Molina Healthcare of Ohio, Inc. Participating Pharmacy Providers Last Update: 3/21/2013

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1 Molina Healthcare of Ohio, Inc. Participating Pharmacy Providers Last Update: 3/21/2013 Pharmacy Name ACME All Retail Locations CVS All Retail Locations DISCOUNT DRUG MART All Retail Locations GIANT EAGLE All Retail Locations K MART All Retail Locations KROGER All Retail Locations MARC S All Retail Locations MEIJER All Retail Locations RITE AID All Retail Locations SAM S CLUB All Retail Locations TARGET All Retail Locations FOSTERS VALU RITE 4584 COLUMBUS RD CENTERBURG KNOX OH LONSINGER 10 E MAIN ST DANVILLE KNOX OH BUEHLER S 800 W CENTRAL DELAWARE DELAWARE OH THE MEDICINE SHOPPE 90 TROY RD DELAWARE DELAWARE OH WAL MART 1760 COLUMBUS PIKE DELAWARE DELAWARE OH BRIAN K DORNER MD INC 6425 POST RD, STE 102 DUBLIN FRANKLIN OH CRITICAL CARE SYSTEMS 6185 SHAMROCK CT DUBLIN FRANKLIN OH DUBLIN URGENT CARE 6955 HOSPITAL DR DUBLIN FRANKLIN OH WAL MART 5900 BRITTON PARKWAY COLUMBUS FRANKLIN OH ARENSBERG 137 W MAIN ST UNIT D HEBRON LICKING OH WAL MART 8659 COLUMBUS PIKE LEWIS CENTER DELAWARE OH DAVES 411 W 5TH MARYSVILLE UNION OH WAL MART 555 COLEMANS CROSSING BLVD MARYSVILLE UNION OH VILLAGE 26 S MAIN ST MECHANICSBURG CHAMPAIGN OH MILLERSPORT LANCASTER NEWARK RD NE MILLERSPORT FAIRFIELD OH FOSTERS EASTSIDE 1451 YAUGER RD MT VERNON KNOX OH FOSTERS INC 207 W HIGH ST MOUNT VERNON KNOX OH WAL MART 1575 COSHOCTON AVE MT VERNON KNOX OH ARENSBERG 1649 GRANVILLE RD NEWARK LICKING OH ARENSBERG 30 N PARK PL NEWARK LICKING OH ARENSBERG 70 S CHALFANT RD NEWARK LICKING OH MEDICAL & SURGICAL 1930 TAMARACK RD NEWARK LICKING OH ASSOCIATES QOL MEDS 1445 W MAIN ST NEWARK LICKING OH READS 1272 W MAIN ST NEWARK LICKING OH READS 176 HUDSON AVE NEWARK LICKING OH READS 1940 TAMARACK RD NEWARK LICKING OH OH Medicaid Active Participating Pharmacies.indd 1 4/17/13 10:43 AM

2 READS 599 COUNTRY CLUB DR NEWARK LICKING OH WAL MART 1315 NORTH 21ST ST NEWARK LICKING OH WAL MART 911 HEBRON RD HEATH LICKING OH PLAIN CITY DRUGGIST 480 SOUTH JEFFERSON AVE PLAIN CITY MADISON OH AMERICAS URGENT CARE OF 24 HIDDEN RAVINES DR POWELL DELAWARE OH LEWIS CENTE PHILLIPS ON 1719 BRICE ROAD REYNOLDSBURG FRANKLIN OH BRICE LLC STREAMLINE INFUSION & 6415 E LIVINGSTON AVE STE C RAYNOLDSBURG FRANKLIN OH PHCY SPCLST WAL MART 2793 TAYLOR ROAD SW REYNOLDSBURG FRANKLIN OH C & R 122 S SPRINGFIELD ST SAINT PARIS CHAMPAIGN OH THORNVILLE 2 MAIN ST N THORNVILLE PERRY OH THE MEDICINE SHOPPE 821 SCIOTO ST URBANA CHAMPAIGN OH WAL MART 1840 EAST US ROUTE 36 URBANA CHAMPAIGN OH LONSINGER 244 N MAIN ST UTICA LICKING OH PHCY MANAGEMENT GROUP 757 BROOKSEDGE PLAZA DR WESTERVILLE FRANKLIN OH OF COLUMBUS L UPTOWN INC 23 N STATE ST WESTERVILLE FRANKLIN OH COUNTY LINE PROFESSIONAL 484 W COUNTY LINE RD WESTERVILLE DELAWARE OH KINDRED SVCS 720 LAKEVIEW PLAZA BLVD WORTHINGTON FRANKLIN OH MEDICAL & WELLNESS 1250 DEARBORN DR WORTHINGTON FRANKLIN OH CENTER SBH MEDICAL LTD 655 DEARBORN PARK LN WORTHINGTON FRANKLIN OH ASHVILLE APOTHECARY INC 4 E MAIN ST ASHVILLE PICKAWAY OH VILLAGE INC 114 N MAIN ST BALTIMORE FAIRFIELD OH WAL MART 6674 WINCHESTER BLVD CANAL WINCHESTER FRANKLIN OH CARNIVAL FOODS 120 MORRIS RD CIRCLEVILLE PICKAWAY OH CIRCLEVILLE APOTHECARY 1200 N COURT ST CIRCLEVILLE PICKAWAY OH SCHIEBER FAMILY 212 LANCASTER PIKE CIRCLEVILLE PICKAWAY OH WAL MART 1470 S COURT ST CIRCLEVILLE PICKAWAY OH GROVE CITY URGENT CARE 2030 STRINGTOWN RD GROVE CITY FRANKLIN OH WAL MART 1693 STRINGTOWN RD GROVE CITY FRANKLIN OH CARNIVAL FOODS 1215 N MEMORIAL DR LANCASTER FAIRFIELD OH DAVID 1518 E MAIN ST LANCASTER FAIRFIELD OH HERITAGE HEALTHCARE 622 WEST FAIR AVE LANCASTER FAIRFIELD OH HERITAGE 622 W FAIR AVE LANCASTER FAIRFIELD OH MEDICINE SHOPPE 900 E MAIN ST LANCASTER FAIRFIELD OH RISCH DRUG STORE #7 INC 803 W FAIR AVE LANCASTER FAIRFIELD OH OH Medicaid Active Participating Pharmacies.indd 2 4/17/13 10:43 AM

3 RISCH DRUG STORE INC 443 E MAIN ST LANCASTER FAIRFIELD OH RISCH DRUG STORE INC 533 N COLUMBUS ST LANCASTER FAIRFIELD OH SPINAL TECHNOLOGY & PAIN 1750 GRANVILLE PIKE LANCASTER FAIRFIELD OH CENTER WAL MART 1041 ETY RD NW LANCASTER FAIRFIELD OH YOUNGS SR 56 LAURELVILLE HOCKING OH WAL MART SR 664 LOGAN HOCKING OH MEDICINE SHOPPE 54 W HIGH ST LONDON MADISON OH WAL MART 375 LAFAYETTE ST LONDON MADISON OH STERLING 283 YANKEETOWN ST MT STERLING MADISON OH FAIRFIELD PHYSICIANS INC 1797 HILL RD N PICKERINGTON FAIRFIELD OH PICKERINGTON 641 HILL RD N PICKERINGTON FAIRFIELD OH FAYETTE COUNTY MEMORIAL 1430 COLUMBUS AVE WASHINGTON FAYETTE OH HOSP COURT HOUSE FAYETTE 1122 COLUMBUS AVE WASHINGTON FAYETTE OH COURT HOUSE WAL MART 1397 LEESBURG AVE WASHINGTON FAYETTE OH COURT HOUSE GENOA HEALTHCARE OF 1301 NORTH HIGH ST COLUMBUS FRANKLIN OH OHIO, LLC WILDERS CITY 1198 N HIGH ST COLUMBUS FRANKLIN OH CDI LONG TERM CARE LLC 11 W DUNCAN ST COLUMBUS FRANKLIN OH CROSBYS DRUGS 2609 N HIGH ST COLUMBUS FRANKLIN OH EDWARDS DRUGS 1083 MT VERNON AVE COLUMBUS FRANKLIN OH PHILLIPS INC 1017 MOUNT VERNON AVE COLUMBUS FRANKLIN OH FRIENDS INC 2872 W BROAD ST, STE 101 COLUMBUS FRANKLIN OH MAPLE LEAF 2800 WEST BROAD ST COLUMBUS FRANKLIN OH WEST CHILDRENS HOSPITAL 700 CHILDRENS DR COLUMBUS FRANKLIN OH CLINIC 1000 E BROAD ST COLUMBUS FRANKLIN OH COLUMBUS AREA 1515 EAST BROAD ST COLUMBUS FRANKLIN OH LIVINGSTON MEDICAL 1289 E LIVINGSTON AVE COLUMBUS FRANKLIN OH PHILLIPS CLINIC 881 EAST MAIN ST SUITE 201 COLUMBUS FRANKLIN OH LLC PHARMA1 INC 1763 S HIGH ST COLUMBUS FRANKLIN OH THE DRUG STORE 2940 GROVEPORT RD COLUMBUS FRANKLIN OH WAL MART 3579 S HIGH ST US 23 COLUMBUS FRANKLIN OH OSU STUDENT HEALTH 1875 MILLIKIN RD COLUMBUS FRANKLIN OH CENTER PHCY MAPLE LEAF CENTRAL 2343 CLEVELAND AVE COLUMBUS FRANKLIN OH OH Medicaid Active Participating Pharmacies.indd 3 4/17/13 10:43 AM

4 MEDISERV CLEVELAND 1570 CLEVELAND AVE COLUMBUS FRANKLIN OH COLUMBUS PRESCRIPTION 999 GOODALE BLVD COLUMBUS FRANKLIN OH PHCY INC GRANDVIEW MEDICAL 1550 W 5TH AVE COLUMBUS FRANKLIN OH DANE DRUGS 6495 E BROAD ST COLUMBUS FRANKLIN OH PHARMALIFE COLUMBUS 1299 MCNAUGHTEN DR COLUMBUS FRANKLIN OH WAL MART 3657 EAST MAIN WHITEHALL FRANKLIN OH WHITEHALL 875 S HAMILTON RD WHITEHALL FRANKLIN OH R M B PRESCRIPTION 3545 OLENTANGY RIVER RD COLUMBUS FRANKLIN OH APOTHECARE 131 N HIGH ST COLUMBUS FRANKLIN OH APOTHECARY SHOP OF 262 NEIL AVE COLUMBUS FRANKLIN OH COLUMBUS CAREPLUS/CVS ONE NATIONWIDE PLAZA COLUMBUS FRANKLIN OH ONSITE CHILDRENS HOMECARE 255 E MAIN ST COLUMBUS FRANKLIN OH SERVICES HEMATOLOGY ONCOLOGY 340 E TOWN ST, STE COLUMBUS FRANKLIN OH CONS INC COLUMBUS VAMC 420 N JAMES RD COLUMBUS FRANKLIN OH MID OHIO ONCOLOGY & 3100 PLAZA PROPERTIES BLVD COLUMBUS FRANKLIN OH HEMATOLOGY PHCY TWC AND 3433 AGLER RD #1500 COLUMBUS FRANKLIN OH WELLNESS CTR LLC WAL MART 3900 MORSE RD COLUMBUS FRANKLIN OH AMERICAS URG CARE OF UP 4661 SAWMILL RD UPPER ARLINGTON FRANKLIN OH ARLINGTON WAL MART 2700 BETHEL RD COLUMBUS FRANKLIN OH DEWEES PRESCRIPTIONS 3311 TREMONT RD COLUMBUS FRANKLIN OH TREMONT 2144 TREMONT CTR COLUMBUS FRANKLIN OH EDART INC 1400 W BROAD ST COLUMBUS FRANKLIN OH MEDISERV TOWN STREET 867 W TOWN ST COLUMBUS FRANKLIN OH CENTRAL POINT 699-L HARRISBURG PIKE COLUMBUS FRANKLIN OH MEDICAL ARTS 3350 CLEVELAND AVE COLUMBUS FRANKLIN OH OAKLAND PARK 1486 OAKLAND PARK AVE COLUMBUS FRANKLIN OH WHITES 4057 E LIVINGSTON AVE COLUMBUS FRANKLIN OH BIOSCRIP 2787 CHARTER ST COLUMBUS FRANKLIN OH CHOICE 4014 VENTURE COURT COLUMBUS FRANKLIN OH LIBERTY MEDICAL SUPPLY OF OHIO 255 PHILLIPI RD STE 100 COLUMBUS FRANKLIN OH OH Medicaid Active Participating Pharmacies.indd 4 4/17/13 10:43 AM

5 MBR INC 421 GEORGESVILLE RD COLUMBUS FRANKLIN OH OLD VILLAGE 50 OLD VILLAGE RD COLUMBUS FRANKLIN OH OMNICARE OF CENTRAL 2305 WESTBROOK DR COLUMBUS FRANKLIN OH OHIO WAL MART 1221 GEORGESVILLE RD COLUMBUS FRANKLIN OH WAL MART 5200 WEST POINTE PLAZA COLUMBUS FRANKLIN OH FAMILY MEDICAL 5770 KARL RD COLUMBUS FRANKLIN OH NORTHEAST 4576 MORSE CENTER DR COLUMBUS FRANKLIN OH GAHANNA URGENT CARE 5610 N HAMILTON RD COLUMBUS FRANKLIN OH NORTHEAST DERMATOLOGY 925 N HAMILTON RD GAHANNA FRANKLIN OH COMPLETE HEALTHCARE FOR 5888 CLEVELAND AVE COLUMBUS FRANKLIN OH WOMEN SMARTCHOICE DISCOUNT 2557 MORSE RD COLUMBUS FRANKLIN OH CLINICAL SPECIALTIES INC 6361 NICHOLAS DR COLUMBUS FRANKLIN OH OPTION CARE 7654 CROSSWOODS RD COLUMBUS FRANKLIN OH COSTCO 1500 GEMINI PLACE COLUMBUS DELAWARE OH MARION PRESCRIPTION 544 E CENTER ST MARION MARION OH WAL MART 1546 MARION MT GILEAD RD MARION MARION OH WAL MART 2281 SOUTH MAIN ST BELLEFONTAINE LOGAN OH HARRYS 101 E FINDLAY ST CAREY WYANDOT OH WAL MART 1241 EAST COLUMBUS ST KENTON HARDIN OH YOURX STORE 27 MAIN ST MARENGO MORROW OH WHISTON 25 SOUTH MAIN ST MOUNT GILEAD MORROW OH PROSPECT 171 S MAIN ST PROSPECT MARION OH ARIES 8200 ST RT 366 RUSSELLS POINT LOGAN OH KOEHLER DRUG CO. 136 N SANDUSKY AVE UPPER SANDUSKY WYANDOT OH WAL MART 1855 EAST WYANDOT AVE UPPER SANDUSKY WYANDOT OH MEDICAP PO BOX 761 WEST LIBERTY LOGAN OH JAKS PUBLIC 970 W WOOSTER BOWLING GREEN WOOD OH WAL MART 131 WEST GYPSY LN BOWLING GREEN WOOD OH BOWLING GREEN STUDENT HEALTH CENTER BOWLING GREEN WOOD OH UNIVERSITY PILLS N PACKAGES 350 RICE ST ELMORE OTTAWA OH GRUND DRUG COMPANY 227 S FRONT ST FREMONT SANDUSKY OH MEMORIAL HOSPITAL 715 SOUTH TAFT AVE FREMONT SANDUSKY OH WAL MART 2052 SR 53 FREMONT SANDUSKY OH GIBSONBURG 241 W MADISON ST GIBSONBURG SANDUSKY OH PILLS IN PACKAGES 249 W MADISON ST GIBSONBURG SANDUSKY OH IGA COMMUNITY MARKETS 279 W WATER ST OAK HARBOR OTTAWA OH OH Medicaid Active Participating Pharmacies.indd 5 4/17/13 10:43 AM

6 MEDICINE SHOPPE 143 E FRONT ST PEMBERVILLE WOOD OH BASSETTS 3994 E HARBOR RD PORT CLINTON OTTAWA OH GREEN S INC 200 MADISON ST PORT CLINTON OTTAWA OH WAL MART 2826 E HARBOR RD PORT CLINTON OTTAWA OH PILLS N PACKAGES 100 E MAIN ST WOODVILLE SANDUSKY OH PAMIDA 2015 S DEFIANCE ST ARCHBOLD FULTON OH RED CROSS DRUG STORE 201 N DEFIANCE ST ARCHBOLD FULTON OH WAL MART 1215 SOUTH MAIN BRYAN WILLIAMS OH CHIEF AND 1340 W HIGH ST DEFIANCE DEFIANCE OH WELLNESS CENTER DEFIANCE CLINIC 1400 E 2ND ST DEFIANCE DEFIANCE OH OKULEYS PHCY AND HOME 1245 E SECOND ST DEFIANCE DEFIANCE OH MED INC WAL MART 1804 NORTH CLINTON ST DEFIANCE DEFIANCE OH COMMUNITY MARKETS 702 MAIN ST DELTA FULTON OH SCARBROUGH 139 W MAIN ST DESHLER HENRY OH HICKSVILLE PHCY AND HOME 116 E HIGH ST HICKSVILLE DEFIANCE OH MEDICAL WAL MART 1355 SOUTH MCCORD RD HOLLAND LUCAS OH ST LUKES HOSPITAL PHCY 5901 MONCLOVA RD MAUMEE LUCAS OH TOLEDO IV CARE TECHNOLOGY DR MAUMEE LUCAS OH PAMIDA 1625 E MAIN ST MONTPELIER WILLIAMS OH RINGS INC 221 W MAIN ST MONTPELIER WILLIAMS OH VILLAGE APOTHECARY /2 SCOTT ST NAPOLEON HENRY OH WAL MART 1815 SCOTT ST NAPOLEON HENRY OH BUDERER DRUG CO N DIXIE HWY STE 119 PERRYSBURG WOOD OH OMNICARE OF 7643 PONDEROSA RD PERRYSBURG WOOD OH NORTHWEST OHIO THE DRUG STORE OF 580 CRAIG DR STE 2 PERRYSBURG WOOD OH PERRYSBURG WAL MART FREMONT PIKE PERRYSBURG WOOD OH WALT CHURCHILLS MARKET N DIXIE HWY PERRYSBURG WOOD OH & SWANTON INC 151 E AIRPORT HWY SWANTON FULTON OH FLOWER HOSPITAL O/P 5200 HARROUN RD SYLVANIA LUCAS OH INFUSION PARTNERS CENTENNIAL RD STE AA SYLVANIA LUCAS OH TOLEDO SYLVANIA 7640 W SYLVANIA AVE SYLVANIA LUCAS OH FULTON COUNTY HEALTH CENTER 725 S SHOOP AVE WAUSEON FULTON OH OH Medicaid Active Participating Pharmacies.indd 6 4/17/13 10:43 AM

7 OKULEYS PHCY & HM MED OF 123 S FULTON ST WAUSEON FULTON OH WASEON INC WAL MART 485 EAST AIRPORT HWY WAUSEON FULTON OH KLINGER 102 W JACKSON ST WEST UNITY WILLIAMS OH WHITEHOUSE APOTHECARY 5911 WECKERLY RD WHITEHOUSE LUCAS OH COMMUNITY 1910 COLLINGWOOD BLVD TOLEDO LUCAS OH PARTNERS JAMES INC 623 LAGRANGE ST TOLEDO LUCAS OH MERCY OUT PATIENT 2200 JEFFERSON AVE TOLEDO LUCAS OH TOLEDO LUCAS COUNTY 635 N ERIE ST TOLEDO LUCAS OH HLTH DEPT PHCY COSTCO 3405 W CENTRAL AVE TOLEDO LUCAS OH MONROE INC 4122 MONROE ST TOLEDO LUCAS OH THE COUNTER 2655 W CENTRAL AVE TOLEDO LUCAS OH LLC THE COUNTER 3144 W CENTRAL AVE TOLEDO LUCAS OH LLC TOLEDO HOSP OUTPATIENT 2142 N COVE BLVD TOLEDO LUCAS OH PHCY UNIV OF TOLEDO STUDENT 2801 W BANCROFT ST TOLEDO LUCAS OH MED CEN WEST CENTRAL 2150 W CENTRAL AVE TOLEDO LUCAS OH WESTGATE FAMILY 3147 W CENTRAL AVE TOLEDO LUCAS OH CORDELIA MARTIN HLTH CTR 430 NEBRASKA AVE TOLEDO LUCAS OH PHCY RYAN 3340 DORR ST TOLEDO LUCAS OH LAGRANGE SAVMOR DRUGS 3103 LAGRANGE TOLEDO LUCAS OH ST. VINCENT MERCY 2213 CHERRY ST TOLEDO LUCAS OH AMBLTRY CARE PHCY ERIE DRUG 4502 LEWIS AVE TOLEDO LUCAS OH MEDICAL COLLEGE OF OHIO 3000 ARLINGTON AVE TOLEDO LUCAS OH OUTPT PHCY THE COUNTER 1515 S BYRNE RD TOLEDO LUCAS OH LLC TOLEDO CBOC 3333 GLENDALE AVE TOLEDO LUCAS OH WAL MART 2925 GLENDALE AVE TOLEDO LUCAS OH HEARTLAND HEALTHCARE 4755 SOUTH AVE TOLEDO LUCAS OH SERVICES WAL MART 5821 CENTRAL AVE WEST TOLEDO LUCAS OH ST CHARLES OUTPAIENT 2600 NAVARRE AVE OREGON LUCAS OH OH Medicaid Active Participating Pharmacies.indd 7 4/17/13 10:43 AM

8 THE COUNTER 2701 NAVARRE AVE OREGON LUCAS OH LLC WAL MART 3721 NAVARRE AVE OREGON LUCAS OH ARINGS COMPOUND CORNER 6725 W CENTRAL AVE TOLEDO LUCAS OH INC LTC OHIO 2233 TRACY RD, STE B NORTHWOOD WOOD OH ST VINCENT FAMILY CARE 2213 FRANKLIN AVE TOLEDO LUCAS OH PHCY CARING SERVICES IV 4345 SECOR RD TOLEDO LUCAS OH GENOA HEALTHCARE OF 5151 MONROE ST TOLEDO LUCAS OH OHIO LLC SHAFFER INC 3900 SUNFOREST CT TOLEDO LUCAS OH ST ANNE MERCY O/P PHCY 3404 W SYLVANIA AVE TOLEDO LUCAS OH THE CLINIC 4235 SECOR RD TOLEDO LUCAS OH COLER DRUG BRIGHTON LTD 406 BRIGHTON BLVD ZANESVILLE MUSKINGUM OH NORTHSIDE HOME INFUSION 21 MAYSVILLE AVE ZANESVILLE MUSKINGUM OH NORTHSIDE MAYSVILLE 15 MAYSVILLE AVE ZANESVILLE MUSKINGUM OH NORTHSIDE PAVILION 945 BETHESDA DR ZANESVILLE MUSKINGUM OH NORTHSIDE 2899 BELL ST ZANESVILLE MUSKINGUM OH NORTHSIDE 751 FOREST AVE ZANESVILLE MUSKINGUM OH GSMC CAMPUS NORTHSIDE PHCY NURSING 19 MAYSVILLE AVE ZANESVILLE MUSKINGUM OH HOME DIV RIESBECKS 2200 JUNE PKWY ZANESVILLE MUSKINGUM OH WAL MART 2850 MAPLE AVE ZANESVILLE MUSKINGUM OH WAL MART 2850 MAYSVILLE PIKE ZANESVILLE MUSKINGUM OH CHEFFY DRUGS 148 E MAIN ST BARNESVILLE BELMONT OH RYMAN & TERRETTS 102 E MAIN ST BARNESVILLE BELMONT OH MORRISTOWN BELMONT MORRISTOWN RD BELMONT BELMONT OH INC BYEVILLE INC 207 E MAIN ST BYESVILLE GUERNSEY OH BRADEN MED SERVICES INC MARIETTA RD CALDWELL NOBLE OH DAVIS DRUG 109 WEST ST CALDWELL NOBLE OH GILLESPIES DRUGS MARIETTA RD CALDWELL NOBLE OH NORTHSTAR 1300 CLARK ST CAMBRIDGE GUERNSEY OH RIESBECK 55 S 23RD ST CAMBRIDGE GUERNSEY OH THE PAIN MANAGEMENT 1175 S 13TH ST CAMBRIDGE GUERNSEY OH CLINIC WAL MART SOUTHGATE PKWY CAMBRIDGE GUERNSEY OH OH Medicaid Active Participating Pharmacies.indd 8 4/17/13 10:43 AM

9 BLACKERS 120 S BUCKEYE ST CROOKSVILLE PERRY OH SHRIVERS 105 N KENNEBEC AVE MCCONNELSVILLE MORGAN OH NORTHSIDE NEW CONCORD 10 E MAIN ST NEW CONCORD MUSKINGUM OH SHRIVERS 510 N MAIN ST NEW LEXINGTON PERRY OH ROSEVILLE INC 157 S MAIN ST ROSEVILLE MUSKINGUM OH NORTHSIDE SOMERSET 117 W MAIN ST SOMERSET PERRY OH BELLWOOD DRUGS 135 S MAIN ST WOODSFIELD MONROE OH WEBERS INC 138 S MAIN ST WOODSFIELD MONROE OH ABBOTT INFUSION CARE LTD 720 S 2ND ST COSHOCTON COSHOCTON OH BUEHLERS 830 S 2ND ST COSHOCTON COSHOCTON OH MILLER 234 MAIN ST COSHOCTON COSHOCTON OH TRIPLITT DRUG 523 MAIN ST COSHOCTON COSHOCTON OH CORPORATION WAL MART AIRPORT RD COSHOCTON COSHOCTON OH LAWLERS 817 MAIN ST DRESDEN MUSKINGUM OH JOHNSTONS 26 EAST 3RD ST FRAZEYSBURG MUSKINGUM OH MEDI WISE 245 W STATE ST NEWCOMERSTOWN TUSCARAWAS OH MORGAN HEALTHMART 308 S COLLEGE ST NEWCOMERSTOWN TUSCARAWAS OH BELMONT COMMUNITY 3000 GUERNSEY ST BELLAIRE BELMONT OH HEALTH CENTER SAVE RITE 3235 BELMONT ST BELLAIRE BELMONT OH CUSTER 241 S MAIN ST CADIZ HARRISON OH RIESBECKS NATIONAL RD BRIDGEPORT BELMONT OH BUKMIRS 908 3RD ST BRILLIANT JEFFERSON OH DILLONVALE 74 MAIN ST DILLONVALE JEFFERSON OH BUCKEYE SR 170 STE NU EAST LIVERPOOL COLUMBIANA OH HERCHE & BLOORS 104 E 5TH ST EAST LIVERPOOL COLUMBIANA OH MARTYS FAMILY 2249 LISBON ST EAST LIVERPOOL COLUMBIANA OH MEDICAL EXPRESS 104 E 5TH ST 2 EAST LIVERPOOL COLUMBIANA OH WAL MART DRESDEN AVE EAST LIVERPOOL COLUMBIANA OH EAST OHIO REGIONAL 90 N 4TH ST MARTINS FERRY BELMONT OH HOSPITAL GRIFFITH 601 HANOVER ST MARTINS FERRY BELMONT OH JUST MEDS LLC 1103 S ZANE HWY MARTINS FERRY BELMONT OH MINGO 116 MCLISTER AVE MINGO JUNCTION JEFFERSON OH POWHATAN HEALTH CENTER 63 HIGHWAY 7 S POWHATAN POINT BELMONT OH RIESBECKS 4595 CENTRAL AVE # 9 SHADYSIDE BELMONT OH OH Medicaid Active Participating Pharmacies.indd 9 4/17/13 10:43 AM

10 SHADYSIDE 3948 CENTRAL AVE SHADYSIDE BELMONT OH APOLLO MEDICAL NATIONAL RD, STE J SAINT CLAIRSVILLE BELMONT OH MANAGEMENT RIESBECKS 104 PLAZA DR SAINT CLAIRSVILLE BELMONT OH WAL MART VALLEY PLAZA DR ST CLAIRSVILLE BELMONT OH A & B SUNSET 4201 SUNSET BLVD STEUBENVILLE JEFFERSON OH MARKET STREET 401 MARKET ST STE 101 STEUBENVILLE JEFFERSON OH ROSS PARK INC 1 ROSS PARK BLVD STEUBENVILLE JEFFERSON OH ROSS PARK WEST 4100 JOHNSON RD STEUBENVILLE JEFFERSON OH STEUBENVILLE HEALTHCARE 500 MARKET ST STEUBENVILLE JEFFERSON OH WAL MART 100 MALL DR STEUBENVILLE JEFFERSON OH DIAMOND 503 CADIZ RD STEUBENVILLE JEFFERSON OH RIESBECKS 100 MAIN ST WINTERSVILLE JEFFERSON OH TORONTO APOTHECARY 1361 FRANKLIN ST TORONTO JEFFERSON OH CENTER INC 447 MAIN ST WELLSVILLE COLUMBIANA OH NEIMAYER 112 E MAIN ST SCIO HARRISON OH HERBERT S 270 E MAIN ST ANDOVER ASHTABULA OH ASHTABULA COUNTY 2422 LAKE AVE ASHTABULA ASHTABULA OH MEDICAL CENTER HOFFMANS 2323 LAKE AVE ASHTABULA ASHTABULA OH MEDICINE SHOPPE 4220 MAIN AVE ASHTABULA ASHTABULA OH WAL MART 3551 NORTH RIDGE EAST ASHTABULA ASHTABULA OH BUDERER DRUG COMPANY CHESTER RD AVON LORAIN OH AVON COSTCO DETROIT RD AVON LORAIN OH WAL MART CHESTER RD AVON LORAIN OH WAL MART 7235 MARKET PLACE DR BAINBRIDGE GEAUGA OH TOWNSHIP HEATHER HILL BASS LAKE RD CHARDON GEAUGA OH MEDICINE SHOPPE 325 CENTER ST CHARDON GEAUGA OH WAL MART 223 MEADOWLANDS DR CHARDON GEAUGA OH GERDES INC 245 MAIN ST CONNEAUT ASHTABULA OH GATES 125 E BROAD ST ELYRIA LORAIN OH HEMATOLOGY ONCOLOGY SCHADDEN RD STE 2 ELYRIA LORAIN OH CENTER INC WAL MART 1000 CHESTNUT COMMONS DR ELYRIA LORAIN OH MIDVIEW DRUG ROYALTON RD GRAFTON LORAIN OH LORAIN VA PHCY 119L 205 W 20TH ST LORAIN LORAIN OH ANKLE AND FOOT CLINIC 4000 OBERLIN AVE STE 1 LORAIN LORAIN OH INC. WAL MART 4380 LEAVITT RD LORAIN LORAIN OH SOUTHSIDE 2811 FULTON RD LORAIN LORAIN OH WAL MART 8160 MACEDONIA COMMONS BLVD MACEDONIA SUMMIT OH OH Medicaid Active Participating Pharmacies.indd 10 4/17/13 10:43 AM

11 WAL MART 6067 NORTH RIDGE RD MADISON LAKE OH GENOA HEALTHCARE 7350 PALISADES PKWY MENTOR LAKE OH HYTECH 9500 MENTOR AVE MENTOR LAKE OH WAL MART 9303 MENTOR AVE MENTOR LAKE OH WAL MART SOUTH SPRINGDALE AVE MIDDLEFIELD GEAUGA OH NEWBURY KINSMAN RD NEWBURY GEAUGA OH OHLIGER DRUG LTC LORAIN RD NORTH OLMSTED CUYAHOGA OH OHLIGER DRUG OF N.O. INC LORAIN RD NORTH OLMSTED CUYAHOGA OH WAL MART BROOKPARK RD NORTH OLMSTED CUYAHOGA OH WAL MART US ROUTE 20 OBERLIN LORAIN OH GRAND VALLEY DRUG 11 N MAPLE ST ORWELL ASHTABULA OH PAINESVILLE VA CBOC 54 S STATE ST PAINESVILLE LAKE OH BEACON SKILLED CARE 1750 HIGHLAND RD TWINSBURG SUMMIT OH CLEVEL PHARMERICA 1750 HIGHLAND RD STE F TWINSBURG SUMMIT OH SKILLED CARE 1750 HIGHLAND RD #7 TWINSBURG SUMMIT OH CLEVELAND VINTAGE 1605 SR 60 VERMILION ERIE OH CLEVELAND CLINIC 2550 SOM CENTER RD WILLOUGHBY LAKE OH WILLOUGHBY HILLS ERIESIDE MEDICAL GROUP LAKE SHORE BLVD WILLOUGHBY LAKE OH SIGNATURE HEALTH INC., RX MENTOR AVE WILLOUGHBY LAKE OH CORNERSTONE MELINZ PARKWAY EASTLAKE LAKE OH DIABETIC CARE SERVICES MELINZ PARKWAY EASTLAKE LAKE OH AND NORWOOD MELINZ PARKWAY EASTLAKE LAKE OH UVANTRA MELINZ PARKWAY EASTLAKE LAKE OH WAL MART VINE ST EASTLAKE LAKE OH COMMUNITY CARE 8301 DETROIT AVE CLEVELAND CUYAHOGA OH DAVES 3565 RIDGE RD CLEVELAND CUYAHOGA OH ST AUGUSTINE SERVICES 7911 DETROIT AVE CLEVELAND CUYAHOGA OH CHURCH SQUARE 7905 EUCLID AVE CLEVELAND CUYAHOGA OH CNTR FOR FAMLIES & 4400 EUCLID AVE CLEVELAND CUYAHOGA OH CHLDRN PHCY NEON HOUGH HEALTH 8300 HOUGH AVE CLEVELAND CUYAHOGA OH CENTER PRIJATEL S 6718 ST CLAIR AVE CLEVELAND CUYAHOGA OH SHELIGA DRUG 6025 ST CLAIR CLEVELAND CUYAHOGA OH NEON SOUTHEAST HEALTH MILES AVE CLEVELAND CUYAHOGA OH CENTER BOLWELL EUCLID AVE CLEVELAND CUYAHOGA OH OH Medicaid Active Participating Pharmacies.indd 11 4/17/13 10:43 AM

12 CLEVELAND CLINIC 2049 E 100TH ST CLEVELAND CUYAHOGA OH II CLEVELAND CLINIC SURGERY 2070 E 90TH ST CLEVELAND CUYAHOGA OH CTR PHARM CLEVELAND CLINIC TAUSSIG 2010 E 90TH ST CLEVELAND CUYAHOGA OH CLEVELAND VAMC E BOULEVARD CLEVELAND CUYAHOGA OH NEON SUPERIOR HEALTH SUPERIOR AVE CLEVELAND CUYAHOGA OH CENTER CLARK LOWCOST 3107 CLARK AVE CLEVELAND CUYAHOGA OH OLD BROOKLYN 4229 PEARL RD RM SM 2 80 CLEVELAND CUYAHOGA OH PLAZA 2500 METROHEALTH DR CLEVELAND CUYAHOGA OH WAL MART 3400 STEELYARD DR CLEVELAND CUYAHOGA OH NEON COLLINWOOD HEALTH SAINT CLAIR AVE CLEVELAND CUYAHOGA OH CENTER CTR FOR FAM AND CHLDRN 3929 ROCKY RIVER DR CLEVELAND CUYAHOGA OH W BHVRL HLTH HEALTH CENTER LORAIN AVE CLEVELAND CUYAHOGA OH LUTHERAN FAMILY 1730 WEST 25TH ST CLEVELAND CUYAHOGA OH PREMIER PHYSICIANS 2709 FRANKLIN BLVD FL 2E CLEVELAND CUYAHOGA OH DAVE S 3301 PAYNE AVE CLEVELAND CUYAHOGA OH CENTRAL MEDICAL ARTS 2475 E 22ND ST CLEVELAND CUYAHOGA OH CENTRAL RX AND 2475 E 22ND ST CLEVELAND CUYAHOGA OH MEDICAL SUPPLIES ST VINCENT CHARITY 2351 E 22ND ST CLEVELAND CUYAHOGA OH HOSPITAL (PHARM) RX21, LLC CENTER RIDGE RD STE 202 ROCKY RIVER CUYAHOGA OH DAVES 3628 MAYFIELD RD CLEVELAND CUYAHOGA OH LEE SILSBY COMPOUNDING 3216 SILSBY RD CLEVELAND CUYAHOGA OH DRUG HEIGHTS SEVERANCE HEALTHMART 5 SEVERANCE CIR, STE 101 CLEVELAND CUYAHOGA OH WAL MART 3606 MAYFIELD RD CLEVELAND CUYAHOGA OH HEIGHTS BUCKEYE 2816 EAST 166TH CLEVELAND CUYAHOGA OH BARRON MERCANTILE RD BEACHWOOD CUYAHOGA OH CLEVELAND CLINIC CEDAR RD BEACHWOOD CUYAHOGA OH BEACHWOOD CONNECTIONS HLTH CHAGRIN BLVD BEACHWOOD CUYAHOGA OH WELLNESS ADVOCACY MENORAH PARK CTR FOR SENIOR LIVING CEDAR RD BEACHWOOD CUYAHOGA OH OH Medicaid Active Participating Pharmacies.indd 12 4/17/13 10:43 AM

13 PARKWAY MERCANTILE RD BEACHWOOD CUYAHOGA OH PSYCHOLOGICAL & HIGHPOINT RD BEACHWOOD CUYAHOGA OH BEHAVIORAL CONSULTA RAKESH RANJAN MD AND 3690 ORANGE PLACE BEACHWOOD CUYAHOGA OH ASSOCIATES INC SEELEY MEDICAL 900 E 222ND ST EUCLID CUYAHOGA OH COSTCO 1409 GOLDEN GATE BLVD CLEVELAND CUYAHOGA OH HILLCREST ATRIUM 6770 MAYFIELD RD MAYFIELD HEIGHTS CUYAHOGA OH WAL MART 6594 MAYFIELD RD MAYFIELD HEIGHTS CUYAHOGA OH CLEVELAND CLINIC CENTRAL 8400 SWEET VALLEY DR STE 401 CLEVELAND CUYAHOGA OH FILL PHCY EXACT CARE LLC 6180 HALLE DR CLEVELAND CUYAHOGA OH MARYMOUNT FAMILY MCCRACKEN RD GARFIELD HEIGHTS CUYAHOGA OH NATURES LORAIN RD FAIRVIEW PARK CUYAHOGA OH OHLIGER DRUG OF FAIRVIEW PARK LORAIN RD FAIRVIEW PARK CUYAHOGA OH CORAM ALTERNATE SITE SVCS 4350 RENAISSANCE PKWY STE P CLEVELAND CUYAHOGA OH DAVES HARVARD AVE CLEVELAND CUYAHOGA OH DIPLOMAT SPECIALTY MILES RD CLEVELAND CUYAHOGA OH UNIVERSITY HOME INFUSION 4901 GALAXY PARKWAY WARRENSVILLE CUYAHOGA OH CARE WAL MART 8303 WEST RIDGEWOOD DR PARMA CUYAHOGA OH SOUTHWEST COMMUNITY E BAGLEY RD MIDDLEBURG CUYAHOGA OH HEIGHTS WAL MART BROOKPARK RD BROOKLYN CUYAHOGA OH CLEVELAND CLINIC 6801 BRECKSVILLE RD INDEPENDENCE CUYAHOGA OH EUCLID FAMILY EUCLID AVE EUCLID CUYAHOGA OH CLEVELAND CLINIC O/P SOUTHPARK CTR # 1009 STRONGSVILLE CUYAHOGA OH COSTCO ROYALTON RD STRONGSVILLE CUYAHOGA OH WAL MART 8585 PEARL RD STRONGSVILLE CUYAHOGA OH BRECKSVILLE VA PHCY 119B BRECKSVILLE RD BRECKSVILLE CUYAHOGA OH CLINICAL SPECIALTY 6955 TREELINE DR BRECKSVILLE CUYAHOGA OH BUCKHEAD 730 SOM CENTER RD STE 100 CLEVELAND CUYAHOGA OH MANAGEMENT DETROIT RD WESTLAKE CUYAHOGA OH GRP OF OHIO PHARMED CORP SPERRY DR WESTLAKE CUYAHOGA OH OH Medicaid Active Participating Pharmacies.indd 13 4/17/13 10:43 AM

14 MEDICAL SERVICE BROADWAY AVE BEDFORD CUYAHOGA OH COMPANIES WAL MART ROCKSIDE RD BEDFORD CUYAHOGA OH CLEVELAND CLINIC 9211 EUCLID AVE CLEVELAND CUYAHOGA OH INC MEDICINE SHOPPE 3300 GREENWICH RD 14 NORTON SUMMIT OH RITZMAN 390 ROBINSON AVE BARBERTON SUMMIT OH RITZMAN 4047 S CLEVE MASS RD NORTON SUMMIT OH COLONIAL PHARMARY 1915 N CLEVELAND MASSILLON RD BATH SUMMIT OH BUEHLER S 3688 CENTER RD BRUNSWICK MEDINA OH KLEIN S 2015 STATE RD CUYAHOGA FALLS SUMMIT OH NEW CHOICE RD ST CUYAHOGA FALLS SUMMIT OH WAL MART 3520 HUDSON DR STOW SUMMIT OH GARRETTSVILLE FAMILY 8295 WINDHAM ST GARRETTSVILLE PORTAGE OH GE SERVICES 5640 HUDSON INDUSTRIAL PKWY HUDSON SUMMIT OH KSU HEALTH CENTER EASTWAY DR KENT PORTAGE OH QOL MEDS 5982 RHODES RD KENT PORTAGE OH WAL MART 250 TALLMADGE RD KENT PORTAGE OH WAL MART 905 SINGLETARY DR STREETSBORO PORTAGE OH MANTUA INC MAIN ST MANTUA PORTAGE OH BUEHLER S 275 FOREST MEADOWS DR MEDINA MEDINA OH WAL MART 4141 PEARL RD MEDINA MEDINA OH S & S 6693 N CHESTNUT ST RAVENNA PORTAGE OH TRIANGLE INC 219 W MAIN ST RAVENNA PORTAGE OH WAL MART 2600 SR 59 RAVENNA PORTAGE OH RITZMAN 234 NORTH MAIN ST RITTMAN WAYNE OH RITZMAN 255 CENTER ST SEVILLE MEDINA OH BUEHLER S 175 GREAT OAKS TRAIL WADSWORTH MEDINA OH OMNICARE OF 1360 REIMER RD WADSWORTH MEDINA OH WADSWORTH RITZMAN NATURAL HEALTH 120 HIGH ST WADSWORTH MEDINA OH PHARMACIES WAL MART 222 SMOKERISE DR WADSWORTH MEDINA OH WINDHAM INC 9650 E CENTER ST WINDHAM PORTAGE OH AGMC POB 224 W EXCHANGE ST STE 180 AKRON SUMMIT OH AMBULATORY CARE CENTER 300 LOCUST ST STE 300 AKRON SUMMIT OH RITZMAN 95 ARCH ST AKRON SUMMIT OH RITZMAN 1760 GOODYEAR BLVD AKRON SUMMIT OH OH Medicaid Active Participating Pharmacies.indd 14 4/17/13 10:43 AM

15 AGMC AMBULATORY CARE 400 WABASH AVE AKRON SUMMIT OH CTR PHCY HIGHLAND SQUARE 786 W MARKET ST AKRON SUMMIT OH RITZMAN 157 WEST CEDAR ST AKRON SUMMIT OH CAREPLUS/CVS 106 SOUTH MAIN ST AKRON SUMMIT OH ONSITE QOL MEDS 340 S BROADWAY ST FL 1 AKRON SUMMIT OH RITZMAN 23 S MAIN ST STE 102 AKRON SUMMIT OH SCRIPTS 191 S MAIN ST AKRON SUMMIT OH KLEINS 150 CROSS ST AKRON SUMMIT OH KLEINS 676 S BROADWAY AKRON SUMMIT OH JOHN P ROBINSON DO INC 717 S CANTON AKRON SUMMIT OH WAL MART 2887 SOUTH ARLINGTON ST AKRON SUMMIT OH SAND RUN 40 SAND RUN RD AKRON SUMMIT OH VERNON J. HERSHBERGER MD 880 MULL AVE AKRON SUMMIT OH AKRON CBOC PHCY 119A 55 W WATERLOO RD 119A AKRON SUMMIT OH COPE 941 W NIMISILA RD AKRON SUMMIT OH SOUTH MAIN ST MEDICAL 4880 S MAIN ST AKRON SUMMIT OH CENTER BS BONYO DO AND 1569 VERNON ODOM BLVD AKRON SUMMIT OH ASSOCIATES RITZMAN 1323 COPLEY RD AKRON SUMMIT OH ANESTHESIA AND PAIN 3975 EMBASSY PKWY STE 200 AKRON SUMMIT OH CENTER OF AKRON WAL MART 3750 I WEST MARKET ST FAIRLAWN SUMMIT OH ZELLMED SOLUTIONS INC 3509 EMBASSY PKWY AKRON SUMMIT OH THE HOMETOWN 7156 WARREN SHARON RD BROOKFIELD TRUMBULL OH CAMPBELL TH ST CAMPBELL MAHONING OH CAREPOINT PARTNERS 4137 BRDMN CNFLD RD STELL04 CANFIELD MAHONING OH FAMILY DRUGS WALGREEN 120 S VINE ST COLUMBIANA COLUMBIANA OH AGENCY PRIMA HEALTHCARE 107 ROYAL BIRKDALE DR COLUMBIANA COLUMBIANA OH THE HOMETOWN 1108 VILLAGE PLZ COLUMBIANA COLUMBIANA OH TMMG 2600 ELM RD CORTLAND TRUMBULL OH WAL MART 2016 MILLENIUM BLVD CORTLAND TRUMBULL OH BRINE 906 N STATE ST GIRARD TRUMBULL OH MICHAEL SEKMAN MD INC 1616 E LIBERTY ST STE B GIRARD TRUMBULL OH C & B MAIN DISC DRUG CTR 8507 MAIN ST KINSMAN TRUMBULL OH INC KINSMAN DISCOUNT DRUG 6414 KINSMAN-NICKERSON RD KINSMAN TRUMBULL OH WEXLER S LAKE MILTON PHCY MAHONING AVE LAKE MILTON MAHONING OH OH Medicaid Active Participating Pharmacies.indd 15 4/17/13 10:43 AM

16 MORGANS DRUG STORE 118 E LINCOLN WAY LISBON COLUMBIANA OH QUALITY COMPOUNDING & 3379 MAIN ST MINERAL RIDGE TRUMBULL OH SPECIALTY RX RX INSTITUTIONAL SERVICES 3379 MAIN ST MINERAL RIDGE TRUMBULL OH VILLAGE MAIN ST NEW MIDDLETOWN MAHONING OH NEWTON FALLS 37 RIDGE RD NEWTON FALLS TRUMBULL OH INC PAMIDA 2300 SR 534 NEWTON FALLS TRUMBULL OH TROUTMAN DRUG COMPANY 501 ROBBINS AVE NILES TRUMBULL OH FREDS FAMILY 1136 E STATE ST SALEM COLUMBIANA OH JEFFERSON BILO 344 SOUTH CHESTNUT ST JEFFERSON COLUMBIANA OH LEASE DRUG COMPANY 229 N ELLSWORTH AVE SALEM COLUMBIANA OH PRIMA HEALTHCARE 564 E 2ND ST SALEM COLUMBIANA OH WAL MART 2875 EAST STATE ST SALEM COLUMBIANA OH THE HOMETOWN 655 CREED ST STRUTHERS MAHONING OH VIENNA CARE 347 YOUNGSTOWN KINGSVILLE RD VIENNA TRUMBULL OH MEDICINE SHOPPE 4619 MAHONING AVE NW WARREN TRUMBULL OH FRANKLIN 1732 YOUNGSTOWN RD SE WARREN TRUMBULL OH INSTITUTIONAL 3709 YOUNGSTOWN RD SE WARREN TRUMBULL OH PRESCRIPTION SERVICES QOL MEDS 1977 NILES RD SE WARREN TRUMBULL OH SJHC AMBULATORY MAIN LOBBY 667 EASTLAND AVE WARREN TRUMBULL OH SEHC AMBULATORY 1044 BELMONT AVE YOUNGSTOWN MAHONING OH ST ELIZABETH H/C CLINIC 1044 BELMONT AVE YOUNGSTOWN MAHONING OH QOL MEDS 611 BELMONT AVE YOUNGSTOWN MAHONING OH ALLEN S PHARMASERV INC 520 GYPSY LN YOUNGSTOWN MAHONING OH LINCOLN KNOLLS 819 MCCARTNEY RD YOUNGSTOWN MAHONING OH MAHONING VALLEY 4891 BELMONT AVE YOUNGSTOWN MAHONING OH INFUSION CARE QOL MEDS 726 WICK AVE YOUNGSTOWN MAHONING OH WAL MART 200 GOLDIE RD YOUNGSTOWN MAHONING OH YOUNGSTOWN CBOC PHCY 2031 BELMONT AVE YOUNGSTOWN MAHONING OH Y DICK S 790 N GARLAND AVE YOUNGSTOWN MAHONING OH BEL PARK 602 PARMALEE AVE YOUNGSTOWN MAHONING OH CORNERSBURG FAMILY 3307 CANFIELD RD YOUNGSTOWN MAHONING OH DISCOUNT DRUG THE HOMETOWN 3623 S MERIDIAN RD YOUNGSTOWN MAHONING OH ALLIED PAIN TREATMENT 950 WINDHAM COURT BOARDMAN MAHONING OH CENTER PHCY BROWNS DRUG STORE 5106 SOUTHERN BLVD YOUNGSTOWN MAHONING OH OH Medicaid Active Participating Pharmacies.indd 16 4/17/13 10:43 AM

17 PRIMA HEALTHCARE 819 MCKAY CT BOARDMAN MAHONING OH THE MEDICINE SHOPPE 6900 MARKET ST BOARDMAN MAHONING OH HOMETOWN 1135 W WESTERN RESERVE RD POLAND MAHONING OH MEDI RX INC 6401 OLDE STONE CROSSING POLAND MAHONING OH PRESCRIPTION CENTER 9798 N LIMA RD YOUNGSTOWN MAHONING OH RC COMPOUNDING SERVICES 3030 CENTER RD POLAND MAHONING OH LLC THE MEDICINE PLACE 6615 CLINGAN RD POLAND MAHONING OH WAL MART 1300 DORAL DR POLAND MAHONING OH GREGORY J. FACEMYER MD 5121 MAHONING AVE STE 201 YOUNGSTOWN MAHONING OH LLC THE MEDICINE SHOPPE 4433 MAHONING AVE YOUNGSTOWN MAHONING OH WAL MART 6001 MAHONING AVE AUSTINTOWN MAHONING OH ALLIANCE COMMUNITY HOSP 200 E STATE ST ALLIANCE STARK OH PHCY EASTERDAY 1696 S ARCH AVE ALLIANCE STARK OH SAM S DRUG MART 475 E STATE ST ALLIANCE STARK OH WAL MART 2700 WEST STATE ST ALLIANCE STARK OH MAST 4900 OAK ST BERLIN HOLMES OH BREWSTER FAMILY 360 N WABASH BREWSTER STARK OH K C INSTITUTIONAL 360 N WABASH AVE BREWSTER STARK OH HERITAGE SQUARE 977 CHERRY ST E CANAL FULTON STARK OH JOBES 124 CANTON RD NW CARROLLTON CARROLL OH TWIN CITY INC 21 GRANT ST DENNISON TUSCARAWAS OH BUEHLER S 3000 N WOOSTER AVE DOVER TUSCARAWAS OH BUEHLER S 3626 MEDINA RD MEDINA TUSCARAWAS OH MARLOWES COMPOUNDING 207 E THIRD ST DOVER TUSCARAWAS OH CENTER MEDI WISE LTC 415 S RIVER ST DOVER TUSCARAWAS OH NCS HEALTHCARE OF DOVER 219 W 12TH ST DOVER TUSCARAWAS OH WEYRAUCH S 4959 KIDRON RD KIDRON WAYNE OH MEDICINE CENTER PHCY OF 700 WEST MAIN ST LOUISVILLE STARK OH LOUISVILLE VALLEY VIEW ST RTE 800 NE MAGNOLIA STARK OH AULTMAN HOSPITAL URGENT 2021 WALES AVE NW MASSILLON STARK OH CARE MASSILLON FAMILY 830 AMHERST NE MASSILLON STARK OH WALMART 1 MASSILLON MARKET PL MASSILLON STARK OH BALTZLY DRUG WEST INC 2208 LINCOLN WAY W MASSILLON STARK OH OH Medicaid Active Participating Pharmacies.indd 17 4/17/13 10:43 AM

18 MEDICAP 2012 LINCOLN WAY WEST MASSILLON STARK OH MAST 2105 GLEN DR MILLERSBURG HOLMES OH WAL MART 1640 SOUTH WASHINGTON ST MILLERSBURG HOLMES OH MEDICINE CENTER 251 EAST ST MINERVA STARK OH SCRIPTSHOP 4254 ERIE SW NAVARRE STARK OH DUSINI DRUG 315 E HIGH AVE NEW TUSCARAWAS OH PHILADELPHIA MEDICINE SHOPPE 551 W HIGH AVE NEW TUSCARAWAS OH PHILADELPHIA WAL MART 231 BLUEBELL DR NW NEW TUSCARAWAS OH PHILADELPHIA BUEHLER S 1114 W HIGH ST ORRVILLE WAYNE OH GROMOLL DRUG STORE INC 227 N 15TH ST SEBRING MAHONING OH MAST OF SHREVE 119 N MARKET ST SHREVE WAYNE OH VILLAGE DRUG 126 N BROADWAY SUGARCREEK TUSCARAWAS OH MAKO S 240 E THIRD ST UHRICHSVILLE TUSCARAWAS OH COMPOUNDING 4016 MASSILLON RD UNIONTOWN STARK OH OF GREEN BUEHLER S 3540 BURBANK RD WOOSTER WAYNE OH GENOA HEALTHCARE 2285 BENDEN DR WOOSTER WAYNE OH MAST OF 235 W LIBERTY ST WOOSTER WAYNE OH WOOSTER RX CENTER MILLTOWN FAMILY 128 E MILLTOWN RD STE 105 WOOSTER WAYNE OH PHYSICIANS, INC WAL MART 3883 BURBANK RD WOOSTER WAYNE OH WOOSTER COMMUNITY 1761 BEALL AVE WOOSTER WAYNE OH CANTON VA PHCY 119C 733 MARKET AVE S CANTON STARK OH WAL MART 3200 ATLANTIC BLVD NE CANTON STARK OH ONE 3013 CLEVELAND AVE SW CANTON STARK OH AULTMAN INFUSION 2821 WOODLAWN AVE NW CANTON STARK OH SERVICES DARTMOUTH 2801 W TUSCARAWAS CANTON STARK OH DAVIES 2915 TUSCARAWAS ST NW CANTON STARK OH MEDICINE SHOPPE 2526 W TUSCARAWAS ST CANTON STARK OH MERCY PROFESSIONAL 1330 MERCY DR NW CANTON STARK OH WAL MART 4004 TUSCARAWAS ST WEST CANTON STARK OH FULTON DRUGS TH ST NW CANTON STARK OH AULTMAN RX TH ST SW CANTON STARK OH OH Medicaid Active Participating Pharmacies.indd 18 4/17/13 10:43 AM