ATRIO HEALTH PLANS 2019 PHARMACY DIRECTORY

ATRIO HEALTH PLANS 2019 DIRECTY This Pharmacy Directory was updated on 02/06/2019. For more recent information or other questions, please contact ATRIO Health Plans Customer Service at 1-877-672-8620 or, for TTY users, 1-800-735-2900, Daily 8 a.m. 8 p.m., or visit www.atriohp.com. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.atriohp.com. You may also call Customer Service for updated provider information. ATRIO Health Plans has PPO and HMO D-SNP plans with a Medicare Contract. Enrollment in ATRIO Health Plans depends on contract renewal. ATENCIÓN: Si usted habla a español, servicios de asistencia de idioma, de forma gratuita, están disponibles para usted. Llamar al 1-877-672-8620 (TTY: 1-800-735-2900) Y0084_PHARM_PHD_2019_

2019 Pharmacy Directory Introduction This booklet provides a list of ATRIO Health 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 ATRIO Health Plan s formulary. We call the pharmacies on this list our network pharmacies because we have made arrangements with them to provide prescription drugs to Plan members. In most cases, your prescriptions are covered under ATRIO Health 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 the 02/06/2019. For the most current list, please contact us. Our contact information appears on the front and back cover pages. You can get prescription drugs shipped to your home through our network mail order delivery program. For more information, please contact us or see the mail order section of this pharmacy directory. We also list pharmacies that are in our network but are outside Douglas, Josephine, Jackson, Klamath, Marion and Polk counties in Oregon, the area in which you live. You may also fill your prescriptions at these pharmacies. For more information, please see the section in this pharmacy directory on Network Pharmacies outside the Douglas, Josephine, Jackson, Klamath, Marion and Polk counties or contact ATRIO Health Plans Customer Service at 1-877-672-8620. 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.

ATRIO Health Plan s Network Pharmacies Table of Contents Retail Pharmacies, including Chain Pharmacies (Alphabetized by Name)... 4 Retail Pharmacies, including Chain Pharmacies (Alphabetized by City)... 14 Mail Order Pharmacy... 24 Home Infusion Pharmacies... 25 Long Term Care Pharmacies... 27 Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies... 32 Network Pharmacies outside Douglas, Josephine, Jackson, Klamath, Marion and Polk Counties... 32

Retail Pharmacies, including Chain Pharmacies (Alphabetized by Name) *Pharmacies that provide an can dispense up to a 90-day supply. Like Mail Order, if you receive a 90-day (3 months) supply; you only pay a copay equaling a 60-day (2 months) supply. Some retail pharmacies do not offer an extended supply of medication. In this case, you will be responsible for the difference in price. ASANTE Y Y (541) 789-5850 711 ASANTE RRMC ASANTE THREE RIVERS 2900 E BARNETT RD STE 1 N Y (541) 789-4251 711 2825 E BARNETT RD Y Y (541) 472-7420 711 500 SW RAMSEY AVE ASHLAND DRUG Y Y (541) 482-3366 711 53 NTH SECOND STREET ASHLAND BI-MART #608 Y Y (541) 482-8191 711 2280 ASHLAND ST ASHLAND BI-MART #609 Y Y (541) 672-5738 711 1381 NW GARDEN VALLEY BLVD BI-MART #610 Y Y (541) 479-8337 711 230 REDWOOD HWY BI-MART #611 Y Y (541) 882-7714 711 1920 WASHBURN WAY KLAMATH FALLS BI-MART #613 Y Y (541) 779-8016 711 2687 W MAIN ST BI-MART #616 Y Y (541) 772-3461 711 990 BIDDLE RD BI-MART #624 Y Y (503) 371-6717 711 3862 RIVER ROAD N KEIZER 8332 97527-5554 97520-1889 97520-1406 97471-97527- 5404 97603-4502 2127 6118 97303-4866 4

BI-MART #633 Y Y (503) 588-8173 711 2155 LANCASTER DRIVE NE BI-MART #643 Y Y (503) 981-2106 711 1600 MT HOOD AVE WOODBURN BI-MART #646 Y Y (503) 838-1176 711 444 PACIFIC AVE S MONMOUTH BI-MART #647 Y Y (503) 769-6736 711 1701 SHAFF RD STAYTON BI-MART #652 Y Y (541) 459-0626 711 833 E CENTRAL AVE SUTHERLIN BI-MART #676 Y Y (541) 679-4801 711 BLACK OAK Y Y (541) 773-5356 711 CASCADE Y Y (541) 826-4414 711 CAVES Y Y (541) 592-4560 711 CHEMAWA INDIAN HEALTH CENTER N Y (503) 304-7603 711 391 NW DOUGLAS BLVD 2924 SISKIYOU BLVD STE 102 7591A CRATER LAKE HWY 333 S REDWOOD HWY 3750 CHEMAWA RD NE WINSTON WHITE CITY CAVE JUNCTION COSTCO Y Y (541) 734-2482 711 3075 HAMRICK RD CENTRAL POINT COSTCO Y Y (503) 371-8739 711 COSTCO Y Y (541) 378-0029 711 1010 HAWTHNE AVE 4141 NE STEPHENS ST 97305-1228 97071-9071 97361-1543 97383-1091 97479-9607 97496-8567 97503-97523- 97305-97502- 2844 97470-1161 5

CVS #16154 Y Y (503) 588-4433 711 3790 CENTER ST NE CVS #16159 Y Y (541) 779-5110 711 CVS #17195 Y Y (503) 856-0614 711 2000 CRATER LAKE HWY 6450 KEIZER STATION BLVD NE KEIZER DALLAS PILL BOX Y Y (503) 623-2400 711 625 SE MILLER AVE DALLAS FRED MEYER Y Y (541) 857-4683 711 1301 CENTER DRIVE FRED MEYER Y Y (541) 779-4153 711 2424 CRATER LAKE HWY FRED MEYER Y Y (541) 884-1780 711 2655 SHASTA WAY KLAMATH FALLS FRED MEYER Y Y (503) 391-2433 711 2855 BROADWAY NE FRED MEYER Y Y (503) 585-7660 711 3450 COMMERCIAL ST SE FRED MEYER Y Y (503) 581-6431 711 3740 MARKET NE FRED MEYER #126 FRED MEYER #281 Y Y (541) 474-7234 711 Y Y (541) 957-3058 711 1101 PKWY 929 NW GARDEN VALLEY BLVD GOLD HILL Y Y (541) 855-1544 711 808 2ND AVE GOLD HILL GDON'S AND GIFTS Y Y (541) 839-4452 711 314 MAIN ST CANYONVILLE 97303-97338- 97603-97303- 2333 97471-97525- 97417-6

, INC., INC. HARVARD AVENUE DRUGS AND HEALTH MART N Y (541) 476-4262 711 414 SW 6TH ST Y Y (541) 476-4262 711 414 SW 6TH ST Y Y (541) 672-1961 711 HI SCHOOL Y Y (503) 838-2195 711 1175 W HARVARD AVE 1357 MONMOUTH AVE INDEPENDENCE HI SCHOOL Y Y (503) 873-8391 711 406 MCCLAINE ST SILVERTON HOMETOWN DRUGS Y Y (541) 229-1112 711 LONE PINE DRUG Y Y (541) 973-2367 711 LOWER UMPQUA HOSPITAL 1813 W HARVARD AVE STE 210 3528 LONE PINE RD # 2 Y Y (541) 271-6370 711 600 RANCH RD REEDSPT MEDICAP Y Y (541) 535-5843 711 205 N PACIFIC HIGHWAY TALENT MT ANGEL DRUG Y Y (503) 845-6133 711 105 N MAIN ST MT ANGEL NTHWEST COMPOUNDING Y Y (541) 672-8399 711 OAK TREE Y Y (503) 585-2877 711 PHARMBLUE EGON LLC Y Y (800) 967-6816 711 1350 NTHEAST STEPHENS STE 42 2940 COMMERCIAL ST SE 140 S HOLLY ST SUITE 1131 2810 2897 97471-97351- 97381-97471- 5637 97467-97540- 97362-97470- 3113 7

PHYSICIANS BUILDING QUISENBERRY PHARMACIES, LLC Y Y (503) 362-4874 711 1234 COMMERICAL ST SE N Y (503) 364-3336 711 150 LIBERTY ST SE REEDSPT Y Y (541) 271-3631 711 1409 HWY 101 REEDSPT RITE AID 050372 RITE AID 05360 RITE AID 05361 RITE AID 05362 RITE AID 05364 RITE AID 05368 RITE AID 05380 RITE AID 05382 RITE AID 05384 Y Y (503) 873-2460 711 N Y (503) 585-7616 711 N Y (503) 362-3654 711 N Y (503) 588-2352 711 N Y (503) 393-8950 711 N Y (503) 623-8334 711 N Y (541) 673-1750 711 N Y (541) 672-4896 711 N Y (541) 779-7455 711 626 MCCLAIONE STREET 681 LANCASTER DRIVE NTHEAST 435 LIBERTY STREET NTHEAST 4500 COMMERCIAL STREET SOUTHEAST 5452 RIVER ROAD NTH 178 WEST ELLENDALE AVENUE 1430 NTHWEST GARDEN VALLEY ROAD VALLEY MALL 444 STEPHENS STREET SOUTHEAST 981 CENTER SILVERTON KEIZER DALLAS 3506 97467-97381- 1936 4733 3588 3918 97303-4429 97338-1408 97470-1766 97470-3136 6748 8

RITE AID 05385 RITE AID 05386 RITE AID 05387 RITE AID 05388 RITE AID 06776 ROGUE COMMUNITY HEALTH ROGUE COMMUNITY HEALTH WHITE CITY ROGUE RIVER SAFEWAY #0290 SAFEWAY #0412 SAFEWAY #0429 SAFEWAY #0525 Y Y (541) 482-7409 711 N Y (541) 479-3358 711 N Y (541) 479-6698 711 N Y (541) 883-2210 711 2341 ASHLAND STREET TOLMAN CREEK PLAZA 915 NTHEAST D STREET GRANTS PASS SHOPPING CENTER 1642 WILLIAMS HIGHWAY WILLIAMS HIGHWAY PLAZA 2521 SOUTH SIXTH STREET ASHLAND KLAMATH FALLS Y Y (541) 535-1561 711 636 N MAIN ST PHOENIX Y Y (541) 842-7747 711 19 MYRTLE ST Y Y (541) 500-0989 711 8385 DIVISION RD WHITE CITY Y Y (541) 582-0559 711 506 E MAIN ROGUE RIVER Y Y (541) 956-7546 711 115 EAST 7TH ST Y Y (503) 365-2174 711 Y Y (503) 391-6482 711 Y Y (541) 608-3686 711 1455 EDGEWATER NW 3380 LANCASTER DR NE 1003 SHOPPING CTR 97520-1407 2399 97527-5660 97601-4343 97535-9607 7337 97503-1176 97537-97304- 97303-9

SAFEWAY #1516 SAFEWAY #1527 SAFEWAY #1629 SAFEWAY #1643 SAFEWAY #1666 SAFEWAY #1935 SAFEWAY #1976 SAFEWAY #4404 SAFEWAY #4904 HEALTH RETAIL Y Y (503) 390-8819 711 4990 NTH RIVER ROAD KEIZER Y Y (503) 769-5345 711 1535 N FIRST STREET STAYTON Y Y (503) 566-5545 711 Y Y (541) 774-4346 711 Y Y (541) 957-2546 711 Y Y (503) 364-1520 711 Y Y (503) 982-2864 711 Y Y (503) 831-6006 711 1265 CENTER STREET 3169 CRATER LAKE HIGHWAY 1539 NE STEPHENS ST 5660 COMMERCIAL STREET SE 1550 NTH PACIFIC HWY 138 W ELLENDALE AVENUE WOODBURN DALLAS Y Y (541) 863-6383 711 821 S MAIN ST MYRTLE CREEK Y Y (503) 814-0412 711 890 OAK ST SE SAV-ON #0577 Y Y (541) 882-8863 711 5500 S 6TH ST KLAMATH FALLS SAV-ON #3508 Y Y (541) 770-7110 711 910 N PHOENIX RD SAV-ON #3541 Y Y (541) 471-7085 711 1690 ALLEN CREEK ROAD SAV-ON #3593 Y Y (541) 858-5078 711 113 ROSS LN 97303-97383- 97470-97071- 97338-97457- 97603-97527- 10

SAV-ON #3595 Y Y (541) 665-3766 711 1360 PLAZA BLVD SAVON #515 Y Y (541) 957-9236 711 3013 NW STEWART PKWY SHADY COVE Y Y (541) 878-3151 711 21195 HWY 62 SHADY COVE SHOPKO Y Y (503) 371-6830 711 SILVERTON HEALTH WOODBURN HEALTH Y Y (971) 983-5290 711 1230 LANCASTER DR SE 1475 MOUNT HOOD AVE WOODBURN SILVERTON PILL BOX Y Y (503) 873-6321 711 302 N FIRST ST SILVERTON SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SKY LAKES DOWNTOWN SKY LAKES OUTPATIENT N Y (541) 592-2010 711 N Y (541) 472-4747 711 Y Y (541) 592-2010 711 Y Y (541) 472-4747 711 25647 REDWOOD HWY 1701 NW HAWTHNE AVE 25647 REDWOOD HWY 1701 NW HAWTHNE AVE N Y (541) 274-3880 711 211 N 8TH ST Y Y (541) 274-3491 711 2865 DAGGETT AVENUE CAVE JUNCTION CAVE JUNCTION KLAMATH FALLS KLAMATH FALLS STAYTON Y Y (503) 769-2616 711 102 MARTIN DR STE A STAYTON 97502-97471- 97539-97317- 5800 97071-9066 97381-97523- 9332 97523-9332 97601-6018 97601-97383- 11

SUTHERLIN DRUG Y Y (541) 459-2712 711 113 CENTRAL AVE E SUTHERLIN TRINITY VALLEY LLC Y Y (541) 474-9437 711 VALLEY DRUGS Y Y (541) 236-7060 711 WALGREENS #11632 Y Y (503) 428-5107 711 WALGREENS #12068 Y Y (541) 672-1509 711 WALGREENS #12095 Y Y (503) 982-8198 711 2001 NE FOOTHILL BLVD F3 157 NW DOUGLAS BLVD 2150 FAIRGROUNDS RD NE 1377 NE STEPHENS ST 1000 N EVERGREEN RD WINSTON WOODBURN WALGREENS #12596 Y Y (541) 779-1109 711 2280 W MAIN ST WALGREENS #13819 Y Y (541) 672-8438 711 1236 NW GARDEN VALLEY BLVD WALGREENS #15974 Y Y (541) 423-6025 711 43 N FRONT ST CENTRAL POINT WALGREENS #4229 Y Y (503) 362-4845 711 1992 LANCASTER DR NE WALGREENS #4230 Y Y (503) 390-2642 711 5000 RIVER RD KEIZER WALGREENS #4257 Y Y (503) 399-8148 711 4380 COMMERCIAL ST SE WALGREENS #7373 Y Y (541) 471-4873 711 111 UNION AVE WALGREENS #9287 Y Y (503) 428-5004 711 124 LANCASTER DR SE 97479-9556 97496-9670 97470-97071- 2210 97471-1925 97502-2001 97305-97303- 97527-97317- 5331 12

WALGREENS #9328 Y Y (541) 858-3336 711 210 E BARNETT RD WALGREENS #9650 Y Y (503) 428-5073 711 699 WALLACE RD NW WALGREENS# 11173 Y Y (503) 428-5098 711 4760 LIBERTY RD S WAL-MART 10-1772 WALMART 10-1784 WALMART 10-1793 WALMART 10-1834 WALMART 10-1920 WALMART 10-2069 WALMART 10-2315 WALMART 10-2477 WALMART 10-5368 WALMART 10-5424 WALMART 10-5839 Y Y (541) 885-6968 711 Y Y (503) 378-7720 711 Y Y (503) 981-9625 711 3600 WASHBURN WAY 3025 LANCASTER DRIVE NE 3002 STACY ALLISON WAY KLAMATH FALLS WOODBURN Y Y (541) 471-2820 711 135 N.E. TERRY LANE Y Y (503) 378-1822 711 5250 COMMERCIAL ST SE Y Y (541) 772-2469 711 1360 CENTER DR Y Y (503) 623-5091 711 Y Y (541) 957-8544 711 Y Y (503) 391-0586 711 321 NE KINGS VALLEY HWY 2125 NW STEWART PARKWAY 1940 TURNER ROAD SE DALLAS Y Y (541) 826-2670 711 11500 HANNON ROAD EAGLE POINT Y Y (541) 227-5403 711 3615 CRATER LAKE HWY 7928 97304-3834 97603-97305- 97071-97306- 7941 97338-97470- 97524-9259 13

WEST MAIN DRUG Y Y (541) 772-2330 711 2355 WEST MAIN ST 2192 Retail Pharmacies, including Chain Pharmacies (Alphabetized by City) *Pharmacies that provide an can dispense up to a 90-day supply. Like Mail Order, if you receive a 90-day (3 months) supply; you only pay a copay equaling a 60-day (2 months) supply. Some retail pharmacies do not offer an extended supply of medication. In this case, you will be responsible for the difference in price. RITE AID 05385 Y Y (541) 482-7409 711 ASHLAND DRUG Y Y (541) 482-3366 711 2341 ASHLAND STREET TOLMAN CREEK PLAZA 53 NTH SECOND STREET ASHLAND ASHLAND BI-MART #608 Y Y (541) 482-8191 711 2280 ASHLAND ST ASHLAND GDON'S AND GIFTS Y Y (541) 839-4452 711 314 MAIN ST CANYONVILLE CAVES Y Y (541) 592-4560 711 333 S REDWOOD HWY SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER Y Y (541) 592-2010 711 N Y (541) 592-2010 711 25647 REDWOOD HWY 25647 REDWOOD HWY CAVE JUNCTION CAVE JUNCTION CAVE JUNCTION WALGREENS #15974 Y Y (541) 423-6025 711 43 N FRONT ST CENTRAL POINT 97520-1407 97520-1889 97520-1406 97417-97523- 97523-9332 97523-9332 97502-2001 14

COSTCO Y Y (541) 734-2482 711 3075 HAMRICK RD CENTRAL POINT SAFEWAY #4404 WALMART 10-2315 RITE AID 05368 Y Y (503) 831-6006 711 Y Y (503) 623-5091 711 N Y (503) 623-8334 711 138 W ELLENDALE AVENUE 321 NE KINGS VALLEY HWY 178 WEST ELLENDALE AVENUE DALLAS DALLAS DALLAS DALLAS PILL BOX Y Y (503) 623-2400 711 625 SE MILLER AVE DALLAS WALMART 10-5424 Y Y (541) 826-2670 711 11500 HANNON ROAD EAGLE POINT GOLD HILL Y Y (541) 855-1544 711 808 2ND AVE GOLD HILL WALGREENS #7373 Y Y (541) 471-4873 711 111 UNION AVE, INC. FRED MEYER #126 SAFEWAY #0290 WALMART 10-1834 TRINITY VALLEY LLC RETAIL Y Y (541) 476-4262 711 414 SW 6TH ST Y Y (541) 474-7234 711 1101 PKWY Y Y (541) 956-7546 711 115 EAST 7TH ST Y Y (541) 471-2820 711 135 N.E. TERRY LANE N Y (541) 474-9437 711 2001 FOOTHILL BLVD BLDG F3 97502-2844 97338-97338- 97338-1408 97338-97524- 97525-97527- 2897 2333 15

RITE AID 05387 RITE AID 05386 N Y (541) 479-6698 711 N Y (541) 479-3358 711 SAV-ON #3541 Y Y (541) 471-7085 711 SISKIYOU COMMUNITY HEALTH CENTER ASANTE THREE RIVERS N Y (541) 472-4747 711 1642 WILLIAMS HIGHWAY WILLIAMS HIGHWAY PLAZA 915 NTHEAST D STREET GRANTS PASS SHOPPING CENTER 1690 ALLEN CREEK ROAD 1701 NW HAWTHNE AVE Y Y (541) 472-7420 711 500 SW RAMSEY AVE BI-MART #610 Y Y (541) 479-8337 711 230 REDWOOD HWY SISKIYOU COMMUNITY HEALTH CENTER Y Y (541) 472-4747 711 1701 NW HAWTHNE AVE HI SCHOOL Y Y (503) 838-2195 711 1357 MONMOUTH AVE INDEPENDENCE WALGREENS #4230 Y Y (503) 390-2642 711 5000 RIVER RD KEIZER SAFEWAY #1516 RITE AID 05364 Y Y (503) 390-8819 711 N Y (503) 393-8950 711 CVS #17195 Y Y (503) 856-0614 711 4990 NTH RIVER ROAD 5452 RIVER ROAD NTH 6450 KEIZER STATION BLVD NE KEIZER KEIZER KEIZER 97527-5660 2399 97527-97527- 5554 97527-5404 97351-97303- 97303-97303- 4429 97303-16

BI-MART #624 Y Y (503) 371-6717 711 3862 RIVER ROAD N KEIZER FRED MEYER Y Y (541) 884-1780 711 2655 SHASTA WAY WAL-MART 10-1772 RITE AID 05388 Y Y (541) 885-6968 711 N Y (541) 883-2210 711 3600 WASHBURN WAY 2521 SOUTH SIXTH STREET SAV-ON #0577 Y Y (541) 882-8863 711 5500 S 6TH ST SKY LAKES DOWNTOWN SKY LAKES DOWNTOWN SKY LAKES OUTPATIENT N N Y Y KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS (541) 274-3880 711 211 N 8TH ST KLAMATH FALLS (541) 274-3880 711 211 N 8TH ST Y Y (541) 274-3491 711 BI-MART #611 Y Y (541) 882-7714 711 2865 DAGGETT AVENUE 1920 WASHBURN WAY KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS WALGREENS #12596 Y Y (541) 779-1109 711 2280 W MAIN ST WALGREENS #9328 Y Y (541) 858-3336 711 210 E BARNETT RD BLACK OAK Y Y (541) 773-5356 711 2924 SISKIYOU BLVD STE 102 FRED MEYER Y Y (541) 857-4683 711 1301 CENTER DRIVE 97303-4866 97603-97603- 97601-4343 97603-97601- 6018 97601-6018 97601-97603- 4502 2210 7928 17

FRED MEYER Y Y (541) 779-4153 711 SAFEWAY #0525 WALMART 10-2069 Y Y (541) 608-3686 711 2424 CRATER LAKE HWY 1003 SHOPPING CTR Y Y (541) 772-2469 711 1360 CENTER DR ASANTE Y Y (541) 789-5850 711 SAFEWAY #1643 RITE AID 05384 Y Y (541) 774-4346 711 N Y (541) 779-7455 711 2900 E BARNETT RD STE 1 3169 CRATER LAKE HIGHWAY 981 CENTER SAV-ON #3508 Y Y (541) 770-7110 711 910 N PHOENIX RD SAV-ON #3593 Y Y (541) 858-5078 711 113 ROSS LN SAV-ON #3595 Y Y (541) 665-3766 711 1360 PLAZA BLVD CVS #16159 Y Y (541) 779-5110 711 ROGUE COMMUNITY HEALTH WALMART 10-5839 PHARMBLUE EGON LLC 2000 CRATER LAKE HWY Y Y (541) 842-7747 711 19 MYRTLE ST Y Y (541) 227-5403 711 Y Y (800) 967-6816 711 3615 CRATER LAKE HWY 140 S HOLLY ST SUITE 1131 WEST MAIN DRUG Y Y (541) 772-2330 711 2355 WEST MAIN ST 7941 6748 97502-7337 9259 3113 2192 18

BI-MART #613 Y Y (541) 779-8016 711 2687 W MAIN ST BI-MART #616 Y Y (541) 772-3461 711 990 BIDDLE RD ASANTE RRMC N Y (541) 789-4251 711 2825 E BARNETT RD LONE PINE DRUG Y Y (541) 973-2367 711 3528 LONE PINE RD # 2 BI-MART #646 Y Y (503) 838-1176 711 444 PACIFIC AVE S MONMOUTH MT ANGEL DRUG Y Y (503) 845-6133 711 105 N MAIN ST MT ANGEL SAFEWAY #4904 RITE AID 06776 Y Y (541) 863-6383 711 821 S MAIN ST MYRTLE CREEK Y Y (541) 535-1561 711 636 N MAIN ST PHOENIX REEDSPT Y Y (541) 271-3631 711 1409 HWY 101 REEDSPT LOWER UMPQUA HOSPITAL ROGUE RIVER Y Y (541) 271-6370 711 600 RANCH RD REEDSPT Y Y (541) 582-0559 711 506 E MAIN ROGUE RIVER WALGREENS #12068 Y Y (541) 672-1509 711 WALGREENS #13819 Y Y (541) 672-8438 711 FRED MEYER #281 Y Y (541) 957-3058 711 1377 NE STEPHENS ST 1236 NW GARDEN VALLEY BLVD 929 NW GARDEN VALLEY BLVD 2127 6118 8332 5637 97361-1543 97362-97457- 97535-9607 97467-97467- 97537-97470- 97471-1925 97471-19

SAFEWAY #1666 WALMART 10-2477 Y Y (541) 957-2546 711 Y Y (541) 957-8544 711 COSTCO Y Y (541) 378-0029 711 RITE AID 05380 RITE AID 05382 NTHWEST COMPOUNDING N Y (541) 673-1750 711 N Y (541) 672-4896 711 Y Y (541) 672-8399 711 SAVON #515 Y Y (541) 957-9236 711 HARVARD AVENUE DRUGS AND HEALTH MART Y Y (541) 672-1961 711 BI-MART #609 Y Y (541) 672-5738 711 HOMETOWN DRUGS Y Y (541) 229-1112 711 SHOPKO Y Y (503) 371-6830 711 WALGREENS #11632 Y Y (503) 428-5107 711 1539 NE STEPHENS ST 2125 NW STEWART PARKWAY 4141 NE STEPHENS ST 1430 NTHWEST GARDEN VALLEY ROAD VALLEY MALL 444 STEPHENS STREET SOUTHEAST 1350 NTHEAST STEPHENS STE 42 3013 NW STEWART PKWY 1175 W HARVARD AVE 1381 NW GARDEN VALLEY BLVD 1813 W HARVARD AVE STE 210 1230 LANCASTER DR SE 2150 FAIRGROUNDS RD NE 97470-97470- 97470-1161 97470-1766 97470-3136 97470-97471- 97471-97471- 97471-97317- 5800 20

WALGREENS #4229 Y Y (503) 362-4845 711 WALGREENS #4257 Y Y (503) 399-8148 711 WALGREENS #9287 Y Y (503) 428-5004 711 1992 LANCASTER DR NE 4380 COMMERCIAL ST SE 124 LANCASTER DR SE WALGREENS #9650 Y Y (503) 428-5073 711 699 WALLACE RD NW WALGREENS# 11173 Y Y (503) 428-5098 711 4760 LIBERTY RD S PHYSICIANS BUILDING CHEMAWA INDIAN HEALTH CENTER Y Y (503) 362-4874 711 N Y (503) 304-7603 711 1234 COMMERICAL ST SE 3750 CHEMAWA RD NE FRED MEYER Y Y (503) 391-2433 711 2855 BROADWAY NE FRED MEYER Y Y (503) 585-7660 711 3450 COMMERCIAL ST SE FRED MEYER Y Y (503) 581-6431 711 3740 MARKET NE SAFEWAY #0412 Y Y (503) 365-2174 711 COSTCO Y Y (503) 371-8739 711 WALMART 10-1784 Y Y (503) 378-7720 711 1455 EDGEWATER NW 1010 HAWTHNE AVE 3025 LANCASTER DRIVE NE 97305-97317- 5331 97304-3834 97305-97303- 97304-97305- 21

WALMART 10-1920 SAFEWAY #0429 SAFEWAY #1629 WALMART 10-5368 RITE AID 05360 RITE AID 05361 RITE AID 05362 QUISENBERRY PHARMACIES Y Y (503) 378-1822 711 Y Y (503) 391-6482 711 5250 COMMERCIAL ST SE 3380 LANCASTER DR NE Y Y (503) 566-5545 711 1265 CENTER STREET Y Y (503) 391-0586 711 N Y (503) 585-7616 711 N Y (503) 362-3654 711 N Y (503) 588-2352 711 1940 TURNER ROAD SE 681 LANCASTER DRIVE NTHEAST 435 LIBERTY STREET NTHEAST 4500 COMMERCIAL STREET SOUTHEAST Y Y (503) 364-3336 711 150 LIBERTY ST SE CVS #16154 Y Y (503) 588-4433 711 3790 CENTER ST NE OAK TREE Y Y (503) 585-2877 711 BI-MART #633 Y Y (503) 588-8173 711 HEALTH RETAIL SAFEWAY #1935 2940 COMMERCIAL ST SE 2155 LANCASTER DRIVE NE Y Y (503) 814-0412 711 890 OAK ST SE Y Y (503) 364-1520 711 5660 COMMERCIAL STREET SE SHADY COVE Y Y (541) 878-3151 711 21195 HWY 62 SHADY COVE 97306-97303- 4733 3588 3918 3506 97305-1228 97539-22

RITE AID 050372 Y Y (503) 873-2460 711 626 MCCLAIONE STREET SILVERTON SILVERTON PILL BOX Y Y (503) 873-6321 711 302 N FIRST ST SILVERTON HI SCHOOL Y Y (503) 873-8391 711 406 MCCLAINE ST SILVERTON SAFEWAY #1527 Y Y (503) 769-5345 711 1535 N FIRST STREET STAYTON STAYTON Y Y (503) 769-2616 711 102 MARTIN DR STE A STAYTON BI-MART #647 Y Y (503) 769-6736 711 1701 SHAFF RD STAYTON SUTHERLIN DRUG Y Y (541) 459-2712 711 113 CENTRAL AVE E SUTHERLIN BI-MART #652 Y Y (541) 459-0626 711 833 E CENTRAL AVE SUTHERLIN MEDICAP Y Y (541) 535-5843 711 ROGUE COMMUNITY HEALTH WHITE CITY 205 N PACIFIC HIGHWAY TALENT Y Y (541) 500-0989 711 8385 DIVISION RD WHITE CITY CASCADE Y Y (541) 826-4414 711 VALLEY DRUGS Y Y (541) 236-7060 711 BI-MART #676 Y Y (541) 679-4801 711 7591A CRATER LAKE HWY 157 NW DOUGLAS BLVD 391 NW DOUGLAS BLVD WHITE CITY WINSTON WINSTON 97381-1936 97381-97381- 97383-97383- 97383-1091 97479-9556 97479-9607 97540-97503- 1176 97503-97496- 9670 97496-8567 23

WALGREENS #12095 Y Y (503) 982-8198 711 SAFEWAY #1976 WALMART 10-1793 Y Y (503) 982-2864 711 Y Y (503) 981-9625 711 1000 N EVERGREEN RD 1550 NTH PACIFIC HWY 3002 STACY ALLISON WAY WOODBURN WOODBURN WOODBURN BI-MART #643 Y Y (503) 981-2106 711 1600 MT HOOD AVE WOODBURN SILVERTON HEALTH WOODBURN HEALTH Mail Order Pharmacy Y Y (971) 983-5290 711 1475 MOUNT HOOD AVE WOODBURN You can get prescription drugs shipped to your home through our network mail order delivery program. For refills of your mail order prescriptions, please contact us 14 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time. Typically, you should expect to receive your prescription drugs within 14 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 1-877-672-8620 or, for TTY users, 1-800-735-2900. 97071-97071- 97071-97071- 9071 97071-9066 CUREWAYS Y (646) 559-1515 711 DIRECT SUCCESS DEPT Y (732) 919-1234 711 2201 AMSTERDAM AVE 1710 STATE ROUTE 34 NEW YK FARMINGDALE NEW LIFE Y (801) 716-7200 711 9883 S 500 W SANDY UT NY NJ 10032-2512 07727-3906 84070-2561 24

POSTAL PRESCRIPTION SERVICES PROCARE CARE Y (844) 375-3001 711 RX BLUE STAR SOLUTIONS LLC Y (412) 294-1985 711 U.S. PHARMAMED, LLC Y (877) 270-6407 711 Y (503) 797-2100 711 3500 SE 26TH AVE PTLAND 7660 DEAN MARTIN DR 40 PENNWOOD PL STE 200 3450 TARHEEL DR., STE #101 BLDG. 4 ATTN: LICENSING LAS VEGAS WARRENDALE RALEIGH NV PA NC 97202-89139- 5971 15086-6512 27609- Home Infusion Pharmacies This is NOT a complete Network Home Infusion Pharmacy Listing. ATRIO Health Plans has Network pharmacies throughout the United States. ATRIO Health Plans will cover home infusion therapy if: Your prescription drug is on ATRIO Health Plans Formulary; ATRIO has approved your prescription drug for home infusion therapy; Your prescription is written by a doctor; and You get your home infusion services from an ATRIO Network pharmacy. If you have questions about our Home Infusion or Pharmacy Network, please contact ATRIO Health Plans at 1-877-672-8620, Daily 8 a.m. - 8 p.m. TTY users should call 1-800-735-2900. Or, visit our website at www.atriohp.com for further assistance. BRIOVARX INFUSION SERVICES 404, LLC Y N (541) 382-0287 711 2065 NE WILLIAMSON CT STE B BEND 97701-3867 CAM CVS/SPECIALTY INFUSION SERVICES Y N (503) 684-3046 711 7358 SW DURHAM RD PTLAND 97224-7307 25

HOME PARENTERAL CARE N N (541) 683-3700 711 1000 S BERTELSEN RD #4 EUGENE 97402- MURRAY'S BOARDMAN OHSU HOME INFUSION OPTION CARE AT LEGACY HEALTH OPTION CARE AT LEGACY HEALTH N N (541) 481-9474 711 101 SW KINKADE RD BOARDMAN Y N (503) 346-3850 711 9317 SW NIMBUS AVE BEAVERTON Y N (541) 385-3254 711 2275 NE DOCTS DR STE 10 SUITE 10 BEND Y N (503) 225-6100 711 16195 SW 72ND AVE PTLAND 97818-9001 97008-7146 97701-6324 97224- PROVIDENCE SPECIALTY SERVICES- INFUSION/SPP Y N (503) 215-4633 711 6410 NE HALSEY STREET SUITE 400 PTLAND 97213-4742 26

Long Term Care Pharmacies This is NOT a complete Network Long Term Care Pharmacy Listing. ATRIO Health Plans has Network pharmacies throughout the United States. Residents of a long-term care facility may access their prescription drugs covered under ATRIO Health Plans through the facility s long-term care pharmacy or another network long-term care pharmacy. If you have questions about our Long Term Care or Pharmacy Network, please contact ATRIO Health Plans at 1-877-672-8620, Daily 8 a.m. - 8 p.m. TTY users should call 1-800-735-2900). Or, visit our website at www.atriohp.com for further assistance. @.COM Y N (503) 384-2475 711 ASANTE Y N (541) 789-5850 711 BRIOVARX INFUSION SERVICES 404, LLC CONSONUS SERVICES EGON CUTTER'S HI- SCHOOL #1167 Y N (541) 382-0287 711 Y N (971) 206-5205 711 7901 SE POWELL BLVD STE J 2900 E BARNETT RD STE 1 2065 NE WILLIAMSON CT STE B 4560 SE INTERNATIONAL WAY STE 101 PTLAND BEND MILWAUKIE Y N (503) 829-9111 711 103 ROBBINS ST MOLALLA FAIRLEYS HEALTHCARE Y N (503) 281-7500 711 7206 NE SANDY BLVD PTLAND FLENCE Y N (541) 902-9966 711 2935 HWY 101 FLENCE GATEWAY MEDICAL GENEVA WOODS #48546 Y N (503) 254-7383 711 1125 NE 99TH AVE PTLAND Y N (503) 657-9422 711 16250 SE MCLOUGHLIN BLVD MILWAUKIE 97206-2314 97701-3867 97222-97038- 0449 97213-97439- 97220-97267- 4657 27

GENOA HEALTHCARE, LLC Y N (253) 218-0830 711 GENOA HEALTHCARE, LLC Y N (253) 218-0830 711 GENOA HEALTHCARE, LLC Y N (503) 557-3051 711 GENOA HEALTHCARE, LLC Y N (503) 364-3047 711 702 SUNSET DRIVE, SUITE P1 1128 NW HARRIMAN ST, SUITE 161 998 LIBRARY CT RM 4 3180 NE CENTER STREET, STE 3360 ONTARIO BEND EGON CITY GENOA HEALTHCARE, LLC Y N (503) 465-5849 711 400 NE 7TH ST GRESHAM GENOA HEALTHCARE, LLC Y N (971) 204-8424 711 GENOA HEALTHCARE, LLC N N (253) 218-0830 711 GENOA HEALTHCARE, LLC N N (253) 218-0830 711 GENOA HEALTHCARE, LLC N N (541) 636-9180 711 GENOA HEALTHCARE, LLC N N (253) 218-0830 711, INC., INC. 110 BEAVERCREEK ROAD STE 102 58646 MCNULTY WAY, SUITE 116 1545 HARBECK ROAD, SUITE P1 2145 CENTENNIAL PLAZA, SUITE P1 3036 NE MARTIN LUTHER KING JR BLVD, SUITE 136 EGON CITY ST HELENS EUGENE PTLAND N N (541) 476-4262 711 414 SW 6TH ST Y N (541) 476-4262 711 414 SW 6TH ST HI SCHOOL Y N (503) 630-3266 711 207 S BROADWAY ESTACADA 97914-97703- 1947 97045-4041 4532 97030-5604 97045-97051- 97527-97401- 97212-2810 2897 97023-28

HI SCHOOL Y N (503) 543-6313 711 33454 SW CHINOOK PLZ SCAPPOOSE HI SCHOOL Y N (503) 656-0306 711 5639 NE HOOD ST WEST LINN HI SCHOOL Y N (503) 838-2195 711 1357 MONMOUTH AVE INDEPENDENCE HI SCHOOL Y N (503) 873-8391 711 406 MCCLAINE ST SILVERTON HIRONS DRUG #1 Y N (541) 342-4995 711 185 E 18TH AVE EUGENE LENS DRUG Y N (541) 575-0629 711 120 E MAIN ST JOHN DAY LUKE-DF Y N (503) 597-3904 711 11349 NE SANDY BLVD PTLAND MALHEUR DRUG Y N (541) 473-3333 711 198 A ST W VALE MANAGED HEALTHCARE Y N (541) 744-1641 711 MEDICAP Y N (541) 924-9598 711 1750 WILLOW CREEK CIR 1333 CLAY STREET SE EUGENE ALBANY MT ANGEL DRUG Y N (503) 845-6133 711 105 N MAIN ST MT ANGEL 97056-97068- 97351-97381- 97401-97845- 1211 97220-1461 97918-1345 97402-97322- 97362- MURRAY'S BOARDMAN N N (541) 481-9474 711 101 SW KINKADE RD BOARDMAN 97818-9001 OAK TREE Y N (503) 585-2877 711 2940 COMMERCIAL ST SE 29

OMNICARE OF Y N (541) 779-5627 711 OMNICARE OF PTLAND Y N (503) 254-1647 711 EGON STATE HOSPITAL PHARMBLUE EGON LLC PILL BOX HEALTH CENTER PROPAC PAYLESS PROVIDENCE SPECIALTY SERVICES - LTC QUISENBERRY PHARMACIES, LLC RED CROSS INSTITUTIONAL RICKS HI SCHOOL 259 E BARNETT RD STE L 11933 NE GLENN WIDING DR PTLAND N N (503) 945-2945 711 2600 CENTER ST NE Y N (800) 967-6816 711 140 S HOLLY ST SUITE 1131 Y N (541) 258-8070 711 906 NW KINGS BLVD CVALLIS Y N (503) 626-9436 711 2920 CHAD DR EUGENE Y N (503) 215-4633 711 6410 NE HALSEY STREET PTLAND N N (503) 364-3336 711 150 LIBERTY ST SE Y N (541) 963-5741 711 206 DEPOT ST LA GRANDE Y N (503) 728-2102 711 401 WEST COLUMBIA RIVER HWY CLATSKANIE ROGUE RIVER Y N (541) 582-0559 711 506 E MAIN ROGUE RIVER ROGUE VALLEY MAN Y N (541) 857-7361 711 1250 MIRA MAR AVE SHERIDAN Y N (503) 843-2422 711 103 E MAIN ST SHERIDAN 7953 97220-97310- 2669 3113 97330-97408- 7343 97213-4742 3506 97850-97016- 97537-97378- 1828 30

SILVERTON PILL BOX Y N (503) 873-6321 711 302 N FIRST ST SILVERTON SISTERS DRUG AND GIFT Y N (541) 549-6221 711 SUBLIMITY Y N (503) 769-4344 711 635 N ARROWLEAF TRL 102 MARTIN DR STE B SISTERS STAYTON TILLAMOOK N N (503) 842-4181 711 915 MAIN AVE TILLAMOOK TRINITY VALLEY LLC Y N (541) 474-9437 711 VALLEY DRUGS Y N (541) 236-7060 711 2001 NE FOOTHILL BLVD F3 157 NW DOUGLAS BLVD WINSTON WEST MAIN DRUG Y N (541) 772-2330 711 2355 WEST MAIN ST 97381-97759- 97383-97141- 3896 97496-9670 2192 31

Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies This is NOT a complete Network (I/T/U) Pharmacy Listing. ATRIO Health Plans has Network pharmacies throughout the United States. Only Native Americans and Alaskan Natives have access to Indian Health Service / Tribal / Urban Indian Health Program (I/T/U) Pharmacies through ATRIO s pharmacy Network. Those other than Native Americans and Alaskan Natives may be able to access these pharmacies under limited circumstances (e.g., emergencies). If you have questions about ATRIO s I/T/U or Pharmacy Network, please contact ATRIO Health Plans at 1-877-672-8620, Daily 8 a.m. - 8 p.m. TTY users should call 1-800-735-2900). Or, visit our website at www.atriohp.com for further assistance. CHEMAWA INDIAN HEALTH CENTER WARM SPRINGS HEALTH AND WELL CENTER N N (503) 304-7603 711 3750 CHEMAWA RD NE N N (541) 553-2134 711 1270 KOT NUM RD WARM SPRINGS 97305-97761- Network Pharmacies outside Douglas, Josephine, Jackson, Klamath, Marion and Polk Counties We have network pharmacies outside of the service area where you can get your drugs covered as a member of our plan. For listings of network pharmacies outside of the service area, please contact ATRIO Health Plans at 1-877-672-8620, Daily 8 a.m. - 8 p.m. TTY users should call 1-800-735-2900. 32

This Pharmacy Directory was updated on 02/06/2019. For more recent information or other questions, please contact ATRIO Health Plans Customer Service at 1-877-672-8620 or, for TTY users, 1-800-735-2900, Daily 8 a.m. 8 p.m., or visit www.atriohp.com. Changes to our pharmacy network may occur during the benefit year. An updated Pharmacy Directory is located on our website at www.atriohp.com. You may also call Customer Service for updated provider information. 33