Medicare Part D and Cal MediConnect Pharmacy Network Changes Updated 11/17/2017

Transcription

1 Medicare Part D and Cal MediConnect Network Changes Updated 11/17/2017 Changes to our national pharmacy network may occur during the benefit year. The table below lists pharmacies that have been added or removed from our pharmacy network. Month Type of Name Street Address City State Zip Phone January 2017 Retail Safeway 3655 W Anthem Way Anthem AZ Added to pharmacy network January 2017 Retail Genoa, A QOL Healthcare 824 N 99th Ave, Ste 106 Avondale AZ Added to pharmacy network January 2017 Retail East Valley Dermatology Rx 1100 S Dobson Rd Ste 223 Chandler AZ Added to pharmacy network January 2017 Retail Fry's 2929 E Ocotillo Rd Chandler AZ Added to pharmacy network January 2017 Retail Chino Valley 1932 N State Route 89 Chino Valley AZ Added to pharmacy network January 2017 Retail Arizona Oncology 7200 W Bell Rd Bldg A Glendale AZ Added to pharmacy network Associates January 2017 Retail Arizona Oncology 6320 W Union Hills Dr Ste Glendale AZ Added to pharmacy network Association 1600 January 2017 Retail Total Wellness N 79th Ave Ste D107 Glendale AZ Added to pharmacy network Glendale January 2017 Retail Arizona Oncology Assc 1315 S La Canada Dr Green Valley AZ Added to pharmacy network Green Valley January 2017 Retail Canyonlands Community Chilchenbeto Chapter School Kayenta AZ Added to pharmacy network Health January 2017 Retail Dr. Mohtasebs Cancer 1755 Airway Ave Kingman AZ Added to pharmacy network Center January 2017 Retail Allurerx 1818 E Baseline Rd Mesa AZ Added to pharmacy network January 2017 Retail Arizona Pain And Spine 2045 S Vineyard Rd Ste 131 Mesa AZ Added to pharmacy network Institute January 2017 Retail Canyonlands Community 467 Vista Avenue Page AZ Added to pharmacy network Healthcare January 2017 Retail Banner Family N Plaza Del Rio Blvd Peoria AZ Added to pharmacy network January 2017 Retail Fry's N Lake Pleasant Pkwy Peoria AZ Added to pharmacy network January 2017 Retail Affiliated Dermatology N 27th Ave Ste 305 Phoenix AZ Added to pharmacy network January 2017 Retail Arizona Oncology Associates 2222 E. Highland Ave. Ste 400 Phoenix AZ Added to pharmacy network Material ID #Y0035_2016_0244 (H0351, H0562, H3561, H5439, H5520, H6815, EG) CMS Accepted H3237_2016_0244 CMS Approved BKT017378ER00

2 Name Street Address City State Zip Phone January 2017 Retail Arizona Oncology N 27th Ave #406 Phoenix AZ Added to pharmacy network Association January 2017 Retail Banner Family 1441 N 12th St Phoenix AZ Added to pharmacy network January 2017 Retail Mayo Clinic Building 5881 E. Mayo Blvd Phoenix AZ Added to pharmacy network Phoenix January 2017 Retail Palo Verde Cancer 9250 W Thomas Rd Ste 150 Phoenix AZ Added to pharmacy network Specialists January 2017 Retail Planned Parenthood 3131 E Thunderbird Rd Ste 48 Phoenix AZ Added to pharmacy network January 2017 Retail Spectrum Medical Group 52 E Monterey Way Phoenix AZ Added to pharmacy network January 2017 Retail UA Cancer Center Dignity 625 N 6th St Phoenix AZ Added to pharmacy network Health St Jude January 2017 Retail Sanders Clinic Parker Estates Sun Ln Sanders AZ Added to pharmacy network January 2017 Retail Affiliated Dermatology N 73rd St Ste 230 Scottsdale AZ Added to pharmacy network January 2017 Retail Arizona Center Of Cancer 3501 N Scottsdale Rd Ste 300 Scottsdale AZ Added to pharmacy network Care January 2017 Retail Arizona Oncology N 92nd St Ste 400 Scottsdale AZ Added to pharmacy network Association January 2017 Retail Center For Dermatology N 87th St Ste 110 Scottsdale AZ Added to pharmacy network January 2017 Retail CVS 20 Airport Rd Sedona AZ Added to pharmacy network January 2017 Retail Al's Drug Grand Ave Ste B-3 Sun City AZ Added to pharmacy network January 2017 Retail ASU Health Center 451 E University Dr Tempe AZ Added to pharmacy network January 2017 Retail Arizona Oncology Assc - St 1620 W Saint Marys Rd Tucson AZ Added to pharmacy network Marys January 2017 Retail Arizona Oncology Assc 603 N Wilmot Rd Ste 151 Tucson AZ Added to pharmacy network Wilmot January 2017 Retail Arizona Oncology Assoc N Craycroft Rd Ste 200 Tucson AZ Added to pharmacy network Craycroft January 2017 Retail Arizona Oncology 1845 W Orange Grove Bldg 2 Tucson AZ Added to pharmacy network Association January 2017 Retail Arizona Oncology 2070 W Rudasill Rd Ste 130 Tucson AZ Added to pharmacy network Association January 2017 Retail CVS 2385 N Silverbell Rd Tucson AZ Added to pharmacy network January 2017 Retail Fry's 1795 W Valencia Rd Tucson AZ Added to pharmacy network January 2017 Retail Genoa, A QOL Healthcare 4891 E Grant Road, Ste P Tucson AZ Added to pharmacy network Company, January 2017 Retail U Of A Med Center Outpatient 1501 N Campbell Ave Tucson AZ Added to pharmacy network 2

3 Name Street Address City State Zip Phone January 2017 Retail Douglas Health Mart 94 W 5th St Douglas AZ Removed from pharmacy network January 2017 Retail Cigna Health Care Gilbert 4001 E Baseline Rd Gilbert AZ Removed from pharmacy network January 2017 Retail Bashas' United Drugs 1954 E McKellips Rd Mesa AZ Removed from pharmacy network January 2017 Retail Walgreens 4315 E Main St Mesa AZ Removed from pharmacy network January 2017 Retail Walgreens Plaza Del Rio Ste #110 Peoria AZ Removed from pharmacy network January 2017 Retail Cigna At Deer Valley N 43rd Ave Phoenix AZ Removed from pharmacy network January 2017 Retail Fry's Food & Drug 731 E Bell Rd Phoenix AZ Removed from pharmacy network January 2017 Retail Walgreen Home Care 5064 S 40th St Ste A Phoenix AZ Removed from pharmacy network January 2017 Retail Kmart 2011 E Fry Blvd Sierra Vista AZ Removed from pharmacy network January 2017 Long-Term Care Genoa, A QOL Healthcare 824 N 99th Ave, Ste 106 Avondale AZ Added to pharmacy network January 2017 Long-Term Care Genoa, A QOL Healthcare 4891 E Grant Road, Ste P Tucson AZ Added to pharmacy network Company January 2017 Long-Term Care OnsiteRx Of Phoenix N 23rd Ave Ste 21 Phoenix AZ Removed from pharmacy network January 2017 Long-Term Care Sunwest LTC 1300 N 12th St Ste 406 Phoenix AZ Removed from pharmacy network January 2017 Long-Term Care Green Tree 642 Dameron Dr Prescott AZ Removed from pharmacy network January 2017 Long-Term Care Arizona Senior Care 2727 W Baseline Rd Ste 1 Tempe AZ Removed from pharmacy network January 2017 Home Infusion Walgreen Home Care 5064 S 40th St Ste A Phoenix AZ Removed from pharmacy network January 2017 Retail Keck Medicine Of USC 1000 S. Fremont Ave #10150 Alhambra CA Added to pharmacy network Specialty January 2017 Retail Pacific Cancer Medical 1801 W Romneya Dr Ste 203 Anaheim CA Added to pharmacy network Center January 2017 Retail Plus 1012 N Euclid St Anaheim CA Added to pharmacy network January 2017 Retail PMQ Arleta 8902 Woodman Ave Arleta CA Added to pharmacy network January 2017 Retail Family Medical Norwalk Blvd Artesia CA Added to pharmacy network January 2017 Retail CHCharmacy Atascadero 7524 Morro Rd Atascadero CA Added to pharmacy network January 2017 Retail BC 2528 Chester Ave Bakersfield CA Added to pharmacy network January 2017 Retail Comprehensive Blood And 6501 Truxtun Ave Bakersfield CA Added to pharmacy network Cancer Center January 2017 Retail Family 309 N Chester Ave Bakersfield CA Added to pharmacy network January 2017 Retail Walmart 1249 Allen Rd Bakersfield CA Added to pharmacy network January 2017 Retail TCC PMQ Lakewood Blvd Bellflower CA Added to pharmacy network January 2017 Retail Beverly Hills Cancer Center 8900 Wilshire Blvd Beverly Hills CA Added to pharmacy network January 2017 Retail Salinas 507 E Hobsonway Blythe CA Added to pharmacy network January 2017 Retail Burbank Tower 140 N San Fernando Blvd Burbank CA Added to pharmacy network January 2017 Retail Kay 2313 W Olive Ave Burbank CA Added to pharmacy network 3

4 Name Street Address City State Zip Phone January 2017 Retail Premier Medical Center Of 201 S Buena Vista St Ste 325 Burbank CA Added to pharmacy network Burbank January 2017 Retail Talca Pharmaceuticals 768 Calle Plano Suite B Camarillo CA Added to pharmacy network January 2017 Retail El Dorado 3100 Ponte Morino Dr Ste 120 Cameron CA Added to pharmacy network Park January 2017 Retail Sierra Hematology & 6555 Coyle Ave Ste 301 Carmichael CA Added to pharmacy network Oncology January 2017 Retail South County Hematology 752 Medical Center Ct Ste 304 Chula Vista CA Added to pharmacy network Oncology January 2017 Retail Mt Diablo Solano Oncology 2571 Park Ave Concord CA Added to pharmacy network Group Med Association January 2017 Retail Preferred 3303 Harbor Blvd Ste H7 Costa Mesa CA Added to pharmacy network January 2017 Retail CVS Stevens Creek Blvd Cupertino CA Added to pharmacy network January 2017 Retail The Oncology Inst Of Hope Brookshire Ave Ste 309 Downey CA Added to pharmacy network & Innovation January 2017 Retail El Cajon 505 N Mollison Ave # 101A El Cajon CA Added to pharmacy network January 2017 Retail CNC Aurora Lower Azusa Rd Ste B El Monte CA Added to pharmacy network January 2017 Retail Midway Drugs Lower Azusa Rd El Monte CA Added to pharmacy network January 2017 Retail PMC Outpatient 2185 Citracado Pkwy Escondido CA Added to pharmacy network January 2017 Retail Directcare Brookhurst St Fountain CA Added to pharmacy network Valley January 2017 Retail Capsule 2557 Mowry Ave #11 Fremont CA Added to pharmacy network January 2017 Retail Jade Fremont Blvd Suite B Fremont CA Added to pharmacy network January 2017 Retail Cancer Care Associates 1791 E Fir Ave Fresno CA Added to pharmacy network January 2017 Retail GKN Rx 7072 N Cedar Ave Fresno CA Added to pharmacy network January 2017 Retail Be Well 105 N Lawrence Ave Fullerton CA Added to pharmacy network January 2017 Retail Harbor Westinster Ave Suite 3 Garden Grove CA Added to pharmacy network January 2017 Retail Westmed 8342 Garden Grove Blvd #2 Garden Grove CA Added to pharmacy network January 2017 Retail Enovex 1111 N Brand Blvd Ste M Glendale CA Added to pharmacy network January 2017 Retail Mayerling 213 N Orange St Ste C Glendale CA Added to pharmacy network January 2017 Retail Pet Rush Med 1040 W Kenneth Rd Ste 1 Glendale CA Added to pharmacy network January 2017 Retail Rite Aid 707 N Pacific Avenue Glendale CA Added to pharmacy network January 2017 Retail Evergreen Shop 150 S Grand Ave Unit K Glendora CA Added to pharmacy network January 2017 Retail Costco 2395 E Lacey Blvd Hanford CA Added to pharmacy network January 2017 Retail Postmeds Mission Blvd Hayward CA Added to pharmacy network January 2017 Retail Hematology Oncology Consultants 301 N San Jacinto St Hemet CA Added to pharmacy network 4

5 Name Street Address City State Zip Phone January 2017 Retail UCLA Hematology Barranca Pkwy Irvine CA Added to pharmacy network Oncology January 2017 Retail Jackson Creek Dental 100 French Bar Rd Ste 101 Jackson CA Added to pharmacy network Group January 2017 Retail CA Cancer Association 9850 Genesee Ave Ste 830 La Jolla CA Added to pharmacy network Research Excellence January 2017 Retail Community, A Walgreens 4130 La Jolla Village Dr #103 La Jolla CA Added to pharmacy network January 2017 Retail Cancer Center Oncology 5555 Grossmont Center Drive La Mesa CA Added to pharmacy network Medical Group January 2017 Retail R. Nandan MD East South St Ste 212 Lakewood CA Added to pharmacy network January 2017 Retail A Better Way 204 W Avenue J Lancaster CA Added to pharmacy network January 2017 Retail Healing Hands Oncology & Hawthorne Blvd Ste Lawndale CA Added to pharmacy network Med Care 102 January 2017 Retail Lincoln 831 Sterling Pkwy # 120 Lincoln CA Added to pharmacy network January 2017 Retail Coast Hem & Oncology 701 E 28Th St Ste 418 Long Beach CA Added to pharmacy network Associates January 2017 Retail Lakewood And 2150 E South St Ste 114 Long Beach CA Added to pharmacy network Compounding January 2017 Retail Pacific Shores Medical 1043 Elm Ave Ste 104 Long Beach CA Added to pharmacy network Group January 2017 Retail Access Medical 1271 Westwood Blvd Los Angeles CA Added to pharmacy network January 2017 Retail Compassionate Oncology 2080 Century Park E Ste 1005 Los Angeles CA Added to pharmacy network Medical Gr January 2017 Retail Crenshaw 3631 Crenshaw Blvd Ste 111 Los Angeles CA Added to pharmacy network January 2017 Retail CVS 7500 Melrose Ave Los Angeles CA Added to pharmacy network January 2017 Retail East L.A., Corp Whittier Blvd Los Angeles CA Added to pharmacy network January 2017 Retail LA Hematology Oncology 1245 Wilshire Blvd #303 Los Angeles CA Added to pharmacy network Med Group January 2017 Retail Saban Community Clinic 5205 Melrose Ave Los Angeles CA Added to pharmacy network January 2017 Retail Sal 8614 W. Third Street Los Angeles CA Added to pharmacy network January 2017 Retail Synergy Hematology 5901 W Olympic Blvd Ste 420 Los Angeles CA Added to pharmacy network Oncology January 2017 Retail The Angeles Clinic And Wilshire Blvd Ste 200 Los Angeles CA Added to pharmacy network Research Ins January 2017 Retail Walgreens 1902 Marengo St Ste 105 Los Angeles CA Added to pharmacy network January 2017 Retail York Discount 5821 York Blvd Los Angeles CA Added to pharmacy network 5

6 Name Street Address City State Zip Phone January 2017 Retail Lynwood Community 3737 Martin Luther King Jr Lynwood CA Added to pharmacy network Blvd January 2017 Retail Rite Aid Newport Road Menifee CA Added to pharmacy network January 2017 Retail Cal Med Marguerite Pky Ste A Mission Viejo CA Added to pharmacy network January 2017 Retail Monterey Bay Oncology 5 Harris Ct Monterey CA Added to pharmacy network And Gene Center January 2017 Retail S Atlantic Blvd Ste 168 Monterey CA Added to pharmacy network Park January 2017 Retail Global Oncology 600 N Garfield Ave Ste 210 Monterey CA Added to pharmacy network Park January 2017 Retail CVS Clinton Keith Rd Murrieta CA Added to pharmacy network January 2017 Retail Hematology Oncology Baxter Rd Ste 140 Murrieta CA Added to pharmacy network Consultants January 2017 Retail Gynecologic Oncology 351 Hospital Rd Ste 507 Newport CA Added to pharmacy network Associates Beach January 2017 Retail Homa 6428 Coldwater Canyon Ave North CA Added to pharmacy network Hollywood January 2017 Retail Community,A Walgreens 3009 Broadway Oakland CA Added to pharmacy network January 2017 Retail Intergrated Medical MacArthur Blvd # 103 Oakland CA Added to pharmacy network Association January 2017 Retail Lifescript 7700 Edgewater Dr Ste 220 Oakland CA Added to pharmacy network January 2017 Retail North County Oncology Med 3617 Vista Way Oceanside CA Added to pharmacy network Clinic January 2017 Retail Hematology Oncology Med 1010 W La Veta Ste 200 Orange CA Added to pharmacy network Group January 2017 Retail Family Healthcare Network Avenue 408 Orosi CA Added to pharmacy network January 2017 Retail Ventura County Hematology 1700 N Rose Ave Ste 320 Oxnard CA Added to pharmacy network Oncology January 2017 Retail Laurel Van Nuys Blvd Pacoima CA Added to pharmacy network January 2017 Retail Coachella Valley Country Club Dr #2-2 Palm Desert CA Added to pharmacy network January 2017 Retail PV Drug Store 2325 Palos Verdes Dr W Ste Palos Verdes CA Added to pharmacy network 220 Estates January 2017 Retail Van Nuys Medical 8737 Van Nuys Blvd Unit B Panorama CA Added to pharmacy network City January 2017 Retail Comprehensive 625 S Fair Oaks Ave Ste 200 Pasadena CA Added to pharmacy network Dermatology Center January 2017 Retail CVS 603 S Lake Ave Pasadena CA Added to pharmacy network 6

7 Name Street Address City State Zip Phone January 2017 Retail Rigor Dermatology & Laser 675 S Arroyo Pkwy Ste 100B Pasadena CA Added to pharmacy network Center January 2017 Retail Coslo 9301 Telegraph Rd Pico Rivera CA Added to pharmacy network January 2017 Retail Merus Health 1150 E Yorba Linda Blvd Placentia CA Added to pharmacy network January 2017 Retail Placentia Linda 1233 E Yorba Linda Blvd Placentia CA Added to pharmacy network January 2017 Retail Diablo Valley Oncology And 400 Taylor Blvd Ste 202 Pleasant Hill CA Added to pharmacy network Hematology Med Group January 2017 Retail Epic Care 400 Taylor Blvd Ste 201 Pleasant Hill CA Added to pharmacy network January 2017 Retail Valley Medical Oncology 5725 W Las Positas Blvd # Pleasanton CA Added to pharmacy network Consultants 100 January 2017 Retail Royalty 1902 Royalty Dr Ste 110 Pomona CA Added to pharmacy network January 2017 Retail CVS 8956 Foothill Blvd Rancho CA Added to pharmacy network Cucamonga January 2017 Retail Desert Hematology Bob Hope Dr # C Rancho CA Added to pharmacy network Oncology Med Group Mirage January 2017 Retail Health Source 7012 Reseda Blvd Ste A-1 Reseda CA Added to pharmacy network January 2017 Retail Cardio Vascular Plus 7891 Mission Grove Pkwy S Riverside CA Added to pharmacy network January 2017 Retail Garvey Ave Ste 101 Rosemead CA Added to pharmacy network January 2017 Retail County Of Sacramento Prim 4600 Broadway Ste 1500 Sacramento CA Added to pharmacy network Care January 2017 Retail Heart Center 1740 Fruitridge Rd # 104 Sacramento CA Added to pharmacy network January 2017 Retail Medcare 4241 Florin Rd Ste 50A Sacramento CA Added to pharmacy network January 2017 Retail Spine & Nerve Diagnostic 4420 Duckhorn Dr Ste 200 Sacramento CA Added to pharmacy network Center January 2017 Retail Los Palos Gstrlgy Ancillary 1081 Los Palos Dr Salinas CA Added to pharmacy network Service January 2017 Retail Loma Linda University 125 E. Club Center Dr Ste San CA Added to pharmacy network Home Delivery 1500 Bernardino January 2017 Retail Loma Linda University 250 S G St San CA Added to pharmacy network Bernardino January 2017 Retail Medical Oncology 3075 Health Center Dr Ste 102 San Diego CA Added to pharmacy network Association Of San Diego January 2017 Retail Rite Aid 1670 Garnet Ave San Diego CA Added to pharmacy network January 2017 Retail Scripps Health Mercy th Ave, Suite 110 San Diego CA Added to pharmacy network Ambulatory January 2017 Retail Vons 7895 Highland Village Pl San Diego CA Added to pharmacy network January 2017 Retail th Street San Francisco CA Added to pharmacy network 7

8 Name Street Address City State Zip Phone January 2017 Retail Pacific Hematalogy 2100 Webster St Ste 220 San CA Added to pharmacy network Oncology Association Francisco January 2017 Retail SF Oncology Assc Med 2100 Webster Street Suite 326 San CA Added to pharmacy network Group Francisco January 2017 Retail Evergreen 2365 Quimby Rd San Jose CA Added to pharmacy network January 2017 Retail Global Cancer Research 2242 Camden Ave Suite 203 San Jose CA Added to pharmacy network Inst January 2017 Retail San Jose Compounding 2453 Forest Ave San Jose CA Added to pharmacy network January 2017 Retail Santa Clara Valley Med 751 S Bascom Ave San Jose CA Added to pharmacy network Center Disch January 2017 Retail Sun 2559 S King Rd Ste B10 San Jose CA Added to pharmacy network January 2017 Retail Tropicana Drugs Long Term 1169 S King Rd San Jose CA Added to pharmacy network Care January 2017 Retail Marbella Rancho Viejo Rd Ste San Juan CA Added to pharmacy network D1 Capistrano January 2017 Retail Pharma Granada Dr Ste A San Luis CA Added to pharmacy network Obispo January 2017 Retail Walgreens Windemere Pkwy San Ramon CA Added to pharmacy network January 2017 Retail MTM Fairview 1002 N Fairview St Santa Ana CA Added to pharmacy network January 2017 Retail CVS 336 N Milpas St Santa CA Added to pharmacy network Barbara January 2017 Retail Planned Parenthood 518 Garden St Santa CA Added to pharmacy network Barbara January 2017 Retail SBCH Discharge 400 W Pueblo St Santa CA Added to pharmacy network Barbara January 2017 Retail Crossover Health Medical 3535 Garrett Dr Santa Clara CA Added to pharmacy network Group January 2017 Retail The Angeles Clinic And 2001 Santa Monica Blvd Santa Monica CA Added to pharmacy network Research Ins January 2017 Retail UCLA Hematology Santa Monica Blvd Ste Santa Monica CA Added to pharmacy network Oncology 301 January 2017 Retail Maxsons Drugs Ventura Blvd Sherman CA Added to pharmacy network Oaks January 2017 Retail Omega Care 4611 Van Nuys Blvd Sherman CA Added to pharmacy network Oaks January 2017 Retail Skyline Urology 5522 Sepulveda Blvd Sherman Oaks CA Added to pharmacy network 8

9 Name Street Address City State Zip Phone January 2017 Retail Sonoma Valley Community Sonoma Hwy Sonoma CA Added to pharmacy network January 2017 Retail CVS 9665 Campo Rd Spring Valley CA Added to pharmacy network January 2017 Retail Hilltop 4545 Georgetown Pl Ste B10 Stockton CA Added to pharmacy network January 2017 Retail Park Woods 1782 W Hammer Ln Stockton CA Added to pharmacy network January 2017 Retail Stockton Hematology 2626 N California St Ste B Stockton CA Added to pharmacy network Oncology January 2017 Retail Elements Ventura Blvd. Studio City CA Added to pharmacy network January 2017 Retail Sunland 8422 Sunland Blvd Sun Valley CA Added to pharmacy network January 2017 Retail Agia & Cafe 276 S Mill St Ste A Tehachapi CA Added to pharmacy network January 2017 Retail Las Tunas Dr Temple City CA Added to pharmacy network January 2017 Retail Trivalley Oncology 555 Marin St Ste 200 Thousand CA Added to pharmacy network Hematology Association Oaks January 2017 Retail Ken 583 E Foothill Blvd Upland CA Added to pharmacy network January 2017 Retail Adv Dermatology & Kelly Johnson Pkwy Valencia CA Added to pharmacy network Cosmetic #245 January 2017 Retail Mt Diablo Solano Oncology 100 Hospital Dr Ste 110B Vallejo CA Added to pharmacy network Group Med Association January 2017 Retail Solano Dermatology 2290 Sacramento St Vallejo CA Added to pharmacy network Associates January 2017 Retail Solano Hematology 100 Hospital Dr Ste 110 Vallejo CA Added to pharmacy network Oncology January 2017 Retail Hospicare Sherman Way Ste C 1 Van Nuys CA Added to pharmacy network January 2017 Retail Veteran's Burbank Blvd Van Nuys CA Added to pharmacy network January 2017 Retail Villa Park Santiago Blvd Villa Park CA Added to pharmacy network January 2017 Retail Kaweah Delta 202 W Willow Ave Ste 102 Visalia CA Added to pharmacy network January 2017 Retail Sequoia Oncology Medical 4945 W Cypress Ave Ste C Visalia CA Added to pharmacy network Associates January 2017 Retail Verma Clinic 5128 W Cypress Ave Visalia CA Added to pharmacy network January 2017 Retail Contra Costa Oncology 500 Lennon Ln Walnut Creek CA Added to pharmacy network January 2017 Retail Safeway 2800 Ygnacio Valley Rd Walnut Creek CA Added to pharmacy network January 2017 Retail West Covina Medical 725 S Orange Ave West Covina CA Added to pharmacy network Center January 2017 Retail Michael Benjamin MD 7325 Medical Center Dr Ste West Hills CA Added to pharmacy network 201 January 2017 Retail Omid S Shaye MD A 7320 Woodlake Ave Ste 330 West Hills CA Added to pharmacy network Medical Corporation January 2017 Retail BT Beach Blvd Westminster CA Added to pharmacy network 9

10 Name Street Address City State Zip Phone January 2017 Retail The Oncology Inst Of Hope 8135 Painter Ave Ste 103 Whittier CA Added to pharmacy network & Innovation January 2017 Retail Howard 3 Marcela Drive Suite B Willits CA Added to pharmacy network January 2017 Retail Absolute Wellness Ventura Blvd Unit 100 Woodland CA Added to pharmacy network Hills January 2017 Retail Green Valley Yucaipa Blvd Ste 1 Yucaipa CA Added to pharmacy network January 2017 Retail Plus 1012 N Euclid St Anaheim CA Removed from pharmacy network January 2017 Retail Rite Aid 2120 E Lincoln Ave Anaheim CA Removed from pharmacy network January 2017 Retail Foothill Drug Inc. 680 E Alosta Ave Ste 113 Azusa CA Removed from pharmacy network January 2017 Retail Gill's White Lane 1559 White Ln Bakersfield CA Removed from pharmacy network January 2017 Retail Panama 4004 Panama Ln Ste 100 Bakersfield CA Removed from pharmacy network January 2017 Retail Vital Compounding 2528 Chester Ave Bakersfield CA Removed from pharmacy network Specialty January 2017 Retail Knoll's Prescription Ramona Blvd Baldwin Park CA Removed from pharmacy network January 2017 Retail Sal's 1831 A Solano Ave Berkeley CA Removed from pharmacy network January 2017 Retail Bonita 4190 Bonita Rd Ste 101 Bonita CA Removed from pharmacy network January 2017 Retail De Anza 302 E 3rd St #B Calexico CA Removed from pharmacy network January 2017 Retail Sav-Co Generic Drugs 621 E Campbell Ave Ste 1 Campbell CA Removed from pharmacy network January 2017 Retail Simons Discount 111 E Carson St Ste B Carson CA Removed from pharmacy network January 2017 Retail Rol's Delhi Drug Store 9724 Stephens St Delhi CA Removed from pharmacy network January 2017 Retail Glenrock 2256 Colorado Blvd # Eagle Rock CA Removed from pharmacy network January 2017 Retail Advanced Family 5191 N 6th St Fresno CA Removed from pharmacy network January 2017 Retail Community First 3636 N 1st St Ste 134-A Fresno CA Removed from pharmacy network January 2017 Retail Friant N Friant Rd Friant CA Removed from pharmacy network January 2017 Retail CVS 1751 N Euclid St Fullerton CA Removed from pharmacy network January 2017 Retail Memorial Hosp Of Gardena 1145 W Redondo Beach Blvd Gardena CA Removed from pharmacy network January 2017 Retail Pacific Grand 501 W Glenoaks Blvd #12 Glendale CA Removed from pharmacy network And Supply January 2017 Retail Preferred Compounding Chatsworth St Granada Hills CA Removed from pharmacy network January 2017 Retail New Hope Inc Hawthorne Blvd Hawthorne CA Removed from pharmacy network January 2017 Retail Hidden Valley Hartmann Rd # C Hidden Valley CA Removed from pharmacy network Lake January 2017 Retail Ivanhoe Road 159 Ivanhoe CA Removed from pharmacy network January 2017 Retail Vons El Toro Rd Laguna Hills CA Removed from pharmacy network 10

11 Name Street Address City State Zip Phone January 2017 Retail Ralphs Pioneer Blvd Lakewood CA Removed from pharmacy network January 2017 Retail Agewell 191 West Burton Mesa Blvd Lompoc CA Removed from pharmacy network Ste A January 2017 Retail C T 709 N Hill St Ste 23 Los Angeles CA Removed from pharmacy network January 2017 Retail Farmacia Del Rey 4055 E Olympic Blvd Los Angeles CA Removed from pharmacy network January 2017 Retail Raindrop 2705 Sepulveda Blvd Manhattan CA Removed from pharmacy network Beach January 2017 Retail Rite Aid 900 N Main St Manteca CA Removed from pharmacy network January 2017 Retail Medi-Mart 5993 Lindhurst Ave Marysville CA Removed from pharmacy network January 2017 Retail Mendota Drug Store 497 Oller St Mendota CA Removed from pharmacy network January 2017 Retail Cal-Med Marguerite Pkwy Ste A Mission Viejo CA Removed from pharmacy network January 2017 Retail Innovative Compounding Eastman Dr Murrieta CA Removed from pharmacy network January 2017 Retail Walgreens Rosecrans Ave Norwalk CA Removed from pharmacy network January 2017 Retail The Apothecary 7200 Bancroft Ave Ste 268 Oakland CA Removed from pharmacy network January 2017 Retail Ralphs 3533 Cannon Rd Oceanside CA Removed from pharmacy network January 2017 Retail Walgreens 8900 Greenback Ln Orangevale CA Removed from pharmacy network January 2017 Retail Herbay 650 Hobson Way Oxnard CA Removed from pharmacy network January 2017 Retail Rite Aid 2661 Saviers Rd Oxnard CA Removed from pharmacy network January 2017 Retail Emmanuel Country Club Dr Ste I Palm Desert CA Removed from pharmacy network January 2017 Retail Mydrexa Compounding Pomerado Rd Ste 303 Poway CA Removed from pharmacy network January 2017 Retail Medsrx Aventura Ste J1 Rancho Santa CA Removed from pharmacy network Margarita January 2017 Retail Ralphs 315 E Alessandro Blvd Riverside CA Removed from pharmacy network January 2017 Retail Blue Star 3811 Florin Rd Ste 28 Sacramento CA Removed from pharmacy network January 2017 Retail Walgreens 8275 Bruceville Rd Sacramento CA Removed from pharmacy network January 2017 Retail Santa Clara Drug 2453 Forest Ave San Jose CA Removed from pharmacy network January 2017 Retail Healthcom Rancho Viejo Rd Ste San Juan CA Removed from pharmacy network 120 Capistrano January 2017 Retail Crescent Healthcare 2995 McMillan Ave Ste 196 San Luis CA Removed from pharmacy network Obispo January 2017 Retail 10th Street Medical th St Ste 100 Santa Monica CA Removed from pharmacy network January 2017 Retail Healthcom 1648 Tyler Ave Ste F South El Monte CA Removed from pharmacy network 11

12 Name Street Address City State Zip Phone January 2017 Retail U Care 9646 Garvey Ave Ste 103 South El CA Removed from pharmacy network Monte January 2017 Retail St Josephs Immed Care 3132 W March Ln Ste 3 Stockton CA Removed from pharmacy network January 2017 Retail Kmart Ynez Rd Temecula CA Removed from pharmacy network January 2017 Retail Pharmco, Inc. 381 Van Ness Ave # 1506 Torrance CA Removed from pharmacy network January 2017 Retail Van Nuys 6365 Van Nuys Blvd Ste A Van Nuys CA Removed from pharmacy network January 2017 Retail Villa Park Santiago Blvd Villa Park CA Removed from pharmacy network January 2017 Retail Walgreens 802 S Santa Fe Ave Vista CA Removed from pharmacy network January 2017 Retail Doctors Hospital Of West 725 S Orange Ave West Covina CA Removed from pharmacy network Covina Inc January 2017 Retail Park West Compounding 7230 Medical Center Dr Ste West Hills CA Removed from pharmacy network 106 January 2017 Retail Presbyterian Intrcom Hosp Washington Blvd Whittier CA Removed from pharmacy network January 2017 Retail Warner Plaza Ventura Blvd Woodland Hills CA Removed from pharmacy network January 2017 Long-Term Care Lifescript 7700 Edgewater Dr Ste 220 Oakland CA Added to pharmacy network January 2017 Long-Term Care Tropicana Drugs Long Term 1169 S King Rd San Jose CA Added to pharmacy network Care January 2017 Long-Term Care Pharma Granada Dr Ste A San Luis CA Added to pharmacy network Obispo January 2017 Long-Term Care Hospicare Sherman Way Ste C 1 Van Nuys CA Added to pharmacy network January 2017 Long-Term Care West Covina Medical 725 S Orange Ave West Covina CA Added to pharmacy network Center January 2017 Long-Term Care San Dimas & 3805 San Dimas St Ste A Bakersfield CA Removed from pharmacy network Compounding Center January 2017 Long-Term Care Sav-Co Generic 621 E Campbell Ave Ste 1 Campbell CA Removed from pharmacy network January 2017 Long-Term Care Owens 3760 Morrow Ln Chico CA Removed from pharmacy network January 2017 Long-Term Care Comfort Rx 3303 Harbor Blvd Ste C2 Costa Mesa CA Removed from pharmacy network January 2017 Long-Term Care Delhi LTC 9724 Stephens St Ste B Delhi CA Removed from pharmacy network January 2017 Long-Term Care Noble Specialty Ventura Blvd Ste Ll06 Encino CA Removed from pharmacy network January 2017 Long-Term Care Express Services 1711 W Temple St. #100B Los Angeles CA Removed from pharmacy network INC. January 2017 Long-Term Care Hollywood Presbyterian 1300 N Vermont Ave Los Angeles CA Removed from pharmacy network Medical Center January 2017 Long-Term Care Cal-Med Marguerite Pkwy Ste A Mission Viejo CA Removed from pharmacy network 12

13 Name Street Address City State Zip Phone January 2017 Long-Term Care Kindred Services 145 E Dana St Mountain CA Removed from pharmacy network View January 2017 Long-Term Care Lanterman Developmental 3530 Pomona Blvd Pomona CA Removed from pharmacy network Center January 2017 Long-Term Care Pharm Med Services 2129 Hacienda Way Ste J Sacramento CA Removed from pharmacy network January 2017 Long-Term Care Sutter Midtown 2800 L St Ste 450 Sacramento CA Removed from pharmacy network January 2017 Long-Term Care Crescent Healthcare 2995 McMillan Ave Ste 196 San Luis CA Removed from pharmacy network Obispo January 2017 Long-Term Care PAS Specialty 60 N Rancho Rd Ste 7 Thousand CA Removed from pharmacy network Services Oaks January 2017 Long-Term Care Rx Ingredients INC Valjean Ave Van Nuys CA Removed from pharmacy network January 2017 Long-Term Care Doctors Hospital Of West 725 S Orange Ave West Covina CA Removed from pharmacy network Covina INC January 2017 Long-Term Care One Stop 1040 Colusa Ave Yuba City CA Removed from pharmacy network January 2017 Home Infusion Crescent Healthcare 2995 McMillan Ave Ste 196 San Luis CA Removed from pharmacy network Obispo January 2017 Retail Sav-On 1120 Campbell St Baker City OR Added to pharmacy network January 2017 Retail University Of Oregon 1590 E 13th Ave Eugene OR Added to pharmacy network January 2017 Retail Fred Meyer SE Sunnyside Rd Happy Valley OR Added to pharmacy network January 2017 Retail Pharmblue Oregon 140 S Holly St Suite 1131 Medford OR Added to pharmacy network January 2017 Retail Merrill Clinic 125 N Lincoln St Merrill OR Added to pharmacy network January 2017 Retail Genoa,A QOL Healthcare 1425 Beavercreek Rd Ste B Oregon City OR Added to pharmacy network Company January 2017 Retail Ardon Health NE Glenn Widing Dr Portland OR Added to pharmacy network January 2017 Retail Planned Parenthood 3727 NE M L King Blvd Portland OR Added to pharmacy network January 2017 Retail Oregon Urology Institute 2400 Hartman Lane Springfield OR Added to pharmacy network January 2017 Retail Sacred Heart - Riverbend 3333 Riverbend Dr Springfield OR Added to pharmacy network January 2017 Retail Bend LTC Pill Box 727 NE Greenwood Ave Bend OR Removed from pharmacy network January 2017 Retail Care Rx SW 72nd Ave Portland OR Removed from pharmacy network January 2017 Retail Walgreens 3377 Riverbend Dr Springfield OR Removed from pharmacy network January 2017 Retail Williams LLC E Highway 26 Welches OR Removed from pharmacy network January 2017 Retail University Compounders LLC 9150 SW Pioneer Ct Ste B Wilsonville OR Removed from pharmacy network January 2017 Long-Term Care Pharmblue Oregon 140 S Holly St Suite 1131 Medford OR Added to pharmacy network January 2017 Long-Term Care Genoa,A QOL Healthcare 1425 Beavercreek Rd Ste B Oregon City OR Added to pharmacy network Company January 2017 Long-Term Care Bend LTC Pill Box 727 NE Greenwood Ave Bend OR Removed from pharmacy network 13

14 Name Street Address City State Zip Phone January 2017 Long-Term Care Care Rx SW 72nd Ave Portland OR Removed from pharmacy network January 2017 Long-Term Care Semlings 1804 Columbia Blvd Saint Helens OR Removed from pharmacy network January 2017 Long-Term Care Williams LLC E Highway 26 Welches OR Removed from pharmacy network January 2017 Long-Term Care University Compounders LLC 9150 SW Pioneer Ct Ste B Wilsonville OR Removed from pharmacy network January 2017 Retail Sea Mar Community Health 2781 S 242nd St Des Moines WA Added to pharmacy network Centers January 2017 Retail Angel Pacific Hwy S Federal Way WA Added to pharmacy network January 2017 Retail Sav-On 2800 Milton Way Ste 10 Milton WA Added to pharmacy network January 2017 Retail Laketown 1550 S Pioneer Way Ste 105 Moses Lake WA Added to pharmacy network January 2017 Retail Mount Baker PP Mount 1805 E Division St Mount Vernon WA Added to pharmacy network Vernon January 2017 Retail Vista Oncology 420 McPhee Rd SW Olympia WA Added to pharmacy network January 2017 Retail Vista Oncology Inc, PS 141 Lilly Rd NE Olympia WA Added to pharmacy network January 2017 Retail Partner Oncology rd St SE Ste 260 Puyallup WA Added to pharmacy network January 2017 Retail Costco th Ave NE Redmond WA Added to pharmacy network January 2017 Retail Himerx 3901 NE 4th St Ste 102A Renton WA Added to pharmacy network January 2017 Retail Sav-On SE Petrovitsky Rd Renton WA Added to pharmacy network January 2017 Retail Bartell Drugs 400 S Jackson St #300 Seattle WA Added to pharmacy network January 2017 Retail Bartell Drugs nd Ave NW Seattle WA Added to pharmacy network January 2017 Retail CVS 531 Queen Anne Ave N Seattle WA Added to pharmacy network January 2017 Retail Planned Parenthood 2001 E Madison St Seattle WA Added to pharmacy network January 2017 Retail Rainier Beach 9245 Rainier Ave S Seattle WA Added to pharmacy network January 2017 Retail Shelton 110 W K St Shelton WA Added to pharmacy network January 2017 Retail ICHS Shoreline Aurora Ave N Shoreline WA Added to pharmacy network January 2017 Retail Medical Oncology 6001 N Mayfair St Spokane WA Added to pharmacy network Associates January 2017 Retail Northwest Medical 1624 S I St Ste 407 Tacoma WA Added to pharmacy network Specialties January 2017 Retail Compass Oncology 1498 Tech Center Pl #240 Vancouver WA Added to pharmacy network January 2017 Retail Payless Drug Se 34th St Bldg 2 Vancouver WA Added to pharmacy network January 2017 Retail Winslow Drug 290 Winslow Way E Bainbridge WA Removed from pharmacy network Island January 2017 Retail Franciscan 9230 Sky Island Dr E Bonney Lake WA Removed from pharmacy network January 2017 Retail Surecare Rx 3400 SE 196th Ave Ste 100 Camas WA Removed from pharmacy network 14

15 Name Street Address City State Zip Phone January 2017 Retail East Wenatchee Food 315 Valley Mall Pkwy East WA Removed from pharmacy network Depot Wenatchee January 2017 Retail Pioneer Med Center 1550 S Pioneer Way Ste 105 Moses Lake WA Removed from pharmacy network January 2017 Retail Walgreens 1200 N 14th Ave Pasco WA Removed from pharmacy network January 2017 Retail Medorganize 325 NE Hostmark St, Ste B Poulsbo WA Removed from pharmacy network January 2017 Retail Franciscan Canyon Rd East Puyallup WA Removed from pharmacy network January 2017 Retail Barry Lafferty's United Drug th Ave NW Seattle WA Removed from pharmacy network January 2017 Retail Bartell Drugs th Ave NW Seattle WA Removed from pharmacy network January 2017 Retail Pacific Drugs 822 1st Ave Seattle WA Removed from pharmacy network January 2017 Retail Kmart 2304 E Nob Hill Blvd Yakima WA Removed from pharmacy network January 2017 Long-Term Care Payless Drug Se 34th St Bldg 2 Vancouver WA Added to pharmacy network January 2017 Long-Term Care Surecare Rx 3400 SE 196th Ave Ste 100 Camas WA Removed from pharmacy network January 2017 Long-Term Care Kirk's CHS 6149 Martin Way E Lacey WA Removed from pharmacy network January 2017 Long-Term Care Densows LTC 1011 Wright Ave Richland WA Removed from pharmacy network January 2017 Long-Term Care Northwest Health Systems 107 S Division St Spokane WA Removed from pharmacy network February 2017 Retail Sun Life Family Health West Bowlin Road Maricopa AZ Added to pharmacy network Center February 2017 Retail Avella Of Deer Valley N 19th Ave Phoenix AZ Added to pharmacy network February 2017 Retail BGH 3544 W Glendale Ave Suite E Phoenix AZ Added to pharmacy network February 2017 Retail Genoa, A QOL Healthcare North 28th Drive, Bldg Phoenix AZ Added to pharmacy network Company E February 2017 Retail University Of Arizona 1 National Championship Dr Tucson AZ Added to pharmacy network February 2017 Retail Fry's Food & Drug 2075 N Alma School Rd Chandler AZ Removed from pharmacy network February 2017 Retail Osco N 59th Ave Glendale AZ Removed from pharmacy network February 2017 Retail Saliba's Extended Care 1171 E Rancho Vistoso #131 Oro Valley AZ Removed from pharmacy network February 2017 Retail Kmart 2526 W Northern Ave Phoenix AZ Removed from pharmacy network February 2017 Retail Albertson's N Frank Lloyd Wright Scottsdale AZ Removed from pharmacy network Blvd February 2017 Retail Osco Drug W Bell Rd Surprise AZ Removed from pharmacy network February 2017 Retail Village United Drugs N 115th Ave Ste 4-20 Youngtown AZ Removed from pharmacy network February 2017 Long-Term Care Genoa, A QOL Healthcare North 28th Drive, Bldg Phoenix AZ Added to pharmacy network Company E February 2017 Long-Term Care Saliba's Extended Care 1171 E Rancho Vistoso #131 Oro Valley AZ Removed from pharmacy network 15

16 Name Street Address City State Zip Phone February 2017 Long-Term Care Village United Drugs N 115th Ave Ste 4-20 Youngtown AZ Removed from pharmacy network February 2017 Retail Walmart 2100 N Long Beach Blvd Compton CA Added to pharmacy network February 2017 Retail CVS 6720 N. Fresno St Fresno CA Added to pharmacy network February 2017 Retail Nhan Hoa 7761 Garden Grove Blvd Garden Grove CA Added to pharmacy network February 2017 Retail Gardena Crenshaw Blvd Gardena CA Added to pharmacy network February 2017 Retail CVS Balboa Blvd Granada Hills CA Added to pharmacy network February 2017 Retail Wecare Specialty 7223 Church St Suite #A-19 Highland CA Added to pharmacy network February 2017 Retail Rivers Edge Specialty Von Karman Ave Ste Irvine CA Added to pharmacy network 110 February 2017 Retail Rite Price El Toro Rd Ste A Lake Forest CA Added to pharmacy network February 2017 Retail AHF 6255 W Sunset Blvd Los Angeles CA Added to pharmacy network February 2017 Retail All Meds Solutions 3470 Wilshire Blvd, Ste 800 Los Angeles CA Added to pharmacy network February 2017 Retail Col 305 N Soto St Suite A Los Angeles CA Added to pharmacy network February 2017 Retail CVS 8000 W Sunset Blvd Los Angeles CA Added to pharmacy network February 2017 Retail Mission Hills Sepulveda Blvd Ste Mission Hills CA Added to pharmacy network #101 February 2017 Retail Icaremore 9493 Garfield St Riverside CA Added to pharmacy network February 2017 Retail Rons Services Barnes Canyon Rd San Diego CA Added to pharmacy network February 2017 Retail Right Choice Ventura Blvd Sherman CA Added to pharmacy network Oaks February 2017 Retail Premier Family Hawthorne Blvd Ste Torrance CA Added to pharmacy network 106 February 2017 Retail Tustin Newport Ave Tustin CA Added to pharmacy network February 2017 Retail Sav-On 1910 N Campus Ave Upland CA Added to pharmacy network February 2017 Retail Clinicas Del Camino Real, 200 S. Wells Rd Rm 1 Ventura CA Added to pharmacy network Inc. February 2017 Retail Kmart 1570 W Branch St Arroyo CA Removed from pharmacy network Grande February 2017 Retail Kmart 500 Carson Town Ctr Carson CA Removed from pharmacy network February 2017 Retail Kmart 25 W Polk Coalinga CA Removed from pharmacy network February 2017 Retail CVS Stevens Creek Blvd Cupertino CA Removed from pharmacy network February 2017 Retail Kmart Palm Dr Desert Hot CA Removed from pharmacy network Springs February 2017 Retail CVS Jackson St Indio CA Removed from pharmacy network February 2017 Retail Vons 9350 Campus Point Dr La Jolla CA Removed from pharmacy network February 2017 Retail Safeway 2710 Middlefield Rd Redwood City CA Removed from pharmacy network February 2017 Retail Rons Services Barnes Canyon Rd San Diego CA Removed from pharmacy network 16