Pharmacy Directory. Health Alliance Medicare HMO and PPO

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1 Health Alliance Medicare HMO and PPO Pharmacy Directory For more information about Health Alliance Medicare HMO and PPO network pharmacies in your area, please visit our website at HealthAllianceMedicare.org or call Health Alliance Medicare Services at , Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711 or (Illinois Relay). The pharmacy directory was updated on September 1, Benefi ciaries must use network pharmacies to access their prescription drug benefi t. Benefits, formulary, pharmacy network, premium and/or coinsurance may change on January 1 of each year. Health Alliance Medicare is an HMO and PPO health plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal. med-hmoppopharmd-0713 Y0034_14_10144 Accepted Last Updated 9/1/2013

2 Introduction This booklet provides a list of Health Alliance Medicare HMO and PPO network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and the Health Alliance Medicare Part D HMO and PPO Formulary. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under Health Alliance Medicare only if they are filled at a network pharmacy or through our mailorder 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 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 September 1, For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can go to all the pharmacies on this list, but your costs may be less at certain pharmacies in this list. We have listed these in the directory under Preferred Pharmacies. We call these pharmacies preferred pharmacies, and they may offer lower cost-sharing than other pharmacies. We also list pharmacies that are in our network but are outside the Illinois HMO and PPO service area. 1

3 PREFERRED PHARMACIES ADAMS QUINCY SAMS PHARMACY* 700 NORTH 54TH ST QUINCY, IL (217) BROADWAY ST QUINCY, IL (217) BUREAU PRINCETON 2111 CLAUDE BAILEY PKWY PRINCETON, IL (815) CASS BEARDSTOWN 61 PLAZA DRIVE BEARDSTOWN, IL (217) CHAMPAIGN CHAMPAIGN SAMS PHARMACY* 915 WEST MARKETVIEW DRIVE CHAMPAIGN, IL (217) NO PROSPECT AVE CHAMPAIGN, IL (217) RANTOUL 845 BROADMEADOW RD RANTOUL, IL (217) SAVOY 505 SO. DUNLAP AVENUE SAVOY, IL (217) URBANA 100 SOUTH HIGH CROSS ROAD URBANA, IL (217) CHRISTIAN PANA 10 WEST SECOND PANA, IL (217) TAYLORVILLE 1530 W. SPRINGFIELD RD TAYLORVILLE, IL (217) CLARK MARSHALL 108 KYDEN DR MARSHALL, IL (217) COLES CHARLESTON 2250 LINCOLN AVENUE CHARLESTON, IL (217) *Extended (90-day) supply of maintenance medications available.

4 PREFERRED PHARMACIES COLES (continued) MATTOON 101 DETTRO DRIVE MATTOON, IL (217) CRAWFORD ROBINSON 1304 EAST MAIN STREET ROBINSON, IL (618) DE WITT CLINTON 10 CLINTON PLAZA HWY 54 WEST CLINTON, IL (217) EDGAR PARIS US HWY 150 PARIS, IL (217) EFFINGHAM EFFINGHAM 1204 AVENUE OF MID-AMERICA EFFINGHAM, IL (217) IROQUOIS WATSEKA 1790 E WALNUT ST WATSEKA, IL (815) KANKAKEE BRADLEY 2080 NO. ST. ROUTE 50 BRADLEY, IL (815) KANKAKEE 505 RIVERSTONE PKWY KANKAKEE, IL (815) KNOX GALESBURG 659 KNOX SQUARE DR GALESBURG, IL (309) LIVINGSTON PONTIAC 1706 WEST REYNOLDS STREET PONTIAC, IL (815) LOGAN LINCOLN 825 MALERICH DRIVE LINCOLN, IL (217) *Extended (90-day) supply of maintenance medications available. 3

5 PREFERRED PHARMACIES MACON DECATUR 4224 NORTH PROSPECT DECATUR, IL (217) EAST MARYLAND AVE. DECATUR, IL (217) MACOUPIN CARLINVILLE SHIPMAN BLACKTOP RD CARLINVILLE, IL (217) MCDONOUGH MACOMB 1730 E JACKSON ROAD MACOMB, IL (309) MCLEAN BLOOMINGTON 2225 WEST MARKET ST. BLOOMINGTON, IL (309) NORMAL SAMS PHARMACY* 2151 SHEPARD ROAD NORMAL, IL (309) NORTH GREENBRIAR DRIVE NORMAL, IL (309) MONTGOMERY LITCHFIELD 1205 WEST FERDON ST LITCHFIELD, IL (217) MORGAN JACKSONVILLE 1941 W MORTON AVE JACKSONVILLE, IL (217) PEORIA PEORIA SAMS PHARMACY* 4100 WEST WILLOW/KNOLLS DRIVE PEORIA, IL (309) NORTH UNIVERSITY STREET PEORIA, IL (309) NORTH ALLEN ROAD PEORIA, IL (309) PIKE PITTSFIELD US SHETLAND DRIVE PITTSFIELD, IL (217) *Extended (90-day) supply of maintenance medications available.

6 PREFERRED PHARMACIES SANGAMON SPRINGFIELD SAMS PHARMACY* 2300 WHITE OAKS DRIVE SPRINGFIELD, IL (217) LEJUNE DRIVE SPRINGFIELD, IL (217) NO. DIRKSEN PKWY SPRINGFIELD, IL (217) FREEDOM DRIVE SPRINGFIELD, IL (217) TAZEWELL VERMILION DANVILLE 4101 N VERMILION SUITE A DANVILLE, IL (217) EAST PEORIA 401 RIVER ROAD EAST PEORIA, IL (309) MORTON 155 EAST COURTLAND STREET MORTON, IL (309) PEKIN 3320 VETERANS DRIVE PEKIN, IL (309) WASHINGTON 1980 FREEDOM PARKWAY WASHINGTON, IL (309) *Extended (90-day) supply of maintenance medications available. 5

7 ADAMS GOLDEN DENMAN COUNTRY DRUG 102 PRAIRIE MILLS RD GOLDEN, IL (217) QUINCY BROWN DRUG COMPANY* 1121 MAINE ST QUINCY, IL (217) NORTH 30TH STREET QUINCY, IL (217) HY VEE PHARMACY 1* 1400 HARRISON QUINCY, IL (217) HY VEE PHARMACY 2* 3700 BROADWAY QUINCY, IL (217) KMART PHARMACY4433* 3701 BROADWAY ST QUINCY, IL (217) SHOPKO PHARMACY* 3200 BROADWAY ST QUINCY, IL (217) WALGREENS #2808* 1723 BROADWAY QUINCY, IL (217) BROWN MT STERLING ONEILS STORE INC* 200 PITTSFIELD RD # B MT STERLING, IL (217) BUREAU PRINCETON FAWCETTS PHARMACY* 519 S MAIN ST PRINCETON, IL (815) NELSON DRUG STORE 918 N MAIN ST PRINCETON, IL (815) PRINCETON PHARMACY* 610 N MAIN PRINCETON, IL (815) SPRING VALLEY JOHNSONS PHARMACY* 203 E ST PAUL ST SPRING VALLEY, IL (815) THOMPSON DRUG COMPANY* 130 E ST PAUL ST SPRING VALLEY, IL (815) CASS BEARDSTOWN PAMIDAA RX 113 W 3RD ST BEARDSTOWN, IL (217) *Extended (90-day) supply of maintenance medications available.

8 CHAMPAIGN CHAMPAIGN COMPLETE CARE PHARMACY* 14 E WASHINGTON ST STE C CHAMPAIGN, IL (217) CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY 2022 GLENN PARK DRIVE CHAMPAIGN, IL (800) COUNTY MARKET PHARMACY 518* 2901 W KIRBY AVE CHAMPAIGN, IL (217) W GREEN ST CHAMPAIGN, IL (217) S MATTIS CHAMPAIGN, IL (217) MEIJER PHARMACY #146* 2401 NORTH PROSPECT AVE CHAMPAIGN, IL (217) SCHNUCKS PHARMACY* 109 N MATTIS RD CHAMPAIGN, IL (217) TARGET PHARMACY* 2102 N PROSPECT AVE CHAMPAIGN, IL (217) WALGREENS #15165* 1757 W KIRBY AVE CHAMPAIGN, IL (217) WALGREENS #15170* 1701 W CURTIS RD CHAMPAIGN, IL (217) WALGREENS #15282* 1801 W WINDSOR RD CHAMPAIGN, IL (217) WALGREENS #15283* 101 W UNIVERSITY AVE CHAMPAIGN, IL (217) WALGREENS #4409* 1713 W SPRINGFIELD CHAMPAIGN, IL (217) WALGREENS #9611* 841 BLOOMINGTON RD CHAMPAIGN, IL (217) WALGREENS #9851* 2402 VILLAGE GREEN PLACE CHAMPAIGN, IL (217) WALGREENS #9921* 1509 S NEIL ST CHAMPAIGN, IL (217) MAHOMET 804 B EASTWOOD DRIVE MAHOMET, IL (217) WALGREENS #12868* 104 N LOMBARD ST MAHOMET, IL (217) WALGREENS #15169* 1001 HEATHER DR MAHOMET, IL (217) *Extended (90-day) supply of maintenance medications available. 7

9 CHAMPAIGN (continued) RANTOUL 1205 E GROVE STREET RANTOUL, IL (217) WALGREENS #9965* 220 S CENTURY BLVD RANTOUL, IL (217) SAINT JOSEPH ST JOSEPH APOTHECARY* 204 N MAIN SAINT JOSEPH, IL (217) SAVOY CVS PHARMACY # N DUNLAP AVE SAVOY, IL (217) SCHNUCKS PHARMACY* 1301 SAVORY PLAZA CENTER SAVOY, IL (217) URBANA COVENANT OUTPATIENT PHARMACY* 1400 W PARK ST URBANA, IL (217) SOUTH PHILO RD URBANA, IL (217) MEIJER PHARMACY #247* 2500 S PHILO RD URBANA, IL (217) SCHNUCKS PHARMACY* 200 NORTH VINE ST URBANA, IL (217) WALGREENS #11368* 1801 PHILO RD URBANA, IL (217) WALGREENS #15168* 602 W UNIVERSITY AVE URBANA, IL (217) WALGREENS #9852* 302 E UNIVERSITY AVE URBANA, IL (217) CHRISTIAN PANA WALGREENS #12744* 108 S POPLAR ST PANA, IL (217) TAYLORVILLE 504 N WEBSTER STREET TAYLORVILLE, IL (217) MEDICINE SHOPPE PHARMACY* 102 W PARK ST TAYLORVILLE, IL (217) RENES DRUG STORE INC* 201 W MAIN CROSS ST TAYLORVILLE, IL (217) WALGREENS #9892* 315 N WEBSTER ST TAYLORVILLE, IL (217) *Extended (90-day) supply of maintenance medications available.

10 CLARK CASEY THE PHARMACIE SHOPPE* 202 W EDGAR AVE CASEY, IL (217) MARSHALL MEDICINE SHOPPE PHARMACY* 813 N 2ND ST MARSHALL, IL (217) MARTINSVILLE MARTINSVILLE PHARMACIE SHOPPE* 890 E RIDGELAWN RD MARTINSVILLE, IL (217) COLES CHARLESTON 501 W LINCOLN AVE CHARLESTON, IL (217) WALGREENS #11542* 411 W LINCOLN AVE CHARLESTON, IL (217) MATTOON 1316 CHARLESTON AVE MATTOON, IL (217) WALGREENS #5444* 212 S LOGAN AVE MATTOON, IL (217) CRAWFORD OBLONG HARMANS HEALTH MART* 111 E MAIN ST OBLONG, IL (618) ROBINSON BERTRAM PHARMACY* 1301 N ALLEN ST ROBINSON, IL (618) CUMBERLAND NEOGA SAV MOR PHARMACY* 596 OAK ST NEOGA, IL (217) TOLEDO TOLEDO PHARMACY* 170 COURTHOUSE SQ TOLEDO, IL (217) DE WITT CLINTON 60 CLINTON PLAZA SC CLINTON, IL (217) SAV MOR PHARMACY* 59 CEDAR SQ CLINTON, IL (217) WALGREENS #10800* 424 W VAN BUREN ST CLINTON, IL (217) *Extended (90-day) supply of maintenance medications available. 9

11 DOUGLAS ARCOLA BROWNES PHARMACY* 121 W SPRINGFIELD RD ARCOLA, IL (217) TUSCOLA LEHMANS PHARMACY* 101 N MAIN ST STE A TUSCOLA, IL (217) SAV MOR PHARMACY* 104 E. SOUTHLINE ROAD TUSCOLA, IL (217) SHOPKO PHARMACY #2640* 700 PROGRESS BLVD TUSCOLA, IL (217) THE PHARMACY* 101 N MAIN ST TUSCOLA, IL (217) VILLA GROVE VILLA GROVE PHARMACY* 2 S MAIN ST VILLA GROVE, IL (217) EDGAR PARIS 808 S MAIN ST PARIS, IL (217) PARIS CLINIC PHARMACY* 719 E COURT ST PARIS, IL (217) PEARMAN PHARMACY* 116 W COURT ST PARIS, IL (217) EFFINGHAM ALTAMONT ALTAMONT PHARMACY INC* 12 N 3RD ST ALTAMONT, IL (618) EFFINGHAM ANDES HEALTH MART* 805 WEST FAYETTE AVE EFFINGHAM, IL (217) BROWN'S DRUG STORE* 115 W JEFFERSON AVE EFFINGHAM, IL (217) KMART PHARMACY9532* 1006 N KELLER DR EFFINGHAM, IL (217) MARTINS PHARMACY* 101 S MERCHANT ST EFFINGHAM, IL (217) WALGREENS #5752* 1200 W FAYETTE AVE EFFINGHAM, IL (217) TEUTOPOLIS KREMER PHARMACY, INC.* 206A N PEARL ST TEUTOPOLIS, IL (217) *Extended (90-day) supply of maintenance medications available.

12 FORD GIBSON CITY MEDICINE SHOPPE PHARMACY* 104 N SANGAMON AVENUE GIBSON CITY, IL (217) SCOTTS FAMILY PHARMACY* 220 N SANGAMON AVE GIBSON CITY, IL (217) PAXTON DOUG'S PHARMACY 137 N MARKET ST PAXTON, IL (217) HUDSON DRUG SHOP* 108 N MARKET PAXTON, IL (217) SAV MOR PHARMACY 138 N MARKET ST PAXTON, IL (217) HANCOCK CARTHAGE MCHUGH DRUG STORE* 70 S MADISON ST CARTHAGE, IL (217) WEAR DRUG* 408 WALNUT ST CARTHAGE, IL (217) HAMILTON HY-VEE CLINIC PHARMACY* 1075 BROADWAY HAMILTON, IL (217) NAUVOO NAUVOO PHARMACY* 1384 MULHOLLAND ST NAUVOO, IL (217) IROQUOIS GILMAN DOCS DRUGS OF GILMAN* 720 S CRESCENT ST GILMAN, IL (815) MILFORD KELLY DRUGS* 105 E JONES ST MILFORD, IL (815) WATSEKA 300 EAST WALNUT STREET WATSEKA, IL (815) JASPER NEWTON 207 W JORDAN STREET NEWTON, IL (618) MEDICINE SHOPPE OF NEWTON, IL* 600 W JOURDAN ST NEWTON, IL (618) KANKAKEE BOURBONNAIS KROGER PHARMACY J-984* 633 ARMOUR RD BOURBONNAIS, IL (815) *Extended (90-day) supply of maintenance medications available. 11

13 KANKAKEE (continued) BOURBONNAIS (continued) OSCO DRUG* 655 MAIN ST NW BOURBONNAIS, IL (815) PRESENCE LIFE CONNECTIONS PHARMACY 670 N CONVENT ST BOURBONNAIS, IL (815) RIVERVIEW PHARMACY* 475 BROWN BLVD BOURBONNAIS, IL (815) TARGET PHARMACY* 1615 N STATE ROUTE 50 BOURBONNAIS, IL (815) WALGREENS #10339* 501 N CONVENT ST BOURBONNAIS, IL (815) BRADLEY KMART PHARMACY7525* 990 N KENZIE AVENUE BRADLEY, IL (815) HERSCHER DOCS DRUGS OF HERSCHER* 279 W RT 115 HERSCHER, IL (815) KANKAKEE 225 W COURT ST KANKAKEE, IL (815) JAFFE UPTOWN PHARMACY* 217 E COURT ST KANKAKEE, IL (815) KANKAKEE AREA PHARMACY INC* 555 WEST COURT STREET KANKAKEE, IL (815) OSCO DRUG* 446 S WASHINGTON AVE KANKAKEE, IL (815) RIVERSIDE FAMILY PHARMACY* 350 N WALL ST KANKAKEE, IL (815) SHAPIRO DEVELOPMENT CENTER PHARMACY 100 E JEFFREY ST KANKAKEE, IL (815) WALGREENS #12468* 222 W COURT ST KANKAKEE, IL (815) WALGREENS #2148* 1700 E COURT ST KANKAKEE, IL (815) WALGREENS #4142* 1050 N KENNEDY DR KANKAKEE, IL (815) MANTENO DOCS DRUGS OF MANTENO* 47 S LOCUST MANTENO, IL (815) *Extended (90-day) supply of maintenance medications available.

14 KANKAKEE (continued) MOMENCE DOCS DRUGS OF MOMENCE* 2764 N RT I 17 MOMENCE, IL (815) KNOX GALESBURG BURGLAND DRUG INC* 1440 N HENDERSON ST GALESBURG, IL (309) HY VEE PHARMACY 1* 1975 NATIONAL BLVD GALESBURG, IL (309) HY VEE PHARMACY 2* 2030 E MAIN STREET GALESBURG, IL (309) KMART PHARMACY3620* 1150 W CARL SANDBURG DR GALESBURG, IL (309) TARGET PHARMACY* 1071 W CARL SANDBURG DR GALESBURG, IL (309) WALGREENS #4504* 844 W FREMONT ST GALESBURG, IL (309) WALGREENS #7216* 1057 E MAIN ST GALESBURG, IL (309) LIVINGSTON DWIGHT DOCS DRUGS OF DWIGHT* 106 WATTERS DR DWIGHT, IL (815) FOX DEVELOPMENTAL CENTER PHARMACY 134 W MAIN ST DWIGHT, IL (815) SHOPKO STORES OPERATING CO., LLC* 110 WATTERS DR DWIGHT, IL (815) FAIRBURY DOCS DRUGS OF FAIRBURY* 902 E OAK ST FAIRBURY, IL (815) SAV MOR PHARMACY* 122 W LOCUST ST FAIRBURY, IL (815) FLANAGAN FLANAGAN HEALTH MART PHARMACY* 116 S MAIN STREET FLANAGAN, IL (815) PONTIAC SARTORIS SUPER DRUGS* 1034 W REYNOLDS PONTIAC, IL (815) WALGREENS #5460* 1001 W REYNOLDS ST PONTIAC, IL (815) *Extended (90-day) supply of maintenance medications available. 13

15 LOGAN LINCOLN 534 WOODLAWN RD LINCOLN, IL (217) KROGER PHARMACY* 1475 WOODLAWN RD LINCOLN, IL (217) STACY'S FAMILY PHARMACY* 709 WOODLAWN RD LINCOLN, IL (217) WALGREENS #5976* 603 WOODLAWN RD LINCOLN, IL (217) MT PULASKI MT PULASKI PHARMACY* 507 E CHESTNUT ST MT PULASKI, IL (217) MACON DECATUR COUNTY MARKET PHARMACY 341* 1400 E PERSHING RD DECATUR, IL (217) CVS PHARMACY #04857* 570 N FAIRVIEW AVE DECATUR, IL (217) CANTRELL DECATUR, IL (217) N MONROE STREET DECATUR, IL (217) DALES SOUTHLAKE PHARMACY* 245 W 1ST DR DECATUR, IL (217) EXTENDED LIVING PHARMACY LLC 2459 E FEDERAL DR DECATUR, IL (217) GENOA HEALTHCARE* 151 N MAIN ST RM 332 DECATUR, IL (217) ILLINI PHARMACY SERVICES* 636 W IMBODEN DR DECATUR, IL (217) KMART PHARMACY4293* 1155 E PERSHING RD DECATUR, IL (217) KROGER PHARMACY* 1401 W KING ST DECATUR, IL (217) S AIRPORT PLAZA DRIVE DECATUR, IL (217) W FIRST DR DECATUR, IL (217) N WATER ST DECATUR, IL (217) PHYSICIAN'S PLAZA PHARMACY* 2300 N EDWARD ST DECATUR, IL (217) PRAIRIE COMPOUNDING PHARMACY* 2801 N MAIN ST DECATUR, IL (217) *Extended (90-day) supply of maintenance medications available.

16 MACON (continued) DECATUR (continued) TARGET PHARMACY* 355 W MOUND RD DECATUR, IL (217) VICTORY HEALTHMART PHARMACY* 2280 E WILLIAM ST DECATUR, IL (217) VICTORY PHARMACY OF DECATUR* 163 N WATER ST DECATUR, IL (217) WALGREENS #5388* 1311 N STATE ROUTE 48 DECATUR, IL (217) WALGREENS #5545* 225 E ASH DECATUR, IL (217) WALGREENS #5719* 4995 E US RT 36 DECATUR, IL (217) WALGREENS #9299* 1315 N WATER ST DECATUR, IL (217) WALGREENS #9792* 625 W PERSHING RD DECATUR, IL (217) WALGREENS* 420 W FIRST DR DECATUR, IL (217) MACOUPIN CARLINVILLE MICHELLES PHARMACY INC* 494 WEST SIDE SQUARE CARLINVILLE, IL (217) SULLIVANS DRUGS* 920 W MAIN ST CARLINVILLE, IL (217) GILLESPIE MICHELLE'S PHARMACY, INC.* 120 S MACOUPIN ST GILLESPIE, IL (217) SULLIVAN DRUGS* 113 S MACOUPIN ST GILLESPIE, IL (217) MOUNT OLIVE SULLIVANS DRUGS* 103 W MAIN ST MOUNT OLIVE, IL (217) STAUNTON FRITZ DRUG STORE INC* 219 W MAIN ST STAUNTON, IL (618) SULLIVAN DRUGS* 101 E MAIN ST STAUNTON, IL (618) VIRDEN SAV MOR PHARMACY* 105 E JACKSON ST VIRDEN, IL (217) *Extended (90-day) supply of maintenance medications available. 15

17 MARSHALL HENRY DOCS DRUGS OF HENRY* 808 UNIVERSITY AVE HENRY, IL (309) LACON FAMILY DISCOUNT DRUGS 405 5TH ST LACON, IL (309) LOW COST PHARMACY* 415 5TH ST LACON, IL (309) WENONA TYNER PHARMACY* 120 CHESTNUT STREET WENONA, IL (815) MASON HAVANA 320 E DEARBORN STREET HAVANA, IL (309) WOLTERS DRUG STORE* 201 W MAIN ST HAVANA, IL (309) MASON CITY MASON CITY PHARMACY* 149 E CHESTNUT ST MASON CITY, IL (217) MCDONOUGH MACOMB E JACKSON MACOMB, IL (309) HY VEE PHARMACY* 1600 E JACKSON MACOMB, IL (309) WALGREENS #2206* 300 EAST JACKSON MACOMB, IL (309) MCLEAN BLOOMINGTON AXLINE ADVANCED PHARMACY* 1210 TOWANDA AVE STE 11 BLOOMINGTON, IL (309) AXLINE ADVANCED* 1210 TOWANDA AVE STE 10 BLOOMINGTON, IL (309) CUB FOODS 219* 403 N VETERANS PKWY BLOOMINGTON, IL (309) CVS PHARMACY # 07017* 1130 S. VETERANS PKWY BLOOMINGTON, IL (309) NORTH CENTER BOX 665 BLOOMINGTON, IL (309) EASTLAND PHARMACY* 1505 EASTLAND DR BLOOMINGTON, IL (309) *Extended (90-day) supply of maintenance medications available.

18 MCLEAN (continued) BLOOMINGTON (continued) KMART PHARMACY4031* 1608 E EMPIRE ST BLOOMINGTON, IL (309) KROGER PHARMACY* 2507 E OAKLAND AVE BLOOMINGTON, IL (309) MERLE PHARMACY NO 1 INC* 203 E LOCUST ST BLOOMINGTON, IL (309) OSCO DRUG* 2103 N VETERANS PKWY BLOOMINGTON, IL (309) E OAKLAND BLOOMINGTON, IL (309) RYAN PHARMACY* 1118 E OAKLAND AVE BLOOMINGTON, IL (309) SCHNUCKS PHARMACY* 1701 EAST EMPIRE STREET BLOOMINGTON, IL (309) WALGREENS #11828* 909 S MAIN ST BLOOMINGTON, IL (309) WALGREENS #15164* 2611 E OAKLAND BLOOMINGTON, IL (309) WALGREENS #15167* 1701 E COLLEGE AVE BLOOMINGTON, IL (309) WALGREENS #5188* 1525 N VETERANS PKWY BLOOMINGTON, IL (309) WALGREENS #9983* 1408 N MAIN ST BLOOMINGTON, IL (309) CHENOA CHENOA PHARMACY* 209 GREEN ST CHENOA, IL (815) LEROY DOCS DRUGS OF LEROY* 304 SUNSET DR LEROY, IL (309) NORMAL CVS PHARMACY # 08043* 100 S FELL AVE STE 103 NORMAL, IL (309) CVS PHARMACY #07020* 1701 FORT JESSE RD NORMAL, IL (309) IL STATE UNIVERSITY HEALTH SVC* 101 N. UNIVERSITY ST NORMAL, IL (309) KROGER PHARMACY* 1550 E COLLEGE NORMAL, IL (309) MEIJER PHARMACY #207* 1900 E COLLEGE AVE NORMAL, IL (309) *Extended (90-day) supply of maintenance medications available. 17

19 MCLEAN (continued) NORMAL (continued) OSCO DRUG* 901 S COTTAGE AVE NORMAL, IL (309) SCHNUCKS PHARMACY* 1750 BRADFORD LN NORMAL, IL (309) THE ATRIUM PHARMACY* 1304 FRANKLIN AVE NORMAL, IL (309) WALGREENS #12396* 505 W RAAB RD NORMAL, IL (309) WALGREENS #9313* 1502 FORT JESSE RD NORMAL, IL (309) MENARD PETERSBURG PETERSBURGS PHARMACY INC* ONE CENTRE DRIVE PETERSBURG, IL (217) POTTER DRUG INC* 200 S. SIXTH STREET PETERSBURG, IL (217) MONTGOMERY HILLSBORO 608 S MAIN STREET HILLSBORO, IL (217) JOHNS MEDICAL PHARMACY* 300 S MAIN STREET HILLSBORO, IL (217) SULLIVANS DRUGS* 325 S MAIN ST HILLSBORO, IL (217) LITCHFIELD SULLIVAN DRUGS* 320 E UNION AVE LITCHFIELD, IL (217) WALGREENS #10718* 1202 W UNION AVE LITCHFIELD, IL (217) NOKOMIS BOBS PHARMACY* 116 W STATE ST NOKOMIS, IL (217) SAV MOR PHARMACY* 110 E STATE ST NOKOMIS, IL (217) RAYMOND SULLIVAN DRUG OF RAYMOND* 801 N OBANNON RAYMOND, IL (217) MORGAN JACKSONVILLE CVS PHARMACY # 02692* 936 S. MAIN ST. JACKSONVILLE, IL (217) *Extended (90-day) supply of maintenance medications available.

20 MORGAN (continued) JACKSONVILLE (continued) SHOPKO PHARMACY* 1964 W MORTON AVE JACKSONVILLE, IL (217) THE MEDICINE SHOPPE PHARMACY* 200 W MORTON AVE JACKSONVILLE, IL (217) WALGREENS #5602* 134 W MORTON AVE JACKSONVILLE, IL (217) WALGREENS #9176* 1800 W MORTON AVE JACKSONVILLE, IL (217) MOULTRIE ARTHUR DICKS PHARMACY* 118 S VINE ST ARTHUR, IL (217) SULLIVAN 208 W JACKSON ST SULLIVAN, IL (217) OAKWOOD APOTHECARY* 17 N HAMILTON ST SULLIVAN, IL (217) THE SULLIVAN PHARMACY* 102 E HARRISON ST SULLIVAN, IL (217) PEORIA BARTONVILLE 1008 WEST GARFIELD STREET BARTONVILLE, IL (309) KROGER PHARMACY* 1405 W GARFIELD BARTONVILLE, IL (309) BRIMFIELD SHERMANS PHARMACY* 91 KNOXVILLE AVE BRIMFIELD, IL (309) CHILLICOTHE 603 S FOURTH STREET CHILLICOTHE, IL (309) KROGER PHARMACY* 603 S 4TH ST CHILLICOTHE, IL (309) PEORIA ALWAN PHARMACY* 311 N WESTERN PEORIA, IL (309) BARNATO PHARMACY* 5001 N BIG HOLLOW ROAD PEORIA, IL (309) BOGARD DRUG INC* 1102 S WESTERN AVE PEORIA, IL (309) *Extended (90-day) supply of maintenance medications available. 19

21 PEORIA (continued) PEORIA (continued) 1200 W MAIN STREET PEORIA, IL (309) N STERLING AVENUE PEORIA, IL (309) WEST LINCOLN PEORIA, IL (309) NORTH PROSPECT PEORIA, IL (309) NORTH PEAR TREE LANE PEORIA, IL (309) NORTH LINDBERG DRIVE PEORIA, IL (309) ESSENTIAL WELLNESS PHARMACY* 4625 N UNIVERSITY ST PEORIA, IL (309) EXTENDED PHARMACY LLC 121 STATE ST STE 1A PEORIA, IL (309) HY-VEE PHARMACY* 4125 N SHERIDAN RD # 20 PEORIA, IL (309) ILLINOIS CANCER CARE PHARMACY* 8940 N WOODSAGE RD PEORIA, IL (309) KMART PHARMACY9335* 901 W LAKE AVE PEORIA, IL (309) KROGER PHARMACY J-918* 9219 NORTH LINDBERGH DRIVE PEORIA, IL (309) KROGER PHARMACY* 2321 N WISCONSIN PEORIA, IL (309) W HARMON HWY PEORIA, IL (309) N STERLING AVE PEORIA, IL (309) WEST LAKE PEORIA, IL (309) MEDIPARK PHARMACY* 420 NE GLEN OAK AVE PEORIA, IL (309) OSF HOME INFUSION PHARMACY 2265 W ALTORFER DR PEORIA, IL (309) SCHNUCKS PHARMACY* 4800 UNIVERSITY PEORIA, IL (309) SMITH DRUG STORE* 4700 N PROSPECT RD PEORIA, IL (309) TARGET PHARMACY* 5001 BIG HOLLOW RD PEORIA, IL (309) WALGREENS #15636* 221 NE GLEN OAK AVE STE A PEORIA, IL (309) *Extended (90-day) supply of maintenance medications available.

22 PEORIA (continued) PEORIA (continued) WALGREENS #2166* 3524 N UNIVERSITY PEORIA, IL (309) WALGREENS #3181* 2515 KNOXVILLE PEORIA, IL (309) WALGREENS #6079* 4814 N SHERIDAN RD PEORIA, IL (309) WALGREENS #6408* 2324 W WAR MEMORIAL DR PEORIA, IL (309) WALGREENS #6604* 1919 W PIONEER PKWY PEORIA, IL (309) PEORIA HEIGHTS WALGREENS #5544* 1200 E WAR MEMORIAL DR PEORIA HEIGHTS, IL (309) PRINCEVILLE PRINCEVILLE PHARMACY* 206 E MAIN ST PRINCEVILLE, IL (309) WEST PEORIA WALGREENS #9508* 221 N WESTERN WEST PEORIA, IL (309) WILMINGTON WALGREENS* N. KNOXVILLE AVE WILMINGTON, IL (309) PIATT MONTICELLO MONTICELLO DRUGS INC* 109 W MAIN ST MONTICELLO, IL (217) SENIOR CARE PHARMACY LLC 1212 BEAR LANE MONTICELLO, IL (217) WALGREENS #15166* 108 N MARKET ST MONTICELLO, IL (217) PIKE PITTSFIELD COUNTY MARKET PHARMACY 026* 825 W WASHINGTON PITTSFIELD, IL (217) ILLINI HEALTH SERVICES INC LLC* 121 N FRANKLIN ST PITTSFIELD, IL (217) PUTNAM GRANVILLE GRANVILLE DRUG* 314 S MCCOY ST GRANVILLE, IL (815) *Extended (90-day) supply of maintenance medications available. 21

23 SANGAMON AUBURN HARRYS PHARMACY INC* 620 E JACKSON AUBURN, IL (217) CHATHAM COMPLETE CARE PHCY OF CHATHAM* 101 E PLUMMER CHATHAM, IL (217) UVANTA PHARMACY OF CENTRAL ILLINOIS 1053 JASON PLACE CHATHAM, IL (217) WALGREENS #9580* 1050 N MAIN ST CHATHAM, IL (217) RIVERTON CURRYS FAMILY PHARMACY INC 1275 N 7TH ST RIVERTON, IL (217) SHERMAN WALGREENS* 106 ILLINI BLVD SHERMAN, IL (217) SPRINGFIELD COMPLETE CARE PHARMACY DOWNTOWN* 201 N 5TH ST SPRINGFIELD, IL (217) COUNTY MARKET PHARMACY 083* 3001 VETERANS PARKWAY SPRINGFIELD, IL (217) COUNTY MARKET PHARMACY 225* 210 E CARPENTER ST SPRINGFIELD, IL (217) COUNTY MARKET PHARMACY 227* 2777 S SIXTH AVE SPRINGFIELD, IL (217) COUNTY MARKET PHARMACY 228* 1903 W MONROE ST SPRINGFIELD, IL (217) CVS PHARMACY # 05602* 611 S. GRAND AVE E. SPRINGFIELD, IL (217) E SANGAMON AVENUE SPRINGFIELD, IL (217) WEST WASHINGTON STREET SPRINGFIELD, IL (217) EAST CARPENTER SPRINGFIELD, IL (217) STEVENSON DRIVE SPRINGFIELD, IL (217) S MAC ARTHUR BLVD SPRINGFIELD, IL (217) N GRAND AVE, EAST SPRINGFIELD, IL (217) KMART PHARMACY3241* 2500 WABASH AVE SPRINGFIELD, IL (217) KMART PHARMACY4048* 3250 E CLEAR LAKE AVE SPRINGFIELD, IL (217) *Extended (90-day) supply of maintenance medications available.

24 SANGAMON (continued) SPRINGFIELD (continued) MCFARLAND MENTAL HEALTH CENTER PHARMACY 901 SOUTHWIND RD SPRINGFIELD, IL (217) MEIJER PHARMACY #176* 4200 CONESTOGA DR SPRINGFIELD, IL (217) OSCO PHARMACY* 1501 S DIRKSEN PKWY SPRINGFIELD, IL (217) WABASH AVE SPRINGFIELD, IL (217) N GRAND AVE W SPRINGFIELD, IL (217) SCHNUCKS PHARMACY* 1911 SANGAMON AVE E SPRINGFIELD, IL (217) CHATHAM RD SPRINGFIELD, IL (217) N 8TH ST STE 1A100-A SPRINGFIELD, IL (217) TARGET PHARMACY* 3445 FREEDOM DR SPRINGFIELD, IL (217) THE MEDICINE SHOPPE #0546* 133 NORTH GRAND AVE EAST SPRINGFIELD, IL (217) WALGREENS #10775* 1155 N 9TH ST SPRINGFIELD, IL (217) WALGREENS #10843* 747 N RUTLEDGE ST SPRINGFIELD, IL (217) WALGREENS #10844* 3132 OLD JACKSON RD SPRINGFIELD, IL (217) WALGREENS #11829* 2500 KOKE MILL RD SPRINGFIELD, IL (217) WALGREENS #12427* 2305 W MONROE ST SPRINGFIELD, IL (217) WALGREENS #1770* 2625 STEVENSON DR SPRINGFIELD, IL (217) WALGREENS #2071* 2020 S MACARTHUR BLVD SPRINGFIELD, IL (217) WALGREENS #2492* 3216 CLEAR LAKE AVENUE E SPRINGFIELD, IL (217) WALGREENS #3501* 2140 NORTH PEORIA RD SPRINGFIELD, IL (217) WALGREENS #3901* 2945 S 6TH STREET RD SPRINGFIELD, IL (217) *Extended (90-day) supply of maintenance medications available. 23

25 SANGAMON (continued) SPRINGFIELD (continued) WALGREENS #5137* 1310 S 5TH ST SPRINGFIELD, IL (217) WALGREENS #5488* 3400 FREEDOM DR SPRINGFIELD, IL (217) WALGREENS #9145* 1900 W JEFFERSON ST SPRINGFIELD, IL (217) SCHUYLER RUSHVILLE COUNTY MARKET PHARMACY 212* 520 W CLINTON ST RUSHVILLE, IL (217) MORELAND AND DEVITT INC* 124 N CONGRESS ST RUSHVILLE, IL (217) STARK BRADFORD BRADFORD PHARMACY 102 W MAIN ST BRADFORD, IL (309) TAZEWELL DELAVAN DELAVAN FAMILY PHARMACY* 402 PINE ST DELAVAN, IL (309) EAST PEORIA COSTCO PHARMACY #1126* 301 WEST WASHINGTON STREET EAST PEORIA, IL (309) EAST WASHINGTON STREET EAST PEORIA, IL (309) KROGER PHARMACY* 201 SOUTH MAIN ST EAST PEORIA, IL (309) TARGET PHARMACY* 480 W WASHINGTON ST EAST PEORIA, IL (309) WALGREENS #5088* 300 N MAIN ST EAST PEORIA, IL (309) HOPEDALE HOPEDALE PHARMACY 107 TREMONT HOPEDALE, IL (309) MACKINAW MACKINAW PHARMACY* 116 S MAIN MACKINAW, IL (309) MANITO MANITO PHARMACY* 406 S ADAMS STREET MANITO, IL (309) *Extended (90-day) supply of maintenance medications available.

26 TAZEWELL (continued) MORTON 1005 W JACKSON STREET MORTON, IL (309) KMART PHARMACY7185* 1075 W JACKSON ST MORTON, IL (309) MORTON ALWAN PHARMACY* 419 MAXINE DR. MORTON, IL (309) PEKIN 910 COURT STREET PEKIN, IL (309) KMART PHARMACY4375* 2909 COURT ST PEKIN, IL (309) KROGER PHARMACY* 1607 BROADWAY PEKIN, IL (309) PARK COURT PHARMACY* 600 S 13TH ST PEKIN, IL (309) PEKIN PRESCRIPTION LABORATORY* 1016 COURT STREET PEKIN, IL (309) WALGREENS #11493* 1400 BROADWAY ST PEKIN, IL (309) WALGREENS #4732* 2020 COURT PEKIN, IL (309) PEORIA 200 NORTH MAIN STREET PEORIA, IL (309) WASHINGTON 1101 PEORIA ST WASHINGTON, IL (309) KROGER PHARMACY* 20 CHERRY TREE SHOPPING CTR WASHINGTON, IL (309) WALGREENS #3763* 1011 PEORIA ST WASHINGTON, IL (309) VERMILION CATLIN SANDERS PHARMACY* 112 E VERMILION CATLIN, IL (217) DANVILLE BRATLANDS PRESCRIPTION SHOP INC* 8 E NORTH STREET DANVILLE, IL (217) N VERMILLION DANVILLE, IL (217) *Extended (90-day) supply of maintenance medications available. 25

27 VERMILION (continued) DANVILLE (continued) 900 EAST MAIN STREET DANVILLE, IL (217) JAMES DEBOER MD 2300 N VERMILION DANVILLE, IL (217) KMART PHARMACY4030* 2721 N VERMILION ST DANVILLE, IL (217) MEDPLUS PHARMACY 3595 NVERMILLION DANVILLE, IL (217) POLYCLINIC PHARMACY* 707 N LOGAN AVENUE DANVILLE, IL (217) THE APOTHECARY 800 N LOGAN AVE DANVILLE, IL (217) WALGREENS #12787* 400 W FAIRCHILD DANVILLE, IL (217) WALGREENS #3212* 842 E MAIN STREET DANVILLE, IL (217) HOOPESTON CVS PHARMACY #06927* 805 S DIXIE ROAD HOOPESTON, IL (217) SHOPKO PHARMACY # 2634* 1020 W CHESTNUT ST HOOPESTON, IL (217) WESTVILLE 111 N STATE STREET WESTVILLE, IL (217) WOODFORD EL PASO DOCS DRUGS OF EL PASO* 137 W. FRONT ST. EL PASO, IL (309) EUREKA 501 W CENTER STREET EUREKA, IL (309) METAMORA METAMORA PHARMACY* 117 W MT VERNON ST METAMORA, IL (309) MINONK GREENTREE PHARMACY 1305 CAROLYN DRIVE MINONK, IL (309) ROANOKE ROANOKE PHARMACY* 322 N MAIN ST ROANOKE, IL (309) *Extended (90-day) supply of maintenance medications available.

28 HOME INFUSION PHARMACIES For more information about network home infusion pharmacies in your area, please visit our website at HealthAllianceMedicare.org or call Health Alliance Medicare Services at , Monday through Friday, 8 a.m. to 8 p.m. TTY/TDD users should call 711 or (Illinois Relay). CHAMPAIGN CHAMPAIGN CARLE HOME INFUSION 206 A WEST ANTHONY DR CHAMPAIGN, IL (217) CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA 2022 GLENN PARK DRIVE CHAMPAIGN, IL (800) MCLEAN OMINCARE INFUSION OF PEORIA 2106 W TOWNLINE RD PEORIA, IL (309) OSF HOME INFUSION PHARMACY 2265 W ALTORFER DR PEORIA, IL (309) BLOOMINGTON MERLE PHARMACY NO 1 INC* 203 E LOCUST ST, STE 1 BLOOMINGTON, IL (309) MOULTRIE ARTHUR DICKS PHARMACY* 118 S VINE ST ARTHUR, IL (217) PEORIA PEORIA ALWAN PHARMACY* 311 N WESTERN PEORIA, IL (309) ENLOE PCI PRESCRIPTION CTR* 2305 W ALTORFER DRIVE PEORIA, IL (309)

29 LONG-TERM CARE Residents of a long-term care facility may access their prescription drugs covered under Health Alliance Medicare HMO and PPO through the facility's long-term care pharmacy or another network long-term care pharmacy. ADAMS QUINCY DENMAN PHARMACY SERVICES* 1114 BROADWAY QUINCY, IL (217) CLARK CASEY THE PHARMACIE SHOPPE* 202 W EDGAR AVE CASEY, IL (217) MARTINSVILLE MARTINSVILLE PHARMACIE SHOPPE* 890 E RIDGELAWN RD MARTINSVILLE, IL (217) CRAWFORD OBLONG HARMANS HEALTH MART* 111 E MAIN ST OBLONG, IL (618) DOUGLAS TUSCOLA LEHMANS PHARMACY* 101 N MAIN ST STE A TUSCOLA, IL (217) THE PHARMACY* 101 N MAIN ST TUSCOLA, IL (217) VILLA GROVE VILLA GROVE PHARMACY* 2 S MAIN ST VILLA GROVE, IL (217) EDGAR PARIS PEARMAN PHARMACY* 116 W COURT ST PARIS, IL (217) EFFINGHAM ALTAMONT ALTAMONT PHARMACY INC* 12 N 3RD ST ALTAMONT, IL (618) EFFINGHAM ANDES HEALTH MART* 805 WEST FAYETTE AVE EFFINGHAM, IL (217) TEUTOPOLIS KREMER PHARMACY, INC.* 206A N PEARL ST TEUTOPOLIS, IL (217) FORD GIBSON CITY SCOTTS FAMILY PHARMACY* 220 N SANGAMON AVE GIBSON CITY, IL (217)

30 LONG-TERM CARE FORD (continued) PAXTON HUDSON DRUG SHOP* 108 N MARKET PAXTON, IL (217) HANCOCK HAMILTON HY-VEE CLINIC PHARMACY* 1075 BROADWAY HAMILTON, IL (217) IROQUOIS WATSEKA IROQUOIS MEMORIAL HOSPITAL 200 E FAIRMAN ST WATSEKA, IL (815) KANKAKEE BOURBONNAIS PRESENCE LIFE CONNECTIONS PHARMACY 670 N CONVENT ST BOURBONNAIS, IL (815) RIVERVIEW PHARMACY* 475 BROWN BLVD BOURBONNAIS, IL (815) KANKAKEE JAFFE UPTOWN PHARMACY* 217 E COURT ST KANKAKEE, IL (815) SHAPIRO DEVELOPMENT CENTER PHARMACY 100 E JEFFREY ST KANKAKEE, IL (815) MANTENO DOCS DRUGS OF MANTENO* 47 S LOCUST MANTENO, IL (815) LIVINGSTON DWIGHT FOX DEVELOPMENTAL CENTER PHARMACY 134 W MAIN ST DWIGHT, IL (815) FLANAGAN FLANAGAN HEALTH MART PHARMACY* 116 S MAIN STREET FLANAGAN, IL (815) PONTIAC SARTORIS SUPER DRUGS* 1034 W REYNOLDS PONTIAC, IL (815) MACON DECATUR DALES SOUTHLAKE PHARMACY* 245 W 1ST DR DECATUR, IL (217) ENLOE DRUGS DECATUR* 796 N SUNNYSIDE RD DECATUR, IL (217)

31 LONG-TERM CARE MACON (continued) DECATUR (continued) EXTENDED LIVING PHARMACY LLC 2459 E FEDERAL DR DECATUR, IL (217) GENOA HEALTHCARE* 151 N MAIN ST RM 332 DECATUR, IL (217) ILLINI PHARMACY SERVICES* 636 W IMBODEN DR DECATUR, IL (217) MCLEAN BLOOMINGTON AXLINE ADVANCED* 1210 TOWANDA AVE STE 10 BLOOMINGTON, IL (309) MERLE PHARMACY NO 1 INC* 203 E LOCUST ST BLOOMINGTON, IL (309) MONTGOMERY HILLSBORO JOHNS MEDICAL PHARMACY* 300 S MAIN STREET HILLSBORO, IL (217) MORGAN JACKSONVILLE THE MEDICINE SHOPPE PHARMACY* 200 W MORTON AVE JACKSONVILLE, IL (217) PEORIA PEORIA ENLOE PCI PRESCRIPTION CTR* 2305 W ALTORFER DRIVE PEORIA, IL (309) EXTENDED PHARMACY LLC 121 STATE ST STE 1A PEORIA, IL (309) HY-VEE PHARMACY* 4125 N SHERIDAN RD # 20 PEORIA, IL (309) OMINCARE INFUSION OF PEORIA 2106 W TOWNLINE RD PEORIA, IL (309) SMITH DRUG STORE* 4700 N PROSPECT RD PEORIA, IL (309) PIATT MONTICELLO SENIOR CARE PHARMACY LLC 1212 BEAR LANE MONTICELLO, IL (217) SANGAMON CHATHAM COMPLETE CARE PHCY OF CHATHAM* 101 E PLUMMER CHATHAM, IL (217) UVANTA PHARMACY OF CENTRAL ILLINOIS 1053 JASON PLACE CHATHAM, IL (217)

32 LONG-TERM CARE SANGAMON (continued) SPRINGFIELD MCFARLAND MENTAL HEALTH CENTER PHARMACY 901 SOUTHWIND RD SPRINGFIELD, IL (217) TAZEWELL HOPEDALE HOPEDALE PHARMACY 107 TREMONT HOPEDALE, IL (309) WOODFORD MINONK GREENTREE PHARMACY 1305 CAROLYN DRIVE MINONK, IL (309)

33 NETWORK PHARMACIES OUTSIDE ILLINOIS CVS PHARMACY SHOP-CVS KMART PHARMACY KMART-4U KROGER PHARMACY MEIJER PHARMACY E-MEIJER PAMIDA PHARMACY SAM'S PHARMACY TARGET PHARMACY RX-TARGET WALGREENS DRUG STORE WALGREENS WAL-MART PHARMACY WAL-MART

34 INDEX A ALTAMONT PHARMACY INC*...28 ALTAMONT PHARMACY INC*...10 ALWAN PHARMACY*...27 ALWAN PHARMACY*...19 ANDES HEALTH MART*...28 ANDES HEALTH MART*...10 AXLINE ADVANCED PHARMACY*...16 AXLINE ADVANCED*...16, 30 B BARNATO PHARMACY*...19 BERTRAM PHARMACY*...9 BOBS PHARMACY*...18 BOGARD DRUG INC*...19 BRADFORD PHARMACY...24 BRATLANDS PRESCRIPTION SHOP INC*...25 BROWN DRUG COMPANY*...6 BROWNES PHARMACY*...10 BROWN'S DRUG STORE*...10 BURGLAND DRUG INC*...13 C CARLE HOME INFUSION...27 CHENOA PHARMACY*...17 COMPLETE CARE PHARMACY DOWNTOWN*...22 COMPLETE CARE PHARMACY*...7 COMPLETE CARE PHCY OF CHATHAM*...30 COMPLETE CARE PHCY OF CHATHAM*...22 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA...27 CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY...7 COSTCO PHARMACY #1126*...24 COUNTY MARKET PHARMACY 026*...21 COUNTY MARKET PHARMACY 083*...22 COUNTY MARKET PHARMACY 212*...24 COUNTY MARKET PHARMACY 225*...22 COUNTY MARKET PHARMACY 227*...22 COUNTY MARKET PHARMACY 228*...22 COUNTY MARKET PHARMACY 341*...14 COUNTY MARKET PHARMACY 518*...7 COVENANT OUTPATIENT PHARMACY*...8 CUB FOODS 219*...16 CURRYS FAMILY PHARMACY INC...22 CVS PHARMACY...32 CVS PHARMACY # 02692*...18 CVS PHARMACY # 05602*...22 CVS PHARMACY # CVS PHARMACY # 07017*...16 CVS PHARMACY # 08043*...17 CVS PHARMACY #04857*...14 *Extended (90-day) supply of maintenance medications available. 33

35 INDEX CVS PHARMACY #06927*...26 CVS PHARMACY #07020* , 7, 8, 9, 10, 11, 12, 14, 16, 18, 19, 20, 22, 24, 25, 26 D DALES SOUTHLAKE PHARMACY*...29 DALES SOUTHLAKE PHARMACY*...14 DELAVAN FAMILY PHARMACY*...24 DENMAN COUNTRY DRUG...6 DENMAN PHARMACY SERVICES*...28 DICKS PHARMACY*...19, 27 DOCS DRUGS OF DWIGHT*...13 DOCS DRUGS OF EL PASO*...26 DOCS DRUGS OF FAIRBURY*...13 DOCS DRUGS OF GILMAN* DOCS DRUGS OF HENRY*...16 DOCS DRUGS OF HERSCHER*...12 DOCS DRUGS OF LEROY*...17 DOCS DRUGS OF MANTENO*...29 DOCS DRUGS OF MANTENO*...12 DOCS DRUGS OF MOMENCE*...13 DOUG'S PHARMACY E EASTLAND PHARMACY*...16 ENLOE DRUGS DECATUR*...29 ENLOE PCI PRESCRIPTION CTR*...27, 30 ESSENTIAL WELLNESS PHARMACY*...20 EXTENDED LIVING PHARMACY LLC...14, 30 EXTENDED PHARMACY LLC...20, 30 F FAMILY DISCOUNT DRUGS...16 FAWCETTS PHARMACY*...6 FLANAGAN HEALTH MART PHARMACY*...29 FLANAGAN HEALTH MART PHARMACY*...13 FOX DEVELOPMENTAL CENTER PHARMACY...13, 29 FRITZ DRUG STORE INC*...15 G GENOA HEALTHCARE*...14, 30 GRANVILLE DRUG*...21 GREENTREE PHARMACY...31 GREENTREE PHARMACY...26 H HARMANS HEALTH MART*...28 HARMANS HEALTH MART*...9 HARRYS PHARMACY INC*...22 HOPEDALE PHARMACY...31 HOPEDALE PHARMACY...24 HUDSON DRUG SHOP*...29 HUDSON DRUG SHOP* HY VEE PHARMACY 1*...6, 13 HY VEE PHARMACY 2*...6, 13 HY VEE PHARMACY* *Extended (90-day) supply of maintenance medications available.

36 INDEX HY-VEE CLINIC PHARMACY*...29 HY-VEE CLINIC PHARMACY* HY-VEE PHARMACY*...30 HY-VEE PHARMACY*...20 I IL STATE UNIVERSITY HEALTH SVC*...17 ILLINI HEALTH SERVICES INC LLC*...21 ILLINI PHARMACY SERVICES*...14, 30 ILLINOIS CANCER CARE PHARMACY*...20 IROQUOIS MEMORIAL HOSPITAL...29 J JAFFE UPTOWN PHARMACY*...29 JAFFE UPTOWN PHARMACY*...12 JAMES DEBOER MD...26 JOHNS MEDICAL PHARMACY*...30 JOHNS MEDICAL PHARMACY*...18 JOHNSONS PHARMACY*...6 K KANKAKEE AREA PHARMACY INC*...12 KELLY DRUGS* KMART PHARMACY...32 KMART PHARMACY3241*...22 KMART PHARMACY3620*...13 KMART PHARMACY4030*...26 KMART PHARMACY4031*...17 KMART PHARMACY4048*...22 KMART PHARMACY4293*...14 KMART PHARMACY4375*...25 KMART PHARMACY4433*...6 KMART PHARMACY7185*...25 KMART PHARMACY7525*...12 KMART PHARMACY9335*...20 KMART PHARMACY9532*...10 KREMER PHARMACY, INC.*...28 KREMER PHARMACY, INC.*...10 KROGER PHARMACY...32 KROGER PHARMACY J-918*...20 KROGER PHARMACY J-984* KROGER PHARMACY* 14, 17, 19, 20, 24, 25 L LEHMANS PHARMACY*...10, 28 LOW COST PHARMACY*...16 M MACKINAW PHARMACY*...24 MANITO PHARMACY*...24 MARTINS PHARMACY*...10 MARTINSVILLE PHARMACIE SHOPPE*...28 MARTINSVILLE PHARMACIE SHOPPE*...9 MASON CITY PHARMACY*...16 MCFARLAND MENTAL HEALTH CENTER PHARMACY...23, 31 MCHUGH DRUG STORE* *Extended (90-day) supply of maintenance medications available. 35

37 INDEX MEDICINE SHOPPE OF NEWTON, IL* MEDICINE SHOPPE PHARMACY*... 8, 9, 11 MEDIPARK PHARMACY*...20 MEDPLUS PHARMACY...26 MEIJER PHARMACY...32 MEIJER PHARMACY #146*...7 MEIJER PHARMACY #176*...23 MEIJER PHARMACY #207*...17 MEIJER PHARMACY #247*...8 MERLE PHARMACY NO 1 INC*...27, 30 MERLE PHARMACY NO 1 INC*...17 METAMORA PHARMACY*...26 MICHELLES PHARMACY INC*...15 MICHELLE'S PHARMACY, INC.*...15 MONTICELLO DRUGS INC*...21 MORELAND AND DEVITT INC*...24 MORTON ALWAN PHARMACY*...25 MT PULASKI PHARMACY*...14 N NAUVOO PHARMACY* NELSON DRUG STORE...6 O OAKWOOD APOTHECARY*...19 OMINCARE INFUSION OF PEORIA...27, 30 ONEILS STORE INC*...6 OSCO DRUG*...12, 17, 18 OSCO PHARMACY*...23 OSF HOME INFUSION PHARMACY...27 OSF HOME INFUSION PHARMACY...20 P PAMIDA PHARMACY...32 PAMIDAA RX...6 PARIS CLINIC PHARMACY*...10 PARK COURT PHARMACY*...25 PEARMAN PHARMACY*...28 PEARMAN PHARMACY*...10 PEKIN PRESCRIPTION LABORATORY*...25 PETERSBURGS PHARMACY INC*...18 PHYSICIAN'S PLAZA PHARMACY*...14 POLYCLINIC PHARMACY*...26 POTTER DRUG INC*...18 PRAIRIE COMPOUNDING PHARMACY*...14 PRESENCE LIFE CONNECTIONS PHARMACY...29 PRESENCE LIFE CONNECTIONS PHARMACY...12 PRINCETON PHARMACY*...6 PRINCEVILLE PHARMACY*...21 R RENES DRUG STORE INC*...8 RIVERSIDE FAMILY PHARMACY* *Extended (90-day) supply of maintenance medications available.

38 INDEX RIVERVIEW PHARMACY*...29 RIVERVIEW PHARMACY*...12 ROANOKE PHARMACY*...26 RYAN PHARMACY*...17 S SAM'S PHARMACY...32 SAMS PHARMACY*...2, 4, 5 SANDERS PHARMACY*...25 SARTORIS SUPER DRUGS*...29 SARTORIS SUPER DRUGS*...13 SAV MOR PHARMACY*..9, 10, 13, 15, 18 SAV MOR PHARMACY SCHNUCKS PHARMACY* 7, 8, 17, 18, 20, 23 SCOTTS FAMILY PHARMACY*...28 SCOTTS FAMILY PHARMACY* SENIOR CARE PHARMACY LLC...30 SENIOR CARE PHARMACY LLC...21 SHAPIRO DEVELOPMENT CENTER PHARMACY...12, 29 SHERMANS PHARMACY*...19 SHOPKO PHARMACY # 2634*...26 SHOPKO PHARMACY #2640*...10 SHOPKO PHARMACY*...6, 19 SHOPKO STORES OPERATING CO., LLC*...13 SMITH DRUG STORE*...30 SMITH DRUG STORE*...20 ST JOSEPH APOTHECARY*...8 STACY'S FAMILY PHARMACY*...14 SULLIVAN DRUG OF RAYMOND*...18 SULLIVAN DRUGS*...15, 18 SULLIVANS DRUGS*...15, 18 T TARGET PHARMACY...32 TARGET PHARMACY*...7, 12, 13, 15, 20, 23, 24 THE APOTHECARY...26 THE ATRIUM PHARMACY*...18 THE MEDICINE SHOPPE #0546*...23 THE MEDICINE SHOPPE PHARMACY*...30 THE MEDICINE SHOPPE PHARMACY*...19 THE PHARMACIE SHOPPE*...28 THE PHARMACIE SHOPPE*...9 THE PHARMACY*...28 THE PHARMACY*...10 THE SULLIVAN PHARMACY*...19 THOMPSON DRUG COMPANY*...6 TOLEDO PHARMACY*...9 TYNER PHARMACY*...16 U UVANTA PHARMACY OF CENTRAL ILLINOIS...22, 30 *Extended (90-day) supply of maintenance medications available. 37

39 INDEX V VICTORY HEALTHMART PHARMACY*...15 VICTORY PHARMACY OF DECATUR*...15 VILLA GROVE PHARMACY*...28 VILLA GROVE PHARMACY*...10 W WALGREENS #10339*...12 WALGREENS #10718*...18 WALGREENS #10775*...23 WALGREENS #10800*...9 WALGREENS #10843*...23 WALGREENS #10844*...23 WALGREENS #11368*...8 WALGREENS #11493*...25 WALGREENS #11542*...9 WALGREENS #11828*...17 WALGREENS #11829*...23 WALGREENS #12396*...18 WALGREENS #12427*...23 WALGREENS #12468*...12 WALGREENS #12744*...8 WALGREENS #12787*...26 WALGREENS #12868*...7 WALGREENS #15164*...17 WALGREENS #15165*...7 WALGREENS #15166*...21 WALGREENS #15167*...17 WALGREENS #15168*...8 WALGREENS #15169*...7 WALGREENS #15170*...7 WALGREENS #15282*...7 WALGREENS #15283*...7 WALGREENS #15636*...20 WALGREENS #1770*...23 WALGREENS #2071*...23 WALGREENS #2148*...12 WALGREENS #2166*...21 WALGREENS #2206*...16 WALGREENS #2492*...23 WALGREENS #2808*...6 WALGREENS #3181*...21 WALGREENS #3212*...26 WALGREENS #3501*...23 WALGREENS #3763*...25 WALGREENS #3901*...23 WALGREENS #4142*...12 WALGREENS #4409*...7 WALGREENS #4504*...13 WALGREENS #4732*...25 WALGREENS #5088*...24 WALGREENS #5137*...24 WALGREENS #5188*...17 WALGREENS #5388*...15 WALGREENS #5444*...9 WALGREENS #5460*...13 WALGREENS #5488*...24 WALGREENS #5544*...21 WALGREENS #5545*...15 WALGREENS #5602* *Extended (90-day) supply of maintenance medications available.

40 INDEX WALGREENS #5719*...15 WALGREENS #5752*...10 WALGREENS #5976*...14 WALGREENS #6079*...21 WALGREENS #6408*...21 WALGREENS #6604*...21 WALGREENS #7216*...13 WALGREENS #9145*...24 WALGREENS #9176*...19 WALGREENS #9299*...15 WALGREENS #9313*...18 WALGREENS #9508*...21 WALGREENS #9580*...22 WALGREENS #9611*...7 WALGREENS #9792*...15 WALGREENS #9851*...7 WALGREENS #9852*...8 WALGREENS #9892*...8 WALGREENS #9921*...7 WALGREENS #9965*...8 WALGREENS #9983*...17 WALGREENS DRUG STORE...32 WALGREENS*...15, 21, 22 WAL-MART PHARMACY , 3, 4, 5 WEAR DRUG* WOLTERS DRUG STORE*...16 *Extended (90-day) supply of maintenance medications available. 39

41 TTY/TDD 711 or (Illinois Relay) HealthAllianceMedicare.org