ERS Extended Day Supply (EDS) network list of participating pharmacies

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1 ERS Extended Day Supply (EDS) network list of participating pharmacies (List updated November 30, 2017) Participating pharmacy retail chains ABS LLC SO CAL AND IMW (Safeway) Includes: Albertsons, Osco, Safeway and Sav On pharmacies Albertsons LLC Includes: Albertsons, Osco, Safeway, Sav On and Tom Thumb pharmacies Brookshire Bros Inc Includes: B and B Pharmacy and Brookshire Brothers Pharmacy Brookshire Grocery Company Includes: Brookshires Pharmacy and Super 1 Pharmacy Carrs Quality Center (Safeway) Includes: Alaska Managed Care Pharmacy, Carrs Pharmacy and Safeway Pharmacy City Market Inc (Kroger) CVS Pharmacy in Target Includes: CVS Pharmacy and Longs Drugs CVS Pharmacy Inc Includes: Carecenter Pharmacy, Careplus CVS/ Pharmacy, CVS Pharmacy, Waterman Village Pharmacy and Wellness Works Pharmacy Dillon Stores (Kroger) Includes: Bakers, Dillon, Gerbes, and King Soopers pharmacies Fred Meyer Inc (Kroger) Frys Food and Drug Stores (Kroger) Haggen Pharmacies (Safeway) Harris Teeter Inc (Kroger) HEB Grocery Company LP Hy-Vee Inc King Soopers Pharmacy Co (Kroger) Includes: City Market Pharmacy and King Soopers Pharmacy The Kroger Co Includes: Jay C Pharmacy, Kroger Pharmacy and Scott s Pharmacy Long s Drug Stores California LLC (CVS) Includes: CVS Pharmacy, Long s Drugs and Long s Pharmacy TTY users should call 711, unless a different phone number is listed.

2 Participating pharmacy retail chains (continued) Mariano s Pharmacies (Kroger) NAI Saturn Eastern LLC (Safeway) Includes: Safeway Pharmacy Navarro Discount Pharmacies LLC (CVS) Neighborcare Pharmacy Services Inc (Omnicare) Includes: Omnicare pharmacies New Albertsons Inc Includes: Acme Pharmacy, Medcart Pharmacy, Osco Drug and Sav On Pharmacy Omnicare Inc NCS Healthcare LLC Includes: American Pharmaceutical Services, Heartland Pharmacy, Med Care Pharmacy, Merwin Long Term Care Pharmacy, Neighborcare, Omnicare pharmacies, Puget Pharmacy Services, Rx Crossroads, Sun Pharmacy, and Vanguard Advanced Pharmacy Systems Planned Parenthood of the St Louis Region and Southwest Missouri Procare Pharmacy LLC (CVS) Includes: Benevere Pharmacy, Careplus CVS Pharmacy and CVS Pharmacy Quality Food Centers Inc (Kroger) Includes: QFC Pharmacy Ralphs Pharmacy (Kroger) Randalls Food and Drug Inc (Safeway) Includes: Randalls Pharmacy and Tom Thumb Pharmacy Rite Aid Corporation Roundy s Pharmacies Includes: Copps Food Center Pharmacy, Metro Market Pharmacy and Pick N Save Pharmacy Safeway Inc Includes: Safeway Pharmacy and Sav On Pharmacy Sam s Club East & West Inc Includes: Sam s Pharmacy and Sam s Club Pharmacy Shaws Supermarket Inc (Safeway) Includes: Osco Pharmacy Smiths Food and Drug Center Inc (Kroger) Includes: Fry s Pharmacy and Smiths Pharmacy Tom Thumb Pharmacies (Safeway) United Pharmacy TX Includes: Albertsons Market Pharmacy, Amigos Pharmacy, Market Street Pharmacy, United Coalition Pharmacy and United Pharmacy Vons Companies Inc (Albertsons / Safeway) Includes: Albertsonson-Safeway Pharmacy, Pavilions Pharmacy, Vons Pharmacy TTY users should call 711, unless a different phone number is listed.

3 Participating pharmacy retail chains (continued) Walgreens Drug Store , TTY WalMart Stores Inc Includes: Sam s Pharmacy and WalMart Pharmacy Independent Pharmacies Located in Texas (in alphabetical order by city) Broadway Pharmacy 6100 Broadway Alamo Heights, TX Palafox Pharmacy 929 S Main St Anthony, TX Revco Healthcare Pharmacy 5504 Matlock Rd Arlington, TX Naus Enfield Drug 1115 W Lynn St Austin, TX Blue Ribbon Pharmacy 3517 N Main St Baytown, TX Kenjura Pharmacy, Inc 303 N Park St Brenham, TX Cook Childrens Home Health 1101 W Vickery Blvd Fort Worth, TX Pieratts Pharmacy 233 S Manse Giddings, TX Airline Pharmacy Associates LLC Airline Dr Ste A Houston, TX DNA Pharmacy 9419 Mesa Dr Houston, TX Express Specialty Pharmacy 837 Cypress Creek Pkwy Houston, TX Familycare Pharmacy Bellaire Blvd Houston, TX Sterling Pharmacy 9798 Bellaire Blvd Houston, TX Vac Pharmacy Inc West Bellfort Ave #150 Houston, TX

4 Independent Pharmacies Located in Texas (continued) Wellness Plus Pharmacy Inc Fm 1960 West Ste 200 Houston, TX Doyfran Pharmacy 9701 N Sam Houston Pkwy E Ste 110 Humble, TX Sina Pharmacy 3815 N Fry Rd Ste 600 Katy, TX Bear Creek Pharmacy LLC 101B Bear Creek Parkway Keller, TX Sanitarium Drug Store 156 Coleman St Marlin, TX BlueBonnet Apothecary Services W Airport Blvd Meadows Place, TX All Care Pharmacy 1441 S Midlothian Pkwy Ste 140 Midlothian, TX RRX Pharmacy 6243 Fairmont Pkwy Ste 103 Pasadena, TX Pflugerville Pharmacy Spring Hill Pflugerville, TX Quick Pharmacy 701 E Palm Valley Blvd Round Rock, TX Tomball Professional Atrium Phrm 425 Holderrieth Blvd Tomball, TX Wilcox Pharmacy 415 State Hwy 124 Winnie, TX

5 Independent Pharmacies, not located in Texas (in alphabetical order by state, then city) ARIZONA Planned Parenthood Northeast Phoenix 3131 E Thunderbird Rd Phoenix, AZ CALIFORNIA Bell Drugs 3809 Gage Ave Bell, CA Fishers Brea Pharmacy 385 W Central Ave Unit # E Brea, CA BriovaRx Infusion Services #402, LLC Hiddencreek Way Ste C Cerritos, CA Drew Center Pharmacy 2111 University Ave East Palo Alto, CA South Coast Mission Pharmacy Pacific Coast Hwy Laguna Beach, CA Science Pharmaceutical Pharmacy 7225 Fulton Ave #H North Hollywood, CA Venice Family 604 Rose Ave Venice, CA Royal Hills Pharmacy 7301 Medical Center Dr #106 West Hills, CA FLORIDA A & M Pharmacy 6564 Old Winter Garden Rd Orlando, FL Olson Liggett Drug 75 South Tuttle Ave Sarasota, FL Direct Pharmacy Source 4574 N Hiatus Rd Sunrise, FL GEORGIA Tracys Medicine Center 3650 Chamblee Tucker Rd Chamblee, GA Pyramid Discount Pharmacy 1185 Cleveland Ave East Point, GA Larrys Pharmacy 1710 Alice St Waycross, GA HAWAII Good Health Pharmacy LLC 1120 Maunakea St #173 Honolulu, HI

6 Independent Pharmacies (continued) HAWAII (continued) Lihue Professional Pharmacy B Kuhio Hwy Lihue, HI IOWA Clayton Drug 104 W Mission St Strawberry Point, IA Clayton Drug 100 E 1st St Sumner, IA ILLINOIS Pharmacy Plus Inc 508 W N Main St Carrollton, IL Peace Pharmacy 2320 S Wentworth Ave Chicago, IL Mason City Pharmacy 149 E Chestnut St Mason City, IL Critical Home Care Pharmacy 401 E North Ave Villa Park, IL INDIANA Lee Pharmacy & Healthcare 1299 E Morgan Martinsville, IN H and R Pharmacy Inc 27 Main St Poseyville, IN KANSAS Village Pediatrics 8340 Mission Rd Ste 100 Prairie Village, KS JCB Laboratories 7335 W 33rd St North Wichita, KS KENTUCKY Medicine Market Pharmacy Main St Martin, KY LOUISIANA Prescription Compounds 5302 O Donovan Dr Baton Rouge, LA Lady Of The Sea Community Pharmacy Highway 3235 Larose, LA Tompkins Pharmacy 2064 W Main St Lutcher, LA Spectra Family Pharmacy of Monroe 100 Westland Pl West Monroe, LA

7 Independent Pharmacies (continued) MINNESOTA Siverson s Pharmacy & Gifts LLC 118 S Main St Hendricks, MN MISSOURI Sherri s Pharmacy Services 108 S Main St Grant City, MO Whaleys West Side Pharmacy 3526 Amazonas Jefferson City, MO Rogers Pharmacy 607 State St Mound City, MO Prater s Pharmacy 1711 Cherokee Ave Seneca, MO Rogers Pharmacy 2524 Frederick Ave St Joseph, MO The Pharmacy At Apple Markey North 903 N 36th St St Joseph, MO Rogers Pharmacy 411 Main St Tarkio, MO MISSISSIPPI Marty s Pharmacy And Compounding Center 1042 River Oaks Dr Flowood, MS Corner Drug Store 101 W Railroad Ave N Magnolia, MS Advanced Infusion Solutions 623 Highland Colony Pkwy Ste 1 Ridgeland, MS NORTH CAROLINA Novant Health Pharmacy 200 Hawthorne Lane Charlotte, NC NEBRASKA RxSolutions 1225 Golden Gate Dr Papillion, NE NEVADA Unique Care Pharmacy 4571 W Flamingo Rd Las Vegas, NV NEW YORK Lieb Pharmacy th Ave Brooklyn, NY Superior Biologics 200 Saw Mill River Rd Hawthorne, NY

8 Independent Pharmacies (continued) PENNSYLVANIA Heritage Therapeutics, LLC 2173 MacDade Blvd Holmes, PA PUERTO RICO Farmacia Rey #8 Ave Font Martelo Humacao, PR Super Farmacia Caguana Road 111 Km 52.7 Bo Caguana Utuado, PR TENNESSEE Alliance Healthcare System Whitney 2150 Whitney Ave Memphis, TN TwelveStone Medical, Inc 352 W Northfield Blvd Ste 3 Murfreesboro, TN

9 Questions? Give us a call. Call UnitedHealthcare Customer Service toll-free at (866) , TTY 711, 7 a.m. 7 p.m. CT, Monday Friday, 7 a.m. 3 p.m., Saturday. Or visit to learn more about your plan 24/7. The pharmacy network may change at any time. You will receive notice when necessary. Retirees must use network pharmacies to access their prescription drug benefit. Formulary, pharmacy network, premium and/or copayments/coinsurance may change each year. HealthSelect Medicare Rx is an Employer Prescription Drug Plan provided by ERS and administered by UnitedHealthcare Insurance Company, a Medicare-approved Part D sponsor. Enrollment in UnitedHealthcare depends on UnitedHealthcare s contract renewal with Medicare. Y0066_171127_ SPRJ38395A

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