Missouri Medicare Select (HMO SNP) 2019 Pharmacy Directory

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2019 Part D Model Pharmacy Directory Missouri Medicare Select (HMO SNP) 2019 Pharmacy Directory This pharmacy directory was updated on 08/27/2018. For more recent information or other questions, please contact us, Missouri Medicare Select (HMO SNP) Member Services, at (844) 228-7934 or, for TTY users, 711, 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October 1 through March 31, and Monday to Friday (except holidays) from April 1 through September 30, or visit MissouriMedicareSelect.com Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at MissouriMedicareSelect.com. You may also call Member Services for updated provider. May 2018 1 H4490_2019_PharmDirec_C

2019 Part D Model Pharmacy Directory 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 (HMO SNP) 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 08/27/2018. 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. May 2018 2 H4490_2019_PharmDirec_C

Retail Pharmacies, including Chain Pharmacies MISSOURI Cass Belton CVS PHARMACY #05661 * 409 E N Ave Belton, MO 64012 (816) 331-9716 CVS PHARMACY #16868 * 1106 E North Ave Belton, MO 64012 (816) 331-4325 HY-VEE PHARMACY (1034) * 1307 E North Avenue Belton, MO 64012 (816) 318-0404 PRICE CHOPPER PHARMACY 359 * 109 North Cedar Street Belton, MO 64012 (816) 265-6006 WALGREENS #5277 * 1400 E North Ave Belton, MO 64012 (816) 322-4177 Drexel DREXEL 203 E Main St Drexel, MO 64742 (816) 657-2448 Harrisonville CVS PHARMACY #08563 * 300 S Commercial St Harrisonville, MO 64701 (816) 884-4368 GILLEN 2820 E Rock Haven Rd Ste 110 Harrisonville, MO 64701 (816) 884-5115 PRICE CHOPPER 520 S. Commercial Harrisonville, MO 64701 (816) 380-8037 WALGREENS #12778 * 505 S Commercial St Harrisonville, MO 64701 (816) 884-1891 0096 * 1700 North 291 Highway Harrisonville, MO 64701 (816) 884-2040 Peculiar HOMETOWN PHARMACY - PECULIAR * 501 Schug Ave Peculiar, MO 64078 (816) 425-2900 Pleasant Hill PLEASANT HILL DRUG STORE * 1905 N State Route 7 Pleasant Hill, MO 64080 (816) 540-4000 PRICE CHOPPER 2101 N Hwy 7 Pleasant Hill, MO 64080 (816) 540-3581 Raymore CVS PHARMACY #08595 * 1215 W Foxwood Dr Raymore, MO 64083 (816) 318-8022 PRICE CHOPPER 900 West Foxwood Drive Raymore, MO 64083 (816) 265-6134 SAM'S PHARMACY 10-8243 * 141 N Dean Ave Raymore, MO 64083 (816) 765-0600 WALGREENS #11087 * 1214 W Foxwood Dr Raymore, MO 64083 (816) 331-1410 0319 * 2015 West Foxwood Dr Raymore, MO 64083 (816) 331-2975 Jackson Blue Springs CVS PHARMACY #08570 * 1616 N 7th Hwy Blue Springs, MO 64015 (816) 228-6848 Page 1

CVS PHARMACY #08581 * 3201 South 7 Highway Blue Springs, MO 64014 (816) 220-2302 CVS PHARMACY #08950 * 1101 Nw Woods Chapel Rd Blue Springs, MO 64015 (816) 224-3048 CVS PHARMACY #17553 * 1040 Ne Coronado Blue Springs, MO 64014 (816) 622-3401 HY-VEE PHARMACY (1033) * 625 W 40 Hwy Blue Springs, MO 64014 (816) 224-4277 PRICE CHOPPER PHARMACY 104 * 1101 S 7 Highway Blue Springs, MO 64014 (816) 229-3252 WALGREENS #4225 * 1701 Nw Highway 7 Blue Springs, MO 64014 (816) 220-3620 WALGREENS #7789 * 3200 Sw State Route 7 Blue Springs, MO 64014 (816) 220-8455 0184 * 600 Ne Coronado Drive Blue Springs, MO 64014 (816) 228-2801 5149 * 1700 N 7 Hwy Blue Springs, MO 64014 (816) 427-9023 Grain Valley HILS 451 A Sw Eagles Pkwy Grain Valley, MO 64029 (816) 650-8288 PRICE CHOPPER PHARMACY #325 * 1191 Ne Mcquerry Rd Grain Valley, MO 64029 (816) 867-2496 Grandview ALBERS MEDICAL 7201 E. 147th Street Grandview, MO 64030 (816) 318-9999 CVS PHARMACY #08607 * 12000 S 71 Hwy Grandview, MO 64030 (816) 761-1671 PRICE CHOPPER PHARMACY #16 * 12220 S Us Highway 71 Grandview, MO 64030 (816) 777-2448 WALGREENS #1236 * 13000 S Us Highway 71 Grandview, MO 64030 (816) 765-5949 Independence AUBURN 16611 E. 23rd St Independence, MO 64055 (816) 833-8629 COSTCO 19040 E Valley View Pkwy Independence, MO 64055 (816) 200-2002 CVS PHARMACY #05652 * 1545 E 23rd St Independence, MO 64055 (816) 252-4267 CVS PHARMACY #05691 * 11115 E Us Hwy 24 Hwy Independence, MO 64054 (816) 833-2493 CVS PHARMACY #08430 * 3825 S Noland Rd Independence, MO 64055 (816) 254-6002 CVS PHARMACY #08564 * 17301 E Us Highway 24 Independence, MO 64056 (816) 796-8769 CVS PHARMACY #10241 * 1315 W 23rd St Independence, MO 64050 (816) 833-8790 CVS PHARMACY #16558 * 17810 E 39th St S Independence, MO 64055 (816) 478-3645 HY-VEE PHARMACY #1 (1260) * 1525 E 23rd Street Independence, MO 64051 (816) 836-9918 Page 2

HY-VEE PHARMACY #2 (1261) * 4545 South Noland Road Independence, MO 64055 (816) 478-1968 LOWE DRUG AT CENTERPOINT * 19550 E 39th Street Independence, MO 64057 (816) 795-0086 SAMS PHARMACY 10-8293 * 4100 Bolger Road Independence, MO 64055 (816) 350-2931 STADIUM 4811 S Arrowhead Dr Independence, MO 64055 (816) 356-4600 WALGREENS #4224 * 1536 E 23rd Street Independence, MO 64055 (816) 252-0752 WALGREENS #4236 * 2261 S Sterling Ave Independence, MO 64052 (816) 833-5840 WALGREENS #5247 * 3915 S Noland Rd Independence, MO 64055 (816) 254-8748 WALGREENS #5873 * 17811 E Us Hwy 24 Independence, MO 64056 (816) 257-5202 1014 * 4000 South Bolger Dr Independence, MO 64055 (816) 478-3975 6500 * 3411 S Noland Rd Independence, MO 64055 (816) 252-0094 Kansas City ALBERS MEDICAL 4400 Broadway Kansas City, MO 64111 (816) 931-0100 BURNS & MCDONNELL 9450 Ward Pkwy Kansas City, MO 64114 (816) 321-7821 COSTCO 241 East Linwood Blvd Kansas City, MO 64111 (816) 216-0002 CVS PHARMACY #05635 * 11124 Holmes Rd Kansas City, MO 64131 (816) 942-3262 CVS PHARMACY #05663 * 6244 Brookside Blvd Kansas City, MO 64113 (816) 444-0444 CVS PHARMACY #05678 * 7907 State Line Rd Kansas City, MO 64114 (816) 444-2000 CVS PHARMACY #05697 * 3902 Main St Kansas City, MO 64111 (816) 931-5452 CVS PHARMACY #05724 * 13101 State Line Rd Kansas City, MO 64145 (816) 942-2438 CVS PHARMACY #08553 * 10205 State Line Rd Kansas City, MO 64114 (816) 942-0134 CVS PHARMACY #08567 * 5011 Main St Kansas City, MO 64112 (816) 531-4699 CVS PHARMACY #08571 * 4750 Lees Summit Rd Kansas City, MO 64136 (816) 350-3886 CVS PHARMACY #08576 * 2435 E Independence Kansas City, MO 64124 (816) 483-6464 CVS PHARMACY #08578 * 6300 Prospect Ave Kansas City, MO 64132 (816) 444-2922 CVS PHARMACY #08583 * 4531 Troost Kansas City, MO 64110 (816) 756-5005 CVS PHARMACY #08590 * 315 W 75th Street Kansas City, MO 64114 (816) 361-4668 Page 3

CVS PHARMACY #08592 * 921 Main Kansas City, MO 64105 (816) 842-2514 CVS PHARMACY #08594 * 5901 Independence Kansas City, MO 64125 (816) 231-2033 CVS PHARMACY #08609 * 7003 Banister Rd Kansas City, MO 64134 (816) 761-7715 CVS PHARMACY #16770 * 8509 State Line Rd Kansas City, MO 64114 (816) 444-0019 CVS PHARMACY #16961 * 1201 W 136th St Kansas City, MO 64145 (816) 412-0109 DCI PHARMACY KANSAS CITY * 650 Carondelet Dr Kansas City, MO 64114 (816) 941-2162 MARSHS SUN FRESH 4001 Mill St Kansas City, MO 64111 (816) 931-1505 PRICE CHOPPER * 8430 Wornall Road Kansas City, MO 64114 (816) 361-5000 PRICE CHOPPER 1030 W 103rd St Kansas City, MO 64114 (816) 777-0533 SPALITTO'S 3801 Independence Ave Kansas City, MO 64124 (816) 231-4717 ST LUKES HOSPITAL 4320 Wornall Rd Ste 128 Kansas City, MO 64111 (816) 932-2188 ST. JOSEPH OUTPATIENT 1000 Carondelet Dr Kansas City, MO 64114 (816) 943-4879 SWOPE HEALTH SERVICES * 3801 Blue Pkwy Kansas City, MO 64130 (816) 923-5800 THE CHILDRENS MERCY HOSPITAL 2401 Gillham Rd Kansas City, MO 64108 (816) 234-3055 WALGREENS #4210 * 1100 E 63rd St Kansas City, MO 64110 (816) 822-9121 WALGREENS #4211 * 4630 Troost Ave Kansas City, MO 64110 (816) 931-8337 WALGREENS #4212 * 2501 E Linwood Kansas City, MO 64128 (816) 861-4423 WALGREENS #4222 * 5400 E Independence Kansas City, MO 64123 (816) 231-0730 WALGREENS #4235 * 7500 Wornall Rd Kansas City, MO 64114 (816) 444-4179 WALGREENS #5278 * 3845 Broadway Blvd Kansas City, MO 64111 (816) 561-7620 WALGREENS #10845 * 2301 Holmes Kansas City, MO 64108 (816) 471-2072 WALGREENS #15588 * 7900 Lees Summit Rd Kansas City, MO 64139 (816) 478-7904 WALGREENS #16073 * 6420 Prospect Ave Kansas City, MO 64132 (816) 822-7700 WALGREENS #16360 * 300 W 19th Ter Kansas City, MO 64108 (816) 410-9272 9430 Blue Ridge Blvd Kansas City, MO 64138 (816) 765-5279 Page 4

WALGREENS, SPECIALTY PHARMACY #16072 * 3537 Broadway Blvd Bld Kansas City, MO 64112 (816) 561-1933 4553 * 11601 E Us Highway 40 Kansas City, MO 64133 (816) 313-0673 WALMART PHARMACY 102955 * 1701 West 133rd Street Kansas City, MO 64145 (816) 942-0476 Lees Summit CVS PHARMACY #04088 * 3351 Sw 3rd St Lees Summit, MO 64081 (816) 966-1455 CVS PHARMACY #05719 * 621 Sw 3rd St Lees Summit, MO 64063 (816) 524-5084 CVS PHARMACY #08557 * 1900 Ne Langsford Rd Lees Summit, MO 64063 (816) 554-9500 CVS PHARMACY #08579 * 751 Ne Woods Chapel Road Lees Summit, MO 64064 (816) 524-8840 CVS PHARMACY #16731 * 1850 Nw Chipman Rd Lees Summit, MO 64081 (816) 524-1753 FLATLAND PHARMACY LLC * 202 Nw Oldham Parkway Lees Summit, MO 64081 (844) 618-4379 HY-VEE PHARMACY #1 (1380) * 301 Ne Rice Road Lees Summit, MO 64063 (816) 524-6377 HY-VEE PHARMACY #2 (1381) * 310 Sw Ward Road Lees Summit, MO 64081 (816) 554-2211 PRICE CHOPPER * 1600 Se Blue Parkway Lees Summit, MO 64063 (816) 554-2951 PRICE CHOPPER 251 Sw Greenwich Dr Lees Summit, MO 64082 (816) 744-2104 PRICE CHOPPER 937 Ne Woods Chapel Rd Lees Summit, MO 64064 (816) 246-7300 THE MEDICINE SHOPPE 1405 Ne Douglas St Lees Summit, MO 64086 (816) 524-8444 WALGREENS #2450 * 330 Sw Ward Rd Lees Summit, MO 64081 (816) 246-7732 WALGREENS #4182 * 1801 Se Langsford Rd Lees Summit, MO 64063 (816) 554-0403 901 Sw M 150 Hwy Lees Summit, MO 64082 (816) 623-3139 0573 * 1000 Ne Sam Walton Lane Lees Summit, MO 64086 (816) 525-2750 4590 * 3410 Sw Market St Lees Summit, MO 64082 (816) 623-3274 Oak Grove 400 S Broadway Oak Grove, MO 64075 (816) 625-3578 2856 * 201 South Salem Street Oak Grove, MO 64075 (816) 690-7606 Raytown CVS PHARMACY #08566 * 5310 Blueridge Blvd Raytown, MO 64133 (816) 313-1280 CVS PHARMACY #08598 * 9005 East 350 Highway Raytown, MO 64133 (816) 356-4881 Page 5

HY-VEE PHARMACY (1542) * 9400 E. 350 Highway Raytown, MO 64133 (816) 358-5988 WALGREENS #5357 * 9300 E Gregory Blvd Raytown, MO 64133 (816) 356-7386 1094 * 10300 E Hwy 350 Raytown, MO 64133 (816) 358-7872 Lafayette Higginsville MEDICINE SHOPPE 1573 * 810 W 35th St Higginsville, MO 64037 (660) 584-2700 0326 * 1180 W 19th Sttreet Higginsville, MO 64037 (660) 584-7787 Lexington CVS PHARMACY #11312 * 1030 Main St Lexington, MO 64067 (660) 259-2258 MINUTEMAN 538 S Business Highway 13 Lexington, MO 64067 (660) 259-3455 Odessa CVS PHARMACY #11313 * 101 S 2nd St Odessa, MO 64076 (816) 633-5518 THE DRUG STORE * 408 N 4th St Odessa, MO 64076 (816) 633-8000 St. Charles Cottleville SCHNUCKS 6083 Mid Rivers Mall Dr Cottleville, MO 63304 (636) 498-6550 Dardenne Prairie CVS PHARMACY #17189 * 7955 Hwy N Dardenne Prairie, MO 63368 (636) 625-2821 SHOP N SAVE 7909 Hwy N Dardenne Prairie, MO 63368 (636) 561-8450 Lake Saint Louis THE MEDICINE SHOPPE * 149 Pond Fort Trlal Lake Saint Louis, MO 63367 (636) 321-1001 Lake St Louis SCHNUCKS 101 Civic Center Dr Lake St Louis, MO 63367 (636) 561-3963 5313 * 6100 Ronald Reagan Drive Lake St Louis, MO 63367 (636) 625-2137 O Fallon CVS PHARMACY #06477 * 3002 Highway K O Fallon, MO 63368 (636) 272-5856 CVS PHARMACY #10134 * 801 Highway K O Fallon, MO 63366 (636) 281-1456 CVS PHARMACY #10546 * 1580 Bryan Rd O Fallon, MO 63366 (636) 281-0189 CVS PHARMACY #16592 * 2300 Highway K O Fallon, MO 63368 (636) 379-1918 DIERBERGS DEER CREEK CROSSING 2979 Highway K O Fallon, MO 63368 (636) 379-8910 POWERS HEALTHMART 7776 Winghaven Blvd O Fallon, MO 63368 (636) 265-2924 SCHNUCKS 8660 Veterans Memorial Parkway O Fallon, MO 63366 (636) 978-3568 SCHNUCKS 3029 Highway K O Fallon, MO 63368 (636) 240-7749 Page 6

2616 * 1307 Highway K O Fallon, MO 63366 (636) 980-9300 Ofallon SHOP N SAVE 1421 Mexican Loop Rd. East Ofallon, MO 63366 (636) 240-1262 WALGREENS #4090 * 2920 Highway K Ofallon, MO 63368 (636) 240-5077 WALGREENS #5552 * 920 N Main St Ofallon, MO 63366 (636) 379-2636 WALGREENS #5748 * 1490 Mexico Loop Rd E Ofallon, MO 63366 (636) 978-1602 WALGREENS #6286 * 9495 Mexico Rd Ofallon, MO 63366 (636) 379-4131 WALGREENS #6711 * 7422 Highway N Ofallon, MO 63368 (636) 625-5012 4650 Hwy K Ofallon, MO 63368 (636) 329-9163 WHARF HEALTH MART 2175 W Terra Ln Ofallon, MO 63366 (636) 887-4008 Saint Charles CVS PHARMACY #10096 * 2100 1st Capitol Dr Saint Charles, MO 63301 (636) 724-5223 CVS PHARMACY #16625 * 3881 Mexico Rd Saint Charles, MO 63303 (636) 922-3064 DIERBERGS BOGEY HILLS 2021 Zumbehl Rd Saint Charles, MO 63301 (636) 947-0929 SAMS PHARMACY 10-8251 * 2855 Veterans Memorial Parkway Saint Charles, MO 63303 (636) 925-1143 SSM ST. CHARLES CLINIC MEDICAL GROUP, INC- PHARMACY DEPT. * 711 Veterans Memorial Parkway Saint Charles, MO 63303 (636) 669-2223 Saint Peters CVS PHARMACY #06282 * 1749 Woodstone Dr Saint Peters, MO 63376 (636) 447-1229 CVS PHARMACY #10053 * 400 Mid Rivers Mall Dr Saint Peters, MO 63376 (636) 279-1516 CVS PHARMACY #10418 * 200 Jungermann Rd Saint Peters, MO 63376 (636) 922-9019 CVS PHARMACY #16420 * 6241 Mid Rivers Mall Dr Saint Peters, MO 63304 (636) 345-9209 DIERBERGS 79 CROSSING 217 Salt Lick Rd Saint Peters, MO 63376 (636) 970-3510 DIERBERGS 94 CROSSING 6211 Mid Rivers Mall Drive Saint Peters, MO 63304 (636) 936-3020 ST PETERS COMMUNITY 4885 Mexico Rd Saint Peters, MO 63376 (636) 244-5385 WALGREENS #6246 * 909 Jungerman Rd Saint Peters, MO 63376 (636) 441-2534 5421 * 45 Sutters Mill Rd Saint Peters, MO 63376 (636) 851-6812 Page 7

5427 * 3031 Mid Rivers Mall Dr Saint Peters, MO 63376 (636) 697-1051 WASHINGTON UNIVERSITY CANCER CENTER PHARMACY - ST. PETERS * 150 Entrance Way Saint Peters, MO 63376 (636) 916-9847 St Charles SCHNUCKS 48 Plaza Ninety Four Dr St Charles, MO 63376 (636) 928-1625 SCHNUCKS 1950 Zumbehl Rd St Charles, MO 63303 (636) 947-0311 SCHNUCKS 1900 1st Capitol Dr St Charles, MO 63301 (636) 946-0738 SHOP N SAVE 3740 Monticello Plaza Dr St Charles, MO 63304 (636) 300-0629 SHOP N SAVE 60 Harvester Square St Charles, MO 63303 (636) 441-3300 THE MEDICINE SHOPPE 488 South Fifth Street St Charles, MO 63301 (636) 949-5593 WALGREENS #2617 * 2329 W Clay St St Charles, MO 63301 (636) 949-6613 WALGREENS #3687 * 4492 Central School Rd St Charles, MO 63304 (636) 936-8744 WALGREENS #4970 * 2310 S Old Hwy 94 St Charles, MO 63303 (636) 477-7996 WALGREENS #6059 * 1003 Wolfrum Rd St Charles, MO 63304 (636) 300-0158 WALGREENS #6801 * 1780 Zumbehl St Charles, MO 63303 (636) 723-1134 3800 Elm St St Charles, MO 63301 (636) 724-6628 1301 S 5th Street St Charles, MO 63301 (636) 946-6210 1161 * 2897 Veterans Memorial Pkwy St Charles, MO 63303 (636) 723-4233 St Louis 3497 Technology Dr Lake St Louis, MO 63367 (636) 625-0691 St Peters COSTCO 200 Costco Way St Peters, MO 63376 (636) 970-4003 EXCEL 505 Salt Lick Rd St Peters, MO 63376 (636) 278-6561 SCHNUCKS 577 Midrivers Mall Dr St Peters, MO 63376 (636) 970-2858 SHOP N SAVE 100 Jungermann Rd St Peters, MO 63376 (636) 441-9600 WALGREENS #2733 * 530 Mid Rivers Mall Drive St Peters, MO 63376 (636) 970-3222 WALGREENS #5974 * 1305 Jungerman Rd St Peters, MO 63376 (636) 441-0819 WALGREENS #6247 * 3801 Old Hwy 94 St Peters, MO 63304 (636) 922-1320 WALGREENS #10474 * 499 Salt Lick Rd St Peters, MO 63376 (636) 278-3802 Page 8

0648 * 1661 Jungerman Rd St Peters, MO 63304 (636) 447-7740 Wentzville CVS PHARMACY #10193 * 1550 Wentzville Pkwy Wentzville, MO 63385 (636) 639-1133 CVS PHARMACY #17410 * 1883 Wentzville Pkwy Wentzville, MO 63385 (636) 639-7434 DIERBERGS WENTZVILLE 1820 Wentzville Pkwy Wentzville, MO 63385 (636) 887-3317 LAKEFOREST 950 Corporate Pkwy Ste 104 Wentzville, MO 63385 (636) 856-9555 SAMS PHARMACY 10-4875 * 3055 Bear Creek Dr Wentzville, MO 63385 (636) 698-9781 SCHNUCKS 1960 Wentzville Parkway Wentzville, MO 63385 (636) 332-8640 SSM HEALTH ST. JOSEPH HOSPITAL - WENTZVILLE * 500 Medical Dr Wentzville, MO 63385 (636) 327-1008 WALGREENS #4584 * 1993 Wentzville Pkwy Wentzville, MO 63385 (636) 332-6217 WALGREENS #11311 * 1053 Meyer Rd Wentzville, MO 63385 (636) 332-2443 10 E Highway N Wentzville, MO 63385 (636) 332-2333 0243 * 1971 Wentzville Pkwy Wentzville, MO 63385 (636) 327-5334 St. Louis Affton THE MEDICINE SHOPPE 7922 Mackenzie Rd Affton, MO 63123 (314) 638-3535 WALGREENS #7762 * 1 Grasso Plaza Affton, MO 63123 (314) 631-8800 Ballwin CVS PHARMACY #02341 * 14400 Clayton Rd Ballwin, MO 63011 (636) 207-1137 CVS PHARMACY #16006 * 15025 Manchester Rd Ballwin, MO 63011 (636) 227-9436 FITZPATRICK PHARMACY INC * 15394 Manchester Rd Ballwin, MO 63011 (636) 394-6622 MERCY PHARMACY CLAYTON-CLARKSON * 15945 Clayton Rd Ste 140 Ballwin, MO 63011 (636) 256-5111 SCHNUCKS 15425 Manchester Rd Ballwin, MO 63011 (636) 256-7922 SCHNUCKS 1393 Big Bend Sq Ballwin, MO 63021 (636) 225-4633 WALGREENS #10429 * 15253 Manchester Rd Ballwin, MO 63011 (636) 227-5828 1391 Big Bend Rd Ballwin, MO 63021 (636) 861-1988 Black Jack WALGREENS #2741 * 12400 Old Halls Ferry Black Jack, MO 63033 (314) 741-8688 Brentwood CVS PHARMACY #16476 * 25 Brentwood Promenade Ct Brentwood, MO 63144 (314) 918-1939 Page 9

SCHNUCKS 8800 Manchester Rd Brentwood, MO 63144 (314) 962-0323 2401 S Brentwood Blvd Brentwood, MO 63144 (314) 963-1925 Bridgeton CVS PHARMACY #10261 * 12380 Saint Charles Rock Rd Bridgeton, MO 63044 (314) 738-0188 PREMIER 3550 Mckelvey Rd Bridgeton, MO 63044 (314) 286-9660 SCHNUCKS 11253 St Charles Rock Rd Bridgeton, MO 63044 (314) 738-0235 SCHNUCKS 12921 Enterprise Way Bridgeton, MO 63044 (314) 344-9201 SSM HEALTH 12266 Depaul Drive Suite 105 Bridgeton, MO 63044 (314) 344-7300 WALGREENS #2501 * 12345 St Charles Rock Rd Bridgeton, MO 63044 (314) 770-2479 WALGREENS #6492 * 11404 St Charles Rock Rd Bridgeton, MO 63044 (314) 770-9986 1188 * 11900 Saint Charles Rock Rd Bridgeton, MO 63044 (314) 291-8110 Chesterfield CVS PHARMACY #16692 * 40 Thf Blvd Chesterfield, MO 63005 (636) 536-6215 CVS PHARMACY #17069 * 1272 Town & Country Crossing Dr Chesterfield, MO 63017 (636) 591-0235 DIERBERGS MARKETPLACE 1730 Clarkson Road Chesterfield, MO 63017 (636) 537-9408 SAMS PHARMACY 10-6252 * 196 Thf Blvd Chesterfield, MO 63005 (636) 728-0372 SCHNUCKS 141 Hilltown Village Chesterfield, MO 63017 (636) 532-2511 SCHNUCKS 1060 Schnucks Woods Mill Plaza Chesterfield, MO 63017 (636) 227-2770 SCHNUCKS 2511 Kehrs Mill Rd Chesterfield, MO 63017 (636) 527-2060 ST LUKES 224 S Woods Mill Rd Chesterfield, MO 63017 (314) 205-6023 THE MEDICINE SHOPPE 106 4 Seasons Shopping Ctr Ste B Chesterfield, MO 63017 (314) 469-7171 WALGREENS #4220 * 14950 Clayton Rd Chesterfield, MO 63017 (636) 527-7873 WALGREENS #7185 * 917 Chesterfield Pkwy East Chesterfield, MO 63017 (636) 532-5222 WALGREENS #7692 * 97 Long Rd Chesterfield, MO 63005 (636) 519-7014 2600 * 100 Thf Blvd Chesterfield, MO 63005 (636) 536-4604 Clayton CVS PHARMACY #10325 * 8101 Clayton Rd Clayton, MO 63117 (314) 726-2124 MEDICAL ARTS CLAYTON 7710 Carondelet Avenue Clayton, MO 63105 (314) 862-0333 Country Club Hills Page 10

WALGREENS #11350 * 5790 Lucas And Hunt Rd Country Club Hills, MO 63135 (314) 382-5114 Crestwood SAMS PHARMACY 10-4741 * 10248 Big Bend Blvd Crestwood, MO 63122 (314) 965-6737 WALGREENS #9436 * 9807 Watson Rd Crestwood, MO 63126 (314) 966-0605 Creve Coeur COMMUNITY, A WALGREENS PHARMACY #16552 * 628 N New Ballas Rd Creve Coeur, MO 63141 (314) 739-4503 CVS PHARMACY #03087 * 11560 Olive Blvd Creve Coeur, MO 63141 (314) 995-7128 GOLIVEWELL 13035 Olive Blvd Ste 210 Creve Coeur, MO 63141 (844) 896-2456 OLIVE STREET PHARMACY LLC * 10420 Old Olive Street Rd Ste 103 Creve Coeur, MO 63141 (314) 736-5555 WALGREENS #10082 * 10941 Olive Blvd Creve Coeur, MO 63141 (314) 997-0555 12661 Olive Street Creve Coeur, MO 63141 (314) 878-4413 Dellwood WALGREENS #11351 * 10000 W Florissant Ave. Dellwood, MO 63136 (314) 867-0671 Des Peres DIERBERGS DES PERES 1080 Lindemann Rd Des Peres, MO 63131 (314) 238-0444 WALGREENS #5120 * 12006 Manchester Rd Des Peres, MO 63131 (314) 965-0030 Desperes SCHNUCKS 12332 Manchester Rd Desperes, MO 63131 (314) 965-0062 Earth City FOUNDATION CARE LLC * 4010 Wedgeway Ct Earth City, MO 63045 (877) 291-1122 Ellisville CVS PHARMACY #05689 * 15846 Manchester Rd Ellisville, MO 63011 (636) 527-6074 SHOP N SAVE 15446 Manchester Rd Ellisville, MO 63011 (636) 227-0830 WALGREENS #4701 * 16105 Manchester Rd Ellisville, MO 63011 (636) 391-3202 WALGREENS #11744 * 1302 Clarkson Clayton Ctr Ellisville, MO 63011 (636) 394-4422 Eureka SCHNUCKS 245 East Fifth St Eureka, MO 63025 (636) 938-4976 WALGREENS #2227 * 250 E 4th St Eureka, MO 63025 (636) 938-5635 0295 * 131 Erka Twn Cntr Dr Eureka, MO 63025 (636) 938-9425 Fenton CVS PHARMACY #16657 * 197 Gravois Bluffs Plaza Dr Fenton, MO 63026 (636) 326-7508 DIERBERGS FENTON CROSSING 450 Old Smizer Mill Road Fenton, MO 63026 (636) 349-2666 SHOP N SAVE 45 Gravoi Bluffs Plz Dr Fenton, MO 63026 (636) 343-5488 Page 11

WALGREENS #3652 * 1001 Bowles Ave Fenton, MO 63026 (636) 343-0754 701 Gravois Bluffs Blvd Fenton, MO 63026 (636) 343-8402 0805 * 653 Gravois Bluffs Blvd Fenton, MO 63026 (636) 349-3007 Ferguson SAMS PHARMACY 10-8125 * 10735 W Florissant Ave Ferguson, MO 63136 (314) 522-3420 190 N Florissant Rd Ferguson, MO 63135 (314) 521-4518 Florissant CVS PHARMACY #06745 * 6999 Parker Rd Florissant, MO 63033 (314) 438-1375 CVS PHARMACY #10171 * 696 N Highway 67 St #698 Florissant, MO 63031 (314) 485-2134 CVS PHARMACY #10355 * 1550 S New Florissant Rd Florissant, MO 63031 (314) 830-3282 DIERBERGS FLORISSANT 222 North Highway 67 Florissant, MO 63031 (314) 831-0990 KMART PHARMACY4304 * 1 Flower Valley Shp Ctr Florissant, MO 63033 (314) 831-8400 SCHNUCKS 74 Grandview Plaza Ctr Florissant, MO 63033 (314) 838-1366 SCHNUCKS 13987 New Halls Ferry Rd Florissant, MO 63033 (314) 831-1515 SCHNUCKS 8200 N Lindbergh Florissant, MO 63031 (314) 921-7345 SCHNUCKS 1160 Shackelford Rd Florissant, MO 63031 (314) 838-4660 SHOP N SAVE 2183 Charbonier Rd Florissant, MO 63031 (314) 839-1327 SHOP N SAVE 196 Mayfair Plaza Shopping Center Florissant, MO 63033 (314) 438-8383 SHOP N SAVE 175 Flower Valley Shopping Center Florissant, MO 63033 (314) 837-8052 THE MEDICINE SHOPPE 2386 N Hwy 67 Florissant, MO 63033 (314) 921-7700 WALGREENS #1124 * 460 N Hwy 67 Florissant, MO 63031 (314) 831-6448 WALGREENS #2901 * 1705 Shackelford Florissant, MO 63031 (314) 831-5559 WALGREENS #2971 * 2a Grandview Plaza Florissant, MO 63033 (314) 830-0234 WALGREENS #4866 * 15390 New Halls Ferry Rd Florissant, MO 63031 (314) 831-9916 WALGREENS #4867 * 3160 N Hwy 67 Florissant, MO 63033 (314) 837-4332 WALGREENS #5749 * 500 Howdershell Rd Florissant, MO 63031 (314) 837-8717 Page 12

5927 * 3390 N Highway 67 Florissant, MO 63033 (314) 824-0022 Hazelwood WALGREENS 1633 * 7398 N Lindbergh Blvd Hazelwood, MO 63042 (314) 972-1257 Jennings 9285 Halls Ferry Road Jennings, MO 63136 (314) 867-1360 Kirkwood CVS PHARMACY #10334 * 10820 Manchester Rd Kirkwood, MO 63122 (314) 835-9448 CVS PHARMACY #16624 * 1042 S Kirkwood Rd Kirkwood, MO 63122 (314) 822-4865 SCHNUCKS 10233 Manchester Rd Kirkwood, MO 63122 (314) 965-4533 SHOP N SAVE 10461 Manchester Rd Kirkwood, MO 63122 (314) 984-0422 WALGREENS #4392 * 441 N Kirkwood Kirkwood, MO 63122 (314) 965-7944 2694 * 1202 S Kirkwood Rd Kirkwood, MO 63122 (314) 835-9409 Manchester COSTCO 301 Highlands Boulevard Dr Manchester, MO 63011 (636) 686-7409 DIERBERGS LAFAYETTE 421 Lafayette Ctr Manchester, MO 63011 (636) 591-0600 DIRECTRX 140 Enchanted Pkwy Ste 100 Manchester, MO 63021 (636) 220-1655 WALGREENS #5003 * 13992 Manchester Rd Manchester, MO 63011 (636) 227-9228 14529 Manchester Rd Manchester, MO 63011 (636) 227-4512 1177 * 201 Highlands Boulevard Dr Manchester, MO 63011 (636) 256-4835 Maplewood CVS PHARMACY #04403 * 7470 Manchester Rd Maplewood, MO 63143 (314) 646-8037 SAMS PHARMACY 10-6474 * 2100 Maplewood Commons Dr Maplewood, MO 63143 (314) 644-7734 5150 * 1900 Maplewood Commons Drive Maplewood, MO 63143 (314) 781-2935 Maryland Heights SCHNUCKS 2030 Dorsett Rd Maryland Heights, MO 63043 (314) 434-5496 WALGREENS #9481 * 12509 Dorsett Rd Maryland Heights, MO 63043 (314) 434-4224 Moline Acres SHOP N SAVE 9521 Lewis And Clark Blvd Moline Acres, MO 63136 (314) 869-2897 Olivette CVS PHARMACY #05670 * 9141 Olive Blvd Olivette, MO 63132 (314) 432-2296 WALGREENS #6350 * 9395 Olive Blvd Olivette, MO 63132 (314) 432-8660 Overland Page 13

THE MEDICINE SHOPPE 2514 Woodson Rd Overland, MO 63114 (314) 427-1818 9320 Lackland Overland, MO 63114 (314) 429-4636 Richmond Heights 6733 Clayton Rd Richmond Heights, MO 63117 (314) 721-6013 Rock Hill WALGREENS #9771 * 9801 Manchester Rd Rock Hill, MO 63119 (314) 963-3256 Saint Ann WALGREENS #15941 * 10500 St Charles Rock Rd Saint Ann, MO 63074 (314) 427-1962 Saint Louis AVELLA OF ST LOUIS * 450 N New Ballas Rd Ste 256 Saint Louis, MO 63141 (314) 227-2560 BEVERLY HILLS 7150 Natural Bridge Rd Saint Louis, MO 63121 (314) 381-8600 BHS PHARMACY, LLC * 763 S New Ballas Rd Saint Louis, MO 63141 (314) 292-7388 BJC EMPLOYEE 3844 S Lindbergh Blvd Ste 150 Saint Louis, MO 63127 (314) 525-0411 CARDINAL CARE 2319 Weldon Pkwy Saint Louis, MO 63146 (800) 984-4432 CLAYTON HEALTH SERVICES PHARMACY WEST * 1035 Bellevue Ave Saint Louis, MO 63117 (314) 768-8870 CVS PHARMACY #05643 * 7334 S Lindbergh Blvd Saint Louis, MO 63125 (314) 892-8352 CVS PHARMACY #10097 * 8915 Saint Charles Rock Rd Saint Louis, MO 63114 (314) 427-2090 CVS PHARMACY #10135 * 9433 Manchester Rd Saint Louis, MO 63119 (314) 961-3281 CVS PHARMACY #16839 * 4250 Rusty Rd Saint Louis, MO 63128 (314) 892-6428 DIERBERGS BRENTWOOD POINTE 8450 Eager Rd Saint Louis, MO 63144 (314) 962-9036 DIERBERGS HERITAGE PLACE 12595 Olive Street Road Saint Louis, MO 63141 (314) 542-2194 DIERBERGS LEMAY PLAZA 2516 Lemay Ferry Rd Saint Louis, MO 63125 (314) 894-7755 DIERBERGS MACKENZIE POINTE 7233 Watson Rd Saint Louis, MO 63119 (314) 752-7881 DIERBERGS SOUTHROADS 12420 Tesson Ferry Road Saint Louis, MO 63128 (314) 849-3880 DIERBERGS TELEGRAPH PLAZA 5640 Telegraph Road Saint Louis, MO 63129 (314) 846-5778 DIERBERGS WARSON WOODS 9901 Manchester Rd Saint Louis, MO 63122 (314) 919-0611 DIERBERGS WEST OAK 11481 Olive Street Road Saint Louis, MO 63141 (314) 432-5708 Page 14

GOLDSMITH MEDICENTER 777 S New Ballas Rd Saint Louis, MO 63141 (314) 432-5020 KRUMMENACHER 11020 Olive Blvd Saint Louis, MO 63141 (314) 432-2727 MERCY PHARMACY MEDICAL TOWER A/B * 621 S New Ballas Rd Ste 20a Saint Louis, MO 63141 (314) 251-7444 MERCY PHARMACY OLIVE- MASON * 12680 Olive Blvd Ste 150 Saint Louis, MO 63141 (314) 251-8989 MERCY PHARMACY ST. LOUIS LOBBY * 615 S New Ballas Rd Saint Louis, MO 63141 (314) 251-6900 MERCY PHARMACY TESSON FERRY AT I-270 * 12348 Old Tesson Rd Ste 100 Saint Louis, MO 63128 (314) 467-3888 NEELS 8 Crestwood Executive Ctr Saint Louis, MO 63126 (314) 849-3123 QUADRANGLE PHARMACY, LLC * 6643 Shepley Drive Saint Louis, MO 63105 (314) 935-6662 READYMED 13080 Tesson Ferry Rd Saint Louis, MO 63128 (314) 270-9070 SAMS PHARMACY 10-8182 * 13455 Manchester Road Saint Louis, MO 63131 (314) 822-2006 SAMS PHARMACY 10-8205 * 4512 Lemay Ferry Road Saint Louis, MO 63129 (314) 894-6893 SCHNUCKS 8650 Big Bend Saint Louis, MO 63119 (314) 961-5222 SCHNUCKS 1520 S Brentwood Blvd Saint Louis, MO 63144 (314) 918-1281 ST. ANTHONY'S PLAZA RETAIL 12700 Southfork Rd Ste 110 Saint Louis, MO 63128 (314) 525-4488 VAN'S DELIVERY 3229 Lemay Ferry Rd Saint Louis, MO 63125 (314) 200-6500 WALGREENS #11836 * 10700 Page Ave Saint Louis, MO 63132 (314) 447-1804 WALGREENS #15265 * 8390 Delmar Blvd Saint Louis, MO 63124 (314) 991-3402 3300 Brown Rd Saint Louis, MO 63114 (314) 427-6221 7711 Carondelet Ave Ste 301 Saint Louis, MO 63105 (314) 721-0003 1265 * 10741 W Florissant Ave Saint Louis, MO 63136 (314) 521-2230 WASHINGTON UNIVERSITY CANCER CENTER PHARMACY-SOUTH COUNTY * 5225 Midamerica Plaza Saint Louis, MO 63129 (314) 286-1929 WASHINGTON UNIVERSITY CANCER CENTER PHARMACY - WEST COUNTY * 10 Barnes West Dr Bldg 2 # 100 Saint Louis, MO 63141 (314) 996-3403 Sappington Page 15

THE MEDICINE SHOPPE 11330 Gravois Rd Sappington, MO 63126 (314) 842-0910 Shrewsbury 3061 * 7437 Watson Rd Shrewsbury, MO 63119 (314) 687-1215 St Ann SHOP N SAVE 10634 St Charles Rock Rd St Ann, MO 63074 (314) 426-4180 St John SHOP N SAVE 9070 St Charles Rock Rd St John, MO 63114 (314) 733-0607 St Louis COSTCO 4200 Rusty Road St Louis, MO 63128 (314) 894-7952 FAMILY CARE 3023 N Ballas Road St Louis, MO 63131 (314) 996-7501 FAMILY CARE PHARMACY AT CHRISTIAN HOSPITAL * 11125 Dunn Rd St Louis, MO 63136 (314) 653-5200 LADUE PHARMACY LLC * 9832 Clayton Rd St Louis, MO 63124 (314) 993-4031 REHOBOTH 9944 W Florissant Ave St Louis, MO 63136 (314) 868-3333 SCHNUCKS 8037 W Florissant Ave St Louis, MO 63136 (314) 679-2402 SCHNUCKS 8867 Ladue Rd St Louis, MO 63124 (314) 725-3264 SCHNUCKS 5519 Oakville Shopping Ctr St Louis, MO 63129 (314) 892-2840 SCHNUCKS 10070 Gravois St Louis, MO 63123 (314) 631-6781 SCHNUCKS 6600 Clayton Rd St Louis, MO 63117 (314) 644-3580 SCHNUCKS 9540 Watson Rd St Louis, MO 63126 (314) 849-0527 SCHNUCKS 12756 Olive Blvd St Louis, MO 63141 (314) 434-4522 SCHNUCKS 5434 Southfield Center St Louis, MO 63123 (314) 849-2363 SCHNUCKS 49 N Florissant Rd St Louis, MO 63135 (314) 524-4144 SCHNUCKS 1589 Sierra Vista Shopping Ctr St Louis, MO 63138 (314) 355-8314 SCHNUCKS 6920 Olive Blvd St Louis, MO 63130 (314) 721-3276 SCHNUCKS 10650 Olive Blvd St Louis, MO 63141 (314) 432-5599 SCHNUCKS 4333 Butler Hill Rd St Louis, MO 63128 (314) 894-2484 SCHNUCKS 10275 Clayton Rd St Louis, MO 63124 (314) 983-0142 SHOP N SAVE 10805 Old Halls Ferry Rd St Louis, MO 63136 (314) 867-3024 SHOP N SAVE 1032 Lemay Ferry Rd St Louis, MO 63125 (314) 544-4963 Page 16

ST ANTHONYS MEDICAL CENTER 10010 Kennerly Road St Louis, MO 63128 (314) 525-1633 THE MEDICINE SHOPPE 4441 Brown Rd St Louis, MO 63134 (314) 428-7676 WALGREENS #854 * 5764 S Lindbergh St Louis, MO 63123 (314) 842-3372 WALGREENS #4345 * 2700 Telegraph Rd St Louis, MO 63125 (314) 416-8123 WALGREENS #4467 * 1205 Sulphur Spring Rd St Louis, MO 63021 (636) 230-7367 WALGREENS #4824 * 12098 Lusher Rd St Louis, MO 63138 (314) 355-0500 WALGREENS #4833 * 651 Lemay Ferry Rd St Louis, MO 63125 (314) 631-4769 WALGREENS #5047 * 2202 Chambers Rd St Louis, MO 63136 (314) 388-1022 WALGREENS #5228 * 4400 Lemay Ferry Rd St Louis, MO 63129 (314) 487-0636 WALGREENS #5285 * 5050 Lemay Ferry Rd St Louis, MO 63129 (314) 416-1539 WALGREENS #5513 * 11590 Gravois Rd St Louis, MO 63126 (314) 849-6348 WALGREENS #5667 * 6071 Telegraph Rd St Louis, MO 63129 (314) 846-9265 WALGREENS #9714 * 9978 Kennerly Road St Louis, MO 63128 (314) 843-3736 7199 Natural Bridge Rd St Louis, MO 63121 (314) 382-9926 2213 * 3270 Telegraph Road St Louis, MO 63125 (314) 845-8760 St Louis County WALGREENS #5363 * 5414 Telegraph Road St Louis County, MO 63129 (314) 416-7482 Stlouis SCHNUCKS 9074 Overland Plaza Stlouis, MO 63114 (314) 426-4211 Town And Country CHILDREN'S HOSPITAL SPECIALTY CARE CENTER 13001 N Outer 40 Rd Town And Country, MO 63017 (314) 454-3232 University City MILLBROOK 7010 Pershing Ave University City, MO 63130 (314) 802-7012 WALGREENS #4671 * 7501 Olive St University City, MO 63130 (314) 725-6133 Valley Park THE MEDICINE SHOPPE 16 Stonegate Center Valley Park, MO 63088 (636) 225-5123 Webster Groves COLONIAL VILLAGE 7945 Big Bend Blvd Webster Groves, MO 63119 (314) 962-1065 CVS PHARMACY #02363 * 8021 Watson Rd Webster Groves, MO 63119 (314) 963-0398 Page 17

WALGREENS #7680 * 8571 Watson Rd Webster Groves, MO 63119 (314) 962-5545 Wildwood DIERBERGS TOWN CENTER 2460 Taylor Rd Wildwood, MO 63040 (636) 458-7450 SCHNUCKS 16580 Manchester Wildwood, MO 63040 (636) 458-9934 WALGREENS #6155 * 100 Plaza Drive Wildwood, MO 63040 (636) 273-5206 Home Infusion Pharmacies ALABAMA Mobile Mobile HPC LLC * 63 S Royal St Mobile, AL 36602 (800) 757-9192 ARIZONA Maricopa Scottsdale DIPLOMAT SPECIALTY INFUSION GROUP 9045 E Pima Center Pkwy Scottsdale, AZ 85258 (480) 745-3200 CALIFORNIA Los Angeles Santa Fe Springs CRESCENT HEALTHCARE INC 11980 Telegraph Rd Santa Fe Springs, CA 90670 (562) 347-2800 Riverside Temecula NUFACTOR 44900 Winchester Rd Temecula, CA 92590 (800) 323-6832 San Diego Carlsbad DIPLOMAT SPECIALTY INFUSION GROUP 1819 Aston St Ste 102 Carlsbad, CA 92008 (760) 707-1486 COLORADO Denver Denver US BIOSERVICES 501 W 44th Ave Unit A Denver, CO 80216 (800) 809-0647 FLORIDA Broward Pompano Beach PATIENT CARE AMERICA 3890 Park Central Blvd N. Pompano Beach, FL 33064 (866) 348-0441 Orange Orlando ACARIAHEALTH PHARMACY, INC. 6923 Lee Vista Blvd Ste 200 Orlando, FL 32822 (407) 903-1308 GEORGIA Muscogee Columbus ACARIAHEALTH PHARMACY, INC. 3021 Sandy Pkwy Columbus, GA 31909 (706) 780-4700 ILLINOIS Cook Chicago KABAFUSION IL 5517 N Cumberland Ave Chicago, IL 60656 (800) 831-7740 PHARMASCRIPT INC. 5437 N. Broadway Avenue Chicago, IL 60640 (773) 681-0965 Mt Prospect CORAM CVS/SPECIALTY INFUSION SERVICES 1471 Bus Center Dr Mt Prospect, IL 60056 (847) 294-6422 Orland Park AMERICAN SERVICE AND PRODUCT 16612 107th St Orland Park, IL 60467 (708) 671-1200 Dupage Lombard Page 18

OPTION CARE 2050 S Finley Rd Ste 20 Lombard, IL 60148 (630) 495-2777 Henry Kewanee PREFERRED 150 W South St Kewanee, IL 61443 (309) 853-8000 St. Clair Belleville IV CARE 65 S 65th St Belleville, IL 62223 (618) 398-2720 IOWA Polk Urbandale DIPLOMAT SPECIALTY INFUSION GROUP 10607 & 10611 Aurora Ave. Urbandale, IA 50322 (515) 727-7937 OPTION CARE 11372 Aurora Ave Urbandale, IA 50322 (515) 276-1660 Scott Davenport CORAM CVS/SPECIALTY INFUSION SERVICES 5327 Carey Ave, Suite A Davenport, IA 52807 (563) 499-9292 KANSAS Johnson Lenexa ACARIAHEALTH PHARMACY, INC. 10409 W 84th Terrace Lenexa, KS 66214 (800) 511-5144 CORAM CVS/SPECIALTY INFUSION SERVICES 8013 Flint St Lenexa, KS 66214 (913) 492-9449 SOLEO HEALTH 10633 Rene Lenexa, KS 66215 (913) 661-0100 US BIOSERVICES 8028 Reeder Rd. Lenexa, KS 66214 (800) 860-6581 Overland Park HERITAGE BIOLOGICS, INC. 6025 Metcalf Ln Ste 200 Overland Park, KS 66202 (866) 257-7161 OPTION CARE 8940 Nieman Rd Overland Park, KS 66214 (913) 599-3745 KENTUCKY Jefferson Louisville OPTION CARE 11403 Bluegrass Pkwy Ste 400 Louisville, KY 40299 (502) 266-0123 Mccracken Paducah OPTION CARE 3487 Park Ave Paducah, KY 42001 (270) 415-9430 LOUISIANA Jefferson Metairie FAST ACCESS SPECIALTY THERAPEUTICS 3131 N I 10 Service Rd E Ste 202 Metairie, LA 70002 (877) 327-8881 Ouachita Monroe RELIANT HEALTHCARE * 1004 N 19th St Monroe, LA 71201 (877) 354-2688 MASSACHUSETTS Middlesex Wilmington ACARIAHEALTH PHARMACY, INC. 260 E Fordham Rd. Wilmington, MA 01887 (800) 511-5144 MICHIGAN Kalamazoo Kalamazoo OPTIMED SPECIALTY PHARMACY 6480 Technology Kalamazoo, MI 49009 (877) 385-0535 Oakland Troy Page 19

HOMESCRIPTS 500 Kirts Blvd Ste 300 Troy, MI 48084 (248) 824-6300 MINNESOTA Dakota Mendota Heights CORAM CVS/SPECIALTY INFUSION SERVICES 2345 Waters Dr Mendota Heights, MN 55120 (651) 452-5600 MISSOURI Boone Columbia OPTION CARE 1410 Heriford Road Columbia, MO 65202 (573) 814-7100 Cape Girardeau Cape Girardeau HOME PARENTERAL SERVICES OF SEMO 286 Christine St Cape Girardeau, MO 63703 (573) 332-1955 Greene Springfield HOME PARENTERAL SERVICES 2240 W Sunset St Ste 104 Springfield, MO 65807 (417) 269-0650 Jackson Kansas City SAINT LUKE'S ADVANCED CARE PHARMACY 10920 Elm Ave Kansas City, MO 64134 (816) 532-7750 Lees Summit HERITAGE BIOLOGICS, INC. 255 Nw Victoria Dr Lees Summit, MO 64086 (855) 937-7273 Miller Eldon ELDON DRUG COMPANY * 101 S Maple Street Eldon, MO 65026 (573) 392-4588 St. Louis Chesterfield BIOSCRIP INFUSION SERVICES 528 Trade Center Blvd Chesterfield, MO 63005 (636) 812-0444 Fenton OPTION CARE 535 Axminister Dr Fenton, MO 63026 (314) 843-1140 Saint Louis CORAM CVS/SPECIALTY INFUSION SERVICES 8248 Lackland Rd Ste 101 Saint Louis, MO 63114 (314) 522-2800 NEBRASKA Douglas Omaha AFFINITY BIOTECH, INC. 1810 N 203rd St Omaha, NE 68022 (402) 289-0189 CORAM CVS/SPECIALTY INFUSION SERVICES 11111 Mill Valley Rd Omaha, NE 68154 (402) 330-5482 OPTION CARE 10924 John Galt Blvd Omaha, NE 68137 (402) 331-0980 NEW JERSEY Middlesex Edison KABAFUSION NJ 160 Raritan Center Pkwy Edison, NJ 08837 (800) 383-8393 Monmouth Howell PARKWAY PHARMACY LP 3502 Us Highway 9 Howell, NJ 07731 (866) 355-7797 Passaic Totowa BIOLOGICTX LLC 40d Commerce Way Totowa, NJ 07512 (877) 567-8087 Wayne BASIC HOME INFUSION 1401 Valley Road Wayne, NJ 07470 (888) 822-7428 NEW YORK Page 20

Westchester Hawthorne ACARIAHEALTH PHARMACY #12 5 Skyline Dr Ste 240 Hawthorne, NY 10532 (800) 511-5144 SOLEO HEALTH 4 Skyline Drive Hawthorne, NY 10532-2147 (800) 395-6143 NORTH CAROLINA Forsyth Kernersville NUFACTOR 1601 Old Greensboro Rd Kernersville, NC 27284 (844) 871-4773 Wake Raleigh DIPLOMAT SPECIALTY INFUSION GROUP 140 Northway Court Raleigh, NC 27615 (888) 571-3100 OHIO Hamilton Cincinnati DIPLOMAT SPECIALTY INFUSION GROUP 7167 E Kemper Rd Cincinnati, OH 45249 (513) 792-7080 PENNSYLVANIA Delaware Boothwyn PENTEC HEALTH, INC 4 Creek Parkway Boothwyn, PA 19061 (800) 223-4376 US BIOSERVICES 109 Chelsea Parkway Boothwyn, PA 19061 (800) 400-9549 Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA 19060 (610) 545-6040 Sharon Hill HOMETECH ADVANCED THERAPIES, INC. * 505 Elmwood Ave Sharon Hill, PA 19079 (484) 494-3121 TENNESSEE Shelby Memphis HEMOPHILIA PREFERRED CARE OF MEMPHIS * 6423 Shelby View Dr Ste 104 Memphis, TN 38134 (901) 725-3440 TEXAS Collin Frisco US BIOSERVICES 3200 Internet Blvd Frisco, TX 75034 (888) 518-7246 Dallas Dallas PARAGON INFUSION CARE, INC. 17111 Preston Road Dallas, TX 75248 (972) 588-1000 Irving OPTION CARE 6611 N Belt Line Rd Ste 100 Irving, TX 75063 (972) 536-7355 Y MEDICAL ASSOCIATES, INC. 8840 N Mac Arthur Blvd Irving, TX 75063 (972) 714-0777 Richardson KROGER SPECIALTY INFUSION TX 1748 N Greenville Ave Richardson, TX 75081 (855) 742-7690 Denton Lewisville PHARMACY SPECIALISTS 697 S Stemmons Fwy Lewisville, TX 75067 (972) 426-7006 Harris Houston ACARIAHEALTH PHARMACY #11 1311 W Sam Houston Pkwy N # 130 Houston, TX 77043 (800) 511-5144 Page 21

SPECIALTY THERAPEUTIC CARE 1311 W Sam Houston Pkwy N Ste 150 Houston, TX 77043 (866) 506-2626 Lubbock Lubbock IV SOLUTIONS OF LUBBOCK 6101 43rd Street Lubbock, TX 79407 (806) 791-4663 Tarrant Ft Worth AMERICAN OUTCOMES MGMT LP 6310 Southwest Blvd Ste 204 Ft Worth, TX 76109 (800) 746-9089 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. ARIZONA Maricopa Phoenix PHARMERICA 8826 N 23rd Ave Ste C-2 Phoenix, AZ 85021 (602) 995-1320 ARKANSAS Clark Arkadelphia ALLCARE PHARMACY 521 Main St Arkadelphia, AR 71923 (877) 420-9400 Fulton Mammoth Spring PALACE DRUG * 270 Main St Mammoth Spring, AR 72554 (870) 625-3222 Washington Springdale PREMIER PHARMACY CARE LLC 834 E Henri De Tonti Blvd Springdale, AR 72762 (479) 927-6100 ILLINOIS Cook Hillside UNITED RX, LLC 150 Fencl Lane Hillside, IL 60162 (708) 449-7600 Niles CARE ONE PHARMACY SERVICES LLC 7550 N Oak Park Ave Niles, IL 60714 (847) 674-2600 La Salle La Salle PHARMBLUE ILLINOIS LLC * 2960 Chartres St Ste 100 La Salle, IL 61301 (724) 779-4720 Williamson Marion HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #128 7846 Aviation Dr Marion, IL 62959 (618) 993-2900 INDIANA Marion Indianapolis PHARMERICA 6330 E 75th St Indianapolis, IN 46250 (317) 595-6270 IOWA Lee Fort Madison RASHID LTC PHARMACY/JRX PHARMACY SERVICES 2402 Avenue L Fort Madison, IA 52627 (319) 376-2358 KANSAS Douglas Lawrence QUALICARE INC 2336 Ridge Court Lawrence, KS 66046 (785) 841-1950 Johnson Lenexa ALIXARX - KS HUB 11286 Renner Blvd Lenexa, KS 66219 (877) 655-9157 Page 22

UVANTA PHARMACY - KANSAS CITY 11144 Renner Blvd Lenexa, KS 66219 (913) 647-4610 Miami Paola AUBURN LTC 1011 Baptiste Dr Paola, KS 66071 (913) 294-9125 Shawnee Topeka SENIOR RX CARE OF KANSAS LLC 121 Se 6th Ave Topeka, KS 66603 (877) 232-4601 KENTUCKY Graves Mayfield DUNCAN SPECIALTY PHARMACY 317 W. Broadway Mayfield, KY 42066 (270) 247-3725 MICHIGAN Kalamazoo Kalamazoo OPTIMED SPECIALTY PHARMACY 6480 Technology Kalamazoo, MI 49009 (877) 385-0535 MISSOURI Adair Kirksville KIRKSVILLE 1611 S Baltimore St Kirksville, MO 63501 (660) 956-7010 MED DEPOT 800 W Jefferson St Kirksville, MO 63501 (660) 665-7239 RIDER DRUG INC * 1207 S Baltimore Kirksville, MO 63501 (660) 665-4666 Andrew Savannah COUNTRYSIDE PHARMACY * 402 E Price Savannah, MO 64485 (816) 324-5111 Atchison Rock Port STONER DRUG * 315 S Main St Rock Port, MO 64482 (660) 744-2433 Tarkio ROGERS 411 Main St Tarkio, MO 64491 (660) 736-5512 Audrain Mexico A AND B PRESCRIPTION SHOP INC * 201 E Monroe St Mexico, MO 65265 (573) 581-1350 JACKSON STREET DRUG, A MEDICINE SHOPPE PHARMACY #1111 * 200 E Jackson St Mexico, MO 65265 (573) 581-7561 PARKWAY 340 Kelley Pkwy Mexico, MO 65265 (573) 567-7077 Barry Cassville SATER 705 Main St Cassville, MO 65625 (417) 847-2315 WHITLEY 101 W 8th St Cassville, MO 65625 (417) 847-2722 Bates Adrian ADRIAN KREISLER DRUG * 21 E Main St Adrian, MO 64720 (816) 297-8833 Benton Cole Camp COLE CAMP 106 S Maple St Cole Camp, MO 65325 (660) 668-4646 Warsaw J AND D TRUECARE 1330 Commercial St Warsaw, MO 65355 (660) 438-7331 Page 23

Boone Ashland KILGORE'S MEDICAL 109 B Eastside Dr Ashland, MO 65010 (573) 657-3333 Columbia FLOWS 1506 E Broadway Columbia, MO 65201 (573) 449-5366 KILGORE'S MEDICAL 700 N Providence Rd Columbia, MO 65203 (573) 442-0194 KILGORE'S MEDICAL 1608 Chapel Hill Rd Columbia, MO 65203 (573) 447-4444 OMNICARE OF COLUMBIA 4509 I 70 Drive Se Columbia, MO 65201 (573) 814-1365 Buchanan Saint Joseph GENOA HEALTHCARE, LLC 724 N 22nd St Saint Joseph, MO 64506 (816) 396-5800 STEVENSON FAMILY 6201 King Hill Ave Saint Joseph, MO 64504 (816) 238-2424 St Joseph ROGERS 2524 Frederick Ave St Joseph, MO 64506 (816) 232-3348 Butler Poplar Bluff EASTSIDE 400 E Pine Poplar Bluff, MO 63901 (573) 686-7238 KEY DRUGS * 910 N Westwood Poplar Bluff, MO 63901 (573) 785-8218 Caldwell Hamilton NORTHWEST PHARMACY SERVICES * 103 E. Cross Street Hamilton, MO 64644 (816) 583-2881 Callaway Fulton FULTON STATE HOSPITAL 600 E 5th St Fulton, MO 65251 (573) 592-3062 SAULTS DRUG STORE INC * 505 Court Street Fulton, MO 65251 (573) 642-4186 Camden Camdenton AUBURN PHARMACY #280 * 113 E Us Hwy 54 Camdenton, MO 65020 (573) 346-3396 Lake Ozark LAKE REGIONAL PHARMACY - LO * 1870-C Bagnell Dam Blvd Lake Ozark, MO 65049 (573) 964-6200 Osage Beach LAKE REGIONAL PHARMACY - OBMP * 1057-B Medical Park Dr Osage Beach, MO 65065 (573) 302-2700 Cape Girardeau Cape Girardeau BROADWAY 710 Broadway Cape Girardeau, MO 63701 (573) 335-8207 GENOA HEALTHCARE, LLC 402 S Silver Springs Rd Ste 101a Cape Girardeau, MO 63703 (573) 837-1982 JOHN'S RX 2003 Independence St Cape Girardeau, MO 63703 (573) 334-1300 MEDICENTER 465 S Mount Auburn Rd Ste 101 Cape Girardeau, MO 63703 (573) 651-5250 MISSOURI MED, LLC 121 S Broadview St Cape Girardeau, MO 63703 (573) 803-5500 Page 24

SOUTHEAST 1723 Broadway Ste 110 Cape Girardeau, MO 63701 (573) 331-7900 Jackson HORST 2705 E Jackson Blvd Jackson, MO 63755 (573) 243-8173 MEDICENTER 200 W Washington Jackson, MO 63755 (573) 243-1303 Carroll Carrollton HOMETOWN PHARMACY CARROLLTON LTC 1409 N Jefferson St Carrollton, MO 64633 (660) 542-2020 Carter Van Buren VAN BUREN DRUG * 406 Main St Van Buren, MO 63965 (573) 323-8159 Cass Harrisonville GILLEN 2820 E Rock Haven Rd Ste 110 Harrisonville, MO 64701 (816) 884-5115 Cedar El Dorado Springs EVANS DRUGS * 209 E Us Hwy 54 El Dorado Springs, MO 64744 (417) 876-3313 Stockton ZUMWALT 19 Public Square Stockton, MO 65785 (417) 276-3128 Clark Kahoka CLARK COUNTY PHARMACY INC * 250 S Johnson Street Kahoka, MO 63445 (660) 727-2214 Clay Excelsior Springs JACK MONROE PHARMACY * 1236 N Jesse James Rd Excelsior Springs, MO 64024 (816) 637-6118 KEX RX PHARMACY & HOME CARE * 1500 Kearney Rd Excelsior Springs, MO 64024 (816) 637-3188 RED CROSS LTC PHARMACY 1000 N Jesse James Rd Excelsior Springs, MO 64024 (816) 743-7320 Kansas City GENOA HEALTHCARE, LLC 3100 Ne 83rd St Kansas City, MO 64119 (816) 527-8130 Clinton Cameron THE DRUG STORE * 610 N Walnut Cameron, MO 64429 (816) 632-7211 Cole Jefferson City ROBERTS DRUG STORE * 3501 W Truman Blvd Ste H Jefferson City, MO 65109 (573) 556-5551 WHALEYS PRO CARE SERVICES 630 B East High Street Jefferson City, MO 65101 (573) 632-2001 Cooper Boonville MEDICAL ARTS PHARMACY * 800 Main St Boonville, MO 65233 (660) 882-5208 Crawford Cuba THE TOWNE 200 N Franklin Cuba, MO 65453 (573) 885-7212 Dade Greenfield GREENFIELD 105 N Grand Greenfield, MO 65661 (417) 637-2909 Dallas Buffalo Page 25

CORNER DRUG STORE * 308 W Dallas St Buffalo, MO 65622 (417) 345-6500 NYBERG PHARMACY 2461 * 315 S Ash Buffalo, MO 65622 (417) 345-2321 Dekalb Maysville RANDOLPH DRUG STORE * 301 South Polk Street Maysville, MO 64469 (816) 449-2700 Dunklin Kennett HARRIS 1224 First Street Kennett, MO 63857 (573) 888-6006 Franklin Gerald MEDLEY 733 W Springfield Rd Gerald, MO 63037 (573) 764-5980 New Haven PRATTS 100 Dwayne Vonbehren Dr New Haven, MO 63068 (573) 237-3321 Saint Clair SINKS 1435 N. Main St Saint Clair, MO 63077 (636) 629-8085 ST CLAIR (REXALL) HEALTH MART PHARMACY * 855 N Commercial Ave Saint Clair, MO 63077 (636) 629-0710 St Clair THE MEDICINE SHOPPE 920 H St Clair Plaza Dr St Clair, MO 63077 (636) 629-2022 Sullivan SINKS 153 E Springfield Rd Sullivan, MO 63080 (573) 468-4777 Union GENOA HEALTHCARE, LLC 1780 Old Highway 50 East Union, MO 63084 (636) 741-3005 HEARTLAND DISCOUNT 707 Hwy 50 W Union, MO 63084 (636) 583-2646 Gasconade Hermann BERLENER 119 Bavarian Hills Blvd Hermann, MO 65041 (573) 486-2612 Owensville MEDLEY 601 E Hwy 28 Owensville, MO 65066 (573) 437-3440 Gentry Stanberry FAMILY HEALTH LTC PHARMACY 102 W 1st St Ste 100 Stanberry, MO 64489 (660) 783-3192 FAMILY HEALTH 102 W 1st St Stanberry, MO 64489 (660) 783-0700 Greene Ash Grove ASH GROVE PHARMACY INC * 490 N Medical Drive Ash Grove, MO 65604 (417) 751-2111 Brookline INFINIUM PHARMACY - REPUBLIC 6129 W Us Highway 60 Brookline, MO 65619 (417) 708-5050 Springfield ALPS LONG TERM CARE PHARMACY 2828 N National Ave Springfield, MO 65803 (417) 893-3902 ALPS PHARMACY #2 * 2828 N National Ave Ste A Springfield, MO 65803 (417) 893-3900 Page 26

ALPS 2650 W Kearney Springfield, MO 65803 (417) 865-1547 GUARDIAN PHARMACY OF MISSOURI 2103 E Rockhurst St Ste 108 Springfield, MO 65802 (417) 864-5873 OMNICARE OF SPRINGFIELD 1947 W Sunset Ste 200 Springfield, MO 65807 (417) 889-4000 Henry Clinton SUMMERS 605 Pawnee St Clinton, MO 64735 (660) 885-3034 Windsor MERRYFIELD 200 W Benton St Windsor, MO 65360 (660) 647-2134 Holt Mound City ROGERS 607 State Street Mound City, MO 64470 (660) 442-3355 Howard Fayette SAM'S HEALTH MART PHARMACY # 3 300 North Church Street Fayette, MO 65248 (660) 248-2275 SAM'S HEALTH MART 300 N Church St Fayette, MO 65248 (660) 248-2275 Glasgow HENDERSONS DRUG STORE * 523 1st St Glasgow, MO 65254 (660) 338-2125 Howell West Plains BURTON CREEK PHARMACY 805 N Kentucky Ave Ste 2 West Plains, MO 65775 (417) 256-2274 Jackson Grain Valley HILS 451 A Sw Eagles Pkwy Grain Valley, MO 64029 (816) 650-8288 Independence GENOA HEALTHCARE, LLC 17844 E 23rd St S Rm D404 Independence, MO 64057 (816) 833-7325 STERLING PHARMACY 19321 E Us Highway 40 Independence, MO 64055 (816) 795-6034 Kansas City OMNICARE OF KANSAS CITY 10400 Hickman Mills Dr Kansas City, MO 64137 (816) 942-2800 ROCKHILL LTC PHARMACY 4240 Southwest Trfy Kansas City, MO 64111 (816) 799-0123 Lees Summit GENOA HEALTHCARE, LLC 901 Ne Independence Avenue Lees Summit, MO 64086 (816) 347-0075 GENOA HEALTHCARE, LLC 1535 Ne Rice Rd Ste A Lees Summit, MO 64086 (816) 600-0398 SYMBRIA RX SERVICES, LLC 348 Nw Capital Dr Lees Summit, MO 64086 (630) 981-8023 THE MEDICINE SHOPPE 1405 Ne Douglas St Lees Summit, MO 64086 (816) 524-8444 Jasper Carl Junction BRUNER DRUGS * 102 S Main Carl Junction, MO 64834 (417) 649-7021 Carthage Page 27

WILKINSON 2017 S Garrison Ave Carthage, MO 64836 (417) 358-4840 Joplin THE MEDICINE SHOPPE 2131 E 32nd St Ste 3 Joplin, MO 64804 (417) 781-2332 Webb City BRUNER'S PHARMACY 101 W Daugherty St Webb City, MO 64870 (417) 673-4663 BRUNER'S 101 W Daugherty St Webb City, MO 64870 (417) 673-4663 STONE'S CORNER 6059 N Main Street Rd Webb City, MO 64870 (417) 624-6590 Jefferson Cedar Hill CEDAR HILL DRUG * 7032 State Route Bb Cedar Hill, MO 63016 (636) 274-3111 Desoto THE MEDICINE SHOPPE 100 North Main St Desoto, MO 63020 (636) 586-5533 Hillsboro HILLSBORO DRUG * 10666 Hwy 21 Hillsboro, MO 63050 (636) 797-3468 Johnson Holden AUBURN PHARMACY #265 * 1200 E 10th St Holden, MO 64040 (816) 732-5514 Knox Edina KNOX COUNTY PHARMACY LLC * 105 E Reid St Suite C Edina, MO 63537 (660) 397-2244 Laclede Lebanon JOES 489 S Jefferson Ave Lebanon, MO 65536 (417) 532-7128 Lafayette Concordia BRITTS CENTRAL DRUG STORE 728 Main St Concordia, MO 64020 (660) 463-2519 Higginsville MEDICINE SHOPPE 1573 * 810 W 35th St Higginsville, MO 64037 (660) 584-2700 Odessa THE DRUG STORE * 408 N 4th St Odessa, MO 64076 (816) 633-8000 Lawrence Aurora AURORA PROFESSIONAL 124 S Madison Aurora, MO 65605 (417) 678-4136 Marionville MARIONVILLE 201 S Us Hwy 60 Marionville, MO 65705 (417) 258-2526 Mount Vernon LANDRUM DRUG * 1319-E S Landrum Mount Vernon, MO 65712 (417) 461-1100 MT VERNON HOMETOWN * 606 E Mount Vernon Blvd Mount Vernon, MO 65712 (417) 466-2000 Lincoln Elsberry ELSBERRY PHARMACY, MEDICINE SHOPPE 2028 * 106 A Broadway Elsberry, MO 63343 (573) 898-2550 Troy BECKWITH 107 N Lincoln Dr Troy, MO 63379 (636) 528-8462 Linn Page 28

Brookfield GREEN HILLS 712 S Main St Brookfield, MO 64628 (660) 258-2122 Livingston Chillicothe CHILLICOTHE FAMILY 504 S Washington St Chillicothe, MO 64601 (660) 240-0828 HLTC PHARMACY 519 Locust St Chillicothe, MO 64601 (660) 646-7200 HOMETOWN PHARMACY - CHILLICOTHE * 601 Locust St Chillicothe, MO 64601 (660) 646-7455 Macon La Plata LA PLATA 29936 July Road La Plata, MO 63549 (660) 332-4456 Macon MILLER REXALL DRUG * 115 Vine Street Macon, MO 63552 (660) 385-2167 Madison Fredericktown PARKLAND HEALTH MART PHARMACY 1025 Hwy 72 Bypass Fredericktown, MO 63645 (573) 783-6000 PARKLAND HEALTH MART 1025 Highway 72 Bypass Fredericktown, MO 63645 (573) 783-6000 Maries Belle SINKS 206 D South Alvarado Belle, MO 65013 (573) 859-3100 Vienna SINKS 606 E Hwy 63 Vienna, MO 65582 (573) 422-6400 Marion Hannibal GOSNEY LONG TERM CARE 2902 Saint Marys Ave Hannibal, MO 63401 (573) 629-1506 Miller Eldon ELDON DRUG COMPANY * 101 S Maple Street Eldon, MO 65026 (573) 392-4588 Moniteau California BOND 703 W Buchanan California, MO 65018 (573) 796-3145 Tipton SSM HEALTH 875 Hwy 5 South Tipton, MO 65081 (660) 433-5404 Monroe Paris PARIS 223 North Main Street Paris, MO 65275 (660) 327-4514 Montgomery Montgomery City THE MEDICINE SHOPPE 635 S Sturgeon St Montgomery City, MO 63361 (573) 564-1111 Morgan Laurie LAKE REGIONAL PHARMACY - LAURIE * 156 -D Missouri Blvd Laurie, MO 65038 (573) 374-7522 LAURIE FAMILY PHARMACY * 154 South Main Laurie, MO 65038 (573) 207-0805 Versailles Page 29

CLINIC 901 Kidwell Dr Versailles, MO 65084 (573) 378-4661 VERSAILLES 700 West Clay Road Versailles, MO 65084 (573) 378-5000 New Madrid Portageville BUTLER DRUG STORE INC * 222 E Main St Portageville, MO 63873 (573) 379-5460 Sikeston GENOA HEALTHCARE, LLC 760 Plantation Blvd Sikeston, MO 63801 (573) 621-2038 Newton Joplin QUICKMEDS 3201 Mcclelland Blvd Joplin, MO 64804 (417) 347-6337 Neosho MITCHELL'S DOWNTOWN DRUG STORE * 115 E Hickory St Neosho, MO 64850 (417) 451-3776 MITCHELL'S DRUG STORES ON THE BOULEVAARD 719 S Neosho Blvd Neosho, MO 64850 (417) 451-9501 MITCHELL'S UPTOWN DRUG STORE * 1504 N Business 49 Neosho, MO 64850 (417) 451-9301 Seneca PRATER'S 1711 Cherokee Avenue Seneca, MO 64865 (417) 776-8701 Nodaway Maryville ROGERS 125 E South Ave Maryville, MO 64468 (660) 562-2300 Pemiscot Caruthersville HAYDEN 1200 Ward Ave Caruthersville, MO 63830 (573) 333-4606 PRESCRIPTION DRUG STORE * 410 Ward Ave Caruthersville, MO 63830 (573) 333-4890 Hayti THE PRESCRIPTION DRUG STORE * 308 E Main St Hayti, MO 63851 (573) 359-0008 Perry Perryville PRESCRIPTIONS PLUS LONGTERM CARE PHARMACY 212 Hospital Ln Ste 103 Perryville, MO 63775 (573) 768-3395 Pettis Sedalia MEDICAL CENTER 1700 S Ingram Ave Sedalia, MO 65301 (660) 826-2626 SWORDS' FAMILY 300 S Ohio Ave Sedalia, MO 65301 (660) 826-0462 Phelps Rolla SINKS 1375 B East 10th Street Rolla, MO 65401 (573) 364-9616 SINKS PHARMACY SOUTH * 1024 South Bishop Rolla, MO 65401 (573) 308-4899 Saint James FOREST CITY 125 N Jefferson St Saint James, MO 65559 (573) 265-5400 Pike Bowling Green Page 30

BOWLING GREEN 8 N Court St Bowling Green, MO 63334 (573) 324-2112 COUNTY MARKET PHARMACY 397 * 1106 Business Highway 61 S Bowling Green, MO 63334 (573) 324-3383 Louisiana FAMILY DRUG * 301 Georgia St Louisiana, MO 63353 (573) 754-4551 Polk Bolivar CMH SENIOR PHARMACY 1125 B North Butterfield Road Bolivar, MO 65613 (417) 328-4700 Pulaski Richland YORK & CO. 609 W Washington Ave Richland, MO 65556 (573) 765-3321 Waynesville SINKS 1000 Gw Ln Ste 105 Waynesville, MO 65583 (573) 433-2550 Randolph Moberly HILS 907 N Morley St Moberly, MO 65270 (660) 263-4457 SAM'S HEALTH MART PHARMACY # 2 530 East 24 Highway Moberly, MO 65270 (660) 263-0615 SAM'S HEALTH MART 530 East 24 Highway Moberly, MO 65270 (660) 263-6710 SAM'S HEALTH MART 300 N Morley St Moberly, MO 65270 (660) 263-0909 Ray Richmond C & C DISCOUNT 508 Johnny Walker Lane Richmond, MO 64085 (816) 776-6926 Ripley Doniphan HOMETOWN 110 Leroux Street Doniphan, MO 63935 (573) 996-4000 Saline Marshall RED CROSS LTC PHARMACY 157 S Jefferson Marshall, MO 65340 (660) 886-5535 Scott Sikeston STERLING HEALTH CARE SERVICES 808 Hunter Ave Sikeston, MO 63801 (573) 472-0608 St. Charles Saint Charles GENOA HEALTHCARE, LLC 102 Compass Point Dr Ste A Saint Charles, MO 63301 (636) 373-8840 Saint Peters GENOA HEALTHCARE, LLC 255 Spencer Rd Ste 202 Saint Peters, MO 63376 (636) 486-4264 Wentzville GENOA HEALTHCARE, LLC 1032 Crosswinds Ct Wentzville, MO 633854836 (636) 327-3560 St. Clair Appleton City KREISLER COUNTRY PHARMACY INC 121 West 4th Street Appleton City, MO 64724 (660) 476-2142 Osceola EVANS DRUGS * 675 3rd St Osceola, MO 64776 (417) 646-2301 St. Francois Bonne Terre Page 31

OZARK LTC RX LLC 9 Bonneville Plz Bonne Terre, MO 63628 (573) 755-0800 Farmington HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC. #125 1351 Airpark Drive Farmington, MO 63640 (800) 689-3683 MEDICAP 800 Valley Creek Drive Farmington, MO 63640 (573) 760-0200 OMNICARE OF FARMINGTON 312 E Karsch Blvd Farmington, MO 63640 (573) 756-7870 St. Louis Chesterfield CORUM HEALTH SERVICES INC 14805 N Outer 40 Rd Chesterfield, MO 63017 (636) 733-7300 SENIOR SCRIPTS 739 Goddard Ave Chesterfield, MO 63005 (636) 534-6800 ST LUKES 224 S Woods Mill Rd Chesterfield, MO 63017 (314) 205-6023 THE MEDICINE SHOPPE 106 4 Seasons Shopping Ctr Ste B Chesterfield, MO 63017 (314) 469-7171 Fenton INFINIUM PHARMACY 1617 Manufacturers Dr Fenton, MO 63026 (314) 690-4500 NETWORK HEALTHCARE MISSOURI 1329 Horan Dr Fenton, MO 63026 (888) 249-9674 Florissant OMNICARE OF ST LOUIS 345 Dunn Rd Florissant, MO 63031 (314) 921-4242 THE MEDICINE SHOPPE 2386 N Hwy 67 Florissant, MO 63033 (314) 921-7700 Ladue GENOA HEALTHCARE, LLC 9890 Clayton Rd Ste 125 Ladue, MO 63124 (314) 227-0995 Maryland Heights MED ASSIST PHARMACY 11551 Adie Rd Maryland Heights, MO 63043 (314) 739-6815 Saint Louis EVERSPRING 1884 Lackland Hill Parkway Saint Louis, MO 63146 (314) 344-9094 LONG TERM CARE RX INC 1a Document Dr Saint Louis, MO 63114 (314) 961-4405 NEELS 8 Crestwood Executive Ctr Saint Louis, MO 63126 (314) 849-3123 PHARMERICA 105 Arc Dr Saint Louis, MO 63146 (314) 473-1340 TARA PHARMACY SE LLC 11643 Lilburn Park Rd Saint Louis, MO 63146 (314) 567-7239 VAN'S DELIVERY 3229 Lemay Ferry Rd Saint Louis, MO 63125 (314) 200-6500 Sappington THE MEDICINE SHOPPE 11330 Gravois Rd Sappington, MO 63126 (314) 842-0910 St Louis HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC #127 2000 Westport Center Dr St Louis, MO 63146 (314) 373-1111 Page 32

THE MEDICINE SHOPPE 4441 Brown Rd St Louis, MO 63134 (314) 428-7676 UNITED SCRIPTS LTC LLC 1861 Craig Park Court St Louis, MO 63146 (314) 828-4600 Valley Park THE MEDICINE SHOPPE 16 Stonegate Center Valley Park, MO 63088 (636) 225-5123 Webster Groves COLONIAL VILLAGE 7945 Big Bend Blvd Webster Groves, MO 63119 (314) 962-1065 St. Louis City Saint Louis WEST PINE 4401 W Pine Blvd Saint Louis, MO 63108 (314) 533-1081 WINKELMANN SONS DRUG CO 3300 Meramec St Saint Louis, MO 63118 (314) 353-3300 St Louis MEDICINE SHOPPE * 3137 South Grand Blvd St Louis, MO 63118 (314) 865-5219 THE MEDICINE SHOPPE 4900 Delmar Blvd St Louis, MO 63108 (314) 367-3009 Stoddard Advance ADVANCE 110 S Oak Advance, MO 63730 (573) 722-3562 Dexter KEY DRUGS AT DEXTER * 1007 W Business Us Highway 60 Dexter, MO 63841 (573) 614-5900 Texas Cabool CABOOL DRUG AND DIME * 518 Main Cabool, MO 65689 (417) 962-3133 Licking RINNE 100 Deer Lick Licking, MO 65542 (573) 674-2995 Vernon Nevada AUBURN LTC NEVADA #240 125 S Washington St Nevada, MO 64772 (417) 667-2500 COMMUNITY 900 S Adams St Nevada, MO 64772 (417) 667-6044 Warren Warrenton GENOA HEALTHCARE, LLC 19515 Brune Parkway Warrenton, MO 63383 (636) 235-4049 Washington Potosi PHOENIX HOME CARE PHARMACY 410 E High St Potosi, MO 63664 (573) 436-1232 Webster Marshfield MARSHFIELD CLINIC 483 Pomme De Terre Dr Marshfield, MO 65706 (417) 468-4442 Worth Grant City SHERRI'S PHARMACY SERVICES * 108 S Main St Grant City, MO 64456 (660) 564-3784 Wright Mountain Grove MOUNTAIN GROVE 106 N Union St Mountain Grove, MO 65711 (417) 926-4156 NORTH TOWNE FAMILY 1600 N Main Mountain Grove, MO 65711 (417) 926-9655 Page 33

NEBRASKA Sarpy Gretna COMMUNITY PHARMACY SERVICES 21689 Northstar Dr Gretna, NE 68028 (402) 991-0431 NEW JERSEY Morris Long Valley LTC SCRIPTS 62 E Mill Rd Ste B1 Long Valley, NJ 07853 (908) 876-0100 NEW YORK Kings Brooklyn MEDPACK 5923 Strickland Ave Brooklyn, NY 11234 (347) 506-1000 OHIO Cuyahoga Valley View EXACT CARE PHARMACY 8333 Rockside Rd Valley View, OH 44125 (216) 369-2200 PENNSYLVANIA Butler Warrendale PHARMBLUE LLC * 40 Pennwood Pl Ste 300 Warrendale, PA 15086 (724) 779-4720 Delaware Garnet Valley ELWYN SPECIALTY CARE 3070 Mccann Farm Dr Ste 101 Garnet Valley, PA 19060 (610) 545-6040 Westmoreland North Huntingdon ACCUSERV PHARMACY 8731 State Route 30 Ste 1 North Huntingdon, PA 15642 (866) 213-9821 TENNESSEE Putnam Cookeville PEGASUS EXPRESS PHARMACY 621 E 15th St Cookeville, TN 38501 (931) 528-0070 VIRGINIA Richmond City Richmond WESTWOOD PHARMACY CLINICAL SERVICES 5823 Patterson Ave Richmond, VA 23226 (804) 288-3620 Specialty Pharmacy ARIZONA Maricopa Phoenix LUMICERA HEALTH SERVICES, LLC 5350 E High St Ste 200 Phoenix, AZ 85054 (855) 847-3553 WISCONSIN Dane Madison LUMICERA HEALTH SERVICES 2601 W Beltline Hwy Ste 302 Madison, WI 53713 (855) 847-3553 Page 34

Discrimination is Against the Law 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 does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Missouri Medicare Select: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact our Compliance Officer. If you believe that Missouri Medicare Select has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Compliance Officer, Missouri Medicare Select, P.O. Box 5849 Glen Allen, VA 23058, phone 844-317-9059, TTY 711, fax 804-299-4059, compliance@missourimedicareselect.com. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance our Compliance Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

English: ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-844-228-7934 TTY: 711. Multi-Language Interpreter Services Spanish: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-228-7934 TTY: 711. Chinese: 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 1-844-228-7934(TTY :711) Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-228-7934 TTY: 711. Serbo-Croatian: OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-844-228-7934 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711). German: ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-844-228-7934 TTY: 711 Arabic: برقم اتصل.بالمجان لك تتوافر اللغویة المساعدة خدمات فا ن اللغة اذكر تتحدث كنت إذا :ملحوظة 844-854-6886-1 (والبكم الصم ھاتف رقم: 1-844-228-7934 ). Korean: 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다. 1-844-228-7934 TTY: 711 번으로전화해주십시오. Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-844-228-7934 телетайп: 711. French: ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-844-228-7934 (ATS : 711). Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-228-7934 TTY: 711. Pennsylvania Dutch: Wann du Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-844-228-7934 TTY: 711. Persian (Farsi): فراھم امش برای رایگان بصورت زبانی تسھیلات کنید یم وگتفگ فارسی زبان ھب اگر :ھجوت می باشد. با (711 (TTY: 1-844-228-7934 تماس بگیرید. Cushite: XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-844-228-7934 TTY: 711. Portuguese: ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-844-228-7934 TTY: 711. Amharic: ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች በነጻ ሊያግዝዎት ተዘጋጀተዋል ወደ ሚከተለው ቁጥር ይደውሉ 1-844-228-7934 TTY: 711 H4490_2019MLIMO_C