Missouri Medicare Select (HMO SNP) 2018 Pharmacy Directory

Transcription

1 Missouri Medicare Select (HMO SNP) 2018 Pharmacy Directory This pharmacy directory was updated on 03/20/2018. For more recent information or other questions, please contact us, Missouri Medicare Select Member Services, at or, for TTY users, 711, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30, or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Member Services for updated provider information. H4490_2018_pharmdir _isnp

2 Introduction This booklet provides a list of Missouri Medicare Select s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Missouri Medicare Select 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 Missouri Medicare Select 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 nonnetwork 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 03/20/2018. For the most current list, please contact us. Our contact information appears on the front and back cover pages. If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact Missouri Medicare Select. 2

3 This pharmacy directory was updated on 03/20/2018. For more recent information or other questions, please contact us, Missouri Medicare Select Member Services, at or, for TTY users 711, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through February 14, and Monday to Friday (except holidays) from February 15 through September 30, or visit Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at You may also call Member Services for updated provider information. Missouri Medicare Select complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Missouri Medicare Select cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Missouri Medicare Select 遵守適用的聯邦民權法律規定, 不因種族 膚色 民族血統 年齡 殘障或性別而歧視任何人 This Pharmacy Directory may change at any time. You will receive a notification when necessary. 3

4 Retail Pharmacies, including Chain Pharmacies MISSOURI Cass Belton CVS 1106 E North Ave Belton, MO (816) CVS 409 E N Ave Belton, MO (816) HY-VEE PHARMACY (1034) * 1307 E North Avenue Belton, MO (816) PRICE CHOPPER PHARMACY 359 * 109 North Cedar Street Belton, MO (816) WALGREENS #5277 * 1400 E North Ave Belton, MO (816) Drexel DREXEL 203 E Main St Drexel, MO (816) Harrisonville CVS 300 S Commercial St Harrisonville, MO (816) GILLEN 2820 E Rock Haven Rd Ste 110 Harrisonville, MO (816) PRICE CHOPPER 520 S. Commercial Harrisonville, MO (816) WALGREENS #12778 * 505 S Commercial St Harrisonville, MO (816) * 1700 North 291 Highway Harrisonville, MO (816) Pleasant Hill PLEASANT HILL DRUG STORE * 1905 N State Route 7 Pleasant Hill, MO (816) PRICE CHOPPER 2101 N Hwy 7 Pleasant Hill, MO (816) Raymore CVS 1215 W Foxwood Dr Raymore, MO (816) PRICE CHOPPER 900 West Foxwood Drive Raymore, MO (816) SAM'S PHARMACY * 141 N Dean Ave Raymore, MO (816) WALGREENS #11087 * 1214 W Foxwood Dr Raymore, MO (816) * 2015 West Foxwood Dr Raymore, MO (816) Jackson Blue Springs CVS 1040 Ne Coronado Blue Springs, MO (816) CVS 1616 N 7th Hwy Blue Springs, MO (816) CVS 3201 South 7 Highway Blue Springs, MO (816) CVS PHARMACY# * 1101 Nw Woods Chapel Rd Blue Springs, MO (816) Page 1

5 HY-VEE PHARMACY (1033) * 625 W 40 Hwy Blue Springs, MO (816) MARRS 205 R.D. Mize Rd Blue Springs, MO (816) PRICE CHOPPER PHARMACY 104 * 1101 S 7 Highway Blue Springs, MO (816) WALGREENS #4225 * 1701 Nw Highway 7 Blue Springs, MO (816) WALGREENS #7789 * 3200 Sw State Route 7 Blue Springs, MO (816) * 600 Ne Coronado Drive Blue Springs, MO (816) * 1700 N 7 Hwy Blue Springs, MO (816) Buckner BUCKNER PHARMACY, LLC * 325 S Hudson St Buckner, MO (816) Grain Valley PRICE CHOPPER PHARMACY #325 * 1191 Ne Mcquerry Rd Grain Valley, MO (816) RED CROSS 301 Sw Eagles Parkway Grain Valley, MO (816) Grandview ALBERS MEDICAL 7201 E. 147th Street Grandview, MO (816) CVS S 71 Hwy Grandview, MO (816) HEART OF AMERICA PHARMACY, LLC * 4338 E 142nd St Grandview, MO (844) PRICE CHOPPER PHARMACY #16 * S Us Highway 71 Grandview, MO (816) WALGREENS #1236 * S Us Highway 71 Grandview, MO (816) Independence AUBURN E. 23rd St Independence, MO (816) COSTCO E Valley View Pkwy Independence, MO (816) CVS E 39th St S Independence, MO (816) CVS E Us Hwy 24 Hwy Independence, MO (816) CVS 1545 E 23rd St Independence, MO (816) CVS E Us Highway 24 Independence, MO (816) CVS 3825 S Noland Rd Independence, MO (816) CVS PHARMACY# * 1315 W 23rd St Independence, MO (816) HY-VEE PHARMACY #1 (1260) * 1525 E 23rd Street Independence, MO (816) HY-VEE PHARMACY #2 (1261) * 4545 South Noland Road Independence, MO (816) Page 2

6 LOWE DRUG AT CENTERPOINT * E 39th Street Independence, MO (816) SAMS PHARMACY * 4100 Bolger Road Independence, MO (816) STADIUM 4811 S Arrowhead Dr Independence, MO (816) WALGREENS #4224 * 1536 E 23rd Street Independence, MO (816) WALGREENS #4236 * 2261 S Sterling Ave Independence, MO (816) WALGREENS #5247 * 3915 S Noland Rd Independence, MO (816) WALGREENS #5873 * E Us Hwy 24 Independence, MO (816) * 4000 South Bolger Dr Independence, MO (816) * 3411 S Noland Rd Independence, MO (816) Kansas City ALBERS MEDICAL 4400 Broadway Kansas City, MO (816) BURNS & MCDONNELL 9450 Ward Pkwy Kansas City, MO (816) CHILDREN'S MERCY PHARMACY ON BROADWAY * 3101 Broadway St Kansas City, MO (816) COSTCO 241 East Linwood Blvd Kansas City, MO (816) CVS 1201 W 136th St Kansas City, MO (816) CVS 8509 State Line Rd Kansas City, MO (816) CVS 3902 Main St Kansas City, MO (816) CVS 6244 Brookside Blvd Kansas City, MO (816) CVS 7907 State Line Rd Kansas City, MO (816) CVS Holmes Rd Kansas City, MO (816) CVS State Line Rd Kansas City, MO (816) CVS 6300 Prospect Ave Kansas City, MO (816) CVS 921 Main Kansas City, MO (816) CVS 5901 Independence Kansas City, MO (816) CVS 315 W 75th Street Kansas City, MO (816) CVS State Line Rd Kansas City, MO (816) Page 3

7 CVS 4531 Troost Kansas City, MO (816) CVS 7003 Banister Rd Kansas City, MO (816) CVS 5011 Main St Kansas City, MO (816) CVS 4750 Lees Summit Rd Kansas City, MO (816) CVS 2435 E Independence Kansas City, MO (816) DCI PHARMACY KANSAS CITY * 650 Carondelet Dr Kansas City, MO (816) MARSHS SUN FRESH 4001 Mill St Kansas City, MO (816) PRICE CHOPPER * 8430 Wornall Road Kansas City, MO (816) PRICE CHOPPER 1030 W 103rd St Kansas City, MO (816) SPALITTO'S 3801 Independence Ave Kansas City, MO (816) ST LUKES HOSPITAL 4320 Wornall Rd Ste 128 Kansas City, MO (816) ST. JOSEPH OUTPATIENT 1000 Carondelet Dr Kansas City, MO (816) SWOPE HEALTH SERVICES * 3801 Blue Pkwy Kansas City, MO (816) THE CHILDRENS MERCY HOSPITAL 2401 Gillham Rd Kansas City, MO (816) WALGREENS #4210 * 1100 E 63rd St Kansas City, MO (816) WALGREENS #4211 * 4630 Troost Ave Kansas City, MO (816) WALGREENS #4212 * 2501 E Linwood Kansas City, MO (816) WALGREENS #4222 * 5400 E Independence Kansas City, MO (816) WALGREENS #4235 * 7500 Wornall Rd Kansas City, MO (816) WALGREENS #5278 * 3845 Broadway Blvd Kansas City, MO (816) WALGREENS #10845 * 2301 Holmes Kansas City, MO (816) WALGREENS #15588 * 7900 Lees Summit Rd Kansas City, MO (816) WALGREENS #16073 * 6420 Prospect Ave Kansas City, MO (816) WALGREENS #16360 * 300 W 19th Ter Kansas City, MO (816) WALGREENS * 9430 Blue Ridge Blvd Kansas City, MO (816) Page 4

8 WALGREENS, SPECIALTY PHARMACY #16072 * 3537 Broadway Blvd Bld Kansas City, MO (816) * E Us Highway 40 Kansas City, MO (816) WALMART PHARMACY * 1701 West 133rd Street Kansas City, MO (816) Lees Summit CVS 1850 Nw Chipman Rd Lees Summit, MO (816) CVS 621 Sw 3rd St Lees Summit, MO (816) CVS 1900 Ne Langsford Rd Lees Summit, MO (816) CVS 751 Ne Woods Chapel Road Lees Summit, MO (816) CVS 3351 Sw 3rd St Lees Summit, MO (816) FLATLAND PHARMACY LLC * 202 Nw Oldham Parkway Lees Summit, MO (844) HY-VEE PHARMACY #1 (1380) * 301 Ne Rice Road Lees Summit, MO (816) HY-VEE PHARMACY #2 (1381) * 310 Sw Ward Road Lees Summit, MO (816) PRICE CHOPPER * 1600 Se Blue Parkway Lees Summit, MO (816) PRICE CHOPPER 937 Ne Woods Chapel Rd Lees Summit, MO (816) PRICE CHOPPER 251 Sw Greenwich Dr Lees Summit, MO (816) Ne Douglas St Lees Summit, MO (816) WALGREENS #2450 * 330 Sw Ward Rd Lees Summit, MO (816) WALGREENS #4182 * 1801 Se Langsford Rd Lees Summit, MO (816) WALGREENS * 901 Sw M 150 Hwy Lees Summit, MO (816) * 1000 Ne Sam Walton Lane Lees Summit, MO (816) * 3410 Sw Market St Lees Summit, MO (816) Oak Grove WALGREENS * 400 S Broadway Oak Grove, MO (816) * 201 South Salem Street Oak Grove, MO (816) Raytown CVS 9005 East 350 Highway Raytown, MO (816) CVS 5310 Blueridge Blvd Raytown, MO (816) Page 5

9 HY-VEE PHARMACY (1542) * 9400 E. 350 Highway Raytown, MO (816) WALGREENS #5357 * 9300 E Gregory Blvd Raytown, MO (816) * E Hwy 350 Raytown, MO (816) Lafayette Higginsville MEDICINE SHOPPE 1573 * 810 W 35th St Higginsville, MO (660) * 1180 W 19th Sttreet Higginsville, MO (660) Lexington MINUTEMAN 538 S Business Highway 13 Lexington, MO (660) RED CROSS 1030 Main St Lexington, MO (660) Odessa RED CROSS 101 S Second St Odessa, MO (816) THE DRUG STORE * 408 N 4th St Odessa, MO (816) St. Charles Cottleville SCHNUCKS 6083 Mid Rivers Mall Dr Cottleville, MO (636) Dardenne Prairie CVS 7955 Hwy N Dardenne Prairie, MO (636) SHOP N SAVE 7909 Hwy N Dardenne Prairie, MO (636) Lake Saint Louis * 149 Pond Fort Trlal Lake Saint Louis, MO (636) Lake St Louis SCHNUCKS 101 Civic Center Dr Lake St Louis, MO (636) * 6100 Ronald Reagan Drive Lake St Louis, MO (636) O Fallon CVS 2300 Highway K O Fallon, MO (636) CVS PHARMACY# * 3002 Highway K O Fallon, MO (636) CVS PHARMACY# * 801 Highway K O Fallon, MO (636) CVS PHARMACY# * 1580 Bryan Rd O Fallon, MO (636) POWERS HEALTHMART 7776 Winghaven Blvd O Fallon, MO (636) SCHNUCKS 3029 Highway K O Fallon, MO (636) SCHNUCKS 8660 Veterans Memorial Parkway O Fallon, MO (636) * 1307 Highway K O Fallon, MO (636) Ofallon Page 6

10 DIERBERGS DEER CREEK CROSSING 2979 Highway K Ofallon, MO (636) SHOP N SAVE 1421 Mexican Loop Rd. East Ofallon, MO (636) WALGREENS #4090 * 2920 Highway K Ofallon, MO (636) WALGREENS #5552 * 920 N Main St Ofallon, MO (636) WALGREENS #5748 * 1490 Mexico Loop Rd E Ofallon, MO (636) WALGREENS #6286 * 9495 Mexico Rd Ofallon, MO (636) WALGREENS #6711 * 7422 Highway N Ofallon, MO (636) WALGREENS * 4650 Hwy K Ofallon, MO (636) WHARF HEALTH MART 2175 W Terra Ln Ofallon, MO (636) Saint Charles CVS 3881 Mexico Rd Saint Charles, MO (636) CVS PHARMACY# * st Capitol Dr Saint Charles, MO (636) SAMS PHARMACY * 2855 Veterans Memorial Parkway Saint Charles, MO (636) SSM ST. CHARLES CLINIC MEDICAL GROUP, INC- PHARMACY DEPT. * 711 Veterans Memorial Parkway Saint Charles, MO (636) Saint Peters CVS 6241 Mid Rivers Mall Dr Saint Peters, MO (636) CVS PHARMACY # * 200 Jungermann Rd Saint Peters, MO (636) CVS PHARMACY# * 1749 Woodstone Dr Saint Peters, MO (636) CVS PHARMACY# * 400 Mid Rivers Mall Dr Saint Peters, MO (636) ST PETERS COMMUNITY 4885 Mexico Rd Saint Peters, MO (636) WALGREENS #6246 * 909 Jungerman Rd Saint Peters, MO (636) * 45 Sutters Mill Rd Saint Peters, MO (636) * 3031 Mid Rivers Mall Dr Saint Peters, MO (636) WASHINGTON UNIVERSITY CANCER CENTER PHARMACY - ST. PETERS * 150 Entrance Way Saint Peters, MO (636) St Charles DIERBERGS BOGEY HILLS 2021 Zumbehl Road St Charles, MO (636) SCHNUCKS st Capitol Dr St Charles, MO (636) SCHNUCKS 1950 Zumbehl Rd St Charles, MO (636) Page 7

11 SCHNUCKS 48 Plaza Ninety Four Dr St Charles, MO (636) SHOP N SAVE 3740 Monticello Plaza Dr St Charles, MO (636) SHOP N SAVE 60 Harvester Square St Charles, MO (636) South Fifth Street St Charles, MO (636) WALGREENS #2617 * 2329 W Clay St St Charles, MO (636) WALGREENS #3687 * 4492 Central School Rd St Charles, MO (636) WALGREENS #4970 * 2310 S Old Hwy 94 St Charles, MO (636) WALGREENS #6059 * 1003 Wolfrum Rd St Charles, MO (636) WALGREENS #6801 * 1780 Zumbehl St Charles, MO (636) WALGREENS * 3800 Elm St St Charles, MO (636) WALGREENS * 1301 S 5th Street St Charles, MO (636) * 2897 Veterans Memorial Pkwy St Charles, MO (636) St Louis WALGREENS * 3497 Technology Dr Lake St Louis, MO (636) St Peters COSTCO 200 Costco Way St Peters, MO (636) DIERBERGS 79 CROSSING 217 Salt Lick Road St Peters, MO (636) DIERBERGS 94 CROSSING 6211 Mid Rivers Mall Drive St Peters, MO (636) SCHNUCKS 577 Midrivers Mall Dr St Peters, MO (636) SHOP N SAVE 100 Jungermann Rd St Peters, MO (636) WALGREENS #2733 * 530 Mid Rivers Mall Drive St Peters, MO (636) WALGREENS #5974 * 1305 Jungerman Rd St Peters, MO (636) WALGREENS #6247 * 3801 Old Hwy 94 St Peters, MO (636) WALGREENS #10474 * 499 Salt Lick Rd St Peters, MO (636) * 1661 Jungerman Rd St Peters, MO (636) Wentzville CVS 1883 Wentzville Pkwy Wentzville, MO (636) CVS PHARMACY# * 1550 Wentzville Pkwy Wentzville, MO (636) Page 8

12 DIERBERGS WENTZVILLE 1820 Wentzville Parkway Wentzville, MO (636) LAKEFOREST 950 Corporate Pkwy Ste 104 Wentzville, MO (636) SAMS PHARMACY * 3055 Bear Creek Dr Wentzville, MO (636) SCHNUCKS 1960 Wentzville Parkway Wentzville, MO (636) SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE * 500 Medical Dr Wentzville, MO (636) WALGREENS #4584 * 1993 Wentzville Pkwy Wentzville, MO (636) WALGREENS #11311 * 1053 Meyer Rd Wentzville, MO (636) WALGREENS * 10 E Highway N Wentzville, MO (636) * 1971 Wentzville Pkwy Wentzville, MO (636) St. Louis Affton 7922 Mackenzie Rd Affton, MO (314) WALGREENS #7762 * 1 Grasso Plaza Affton, MO (314) Ballwin CVS Manchester Rd Ballwin, MO (636) CVS PHARMACY #02341 * Clayton Rd Ballwin, MO (636) FITZPATRICK PHARMACY INC * Manchester Rd Ballwin, MO (636) MERCY PHARMACY CLAYTON-CLARKSON * Clayton Rd Ste 140 Ballwin, MO (636) SCHNUCKS 1393 Big Bend Sq Ballwin, MO (636) SCHNUCKS Manchester Rd Ballwin, MO (636) WALGREENS #10429 * Manchester Rd Ballwin, MO (636) WALGREENS * 1391 Big Bend Rd Ballwin, MO (636) Black Jack WALGREENS #2741 * Old Halls Ferry Black Jack, MO (314) Brentwood CVS 25 Brentwood Promenade Ct Brentwood, MO (314) SCHNUCKS 8800 Manchester Rd Brentwood, MO (314) WALGREENS * 2401 S Brentwood Blvd Brentwood, MO (314) Bridgeton CVS PHARMACY#10261 * Saint Charles Rock Rd Bridgeton, MO (314) Page 9

13 SCHNUCKS Enterprise Way Bridgeton, MO (314) SCHNUCKS St Charles Rock Rd Bridgeton, MO (314) SSM HEALTH Depaul Drive Suite 105 Bridgeton, MO (314) WALGREENS #2501 * St Charles Rock Rd Bridgeton, MO (314) WALGREENS #6492 * St Charles Rock Rd Bridgeton, MO (314) * Saint Charles Rock Rd Bridgeton, MO (314) Chesterfield CVS 1272 Town & Country Crossing Dr Chesterfield, MO (636) CVS 40 Thf Blvd Chesterfield, MO (636) DIERBERGS MARKETPLACE 1730 Clarkson Road Chesterfield, MO (636) SAMS PHARMACY * 196 Thf Blvd Chesterfield, MO (636) SCHNUCKS 2511 Kehrs Mill Rd Chesterfield, MO (636) SCHNUCKS 141 Hilltown Village Chesterfield, MO (636) SCHNUCKS 1060 Schnucks Woods Mill Plaza Chesterfield, MO (636) ST LUKES 224 S Woods Mill Rd Chesterfield, MO (314) Seasons Shopping Ctr Ste B Chesterfield, MO (314) WALGREENS #4220 * Clayton Rd Chesterfield, MO (636) WALGREENS #7185 * 917 Chesterfield Pkwy East Chesterfield, MO (636) WALGREENS #7692 * 97 Long Rd Chesterfield, MO (636) * 100 Thf Blvd Chesterfield, MO (636) Clayton CVS PHARMACY# * 8101 Clayton Rd Clayton, MO (314) MEDICAL ARTS CLAYTON 7710 Carondelet Avenue Clayton, MO (314) Country Club Hills WALGREENS #11350 * 5790 Lucas And Hunt Rd Country Club Hills, MO (314) Crestwood SAMS PHARMACY * Big Bend Blvd Crestwood, MO (314) WALGREENS #9436 * 9807 Watson Rd Crestwood, MO (314) Creve Coeur Page 10

14 COMMUNITY, A WALGREENS PHARMACY #16552 * 628 N New Ballas Rd Creve Coeur, MO (314) CVS PHARMACY #03087 * Olive Blvd Creve Coeur, MO (314) DIERBERGS WEST OAK Olive Street Road Creve Coeur, MO (314) GOLIVEWELL Olive Blvd Ste 210 Creve Coeur, MO (844) OLIVE STREET PHARMACY LLC * Old Olive Street Rd Ste 103 Creve Coeur, MO (314) WALGREENS #10082 * Olive Blvd Creve Coeur, MO (314) WALGREENS * Olive Street Creve Coeur, MO (314) Dellwood WALGREENS #11351 * W Florissant Ave. Dellwood, MO (314) Des Peres DIERBERGS DES PERES 1080 Lindemann Rd Des Peres, MO (314) WALGREENS #5120 * Manchester Rd Des Peres, MO (314) Desperes SCHNUCKS Manchester Rd Desperes, MO (314) Earth City FOUNDATION CARE LLC * 4010 Wedgeway Ct Earth City, MO (314) OPTIME CARE, INC * 4060 Wedgeway Court Earth City, MO (888) Ellisville CVS PHARMACY #05689 * Manchester Rd Ellisville, MO (636) SHOP N SAVE Manchester Rd Ellisville, MO (636) WALGREENS #4701 * Manchester Rd Ellisville, MO (636) WALGREENS #11744 * 1302 Clarkson Clayton Ctr Ellisville, MO (636) Eureka SCHNUCKS 245 East Fifth St Eureka, MO (636) WALGREENS #2227 * 250 E 4th St Eureka, MO (636) * 131 Erka Twn Cntr Dr Eureka, MO (636) Fenton CVS 197 Gravois Bluffs Plaza Dr Fenton, MO (636) DIERBERGS FENTON CROSSING 450 Old Smizer Mill Road Fenton, MO (636) SHOP N SAVE 45 Gravoi Bluffs Plz Dr Fenton, MO (636) WALGREENS #3652 * 1001 Bowles Ave Fenton, MO (636) Page 11

15 WALGREENS * 701 Gravois Bluffs Blvd Fenton, MO (636) * 653 Gravois Bluffs Blvd Fenton, MO (636) Ferguson SAMS PHARMACY * W Florissant Ave Ferguson, MO (314) WALGREENS * 190 N Florissant Rd Ferguson, MO (314) Florissant CVS PHARMACY #10171 * 696 N Highway 67 St #698 Florissant, MO (314) CVS PHARMACY# * 6999 Parker Rd Florissant, MO (314) CVS PHARMACY# * 1550 S New Florissant Rd Florissant, MO (314) DIERBERGS FLORISSANT 222 North Highway 67 Florissant, MO (314) KMART PHARMACY4304 * 1 Flower Valley Shp Ctr Florissant, MO (314) SCHNUCKS 1160 Shackelford Rd Florissant, MO (314) SCHNUCKS 74 Grandview Plaza Ctr Florissant, MO (314) SCHNUCKS New Halls Ferry Rd Florissant, MO (314) SCHNUCKS 8200 N Lindbergh Florissant, MO (314) SHOP N SAVE 196 Mayfair Plaza Shopping Center Florissant, MO (314) SHOP N SAVE 2183 Charbonier Rd Florissant, MO (314) SHOP N SAVE 175 Flower Valley Shopping Center Florissant, MO (314) N Hwy 67 Florissant, MO (314) WALGREENS #1124 * 460 N Hwy 67 Florissant, MO (314) WALGREENS #2901 * 1705 Shackelford Florissant, MO (314) WALGREENS #2971 * 2a Grandview Plaza Florissant, MO (314) WALGREENS #4866 * New Halls Ferry Rd Florissant, MO (314) WALGREENS #4867 * 3160 N Hwy 67 Florissant, MO (314) WALGREENS #5749 * 500 Howdershell Rd Florissant, MO (314) * 3390 N Highway 67 Florissant, MO (314) Hazelwood Page 12

16 WALGREENS 1633 * 7398 N Lindbergh Blvd Hazelwood, MO (314) Jennings WALGREENS * 9285 Halls Ferry Road Jennings, MO (314) Kirkwood CVS Manchester Rd Kirkwood, MO (314) CVS 1042 S Kirkwood Rd Kirkwood, MO (314) SCHNUCKS Manchester Rd Kirkwood, MO (314) SHOP N SAVE Manchester Rd Kirkwood, MO (314) WALGREENS #4392 * 441 N Kirkwood Kirkwood, MO (314) * 1202 S Kirkwood Rd Kirkwood, MO (314) Manchester COSTCO 301 Highlands Boulevard Dr Manchester, MO (636) DIERBERGS LAFAYETTE 421 Lafayette Center Manchester, MO (636) DIRECTRX 140 Enchanted Pkwy Ste 100 Manchester, MO (636) WALGREENS #5003 * Manchester Rd Manchester, MO (636) WALGREENS * Manchester Rd Manchester, MO (636) * 201 Highlands Boulevard Dr Manchester, MO (636) Maplewood CVS PHARMACY# * 7470 Manchester Rd Maplewood, MO (314) SAMS PHARMACY * 2100 Maplewood Commons Dr Maplewood, MO (314) SHOP N SAVE 7355 Manchester Rd Maplewood, MO (314) * 1900 Maplewood Commons Drive Maplewood, MO (314) Maryland Heights MED ASSIST Adie Rd Maryland Heights, MO (314) SCHNUCKS 2030 Dorsett Rd Maryland Heights, MO (314) WALGREENS #9481 * Dorsett Rd Maryland Heights, MO (314) Moline Acres SHOP N SAVE 9521 Lewis And Clark Blvd Moline Acres, MO (314) Olivette CVS PHARMACY #05670 * 9141 Olive Blvd Olivette, MO (314) WALGREENS #6350 * 9395 Olive Blvd Olivette, MO (314) Overland Page 13

17 2514 Woodson Rd Overland, MO (314) WALGREENS * 9320 Lackland Overland, MO (314) Richmond Heights WALGREENS * 6733 Clayton Rd Richmond Heights, MO (314) Rock Hill WALGREENS #9771 * 9801 Manchester Rd Rock Hill, MO (314) Saint Ann WALGREENS #15941 * St Charles Rock Rd Saint Ann, MO (314) Saint Louis AVELLA OF ST LOUIS * 450 N New Ballas Rd Ste 256 Saint Louis, MO (314) BEVERLY HILLS 7150 Natural Bridge Rd Saint Louis, MO (314) BHS PHARMACY, LLC * 763 S New Ballas Rd Saint Louis, MO (314) BJC EMPLOYEE 3844 S Lindbergh Blvd Ste 150 Saint Louis, MO (314) CLAYTON HEALTH SERVICES PHARMACY WEST * 1035 Bellevue Ave Saint Louis, MO (314) CVS 4250 Rusty Rd Saint Louis, MO (314) CVS PHARMACY #05643 * 7334 S Lindbergh Blvd Saint Louis, MO (314) CVS PHARMACY# * 9433 Manchester Rd Saint Louis, MO (314) EXPRESS CARE 2319 Weldon Pkwy Saint Louis, MO (866) GOLDSMITH MEDICENTER 777 S New Ballas Rd Saint Louis, MO (314) KRUMMENACHER Olive Blvd Saint Louis, MO (314) MERCY PHARMACY MEDICAL TOWER A/B * 621 S New Ballas Rd Ste 20a Saint Louis, MO (314) MERCY PHARMACY OLIVE- MASON * Olive Blvd Ste 150 Saint Louis, MO (314) MERCY PHARMACY ST. LOUIS LOBBY * 615 S New Ballas Rd Saint Louis, MO (314) MERCY PHARMACY TESSON FERRY AT I-270 * Old Tesson Rd Ste 100 Saint Louis, MO (314) NEELS 8 Crestwood Executive Ctr Saint Louis, MO (314) QUADRANGLE PHARMACY, LLC * 6643 Shepley Drive Saint Louis, MO (314) READYMED Tesson Ferry Rd Saint Louis, MO (314) SAMS PHARMACY * Manchester Road Saint Louis, MO (314) Page 14

18 SAMS PHARMACY * 4512 Lemay Ferry Road Saint Louis, MO (314) SCHNUCKS 1520 S Brentwood Blvd Saint Louis, MO (314) SCHNUCKS 8650 Big Bend Saint Louis, MO (314) ST. ANTHONY'S PLAZA RETAIL Southfork Rd Ste 110 Saint Louis, MO (314) Lemay Ferry Rd Saint Louis, MO (314) WALGREENS #11836 * Page Ave Saint Louis, MO (314) WALGREENS #15265 * 8390 Delmar Blvd Saint Louis, MO (314) WALGREENS * 7711 Carondelet Ave Ste 301 Saint Louis, MO (314) WALGREENS * 3300 Brown Rd Saint Louis, MO (314) * W Florissant Ave Saint Louis, MO (314) WASHINGTON UNIVERSITY CANCER CENTER PHARMACY-SOUTH COUNTY * 5225 Midamerica Plaza Saint Louis, MO (314) WASHINGTON UNIVERSITY CANCER CENTER PHARMACY - WEST COUNTY * 10 Barnes West Dr Bldg 2 # 100 Saint Louis, MO (314) Sappington Gravois Rd Sappington, MO (314) Shrewsbury 3061 * 7437 Watson Rd Shrewsbury, MO (314) St Ann SHOP N SAVE St Charles Rock Rd St Ann, MO (314) St John SHOP N SAVE 9070 St Charles Rock Rd St John, MO (314) St Louis COSTCO 4200 Rusty Road St Louis, MO (314) DIERBERGS BRENTWOOD POINTE 8450 Eager Road St Louis, MO (314) DIERBERGS HERITAGE PLACE Olive Street Road St Louis, MO (314) DIERBERGS LEMAY 2516 Lemay Ferry Road St Louis, MO (314) DIERBERGS MACKENZIE POINTE 7233 Watson Road St Louis, MO (314) DIERBERGS SOUTHROADS Tesson Ferry Road St Louis, MO (314) DIERBERGS TELEGRAPH 5640 Telegraph Road St Louis, MO (314) Page 15

19 DIERBERGS WARSON WOODS 9901 Manchester Road St Louis, MO (314) FAMILY CARE 3023 N Ballas Road St Louis, MO (314) FAMILY CARE PHARMACY AT CHRISTIAN HOSPITAL * Dunn Rd St Louis, MO (314) LADUE PHARMACY LLC * 9832 Clayton Rd St Louis, MO (314) REHOBOTH 9944 W Florissant Ave St Louis, MO (314) SCHNUCKS Clayton Rd St Louis, MO (314) SCHNUCKS 6920 Olive Blvd St Louis, MO (314) SCHNUCKS Olive Blvd St Louis, MO (314) SCHNUCKS 6600 Clayton Rd St Louis, MO (314) SCHNUCKS 9540 Watson Rd St Louis, MO (314) SCHNUCKS 1589 Sierra Vista Shopping Ctr St Louis, MO (314) SCHNUCKS 8037 W Florissant Ave St Louis, MO (314) SCHNUCKS 8867 Ladue Rd St Louis, MO (314) SCHNUCKS Olive Blvd St Louis, MO (314) SCHNUCKS 5434 Southfield Center St Louis, MO (314) SCHNUCKS 4333 Butler Hill Rd St Louis, MO (314) SCHNUCKS 5519 Oakville Shopping Ctr St Louis, MO (314) SCHNUCKS Gravois St Louis, MO (314) SCHNUCKS 49 N Florissant Rd St Louis, MO (314) SHOP N SAVE 1032 Lemay Ferry Rd St Louis, MO (314) SHOP N SAVE Old Halls Ferry Rd St Louis, MO (314) ST ANTHONYS MEDICAL CENTER Kennerly Road St Louis, MO (314) Brown Rd St Louis, MO (314) WALGREENS #854 * 5764 S Lindbergh St Louis, MO (314) WALGREENS #4345 * 2700 Telegraph Rd St Louis, MO (314) WALGREENS #4467 * 1205 Sulphur Spring Rd St Louis, MO (636) WALGREENS #4824 * Lusher Rd St Louis, MO (314) Page 16

20 WALGREENS #4833 * 651 Lemay Ferry Rd St Louis, MO (314) WALGREENS #5047 * 2202 Chambers Rd St Louis, MO (314) WALGREENS #5228 * 4400 Lemay Ferry Rd St Louis, MO (314) WALGREENS #5285 * 5050 Lemay Ferry Rd St Louis, MO (314) WALGREENS #5513 * Gravois Rd St Louis, MO (314) WALGREENS #5667 * 6071 Telegraph Rd St Louis, MO (314) WALGREENS #9714 * 9978 Kennerly Road St Louis, MO (314) WALGREENS * 7199 Natural Bridge Rd St Louis, MO (314) * 3270 Telegraph Road St Louis, MO (314) St Louis County WALGREENS #5363 * 5414 Telegraph Road St Louis County, MO (314) St. John CVS PHARMACY# * 8915 Saint Charles Rock Rd St. John, MO (314) Stlouis SCHNUCKS 9074 Overland Plaza Stlouis, MO (314) Town And Country CHILDREN'S HOSPITAL SPECIALTY CARE CENTER N Outer 40 Rd Town And Country, MO (314) University City MILLBROOK 7010 Pershing Ave University City, MO (314) WALGREENS #4671 * 7501 Olive St University City, MO (314) Valley Park 16 Stonegate Center Valley Park, MO (636) Webster Groves COLONIAL VILLAGE 7945 Big Bend Blvd Webster Groves, MO (314) CVS PHARMACY# * 8021 Watson Rd Webster Groves, MO (314) WALGREENS #7680 * 8571 Watson Rd Webster Groves, MO (314) Wildwood DIERBERGS TOWN CENTER 2460 Taylor Road Wildwood, MO (636) SCHNUCKS Manchester Wildwood, MO (636) WALGREENS #6155 * 100 Plaza Drive Wildwood, MO (636) Home Infusion Pharmacies ALABAMA Mobile Mobile HPC * 63 S Royal St Mobile, AL (800) ARIZONA Maricopa Page 17

21 Scottsdale DIPLOMAT SPECIALTY INFUSION GROUP 9045 E Pima Center Pkwy Scottsdale, AZ (480) CALIFORNIA Los Angeles Burbank BIOSCRIP INFUSION SERVICES 320 S Flower St Burbank, CA (800) Santa Fe Springs CRESCENT HEALTHCARE INC Telegraph Rd Santa Fe Springs, CA (562) Riverside Temecula NUFACTOR Winchester Rd Temecula, CA (800) San Diego Carlsbad DIPLOMAT PHARMACY, INC Aston Ave Ste 102 Carlsbad, CA (760) COLORADO Denver Denver US BIOSERVICES 501 W 44th Ave Unit A Denver, CO (800) FLORIDA Broward Pompano Beach PATIENT CARE AMERICA 3890 Park Central Blvd N. Pompano Beach, FL (866) GEORGIA Dawson Dawsonville INTOUCH PHARMACY 75 Elliott Rd Ste 200 Dawsonville, GA (706) ILLINOIS Cook Chicago KABAFUSION IL 5517 N Cumberland Ave Chicago, IL (800) PHARMASCRIPT INC N. Broadway Avenue Chicago, IL (773) Mt Prospect CORAM CVS/SPECIALTY INFUSION SERVICES 1471 Bus Center Dr Mt Prospect, IL (847) Orland Park AMERICAN SERVICE AND PRODUCT th St Orland Park, IL (708) Dupage Lombard OPTION CARE 2050 S Finley Rd Ste 20 Lombard, IL (630) Rock Island Silvis BIOSCRIP INFUSION SERVICES 985 Avenue Of The Cities Silvis, IL (309) St. Clair Belleville IV CARE 65 S 65th St Belleville, IL (618) IOWA Polk Urbandale DIPLOMAT SPECIALTY INFUSION GROUP & Aurora Ave. Urbandale, IA (515) OPTION CARE Aurora Ave Urbandale, IA (515) Scott Davenport CORAM CVS/SPECIALTY INFUSION SERVICES 5327 Carey Ave, Suite A Davenport, IA (563) KANSAS Johnson Lenexa Page 18

22 ACARIAHEALTH PHARMACY, INC W 84th Terrace Lenexa, KS (800) CORAM CVS/SPECIALTY INFUSION SERVICES 8013 Flint St Lenexa, KS (913) SOLEO HEALTH Rene Lenexa, KS (913) US BIOSERVICES 8028 Reeder Rd. Lenexa, KS (800) Overland Park HERITAGE BIOLOGICS, INC Metcalf Ln Ste 200 Overland Park, KS (866) OPTION CARE 8940 Nieman Rd Overland Park, KS (913) KENTUCKY Jefferson Louisville OPTION CARE Bluegrass Pkwy Ste 400 Louisville, KY (502) Mccracken Paducah OPTION CARE 3487 Park Ave Paducah, KY (270) LOUISIANA Jefferson Metairie FAST ACCESS SPECIALTY THERAPEUTICS 3131 N I 10 Service Rd E Ste 202 Metairie, LA (877) Ouachita Monroe RELIANT HEALTHCARE * 1004 N 19th St Monroe, LA (877) MICHIGAN Kalamazoo Kalamazoo OPTIMED SPECIALTY PHARMACY 6480 Technology Kalamazoo, MI (877) Oakland Troy HOMESCRIPTS 500 Kirts Blvd Ste 300 Troy, MI (248) MINNESOTA Dakota Eagan BIOSCRIP INFUSION SERVICES 2915 Waters Road Eagan, MN (612) Mendota Heights CORAM CVS/SPECIALTY INFUSION SERVICES 2345 Waters Dr Mendota Heights, MN (651) Ramsey Saint Paul HEARTLAND IV CARE 1400 Energy Park Dr Ste 17 Saint Paul, MN (651) MISSOURI Boone Columbia OPTION CARE 1410 Heriford Road Columbia, MO (573) Cape Girardeau Cape Girardeau HOME PARENTERAL SERVICES OF SEMO 286 Christine St Cape Girardeau, MO (573) Greene Springfield HOME PARENTERAL SERVICES 2240 W Sunset St Ste 104 Springfield, MO (417) Jackson Page 19

23 Kansas City SAINT LUKE'S ADVANCED CARE PHARMACY Elm Ave Kansas City, MO (816) Lees Summit HERITAGE BIOLOGICS, INC. 255 Nw Victoria Dr Lees Summit, MO (855) Miller Eldon ELDON DRUG COMPANY * 101 S Maple Street Eldon, MO (573) St. Louis Chesterfield ACCREDO HEALTH GROUP INC 749 Goddard Ave Chesterfield, MO (636) BIOSCRIP INFUSION SERVICES 528 Trade Center Blvd Chesterfield, MO (636) Fenton OPTION CARE 535 Axminister Dr Fenton, MO (314) Saint Louis CORAM CVS/SPECIALTY INFUSION SERVICES 8248 Lackland Rd Ste 101 Saint Louis, MO (314) NEBRASKA Douglas Omaha AFFINITY BIOTECH, INC N 203rd St Omaha, NE (402) BIOSCRIP INFUSION SERVICES 8710 F St Omaha, NE (402) CORAM CVS/SPECIALTY INFUSION SERVICES Mill Valley Rd Omaha, NE (402) OPTION CARE John Galt Blvd Omaha, NE (402) NEW JERSEY Passaic Totowa BIOLOGICTX LLC 40d Commerce Way Totowa, NJ (877) NEW YORK Suffolk Ronkonkoma FOCUS RX 2805 Veterans Memorial Hwy # Ronkonkoma, NY (888) NORTH CAROLINA Wake Raleigh DIPLOMAT SPECIALTY INFUSION GROUP 140 Northway Court Raleigh, NC (888) OHIO Hamilton Cincinnati DIPLOMAT SPECIALTY INFUSION GROUP 7167 E Kemper Rd Cincinnati, OH (513) PENNSYLVANIA Delaware Boothwyn PENTEC HEALTH, INC 4 Creek Parkway Boothwyn, PA (800) US BIOSERVICES 109 Chelsea Parkway Boothwyn, PA (800) Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA (610) Sharon Hill Page 20

24 HOMETECH ADVANCED THERAPIES, INC. * 505 Elmwood Ave Sharon Hill, PA (484) SOLEO HEALTH 950 Calcon Hook Road Sharon Hill, PA (610) TENNESSEE Shelby Memphis HEMOPHILIA PREFERRED CARE OF MEMPHIS * 6423 Shelby View Dr Ste 104 Memphis, TN (901) TEXAS Collin Frisco US BIOSERVICES 3200 Internet Blvd Frisco, TX (888) Dallas Dallas PARAGON INFUSION CARE, INC Preston Road Dallas, TX (972) Irving OPTION CARE 6611 N Belt Line Rd Ste 100 Irving, TX (972) Y MEDICAL ASSOCIATES, INC N Mac Arthur Blvd Irving, TX (972) Richardson KROGER SPECIALTY INFUSION TX 1748 N Greenville Ave Richardson, TX (855) Harris Houston ACARIAHEALTH PHARMACY # W Sam Houston Pkwy N # 130 Houston, TX (800) SPECIALTY THERAPEUTIC CARE 1311 W Sam Houston Pkwy N Ste 150 Houston, TX (866) Lubbock Lubbock IV SOLUTIONS OF LUBBOCK 3706-A 20th Street Lubbock, TX (806) Tarrant Ft Worth AMERICAN OUTCOMES MGMT LP 6310 Southwest Blvd Ste 204 Ft Worth, TX (800) Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under Missouri Medicare Select through the facility s long-term care pharmacy or another network long-term care pharmacy. ALABAMA Madison Madison CAREDIRECT RX, LLC 112-A Celtic Drive Madison, AL (256) ARIZONA Maricopa Phoenix PHARMERICA 8826 N 23rd Ave Ste C-2 Phoenix, AZ (602) ARKANSAS Fulton Mammoth Spring PALACE DRUG * 270 Main St Mammoth Spring, AR (870) Washington Springdale PREMIER PHARMACY CARE LLC 834 E Henri De Tonti Blvd Springdale, AR (479) ILLINOIS La Salle Page 21

25 La Salle PHARMBLUE ILLINOIS LLC * 2960 Chartres St Ste 100 La Salle, IL (724) Peoria Peoria EXTENDED PHARMACY LLC 121 State St Ste 1a Peoria, IL (309) INDIANA Hamilton Noblesville MEDSCRIPT LTC PHARMACY Getz Rd Noblesville, IN (317) Marion Indianapolis PHARMERICA 6330 E 75th St Indianapolis, IN (317) IOWA Lee Fort Madison RASHID LTC PHARMACY/JRX PHARMACY SERVICES 2402 Avenue L Fort Madison, IA (319) KANSAS Douglas Lawrence QUALICARE INC 2336 Ridge Court Lawrence, KS (785) Johnson Lenexa ALIXARX - KS HUB Renner Blvd Lenexa, KS (877) HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. # W 79 St Lenexa, KS (913) PHARMACY ALTERNATIVES, LLC 7953 Bond St Lenexa, KS (502) UVANTA PHARMACY - KANSAS CITY Renner Blvd Lenexa, KS (913) Shawnee Topeka SENIOR RX CARE OF KANSAS LLC 121 Se 6th Ave Topeka, KS (877) KENTUCKY Graves Mayfield DUNCAN SPECIALTY PHARMACY 317 W. Broadway Mayfield, KY (270) MISSOURI Adair Kirksville KIRKSVILLE 1611 S Baltimore St Kirksville, MO (660) MED DEPOT 800 W Jefferson St Kirksville, MO (660) RIDER DRUG INC * 1207 S Baltimore Kirksville, MO (660) Andrew Savannah COUNTRYSIDE PHARMACY * 402 E Price Savannah, MO (816) SAVANNAH FAMILY 205 S 71 Hwy Savannah, MO (816) Atchison Rock Port STONER DRUG * 315 S Main St Rock Port, MO (660) Tarkio Page 22

26 ROGERS 411 Main St Tarkio, MO (660) Audrain Mexico A AND B PRESCRIPTION SHOP INC * 201 E Monroe St Mexico, MO (573) JACKSON STREET DRUG, A MEDICINE SHOPPE PHARMACY #1111 * 200 E Jackson St Mexico, MO (573) PARKWAY 340 Kelley Pkwy Mexico, MO (573) Barry Cassville SATER 705 Main St Cassville, MO (417) WHITLEY 101 W 8th St Cassville, MO (417) Bates Adrian ADRIAN KREISLER DRUG * 21 E Main St Adrian, MO (816) Benton Cole Camp COLE CAMP 106 S Maple St Cole Camp, MO (660) Warsaw J AND D TRUECARE 1330 Commercial St Warsaw, MO (660) Boone Ashland KILGORE'S MEDICAL 109 B Eastside Dr Ashland, MO (573) Columbia D&H DRUG STORE * 1814 Paris Rd Columbia, MO (573) FLOWS 1506 E Broadway Columbia, MO (573) KILGORE'S MEDICAL 1608 Chapel Hill Rd Columbia, MO (573) KILGORE'S MEDICAL 700 N Providence Rd Columbia, MO (573) OMNICARE OF COLUMBIA 4509 I 70 Drive Se Columbia, MO (573) Buchanan Saint Joseph GENOA HEALTHCARE 724 N 22nd St Saint Joseph, MO (816) STEVENSON FAMILY 6201 King Hill Ave Saint Joseph, MO (816) St Joseph NORTHWEST MO PSYCHIATRIC REHAB PHARMACY 3505 Frederick Ave St Joseph, MO (816) ROGERS 2524 Frederick Ave St Joseph, MO (816) Butler Poplar Bluff EASTSIDE 400 E Pine Poplar Bluff, MO (573) KEY DRUGS * 910 N Westwood Poplar Bluff, MO (573) Caldwell Hamilton Page 23

27 NORTHWEST PHARMACY SERVICES * 103 E. Cross Street Hamilton, MO (816) Callaway Fulton FULTON STATE HOSPITAL 600 E 5th St Fulton, MO (573) SAULTS DRUG STORE INC * 505 Court Street Fulton, MO (573) Camden Lake Ozark LAKE REGIONAL PHARMACY - LO * 1870-C Bagnell Dam Blvd Lake Ozark, MO (573) Osage Beach LAKE REGIONAL PHARMACY - OBMP * 1057-B Medical Park Dr Osage Beach, MO (573) Cape Girardeau Cape Girardeau BROADWAY 710 Broadway Cape Girardeau, MO (573) BROADWAY PHARMACY LTC 706 Broadway St Cape Girardeau, MO (573) GENOA HEALTHCARE 402 S Silver Springs Rd Ste 101a Cape Girardeau, MO (573) JOHN'S RX 2003 Independence St Cape Girardeau, MO (573) MEDICENTER 465 S Mount Auburn Rd Ste 101 Cape Girardeau, MO (573) SOUTHEAST 1723 Broadway Ste 110 Cape Girardeau, MO (573) Jackson HORST 2705 E Jackson Blvd Jackson, MO (573) MEDICENTER 200 W Washington Jackson, MO (573) Carroll Carrollton HOMETOWN PHARMACY CARROLLTON LTC 1409 N Jefferson St Carrollton, MO (660) Carter Van Buren VAN BUREN DRUG * 406 Main St Van Buren, MO (573) Cass Harrisonville GILLEN 2820 E Rock Haven Rd Ste 110 Harrisonville, MO (816) Cedar El Dorado Springs EVANS DRUGS * 209 E Us Hwy 54 El Dorado Springs, MO (417) Stockton ZUMWALT 19 Public Square Stockton, MO (417) Christian Clever FAMILY PHARMACY #27 * 6809 State Highway 14 W Ste F Clever, MO (417) Clark Kahoka CLARK COUNTY PHARMACY INC * 250 S Johnson Street Kahoka, MO (660) Clay Page 24

28 Excelsior Springs JACK MONROE PHARMACY * 1236 N Jesse James Rd Excelsior Springs, MO (816) KEX RX PHARMACY & HOME CARE * 1500 Kearney Rd Excelsior Springs, MO (816) RED CROSS LTC PHARMACY 1000 N Jesse James Rd Excelsior Springs, MO (816) Kansas City GENOA HEALTHCARE 3100 Ne 83rd St Kansas City, MO (816) Clinton Cameron THE DRUG STORE * 610 N Walnut Cameron, MO (816) Cole Jefferson City PYRAMID 3501 W Truman Blvd Ste H Jefferson City, MO (573) WHALEYS PRO CARE SERVICES 630 B East High Street Jefferson City, MO (573) Cooper Boonville MEDICAL ARTS PHARMACY * 800 Main St Boonville, MO (660) Crawford Cuba THE TOWNE 200 N Franklin Cuba, MO (573) Dade Greenfield GREENFIELD 105 N Grand Greenfield, MO (417) Lockwood LOCKWOOD 725 Main St Lockwood, MO (417) Dallas Buffalo CORNER DRUG STORE * 308 W Dallas St Buffalo, MO (417) NYBERG PHARMACY 2461 * 315 S Ash Buffalo, MO (417) Dekalb Maysville RANDOLPH DRUG STORE * 301 South Polk Street Maysville, MO (816) Dunklin Kennett HARRIS 1224 First Street Kennett, MO (573) Franklin Gerald MEDLEY 733 W Springfield Rd Gerald, MO (573) New Haven PRATTS 100 Dwayne Vonbehren Dr New Haven, MO (573) Saint Clair SINKS 1435 N. Main St Saint Clair, MO (636) ST CLAIR (REXALL) HEALTH MART PHARMACY * 855 N Commercial Ave Saint Clair, MO (636) St Clair 920 H St Clair Plaza Dr St Clair, MO (636) Union GENOA HEALTHCARE 1780 Old Highway 50 East Union, MO (636) Page 25

29 HEARTLAND DISCOUNT 707 Hwy 50 W Union, MO (636) Gasconade Hermann BERLENER 119 Bavarian Hills Blvd Hermann, MO (573) Owensville MEDLEY 601 E Hwy 28 Owensville, MO (573) Gentry Stanberry FAMILY HEALTH LTC PHARMACY 102 W 1st St Ste 100 Stanberry, MO (660) FAMILY HEALTH 102 W 1st St Stanberry, MO (660) Greene Ash Grove ASH GROVE PHARMACY INC * 490 N Medical Drive Ash Grove, MO (417) Brookline INFINIUM PHARMACY - REPUBLIC 6129 W Us Highway 60 Brookline, MO (417) Republic FAMILY 285 Us Hwy 60 W Republic, MO (417) Springfield ALPS PHARMACY #2 * 2828 N National Ave Ste A Springfield, MO (417) ALPS SPECIALTY PHARMACY 2828 N National Ave Springfield, MO (417) GUARDIAN PHARMACY OF MISSOURI 2103 E Rockhurst St Ste 108 Springfield, MO (417) OMNICARE OF SPRINGFIELD 1947 W Sunset Ste 200 Springfield, MO (417) SUNSHINE HEALTH MART 1536 W Sunshine St Springfield, MO (417) Willard FAMILY 520 E Jackson Willard, MO (417) Henry Clinton SUMMERS 605 Pawnee St Clinton, MO (660) Windsor MERRYFIELD 200 W Benton St Windsor, MO (660) Holt Mound City ROGERS 607 State Street Mound City, MO (660) Howard Fayette SAM'S HEALTH MART PHARMACY # North Church Street Fayette, MO (660) SAM'S HEALTH MART 300 N Church St Fayette, MO (660) Glasgow HENDERSONS DRUG STORE * 523 1st St Glasgow, MO (660) Page 26

30 Jackson Buckner BUCKNER PHARMACY, LLC * 325 S Hudson St Buckner, MO (816) Independence AUBURN E. 23rd St Independence, MO (816) GENOA HEALTHCARE E 23rd St S Rm D404 Independence, MO (816) STERLING PHARMACY E Us Highway 40 Independence, MO (816) Kansas City OMNICARE OF KANSAS CITY Hickman Mills Dr Kansas City, MO (816) ROCKHILL LTC PHARMACY 4240 Southwest Trfy Kansas City, MO (816) Lees Summit GENOA HEALTHCARE 901 Ne Independence Avenue Lees Summit, MO (816) GENOA HEALTHCARE 1535 Ne Rice Rd Ste A Lees Summit, MO (816) SYMBRIA RX SERVICES, LLC 348 Nw Capital Dr Lees Summit, MO (630) Ne Douglas St Lees Summit, MO (816) Jasper Carl Junction BRUNER 102 S Main Carl Junction, MO (417) Carthage WILKINSON 2017 S Garrison Ave Carthage, MO (417) Joplin 2131 E 32nd St Ste 3 Joplin, MO (417) Webb City BRUNER'S PHARMACY 101 W Daugherty St Webb City, MO (417) BRUNER'S 101 W Daugherty St Webb City, MO (417) STONE'S CORNER 6059 N Main Street Rd Webb City, MO (417) Jefferson Cedar Hill CEDAR HILL DRUG * 7032 State Route Bb Cedar Hill, MO (636) Desoto 100 North Main St Desoto, MO (636) Hillsboro HILLSBORO DRUG * Hwy 21 Hillsboro, MO (636) Knox Edina KNOX COUNTY PHARMACY LLC * 105 E Reid St Suite C Edina, MO (660) Laclede Lebanon JOES 489 S Jefferson Ave Lebanon, MO (417) Page 27