Health Alliance Medicare is a PDP plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal.

Transcription

1 Health Alliance Medicare Stand-Alone Prescription Drug Plan Pharmacy Directory For more information about Health Alliance Medicare Stand-Alone Prescription Drug Plan (PDP) 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 a PDP plan with a Medicare contract. Enrollment in Health Alliance Medicare depends on contract renewal. Health Alliance Medicare es un plan de medicamentos recetados independiente con un contrato con Medicare. La inscripción en Health Alliance Medicare depende de la renovación del contrato. This information is available for free in Spanish. Please 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). Este información está disponible de forma gratuita en español. Por favor, llamar Servicios de Health Alliance Medicare al , de Lunes a Viernes, de 8 a.m. a 8 p.m. los usuarios de TTY/TDD deben llamar al 711 o (Illinois Relay). med-pdppharmd-0713 S4219_14_10147 Accepted Last Updated 9/1/2013

2 Introduction This booklet provides a list of PDP 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 PDP Basic or PDP Enhanced 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 PDP service area. 1

3 PREFERRED PHARMACIES ADAMS QUINCY SAMS PHARMACY* 700 NORTH 54TH ST QUINCY, IL (217) BROADWAY ST QUINCY, IL (217) BOONE BELVIDERE 2101 GATEWAY CENTER DRIVE BELVIDERE, IL (815) 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) *Extended (90-day) supply of maintenance medications available.

4 PREFERRED PHARMACIES CLAY FLORA 1540 N WORTHY FLORA, IL (618) CLINTON CARLYLE 2517 FRANKLIN ST CARLYLE, IL (618) COLES CHARLESTON 2250 LINCOLN AVENUE CHARLESTON, IL (217) MATTOON 101 DETTRO DRIVE MATTOON, IL (217) COOK BEDFORD PARK 7050 SOUTH CICERO AVENUE BEDFORD PARK, IL (708) BRIDGEVIEW SOUTH HARLEM AVENUE BRIDGEVIEW, IL (708) CALUMET CITY SAMS PHARMACY* 603 RIVER OAKS W CALUMET CITY, IL (708) CHICAGO 1424 W 47TH STREET CHICAGO, IL (561) W CHICAGO AVE CHICAGO, IL (312) W CERMAK CHICAGO, IL (773) N BROADWAY CHICAGO, IL (773) N BROADWAY ST CHICAGO, IL (773) WEST NORTH AVE CHICAGO, IL (773) W MONROE ST CHICAGO, IL (312) S STEWART AVE CHICAGO, IL (773) WAL-MART PHARMACY 4626 W DIVERSEY AVE CHICAGO, IL (773) CICERO SAMS PHARMACY* 2601 SOUTH CICERO AVE CICERO, IL (708) *Extended (90-day) supply of maintenance medications available. 3

5 PREFERRED PHARMACIES COOK (continued) COUNTRY CLUB HILLS 4005 WEST 167TH STREET COUNTRY CLUB HILLS, IL (708) CRESTWOOD 4700 WEST 135TH STREET CRESTWOOD, IL (708) DES PLAINES SAMS PHARMACY* 101 WEST OAKTON STREET DES PLAINES, IL (847) ELK GROVE VILLAGE 801 MEACHAM ROAD ELK GROVE VILLAGE, IL (847) EVANSTON SAMS PHARMACY* 2450 MAIN STREET EVANSTON, IL (847) EVERGREEN PARK SAMS PHARMACY* 9400 SOUTHWESTERN AVE EVERGREEN PARK, IL (708) W 95TH ST EVERGREEN PARK, IL (708) FOREST PARK 1300 DES PLAINES AVEUE FOREST PARK, IL (708) GLENWOOD 103 HOLBROOK ROAD GLENWOOD, IL (708) HODGKINS SAMS PHARMACY* 9500 W JOLIET ROAD HODGKINS, IL (708) WEST JOLIET ROAD HODGKINS, IL (708) LANSING TORRENCE AVENUE LANSING, IL (708) MATTESON SAMS PHARMACY* SOUTH CICERO AVE MATTESON, IL (708) SOUTH CICERO AVENUE MATTESON, IL (708) MT. PROSPECT 930 E MT PROSPECT PLAZA MT. PROSPECT, IL (847) *Extended (90-day) supply of maintenance medications available.

6 PREFERRED PHARMACIES COOK (continued) NILES 5630 TOUHY AVENUE NILES, IL (847) WEST GOLF ROAD NILES, IL (847) NORTHLAKE SAMS PHARMACY* 141 WEST NORTH AVENUE NORTHLAKE, IL (708) WEST NORTH AVE NORTHLAKE, IL (708) ORLAND HILLS 9265 WEST 159TH STREET ORLAND HILLS, IL (708) PALATINE 1555 NORTH RAND ROAD PALATINE, IL (847) ROLLING MEADOWS 1460 GOLF ROAD ROLLING MEADOWS, IL (847) STREAMWOOD SAMS PHARMACY* 900 SOUTH BARRINGTON ROAD STREAMWOOD, IL (630) SOUTH BARRINGTON ROAD STREAMWOOD, IL (630) WHEELING SAMS PHARMACY* 1055 MCHENRY ROAD WHEELING, IL (847) LAKE COOK ROAD WHEELING, IL (847) CRAWFORD ROBINSON 1304 EAST MAIN STREET ROBINSON, IL (618) DE WITT CLINTON 10 CLINTON PLAZA HWY 54 WEST CLINTON, IL (217) DEKALB DEKALB 2300 SYCAMORE ROAD DEKALB, IL (815) DUPAGE ADDISON SAMS PHARMACY* 1006 N ROHLWING RD ADDISON, IL (630) *Extended (90-day) supply of maintenance medications available. 5

7 PREFERRED PHARMACIES DUPAGE (continued) ADDISON (continued) 1050 NORTH ROHLWING ROAD ADDISON, IL (630) AURORA 2900 KIRK ROAD AURORA, IL (630) BLOOMINGDALE 314 WEST ARMY TRAIL ROAD BLOOMINGDALE, IL (630) DARIEN TH STREET DARIEN, IL (630) GLEN ELLYN 3 SOUTH 100 RT 53 GLEN ELLYN, IL (630) NAPERVILLE SAMS PHARMACY* 808 S STATE ROUTE 59 NAPERVILLE, IL (630) SOUTH ROUTE 59 NAPERVILLE, IL (630) VILLA PARK 900 SOUTH ROUTE 83 VILLA PARK, IL (630) WOODRIDGE SAMS PHARMACY* 7300 WOODWARD AVE WOODRIDGE, IL (630) EDGAR PARIS US HWY 150 PARIS, IL (217) EFFINGHAM EFFINGHAM 1204 AVENUE OF MID-AMERICA EFFINGHAM, IL (217) FAYETTE VANDALIA 201 NO. MATTES AVENUE VANDALIA, IL (618) FRANKLIN BENTON 919 GIACONE DRIVE BENTON, IL (618) *Extended (90-day) supply of maintenance medications available.

8 PREFERRED PHARMACIES FULTON CANTON 2071 NORTH MAIN STREET CANTON, IL (309) GRUNDY MORRIS 333 EAST ROUTE 6 MORRIS, IL (815) HENRY GENESEO 125 EAST BESTER DRIVE GENESEO, IL (309) KEWANEE 730 TENNEY ST KEWANEE, IL (309) IROQUOIS WATSEKA 1790 E WALNUT ST WATSEKA, IL (815) JACKSON CARBONDALE 1450 EAST MAIN CARBONDALE, IL (618) MURPHYSBORO 6495 COUNTRY CLUB ROAD MURPHYSBORO, IL (618) JEFFERSON MOUNT VERNON 110 DAVIDSON AVENUE MOUNT VERNON, IL (618) JERSEY JERSEYVILLE 1316 SOUTH STATE STREET JERSEYVILLE, IL (618) JO DAVIESS GALENA BARTEL BLVD GALENA, IL (815) KANE AURORA 2131 WEST GALENA BLVD AURORA, IL (630) BATAVIA SAMS PHARMACY* 501 NORTH RANDALL ROAD BATAVIA, IL (630) *Extended (90-day) supply of maintenance medications available. 7

9 PREFERRED PHARMACIES KANE (continued) BATAVIA (continued) 801 NO RANDALL ROAD BATAVIA, IL (630) EAST DUNDEE 620 DUNDEE AVENUE EAST DUNDEE, IL (847) ELGIN SAMS PHARMACY* 1000 S RANDALL RD ELGIN, IL (630) S RANDALL RD ELGIN, IL (847) MONTGOMERY 2000 ORCHARD ROAD MONTGOMERY, IL (630) ST CHARLES 150 SMITH ROAD ST CHARLES, IL (630) KANKAKEE BRADLEY 2080 NO. ST. ROUTE 50 BRADLEY, IL (815) KANKAKEE 505 RIVERSTONE PKWY KANKAKEE, IL (815) KENDALL OSWEGO 2300 ROUTE 34 OSWEGO, IL (630) PLANO 6800 WEST ROUTE 34 PLANO, IL (630) KNOX GALESBURG 659 KNOX SQUARE DR GALESBURG, IL (309) LA SALLE OTTAWA 4041 VETERANS DRIVE OTTAWA, IL (815) PERU 5307 RT 251 PERU, IL (815) *Extended (90-day) supply of maintenance medications available.

10 PREFERRED PHARMACIES LA SALLE (continued) STREATOR 2415 N BLOOMINGTON ST STREATOR, IL (815) LAKE ANTIOCH 475 EAST ROUTE 173 ANTIOCH, IL (847) GURNEE SAMS PHARMACY* 6570 GRAND AVENUE GURNEE, IL (847) GRAND AVENUE GURNEE, IL (847) LAKE ZURICH 820 SOUTH RAND LAKE ZURICH, IL (847) ROUND LAKE BEACH 2680 RT 83 ROUND LAKE BEACH, IL (847) VERNON HILLS SAMS PHARMACY* 335 NORTH MILWAUKEE AVE. VERNON HILLS, IL (847) TOWNLINE ROAD VERNON HILLS, IL (847) WAUKEGAN 3900 FOUNTAIN SQUARE PLACE WAUKEGAN, IL (847) ZION 4000 ROUTE 173 ZION, IL (847) LAWRENCE LAWRENCEVILLE 2610 WEST HAVEN ROAD LAWRENCEVILLE, IL (618) LEE DIXON 1640 SOUTH GALENA AVENUE DIXON, IL (815) LIVINGSTON PONTIAC 1706 WEST REYNOLDS STREET PONTIAC, IL (815) *Extended (90-day) supply of maintenance medications available. 9

11 PREFERRED PHARMACIES LOGAN LINCOLN 825 MALERICH DRIVE LINCOLN, IL (217) MACON DECATUR 4224 NORTH PROSPECT DECATUR, IL (217) EAST MARYLAND AVE. DECATUR, IL (217) MACOUPIN CARLINVILLE SHIPMAN BLACKTOP RD CARLINVILLE, IL (217) MADISON COLLINSVILLE 1040 COLLINSVILLE CROSSING COLLINSVILLE, IL (618) GLEN CARBON 400 JUNCTION DRIVE GLEN CARBON, IL (618) GRANITE CITY 379 W PONTOON ROAD GRANITE CITY, IL (618) HIGHLAND STATE RTE 143 HIGHLAND, IL (618) WOOD RIVER 610 WESLEY DRIVE WOOD RIVER, IL (618) MARION CENTRALIA 1340 WEST MCCORD CENTRALIA, IL (618) SALEM 1870 WEST MAIN ST. SALEM, IL (618) MCDONOUGH MACOMB 1730 E JACKSON ROAD MACOMB, IL (309) GODFREY 6660 GODFREY RD GODFREY, IL (618) *Extended (90-day) supply of maintenance medications available.

12 PREFERRED PHARMACIES MCHENRY ALGONQUIN 1410 SOUTH RANDALL ROAD ALGONQUIN, IL (847) CRYSTAL LAKE SAMS PHARMACY* 5670 NW HIGHWAY CRYSTAL LAKE, IL (815) ILLINOIS RT 31 SOUTH CRYSTAL LAKE, IL (815) HARVARD 1201 SOUTH DIVISION HARVARD, IL (815) HUNTLEY RT 47 HUNTLEY, IL (847) JOHNSBURG 3801 RUNNING BROOKS BLVD JOHNSBURG, IL (815) WOODSTOCK 1275 LAKE AVENUE WOODSTOCK, IL (815) MCLEAN BLOOMINGTON 2225 WEST MARKET ST. BLOOMINGTON, IL (309) NORMAL SAMS PHARMACY* 2151 SHEPARD ROAD NORMAL, IL (309) NORTH GREENBRIAR DRIVE NORMAL, IL (309) MERCER ALEDO 1500 SE 5TH STREET ALEDO, IL (309) MONROE WATERLOO 961 N MARKET STREET WATERLOO, IL (618) MONTGOMERY LITCHFIELD 1205 WEST FERDON ST LITCHFIELD, IL (217) *Extended (90-day) supply of maintenance medications available. 11

13 PREFERRED PHARMACIES MORGAN JACKSONVILLE 1941 W MORTON AVE JACKSONVILLE, IL (217) OGLE ROCHELLE 311 E IL ROUTE 38 ROCHELLE, IL (815) PEORIA PEORIA SAMS PHARMACY* 4100 WEST WILLOW/KNOLLS DRIVE PEORIA, IL (309) NORTH UNIVERSITY STREET PEORIA, IL (309) NORTH ALLEN ROAD PEORIA, IL (309) PERRY DU QUOIN 215 GRANT WAY DU QUOIN, IL (618) PIKE PITTSFIELD US SHETLAND DRIVE PITTSFIELD, IL (217) RANDOLPH CHESTER HWY STATE ST CHESTER, IL (618) SPARTA 1410 N MARKET ST SPARTA, IL (618) RICHLAND OLNEY 1001 NORTH WEST OLNEY, IL (618) ROCK ISLAND MOLINE TH AVENUE DRIVE MOLINE, IL (309) SILVIS TH STREET SILVIS, IL (309) *Extended (90-day) supply of maintenance medications available.

14 PREFERRED PHARMACIES SALINE HARRISBURG 16 ARROWHEAD POINT SHPCNTR HARRISBURG, IL (618) 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) SHELBY SHELBYVILLE RT AND BORMAN ESTATES DR. SHELBYVILLE, IL (217) ST CLAIR BELLEVILLE 2608 GREEN MOUNT COMMONS DR BELLEVILLE, IL (618) CAHOKIA 1511 CAMP JACKSON ROAD CAHOKIA, IL (618) OFALLON SAMS PHARMACY* 1350 WEST HIGHWAY 50 OFALLON, IL (618) WEST HIGHWAY 50 OFALLON, IL (618) STEPHENSON FREEPORT 2545 ILLINOIS ROUTE 26 SO RD FREEPORT, IL (815) TAZEWELL EAST PEORIA 401 RIVER ROAD EAST PEORIA, IL (309) MORTON 155 EAST COURTLAND STREET MORTON, IL (309) PEKIN 3320 VETERANS DRIVE PEKIN, IL (309) *Extended (90-day) supply of maintenance medications available. 13

15 PREFERRED PHARMACIES TAZEWELL (continued) WASHINGTON 1980 FREEDOM PARKWAY WASHINGTON, IL (309) UNION ANNA 300 LEIGH AVE ANNA, IL (618) VERMILION DANVILLE 4101 N VERMILION SUITE A DANVILLE, IL (217) WAYNE FAIRFIELD 150 COMMERCE DRIVE FAIRFIELD, IL (618) WHITE CARMI 1344 ILLINOIS HWY 1 CARMI, IL (618) WHITESIDE ROCK FALLS 1901 FIRST AVENUE ROCK FALLS, IL (815) STERLING 4115 E LINCOLN WAY STERLING, IL (815) WILL BOLINGBROOK 200 SOUTH BOLINGBROOK DRIVE BOLINGBROOK, IL (630) JOLIET SAMS PHARMACY* 321 S LARKIN JOLIET, IL (815) ILLINOIS ROUTE 59 JOLIET, IL (815) W JEFFERSON ST JOLIET, IL (815) LOCKPORT SOUTH FARRELL ROAD LOCKPORT, IL (815) *Extended (90-day) supply of maintenance medications available.

16 PREFERRED PHARMACIES WILL (continued) NEW LENOX 501 E LINCOLN HWY NEW LENOX, IL (815) PLAINFIELD SOUTH ROUTE 59 PLAINFIELD, IL (815) ROMEOVILLE 420 WEBER ROAD ROMEOVILLE, IL (815) WILLIAMSON 3849 NORTHRIDGE DRIVE ROCKFORD, IL (815) WEST RIVERSIDE BLVD ROCKFORD, IL (815) WALTON ST ROCKFORD, IL (815) ROSCOE 4781 E. ROCKTON ROAD ROSCOE, IL (815) HERRIN 1713 SOUTH PARK AVENUE HERRIN, IL (618) MARION SAM'S PHARMACY* 2709 WALTON WAY MARION, IL (618) OUTER ROAD DRIVE MARION, IL (618) WINNEBAGO ROCKFORD SAMS PHARMACY* 7151 WALTON STREET ROCKFORD, IL (815) *Extended (90-day) supply of maintenance medications available. 15

17 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) ALEXANDER CAIRO MEDCARE PHARMACY & HOME MEDICAL* 1915 WASHINGTON AVE CAIRO, IL (618) BOND GREENVILLE 401 E HARRIS AVE GREENVILLE, IL (618) WATSONS DRUG STORE* 214 W MAIN ST GREENVILLE, IL (618) BOONE BELVIDERE KMART PHARMACY7275* 500 W CHRYSLER DR BELVIDERE, IL (815) O'BRIEN&DOBBINS 216 S STATE ST BELVIDERE, IL (815) SHOPKO PHARMACY* 1400 BIG THUNDER BLVD BELVIDERE, IL (815) WALGREENS #4150* 230 W CHRYSLER DR BELVIDERE, IL (815) *Extended (90-day) supply of maintenance medications available.

18 BOONE (continued) POPLAR GROVE SNYDER PHARMACY* ILLINOIS RT 76 POPLAR GROVE, IL (815) 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) CALHOUN HARDIN FOX FAMILY PHARMACY* 110 N COUNTY RD. HARDIN, IL (618) CARROLL MOUNT CARROLL PHARMACY CENTER* 101 W MARKET ST MOUNT CARROLL, IL (815) SAVANNA SHOPKO STORE #2635* 251 S 4TH ST SAVANNA, IL (815) STOUTS DRUG STORE* 217 CHICAGO AVE SAVANNA, IL (815) CASS BEARDSTOWN PAMIDAA RX 113 W 3RD ST BEARDSTOWN, IL (217) CHAMPAIGN CHAMPAIGN COMPLETE CARE PHARMACY* 14 E WASHINGTON ST STE C CHAMPAIGN, IL (217) *Extended (90-day) supply of maintenance medications available. 17

19 CHAMPAIGN (continued) CHAMPAIGN (continued) CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPA 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) RANTOUL 1205 E GROVE STREET RANTOUL, IL (217) *Extended (90-day) supply of maintenance medications available.

20 CHAMPAIGN (continued) RANTOUL (continued) 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. 19

21 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) CLAY FLORA 1301 N STATE ST FLORA, IL (618) SAV MOR PHARMACY* 121 W NORTH AVE FLORA, IL (618) CLINTON BREESE COMPREHENSIVE CARE PHCY* 117 CLINTONIA PLAZA BREESE, IL (618) FAMILY CARE PHARMACY* 20 N 4TH ST BREESE, IL (618) CARLYLE 1171 FRANKLIN ST CARLYLE, IL (618) MED PLUS PHARMACY OF CARLYLE* EULA MAE PKWY CARLYLE, IL (618) NEW BADEN PRESCRIPTIONS PLUS* 450 W HANOVER NEW BADEN, IL (618) TRENTON FAMILY PHARMACY* 405 E BROADWAY TRENTON, IL (618) 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) *Extended (90-day) supply of maintenance medications available.

22 COOK ALSIP DOUBEK PHARMACY INC* S CICERO AVE ALSIP, IL (708) MEDICATION MANAGEMENT PARTNERS, LLC* S CICERO AVE STE C ALSIP, IL (708) S CRAWFORD ALSIP, IL (708) WALGREENS #5055* S PULASKI RD ALSIP, IL (708) ARLINGTON HEIGHTS BELLEVUE PHARMACY OF ILLINOIS 2012 E NORTHWEST HWY ARLINGTON HEIGHTS, IL (847) DOMINICKS FINER FOODS LLC* 325 PALATINE RD ARLINGTON HEIGHTS, IL (847) MARIANOS FRESH MARKET PHARMACY* 802 E NORTHWEST HWY ARLINGTON HEIGHTS, IL (847) N VAIL AVE ARLINGTON HEIGHTS, IL (847) S ARLINGTON HEIGHTS RD ARLINGTON HEIGHTS, IL (847) E RAND RD ARLINGTON HEIGHTS, IL (847) TARGET PHARMACY* 1700 EAST RAND ROAD ARLINGTON HEIGHTS, IL (847) WALGREENS #3512* 1711 W CAMPBELL ARLINGTON HEIGHTS, IL (847) WALGREENS #39* 235 E PALATINE ARLINGTON HEIGHTS, IL (847) WALGREENS #5594* 3 E GOLF RD ARLINGTON HEIGHTS, IL (847) WALGREENS #9246* 1000 NORTHWEST HWY ARLINGTON HEIGHTS, IL (847) BARRINGTON 101 S NWEST HWY BARRINGTON, IL (847) W MAIN ST BARRINGTON, IL (847) WALGREENS #11662* 189 W NORTHWEST HWY BARRINGTON, IL (847) BEDFORD PARK COSTCO PHARMACY* 7300 S CICERO AVE BEDFORD PARK, IL (708) *Extended (90-day) supply of maintenance medications available. 21

23 COOK (continued) BEDFORD PK TARGET PHARMACY* 7100 S CICERO AVE BEDFORD PK, IL (708) BELLWOOD WALGREENS #4008* TH AVENUE BELLWOOD, IL (708) BERWYN HEALTH SOURCE PHARMACY 6723 CERMAK RD BERWYN, IL (708) MEIJER PHARMACY #264* 7111 CERMAK RD BERWYN, IL (708) WALGREENS #11154* 7113 CERMAK RD BERWYN, IL (708) WALGREENS #5076* 6800 OGDEN AVE BERWYN, IL (708) WALGREENS* 3249 OAK PARK AVE BERWYN, IL (708) BLUE ISLAND HIGH STREET PHARMACY* 2320 HIGH ST BLUE ISLAND, IL (708) WALGREENS #3396* S WESTERN BLUE ISLAND, IL (708) BRIDGEVIEW CRESCENT PHARMACY* 7261 W 87TH ST BRIDGEVIEW, IL (708) S HARLEM AVE BRIDGEVIEW, IL (708) HEALTHY RX INC* 7342 W 87TH ST BRIDGEVIEW, IL (708) KMART PHARMACY4381* 7325 W 79TH ST BRIDGEVIEW, IL (708) WALGREENS #6427* 7878 S HARLEM BRIDGEVIEW, IL (708) WALGREENS #89* 8715 S HARLEM BRIDGEVIEW, IL (708) BROADVIEW TARGET PHARMACY* 800 BROADVIEW VILLAGE SQ BROADVIEW, IL (708) WALGREENS #1449* 8000 BROADVIEW VILLAGE SQUARE BROADVIEW, IL (708) WALGREENS #5149* 1600 W ROOSEVELT RD BROADVIEW, IL (708) *Extended (90-day) supply of maintenance medications available.

24 COOK (continued) BROOKFIELD 8911 OGDEN AVE BROOKFIELD, IL (708) BROADWAY BROOKFIELD, IL (708) BUFFALO GROVE DOMINICKS FINER FOODS LLC* 1160 LAKE COOK ROAD BUFFALO GROVE, IL (847) BURBANK 7910 S CICERO BURBANK, IL (708) WALGREENS #15080* 5555 W 79TH ST BURBANK, IL (708) CAKLUMET CITY 470 S TORRANCE AVE CAKLUMET CITY, IL (708) CALUMET CITY TARGET PHARMACY* 1717 EAST WEST ROAD CALUMET CITY, IL (708) WALGREENS #2054* 626 RIVER OAKS CALUMET CITY, IL (708) WALGREENS #6564* 522 TORRENCE BLVD CALUMET CITY, IL (708) CALUMET PARK WALGREENS #10485* S ASHLAND AVE CALUMET PARK, IL (708) CHICAGO 200 PHARMACY INC* 9133 S STONY ISLAND CHICAGO, IL (773) TH STREET PHARMACY* 1837 W 47TH ST CHICAGO, IL (773) PHARMACY LLC* 4527 N SHERIDAN RD CHICAGO, IL (773) A AND D FAMILY MEDICAL CENTER PHCY INC 732 S PULASKI RD CHICAGO, IL (773) A AND T PHARMACY INC* 2959 W ARMITAGE CHICAGO, IL (773) AARON'S APOTHECARY LLC* 2338 N CLARK ST CHICAGO, IL (773) ADDISON CENTRAL PHARMACY* 5600 W ADDISON ST CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available. 23

25 COOK (continued) CHICAGO (continued) ALINA PHARMACY 1* 1547 W CHICAGO AVE CHICAGO, IL (312) ALLCARE DISCOUNT PHARMACY* 2750 W NORTH AVE CHICAGO, IL (312) AMBER PHARMACY* 213 W INSTITUTE PLACE CHICAGO, IL (312) ARCHER PHARMACY* 6456 W ARCHER AVE CHICAGO, IL (773) ARMITAGE PHARMACY, INC.* 3650 W ARMITAGE AVE CHICAGO, IL (773) AUBURN PHARMACY* 746 W 79TH ST CHICAGO, IL (773) B&K DRUGS* 3758 W CHICAGO AVE CHICAGO, IL (773) BALLIN PHARMACY INC* 3330 N LINCOLN AVE CHICAGO, IL (773) BALLIN PHARMACY LTC INC 3330 N LINCOLN AVE SUITE B CHICAGO, IL (773) BECKER PROFESSIONAL PHCY* 4744 N WESTERN AVE CHICAGO, IL (773) BEST PHARMACY INC* 625 E PERSHING RD CHICAGO, IL (773) BIENESTAR PHARMACY* 966 W 21ST ST CHICAGO, IL (312) BROADWAY PHARMACY INC* 4564 N BROADWAY ST CHICAGO, IL (773) CAAL MAD PHARMACY* 2839 W MADISON ST CHICAGO, IL (773) CAREPLUS CVS PHARMACY #02590* 69 W WASHINGTON CHICAGO, IL (312) CAREPLUS 1926 WEST HARRISON ST CHICAGO, IL (312) CAREPLUS PHARMACY INC* 4255 W 63RD STREET CHICAGO, IL (773) CENTRAL DRUGS* 5600 W 63RD ST CHICAGO, IL (773) CHICAGO KEDZIE DRUGS* 4054 W N AVE CHICAGO, IL (773) COLUMBIA PHARMACY INC* 2929 S WABASH CHICAGO, IL (312) *Extended (90-day) supply of maintenance medications available.

26 COOK (continued) CHICAGO (continued) COMMUNITY PHARMACY* 9718 S HALSTED ST CHICAGO, IL (773) COMMUNITY, A WALGREENS PHARMACY* 912 W BELMONT CHICAGO, IL (773) COSTCO WHOLESALE #1107* 1430 S ASHLAND AVE CHICAGO, IL (312) COSTCO WHOLESALE* 2746 N CLYBOURN AVE CHICAGO, IL (773) CPTL HOME PHARMACY, INC.* 1410 W. FULTON CHICAGO, IL (312) CVS PHARMACY # 01054* 101 N. CLINTON ST CHICAGO, IL (312) CVS PHARMACY # 04189* 2828 N CLARK ST CHICAGO, IL (773) CVS PHARMACY # 05482* 3615 N. CENTRAL AVE CHICAGO, IL (773) CVS PHARMACY # 08910* 205 N. COLUMBUS CHICAGO, IL (312) CVS PHARMACY # 08980* 6510 N SHERIDAN RD CHICAGO, IL (773) CVS PHARMACY #03742* 121 W KINZIE ST CHICAGO, IL (312) CVS PHARMACY #04094* 3146 W MADISON ST CHICAGO, IL (773) CVS PHARMACY #04688* 745 W. 103RD. STREET CHICAGO, IL (773) CVS PHARMACY #04793* 1211 W ROOSEVELT RD CHICAGO, IL (312) CVS PHARMACY #05394* 1200 N ASHLAND AVE UNIT C-1 CHICAGO, IL (773) CVS PHARMACY #08289* 120 S LA SALLE ST CHICAGO, IL (312) S WABASH CHICAGO, IL (312) S WESTERN AVENUE CHICAGO, IL (773) N CLARK CHICAGO, IL (312) N STATE ST CHICAGO, IL (312) *Extended (90-day) supply of maintenance medications available. 25

27 COOK (continued) CHICAGO (continued) 130 SOUTH CANAL ST CHICAGO, IL (312) S STATE ST CHICAGO, IL (312) N KOSTNER AVE CHICAGO, IL (773) WEST 59TH ST CHICAGO, IL (773) S ASHLAND CHICAGO, IL (312) N SHEFFIELD AVE CHICAGO, IL (312) WEST JACKSON CHICAGO, IL (312) N HARLEM AVENUE CHICAGO, IL (773) W103RD ST CHICAGO, IL (773) N MICHIGAN ST CHICAGO, IL (312) N MILWAUKEE AVE CHICAGO, IL (773) WEST WASHINGTON CHICAGO, IL (312) N LINCOLN AVE CHICAGO, IL (773) W DIVISION CHICAGO, IL (773) W CHICAGO AVE CHICAGO, IL (773) MARTIN LUTHER KING CHICAGO, IL (312) S PULASKI CHICAGO, IL (773) N CENTRAL AVENUE CHICAGO, IL (773) N WESTERN AVE CHICAGO, IL (773) W DEVON CHICAGO, IL (773) N BROADWAY ST CHICAGO, IL (773) N CLARK CHICAGO, IL (773) WEST 103RD STREET CHICAGO, IL (773) N PULASKI RD CHICAGO, IL (773) W MONTROSE AVE CHICAGO, IL (773) WEST ADDISON ST CHICAGO, IL (773) W HUBBARD CHICAGO, IL (312) *Extended (90-day) supply of maintenance medications available.

28 COOK (continued) CHICAGO (continued) 3552 W GRAND CHICAGO, IL (773) N SOUTHPORT CHICAGO, IL (773) WEST FULLERTON CHICAGO, IL (773) N WESTERN AVE CHICAGO, IL (773) W 103RD ST CHICAGO, IL (773) W MADISON ST CHICAGO, IL (312) WEST ARMITAGE AVE CHICAGO, IL (312) N LINCOLN CHICAGO, IL (773) N PULASKI CHICAGO, IL (773) N MILWAUKEE AVE CHICAGO, IL (773) N DAMEN CHICAGO, IL (773) N CENTRAL CHICAGO, IL (773) S STATE STREET CHICAGO, IL (312) N BROADWAY STREET CHICAGO, IL (773) S WESTERN AVE CHICAGO, IL (773) N BROADWAY CHICAGO, IL (773) W HIGGINS CHICAGO, IL (773) S PULASKI CHICAGO, IL (773) WEST BELMONT CHICAGO, IL (773) W 63RD ST CHICAGO, IL (773) W HIGGINS CHICAGO, IL (773) W 31ST CHICAGO, IL (312) N OGDEN CHICAGO, IL (312) S WESTERN AVE CHICAGO, IL (773) S HALSTED CHICAGO, IL (773) S ASHLAND CHICAGO, IL (773) S PULASKI CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available. 27

29 COOK (continued) CHICAGO (continued) 845 W WILSON CHICAGO, IL (773) SOUTH CICERO AVE CHICAGO, IL (773) SOUTH STONY ISLAND AVE CHICAGO, IL (773) S CHICAGO CHICAGO, IL (773) CVS/PHARMACY # 05836* 1228 EAST 53RD ST CHICAGO, IL (773) DEITCH PHARMACY INC* 1800 W CHICAGO AVE CHICAGO, IL (773) DEL DRUGS INC* 3726 W 16TH STREET CHICAGO, IL (773) DESAI PHARMACY INC 2859 S PULASKI RD CHICAGO, IL (773) DEVON DISCOUNT PHARMACY* 1542 W DEVON AVE CHICAGO, IL (773) DEVON MORSEVIEW DRUGS* 1358 W DEVON AVE CHICAGO, IL (773) DIVISION PHARMACY INC 3624 W DIVISION ST CHICAGO, IL (773) DOMINICKS FINER FOODS LLC* 1 N HALSTED AVE CHICAGO, IL (312) S CANAL STREET CHICAGO, IL (312) WEST HOWARD CHICAGO, IL (773) W CHICAGO AVE CHICAGO, IL (773) E GRAND AVENUE CHICAGO, IL (312) NORTH CLAYBOURN CHICAGO, IL (773) SOUTH ASHLAND AVENUE CHICAGO, IL (773) W DIVISION STREET CHICAGO, IL (312) NORTH LINCOLN AVENUE CHICAGO, IL (773) NORTH SHERIDAN ROAD CHICAGO, IL (773) NORTH BROADWAY CHICAGO, IL (773) NORTH NAGLE AVE CHICAGO, IL (773) N DAMEN AVE CHICAGO, IL (773) W FULLERTON AVE CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available.

30 COOK (continued) CHICAGO (continued) EAST CALUMET RX CO. 335 EAST 51ST STREET CHICAGO, IL (773) EDISON MEDICAL PHARMACY* 4240 W MADISON ST CHICAGO, IL (773) ELFMAN PHARMACY INC* 3202 W NORTH AVE CHICAGO, IL (773) ELSDON MEDICAL PHARMACY* 4254 W 55TH ST CHICAGO, IL (773) ENGLEWOOD RX PHARMACY INC* 6508 S HALSTED ST CHICAGO, IL (773) FARMACIA CENTRO MEDICO 3623 W CHICAGO AVE CHICAGO, IL (773) FARMACIA CUATRO INC* 4937 W. FULLERTON AVE. CHICAGO, IL (773) FARMACIA DE LAWNDALE INC* 2621 S LAWNDALE AVE CHICAGO, IL (773) FIRST FAMILY PHARMACY, INC.* 2140 W DEVON AVE # 1W CHICAGO, IL (773) FMP PHARMACY-SCMS* 5215 N CALIFORNIA AVE CHICAGO, IL (773) FORUM EXTENDED CARE SVC INC II* 4201 W VICTORIA ST CHICAGO, IL (847) GANESH PHARMACY, INC.* 327 W 76TH ST CHICAGO, IL (773) GLENDALE PHARMACY* 6326 S ASHLAND AVE CHICAGO, IL (773) GMP PHARMACY SCMS* 5140 N CALIFORNIA AVE CHICAGO, IL (773) GOLDENSONS MORSE L DRUGS* 1407 W MORSE AVE CHICAGO, IL (773) GORDONO PHARMACY* 5501 N CLARK ST CHICAGO, IL (773) GRANVILLE MED CTR PHCY 6212 N BROADWAY CHICAGO, IL (773) GREAT HEALTH PHARMACY 5418 W FULLERTON AVE CHICAGO, IL (773) HALSTED PHARMACY* 1460 N HALSTED ST STE 101 CHICAGO, IL (312) HEALTH RX INC* 1952 W CERMAK RD CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available. 29

31 COOK (continued) CHICAGO (continued) HEINZ DRUGS* 559 W 103RD ST CHICAGO, IL (773) HOMESCRIPT PHARMACY SVCS* 2003 W FULTON CHICAGO, IL (312) HOWARD BROWN 3245 N HALSTED ST CHICAGO, IL (773) HWANG PHARMACY INC* 3535 W LAWRENCE AVE CHICAGO, IL (773) INFANT JESUS PHARMACY 5137 W CHICAGO AVE CHICAGO, IL (773) IVAN T MATTHEI PHARMACY* 25 E WASHINGTON STUITE 53 CHICAGO, IL (312) J AND J PHARMACY 1608 W 69TH STREET CHICAGO, IL (773) J AND M PHARMACY* 5050 S STATE ST CHICAGO, IL (773) JACKSON PARK PHCY* 7531 S STONY ISLAND AVE CHICAGO, IL (773) JDISCOUNT PHARMACY* 1344 N WESTERN AVE CHICAGO, IL (773) K AND K PHARMACY* 401E 61ST ST CHICAGO, IL (773) KAPLANCARE PHARMACY INC* 3600 W ROOSEVELT RD CHICAGO, IL (773) KATSAROS PHARMACY* 1521 E 53RD ST CHICAGO, IL (773) KEDVON PHARMACY INC* 2763 W DEVON CHICAGO, IL (773) KEDZIE MADISON DRUGS* 3179 W MADISON ST CHICAGO, IL (773) KMART PHARMACY3594* 5050 S KEDZIE AVE CHICAGO, IL (773) KMART PHARMACY4235* 7050 S PULASKI RD CHICAGO, IL (773) KOMED HOLMAN PHARMACY 4259 S BERKELEY AVE CHICAGO, IL (773) KOSIROG REXALL DRUGS* 1000 N WESTERN AVE CHICAGO, IL (773) LAKE PHARMACY 4801 W LAKE ST CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available.

32 COOK (continued) CHICAGO (continued) LAPUJA PHARMACY* 3441 W NORTH AVE CHICAGO, IL (773) LAVIR PHARMACY* 4959 W BELMONT AVE CHICAGO, IL (773) LAWRENCE HOUSE DRUG CO* 1026 W LAWRENCE AVE CHICAGO, IL (773) LIFE SOURCE PHARMACY, INC* S WESTERN AVE CHICAGO, IL (773) LINDAS PHARMACY INC* B S WENTWORTH CHICAGO, IL (312) LITTLE VILLAGE PHARMACY, INC* 3811 W 26TH ST CHICAGO, IL (773) M A B PHARMACY INC* 2643 W DIVISION ST CHICAGO, IL (773) MADISON PINE PHARMACY* 5470 W MADISON ST CHICAGO, IL (773) MARIAM PHARMACY* 3514 W LAWRENCE AVE CHICAGO, IL (773) MARIANO'S PHARMACY* 5353 N ELSTON AVE CHICAGO, IL (773) MAX CARE PHARMACY* 2810 W DEVON AVE CHICAGO, IL (773) MEDICAL SPECIALISTS PHARMACY* 7845 S COTTAGE GROVE AVE CHICAGO, IL (773) MERCY CLINIC PHARMACY AT PULASKI* 5525 S PULASKI RD CHICAGO, IL (312) MERCY FAMILY HEALTH CENTER* 2525 S MICHIGAN AVE CHICAGO, IL (312) MEXICARE INC.* 3200 W 26TH ST CHICAGO, IL (773) MEXICARE PHARMACY II* 1848 S BLUE ISLAND AVE CHICAGO, IL (312) MILWAUKEE PHARMACY* 4440 N MILWAUKEE AVE CHICAGO, IL (773) MINI THUONG XA PHARMACY INC* 1069 W ARGYLE ST CHICAGO, IL (773) MONIK PHARMACY* 1401 N CLYBOURN AVE CHICAGO, IL (312) MORGAN PHARMACY INC* 1056 W ARGYLE ST CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available. 31

33 COOK (continued) CHICAGO (continued) NAH COMMUNITY PHARMACY* 1044 N FRANCISCO AVE CHICAGO, IL (773) NATHAN PHARMACY* 6420 N CALIFORNIA AVE CHICAGO, IL (773) NEW ENGLAND PHARMACY* 6918 W ARCHER AVE CHICAGO, IL (773) NORWOOD DRUGS & HOME HEALTHCARE* 7124 W HIGGINS AVE CHICAGO, IL (773) W 87TH ST CHICAGO, IL (773) S MARSHFIELD AVE CHICAGO, IL (773) S ASHLAND AVE CHICAGO, IL (312) S WABASH CHICAGO, IL (312) N PAULINA CHICAGO, IL (773) E 95TH ST CHICAGO, IL (773) N NARRAGANSETT AVE CHICAGO, IL (773) N ASHLAND AVE CHICAGO, IL (773) N WESTERN AVE CHICAGO, IL (773) N BROADWAY CHICAGO, IL (773) N ELSTON CHICAGO, IL (773) N SOUTHPORT AVE CHICAGO, IL (773) S ARCHER AVE CHICAGO, IL (773) N DESPLAINES ST CHICAGO, IL (312) W FOSTER AVE CHICAGO, IL (773) N SHERIDAN RD CHICAGO, IL (773) IRVING PARK RD CHICAGO, IL (773) N PUEBLO CHICAGO, IL (773) S PULASKI CHICAGO, IL (773) N BROADWAY CHICAGO, IL (773) N CLARK CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available.

34 COOK (continued) CHICAGO (continued) 6107 S ARCHER AVE CHICAGO, IL (773) W IRVING PK RD CHICAGO, IL (773) W FOSTER AVE CHICAGO, IL (773) S STONY ISLAND CHICAGO, IL (773) S ASHLAND AVE CHICAGO, IL (773) OUTPATIENT PHARMACY SERVICES* 830 W DIVERSEY PKWY CHICAGO, IL (773) PARKWAY DRUGS, A WALGREEN PHARMACY* 680 N LAKE SHORE DR CHICAGO, IL (312) PHARMACY ONE PLUS* N KEDZIE CHICAGO, IL (773) PRO PHARMACY INC* 1029 E 130TH ST CHICAGO, IL (773) PRO PHARMACY INC 8811 S STONY ISLAND CHICAGO, IL (773) PROF OFFICE BLDG INFUSION PHARMACY* 1725 W HARRISON ST STE 1059 CHICAGO, IL (312) PROF OFFICE BLDG PHCY* 1725 W HARRISON STE 418 CHICAGO, IL (312) PROFESSIONAL BUILDING PHARMACY* 2315 E 93RD ST CHICAGO, IL (773) PROMED PHARMACY INC* 3857 W WASHINGTON BLVD CHICAGO, IL (773) QOL MEDS* 4740 N CLARK ST CHICAGO, IL (773) QUEENS PHARMACY* 6213 W BELMONT AVE CHICAGO, IL (773) R AND S PHARMACY INC* 8012 S CRANDON AVE CHICAGO, IL (773) RANDOLPHS RX PHARMACY* 5500 S DAMEN CHICAGO, IL (773) RAVENSWOOD PHARMACY INC.* 1945 W WILSON AVE STE 102 CHICAGO, IL (773) REX PHARMACEUTICALS INC* 6853 S HALSTED ST CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available. 33

35 COOK (continued) CHICAGO (continued) RISHI PHARMACY INC* 4909 W DIVISION CHICAGO, IL (773) RITEWAY PHARMACY* 2551 N MILWAUKEE AVE CHICAGO, IL (773) ROGER PROFESSIONAL PHARMACY INC* 131 E 47TH ST CHICAGO, IL (773) ROLET PHARMACY* 6032 S HALSTED ST CHICAGO, IL (773) ROSELAND PHARMACY ONE* 104 W 111TH ST CHICAGO, IL (773) ROSENBLUM DRUG* 2123 E 71ST ST CHICAGO, IL (773) ROSENS MORSEVIEW PHCY* 2955 W DEVON AVE CHICAGO, IL (773) SALAM PHARMACY* 4651 W 79TH STREET CHICAGO, IL (773) SAPSTEIN DRUGS* 752 E 83RD ST CHICAGO, IL (773) SAVE RITE PHCY DISC CTR* 3479 N BROADWAY ST CHICAGO, IL (773) SEELEY PHARMACY INC* 2024 W 79TH ST CHICAGO, IL (773) SEOUL PHARMACY INC* 3757 W LAWRENCE AVE CHICAGO, IL (773) SHARIF PHARMACY INC* 2004 N PULASKI RD CHICAGO, IL (773) SHREE PHARMACY* 1624 W MONTROSE AVE CHICAGO, IL (773) SHREEJI PHARMACY* 2266 N LINCOLN AVE LOWR LEVEL CHICAGO, IL (773) SINAI COMMUNITY PHARMACY INC* CALIFORNIA AVE AT 15TH ST CHICAGO, IL (773) SINAI TOUHY PHARMACY LLC* 2907 W TOUHY AVE CHICAGO, IL (773) SNS PHARMACY* 3900 WEST MADISON ST CHICAGO, IL (773) SOUTH SIDE PHARMACY INC 6905 S WENTWORTH AVE CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available.

36 COOK (continued) CHICAGO (continued) SOUTHERN PHARMACY 4829 S ASHLAND AVE CHICAGO, IL (773) SPECIALTY CARE RX, INC.* 5310 N SHERIDAN RD CHICAGO, IL (773) STONE MEDICAL PHARMACY* 2800 N SHERIDAN RD CHICAGO, IL (773) SURECARE PHARMACY INC.* 2001 S CALIFORNIA AVE STE 103 CHICAGO, IL (773) SUTCLIFFE PHARMACY INC* 801 W IRVING PARK RD CHICAGO, IL (773) TARGET PHARMACY* 1 S STATE SREET CHICAGO, IL (312) W JACKSON BLVD CHICAGO, IL (312) S CLARK ST CHICAGO, IL (312) S MARSHFIELD AVE CHICAGO, IL (773) W 33RD ST CHICAGO, IL (773) W PETERSON AVE CHICAGO, IL (773) N ELSTON AVE CHICAGO, IL (773) W ADDISON ST CHICAGO, IL (773) S PULASKI RD CHICAGO, IL (773) N BROADWAY ST CHICAGO, IL (773) N CICERO AVE CHICAGO, IL (773) W DIVERSEY AVE CHICAGO, IL (773) S COTTAGE GROVE AVE CHICAGO, IL (773) THE APOTHECARY CHICAGO* 7447 W TALCOTT RD CHICAGO, IL (773) THOREK HOSPITAL OUTPATIENT PHARMACY* 850 W IRVING PARK RD CHICAGO, IL (773) TOUHY PHARMACY INC 2721 W PETERSON AVE CHICAGO, IL (773) UNIVERSITY OF CHICAGO DCAM OUTPATIENT PHARMACY* 5758 S MARYLAND AVE CHICAGO, IL (773) UPGRADE PHARMACY INC 6259 S COTTAGE GROVE AVE CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available. 35

37 COOK (continued) CHICAGO (continued) VAISHALI PHARMACY INC* 3140 W CERMAK RD CHICAGO, IL (773) VALUE RX FARMACIA INC W.ARMITAGE AVE CHICAGO, IL (773) VISHNU PHARMACY 4239 W NORTH AVE CHICAGO, IL (773) VITAL RX, LLC* 2837 N MILWAUKEE CHICAGO, IL (773) VIVEK PHARMACY INC* 300 E PERSHING RD CHICAGO, IL (773) VOSS PHARMACY INC 3303 S HALSTED ST CHICAGO, IL (773) WALGREENS # W MADISON ST STE 101 CHICAGO, IL (773) WALGREENS # S WESTERN AVE CHICAGO, IL (773) WALGREENS # S STATE CHICAGO, IL (312) WALGREENS #10350* 7109 S JEFFERY BLVD CHICAGO, IL (773) WALGREENS #10424* 3934 W DIVERSEY AVE CHICAGO, IL (773) WALGREENS #10558* 250 S WACKER CHICAGO, IL (312) WALGREENS #10649* 3424 W BELMONTAVE CHICAGO, IL (773) WALGREENS #1068* 240 W RANDOLPH CHICAGO, IL (312) WALGREENS #10771* 6460 W FULLERTON AVE CHICAGO, IL (773) WALGREENS #1096* 3646 N BROADWAY CHICAGO, IL (773) WALGREENS #1101* 1533 E 67TH PL CHICAGO, IL (773) WALGREENS #11223* 7901 S WESTERN AVE CHICAGO, IL (773) WALGREENS #11386* 201 E HURON CHICAGO, IL (312) WALGREENS #11410* 1627 N PULASKI RD CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available.

38 COOK (continued) CHICAGO (continued) WALGREENS #1147* 2317 NORTH CLARK STREET CHICAGO, IL (773) WALGREENS #1171* 2801 N BROADWAY CHICAGO, IL (773) WALGREENS #1173* 1520 W FULLERTON CHICAGO, IL (773) WALGREENS #118* 5650 W BELMONT AVE CHICAGO, IL (773) WALGREENS #12150* 5168 N LINCOLN AVE CHICAGO, IL (773) WALGREENS #12304* 2744 N CALIFORNIA AVE CHICAGO, IL (773) WALGREENS #12426* 315 W CHICAGO AVE CHICAGO, IL (312) WALGREENS #1298* 1372 N MILWAUKEE CHICAGO, IL (773) WALGREENS #1308* 7410 N CLARK CHICAGO, IL (773) WALGREENS #1310* 3110 W ARMITAGE CHICAGO, IL (773) WALGREENS #13106* S AVENUE O CHICAGO, IL (773) WALGREENS #1332* 300 N MICHIGAN CHICAGO, IL (312) WALGREENS #13454* 6140 N WESTERN AVE CHICAGO, IL (773) WALGREENS #1375* 1200 N DEARBORN CHICAGO, IL (312) WALGREENS #1417* 1931 W CERMAK CHICAGO, IL (773) WALGREENS #147* 3611 E 106TH CHICAGO, IL (773) WALGREENS #1495* 4225 W ARMITAGE CHICAGO, IL (773) WALGREENS #1496* 6310 N NAGLE CHICAGO, IL (773) WALGREENS #1503* 1926 W 35TH STREET CHICAGO, IL (773) WALGREENS #15196* 151 N STATE ST CHICAGO, IL (312) *Extended (90-day) supply of maintenance medications available. 37

39 COOK (continued) CHICAGO (continued) WALGREENS #15508* 5147 S ASHLAND AVE STE 101 CHICAGO, IL (773) WALGREENS #1593* 5230 N MILWAUKEE AVE CHICAGO, IL (773) WALGREENS #162* 1554 E 55TH STREET CHICAGO, IL (773) WALGREENS #163* 4000 W 59TH ST CHICAGO, IL (773) WALGREENS #1768* 7652 W TOUHY AVE CHICAGO, IL (773) WALGREENS #178* 740 W DIVERSEY PKWY CHICAGO, IL (773) WALGREENS #1802* 5018 S CICERO AVE CHICAGO, IL (773) WALGREENS #194* 4801 N LINCOLN CHICAGO, IL (773) WALGREENS #2025* 3000 SOUTH HALSTED CHICAGO, IL (312) WALGREENS #2073* 5401 S WENTWORTH CHICAGO, IL (773) WALGREENS #211* 757 N MICHIGAN AVE CHICAGO, IL (312) WALGREENS #215* 3045 W 26TH ST CHICAGO, IL (773) WALGREENS #2210* S MICHIGAN CHICAGO, IL (773) WALGREENS #2211* 5036 COTTAGE GROVE AVE CHICAGO, IL (773) WALGREENS #226* 4005 W 26TH ST CHICAGO, IL (773) WALGREENS #230* 5518 W CHICAGO CHICAGO, IL (773) WALGREENS #2300* S HALSTED CHICAGO, IL (773) WALGREENS #232* 3405 M L KING DR CHICAGO, IL (312) WALGREENS #2340* 342 E ILLINOIS ST CHICAGO, IL (312) WALGREENS #2387* 1616 E 87TH ST CHICAGO, IL (773) *Extended (90-day) supply of maintenance medications available.