ATRIO HEALTH PLANS 2018 PHARMACY DIRECTORY

ATRIO HEALTH PLANS 2018 DIRECTY This Pharmacy Directory was updated on 09/06/2018. 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. The Pharmacy Directory may change at any time. You will receive notice when necessary. Y0084_PHARM_PHD_2018 CMS ed

2018 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 September 06, 2018. 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. This directory is for Douglas, Josephine, Jackson, Klamath, Marion and Polk counties in Oregon, which includes the area in which you live. However, we cover a larger service area, and there are more pharmacies where your prescriptions may be covered by our Plan. For information on more pharmacies in our plan network not listed in this directory please 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 (by pharmacy name), including Chain Pharmacies... 4 Retail Pharmacies (by city), including Chain Pharmacies... 13 Mail Order Pharmacy... 23 Home Infusion Pharmacies... 23 Long Term Care Pharmacies... 25 Indian Health Service/Tribal/Urban Indian Health Program (I/T/U) Pharmacies... 28 Network Pharmacies outside Douglas, Josephine, Jackson, Klamath, Marion and Polk Counties... 29

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. Pharmacy Name ASANTE Y Y (541) 789-5850 711 ASANTE RRMC ASANTE THREE RIVERS 2900 E BARNETT RD STE 1 MEDFD N Y (541) 789-4251 711 2825 E BARNETT RD MEDFD 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 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 MEDFD BI-MART #616 Y Y (541) 772-3461 711 990 BIDDLE RD MEDFD BI-MART #624 Y Y (503) 371-6717 711 3862 RIVER ROAD N KEIZER BI-MART #633 Y Y (503) 588-8173 711 2155 LANCASTER DRIVE NE 8332 97527-5554 97520-1889 97520-1406 97471-97527- 5404 97603-4502 2127 6118 97303-4866 97305-1228 4

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 333 S REDWOOD 3750 CHEMAWA RD NE WINSTON MEDFD 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 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 6450 KEIZER STATION BLVD NE MEDFD KEIZER 97071-9071 97361-1543 97383-1091 97479-9607 97496-8567 97503-97523- 97305-97502- 2844 97470-1161 97303-5

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 MEDFD FRED MEYER Y Y (541) 779-4153 711 2424 CRATER LAKE FRED MEYER Y Y (541) 884-1780 711 2655 SHASTA WAY MEDFD 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, INC., INC. HARVARD AVENUE DRUGS AND HEALTH MART Y Y (541) 839-4452 711 314 MAIN ST CANYONVILLE 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 1175 W HARVARD AVE 97338-97603- 97303-2333 97471-97525- 97417-2810 2897 97471-6

HI SCHOOL Y Y (503) 838-2195 711 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 MEDFD 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 OMNICARE OF MEDFD Y Y (541) 779-5627 711 EGON STATE HOSPITAL PHARMBLUE EGON LLC PHYSICIANS BUILDING QUISENBERRY PHARMACIES QUISENBERRY PHARMACIES, LLC 1350 NTHEAST STEPHENS STE 42 2940 COMMERCIAL ST SE 259 E BARNETT RD STE L MEDFD N Y (503) 945-2945 711 2600 CENTER ST NE Y Y (800) 967-6816 711 Y Y (503) 362-4874 711 140 S HOLLY ST SUITE 1131 1234 COMMERICAL ST SE MEDFD Y Y (503) 364-3336 711 150 LIBERTY ST SE N Y (503) 364-3336 711 150 LIBERTY ST SE 97351-97381- 97471-5637 97467-97540- 97362-97470- 7953 97310-2669 3113 3506 3506 7

REEDSPT Y Y (541) 271-3631 711 1409 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 RITE AID 05385 RITE AID 05386 RITE AID 05387 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 Y Y (541) 482-7409 711 N Y (541) 479-3358 711 N Y (541) 479-6698 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 MEDFD CENTER 2341 ASHLAND STREET TOLMAN CREEK PLAZA 915 NTHEAST D STREET GRANTS PASS SHOPPING CENTER 1642 WILLIAMS HIGHWAY WILLIAMS HIGHWAY PLAZA SILVERTON KEIZER DALLAS MEDFD ASHLAND 97467-97381- 1936 4733 3588 3918 97303-4429 97338-1408 97470-1766 97470-3136 6748 97520-1407 2399 97527-5660 8

RITE AID 05388 RITE AID 06776 ROGUE COMMUNITY HEALTH ROGUE COMMUNITY HEALTH WHITE CITY ROGUE RIVER ROGUE VALLEY MAN SAFEWAY #0290 SAFEWAY #0412 SAFEWAY #0429 SAFEWAY #0525 SAFEWAY #1516 SAFEWAY #1527 SAFEWAY #1629 SAFEWAY #1643 SAFEWAY #1666 N Y (541) 883-2210 711 2521 SOUTH SIXTH STREET KLAMATH FALLS Y Y (541) 535-1561 711 636 N MAIN ST PHOENIX Y Y (541) 842-7747 711 19 MYRTLE ST MEDFD 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) 857-7361 711 1250 MIRA MAR AVE MEDFD 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 Y Y (503) 390-8819 711 1455 EDGEWATER NW 3380 LANCASTER DR NE 1003 MEDFD SHOPPING CTR 4990 NTH RIVER ROAD MEDFD 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 1265 CENTER STREET 3169 CRATER LAKE HIGHWAY 1539 NE STEPHENS ST MEDFD 97601-4343 97535-9607 7337 97503-1176 97537-97304- 97303-97303- 97383-97470- 9

SAFEWAY #1935 SAFEWAY #1976 SAFEWAY #4404 SAFEWAY #4904 HEALTH RETAIL Y Y (503) 364-1520 711 Y Y (503) 982-2864 711 Y Y (503) 831-6006 711 5660 COMMERCIAL STREET SE 1550 NTH PACIFIC 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 MEDFD 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 MEDFD SAV-ON #3595 Y Y (541) 665-3766 711 1360 PLAZA BLVD MEDFD SAVON #515 Y Y (541) 957-9236 711 3013 NW STEWART PKWY SHADY COVE Y Y (541) 878-3151 711 21195 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 97071-97338- 97457-97603- 97527-97502- 97471-97539- 97317-5800 97071-9066 97381-10

SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER 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 Y Y (541) 274-3491 711 25647 REDWOOD 1701 NW HAWTHNE AVE 25647 REDWOOD 1701 NW HAWTHNE AVE 2865 DAGGETT AVENUE CAVE JUNCTION CAVE JUNCTION KLAMATH FALLS STAYTON Y Y (503) 769-2616 711 102 MARTIN DR STE A STAYTON SUTHERLIN DRUG Y Y (541) 459-2712 711 113 CENTRAL AVE E SUTHERLIN TRINITY VALLEY LLC TRINITY VALLEY LLC RETAIL Y Y (541) 474-9437 711 N 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 2001 FOOTHILL BLVD BLDG 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 MEDFD WALGREENS #13819 Y Y (541) 672-8438 711 1236 NW GARDEN VALLEY BLVD 97523-9332 97523-9332 97601-97383- 97479-9556 97496-9670 97470-97071- 2210 97471-1925 11

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 WALGREENS #9328 Y Y (541) 858-3336 711 210 E BARNETT RD MEDFD 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 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 MEDFD Y Y (503) 623-5091 711 321 NE KINGS VALLEY DALLAS 97502-2001 97305-97303- 97527-97317- 5331 7928 97304-3834 97603-97305- 97071-97306- 7941 97338-12

WALMART 10-2477 WALMART 10-5368 WALMART 10-5424 WALMART 10-5839 WELLNESS COMPOUNDING Y Y (541) 957-8544 711 Y Y (503) 391-0586 711 2125 NW STEWART PARKWAY 1940 TURNER ROAD SE Y Y (541) 826-2670 711 11500 HANNON ROAD EAGLE POINT Y Y (541) 227-5403 711 Y Y (541) 774-3939 711 3615 CRATER LAKE 522 CRATER LAKE AVE MEDFD MEDFD WEST MAIN DRUG Y Y (541) 772-2330 711 2355 WEST MAIN ST MEDFD 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. 97470-97524- 9259 2192 Pharmacy Name 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 97520-1407 97520-1889 13

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 SISKIYOU COMMUNITY HEALTH CENTER SISKIYOU COMMUNITY HEALTH CENTER Y Y (541) 592-2010 711 N Y (541) 592-2010 711 25647 REDWOOD 25647 REDWOOD CAVE JUNCTION CAVE JUNCTION CAVE JUNCTION WALGREENS #15974 Y Y (541) 423-6025 711 43 N FRONT ST CENTRAL POINT 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 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., INC. N Y (541) 476-4262 711 414 SW 6TH ST Y Y (541) 476-4262 711 414 SW 6TH ST 97520-1406 97417-97523- 97523-9332 97523-9332 97502-2001 97502-2844 97338-97338- 97338-1408 97338-97524- 97525-97527- 2810 2897 14

FRED MEYER #126 SAFEWAY #0290 WALMART 10-1834 TRINITY VALLEY LLC RETAIL TRINITY VALLEY LLC RITE AID 05387 RITE AID 05386 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 Y Y (541) 474-9437 711 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 2001 FOOTHILL BLVD BLDG F3 2001 NE FOOTHILL BLVD F3 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 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 2333 97527-5660 2399 97527-97527- 5554 97527-5404 97351-97303- 15

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 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 OUTPATIENT 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 KLAMATH FALLS KLAMATH FALLS KLAMATH FALLS WALGREENS #12596 Y Y (541) 779-1109 711 2280 W MAIN ST MEDFD WALGREENS #9328 Y Y (541) 858-3336 711 210 E BARNETT RD MEDFD BLACK OAK Y Y (541) 773-5356 711 2924 SISKIYOU BLVD STE 102 MEDFD FRED MEYER Y Y (541) 857-4683 711 1301 CENTER DRIVE MEDFD FRED MEYER Y Y (541) 779-4153 711 SAFEWAY #0525 Y Y (541) 608-3686 711 2424 CRATER LAKE 1003 MEDFD SHOPPING CTR MEDFD MEDFD 97303-97303- 4429 97303-97303- 4866 97603-97603- 97601-4343 97603-97601- 97603-4502 2210 7928 16

WALMART 10-2069 Y Y (541) 772-2469 711 1360 CENTER DR MEDFD ASANTE Y Y (541) 789-5850 711 SAFEWAY #1643 Y Y (541) 774-4346 711 OMNICARE OF MEDFD Y Y (541) 779-5627 711 RITE AID 05384 N Y (541) 779-7455 711 2900 E BARNETT RD STE 1 3169 CRATER LAKE HIGHWAY 259 E BARNETT RD STE L 981 MEDFD CENTER MEDFD MEDFD MEDFD MEDFD SAV-ON #3508 Y Y (541) 770-7110 711 910 N PHOENIX RD MEDFD SAV-ON #3593 Y Y (541) 858-5078 711 113 ROSS LN MEDFD SAV-ON #3595 Y Y (541) 665-3766 711 1360 PLAZA BLVD MEDFD CVS #16159 Y Y (541) 779-5110 711 ROGUE COMMUNITY HEALTH WALMART 10-5839 PHARMBLUE EGON LLC 2000 CRATER LAKE MEDFD Y Y (541) 842-7747 711 19 MYRTLE ST MEDFD Y Y (541) 227-5403 711 Y Y (800) 967-6816 711 3615 CRATER LAKE 140 S HOLLY ST SUITE 1131 MEDFD MEDFD WEST MAIN DRUG Y Y (541) 772-2330 711 2355 WEST MAIN ST MEDFD BI-MART #613 Y Y (541) 779-8016 711 2687 W MAIN ST MEDFD BI-MART #616 Y Y (541) 772-3461 711 990 BIDDLE RD MEDFD ASANTE RRMC N Y (541) 789-4251 711 2825 E BARNETT RD MEDFD 7941 7953 6748 97502-7337 9259 3113 2192 2127 6118 8332 17

ROGUE VALLEY MAN Y Y (541) 857-7361 711 1250 MIRA MAR AVE MEDFD LONE PINE DRUG Y Y (541) 973-2367 711 WELLNESS COMPOUNDING Y Y (541) 774-3939 711 3528 LONE PINE RD # 2 522 CRATER LAKE AVE MEDFD MEDFD 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 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 SAFEWAY #1666 WALMART 10-2477 Y Y (541) 957-3058 711 Y Y (541) 957-2546 711 Y Y (541) 957-8544 711 1377 NE STEPHENS ST 1236 NW GARDEN VALLEY BLVD 929 NW GARDEN VALLEY BLVD 1539 NE STEPHENS ST 2125 NW STEWART PARKWAY 5637 97361-1543 97362-97457- 97535-9607 97467-97467- 97537-97470- 97471-1925 97471-97470- 97470-18

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 WALGREENS #4229 Y Y (503) 362-4845 711 WALGREENS #4257 Y Y (503) 399-8148 711 WALGREENS #9287 Y Y (503) 428-5004 711 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 1992 LANCASTER DR NE 4380 COMMERCIAL ST SE 124 LANCASTER DR SE WALGREENS #9650 Y Y (503) 428-5073 711 699 WALLACE RD NW 97470-1161 97470-1766 97470-3136 97470-97471- 97471-97471- 97471-97317- 5800 97305-97317- 5331 97304-3834 19

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 WALMART 10-1920 SAFEWAY #0429 SAFEWAY #1629 WALMART 10-5368 RITE AID 05360 RITE AID 05361 Y Y (503) 378-7720 711 Y Y (503) 378-1822 711 Y Y (503) 391-6482 711 1455 EDGEWATER NW 1010 HAWTHNE AVE 3025 LANCASTER DRIVE NE 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 1940 TURNER ROAD SE 681 LANCASTER DRIVE NTHEAST 435 LIBERTY STREET NTHEAST 97305-97303- 97304-97305- 97306-97303- 4733 3588 20

RITE AID 05362 EGON STATE HOSPITAL QUISENBERRY PHARMACIES QUISENBERRY PHARMACIES, LLC N Y (503) 588-2352 711 4500 COMMERCIAL STREET SOUTHEAST N Y (503) 945-2945 711 2600 CENTER ST NE Y Y (503) 364-3336 711 150 LIBERTY ST SE N 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 62 SHADY COVE 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 3918 97310-2669 3506 3506 97305-1228 97539-97381- 1936 97381-97381- 97383-97383- 97383-1091 21

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 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 7591A CRATER LAKE 157 NW DOUGLAS BLVD 391 NW DOUGLAS BLVD 1000 N EVERGREEN RD 1550 NTH PACIFIC 3002 STACY ALLISON WAY WHITE CITY WINSTON WINSTON WOODBURN WOODBURN WOODBURN BI-MART #643 Y Y (503) 981-2106 711 1600 MT HOOD AVE WOODBURN SILVERTON HEALTH WOODBURN HEALTH Y Y (971) 983-5290 711 1475 MOUNT HOOD AVE WOODBURN 97479-9556 97479-9607 97540-97503- 1176 97503-97496- 9670 97496-8567 97071-97071- 97071-97071- 9071 97071-9066 22

Mail Order Pharmacy 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. Pharmacy Name POSTAL PRESCRIPTION SERVICES Please register with PPS by mail using an order form or by calling (800) 552-6694 Toll Free. Obtain new prescriptions written for up to a 90-day supply and mail to PPS with the order form. You can order refills online at www.ppsrx.com. Mon-Fri 6a.m.-6p.m. PST Saturdays 6a.m.-2p.m. PST Y N (503) 797-2100 (800) 552-6694 711 3500 SE 26TH AVE PO BOX 2718 PTLAND 97202 - 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. 23

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. Pharmacy Name BRIOVARX INFUSION SERVICES 404, LLC CAM CVS/SPECIALTY INFUSION SERVICES Y N (541) 382-0287 711 Y N (503) 684-3046 711 2065 NE WILLIAMSON CT STE B 7358 SW DURHAM RD BEND PTLAND 97701-3867 97224-7307 HOME PARENTERAL CARE N N (541) 683-3700 711 1000 S BERTELSEN RD #4 EUGENE 97402- MURRAY'S BOARDMAN N N (541) 481-9474 711 101 SW KINKADE RD BOARDMAN 97818-9001 OHSU HOME INFUSION Y N (503) 346-3850 711 9317 SW NIMBUS AVE BEAVERTON 97008-7146 OPTION CARE AT LEGACY HEALTH OPTION CARE AT LEGACY HEALTH Y N (541) 385-3254 711 Y N (503) 225-6100 711 2275 NE DOCTS DR STE 10 SUITE 10 16195 SW 72ND AVE BEND PTLAND 97701-6324 97224- PROVIDENCE SPECIALTY SERVICES- INFUSION/SPP Y N (503) 215-4633 711 6410 NE HALSEY STREET SUITE 400 PTLAND 97213-4742 24

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. Pharmacy Name @.COM Y N (503) 384-2475 711 ASANTE Y N (541) 789-5850 711 BRIOVARX INFUSION SERVICES 404, LLC COLUMBIA MEMIAL HOSPITAL OUTPATIENT CONSONUS SERVICES EGON CUTTER'S HI- SCHOOL #1167 Y N (541) 382-0287 711 Y N (503) 338-4560 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 2120 EXCHANGE ST STE 101 4560 SE INTERNATIONAL WAY STE 101 PTLAND MEDFD BEND ASTIA 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 101 FLENCE GATEWAY MEDICAL GENEVA WOODS #48546 Y N (503) 254-7383 711 Y N (503) 657-9422 711 1125 NE 99TH AVE 16250 SE MCLOUGHLIN PTLAND MILWAUKIE 97206-2314 97701-3867 97103-97222- 97038-0449 97213-97439- 97220-97267- 4657 25

BLVD, INC., INC. 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 HI SCHOOL Y N (503) 543-6313 711 HI SCHOOL Y N (503) 656-0306 711 HI SCHOOL Y N (503) 838-2195 711 HI SCHOOL Y N (503) 873-8391 711 207 S BROADWAY 33454 SW CHINOOK PLZ 5639 NE HOOD ST 1357 MONMOUTH AVE 406 MCCLAINE ST GRANTS PASS GRANTS PASS ESTACADA SCAPPOOSE WEST LINN INDEPENDE NCE 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 2810 2897 97023-97056- 97068-97351- 97381-97401- 97845-1211 97220-1461 97918-1345 97402-97322- 97362-26

MURRAY'S BOARDMAN N N (541) 481-9474 711 101 SW KINKADE RD BOARDMAN 97818-9001 OAK TREE Y N (503) 585-2877 711 OMNICARE OF MEDFD Y N (541) 779-5627 711 OMNICARE OF PTLAND Y N (503) 254-1647 711 EGON STATE HOSPITAL N N (503) 945-2945 711 PHARMBLUE EGON LLC Y N (800) 967-6816 711 PILL BOX HEALTH CENTER PROPAC PAYLESS PROVIDENCE SPECIALTY SERVICES - LTC QUISENBERRY PHARMACIES, LLC RED CROSS INSTITUTIONAL RICKS HI SCHOOL Y N (541) 258-8070 711 2940 COMMERCIAL ST SE 259 E BARNETT RD STE L 11933 NE GLENN WIDING DR 2600 CENTER ST NE 140 S HOLLY ST SUITE 1131 906 NW KINGS BLVD MEDFD PTLAND MEDFD CVALLIS Y N (503) 626-9436 711 2920 CHAD DR EUGENE Y N (503) 215-4633 711 N N (503) 364-3336 711 6410 NE HALSEY STREET 150 LIBERTY ST SE PTLAND Y N (541) 963-5741 711 206 DEPOT ST LA GRANDE Y N (503) 728-2102 711 401 WEST COLUMBIA RIVER ROGUE RIVER Y N (541) 582-0559 711 506 E MAIN ROGUE VALLEY MAN Y N (541) 857-7361 711 1250 MIRA MAR AVE CLATSKANIE ROGUE RIVER MEDFD 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 27

SILVERTON PILL BOX Y N (503) 873-6321 711 302 N FIRST ST SILVERTON SISTERS DRUG AND GIFT Y N (541) 549-6221 711 TRINITY VALLEY LLC Y N (541) 474-9437 711 VALLEY DRUGS Y N (541) 236-7060 711 WEST MAIN DRUG Y N (541) 772-2330 711 635 N ARROWLEAF TRL 2001 NE FOOTHILL BLVD F3 157 NW DOUGLAS BLVD 2355 WEST MAIN ST SISTERS GRANTS PASS WINSTON MEDFD 97381-97759- 97496-9670 2192 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. Pharmacy Name CHEMAWA INDIAN HEALTH CENTER WARM SPRINGS HEALTH AND WELL CENTER N N (503) 304-7603 711 N N (541) 553-2134 711 3750 CHEMAWA RD NE 1270 KOT NUM RD WARM SPRINGS 97305-97761- 28

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. This Pharmacy Directory was updated on 09/06/2018. 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. 29