2018 PHARMACY DIRECTORY

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1 Samaritan Employer Group Health Plans 2018 DIRECTORY Samaritan Health Plans 2300 NW Walnut Blvd Corvallis, Oregon This Pharmacy Directory was updated on 07/01/2018. For more recent information or other questions, please contact Member Services at or, for TTY users, , daily 8 a.m. to 8 p.m., or visit samhealthplans.org 1

2 Introduction This booklet provides a list of Samaritan Health Plans network pharmacies for its Samaritan Oregon Standard Plans, Samaritan Health and Wellbeing Plans, Samaritan New Performance Plans, Samaritan Everyday Choices, and Samaritan Momentum Plans. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review your plan s member certificate and your plan s formulary. If you have additional questions, please contact our Member Services Department. Our contact information appears on the front cover page and last page. We call the pharmacies on this list our network pharmacies because we have arranged with them to provide prescription drugs to Plan members. A network pharmacy is a pharmacy where beneficiaries obtain prescription drug benefits provided by Samaritan Oregon Standard Plans, Samaritan Health and Wellbeing Plans, Samaritan New Performance Plans, Samaritan Everyday Choices, and Samaritan Momentum Plans. In most cases, your prescriptions are covered if they are filled at a network pharmacy. Once you go to one, you are not required by the plan to continue going to the same pharmacy to fill your prescription. You can go to any of our network pharmacies for prescription coverage. We will fill prescriptions at non-network pharmacies under certain circumstances as described in your member certificate. 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 07/01/2018. For the most current list, please contact us. Our contact information appears on the front cover page and last page of this document. 2

3 Retail Pharmacies, including Chain Pharmacies ALBANY BI-MART # SE SANTIAM HWY ALBANY, OR COSTCO 3031 KILLDEER AVE SE ALBANY, OR ELM STREET TH AVE SW ALBANY, OR SANTIAM HWY SE ALBANY, OR GEARY STREET CLINIC 1700 SE GEARY ST ALBANY, OR MEDICAP 1333 CLAY STREET SE ALBANY, OR TARGET TH AVE SE ALBANY, OR BROWNSVILLE BROWNSVILLE 411 N MAIN BROWNSVILLE, OR CORVALLIS BI-MART # N 9TH STREET CORVALLIS, OR BI-MART # SW 53RD ST CORVALLIS, OR CORVALLIS CLINIC 3680 NW SAMARITAN DR CORVALLIS, OR KING BLVD CORVALLIS, OR HEALTH SERVICES 530 NW 27TH ST CORVALLIS, OR KMART N EAST CIRCLE BLVD CORVALLIS, OR RICES 910 NW KINGS BLVD CORVALLIS, OR SAMARITAN SERVICES 3521 NW SAMARITAN DR, STE 202 CORVALLIS, OR HARRISBURG HARRISBURG 230 N 3RD ST, STE 106 HARRISBURG, OR LEBANON BI-MART # S SANTIAM HWY LEBANON, OR LEBANON PILL BOX 185 MAIN ST LEBANON, OR SAMARITAN LEBANON COMMUNITY 675 N 5TH ST LEBANON, OR LINCOLN CITY BI-MART # SE OAR AVE LINCOLN CITY, OR MILL CITY MILL CITY 218 SW BROADWAY MILL CITY, OR NEWPORT 150 NE 20TH NEWPORT, OR

4 PHILOMATH PHILOMATH FAMILY 1640 MAIN ST PHILOMATH, OR SWEET HOME BI-MART # MAIN ST SWEET HOME, OR ECONOMY DRUGS 621 MAIN ST, STE A SWEET HOME, OR TOLEDO MIKES 722 W HIGHWAY 20 TOLEDO, OR WALDPORT HI-SCHOOL # SW HWY101 WALDPORT, OR Nationwide COSTCO (TTY 711) CVS (TTY 711) KROGER (TTY 711) RITE AID (TTY 711) SAFEWAY (TTY 711) TARGET (TTY 711) WALGREENS (TTY 711) WAL-MART (TTY: 711) Mail Order Pharmacies You can get prescription drugs shipped to your home through our network mail order delivery program. Typically, you should expect to receive your prescription drugs within 7 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact us at TTY users should call ACCREDO HEALTH GROUP INC ALBERTSONS-SAFEWAY # BRIOVARX OF INDIANA, LLC BRIOVARX OF NEVADA, LLC CATAMARAN HOME DELIVERY CCS MEDICAL COSTCO CVS/SPECIALTY DIRECT SUCCESS DRUG SOURCE INC HOMESCRIPTS INNOVASCRIPT INTERMOUNTAIN HOME DELIVERY KOHLLS RXMPSS MATLOCK MEDICAL CENTER 4

5 OPTUMRX OPTUMRX OF ILLINOIS OPTUMRX OF OHIO PACIFIC PULMONARY SERVICES PANTHERX SPECIALTY PROACT SERVICES RITE AID RX CROSSROADS SAFEWAY # SAMARITAN SERVICES 3521 NW SAMARITAN DR, STE 202 CORVALLIS, OR WOODLAND HILLS Home Infusion Pharmacies AXELACARE 2065 NE WILLIAMSON CT, STE B BEND, OR CORAM CVS/SPECIALTY INFUSION SERVICES 7358 SW DURHAM RD PORTLAND, OR OPTION CARE AT LEGACY HEALTH SW 72ND AVE PORTLAND, OR PROVIDENCE SPECIALTY SERVICES- INFUSION/SPP 6410 NE HALSEY ST SUITE 400 PORTLAND, OR SACRED HEART HOME INFUSION 677 E. 12TH AVE SUITE N Long-Term Care Pharmacies Residents of a long-term care facility may access their prescription drugs covered under Samaritan Employer Group Plan through the facility s long-term care pharmacy or another network long-term care pharmacy. BEND PILL BOX 727 NE GREENWOOD AVE BEND, OR BHS 1455 WESTEC DR EUGENE, OR CONSONUS SERVICES OREGON 4560 SE INTERNATIONAL WAY STE 101 MILWAUKIE, OR FAIRLEYS HEALTHCARE 7206 NE SANDY BLVD PORTLAND, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 1425 BEAVERCREEK RD STE B OREGON CITY, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 750 FRONT ST NE SALEM, OR

6 GENOA, A QOL HEALTHCARE COMPANY, LLC 998 LIBRARY CT RM 4 OREGON CITY, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 400 NE 7TH ST GRESHAM, OR ISSE SERVICES SE 114TH AVE CLACKAMAS, OR LUKE-DORF NE SANDY BLVD PORTLAND, OR MANAGED HEALTHCARE 1750 WILLOW CREEK CIR EUGENE, OR OLSON LONG TERM CARE SE MCLOUGHLIN BLVD MILWAUKIE, OR OMNICARE OF MEDFORD 259 E BARNETT RD, STE L MEDFORD, OR OMNICARE OF PORTLAND NE GLENN WIDING DR PORTLAND, OR OREGON STATE HOSPITAL 2600 CENTER ST NE SALEM, OR PAYLESS DRUG STORES INC SW 72ND AVE PORTLAND, OR PAYLESS DRUG-LANE COUNTY 2411 MARTIN LUTHER KING JR BLVD SUITE PAYLESS LONG TERM CARE GRUMMAN DR EUGENE, OR PHS LONG TERM CARE 1085 N OREGON ST ONTARIO, OR PILL BOX HEALTH CENTER 906 NW KINGS BLVD CORVALLIS, OR PROVIDENCE SPECIALTY SERVICES - LTC 6410 NE HALSEY STREET STE 400 PORTLAND, OR RED CROSS INSTITUTIONAL 206 DEPOT ST LA GRANDE, OR ROGUE VALLEY MANOR 1250 MIRA MAR AVE SUBLIMITY 102 MARTIN DR, STE B STAYTON, OR TRINITY VALLEY 2001 NE FOOTHILL BLVD F3 GRANTS PASS, OR Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Only Native Americans and Alaska Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through Samaritan Employer Group 6

7 Plans pharmacy network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). CHEMAWA INDIAN HLTH CTR 3750 CHEMAWA RD NE SALEM, OR GRAND RONDE HEALTH AND WELLNESS 9605 GRAND RONDE RD GRAND RONDE, OR KLAMATH TRIBAL HEALTH 330 CHILOQUIN BLVD CHILOQUIN, OR NARA INDIAN HEALTH CLINIC 15 N MORRIS PORTLAND, OR WARM SPRINGS HLTH AND WELL CTR PHY 1270 KOT NUM RD WARM SPRINGS, OR YELLOWHAWK TRIBAL HEALTH CLINIC PHCY CONFEDERATED WAY PENDLETON, OR Network Pharmacies outside the Linn, Benton, and Lincoln Area We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. BAKER BI-MART # CAMPBELL ST BAKER CITY, OR CLACKAMAS DAVES PRESCRIPTION SHOP 911 SW 4TH AVE CANBY, OR SE FIRST CANBY, OR PARSONS CANBY 294 NW 2ND AVE CANBY, OR SE 82ND DRIVE CLACKAMAS, OR ISSE SERVICES SE 114TH AVE CLACKAMAS, OR SUNNYSIDE SE SUNNYSIDE RD STE 100A CLACKAMAS, OR BI-MART # SE HIGHWAY 212 DAMASCUS, OR HI SCHOOL 207 S BROADWAY ESTACADA, OR SAV-ON # BOONES FERRY ROAD LAKE OSWEGO, OR CONSONUS SERVICES OREGON 4560 SE INTERNATIONAL WAY STE 101 MILWAUKIE, OR SE MCLOUGHLIN BLVD MILWAUKIE, OR OLSON LONG TERM CARE SE MCLOUGHLIN BLVD MILWAUKIE, OR

8 BI-MART # WEST MAIN STREET MOLALLA, OR CUTTER'S HI- SCHOOL # ROBBINS ST MOLALLA, OR BI-MART # MOLLALA AVE OREGON CITY, OR MOLALLA AVENUE OREGON CITY, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 998 LIBRARY CT RM 4 OREGON CITY, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 1425 BEAVERCREEK RD STE B OREGON CITY, OR SAVON S BEAVERCREEK RD OREGON CITY, OR BI-MART # HIGHWAY 26 SANDY, OR ND AVE SANDY, OR WILLIAMS LLC E HIGHWAY 26 WELCHES, OR HI SCHOOL 5639 NE HOOD ST WEST LINN, OR SW BOONES FERRY RD WILSONVILLE, OR SAVON SW BOONES FERRY RD WILSONVILLE, OR CLATSOP COLUMBIA MEMORIAL HOSPITAL OUTPATIENT 2120 EXCHANGE ST STE 101 ASTORIA, OR PARAMOUNT DRUG 1319 COMMERCIAL ST ASTORIA, OR PROVIDENCE SEASIDE 725 S WAHANNA RD SEASIDE, OR S HIGHWAY 101 WARRENTON, OR COLUMBIA RICKS HI SCHOOL 401 WEST COLUMBIA RIVER HWY CLATSKANIE, OR BI-MART # SE 2ND STREET SCAPPOOSE, OR S COLUMBIA RIVER HWY SCAPPOOSE, OR HI SCHOOL SW CHINOOK PLZ SCAPPOOSE, OR COOS BI-MART # TH ST COOS BAY, OR

9 1020 S FIRST AVENUE COOS BAY, OR SEMPERTS DRUG 735 SPRUCE ST MYRTLE POINT, OR BI-MART # NEWMARK STREET NORTH BEND, OR WATERFALL COMMUNITY 1890 WAITE ST STE 1 NORTH BEND, OR CROOK BI-MART # NE 3RD STREET PRINEVILLE, OR CLINIC 198 NE COMBS FLAT RD PRINEVILLE, OR CURRY BI-MART # WHARF ST BROOKINGS, OR FIFTH STREET BROOKINGS, OR CORNER DRUG ELLENSBURG AVE GOLD BEACH, OR DESCHUTES AXELACARE 2065 NE WILLIAMSON CT STE B BEND, OR BEND PILL BOX 727 NE GREENWOOD AVE BEND, OR BI-MART # NE 2ND STREET BEND, OR CASCADE CUSTOM AMBER MEADOW DR STE 170 BEND, OR COMMUNITY 2500 NE NEFF RD BEND, OR DOC 1340 NW WALL ST BEND, OR S HWY 97 BEND, OR JUNIPER PEDIATRICS 2275 NE DOCTORS DR STE 1 BEND, OR NORCHEM LLC DBA ROSE PHY 1247 NE MEDICAL CENTER DR STE 1 BEND, OR SAV-ON # S HWY 97 BEND, OR SHOPKO 60 NE BEND RIVER MALL DR BEND, OR WESTSIDE 359 SW CENTURY DR BEND, OR BI-MART # HUNTINGTON RD LA PINE, OR DRUG MART HUNTINGTON RD STE A LA PINE, OR

10 BI-MART # ODEM MEDO ROAD REDMOND, OR CENTRAL OREGON AND COMPOUNDING 655 NW GREENWOOD AVE REDMOND, OR COMMUNITY REDMOND 1253 N. CANAL BLVD. REDMOND, OR # SW 9TH ST REDMOND, OR BI-MART # WEST HIGHWAY 20 SISTERS, OR SISTERS DRUG AND GIFT 211 E CASCADE SISTERS, OR SUNRIVER VENTURE LN SUNRIVER, OR DOUGLAS GORDON'S AND GIFTS 314 MAIN ST CANYONVILLE, OR LOWER UMPQUA HOSPITAL 600 RANCH RD REEDSPORT, OR REEDSPORT 1409 HWY 101 REEDSPORT, OR BI-MART # NW GARDEN VALLEY BLVD ROSEBURG, OR # NW GARDEN VALLEY BLVD ROSEBURG, OR HARVARD AVENUE DRUGS AND HEALTH MART 1175 W HARVARD AVE ROSEBURG, OR HOMETOWN DRUGS 1813 W HARVARD AVE STE 210 ROSEBURG, OR KMART NW STEWART PKWY ROSEBURG, OR NW COMPOUNDING 1350 NORTHEAST STEPHENS STE 42 ROSEBURG, OR SAVON 3013 NW STEWART PKWY ROSEBURG, OR BI-MART # E CENTRAL AVE SUTHERLIN, OR SUTHERLIN DRUG 113 CENTRAL AVE E SUTHERLIN, OR BI-MART # NW DOUGLAS BLVD WINSTON, OR VALLEY DRUGS 157 NW DOUGLAS BLVD WINSTON, OR GILLIAM MURRAYS CONDON 225 SOUTH MAIN CONDON, OR

11 GRANT LENS DRUG 120 E MAIN ST JOHN DAY, OR BI-MART # W MAIN ST MEDFORD, OR LONE PINE DRUG 3528 LONE PINE RD # SAVON 1360 PLAZA BLVD MEDFORD, OR JACKSON ASHLAND DRUG 53 NORTH SECOND STREET ASHLAND, OR BI-MART # ASHLAND ST ASHLAND, OR GOLD HILL 808 2ND AVE GOLD HILL, OR ASANTE 2900 E BARNETT RD STE ASANTE RRMC 2825 E BARNETT RD BI-MART # BIDDLE RD BLACK OAK 2924 SISKIYOU BLVD STE COMPREHENSIVE PAIN SOLUTIONS 701 GOLF VIEW DR CRATER LAKE HWY CENTER DRIVE MEDFORD, OR OMNICARE OF MEDFORD 259 E BARNETT RD STE L MEDFORD, OR ROGUE COMMUNITY HEALTH 11 MYRTLE ST ROGUE VALLEY MANOR 1250 MIRA MAR AVE SAVON 910 N PHOENIX RD SAVON 113 ROSS LN MEDFORD, OR WELLNESS COMPOUNDING 522 CRATER LAKE AVE WEST MAIN DRUG 2355 WEST MAIN ST MEDFORD, OR ROGUE RIVER 506 E MAIN ROGUE RIVER, OR SHADY COVE HWY 62 SHADY COVE, OR MEDICAP 205 N PACIFIC HIGHWAY TALENT, OR

12 CASCADE 7591A CRATER LAKE HWY WHITE CITY, OR JEFFERSON BI-MART # S HIGHWAY 97 MADRAS, OR HOMETOWN DRUGS 65 NE OAK ST STE 100 MADRAS, OR WARM SPRINGS HLTH AND WELL CTR PHY 1270 KOT NUM RD WARM SPRINGS, OR JOSEPHINE CAVES 333 S REDWOOD HWY CAVE JUNCTION, OR SISKIYOU COMMUNITY HEALTH CENTER REDWOOD HWY CAVE JUNCTION, OR ASANTE THREE RIVERS 500 SW RAMSEY AVE GRANTS PASS, OR BI-MART # REDWOOD HWY GRANTS PASS, OR # GRANTS PASS PKWY GRANTS PASS, OR GRANTS PASS 414 SW 6TH ST GRANTS PASS, OR RXMEDLAB 162 NE BEACON DR STE 109 GRANTS PASS, OR SAV-ON # ALLEN CREEK ROAD GRANTS PASS, OR SISKIYOU COMMUNITY HEALTH CENTER 1701 NW HAWTHORNE AVE GRANTS PASS, OR TRINITY VALLEY 2001 NE FOOTHILL BLVD F3 GRANTS PASS, OR TRINITY VALLEY LLC RETAIL 2001 FOOTHILL BLVD BLDG F3 GRANTS PASS, OR KLAMATH KLAMATH TRIBAL HEALTH 330 CHILOQUIN BLVD CHILOQUIN, OR BI-MART # WASHBURN WAY KLAMATH FALLS, OR SHASTA WAY KLAMATH FALLS, OR SAVON 5500 S 6TH ST KLAMATH FALLS, OR SKY LAKES OUTPATIENT 2865 DAGGETT AVENUE KLAMATH FALLS, OR THE MERRILL CLINIC LLC 125 N LINCOLN ST MERRILL, OR LAKE HOWARDS DRUGS 101 NORTH F STREET LAKEVIEW, OR LANE BI-MART #620 12

13 100 GATEWAY BLVD COTTAGE GROVE, OR COTTAGE GROVE COMMUNITY HOSPITAL 1515 VILLAGE DR COTTAGE GROVE, OR BI-MART # MELTON ROAD CRESWELL, OR BHS 1455 WESTEC DR EUGENE, OR BI-MART # RIVER RD EUGENE, OR BI-MART # W 18TH AVE EUGENE, OR BI-MART # WILLAKENZIE ROAD BI-MART # ROYAL AVE EUGENE, OR BROADWAY APOTHECARY 1515 OAK ST DIVISION AVENUE EUGENE, OR WEST 11TH AVENUE EUGENE, OR HIRONS DRUG #1 185 E 18TH AVE HIRONS DRUG # FRANKLIN BLVD EUGENE, OR MANAGED HEALTHCARE 1750 WILLOW CREEK CIR EUGENE, OR NEUROSURGERY ASSOCIATES 74B CENTENNIAL LOOP STE PAYLESS DRUG-LANE COUNTY 2411 MARTIN LUTHER KING JR BLVD SUITE PAYLESS LONG TERM CARE GRUMMAN DR EUGENE, OR RIVER ROAD HEALTHMART 884 RIVER ROAD EUGENE, OR SACRED HEART HOME INFUSION 677 E. 12TH AVE SUITE N SACRED HEART MEDICAL CENTER - UNIV DISTRICT 1255 HILYARD ST SAVON 55 DIVISION AVE EUGENE, OR SAVON 311 COBURG RD SAVON 4740 ROYAL AVE EUGENE, OR SAV-ON #

14 1675 W 18TH AVE EUGENE, OR SAV-ON # HILYARD STREET EUGENE, OR SHOPKO 2815 CHAD DR EUGENE, OR SYNERGY RX 55 COBURG RD STE WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER 520 COUNTRY CLUB RD BI-MART # HWY 101 FLORENCE, OR FLORENCE 2935 HWY 101 FLORENCE, OR HIGHWAY 101 FLORENCE, OR BI-MART # EAST 6TH AVE JUNCTION CITY, OR POSTAL, INC HWY 58 OAKRIDGE, OR BI-MART # MOHAWK BLVD SPRINGFIELD, OR BI-MART # MAIN ST SPRINGFIELD, OR Q STREET SPRINGFIELD, OR OREGON UROLOGY INSTITUTE 2400 HARTMAN LANE SPRINGFIELD, OR PEACEHEALTH EMPLOYEE 3333 RIVERBEND DR SPRINGFIELD, OR SACRED HEART - RIVERBEND 3333 RIVERBEND DR SPRINGFIELD, OR SAVON 2000 MARCOLA RD SPRINGFIELD, OR SAVON 5755 MAIN ST SPRINGFIELD, OR BI-MART # JEANS RD VENETA, OR HI-SCHOOL # HIGHWAY 126 VENETA, OR MALHEUR MALHEUR DRUG INC 424 MAIN ST NYSSA, OR BI-MART # SW 4TH AVE ONTARIO, OR PHS LONG TERM CARE 1085 N OREGON ST ONTARIO, OR MALHEUR DRUG 198 A ST W VALE, OR

15 MARION BI-MART # RIVER ROAD N KEIZER, OR MT ANGEL DRUG 105 N MAIN ST MT ANGEL, OR BI-MART # LANCASTER DRIVE NE SALEM, OR CALHOUN COMPOUNDING 990 COMMERCIAL ST SE SALEM, OR CHEMAWA INDIAN HLTH CTR 3750 CHEMAWA RD NE SALEM, OR BROADWAY NE SALEM, OR COMMERCIAL ST SE SALEM, OR MARKET NE SALEM, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 750 FRONT ST NE SALEM, OR HEMATOLOGY ONCOLOGY OF SALEM, LLP 875 OAK ST SE STE 4030 SALEM, OR MEDICINE SHOPPE 1890 CAPITOL STREET NE SALEM, OR OAK TREE 2940 COMMERCIAL ST SE SALEM, OR OREGON STATE HOSPITAL 2600 CENTER ST NE SALEM, OR PHYSICIANS BUILDING 1234 COMMERICAL ST SE SALEM, OR QUISENBERRY PHARMACIES 150 LIBERTY ST SE SALEM, OR SALEM HOSPITAL COM RETAIL 890 OAK ST SE SALEM, OR SHOPKO 1230 LANCASTER DR SE SALEM, OR WILLAMETTE UROLOGY PC TH ST SE SALEM, OR HI SCHOOL 406 MCCLAINE ST SILVERTON, OR SILVERTON PILL BOX 302 N FIRST ST SILVERTON, OR BI-MART # SHAFF RD STAYTON, OR STAYTON 102 MARTIN DR STE A STAYTON, OR SUBLIMITY 102 MARTIN DR STE B STAYTON, OR BI-MART # MT HOOD AVE WOODBURN, OR

16 SALUD MEDICAL CENTER 1175 MT HOOD AVE WOODBURN, OR WOODBURN HEALTH CENTER 1475 MOUNT HOOD AVE WOODBURN, OR MORROW GOOD SHEPHERD BOARDMAN 220 S. MAIN BOARDMAN, OR MURRAY DRUG INC 217 N MAIN ST HEPPNER, OR MULTNOMAH BI-MART # NE HOGAN DR GRESHAM, OR EAST COUNTY CLINIC 600 NE 8TH ST SUITE 300 GRESHAM, OR SE BURNSIDE ROAD GRESHAM, OR GENOA, A QOL HEALTHCARE COMPANY, LLC 400 NE 7TH ST GRESHAM, OR LEGACY MOUNT HOOD MEDICAL CENTER SE STARK ST GRESHAM, OR SE POWELL BLVD STE J PORTLAND, OR ADVANCED PAIN MANAGEMENT CENTER PC SW PARK WAY STE 300 PORTLAND, OR APEX 1215 NW 23RD AVE PORTLAND, OR APOTHECARY AT GOOD SAMARITAN 1040 NW 22ND AVE, SUITE 100 PORTLAND, OR APOTHECARY EMANUEL 501 N GRAHAM ST PORTLAND, OR ARDON HEALTH NE GLENN WIDING DR PORTLAND, OR BI-MART # SE POWELL BLVD PORTLAND, OR BI-MART # NE HALSEY STREET PORTLAND, OR BI-MART # SE WOODSTOCK BLVD PORTLAND, OR BOWMANS HILLSDALE 6256 SW CAPITOL HWY PORTLAND, OR BROOKLYN INC 3131 SE MILWAUKIE AVENUE PORTLAND, OR CENTRAL CITY CONCERN 727 W BURNSIDE ST PORTLAND, OR CENTRAL DRUG 538 SW 4TH AVE PORTLAND, OR

17 COLUMBIA 8122 SE TIBBETTS STREET PORTLAND, OR COMMUNITY COMPOUNDING SW CAPITAL HIGHWAY PORTLAND, OR CORAM CVS/SPECIALTY INFUSION SERVICES 7358 SW DURHAM RD PORTLAND, OR FAIRLEYS HEALTHCARE 7206 NE SANDY BLVD PORTLAND, OR FAIRLEYS 7206 NE SANDY BLVD PORTLAND, OR SE 82ND AVENUE PORTLAND, OR SW BEAVERTON HILLSDALE PORTLAND, OR NW 20TH PLACE PORTLAND, OR NE GLISAN STREET PORTLAND, OR N INTERSTATE PORTLAND, OR SW BARBER BLVD PORTLAND, OR SE DIVISION PORTLAND, OR SE HAWTHORNE BLVD PORTLAND, OR N LOMBARD PORTLAND, OR NE 102ND PORTLAND, OR NE WEIDLER STREET PORTLAND, OR SE 82ND AVENUE PORTLAND, OR GATEWAY MEDICAL 1125 NE 99TH AVE PORTLAND, OR HEALTHSCRIPTS OF AMERICA - PORTLAND, LLC SW PARK WAY PORTLAND, OR LUKE-DORF NE SANDY BLVD PORTLAND, OR MEDICAL OFFICE BUILDING PHCY 9155 SW BARNES RD PORTLAND, OR MIDCOUNTY CLINIC SE DIVISION ST PORTLAND, OR MULTNOMAH COUNTY OREGON- ROCKWOOD HEALTH CLINIC 2020 SE 182ND AVE PORTLAND, OR N PORTLAND CLINIC 17

18 9000 N LOMBARD ST PORTLAND, OR NARA INDIAN HEALTH CLINIC 15 N MORRIS PORTLAND, OR NORTHEAST CLINIC 5329 NE MARTIN L KING JR BLVD PORTLAND, OR NORTHWEST UROLOGY LLC 2226 NW PETTYGROVE ST PORTLAND, OR OHSU CASEY EYE INSTITUTE 3375 SW TERWILLIGER BLVD PORTLAND, OR OHSU CENTER FOR HEALTH AND HEALING 3303 SW BOND AVE PORTLAND, OR OHSU DOERNBECHER CHILDRENS HOSPITAL 3181 SW SAM JACKSON PARK ROAD STE DCH 07480A PORTLAND, OR OHSU GABRIEL PARK 4411 SW VERMONT AVE PORTLAND, OR OHSU OUTPATIENT 3181 SW SAM JACKSON PARK RD SUITE PPV 110 PORTLAND, OR OHSU RICHMOND CLINIC 3930 SE DIVISION PORTLAND, OR OMNICARE OF PORTLAND NE GLENN WIDING DR PORTLAND, OR OPTION CARE AT LEGACY HEALTH SW 72ND AVE PORTLAND, OR PAULSEN'S 4246 NE SANDY BLVD PORTLAND, OR PAYLESS DRUG STORES INC SW 72ND AVE PORTLAND, OR PHARMACA INTEGRATIVE 13 NW 23RD PLACE PORTLAND, OR PHARMACA INTEGRATIVE 240 NW LOST SPRINGS TER STE 36 PORTLAND, OR PORTLAND PROFESSIONAL NE GLISAN ST PORTLAND, OR PROVIDENCE PLAZA 5050 NE HOYT STE 142 PORTLAND, OR PROVIDENCE SPECIALTY SERVICES - LTC 6410 NE HALSEY STREET STE 400 PORTLAND, OR PROVIDENCE SPECIALTY SERVICES- INFUSION/SPP 6410 NE HALSEY STREET SUITE 400 PORTLAND, OR QFC 18

19 7525 SW BARNES RD PORTLAND, OR QFC # E BURNSIDE PORTLAND, OR SAVON 451 NE 181ST AVE PORTLAND, OR SAVON 5850 NE PRESCOTT PORTLAND, OR SAVON 5415 SW BEAVERTON HILLSDALE HWY PORTLAND, OR SOUTHEAST HEALTH CLINIC 3653 SE 34TH AVE PORTLAND, OR STROHECKERS 1286 SE HOLGATE BLVD SUITE C-1 PORTLAND, OR WESTSIDE CLINIC 426 SW STARK 2ND FL PORTLAND, OR SAVON SE STARK TROUTDALE, OR NE PARKLANE WOODVILLAGE, OR POLK DALLAS PILL BOX 625 SE MILLER AVE DALLAS, OR HI SCHOOL 1357 MONMOUTH AVE INDEPENDENCE, OR BI-MART # S PACIFIC HWY MONMOUTH, OR TILLAMOOK 2500 N MAIN STREET TILLAMOOK, OR TILLAMOOK 915 MAIN AVE TILLAMOOK, OR RINEHART 278 ROWE ST SUITE 222 WHEELER, OR UMATILLA BI-MART # SOUTH 1ST PLACE UNIT 1 HERMISTON, OR GOOD SHEPHERD CLINIC 610 NW 11TH ST STE E04 HERMISTON, OR HERMISTON DRUG AND GIFT 114 MAIN ST HERMISTON, OR BI-MART # SW EMIGRANT AVENUE PENDLETON, OR YELLOWHAWK TRIBAL HEALTH CLINIC PHCY CONFEDERATED WAY PENDLETON, OR CARLSONS UMATILLA 821 6TH ST UMATILLA, OR UNION RED CROSS DRUG STORE 1123 ADAMS AVE LA GRANDE, OR

20 RED CROSS INSTITUTIONAL 206 DEPOT ST LA GRANDE, OR BI-MART # ADAMS AVE LA GRANDE, OR UNION DRUG COMPANY 105 N MAIN UNION, OR WALLOWA OLIVE BRANCH 306 W NORTH ST ENTERPRISE, OR WASCO BI-MART # W 6TH AVE THE DALLES, OR # W 6TH STREET THE DALLES, OR KMART WEST 6TH STREET THE DALLES, OR WASHINGTON BANKS NW MAIN ST STE 102 BANKS, OR BEAVERTON SW CANYON RD BEAVERTON, OR BI-MART # SW 185TH AVE BEAVERTON, OR BI-MART # SW WESTERN AVE BEAVERTON, OR SW BEAVERTON HILLSDALE HWY BEAVERTON, OR SW WALKER ROAD BEAVERTON, OR OHSU KNIGHT CANCER INSTITUTE-BEAVERTON HEMATOLOGY ONCOLOGY SW GREYSTONE CT BEAVERTON, OR VG BEAVERTON 2935 SW CEDAR HILLS BLVD BEAVERTON, OR WALGREENS SPECIALTY 9775 SW GEMINI STE 1 BEAVERTON, OR BASELINE ROAD CORNELIUS, OR VIRGINIA GARCIA MEM HLTH CTR PHCY 1151 N ADAIR ST CORNELIUS, OR BI-MART # PACIFIC AVE FOREST GROVE, OR BI-MART # SE TUALATIN VALLEY HWY HILLSBORO, OR SE TUALATIN VALLEY HWY HILLSBORO, OR

21 22075 NW IMBRIE DRIVE HILLSBORO, OR HILLSBORO 243 E MAIN HILLSBORO, OR INTEL HEALTH FOR LIFE CENTER 2501 NW 229TH AVE HILLSBORO, OR INTEL HEALTH FOR LIFE CENTER 2111 NE 25TH AVE JONES FARM BLDG. 5 HILLSBORO, OR PROVIDENCE TANASBOURNE NW CORNELL RD STE 102 HILLSBORO, OR SAVON 7500 W BASELINE HILLSBORO, OR SAVON 888 NE 25TH AVE HILLSBORO, OR THE MEDICINE SHOPPE 333 SE 7TH AVENUE SUITE 1500 HILLSBORO, OR VG HILLSBORO 226 SE 8TH AVE HILLSBORO, OR ZOOMCARE NW TANASBOURNE DR HILLSBORO, OR MCCANNS SW 116TH AVE KING CITY, OR BI-MART # SW PACIFIC HWY NUMBER 70 TIGARD, OR SW PACIFIC HWY TIGARD, OR PHARMACA SW SCHOLLS FERRY RD TIGARD, OR SAV-ON # SW BARROWS RD TIGARD, OR SW MARTINAZZI AVENUE TUALATIN, OR MERIDIAN PARK MEDICAL CENTER COMMUNITY SW 65TH AVE TUALATIN, OR TUALATIN SW MARTINAZZI AVE TUALATIN, OR YAMHILL GRAND RONDE HEALTH AND WELLNESS 9605 GRAND RONDE RD GRAND RONDE, OR GRAND RONDE RETAIL 9605 GRAND RONDE RD GRAND RONDE, OR BI-MART # S BAKER STREET MCMINNVILLE, OR MAC PRESCRIPTION SHOP 225 NE 3RD STREET MCMINNVILLE, OR MAC PRESCRIPTION SHOP AT PMC 21

22 2435 NE CUMULUS AVE STE C MCMINNVILLE, OR SAVON 615 SW KECK DR MCMINNVILLE, OR SHERIDAN 103 E MAIN ST SHERIDAN, OR VG MCMINNVILLE 115 NE MAY LN MCMINNVILLE, OR BI-MART # HAWORTH AVE NEWBERG, OR CENTER 502 VILLA RD NEWBERG, OR PORTLAND BLVD SUITE 100 NEWBERG, OR

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