Regence MedAdvantage + Rx Classic (PPO) Pharmacy Directory

Transcription

1 Regence MedAdvantage + Rx Classic (PPO) Pharmacy Directory For more information, please contact Regence MedAdvantage + Rx Classic s Customer Service at 1 (800) or, for TTY users, 711, from 8:00 a.m. to 8:00 p.m. Monday through Friday (from October 1 through February 14, our telephone hours are 8:00 a.m. to 8:00 p.m., seven days a week) or visit This Pharmacy Directory was updated on 06/20/2013. Regence BlueShield serves select counties in the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield Association. H5009_2014_DIR_PPO_ACCEPTED

2 Table of Contents Retail Pharmacies, including Chain Pharmacies... 3 Mail Order Pharmacies Home Infusion Pharmacies Long-Term Care Pharmacies Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies Specialty Pharmacies Day Supply Pharmacies Pharmacy Index MA_Rx 1 June 20, 2013

3 Introduction This booklet provides a list of our plan s network pharmacies. To get a complete description of your prescription coverage, including how to fill your prescriptions, please review the Evidence of Coverage and Regence MedAdvantage + Rx Classic s formulary. When this pharmacy directory refers to we, us, or our, it means Regence BlueShield. When it refers to plan or our plan, it means Regence MedAdvantage + Rx Classic (PPO). 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 our plans only if they are filled at a network pharmacy or through our mail order 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 other 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 06/20/2013. For the most current list, please contact us. Our contact information appears on the front and back cover pages. We also list pharmacies that are in our network but are outside Washington. If you have questions about any of the above, please see the first and last cover pages of this directory for information on how to contact us. 2

4 NATIONAL CHAIN PHARMACIES Retail Pharmacies, including Chain Pharmacies OREGON ALBANY NATIONAL CHAIN PHARMACIES ALBERTSONS, LLC BARTELL BI-MART COSTCO FRED MEYER FRESH MARKETS HAGGEN/TOP HARMONS HI-SCHOOL INTERMOUNTAIN HEALTHCARE (IHC) K-MART LONGS MEDICAP MEDICINE SHOPPE OHSU OSCO PAC MED CLINICS QFC RIDLEYS RITE-AID ROSAUERS SAFEWAY SHOPKO SMITHS FOOD & DRUG SUPERVALU TARGET UNIVERSITY OF UTAH WALGREEN DRUG STORES TTY/TDD WAL-MART/SAMS YOKES OREGON ALBANY ELM STREET TH AVE SW ALBANY, GEARY STREET RETAIL 1700 SE GEARY ST ALBANY, EXPRESS 621 NW HICKORY ST ALBANY, MA_Rx 3 June 20, 2013

5 OREGON ASHLAND Retail Pharmacies, including Chain Pharmacies OREGON BOARDMAN OREGON (CONTINUED) ASHLAND ASHLAND DRUG 275 E MAIN ST ASHLAND, ASTORIA COLUMBIA MEMORIAL HOSPITAL OUTPATIENT 2120 EXCHANGE ST STE 101 ASTORIA, PARAMOUNT DRUG 1319 COMMERCIAL ST ASTORIA, BAKER CITY BAKER CITY 1920 RESORT STREET BAKER CITY, BANDON SHINDLER HEALTHMART TH ST SE BANDON, TIFFANY'S DRUG 44 MICHIGAN AVE NE BANDON, BANKS BANKS 662 S MAIN STREET BANKS, BEAVERTON BEAVERTON INC SW CANYON RD BEAVERTON, VG BEAVERTON 2935 SW CEDAR HILLS BLVD BEAVERTON, BEND BEND PILL BOX 727 NE GREENWOOD AVE BEND, COMMUNITY 2500 NE NEFF RD BEND, EXPRESS 210 SW CENTURY DR BEND, TUMALO 64683B COOK AVE BEND, BOARDMAN BOARDMAN 202 1ST NW BOARDMAN, June 20, MA_Rx

6 OREGON BOARDMAN Retail Pharmacies, including Chain Pharmacies OREGON CORVALLIS OREGON (CONTINUED) BOARDMAN (CONTINUED) GOOD SHEPHERD BOARDMAN 220 S MAIN BOARDMAN, BROOKINGS CHETCO & GIFTS 890 CHETCO AVE BROOKINGS, BROWNSVILLE BROWNSVILLE 411 N MAIN BROWNSVILLE, CANBY DAVES PRESCRIPTION SHOP 911 SW 4TH AVE CANBY, PARSONS CANBY 294 NW 2ND AVE CANBY, CANYONVILLE GORDON'S AND GIFTS 314 MAIN ST CANYONVILLE, CAVE JUNCTION CAVES 143 REDWOOD HWY CAVE JUNCTION, EXPRESS 308B S REDWOOD HWY CAVE JUNCTION, CENTRAL POINT EXPRESS 136 E PINE ST CENTRAL POINT, CLOVERDALE CLOVERDALE HWY 101 SOUTH CLOVERDALE, CONDON MURRAYS CONDON 225 SOUTH MAIN CONDON, CORNELIUS VIRGINIA GARCIA MEM HLTH CTR 1151 N ADAIR ST CORNELIUS, CORVALLIS CORVALLIS RETAIL 3680 NW SAMARITAN DR CORVALLIS, OSU STUDENT HLTH CTR PLAGEMAN BLDG ROOM 109 OREGON STATE UNIVERSITY CORVALLIS, RICES 910 NW KINGS BLVD CORVALLIS, MA_Rx 5 June 20, 2013

7 OREGON CORVALLIS Retail Pharmacies, including Chain Pharmacies OREGON GRANTS PASS OREGON (CONTINUED) CORVALLIS (CONTINUED) SAMARITAN SERVICES 3521 NW SAMARITAN DR STE 202 CORVALLIS, CRESWELL EXPRESS 190 EMERALD PKWY 101 CRESWELL, DALLAS DALLAS PILL BOX 625 SE MILLER AVE DALLAS, ENTERPRISE OLIVE BRANCH 306 W NORTH ST ENTERPRISE, EUGENE BROADWAY APOTHECARY 1515 OAK ST EUGENE, HIRONS DRUG INC 185 E 18TH AVE EUGENE, HIRONS 1950 FRANKLIN BLVD EUGENE, RIVER ROAD HEALTHMART 884 RIVER ROAD EUGENE, SYNERGY RX 55 COBURG RD EUGENE, WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER 520 COUNTRY CLUB RD EUGENE, WILLIAM P MAIER MD PC 633 EAST 11TH AVENUE EUGENE, GARIBALDI GODFREYS GARIBALDI 510 GARIBALDI AVE GARIBALDI, GOLD BEACH CORNER DRUG ELLENSBURG AVE GOLD BEACH, GOLD HILL GOLD HILL 808 2ND AVE GOLD HILL, GRANTS PASS GRANTS PASS, INC. 414 SW 6TH ST GRANTS PASS, June 20, MA_Rx

8 OREGON GRANTS PASS Retail Pharmacies, including Chain Pharmacies OREGON HILLSBORO OREGON (CONTINUED) GRANTS PASS (CONTINUED) RXMEDLAB 162 NE BEACON DR STE 109 GRANTS PASS, SERVICE DRUG STORE 1204 NW 6TH ST GRANTS PASS, SISKIYOU COMMUNITY HEALTH CENTER 1701 NW HAWTHORNE AVE SUITE 101 GRANTS PASS, TRINITY VALLEY LLC 2001 FOOTHILL BLVD BLDG F3 GRANTS PASS, GRESHAM ASSURED GRESHAM 831 NW COUNSIL DR STE 115 GRESHAM, EAST COUNTY RETAIL 600 NE 8TH ST SUITE 300 GRESHAM, GRESHAM PROFESSIONAL SE STARK STE 100 GRESHAM, GRESHAM URGENT CARE CLINIC 2850 E POWELL VALLEY RD GRESHAM, HOUR SERVICE HARBOR EXPRESS SHOPPING CENTER AVE STE 9 HARBOR, HARRISBURG HARRISBURG 230 N 3RD ST STE 106 HARRISBURG, HEPPNER MURRAY DRUG INC 217 N MAIN ST HEPPNER, HERMISTON GOOD SHEPHERD RETAIL 610 NW 11TH ST STE E04 HERMISTON, HERMISTON DRUG AND GIFT 114 MAIN ST HERMISTON, HILLSBORO CHAD T PFEFER, MD, PC 545 SE OAK ST STE A HILLSBORO, MA_Rx 7 June 20, 2013

9 OREGON HILLSBORO Retail Pharmacies, including Chain Pharmacies OREGON LAKE OSWEGO OREGON (CONTINUED) HILLSBORO (CONTINUED) HILLSBORO 243 E MAIN HILLSBORO, PROVIDENCE TANASBOURNE NW CORNELL RD STE 102 HILLSBORO, VG HILLSBORO 226 SE 8TH AVE HILLSBORO, JACKSONVILLE JACKSONVILLE NATURAL HEALTH LLC 310 EAST CALIFORNIA ST JACKSONVILLE, JOHN DAY LENS DRUG 120 E MAIN ST JOHN DAY, JUNCTION CITY EMERALD VALLEY RETAIL 375 HOLLY ST JUNCTION CITY, KING CITY MCCANNS SW 116TH AVE KING CITY, KLAMATH FALLS BALINS TOWER DRUG AND GIFTS 1791 WASHBURN WAY KLAMATH FALLS, CAMPUS DRUG 2218 SHALLOCK AVE KLAMATH FALLS, LA GRANDE GRANDE RONDE HOSPITAL 900 SUNSET DR LA GRANDE, RED CROSS RETAIL 206 DEPOT ST LA GRANDE, RED CROSS UNITED DRUG INC 1123 ADAMS AVE LA GRANDE, LA PINE DRUG MART HUNTINGTON RD STE A LA PINE, LAKE OSWEGO RESTORATIVE HEALTH CLINIC, LLC TH AVE STE 300 LAKE OSWEGO, June 20, MA_Rx

10 OREGON LAKEVIEW Retail Pharmacies, including Chain Pharmacies OREGON MEDFORD OREGON (CONTINUED) LAKEVIEW HOWARDS DRUGS 101 NORTH F STREET LAKEVIEW, LEBANON LEBANON PILL BOX 185 MAIN ST LEBANON, SAMARITAN LEBANON COMMUNITY 35 MULLINS DR SUITE 1 LEBANON, MADRAS HOMETOWN DRUGS 65 NE OAK ST STE 100 MADRAS, MCMINNVILLE MAC PRESCRIPTION SHOP 225 NE 3RD STREET MCMINNVILLE, MAC PRESCRIPTION SHOP AT PMC 2435 NE CUMULUS AVE STE C MCMINNVILLE, VG MCMINNVILLE 115 NE MAY LN MCMINNVILLE, MEDFORD BLACK OAK 2924 SISKIYOU BLVD STE 102 MEDFORD, CHRISTIAN'S DOWNTOWN 14 N CENTRAL AVE STE 110 MEDFORD, HAWTHORNE PARK 600 E JACKSON ST MEDFORD, LONE PINE DRUG 3528 LONE PINE RD #2 MEDFORD, ROGUE VALLEY MANOR 1200 MIRA MAR MEDFORD, ROGUE VALLEY RX 2900 E BARNETT RD STE 1 MEDFORD, WELLNESS RETAIL 1150 CRATER LAKE AVENUE MEDFORD, MA_Rx 9 June 20, 2013

11 OREGON MEDFORD Retail Pharmacies, including Chain Pharmacies OREGON ONTARIO OREGON (CONTINUED) MEDFORD (CONTINUED) WEST MAIN 2355 WEST MAIN ST MEDFORD, MERRILL THE MERRILL CLINIC LLC 125 N LINCOLN ST MERRILL, MILL CITY MILL CITY 218 SW BROADWAY MILL CITY, MILWAUKIE PROVIDENCE MILWAUKIE HOSP SE 32ND AVE MILWAUKIE, HOUR SERVICE UNIVERSITY COMPOUNDERS LLC SE MCLOUGHLIN BLVD MILWAUKIE, MYRTLE CREEK EXPRESS 821 S MAIN ST MYRTLE CREEK, MYRTLE POINT SEMPERTS DRUG 735 SPRUCE ST MYRTLE POINT, NEWBERG CENTER 502 VILLA RD NEWBERG, MIKES MEDICAL 201 VILLA RD NEWBERG, NYSSA MALHEUR DRUG 424 MAIN ST NYSSA, OAKRIDGE POSTAL,INC HWY 58 OAKRIDGE, ONTARIO VALLEY RETAIL 925 SW 3RD AVE ONTARIO, June 20, MA_Rx

12 OREGON PHILOMATH Retail Pharmacies, including Chain Pharmacies OREGON PORTLAND OREGON (CONTINUED) PHILOMATH PHILOMATH FAMILY 1640 MAIN ST PHILOMATH, PHOENIX PHOENIX INC 404 N MAIN ST PHOENIX, PORTLAND APOTHECARY AT GOOD SAMARITAN 1130 NW 22ND AVE STE 105 PORTLAND, APOTHECARY EMANUEL 501 N GRAHAM ST PORTLAND, BOWMANS HILLSDALE GOLDEN DAWN CLINIC 2448 SE 89TH AVE STE SW CAPITOL HWY PORTLAND, PORTLAND, HORMONES AND HOLISTIC HEALTHCARE BROOKLYN INC 7516 SW 25TH AVE 3131 SE MILWAUKIE AVENUE PORTLAND, PORTLAND, LLOYD CENTER 438 EAST BURNSIDE ST PORTLAND, CAREPLUS CVS NW 23RD AVE MEDICAL OFFICE BUILDING PORTLAND, SW BARNES RD CENTRAL DRUGS PORTLAND, SW 4TH AVE PORTLAND, MIDCOUNTY RETAIL SE DIVISION ST PORTLAND, COLUMBIA SE TIBBETTS STREET PORTLAND, COMMUNITY RETAIL SW CAPITAL HIGHWAY MULTNOMAH COUNTY PORTLAND, OREGON- ROCKWOOD HEALTH RETAIL 2020 SE 182ND AVE PORTLAND, FAIRLEYS 7206 NE SANDY BLVD PORTLAND, MA_Rx 11 June 20, 2013

13 OREGON PORTLAND Retail Pharmacies, including Chain Pharmacies OREGON REDMOND OREGON (CONTINUED) PORTLAND (CONTINUED) N PORTLAND RETAIL 9000 N LOMBARD ST PORTLAND, NORTHEAST RETAIL 5329 NE MARTIN L KING JR BLVD PORTLAND, OR STATE HOSP PORTLAND 1121 NE 2ND AVE PORTLAND, PAULSENS 4246 NE SANDY BLVD PORTLAND, PHARMACA INTEGRATIVE 13 NW 23RD PLACE PORTLAND, PLANNED PARENTHOOD COLUMBIA WILLAMETTE 3727 NE MARTIN LUTHER KING JR BLVD PORTLAND, PORTLAND VAMC 3710 SW US VETERANS HOSP PORTLAND, PROFESSIONAL CENTER SE MAIN ST STE 118 PORTLAND, PROVIDENCE PLAZA 5050 NE HOYT STE 142 PORTLAND, STROHECKERS 2855 SW PATTON RD SUITE A PORTLAND, TRAN 7816 NE SANDY BLVD PORTLAND, WELLPARTNER 7216 SW DURHAM RD STE P 200 PORTLAND, WESTSIDE RETAIL 426 SW STARK 2ND FL PORTLAND, PRAIRIE CITY PRAIRIE DRUGS AND HARDWARE INC 124 FRONT ST PRAIRIE CITY, PRINEVILLE HANS INC 136 NE 3RD STREET PRINEVILLE, RETAIL 1103 NE ELM ST STE A PRINEVILLE, REDMOND EXPRESS 900 SW 23RD ST REDMOND, June 20, MA_Rx

14 OREGON REDMOND Retail Pharmacies, including Chain Pharmacies OREGON SHADY COVE OREGON (CONTINUED) REDMOND (CONTINUED) REDMOND AND CENTER 1245 NW 4TH STREET REDMOND, REEDSPORT LOWER UMPQUA HOSPITAL 600 RANCH RD REEDSPORT, REEDSPORT INC 1409 HWY 101 REEDSPORT, ROSEBURG HARVARD AVENUE DRUGS AND HEALTH MART 1175 W HARVARD AVE ROSEBURG, HOMETOWN DRUGS 1813 W HARVARD AVE STE 210 ROSEBURG, NW RETAIL 1350 NORTHEAST STEPHENS STE 42 ROSEBURG, EXPRESS 4601 CARNES RD STE 8 ROSEBURG, ROSEBURG VAMC 913 NW GARDEN VALLEY BLVD ROSEBURG, SALEM MEDICINE SHOPPE 1890 CAPITOL STREET NE SALEM, OAK TREE 2940 COMMERCIAL ST SE SALEM, PHYSICIANS BUILDING 1234 COMMERICAL ST SE SALEM, QUISENBERRY PHARMACIES 150 LIBERTY ST SE SALEM, SALEM HOSPITAL COM RETAIL 890 OAK ST SE SALEM, SOUTH SALEM APOTHECARY 990 COMMERCIAL ST SE SALEM, SHADY COVE SHADY COVE HWY 62 SHADY COVE, MA_Rx 13 June 20, 2013

15 OREGON SILETZ Retail Pharmacies, including Chain Pharmacies OREGON VENETA OREGON (CONTINUED) SILETZ SILETZ COMMUNITY HEALTH RETAIL 107 SE SWAN ST SILETZ, SILVERTON SILVERTON PILL BOX 302 N FIRST ST SILVERTON, SISTERS SISTERS DRUG AND GIFT 211 E CASCADE SISTERS, STAYTON STAYTON 102 MARTIN DR STE A STAYTON, SUTHERLIN SUTHERLIN DRUG 113 CENTRAL AVE E SUTHERLIN, SWEET HOME ECONOMY DRUGS 621 MAIN ST STE A SWEET HOME, TIGARD NW NATUROPATHIC MEDICINE, PC SW GREENBURG RD TIGARD, PROVIDENCE BRIDGEPORT SW LOWER BOONES FERRY RD STE 104 TIGARD, TILLAMOOK TILLAMOOK 915 MAIN AVE TILLAMOOK, TUALATIN TRUE HEALTH MEDICINE PC 8555 SW TUALATIN RD TUALATIN, TUALATIN SW MARTINAZZI AVE TUALATIN, UMATILLA CARLSONS UMATILLA 821 6TH ST UMATILLA, UNION UNION DRUG COMPANY 105 N MAIN UNION, VALE MALHEUR DRUG 198 A ST VALE, VENETA TIFFANY'S DRUG HWY 126 VENETA, June 20, MA_Rx

16 OREGON WALDPORT Retail Pharmacies, including Chain Pharmacies AUBURN OREGON (CONTINUED) WALDPORT EXPRESS 110 SW ARROW ST WALDPORT, WHEELER RINEHART, LLC 278 ROWE ST SUITE 222 WHEELER, WHITE CITY CASCADE 7591A CRATER LAKE HWY WHITE CITY, WHITE CITY VAMC 8495 CRATER HWY 136D8 WHITE CITY, WILSONVILLE CREATIVE COMPOUNDS 8560 SW SALISH LN STE 100 WILSONVILLE, WOODBURN SALUD MEDICAL CENTER 1175 MT HOOD AVE WOODBURN, ABERDEEN ABERDEEN HEALTH MART 1812 SUMNER AVE STE H ABERDEEN, CITY CENTER DRUG 108 E WISHKAH ST ABERDEEN, SWANSON'S OWL 117 N BOONE ST ABERDEEN, ANACORTES FAMILY TH ST STE 400 ANACORTES, ARLINGTON ARLINGTON 540 N WEST AVE ARLINGTON, ARLINGTON LOCATED AT SMOKEY POINT ND ST NE ARLINGTON, AUBURN HEALTHPOINT AUBURN 126 AUBURN AVE STE 104 AUBURN, MA_Rx 15 June 20, 2013

17 AUBURN Retail Pharmacies, including Chain Pharmacies BENTON CITY (CONTINUED) AUBURN (CONTINUED) PECKENPAUGH DRUG COMPANY 1123 EAST MAIN AUBURN, STEPS OF HEALING 3802 AUBURN WAY N STE 301 AUBURN, BAINBRIDGE ISLAND WINSLOW DRUG 290 WINSLOW WAY E BAINBRIDGE ISLAND, BELLEVUE BELLEVUE CLINIC AND SURGERY CENTER TH AVE NE BELLEVUE, MEDIART FAMILY CLINIC TH AVE NE STE 101 BELLEVUE, NORTHWEST INTEGRATIVE MEDICINE NE 20TH ST BELLEVUE, O'HANA WELLNESS CENTER TH AVE NE STE B-103 BELLEVUE, PACIFICA NATURAL MEDICINES LLC TH AVE NE STE 103 BELLEVUE, PLUS INC TH AVENUE NE STE 140 BELLEVUE, SAGEMED SE 38TH ST STE 130 BELLEVUE, TLC INTEGRATIVE NE 8TH ST STE K8 BELLEVUE, U AND I TH AVE SE BELLEVUE, BELLINGHAM FAIRHAVEN 1115 HARRIS AVE BELLINGHAM, HOAGLAND 2330 YEW ST BELLINGHAM, MERIDIAN COST CUTTER 4131 MERIDIAN BELLINGHAM, SUNSET COST CUTTER 1275 E SUNSET DR BELLINGHAM, BENTON CITY LOGAR TH ST SUITE A BENTON CITY, June 20, MA_Rx

18 BONNEY LAKE Retail Pharmacies, including Chain Pharmacies CENTRALIA (CONTINUED) BONNEY LAKE MULTICARE BONNEY LAKE TH AVE E SUITE 1200 BONNEY LAKE, BOTHELL HEALTHPOINT BOTHELL BEARDSLEE BLVD BOTHELL, BREMERTON APOTHECARY SHOPPE 2500 CHERRY AVE STE 101 BREMERTON, PENINSULA COMMUNITY HEALTH SERVICES BREMERTON 616 6TH ST BREMERTON, PENINSULA COMMUNITY HEALTH SERVICES BREMERTON-WH 2508 WHEATON WAY BREMERTON, BREWSTER BREWSTER HEALTH MART DRUG 811 STATE HWY 97 NINTH BREWSTER, FAMILY HEALTH CENTERS 525 W JAY BREWSTER, BRIDGEPORT GROSS DRUGS 2520 FOSTER AVE BRIDGEPORT, BUCKLEY CHUCKS UNITED DRUGS 787 MAIN ST BUCKLEY, BURIEN THREE MOON CLINIC 1800 SW 152ND ST STE A BURIEN, CAMANO ISLAND MARKS CAMANO PC 370 NE CAMANO DR STE 6 CAMANO ISLAND, CASHMERE DOANES VALLEY 119 COTTAGE AVE CASHMERE, CASTLE ROCK CASTLE ROCK 117 1ST SW CASTLE ROCK, CENTRALIA HALLS DRUG CENTER 505 S TOWER AVE SUITE 2 CENTRALIA, MA_Rx 17 June 20, 2013

19 CHELAN Retail Pharmacies, including Chain Pharmacies CONNELL (CONTINUED) CHELAN LAKE CHELAN INC 223 E JOHNSON CHELAN, CHENEY CHENEY OWL 120 F ST CHENEY, CHEWELAH AKERS UNITED DRUG 406 N PARK ST CHEWELAH, VALLEY DRUG 102 E MAIN AVE CHEWELAH, CLARKSTON CHAS/WASEM 800 6TH ST CLARKSTON, CLARKSTON HEIGHTS TH AVE CLARKSTON, OWL TRI-STATE 1275 HIGHLAND AVE CLARKSTON, WASEM 800 6TH ST CLARKSTON, CLE ELUM CAVALLINI 106 E 1ST ST CLE ELUM, CLE ELUM DRUG HEALTH MART 219 E 1ST ST CLE ELUM, COLFAX TICK KLOCK DRUGS LLC 109 S MAIN COLFAX, COLVILLE PROVIDENCE NORTHEAST MEDICAL GROUP 1200 E COLUMBIA AVE COLVILLE, SUPER N HWY 395 COLVILLE, CONCRETE UNITED GENERAL HOSPITAL - EAST VALLEY 7438 SOUTH D AVE STE C CONCRETE, CONNELL THE CONNELL 140 N COLUMBIA AVE CONNELL, June 20, MA_Rx

20 COUPEVILLE Retail Pharmacies, including Chain Pharmacies EAST WENATCHEE (CONTINUED) COUPEVILLE LINDS COUPEVILLE 40 N MAIN ST COUPEVILLE, WHIDBEY GENERAL HOSPITAL 101 N MAIN ST COUPEVILLE, COVINGTON COVINGTON MULTICARE CLINIC SE 272ND ST STE 100 COVINGTON, DARRINGTON DARRINGTON 1200 SEEMAN ST DARRINGTON, DAVENPORT DAVENPORT 525 MORGAN ST DAVENPORT, LINCOLN COUNTY HEALTHMART PHARM 621 MORGAN S DAVENPORT, DAYTON ELK DRUG 176 E MAIN ST DAYTON, DEER PARK CHAS NORTH COUNTY 401 S MAIN ST DEER PARK, DES MOINES DES MOINES DRUG STORE INC 627 S 227TH ST DES MOINES, NATUROPATHIC MEDICINE LLC TH AVE S STE 102 DES MOINES, DUPONT DUPONT 1545 WILMINGTON DR STE 160 DUPONT, DUVALL DUVALL FAMILY DRUGS MAIN ST NE DUVALL, EAST WENATCHEE FOOD PAVILION 315 VALLEY MALL PKWY EAST WENATCHEE, MA_Rx 19 June 20, 2013

21 EASTSOUND Retail Pharmacies, including Chain Pharmacies ELMA (CONTINUED) EASTSOUND RAYS 5 TEMPLIN CTR EASTSOUND, EATONVILLE KIRKS 104 MASHELL AVE EATONVILLE, EDMONDS EDMONDS TH ST SW STE D-100 EDMONDS, STEVENS HEALTH CENTER TH AVE W STE 104A EDMONDS, EDMONDS WELLNESS CLINIC, INC TH ST SW STE E EDMONDS, FAMILY TH ST SW STE 100 EDMONDS, HIGHLAND HWY 99 STE 109 EDMONDS, PAVILION TH ST SW STE 100 EDMONDS, RICHARD KEAUMOANA CHUNG, MS ND NATUROPATHIC FAMILY PHYS LTD EDMONDS WAY EDMONDS, THE APOTHECARY 300 ADMIRAL WAY STE 107 EDMONDS, ELLENSBURG COMMUNITY HEALTH OF CENTRAL ELLENSBURG 521 E MOUNTAIN VIEW AVE ELLENSBURG, DOWNTOWN HEALTH MART 414 N PEARL ST ELLENSBURG, SUPER E MOUNTAIN VIEW AVE ELLENSBURG, ELMA ELMA 221 W MAIN ST ELMA, June 20, MA_Rx

22 ENUMCLAW Retail Pharmacies, including Chain Pharmacies FEDERAL WAY (CONTINUED) ENUMCLAW JIMS 2820 GRIFFIN AVE STE 102 ENUMCLAW, PLATEAU COMMUNITY 3021 GRIFFIN AVE ENUMCLAW, EVERETT 112TH STREET COMMUNITY HEALTH CENTER TH ST SW EVERETT, BROADWAY COMMUNITY HEALTH CENTER 1430 BRAODWAY EVERETT, DR. JODI BERGS INTEGRATIVE FAMILY HEALTH CLINIC 3903 COLBY AVE EVERETT, EVERETT FOOT CLINIC 3401 RUCKER AVE EVERETT, PHYSICAL REHABILITATION & WELLNESS CENTER, PLLC TH ST SW EVERETT, PROVIDENCE MEDICAL CENTER 1321 COLBY AVE EVERETT, PROVIDENCE MILL CREEK BOTHELL EVERETT HWY STE 140 EVERETT, SEVAN 620 SE EVERETT MALL WAY EVERETT, SHIRAZ 205 E CASINO RD STE B16 EVERETT, THE EVERETT CLINIC AT MAIN 3909 HOYT AVE EVERETT, EVERSON VALLEY DRUG 208 E MAIN ST EVERSON, FAIRFIELD FAIRFIELD OWL E 208 MAIN ST FAIRFIELD, FEDERAL WAY FRANCISCAN TH AVE S SUITE 110 FEDERAL WAY, FRANCISCAN FIRST AVENUE ST AVE S FEDERAL WAY, HIGHLAND PACIFIC HWY S STE 10 FEDERAL WAY, MA_Rx 21 June 20, 2013

23 FEDERAL WAY Retail Pharmacies, including Chain Pharmacies GOLDENDALE (CONTINUED) FEDERAL WAY (CONTINUED) ONURI TH AVE S BLDG B STE 2 FEDERAL WAY, VIRGINIA MASON SOUTH ST WAY S FEDERAL WAY, FIRCREST COST LESS PRESCRIPTIONS 1109 REGENTS BLVD FIRCREST, FORKS CHINOOK INC 11 S FORKS AVE FORKS, FREELAND LINDS FREELAND 1609 E MAIN ST FREELAND, FRIDAY HARBOR FRIDAY HARBOR DRUG 210 SPRING ST W FRIDAY HARBOR, GARFIELD GARFIELD 207 N 3RD ST STE 2 GARFIELD, GIG HARBOR FRANCISCAN HEALTH SYSTEM CANTERWOOD BLVD NW STE 220 GIG HARBOR, MT. RAINIER CLINIC FOR WHOLISTIC REJUVENATION 6712 KIMBALL DR STE 100 GIG HARBOR, MULTICARE GIG HARBOR 4545 POINT FOSDICK DR NW SUITE 250 GIG HARBOR, OLYMPIC 4700 PT FOSDICK DR NW STE 120 GIG HARBOR, PURDY COST LESS PRESCRIPTIONS ND AVE NW GIG HARBOR, GOLDENDALE K-C INC 104 W MAIN ST GOLDENDALE, June 20, MA_Rx

24 GRANDVIEW Retail Pharmacies, including Chain Pharmacies KENNEWICK (CONTINUED) GRANDVIEW YAKIMA VALLEY FARM WORKERS CLINIC 1000 WALLACE WAY GRANDVIEW, GRANITE FALLS PHARM A SAVE 207 E STANLEY ST #A GRANITE FALLS, HOQUIAM CROWN DRUG 2544 SIMPSON AVE HOQUIAM, HARBOR DRUG COMPANY 316 8TH ST HOQUIAM, ILWACO ILWACO DRUGS 101 1ST AVE SOUTH ILWACO, ISSAQUAH MEDICAL CENTER 450 NW GILMAN BLVD STE 107 ISSAQUAH, SWEDISH ISSAQUAH RETAIL 751 NE BLAKELY DR ISSAQUAH, KALAMA GODFREYS 270 NE 1ST ST KALAMA, KELSO LJS FURNESS DRUG 114 S PACIFIC AVE KELSO, KENMORE OSTROMS DRUG & GIFT 6414 NE BOTHELL WAY KENMORE, KENNEWICK COLUMBIA BASIN HEMATOLOGY & ONCOLOGY 7360 W DESCHUTES AVE KENNEWICK, CORKS 821 S AUBURN ST KENNEWICK, MEDICAL MALL 521 N YOUNG ST KENNEWICK, MA_Rx 23 June 20, 2013

25 KENT Retail Pharmacies, including Chain Pharmacies LAKEWOOD (CONTINUED) KENT ACCREDO HEALTH GROUP INC TH AVE SOUTH KENT, HEALTHPOINT KENT 403 E MEEKER ST STE 300 KENT, MARDIX INC SE 240TH ST KENT, KENTON READY MEDS 1412 SW 43RD ST STE 120 KENTON, KETTLE FALLS KETTLE FALLS W 280 THIRD AVE KETTLE FALLS, KIRKLAND ASSURED TH AVE NE KIRKLAND, CORNERSTONE FAMILY HEALTH CLINIC ST WAY NE STE C KIRKLAND, EVERGREEN TH AVE NE STE E-20 KIRKLAND, EVERGREEN PROFESSIONAL CENTER NE 130TH LN STE 210 KIRKLAND, REMEDIES 140 CENTRAL WAY KIRKLAND, LACEY METMEDS 5707 LACEY BLVD SE SUITE 103 LACEY, LAKEWOOD COMMUNITY HEALTH CARE GRAVELLY LAKE DR SW LAKEWOOD, FRANCISCAN ST. CLARE BRIDGEPORT WAY SW SUITE A1087 LAKEWOOD, GOOD 8741 SOUTH TACOMA WAY LAKEWOOD, INTERNATIONAL BRIDGEPORT WAY SW LAKEWOOD, June 20, MA_Rx

26 LAKEWOOD Retail Pharmacies, including Chain Pharmacies MATTAWA (CONTINUED) LAKEWOOD (CONTINUED) LAKEWOOD 9601 SO TACOMA WAY STE LAKEWOOD, LEAVENWORTH VILLAGE 815 FRONT ST LEAVENWORTH, LIBERTY LAKE MEDICINE MAN E APPLEWAY STE 260 LIBERTY LAKE, LONG BEACH LONG BEACH 101 BOLSTAD AVE 3 LONG BEACH, LONGVIEW PEACEHEALTH ST JOHN MEDICAL CENTER 1615 DELAWARE ST LONGVIEW, ST JOHN MEDICAL CENTER 1615 DELAWARE ST LONGVIEW, LOPEZ ISLAND LOPEZ ISLAND 352 LOPEZ RD LOPEZ ISLAND, LYNDEN FAIRWAY DRUG, INC 1758 FRONT ST STE 106 LYNDEN, LYNNWOOD BETHEL 17424HWY 99 STE 206 LYNNWOOD, LYNNWOOD COMMUNITY HEALTH CENTER TH ST SW STE 204 LYNNWOOD, CARE TH ST SW STE A LYNNWOOD, MARYSVILLE HILTON 220 STATE AVE MARYSVILLE, MARYSVILLE 9417 STATE AVE MARYSVILLE, THE EVERETT CLINIC AT MARYSVILLE TH ST NE MARYSVILLE, MATTAWA WAHLUKE FAMILY HEALTH CENTER 601 GOVERNMENT WAY MATTAWA, MA_Rx 25 June 20, 2013

27 MEDICAL LAKE Retail Pharmacies, including Chain Pharmacies MOUNT VERNON (CONTINUED) MEDICAL LAKE MEDICAL LAKE OWL 123 E LAKE ST MEDICAL LAKE, MILL CREEK MILL CREEK RD ST SE STE104 MILL CREEK, PURITY INTEGRATIVE HEALTH & WELLNESS CENTER, PLLC MAIN ST STE 500 MILL CREEK, MONROE NEARY NATUROPATHIC CLINIC, LLC TH AVE SE STE 230 MONROE, PHARM A SAVE TH ST SE MONROE, VALLEY VIEW CLINICAL PHARMACISTS TH AVE SE STE 200 MONROE, MONTESANO VALU DRUG 201 PIONEER AVE E MONTESANO, MORTON COLTON 377 S 2ND ST MORTON, MOSES LAKE COLUMBIA BASIN NATURAL FAMILY MEDICINE, PLLC 1025 S PIONEER WAY STE B MOSES LAKE, MOSES LAKE COMM HLTH CTR 605 COOLIDGE DR MOSES LAKE, MOSES LAKE RETAIL 840 E E HILL AVE MOSES LAKE, PIONEER MEDICAL CENTER 1550 S PIONEER WAY STE 105 MOSES LAKE, SOUTHGATE 2709 W BROADWAY AVE MOSES LAKE, MOUNT VERNON HILLTOP 1223 E DIVISION ST MOUNT VERNON, SKAGIT REGIONAL CLINICS MOUNT VERNON 1410 E KINCAID ST MOUNT VERNON, June 20, MA_Rx

28 MOUNT VERNON Retail Pharmacies, including Chain Pharmacies OLYMPIA (CONTINUED) MOUNT VERNON (CONTINUED) SKAGIT VALLEY HOSPITAL OUTPATIENT 1415 E KINCAID MOUNT VERNON, SKAGIT VALLEY HOSPITAL 1415 E KINCAID ST MOUNT VERNON, HOUR SERVICE NEWPORT SEEBERS 336 S WASHINTON AVE NEWPORT, NINE MILE FALLS LAKE SPOKANE 5919 F HWY 291 STE 5 NINE MILE FALLS, NORMANDY PARK ACCESS ST AVE S STE C NORMANDY PARK, OAK HARBOR SAAR'S MARKETPLACE FOOD AND DRUG STATE ROUTE 20 OAK HARBOR, OCEAN PARK OCEAN PARK 1501 BAY AVE OCEAN PARK, OCEAN SHORES OCEAN SHORES 172 W CHANCE A LA MER NW STE 6 OCEAN SHORES, ODESSA ODESSA DRUG 19 W 1ST AVE ODESSA, OKANNOGAN OKANOGAN VALLEY 236 N 2ND AVE OKANNOGAN, OLYMPIA MEDICAL CENTER 3525 ENSIGN RD NE H OLYMPIA, PROVIDENCE ST PETER HOSPITAL 413 LILLY RD NE MAIL STOP LLH10 OLYMPIA, HOUR SERVICE RALPHS THRIFTWAY TH AVE E OLYMPIA, SEA MAR COMMUNITY HEALTH CENTERS 3030 LIMITED LANE NW OLYMPIA, MA_Rx 27 June 20, 2013

29 OLYMPIA Retail Pharmacies, including Chain Pharmacies PORT ORCHARD (CONTINUED) OLYMPIA (CONTINUED) VISTA ONCOLOGY INC PS 141LILLY ROAD NE OLYMPIA, YAUGER PARK 400 YAUGER WAY SW STE B OLYMPIA, OMAK OMAK 903 ENGH RD STE A OMAK, OROVILLE OROVILLE 1416 MAIN ST OROVILLE, ORTING COPES 134 AVE S ORTING, OTHELLO OTHELLO FAMILY RETAIL 140 E MAIN ST OTHELLO, PASCO FIESTA 115 S 10TH AVE PASCO, TCCH 515 W COURT ST PASCO, POMEROY POMEROY INC 764 MAIN ST POMEROY, PORT ANGELES JIMS AND HOME HEALTH 424 E 2ND ST PORT ANGELES, PORT HADLOCK TRI-AREA LLC 65 OAK BAY RD PORT HADLOCK, PORT ORCHARD PENINSULA COMMUNITY HEALTH SERVICES PORT ORCHARD 320 S KITSAP BLVD PORT ORCHARD, SOUTH PARK 1743 VILLAGE LN SE PORT ORCHARD, June 20, MA_Rx

30 PORT TOWNSEND Retail Pharmacies, including Chain Pharmacies PUYALLUP (CONTINUED) PORT TOWNSEND DONS INC 1151 WATER ST PORT TOWNSEND, POULSBO IKINYA BOND RD NE STE 110 POULSBO, KITSAP TH AVE NE POULSBO, PENINSULA COMMUNITY HEALTH SERVICES POULSBO SEVENTH AVE NE SUITE 205 POULSBO, POULSBO RETAIL 325 HOSTMARK ST POULSBO, PROSSER ELFERS LYON 820 MEMORIAL STREET SUITE 2 PROSSER, PULLMAN SIDS PROFESSIONAL 825 SE BISHOP BLVD STE 301 PULLMAN, WSU HEALTH AND WELLNESS SERVICES 1125 SE ST PULLMAN, PUYALLUP FRANCISCAN CANYON ROAD CANYON RD E STE 110 PUYALLUP, GOOD SAMARITAN BEHAVIORAL HEALTH 325 E PIONEER AVE PUYALLUP, KIRKS AT HARTLAND TH ST SE STE 2 PUYALLUP, KIRKS AT SUNRISE SUNRISE BLVD E STE 204 PUYALLUP, MULTICARE GOOD SAMARITAN TH ST SE STE 1200 PUYALLUP, PARTNER ONCOLOGY RD ST SE STE 260 PUYALLUP, MA_Rx 29 June 20, 2013

31 QUINCY Retail Pharmacies, including Chain Pharmacies SEATTLE (CONTINUED) QUINCY HEARTLAND 101 F ST SW QUINCY, RAYMOND RAYMOND DRUG 707 WILLAPA PLACE RAYMOND, SAGENS 515 COMMERCIAL ST RAYMOND, REDMOND ALPINE INTEGRATED MEDICINE LLC NE MARKETPLACE DR SUITE 130 REDMOND, PHARMACA INTEGRATIVE REDMOND WAY REDMOND, RENTON CORE INJURY MANAGEMENT 425 SW 41ST ST #5W RENTON, LAURA J. HIEB, ND 304 MAIN AVE S STE 201 RENTON, THE PRESCRIPTION PAD - NORTH 3915 TALBOT RD S RENTON, THE PRESCRIPTION PAD - SOUTH 400 S 43RD ST RENTON, REPUBLIC REPUBLIC DRUG STORE 6 N CLARK AVE REPUBLIC, RICHLAND DENSOW'S 1011 WRIGHT ST RICHLAND, MALLEY'S RETAIL 1906 GEORGE WAY RICHLAND, RITZVILLE RITZVILLE DRUG COMPANY 209 W MAIN AVE RITZVILLE, SEATTLE 45TH STREET RETAIL 1629 N 45TH ST SEATTLE, ANDERSON MEDICAL SPECIALTY ASSOCIATES 2150 N 107TH ST STE 400 SEATTLE, BALLARD PLAZA 1801 NW MARKET ST 104 SEATTLE, BOB JOHNSONS 1407 NW 85TH ST SEATTLE, June 20, MA_Rx

32 SEATTLE Retail Pharmacies, including Chain Pharmacies SEATTLE (CONTINUED) SEATTLE (CONTINUED) CABRINI MEDICAL TOWER 901 BOREN AVE SUITE 100 SEATTLE, CAREPLUS CVS 1001 MADISON ST SEATTLE, CHERRY STREET 1120 CHERRY ST SEATTLE, CHESTERFIELD 720 7TH AVE SUITE 100 SEATTLE, COLUMBIA 4741 RAINIER AVE S SEATTLE, DONG NAI 620 JACKSON ST SEATTLE, EASTERNS 515 MINOR AVE STE 120 SEATTLE, HARBORVIEW MEDICAL CENTER 325 9TH AVE SEATTLE, HOLLY PARK - ICHS 3815 SOUTH OTHELLO ST 2ND FLOOR SEATTLE, ICHS-INTERNATIONAL DISTRICT 720 8TH AVE S SEATTLE, KATTERMANS SAND POINT 5400 SAND POINT WAY NE SEATTLE, KELLEY ROSS 616 OLIVE WAY SEATTLE, TH AVE #103 SEATTLE, KING PLAZA 7101 ML KING WY S STE 101B SEATTLE, LAFFERTYS TH AVE NW SEATTLE, LOWRYS PRESCRIPTIONS MERIDIAN AVE N STE 180 SEATTLE, LUKES 611 MAYNARD AVE S SEATTLE, MA_Rx 31 June 20, 2013

33 SEATTLE Retail Pharmacies, including Chain Pharmacies SEATTLE (CONTINUED) SEATTLE (CONTINUED) MAPLE LEAF UNITED DRUGS 8830 ROOSEVELT WY NE SEATTLE, MEDICINE MAN 323 N 85TH ST SEATTLE, MERIDIAN MERIDIAN AVE N STE 100 SEATTLE, MIKHAIL KISSELEV ND PHD LLC TH AVE NE STE C SEATTLE, MOMS 1017 EAST UNION STREET SEATTLE, NAVOS 2600 SW HOLDEN ST SEATTLE, NEIGHBORCARE HEALTH - RAINIER PARK RETAIL TH AVE S SEATTLE, NGUYENS 1221 S MAIN ST STE 103 SEATTLE, RAINER AVE S SEATTLE, NORTHWEST KIDNEY CENTER 700 BROADWAY SEATTLE, NORTHWEST NATUROPATHY AND ACUPUNCTURE, PLLC TH AVE NE STE 310 SEATTLE, NORTHWEST PRESCRIPTION AND MEDICAL SUPPLY 1536 N 115TH ST STE 100 SEATTLE, PACIFIC DRUGS INC 822 1ST AVE SEATTLE, PARK'S 401 NE RAVENNA BLVD SEATTLE, PHARMACA INTEGRATIVE 4130 E MADISON SEATTLE, CALIFORNIA AVE SW SEATTLE, PHARMCA INTERGRATIVE INC 1815 N 45TH STREET SUITE 110 SEATTLE, PIKE MARKET MEDICAL CLINIC 1930 POST ALLEY SEATTLE, PLANNED PARENTHOOD OF THE GREAT NORTHWEST 2001 E MADISON SEATTLE, PREMIER 5405 RAINIER AVE SOUTH SEATTLE, June 20, MA_Rx

34 SEATTLE Retail Pharmacies, including Chain Pharmacies SEDRO WOOLLEY SWEDISH ORTHOPEDIC (CONTINUED) INSTITUTE SEATTLE (CONTINUED) 601 BROADWAY SEATTLE, QUE ARESTE ND TH AVE STE 16 SEATTLE, SEA MAR CHC TH AVE S SWEDISH SEATTLE, CHERRY HILL TH AVE STE 180 SEATTLE CANCER CARE SEATTLE, ALLIANCE EASTLAKE AVE E STE G5900 SEATTLE, SEATTLE CHILDRENS SWEDISH FIRST HILL 4800 SAND PT WAY NE 747 BROADWAY SEATTLE, SEATTLE, SEATTLE MEDS 1305 MADISON STREET SEATTLE, UNION CENTER 2324 EASTLAKE AVE E STE 405 SEATTLE, SEATTLE VAMC 1660 S COLUMBIAN WAY UNIVERSITY OF WA MED CTR SEATTLE, AMBULATORY NE PACIFIC ST RM EE315 SEATTLE, HOUR SERVICE SIMON WELLNESS LLC TH AVE NE STE HOUR SERVICE SEATTLE, VIRGINIA MASON BUCK PAVILION TH AVE MS: C1-PO SEATTLE, VIRGINIA MASON LINDEMAN PAVILION 1201 TERRY AVE MS: X2-PN SEATTLE, VITAL THERAPEUTICS INC 1836 WESTLAKE AVE N STE 201 SEATTLE, WHITE CENTER TH AVE SW SEATTLE, SEDRO WOOLLEY SKAGIT REGIONAL CLINICS SEDRO-WOOLLEY 1990 HOSPITAL DR SUITE 120 SEDRO WOOLLEY, MA_Rx 33 June 20, 2013

35 SELAH Retail Pharmacies, including Chain Pharmacies SPOKANE (CONTINUED) SELAH HOWARDS DRUG 119 E 3RD AVE SELAH, SELAH SAVE ON FOODS 800 N PARK CTR SELAH, SHELTON NEILS 512 W FRANKLIN SHELTON, SHORELINE SHORELINE NATURAL MEDICINE CLINIC, INC 646 NW RICHMOND BEACH RD SHORELINE, SNOHOMISH KUSLERS 700 AVENUE D SNOHOMISH, THE SNOHOMISH NATUROPATHIC CLINIC, PLLC 1101 AVENUE D STE D103 SNOHOMISH, SNOQUALMIE SNOQUALMIE VILLAGE 7730 CENTER BLVD SE SNOQUALMIE, THE FALLS 8112 RAILROAD AVE SE SNOQUALMIE, SOUTH BEND SOUTH BEND 101 WILLAPA AVE SOUTH BEND, SPOKANE 1ST AVE 6 E 1ST AVE SPOKANE, BATES 3704 N NEVADA SPOKANE, CHAS DENNY MURPHY W ND AVE SPOKANE, CHAS MAPLE 3919 N MAPLE ST SPOKANE, CHAS MARKET 5921 N MARKET ST SPOKANE, CHAS VALLEY 924 S PINES RD SPOKANE, June 20, MA_Rx

36 SPOKANE Retail Pharmacies, including Chain Pharmacies SPOKANE VALLEY (CONTINUED) MEDICAL ONCOLOGY ASSOCIATES PS SPOKANE (CONTINUED) 6001 N MAYFAIR ST SPOKANE, CHAS/NHOS W MAXWELL AVE SPOKANE, PROVIDENCE SACRED HRT MED CTR & CHILDS HOS OUTPATIENT PHARMA DEACONESS OUTPATIENT 101 W 8TH AVENUE SPOKANE, W 5TH AVE SPOKANE, EVERGREEN NATUROPATHIC, INC RELIANT RX LLC 315 W 9TH AVE STE N PINE ST STE 156 SPOKANE, SPOKANE, FIFTH AND BROWNE 104 W 5TH AVE SUITE 180E SPOKANE, RIVERPOINT 528 E SPOKANE FALLS BLVD STE 110 SPOKANE, HART AND DILATUSH 601 W RIVERSIDE STE 140 SIXTH AVENUE MEDICAL SPOKANE, W 508 6TH AVE SPOKANE, LIDGERWOOD OWL 5901 N LIDGERWOOD ST STE 100 SPOKANE, SPOKANE FALLS FAMILY CLIN 120 W MISSION AVE SPOKANE, SPOKANE VAMC 4815 N ASSEMBLY ST SPOKANE, VALLEY MISSION E MISSION AVE STE 103 SPOKANE, WELL LIFE LATAH 4235 S CHENEY SPOKANE RD SPOKANE, SPOKANE VALLEY HALPINS E SPRAGUE AVE SPOKANE VALLEY, TRADING COMPANY E SPRAGUE AVE SPOKANE VALLEY, MA_Rx 35 June 20, 2013

37 ST JOHN Retail Pharmacies, including Chain Pharmacies TACOMA (CONTINUED) ST JOHN ST JOHN 18 E FRONT ST ST JOHN, SULTAN SULTAN AND NATURAL CARE 505 W STEVENS AVE SULTAN, SUMAS SUMAS DRUG 315 CHERRY SUMAS, SUMNER NICHOLSONS SUMNER 910 ALDER AVE SUMNER, TACOMA ALLENMORE OUTPATIENT 1901 S UNION AVE TACOMA, CHUNG 9122 S TACOMA WAY STE 104 TACOMA, COMMUNITY HEALTH CARE 1102 SOUTH I ST TACOMA, PACIFIC AVE TACOMA, E 44TH ST TACOMA, COST LESS PRESCRIPTIONS 5431 PACIFIC AVE TACOMA, FRANCISCAN AND HOME MEDICAL SUPPLY ST JOSEPH 1708 S YAKIMA AVE SUITE 201 TACOMA, LINCOLN 821 S 38TH ST TACOMA, MAI LINH 1211 S 11TH ST TACOMA, MULTICARE MARY BRIDGE CLINICS 311 S L STREET TACOMA, MULTICARE MEDICAL CENTER 315 MARTIN LUTHER KING JR WAY TACOMA, HOUR SERVICE June 20, MA_Rx

38 TACOMA Retail Pharmacies, including Chain Pharmacies TOPPENISH (CONTINUED) TACOMA (CONTINUED) MULTICARE RETAIL 521 MARTIN LUTHER KING JR WAY TACOMA, MULTICARE WESTGATE 2209 N PEARL ST STE 100 TACOMA, NATURAL HEALTH AND EDUCATIONAL SERVICES PLLC 201 N I ST STE C TACOMA, NORTHWEST MEDICAL SPECIALTIES INC 1624 S I ST STE 407 TACOMA, PARKLAND MARKETPLACE PACIFIC AVE S TACOMA, PUGET SOUND, LLC TH AVE STE 101 TACOMA, RANKOS STADIUM INC 101 TACOMA AVE N TACOMA, RUMED INC 3602 CENTER ST STE 4 TACOMA, TACOMA MEDICAL CENTER 1206 S 11TH ST STE 1 TACOMA, TACOMA VAMC 9600 VETERANS DR TACOMA, UNION AVENUE RETAIL 2302 S UNION AVE SUITE 25C TACOMA, WESTERN STATE HOSP 9601 STEILACOOM BLVD SW TACOMA, HOUR SERVICE TEKOA TEKOA 124 N CROSBY TEKOA, TENINO HEDDENS 196 W SUSSEX AVE TENINO, TONASKET ROYS INC 318 S WHITCOMB TONASKET, TOPPENISH GIBBONS 117 S TOPPENISH AVE TOPPENISH, MA_Rx 37 June 20, 2013

39 TOPPENISH Retail Pharmacies, including Chain Pharmacies WALLA WALLA (CONTINUED) TOPPENISH (CONTINUED) YAKIMA VALLEY FARM WORKERS CLINIC 518 W 1ST AVE TOPPENISH, TULALIP TULALIP TH AVE NE SUITE A TULALIP, TUMWATER MARTIN'S SOUTHGATE DRUG 5201 CAPITOL BLVD S TUMWATER, TWISP ULRICHS VALLEY 423 METHOW HWY TWISP, UNIVERSITY PLACE HEALTHY SELF NATUROPATHIC SERVICES, LLC 2607 BRIDGEPORT WAY W STE 1C UNIVERSITY PLACE, VANCOUVER APOTHECARY AT SALMON CREEK 2121 NE 139TH ST STE 310 VANCOUVER, FAMILY WELLNESS CENTER, P.C SE TECH CENTER DRIVE STE 120 VANCOUVER, PHSW AT MEDICAL CENTER 420 NE MOTHER JOSEPH PL VANCOUVER, PHSW AT MEMORIAL 100 E 33RD STREET STE 101 VANCOUVER, THE VANCOUVER RETAIL 501 SE 172ND AVE STE 120B VANCOUVER, NE 87TH AVE VANCOUVER, VANCOUVER CLINIC SALMON CREEK 2525 NE 139TH ST VANCOUVER, VANCOUVER VAMC 1601 E FOURTH PLAIN VANCOUVER, VASHON VASHON VASHON HWY SW PO BOX 348 VASHON, VASHON WOMEN'S HEALTH CENTER, LLC VASHON HWY SW VASHON, WALLA WALLA ADVENTIST HEALTH COMMUNITY 1111 S 2ND AVE WALLA WALLA, June 20, MA_Rx

40 WALLA WALLA Retail Pharmacies, including Chain Pharmacies YAKIMA (CONTINUED) WALLA WALLA (CONTINUED) FAMILY MEDICAL CENTER WALLA WALLA 1120 W ROSE ST WALLA WALLA, TALLMANS 4 W MAIN ST WALLA WALLA, WALLA WALLA VAMC 77 WAINWRIGHT DR WALLA WALLA, WENATCHEE CENTRAL HOSPITAL PROFESSIONAL 933 RED APPLE RD STE A WENATCHEE, COLUMBIA VALLEY COMM HLTH 600 ORONDO AVE STE 1 WENATCHEE, WENATCHEE RETAIL 820 N CHELAN AVE WENATCHEE, WESTPORT TWIN HARBOR 733 N MONTESANO WESTPORT, WINLOCK CEDAR VILLAGE 208 E WALNUT STREET WINLOCK, WOODINVILLE WOODINVILLE INC TH AVE NE STE E101 WOODINVILLE, YAKIMA BARTONS CENTER 1011 W SPRUCE ST YAKIMA, CENTRAL FAMILY MEDICINE 1806 W LINCOLN AVE YAKIMA, MEDICINE MART 1112 W SPRUCE ST YAKIMA, SUMMITVIEW AVE STE 110 YAKIMA, MEMORIAL AT CORNERSTONE 402 S 12TH AVE YAKIMA, NORTH STAR LODGE 808 N 39TH AVE YAKIMA, TERRACE VILLAGE 4040 TERRACE HEIGHTS DR STE 120 YAKIMA, MA_Rx 39 June 20, 2013

41 YAKIMA Retail Pharmacies, including Chain Pharmacies YELM (CONTINUED) YAKIMA (CONTINUED) TIETON VILLAGE DRUG 3708 TIETON DR YAKIMA, HEMATOLOGY ONCOLOGY 3911 CASTLEVALE ROAD STE 201 YAKIMA, WRAYS CHALET THRIFTWAY 5605 SUMMITVIEW AVE YAKIMA, WRAYS THRIFTWAY 7200 W NOB HILL BLVD SUITE 1 YAKIMA, YAKIMA NEIGHBORHOOD HEALTH SERVICES 12 S 8TH ST YAKIMA, YAKIMA VALLEY FARM WORKERS CLINIC 602 E NOB HILL BLVD YAKIMA, YAKIMA VALLEY MEMORIAL HOSPITAL 2811 TIETON DR YAKIMA, HOUR SERVICE YELM TIMS AND GIFT SHOP 106 FIRST STREET S YELM, June 20, MA_Rx

42 NATIONAL AVON LAKE, OHIO Mail Order Pharmacies NATIONAL TEMPE, AZ NATIONAL AVON LAKE, OHIO CATAMARAN HOME WALKER ROAD AVON LAKE OH, PORTLAND, OR POSTAL PRESCRIPTION SERVICES 3500 SE 26TH AVE PORTLAND OR, TEMPE, AZ WALGREENS 8350 S RIVER PKWY TEMPE, AZ HOUR SERVICE MA_Rx 41 June 20, 2013

43 OREGON BEND Home Infusion Pharmacies RENTON For members on our plans that cover both medical and Rx, Home Infusion Medications may be covered under your medical benefit. For more information, call Customer Service. Phone numbers and hours are listed on the front and back of this book. OREGON BEND HOME CARE I. V. OF BEND, LLC 2065 NE WILLIAMSON CT STE B BEND, HOUR SERVICE EUGENE HOME PARENTERAL CARE 1000 S BERTELSEN NUMBER 5 EUGENE, HOUR SERVICE PORTLAND CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY 7358 SW DURHAM RD PORTLAND, PROVIDENCE SPECIALTY SERVICES- INFUSION/SPP 6410 NE HALSEY STREET SUITE 400 PORTLAND, WALGREENS INFUSION AND RESPIRATORY SERVICES SW 72ND AVE PORTLAND, HOUR SERVICE BELLINGHAM INFUSION SOLUTIONS 134 PRINCE AVE STE B BELLINGHAM, WALGREENS INFUSION AND RESPIRATORY SERVICES 477 W HORTON BELLINGHAM, HOUR SERVICE EVERETT WALGREENS INFUSION AND RESPIRATORY SERVICES 8120 EVERGREEN WAY EVERETT, HOUR SERVICE KENNEWICK WALGREENS INFUSION AND RESPIRATORY SERVICES 7325 DESCHUTES AVE SUITE C KENNEWICK, HOUR SERVICE REDMOND CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY NE 97TH STREER SUITE 101 REDMOND, RENTON PROVIDENCE INFUSION AND SERVICES 2201 LIND AVENUE SW SUITE 130 RENTON, HOUR SERVICE June 20, MA_Rx

44 SEATTLE Home Infusion Pharmacies SPOKANE For members on our plans that cover both medical and Rx, Home Infusion Medications may be covered under your medical benefit. For more information, call Customer Service. Phone numbers and hours are listed on the front and back of this book. (CONTINUED) SEATTLE WALGREENS INFUSION AND RESPIRATORY SERVICES GATEWAY DR SUITE 131 SEATTLE, HOUR SERVICE SPOKANE CORAM SPECIALTY INFUSION SERVICES, AN APRIA HEALTHCARE COMPANY 520 E NORTH FOOTHILLS DRIVE SUITE 400 SPOKANE, WALGREENS INFUSION AND RESPIRATORY SERVICES 1328 N ASH ST SPOKANE, MA_Rx 43 June 20, 2013

45 OREGON BEND Long-Term Care Pharmacies OREGON MILWAUKIE Residents of a long-term care facility may access their prescription drugs covered under our plans through the facility's long-term care pharmacy or another network long-term care pharmacy. For more information please contact Customer Service. Phone numbers and hours are listed on the front and back of this book. OREGON BEND BEND PILL BOX 727 NE GREENWOOD AVE BEND, CORVALLIS PILL BOX HEALTH CENTER 906 NW KINGS BLVD CORVALLIS, EUGENE BHS 1455 WESTEC DR EUGENE, MANAGED HEALTHCARE 65 GRIMES ST EUGENE, PAYLESS DRUG-LANE COUNTY 2411 MARTIN LUTHER KING JR BLVD EUGENE, PAYLESS LONG TERM CARE GRUMMAN DR EUGENE, HOUR SERVICE FOREST GROVE MANAGED HEALTHCARE OF OREGON 1825 MAPLE ST FOREST GROVE, GRANTS PASS TRINITY VALLEY LLC 2001 FOOTHILL BLVD F3 GRANTS PASS, GRESHAM GENOA HEALTHCARE 400 NE 7TH ST GRESHAM, MEDFORD OMNICARE OF MEDFORD 259 E BARNETT RD STE L MEDFORD, MILWAUKIE CONSONUS SERVICES LLC 4560 SE INTERNATIONAL WAY STE 101 MILWAUKIE, PHARMASYNC LLC SE MCLOUGHLIN BLVD MILWAUKIE, June 20, MA_Rx