS PHARMACY* 132 S MAIN ST NORTH ENGLISH, IA (319) VICTOR VICTOR DRUG* 205 WASHINGTON ST VICTOR, IA (319) WILLIAMSBURG HARTIG DRUG CO* 517 COURT ST WILLIAMSBURG, IA (319) PETERSEN DRUG* 514 ELM ST WILLIAMSBURG, IA (319) JACKSON COUNTY BELLEVUE BELLEVUE PHARMACY* 115 STATE ST BELLEVUE, IA (563) MAQUOKETA OSTERHAUS PHARMACY* 918 W PLATT,STE 2 MAQUOKETA, IA (563) E CARLISLE MAQUOKETA, IA (563) *Extended (90-day) supply of maintenance medications available. 23

25 JACKSON (CONTINUED) PRESTON ANDERSON PHARMACY UNITED DRUGS* 61 W GILLETT ST PRESTON, IA (563) JASPER COUNTY COLFAX WEIRICK PHARMACY* 101 N WALNUT ST COLFAX, IA (515) NEWTON APOTHECARY SOLUTIONS* 400 1ST AVE W NEWTON, IA (641) ST AVE E,STE 24 NEWTON, IA (641) MEDICAP PHARMACY* 400 1ST AVE W NEWTON, IA (641) MEDICINE SHOPPE* 212 1ST STREET NORTH NEWTON, IA (641) WALGREENS* ST AVE E NEWTON, IA (641) IOWA SPEEDWAY DRIVE NEWTON, IA (641) JEFFERSON COUNTY FAIRFIELD 1300 W BURLINGTON AVE FAIRFIELD, IA (641) NUCARA PHARMACY* 2000 D SOUTH MAIN ST FAIRFIELD, IA (641) W BURLINGTON AVE FAIRFIELD, IA (641) JOHNSON COUNTY CORALVILLE COSTCO PHARMACY* 2900 HEARTLAND DR CORALVILLE, IA (319) HWY 6 WEST TH STREET,LANTERN PARK PLAZA CORALVILLE, IA (319) NUCARA PHARMACY* TH ST,STE 140 CORALVILLE, IA (319) TH ST STE 142 CORALVILLE, IA (319) TARGET PHARMACY* 1441 CORAL RIDGE AVE CORALVILLE, IA (319) *Extended (90-day) supply of maintenance medications available.

26 JOHNSON (CONTINUED) CORALVILLE (continued) WALGREENS* 2751 HEARTLAND DR CORALVILLE, IA (319) WALGREENS* 102 SECOND ST CORALVILLE, IA (319) COMMERCE DRIVE CORALVILLE, IA (319) IOWA CITY ACCREDO HEALTH GROUP INC* 2415 HEINZ RD IOWA CITY, IA (319) AMBULATORY CARE PHARMACY* 200 HAWKINS DR IOWA CITY, IA (319) CVS PHARMACY* 201 S CLINTON IOWA CITY, IA (319) MUSCATINE AVENUE IOWA CITY, IA (319) HARTIG DRUG CO* 701 MORMON TREK BLVD IOWA CITY, IA (319) N DODGE ST IOWA CITY, IA (319) WATERFRONT DRIVE IOWA CITY, IA (319) N 1ST AVENUE IOWA CITY, IA (319) SOUTH 1ST AVENUE IOWA CITY, IA (319) K MART PHARMACY* 851 HWY 6 EAST IOWA CITY, IA (319) PHARMACY MATTERS* 3526 DOLPHIN DR IOWA CITY, IA (319) TOWNCREST PHARMACY* 2306 MUSCATINE AVE IOWA CITY, IA (319) WALGREENS* 2214 MUSCATINE AVE IOWA CITY, IA (319) HIGHWAY 1 WEST IOWA CITY, IA (319) NORTH LIBERTY CAREPRO PHARMACY* 555 W CHERRY ST NORTH LIBERTY, IA (319) WALGREENS* 625 PACHA PKWY NORTH LIBERTY, IA (319) *Extended (90-day) supply of maintenance medications available. 25

27 JOHNSON (CONTINUED) SOLON SOLON TOWNCREST PHARMACY* 101 WINDFLOWER LN STE 100 SOLON, IA (319) JONES COUNTY ANAMOSA PHARMACY CARE CENTRE* 1791 HWY 64 EAST,STE 1 ANAMOSA, IA (319) TH ST ANAMOSA, IA (319) CASCADE MERCY FAMILY PHARMACY* 805 JOHNSON ST SW CASCADE, IA (563) MONTICELLO HARTIG DRUG CO* 419 E 1ST ST MONTICELLO, IA (319) THE PRESCRIPTION SHOPPE* 304 E 1ST ST MONTICELLO, IA (319) KEOKUK COUNTY SIGOURNEY JACKS CORNER DRUG* 118 S MAIN ST,STE B SIGOURNEY, IA (641) KOSSUTH COUNTY ALGONA 1500 HIGHWAY 169 NORTH ALGONA, IA (515) K MART PHARMACY* 1501 HIGHWAY 169N ALGONA, IA (515) KRHC FAMILY PHARMACY* 1519 S PHILLIPS ALGONA, IA (515) LEE COUNTY FORT MADISON RASHID DRUG* 2404 AVE L FORT MADISON, IA (319) SHOPKO PHARMACY* 4810 AVENUE O FORT MADISON, IA (319) WALGREENS* 2639 AVENUE L FORT MADISON, IA (319) FT MADISON 2606 L AVENUE FT MADISON, IA (319) KEOKUK 3111 MAIN STREET KEOKUK, IA (319) *Extended (90-day) supply of maintenance medications available.

28 LEE (CONTINUED) KEOKUK (continued) WALGREENS* 1215 MAIN ST KEOKUK, IA (319) NO. PARK DRIVE KEOKUK, IA (319) LINN COUNTY CEDAR RAPIDS CARECENTER PHARMACY LLC* 5070 ROCKWELL DRIVE NE CEDAR RAPIDS, IA (319) CAREPRO PHARMACY* TH ST SE STE 115 CEDAR RAPIDS, IA (319) CAREPRO PHARMACY* 717 A AVE NE,STE 202 CEDAR RAPIDS, IA (319) CLARKS PHARMACY* ND STREET NE CEDAR RAPIDS, IA (319) CVS PHARMACY* TH AVE SW CEDAR RAPIDS, IA (319) CVS PHARMACY* 2711 MOUNT VERNON ROAD SE CEDAR RAPIDS, IA (319) CENTER POINT RD NE CEDAR RAPIDS, IA (319) HALL PERRINE CANCER CENTER PHARMACY* TH ST SE CEDAR RAPIDS, IA (319) SIXTH STREET SW CEDAR RAPIDS, IA (319) ST AVENUE NE CEDAR RAPIDS, IA (319) JOHNSON AVENUE NE CEDAR RAPIDS, IA (319) WILSON AVE SW CEDAR RAPIDS, IA (319) BLAIRS FERRY ROAD NE CEDAR RAPIDS, IA (319) COLLINS ROAD NE CEDAR RAPIDS, IA (319) OAKLAND RD NE CEDAR RAPIDS, IA (319) MT VERNON ROAD CEDAR RAPIDS, IA (319) JOHNSON AVENUE NW CEDAR RAPIDS, IA (319) BOYSON ROAD NE CEDAR RAPIDS, IA (319) EDGEWOOD ROAD CEDAR RAPIDS, IA (319) *Extended (90-day) supply of maintenance medications available. 27

29 LINN (CONTINUED) CEDAR RAPIDS (continued) MEDICAL PHARMACY* 830 4TH AVE SE STE 2 CEDAR RAPIDS, IA (319) REUTZEL PHARMACY* 617 8TH AVE SE CEDAR RAPIDS, IA (319) SAM'S CLUB PHARMACY* 2605 BLAIRS FERRY ROAD NE CEDAR RAPIDS, IA (319) TARGET PHARMACY* 1030 BLAIRS FERRY RD NE CEDAR RAPIDS, IA (319) EDGEWOOD ROAD SW CEDAR RAPIDS, IA (319) WALGREENS* 324 EDGEWOOD RD NW CEDAR RAPIDS, IA (319) C AVE NE CEDAR RAPIDS, IA (319) WALGREENS* ST AVE SE CEDAR RAPIDS, IA (319) TH AVE SW CEDAR RAPIDS, IA (319) BLAIRS FERRY RD CEDAR RAPIDS, IA (319) TH AVENUE S.W. CEDAR RAPIDS, IA (319) CENTER POINT CENTER POINT FAMILY PHARMACY* 900 BANK CT CENTER POINT, IA (319) CENTRAL CITY CENTRAL CITY FAMILY PHARMACY* 402 MAIN ST CENTRAL CITY, IA (319) HIAWATHA BLARIS FERRY FAMILY PHARMACY* 1790 BLAIRS FERRY RD HIAWATHA, IA (319) MARION CVS PHARMACY* TH AVE MARION, IA (319) SEVENTH AVENUE MARION, IA (319) BUSINESS HWY 151 MARION, IA (319) WALGREENS* TH AVE MARION, IA (319) HIGHWAY 151 MARION, IA (319) *Extended (90-day) supply of maintenance medications available.

30 LINN (CONTINUED) MOUNT VERNON CAREPRO PHARMACY* 113 1ST ST NE MOUNT VERNON, IA (319) LOUISA COUNTY COLUMBUS JUNCTION 111 E WALNUT ST COLUMBUS JUNCTION, IA (319) WAPELLO 312 N 2ND STREET WAPELLO, IA (319) LUCAS COUNTY CHARITON 2001 WEST COURT CHARITON, IA (641) SHOPKO PHARMACY* 1901 W COURT AVE CHARITON, IA (641) LYON COUNTY ROCK RAPIDS CORNER REXALL DRUGS* 220 FIRST AVE ROCK RAPIDS, IA (712) LEWIS FAMILY DRUG* 106 NORTH BOONE ROCK RAPIDS, IA (712) MADISON COUNTY EARLHAM MONTROSS PHARMACY* 105 S CHESTNUT AVE EARLHAM, IA (515) ST CHARLES MONTROSS PHARMACY* 134 MAIN ST ST CHARLES, IA (641) WINTERSET 923 N 1ST ST WINTERSET, IA (515) MEDICAP PHARMACY* 904 N JOHN WAYNE DR WINTERSET, IA (515) MONTROSS PHARMACY* N 1ST AVE WINTERSET, IA (515) SHOPKO PHARMACY* 402 E HIGHWAY 92 WINTERSET, IA (515) MAHASKA COUNTY OSKALOOSA 110 S D STREET OSKALOOSA, IA (641) *Extended (90-day) supply of maintenance medications available. 29

31 MAHASKA (CONTINUED) OSKALOOSA (continued) MAHASKA DRUGS INC* 205 NORTH E ST OSKALOOSA, IA (641) A AVE W OSKALOOSA, IA (641) MARION COUNTY KNOXVILLE 809 WEST ROCK ISLAND STREET KNOXVILLE, IA (641) MEDICAP PHARMACY* 318 N LINCOLN ST KNOXVILLE, IA (641) WEST BELL AVENUE KNOXVILLE, IA (641) PELLA 118 SE 9TH STREET PELLA, IA (641) PELLA REGIONAL HEALTH CENTER PHARMACY* 802 WASHINGTON ST PELLA, IA (641) VERMEER FAMILY PHARMACY* 1610 VERMEER RD E,PLANT 3 AND A HALF PELLA, IA (641) WASHINGTON ST PELLA, IA (641) MARSHALL COUNTY MARSHALLTOWN 1706 S CENTER STREET MARSHALLTOWN, IA (641) SOUTH CENTER STREET MARSHALLTOWN, IA (641) K MART PHARMACY* 1720 S CENTER MARSHALLTOWN, IA (641) MEDICAP PHARMACY* 11 NORTH 3RD AVENUE MARSHALLTOWN, IA (641) NUCARA PHARMACY* 303 NICHOLAS DR MARSHALLTOWN, IA (641) WALGREENS* 5 EAST ANSON MARSHALLTOWN, IA (641) S CENTER STREET MARSHALLTOWN, IA (641) STATE CENTER NUCARA PHARMACY* 108 W MAIN STATE CENTER, IA (641) *Extended (90-day) supply of maintenance medications available.

32 MILLS COUNTY GLENWOOD HY VEE PHARMACY* 409 S LOCUST GLENWOOD, IA (712) MEDICAP PHARMACY* 1206 S LOCUST ST GLENWOOD, IA (712) SHOPKO PHARMACY* 902 S LOCUST ST GLENWOOD, IA (712) MALVERN KOHLLS PHARMACY* 410 MAIN ST MALVERN, IA (712) MITCHELL COUNTY OSAGE SMART PHARMACY* 616 N 8TH ST OSAGE, IA (641) ST ANSGAR BROWER PHARMACY* 140 W FOURTH ST,STE 3 ST ANSGAR, IA (641) MONONA COUNTY MAPLETON MAIER FAMILY PHARMACY* 411 MAIN ST MAPLETON, IA (712) WESTERN IOWA COMPOUNDING SOLUTIONS* 409 MAIN ST,STE A MAPLETON, IA (712) ONAWA SHOPKO PHARMACY* 2220 HWY 175 W ONAWA, IA (712) STANGEL PHARMACY* 821 IOWA AVE ONAWA, IA (712) WHITING WHITING FAMILY PHARMACY* 723 WHITTIER ST WHITING, IA (712) MONROE COUNTY ALBIA 301 HWY 34 WEST ALBIA, IA (641) MONTGOMERY COUNTY RED OAK 1605 N BROADWAY ST RED OAK, IA (712) MEDICAP PHARMACY* 600 SENATE AVE RED OAK, IA (712) *Extended (90-day) supply of maintenance medications available. 31

33 MONTGOMERY (CONTINUED) RED OAK (continued) RED OAK PHARMACY* 1400 SENATE AVE,STE 104 RED OAK, IA (712) VILLISCA HONEYMAN DRUG* 408 S 3RD AVE VILLISCA, IA (712) MUSCATINE COUNTY MUSCATINE ND AVENUE MUSCATINE, IA (563) E SIXTH STREET MUSCATINE, IA (563) WALGREENS* 1703 PARK AVE MUSCATINE, IA (563) NORTH HWY 61 MUSCATINE, IA (563) WESTER DRUG INC* 315 E 2ND ST MUSCATINE, IA (563) WEST LIBERTY WEST LIBERTY PHARMACY* 311 WEST RAINBOW DRIVE,STE 1 WEST LIBERTY, IA (319) O'BRIEN COUNTY HARTLEY HARTLEY HOMETOWN PHARMACY* 177 S CENTRAL AVE HARTLEY, IA (712) PAULLINA THRIFTY WHITE DRUG* 127 N MAIN PAULLINA, IA (712) SHELDON 1989 PARK ST SHELDON, IA (712) LEWIS FAMILY DRUG* 610 PARK ST SHELDON, IA (712) SHOPKO PHARMACY* 1501 PARK ST SHELDON, IA (712) OSCEOLA COUNTY SIBLEY LEWIS FAMILY DRUG* 420 2ND AVE SIBLEY, IA (712) REMEDIES INC* 345 9TH ST SIBLEY, IA (712) *Extended (90-day) supply of maintenance medications available.

34 PAGE COUNTY CLARINDA 1200 S 16TH STREET CLARINDA, IA (712) TAYLOR PHARMACY* NORTH 16TH STREET CLARINDA, IA (712) SHENANDOAH GEORGE JAY DRUG COMPANY* 612 W SHERIDAN AVE SHENANDOAH, IA (712) S FREMONT ST SHENANDOAH, IA (712) S FREMONT ST SHENANDOAH, IA (712) PALO ALTO COUNTY EMMETSBURG HUGHES HEALTH MART PHARMACY* 2216 MAIN ST EMMETSBURG, IA (712) MANSMITH PHARMACY* 3204 W 1ST ST EMMETSBURG, IA (712) PLYMOUTH COUNTY AKRON THORSON DRUG* 233 REED ST AKRON, IA (712) KINGSLEY LEWIS FAMILY DRUG* 7 W 2ND ST KINGSLEY, IA (712) LE MARS L & M PHARMACY* 22 1ST ST. NE,STE B LE MARS, IA (712) LE MARS FAMILY PHARMACY* 44 1ST AVE NE LE MARS, IA (712) HOLTON DRIVE LE MARS, IA (712) LEMARS TH AVENUE SW LEMARS, IA (712) REMSEN REMSEN PHARMACY* 111 S WASHINGTON ST REMSEN, IA (712) *Extended (90-day) supply of maintenance medications available. 33

35 POCAHONTAS COUNTY LAURENS 113 N 3 RD ST LAURENS, IA (712) POCAHONTAS THRIFTY WHITE DRUG* 701 W ELM AVE POCAHONTAS, IA (712) POLK COUNTY ALTOONA 108 8TH STREET ALTOONA, IA (515) MEDICAP PHARMACY* TH AVE SW,STE 1 ALTOONA, IA (515) TARGET PHARMACY* TH ST SW ALTOONA, IA (515) WALGREENS* 101 8TH ST SE ALTOONA, IA (515) TH STREET S.W. ALTOONA, IA (515) ANKENY ANKENY PHARMACY* 1325 SW ORALABOR RD,STE 200 ANKENY, IA (515) CVS PHARMACY* 104 E 1ST ST ANKENY, IA (515) SW STATE ST ANKENY, IA (515) N ANKENY BLVD ANKENY, IA (515) MEDICAP PHARMACY* 107 NE DELAWARE AVE,STE 6 ANKENY, IA (515) MERCY NORTH PHARMACY* 800 E 1ST ST,STE 1800 ANKENY, IA (515) SAM'S CLUB PHARMACY* 4625 SE DELAWARE AVE ANKENY, IA (515) TARGET PHARMACY* 2135 SE DELAWARE AVE ANKENY, IA (515) WALGREENS* 2702 SE DELAWARE AVE ANKENY, IA (515) WALGREENS* 901 N ANKENY BLVD ANKENY, IA (515) SE NATIONAL DR ANKENY, IA (515) *Extended (90-day) supply of maintenance medications available.

36 POLK (CONTINUED) CLIVE MERCY WEST PHARMACY* 1601 NW 114TH ST,STE 234 CLIVE, IA (515) PRICE CHOPPER* HICKMAN RD CLIVE, IA (515) WALGREENS* UNIVERSITY CLIVE, IA (515) HICKMAN RD CLIVE, IA (515) DES MOINES BROADLAWNS MEDICAL CENTER OUTPATIENT PHARMACY* 1801 HICKMAN RD DES MOINES, IA (515) CASH SAVER* 1320 E EUCLID DES MOINES, IA (515) FLEUR DR DES MOINES, IA (515) CASSADY PHARMACY* 4505 SW 9TH ST DES MOINES, IA (515) CVS PHARMACY* 215 EUCLID AVE DES MOINES, IA (515) MERLE HAY RD DES MOINES, IA (515) SE 14TH ST DES MOINES, IA (515) FIFIELD PHARMACY* 501 UNIVERSITY AVENUE DES MOINES, IA (515) HAMMER PHARMACY* 600 E GRAND AVENUE DES MOINES, IA (515) SE ARMY POST ROAD DES MOINES, IA (515) E EUCLID AVENUE DES MOINES, IA (515) SE 14TH STREET DES MOINES, IA (515) MARTIN LUTHER KING JR PKWY DES MOINES, IA (515) UNIVERSITY AVENUE DES MOINES, IA (515) FLEUR DR DES MOINES, IA (515) K MART PHARMACY* 2535 HUBBELL AVE DES MOINES, IA (515) MEDICAP PHARMACY* 1300 E 14TH DES MOINES, IA (515) *Extended (90-day) supply of maintenance medications available. 35

37 POLK (CONTINUED) DES MOINES (continued) 2527 EASTON BLVD DES MOINES, IA (515) BEAVER AVE DES MOINES, IA (515) MERCY OUTPATIENT PHARMACY* TH AVE DES MOINES, IA (515) METHODIST PLAZA PHARMACY LTD* 1212 PLEASANT ST,STE 105 DES MOINES, IA (515) PHARMACY AT CORPORATE ONE* 711 HIGH ST,CORP 1 DES MOINES, IA (515) PRICE CHOPPER* 1819 BEAVER AVE DES MOINES, IA (515) INGERSOLL AVE DES MOINES, IA (515) MERLE HAY RD DES MOINES, IA (515) PRIMARY HEALTHCARE PHARMACY* 1200 UNIVERSITY AVE STE 105 DES MOINES, IA (515) RELIANT LTC OF DES MOINES* 3520 GRAND AVE DES MOINES, IA (515) RICHARDS PHARMACY* 5625 HICKMAN ROAD DES MOINES, IA (515) SAM'S CLUB PHARMACY* RD STREET DES MOINES, IA (515) TARGET PHARMACY* 5901 DOUGLAS AVE DES MOINES, IA (515) WALGREENS* 104 E EUCLID DES MOINES, IA (515) E UNIVERSITY DES MOINES, IA (515) EAST EUCLID DES MOINES, IA (515) E UNIVERSITY AVE DES MOINES, IA (515) UNIVERSITY DES MOINES, IA (515) SE 14TH ST DES MOINES, IA (515) INGERSOLL AVE DES MOINES, IA (515) DOUGLAS AVE DES MOINES, IA (515) FLEUR DR DES MOINES, IA (515) *Extended (90-day) supply of maintenance medications available.

38 POLK (CONTINUED) DES MOINES (continued) 606 WALNUT ST DES MOINES, IA (515) SE 14TH ST DES MOINES, IA (515) DOUGLAS AVE DES MOINES, IA (515) RD STREET DES MOINES, IA (515) SE 14TH STREET DES MOINES, IA (515) GRIMES 1541 SOUTH 3RD SUITE 100 GRIMES, IA (515) MEDICAP PHARMACY* 250 SE GATEWAY DR GRIMES, IA (515) E, 1ST. ST. GRIMES, IA (515) JOHNSTON 5750 MERLE HAY ROAD JOHNSTON, IA (515) PRICE CHOPPER* 5440 NW 86TH ST JOHNSTON, IA (515) WALGREENS* 6200 MERLE HAY RD JOHNSTON, IA (515) PLEASANT HILL 4815 MAPLE DRIVE PLEASANT HILL, IA (515) NUCARA PHARMACY* 4927 MAPLE DR PLEASANT HILL, IA (515) POLK CITY POLK CITY PHARMACY* 419 W BRIDGE RD POLK CITY, IA (515) URBANDALE CRITICAL CARE SYSTEMS* AURORA AVE URBANDALE, IA (515) DOUGLAS AVENUE URBANDALE, IA (515) K MART PHARMACY* 7501 HICKMAN URBANDALE, IA (515) MEDICAP PHARMACY* 8170 DOUGLAS AVE URBANDALE, IA (515) *Extended (90-day) supply of maintenance medications available. 37

39 POLK (CONTINUED) URBANDALE (continued) TARGET PHARMACY* PLUM DRIVE URBANDALE, IA (515) WALGREENS* TH STREET URBANDALE, IA (515) WEST DES MOINES COSTCO PHARMACY* 7205 MILLS CIVIC PARKWAY WEST DES MOINES, IA (515) TH STREET WEST DES MOINES, IA (515) VALLEY WEST DRIVE WEST DES MOINES, IA (515) JORDAN CREEK PARKWAY WEST DES MOINES, IA (515) GRAND AVENUE WEST DES MOINES, IA (515) SOUTH 51ST STREET WEST DES MOINES, IA (515) TARGET PHARMACY* 1800 VALLEY WEST DRIVE WEST DES MOINES, IA (515) MILL CIVIC PARKWAY WEST DES MOINES, IA (515) WALGREENS* ND ST WEST DES MOINES, IA (515) GRAND AVE WEST DES MOINES, IA (515) MILLS CIVIC PKWY WEST DES MOINES, IA (515) STAGECOACH DRIVE WEST DES MOINES, IA (515) WINDSOR HEIGHTS 7101 UNIVERSITY AVENUE WINDSOR HEIGHTS, IA (515) POTTAWATTAMIE COUNTY AVOCA CARLEY DRUG* 102 N ELM ST AVOCA, IA (712) COUNCIL BLUFFS CHI HEALTH PHARMACY* 3135 W BROADWAY STE 101 COUNCIL BLUFFS, IA (712) CVS PHARMACY* 545 W. WASHINGTON ST COUNCIL BLUFFS, IA (712) MADISON AVENUE COUNCIL BLUFFS, IA (712) *Extended (90-day) supply of maintenance medications available.

40 POTTAWATTAMIE (CONTINUED) COUNCIL BLUFFS (continued) 2323 W. BROADWAY COUNCIL BLUFFS, IA (712) W BROADWAY COUNCIL BLUFFS, IA (712) K MART PHARMACY* 2803 EAST KANESVILLE BLVD COUNCIL BLUFFS, IA (712) MEDICAP PHARMACY* 2201 W BROADWAY,BAY 8 COUNCIL BLUFFS, IA (712) OARD-ROSS DRUG INC* TH AVE COUNCIL BLUFFS, IA (712) RIVERFRONT PHARMACY, LLC* CONIFER LN COUNCIL BLUFFS, IA (712) SAM'S CLUB PHARMACY* 3221 MANAWA CENTRE DR COUNCIL BLUFFS, IA (712) SUPER SAVER PHARMACY* 1141 N BROADWAY COUNCIL BLUFFS, IA (712) TARGET PHARMACY* 3804 METRO DR COUNCIL BLUFFS, IA (712) UNION PHARMACY* 235 W BROADWAY COUNCIL BLUFFS, IA (712) WALGREENS* 2508 W BROADWAY COUNCIL BLUFFS, IA (712) W BENNETT AVE COUNCIL BLUFFS, IA (712) E BROADWAY COUNCIL BLUFFS, IA (712) N 16TH ST COUNCIL BLUFFS, IA (712) MANAWA DR COUNCIL BLUFFS, IA (712) MINDEN LEHAN PHARMACY* 317 MAIN ST MINDEN, IA (712) OAKLAND OAKLAND PHARMACY* 601 PIONEER AVE. OAKLAND, IA (712) POWESHIEK COUNTY BROOKLYN BROOKLYN PHARMACY* 101 E FRONT ST BROOKLYN, IA (641) GRINNELL 320 WEST STREET SOUTH GRINNELL, IA (641) *Extended (90-day) supply of maintenance medications available. 39

41 POWESHIEK (CONTINUED) GRINNELL (continued) MEDICAP PHARMACY* 320 6TH AVE GRINNELL, IA (641) INDUSTRIAL AVE GRINNELL, IA (641) RINGGOLD COUNTY MOUNT AYR SHOPKO PHARMACY* 201 N FILLMORE ST MOUNT AYR, IA (641) SAC COUNTY LAKE VIEW COMMUNITY PHARMACY* RD ST LAKE VIEW, IA (712) SAC CITY SAC CITY DRUG* 514 MAIN SAC CITY, IA (712) SCOTT COUNTY BETTENDORF AMICARE PHARMACY* 3740 UTICA RIDGE RD BETTENDORF, IA (563) CVS PHARMACY* 2002 SPRUCE HILLS DR BETTENDORF, IA (563) DEVILS GLEN ROAD BETTENDORF, IA (563) SCHNUCKS PHARMACY* 858 MIDDLE RD BETTENDORF, IA (563) WALGREENS* 3425 MIDDLE RD BETTENDORF, IA (563) MIDDLE ROAD BETTENDORF, IA (563) DAVENPORT CVS PHARMACY* 1655 WEST KIMBERLY ROAD DAVENPORT, IA (563) DIVISION ST DAVENPORT, IA (563) FIRST MED PHARMACY* 1227 E RUSHOLME ST DAVENPORT, IA (563) E KIMBERLY RD,STE A DAVENPORT, IA (563) E KIMBERLY RD DAVENPORT, IA (563) W KIMBERLY ROAD DAVENPORT, IA (563) *Extended (90-day) supply of maintenance medications available.

42 SCOTT (CONTINUED) DAVENPORT (continued) 2351 W LOCUST DAVENPORT, IA (563) ROCKINGHAM ROAD DAVENPORT, IA (563) EAST 53RD STREET DAVENPORT, IA (563) K MART PHARMACY* 3808 BRADY STREET DAVENPORT, IA (563) MAIN AT LOCUST PHARMACY AND MEDICAL SUPPLY* 129 W LOCUST ST DAVENPORT, IA (563) SAM'S CLUB PHARMACY* 3887 ELMORE AVENUE DAVENPORT, IA (563) TARGET PHARMACY* 5225 ELMORE AVENUE DAVENPORT, IA (563) WALGREENS* 1525 E KIMBERLY DAVENPORT, IA (563) W LOCUST ST DAVENPORT, IA (563) WEST KIMBERLY RD DAVENPORT, IA (563) BRADY ST DAVENPORT, IA (563) E 53RD ST DAVENPORT, IA (563) WEST KIMBERLY ROAD DAVENPORT, IA (563) ELMORE AVENUE DAVENPORT, IA (563) ELDRIDGE NORTH SCOTT PHARMACY* 225 E LECLAIRE RD ELDRIDGE, IA (563) SHELBY COUNTY ELK HORN ELK HORN PHARMACY INC* 4022 MAIN ST ELK HORN, IA (712) HARLAN 2003 CHATBURN HARLAN, IA (712) KWIK RX PHARMACY* TH ST HARLAN, IA (712) PEXTON PHARMACY* 1812 CHATBURN PLAZA HARLAN, IA (712) SHOPKO PHARMACY* 2099 CHATBURN AVE HARLAN, IA (712) *Extended (90-day) supply of maintenance medications available. 41