National Plus Pharmacy New Hampshire October 2017

Transcription

1 National Plus Pharmacy New Hampshire October 2017 Pharmacy near you services The pharmacies listed in this directory participate in the National Plus network, operated by our pharmacy benefi t manager, Express Scripts, and available within Anthem Blue Cross and Blue Shield. If you are covered by Anthem Blue Cross and Blue Shield, the participating pharmacies in the following listing are considered in network for that health plan. If you have questions about this network, call the Customer Service number on the back of your health plan ID card ANMENABS 09/16

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3 Welcome With your Anthem Blue Cross and Blue Shield health plan, you can choose from thousands of pharmacies across the country. You have access to many local, independent pharmacies as well as national chains. This directory shows you where you can easily get prescriptions, whether you re at work, at home or even on vacation. Using these pharmacies in your plan can help you get the most out of your benefits. Just show your member ID card when you pick up your prescriptions. Express Scripts, the company that manages your pharmacy services, has identifi ed certain pharmacies that offer fl u shots as part of your benefits. Please call the pharmacy to be sure it s a participating pharmacy before you get your flu shot. How we Choose Pharmacies for our Plans We offer pharmacy networks that provide members with choices and fl exibility when filling prescriptions. To ensure members have convenient access to participating pharmacies in their network, we offer local and national pharmacies including: National chains Grocery stores Independent pharmacies This directory is correct as of the date shown. You can also fi nd a list of participating pharmacies at anthem.com. For the latest updates, call the Member Services number on the back of your member ID card. Si necesita ayuda en español para entender este documento, puede solicitarla sin costo adicional, llamando al número de Servicio al Cliente que aparece al dorso de su tarjeta de identificación o en el folleto de inscripción. If you are a member, you are entitled to language interpreter services at no cost. Members can get language assistance by calling All members, including members with disabilities, are entitled to full and equal access to covered services. Anthem makes available to its members information relating to their health plan in alternative formats, including electronic, braille, large print and audio (CD or mp3). Members may request an alternative format of a member document by calling the Member Services number on the back of their member ID card, or by logging in and ing us using the feature on the Customer Support page of anthem.com. If you f nd information in this directory that you think is inaccurate, you can let us know by writing us at i ProviderDirectoryDiscrepancy@Anthem.com or by calling ANMENABS Rev. 09/16

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5 Table of Contents National Plus Pharmacies... 1 Index... 7

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7 Belknap COUNTY, NH NATIONAL PLUS PHARMACIES Grafton COUNTY, NH NEW HAMPSHIRE BELKNAP CVS #00221 Û License(s): 0127P 96 DANIEL WEBSTER HWY UNIT 17 BELMONT, NH (603) CVS #00863 Û 1371 LAKE SHORE DR GILFORD, NH (603) CVS #08931 Û License(s): 0764-P 220 UNION AVE LACONIA, NH (603) GENOA A QOL HEALTHCARE COMPANY License(s): CHURCH ST LACONIA, NH (603) DRUG #247 Û License(s): 0684-P 80 WOLFBORO HWY ALTON, NH (603) DRUG #8253 Û License(s): NH ROUTE 25 STE E MEREDITH, NH (603) HANNAFORD PHARMACY #8402 Û License(s): 0782P 1425 LAKE SHORE RD UNIT D GILFORD, NH (603) RITE AID #10280 Û License(s): 0612-P 288 UNION AVE LACONIA, NH (603) RITE AID #10281 Û 38 NH ROUTE 25 STE 4 MEREDITH, NH (603) #373 Û License(s): 0584-P 1400 LAKE SHORE DR LACONIA, NH (603) THE PHARMACY CENTER Û License(s): 0590P 724 N MAIN ST LACONIA, NH (603) WAL-MART #2369 Û License(s): 0474-P 39 E MAIN TILTON, NH (603) WAL-MART #2639 Û License(s): 0531P 1458 LAKE SHORE RD LACONIA, NH (603) WALGREENS #10409 Û License(s): 0765P 45 COURT ST LACONIA, NH (603) WALGREENS #10887 Û License(s): 0752P 4 SANBORN RD TILTON, NH (603) CARROLL CARE PHARMACY Û 36 CENTER ST WOLFEBORO FALLS, NH (603) CVS #00650 Û 1351 WHITE MOUNTAIN HWY NORTH CONWAY, NH (603) DRUG #159 Û RTE 16 AMES PLAZA OSSIPEE, NH (603) DRUG #352 Û ROUTE 16 MTN VALLEY MALL NORTH CONWAY, NH (603) HUGGINS HOSPITAL Û 240 S MAIN ST WOLFEBORO, NH (603) RITE AID #1327 Û 910 ROUTE 16 OSSIPEE, NH (603) RITE AID #3744 Û 50 S MAIN ST WOLFEBORO, NH (603) RITE AID #4139 Û 1623 WHITE MOUNTAIN HWY NORTH CONWAY, NH (603) #374 Û License(s): 0582P 1150 EASTMAN RD CENTER CONWAY, NH (603) WAL-MART #2140 Û License(s): 0579-P 225 MOUNTAIN VALLEY BLVD NORTH CONWAY, NH (603) WALGREENS #10609 Û License(s): 0749P 1498 WHITE MOUNTAIN HWY NORTH CONWAY, NH (603) CHESHIRE CVS #00640 Û 268 W ST KEENE, NH (603) CVS #17203 Û License(s): ASH BROOK RD KEENE, NH (603) DRUG #163 Û 481 WEST ST KEENE, NH (603) DRUG #180 Û 752 US ROUTE 202 RINDGE, NH (603) KEENE METRO TREATMENT CENTER Û 1076 OLD SWANZEY RD WEST SWANZEY, NH (603) PLANNED PARENTHOOD OF NORTH NE Û 1 8 MIDDLE ST KEENE, NH (603) RITE AID #10284 Û 352 WINCHESTER ST KEENE, NH (603) RITE AID #1653 Û 14 PETERBOROUGH ST JAFFREY, NH (603) RITE AID #4800 Û 10 W MAIN ST WINCHESTER, NH (603) WAL-MART #1907 Û License(s): 0389-P 724 BRATTLEBORO RD HINSDALE, NH (603) WAL-MART #2057 Û License(s): 0413-P 249 RT 202 RINDGE, NH (603) WALGREENS #03154 Û License(s): 0072-P 440 WEST ST KEENE, NH (603) WALGREENS #11985 Û License(s): 0734P 14 PINNACLE LN WALPOLE, NH (603) COOS INDIAN STREAM HEALTH CTR PHCY Û License(s): PHCY CORLISS LN COLEBROOK, NH (603) RITE AID #10287 Û 200 PLEASANT ST BERLIN, NH (603) RITE AID #4127 Û 177 MAIN ST LANCASTER, NH (603) RITE AID #4138 Û License(s): 0429P 91 MAIN ST COLEBROOK, NH (603) WAL-MART #2634 Û License(s): 0536-P 561 MAIN ST GORHAM, NH (603) GRAFTON AMMONOOSUC COMMMUNITY HEALTH Û License(s): MOUNT EUSTIS RD LITTLETON, NH (603) CVS #00647 Û License(s): 0151P 250 PLAINFIELD RD WEST LEBANON, NH (603) CVS #02229 Û License(s): 0785P 345 HIGHLAND ST PLYMOUTH, NH (603) CVS #05938 Û License(s): 0660-P 79 S MAIN ST HANOVER, NH (603) DARTMOUTH-HITCHCOCK PHARMACY Û License(s): NH MEDICAL CENTER DR LEBANON, NH (603) DICK HALL S HOUSE PHARMACY Û License(s): ROPE FERRY RD HANOVER, NH (603) EASTERN STATES COMP PHCY Û License(s): UNION ST LITTLETON, NH (603) FAMILY PHARMACY Û License(s): 194P 505 US ROUTE 4 ENFIELD, NH (603) DRUG #248 Û RTE 25 HATCH SHOPPING PLAZA PLYMOUTH, NH (603) DRUG #266 Û 8 MARKET ST WEST LEBANON, NH (603) KMART PHARMACY #7048 Û License(s): 0517 ROUTE 12 A WEST LEBANON, NH (603) PRICE CHOPPER PHARMACY #167 Û License(s): 0581P 285 PLAINFIELD RD WEST LEBANON, NH (877) PRICE CHOPPER PHARMACY #227 Û License(s): 0755P 370 MIRACLE MILE RD LEBANON, NH (603) RITE AID #10289 Û 10 BENNING ST WEST LEBANON, NH (603) RITE AID #4155 Û 6 S MAIN ST PLYMOUTH, NH (603) RITE AID #4156 Û 50 MAIN ST LINCOLN, NH (603) RITE AID #4166 Û 360 SUMMER ST BRISTOL, NH (603) RITE AID #4182 Û 118 MEADOW ST STE 136 LITTLETON, NH (603) RITE AID #4871 Û 4976 DARTMOUTH COLLEGE HWY WOODSVILLE, NH (603) #372 Û License(s): 0603-P 625 MEADOW ST LITTLETON, NH (603) WAL-MART #2138 Û License(s): 0549-P 285 PLAINFIELD RD WEST LEBANON, NH (603) WAL-MART #2681 Û License(s): 0546-P 615 MEADOW ST LITTLETON, NH (603) WAL-MART #2758 Û 683 TENNEY MTN HWY PLYMOUTH, NH (603) WAL-MART #4389 Û 4901 DARTMOUTH COLLEGE HWY WOODSVILLE, NH (603) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, LISTED ON YOUR MEMBER ID CARD OR VISIT Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

8 Grafton COUNTY, NH NATIONAL PLUS PHARMACIES Hillsborough COUNTY, NH NEW HAMPSHIRE (continued) GRAFTON (continued) WALGREENS #09177 Û License(s): 0675-P 3 AIRPORT RD WEST LEBANON, NH (603) WALGREENS #10410 Û License(s): 0689P 274 DELLS RD LITTLETON, NH (603) HILLSBOROUGH BEDFORD PHARMACY Û License(s): ROUTE 101 (603) COSTCO #307 Û 311 DANIEL WEBSTER HWY (603) CVS #00200 Û License(s): 168-P 788 S WILLOW ST MANCHESTER, NH (603) CVS #00639 Û License(s): 235P 242 MAIN ST (603) CVS #00723 Û 633 AMHERST ST NASHUA, NH (603) CVS #00741 Û 66 S RIVER RD (603) CVS #00902 Û 456 DANIEL WEBSTER HWY MERRIMACK, NH (603) CVS #01003 Û 214 DANIEL WEBSTER HWY (603) CVS #01175 Û 77 DERRY RD HUDSON, NH (603) CVS #03063 Û License(s): 0753-P 125 DUBLIN RD PETERBOROUGH, NH (603) CVS #07932 Û License(s): 0739-P 432 S MAIN ST MANCHESTER, NH (603) CVS #10572 Û License(s): 0810P 309 NASHUA ST MILFORD, NH (603) CVS #16583 Û License(s): DANIEL WEBSTER HWY (603) CVS #16862 Û License(s): AMHERST ST NASHUA, NH (603) CVS #17104 Û License(s): S RIVER RD (603) CVS #2257 Û License(s): 0527P 271 MAMMOTH RD MANCHESTER, NH (603) ELLIOT PHARMACY AT RIVERS EDGE Û License(s): QUEEN CITY AVE MANCHESTER, NH (603) GENOA A QOL HEALTHCARE COMPANY License(s): PROSPECT ST STE 100 (603) GENOA HEALTHCARE Û License(s): ELM ST ATE A MANCHESTER, NH (603) DRUG #164 Û 201 JOHN DEVINE DR MANCHESTER, NH (603) DRUG #177 Û 79 BICENTENNIAL DR MANCHESTER, NH (603) DRUG #178 Û 859 HANOVER ST MANCHESTER, NH (603) DRUG #186 Û 175 COLISEUM AVE NASHUA, NH (603) DRUG #305 Û 4 JENKINS RD (603) DRUG #311 Û 605 MAST RD MANCHESTER, NH (603) DRUG #8436 Û License(s): 0345P 7 KILTON ROAD (603) HARBOR CARE HEALTH AND WELLNES Û License(s): HIGH ST (603) HOLLIS PHARMACY Û License(s): 0035P 6 ASH ST HOLLIS, NH (603) HOWE S PHARMACY Û License(s): MAIN ST GOFFSTOWN, NH (603) INFUSION SOLUTIONS License(s): 0471P 8 TECHNOLOGY DR (800) KEN S PHARMACY Û License(s): ELM ST MANCHESTER, NH (603) MANCHESTER METRO TREATMENT CTR Û 5 A DRIVING PARK RD MANCHESTER, NH (603) MANCHESTER VAMC PHARMACY 718 SMYTH RD MANCHESTER, NH (603) MEDICINE WORLD Û License(s): MAIN DUNSTABLE RD NASHUA, NH (603) MONADNOCK COMM HOSPITAL PHCY Û License(s): OLD STREET RD PETERBOROUGH, NH (603) OSCO PHARMACY Û License(s): 0683P 7 CONTINENTAL BLVD MERRIMACK, NH (603) OSCO PHARMACY #7514 Û License(s): W MAIN ST HILLSBORO, NH (603) PILLPACK PHARMACY Û 250 COMMERCIAL ST MANCHESTER, NH (855) PLANNED PARENTHOOD OF NORTH NE Û 1 27 PENNACOOK ST MANCHESTER, NH (603) RITE AID #10265 Û License(s): 0666P 71 LOWELL RD HUDSON, NH (603) RITE AID #10266 Û License(s): 0611-P 212 LOWELL RD HUDSON, NH (603) RITE AID #10268 Û License(s): 0618-P 614 NASHUA ST MILFORD, NH (603) RITE AID #10269 Û 15 MT VERNON ST MILFORD, NH (603) RITE AID #10270 Û License(s): 0619-P 331 MAIN ST (603) RITE AID #10274 Û License(s): 0616-P 122 MCGREGOR ST MANCHESTER, NH (603) RITE AID #10275 Û License(s): 0617-P 1 WILLOW ST MANCHESTER, NH (603) RITE AID #10278 Û License(s): MAMMOTH RD MANCHESTER, NH (603) RITE AID #10279 Û License(s): 0606-P 1 SOUTH RIVER RD (603) RITE AID #10285 Û 19 WILTON RD PETERBOROUGH, NH (603) RITE AID #10276 Û 53 HOOKSETT RD MANCHESTER, NH (603) RITE AID #1070 Û 416 DANIEL WEBSTER HWY MERRIMACK, NH (603) RITE AID #1095 Û 553 MAST RD GOFFSTOWN, NH (603) RITE AID #3482 Û 145 AMHERST ST NASHUA, NH (603) RITE AID #406 Û 86 ELM ST MILFORD, NH (603) RITE AID #4163 Û 315 W MAIN ST HILLSBORO, NH (603) RITE AID #4741 Û 1631 ELM ST MANCHESTER, NH (603) RITE AID #4961 Û 48 ATWOOD RD PELHAM, NH (603) SAM S CLUB #6352 Û 7 WAL-MART BLVD HUDSON, NH (603) #395 Û 300 MAIN ST (603) #7505 Û 570 DANIEL WEBSTER HWY MERRIMACK, NH (603) ST JOSEPH HEALTHCARE RET PHCY Û License(s): 0588P 172 KINSLEY ST (603) WAL-MART #1785 Û License(s): 0394P 254 LOWELL RD HUDSON, NH (603) WAL-MART #1796 Û License(s): 0376P 85 RTE 101-A AMHERST, NH (603) WAL-MART #2246 Û License(s): 468-P 17 COLBY CT (603) WAL-MART #2399 Û License(s): 0598P 725 GOLD ST MANCHESTER, NH (603) WALGREENS #03900 Û License(s): 0512-P 227 S MAIN ST MANCHESTER, NH (603) WALGREENS #04689 Û License(s): 0547P 606 VALLEY ST MANCHESTER, NH (603) WALGREENS #09320 Û 258 WALLACE RD (603) WALGREENS #09447 Û License(s): AMHERST ST NASHUA, NH (603) WALGREENS #09613 Û License(s): 0686-P 283 MAIN ST (603) WALGREENS #09646 Û License(s): 0737-P 615 DANIEL WEBSTER HWY MERRIMACK, NH (603) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, LISTED ON YOUR MEMBER ID CARD OR VISIT Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

9 Hillsborough COUNTY, NH NATIONAL PLUS PHARMACIES Rockingham COUNTY, NH NEW HAMPSHIRE (continued) HILLSBOROUGH (continued) WALGREENS #10462 Û License(s): 0742P 571 NASHUA ST MILFORD, NH (603) WALGREENS #11505 Û License(s): 0325P 217 DANIEL WEBSTER HWY (603) WALGREENS #11554 Û License(s): 0756P 90 DERRY ST HUDSON, NH (603) WALGREENS #12352 Û License(s): BRIDGE ST PELHAM, NH (603) WINGATE S PHARMACY Û License(s): MAIN ST (603) MERRIMACK CARE PHARMACY EPSOM Û License(s): 0186P 1912 DOVER RD EPSOM, NH (603) COLONIAL PHARMACY Û License(s): NEWPORT RD NEW LONDON, NH (603) COLONIAL VILLAGE PHARMACY Û License(s): PARK AVENUE PLZ CONTOOCOOK, NH (603) CONCORD METRO TREATMENT CENTER Û 8 LOUDON RD (603) CVS #00442 Û License(s): 0693-P 10 WHITEHALL RD HOOKSETT, NH (603) CVS #00694 Û License(s): 0129P 46 N MAIN ST (603) CVS #00841 Û License(s): 0747-P 4 HALL ST (603) CVS #07122 Û License(s): 0787P 157 LOUDON RD (603) CVS #07391 Û License(s): 0760P 861 CENTRAL ST FRANKLIN, NH (603) CVS #16582 Û License(s): DAMANTE DR (603) CVS #16850 Û License(s): QUALITY DR HOOKSETT, NH (603) FISHERVILLE PHARMACY Û License(s): FISHERVILLE RD PENACOOK, NH (603) GRANITE STATE PHARMACY Û 5 CLINTON ST (603) DRUG #318 Û 952 CENTRAL ST FRANKLIN, NH (603) DRUG #329 Û License(s): 0398-P 73 FORT EDDY RD (603) HEALTHDIRECT IPS #114 Û License(s): 0792P 40 TERRILL PARK DR (888) HENNIKER PHARMACY Û License(s): BRIDGE ST HENNIKER, NH (603) KINDRED PHARMACY SERVICES License(s): 0659P 38 LOCKE RD UNIT 3 (603) NEW ENGLAND LIFE CARE Û License(s): 0275P 41 TERRILL PARK DR STE C (800) NORTHEAST PHARMACY SERVICES Û License(s): 655P 1 GRANITE PL STE 200 (603) PENACOOK PHARMACY Û License(s): VILLAGE ST CONCORD, NH (603) RITE AID #10277 Û License(s): 0610-P 1285 HOOKSETT RD HOOKSETT, NH (603) RITE AID #10282 Û 165 NORTH ST (603) RITE AID #10283 Û License(s): 0607P 24 FORT EDDY RD (603) RITE AID #190 Û 951 CENTRAL ST FRANKLIN, NH (603) RITE AID #4282 Û 92 SOUTH ST (603) RITE AID #4794 Û 41 CARROLL ST PITTSFIELD, NH (603) RITE AID #4993 Û 46 ALLENSTOWN RD ALLENSTOWN, NH (603) ROBERTS SCARLETT PHARMACY Û License(s): NEWPORT RD STE 109 NEW LONDON, NH (603) SAM S CLUB #6386 Û 304 SHEEP DAVIS RD (603) #392 Û License(s): 0605-P 246 LOUDON RD (603) THE MEDICINE STORE Û License(s): S MAIN ST (603) THE PRESCRIPTION CENTER Û 125 N MAIN ST (603) PLEASANT ST STE 100 (603) WAL-MART #1698 Û 3 COMMERCE DR HOOKSETT, NH (603) WAL-MART #2055 Û License(s): 0406-P 344 LOUDON RD (603) WALGREENS #09970 Û License(s): HOOKSETT RD HOOKSETT, NH (603) WALGREENS #11376 Û License(s): 0750P 142 LOUDON RD (603) WARNER PHARMACY Û License(s): E MAIN ST WARNER, NH (603) ROCKINGHAM AZAR A KORBEY Û 22 MAIN ST (603) CVS #00164 Û License(s): 0776P 1 WALL ST WINDHAM, NH (603) CVS #00181 Û License(s): 284P 4 PLAISTOW RD PLAISTOW, NH (603) CVS #00500 Û 1 WEST RD STRATHAM, NH (603) CVS #00503 Û 628 LAFAYETTE RD SEABROOK, NH (603) CVS #00593 Û 48 E BROADWAY (603) CVS #00846 Û 674 ISLINGTON ST PORTSMOUTH, NH (603) CVS #01004 Û License(s): 0134P 510 S BROADWAY # 512 (603) CVS #02420 Û License(s): 0583P 117 MAMMOUTH RD LONDONDERRY, NH (603) CVS #03079 Û License(s): S BROADWAY (603) CVS #05153 Û License(s): 0773-P 26 CALEF HWY EPPING, NH (603) CVS #05862 Û License(s): 0799P 5 HAMPSTEAD RD (603) CVS #06596 Û License(s): 0762P 321A LAFAYETTE RD HAMPTON, NH (603) CVS #17558 Û License(s): GREENLAND RD STE 1 GREENLAND, NH (603) EXPRESS MED CLINIC Û License(s): NH MAIN ST (603) GENOA A QOL HEALTHCARE CO LLC Û License(s): TSIENNETO RD (603) DRUG #016 Û License(s): 0669P 35 MANCHESTER RD (603) DRUG #120 Û 2 FREETOWN RD RAYMOND, NH (603) DRUG #160 Û 174 FIRST NH TPKE NORTHWOOD, NH (603) DRUG #185 Û 6 HAMPTON DR LONDONDERRY, NH (603) DRUG #190 Û 305 SANDOWN RD EAST HAMPSTEAD, NH (603) DRUG #319 Û 630 LAFAYETTE RD HAMPTON, NH (603) DRUG #8435 Û License(s): 0800P 141 PORTSMOUTH AVE EXETER, NH (603) MARTINS POINT PORTSMOUTH PHCY Û License(s): 0416P 161 CORPORATE DR PORTSMOUTH, NH (603) NAVAL AMBULATORY CENTER Û License(s): 00 1 AYRES CIRCLE PORTSMOUTH, NH (207) NEIGHBORCARE - PEMBROKE Û License(s): 0514P 13 COMMERCE AVE LONDONDERRY, NH (603) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, LISTED ON YOUR MEMBER ID CARD OR VISIT Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

10 Rockingham COUNTY, NH NATIONAL PLUS PHARMACIES Sullivan COUNTY, NH NEW HAMPSHIRE (continued) ROCKINGHAM (continued) PERFORMIX SPECIALTY PHARMACY L Û License(s): PELHAM RD STE 104 (603) PLANNED PARENTHOOD OF NORTH NE Û 1 4 BIRCH ST (603) HIGH ST EXETER, NH (603) RITE AID #10264 Û License(s): 0608-P 20 CRYSTAL AVE (603) RITE AID #10267 Û License(s): 0614-P 123 NASHUA RD LONDONDERRY, NH (603) RITE AID #10272 Û 142 MAIN ST (603) RITE AID #10273 Û License(s): 0624P 53 S BROADWAY (603) RITE AID #10291 Û License(s): 0622-P 1303 WOODBURY AVE PORTSMOUTH, NH (603) RITE AID #10297 Û 73 EXETER ST NEWMARKET, NH (603) RITE AID #10298 Û License(s): 0620-P 34 PLAISTOW RD PLAISTOW, NH (603) RITE AID #10301 Û License(s): 0625-P 28 PORTSMOUTH AVE STRATHAM, NH (603) RITE AID #10290 Û License(s): 0621P 1390 LAFAYETTE RD PORTSMOUTH, NH (603) RITE AID #10296 Û 356 LAFAYETTE RD HAMPTON, NH (603) RITE AID #1397 Û 53 CHURCH ST KINGSTON, NH (603) RITE AID #3282 Û 72 LAFAYETTE RD NORTH HAMPTON, NH (603) RITE AID #3288 Û 3 FREETOWN RD RAYMOND, NH (603) RITE AID #3304 Û 69 PORTSMOUTH AVE EXETER, NH (603) RITE AID #3310 Û License(s): 0370P 59 ROCKINGHAM ST (603) RITE AID #4165 Û 800 ISLINGTON ST UNIT 1 PORTSMOUTH, NH (603) SAM S CLUB #6337 Û 11 BATCHELDER RD SEABROOK, NH (603) #348 Û License(s): 0585-P 55 CRYSTAL AVE (603) #349 Û RT 102 OLD ORCHARD VIEW DR LONDONDERRY, NH (603) #394 Û License(s): 0664P 100 SHAW S LN STRATHAM, NH (603) #7686 Û License(s): 0677P 43 INDIAN ROCK RD WINDHAM, NH (603) WAL-MART #1753 Û License(s): 0359-P 11 ASHLEIGH DR (603) WAL-MART #1762 Û License(s): 0360P 700 LAFAYETTE RD UNIT 1 SEABROOK, NH (603) WAL-MART #1930 Û License(s): 0390-P 58 PLAISTOW RD. PLAISTOW, NH (603) WAL-MART #2130 Û License(s): 0448-P 2460 LAFAYETTE RD PORTSMOUTH, NH (603) WAL-MART #2142 Û License(s): 0465-P N BROADWAY (603) WAL-MART #2398 Û License(s): 0595-P 2200 WOODBURY AVE NEWINGTON, NH (603) WAL-MART #3535 Û 75 CALES HWY EPPING, NH (603) WALGREENS #02566 Û License(s): BROADWAY (603) WALGREENS #03103 Û License(s): 0446-P 48 PORTSMOUTH AVE EXETER, NH (603) WALGREENS #03174 Û License(s): 0447-P 620 LAFAYETTE RD HAMPTON, NH (603) WALGREENS #09178 Û License(s): 0328-P 131 NASHUA RD LONDONDERRY, NH (603) WALGREENS #09250 Û License(s): 0676-P 125 MAIN ST EPPING, NH (603) WALGREENS #10108 Û License(s): 0694-P 17 CRYSTAL AVE (603) WALGREENS #10378 Û License(s): 0692P 288 SANDOWN RD EAST HAMPSTEAD, NH (603) WALGREENS #11225 Û License(s): 0751P 53 ROUTE 27 RAYMOND, NH (603) WALGREENS #15464 Û License(s): 1797P 3 PLAISTOW RD PLAISTOW, NH (603) STRAFFORD CARE PHARMACY OF ROCHESTER Û License(s): 0190P 161 S MAIN ST ROCHESTER, NH (603) CVS #02197 Û License(s): 0783P 301 N MAIN ST ROCHESTER, NH (603) CVS #04314 Û License(s): 0771P 338 HIGH ST SOMERSWORTH, NH (603) CVS #10463 Û 118 CENTRAL AVE DOVER, NH (603) CVS #17262 Û License(s): ANDREWS RD SOMERSWORTH, NH (603) GENOA A QOL HEALTHCARE COMPAN License(s): OLD DOVER RD UNIT B ROCHESTER, NH (608) GOODWIN COMMUNITY HEALTH PHCY Û License(s): ROUTE 108 SOMERSWORTH, NH (603) DRUG #242 Û 30 GRAPEVINE DR DOVER, NH (603) DRUG #315 Û License(s): 0679P 290 N MAIN ST ROCHESTER, NH (603) DRUG #317 Û License(s): 0321P 26 LILAC MALL STE 2 ROCHESTER, NH (603) DRUG #373 Û 833 CENTRAL AVE DOVER, NH (603) RITE AID #10292 Û 679 CENTRAL AVE DOVER, NH (603) RITE AID #10293 Û License(s): 0609-P 865 CENTRAL AVE DOVER, NH (603) RITE AID #10294 Û License(s): 0613-P 58 CALEF HWY LEE, NH (603) RITE AID #10295 Û 5 MILL RD DURHAM, NH (603) RITE AID #10299 Û 60 WAKEFIELD ST ROCHESTER, NH (603) RITE AID #10300 Û License(s): MILTON RD ROCHESTER, NH (603) RITE AID #3589 Û 829 NH ROUTE 11 FARMINGTON, NH (603) RITE AID #4144 Û 341 HIGH ST SOMERSWORTH, NH (603) UNH HEALTH SERVICES PHARMACY Û License(s): PETTEE BROOK LN DURHAM, NH (603) WAL-MART #1749 Û License(s): 0361-P 59 WALTONS WAY SOMERSWORTH, NH (603) WAL-MART #2330 Û License(s): 0511P 116 FARMINGTON RD ROCHESTER, NH (603) WALGREENS #03520 Û License(s): 0494-P 104 S MAIN ST ROCHESTER, NH (603) WALGREENS #10642 Û License(s): 0767P 91 CALEF HWY LEE, NH (603) WALGREENS #10780 Û License(s): 0738P 1 GLENWOOD AVE DOVER, NH (603) WENTWORTH DOUGLASS OUTPATIENT Û License(s): 0634P 789 CENTRAL AVE DOVER, NH (603) SULLIVAN CVS #05347 Û License(s): 0780P 1 WALL ST CLAREMONT, NH (603) HEALTH CENTER PHARMACY Û License(s): JOHN STARK HWY NEWPORT, NH (603) PLANNED PARENTHOOD OF NORTH NE Û PLEASANT ST CLAREMONT, NH (603) QUICK SCRIPTS Û 157 MAIN ST CHARLESTOWN, NH (603) RITE AID #10288 Û 71 PLEASANT ST STE 73 CLAREMONT, NH (603) RITE AID #1295 Û 51 S MAIN ST NEWPORT, NH (603) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, LISTED ON YOUR MEMBER ID CARD OR VISIT Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

11 Sullivan COUNTY, NH NEW HAMPSHIRE (continued) SULLIVAN (continued) NATIONAL PLUS PHARMACIES Sullivan COUNTY, NH SUGAR RIVER PHARMACY Û License(s): JOHN STARK HWY NEWPORT, NH (603) SUGAR RIVER PHARMACY OF CLAREM Û License(s): PLEASANT ST CLAREMONT, NH (603) WAL-MART #1975 Û License(s): 0400-P 14 BOWEN ST CLAREMONT, NH (603) FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, LISTED ON YOUR MEMBER ID CARD OR VISIT Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

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13 AMMONOOSUC COMMMUNITY HEALTH INDEX RITE AID #4165 A AMMONOOSUC COMMMUNITY HEALTH...1 AZAR A KORBEY...3 B BEDFORD PHARMACY...2 C CARE PHARMACY...1 CARE PHARMACY EPSOM...3 CARE PHARMACY OF ROCHESTER...4 COLONIAL PHARMACY...3 COLONIAL VILLAGE PHARMACY...3 CONCORD METRO TREATMENT CENTER...3 COSTCO # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # CVS # D DARTMOUTH-HITCHCOCK PHARMACY...1 DICK HALL S HOUSE PHARMACY...1 E EASTERN STATES COMP PHCY...1 ELLIOT PHARMACY AT RIVERS EDGE...2 EXPRESS MED CLINIC...3 F FAMILY PHARMACY...1 FISHERVILLE PHARMACY...3 G GENOA A QOL HEALTHCARE CO LLC...3 GENOA A QOL HEALTHCARE COMPAN...4 GENOA A QOL HEALTHCARE COMPANY...1, 2 GENOA HEALTHCARE...2 GOODWIN COMMUNITY HEALTH PHCY...4 GRANITE STATE PHARMACY...3 H DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # DRUG # HANNAFORD PHARMACY # HARBOR CARE HEALTH AND WELLNES...2 HEALTH CENTER PHARMACY...4 HEALTHDIRECT IPS # HENNIKER PHARMACY...3 HOLLIS PHARMACY...2 HOWE S PHARMACY...2 HUGGINS HOSPITAL...1 I INDIAN STREAM HEALTH CTR PHCY...1 INFUSION SOLUTIONS...2 K KEENE METRO TREATMENT CENTER...1 KEN S PHARMACY...2 KINDRED PHARMACY SERVICES...3 KMART PHARMACY # M MANCHESTER METRO TREATMENT CTR...2 MANCHESTER VAMC PHARMACY...2 MARTINS POINT PORTSMOUTH PHCY...3 MEDICINE WORLD...2 MONADNOCK COMM HOSPITAL PHCY...2 N NAVAL AMBULATORY CENTER...3 NEIGHBORCARE - PEMBROKE...3 NEW ENGLAND LIFE CARE...3 NORTHEAST PHARMACY SERVICES...3 O OSCO PHARMACY...2 OSCO PHARMACY # P PENACOOK PHARMACY...3 PERFORMIX SPECIALTY PHARMACY L...4 PILLPACK PHARMACY...2 PLANNED PARENTHOOD OF NORTH NE...1, 2, 4 PRICE CHOPPER PHARMACY # PRICE CHOPPER PHARMACY # Q QUICK SCRIPTS...4 R RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID #

14 RITE AID #4166 INDEX WINGATE S PHARMACY RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # RITE AID # ROBERTS SCARLETT PHARMACY...3 S SAM S CLUB # SAM S CLUB # SAM S CLUB # # # # # # # # # # # ST JOSEPH HEALTHCARE RET PHCY...2 SUGAR RIVER PHARMACY...5 SUGAR RIVER PHARMACY OF CLAREM...5 T THE MEDICINE STORE...3 THE PHARMACY CENTER...1 THE PRESCRIPTION CENTER...3 U UNH HEALTH SERVICES PHARMACY...4 W WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WAL-MART # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WALGREENS # WARNER PHARMACY...3 WENTWORTH DOUGLASS OUTPATIENT...4 WINGATE S PHARMACY...3

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16 An employer may elect to insure or self-fund its group health plan(s). For self-funded accounts, Anthem Blue Cross and Blue Shield provides administrative claims payment services only and does not assume any financial risk or obligation with respect to claims. Please consult your employer for plan funding details. The benefi t descriptions in this plan overview are intended to be brief outlines of coverage. The entire provisions of benefits and exclusions are contained in the Group Contract and are subject to your employer s funding arrangement. In the event of conflict between the Group Contract and this description, the terms of the Group Contract will prevail. In Connecticut: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. In Maine: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. In New Hampshire: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of New Hampshire, Inc. Independent licensees of the Blue Cross and Blue Shield Association. Registered marks Blue Cross and Blue Shield Association. SM "SpecialOffers@Anthem," "MyHealth@Anthem," "Anthem Rewards," "Anthem Healthy Communities," "Anthem Healthy Solutions," "MyAnthem" is a service mark of Anthem Insurance Companies, Inc. Anthem Vision coverage is underwritten by Anthem Blue Cross and Blue Shield and administered by Health Management Systems, Inc. a separate company. Life and disability products are underwritten by Anthem Life Insurance Company. All of the offerings in the SpecialOffers@Anthem program are continually being evaluated and expanded so the offerings may change. Any additions or changes will be communicated on our website, anthem.com. These arrangements have been made to add value to our members. Value-added services and products are not covered by your health plan benefi t. Available discount percentages may change from time to time without notice. Discount is applicable to the items referenced.sm "SpecialOffers@Anthem," "MyHealth@Anthem," "Anthem Rewards," "Anthem Healthy Communities," "Anthem Healthy Solutions," "MyAnthem" is a service mark of Anthem Insurance Companies, Inc. Anthem Vision coverage is underwritten by Anthem Blue Cross and Blue Shield and administered by Health Management Systems, Inc. a separate company. Express Scripts, Inc. is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of health plan members. The Healthy Lifestyles programs are administered by Healthways, Inc., an independent company