icare Medicare Plan (HMO SNP) 2016 Pharmacy Directory

Transcription

1 icare Medicare Plan (HMO SNP) 2016 Pharmacy Directory This Pharmacy Directory was updated on 7/20/2015. For more recent information or other questions, please contact us, icare Medicare Plan Customer Service, at , 24 hours-a-day/7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.). TTY users should call , or visit icare Medicare Plan is a Coordinated Care plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in the icare Medicare Plan depends on contract renewal. The pharmacy network may change at any time. You will receive notice when necessary. This information is available for free in a different format, including large print and Braille. Please call Customer Service at the number listed above if you need plan information in another format or language. H2237_IC1147 CMS Accepted

2 Introduction This booklet provides a list of icare Medicare 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 icare Medicare Plan s formulary. When this pharmacy directory refers to we, us, or our, it means Independent Care Health Plan. When it refers to plan or our plan, it means icare Medicare Plan. 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 icare Medicare 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 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 7/20/2015. For the most current list, please contact us. Our contact information appears on the front and back cover pages. 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. If you have questions about any of the above, including for instructions on how to submit claims for prescriptions that you had to fill at a non-network pharmacy, please see the first and last cover pages of this directory for information on how to contact us. The network pharmacies in this directory are divided into five categories: Retail Pharmacies, including Chain Pharmacies Mail Order Pharmacy You can get prescription drugs shipped to your home through our network mail order delivery service. To refill your mail order prescriptions, you have the option to sign up for an automatic refill service. Under this service, we will start to process your next refill automatically when our records show that you should be close to running out of your drug. We will contact you prior to shipping each refill to make sure you are in need of more medication. You can cancel scheduled refills if you have enough of your medication or if your medication has changed. If you choose not to use the auto refill service, please contact us 7-10 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. To opt out of the automatic refill service, please contact us by phone at or, for TTY users, , TRS Relay number 711. Typically, you should expect to receive your prescription drugs from 3 to 5 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at , TTY , TRS Relay number 711, or Novixus at

3 Home Infusion Pharmacies Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under icare Medicare Plan through the facility s long-term care pharmacy or another network long-term care pharmacy. Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through icare Medicare Plan s pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). Each pharmacy is listed by category in alphabetical order for each county by city.

4 HOME INFUSION PHARMACIES Brown County VISITING NURSE ASSOCIATION OF WISCONSIN INC 931 DISCOVERY AVE GREEN BAY Milwaukee County VISITING NURSE ASSOCIATION OF WISCONSIN WEST NATIONAL AVE MILWAUKEE WALGREENS INFUSION AND RESPIRATORY SERVICES N 113TH ST WAUWATOSA Outagamie County THEDACARE AT HOME INFUSION PHARMACY 1818 N MEADE ST APPLETON Waukesha County CORAM CVS/SPECIALTY INFUSION SERVICES S MOORLAND RD STE 101 NEW BERLIN HOME CARE PHARMACY 5665 SOUTH WESTRIDGE DRIVE NEW BERLIN INDIAN HEALTH SERVICE/TRIBAL/URBAN INDIAN HEALTH PROGRAM (I/T/U) PHARMACIES Menominee County STOCKBRIDGE MUNSEE HEALTH AND WELLNES+ W12802 CTY RD BOWLER MENOMINEE TRIBAL CLINIC PHARMACY WOLF RIVER RD KESHENA Outagamie County ONEIDA COMM HLTH CTR PHCY+ 525 AIRPORT DRIVE ONEIDA LONG-TERM CARE PHARMACIES Brown County KRIDER PHARMACY W MASON ST GREEN BAY STREUS PHARMACY LTC+ 528 N MONROE AVE GREEN BAY Calumet County MORTON LTC MENASHA+ 712 MIDWAY RD MENASHA Dane County BELLEVILLE HOMETOWN PHARMACY RIVER ST BELLEVILLE COTTAGE GROVE HOMETOWN PHARMACY+ 429 W COTTAGE GROVE RD COTTAGE GROVE DEERFIELD HOMETOWN PHARMACY+ 10 LIBERTY ST STE 106 DEERFIELD DEFOREST HOMETOWN PHARMACY+ 645 S MAIN ST DEFOREST HOMETOWN LONG TERM CARE PHARMACY+ 643 S MAIN ST DEFOREST ROCKMED LONG TERM CARE PHARMACY LLC+ 607 E STATE ROAD 59 EDGERTON FITCHBURG HOMETOWN PHARMACY CAHILL MAIN SUITE J114 FITCHBURG GENOA HEALTHCARE+ 625 WEST WASHINGTON AVE MADISON HY-VEE PHARMACY E WASHINGTON AVE MADISON HY-VEE PHARMACY S. WHITNEY WAY MADISON MALLATT'S HOMECARE PHARMACY KINGSLEY WAY MADISON OAKWOOD PHARMACY W MINERAL POINT RD MADISON OMNICARE OF MADISON PROGRESS RD MADISON ST MARYS CARE CENTER PHARMACY 3401 MAPLE GROVE DR MADISON WILLOW PHARMACY INTERNATIONAL LANE MADISON MCFARLAND HOMETOWN PHARMACY LARSON BEACH RD MCFARLAND

5 OREGON HOMETOWN PHARMACY+ 815 NORTH MAIN ST OREGON MCGLYNN PHARMACY INC+ 100 E MAIN ST STOUGHTON O'CONNELL PHARMACY LONG TERM CARE+ 125 S. THOMPSON RD. SUN PRAIRIE OCONNELL PHARMACY LTD+ 302 S GRAND AVE SUN PRAIRIE SUN PRAIRIE HOMETOWN PHARMACY+ 13 N BIRD ST SUN PRAIRIE VERONA HOMETOWN PHARMACY+ 202 S MAIN ST VERONA MALLATT'S PHARMACY AND COSTUMES S CENTURY AVE WAUNAKEE Kenosha County GOOD VALUE PHARMACY LTC TH ST KENOSHA Manitowoc County MEDICINE SHOPPE PHARMACY WASHINGTON STREET TWO RIVERS Marinette County VALUCARE CENTER HEALTH MART PHARMACY MAIN ST MARINETTE PESHTIGO HEALTH CARE SERVICES PHARMACY+ 121 FRENCH ST PESHTIGO Milwaukee County YE OLDE PHARMACY N PORT WASHINGTON RD GLENDALE SURETY PRO PHARMACY LLC W LAYTON AVE GREENFIELD BEHAVIORAL HEALTH PHARMACY W WATERTOWN PLANK RD MILWAUKEE FAMILY PHARMACY N OAKLAND AVE MILWAUKEE GENOA HEALTHCARE+ 229 E WISCONSIN AVE STE 601 MILWAUKEE GENOA HEALTHCARE W BLUEMOUND RD STE B MILWAUKEE HCHM PHARMACY+ 210 W CAPITOL DR MILWAUKEE LUTHER MANOR PHARMACY N 92ND ST MILWAUKEE OMNICARE OF MILWAUKEE S NINTH ST MILWAUKEE PHARMERICA W HEATHER AVE MILWAUKEE PHOENIX PHARMACY INC N FARWELL AVE STE 200 MILWAUKEE WCS CLINIC PHCY W WISCONSIN AVE MILWAUKEE ASSISTED LIVING PHARMACY SERVICE N MAYFAIR RD WAUWATOSA PRESCRIPTIONS PLUS W GREENFIELD AVE WEST ALLIS TLS COMMUNITY PHARMACY S 70TH ST WEST ALLIS Outagamie County HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC E EVERGREEN DR APPLETON OMNICARE OF APPLETON+ N926 TOWER VIEW DRIVE GREENVILLE Racine County LAKEVIEW LTC PHARMACY+ 517 WISCONSIN AVE RACINE Rock County HOMECARE PHARMACY WOODWARD AVE BELOIT PINNOW PHARMACY INC FIRST CENTER AVE BRODHEAD EVANSVILLE HOMETOWN PHARMACY+ 21 W MAIN ST EVANSVILLE MERCY MALL PHARMACY N WASHINGTON ST JANESVILLE Sauk County CORNER DRUG STORE+ 522 OAK ST BARABOO MEDICAL ARTS PHARMACY N DEWEY AVE REEDSBURG REEDSBURG AREA MEDICAL CENTER PHARMACY N DEWEY AVENUE REEDSBURG

6 MAPLEWOOD OF SAUK PRAIRIE 245 SYCAMORE ST SAUK CITY SAUK CITY PHARMACY+ 830 WATER ST SAUK CITY SPRING GREEN HEALTH MART PHARMACY+ 208 E JEFFERSON STREET SPRING GREEN Shawano County GWIDT PHARMACY 203 E. WESTGOR WITTENBERG GWIDT PHARMACY INC+ 203 E WESTGORE AVENUE WITTENBERG Sheboygan County GLANDER PRESCRIPTION PLUS SUPERIOR AVE SHEBOYGAN Walworth County EAST TROY HOMETOWN PHARMACY MAIN ST EAST TROY MCCULLOUGH'S LTC PHARMACY W MAIN ST WHITEWATER MCCULLOUGHS PRESCRIPTION AND GIFTS W MAIN ST WHITEWATER Washington County WEST BEND ASSISTED LIVING PHARMACY W209 N17321 INDUSTRIAL DR JACKSON FHHP KEWASKUM+ 901 FOND DU LAC AVE KEWASKUM CEDAR LAKE CAMPUS PHARMACY HWY Z WEST BEND FROEDTERT HEALTH HOMETOWN PHARMACY S 18TH ST WEST BEND Waukesha County HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC+ 150 N. PATRICK BLVRD, STE 250 BROOKFIELD WHEATON FRANCISCAN PHARMACY W CAPITOL DRIVE BROOKFIELD FALLS LTC PHARMACY+ N85 W15882 APPLETON AVE MENOMONEE FALLS LINDEN GROVE PHARMACY W NATIONAL AVE NEW BERLIN PRESCRIPTION CENTER PHARMACY+ 888 THACKERAY TRL OCONOMOWOC GENOA HEALTHCARE 514 RIVERVIEW AVE RM 238 WAUKESHA Waupaca County JERNEGAN'S HEALTH MART MILL STREET NEW LONDON WAUPACA HOMETOWN PHARMACY+ 115 N WESTERN AVE UNIT 8 WAUPACA Winnebago County NEENAH HOMETOWN PHARMACY S COMMERCIAL ST NEENAH LHO PHARMACY LLC+ 225 N EAGLE ST OSHKOSH MURDOCK HOMETOWN PHARMACY JACKSON ST OSHKOSH SAWYER STREET HOMETOWN PHARMACY+ 321 N SAWYER ST OSHKOSH MAIL ORDER PHARMACY NOVIXUS PHARMACY SERVICES* W NINE MILE RD NOVI RETAIL PHARMACIES Brown County TARGET PHARMACY* CORMIER ROAD ASHWAUBENON COSTCO PHARMACY * COSTCO WAY BELLEVUE TARGET PHARMACY* LIME KILN ROAD BELLEVUE WALGREENS * LIME KILN RD BELLEVUE AURORA PHARMACY* CHICAGO ST DE PERE CVS PHARMACY *+ 800 MAIN AVE DE PERE SHOPKO EXPRESS* MONROE RD DE PERE SHOPKO PHARMACY*+ 230 N WISCONSIN ST DE PERE

7 WALGREENS* 150 S WISCONSIN ST DE PERE WALGREENS *+ 901 MAIN AVE DE PERE WAL-MART PHARMACY * LAWRENCE DR. DE PERE BELLIN HEALTH PHARMACY*+ 595 COUNTY TRUNK R DENMARK AURORA PHARMACY* GREEN BRIER RD GREEN BAY CENTER* WEST MASON ST GREEN BAY BELLIN HEALTH PHARMACY*+ 744 S WEBSTER AVE GREEN BAY BELLIN HEALTH PHARMACY* COMMANCHE AVE GREEN BAY BELLIN HEALTH REMOTE DISPENSING* 3263 EATON RD GREEN BAY COPPS FOOD CENTER PHARMACY* LOMBARDI ACCESS RD GREEN BAY CVS PHARMACY* W MASON ST GREEN BAY CVS PHARMACY* S WEBSTER AVE GREEN BAY CVS PHARMACY* VELP AVENUE GREEN BAY CVS PHARMACY*+ 930 MAIN ST GREEN BAY KRIDER PHARMACY* W MASON ST GREEN BAY SAMS PHARMACY* WEST MASON GREEN BAY SHOPKO EXPRESS* LINEVILLE RD GREEN BAY SHOPKO PHARMACY*+ 301 BAY PARK SQ GREEN BAY SHOPKO PHARMACY* E MASON ST GREEN BAY SHOPKO PHARMACY* LINEVILLE RD GREEN BAY SHOPKO PHARMACY*+ 216 S MILITARY AVE GREEN BAY STREUS PHARMACY INC*+ 635 MAIN ST GREEN BAY STREUS PHARMACY LTC+ 528 N MONROE AVE GREEN BAY VISITING NURSE ASSOCIATION OF WISCONSIN INC* 931 DISCOVERY AVE GREEN BAY WALGREENS *+ 116 N MILITARY AVE GREEN BAY WALGREENS * EAST MASON GREEN BAY WALGREENS * W MASON STREET GREEN BAY WALGREENS * S ONEIDA GREEN BAY WALGREENS * UNIVERSITY AVE GREEN BAY WALGREENS * MAIN STREET GREEN BAY WALGREENS *+ 464 CARDINAL LN GREEN BAY WAL-MART PHARMACY * WEST MASON STREET GREEN BAY WAL-MART PHARMACY * MAIN STREET GREEN BAY COPPS FOOD CENTER PHARMACY* MAIN STREET GREENBAY BELLIN HEALTH REMOTE DISPENSING*+ 555 QUALITY CT WRIGHTSTOWN Calumet County SHOPKO PHARMACY * W RYAN ST BRILLION WALGREENS *+ 245 E CALUMET ST CHILTON WAL-MART PHARMACY *+ 810 SOUTH IRISH ROAD CHILTON MORTON LTC MENASHA+ 712 MIDWAY RD MENASHA SHOPKO PHARMACY* APPLETON RD MENASHA WALGREENS *+ 305 RACINE ST MENASHA Dane County BELLEVILLE HOMETOWN PHARMACY* RIVER ST BELLEVILLE VILLAGE PHARMACY*+ 109 W MAIN ST #69 CAMBRIDGE COTTAGE GROVE HOMETOWN PHARMACY*+ 429 W COTTAGE GROVE RD COTTAGE GROVE

8 CVS PHARMACY*+ 605 W COTTAGE GROVE RD COTTAGE GROVE CROSS PLAINS PHARMACY* MAIN ST CROSS PLAINS WALGREENS * MAIN ST CROSS PLAINS DEERFIELD HOMETOWN PHARMACY*+ 10 LIBERTY ST STE 106 DEERFIELD DEFOREST HOMETOWN PHARMACY*+ 645 S MAIN ST DEFOREST HOMETOWN LONG TERM CARE PHARMACY+ 643 S MAIN ST DEFOREST WALGREENS *+ 807 S MAIN ST DEFOREST EDGERTON PHARMACY*+ 711 N MAIN ST EDGERTON ROCKMED LONG TERM CARE PHARMACY LLC+ 607 E STATE ROAD 59 EDGERTON FITCHBURG HOMETOWN PHARMACY* CAHILL MAIN SUITE J114 FITCHBURG HY-VEE PHARMACY* 2920 FITCHRONA ROAD FITCHBURG TARGET PHARMACY* MCKEE RD FITCHBURG WALGREENS * S FISH HATCHERY RD FITCHBURG COMMUNITY PHARMACY INC*+ 341 STATE ST MADISON COPPS FOOD CENTER PHARMACY* SHOPKO DR MADISON CVS PHARMACY*+ 2 SOUTH BEDFORD ST MADISON CVS PHARMACY* MINERAL POINT RD MADISON DEAN CLINIC PHARMACY*+ 752 N HIGH POINT RD MADISON DEAN CLINIC PHARMACY*+ 700 S PARK ST MADISON DEAN CLINIC PHARMACY* S STOUGHTON RD MADISON DEAN CLINIC PHARMACY* FISH HATCHERY RD MADISON GENOA HEALTHCARE+ 625 WEST WASHINGTON AVE MADISON HOEY APOTHECARY*+ 217 COTTAGE GROVE ROAD MADISON HY-VEE PHARMACY* E WASHINGTON AVE MADISON HY-VEE PHARMACY *+ 675 S. WHITNEY WAY MADISON LUMICERA HEALTH SERVICES* 2601 W BELTLINE HWY STE 302 MADISON MALLATT'S HOMECARE PHARMACY* KINGSLEY WAY MADISON MALLATT'S PHARMACY AND COSTUME * WILLIAMSON ST MADISON MALLATT'S PHARMACY AND COSTUMES* MONROE STREET MADISON METRO MARKET PHARMACY* COTTAGE GROVE RD MADISON NEUHAUSER PHARMACY* MONROE ST MADISON OAKWOOD PHARMACY W MINERAL POINT RD MADISON OMNICARE OF MADISON* PROGRESS RD MADISON RESTORE HEALTH PHARMACY, LLC* DEMING WAY MADISON SAMS PHARMACY* WATTS RD MADISON SHOPKO PHARMACY* MINERAL POINT RD MADISON SHOPKO PHARMACY* ZEIER RD MADISON ST MARYS CARE CENTER PHARMACY* 3401 MAPLE GROVE DR MADISON TARGET PHARMACY*+ 201 JUNCTION ROAD MADISON TARGET PHARMACY*+ 750 HILLDALE WAY MADISON TARGET PHARMACY* LIEN RD MADISON UW HEALTH PHARMACY SERVICES* E WASHINGTON AVE MADISON UW HEALTH PHARMACY SERVICES*+ 333 E CAMPUS MALL MADISON UW HEALTH PHARMACY SERVICES* DRYDEN DR MADISON UW HEALTH PHARMACY SERVICES* UNIVERSITY AVE MADISON UW HEALTH PHARMACY SERVICES* S PARK ST MADISON

9 UW HEALTH PHARMACY SERVICES*+ 1 S PARK ST MADISON UW HEALTH PHARMACY SERVICES* E TERRACE DR MADISON UW HEALTH PHARMACY SERVICES* E TOWNE BLVD MADISON UW HEALTH PHARMACY SERVICES*+ 451 JUNCTION RD MADISON UW HEALTH PHARMACY SERVICES* MINERAL POINT RD MADISON UW HEALTH PHARMACY SERVICES*+ 600 HIGHLAND AVENUE MADISON UW HEALTH PHARMACY SERVICES*+ 600 HIGHLAND AVE MADISON UW HEALTH PHARMACY SERVICES*+ 600 HIGHLAND AVE MADISON UW HEALTH PHARMACY SERVICES* ODANA RD MADISON WALGREENS * RAYMOND RD MADISON WALGREENS *+ 311 E CAMPUS MALL MADISON WALGREENS *+ 606 S WHITNEY WAY MADISON WALGREENS * S PARK ST MADISON WALGREENS * NORTHPORT MADISON WALGREENS * VERONA ROAD MADISON WALGREENS * MINERAL POINT RD MADISON WALGREENS *+ 108 COTTAGE GROVE ROAD MADISON WALGREENS *+ 15 E MAIN ST MADISON WALGREENS * EAST WASHINGTON AV MADISON WALGREENS * COTTAGE GROVE RD AT ACEWOOD MADISON WALGREENS * MCKEE RD MADISON WALGREENS * UNIVERSITY AVE MADISON WALGREENS * E WASHINGTON AVE MADISON WALGREENS * OLD SAUK RD MADISON WAL-MART PHARMACY * WATTS ROAD MADISON WAL-MART PHARMACY * NAKOOSA TRAIL MADISON WILLOW PHARMACY* INTERNATIONAL LANE MADISON MCFARLAND HOMETOWN PHARMACY* LARSON BEACH RD MCFARLAND THE MEDICINE SHOPPE* U S HIGHWAY 51 MCFARLAND WALGREENS * LARSON BEACH RD MCFARLAND COSTCO PHARMACY* DEMING WAY MIDDLETON CVS PHARMACY* CENTURY AVE MIDDLETON WALGREENS * BRANCH ST MIDDLETON MEDICINE SHOPPE* MONONA RD MONONA SHOPKO PHARMACY* W BROADWAY MONONA WALGREENS * MONONA DRIVE MONONA WAL-MART PHARMACY * ROYAL AVE MONONA MOUNT HOREB PHARMACY*+ 203 W MAIN ST MOUNT HOREB WALGREENS * HWY MOUNT HOREB DEAN CLINIC PHARMACY*+ 753 N MAIN STREET OREGON OREGON HOMETOWN PHARMACY*+ 815 NORTH MAIN ST OREGON WALGREENS *+ 704 N MAIN ST OREGON MCGLYNN PHARMACY INC*+ 100 E MAIN ST STOUGHTON WALGREENS * US HWY 51 STOUGHTON WAL-MART PHARMACY * US HIGHWAY 51 AND 138 STOUGHTON COPPS FOOD CENTER*+ 640 E MAIN ST SUN PRAIRIE COPPS FOOD CENTER PHARMACY* IRONWOOD DR SUN PRAIRIE COSTCO PHARMACY * HOEPKER RD SUN PRAIRIE DEAN CLINIC PHARMACY*+ 10 TOWER DRIVE SUN PRAIRIE

10 O'CONNELL PHARMACY LONG TERM CARE+ 125 S. THOMPSON RD. SUN PRAIRIE OCONNELL PHARMACY LTD*+ 302 S GRAND AVE SUN PRAIRIE SUN PRAIRIE HOMETOWN PHARMACY*+ 13 N BIRD ST SUN PRAIRIE TARGET PHARMACY*+ 660 S GRAND AVE SUN PRAIRIE WALGREENS *+ 546 N GRAND AVE SUN PRAIRIE WALGREENS *+ 275 DAVISON DRIVE SUN PRAIRIE WAL-MART PHARMACY * MC COY ROAD SUN PRAIRIE VERONA HOMETOWN PHARMACY*+ 202 S MAIN ST VERONA WALGREENS *+ 104 N MAIN ST VERONA MALLATT'S PHARMACY AND COSTUMES *+ 233 S CENTURY AVE WAUNAKEE WALGREENS *+ 401 W MAIN ST WAUNAKEE Kenosha County AURORA PHARMACY* TH ST KENOSHA CENTER* ND AVENUE KENOSHA CVS PHARMACY* NORTH 22ND KENOSHA CVS PHARMACY* TH STREET KENOSHA CVS PHARMACY* TH AVE KENOSHA GOOD VALUE PHARMACY* TH ST STE 100 KENOSHA GOOD VALUE PHARMACY LARSEN-MAYER* TH AVE KENOSHA GOOD VALUE PHARMACY LTC TH ST KENOSHA GOOD VALUE PHARMACY MEDCARE WEST* TH ST STE 103 KENOSHA KMART PHARMACY* ND ST KENOSHA MEIJER PHARMACY * 7701 GREEN BAY RD KENOSHA MODERN APOTHECARY* TH AVE KENOSHA PICK N SAVE PHARMACY* RD STREET KENOSHA PICK N SAVE PHARMACY* TH ST KENOSHA PICK N SAVE PHARMACY* TH STREET KENOSHA SHOPKO PHARMACY* ND ST KENOSHA WALGREENS * SHERIDAN RD KENOSHA WALGREENS * ND STREET KENOSHA WALGREENS * TH STREET KENOSHA WALGREENS * N GREEN BAY RD KENOSHA WALGREENS * 5711 SIXTH KENOSHA WALGREENS * TH AVE KENOSHA WAL-MART PHARMACY * BRUMBACK BLVD KENOSHA COSTCO PHARMACY * TH AVE PLEASANT PRAIRIE TARGET PHARMACY* TH ST PLEASANT PRAIRIE WALGREENS * TH AVE PLEASANT PRAIRIE WALGREENS * TH ST SALEM SAMS PHARMACY* BRUMBACK BLVD SOMERS Kewaunee County AURORA PHARMACY*+ 801 JEFFERSON ST ALGOMA SHOPKO PHARMACY*+ 802 NORTH MAIN ST KEWAUNEE LUXEMBURG PHARMACY LLC*+ 125 SCHOOL CREEK TR LUXEMBURG

11 Manitowoc County AURORA PHARMACY* SERVICE RD KIEL SHOPKO PHARMACY * STATE ROAD 67 KIEL AURORA PHARMACY*+ 601 REED AVE MANITOWOC COPPS FOOD CENTER PHARMACY* CALUMET AVE MANITOWOC CUSTOM HEALTH PHARMACY, INC* 1011 S 10TH ST STE 101 MANITOWOC CVS PHARMACY*+ 701 E REED AVE MANITOWOC HEALTH MART MANITOWOC PHARMACIES*+ 919 S 8TH ST MANITOWOC HFM PHARMACY* CALUMET AVE MANITOWOC HOLY FAMILY MEMORIAL MEDICAL CENTER PHARMACY* WESTERN AVE MANITOWOC SHOPKO PHARMACY* CALUMET AVE MANITOWOC WALGREENS * CALUMET MANITOWOC WAL-MART PHARMACY * CALUMET AVENUE MANITOWOC AURORA PHARMACY* MEMORIAL DRIVE TWO RIVERS LOCATION* GARFIELD ST STE 100 TWO RIVERS MEDICINE SHOPPE PHARMACY* WASHINGTON STREET TWO RIVERS WALGREENS * WASHINGTON ST TWO RIVERS Marinette County VILLAGE HEALTHMART PHARMACY*+ 633 BUS NWY 141 COLEMAN CRIVITZ PHARMACY*+ 710 MAIN AVE CRIVITZ AURORA PHARMACY* OLD PESHTIGO RD MARINETTE BAY AREA OUTPATIENT PHARMACY* SHORE DR MARINETTE SHOPKO PHARMACY* ROOSEVELT RD MARINETTE VALUCARE CENTER HEALTH MART PHARMACY* MAIN ST MARINETTE WALGREENS * HALL AVE MARINETTE WAL-MART PHARMACY * ROOSEVELT RD MARINETTE PESHTIGO HEALTH CARE SERVICES PHARMACY+ 121 FRENCH ST PESHTIGO PESHTIGO PHARMACY*+ 220 FRENCH ST PESHTIGO Menominee County STOCKBRIDGE MUNSEE HEALTH AND WELLNES*+ W12802 CTY RD BOWLER MENOMINEE TRIBAL CLINIC PHARMACY* WOLF RIVER RD KESHENA Milwaukee County PICK N SAVE PHARMACY* N GREENBAY ROAD BROWN DEER WALGREENS * W BROWN DEER RD BROWN DEER WAL-MART PHARMACY * W BROWN DEER RD BROWN DEER WALGREENS * E LAYTON AVE CUDAHAY AURORA ST LUKE'S SOUTH SHORE* S LAKE DR CUDAHY CVS PHARMACY* S PACKARD AVE CUDAHY KMART PHARMACY* S PACKARD AVENUE CUDAHY PICK N SAVE PHARMACY* S PACKARD AV CUDAHY WALGREENS * S PACKARD AVE CUDAHY CVS PHARMACY* N PORT WASHINGTON FOX POINT

12 WALGREENS * N PORT WASHINGTON RD FOX POINT AURORA PHARMACY* W LOOMIS RD FRANKLIN CVS PHARMACY* WEST RAWSON AVE FRANKLIN PICK N SAVE PHARMACY* S 76TH STREET FRANKLIN SAMS PHARMACY* SOUTH 27TH ST FRANKLIN TARGET PHARMACY* S LOVERS LANE RD FRANKLIN WALGREENS * S 76TH STREET FRANKLIN WALGREENS * W LOOMIS RD FRANKLIN WALGREENS * S 27TH ST FRANKLIN WAL-MART PHARMACY * SOUTH 27TH STREET FRANKLIN WHEATON FRANCISCAN PHARMACY* S 27TH ST FRANKLIN MEDPOINT PHARMACY* W. SILVER SPRINGS RD GLENDALE PICK N SAVE* W SILVERSPRINGS DR GLENDALE WALGREENS * N PORT WASHINGTON GLENDALE YE OLDE PHARMACY* N PORT WASHINGTON RD GLENDALE WALGREENS * W LOOMIS GREENDALE WAL-MART PHARMACY * S. 76TH ST GREENDALE HAYAT PHARMACY * S 27TH ST STE 400 GREENFIELD MEDPOINT PHARMACY* S 27TH ST GREENFIELD PICK N SAVE PHARMACY* S 76TH ST GREENFIELD SURETY PRO PHARMACY LLC* W LAYTON AVE GREENFIELD TARGET PHARMACY* SOUTH 27TH STREET GREENFIELD WALGREENS * W LAYTON AVENUE GREENFIELD WALGREENS * S 108TH ST GREENFIELD WALGREENS * S 76TH ST GREENFIELD WAL-MART PHARMACY * W LAYTON AVE GREENFIELD PICK N SAVE* S 108TH ST HALES CORNERS WALGREENS * S 108TH ST HALES CORNERS TH STREET PHARMACY LLC* W BURNHAM ST MILWAUKEE AMC PHARMACY*+ 820 N PLANKINTON AVE MILWAUKEE ASLMC PHARMACY* W OKLAHOMA AVE MILWAUKEE ASLMC PHARMACY* W KK RIVER PARKWAY MILWAUKEE ASMC PHARMACY*+ 945 N 12TH ST MILWAUKEE ASMC PHARMACY* N 12TH ST MILWAUKEE AURORA PHARMACY*+ 950 N 12TH ST STE 125 MILWAUKEE AURORA PHARMACY* W FOREST HOME AVE MILWAUKEE AURORA PHARMACY* W EDGERTON AVE MILWAUKEE AURORA PHARMACY* S 20TH ST MILWAUKEE AURORA PHARMACY* W SILVER SPRINGS DR MILWAUKEE AURORA PHARMACY* S 60TH ST MILWAUKEE AURORA PHARMACY* N RIVERCENTER DR MILWAUKEE AURORA PHARMACY* W GOOD HOPE RD MILWAUKEE CENTER*+ 180 W GRANGE AVE MILWAUKEE CENTER* N MAYFAIR RD STE 100 MILWAUKEE BEHAVIORAL HEALTH PHARMACY* W WATERTOWN PLANK RD MILWAUKEE COMMUNITY, A WALGREENS PHARMACY *+ 826 N PLANKINTON AVE MILWAUKEE

13 CVS PHARMACY* FARWELL MILWAUKEE CVS PHARMACY* W FOREST HOME AVE MILWAUKEE CVS PHARMACY* W PERKINS PLACE MILWAUKEE CVS PHARMACY* NORTH 76TH ST MILWAUKEE CVS PHARMACY* WEST LISBON AVE MILWAUKEE CVS PHARMACY* S 27TH STREET MILWAUKEE CVS PHARMACY* W VILLARD AVE MILWAUKEE CVS PHARMACY* N DOWNER AVE MILWAUKEE FAMILY PHARMACY* N OAKLAND AVE MILWAUKEE FROEDTERT EAST PHARMACY* W WISCONSIN AVE MILWAUKEE FROEDTERT EYE INSTITUTE PHARMACY* 925 N 87TH ST MILWAUKEE FROEDTERT HOSPITAL CANCER CENTER PHARMACY* W WISCONSIN AVE MILWAUKEE FROEDTERT WEST PHARMACY* W WISCONSIN AVE MILWAUKEE GENOA HEALTHCARE+ 229 E WISCONSIN AVE STE 601 MILWAUKEE GENOA HEALTHCARE W BLUEMOUND RD STE B MILWAUKEE HAYAT PHARMACY* W WISCONSIN AVE MILWAUKEE HAYAT PHARMACY* W. VLIET ST. MILWAUKEE HAYAT PHARMACY* W CAPITOL DR MILWAUKEE HAYAT PHARMACY* W NORTH AVE MILWAUKEE HAYAT PHARMACY * W CAPITOL DR MILWAUKEE HAYEKS SHOREWOOD PHARMACY* N DOWNER AVE MILWAUKEE HCHM PHARMACY*+ 210 W CAPITOL DR MILWAUKEE ISAAC COGGS HERITAGE HLTH CTR* W SILVER SPRING MILWAUKEE LUTHER MANOR PHARMACY* N 92ND ST MILWAUKEE MEDICATE PHARMACY INC* W LAYTON AVE STE 102 MILWAUKEE METRO MARKET PHARMACY* N VAN BUREN ST MILWAUKEE MLK HERTIAGE CLINIC* N MLK DRIVE MILWAUKEE OMNI PHARMACY* W NORTH AVE MILWAUKEE PHARMERICA* W HEATHER AVE MILWAUKEE PHOENIX PHARMACY INC N FARWELL AVE STE 200 MILWAUKEE PICK N SAVE* N 35TH ST MILWAUKEE PICK N SAVE* E GARFIELD MILWAUKEE PICK N SAVE PHARMACY*+ 250 W HOLT AVE MILWAUKEE PICK N SAVE PHARMACY* W NATIONAL AVE MILWAUKEE PICK N SAVE PHARMACY* W SILVER SPRING DR MILWAUKEE PICK N SAVE PHARMACY* W GOOD HOPE RD MILWAUKEE PICK N SAVE PHARMACY* S 27TH STREET MILWAUKEE SAMS PHARMACY* WEST CALUMET ROAD MILWAUKEE SETON PHARMACY* N LAKE DR MILWAUKEE TARGET PHARMACY* SOUTH CHASE AVE MILWAUKEE TARGET PHARMACY* WEST BROWN DEER RD MILWAUKEE TOSA PHARMACY* W CAPITAL DR MILWAUKEE UNION SERV U PHARMACY*+ 709 W OKLAHOMA AVE MILWAUKEE VISITING NURSE ASSOCIATION OF WISCONSIN* WEST NATIONAL AVE MILWAUKEE WALGREENS * N OAKLAND AVE MILWAUKEE WALGREENS * W BURNHAM ST MILWAUKEE WALGREENS *+ 275 W WISCONSIN AVE MILWAUKEE

14 WALGREENS * N MLKING DR MILWAUKEE WALGREENS * WEST NORTH MILWAUKEE WALGREENS * 1101 W MITCHELL MILWAUKEE WALGREENS * KINNICKINNIC MILWAUKEE WALGREENS * E BRADY MILWAUKEE WALGREENS *+ 370 E CAPITOL DR MILWAUKEE WALGREENS * W NORTH AVENUE MILWAUKEE WALGREENS * SOUTH 27TH ST MILWAUKEE WALGREENS * W CAPITOL DR MILWAUKEE WALGREENS * HOPKINS MILWAUKEE WALGREENS * N TEUTONIA AVE MILWAUKEE WALGREENS * WEST BELOIT MILWAUKEE WALGREENS *+ 620 W OKLAHOMA AVE MILWAUKEE WALGREENS * W BROWN DEER RD MILWAUKEE WALGREENS * WEST WISCONSIN MILWAUKEE WALGREENS * N 91ST ST MILWAUKEE WALGREENS * S 27TH MILWAUKEE WALGREENS * W GOOD HOPE RD MILWAUKEE WALGREENS * W CAPITOL MILWAUKEE WALGREENS * W CAPITOL MILWAUKEE WALGREENS * W HAMPTON AVE MILWAUKEE WALGREENS * S 27TH ST MILWAUKEE WALGREENS * W OKLAHOMA ST MILWAUKEE WALGREENS * S HOWELL AVE MILWAUKEE WALGREENS * W WISCONSIN MILWAUKEE WALGREENS * N 76TH ST MILWAUKEE WALGREENS * W FOREST HOME AVE MILWAUKEE WALGREENS * W NATIONAL AVE MILWAUKEE WAL-MART PHARMACY *+ 401 EAST CAPITAL DRIVE MILWAUKEE WAL-MART PHARMACY * SOUTH 27TH ST MILWAUKEE WAL-MART PHARMACY * W SILVER SPRING DR MILWAUKEE WAL-MART PHARMACY * WEST HOPE AVENUE MILWAUKEE WAL-MART PHARMACY * W MAIN ST MILWAUKEE WCS CLINIC PHCY* W WISCONSIN AVE MILWAUKEE WHEATON FRANCISCAN PHARMACY*+ 201 N MAYFAIR RD MILWAUKEE WHEATON FRANCISCAN PHARMACY* W CHAMBERS ST MILWAUKEE WHEATON FRANCISCAN PHARMACY* S 16TH ST MILWAUKEE WHEATON FRANCISCAN PHARMACY* W LAYTON AVE MILWAUKEE WILKES VILLAGE PHARMACY* W BURLEIGH ST MILWAUKEE WISCONSIN HEALTH FUND PHARMACY* W BLUEMOUND RD MILWAUKEE MEIJER PHARMACY * W. TOWN SQUARE WAY OAK CREEK PICK N SAVE PHARMACY* S HOWELL AVE OAK CREEK PICK N SAVE PHARMACY* S 27TH ST OAK CREEK PICK N SAVE PHARMACY* W RYAN ROAD OAK CREEK TARGET PHARMACY* S HOWELL AVE OAK CREEK WALGREENS * S HOWELL AVE OAK CREEK THOMPSONS SERV U PHARMACY* E CAPITOL DR SHOREWOOD WALGREENS* 3970 N OAKLAND AVE SHOREWOOD WALGREENS * N OAKLAND AVE SHOREWOOD

15 AURORA PHARMACY* TH AVE SOUTH MILWAUKEE WALGREENS * S CHICAGO AVE SOUTH MILWAUKEE WAL-MART PHARMACY *+ 222 N CHICAGO AVE SOUTH MILWAUKEE AURORA PHARMACY* E LAYTON AVE ST FRANCIS PICK N SAVE PHARMACY* S WHITNALL AVE ST FRANCIS ASSISTED LIVING PHARMACY SERVICE N MAYFAIR RD WAUWATOSA AURORA PHARMACY* DEWEY AVE WAUWATOSA CVS PHARMACY* W BLUE MOUND RD WAUWATOSA FROEDTERT HEALTH PLANK ROAD PHARMACY* 1155 N MAYFAIR ROAD WAUWATOSA KMART PHARMACY* N MAYFAIR ROAD WAUWATOSA MEIJER PHARMACY * W BURLEIGH ST WAUWATOSA PICK N SAVE PHARMACY* N MAYFAIR RD WAUWATOSA PICK N SAVE PHARMACY* W STATE STREET WAUWATOSA SKYWALK PHARMACY* W WISCONSIN AVE WAUWATOSA SWAN SERV U PHARMACY* W NORTH AVE WAUWATOSA TARGET PHARMACY* N 124TH ST WAUWATOSA WALGREENS * W STATE ST WAUWATOSA WALGREENS * N MAYFAIR RD WAUWATOSA WALGREENS * W CAPITOL WAUWATOSA WALGREENS * WAUWATOSA AVENUE WAUWATOSA WALGREENS INFUSION AND RESPIRATORY SERVICES* N 113TH ST WAUWATOSA WAL-MART PHARMACY * N 124TH ST WAUWATOSA AURORA PHARMACY* S 90TH ST WEST ALLIS AURORA PHARMACY* W NATIONAL AVE WEST ALLIS CVS PHARMACY* W OKLAHOMA AVE WEST ALLIS CVS PHARMACY* W GREENFIELD WEST ALLIS KMART PHARMACY* WEST GREENFIELD AVE WEST ALLIS PICK N SAVE PHARMACY* S 108TH ST WEST ALLIS PICK N SAVE PHARMACY* W NATIONAL AVE WEST ALLIS PRESCRIPTIONS PLUS W GREENFIELD AVE WEST ALLIS SAMS PHARMACY* SOUTH 108TH STREET WEST ALLIS TARGET PHARMACY* SOUTH 108TH STREET WEST ALLIS TLS COMMUNITY PHARMACY S 70TH ST WEST ALLIS WALGREENS *+ 60TH AND GREENFIELD WEST ALLIS WALGREENS * S 108TH STREET WEST ALLIS WALGREENS * W GREENFIELD AVE WEST ALLIS WALGREENS * W GREENFIELD AVE WEST ALLIS TARGET PHARMACY* MILLER PARK WAY WEST MILWAUKEE WAL-MART PHARMACY * W GREENFIELD AVE WEST MILWAUKEE CVS PHARMACY*+ 240 E HAMPTON WHITEFISH BAY DAN FITZGERALD PHARMACY INC*+ 424 E SILVER SPRING DR WHITEFISH BAY Oconto County HSHS ST. CLARE MEMORIAL HOSPITAL PHARMACY GILLETT*+ 117 N MCKENZIE ST GILLETT NICOLET PHARMACY* COMMERCIAL RD LAKEWOOD OCONTO PHARMACY* MAIN ST OCONTO SHOPKO PHARMACY*+ 126 CHARLES ST OCONTO

16 HSHS ST. CLARE MEMORIAL HOSPITAL PHARMACY*+ 855 S MAIN ST OCONTO FALLS OCONTO FALLS PHARMACY*+ 323 E HIGHLAND DR OCONTO FALLS Outagamie County CONSUMER PRESCRIPTION CTR* W COLLEGE AVE APPLETON COPPS FOOD CENTER PHARMACY*+ 511 W CALUMET ST APPLETON COPPS FOOD CENTER PHARMACY* N BALLARD RD APPLETON CVS PHARMACY* ONEIDA ST APPLETON CVS PHARMACY*+ 700 WEST WISCONSIN AVE APPLETON HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC E EVERGREEN DR APPLETON SAMS PHARMACY* NO WESTHILL BLVD APPLETON SHOPKO EXPRESS*+ W3208 VAN ROY RD APPLETON SHOPKO EXPRESS* E EVERGREEN DR APPLETON SHOPKO PHARMACY* W NORTHLAND AVE APPLETON TARGET PHARMACY* SOUTH KENSINGTON DRIVE APPLETON TARGET PHARMACY* W WISCONSIN AVE STE 42 APPLETON THEDACARE AT HOME INFUSION PHARMACY* 1818 N MEADE ST APPLETON WALGREENS * N MEADE ST APPLETON WALGREENS *+ 729 W NORTHLAND AVE APPLETON WALGREENS * SOUTH ONEIDA ST APPLETON WALGREENS *+ 700 W COLLEGE AVE APPLETON WALGREENS * E CALUMET ST APPLETON WAL-MART PHARMACY *+ 955 NORTH MUTUAL WAY APPLETON WAL-MART PHARMACY * EAST CALUMET ST. APPLETON COPPS FOOD CENTER PHARMACY* W WISCONSIN AVE GRAND CHUTE WALGREENS * N CASALOMA DR GRAND CHUTE CENTER* CROOKS AVENUE KAUKAUNA WALGREENS * CROOKS AVE KAUKAUNA SHOPKO PHARMACY*+ 800 E MAES AVE KIMBERLY SMITH PHARMACY* 1800 FREEDOM RD UNIT D LITTLE CHUTE WALGREENS *+ 219 W MAIN ST LITTLE CHUTE ONEIDA COMM HLTH CTR PHCY*+ 525 AIRPORT DRIVE ONEIDA SHOPKO PHARMACY* S MAINLINE DR SEYMOUR Ozaukee County CVS PHARMACY*+ W63 N152 WASHINGTON AVE CEDARBURG WALGREENS *+ W62N190 WASHINGTON AVE CEDARBURG YE OLDE PHARMACY AND WELLNESS CTR*+ N54 W6135 MILL ST CEDARBURG AURORA PHARMACY*+ 975 PORT WASHINGTON ROAD GRAFTON COSTCO PHARMACY*+ 950 PORT WASHINGTON RD GRAFTON MEIJER PHARMACY * 1600 PORT WASHINGTON RD GRAFTON PICK N SAVE PHARMACY*+ 301 FALLS ROAD GRAFTON SHOPKO PHARMACY* WISCONSIN AVE GRAFTON TARGET PHARMACY* PORT WASHINTON ROAD GRAFTON WALGREENS * WISCONSIN AVE GRAFTON AURORA PHARMACY* N PORT WASHINGTON RD STE 100 MEQUON

17 COLUMBIA ST MARYS PHARMACY* N PORT WASHINGTON MEQUON METRO MARKET PHARMACY* N PORT WASHINGTON RD MEQUON WALGREENS * N PORT WASHINGTON RD MEQUON SHOPKO EXPRESS* N WISCONSIN ST PORT WASHINGTON WALGREENS *+ 829 E GREEN BAY AVE SAUKVILLE WAL-MART PHARMACY *+ 825 EAST GREEN BAY AVENUE SAUKVILLE WALGREENS *+ 278 N MAIN ST THIENSVILLE Racine County AURORA PHARMACY*+ 250 MCHENRY ST BURLINGTON AURORA PHARMACY*+ 210 S PINE ST BURLINGTON PICK N SAVE PHARMACY* MILWAUKEE AVE BURLINGTON THE PHARMACY STATION*+ 300 S PINE STREET BURLINGTON WALGREENS *+ 680 MILWAUKEE AVE BURLINGTON WAL-MART PHARMACY * MILWAUKEE AVENUE BURLINGTON PICK N SAVE PHARMACY* S GREEN BAY RD MOUNT PLEASANT WAL-MART PHARMACY * WASHINGTON AVE MOUNT PLEASANT AURORA PHARMACY* WASHINGTON AVE RACINE AURORA PHARMACY* ERIE ST SUITE RACINE CVS PHARMACY* WEST BLVD RACINE KMART PHARMACY* S GREEN BAY ROAD RACINE KMART PHARMACY* DOUGLAS AVE RACINE LAKEVIEW LTC PHARMACY*+ 517 WISCONSIN AVE RACINE LAKEVIEW PHCY OF RACINE INC*+ 516 MONUMENT SQ RACINE NUTRITIONAL DESIGNS AND PHARMACY LLC* WASHINGTON AVE STE 101 RACINE PICK N SAVE PHARMACY* RAPIDS DR RACINE SHOPKO PHARMACY* WASHINGTON AVE RACINE WALGREENS * WASHINGTON AVE RACINE WALGREENS *+ 819 N MEMORIAL RACINE WALGREENS * DURAND AVE RACINE WALGREENS * DOUGLAS AVE RACINE WALGREENS * DURAND AVE RACINE WALGREENS * DOUGLAS AVE RACINE WALGREENS * SPRING ST RACINE WHEATON FRANCISCAN PHARMACY* SPRING ST RACINE WHEATON FRANCISCAN PHARMACY* SPRING ST RACINE WHEATON FRANCISCAN PHARMACY* WISCONSIN AVE RACINE WAL-MART PHARMACY * SOUTH OAKES ROAD STURTEVANT AURORA PHARMACY* TH DR UNION GROVE CENTER*+ 818 FORREST LANE WATERFORD LAKEVIEW SPECIALTY HOSPITAL & REHAB* 1701 SHARP RD WATERFORD THE PHARMACY STATION*+ 601 N MILWAUKEE ST WATERFORD WALGREENS*+ 900 E MAIN ST WATERFORD Rock County CVS PHARMACY* TH STREET BELOIT CVS PHARMACY* PRAIRIE AVE BELOIT HOMECARE PHARMACY* WOODWARD AVE BELOIT

18 SHOPKO PHARMACY* PRAIRIE AVE BELOIT WALGREENS * MADISON RD BELOIT WALGREENS *+ 910 BROAD ST BELOIT WALGREENS * PRAIRIE AVE BELOIT WAL-MART PHARMACY * MILWAUKEE ROAD BELOIT PINNOW PHARMACY INC* FIRST CENTER AVE BRODHEAD CLINTON PHARMACY*+ 238 ALLEN STREET CLINTON EVANSVILLE HOMETOWN PHARMACY*+ 21 W MAIN ST EVANSVILLE CVS PHARMACY* W COURT ST JANESVILLE CVS PHARMACY * MILTON AVE JANESVILLE DEAN CLINIC PHARMACY* E. RACINE ST JANESVILLE KEALEY PHARMACY AND HOMECARE INC*+ 21 S JACKSON ST JANESVILLE MERCY EAST PHARMACY* E MILWAUKEE ST JANESVILLE MERCY MALL PHARMACY* N WASHINGTON ST JANESVILLE MERCY WEST PHARMACY* MINERAL POINT JANESVILLE SAMS PHARMACY* DEERFIELD DRIVE JANESVILLE SCHNUCKS PHARMACY* CRESTON PARK DR JANESVILLE SHOPKO PHARMACY* E US HIGHWAY 14 JANESVILLE TARGET PHARMACY* HUMES RD JANESVILLE WALGREENS * CENTER AVE JANESVILLE WALGREENS * KETTERING ST JANESVILLE WALGREENS * W COURT ST JANESVILLE WALGREENS * MILTON AVE JANESVILLE WAL-MART PHARMACY * DEERFIELD DRIVE JANESVILLE MILTON PHARMACY*+ 725 S JANESVILLE ST MILTON Sauk County CORNER DRUG CLINIC PHARMACY* TUTTLE STREET BARABOO CORNER DRUG STORE*+ 522 OAK ST BARABOO WALGREENS *+ 603 W PINE ST BARABOO WAL-MART PHARMACY *+ 920 HWY 12 BARABOO BALLWEG FAMILY PHARMACY* PRAIRIE ST PRAIRIE DU SAC EANNELLI PHARMACY*+ 405 WATER ST PRAIRIE DU SAC MEDICAL ARTS PHARMACY* N DEWEY AVE REEDSBURG REEDSBURG AREA MEDICAL CENTER PHARMACY* N DEWEY AVENUE REEDSBURG REEDSBURG FAMILY PRESC CENTER* ND ST REEDSBURG WALGREENS * MAIN ST REEDSBURG MAPLEWOOD OF SAUK PRAIRIE 245 SYCAMORE ST SAUK CITY SAUK CITY PHARMACY*+ 830 WATER ST SAUK CITY WALGREENS *+ 333 PHILLIPS BLVD SAUK CITY SPRING GREEN HEALTH MART PHARMACY*+ 208 E JEFFERSON STREET SPRING GREEN Shawano County HEALTH MART PULASKI PHARMACY*+ 121 N ST AUGUSTINE ST PULASKI DREIER PHARMACY*+ 117 S MAIN ST SHAWANO THEDA CARE PHARMACY*+ 100 COUNTY RD B SHAWANO WALGREENS *+ 401 E GREEN BAY ST SHAWANO WAL-MART PHARMACY * EAST GREEN BAY SHAWANO

19 GWIDT PHARMACY 203 E. WESTGOR WITTENBERG GWIDT PHARMACY INC*+ 203 E WESTGORE AVENUE WITTENBERG Sheboygan County CENTER*+ 313 S MAIN ST CEDAR GROVE AURORA PHARMACY*+ 620 S WISCONSIN DR HOWARDS GROVE ASSOCIATES PHARMACY*+ 795 C WOODLAKE RD KOHLER AURORA PHARMACY* EASTERN AVE PLYMOUTH WALGREENS * EASTERN AVE PLYMOUTH WAL-MART PHARMACY *+ 428 WALTON DRIVE PLYMOUTH AURORA PHARMACY* KOHLER MEMORIAL DR SHEBOYGAN AURORA PHARMACY*+ 509 SUPERIOR AVE SHEBOYGAN GLANDER PRESCRIPTION PLUS* SUPERIOR AVE SHEBOYGAN PICK N SAVE PHARMACY* N 25TH STREET SHEBOYGAN PICK N SAVE PHARMACY* S BUSINESS DR SHEBOYGAN SHEBOYGAN HEALTH MART PHARMACY*+ 577 S TAYLOR DR SHEBOYGAN SHOPKO PHARMACY*+ 518 S TAYLOR DR SHEBOYGAN WALGREENS * CALUMET DR SHEBOYGAN WALGREENS * S BUSINESS DRIVE SHEBOYGAN WALGREENS * N 14TH ST SHEBOYGAN WAL-MART PHARMACY * SO TAYLOR DRIVE SHEBOYGAN WAL-MART PHARMACY * VANGUARD DRIVE SHEBOYGAN TARGET PHARMACY* STATE HIGHWAY 28 SHEBOYGAN FALLS Walworth County SHOPKO PHARMACY* E GENEVA ST DELAVAN WALGREENS *+ 445 S WRIGHT ST DELAVAN WAL-MART PHARMACY * EAST GENEVA STREET DELAVAN EAST TROY HOMETOWN PHARMACY* MAIN ST EAST TROY CENTER*+ W3985 COUNTY RD NN ELKHORN CENTER*+ 201 E MORRISSEY DR STE 100 ELKHORN PHARMACY STATION*+ 3 E GENEVA ST ELKHORN PLAZA PHARMACY*+ 603 E GENEVA ST ELKHORN WALGREENS *+ 839 N WISCONSIN ST ELKHORN AURORA PHARMACY*+ 146 E GENEVA SQ LAKE GENEVA MERCY WALWORTH PHARMACY*+ N 2950 STATE RD 67 LAKE GENEVA TARGET PHARMACY*+ 660 N EDWARDS BLVD LAKE GENEVA WALGREENS *+ 351 N EDWARDS BLVD LAKE GENEVA WAL-MART PHARMACY *+ 201 SOUTH EDWARDS BOULEVARD LAKE GENEVA CENTER*+ 525 KENOSHA ST WALWORTH MCCULLOUGHS PRESCRIPTION AND GIFTS*+ 547 KENOSHA ST WALWORTH DOCTORS CUSTOM COMPOUNDING*+ 162 W MAIN ST STE K WHITEWATER MCCULLOUGH'S LTC PHARMACY W MAIN ST WHITEWATER MCCULLOUGHS PRESCRIPTION AND GIFTS* W MAIN ST WHITEWATER

20 WALGREENS * W MAIN ST WHITEWATER WAL-MART PHARMACY * WEST MAIN STREET WHITEWATER Washington County PICK N SAVE PHARMACY*+ N112 W16200 MEQUON RD GERMANTOWN WALGREENS *+ W156 N11261 PILGRIM RD GERMANTOWN WAL-MART PHARMACY *+ W190 N9855 APPLETON AVENUE GERMANTOWN AURORA PHARMACY* E SUMNER ST HARTFORD KMART PHARMACY* BELL AVE HARTFORD WALGREENS * E SUMNER ST HARTFORD WAL-MART PHARMACY * THIEL STREET HATFORD AURORA PHARMACY* HWY 175 HUBERTUS WALGREENS *+ N 168 W MAIN ST JACKSON WEST BEND ASSISTED LIVING PHARMACY W209 N17321 INDUSTRIAL DR JACKSON FHHP KEWASKUM*+ 901 FOND DU LAC AVE KEWASKUM AURORA PHARMACY* E COMMERCE BLVD SLINGER AURORA PHARMACY*+ 205 VALLEY AVE WEST BEND CEDAR LAKE CAMPUS PHARMACY* HWY Z WEST BEND FROEDTERT HEALTH HOMETOWN PHARMACY* S 18TH ST WEST BEND FROEDTERT HEALTH ST. JOSEPH'S HOSPITAL PHARMACY* PLEASANT VALLEY RD STE 1A WEST BEND PICK N SAVE PHARMACY* W WASHINGTON ST WEST BEND PICK N SAVE PHARMACY* S MAIN ST WEST BEND SHOPKO PHARMACY* S MAIN ST WEST BEND WALGREENS* W WASHINGTON ST WEST BEND WALGREENS * S MAIN ST WEST BEND WAL-MART PHARMACY * WEST PARADISE DR. WEST BEND Waukesha County JEROME DRUGS BIG BEND* W230S8715 CLARK ST BIG BEND AURORA PHARMACY* W NORTH AVE BROOKFIELD AURORA PHARMACY* W BLUEMOUND RD NUMBER 1 BROOKFIELD CENTER* W BLUEMOUND RD STE 100 BROOKFIELD CVS PHARMACY* BLUEMOUND RD. BROOKFIELD HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES INC+ 150 N. PATRICK BLVRD, STE 250 BROOKFIELD METRO MARKET PHARMACY* W BLUEMOUND RD BROOKFIELD PICK N SAVE PHARMACY* W CAPITOL DR BROOKFIELD PICK N SAVE PHARMACY* W CAPITOL DRIVE BROOKFIELD PICK N SAVE PHARMACY* W GREENFIELD AVE BROOKFIELD TARGET PHARMACY* W BLUEMOUND RD BROOKFIELD WALGREENS * N CALHOUN BROOKFIELD WALGREENS * W GREENFIELD AVE BROOKFIELD WALGREENS * CAPITOL DRIVE BROOKFIELD WHEATON FRANCISCAN PHARMACY* W NORTH AVENUE BROOKFIELD WHEATON FRANCISCAN PHARMACY* W CAPITOL DRIVE BROOKFIELD AURORA SPECIALTY PHARMACY* W HAMPTON AVE STE 100 BUTLER TARGET PHARMACY* SUN VALLEY DR DELAFIELD WALGREENS * GOLF RD DELAFIELD

21 WAL-MART PHARMACY * HERITAGE DRIVE DELAFIELD WALGREENS * W BLUEMOUND ELM GROVE AURORA PHARMACY*+ 109 E CAPITAL DR HARTLAND CENTER*+ 600 WALNUT RIDGE DR HARTLAND WALGREENS *+ 423 MERTON AVE HARTLAND AURORA PHARMACY*+ N84 W MENOMONEE AVE MENOMONEE FALLS CARECENTER PHARMACY LLC*+ W 165 N 5595 CREEKWOOD CROSSING MENOMONEE FALLS COMMUNITY MEMORIAL HOSPITAL OUTPATIENT PHARMACY*+ W180 N8085 TOWN HALL RD MENOMONEE FALLS CVS PHARMACY*+ N83 W15550 APPLETON AVE MENOMONEE FALLS FALLS LTC PHARMACY*+ N85 W15882 APPLETON AVE MENOMONEE FALLS FROEDTERT HEALTH MENOMONEE FALLS CLINIC PHARMACY*+ W180N8000 TOWN HALL RD MENOMONEE FALLS PICK N SAVE PHARMACY*+ N95 W18351 COUNTY LINE RD MENOMONEE FALLS TARGET PHARMACY*+ N95 WEST17707 SHADY LN MENOMONEE FALLS WALGREENS *+ N83 W15701 APPLETON AV MENOMONEE FALLS WALGREENS *+ N56 W15501 SILVER SPRING DR MENOMONEE FALLS WAL-MART PHARMACY *+ N88W15559 MAIN ST MENOMONEE FALLS PICK N SAVE PHARMACY*+ N77W14435 APPLETON AVE MENOMORRE FALLS MILLER PHARMACY INC*+ 801 N ROCHESTER ST MUKWONAGO PICK N SAVE PHARMACY* N ROCHESTER STREET MUKWONAGO WALGREENS *+ 212 N ROCHESTER ST MUKWONAGO WAL-MART PHARMACY *+ 250 EAST WOLF RUN MUKWONAGO CENTER*+ S68W15500 JANESVILLE RD STE 100 MUSKEGO JEROME DRUGS MUSKEGO* S 75 W JANESVILLE ROAD MUSKEGO WALGREENS *+ S 70 W JANESVILLE RD MUSKEGO WALGREENS *+ S79 W JANESVILLE RD MUSKEGO WAL-MART PHARMACY *+ W159S6530 MOORLAND ROAD MUSKEGO AURORA PHARMACY* W NATIONAL AVE NEW BERLIN CORAM CVS/SPECIALTY INFUSION SERVICES* S MOORLAND RD STE 101 NEW BERLIN HOME CARE PHARMACY* 5665 SOUTH WESTRIDGE DRIVE NEW BERLIN IV COMPOUND CENTER OF WISCONSIN LLC* 5478 S WESTRIDGE DR NEW BERLIN LINDEN GROVE PHARMACY* W NATIONAL AVE NEW BERLIN NEW BERLIN PHARMACY INC.* W GREENFIELD AVE NEW BERLIN PICK N SAVE* W NATIONAL AVE NEW BERLIN PICK N SAVE PHARMACY* W NATIONAL AVE NEW BERLIN PRN RX* W LIBERTY LN NEW BERLIN TARGET PHARMACY* SOUTH MOORLAND ROAD NEW BERLIN THRIFTY WHITE PHARMACY * S 163RD ST NEW BERLIN WALGREENS * S MOORLAND RD NEW BERLIN WAL-MART PHARMACY * W GREENFIELD AVE NEW BERLIN AURORA PHARMACY* SUMMIT AVE STE 100 OCONOMOWOC KMART PHARMACY* SUMMIT AVENUE OCONOMOWOC PICK N SAVE PHARMACY* PABST FARMS CIRCLE OCONOMOWOC PRESCRIPTION CENTER PHARMACY*+ 888 THACKERAY TRL OCONOMOWOC

22 PROHEALTH CARE PHARMACY*+ 791 SUMMIT AVE OCONOMOWOC TOBINS PHARMACY* A BROWN STREET OCONOMOWOC WALGREENS * SUMMIT AVENUE OCONOMOWOC PICK N SAVE PHARMACY* E WISCONSIN AVENUE OCONOMOWOC LAKE COSTCO PHARMACY *+ 443 PEWAUKEE ROAD PEWAUKEE CVS PHARMACY* SILVERNAIL RD PEWAUKEE PICK N SAVE PHARMACY* SILVERNAIL RD PEWAUKEE WALGREENS * CAPITOL DR PEWAUKEE WAL-MART PHARMACY *+ 411 PEWAUKEE ROAD PEWAUKEE AURORA PHARMACY* AURORA DR STE 100 SUMMIT SHOPKO PHARMACY*+ N66W25201 CTH V V SUSSEX WALGREENS *+ N65 W MAIN ST SUSSEX PICK N SAVE PHARMACY*+ 405 N WALES RD WALES WALGREENS *+ 320 W SUMMIT AVE WALES CENTER*+ W231 N1440 CORPORATE CT WAUKESHA CVS PHARMACY* W. SUNSET DR WAUKESHA GENOA HEALTHCARE 514 RIVERVIEW AVE RM 238 WAUKESHA MEDICAL CENTER PHARMACY* DELAFIELD ST WAUKESHA MORELAND PLAZA PHARMACY*+ 827 W MORELAND BLVD WAUKESHA PICK N SAVE PHARMACY* W SUNSET DR WAUKESHA PICK N SAVE PHARMACY* E MORELAND BLVD WAUKESHA PICK N SAVE PHARMACY*+ 220 EAST SUNSET DR WAUKESHA PROHEALTH CARE PHARMACY- STONERIDGE*+ N14W23900 STONE RIDGE DR WAUKESHA SAMS PHARMACY*+ 600 NORTH SPRINGDALE ROAD WAUKESHA TARGET PHARMACY* KOSSOW ROAD WAUKESHA TARGET PHARMACY* W SUNSET DR WAUKESHA VALUCARE PHARMACY*+ 501 S GRAND AVE WAUKESHA WALGREENS * E MORELAND BLVD WAUKESHA WALGREENS *+ 221 EAST SUNSET DRIVE WAUKESHA WALGREENS *+ 601 MEADOWBROOK RD WAUKESHA WALGREENS *+ 230 MADISON ST WAUKESHA WALGREENS * GRANDVIEW BLVD WAUKESHA WAL-MART PHARMACY * S WEST AVE WAUKESHA WAL-MART PHARMACY *+ S14W22605 CORAL DRIVE WAUKESHA WAUKESHA PHARMACY*+ 725 AMERICAN AVE WAUKESHA Waupaca County ERICKSON PHARMACY*+ 8 S MAIN ST CLINTONVILLE SHOPKO PHARMACY *+ 291 S MAIN ST CLINTONVILLE WALGREENS*+ 201 S MAIN ST CLINTONVILLE SWEET MED PRESCRIPTION PLUS* 155 N MAIN ST IOLA JERNEGAN'S HEALTH MART* MILL STREET NEW LONDON WALGREENS *+ 981 N SHAWANO ST NEW LONDON WAL-MART PHARMACY * NORTH SHAWANO STREET NEW LONDON KMART PHARMACY*+ 830 WEST FULTON STREET WAUPACA SHOPKO PHARMACY *+ 825 W FULTON ST WAUPACA SHOPKO PHARMACY *+ 800 RIVERSIDE DR WAUPACA STRATTON DRUG STORE*+ 107 N MAIN ST WAUPACA

23 WALGREENS *+ 925 W FULTON ST WAUPACA WAUPACA HOMETOWN PHARMACY*+ 115 N WESTERN AVE UNIT 8 WAUPACA Winnebago County CVS PHARMACY*+ 901 S GREEN BAY RD NEENAH NEENAH HOMETOWN PHARMACY* S COMMERCIAL ST NEENAH PICK N SAVE PHARMACY*+ 828 FOX POINT PLZ NEENAH SHOPKO PHARMACY*+ 699 GREEN BAY RD NEENAH WALGREENS * WESTOWNE DR NEENAH WALGREENS *+ 500 S COMMERCIAL NEENAH WAL-MART PHARMACY * WINNECONNE AVENUE NEENAH OMRO PHARMACY*+ 328 E MAIN ST OMRO AURORA PHARMACY* BOWEN STREET OSHKOSH AURORA PHARMACY*+ 855 N WESTHAVEN DR OSHKOSH CVS PHARMACY * W 9TH AVE OSHKOSH LHO PHARMACY LLC*+ 225 N EAGLE ST OSHKOSH MURDOCK HOMETOWN PHARMACY* JACKSON ST OSHKOSH PICK N SAVE PHARMACY* KOELLER STREET OSHKOSH SAWYER STREET HOMETOWN PHARMACY*+ 321 N SAWYER ST OSHKOSH SCHULTZ PHARMACY*+ 220 N MAIN ST OSHKOSH SHOPKO PHARMACY* S KOELLER ST OSHKOSH SMARTSCRIPT PHARMACY* STATE ROAD 91 STE B OSHKOSH TARGET PHARMACY* S KOELLER ST OSHKOSH WALGREENS *+ 315 W MURDOCK OSHKOSH WALGREENS *+ 950 KOELLER RD OSHKOSH WALGREENS * EMMERS LANE OSHKOSH WAL-MART PHARMACY *+ 351 SOUTH WASHBURN ST. OSHKOSH SHOPKO PHARMACY *+ 946 E MAIN ST WINNECONNE

24 Independent Care Health Plan 1555 N. RiverCenter Drive Suite 206 Milwaukee, WI FAX: TTY or Voice: or This Pharmacy Directory was updated on 7/20/2015. For more recent information or other questions, please contact us, icare Medicare Plan Customer Service, at , 24 hours-a-day/7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.). TTY users should call , or visit