National Plus Pharmacy New Hampshire October 2017

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Transcription:

National Plus Pharmacy New Hampshire October 2017 Pharmacy near you services The pharmacies listed in this directory participate in the National Plus network, operated by our pharmacy benefi t manager, Express Scripts, and available within Anthem Blue Cross and Blue Shield. If you are covered by Anthem Blue Cross and Blue Shield, the participating pharmacies in the following listing are considered in network for that health plan. If you have questions about this network, call the Customer Service number on the back of your health plan ID card. 38317ANMENABS 09/16

Welcome With your Anthem Blue Cross and Blue Shield health plan, you can choose from thousands of pharmacies across the country. You have access to many local, independent pharmacies as well as national chains. This directory shows you where you can easily get prescriptions, whether you re at work, at home or even on vacation. Using these pharmacies in your plan can help you get the most out of your benefits. Just show your member ID card when you pick up your prescriptions. Express Scripts, the company that manages your pharmacy services, has identifi ed certain pharmacies that offer fl u shots as part of your benefits. Please call the pharmacy to be sure it s a participating pharmacy before you get your flu shot. How we Choose Pharmacies for our Plans We offer pharmacy networks that provide members with choices and fl exibility when filling prescriptions. To ensure members have convenient access to participating pharmacies in their network, we offer local and national pharmacies including: National chains Grocery stores Independent pharmacies This directory is correct as of the date shown. You can also fi nd a list of participating pharmacies at anthem.com. For the latest updates, call the Member Services number on the back of your member ID card. Si necesita ayuda en español para entender este documento, puede solicitarla sin costo adicional, llamando al número de Servicio al Cliente que aparece al dorso de su tarjeta de identificación o en el folleto de inscripción. If you are a member, you are entitled to language interpreter services at no cost. Members can get language assistance by calling 1-888-254-2721. All members, including members with disabilities, are entitled to full and equal access to covered services. Anthem makes available to its members information relating to their health plan in alternative formats, including electronic, braille, large print and audio (CD or mp3). Members may request an alternative format of a member document by calling the Member Services number on the back of their member ID card, or by logging in and emailing us using the email feature on the Customer Support page of anthem.com. If you f nd information in this directory that you think is inaccurate, you can let us know by writing us at i ProviderDirectoryDiscrepancy@Anthem.com or by calling 1-844-839-4049. 62620ANMENABS Rev. 09/16

Table of Contents National Plus Pharmacies... 1 Index... 7

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Belknap COUNTY, NH NATIONAL PLUS PHARMACIES Grafton COUNTY, NH NEW HAMPSHIRE BELKNAP CVS #00221 Û License(s): 0127P 96 DANIEL WEBSTER HWY UNIT 17 BELMONT, NH 03220 (603) 528-1113 CVS #00863 Û 1371 LAKE SHORE DR GILFORD, NH 03249 (603) 524-2460 CVS #08931 Û License(s): 0764-P 220 UNION AVE LACONIA, NH 03246 (603) 527-0173 GENOA A QOL HEALTHCARE COMPANY License(s): 0803 111 CHURCH ST LACONIA, NH 03246 (603) 556-8477 DRUG #247 Û License(s): 0684-P 80 WOLFBORO HWY ALTON, NH 03809 (603) 875-5300 DRUG #8253 Û License(s): 0788 54 NH ROUTE 25 STE E MEREDITH, NH 03253 (603) 279-2230 HANNAFORD PHARMACY #8402 Û License(s): 0782P 1425 LAKE SHORE RD UNIT D GILFORD, NH 03249 (603) 527-4142 RITE AID #10280 Û License(s): 0612-P 288 UNION AVE LACONIA, NH 03246 (603) 528-1700 RITE AID #10281 Û 38 NH ROUTE 25 STE 4 MEREDITH, NH 03253 (603) 279-4551 #373 Û License(s): 0584-P 1400 LAKE SHORE DR LACONIA, NH 03246 (603) 524-5240 THE PHARMACY CENTER Û License(s): 0590P 724 N MAIN ST LACONIA, NH 03246 (603) 524-5064 WAL-MART #2369 Û License(s): 0474-P 39 E MAIN TILTON, NH 03276 (603) 286-3480 WAL-MART #2639 Û License(s): 0531P 1458 LAKE SHORE RD LACONIA, NH 03246 (603) 528-8055 WALGREENS #10409 Û License(s): 0765P 45 COURT ST LACONIA, NH 03246 (603) 524-5550 WALGREENS #10887 Û License(s): 0752P 4 SANBORN RD TILTON, NH 03276 (603) 286-1932 CARROLL CARE PHARMACY Û 36 CENTER ST WOLFEBORO FALLS, NH 03896 (603) 515-1213 CVS #00650 Û 1351 WHITE MOUNTAIN HWY NORTH CONWAY, NH 03860 (603) 356-6916 DRUG #159 Û RTE 16 AMES PLAZA OSSIPEE, NH 03864 (603) 539-3898 DRUG #352 Û ROUTE 16 MTN VALLEY MALL NORTH CONWAY, NH 03860 (603) 356-6361 HUGGINS HOSPITAL Û 240 S MAIN ST WOLFEBORO, NH 03894 (603) 569-7521 RITE AID #1327 Û 910 ROUTE 16 OSSIPEE, NH 03864 (603) 539-4822 RITE AID #3744 Û 50 S MAIN ST WOLFEBORO, NH 03894 (603) 569-3348 RITE AID #4139 Û 1623 WHITE MOUNTAIN HWY NORTH CONWAY, NH 03860 (603) 356-5512 #374 Û License(s): 0582P 1150 EASTMAN RD CENTER CONWAY, NH 03813 (603) 356-5888 WAL-MART #2140 Û License(s): 0579-P 225 MOUNTAIN VALLEY BLVD NORTH CONWAY, NH 03860 (603) 356-3170 WALGREENS #10609 Û License(s): 0749P 1498 WHITE MOUNTAIN HWY NORTH CONWAY, NH 03860 (603) 356-8031 CHESHIRE CVS #00640 Û 268 W ST KEENE, NH 03431 (603) 357-2840 CVS #17203 Û License(s): 681 46 ASH BROOK RD KEENE, NH 03431 (603) 354-2165 DRUG #163 Û 481 WEST ST KEENE, NH 03431 (603) 357-0423 DRUG #180 Û 752 US ROUTE 202 RINDGE, NH 03461 (603) 899-2115 KEENE METRO TREATMENT CENTER Û 1076 OLD SWANZEY RD WEST SWANZEY, NH 03469 (603) 358-0050 PLANNED PARENTHOOD OF NORTH NE Û 1 8 MIDDLE ST KEENE, NH 03431 (603) 352-6898 RITE AID #10284 Û 352 WINCHESTER ST KEENE, NH 03431 (603) 352-6969 RITE AID #1653 Û 14 PETERBOROUGH ST JAFFREY, NH 03452 (603) 532-6955 RITE AID #4800 Û 10 W MAIN ST WINCHESTER, NH 03470 (603) 239-6000 WAL-MART #1907 Û License(s): 0389-P 724 BRATTLEBORO RD HINSDALE, NH 03451 (603) 336-5548 WAL-MART #2057 Û License(s): 0413-P 249 RT 202 RINDGE, NH 03461 (603) 899-6965 WALGREENS #03154 Û License(s): 0072-P 440 WEST ST KEENE, NH 03431 (603) 357-1002 WALGREENS #11985 Û License(s): 0734P 14 PINNACLE LN WALPOLE, NH 03608 (603) 445-1900 COOS INDIAN STREAM HEALTH CTR PHCY Û License(s): PHCY00001 141 CORLISS LN COLEBROOK, NH 03576 (603) 237-4170 RITE AID #10287 Û 200 PLEASANT ST BERLIN, NH 03570 (603) 752-3952 RITE AID #4127 Û 177 MAIN ST LANCASTER, NH 03584 (603) 788-2433 RITE AID #4138 Û License(s): 0429P 91 MAIN ST COLEBROOK, NH 03576 (603) 237-8388 WAL-MART #2634 Û License(s): 0536-P 561 MAIN ST GORHAM, NH 03581 (603) 752-7330 GRAFTON AMMONOOSUC COMMMUNITY HEALTH Û License(s): 0775 25 MOUNT EUSTIS RD LITTLETON, NH 03561 (603) 444-7979 CVS #00647 Û License(s): 0151P 250 PLAINFIELD RD WEST LEBANON, NH 03784 (603) 298-8350 CVS #02229 Û License(s): 0785P 345 HIGHLAND ST PLYMOUTH, NH 03264 (603) 536-4079 CVS #05938 Û License(s): 0660-P 79 S MAIN ST HANOVER, NH 03755 (603) 643-3178 DARTMOUTH-HITCHCOCK PHARMACY Û License(s): NH0350 1 MEDICAL CENTER DR LEBANON, NH 03756 (603) 653-3785 DICK HALL S HOUSE PHARMACY Û License(s): 0814 5 ROPE FERRY RD HANOVER, NH 03755 (603) 646-9456 EASTERN STATES COMP PHCY Û License(s): 0682 338 UNION ST LITTLETON, NH 03561 (603) 444-0094 FAMILY PHARMACY Û License(s): 194P 505 US ROUTE 4 ENFIELD, NH 03748 (603) 632-5720 DRUG #248 Û RTE 25 HATCH SHOPPING PLAZA PLYMOUTH, NH 03264 (603) 536-3233 DRUG #266 Û 8 MARKET ST WEST LEBANON, NH 03784 (603) 298-6671 KMART PHARMACY #7048 Û License(s): 0517 ROUTE 12 A WEST LEBANON, NH 03784 (603) 298-8086 PRICE CHOPPER PHARMACY #167 Û License(s): 0581P 285 PLAINFIELD RD WEST LEBANON, NH 03784 (877) 525-1696 PRICE CHOPPER PHARMACY #227 Û License(s): 0755P 370 MIRACLE MILE RD LEBANON, NH 03766 (603) 448-3753 RITE AID #10289 Û 10 BENNING ST WEST LEBANON, NH 03784 (603) 298-7828 RITE AID #4155 Û 6 S MAIN ST PLYMOUTH, NH 03264 (603) 536-4377 RITE AID #4156 Û 50 MAIN ST LINCOLN, NH 03251 (603) 745-5660 RITE AID #4166 Û 360 SUMMER ST BRISTOL, NH 03222 (603) 744-2652 RITE AID #4182 Û 118 MEADOW ST STE 136 LITTLETON, NH 03561 (603) 444-2244 RITE AID #4871 Û 4976 DARTMOUTH COLLEGE HWY WOODSVILLE, NH 03785 (603) 747-3300 #372 Û License(s): 0603-P 625 MEADOW ST LITTLETON, NH 03561 (603) 444-6673 WAL-MART #2138 Û License(s): 0549-P 285 PLAINFIELD RD WEST LEBANON, NH 03784 (603) 298-5060 WAL-MART #2681 Û License(s): 0546-P 615 MEADOW ST LITTLETON, NH 03561 (603) 444-6400 WAL-MART #2758 Û 683 TENNEY MTN HWY PLYMOUTH, NH 03264 (603) 536-5350 WAL-MART #4389 Û 4901 DARTMOUTH COLLEGE HWY WOODSVILLE, NH 03785 (603) 747-3355 1 FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, 2017. LISTED ON YOUR MEMBER ID CARD OR VISIT WWW.ANTHEM.COM. Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

Grafton COUNTY, NH NATIONAL PLUS PHARMACIES Hillsborough COUNTY, NH NEW HAMPSHIRE (continued) GRAFTON (continued) WALGREENS #09177 Û License(s): 0675-P 3 AIRPORT RD WEST LEBANON, NH 03784 (603) 298-5796 WALGREENS #10410 Û License(s): 0689P 274 DELLS RD LITTLETON, NH 03561 (603) 444-4193 HILLSBOROUGH BEDFORD PHARMACY Û License(s): 0050 209 ROUTE 101 (603) 472-3919 COSTCO #307 Û 311 DANIEL WEBSTER HWY (603) 888-0514 CVS #00200 Û License(s): 168-P 788 S WILLOW ST MANCHESTER, NH 03101 (603) 668-4637 CVS #00639 Û License(s): 235P 242 MAIN ST (603) 886-1786 CVS #00723 Û 633 AMHERST ST NASHUA, NH 03063 (603) 880-6861 CVS #00741 Û 66 S RIVER RD (603) 669-6187 CVS #00902 Û 456 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603) 424-1120 CVS #01003 Û 214 DANIEL WEBSTER HWY (603) 888-4354 CVS #01175 Û 77 DERRY RD HUDSON, NH 03051 (603) 882-2301 CVS #03063 Û License(s): 0753-P 125 DUBLIN RD PETERBOROUGH, NH 03458 (603) 924-6397 CVS #07932 Û License(s): 0739-P 432 S MAIN ST MANCHESTER, NH 03102 (603) 623-3532 CVS #10572 Û License(s): 0810P 309 NASHUA ST MILFORD, NH 03055 (603) 249-1015 CVS #16583 Û License(s): 0558 310 DANIEL WEBSTER HWY (603) 891-4869 CVS #16862 Û License(s): 0646 600 AMHERST ST NASHUA, NH 03063 (603) 324-0040 CVS #17104 Û License(s): 0673 220 S RIVER RD (603) 263-0062 CVS #2257 Û License(s): 0527P 271 MAMMOTH RD MANCHESTER, NH 03109 (603) 623-3995 ELLIOT PHARMACY AT RIVERS EDGE Û License(s): 0635 175 QUEEN CITY AVE MANCHESTER, NH 03101 (603) 663-5678 GENOA A QOL HEALTHCARE COMPANY License(s): 0805 7 PROSPECT ST STE 100 (603) 318-2058 GENOA HEALTHCARE Û License(s): 0801 1555 ELM ST ATE A MANCHESTER, NH 03101 (603) 606-5920 DRUG #164 Û 201 JOHN DEVINE DR MANCHESTER, NH 03103 (603) 626-1233 DRUG #177 Û 79 BICENTENNIAL DR MANCHESTER, NH 03104 (603) 644-2204 DRUG #178 Û 859 HANOVER ST MANCHESTER, NH 03104 (603) 627-4354 DRUG #186 Û 175 COLISEUM AVE NASHUA, NH 03063 (603) 889-6663 DRUG #305 Û 4 JENKINS RD (603) 472-2501 DRUG #311 Û 605 MAST RD MANCHESTER, NH 03102 (603) 626-4366 DRUG #8436 Û License(s): 0345P 7 KILTON ROAD (603) 622-2320 HARBOR CARE HEALTH AND WELLNES Û License(s): 0812 45 HIGH ST (603) 816-1966 HOLLIS PHARMACY Û License(s): 0035P 6 ASH ST HOLLIS, NH 03049 (603) 465-7100 HOWE S PHARMACY Û License(s): 0233 39 MAIN ST GOFFSTOWN, NH 03045 (603) 497-4771 INFUSION SOLUTIONS License(s): 0471P 8 TECHNOLOGY DR (800) 660-6264 KEN S PHARMACY Û License(s): 293 36 ELM ST MANCHESTER, NH 03101 (603) 623-2813 MANCHESTER METRO TREATMENT CTR Û 5 A DRIVING PARK RD MANCHESTER, NH 03103 (603) 622-5005 MANCHESTER VAMC PHARMACY 718 SMYTH RD MANCHESTER, NH 03104 (603) 624-4366 MEDICINE WORLD Û License(s): 197 262 MAIN DUNSTABLE RD NASHUA, NH 03062 (603) 881-9500 MONADNOCK COMM HOSPITAL PHCY Û License(s): 0043 452 OLD STREET RD PETERBOROUGH, NH 03458 (603) 924-4665 OSCO PHARMACY Û License(s): 0683P 7 CONTINENTAL BLVD MERRIMACK, NH 03054 (603) 429-0759 OSCO PHARMACY #7514 Û License(s): 0649 276 W MAIN ST HILLSBORO, NH 03244 (603) 464-4133 PILLPACK PHARMACY Û 250 COMMERCIAL ST MANCHESTER, NH 03101 (855) 745-5725 PLANNED PARENTHOOD OF NORTH NE Û 1 27 PENNACOOK ST MANCHESTER, NH 03104 (603) 669-7321 RITE AID #10265 Û License(s): 0666P 71 LOWELL RD HUDSON, NH 03051 (603) 882-5684 RITE AID #10266 Û License(s): 0611-P 212 LOWELL RD HUDSON, NH 03051 (603) 880-1744 RITE AID #10268 Û License(s): 0618-P 614 NASHUA ST MILFORD, NH 03055 (603) 672-7602 RITE AID #10269 Û 15 MT VERNON ST MILFORD, NH 03055 (603) 673-0224 RITE AID #10270 Û License(s): 0619-P 331 MAIN ST (603) 886-9210 RITE AID #10274 Û License(s): 0616-P 122 MCGREGOR ST MANCHESTER, NH 03102 (603) 627-3822 RITE AID #10275 Û License(s): 0617-P 1 WILLOW ST MANCHESTER, NH 03103 (603) 623-5773 RITE AID #10278 Û License(s): 0615-9 270 MAMMOTH RD MANCHESTER, NH 03109 (603) 645-1146 RITE AID #10279 Û License(s): 0606-P 1 SOUTH RIVER RD (603) 644-1275 RITE AID #10285 Û 19 WILTON RD PETERBOROUGH, NH 03458 (603) 924-3632 RITE AID #10276 Û 53 HOOKSETT RD MANCHESTER, NH 03104 (603) 623-1135 RITE AID #1070 Û 416 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603) 424-4833 RITE AID #1095 Û 553 MAST RD GOFFSTOWN, NH 03045 (603) 623-3290 RITE AID #3482 Û 145 AMHERST ST NASHUA, NH 03064 (603) 598-9450 RITE AID #406 Û 86 ELM ST MILFORD, NH 03055 (603) 249-9901 RITE AID #4163 Û 315 W MAIN ST HILLSBORO, NH 03244 (603) 464-5678 RITE AID #4741 Û 1631 ELM ST MANCHESTER, NH 03101 (603) 623-4393 RITE AID #4961 Û 48 ATWOOD RD PELHAM, NH 03076 (603) 635-7996 SAM S CLUB #6352 Û 7 WAL-MART BLVD HUDSON, NH 03051 (603) 598-6533 #395 Û 300 MAIN ST (603) 579-5445 #7505 Û 570 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603) 424-4519 ST JOSEPH HEALTHCARE RET PHCY Û License(s): 0588P 172 KINSLEY ST (603) 595-3090 WAL-MART #1785 Û License(s): 0394P 254 LOWELL RD HUDSON, NH 03051 (603) 598-4638 WAL-MART #1796 Û License(s): 0376P 85 RTE 101-A AMHERST, NH 03031 (603) 672-2021 WAL-MART #2246 Û License(s): 468-P 17 COLBY CT (603) 626-9799 WAL-MART #2399 Û License(s): 0598P 725 GOLD ST MANCHESTER, NH 03103 (603) 621-9922 WALGREENS #03900 Û License(s): 0512-P 227 S MAIN ST MANCHESTER, NH 03102 (603) 666-8538 WALGREENS #04689 Û License(s): 0547P 606 VALLEY ST MANCHESTER, NH 03103 (603) 668-7924 WALGREENS #09320 Û 258 WALLACE RD (603) 472-5847 WALGREENS #09447 Û License(s): 0327 550 AMHERST ST NASHUA, NH 03063 (603) 595-3373 WALGREENS #09613 Û License(s): 0686-P 283 MAIN ST (603) 889-6124 WALGREENS #09646 Û License(s): 0737-P 615 DANIEL WEBSTER HWY MERRIMACK, NH 03054 (603) 423-9330 2 FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, 2017. LISTED ON YOUR MEMBER ID CARD OR VISIT WWW.ANTHEM.COM. Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

Hillsborough COUNTY, NH NATIONAL PLUS PHARMACIES Rockingham COUNTY, NH NEW HAMPSHIRE (continued) HILLSBOROUGH (continued) WALGREENS #10462 Û License(s): 0742P 571 NASHUA ST MILFORD, NH 03055 (603) 673-4341 WALGREENS #11505 Û License(s): 0325P 217 DANIEL WEBSTER HWY (603) 891-2907 WALGREENS #11554 Û License(s): 0756P 90 DERRY ST HUDSON, NH 03051 (603) 880-0248 WALGREENS #12352 Û License(s): 0733 151 BRIDGE ST PELHAM, NH 03076 (603) 635-9153 WINGATE S PHARMACY Û License(s): 205 129 MAIN ST (603) 882-9733 MERRIMACK CARE PHARMACY EPSOM Û License(s): 0186P 1912 DOVER RD EPSOM, NH 03234 (603) 736-9308 COLONIAL PHARMACY Û License(s): 0313 247 NEWPORT RD NEW LONDON, NH 03257 (603) 526-2233 COLONIAL VILLAGE PHARMACY Û License(s): 0101 54 PARK AVENUE PLZ CONTOOCOOK, NH 03229 (603) 746-4600 CONCORD METRO TREATMENT CENTER Û 8 LOUDON RD (603) 229-4260 CVS #00442 Û License(s): 0693-P 10 WHITEHALL RD HOOKSETT, NH 03106 (603) 627-2496 CVS #00694 Û License(s): 0129P 46 N MAIN ST (603) 225-9300 CVS #00841 Û License(s): 0747-P 4 HALL ST (603) 224-3189 CVS #07122 Û License(s): 0787P 157 LOUDON RD (603) 225-0793 CVS #07391 Û License(s): 0760P 861 CENTRAL ST FRANKLIN, NH 03235 (603) 934-0514 CVS #16582 Û License(s): 0557 80 DAMANTE DR (603) 227-0816 CVS #16850 Û License(s): 638 100 QUALITY DR HOOKSETT, NH 03106 (603) 621-0672 FISHERVILLE PHARMACY Û License(s): 0761 219 FISHERVILLE RD PENACOOK, NH 03303 (603) 565-0210 GRANITE STATE PHARMACY Û 5 CLINTON ST (603) 224-7429 DRUG #318 Û 952 CENTRAL ST FRANKLIN, NH 03235 (603) 934-2832 DRUG #329 Û License(s): 0398-P 73 FORT EDDY RD (603) 228-2121 HEALTHDIRECT IPS #114 Û License(s): 0792P 40 TERRILL PARK DR (888) 331-3883 HENNIKER PHARMACY Û License(s): 748 4 BRIDGE ST HENNIKER, NH 03242 (603) 428-3456 KINDRED PHARMACY SERVICES License(s): 0659P 38 LOCKE RD UNIT 3 (603) 223-0380 NEW ENGLAND LIFE CARE Û License(s): 0275P 41 TERRILL PARK DR STE C (800) 290-6558 NORTHEAST PHARMACY SERVICES Û License(s): 655P 1 GRANITE PL STE 200 (603) 226-8686 PENACOOK PHARMACY Û License(s): 180 305 VILLAGE ST CONCORD, NH 03303 (603) 753-6391 RITE AID #10277 Û License(s): 0610-P 1285 HOOKSETT RD HOOKSETT, NH 03106 (603) 668-4705 RITE AID #10282 Û 165 NORTH ST (603) 223-6713 RITE AID #10283 Û License(s): 0607P 24 FORT EDDY RD (603) 224-7784 RITE AID #190 Û 951 CENTRAL ST FRANKLIN, NH 03235 (603) 934-6862 RITE AID #4282 Û 92 SOUTH ST (603) 228-8400 RITE AID #4794 Û 41 CARROLL ST PITTSFIELD, NH 03263 (603) 435-8353 RITE AID #4993 Û 46 ALLENSTOWN RD ALLENSTOWN, NH 03275 (603) 485-3612 ROBERTS SCARLETT PHARMACY Û License(s): 371 276 NEWPORT RD STE 109 NEW LONDON, NH 03257 (603) 526-2002 SAM S CLUB #6386 Û 304 SHEEP DAVIS RD (603) 224-8954 #392 Û License(s): 0605-P 246 LOUDON RD (603) 228-2279 THE MEDICINE STORE Û License(s): 241 74 S MAIN ST (603) 225-2747 THE PRESCRIPTION CENTER Û 125 N MAIN ST (603) 224-9591 246 PLEASANT ST STE 100 (603) 226-4848 WAL-MART #1698 Û 3 COMMERCE DR HOOKSETT, NH 03106 (603) 621-0631 WAL-MART #2055 Û License(s): 0406-P 344 LOUDON RD (603) 226-9327 WALGREENS #09970 Û License(s): 0691 1298 HOOKSETT RD HOOKSETT, NH 03106 (603) 647-2846 WALGREENS #11376 Û License(s): 0750P 142 LOUDON RD (603) 226-1890 WARNER PHARMACY Û License(s): 0768 11 E MAIN ST WARNER, NH 03278 (603) 456-3556 ROCKINGHAM AZAR A KORBEY Û 22 MAIN ST (603) 893-7905 CVS #00164 Û License(s): 0776P 1 WALL ST WINDHAM, NH 03087 (603) 425-6189 CVS #00181 Û License(s): 284P 4 PLAISTOW RD PLAISTOW, NH 03865 (603) 382-5885 CVS #00500 Û 1 WEST RD STRATHAM, NH 03885 (603) 772-3768 CVS #00503 Û 628 LAFAYETTE RD SEABROOK, NH 03874 (603) 474-9511 CVS #00593 Û 48 E BROADWAY (603) 434-2600 CVS #00846 Û 674 ISLINGTON ST PORTSMOUTH, NH 03801 (603) 431-0234 CVS #01004 Û License(s): 0134P 510 S BROADWAY # 512 (603) 898-5983 CVS #02420 Û License(s): 0583P 117 MAMMOUTH RD LONDONDERRY, NH 03053 (603) 432-2657 CVS #03079 Û License(s): 0555 203 S BROADWAY (603) 870-0083 CVS #05153 Û License(s): 0773-P 26 CALEF HWY EPPING, NH 03042 (603) 679-2419 CVS #05862 Û License(s): 0799P 5 HAMPSTEAD RD (603) 870-9023 CVS #06596 Û License(s): 0762P 321A LAFAYETTE RD HAMPTON, NH 03842 (603) 926-2885 CVS #17558 Û License(s): 0759 1450 GREENLAND RD STE 1 GREENLAND, NH 03840 (603) 501-1471 EXPRESS MED CLINIC Û License(s): NH7059 22 MAIN ST (603) 893-7905 GENOA A QOL HEALTHCARE CO LLC Û License(s): 07449 10 TSIENNETO RD (603) 965-0255 DRUG #016 Û License(s): 0669P 35 MANCHESTER RD (603) 421-2596 DRUG #120 Û 2 FREETOWN RD RAYMOND, NH 03077 (603) 895-0011 DRUG #160 Û 174 FIRST NH TPKE NORTHWOOD, NH 03261 (603) 942-8891 DRUG #185 Û 6 HAMPTON DR LONDONDERRY, NH 03053 (603) 421-0076 DRUG #190 Û 305 SANDOWN RD EAST HAMPSTEAD, NH 03826 (603) 329-0187 DRUG #319 Û 630 LAFAYETTE RD HAMPTON, NH 03842 (603) 926-3344 DRUG #8435 Û License(s): 0800P 141 PORTSMOUTH AVE EXETER, NH 03833 (603) 772-6252 MARTINS POINT PORTSMOUTH PHCY Û License(s): 0416P 161 CORPORATE DR PORTSMOUTH, NH 03801 (603) 436-0562 NAVAL AMBULATORY CENTER Û License(s): 00 1 AYRES CIRCLE PORTSMOUTH, NH 03804 (207) 438-2345 NEIGHBORCARE - PEMBROKE Û License(s): 0514P 13 COMMERCE AVE LONDONDERRY, NH 03053 (603) 625-6406 3 FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, 2017. LISTED ON YOUR MEMBER ID CARD OR VISIT WWW.ANTHEM.COM. Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

Rockingham COUNTY, NH NATIONAL PLUS PHARMACIES Sullivan COUNTY, NH NEW HAMPSHIRE (continued) ROCKINGHAM (continued) PERFORMIX SPECIALTY PHARMACY L Û License(s): 0802 25 PELHAM RD STE 104 (603) 870-9618 PLANNED PARENTHOOD OF NORTH NE Û 1 4 BIRCH ST (603) 434-1354 108 HIGH ST EXETER, NH 03833 (603) 772-9315 RITE AID #10264 Û License(s): 0608-P 20 CRYSTAL AVE (603) 437-9799 RITE AID #10267 Û License(s): 0614-P 123 NASHUA RD LONDONDERRY, NH 03053 (603) 437-8100 RITE AID #10272 Û 142 MAIN ST (603) 894-4693 RITE AID #10273 Û License(s): 0624P 53 S BROADWAY (603) 870-9494 RITE AID #10291 Û License(s): 0622-P 1303 WOODBURY AVE PORTSMOUTH, NH 03801 (603) 431-1580 RITE AID #10297 Û 73 EXETER ST NEWMARKET, NH 03857 (603) 659-7852 RITE AID #10298 Û License(s): 0620-P 34 PLAISTOW RD PLAISTOW, NH 03865 (603) 382-9217 RITE AID #10301 Û License(s): 0625-P 28 PORTSMOUTH AVE STRATHAM, NH 03885 (603) 772-0749 RITE AID #10290 Û License(s): 0621P 1390 LAFAYETTE RD PORTSMOUTH, NH 03801 (603) 430-7595 RITE AID #10296 Û 356 LAFAYETTE RD HAMPTON, NH 03842 (603) 929-0168 RITE AID #1397 Û 53 CHURCH ST KINGSTON, NH 03848 (603) 642-3191 RITE AID #3282 Û 72 LAFAYETTE RD NORTH HAMPTON, NH 03862 (603) 964-5105 RITE AID #3288 Û 3 FREETOWN RD RAYMOND, NH 03077 (603) 895-0657 RITE AID #3304 Û 69 PORTSMOUTH AVE EXETER, NH 03833 (603) 778-0553 RITE AID #3310 Û License(s): 0370P 59 ROCKINGHAM ST (603) 432-2505 RITE AID #4165 Û 800 ISLINGTON ST UNIT 1 PORTSMOUTH, NH 03801 (603) 436-2214 SAM S CLUB #6337 Û 11 BATCHELDER RD SEABROOK, NH 03874 (603) 474-9827 #348 Û License(s): 0585-P 55 CRYSTAL AVE (603) 437-9654 #349 Û RT 102 OLD ORCHARD VIEW DR LONDONDERRY, NH 03053 (603) 437-4927 #394 Û License(s): 0664P 100 SHAW S LN STRATHAM, NH 03885 (603) 773-5992 #7686 Û License(s): 0677P 43 INDIAN ROCK RD WINDHAM, NH 03087 (603) 437-3481 WAL-MART #1753 Û License(s): 0359-P 11 ASHLEIGH DR (603) 434-4898 WAL-MART #1762 Û License(s): 0360P 700 LAFAYETTE RD UNIT 1 SEABROOK, NH 03874 (603) 474-2514 WAL-MART #1930 Û License(s): 0390-P 58 PLAISTOW RD. PLAISTOW, NH 03865 (603) 382-2844 WAL-MART #2130 Û License(s): 0448-P 2460 LAFAYETTE RD PORTSMOUTH, NH 03801 (603) 433-6129 WAL-MART #2142 Û License(s): 0465-P 300-344 N BROADWAY (603) 894-6128 WAL-MART #2398 Û License(s): 0595-P 2200 WOODBURY AVE NEWINGTON, NH 03801 (603) 430-4427 WAL-MART #3535 Û 75 CALES HWY EPPING, NH 03042 (603) 679-5942 WALGREENS #02566 Û License(s): 0329 167 BROADWAY (603) 893-3667 WALGREENS #03103 Û License(s): 0446-P 48 PORTSMOUTH AVE EXETER, NH 03833 (603) 772-3551 WALGREENS #03174 Û License(s): 0447-P 620 LAFAYETTE RD HAMPTON, NH 03842 (603) 929-1258 WALGREENS #09178 Û License(s): 0328-P 131 NASHUA RD LONDONDERRY, NH 03053 (603) 432-5897 WALGREENS #09250 Û License(s): 0676-P 125 MAIN ST EPPING, NH 03042 (603) 679-5839 WALGREENS #10108 Û License(s): 0694-P 17 CRYSTAL AVE (603) 434-1853 WALGREENS #10378 Û License(s): 0692P 288 SANDOWN RD EAST HAMPSTEAD, NH 03826 (603) 329-9521 WALGREENS #11225 Û License(s): 0751P 53 ROUTE 27 RAYMOND, NH 03077 (603) 895-9842 WALGREENS #15464 Û License(s): 1797P 3 PLAISTOW RD PLAISTOW, NH 03865 (603) 378-0204 STRAFFORD CARE PHARMACY OF ROCHESTER Û License(s): 0190P 161 S MAIN ST ROCHESTER, NH 03867 (603) 332-4281 CVS #02197 Û License(s): 0783P 301 N MAIN ST ROCHESTER, NH 03867 (603) 332-6497 CVS #04314 Û License(s): 0771P 338 HIGH ST SOMERSWORTH, NH 03878 (603) 692-6636 CVS #10463 Û 118 CENTRAL AVE DOVER, NH 03820 (603) 742-3995 CVS #17262 Û License(s): 0688 11 ANDREWS RD SOMERSWORTH, NH 03878 (603) 692-6751 GENOA A QOL HEALTHCARE COMPAN License(s): 0809 25 OLD DOVER RD UNIT B ROCHESTER, NH 03867 (608) 822-7168 GOODWIN COMMUNITY HEALTH PHCY Û License(s): 0807 311 ROUTE 108 SOMERSWORTH, NH 03878 (603) 516-2752 DRUG #242 Û 30 GRAPEVINE DR DOVER, NH 03820 (603) 749-2374 DRUG #315 Û License(s): 0679P 290 N MAIN ST ROCHESTER, NH 03867 (603) 332-9264 DRUG #317 Û License(s): 0321P 26 LILAC MALL STE 2 ROCHESTER, NH 03867 (603) 332-9401 DRUG #373 Û 833 CENTRAL AVE DOVER, NH 03820 (603) 749-9361 RITE AID #10292 Û 679 CENTRAL AVE DOVER, NH 03820 (603) 742-5313 RITE AID #10293 Û License(s): 0609-P 865 CENTRAL AVE DOVER, NH 03820 (603) 749-6112 RITE AID #10294 Û License(s): 0613-P 58 CALEF HWY LEE, NH 03861 (603) 868-6404 RITE AID #10295 Û 5 MILL RD DURHAM, NH 03824 (603) 868-5221 RITE AID #10299 Û 60 WAKEFIELD ST ROCHESTER, NH 03867 (603) 332-3800 RITE AID #10300 Û License(s): 07319 105 MILTON RD ROCHESTER, NH 03868 (603) 335-7851 RITE AID #3589 Û 829 NH ROUTE 11 FARMINGTON, NH 03835 (603) 755-2440 RITE AID #4144 Û 341 HIGH ST SOMERSWORTH, NH 03878 (603) 692-3161 UNH HEALTH SERVICES PHARMACY Û License(s): 0242 4 PETTEE BROOK LN DURHAM, NH 03824 (603) 862-1094 WAL-MART #1749 Û License(s): 0361-P 59 WALTONS WAY SOMERSWORTH, NH 03878 (603) 692-7258 WAL-MART #2330 Û License(s): 0511P 116 FARMINGTON RD ROCHESTER, NH 03867 (603) 332-5540 WALGREENS #03520 Û License(s): 0494-P 104 S MAIN ST ROCHESTER, NH 03867 (603) 332-9360 WALGREENS #10642 Û License(s): 0767P 91 CALEF HWY LEE, NH 03861 (603) 868-1783 WALGREENS #10780 Û License(s): 0738P 1 GLENWOOD AVE DOVER, NH 03820 (603) 749-4136 WENTWORTH DOUGLASS OUTPATIENT Û License(s): 0634P 789 CENTRAL AVE DOVER, NH 03820 (603) 740-3253 SULLIVAN CVS #05347 Û License(s): 0780P 1 WALL ST CLAREMONT, NH 03743 (603) 542-7742 HEALTH CENTER PHARMACY Û License(s): 793 11 JOHN STARK HWY NEWPORT, NH 03773 (603) 865-5445 PLANNED PARENTHOOD OF NORTH NE Û 1 136 PLEASANT ST CLAREMONT, NH 03743 (603) 542-4568 QUICK SCRIPTS Û 157 MAIN ST CHARLESTOWN, NH 03603 (603) 826-3434 RITE AID #10288 Û 71 PLEASANT ST STE 73 CLAREMONT, NH 03743 (603) 543-0153 RITE AID #1295 Û 51 S MAIN ST NEWPORT, NH 03773 (603) 863-5766 4 FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, 2017. LISTED ON YOUR MEMBER ID CARD OR VISIT WWW.ANTHEM.COM. Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

Sullivan COUNTY, NH NEW HAMPSHIRE (continued) SULLIVAN (continued) NATIONAL PLUS PHARMACIES Sullivan COUNTY, NH SUGAR RIVER PHARMACY Û License(s): 0763 46 JOHN STARK HWY NEWPORT, NH 03773 (603) 863-4111 SUGAR RIVER PHARMACY OF CLAREM Û License(s): 0811 109 PLEASANT ST CLAREMONT, NH 03743 (603) 542-6337 WAL-MART #1975 Û License(s): 0400-P 14 BOWEN ST CLAREMONT, NH 03743 (603) 542-3325 5 FOR THE MOST UP-TO-DATE INFORMATION CALL THE CUSTOMER SERVICE NUMBER THIS LISTING WAS COMPILED AS OF October 20, 2017. LISTED ON YOUR MEMBER ID CARD OR VISIT WWW.ANTHEM.COM. Pharmacies that offer immunizations Pharmacies that participate in the Smart90 network Û Pharmacies contracted with us to allow members to fill a 90-day supply of their prescription medications ANTHEM HAS MADE REASONABLE EFFORTS TO VALIDATE THAT THIS DIRECTORY OF PROVIDERS IS UP TO DATE AND ACCURATE. PLEASE CALL THE PROVIDER PRIOR TO SCHEDULING AN APPOINTMENT TO VERIFY THAT THE PROVIDER CONTINUES TO BE PART OF THE NETWORK. ANTHEM SHALL NOT BE LIABLE FOR ANY LOSSES, DAMAGES, OR UNCOVERED CHARGES AS A RESULT OF USING THIS PROVIDER DIRECTORY OR RECEIVING CARE FROM A PROVIDER LISTED IN THIS DIRECTORY.

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AMMONOOSUC COMMMUNITY HEALTH INDEX RITE AID #4165 A AMMONOOSUC COMMMUNITY HEALTH...1 AZAR A KORBEY...3 B BEDFORD PHARMACY...2 C CARE PHARMACY...1 CARE PHARMACY EPSOM...3 CARE PHARMACY OF ROCHESTER...4 COLONIAL PHARMACY...3 COLONIAL VILLAGE PHARMACY...3 CONCORD METRO TREATMENT CENTER...3 COSTCO #307...2 CVS #00164...3 CVS #00181...3 CVS #00200...2 CVS #00221...1 CVS #00442...3 CVS #00500...3 CVS #00503...3 CVS #00593...3 CVS #00639...2 CVS #00640...1 CVS #00647...1 CVS #00650...1 CVS #00694...3 CVS #00723...2 CVS #00741...2 CVS #00841...3 CVS #00846...3 CVS #00863...1 CVS #00902...2 CVS #01003...2 CVS #01004...3 CVS #01175...2 CVS #02197...4 CVS #02229...1 CVS #02420...3 CVS #03063...2 CVS #03079...3 CVS #04314...4 CVS #05153...3 CVS #05347...4 CVS #05862...3 CVS #05938...1 CVS #06596...3 CVS #07122...3 CVS #07391...3 CVS #07932...2 CVS #08931...1 CVS #10463...4 CVS #10572...2 CVS #16582...3 CVS #16583...2 CVS #16850...3 CVS #16862...2 CVS #17104...2 CVS #17203...1 CVS #17262...4 CVS #17558...3 CVS #2257...2 D DARTMOUTH-HITCHCOCK PHARMACY...1 DICK HALL S HOUSE PHARMACY...1 E EASTERN STATES COMP PHCY...1 ELLIOT PHARMACY AT RIVERS EDGE...2 EXPRESS MED CLINIC...3 F FAMILY PHARMACY...1 FISHERVILLE PHARMACY...3 G GENOA A QOL HEALTHCARE CO LLC...3 GENOA A QOL HEALTHCARE COMPAN...4 GENOA A QOL HEALTHCARE COMPANY...1, 2 GENOA HEALTHCARE...2 GOODWIN COMMUNITY HEALTH PHCY...4 GRANITE STATE PHARMACY...3 H DRUG #016...3 DRUG #120...3 DRUG #159...1 DRUG #160...3 DRUG #163...1 DRUG #164...2 DRUG #177...2 DRUG #178...2 DRUG #180...1 DRUG #185...3 DRUG #186...2 DRUG #190...3 DRUG #242...4 DRUG #247...1 DRUG #248...1 DRUG #266...1 DRUG #305...2 DRUG #311...2 DRUG #315...4 DRUG #317...4 DRUG #318...3 DRUG #319...3 DRUG #329...3 DRUG #352...1 DRUG #373...4 DRUG #8253...1 DRUG #8435...3 DRUG #8436...2 HANNAFORD PHARMACY #8402...1 HARBOR CARE HEALTH AND WELLNES...2 HEALTH CENTER PHARMACY...4 HEALTHDIRECT IPS #114...3 HENNIKER PHARMACY...3 HOLLIS PHARMACY...2 HOWE S PHARMACY...2 HUGGINS HOSPITAL...1 I INDIAN STREAM HEALTH CTR PHCY...1 INFUSION SOLUTIONS...2 K KEENE METRO TREATMENT CENTER...1 KEN S PHARMACY...2 KINDRED PHARMACY SERVICES...3 KMART PHARMACY #7048...1 M MANCHESTER METRO TREATMENT CTR...2 MANCHESTER VAMC PHARMACY...2 MARTINS POINT PORTSMOUTH PHCY...3 MEDICINE WORLD...2 MONADNOCK COMM HOSPITAL PHCY...2 N NAVAL AMBULATORY CENTER...3 NEIGHBORCARE - PEMBROKE...3 NEW ENGLAND LIFE CARE...3 NORTHEAST PHARMACY SERVICES...3 O OSCO PHARMACY...2 OSCO PHARMACY #7514...2 P PENACOOK PHARMACY...3 PERFORMIX SPECIALTY PHARMACY L...4 PILLPACK PHARMACY...2 PLANNED PARENTHOOD OF NORTH NE...1, 2, 4 PRICE CHOPPER PHARMACY #167...1 PRICE CHOPPER PHARMACY #227...1 Q QUICK SCRIPTS...4 R RITE AID #10264...4 RITE AID #10265...2 RITE AID #10266...2 RITE AID #10267...4 RITE AID #10268...2 RITE AID #10269...2 RITE AID #10270...2 RITE AID #10272...4 RITE AID #10273...4 RITE AID #10274...2 RITE AID #10275...2 RITE AID #10276...2 RITE AID #10277...3 RITE AID #10278...2 RITE AID #10279...2 RITE AID #10280...1 RITE AID #10281...1 RITE AID #10282...3 RITE AID #10283...3 RITE AID #10284...1 RITE AID #10285...2 RITE AID #10287...1 RITE AID #10288...4 RITE AID #10289...1 RITE AID #10290...4 RITE AID #10291...4 RITE AID #10292...4 RITE AID #10293...4 RITE AID #10294...4 RITE AID #10295...4 RITE AID #10296...4 RITE AID #10297...4 RITE AID #10298...4 RITE AID #10299...4 RITE AID #10300...4 RITE AID #10301...4 RITE AID #1070...2 RITE AID #1095...2 RITE AID #1295...4 RITE AID #1327...1 RITE AID #1397...4 RITE AID #1653...1 RITE AID #190...3 RITE AID #3282...4 RITE AID #3288...4 RITE AID #3304...4 RITE AID #3310...4 RITE AID #3482...2 RITE AID #3589...4 RITE AID #3744...1 RITE AID #406...2 RITE AID #4127...1 RITE AID #4138...1 RITE AID #4139...1 RITE AID #4144...4 RITE AID #4155...1 RITE AID #4156...1 RITE AID #4163...2 RITE AID #4165...4 7

RITE AID #4166 INDEX WINGATE S PHARMACY RITE AID #4166...1 RITE AID #4182...1 RITE AID #4282...3 RITE AID #4741...2 RITE AID #4794...3 RITE AID #4800...1 RITE AID #4871...1 RITE AID #4961...2 RITE AID #4993...3 ROBERTS SCARLETT PHARMACY...3 S SAM S CLUB #6337...4 SAM S CLUB #6352...2 SAM S CLUB #6386...3 #348...4 #349...4 #372...1 #373...1 #374...1 #392...3 #394...4 #395...2 #7505...2 #7686...4 ST JOSEPH HEALTHCARE RET PHCY...2 SUGAR RIVER PHARMACY...5 SUGAR RIVER PHARMACY OF CLAREM...5 T THE MEDICINE STORE...3 THE PHARMACY CENTER...1 THE PRESCRIPTION CENTER...3 U UNH HEALTH SERVICES PHARMACY...4 W WAL-MART #1698...3 WAL-MART #1749...4 WAL-MART #1753...4 WAL-MART #1762...4 WAL-MART #1785...2 WAL-MART #1796...2 WAL-MART #1907...1 WAL-MART #1930...4 WAL-MART #1975...5 WAL-MART #2055...3 WAL-MART #2057...1 WAL-MART #2130...4 WAL-MART #2138...1 WAL-MART #2140...1 WAL-MART #2142...4 WAL-MART #2246...2 WAL-MART #2330...4 WAL-MART #2369...1 WAL-MART #2398...4 WAL-MART #2399...2 WAL-MART #2634...1 WAL-MART #2639...1 WAL-MART #2681...1 WAL-MART #2758...1 WAL-MART #3535...4 WAL-MART #4389...1 WALGREENS #02566...4 WALGREENS #03103...4 WALGREENS #03154...1 WALGREENS #03174...4 WALGREENS #03520...4 WALGREENS #03900...2 WALGREENS #04689...2 WALGREENS #09177...2 WALGREENS #09178...4 WALGREENS #09250...4 WALGREENS #09320...2 WALGREENS #09447...2 WALGREENS #09613...2 WALGREENS #09646...2 WALGREENS #09970...3 WALGREENS #10108...4 WALGREENS #10378...4 WALGREENS #10409...1 WALGREENS #10410...2 WALGREENS #10462...3 WALGREENS #10609...1 WALGREENS #10642...4 WALGREENS #10780...4 WALGREENS #10887...1 WALGREENS #11225...4 WALGREENS #11376...3 WALGREENS #11505...3 WALGREENS #11554...3 WALGREENS #11985...1 WALGREENS #12352...3 WALGREENS #15464...4 WARNER PHARMACY...3 WENTWORTH DOUGLASS OUTPATIENT...4 WINGATE S PHARMACY...3

An employer may elect to insure or self-fund its group health plan(s). For self-funded accounts, Anthem Blue Cross and Blue Shield provides administrative claims payment services only and does not assume any financial risk or obligation with respect to claims. Please consult your employer for plan funding details. The benefi t descriptions in this plan overview are intended to be brief outlines of coverage. The entire provisions of benefits and exclusions are contained in the Group Contract and are subject to your employer s funding arrangement. In the event of conflict between the Group Contract and this description, the terms of the Group Contract will prevail. In Connecticut: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. In Maine: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. In New Hampshire: Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of New Hampshire, Inc. Independent licensees of the Blue Cross and Blue Shield Association. Registered marks Blue Cross and Blue Shield Association. SM "SpecialOffers@Anthem," "MyHealth@Anthem," "Anthem Rewards," "Anthem Healthy Communities," "Anthem Healthy Solutions," "MyAnthem" is a service mark of Anthem Insurance Companies, Inc. Anthem Vision coverage is underwritten by Anthem Blue Cross and Blue Shield and administered by Health Management Systems, Inc. a separate company. Life and disability products are underwritten by Anthem Life Insurance Company. All of the offerings in the SpecialOffers@Anthem program are continually being evaluated and expanded so the offerings may change. Any additions or changes will be communicated on our website, anthem.com. These arrangements have been made to add value to our members. Value-added services and products are not covered by your health plan benefi t. Available discount percentages may change from time to time without notice. Discount is applicable to the items referenced.sm "SpecialOffers@Anthem," "MyHealth@Anthem," "Anthem Rewards," "Anthem Healthy Communities," "Anthem Healthy Solutions," "MyAnthem" is a service mark of Anthem Insurance Companies, Inc. Anthem Vision coverage is underwritten by Anthem Blue Cross and Blue Shield and administered by Health Management Systems, Inc. a separate company. Express Scripts, Inc. is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of health plan members. The Healthy Lifestyles programs are administered by Healthways, Inc., an independent company. 48324426-105013190