Medicare Part D 2016 Arizona Pharmacy Directory

Health Net Medicare Part D 2016 Arizona Pharmacy Directory Health Net Jade (HMO SNP), Health Net Jade Cardiovascular (HMO SNP), Health Net Ruby Select (HMO), Health Net Ruby 1 (HMO), and Health Net Ruby 4 (HMO) This pharmacy directory was updated on 09/01/2015. For more recent information or other questions, please contact Health Net at 1-800-977-7522 or, for TTY users, 711, 8:00 a.m. to 8:00 p.m., seven days a week (automated telephone service is used on some weekends and holidays), or visit www.healthnet.com/ medicare. 6032231 AZ120175 Material ID# Y0035_2016_0004_A (H0351, H0562, H3561, H5439, H5520, H6815, EG) CMS Accepted 07252015

Table Of Contents Introduction... 1 Retail Pharmacies, including Chain Pharmacies...3 Mail Order Pharmacy... 48 Specialty Pharmacies... 49 Home Infusion Pharmacies...50 Long-Term Care Pharmacies...51 Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies... 54

Introduction This booklet provides a list of our plan 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 Health Net Jade (HMO SNP), Health Net Jade Cardiovascular (HMO SNP), Health Net Ruby Select (HMO), Health Net Ruby 1 (HMO), and Health Net Ruby 4 (HMO) s formulary. When this pharmacy directory refers to we, us, or our, it means Health Net. When it refers to plan or our plan, it means Health Net Jade (HMO SNP), Health Net Jade Cardiovascular (HMO SNP), Health Net Ruby Select (HMO), Health Net Ruby 1 (HMO), and Health Net Ruby 4 (HMO). 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 our plan only if they are filled at a network pharmacy or through our mail order pharmacy service. Once you go to one pharmacy, you are not required to continue going to the same pharmacy to fill your prescription but can switch to any other of our network pharmacies. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your Evidence of Coverage. All network pharmacies may not be listed in this directory. Pharmacies may have been added or removed from the list after this directory was printed. This means the pharmacies listed here may no longer be in our network, or there may be newer pharmacies in our network that are not listed. This list is current as of 09/01/2015. For the most current list, please contact us. Our contact information appears on the front and back cover pages. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.healthnet.com/medicare. You may also call Member Services for updated provider information. You can go to all the pharmacies on this list, but your costs for some drugs may be lower at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with a $ to distinguish them from other pharmacies in our network that offer standard cost sharing. Cost sharing information can be found in the Summary of Benefits. You can get prescription drugs shipped to your home through our network mail order delivery service. For more information, please contact us or see the mail order section of this pharmacy directory. This directory is for Arizona which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory, please call us at the toll-free number on the front and back cover pages. 1

If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a nonnetwork pharmacy, please see the first and last cover pages of this directory for information on how to contact us. The directory is sorted by type of pharmacy and location. Pharmacy types include Retail, Mail Order, Specialty, Home Infusion, Long-Term Care, and Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) pharmacies. To find a pharmacy near you, locate the section for the type of pharmacy you need. This is not a complete list of our network pharmacies. You can go to any pharmacy in our nationwide network of more than 67,000 pharmacies. To find a pharmacy outside of your state, please visit www.healthnet.com/medicare or contact us. Our contact information appears on the front and back cover pages. 2

Apache Fort Defiance Fort Defiance Indian Hospital Corner Of Hwy N7 & N12 Fort Defiance, AZ 86504 (928) 729-8328 Ganado Sage Memorial Hospital Pharmacy Hwy 264 & S 191 Jct Ganado, AZ 86505 (928) 755-4500 Saint Johns St. Johns Drug 1155 W Cleveland Saint Johns, AZ 85936 (928) 337-2229 Springerville Western United Drugs 106 E Main St Springerville, AZ 85938 (928) 333-4321 Cochise Benson 599 W 4th St Benson, AZ 85602 (520) 586-7323 The Medicine Shoppe $ 795 W 4th St Benson, AZ 85602 (520) 586-1299 201 S Prickly Pear Ave Benson, AZ 85602 (520) 586-0754 Bisbee 101 S Naco Hwy Bisbee, AZ 85603 (520) 432-2274 Douglas Douglas Health Mart Pharmacy $ 94 W 5th St Douglas, AZ 85607 (520) 364-2315 Food City 1300 San Antonio Ave Douglas, AZ 85607 (520) 364-3770 QOL Meds* 1701 N Douglas Ave Douglas, AZ 85607 (412) 931-3131 204 W 5th St Douglas, AZ 85607 (520) 364-1279 Sierra Vista 2090 E Fry Blvd Sierra Vista, AZ 85635 (520) 458-1254 Food City 85 S Highway 92 Sierra Vista, AZ 85635 (520) 439-6081 4351 E Highway 90 Sierra Vista, AZ 85635 (520) 458-0997 Kmart Pharmacy 2011 E Fry Blvd Sierra Vista, AZ 85635 (520) 458-3388 QOL Meds* 4755 Campus Dr Sierra Vista, AZ 85635 (520) 226-3020 Sierra Healthmart Pharmacy $ 1939 S Frontage Rd Ste B Sierra Vista, AZ 85635 (520) 459-0705 4151 E Highway 90 Sierra Vista, AZ 85635 (520) 452-0035 1950 E Fry Blvd Sierra Vista, AZ 85635 (520) 458-5638 500 N Highway 90 Bypass Sierra Vista, AZ 85635 (520) 458-9690 HEALTH NET - 3 -

Coconino Flagstaff 3506 E Route 66 Flagstaff, AZ 86004 (928) 526-6505 Flagstaff Pharmacy $ 77 W Forest Ave Ste 104 Flagstaff, AZ 86001 (928) 773-2565 201 N Switzer Canyon Dr Flagstaff, AZ 86001 (928) 774-3389 Haggne Pharmacy $ 1416 E Route 66 Flagstaff, AZ 86001 (928) 773-1834 Mortar & Pestle 2708 N 4th St Ste C-2 Flagstaff, AZ 86004 (928) 526-2446 North Country Healthcare Pharmacy 2920 N 4th St Flagstaff, AZ 86004 (928) 213-6103 Northern AZ Univ/Fronske Pharmacy $ 824 S San Francisco St Flagstaff, AZ 86011 (928) 523-6300 QOL Meds 2695 E Industrial Dr Flagstaff, AZ 86004 (928) 714-6486 4910 N Hwy 89 Flagstaff, AZ 86001 (928) 526-5686 1201 S Plaza Way Flagstaff, AZ 86001 (928) 556-9170 1500 E Cedar Ave Flagstaff, AZ 86004 (928) 774-3750 Sam's Club Pharmacy $ 1851 E Butler Ave Flagstaff, AZ 86001 (928) 774-3294 1650 S Milton Rd Flagstaff, AZ 86001 (928) 779-2661 Wadhams Apothecary INC $ 3100 N West St Ste 200A Flagstaff, AZ 86004 (928) 774-5004 2610 E Route 66 Flagstaff, AZ 86004 (928) 773-1155 1025 S Milton Rd Flagstaff, AZ 86001 (928) 779-9588 2601 E Huntington Dr Flagstaff, AZ 86004 (928) 774-3419 2750 S Woodlands Village Blvd Flagstaff, AZ 86001 (928) 773-1013 Page 650 Elm St Page, AZ 86040 (928) 645-5714 655 South Lake Powell Blvd Page, AZ 86040 (928) 645-2917 Sedona 160 Coffee Bean Dr Sedona, AZ 86336 (928) 282-9541 2300 W Highway 89A Sedona, AZ 86336 (928) 282-1712 1995 W Highway 89A Sedona, AZ 86336 (928) 282-3903 Weber's IGA Pharmacy $ 100 Verde Valley School Rd Sedona, AZ 86351 (928) 284-2202 Tuba City Tuba City Regional Health Care 167 N Main St Tuba City, AZ 86045 (928) 283-2754 - 4 - HEALTH NET

Williams 637 W Route 66 Williams, AZ 86046 (928) 635-5977 Gila Claypool 100 South Ragus Road Claypool, AZ 85532 (928) 425-7661 Globe Cobre Valley Hospital Pharmacy 5880 S Hospital Dr Globe, AZ 85501 (928) 402-1192 Palace Health Mart Pharmacy 100 N Broad St Globe, AZ 85501 (928) 425-5777 Miami Rte 60 & Main Miami, AZ 85539 (928) 425-8165 Payson 142 E Highway 260 Payson, AZ 85541 (928) 474-7039 QOL Meds* 404 W Aero Dr Payson, AZ 85541 (412) 931-3131 401 E Hwy 260 Payson, AZ 85541 (928) 472-8242 100 S Beeline Hwy Payson, AZ 85541 (928) 474-1599 300 N Beeline Hwy Payson, AZ 85541 (928) 474-0034 Graham Safford Medicap Pharmacy $ 1520 W Thatcher Blvd Safford, AZ 85546 (928) 428-6366 Thriftee Food And Drug $ 755 S Central Ave Safford, AZ 85546 (928) 428-1156 1995 W Thatcher Blvd Safford, AZ 85546 (928) 428-5092 Thatcher 2125 North US Highway 70 Thatcher, AZ 85552 (928) 428-7244 2281 W 190 N Hwy 70 Thatcher, AZ 85552 (928) 428-2291 Willcox Medicine Shoppe $ 902 W Rex Allen Dr Willcox, AZ 85643 (520) 766-1299 650 N Bisbee Ave Willcox, AZ 85643 (520) 384-4612 Greenlee Morenci Walton Drug Of Morenci 408 Burro Aly Morenci, AZ 85540 (928) 865-2380 La Paz Parker 131 W Riverside Dr Parker, AZ 85344 (928) 669-1092 HEALTH NET - 5 -

The Apothecary United Drug 1002 W Arizona Ave Parker, AZ 85344 (928) 669-2147 100 W Riverside Dr Parker, AZ 85344 (928) 669-8306 Quartzsite Intown Pharmacy $ 60 W Main St Box 600 Quartzsite, AZ 85346 (928) 927-8747 Maricopa Anthem 39510 N Gavilan Peak Pkwy Anthem, AZ 85086 (623) 551-1031 3610 W Anthem Way Anthem, AZ 85086 (623) 551-4299 Dr. William Fishco 41818 N Venture Dr Anthem, AZ 85086 (623) 551-5000 Frys Pharmacy $ 39508 N Daisy Mountain Dr Anthem, AZ 85086 (623) 551-7221 Haggen Pharmacy $ 3655 W Anthem Way Anthem, AZ 85086 (623) 551-0300 2411 W Anthem Way Anthem, AZ 85086 (623) 551-2465 4435 W Anthem Way Anthem, AZ 85086 (623) 551-6327 Avondale Avondale Family Health Care Pharmacy 950 E Van Buren St Avondale, AZ 85323 (623) 344-6823 Costco Pharmacy 10000 W McDowell Rd Avondale, AZ 85323 (623) 907-5662 280 N Avondale Blvd Avondale, AZ 85323 (623) 882-2021 1575 N Dysart Rd Avondale, AZ 85323 (623) 925-0851 11425 W Buckeye Rd Avondale, AZ 85323 (623) 907-6161 10675 W Indian School Rd Avondale, AZ 85323 (623) 772-0502 Newspring Pharmacy LLC $ 10750 W McDowell Rd Bld C #300 Avondale, AZ 85392 (623) 932-9800 Sam's Club Pharmacy $ 1459 N Dysart Rd Avondale, AZ 85323 (623) 882-3871 1451 N Dysart Rd Avondale, AZ 85323 (623) 925-0280 10710 W McDowell Rd Avondale, AZ 85323 (623) 936-7234 10705 W Indian School Rd Avondale, AZ 85323 (623) 877-3245 13055 W Rancho Santa Fe Blvd Avondale, AZ 85392 (623) 935-4022 Xpress Care Pharmacy $ 13055 W McDowell Rd Bld E-103 Avondale, AZ 85323 (623) 535-5822 Buckeye 21087 W Main St Buckeye, AZ 85326 (623) 853-2113 1300 S Watson Rd Buckeye, AZ 85326 (623) 691-6633 - 6 - HEALTH NET

25073 W Southern Ave Buckeye, AZ 85326 (623) 215-1113 23477 W Yuma Rd Buckeye, AZ 85326 (623) 337-9161 1060 S Watson Rd Buckeye, AZ 85326 (623) 474-6860 Xpress Care Pharmacy $ 4290 S Miller Rd Ste 101 Buckeye, AZ 85326 (623) 474-6888 Carefree Clarks Pharmacy 36889 N Tom Darlington Carefree, AZ 85377 (480) 488-2007 5400 E Carefree Hwy PO Box 5230 Carefree, AZ 85377 (480) 595-5881 Cave Creek 28138 N Tatum Blvd Cave Creek, AZ 85331 (480) 585-6097 Frys Food And Drug Store $ 29411 N Cave Creek Rd Cave Creek, AZ 85331 (480) 538-7132 Infinite Care Pharmacy $ 28248 N Tatum Blvd Ste B4 Cave Creek, AZ 85331 (480) 656-3349 29834 N Cave Creek Rd Cave Creek, AZ 85331 (480) 563-9395 29660 N Tatum Blvd Cave Creek, AZ 85331 (480) 473-0584 34399 Cave Creek Rd Cave Creek, AZ 85331 (480) 296-7410 Chandler Albertson's Pharmacy $ 3145 S Alma School Rd Chandler, AZ 85248 (480) 899-7713 Banner Family Pharmacy- Chandler $ 7300 W Detroit St Chandler, AZ 85226 (602) 747-2418 4940 S Gilbert Rd Chandler, AZ 85249 (480) 883-2241 1920 W Chandler Blvd Chandler, AZ 85224 (480) 963-1162 Brisma Pharmacy 590 N Alma School Rd Ste 3 Chandler, AZ 85224 (480) 719-8798 Chandler Drugs 2055 W Frye Rd Ste 3 Chandler, AZ 85224 (480) 855-7123 Chandler FHC Pharmacy 811 S Hamilton St Chandler, AZ 85225 (480) 344-6149 Cigna At Chandler 1349 W Chandler Blvd Chandler, AZ 85224 (480) 821-7646 Costco Pharmacy 595 Galleria Wy Chandler, AZ 85226 (480) 375-2078 990 E Pecos Rd Chandler, AZ 85225 (480) 857-2508 1015 E Ray Rd Chandler, AZ 85225 (480) 917-3041 990 E Warner Rd Chandler, AZ 85225 (480) 899-3260 2005 N Dobson Rd Chandler, AZ 85224 (480) 812-0063 2000 W Ray Rd Chandler, AZ 85224 (480) 812-0149 HEALTH NET - 7 -

2010 S Dobson Rd Chandler, AZ 85248 (480) 899-2183 5975 W Chandler Blvd Chandler, AZ 85226 (480) 753-1827 4990 S Arizona Ave Chandler, AZ 85248 (480) 802-6748 3990 W Ray Rd Chandler, AZ 85226 (480) 786-3478 2995 E Chandler Heights Rd Chandler, AZ 85249 (480) 895-8369 2075 N Alma School Rd Chandler, AZ 85224 (480) 963-3109 981 W Elliot Rd Chandler, AZ 85225 (480) 821-2298 2010 S Alma School Rd Chandler, AZ 85248 (480) 917-8546 1950 W Ray Rd Chandler, AZ 85224 (480) 814-0178 985 E Riggs Rd Chandler, AZ 85249 (480) 883-6533 Korman Healthcare Pharmacy 5783 W Erie St Chandler, AZ 85226 (480) 365-0222 Medmetrics Pharmacy $ 4995 S Alma School Rd Ste 4 Chandler, AZ 85248 (480) 329-3877 Omnicare Phoenix 6825 W Galveston St Ste 3 Chandler, AZ 85226 (480) 718-0774 Osco Drug $ 2935 E Riggs Rd Chandler, AZ 85249 (480) 802-1980 Osco Pharmacy $ 4060 W Ray Rd Chandler, AZ 85226 (480) 491-1510 4970 S Alma School Rd Chandler, AZ 85248 (480) 883-0260 1159 W Chandler Blvd Chandler, AZ 85224 (480) 726-7775 1060 E Ray Rd Chandler, AZ 85225 (480) 855-9922 Sam's Club Pharmacy $ 700 N 54th St Chandler, AZ 85226 (480) 893-6999 Sam's Club Pharmacy $ 1375 S Arizona Ave Chandler, AZ 85286 (480) 726-9762 Sirona Infusion 460 S Benson Ln Ste 12 Chandler, AZ 85224 (480) 705-6200 3777 S Arizona Ave Chandler, AZ 85248 (480) 612-6102 3425 W Frye Rd Chandler, AZ 85226 (480) 281-0008 1055 E Riggs Rd Chandler, AZ 85249 (480) 802-3852 5975 W Ray Rd Chandler, AZ 85226 (480) 214-9120 55 E Ray Rd Chandler, AZ 85225 (480) 782-7773 4949 W Chandler Blvd Chandler, AZ 85226 (480) 592-9465 - 8 - HEALTH NET

3005 E Riggs Rd Chandler, AZ 85249 (480) 214-1402 1985 E Chandler Blvd Chandler, AZ 85225 (480) 899-8050 1975 S Alma School Rd Chandler, AZ 85248 (480) 722-1780 1919 N Dobson Rd Chandler, AZ 85224 (480) 899-6713 975 E Ocotillo Rd Chandler, AZ 85225 (480) 214-1367 1925 W Chandler Blvd Chandler, AZ 85224 (480) 963-2705 1175 S Arizona Ave Chandler, AZ 85286 (480) 726-0910 3460 W Chandler Blvd Chandler, AZ 85226 (480) 333-2656 800 W Warner Rd Chandler, AZ 85225 (480) 786-0682 6085 W Chandler Blvd Chandler, AZ 85226 (480) 940-5577 2750 E Germann Rd Chandler, AZ 85286 (480) 812-2942 1900 E Chandler Blvd Chandler, AZ 85225 (480) 448-4329 El Mirage 15385 N Dysart Rd El Mirage, AZ 85335 (623) 583-8248 12244 W Cactus Rd El Mirage, AZ 85335 (623) 876-1620 12900 W Thunderbird Rd El Mirage, AZ 85335 (623) 583-8725 Fountain Hills 16605 E Palisades Blvd Fountain Hills, AZ 85268 (480) 391-4021 16545 E Palisades Blvd Fountain Hills, AZ 85268 (480) 836-8337 14845 E Shea Blvd Fountain Hills, AZ 85268 (480) 836-7313 13733 N Fountain Hills Blvd Fountain Hills, AZ 85268 (480) 837-1690 16825 E Shea Blvd Fountain Hills, AZ 85268 (480) 837-8563 16749 E Shea Blvd Fountain Hills, AZ 85268 (480) 837-5889 16415 E Palisades Blvd Fountain Hills, AZ 85268 (480) 837-6748 Gilbert Banner Family Pharmacy- Gateway $ 1900 N Higley Rd Gilbert, AZ 85234 (480) 543-3060 Banner Home Care 275 E Germann Rd #110 Gilbert, AZ 85297 (480) 657-1000 99 S Higley Rd Gilbert, AZ 85296 (480) 926-5221 Cigna Health Care Gilbert 4001 E Baseline Rd Gilbert, AZ 85234 (480) 632-4066 HEALTH NET - 9 -

Costco Pharmacy 1415 N Arizona Ave Gilbert, AZ 85233 (480) 293-0052 Costco Pharmacy 2887 S Market St Gilbert, AZ 85296 (480) 366-3959 30 E Williams Field Rd Gilbert, AZ 85296 (480) 722-7621 3170 S Higley Rd Gilbert, AZ 85297 (480) 279-5517 765 S Lindsay Rd Gilbert, AZ 85296 (480) 635-0118 2428 S Val Vista Dr Gilbert, AZ 85296 (480) 917-7467 2371 E Guadalupe Rd Gilbert, AZ 85234 (480) 507-5399 1845 E Baseline Rd Gilbert, AZ 85233 (480) 539-3733 3621 E Pecos Rd Gilbert, AZ 85297 (480) 988-6301 3751 E Baseline Rd Gilbert, AZ 85234 (480) 892-2217 714 S Val Vista Dr Gilbert, AZ 85296 (480) 654-9337 855 W Warner Rd Gilbert, AZ 85233 (480) 813-7762 87 E Williams Field Rd Gilbert, AZ 85296 (480) 729-3813 Frys Food And Drug $ 6470 S Higley Rd Gilbert, AZ 85298 (480) 840-9562 Medical Arts LTC Pharmacy 1580 N Fiesta Blvd # 103 Gilbert, AZ 85233 (480) 253-3100 Mixtures Pharmacy, LLC Gilbert 2730 S Val Vista Dr #102 Gilbert, AZ 85295 (480) 300-5279 Neighborhood Pharmacy, LLC 2571 S Val Vista Dr #101 Gilbert, AZ 85295 (480) 507-3393 Osco Pharmacy $ 861 E Warner Rd Gilbert, AZ 85296 (480) 558-0369 90 S Val Vista Dr Gilbert, AZ 85296 (480) 892-2090 5137 E Baseline Rd Gilbert, AZ 85234 (480) 325-5856 Sam's Club Pharmacy $ 2621 S Market St Gilbert, AZ 85295 (480) 722-9972 Sam's Club Pharmacy $ 1225 N Gilbert Rd Gilbert, AZ 85234 (480) 926-6509 San Tan Pharmacy 3530 S Val Vista Dr Ste 101 Gilbert, AZ 85297 (480) 722-2345 Sav-On Drugs $ 8454 S Power Rd Gilbert, AZ 85297 (480) 988-7285 3931 S Gilbert Rd Gilbert, AZ 85296 (480) 281-0202 1515 E Warner Rd Gilbert, AZ 85296 (480) 892-1348 785 S Cooper Rd Gilbert, AZ 85233 (480) 497-5434 - 10 - HEALTH NET

76 W Guadalupe Rd Gilbert, AZ 85233 (480) 813-5785 754 N Higley Rd Gilbert, AZ 85234 (480) 558-5127 1585 E Guadalupe Rd Gilbert, AZ 85234 (480) 892-8510 2345 E Baseline Rd Gilbert, AZ 85234 (480) 892-4978 2431 S Higley Rd Gilbert, AZ 85297 (480) 988-4326 3230 E Chandler Heights Rd Gilbert, AZ 85298 (480) 214-4894 3323 E Germann Rd Gilbert, AZ 85297 (480) 214-1027 4766 E Queen Creek Rd Gilbert, AZ 85297 (480) 988-1908 805 S Val Vista Dr Gilbert, AZ 85296 (480) 892-6039 2363 S Lindsay Rd Gilbert, AZ 85296 (480) 857-1801 5290 S Power Rd Gilbert, AZ 85295 (480) 988-4071 2501 S Market St Gilbert, AZ 85295 (480) 224-6911 Glendale Banner Family Pharmacy Thunderbird $ 5555 W Thunderbird Rd Glendale, AZ 85306 (602) 865-2378 Cigna At Paseo 5891 W Eugie Ave Glendale, AZ 85304 (602) 588-6808 Costco Pharmacy 17550 N 79th Ave Glendale, AZ 85308 (623) 776-4002 5125 W Olive Ave Glendale, AZ 85302 (623) 931-0882 6030 N 43rd Ave Glendale, AZ 85301 (623) 934-1831 18591 N 59th Ave Glendale, AZ 85308 (602) 789-0438 7499 W Bethany Home Rd Glendale, AZ 85303 (623) 247-4091 20220 N 59th Ave Glendale, AZ 85308 (623) 825-3311 4353 W Bethany Home Rd Glendale, AZ 85301 (623) 435-7197 5116 W Olive Ave Glendale, AZ 85302 (623) 937-4771 5771 W Thunderbird Rd Glendale, AZ 85306 (602) 978-4998 6535 W Happy Valley Rd Glendale, AZ 85310 (623) 561-5092 6611 W Bell Rd Glendale, AZ 85308 (623) 334-2973 4315 W Bell Rd Glendale, AZ 85308 (602) 938-2600 4329 W Northern Ave Glendale, AZ 85301 (623) 931-3739 HEALTH NET - 11 -

Frys Pharmacy $ 6710 W Bethany Home Rd Glendale, AZ 85303 (623) 934-9243 Glendale Primary Care Center Pharmacy 5141 W Lamar Rd Glendale, AZ 85301 (623) 344-6720 Osco Pharmacy $ 20255 N 59th Ave Glendale, AZ 85308 (623) 572-7192 Osco Pharmacy $ 5040 W Cactus Rd Glendale, AZ 85304 (602) 843-0351 5860 W Thunderbird Rd Glendale, AZ 85306 (602) 863-0015 3800 W Happy Valley Rd Glendale, AZ 85310 (623) 518-1951 20205 N 67th Ave Glendale, AZ 85308 (623) 572-8844 Sam's Club Pharmacy $ 18501 N 83rd Ave Glendale, AZ 85308 (623) 825-9705 6690 W Union Hills Dr Glendale, AZ 85308 (623) 561-5319 5125 W Northern Ave Glendale, AZ 85301 (623) 842-1289 5011 W Union Hills Dr Glendale, AZ 85308 (602) 896-0257 4965 W Bell Rd Glendale, AZ 85308 (602) 843-2305 4410 W Cactus Rd Glendale, AZ 85304 (602) 938-5087 22280 N 67th Ave Glendale, AZ 85310 (623) 572-8328 6640 W Happy Valley Rd Glendale, AZ 85310 (623) 561-5947 5421 W Thunderbird Rd Glendale, AZ 85306 (602) 547-9645 9009 N 67th Ave Glendale, AZ 85302 (623) 931-5169 5895 W Peoria Ave Glendale, AZ 85302 (623) 934-9152 6006 N 67th Ave Glendale, AZ 85301 (623) 939-7571 8309 W Glendale Ave Glendale, AZ 85305 (623) 772-5547 21632 N 35th Ave Glendale, AZ 85308 (623) 582-9566 5010 N 95th Ave Glendale, AZ 85305 (623) 872-0563 4230 W Union Hills Dr Glendale, AZ 85308 (623) 869-7985 5137 W Olive Ave Glendale, AZ 85302 (623) 939-4252 5605 W Northern Ave Glendale, AZ 85301 (623) 934-7926 5845 W Bell Rd Glendale, AZ 85308 (602) 978-8323 6645 W Peoria Ave Glendale, AZ 85302 (623) 773-2954 - 12 - HEALTH NET

7450 W Glendale Ave Glendale, AZ 85303 (623) 915-2639 18551 N 83rd Ave Glendale, AZ 85308 (623) 825-7978 Goodyear 2840 N Dysart Rd Goodyear, AZ 85395 (623) 536-5310 Frys Pharmacy $ 16380 W Yuma Rd Goodyear, AZ 85338 (623) 925-4442 Palm Valley Pharmacy 14445 W McDowell Rd Ste A-103 Goodyear, AZ 85395 (623) 536-3730 14175 W Indian School Rd Goodyear, AZ 85338 (623) 935-3531 440 N Estrella Pkwy Goodyear, AZ 85338 (623) 476-1720 9890 Estrella Parkway Goodyear, AZ 85338 (623) 691-6421 995 S Cotton Ln Goodyear, AZ 85338 (480) 627-3276 1515 N Litchfield Rd Goodyear, AZ 85338 (623) 935-3233 9800 S Estrella Pkwy Goodyear, AZ 85338 (623) 255-3649 387 N Estrella Pkwy Goodyear, AZ 85338 (623) 215-1046 3361 N Litchfield Rd Goodyear, AZ 85338 (623) 935-1314 1654 N Pebble Creek Pkwy Goodyear, AZ 85395 (623) 207-6808 14200 W Indian School Rd Goodyear, AZ 85395 (623) 935-7578 1100 N Estrella Pkwy Goodyear, AZ 85338 (623) 925-9883 Wells United Drugs 239 N Litchfield Rd Goodyear, AZ 85338 (623) 932-3040 Western Regional Med Center Retail Pharmacy 14200 W Fillmore St Goodyear, AZ 85338 (623) 207-3202 Higley 5110 S Power Rd Higley, AZ 85212 (480) 281-0269 Laveen 5050 W Baseline Rd Laveen, AZ 85339 (602) 237-8681 5140 W Baseline Rd Laveen, AZ 85339 (602) 237-7001 Komatke Health Center 17487 S Healthcare Dr Laveen, AZ 85339 (520) 550-6000 5115 W Baseline Rd Laveen, AZ 85339 (602) 283-1603 Litchfield Park 5115 N Dysart Rd Litchfield Park, AZ 85340 (623) 547-4581 4890 N Litchfield Rd Litchfield Park, AZ 85340 (623) 547-4799 Osco Drug $ 12970 W Indian School Rd Litchfield Park, AZ 85340 (623) 535-7153 HEALTH NET - 13 -

13014 W Camelback Rd Litchfield Park, AZ 85340 (623) 935-0528 Mesa Albertson's Pharmacy $ 325 S Power Rd Mesa, AZ 85206 (480) 924-8928 Albertson's Pharmacy $ 2727 N Power Rd Mesa, AZ 85215 (480) 396-3838 Albertson's Pharmacy $ 441 N Val Vista Dr Mesa, AZ 85213 (480) 830-5185 Albertson's Pharmacy $ 9243 E Baseline Rd Mesa, AZ 85212 (480) 986-4660 Banner Family Pharmacy Desert $ 1400 S Dobson Rd Mesa, AZ 85202 (480) 412-4250 Banner Family Pharmacy- Baywood $ 6644 E Baywood Ave Mesa, AZ 85206 (602) 747-2338 1954 E McKellips Rd Mesa, AZ 85203 (480) 833-7177 9925 E Baseline Rd Mesa, AZ 85209 (480) 357-2634 2864 N Power Rd Mesa, AZ 85215 (480) 654-0200 Baywood Pharmacy $ 6641 E Baywood Ave Ste A1 Mesa, AZ 85206 (480) 830-8907 Cigna At Stapley 1111 S Stapley Dr Mesa, AZ 85204 (480) 464-6844 Cigna At Superstition Springs 6811 E Superstition Springs Bl Mesa, AZ 85208 (480) 641-4050 Cigna Medical Group Pharmacy Mesa 4360 E Brown Rd Ste 114 Mesa, AZ 85205 (480) 218-2770 Community Clinical Pharmacy 1450 S Dobson Rd Ste A102 Mesa, AZ 85202 (480) 969-0600 Costco Pharmacy 1444 S Sossaman Rd Mesa, AZ 85209 (480) 333-6559 5954 E McDowell Rd Mesa, AZ 85215 (480) 830-4518 2809 S Sossaman Rd Mesa, AZ 85212 (480) 354-4992 305 E Brown Rd Mesa, AZ 85201 (480) 833-2986 1137 S Dobson Rd # 10 Mesa, AZ 85202 (480) 964-1411 2807 N Power Rd Mesa, AZ 85215 (480) 396-8301 9230 E Broadway Rd Mesa, AZ 85208 (480) 986-3004 6015 E Brown Rd Mesa, AZ 85205 (480) 325-5869 9152 E Brown Rd Mesa, AZ 85207 (480) 357-4833 1151 E McKellips Rd Mesa, AZ 85203 (480) 733-0437 1212 S Greenfield Rd Mesa, AZ 85206 (480) 654-8920 - 14 - HEALTH NET

9950 E Guadalupe Rd Mesa, AZ 85212 (480) 354-3758 360 N Val Vista Dr Mesa, AZ 85213 (480) 807-0251 E Valley Patient Care Services 218 W Hampton Ave Ste 4 Mesa, AZ 85210 (480) 448-6407 435 E Ellsworth Rd Mesa, AZ 85208 (480) 380-3868 5941 E McKellips Rd Mesa, AZ 85215 (480) 830-6343 4440 E Main St Mesa, AZ 85205 (480) 218-8573 2727 E Broadway Rd Mesa, AZ 85204 (480) 464-4742 1935 N Stapley Dr Mesa, AZ 85203 (480) 610-4173 1915 S Power Rd Mesa, AZ 85206 (480) 924-0868 554 W Baseline Rd Mesa, AZ 85210 (480) 969-6234 1245 W Main St Mesa, AZ 85201 (480) 833-8838 Kmart Pharmacy 1445 Power Road Mesa, AZ 85208 (480) 985-7623 Kmart Pharmacy 2840 E Main St Mesa, AZ 85213 (480) 832-3340 Mesa Primary Care Center Pharmacy 59 S Hibbert Mesa, AZ 85210 (480) 344-6268 Neighborhood Market $ 2725 E McKellips Rd Mesa, AZ 85213 (480) 898-2849 Osco Pharmacy $ 1951 W Baseline Rd Mesa, AZ 85202 (480) 456-4850 QOL Meds* 1255 W Baseline Rd Ste 138 Mesa, AZ 85202 (480) 202-0598 QOL Meds 1705 W Main St Mesa, AZ 85201 (480) 845-6769 Red Mountain Pharmacy 6828 E Brown Rd Ste 101 Mesa, AZ 85207 (480) 325-5522 9101 E Baseline Rd Mesa, AZ 85208 (480) 894-4293 1225 W Guadalupe Rd Mesa, AZ 85202 (480) 838-7720 1855 N Power Rd Mesa, AZ 85205 (480) 281-2990 1960 W Main St Mesa, AZ 85201 (480) 644-8873 2740 E University Dr Mesa, AZ 85213 (480) 833-9383 3622 E Southern Ave Mesa, AZ 85206 (480) 807-8760 1230 S Longmore Mesa, AZ 85202 (480) 890-7898 2151 N Power Rd Mesa, AZ 85215 (480) 830-2465 HEALTH NET - 15 -

1525 S Power Rd Mesa, AZ 85206 (480) 396-2307 1135 S Gilbert Rd Mesa, AZ 85204 (480) 926-1108 7059 E Baseline Rd Mesa, AZ 85208 (480) 830-1554 6002 E Main St Mesa, AZ 85205 (480) 985-0155 4420 E Brown Rd Mesa, AZ 85205 (480) 396-8193 4315 E Main St Mesa, AZ 85205 (480) 654-0260 420 S Sossaman Rd Mesa, AZ 85208 (480) 325-4777 3624 N Power Rd Mesa, AZ 85215 (480) 924-3797 2811 E Broadway Rd Mesa, AZ 85204 (480) 830-8752 2743 S Alma School Rd Mesa, AZ 85210 (480) 345-7367 2737 E McKellips Rd Mesa, AZ 85213 (480) 835-0970 10825 E Baseline Rd Mesa, AZ 85240 (480) 455-6311 1130 W Southern Ave Mesa, AZ 85210 (480) 461-1193 1135 N Mesa Dr Mesa, AZ 85201 (480) 898-8025 1138 S Higley Rd Mesa, AZ 85206 (480) 325-3876 1158 S Crismon Rd Mesa, AZ 85208 (480) 358-9642 1159 E Southern Ave Mesa, AZ 85204 (480) 507-8709 1305 S Greenfield Rd Mesa, AZ 85206 (480) 830-9266 9233 E Guadalupe Rd Mesa, AZ 85212 (480) 986-2905 1432 S Dobson Rd Ste 101 Mesa, AZ 85202 (480) 461-0490 9230 E Main St Mesa, AZ 85207 (480) 380-0087 1935 N Power Rd Mesa, AZ 85205 (480) 985-3658 1960 S Country Club Dr Mesa, AZ 85210 (480) 668-0165 2024 W Main St Mesa, AZ 85201 (480) 214-0374 746 W University Dr Mesa, AZ 85201 (480) 668-6350 4505 E McKellips Rd Mesa, AZ 85215 (480) 641-6740 1606 S Signal Butte Rd Mesa, AZ 85209 (480) 358-9731 - 16 - HEALTH NET

1710 S Greenfield Rd Mesa, AZ 85206 (480) 892-6809 1916 S Lindsay Rd Mesa, AZ 85204 (480) 892-6772 240 W Baseline Rd Mesa, AZ 85210 (480) 668-9512 5122 E University Dr Mesa, AZ 85205 (480) 832-9660 6131 E Southern Ave Mesa, AZ 85206 (480) 830-4229 730 E McKellips Rd Mesa, AZ 85203 (480) 964-9427 8335 E Guadalupe Rd Mesa, AZ 85212 (480) 357-9583 857 N. Dobson Road Mesa, AZ 85201 (480) 962-4033 1955 S Stapley Dr Mesa, AZ 85204 (480) 892-0306 Peoria Albertson's Pharmacy $ 8950 W Bell Rd Peoria, AZ 85382 (623) 876-8935 Albertson's Pharmacy $ 8240 W Deer Valley Rd Peoria, AZ 85382 (623) 572-5744 7586 W Thunderbird Rd Peoria, AZ 85381 (623) 334-2081 20351 N Lake Pleasant Rd Peoria, AZ 85382 (623) 537-2321 Cigna Medical Group 21731 N 77th Ave Ste 1300 Peoria, AZ 85382 (623) 561-3310 9069 W Lake Pleasant Pkwy Peoria, AZ 85382 (623) 376-0549 9172 W Union Hills Dr Peoria, AZ 85382 (623) 572-0054 9856 W Peoria Ave Peoria, AZ 85345 (623) 977-8260 24865 N Lake Pleasant Pkwy Peoria, AZ 85383 (623) 566-1110 10727 W Olive Ave Peoria, AZ 85345 (623) 815-8074 7530 W Cactus Rd Peoria, AZ 85381 (623) 334-4635 8332 W Thunderbird Rd Peoria, AZ 85381 (623) 776-3006 Desert Sky Pharmacy $ 6750 W Thunderbird Rd Ste 103 Peoria, AZ 85381 (623) 209-0870 9245 W Union Blvd Peoria, AZ 85382 (623) 972-8425 9043 W Olive Ave Peoria, AZ 85345 (623) 979-1383 8375 W Deer Valley Rd Peoria, AZ 85382 (623) 561-5196 7455 W Cactus Rd Peoria, AZ 85381 (623) 486-0441 Potters House Apothecary 21755 N 77th Ave Ste 1100 Peoria, AZ 85382 (623) 362-9322 HEALTH NET - 17 -

10641 W Olive Ave Peoria, AZ 85345 (623) 583-6688 12320 N 83rd Ave Peoria, AZ 85381 (623) 979-1282 28455 N Vistancia Blvd Peoria, AZ 85383 (623) 271-7617 Sun City Pharmacy INC $ 9133 W Thunderbird Rd Ste 101 Peoria, AZ 85381 (623) 322-6664 9350 W Northern Ave Peoria, AZ 85345 (623) 877-3481 8055 W Bell Rd Peoria, AZ 85382 (623) 979-4484 24890 N Lake Pleasant Pkwy Peoria, AZ 85383 (623) 376-7301 13640 Plaza Del Rio Ste #110 Peoria, AZ 85381 (623) 876-3930 9040 W Peoria Ave Peoria, AZ 85345 (623) 979-2180 8310 W Deer Valley Rd Peoria, AZ 85382 (623) 362-1960 7455 W Peoria Ave Peoria, AZ 85345 (623) 878-7998 7448 W Thunderbird Rd Peoria, AZ 85381 (623) 979-0558 6739 W Cactus Rd Peoria, AZ 85381 (623) 334-3611 20266 N Lake Pleasant Rd Peoria, AZ 85382 (623) 561-5422 9050 W Union Hills Dr Peoria, AZ 85382 (623) 566-1986 28516 N El Mirage Rd Peoria, AZ 85382 (623) 215-8104 8200 W Peoria Ave Peoria, AZ 85345 (623) 878-4307 7421 W Thunderbird Rd Peoria, AZ 85381 (602) 627-9852 2165 N Lake Pleasant Parkway Peoria, AZ 85382 (623) 537-4591 WestgateRx $ 8914 N 91st Ave Ste 100C Peoria, AZ 85345 (623) 249-4900 Phoenix Accredo Health Group INC* 10400 N 25th Ave Ste 120 Phoenix, AZ 85021 (602) 944-1199 Albertson's Pharmacy $ 8035 N 19th Ave Phoenix, AZ 85021 (602) 678-0594 Archer Medical 3021 S 35th St Ste B4 Phoenix, AZ 85034 (855) 701-2006 Arizona Medical Infusion 20650 N 29th Pl Ste 105 Phoenix, AZ 85050 (602) 788-3400 Avella Of Deer Valley INC $ 23620 N 20th Dr #12 Phoenix, AZ 85085 (877) 792-7684 Avella Phoenix III INC $ 1101 N Central Ave Ste 202 Phoenix, AZ 85004 (602) 257-1133 Banner Family Pharmacy Estrella $ 9201 W Thomas Rd Phoenix, AZ 85037 (623) 327-6170 - 18 - HEALTH NET

Banner Family Pharmacy Good Sam $ 1111 E McDowell Rd Phoenix, AZ 85006 (602) 839-2300 4855 E Warner Rd Phoenix, AZ 85044 (480) 940-6396 5555 N 7th St Ste 130 Phoenix, AZ 85014 (602) 277-6133 731 E Unions Hills Phoenix, AZ 85024 (602) 652-9521 Broadway Family Pharmacy $ 6006 S Central Ave Phoenix, AZ 85042 (602) 276-5485 Camelback Village United Drugs 4416 E Camelback Rd Phoenix, AZ 85018 (602) 955-2880 Care Plus CVS/Pharmacy $ 1002 E McDowell Rd Phoenix, AZ 85006 (602) 258-7051 Center For Physical Med & Rehab 1331 N 7th St Phoenix, AZ 85006 (602) 246-9002 CHC Medical Center Pharmacy 2525 E Roosevelt St Phoenix, AZ 85008 (602) 344-1063 Cigna At Deer Valley 16635 N 43rd Ave Phoenix, AZ 85053 (602) 843-7933 Cigna At McDowell 755 E McDowell Rd Phoenix, AZ 85006 (602) 271-5115 Cigna At North Valley 710 W Bell Rd Phoenix, AZ 85023 (602) 588-3710 Cigna At Paradise Valley 12635 N 42nd St Phoenix, AZ 85032 (602) 494-5553 Cigna At South Mountain 7236 S Central Ave Phoenix, AZ 85042 (602) 232-9614 Cigna At Westridge 2302 N 75th Ave Phoenix, AZ 85035 (623) 849-7552 Costco Pharmacy 4570 E Cactus Rd Phoenix, AZ 85032 (480) 308-7049 Costco Pharmacy 4502 E Oak St Phoenix, AZ 85008 (602) 808-0111 Costco Pharmacy 2450 E Beardsley Rd Phoenix, AZ 85050 (480) 375-2878 Costco Pharmacy 19001 N 27th Ave Phoenix, AZ 85027 (623) 293-4402 Costco Pharmacy 1646 W Montebello Ave Phoenix, AZ 85015 (602) 293-4524 Customceutical Compounding 4611 E Shea Blvd Bldg 3 #180 Phoenix, AZ 85028 (480) 516-0272 1615 E Baseline Rd Phoenix, AZ 85042 (602) 276-6001 3210 E Union Hills Dr Phoenix, AZ 85050 (602) 788-4794 2406 E Thomas Rd Phoenix, AZ 85016 (602) 956-1800 28635 N North Valley Pkwy Phoenix, AZ 85085 (623) 582-9207 1855 W Thunderbird Rd Phoenix, AZ 85023 (602) 439-6862 1850 W Dunlap Ave Phoenix, AZ 85021 (602) 861-1537 HEALTH NET - 19 -

10707 W Camelback Rd Phoenix, AZ 85037 (623) 872-5316 12409 N Tatum Blvd Phoenix, AZ 85032 (602) 996-7320 1525 N Central Ave Phoenix, AZ 85004 (602) 256-2124 1610 E Camelback Rd Phoenix, AZ 85016 (602) 277-1727 10 E Dunlap Ave Phoenix, AZ 85020 (602) 371-3709 1625 N 44th St Phoenix, AZ 85008 (602) 275-0120 18460 N 7th St Phoenix, AZ 85022 (602) 993-5781 3440 W Glendale Ave Phoenix, AZ 85051 (602) 336-4590 4323 E Bell Rd Phoenix, AZ 85032 (602) 404-3147 6650 W Lower Buckeye Rd Phoenix, AZ 85043 (623) 907-9254 711 E Indian School Rd Phoenix, AZ 85014 (602) 266-0273 7434 W Indian School Rd Phoenix, AZ 85033 (623) 846-5065 21001 N Tatum Blvd Ste 82 Phoenix, AZ 85050 (480) 419-3921 7550 South 19th Ave Phoenix, AZ 85041 (602) 323-0583 50 W Jefferson St Ste 140 Phoenix, AZ 85003 (602) 296-7611 8245 W Thomas Rd Phoenix, AZ 85033 (623) 849-1940 6002 N 7th St Phoenix, AZ 85014 (602) 728-0437 6021 S Central Ave Phoenix, AZ 85042 (602) 276-1191 4430 E Ray Rd Phoenix, AZ 85044 (480) 785-1006 4742 E Indian School Rd Phoenix, AZ 85018 (602) 840-6500 4275 W Thomas Rd Phoenix, AZ 85019 (602) 272-5601 5835 W Indian School Rd Phoenix, AZ 85031 (623) 247-4030 4040 N 19th Ave Phoenix, AZ 85015 (602) 265-3167 3975 E Thunderbird Rd Phoenix, AZ 85032 (602) 923-0891 3514 W Peoria Ave Phoenix, AZ 85029 (602) 938-3400 4657 E Chandler Blvd Phoenix, AZ 85048 (480) 598-6776 Estrella Pharmacy $ 9305 W Thomas Rd # 185 Phoenix, AZ 85037 (623) 388-5025 - 20 - HEALTH NET

Express Aid Pharmacy $ 2316 W Bethany Home Rd Ste 119 Phoenix, AZ 85015 (602) 995-8999 Fairmont Pharmacy $ 5068 N Central Ave Phoenix, AZ 85012 (602) 275-5719 Food City 3442 W Van Buren St Phoenix, AZ 85009 (602) 278-8831 Food City 9020 W Thomas Rd Phoenix, AZ 85037 (623) 872-6201 Foothills Professional Pharmacy LTD $ 4545 E Chandler Blvd Ste 100 Phoenix, AZ 85048 (480) 496-4444 744 W Camelback Rd Phoenix, AZ 85013 (602) 279-9337 4025 E Thunderbird Rd Phoenix, AZ 85032 (602) 953-3540 4505 E Thomas Rd Phoenix, AZ 85018 (602) 952-1491 8325 W Indian School Rd Phoenix, AZ 85037 (623) 245-7353 850 E Hatcher Rd Phoenix, AZ 85020 (602) 216-1473 731 E Bell Rd Phoenix, AZ 85022 (602) 375-0477 6601 W Indian School Rd Phoenix, AZ 85033 (623) 846-1533 520 E Baseline Rd Phoenix, AZ 85042 (602) 243-3014 3616 E Ray Rd Phoenix, AZ 85044 (480) 706-0609 4724 N 20th St Phoenix, AZ 85016 (602) 263-0771 3246 E Bell Rd Phoenix, AZ 85032 (602) 765-4633 1815 W Glendale Ave Phoenix, AZ 85021 (602) 335-2273 4202 W Cactus Rd Phoenix, AZ 85029 (602) 439-9045 4230 W McDowell Rd Phoenix, AZ 85009 (602) 415-5733 3949 E Chandler Blvd Phoenix, AZ 85048 (480) 706-7373 3511 W Peoria Ave Phoenix, AZ 85029 (602) 866-5453 3421 W Thunderbird Rd Phoenix, AZ 85053 (602) 375-0193 4815 E Carefree Hwy Phoenix, AZ 85085 (480) 575-0694 2626 S 83rd Ave Phoenix, AZ 85043 (623) 907-2472 4707 E Shea Blvd Phoenix, AZ 85028 (480) 367-3973 2727 W Bell Rd Phoenix, AZ 85053 (602) 896-2533 3036 E Thomas Rd Phoenix, AZ 85016 (602) 468-9188 HEALTH NET - 21 -

2250 E Baseline Rd Phoenix, AZ 85042 (602) 305-4421 18420 N 19th Ave Phoenix, AZ 85023 (602) 993-6610 Grace Rexall Drugs 1102 W Indian School Ste A Phoenix, AZ 85013 (602) 230-2443 Greenway Tantra Drugstore $ 3361 W Greenway Rd Ste 2 Phoenix, AZ 85053 (602) 993-0766 Kmart Pharmacy 2526 W Northern Ave Phoenix, AZ 85051 (602) 995-9068 Macks Pharmacy 3628 E Thomas Rd Phoenix, AZ 85018 (602) 956-8540 Maricopa Medical Center Outpt 2601 E Roosevelt St Phoenix, AZ 85008 (602) 344-5945 Mayo Hospital Outpatient Pharmacy 5777 E Mayo Blvd Phoenix, AZ 85054 (480) 342-1500 M-D Pharmacy $ 4700 N 51st Ave Ste 1 Phoenix, AZ 85031 (623) 846-1888 Med-Health Solutions INC 2501 W Behrend Dr #69 Phoenix, AZ 85027 (623) 466-0117 Melrose Pharmacy $ 704 W Montecito Ave Phoenix, AZ 85013 (602) 277-4714 Mercy Rexall Drugs $ 3330 N 2nd St #211 Phoenix, AZ 85012 (602) 264-4288 MG United Drugs 4025 W Bell Rd Ste 1A Phoenix, AZ 85053 (602) 439-3366 Mixtures Pharmacy & Compounding Center 16515 S 40th St Ste 123 Phoenix, AZ 85048 (480) 706-0620 Mountain Park Health Center 635 E Baseline Rd Phoenix, AZ 85042 (602) 323-3436 Mountain Park Health Center 4616 N 51st Ave Ste 101 Phoenix, AZ 85031 (602) 323-8174 Onsiterx Of Phoenix 21241 N 23rd Ave Ste 21 Phoenix, AZ 85027 (480) 420-3200 Osco Drug $ 3130 W Carefree Hwy Phoenix, AZ 85086 (623) 582-2743 Osco Pharmacy $ 18411 N Cave Creek Rd Phoenix, AZ 85032 (602) 494-7424 Osco Pharmacy $ 10665 N Tatum Blvd Phoenix, AZ 85028 (480) 443-4286 Pharmerica 8826 N 23rd Ave Ste C-2 Phoenix, AZ 85021 (800) 246-1843 Phoenix Childrens Hospital Outpatient Pharmacy 1919 E Thomas Rd Bldg B Phoenix, AZ 85016 (602) 546-0111 Phoenix Childrens Outpatient Pharmacy 1919 E Thomas Rd Phoenix, AZ 85016 (602) 933-2048 Preferred Homecare 4601 E Hilton Ave Ste 105 Phoenix, AZ 85034 (480) 446-9010 QOL Meds* 4909 E McDowell Rd Phoenix, AZ 85008 (602) 244-9591 QOL Meds 3864 N 27th Ave Phoenix, AZ 85017 (602) 358-0078 QOL Meds 3001 N 33rd Avenue Room 210 Phoenix, AZ 85017 (412) 931-3131 - 22 - HEALTH NET

QOL Meds 1209 S 1st Ave Phoenix, AZ 85003 (602) 282-8006 QOL Meds LLC 10240 N 31st Ave Ste 210 Phoenix, AZ 85051 (602) 384-9992 Quick Pharmacy $ 7725 N 43rd Ave Ste 311 Phoenix, AZ 85051 (623) 937-9800 Rosys Farmacia La Esperanza $ 1111 E Northern Ave Ste A Phoenix, AZ 85020 (602) 331-5323 S & G United Drugs $ 3201 W Peoria Ave Ste B401 Phoenix, AZ 85029 (602) 375-3377 Safety Drugs 2630 E Mohawk Ln Ste 128 Phoenix, AZ 85050 (602) 252-1299 5035 West Baseline Road Phoenix, AZ 85339 (602) 567-7566 4857 E Greenway Rd Phoenix, AZ 85254 (602) 282-1974 4747 E Elliot Rd Phoenix, AZ 85044 (480) 281-1019 4005 E Chandler Blvd Phoenix, AZ 85048 (480) 759-4479 550 E Bell Rd Phoenix, AZ 85022 (602) 548-5597 6202 S 16th St Phoenix, AZ 85042 (602) 268-0634 8021 N 35th Ave Phoenix, AZ 85051 (602) 242-9570 810 E Glendale Ave Phoenix, AZ 85020 (602) 331-0440 8141 W Camelback Rd Phoenix, AZ 85033 (623) 247-4445 520 W Osborn Rd Phoenix, AZ 85013 (602) 285-0661 340 E McDowell Rd Phoenix, AZ 85004 (602) 252-3379 3132 E Camelback Rd Phoenix, AZ 85016 (602) 957-4265 3450 W Bell Rd Phoenix, AZ 85053 (602) 789-9643 13440 N 7th St Phoenix, AZ 85022 (602) 547-3883 3131 E Thunderbird Rd Phoenix, AZ 85032 (602) 971-7482 1334 E Chandler Blvd Phoenix, AZ 85048 (480) 283-0119 Saliba's Extended Care Pharmacy 21025 N 8th Way Blg 8 Phoenix, AZ 85024 (623) 815-8965 Sam's Club Pharmacy $ 17401 N Holmes Blvd Phoenix, AZ 85053 (602) 439-9867 Sam's Club Pharmacy $ 8340 W McDowell Rd Phoenix, AZ 85037 (623) 936-0468 Seventh Ave Primary Care Center Pharmacy 1201 S 7th Ave Phoenix, AZ 85007 (602) 344-6669 So Central Primary Care Center Pharmacy 33 W Tamarisk St Phoenix, AZ 85041 (602) 344-6466 HEALTH NET - 23 -

St James Long Term Care Phcy LLC 20624 N Cave Creek Rd Ste 142 Phoenix, AZ 85024 (480) 494-8560 St Josephs McAuley Pharmacy $ 500 W Thomas Rd Ste 190 Phoenix, AZ 85013 (602) 406-3970 Sunnyslope Primary Care Pharmacy 934 W Hatcher Rd Phoenix, AZ 85021 (602) 344-6342 Sunwest LTC Pharmacy 1300 N 12th St Ste 406 Phoenix, AZ 85006 (602) 595-3555 Sunwest Pharmacy $ 1300 N 12th St Ste 555 Phoenix, AZ 85006 (602) 595-3555 4734 E Ray Rd Phoenix, AZ 85044 (480) 893-0588 12602 N Paradise Village Pkwy Phoenix, AZ 85032 (602) 953-0253 16806 N 7th St Phoenix, AZ 85022 (602) 794-3602 21001 N Tatum Blvd Phoenix, AZ 85050 (480) 419-9670 2140 E Baseline Rd Phoenix, AZ 85042 (602) 281-1120 4515 E Thomas Rd Phoenix, AZ 85018 (602) 840-9787 5715 N 19th Ave Phoenix, AZ 85015 (623) 931-5748 5715 N 19th Ave Phoenix, AZ 85015 (602) 308-3604 7409 W Virginia Ave Phoenix, AZ 85035 (623) 245-3033 2727 W Agua Fria Fwy Phoenix, AZ 85027 (623) 869-7330 The Compounding Center $ 4045 E Bell Rd Ste 163 Phoenix, AZ 85032 (602) 971-6950 Topical Solutions Pharmacy 20612 N Cave Creek Rd #150 Phoenix, AZ 85024 (602) 535-2225 Valley Of The Sun Pharmacy $ 15600 N Black Canyon Hwy B135 Phoenix, AZ 85053 (602) 896-0454 Walgreen Home Care 5064 S 40th St Ste A Phoenix, AZ 85040 (602) 426-4490 3431 W Union Hills Dr Phoenix, AZ 85027 (602) 564-6641 2415 E Union Hills Dr Phoenix, AZ 85050 (602) 867-0561 2420 E Baseline Rd Phoenix, AZ 85042 (602) 268-7232 2435 E Greenway Pkwy Phoenix, AZ 85032 (602) 996-0266 2610 W Thunderbird Rd Phoenix, AZ 85023 (602) 993-9900 2650 W Glendale Ave Phoenix, AZ 85051 (602) 283-0782 2707 W Carefree Hwy Phoenix, AZ 85085 (623) 215-0699 2921 N 83rd Ave Phoenix, AZ 85033 (623) 849-9300 - 24 - HEALTH NET

2930 N 67th Ave Phoenix, AZ 85033 (623) 849-6991 301 W Jefferson St Phoenix, AZ 85003 (602) 283-9925 8911 N 7th St Phoenix, AZ 85020 (602) 944-9635 3402 N Central Ave Phoenix, AZ 85012 (602) 265-4781 1840 W Southern Ave Phoenix, AZ 85041 (602) 243-3513 3434 W Southern Ave Phoenix, AZ 85041 (602) 283-2071 3450 W Dunlap Ave Phoenix, AZ 85051 (602) 973-0971 3502 W Camelback Rd Phoenix, AZ 85019 (602) 973-5984 3605 E Thomas Rd Phoenix, AZ 85018 (602) 275-7507 3945 E Southern Ave Phoenix, AZ 85040 (602) 426-0501 3960 E Chandler Blvd Phoenix, AZ 85048 (480) 759-1368 4006 E Bell Rd Phoenix, AZ 85032 (602) 971-1312 4111 N 24th St Phoenix, AZ 85016 (602) 381-0696 4134 N 44th St Phoenix, AZ 85018 (602) 954-9119 4249 W Glendale Ave Phoenix, AZ 85051 (623) 937-9231 3131 E Thunderbird Rd Phoenix, AZ 85032 (602) 992-4726 4875 E Elliot Rd Phoenix, AZ 85044 (480) 496-0019 4315 W McDowell Rd Phoenix, AZ 85035 (602) 352-0078 8301 W Camelback Rd Phoenix, AZ 85037 (623) 849-4278 8280 Lower Buckeye Rd Phoenix, AZ 85043 (623) 936-6388 8030 N 19th Ave Phoenix, AZ 85021 (602) 995-1231 7606 S 7th Ave Phoenix, AZ 85041 (602) 243-1525 710 E Camelback Rd Phoenix, AZ 85014 (602) 266-3715 705 E McDowell Rd Phoenix, AZ 85006 (602) 258-4865 7000 N 16th St # 100 Phoenix, AZ 85020 (602) 943-3192 6838 N 7th St Phoenix, AZ 85014 (602) 274-6209 204 E Bell Rd Phoenix, AZ 85022 (602) 375-0093 HEALTH NET - 25 -

5101 W Indian School Rd Phoenix, AZ 85031 (623) 247-1014 18433 N 19th Ave Phoenix, AZ 85023 (623) 582-9894 4710 E Rose Garden Lane Phoenix, AZ 85054 (480) 214-0969 10615 N 32nd St Phoenix, AZ 85028 (602) 996-1152 10865 N Tatum Blvd Phoenix, AZ 85028 (480) 922-2725 1315 E Chandler Blvd Phoenix, AZ 85048 (480) 460-3945 13227 N 7th St Phoenix, AZ 85022 (602) 439-4089 15450 N Tatum Blvd Phoenix, AZ 85032 (602) 996-3707 1616 E Thomas Rd Phoenix, AZ 85016 (602) 263-8307 1620 N 59th Ave Phoenix, AZ 85035 (623) 849-2092 1825 W Bethany Home Rd Phoenix, AZ 85015 (602) 249-1285 9045 W Indian School Rd Phoenix, AZ 85037 (623) 877-3186 5625 E Thomas Rd Phoenix, AZ 85018 (480) 949-0302 2501 W Happy Valley Rd Phoenix, AZ 85085 (623) 780-5713 115 E Dunlap Ave Phoenix, AZ 85020 (480) 754-8045 1607 W Bethany Home Rd Phoenix, AZ 85015 (602) 246-6601 2435 E Baseline Rd Phoenix, AZ 85042 (602) 232-2982 330 W Bell Rd Phoenix, AZ 85023 (602) 942-4764 3721 E Thomas Rd Phoenix, AZ 85018 (602) 685-0440 4617 E Bell Rd Phoenix, AZ 85032 (602) 482-5511 4747 E Cactus Rd Phoenix, AZ 85032 (602) 404-3722 5250 W Indian School Rd Phoenix, AZ 85031 (623) 845-8724 6145 N 35th Ave Phoenix, AZ 85017 (602) 973-6561 6150 S 35th Ave Phoenix, AZ 85041 (602) 243-8517 6550 West Happy Valley Rd Phoenix, AZ 85085 (623) 566-6795 7575 W Lower Buckeye Rd Phoenix, AZ 85043 (623) 907-0712 2020 N 75th Ave Phoenix, AZ 85035 (623) 849-4055 - 26 - HEALTH NET

Wellcare Pharmacy $ 1728 W Glendale Ave Ste 101 Phoenix, AZ 85021 (602) 800-7856 Xpress Care Pharmacy $ 2007 W Bethany Home Rd Phoenix, AZ 85015 (602) 973-0777 Queen Creek 23760 S Power Rd Queen Creek, AZ 85142 (480) 279-5701 7587 S Power Rd Queen Creek, AZ 85242 (480) 988-3182 21201 E Ocotillo Rd Queen Creek, AZ 85242 (480) 987-1615 155 W Combs Rd Queen Creek, AZ 85242 (480) 474-6001 542 E Hunt Hwy Queen Creek, AZ 85242 (480) 888-1781 Queen Creek Cigna Pharmacy 36305 N Gantzel Rd Ste 102 Queen Creek, AZ 85140 (480) 987-6900 18495 E Queen Creek Rd Queen Creek, AZ 85242 (480) 279-0521 21398 S Ellsworth Loop Rd Queen Creek, AZ 85242 (480) 214-4811 40663 N Gantzel Rd Queen Creek, AZ 85242 (480) 214-1680 333 E Hunt Hwy Queen Creek, AZ 85242 (480) 987-6293 3111 W Hunt Hwy Queen Creek, AZ 85142 (480) 214-2561 21212 E Ocotillo Rd Queen Creek, AZ 85242 (480) 214-9044 21055 South Rittenhouse Rd Queen Creek, AZ 85242 (480) 457-1882 1781 W Hunt Hwy Queen Creek, AZ 85242 (480) 677-2540 Sacaton Gila River Healthcare Corp Pharmacy Career Center & Seed Farm Rds Sacaton, AZ 85247 (602) 528-1200 Scottsdale AJ's 7141 E Lincoln Dr Scottsdale, AZ 85253 (480) 998-2378 Albertson's Pharmacy $ 2785 N Scottsdale Rd Scottsdale, AZ 85257 (480) 947-7574 Albertson's Pharmacy $ 6965 N Hayden Rd Scottsdale, AZ 85250 (480) 922-7021 Albertson's Pharmacy $ 15660 N Frank Lloyd Wright Blvd Scottsdale, AZ 85260 (480) 451-9882 All Care Pharmacy $ 8415 N Pima Rd Ste 125 Scottsdale, AZ 85258 (480) 270-6700 Avella Of Scottsdale INC $ 9777 N 91st St Ste 102 Scottsdale, AZ 85258 (480) 451-3771 20745 N Scottsdale Rd Scottsdale, AZ 85255 (480) 419-6186 8035 E Indian School Rd Scottsdale, AZ 85251 (480) 663-1043 BioRx $ 9045 E Pima Ctr Pkwy Ste 1 Scottsdale, AZ 85258 (480) 745-3200 HEALTH NET - 27 -

Cigna At Scottsdale 7631 E Indian School Rd Scottsdale, AZ 85251 (480) 994-2914 Civic Center Pharmacy 7331 E Osborn Dr Ste 208 Scottsdale, AZ 85251 (480) 945-9519 Costco Pharmacy 15255 N Hayden Rd Scottsdale, AZ 85260 (480) 948-7216 6045 N Scottsdale Rd Scottsdale, AZ 85250 (480) 998-1670 7552 E Indian School Rd Scottsdale, AZ 85251 (480) 945-6660 7901 E Thomas Rd Scottsdale, AZ 85251 (480) 945-0396 10010 N Scottsdale Rd Scottsdale, AZ 85253 (480) 607-5025 10653 N Scottsdale Rd Scottsdale, AZ 85254 (480) 998-3500 14672 N Frank Lloyd Wright Blvd Scottsdale, AZ 85260 (480) 661-2936 10160 E Bell Rd Scottsdale, AZ 85260 (480) 473-4608 32331 N Scottsdale Rd Scottsdale, AZ 85262 (480) 575-0220 23215 N Pima Rd Scottsdale, AZ 85255 (480) 473-2711 Diamondback Drugs 7316 E Thomas Rd Scottsdale, AZ 85251 (480) 946-2223 DIK Drug Infusion Pharmacy 7898 E Acoma Dr Ste 104 Scottsdale, AZ 85260 (480) 300-4005 6321 E Greenway Rd Scottsdale, AZ 85254 (480) 368-8940 7770 E McDowell Rd Scottsdale, AZ 85257 (480) 941-4704 8900 E Via Linda Scottsdale, AZ 85258 (480) 657-6433 7628A E Indian School Rd Scottsdale, AZ 85251 (480) 994-0212 10450 N 90th St Scottsdale, AZ 85258 (480) 661-0238 4842 E Bell Rd Scottsdale, AZ 85254 (602) 867-4060 6080 E Thomas Rd Scottsdale, AZ 85251 (480) 425-0601 Frys Food And Drug Store $ 20427 N Hayden Rd Scottsdale, AZ 85255 (480) 419-2273 Genrx 17250 N Hartford Dr Ste 115 Scottsdale, AZ 85255 (844) 436-7928 Haggen Pharmacy $ 11475 E Via Linda Scottsdale, AZ 85259 (480) 767-8493 Haggen Pharmacy $ 34442 N Scottsdale Rd Scottsdale, AZ 85262 (480) 595-3176 Integrity Rx Specialty Pharmacy $ 8425 N 90th St Ste 8 Scottsdale, AZ 85258 (800) 321-9956 Mayo Pharmacy 13400 E Shea Blvd Scottsdale, AZ 85259 (480) 301-8195 - 28 - HEALTH NET

Ranch Pharmacy 10769 N Frank Lloyd Wright Blvd Scottsdale, AZ 85259 (480) 443-4656 11275 E Via Linda Scottsdale, AZ 85259 (480) 451-1177 14696 N Frank Lloyd Wright Blvd Scottsdale, AZ 85260 (480) 391-1186 20901 N Pima Rd Scottsdale, AZ 85255 (480) 585-3026 23565 N Scottsdale Rd Scottsdale, AZ 85255 (480) 585-9650 6501 E Greenway Pkwy Scottsdale, AZ 85254 (480) 991-2373 7920 E Chaparral Rd Scottsdale, AZ 85250 (480) 994-3708 32551 N Scottsdale Rd Scottsdale, AZ 85262 (480) 595-9845 Sam's Club Pharmacy $ 15255 N Northsight Blvd Scottsdale, AZ 85260 (480) 998-8302 Scottsdale Health Pharmacy $ 3501 N Scottsdale Rd Ste 100 Scottsdale, AZ 85251 (480) 290-7050 Scottsdale Prof Pharmacy LTD 10900 N Scottsdale Rd Ste 403 Scottsdale, AZ 85254 (480) 946-9477 15444 N Frank Lloyd Wright Blvd Scottsdale, AZ 85260 (480) 860-0219 32351 N Scottsdale Rd Scottsdale, AZ 85262 (480) 575-5910 9000 E Indian Bend Rd Scottsdale, AZ 85250 (480) 951-5633 11350 E Via Linda Scottsdale, AZ 85259 (480) 661-9963 8469 E McDonald Dr Scottsdale, AZ 85250 (480) 483-1045 8015 E Indian School Rd Scottsdale, AZ 85251 (480) 990-0202 7923 E McDowell Rd Scottsdale, AZ 85257 (480) 874-9830 7337 N Via Paseo Del Sur Scottsdale, AZ 85258 (480) 951-0732 7011 E Shea Blvd Scottsdale, AZ 85254 (480) 948-7820 6501 E Greenway Pkwy Scottsdale, AZ 85254 (480) 368-7893 6200 N Scottsdale Rd Scottsdale, AZ 85253 (480) 822-6197 34402 N Scottsdale Rd Scottsdale, AZ 85262 (480) 595-8019 3420 N Scottsdale Rd Scottsdale, AZ 85251 (480) 941-0915 15025 N Thompson Peak Pkwy Scottsdale, AZ 85260 (480) 551-6429 10929 E Dynamite Blvd Scottsdale, AZ 85262 (480) 538-9313 10135 E Via Linda Scottsdale, AZ 85258 (480) 391-3769 HEALTH NET - 29 -

8816 E Pinnacle Peak Rd Scottsdale, AZ 85255 (480) 473-8965 20631 N Scottsdale Rd Scottsdale, AZ 85255 (480) 563-2370 4915 N Pima Rd Scottsdale, AZ 85251 (480) 941-3131 15333 N Northsight Blvd Scottsdale, AZ 85260 (480) 348-0401 Sun City Cigna At Sun City 13041 N Del Webb Blvd Sun City, AZ 85351 (623) 876-2165 9901B W Thunderbird Blvd Sun City, AZ 85351 (623) 933-4288 10720 W Bell Rd Sun City, AZ 85351 (623) 972-2124 10660 Grand Ave Sun City, AZ 85351 (623) 876-8220 Frys Food And Drug $ 19403 N R H Johnson Blvd Sun City, AZ 85375 (623) 930-5050 Rightway Pharmacy $ 10503 W Thunderbird Blvd Ste 1 Sun City, AZ 85351 (623) 266-0021 10926 W Bell Rd Sun City, AZ 85351 (623) 977-0160 15442 N 99th Ave Sun City, AZ 85351 (623) 974-2526 10707 W Peoria Ave Sun City, AZ 85351 (623) 974-3603 Sun City West 13940 W Meeker Blvd Sun City West, AZ 85375 (623) 975-6221 19602 N R H Johnson Blvd Sun City West, AZ 85375 (623) 214-1015 13503 W Camino Del Sol Sun City West, AZ 85375 (623) 584-0501 19003 N R H Johnson Blvd Sun City West, AZ 85375 (623) 584-3002 14418 W Meeker Blvd Ste 101 Sun City West, AZ 85375 (623) 584-8501 14285 W Grand Ave Sun City West, AZ 85374 (623) 975-3944 Sun Lakes 10325 E Riggs Rd Sun Lakes, AZ 85248 (480) 802-7182 9546 E Riggs Rd Sun Lakes, AZ 85248 (480) 895-3063 10324 E Riggs Rd Sun Lakes, AZ 85248 (480) 895-0761 Surprise Albertson's Pharmacy $ 14551 W Grand Ave Surprise, AZ 85374 (623) 546-2409 Arizona Pharmacy 13991 W Grand Ave Ste 100 Surprise, AZ 85374 (623) 939-1120 15367 W Waddell Rd Surprise, AZ 85379 (623) 214-6461 Cigna At Sun City West 13991 W Grand Ave Ste 105 Surprise, AZ 85374 (623) 455-7815 - 30 - HEALTH NET

15300 N. Cotton Lane Surprise, AZ 85388 (623) 584-8558 19505 N Sunrise Blvd Surprise, AZ 85374 (623) 556-4778 15474 W Greenway Rd Surprise, AZ 85374 (623) 584-1964 13870 W Greenway Rd Surprise, AZ 85374 (623) 546-0512 15510 W Bell Rd Surprise, AZ 85374 (623) 546-2565 13982 W Waddell Rd Surprise, AZ 85379 (623) 537-9663 Frys Pharmacy $ 15215 N Cotton Ln Surprise, AZ 85388 (623) 455-7902 Osco Drug $ 16750 W Bell Rd Surprise, AZ 85374 (623) 546-8246 QOL Meds 15317 W Bell Rd Ste 108 Surprise, AZ 85374 (412) 931-3131 17049 W Bell Rd Surprise, AZ 85374 (623) 518-1063 14505 W Grand Ave Surprise, AZ 85374 (623) 975-4030 13828 W Waddell Rd Surprise, AZ 85379 (623) 476-1811 Sam's Club Pharmacy $ 16573 W Bell Rd Surprise, AZ 85374 (623) 584-0728 13731 W Bell Rd Surprise, AZ 85374 (623) 975-4379 17088 W Bell Rd Surprise, AZ 85374 (623) 544-0667 13723 N Litchfield Rd Surprise, AZ 85379 (623) 255-3208 15490 W Bell Rd Surprise, AZ 85374 (623) 546-0032 15514 W Waddell Rd Surprise, AZ 85379 (623) 215-0544 13770 W Bell Rd Surprise, AZ 85374 (623) 544-2226 14111 N Prasada Gateway Ave Surprise, AZ 85388 (623) 282-3215 15431 W Greenway Rd Surprise, AZ 85374 (623) 584-6862 West Valley Pharmacy $ 12851 W Bell Rd Ste 110 Surprise, AZ 85378 (623) 533-6514 Tempe Arizona Senior Care Pharmacy 2727 W Baseline Rd Ste 1 Tempe, AZ 85283 (602) 438-9301 ASU Health Center 451 E University Dr Tempe, AZ 85281 (952) 653-2568 1761 E Warner Rd Tempe, AZ 85284 (480) 897-2980 Canyoncare Rx 2826 S Potter Dr Ste B Tempe, AZ 85282 (602) 850-6230 Cigna At CJ Harris 1920 E Baseline Rd Tempe, AZ 85283 (480) 345-5319 HEALTH NET - 31 -